| Name | Tariff | BNF Sub Paragraph | |
| Alendronic Acid / Alendronate 70 mg tab Pack of 4 | £0.68 | Biphosphonates and Other Drugs |    |
| Prednisolone Tablet 1 mg tab Pack of 28 | £0.68 | Use of Corticosteroids
Corticosteroids |    |
| Metformin 500 mg tab Pack of 28 | £0.71 | Biguanides |    |
| Prednisolone Tablet 5 mg tab Pack of 28 | £0.79 | Use of Corticosteroids
Corticosteroids |    |
| Levothyroxine (Thyroxine) 50 mcg tab Pack of 28 | £0.83 | Thyroid Hormones |    |
| Levothyroxine (Thyroxine) 100 mcg tab Pack of 28 | £0.83 | Thyroid Hormones |    |
| Levothyroxine (Thyroxine) 25 mcg tab Pack of 28 | £0.90 | Thyroid Hormones |    |
| Finasteride 5 mg tab Pack of 28 | £1.04 | Male Sex Hormones And Antagonists |    |
| Hydrocortisone Injection (Efcortesol) 100 mg (1ml vial) Pack of 1 | £1.08 | Use of Corticosteroids |    |
| Metformin 850 mg tab Pack of 56 | £1.22 | Biguanides |    |
| Norethisterone 5 mg tab Pack of 30 | £2.08 | Progestogens |    |
| Urine Glucose Test Strips (Medi-Test Glucose) 1 pack (50 strips) Pack of 50 | £2.33 | Screening and Monitoring Agents |    |
| Hydrocortisone Tablets 10 mg tab Pack of 30 | £2.41 | Use of Corticosteroids |    |
| Carbimazole 5 mg tab Pack of 100 | £2.45 | Antithyroid Drugs |    |
| Hydrocortisone Tablets 20 mg tab Pack of 30 | £2.49 | Use of Corticosteroids |    |
| Estradiol Patch (Evorel) 25 mcg/24hrs Pack of 8 | £3.42 | Oestrogens And Hrt |    |
| Carbimazole 20 mg tab Pack of 100 | £3.67 | Antithyroid Drugs |    |
| Estradiol Patch (Evorel) 50 mcg/24hrs Pack of 8 | £3.88 | Oestrogens And Hrt |    |
| Conjugated Oestrogens Tablets (Premarin) 0.625 mg tab Pack of 84 | £4.02 | Oestrogens And Hrt |    |
| Estradiol Patch (Evorel) 75 mcg/24hrs Pack of 8 | £4.12 | Oestrogens And Hrt |    |
| Estradiol Patch (Evorel) 100 mcg/24hrs Pack of 8 | £4.28 | Oestrogens And Hrt |    |
| Estradiol Gel (Oestrogel) 0.06 % Gel (64-dose pump pack; 80g) Pack of 1 | £4.80 | Oestrogens And Hrt |    |
| Estradiol Tablet (Elleste-Solo) 1 mg tab Pack of 84 | £5.06 | Oestrogens And Hrt |    |
| Estradiol Tablet (Elleste-Solo) 2 mg tab Pack of 84 | £5.06 | Oestrogens And Hrt |    |
| Progesterone (Utrogestan) 100 mg caps Pack of 30 | £5.13 | Progestogens |    |
| Estradiol Patch (Femseven) 50 mcg/24hrs Pack of 4 | £6.04 | Oestrogens And Hrt |    |
| Estradiol Patch (Femseven) 75 mcg/24hrs Pack of 4 | £6.98 | Oestrogens And Hrt |    |
| Estradiol Patch (Femseven) 100 mcg/24hrs Pack of 4 | £7.28 | Oestrogens And Hrt |    |
| Insulin isophane human 10 units/ml suspension for injection 10ml vials Pack of 1 | £7.48 | Intermediate And Long-Acting Insulins |    |
| Blood glucose biosensor testing strips (TEE2 ) 1 test strip Pack of 50 | £7.75 | Screening and Monitoring Agents |    |
1st Line for people with Type2 Diabetes |
| Blood glucose test strips (GlucoMen areo Sensor) 50 strips Pack of 50 | £8.25 | Screening and Monitoring Agents |    |
1st Line Choice for people with Type1 and Type2 Diabetes |
| Blood Glucose Test Strips (Wavesense Jazz) 50 Test Strips Pack of 50 | £8.74 | Screening and Monitoring Agents |    |
1st Line for people with Type2 Diabetes |
| Blood Glucose Biosensor Testing Strips (GlucoRX Nexus) 50 test strips Pack of 50 | £8.95 | Screening and Monitoring Agents |    |
| Oestradiol / Norethisterone (Evorel Sequi) 50 & 170mcg / 24hrs (twice weekly) Pack of 8 | £11.09 | Oestrogens And Hrt |    |
