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 Formulary Chapter 6: Endocrine system - Full Chapter
06.01.01.01  Expand sub section  Short-acting insulins
Insuman Rapid®
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First Choice
Green
Cartridge + ClikSTAR 
Humulin S®
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Second Choice
Green
Vial, Cartridge + HumaPen Savvio 
   
Actrapid®
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Formulary
Green
Only available in 10ml vials.
IV Monograph available through 'Injectable Medicines Guide' link on front page of INsite. 
   
Fiasp®
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Formulary
Green Conditional

Fast Acting Insulin Aspart. Please note, this formulation is not directly equivalent to other shot-acting insulins. Must be prescribed by brand

 

 
   
Humalog®
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Formulary
Green
Insulin Lispro rapid acting insulin analogue.
Vial, Cartridge + HumaPen, Kwikpen 
   
Humalog® 200 units/ml KwikPen
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Formulary
Green Conditional
Double concentrate Insulin Lispro rapid acting insulin analogue.
Only available as a KwikPen®
Primary care initiation conditional on appropriate competency. Otherwise simple amber
Should be reserved for the treatment of patients with diabetes requiring daily doses of more than 20 units of rapid-acting insulin 
   
NovoRapid®
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Formulary
Green
Insulin Aspart rapid acting insulin analogue.
3ml Penfill® Cartridge + Novopen 4, FlexPen
1.6ml PumpCart® Cartridge for use in Accu-Chek Insight SC insulin pump 
   
06.01.01.01  Expand sub section  Rapid Acting Insulin Analogues
06.01.01.01  Expand sub section  Ultra-Rapid acting insulin analogues
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Black

Drugs not recommended for use in the Leicestershire Health Community because of lack of evidence of clinical effectiveness, cost prioritization or concerns over safety. All new drugs will be black until they have been through the appropriate approval process - then they will appear as a specific entry   

Red

Drugs which should be prescribed only by hospital specialists (clinical review by specialist as appropriate and annually as a minimum).  

Amber SCA

Drugs which would initially be prescribed by a hospital specialist and then by a GP where full agreement to share the care of each specific patient has been reached under a LMSG Shared Care Agreement (SCA). Specific patient monitoring or intervention required.   

Amber Simple

Drugs suitable to be initiated and prescribed in primary care only after specialist assessment and recommendation. A shared care agreement is not required.  

Green Conditional

Drugs for which GPs are able to take full responsibility for prescribing and monitoring subject to specified conditions e.g. prescribing in line with agreed LMSG guidance or able to demonstrate suitable competence see comments under individual entries.   

Green

Drugs for which GPs would normally take full responsibility for prescribing and monitoring. Drugs included in this list have been specifically considered by LMSG.   

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