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<p>It is the responsibility of clinical commissioning groups (CCGs) to make decisions
on funding in their local areas. NHS England expects CCGs to have due regard to <em>Items
which should not routinely be prescribed in primary care: Guidance for CCGs,</em>
published in November 2017. A copy of the guidance is attached. The guidance is clear
that liothyronine can and should be prescribed by an endocrinologist when it is clinically
appropriate to do so, providing the funding has been agreed with the commissioner.</p><p>If
an individual cannot get a medicine their prescriber feels is the most appropriate,
under local commissioning arrangements, the prescriber can make an Individual Funding
Request on behalf of the patient for that medicine to be provided.</p>
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