| Estradiol/ Norethisterone (Kliofem) 2 mg/ 1mg tab Pack of 84 | £11.43 | Oestrogens And Hrt |    |
| Glucagon Injection (Glucagen Hypokit) 1 mg vial with prefilled syringe Pack of 1 | £11.52 | Treatment Of Hypoglycaemia |    |
| Medroxyprogesterone acetate (Provera) 5 mg tab Pack of 100 | £12.32 | Progestogens |    |
| Oestradiol/ Norethisterone Patch (Evorel Conti) 50 mcg & 170mcg / 24hrs Pack of 8 | £13.00 | Oestrogens And Hrt |    |
| Estradiol/ Norethisterone (Kliovance) 1 mg / 0.5mg tab Pack of 84 | £13.20 | Oestrogens And Hrt |    |
| Humulin I Vial 10 ml Vial (100units / ml) Pack of 1 | £15.68 | Intermediate And Long-Acting Insulins |    |
| Humulin M3 Vial 10 ml Vial (100units / ml) Pack of 1 | £15.68 | Intermediate And Long-Acting Insulins |    |
| Humulin S Vial (Humulin S) 10 ml Vial (100units / ml) Pack of 10 | £15.68 | Short-Acting Insulins |    |
| Apidra Vial 10 ml vial (100units/ml) Pack of 1 | £16.00 | Short-Acting Insulins |    |
| Femoston 1 mg / 10mg tab Pack of 84 | £16.16 | Oestrogens And Hrt |    |
| Femoston 2 mg / 10mg tab Pack of 84 | £16.16 | Oestrogens And Hrt |    |
| Estradiol / Norethisterone (Elleste-Duet) 1 mg / 1mg Tab Pack of 84 | £17.02 | Oestrogens And Hrt |    |
| Estradiol / Norethisterone (Elleste-Duet) 2 mg / 1mg Tab Pack of 84 | £17.02 | Oestrogens And Hrt |    |
| Biphasic isophane insulin Cartridge (Insuman Comb 25 Cartridge) 3 ml cartridge (for Optipen Pro 1) Pack of 5 | £17.50 | Intermediate And Long-Acting Insulins |    |
| Biphasic Isophane Insulin Cartridge (Insuman Comb 50 Cartridge) 3 ml cartridge (for Optipen Pro 1) NOT NHS Pack of 5 | £17.50 | Intermediate And Long-Acting Insulins |    |
| Isophane Insulin Cartridge (Insuman Basal Cartridge) 3 ml Cartridge (for OptiPen Pro 1) Pack of 5 | £17.50 | Intermediate And Long-Acting Insulins |    |
| Humulin I Cartridge 3 ml Cartridge Pack of 5 | £19.08 | Intermediate And Long-Acting Insulins |    |
| Humulin S Cartridge 3 ml Cartridge Pack of 5 | £19.08 | Short-Acting Insulins |    |
| Biphasic Isophane Insulin Prefilled Injection (Insuman Comb 25 (Solostar)) 3 ml disposable unit (Solostar) Pack of 5 | £19.80 | Intermediate And Long-Acting Insulins |    |
| Isophane Insulin Prefilled Injection (Insuman Basal Solostar) 3 ml disposable unit (100units/ml) Pack of 5 | £19.80 | Intermediate And Long-Acting Insulins |    |
| Insulin Aspart (Trurapi) 100 units/ml solution for injection 3ml cartridges Pack of 5 | £19.82 | Short-Acting Insulins |    |
| Insulatard InnoLet (Insulin Isophane Human) 100 units/ml suspension - 3ml pre-filled pens Pack of 5 | £20.40 | Intermediate And Long-Acting Insulins |    |
| Insulin Aspart (Trurapi) 100 units/ml solution for injection 3ml pre-filled Solostar pens Pack of 5 | £21.42 | Short-Acting Insulins |    |
| Humulin I Preloaded Pen 3 ml Disposable Pen (kwikpen) Pack of 5 | £21.70 | Intermediate And Long-Acting Insulins |    |
| Humulin M3 Preloaded Pen 3 ml Disposable Pen (kwikpen) Pack of 5 | £21.70 | Intermediate And Long-Acting Insulins |    |
| Insulin Isophane Human (Insulatard Penfill) 100 units/ml suspension for injection 3ml cartridge Pack of 5 | £22.90 | Intermediate And Long-Acting Insulins |    |
| Femoston - Conti (Estradiol / Dydrogesterone) 1 mg / 5mg tab Pack of 84 | £24.43 | Oestrogens And Hrt |    |
| Medroxyprogesterone acetate (Provera) 10 mg tab Pack of 100 | £24.73 | Progestogens |    |
