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Notes for: Endocrine system
Last edited [18/11/2024 10:56:02]

Sharps Bins disposal

Cornwall Council: sharps bins collections information or 0300 1234 141

Isles of Scilly Council: For advice and disposal arrangements please contact St Mary's Hospital on 01720 422392

Last edited [18/11/2024 10:56:48]

Cornwall Joint Formulary Recommended Choices (...Top)

Displaying 46 Drugs

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First Line Drugs

Second Line Drugs

Specialist advised

Specialist Initiated Drugs

Hospital Only Drugs

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	Name	Tariff	BNF Sub Paragraph
	Ertugliflozin (Steglatro) 5 mg tablets Pack of 28	£29.40	Other Antidiabetics
Ertugliflozin as monotherapy or with metformin for treating type 2 diabetes as per NICE TA572
	Tirzepatide (Mounjaro KwikPen) 2.5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1	£92.00	Other Antidiabetics
Tirzepatide can be initiated in primary care for people with type 2 diabetes as per NICE TA924 criteria. Secondary care virtual referrals may be used for patients with existing retinopathy or complex issues.
	Tirzepatide (Mounjaro KwikPen) 5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1	£92.00	Other Antidiabetics
Tirzepatide can be initiated in primary care for people with type 2 diabetes as per NICE TA924 criteria. Secondary care virtual referrals may be used for patients with existing retinopathy or complex issues.
	Tirzepatide (Mounjaro KwikPen) 7.5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1	£107.00	Other Antidiabetics
Tirzepatide can be initiated in primary care for people with type 2 diabetes as per NICE TA924 criteria. Secondary care virtual referrals may be used for patients with existing retinopathy or complex issues.
	Tirzepatide (Mounjaro KwikPen) 10 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1	£107.00	Other Antidiabetics
Tirzepatide can be initiated in primary care for people with type 2 diabetes as per NICE TA924 criteria. Secondary care virtual referrals may be used for patients with existing retinopathy or complex issues.
	Tirzepatide (Mounjaro KwikPen) 12.5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1	£122.00	Other Antidiabetics
Tirzepatide can be initiated in primary care for people with type 2 diabetes as per NICE TA924 criteria. Secondary care virtual referrals may be used for patients with existing retinopathy or complex issues.
	Tirzepatide (Mounjaro KwikPen) 15 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1	£122.00	Other Antidiabetics
Tirzepatide can be initiated in primary care for people with type 2 diabetes as per NICE TA924 criteria. Secondary care virtual referrals may be used for patients with existing retinopathy or complex issues.
	Pioglitazone 15 mg tab Pack of 28	£1.05	Other Antidiabetics
	Repaglinide 0.5 mg tab Pack of 30	£1.22	Other Antidiabetics
	Pioglitazone 30 mg tab Pack of 28	£1.33	Other Antidiabetics
	Sitagliptin 25 mg tablets Pack of 28	£1.45	Other Antidiabetics
	Pioglitazone 45 mg tab Pack of 28	£1.92	Other Antidiabetics
	Sitagliptin 50 mg tablets Pack of 28	£2.14	Other Antidiabetics
	Sitagliptin 100 mg tablets Pack of 28	£2.32	Other Antidiabetics
	Repaglinide 1 mg tab Pack of 90	£9.45	Other Antidiabetics
	Repaglinide 2 mg tab Pack of 90	£10.93	Other Antidiabetics
	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
	Linagliptin (Trajenta) 5 mg tab Pack of 28	£33.26	Other Antidiabetics
	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.
	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
	Exenatide (Bydureon BCise) 2 mg/0.85ml prolonged-release suspension for injection pre-filled pens Pack of 4	£73.36	Other Antidiabetics
	Liraglutide Injection (Victoza) 6 mg/ml 3ml prefilled pen Pack of 2	£78.48	Other Antidiabetics
	Dapagliflozin (Forxiga) 5 mg tab Pack of 28	£36.59	Other Antidiabetics Other Antidiabetics
May be initiated in primary care for people with type 2 diabetes and no heart failure and for use in the management of CKD as per NICE TA775. Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) in line with NICE TA679. Please note - a starting dose of 5mg is only to be used in cases of severe hepatic impairment, this may be increased to 10mg if well tolerated.
	Dapagliflozin (Forxiga) 10 mg tab Pack of 28	£36.59	Other Antidiabetics Other Antidiabetics
May be initiated in primary care for people with type 2 diabetes and no heart failure and for use in the management of CKD as per NICE TA775. Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) in line with NICE TA679. Please note - a starting dose of 5mg is only to be used in cases of severe hepatic impairment, this may be increased to 10mg if well tolerated.
	Empagliflozin (Jardiance) 10 mg tab Pack of 28	£36.59	Other Antidiabetics Other Antidiabetics
May be initiated in primary care for people with type 2 diabetes and no heart failure and for the managment of CKD in line with NICE TA 942. Empagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA773 and TA929
	Empagliflozin (Jardiance) 25 mg tab Pack of 28	£36.59	Other Antidiabetics Other Antidiabetics
May be initiated in primary care for people with type 2 diabetes and no heart failure and for the managment of CKD in line with NICE TA 942. Empagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA773 and TA929
	Semaglutide (Rybelsus) 3 mg tabs Pack of 30	£78.48	Other Antidiabetics
Specialist initiated or advised only
	Semaglutide (Rybelsus) 7 mg tabs Pack of 30	£78.48	Other Antidiabetics
Specialist initiated or advised only
	Semaglutide (Rybelsus) 14 mg tabs Pack of 30	£78.48	Other Antidiabetics
Specialist initiated or advised only
	Semaglutide (Wegovy FlexTouch) 0.25 mg/0.37ml solution for injection 1.5ml pre-filled pens Pack of 1	-	Other Antidiabetics
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
	Semaglutide (Wegovy FlexTouch) 0.5 mg/0.37ml solution for injection 1.5ml pre-filled pens Pack of 1	-	Other Antidiabetics
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
	Semaglutide (Wegovy FlexTouch) 1 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1	-	Other Antidiabetics
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
	Semaglutide (Wegovy FlexTouch) 1.7 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1	-	Other Antidiabetics
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
	Semaglutide (Wegovy FlexTouch) 2.4 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1	-	Other Antidiabetics
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
	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
	Sitagliptin / Metformin (Janumet) 50 mg / 1000mg tab Pack of 56	£33.26	Other Antidiabetics
	Dulaglutide (Trulicity) 0.75 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4	£73.25	Other Antidiabetics
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
	Dulaglutide (Trulicity) 1.5 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4	£73.25	Other Antidiabetics
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
	Dulaglutide (Trulicity) 3 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4	£73.25	Other Antidiabetics
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
	Dulaglutide (Trulicity) 4.5 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4	£73.25	Other Antidiabetics
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
	Exenatide Injection (Byetta) 10 mcg/dose (250mcg/ml) (60 dose pfs) Pack of 1	£81.89	Other Antidiabetics