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Status filter : FORMULARY PRODUCT NON-FORMULARY FIRST-LINE FORMULARY PRODUCT HOSPITAL ONLY PRESCRIBING SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines Transfer of Care - Following Specialist Initiation
Only drugs with NICE TAs
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Endocrine system
Endocrine system / Adrenocortical function testing
	tetracosactide	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Synacthen (Atnahs Pharma UK Ltd)	HOSPITAL ONLY PRESCRIBING
	Suspension for injection
	Synacthen Depot (Atnahs Pharma UK Ltd)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Assessment of pituitary function
	gonadorelin	HOSPITAL ONLY PRESCRIBING
Endocrine system / Gonadotrophin replacement therapy
	choriogonadotropin alfa	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Ovitrelle (Merck Serono Ltd)	HOSPITAL ONLY PRESCRIBING
	follitropin alfa	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Bemfola (Gedeon Richter (UK) Ltd)	HOSPITAL ONLY PRESCRIBING
	Gonal-f (Merck Serono Ltd)	HOSPITAL ONLY PRESCRIBING
	Ovaleap (Theramex HQ UK Ltd)	HOSPITAL ONLY PRESCRIBING
	Powder and solvent for solution for injection
	Gonal-f (Merck Serono Ltd)	HOSPITAL ONLY PRESCRIBING
	lutropin alfa	HOSPITAL ONLY PRESCRIBING
	Powder and solvent for solution for injection
	Luveris (Merck Serono Ltd)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Growth hormone disorders
	pegvisomant	HOSPITAL ONLY PRESCRIBING
	Powder and solvent for solution for injection
	Somavert (Pfizer Ltd)	HOSPITAL ONLY PRESCRIBING
	somatropin	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines	NICE TA64
	Omnitrope Biosimilar for Growth hormone replacement therapy in adults Omnitrope will be available as an option for GH in suitable patients who can not use Genotropin. The current Shared Care Agreement has expired. This should be updated and presented to the NEL FPG Shared Care working group within the next 6 months.
	Solution for injection
	Norditropin FlexPro (Novo Nordisk Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	Norditropin NordiFlex (Novo Nordisk Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	NutropinAq (Ipsen Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	Omnitrope (Sandoz Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	Omnitrope SurePal (Sandoz Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	Saizen (Merck Serono Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	Powder and solvent for solution for injection
	Humatrope (Eli Lilly and Company Ltd)	HOSPITAL ONLY PRESCRIBING
	Zomacton (Ferring Pharmaceuticals Ltd)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Acromegaly
	octreotide	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Octreotide (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	Sandostatin (Novartis Pharmaceuticals UK Ltd)	HOSPITAL ONLY PRESCRIBING
	Powder and solvent for suspension for injection
	Sandostatin LAR (Novartis Pharmaceuticals UK Ltd)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Diabetes mellitus
	acarbose	FORMULARY PRODUCT
	alogliptin	FORMULARY PRODUCT
	biphasic insulin aspart	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Suspension for injection
	NovoMix 30 FlexPen (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	NovoMix 30 Penfill (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	biphasic insulin lispro	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Suspension for injection
	Humalog Mix25 (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Humalog Mix25 KwikPen (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Humalog Mix50 (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Humalog Mix50 KwikPen (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	biphasic isophane insulin	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Suspension for injection
	Humulin M3 (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Humulin M3 KwikPen (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Hypurin Porcine 30/70 Mix (Wockhardt UK Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	canagliflozin	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA390 NICE TA315
	A formal Shared Care Guideline (SCG) may be available. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	dapagliflozin	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA288 NICE TA390 NICE TA418 NICE TA679 NICE TA902 NICE TA775
	Use in Type 1 DIabetes and Heart Failure Dapagliflozin is HOSPITAL INITIATION when prescribed for used in following indications: Type 1 Diabetes - manufacturer has withdrawn license for use in Type 1 diabetes and subsequently NICE TA 597 has been withdawn. For existing patients, Barts Health will liaise with GPs to continue treatment as "off-label"using existing transfer of care documents available on portal and if GP refuses, this will be stopped. No new patients are expected to be initiated, and if so, GPs would be contacted by specialist to discuss further whether prepared to prescribe if treatment started by hospital. Evidence base remains unchanged, and license withdrawal was due to commerical reasons - not due to any concerns around safety. Treatment of symptomatic chronic heart failure with reduced ejection fraction: following initiation by specialist and reveiw from hospital, and can be prescribed in primary care. The indication is in line with NICE TA 679
	dulaglutide	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Trulicity (Eli Lilly and Company Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	empagliflozin	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA390 NICE TA336 NICE TA773 NICE TA929 NICE TA942
	ertugliflozin	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA572 NICE TA583
	WEL Diabetes guidelines Guidelines for Type 2 Diabetes in WEL are availalbe on the Practice Portal (please click here). Please note Ertugliflozin is not on the current WEL guidelines.