| Apidra SoloStar 3 ml prefilled pen Pack of 5 | £28.30 | Short-Acting Insulins |    |
| NovoMix 30 Cartridge (Penfill) 3 ml penfill cartridge Pack of 5 | £28.79 | Intermediate And Long-Acting Insulins |    |
| Humalog Mix25 Cartridge 3 ml Cartridge Pack of 5 | £29.46 | Intermediate And Long-Acting Insulins |    |
| Humalog Mix25 Prefilled Pen 3 ml Disposable Pen Pack of 5 | £30.98 | Intermediate And Long-Acting Insulins |    |
| Insulin glargine (Abasaglar) 100 units/ml solution for injection 3ml cartridges Pack of 5 | £35.28 | Intermediate And Long-Acting Insulins |    |
| Insulin glargine (Abasaglar KwikPen) 100 units/ml solution for injection 3ml pre-filled pen Pack of 5 | £35.28 | Intermediate And Long-Acting Insulins |    |
| Insulin Detemir (Levemir Flexpen) 3 ml preloaded pen Pack of 5 | £42.00 | Intermediate And Long-Acting Insulins |    |
| Insulin Detemir (Levemir Penfill) 3 ml cartridge Pack of 5 | £42.00 | Intermediate And Long-Acting Insulins |    |
| Prednisolone Tablet 25 mg tab Pack of 56 | £42.21 | Use of Corticosteroids
Corticosteroids |    |
Relatively expensive compared to 5mg standard tablets |
| Dexamethasone Oral Solution (Dexsol) 2 mg / 5ml SF Solution Pack of 150 | £42.30 | Use of Corticosteroids |    |
| Insulin Detemir (Levemir Innolet) 3 ml prefilled pen Pack of 5 | £44.85 | Intermediate And Long-Acting Insulins |    |
| Metformin MR (Glucorex) 500 mg SR tablets Pack of 28 | £0.95 | Biguanides |    |
| Glimepiride 3 mg tab Pack of 30 | £0.96 | Sulfonylureas |    |
| Risedronate 35 mg tab (Once Weekly) Pack of 4 | £1.02 | Biphosphonates and Other Drugs |    |
| Prednisolone E/C Tablet 2.5 mg E/C tab Pack of 28 | £1.12 | Use of Corticosteroids
Drugs affecting the immune response |    |
| Glimepiride 4 mg tab Pack of 30 | £1.16 | Sulfonylureas |    |
| Repaglinide 0.5 mg tab Pack of 30 | £1.23 | Other Antidiabetics |    |
| Prednisolone E/C Tablet 5 mg E/C tab Pack of 28 | £1.32 | Use of Corticosteroids |    |
Discouraged - QIPP Workstream |
| Pioglitazone 15 mg tab Pack of 28 | £1.62 | Other Antidiabetics |    |
| Ibandronic Acid 150 mg tab Pack of 1 | £1.67 | Biphosphonates and Other Drugs |    |
| Pioglitazone 30 mg tab Pack of 28 | £2.02 | Other Antidiabetics |    |
| Metformin (Sukkarto) 500 mg tablets SR Pack of 56 | £2.38 | Biguanides |    |
| Urine Glucose Test Strips (Diabur-Test 5000) 1 pack (50 strips) Pack of 50 | £2.69 | Screening and Monitoring Agents |    |
| Metformin (Sukkarto) 750 mg tablets SR Pack of 56 | £2.87 | Biguanides |    |
| Pioglitazone 45 mg tab Pack of 28 | £2.88 | Other Antidiabetics |    |
| Ketostix 50 strip Pack of 50 | £3.06 | Screening and Monitoring Agents |    |
| Metformin (Sukkarto) 1000 mg tablets SR Pack of 56 | £3.82 | Biguanides |    |
| Estradiol transdermal spray (Lenzetto ) 1.53 mg/dose Pack of 56 | £6.90 | Oestrogens And Hrt |    |
| Blood glucose test strips (Contour TS) 50 test strips Pack of 50 | £9.50 | Screening and Monitoring Agents |    |
Meter no longer made - OK to prescribe for existing users |
| Repaglinide 1 mg tab Pack of 90 | £9.66 | Other Antidiabetics |    |
| Propylthiouracil 50 mg tab Pack of 56 | £9.80 | Antithyroid Drugs |    |
| Repaglinide 2 mg tab Pack of 90 | £10.17 | Other Antidiabetics |    |
| Tibolone (Livial) 2.5 mg tab Pack of 28 | £10.36 | Oestrogens And Hrt |    |
| Prednisolone Soluble 5 mg SOLUBLE Pack of 30 | £12.40 | Use of Corticosteroids |    |
