netFormulary NHS
Buckinghamshire Formulary
Buckinghamshire Healthcare NHS Trust
Buckinghamshire CCG
 Search
 Formulary Chapter 6: Endocrine system - Full Chapter
Chapter Links...
 Details...
06.01.06  Expand sub section  Diagnostic and monitoring agents for diabetes mellitus
06.01.06  Expand sub section  Blood glucose monitoring
06.01.06  Expand sub section  Blood glucose strips recommended for type 2 diabetes (excluding pregnancy)
06.01.06  Expand sub section  Blood glucose testing strips for gestational diabetes
06.01.06  Expand sub section  Blood glucose testing strips for type 1 diabetes - for meters that can also measure ketones to top
06.01.06  Expand sub section  Blood test strips which measure ketones alone
06.01.06  Expand sub section  Lancets
06.01.06  Expand sub section  Syringes and needles (used for vials of insulin)
06.01.06  Expand sub section  Needles (used for insulin pens)
06.01.06  Expand sub section  Autoinjection needles to top
06.01.06  Expand sub section  Urinalysis
Albustix®
(Urinalysis (protein))
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber Initiation
 
   
Diastix®
(Urinalysis (glucose))
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Restricted to patients who cannot use blood glucose testing 
   
Keto-Diastix®
(Urinalysis (Glucose and Ketones))
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Restricted - only for Type 1 diabetics and patients on insulin with a history of diabetic ketoacidosis; and where the individual cannot use blood test monitoring 
   
Test Strips (Multistix 8SG®)
(100 strips)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Multistix 8SG and Multistix GP contain the same 8 tests. These are glucose, ketones, SG, blood, pH, protein, nitrites and leucocytes. If required in the community the Multistixs GP are preferred.  
   
Test Strips (Multistix GP®)
(25 strips)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
Restricted - for Community Midwives use and for doctors bags/mobile nurses. 
   
Test Strips (Multistix SG®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Multistix SG contains 7 tests. These are glucose, ketones, SG, blood, pH, protein, bilirubin.

Bilirubin not required as a test in the community, therefore use Multistix GP instead.  
   
Test Strips (Multistix 10 SG®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
In secondary care restricted - for use on SCBU and NICU. These are high cost. They contain 10 tests: Glucose, ketones, SG, blood, pH, protein, nitrites, leucocytes, bilirubin and urobilinogen. Consider using other strips unless liver tests are required. 
   
06.01.06  Expand sub section  Oral glucose tolerance test
 ....
 Non Formulary Items
Clinitest®
(Urinalysis (glucose))

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Discontinued product
 
Glucose  (Clinistix®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glucose  (Diabur-Test® 5000)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Protein  (Medi-Test® Protein 2)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Test Strips  (Combur 9®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Test Strips  (Combur5® )

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Test Strips  (Combur7®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
  
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
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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

Black

Not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.
Drugs which have been evaluated and rejected by the Medicines Value Group (MVG)
Drugs defined as ‘Low Priority’ by the South Central Priorities Committee
New drugs which have not as yet been evaluated by the MVG
Any drug not listed in the Buckinghamshire Formulary  

Red

Drugs which should only be prescribed in secondary care by a specialist.
Require specialist knowledge and/or equipment for patient selection and initiation
Require long term on-going monitoring and dose adjustment to ensure efficacy and minimise toxicity by a specialist
Designated as “hospital only“ by product licence, NICE, DoH or BNF
May need further evaluation by a specialist
Are hospital initiated clinical trial materials  

Red Specialist Centre

As for ‘red’ (above) with the addition of the following:
Designated by NHS England to require initiation by or in prior agreement with a Specialist Centre. Continuation where appropriate by BHT (or other secondary care provider)
Detailed requirements for Specialist Centre initiation to be described in the wording of the formulary restriction  

Amber Protocol

Drugs which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a drug specific Shared Care Protocol(SCP). Prescribing may be continued in primary care following the SCP
Require specialist knowledge and/or equipment for patient selection and initiation
Require short or medium term (eg. 3 to 6 months) specialist monitoring of efficacy or toxicity. The need for stabilisation will vary with different drugs and patients, but is usually a minimum of 2 months (see principles for shared care)
Require significant long term monitoring
Require ongoing communication between the GP and the specialist
Have clearly defined consultant, GP and patient responsibilities documented in a shared care protocol (see responsibilities for amber protocol drugs)  

Amber Initiation

Drugs suitable for primary care prescribing following specialist initiation
Require specialist knowledge and/or equipment for patient selection
Monitoring does not require specialist knowledge or equipment
If the drug is one with which the primary care prescriber is unfamiliar the specialist is expected to provide sufficient information on the drug indication, dose, duration , monitoring and any further necessary dose adjustments
Require the first prescription to be written by the specialist  

Amber Recommended

Drugs suitable for primary care prescribing following specialist recommendation
As for amber initiation except that:- The first prescription may be written by the GP after specialist recommendation.  

Green

Drugs for which primary care prescribers would normally take full responsibility for prescribing and monitoring
Drugs not included in the Traffic Light list but included on joint formulary.
New drugs classified as red or amber but as greater experience regarding their safety and efficacy is established may move to Green after re-consideration by the MVG and APC.  

netFormulary