| Formulary Chapter 6: Endocrine system - Full Chapter
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| Chapter Links... |
 NICE Guidance on prescribing |
| NICE NG28: Type 2 diabetes in adults: management |
| DVLA guidance |
| Details... |
| 06.01.06 |
Diagnostic and monitoring agents for diabetes mellitus |
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Continuous Glucose Monitoring (Dexcom One Sensor ®)
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Formulary
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In line with NHSE criteria, see annex A in the following link: https://www.blackcountryformulary.nhs.uk/docs/files/National-arrangements-for-funding-of-relevant-diabetes-patients-June-2020-Updated-final.pdf
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 Flash Glucose Monitoring: National Arrangements for Funding of Relevant Diabetes Patients
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Glucose interstitial fluid detection sensors (FreeStyle Libre 2 Sensor ® )
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Formulary
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 in Type I Diabetes
 in Type II Diabetes in line with RMOC criteria
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Ketones Test Strips (FreeStyle Optium beta-ketone testing strips®)
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Formulary
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- FreeStyle Optium beta-ketone testing strips
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Ketones Test Strips (Glucofix Tech beta-ketone Sensor testing strips ®)
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Formulary
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Ketones Test Strips (KetoSens testing strips ®)
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Formulary
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Urinalysis Glucose strips Medi-Test Glucose®
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Formulary
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Urinalysis test strips Diastix®
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Formulary
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Urine Protein strips (Albustix®)
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Formulary
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 in Primary Care
Secondary care to discuss with Pathology
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Urine Protein strips Medi Test Protein 2®
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Formulary
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| 06.01.06 |
Blood glucose monitoring |
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Test strips
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Formulary
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BRANDS-Use in line with local guidance
- CareSens PRO testing strips
- Contour Next testing strips
- Contour Plus testing strips
- Instant testing strips
- TEE2 testing strips
- WaveSense JAZZ Duo testing strips
- WaveSense JAZZ testing strips
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Test strips
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Formulary
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BRANDS
- Aviva testing strips
- FreeStyle Optium testing strips
- On Call Extra testing strips
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| 06.01.06 |
Urinalysis |
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| 06.01.06 |
Oral glucose tolerance test |
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| 06.01.06 |
Blood glucose meters for adults with type 2 diabetes |
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| 06.01.06 |
Blood glucose meters for children and adults with type 1 diabetes |
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| 06.01.06 |
Blood glucose meters for patients on continuous insulin infusion pump |
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| 06.01.06 |
Blood glucose meters for patients with dexterity problems |
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| 06.01.06 |
Talking blood glucose meters |
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| .... |
| Non Formulary Items |
Combination test strips
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Non Formulary
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Glucose
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Non Formulary
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- Clinistix
- Clinitest
- Diabur-Test 5000
- Diastix
- Diastix testing strips
- Element testing strips blood glucose testing strips
- Finetest Lite testing strips blood glucose testing strips
- Medi-Test Glucose testing strips urine glucose testing strips
- MediSense SoftSense testing strips blood glucose testing strips
- MediTouch 2 testing strips blood glucose testing strips
- MediTouch testing strips blood glucose testing strips
- Mendor Discreet testing strips blood glucose testing strips
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Ketones test strips
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Non Formulary
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- 4SURE beta-ketone testing strips
- Fora Advanced pro GD40 Ketone testing strips
- FreeStyle Optium H beta-ketone testing strips
- FreeStyle Precision Pro beta-ketone testing strips
- GlucoMen areo Ketone Sensor testing strips
- GlucoRx HCT Ketone testing strips
- Ketur Test
- StatStrip beta-ketone testing strips
- Xceed Precision Pro beta-ketone testing strips
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Protein test strips (Medi-Test Protein 2 ®)
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Non Formulary
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in Primary care,
Secondary care to discuss with pathology |
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Test Strips
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Non Formulary
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BRANDS
- 4SURE testing strips
- Accu-Chek Inform II testing strips
- Active testing strips
- Advocate Redi-Code+ testing strips
- AutoSense testing strips
- BGStar testing strips
- Betachek C50 cassette
- Betachek G5 testing strips
- Betachek Visual testing strips
- Breeze 2 testing discs
- CareSens N testing strips
- Contour TS testing strips
- Contour testing strips
- Dario Lite testing strips
- Dario testing strips
- Element testing strips
- Finetest Lite testing strips
- Fora Advanced pro GD40 testing strips
- FreeStyle Lite testing strips
- FreeStyle Optium H testing strips
- FreeStyle Optium Neo H testing strips
- FreeStyle Precision Pro testing strips
- FreeStyle testing strips
- GluNEO testing strips
- GlucoDock testing strips