Discouraged - very expensive compared to standard tablets |
| Insulin Aspart (Novorapid) 10 ml vial (100units/ml) Pack of 1 | £14.08 | Short-Acting Insulins |    |
| Blood Glucose Test Strips (Freestyle Optium) 50 Test Strips Pack of 50 | £16.30 | Screening and Monitoring Agents |    |
| Insulin lispro (Humalog ) 10 ml vial (100 units / ml) Pack of 10 | £16.61 | Short-Acting Insulins |    |
| Alendronic acid (Binosto) 70 mg effervescent tablets Pack of 4 | £18.00 | Biphosphonates and Other Drugs |    |
for patients with significant swallowing difficulties unable to take ANY medicine in a solid dose formulation. The strict administration requirements for Binosto are the same as for the standard alendronate. Binosto is considerably more expensive than the preferred standard alendronate formulation. |
| Alogliptin (Vipidia) 6.25 mg tablets Pack of 28 | £26.60 | Other Antidiabetics |    |
| Alogliptin (Vipidia) 12.5 mg tablets Pack of 28 | £26.60 | Other Antidiabetics |    |
| Alogliptin (Vipidia) 25 mg tablets Pack of 28 | £26.60 | Other Antidiabetics |    |
| Insulin Glargine (Lantus) 10 ml vial (100units / ml) Pack of 1 | £27.92 | Intermediate And Long-Acting Insulins |    |
| Insulin Aspart (Novorapid) 3 ml cartidge (Penfill) Pack of 5 | £28.31 | Short-Acting Insulins |    |
| Insulin Lispro Cartridge (Humalog) 3 ml Cartridge Pack of 5 | £28.31 | Short-Acting Insulins |    |
| Insulin Lispro Kwik Pen (Humalog) 100 units/ml solution for injection 3ml pre-filled disposable injection Pack of 5 | £29.46 | Short-Acting Insulins |    |
| Insulin Aspart (Novorapid) 3 ml prefilled pen (Flexpen) Pack of 5 | £30.60 | Short-Acting Insulins |    |
| Testosterone (Testogel) 40.5 mg/2.5g Gel Sachet Pack of 30 | £31.11 | Male Sex Hormones And Antagonists |    |
| Linagliptin (Trajenta) 5 mg tab Pack of 28 | £33.26 | Other Antidiabetics |    |
| Sitagliptin (Januvia) 100 mg tab Pack of 28 | £33.26 | Other Antidiabetics |    |
| Dapagliflozin (Forxiga) 5 mg tab Pack of 28 | £36.59 | Other Antidiabetics |    |
May be initiated in primary care for people with type 2 diabetes and no heart failure. Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA679 and specialist initiated in the management of chronic kidney disease as per TA775 |
| Dapagliflozin (Forxiga) 10 mg tab Pack of 28 | £36.59 | Other Antidiabetics |    |
May be initiated in primary care for people with type 2 diabetes and no heart failure. Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA679 and specialist initiated in the management of chronic kidney disease as per TA775 |
| Empagliflozin (Jardiance) 10 mg tab Pack of 28 | £36.59 | Other Antidiabetics |    |
May be initiated in primary care for people with type 2 diabetes and no heart failure. Empagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA773 and specialist initiated in the management of chronic kidney disease in people with T2D |
| Empagliflozin (Jardiance) 25 mg tab Pack of 28 | £36.59 | Other Antidiabetics |    |
May be initiated in primary care for people with type 2 diabetes and no heart failure. The 25mg strength of Empagliflozin is not indicated in the management of chronic heart failure. |
| Insulin Glargine (Lantus) 3 ml cartridge (for OptiPen / Autopen) Pack of 5 | £37.77 | Intermediate And Long-Acting Insulins |    |
| Insulin Glargine (Lantus) 3 ml SoloStar pen Pack of 5 | £37.77 | Intermediate And Long-Acting Insulins |    |
