FOI-03679

<p><span data-contrast="auto">Thank you for your request for information about the following:</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="none"><span data-ccp-charstyle="normaltextrun" data-ccp-charstyle-defn="{&quot;ObjectId&quot;:&quot;ac0262f4-8a9e-5820-b908-2d943c5f7113|1&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:[469777841,&quot;Calibri&quot;,469777842,&quot;Times New Roman&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,469769226,&quot;Calibri,Times New Roman&quot;,469775450,&quot;normaltextrun&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;normaltextrun&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;]}">Request</span></span></strong><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">You asked us:</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Please provide the following information for the most recent 12</span></em>‑<em><span data-contrast="auto">month period available, broken down by Integrated Care Board (ICB):</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<ol>
<li data-leveltext="%1." data-font="Arial" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="1" data-aria-level="1"><em><span data-contrast="auto">The number of patients prescribed levothyroxine</span></em><span data-ccp-props="{}">&nbsp;</span></li>
</ol>
<ol>
<li data-leveltext="%1." data-font="Arial" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="2" data-aria-level="1"><em><span data-contrast="auto">The number of new patients prescribed liothyronine (I already have the total number)</span></em><span data-ccp-props="{}">&nbsp;</span></li>
</ol>
<ol>
<li data-leveltext="%1." data-font="Arial" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="3" data-aria-level="1"><em><span data-contrast="auto">The number of patients prescribed levothyroxine AND five or more other distinct medicines.</span></em><span data-ccp-props="{}">&nbsp;</span></li>
</ol>
<ol>
<li data-leveltext="%1." data-font="Arial" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="4" data-aria-level="1"><em><span data-contrast="auto">The number of patients prescribed liothyronine AND five or more other distinct medicines.</span></em><span data-ccp-props="{}">&nbsp;</span></li>
</ol>
<ol>
<li data-leveltext="%1." data-font="Arial" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="5" data-aria-level="1"><em><span data-contrast="auto">The number of patients prescribed five or more other distinct medicines.</span></em><span data-ccp-props="{}">&nbsp;</span></li>
</ol>
<ol>
<li data-leveltext="%1." data-font="Arial" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="6" data-aria-level="1"><em><span data-contrast="auto">If possible, please also provide the total number of registered patients in each ICB for context.</span></em><span data-ccp-props="{}">&nbsp;</span></li>
</ol>
<p><em><span data-contrast="auto">Please provide anonymised patient counts only.</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">The NHS Business Services Authority (NHSBSA) received your request on&nbsp;14 March 2026.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="none"><span data-ccp-charstyle="normaltextrun">Clarifications</span></span><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">We&nbsp;asked you for&nbsp;clarification&nbsp;of the information requested&nbsp;on&nbsp;26 March&nbsp;2026:</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">I am writing to ask you to clarify your request. This is because we need further details from you&nbsp;in order to&nbsp;identify&nbsp;and&nbsp;locate&nbsp;the information.</span></em><em><span data-contrast="auto">&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Therefore&nbsp;I would be grateful if you would help with the&nbsp;below questions.</span></em><em><span data-contrast="auto">&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 1</span></em><em><span data-contrast="auto">&nbsp;</span></em></strong><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">What do you consider a &lsquo;new patient&rsquo;?&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 2</span></em><em><span data-contrast="auto">&nbsp;</span></em></strong><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Is &lsquo;no prescription in our data for liothyronine in the previous 12 months&rsquo; acceptable? Given that we do not know for sure if it is a&nbsp;patients&rsquo;&nbsp;first&nbsp;prescription&nbsp;but we can narrow this down to patients that&nbsp;haven&rsquo;t&nbsp;had this in the last 12 months.&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 3</span></em><em><span data-contrast="auto">&nbsp;</span></em></strong><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">What do you consider a&nbsp;distince&nbsp;medicine, would&nbsp;this be a different BNF chemical substance or&nbsp;different&nbsp;BNF presentation?&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 4</span></em><em><span data-contrast="auto">&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><em><span data-contrast="auto">For Levothyroxine, we will use Levothyroxine sodium (BNf&nbsp;Chemical Substance 0602010V0), and for Liothyronine we will use Liothyronine sodium (BNF 0602010M0).&nbsp;&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">There is another BNF chemical substance, Levothyroxine sodium and liothyronine (BNF 0602010Z0) - if patients are&nbsp;prescribed&nbsp;this, do you want us to count them as both on levothyroxine and liothyronine?&nbsp;&nbsp;&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">And please can you confirm if it would count as one of the 5 distinct medicines for your fifth question?