	exenatide	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	A formal Shared Care Guideline (SCG) may be available. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	Solution for injection
	Byetta (AstraZeneca UK Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	A formal Shared Care Guideline (SCG) may be available. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	gliclazide	FORMULARY PRODUCT
	Modified-release tablet
	Gliclazide (Non-proprietary)	FORMULARY PRODUCT
	Diamicron MR (Servier Laboratories Ltd)	NON-FORMULARY
	Edicil MR (Teva UK Ltd)	NON-FORMULARY
	Ziclaseg (Lupin Healthcare (UK) Ltd)	NON-FORMULARY
	glimepiride	FORMULARY PRODUCT
	glipizide	NON-FORMULARY
	insulin	FORMULARY PRODUCT	NICE TA151 NICE TA943
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Insulin (Non-proprietary)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Actrapid (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Humulin S (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Hypurin Porcine Neutral (Wockhardt UK Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	insulin aspart	FORMULARY PRODUCT	NICE TA151
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Fiasp (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Fiasp FlexTouch (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Fiasp Penfill (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	NovoRapid (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	NovoRapid FlexPen (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	NovoRapid FlexTouch (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	NovoRapid Penfill (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	NovoRapid PumpCart (Novo Nordisk Ltd)	HOSPITAL ONLY PRESCRIBING
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	insulin degludec	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Tresiba FlexTouch (Novo Nordisk Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Tresiba Penfill (Novo Nordisk Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	insulin detemir	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Levemir FlexPen (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Levemir Penfill (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	insulin glargine	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Abasaglar (Eli Lilly and Company Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Abasaglar KwikPen (Eli Lilly and Company Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Lantus (Sanofi)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	insulin glulisine	FORMULARY PRODUCT	NICE TA151
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Apidra (Sanofi)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Apidra SoloStar (Sanofi)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	insulin lispro	FORMULARY PRODUCT	NICE TA151
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Solution for injection
	Humalog (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Humalog KwikPen (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	isophane insulin	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Suspension for injection
	Humulin I (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Humulin I KwikPen (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Hypurin Porcine Isophane (Wockhardt UK Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Insulatard (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Insulatard InnoLet (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	Insulatard Penfill (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Insulin advice All INSULINS should be prescribed by BRAND, strength and formulation NICE safer insulin prescribing recommends BRAND prescribing for safety reasons Please also see brand name prescribing SPECIALIST INITIATION for Type 1 and 2 diabetes in peadiatrics: can be prescribed in primary after initiation from specialist.
	linagliptin	FORMULARY PRODUCT
	liraglutide	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA664
	Solution for injection
	Saxenda (Novo Nordisk Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Victoza (Novo Nordisk Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	lixisenatide	NON-FORMULARY
	Solution for injection
	Lyxumia (Sanofi)	NON-FORMULARY
	metformin hydrochloride	FORMULARY PRODUCT
	Modified-release tablet
	Metformin hydrochloride (Non-proprietary)	FORMULARY PRODUCT
	Glucient SR (Consilient Health Ltd)	NON-FORMULARY
	Glucophage SR (Merck Serono Ltd)	NON-FORMULARY
	Meijumet (Medreich Plc)	NON-FORMULARY
	Metabet SR (Morningside Healthcare Ltd)	NON-FORMULARY
	Sukkarto SR (Morningside Healthcare Ltd)	NON-FORMULARY
	Sukkarto is formulary Sukkarto product is formulary
	Oral solution
	Metformin hydrochloride (Non-proprietary)	FORMULARY PRODUCT
	pioglitazone	FORMULARY PRODUCT
	repaglinide	FORMULARY PRODUCT
	saxagliptin	NON-FORMULARY
	semaglutide	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA875
	HOSPITAL INITIATION AND THEN PRESCRIBING IN PRIMARY CARE - SUB-CUT INJ HOSPITAL INITIATION ONLY AND PRIMARY CARE CONTINUATION - SEMAGLUTIDE SUB-CUT INJECTION Ensure initiation by hospital. Can be prescribed in primary care without shared care guideline.