| Canagliflozin (Invokana) 100 mg tab Pack of 30 | £39.20 | Other Antidiabetics |    |
May only be initiated in primary care for people with type 2 diabetes and no heart failure. |
| Canagliflozin (Invokana) 300 mg tab Pack of 30 | £39.20 | Other Antidiabetics |    |
May only be initiated in primary care for people with type 2 diabetes and no heart failure. |
| Insulin Glargine (Lantus) 3 ml OptiSet pen Pack of 5 | £41.50 | Intermediate And Long-Acting Insulins |    |
| Dulaglutide (Trulicity) 0.75 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4 | £73.25 | Other Antidiabetics |    |
| Dulaglutide (Trulicity) 1.5 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4 | £73.25 | Other Antidiabetics |    |
| Dulaglutide (Trulicity) 3 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4 | £73.25 | Other Antidiabetics |    |
These doses do not have supporting outcome data showing cardiovascular benefit. If considering titration up to these higher doses for improved blood glucose lowering effect, consider referral to RCHT diabetes consultant clinics for those patients with existing CVS disease. |
| Dulaglutide (Trulicity) 4.5 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4 | £73.25 | Other Antidiabetics |    |
These doses do not have supporting outcome data showing cardiovascular benefit. If considering titration up to these higher doses for improved blood glucose lowering effect, consider referral to RCHT diabetes consultant clinics for those patients with existing CVS disease. |
| Liraglutide Injection (Victoza) 6 mg/ml 3ml prefilled pen Pack of 2 | £78.48 | Other Antidiabetics |    |
| Denosumab (Prolia) 60 mg / 1ml prefilled syringe Pack of 1 | £183.00 | Biphosphonates and Other Drugs |    |
| Testosterone Injection (Sustanon 250) 250 mg / 1ml Amp Pack of 1 | £2.45 | Male Sex Hormones And Antagonists |    |
| Fludrocortisone Acetate (Florinef) 0.1 mg tab Pack of 100 | £5.05 | Replacement Therapy |    |
| Bromocriptine (Parlodel) 2.5 mg tab Pack of 30 | £5.78 | Bromocriptine & Other Dopaminergic Drugs |    |
| Actrapid Vial 10 ml Vial (100 units/ml) Pack of 1 | £7.48 | Short-Acting Insulins |    |
| Progesterone (Cyclogest) 200 mg pessary / suppository Pack of 15 | £8.95 | Progestogens |    |
| Bromocriptine (Parlodel) 1 mg tab Pack of 100 | £9.90 | Bromocriptine & Other Dopaminergic Drugs |    |
| Blood Ketones Testing Strips (GlucoMen areo Ketone Sensor) 10 Testing Strips Pack of 10 | £9.95 | Screening and Monitoring Agents |    |
1st Line for people with Type 1 Diabetes who test for Ketones |
| Clomifene (Clomiphene) 50 mg tab Pack of 30 | £10.15 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Clomifene (Clomiphene) (Clomid) 50 mg Tab Pack of 30 | £10.15 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Estradiol Implant (Estradiol) 25 mg Implant Pack of 1 | £12.47 | Oestrogens And Hrt |    |
| Progesterone (Cyclogest) 400 mg pessary / suppository Pack of 15 | £12.96 | Progestogens |    |
| Insulin aspart (Fiasp) 100 units/ml solution for injection 10ml vials Pack of 1 | £14.08 | Short-Acting Insulins |    |
Fiasp (Fast acting insulin aspart) for patients 1 year and over under the care of the paediatric diabetes service, who are either unpredictable eaters or have problematic post-meal glucose rise, not managed with dietetic input and assessed as competent to try Fiasp by the dietician. |