&nbsp;&nbsp;&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">You responded on 26 March 2026:&nbsp;</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 1</span></em><em><span data-contrast="auto">&nbsp;</span></em></strong><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">My definition would be one that had no prescription for liothyronine in the prior 12&nbsp;months&nbsp;or the prescription&nbsp;commenced&nbsp;in the&nbsp;12 month&nbsp;period of data.&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Example - patient A has no prescription in period 1 to 4 but there is a prescription in period 5 onwards&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Example - patient B has a prescription in period 1 but there was no prescription in period -1,-2, -3 or -4 etc&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 2</span></em><em><span data-contrast="auto">&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><em><span data-contrast="auto">That is acceptable - liothyronine is a chronic condition medication and would be prescribed continuously. Prescribing is usually at&nbsp;2 or 3 month&nbsp;intervals and therefore if they had been prescribed previously it would show up.&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 3</span></em><em><span data-contrast="auto">&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><em><span data-contrast="auto">BNF chemical substance&nbsp;&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Question 4</span></em><em><span data-contrast="auto">&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><em><span data-contrast="auto">On BNF 0602010Z0 - yes please count as both liothyronine and levothyroxine.&nbsp;&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">And please can you confirm if it would count as one of the 5 distinct medicines for your fifth question?&nbsp;&nbsp;&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">confirmed 5 distinct&nbsp;&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">We requested further clarification on 2 April 2026:</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">I am writing to ask you to clarify your request. This is because we need further details from you&nbsp;in order to&nbsp;identify&nbsp;and&nbsp;locate&nbsp;the information.</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Therefore&nbsp;I would be grateful if you would confirm if you&nbsp;are&nbsp;happy with us using &ldquo;no prescription in the last 12 months as a definition for a new patient?</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Please can you also confirm if levothyroxine from BNF 0602010Z0 count as one of the 5&nbsp;additional&nbsp;substances?</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">And finally, please can you confirm if for all the 5 or more distinct medicines questions, do all the prescriptions have to be in the same month to count?</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">We&nbsp;received&nbsp;your response on 6 April 2026:</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">Therefore&nbsp;I would be grateful if you would confirm if you&nbsp;are&nbsp;happy with us using &ldquo;no prescription in the last 12 months as a definition for a new&nbsp;patient?</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">That would okay.</span></em><em><span data-contrast="auto">&nbsp;</span></em><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><em><span data-contrast="auto">Please can you also confirm if levothyroxine from BNF 0602010Z0&nbsp;count&nbsp;as one of the 5&nbsp;additional&nbsp;substances?</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">Yes&nbsp;&nbsp;</span></em></strong><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">And finally, please&nbsp;can you confirm if for all the 5 or more distinct medicines questions, do all the prescriptions have to be in the same month to count?</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><em><span data-contrast="auto">No -&nbsp;its&nbsp;unlikely they will be. I get a&nbsp;2 month&nbsp;prescription for one medication and a&nbsp;3 month&nbsp;prescription for another. The prescribing rules are not that logical in the GP systems.&nbsp;&nbsp;</span></em></strong><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">We made a final request for clarification on 16 April 2026:</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">For the&nbsp;final point, if the 5 medicines&nbsp;don't&nbsp;have to be in one month, please can you confirm for me how far apart they&nbsp;have to&nbsp;be to count? Would 5 distinct medicines in 3 months reasonable? If not please let us know what time&nbsp;period&nbsp;you would like this information for.</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">You responded on 16 April 2026:</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><em><span data-contrast="auto">I think a&nbsp;3 month&nbsp;period is reasonable.</span></em><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">We have handled your request under the Freedom of Information Act (FOIA) 2000.&nbsp;</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="none"><span data-ccp-charstyle="normaltextrun">Our response</span></span><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">I can confirm that the NHSBSA holds the information you have requested and a copy of the information is attached.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">Please read the below notes to ensure correct understanding of the data.