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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 6 - Endocrine system 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

06.01.01.02 Intermediate- and long-acting insulins
06.01.01.02 Biphasic insulins

Biphasic Insulin Aspart
(100units/mL)

Formulary

NovoMix® 30 (3mL cartridge, 3mL FlexPen prefilled disposable injection device)

 

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Biphasic Insulin Lispro
(100units/mL)

Formulary

Humalog® Mix25 10mL vial
Humalog® Mix25 and Mix50 (3mL cartridge, 3mL KwikPen prefilled disposable injection device)

 

Humalog Mix 25 vials are due to be discontinued by April 2026 - switch to either Kwikpen or cartridge

Biphasic Isophane Insulin (HUMAN)
(100units/mL)

 
Formulary

Humulin M3® (10mL vial, 3mL cartridge)
Insuman® Comb 15, 25 and 50 (multiple devices)

Humulin M3 vials are due to be discontinued by May 2026 - switch to either Kwikpen or cartridge

Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.