University Hospitals Birmingham NHS Foundation Trust

Medicines A–Z

I

Status Drug name NICE TAs Comments
Status: Green Ingenol mebutate (Picato®)
Status: Red Inotuzumab ozogamicin (Besponsa®)
Status: Green Insulin actrapid® injection (10ml)

Prescribe by brand name

Status: Amber Insulin aspart (Fiasp®)

Prescribe by brand name. For specialist use in pregnancy.

Status: Green Insulin aspart (Novorapid®) injection

Prescribe by brand name

Status: Amber Insulin degludec 100 units/ml (Tresiba®)

Amber for type 1 diabetes- specialist initiation. RICaD. Red for Type 2 diabetes.                                        

Status: Red Insulin degludec 100 units/ml (Tresiba®)

Amber for type 1 diabetes- specialist initiation. RICaD. Red for Type 2 diabetes.     

Status: Green Insulin detemir (Levemir®)

Prescribe by brand name

Status: Amber Insulin glargene 300 units/ml (Toujeo®)

Specialist initiation. For patients who require more than 80 units of insulin glargine per day and who are troubled by nocturnal hypos. Transfer to Primary Care should not happen until specialists can demonstrate reduction in nocturnal hypos (e.g. after 3–4 months). RICaD.

Status: Green Insulin glargine (lantus®)

Extremely high relative cost. Prescribe by brand name.

Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Grey

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

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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