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Ipswich and East Suffolk CCG
North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 6: Endocrine system - Full Chapter
06.01.01.02  Expand sub section  Intermediate- and long-acting insulins
 note 

Insulin glargine preparations are not interchangeable

For new initiations of glargine- use Semglee

Insulatard (Isophane Insulin )
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First Choice
Green

Basal Insulin-First Line


Available as:

  • Cartridges
  • Innolet device
 
Semglee (Insulin glargine )
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Formulary
Green

For new initiations for patients requiring glargine


Available as:

  • Pre-filled pens
 
   
Abasaglar (Insulin glargine )
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Formulary
Green

Basal insulin


Available as:

  • Cartridges
  • Kwikpen

Note - within North East Essex CCG, the use of biosimilar glargine Semglee has also been approved for use

 
   
Lantus (Insulin Glargine)
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Formulary
Green

Basal insulin

For continuation only


Available as:

  • Cartridges
  • Vials
  • Solostar pre filed pen
 
   
Toujeo (Insulin Glargine )
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Formulary
Green

Basal insulin


Available as:

  • Solostar® pre filled pen

Red Triangle Caution-High strength:300 units/ml - to be used only in patients requiring high doses of insulin therapy; to decrease injection volume load

 
   
Levemir (Insulin Detemir)
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Formulary
Green

Basal insulin


Available as:

  • Cartridges
  • Flexpen pre-filled pen
 
   
Xultophy (Insulin degludec and liraglutide)
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Formulary
Green

Basal insulin with GLP-1 anologue

 
   
Tresiba (Insulin degludec )
(100 units/ml)
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Formulary
Green

Basal insulin


Available as:

  • Cartridges
  • FlexTouch pre-filled pen
 
   
Insulin degludec (Tresiba)
(200 units/ml)
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Restricted Drug Restricted

Ipswich Hospital

Insulin degludec (Tresiba) 200units/ml is a non-formulary medicine

Colchester Hospital

Insulin degludec (Tresiba) 200units/ml is a formulary medicine - but very restricted use; only for patients requiring high doses of insulin therapy to decrease injection volume load

 
   
06.01.01.02  Expand sub section  Biphasic insulins
Humulin M3
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First Choice
Green

Isophane Insulin human


Available as:

  • Cartridges
  • Solostar® Pre-filled pen
  • Vials
 
NovoMix 30
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Formulary
Green

Biphasic Insulin Aspart


Available as:

  • Cartridges
  • Flexpen® pre-filled pen
 
   
Humalog Mix
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Formulary
Green

Biphasic Insulin Lispro


Available as:

  • Cartridges
  • Pre-filled pen
 
   
Biphasic Isophane Insulin (Insuman Comb)
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Restricted Drug Restricted

Ipswich Hospital

Isophane insulin (Insuman Comb) is a non-formulary medicine

Colchester Hospital

Isophane insulin (Insuman Comb) is considered a formulary medicine; albeit with very limited usage. Treatment is unlikely to be initiated within the acute hospital.

 

NEECCG

Considered a formulary medicine

 

 
   
 ....
 Non Formulary Items
Biphasic Isophane Insulin  (Hypurin Porcine 30/70 Mix)

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Non Formulary
 
Biphasic Isophane Insulin  (Mixtard 30)

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Non Formulary
 
Insulin degludec with insulin aspart  (DegludecPlus)

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Non Formulary
 
Insulin Zinc suspension  (HypurinBovine Lente)

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Non Formulary
 
Isophane Insulin  (Humulin I)

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Non Formulary
 
Isophane Insulin  (Hypurin Bovine Isophane)

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Non Formulary
 
Isophane Insulin  (Hypurin Porcine Isophane)

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Non Formulary
 
Isophane Insulin  (Insuman Basal)

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Non Formulary
 
Isophane Insulin  (Pork Insulatard)

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

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Non Formulary
 
  
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
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
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
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

Blue

For routine prescribing in primary and secondary care.   

Green

Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.   

Amber

Shared care  

Red Hospital

Hospital only  

Double Red

There should be no prescribing of these drugs  

Mixed

The traffic light of the drug is dependant on the indication. Please see individual drug entry for details  

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