Health

Barbados Drug Service Speaks On Availability Of Insulin

There is no shortage of any therapeutic class of insulin on the Barbados National Drug Formulary (BNDF). However, due to supply challenges, there is currently a scarce supply of Humulin 70/30 on island.

The Ministry of Health and Wellness, through the Barbados Drug Service (BDS), endeavours to provide an uninterrupted supply of quality insulin products for all residents of Barbados at an affordable cost.

On the Barbados National Drug Formulary (BNDF), as shown in Tables 1. and 2., there are currently thirteen brands of insulin available to all beneficiaries. Patients are advised that in the event they are unable to source Humulin 70/30 they should consult with their physicians regarding the selection of a suitable comparable product.

To ensure the long-term continuous care of all insulin dependent diabetics and the financial viability of the national programme, there has been a policy decision to institute protocol changes in the maximum quantity of insulin pens for which the BDS will cover the cost.

The Barbados Drug Service will pay for a maximum of two (2) pens per client per month, for each allowed therapeutic class or classes. The protocols for all other insulins remain the same as outlined in Table 2.

The change in protocols will not prevent a client from receiving an adequate amount of insulin to treat their condition, as comparable options are available in every therapeutic class of insulin.

The exceptions to the new protocol are visually impaired persons and persons 18 years of age and under. The BDS will continue to provide a monthly maximum of four (4) Apidra Solostar pens and/or five (5) of the other pens, listed in Table 1., for these two categories of persons filling their prescriptions in the government pharmacies only.

Table 1. Insulin Pens and Cartridges available on the Barbados National Drug Formulary

Therapeutic ClassBrand NameActive IngredientPackage SizeNew Protocol Maximum
18 yrs and Under*Visually Impaired*All other Beneficiaries
Rapid-acting InsulinApidra Solostar 100U/ml InjInsulin Glulisine3ml pre-filled pen4*4*2
Novorapid Flexpens 100U/mlInsulin Aspart3ml pre-filled pen5*5*2
Premix- Intermediate-acting Insulin/Rapid-acting InsulinNovomix 70/30 FlexpensInsulin Aspart Protamine/Insulin Aspart3ml pre-filled pen5*5*2



Long-acting Insulin
Lantus Solostar 100U/ml InjInsulin Glargine3ml pre-filled pen5*5*2
Levemir Pen 100U/ml InjInsulin Detemir3ml pre-filled pen5*5*2

Facilitated in Government Pharmacies Only

Table 2. Insulin Vials available on the Barbados National Drug Formulary

Therapeutic ClassBrand NameActive IngredientPackage SizeProtocol Maximum for all Beneficiaries
Rapid-acting InsulinHumalog 100U/ml InjInsulin Lispro10ml vial5
Apidra 100U/ml InjInsulin Glulisine10ml vial5
Fast-acting InsulinHumulin-R 100U/mlInsulin Rapid10ml vial5
Novolin-R 100U/mlInsulin Rapid10ml vial5
Intermediate-acting/Fast-acting InsulinHumulin 70/30 InjInsulin Isphane/Insulin Regular10ml vial5
Novolin 70/30 InjInsulin Isphane/Insulin Regular10ml vial5
Intermediate-acting InsulinHumulin-N 100U/ml InjInsulin Isophane10ml vial5
Novolin-N 100U/ml InjInsulin Isophane10ml vial5
Long-acting InsulinLantus 100U/ml Inj              Insulin Glargine10ml vial5

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