North East and North Cumbria
ICS Formulary
 
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6 Endocrine system
06-01-01-01 Short-acting insulins

Note: preloaded pens should only be used where cartridges are not suitable.


Insulin Actrapid®
Formulary
  • Human Actrapid® 10ml vial approved. 

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Insulin Humulin® S
Formulary
  • Approved formulations of Humulin® S include:
    • 5x3ml cartridges.

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Insulin Aspart Fiasp®
Formulary

Approved formulations for Fiasp® include:

  • 10ml vial
  • 5 x 3ml cartridge



 


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Insulin Aspart  NovoRapid® Trurapi®
Formulary

First choice in adults: Trurapi®Black Triangle

  • 100 units/ml 10ml vial
  • 100 units/ml cartridge
  • 100 units/ml pre-filled pen

 

Alternative for adults, and approved for children: Novorapid®

  • 10ml vial;
  • 5x3ml cartridge (for use with Novopen and Novopenmate devices);
  • 5x3ml Flexpen®.

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Insulin Lispro  Admelog®
Formulary

NB: This product is being discontinued (stock expected to be exhausted by March 2026). No new patients should be initiated on this product

  • 100units /ml
  • Approved formulations:
    • 10ml vial
    • 3ml cartridges (for AllStar Pro and JuniorSTAR pen)
    • 3ml SoloStar prefilled pen
  • Prescriptions for Insulin lispro need to be written as Admelog® or Lyumjev® or Humalog® to avoid prescribing/dispensing errors.
  • Admelog® is an Insulin lispro biosimilar

 


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Insulin Lispro  Lyumjev®
Formulary
  • 100units /ml
  • Approved formulations:
    • 10ml vial
    • 3ml cartridges (for Lilly reusable pens)
    • 3ml Junior KwikPen / KwikPen prefilled pen
  • Prescriptions for insulin lispro need to be written as Lyumjev® or Humalog® to avoid prescribing/dispensing errors.

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Insulin Lispro 100 units/ml Humalog®
Formulary
  • Approved formulations for Humalog 100 ® include:
    • 10ml vial;
    • 5x3ml cartridge;
    • 5x3ml Kwiikpen®.
  • Prescriptions for insulin lispro need to be written as Lyumjev® or Humalog® to avoid prescribing/dispensing errors.
  • Note that there are two strengths of Humalog® (insulin lispro). Caution should be exercised when prescribing and dispensing

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Insulin Lispro 200 units/ml Humalog®
Formulary
  • 200 units per ml
  • Approved formulations for Humalog 200® include the 5x3ml Kwikpen®.
  • Note that there are two strengths of Humalog® (insulin lispro). Caution should be exercised when prescribing and dispensing

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Insulin Glulisine Apidra®
Formulary
  • Approved Apidra® formulations include:
    • 10ml vials;
    • 5x3ml cartridges
    • 5x3ml Solostar® pens.


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Insulin Human 500 units in 1mL Humulin R®
Formulary

Humulin R KwikPen (500units/ml) 3ml pre-filled pens (5 unit increments/dose step).

Approved for a very small number of insulin resistant patients that require very high doses of insulin.

A Humulin R (500units/ml) solution for injection (20ml) is also available.


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