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">NHS Prescription Services process prescriptions for Pharmacy Contractors, Appliance Contractors, Dispensing&nbsp;Doctors&nbsp;and Personal Administration with information then used to make payments to pharmacists and appliance contractors in England for prescriptions dispensed in primary care settings (other arrangements are in place for making payments to Dispensing Doctors and Personal Administration). This involves processing over 1 billion prescription items and payments totalling over &pound;9 billion each year. The information gathered from this process is then used to provide information on costs and trends in prescribing in England and Wales to over 25,000 registered NHS and Department of Health and Social Care users.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="auto">Data Source</span> <span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">The data source was the NHSBSA Information Services Data Warehouse.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="auto">Exclusions</span><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">The Data excludes:&nbsp;</span><span data-ccp-props="{}">&nbsp;</span></p>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Items not dispensed, disallowed and those returned to the contractor for further clarification.&nbsp;</span><span data-ccp-props="{}">&nbsp;</span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="2" data-aria-level="1"><span data-contrast="auto">Prescriptions prescribed and dispensed in Prisons, Hospitals and Private prescriptions.</span><span data-ccp-props="{}">&nbsp;</span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="3" data-aria-level="1"><span data-contrast="auto">Items prescribed but not presented for dispensing or not&nbsp;submitted&nbsp;to NHS Prescription Services by the dispenser.</span><span data-ccp-props="{}">&nbsp;</span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}" data-aria-posinset="4" data-aria-level="1"><span data-contrast="auto">Items supplied as part of a Pharmacy First consultation or service.</span><span data-ccp-props="{}">&nbsp;</span></li>
</ul>
<p><strong><span data-contrast="auto">Time Period</span> <span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">TOTAL_UNIQUE_PATIENTS_PRESCRIBED_LEVOTHYROXINE - March 2025 - February 2026 processed prescriptions</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">TOTAL_UNIQUE_NEW_PATIENTS_PRESCRIBED_LIOTHYRONINE - March 2025 - February 2026 processed&nbsp;prescriptions, but&nbsp;also looking at a patient's previous 11 months' prescribing, so potentially as far back as April 2024 processed prescriptions.&nbsp;&nbsp;</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">TOTAL_UNIQUE_PATIENTS_PRESCRIBED_LEVOTHYROXINE_AND_FIVE_OTHER_MEDS_IN_SAME_OR_PREVIOUS_TWO_MONTHS - March 2025 - February 2026 processed prescriptions, but also looking back at a patient's previous 2 months' prescribing, so potentially as far back as January 2025 processed prescriptions</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">TOTAL_UNIQUE_PATIENTS_PRESCRIBED_LIOTHYRONINE_AND_FIVE_OTHER_MEDS_IN_SAME_OR_PREVIOUS_TWO_MONTHS - March 2025 - February 2026 processed prescriptions, but also looking back at a patient's previous 2 months' prescribing, so potentially as far back as January 2025 processed prescriptions</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">TOTAL_UNIQUE_PATIENTS_PRESCRIBED_FIVE_OR_MORE_MEDS_NOT_LIOTHYRONINE_OR_LEVOTHYROXINE_IN_SAME_OR_PREVIOUS_TWO_MONTHS - March 2025 - February 2026 processed prescriptions, but also looking back at a patient's previous 2 months' prescribing, so potentially as far back as January 2025 processed prescriptions</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">ICB_AVERAGE_LIST_SIZE - March 025 - February 2026</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="auto">Drugs</span><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">Levothyroxine: BNF Chemical Substance 0602010V0 -Levothyroxine sodium or BNF Chemical Substance 0602010Z0 - Levothyroxine sodium and liothyronine</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">Liothyronine: BNF Chemical Substance 0602010M0 - Liothyronine sodium or BNF Chemical Substance 0602010Z0 - Levothyroxine sodium and liothyronine</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">All other medications are taken from BNF Chapters 1-4 and 6-10 as per NHSBSA polypharmacy dashboard.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="auto">Organisation Data</span> <span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">Only items prescribed within an Integrated Care Board (ICB) in England have been included.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">Each of the metrics is specific to the patient in the ICB.&nbsp;&nbsp;If a patient meets the criteria for a metric in multiple ICBs, then they will appear in multiple patient counts.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">Therefore&nbsp;it is not possible to add patient counts without the possibility of counting a single patient more than once.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><strong><span data-contrast="auto">Patient data:</span><span data-ccp-props="{}">&nbsp;</span></strong></p>
<p><span data-contrast="auto">Only items associated with an identified patient have been included in this analysis.&nbsp;&nbsp;For Levothyroxine, liothyronine and Levothyroxine sodium and liothyronine,&nbsp;</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">99.59% of items were able to be associated with an NHS number between April 2024 and February 2026.</span><span data-ccp-props="{}">&nbsp;</span></p>
<p><span data-contrast="auto">For all medicines in chapters 1-4 and 6-10, 99.10% of items were attributable to an identified NHS number.</span><span data-ccp-props="{}">&nbsp;</span></p>

Tags: ICBs, Liothyronine, levothyroxine
Organization: Freedom of Information Disclosure Log