netFormulary South East London Joint Medicines Formulary NHS
Guy's and St Thomas' NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 6: Endocrine system - Full Chapter
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06.05.01  Expand sub section  Hypothalamic and anterior pituitary hormones and anti-oestrogens
06.05.01  Expand sub section  Anti-oestrogens
06.05.01  Expand sub section  Anterior pituitary hormones
Chorionic gonadotrophin injection

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Formulary
Red
   
Follitropin alfa injection

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Red
   
Follitropin beta injection

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Red
   
Human menopausal gonadotrophins (menotrophin)

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Red
   
Pegvisomant injection

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High Cost Medicine
Red
Use under specialist supervision only
Third line, as per criteria in NHSE policy 16050/P

Blueteq prior approval required

Link  NHSE 16050/P: Pegvisomant for acromegaly as a third - line treatment (adults)    
Somatropin injection

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High Cost Medicine
Amber 3
Initiation by specialist only

Link  NICE TA188: Human growth hormone (somatropin) for the treatment of growth failure in children (review)
Link  NICE TA64: Growth hormone deficiency (adults) - human growth hormone
Link  SE London APC Shared Care Agreement: Somatropin in paediatrics    
Tetracosactide injection, depot injection

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Red
   
Thyrotropin alfa injection

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Red
   
Arginine injection

Restricted Drug Unlicensed Assessment of growth disorders; hyperammonaemia; metabolic alkalosis
   
Corticotrophin releasing hormone injection

Restricted Drug Unlicensed Test for adrenal insufficiency
   
06.05.01  Expand sub section  Hypothalmic hormones
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Section Title Section Title (top level) Non Formulary Item Non Formulary section
Section Title Section Title (sub level)
Cytotoxic Drug
Cytotoxic Drug
Restricted Drug
Restricted Drug
CD
Controlled Drug
Unlicensed Drug
Unlicensed
High Cost Medicine
High Cost Medicine
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Track Changes
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Cancer Drugs Fund
Cancer Drugs Fund
   

 

Traffic Light Status Information

Status Description
  Red   Specialist Prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   
  Amber 1   Treatment can be initiated in primary care after a recommendation from an appropriate specialist  
  Amber 2   Specialist initiation followed by maintenance prescribing in primary care  
  Amber 3   Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  
  Green   Specialist and non-specialist initiation  
  Grey   Not recommended for prescribing  

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