Prescribing information

Starter Pack

The starter pack includes all the tools you need to begin setting up services to deliver Lutathera® for patients with NETs. Included in the starter pack is information related to initial service set-up, background information on Lutathera®, including product administration, and information on patient management.


Click on the links below to download the different sections of the starter pack.


Application Form Guidance 

Customer Contact Information Sheet

Licensing Letter to Manufacturer

Patient Guide Re-Order Form

New Customer Information

Administration Checklist

Eligibility Assessment Form

Information and Administration

Referral Form

Dose Reduction Protocol

Medical Clerking Patients


To request a patient leaflet for your centre please contact: [email protected] 


AAA-Lu177-UK-2196 | December 2023

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