- GlucoLab testing strips
- GlucoRx GO Professional testing strips
- GlucoRx GO testing strips
- GlucoRx HCT Glucose testing strips
- GlucoRx Nexus testing strips
- GlucoRx Q testing strips
- GlucoRx Vivid testing strips
- GlucoZen.auto testing strips
- Glucofix Tech Sensor testing strips
- Glucoflex-R testing strips
- Guide testing strips
- Kinetik Wellbeing testing strips
- MODZ testing strips
- MediSense SoftSense testing strips
- MediTouch 2 testing strips
- MediTouch testing strips
- Mendor Discreet testing strips
- Microdot Max testing strips
- Microdot+ testing strips
- Myglucohealth testing strips
- Mylife Aveo testing strips
- Mylife Pura testing strips
- Mylife Unio testing strips
- OKmeter Core testing strips
- Oh'Care Lite testing strips
- On Call Sure testing strips
- On-Call Advanced testing strips
- OneTouch Select Plus testing strips
- OneTouch Verio testing strips
- Performa testing strips
- SD CodeFree testing strips
- SURESIGN Resure testing strips
- Sensocard testing strips
- StatStrip testing strips
- TRUEyou testing strips
- True Metrix testing strips
- VivaChek Ino testing strips
- Xceed Precision Pro testing strips
- palmdoc iCare Advanced Solo testing strips
- palmdoc iCare Advanced testing strips
- palmdoc testing strips
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Urinalysis (Clinitest®)
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Non Formulary
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Black in Primary care
Secondary care to discuss with pathology |
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Urinalysis test strips glucose Mission Glucose®
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Non Formulary
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Urine Ketone Testing strips
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Non Formulary
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BRANDS
Black in Primary Care, secondary care to discuss with pathology
- GlucoRx KetoRx Sticks 2GK testing strips
- Ketostix testing strips
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Urine Protein Testing Strips
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Non Formulary
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Black in Primary Care, secondary care to discuss with pathology |
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Key |
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Restricted Drug |
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Unlicensed |
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
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Cytotoxic Drug |
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Controlled Drug |
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High Cost Medicine |
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Cancer Drugs Fund |
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NHS England |
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Homecare |
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ICB |
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Low carbon footprint |
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Medium carbon footprint |
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High carbon footprint |
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| Status |
Description |
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All Settings
Suitable for initiation, ongoing prescribing, and discontinuation in both primary and secondary care settings. They are generally familiar, frequently used therapies that can be started within their licensed indications without specialist oversight. |
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Specialist only
Designated for initiation, ongoing prescribing, monitoring, exclusively by a specialists either in a hospital or as part of a specialist service (to note this could be in a non-hospital setting). Primary care should neither start nor continue these treatments except as part of a specialist service. A specialist could be either a medical or non-medical prescriber. |
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Specialist advice
Prescribers in primary care should seek advice and a recommendation from a specialists prior to initiating a medicine. Once agreed with a specialist, medicines can be initiated, prescribed and monitored in primary care without a formal shared-care agreement. |
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Specialist initiation
Medicines in this category require a specialist to start therapy, titrate dosage, and assess initial efficacy or tolerability. Once stabilised, prescribing responsibility may transfer to primary care without the need for a formal shared-care agreement. |
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Shared care agreement
Prescribing responsibility can be shared across health settings and between specialists and GPs only when formal shared care arrangement has been made. For example, there may be extensive and complex monitoring requirements or significant safety concerns (note would need a national policy on this to define the criteria for requiring a formal SCA), this will be produced once nationally. |
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Do not prescribe
Not approved for routine prescribing in primary or secondary care. For example, because they are agents classified in the BNF as “not NHS” or “Drugs of Low Clinical Value”, or they are products on NICE’s “do not do” list or NHS England’s “should not routinely prescribe” list. |
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Self Care
Not for routine prescribed in primary or secondary care unless as part of care for a long term condition. Instead, patients should be encouraged to self care with support from community pharmacy. |
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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 |
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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. |
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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. |
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Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a specialist. |
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Medicines for initiation and maintenance prescribing by Specialists (hospital or GPs with Special Interest) only |
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Positive NICE TA and /or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information. |
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Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use. |
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