	sitagliptin	FORMULARY PRODUCT
	sitagliptin with metformin	NON-FORMULARY
	tolbutamide	FORMULARY PRODUCT
	vildagliptin	FORMULARY PRODUCT
	vildagliptin with metformin	NON-FORMULARY
Endocrine system / Diabetic nephropathy
	irbesartan	FORMULARY PRODUCT
Endocrine system / Diabetic neuropathy
	capsaicin	HOSPITAL ONLY PRESCRIBING
	carbamazepine	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Modified-release tablet
	Tegretol Retard (Novartis Pharmaceuticals UK Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Oral suspension
	Carbamazepine (Non-proprietary)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Tegretol (Novartis Pharmaceuticals UK Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Suppository
	Carbamazepine (Non-proprietary)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	duloxetine	FORMULARY PRODUCT
	Gastro-resistant capsule
	Duloxetine (Non-proprietary)	FORMULARY PRODUCT
	Cymbalta (Eli Lilly and Company Ltd)	NON-FORMULARY
	Yentreve (Eli Lilly and Company Ltd)	FORMULARY PRODUCT
Endocrine system / Hypoglycaemia
	glucagon	FORMULARY PRODUCT
	Powder and solvent for solution for injection
	GlucaGen Hypokit (Novo Nordisk Ltd)	FORMULARY PRODUCT
Endocrine system / Chronic hypoglycaemia
	diazoxide	HOSPITAL ONLY PRESCRIBING
Endocrine system / Corticosteroid responsive conditions
	betamethasone	FORMULARY PRODUCT
	Solution for injection
	Betamethasone (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	deflazacort	NON-FORMULARY
	dexamethasone	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA229 NICE TA824 NICE TA460
	Oral solution
	Dexamethasone (Non-proprietary)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Solution for injection
	Dexamethasone (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	Palliative Care Injectables According to the East London Health and Care Partnership HOSPITAL ONLY PRESCRIBING LIST this is UNSUITABLE for prescribing in Primary Care unless for Palliative care indication. HOSPITAL ONLY PRESCRIBING LIST. For further information on prescribing in palliative care click here (Chapter 4 Central nervous system)
	fludrocortisone acetate	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	hydrocortisone	FORMULARY PRODUCT
	Solution for injection
	Hydrocortisone (Non-proprietary)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Powder for solution for injection
	Solu-Cortef (Pfizer Ltd)	HOSPITAL ONLY PRESCRIBING
	Powder and solvent for solution for injection
	Solu-Cortef (Pfizer Ltd)	HOSPITAL ONLY PRESCRIBING
	methylprednisolone	NON-FORMULARY
	Powder and solvent for solution for injection
	Solu-Medrone (Pfizer Ltd)	HOSPITAL ONLY PRESCRIBING
	Suspension for injection
	Depo-Medrone (Pfizer Ltd)	HOSPITAL ONLY PRESCRIBING
	prednisolone	FORMULARY PRODUCT
	Gastro-resistant tablet
	Prednisolone (Non-proprietary)	FORMULARY PRODUCT
	Dilacort (Crescent Pharma Ltd)	NON-FORMULARY
	Oral solution
	Prednisolone (Non-proprietary)	FORMULARY PRODUCT
	Suppository
	Prednisolone (Non-proprietary)	FORMULARY PRODUCT
	triamcinolone acetonide	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Suspension for injection
	Adcortyl Intra-articular / Intradermal (Bristol-Myers Squibb Pharmaceuticals Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Kenalog (Bristol-Myers Squibb Pharmaceuticals Ltd)	NON-FORMULARY
Endocrine system / Cushing's syndrome and disease
	metyrapone	HOSPITAL ONLY PRESCRIBING
	pasireotide	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Signifor (Recordati Rare Diseases UK Ltd)	HOSPITAL ONLY PRESCRIBING
	Powder and solvent for suspension for injection
	Signifor (Recordati Rare Diseases UK Ltd)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Female sex hormone responsive conditions
	conjugated oestrogens with medroxyprogesterone
	Modified-release tablet
	Premique (Pfizer Ltd)	FORMULARY PRODUCT
	estradiol	FORMULARY PRODUCT
	Transdermal patch
	Estraderm MX (Norgine Pharmaceuticals Ltd)	NON-FORMULARY
	Estradot (Sandoz Ltd)	NON-FORMULARY
	Evorel (Theramex HQ UK Ltd)	FORMULARY PRODUCT
	FemSeven (Theramex HQ UK Ltd)	NON-FORMULARY
	Progynova TS (Bayer Plc)	NON-FORMULARY
	estradiol with dydrogesterone
	Form unstated
	Femoston 2/10 (Viatris UK Healthcare Ltd)	NON-FORMULARY
	estradiol with levonorgestrel
	Transdermal patch
	FemSeven Conti (Theramex HQ UK Ltd)	NON-FORMULARY
	estradiol with medroxyprogesterone
	Form unstated
	Tridestra (Orion Pharma (UK) Ltd)	NON-FORMULARY
	estradiol with norethisterone	FORMULARY PRODUCT
	Form unstated