| Blood glucose biosensor testing strips (Myglucohealth) 1 test strip Pack of 50 | £15.50 | Screening and Monitoring Agents |    |
| Glucose Test Strips (Accu-Chek Aviva) 50 Test Strips Pack of 50 | £16.21 | Screening and Monitoring Agents |    |
For type 1 patients, pump patients and telehealth patients |
| Raloxifene (Evista) 60 mg tab Pack of 28 | £17.06 | Oestrogens And Hrt |    |
| Desmopressin tablet 200 mcg tab Pack of 30 | £21.45 | Posterior Pituitary Hormones&Antagonists |    |
| Diabetes test strips (Freestyle Optium Beta Ketone) 10 test strips Pack of 10 | £21.94 | Screening and Monitoring Agents |    |
2nd Line for people with Type 1 Diabetes who test for Ketones |
| Calcitonin Injection (Miacalcic) 400 units/amp (2ml mdv) Pack of 1 | £24.60 | Calcitonin and Parathyroid Hormone |    |
| Desmopressin Nasal Spray (Desmospray) 10 mcg / spray (60 sprays / 6ml pack) Pack of 1 | £25.02 | Posterior Pituitary Hormones&Antagonists |    |
| Insulin aspart (Fiasp Penfill) 100 units/ml solution for injection 3ml cartridges Pack of 5 | £28.31 | Short-Acting Insulins |    |
Fiasp (Fast acting insulin aspart) for patients 1 year and over under the care of the paediatric diabetes service, who are either unpredictable eaters or have problematic post-meal glucose rise, not managed with dietetic input and assessed as competent to try Fiasp by the dietician. |
| Desmopressin Nasal Spray 10 mcg / spray (60 sprays / 6ml pack) Pack of 1 | £28.84 | Posterior Pituitary Hormones&Antagonists |    |
| Desmopressin Acetate (Desmotabs) 200 mcg tab Pack of 30 | £29.43 | Posterior Pituitary Hormones&Antagonists |    |
| Cabergoline (Dostinex) 0.5 mg Pack of 8 | £30.04 | Bromocriptine & Other Dopaminergic Drugs |    |
| Nafarelin Nasal Spray (Synarel) 200 mcg / spray (30 dose unit) Pack of 30 | £30.41 | Drugs affecting Gonadotrophins |    |
| Insulin aspart (Fiasp FlexTouch) 100 units/ml solution for injection 3ml pre-filled pen Pack of 5 | £30.60 | Short-Acting Insulins |    |
Fiasp (Fast acting insulin aspart) for patients 1 year and over under the care of the paediatric diabetes service, who are either unpredictable eaters or have problematic post-meal glucose rise, not managed with dietetic input and assessed as competent to try Fiasp by the dietician. |
| Glucose interstitial fluid detection sensor (FreeStyle Libre 2 Sensor ) 1 sensor kit Pack of 1 | £35.00 | Screening and Monitoring Agents |    |
Specialist initiated on 6 month trial basis by diabetes team with continuation dependant on review criteria at 6 months |
| Bromocriptine (Parlodel) 5 mg capsule Pack of 100 | £37.57 | Bromocriptine & Other Dopaminergic Drugs |    |
| Insulin Degludec (Tresiba) 100 u / ml (3ml cartridge) (Penfill) Pack of 5 | £46.60 | Intermediate And Long-Acting Insulins |    |
Insulin degludec (Tresiba) Consultant initiated - approved for use in the treatment of type 1 diabetes mellitus in adults, adolescents and children from the age of one year, who are under the care of the paediatric diabetes service |
| Insulin Degludec (Tresiba Flextouch) 100 u/ml (3ml prefilled pen) Pack of 5 | £46.60 | Intermediate And Long-Acting Insulins |    |
Insulin degludec (Tresiba) Consultant initiated - approved for use in the treatment of type 1 diabetes mellitus in adults, adolescents and children from the age of one year, who are under the care of the paediatric diabetes service |
