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insulin regular

insulin regular
  • Restricted Medications Cardiac Monitor (IV infusion)
Drug Name Form Strength Non-Formulary Restricted TX Sub Notes
NovoLIN R      
HumuLIN R SOLUTION, INJECTABLE human recombinant 100 units/mL      
Myxedrin SOLUTION, INTRAVENOUS 100 units / 100 mL in NS      
HumuLIN R (Concentrated) SOLUTION, SUBCUTANEOUS human recombinant 500 units/mL      
Display Short-Acting Insulins Class : 68200808
High Alert Drug : Policy
Medication comments:
All IV Push insulin orders will be automatically converted to IVPB at order entry/verification.

Refrigerator item 

High Alert Drug: Insulin
 • Two RNs independently verify type & dose prior to administration.
High Alert Drug: Insulin (IV)
 • Two RNs independently verify type & dose prior to administration.
 • Administered via IV pump; Not to be given by IV push for any indication.
High Alert Drug: U-500 Insulin
IHS
 • Pharmacist confirms home dose with patient.
 • Electronic order entries are double checked by another pharmacist or RN.
 • U-500 insulin is stored in the pharmacy and dispensed as an insulin pen.
 • Patient specific doses shall be stored in lock box in medication room of nursing unit.
 • Documentation log is completed by pharmacist.
 IDBH 
 • Pharmacist confirms home dose with patient.
 • Patients with orders for U-500 insulin shall have their dose converted to U-100 insulin per policy.
 •  See U-500 Humulin Regular Insulin Policy
Per policy, these medications require cardiac and/or special monitoring.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes CCU, OR, PACU, CCL, ED PCU 2N (Tele) 1N (Tele), 3N (Tele) Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N) BirthPlace SNF ICS OPS
insulin regular (HumuLIN R)
IV Infusion for DKA (NOT IV push)		 Y Y N N N Y N N N
insulin regular (HumuLIN R)
IVPB for Hyperkalemia Key: Order set		 Y Y Y Y N N N N N
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.  
Non-Formulary Agent Formulary Equivalent
insulin regular, human (NovoLIN R) insulin regular, human (HumuLIN R)
Per policy, these hazardous drugs have special waste requirements. 
Generic (Brand) Waste Requirements
insulin regular (HumuLIN R, NovoLIN R) Contains M-Cresol ⇒  BLACK BUCKET 
2023 American Geriatrics Society Beers Criteria® for potentially inappropriate medication use in older adults.
Medication: insulin regular (HumuLIN R)
Criteria 1: Potentially inappropriate medication use in older adults. (Table 2)
Drug(s) insulin, sliding scale (insulin regimens containing only short- or rapid-acting insulin dosed according to current blood glucose levels without concurrent use of basal or long-acting insulin)
Rationale Higher risk of hypoglycemia without improvement in hyperglycemia management regardless of care setting. Avoid insulin regimens that include only short- or rapid-acting insulin dosed according to current blood glucose levels without concurrent use of basal or long-acting insulin. This recommendation does not apply to regimens that contain basal insulin or long-acting insulin.
Recommendation Avoid
 Quality of evidence: Moderate, Strength of Recommendation: Strong
Last updated: May. 4, 2026
  • Hazardous Waste BLACK BUCKET
  • Look-Alike/Sound-Alike NovoLOG and NovoLIN
  • Look-Alike/Sound-Alike HumaLOG and HumuLIN
UpToDate Lexidrug

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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