Advance Notification of Amendments to the February 2015 Drug Tariff
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1 Advance Notification of Amendments to the February 2015 Drug Tariff ADDITIONS Zero Discount Acumor XL 16mg capsules Acumor XL 24mg capsules A-CYS 600mg capsules A-CYS 600mg tablets Addiphos solution for infusion 20ml vials Aimpart XL 4mg tablets AmBisome 50mg powder for solution for infusion vials Amitiza 24microgram capsules Azactam 1g powder for solution for injection vials Azactam 2g powder for solution for injection vials Bronchitol 40mg inhalation powder capsules with two devices Capreomycin 1g powder for solution for injection vials ChloraPrep solution 26ml applicators ChloraPrep with Tint solution 26ml applicators Colobreathe 1,662,500unit inhalation powder capsules Desmospray 10micrograms/dose nasal spray Dificlir 200mg tablets Donepezil orodispersible tablets (ALL) E-B2 50mg capsules Edurant 25mg tablets Elive Cod Liver Oil 1000mg capsules Elmino XL capsules (ALL) Emtriva 200mg capsules EN-CYS 600mg tablets EN-Selenium 200microgram tablets Enshake oral powder 96.5g sachets banana Enstar XL 100 tablets EN-Taurine 500mg capsules Eviplera 200mg/25mg/245mg tablets Extavia 300microgram powder and solvent for solution for injection vials Fampyra 10mg modified-release tablets Ferinject 100mg/2ml solution for injection vials Ferinject 500mg/10ml solution for injection vials Ferriprox 1000mg tablets Ferriprox 100mg/ml oral solution Fibrovein 0.5% solution for injection 2ml ampoules Fibrovein 3% solution for injection 5ml vials GA amino5 oral powder 6g sachets Galsya capsules (ALL) Page 1 of 11
2 ADDITIONS - Continued Gluchon-S Glucosamine sulfate 400mg / Chondroitin 100mg capsules Gluchon-S Glucosamine sulfate 400mg / Chondroitin 100mg tablets Gluchon-S Glucosamine sulfate 500mg / Chondroitin 400mg tablets GlutaminOx 5g oral powder sachets sugar free Gosachew 1500mg chewable tablets Gosachew 500mg/400mg chewable tablets Gosa-S 500mg capsules Gosa-S tablets (ALL) Gosaveg 750mg tablets HealthAid Mega CO-Q mg capsules Intelence 100mg tablets Intelence 200mg tablets Jext 150micrograms/0.15ml (1 in 1,000) solution for injection auto-injectors Kalydeco 150mg tablets Ketalar 1g/10ml solution for injection vials Lipistart powder Magstar 160mg capsules Menopur 150unit powder and solvent for solution for injection vials Modisal XL 40mg tablets Nemdatine 20mg tablets Norvir 80mg/ml oral solution Ondemet 4mg tablets Ondemet 4mg/2ml solution for injection ampoules Ondemet 8mg/4ml solution for injection ampoules Optivate 1,000unit powder and solvent for solution for infusion vials Parvolex 2g/10ml concentrate for solution for infusion ampoules Pharmalgen Bee Venom maintenance set 120microgram powder and solvent for solution for injection vials Pharmalgen Wasp Venom maintenance set 120microgram vaccine powder and solvent for solution for injection vials Polyfusor SB sodium chloride 0.45% infusion 500ml bottles Prezista 100mg/ml oral suspension Prezista 800mg tablets Primaxin IV 500mg powder for solution for infusion vials Prograf 5mg/1ml solution for infusion ampoules Psytixol 200mg/1ml solution for injection ampoules Pyrid-10 tablets Pyrid-20 tablets Relistor 12mg/0.6ml solution for injection vials Revatio 10mg/ml oral suspension PAGE 20 Samsca 30mg tablets S-Bicarb 600mg tablets Sideromal 130mg capsules SMA Althera powder Sodium chloride 0.18% / Glucose 4% infusion 1litre Macoflex bags Sodium chloride 0.9% infusion 100ml Macoflex N bags Souvenaid liquid strawberry Sustiva 200mg capsules Page 2 of 11