| Betamethasone Tab (Betnesol) 500 mcg soluble tab Pack of 100 | £51.11 | Use of Corticosteroids |    |
| Nafarelin Nasal Spray (Synarel) 200 mcg / spray (60 dose unit) Pack of 60 | £52.43 | Drugs affecting Gonadotrophins |    |
| Insulin Degludec (Tresiba Flextouch) 200 u/ml (3ml prefilled pen) Pack of 3 | £55.92 | Intermediate And Long-Acting Insulins |    |
Insulin degludec (Tresiba) Consultant initiated - approved for use in the treatment of type 1 diabetes mellitus in adults, adolescents and children from the age of one year, who are under the care of the paediatric diabetes service. |
| Bromocriptine (Parlodel) 10 mg capsule Pack of 100 | £69.50 | Bromocriptine & Other Dopaminergic Drugs |    |
| Semaglutide (Ozempic) 0.25 mg /0.19ml solution for injection 1.5ml pre-filled disposable device Pack of 1 | £73.25 | Other Antidiabetics |    |
| Semaglutide (Ozempic) 0.5 mg /0.37ml solution for injection 1.5ml pre-filled disposable device Pack of 1 | £73.25 | Other Antidiabetics |    |
| Semaglutide (Ozempic) 1 mg /0.74ml solution for injection 3ml pre-filled disposable device Pack of 1 | £73.25 | Other Antidiabetics |    |
| Bromocriptine 2.5 mg tab Pack of 30 | £74.99 | Bromocriptine & Other Dopaminergic Drugs |    |
| Quinagolide (Norprolac) 75 mcg tablets Pack of 30 | £81.84 | Bromocriptine & Other Dopaminergic Drugs |    |
| Desmopressin Acetate (DDAVP) 200 mcg tab Pack of 90 | £88.23 | Posterior Pituitary Hormones&Antagonists |    |
| Somatropin (Genotropin) 5.3 mg refill cart Pack of 1 | £92.15 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Sodium clodronate (Loron) 520 mg Tab Pack of 60 | £114.44 | Biphosphonates and Other Drugs |    |
| Insulin degludec / Liraglutide (Xultophy) 100 units/ml/Liraglutide 3.6mg/ml solution for injection 3ml pre-filled pen Pack of 5 | £159.22 | Intermediate And Long-Acting Insulins |    |
Xultophy, a combination of liraglutide/insulin degludec, is accepted onto the formulary for patients intolerant of at least two GLP-1 agonists and who may also be on insulin. Prescribing of Xultophy will be undertaken by the Diabetes Team for the first month and guidance on how Xultophy will be titrated up (and any existing insulin titrated down) will be provided by the Diabetes Team. Patients on Xultophy will be supervised by the Team for about 12 months. |
| Somatropin (Saizen) 8 mg (24 i.u.) click.easy injection pfs Pack of 1 | £183.00 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Ethinylestradiol Tablets 1 mg Tab Pack of 28 | £200.00 | Oestrogens And Hrt
Oestrogens |    |
| Ethinylestradiol Tablets 10 mcg Tab Pack of 21 | £200.00 | Oestrogens And Hrt
Oestrogens |    |
| Ethinylestradiol Tablets 50 mcg Tab Pack of 21 | £200.00 | Oestrogens And Hrt
Oestrogens |    |
| Somatropin (Genotropin) 12 mg refill cart Pack of 1 | £208.65 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Somatropin (epr) (Norditropin Simple Xx) 10 mg/30units/cartridge (1.5ml) Pack of 1 | £212.70 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Somatropin (epr) (Norditropin Simple Xx) 15 mg/45units/cartridge (1.5ml) Pack of 1 | £319.05 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Metyrapone capsules (METOPIRONE) 250 mg cap Pack of 100 | £363.66 | Metyrapone And Trilostane |    |
