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 Formulary Chapter 6: Endocrine system - Full Chapter
Notes:

 

 

 

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06.01.01.02  Expand sub section  Intermediate- and long-acting insulins
Insulin glargine (Semglee®)
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First Choice
Green

First line insulin for new patients initiated on insulin glargine 100units/ml and existing patients on Lantus

 
Insulin Detemir
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Formulary
Green
  • Levemir FlexPen
  • Levemir InnoLet
  • Levemir Penfill
 
 
INSULIN GLARGINE
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Formulary
Green

 

  • Abasaglar KwikPen
  • Lantus
  • Toujeo
  • Toujeo DoubleStar
 
Link  NICE NG17: Type 1 diabetes in adults: diagnosis and management
Link  For your patients who are currently prescribed Lantus®: A guide on how to use Lantus®.
Link  For your patients with diabetes who are currently prescribed Lantus ®: A step-by-step guide on how to use Lantus® SoloStar.
Link  For your patients with diabetes who are currently prescribed Toujeo® DoubleStar: A guide on how to use Toujeo® DoubleStar.
Link  For your patients with diabetes who are currently prescribed Toujeo® SoloStar: A guide on how to use Toujeo ® SoloStar.
 
Insulin Degludec (Tresiba Flextouch ®)
(200units/ml)
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Formulary

 

  • Tresiba FlexTouch 200units/ml

 Green Type I Diabetes

Amber Recommended Type II Diabetes

 
 
Insulin Degludec (Tresiba®)
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Formulary
Amber Initiation

 

  • Tresiba FlexTouch 100units/ml
  • Tresiba Penfill 100units/ml
 
 
Insulin degludec/liraglutide
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Formulary
Amber Initiation
 
 
Isophane Insulin
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Formulary
Green

 

  • Humulin I
  • Humulin I KwikPen
  • Insulatard
  • Insulatard InnoLet
  • Insulatard Penfill
  • Insuman Basal
  • Insuman Basal SoloStar

 

 

 
Link  For your patients with diabetes who are currently prescribed Insuman® Basal: A step-by-step guide on how to use Insuman® Basal SoloStar.
 
06.01.01.02  Expand sub section  Biphasic insulins
Biphasic Insulin Aspart
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Formulary
Green

BRANDS

  • NovoMix 30 FlexPen
  • NovoMix 30 Penfill
 
 
Biphasic Insulin Lispro
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Formulary
Green

BRANDS

  • Humalog Mix25
  • Humalog Mix25 KwikPen
  • Humalog Mix50
  • Humalog Mix50 KwikPen
 
 
Biphasic Isophane Insulin
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Formulary
Green

BRANDS

  • Humulin M3
  • Humulin M3 KwikPen
 
 
Biphasic Isophane Insulin (Insuman Comb® )
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Formulary
Green

Insuman comb 25

Insuman comb 50

 

 

 
 
Insulin Lispro
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Formulary
Green
  • Admelog
  • Humalog 100units/ml
  • Humalog KwikPen
  • Lyumjev
  • Lyumjev KwikPen
  • Lyumjev Junior KwikPen
 
 
06.01.01.02  Expand sub section  Intermediate Acting Insulin
06.01.01.02  Expand sub section  Long Acting Insulin Analogues
 ....
 Non Formulary Items
Biphasic Isophane Insulin  (Hypurin Porcine 30/70 Mix®)

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Non Formulary
Black
Biphasic Isophane Insulin  (Mixtard® 30)

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Non Formulary
Black
Insulin degludec with insulin aspart  (DegludecPlus)

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Non Formulary
Insulin glargine 100units/ml  (Abasaglar ®)

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Non Formulary
Black

Cost price is more than originator April 2023 DM+d
and DT Abasaglar (£35.28); Lantus (£34.75)

Link  NICE NG17: Type 1 diabetes in adults: diagnosis and management
Insulin Zinc suspension  (Hypurin®Bovine Lente)

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Non Formulary
Black

For existing patients only

Discontinued July 2017

Isophane Insulin  (Hypurin Bovine Isophane®)

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Non Formulary
Black
Isophane Insulin  (Hypurin Porcine Isophane®)

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Non Formulary
Black

For existing patients only

Isophane Insulin  (Pork Insulatard®)

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Non Formulary
Protamine Zinc Insulin  (Hypurin® Bovine Protamine Zinc)

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Non Formulary
Black

For existing patients only

Discontinued July 2017

  
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
ICB
ICB
Green Low Carbon

Low carbon footprint

Amber Medium Carbon

Medium carbon footprint

Red High carbon footprint

High carbon footprint

Status Description

Green

Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications  

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a specialist.  

Red

Medicines for initiation and maintenance prescribing by Specialists (hospital or GPs with Special Interest) only  

Grey

Positive NICE TA and /or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Multiple

Check Notes as varies across the area  

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