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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Red
High Cost Medicine
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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Formulary
Amber 3
High Cost Medicine
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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Formulary
Red
 
   
Thyrotropin alfa injection
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Formulary
Red
 
   
Arginine injection
Unlicensed Drug Unlicensed Assessment of growth disorders; hyperammonaemia; metabolic alkalosis 
   
Corticotrophin releasing hormone injection
Unlicensed Drug Unlicensed Test for adrenal insufficiency 
   
06.05.01  Expand sub section  Hypothalmic hormones
 ....
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
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Link to adult BNF
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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

Red

Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. 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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