| Somatropin (rbe) solution for injection (Omnitrope SurePal) 5 mg/1.5ml solution Pack of 5 | £368.74 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Somatropin (Humatrope) 24 mg cart Pack of 1 | £432.00 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Somatropin (rbe) solution for injection (Omnitrope SurePal) 10 mg/1.5ml solution Pack of 5 | £737.49 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| methylprednisolone sodium succinate (Solu-medrone) 500 mg / 8ml vial Pack of 1 | - | Use of Corticosteroids |    |
| methylprednisolone sodium succinate (Solu-medrone) 1 g / 16ml vial Pack of 1 | - | Use of Corticosteroids |    |
| Tetracosactide Injection (Synacthen) 1 mg / 1ml Amp Depot Pack of 10 | - | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Progesterone (Lubion) 25 mg/1.112ml solution for injection vials Pack of 7 | - | Progestogens |    |
Please be advised that this should only be prescribed through the IVF clinics and not via primary care
|
| Disodium Pamidronate injection (Aredia) 90 mg vial Pack of 1 | - | Biphosphonates and Other Drugs |    |
| Tetracosactide Injection (Synacthen) 0.25 mg amp Pack of 5 | - | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Zoledronic Acid Infusion (Zometa) 4 mg / 5ml vial Pack of 1 | - | Biphosphonates and Other Drugs |    |
| Liraglutide injection (Saxenda ) 6 mg/ml solution for injection 3ml pre-filled pen Pack of 5 | - | Other Antidiabetics |    |
To be prescribed via specialist weight management service only |
| Teriparatide Injection (Forsteo) 20 mcgs/80microlitres solution for injection 1 x PFDI 28 doses Pack of 1 | - | Calcitonin and Parathyroid Hormone |    |
| Tolvaptan (Jinarc) 15 mg tablets Pack of 7 | - | Posterior Pituitary Hormones&Antagonists |    |
| Tolvaptan (Jinarc) 30 mg tablets Pack of 7 | - | Posterior Pituitary Hormones&Antagonists |    |
| Denosumab (XGEVA) 120 mg/mL 1.7mL Vial Pack of 1 | - | Biphosphonates and Other Drugs |    |
| Desmopressin (Octim) 150 mcg / ml nasal spray Pack of 2 | - | Posterior Pituitary Hormones&Antagonists |    |
| Tolvaptan (Samsca) 15 mg tab Pack of 10 | - | Posterior Pituitary Hormones&Antagonists |    |
NICE TA358 Tolvaptan is recommended as an option for the treatment of autosomal dominant polycystic kidney disease in adults when specified criteria are met (October 2015)
Hyponatraemia secondary to SIADH in patients requiring cancer chemotherapy. Commissioned by NHS England |
| Tolvaptan (Samsca) 30 mg tab Pack of 10 | - | Posterior Pituitary Hormones&Antagonists |    |
NICE TA358 Tolvaptan is recommended as an option for the treatment of autosomal dominant polycystic kidney disease in adults when specified criteria are met (October 2015)
Hyponatraemia secondary to SIADH in patients requiring cancer chemotherapy. Commissioned by NHS England |
| Tolvaptan (Jinarc) 45 mg tablets and Jinarc 15mg tablets Pack of 56 | - | Posterior Pituitary Hormones&Antagonists |    |
| Tolvaptan (Jinarc) 60 mg tablets and Jinarc 30mg tablets Pack of 56 | - | Posterior Pituitary Hormones&Antagonists |    |
| Tolvaptan (Jinarc) 90 mg tablets and Jinarc 30mg tablets Pack of 56 | - | Posterior Pituitary Hormones&Antagonists |    |
| Lixisenatide (Lyxumia) 20 mcg / 0.2ml (3ml pre-filled pen) Pack of 2 | £57.93 | Other Antidiabetics |    |
| Exenatide (Bydureon BCise) 2 mg/0.85ml prolonged-release suspension for injection pre-filled pens Pack of 4 | £73.36 | Other Antidiabetics |    |
| Exenatide Injection (Byetta) 10 mcg/dose (250mcg/ml) (60 dose pfs) Pack of 1 | £81.89 | Other Antidiabetics |    |