	Elleste Duet (Viatris UK Healthcare Ltd)	FORMULARY PRODUCT
	Novofem (Novo Nordisk Ltd)	FORMULARY PRODUCT
	Trisequens (Novo Nordisk Ltd)	NON-FORMULARY
	ethinylestradiol	FORMULARY PRODUCT
	medroxyprogesterone acetate	FORMULARY PRODUCT
	norethisterone	FORMULARY PRODUCT
	progesterone	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Solution for injection
	Progesterone (Non-proprietary)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Lubion (IBSA Pharma Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Vaginal gel
	Crinone (Merck Serono Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	raloxifene hydrochloride	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA160 NICE TA161
	tibolone	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Endocrine system / Anti-oestrogens
	clomifene citrate	HOSPITAL ONLY PRESCRIBING
Endocrine system / Male sex hormone antagonism
	cyproterone acetate	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Endocrine system / Dopamine responsive conditions
	bromocriptine	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	cabergoline	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	quinagolide	NON-FORMULARY
	Form unstated
	Quinagolide (Non-proprietary)	NON-FORMULARY
Endocrine system / Bone metabolism disorders
	alendronic acid	FORMULARY PRODUCT	NICE TA464
	Oral solution
	Alendronic acid (Non-proprietary)	NON-FORMULARY
	alendronic acid with colecalciferol	NON-FORMULARY
	calcitonin (salmon)	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Calcitonin (salmon) (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	calcitriol	NON-FORMULARY
	Oral solution
	Calcitriol (Non-proprietary)	NON-FORMULARY
	denosumab	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines	NICE TA204 NICE TA265
	A formal Shared Care Guideline (SCG) may be available. Denosumab (Prolia) is Shared Care when used for the treatment of osteoporosis in post-menopausal women. All other indications for denosumab remain for Hospital Only Prescribing. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	DENOSUMAB Shared Care Agreement available for Denosumab in post menopausal osteoporosis
	Hospital only indication HOSPITAL ONLY for skeletal related events in cancer
	Solution for injection
	Prolia (Amgen Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	A formal Shared Care Guideline (SCG) may be available. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	Xgeva (Amgen Ltd)	HOSPITAL ONLY PRESCRIBING
	ibandronic acid	NON-FORMULARY	NICE TA464
	IBANDRONIC ACID PARENTERAL FORMULATION IS FOR HOSPITAL PRESCRIBING ONLY
	Solution for injection
	Ibandronic acid (Non-proprietary)	NON-FORMULARY
	Bonviva (Atnahs Pharma UK Ltd)	NON-FORMULARY
	Solution for infusion
	Ibandronic acid (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	Bondronat (Atnahs Pharma UK Ltd)	NON-FORMULARY
	pamidronate disodium	HOSPITAL ONLY PRESCRIBING
	Solution for infusion
	Pamidronate disodium (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	raloxifene hydrochloride	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines	NICE TA160 NICE TA161
	risedronate sodium	FORMULARY PRODUCT	NICE TA464
	risedronate with calcium carbonate and colecalciferol	NON-FORMULARY
	sodium clodronate	HOSPITAL ONLY PRESCRIBING
	teriparatide	HOSPITAL ONLY PRESCRIBING	NICE TA161
	Solution for injection
	Forsteo (Eli Lilly and Company Ltd)	HOSPITAL ONLY PRESCRIBING
	zoledronic acid	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines	NICE TA464
	Infusion
	Aclasta (Sandoz Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	Zometa (Phoenix Labs Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	Solution for infusion
	Zoledronic acid (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	Zometa (Phoenix Labs Ltd)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Diabetes insipidus
	chlortalidone	FORMULARY PRODUCT
	desmopressin	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	A formal Shared Care Guideline (SCG) may be available. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	Oral lyophilisate
	DDAVP Melt (Ferring Pharmaceuticals Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	DesmoMelt (Ferring Pharmaceuticals Ltd)	SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
	A formal Shared Care Guideline (SCG) may be available. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	Noqdirna (Ferring Pharmaceuticals Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Solution for injection
	DDAVP (Ferring Pharmaceuticals Ltd)	HOSPITAL ONLY PRESCRIBING
