University Hospitals Birmingham NHS Foundation Trust

Reports

Status Drug name NICE TAs Comments
Status: Amber Insulin aspart (Fiasp®)

Prescribe by brand name. For specialist use in pregnancy.

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

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

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: Amber Keromask®
Status: Amber Ketorolac eye drops
Status: Amber Lacosamide syrup

ESCA

Status: Amber Lacosamide tablets

ESCA

Status: Amber Lamotrigine dispersible tablets
Status: Amber Lamotrigine tablets
Status: Amber Lanthanum tablets

Specialist recommendation.

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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