	Octim (Ferring Pharmaceuticals Ltd)	HOSPITAL ONLY PRESCRIBING
	Spray
	Desmopressin (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
	Desmospray (Imported (Germany))	NON-FORMULARY
	A formal Shared Care Guideline (SCG) may be available. If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
	vasopressin	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Vasopressin (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Syndrome of inappropriate antidiuretic hormone secretion
	tolvaptan	HOSPITAL ONLY PRESCRIBING	NICE TA358
Endocrine system / Thyroid disorders
	thyrotropin alfa	HOSPITAL ONLY PRESCRIBING
	Powder for solution for injection
	Thyrogen (Sanofi)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Hyperthyroidism
	carbimazole	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	iodide with iodine	HOSPITAL ONLY PRESCRIBING
	metoprolol tartrate	FORMULARY PRODUCT
	Solution for injection
	Betaloc (Recordati Pharmaceuticals Ltd)	HOSPITAL ONLY PRESCRIBING
	nadolol	NON-FORMULARY
	propranolol hydrochloride	FORMULARY PRODUCT
	Modified-release capsule
	Bedranol SR (Almus Pharmaceuticals Ltd, Sandoz Ltd)	NON-FORMULARY
	Beta-Prograne (Accord-UK Ltd, Tillomed Laboratories Ltd)	NON-FORMULARY
	Half Beta-Prograne (Accord-UK Ltd, Teva UK Ltd, Tillomed Laboratories Ltd)	NON-FORMULARY
	Oral solution
	Propranolol hydrochloride (Non-proprietary)	FORMULARY PRODUCT
	propylthiouracil	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Endocrine system / Hypothyroidism
	levothyroxine sodium	FORMULARY PRODUCT
	Oral solution
	Levothyroxine sodium (Non-proprietary)	FORMULARY PRODUCT
	liothyronine sodium	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	LIOTHYRONINE SODIUM There is insufficient evidence of clinical & cost effectiveness to support the use of liothyronine (either alone or in combination) for the treatment of primary hypothyroidism. Levothyroxine (alone) is the treatment of choice for primary hypothyroidism Further guidance on the management of primary hypothyroidism is available on the Practice Portal.
	Powder for solution for injection
	Liothyronine sodium (Non-proprietary)	HOSPITAL ONLY PRESCRIBING
Endocrine system / Gonadotrophin responsive conditions
	buserelin	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Suprecur (Neon Healthcare Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Suprefact (Neon Healthcare Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Spray
	Suprecur (Neon Healthcare Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	cetrorelix	HOSPITAL ONLY PRESCRIBING
	Powder and solvent for solution for injection
	Cetrotide (Merck Serono Ltd)	HOSPITAL ONLY PRESCRIBING
	ganirelix	HOSPITAL ONLY PRESCRIBING
	Solution for injection
	Fyremadel (Ferring Pharmaceuticals Ltd)	HOSPITAL ONLY PRESCRIBING
	goserelin	HOSPITAL ONLY PRESCRIBING
	HOSPITAL ONLY INDICATIONS Goserelin - Hospital prescribing for all indications except for treatment of Prostate cancer
	leuprorelin acetate	HOSPITAL ONLY PRESCRIBING
	HOSPITAL ONLY Leuprorelin is HOSPITAL ONLY for all indications except for prostate cancer
	Powder and solvent for suspension for injection
	Prostap 3 DCS (Takeda UK Ltd)	HOSPITAL ONLY PRESCRIBING
	Prostap SR DCS (Takeda UK Ltd)	HOSPITAL ONLY PRESCRIBING
	nafarelin	HOSPITAL ONLY PRESCRIBING
	Spray
	Synarel (Pfizer Ltd)	HOSPITAL ONLY PRESCRIBING
	relugolix with estradiol and norethisterone acetate	HOSPITAL ONLY PRESCRIBING	NICE TA832
	Relugolix-estradiol-norethisterone acetate (Ryeqo) for Moderate to severe symptoms of uterine fibroids (TA832) Hospital only (Red) - status to be reviewed to Amber (Transfer of care) once transfer of care information agreed with specialist teams.
	triptorelin	HOSPITAL ONLY PRESCRIBING
	Precocious Puberty Please be aware that there is no shared care for the management of Precocious puberty in TNW
	Powder and solvent for suspension for injection
	Decapeptyl SR (Ipsen Ltd)	HOSPITAL ONLY PRESCRIBING
	Gonapeptyl Depot (Ferring Pharmaceuticals Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	Salvacyl (Ipsen Ltd)	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Endocrine system / Breast pain (mastalgia)
	tamoxifen	SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
	SPECIALIST INITIATION - TAMOXIFEN Please note, Specialist initiation refers to when initiated by hospital specialist or can be initiated from primary care on recommendation of specialist
	Oral solution
	Tamoxifen (Non-proprietary)	NON-FORMULARY