3 ADDITIONS - Continued Talidex 25mg tablets Tavanic 500mg/100ml solution for infusion vials Telzir 700mg tablets Tetmodis 25mg tablets Tygacil 50mg powder for solution for infusion vials Uard 180XL capsules Uard 240XL capsules Ventavis 10micrograms/ml nebuliser solution 1ml ampoules Xtandi 40mg capsules Zenalb 20% solution for infusion 100ml bottles Zenalb 4.5% solution for infusion 500ml bottles Zing 220mg capsules Zolmitriptan 5mg tablets Zometa 4mg/100ml infusion bottles Zovirax I.V. 500mg powder for solution for infusion vials Part I - Drugs And Preparations Drug Qty Price Colecalciferol 800unit tablets C Desunin Colecalciferol 880unit / Calcium carbonate 2.5g chewable tablets C TheiCal-D3 Part III Appliances Catheters, Accessories pack of 5 Ugo Fix Gentle For the fixation of foley catheters Catheters, Urinary, Urethral (B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - Adult Richardson Healthcare Ltd Pack of 1 Cath-It Advance ( ) Emollient And Barrier Preparations Emelpin Ointment 125g g 5.22 Soffen Cream 500g 4.79 Page 3 of 11
4 ADDITIONS - Continued Eye Products Eye Drops - Hypromellose Xailin Hydrate (10ml bottle) 4.60 Eye Drops - Sodium Chloride Xailin Wash (20 x 5ml preservative free single dose unit) 5.71 Eye Drops - Sodium Hyaluronate Xailin HA (10ml bottle) 7.13 Lymphoedema Garments Mediven Mondi MTM Class 1 (18-21mmHg) Price per piece One Legged Panty DTMOP Class 2 (23-32mmHg) One Legged Panty DTMOP Tights DTMTG Class 3 (34-46mmHg) One Legged Panty DTMOP Tights DTMTG Sigvaris Comfort Class 2 (23-32mm Hg) Price per pair Tights Bodyform Open Toe Normal, Long XXS, XS, S, M, L, XL Tights Bodyform Open Toe Plus Normal, Long XXS, XS, S, M, L, XL Tights Bodyform Closed Toe Normal, Long XXS, XS, S, M, L, XL Tights Bodyform Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL Tracheostomy And Laryngectomy Appliances Tracheostomy and Laryngectomy Protectors Pack of 4 TracFlex Plus Shower Cap Page 4 of 11
5 DELETIONS Zero Discount Galsya XL 8mg capsules Galsya XL 16mg capsules Part I - Drugs And Preparations Special Container Drug Qty Price Calcium glubionate 1.09g/5ml / Calcium lactobionate 727mg/ 5ml oral solution 300ml 4.07 C Calcium-Sandoz Emulsifying wax 500g 6.65 C Salicylic acid 2% solution 177ml 3.39 C Acnisal Alliance Healthcare (Distribution) Ltd Part III - Appliances Contraceptive Devices Vaginal Contraceptive Diaphragm 1. Complies with British Standard 4028:1989 Reflexions Flat Spring Diaphragm 55-95mm 6.22 (rising in 5mm) Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Blom-Singer HumidiFilter HME System Blom-Singer HumidiFilter Starter Kit BE Adhesive Foam Discs Standard Thin BE Large Thin BE Prim-Air Phon I (Tinted, for normal breathing) H Phon I High Flow (Tinted, low breathing resistance, for sport and first time users) HL Prim-Air Strip Firm Oval (Transparent with strong adhesive) O Special Oval (Skin tone with shower resistant adhesive) O Special Round (Skin tone with shower resistant adhesive) R Prima-Resist hands free voice prosthesis valve H Prima-Low-Resist hands free voice prosthesis valve H Page 5 of 11
6 AMENDMENTS Part I - Drugs And Preparations Item requiring reconstitution Colecalciferol 25,000units/ml oral solution sugar free Colecalciferol 25,000units/ml oral solution sugar free 1ml unit dose ampoules Dihydrocodeine 50mg/1ml solution for injection ampoules Dihydrocodeine 50mg/1ml solution for injection ampoules C InVita D C InVita D A C Martindale Pharmaceuticals Ltd Eplerenone 25mg tablets C Inspra Eplerenone 25mg tablets A Eplerenone 50mg tablets C Inspra Eplerenone 50mg tablets A Flucloxacillin 125mg/5ml oral solution sugar free 100ml C Actavis UK Ltd Flucloxacillin 125mg/5ml oral solution sugar free 100ml A Flucloxacillin 250mg/5ml oral solution sugar free 100ml C Actavis UK Ltd Flucloxacillin 250mg/5ml oral solution sugar free 100ml A Glucose liquid BPC g 1.13 A Glucose liquid BPC g 0.96 C J M Loveridge Ltd Isosorbide mononitrate 50mg modified-release capsules Isosorbide mononitrate 50mg modified-release capsules A C Elantan LA50 Page 6 of 11
7 AMENDMENTS - Continued Lacidipine 2mg tablets C Motens Lacidipine 2mg tablets A Lacidipine 4mg tablets C Motens Lacidipine 4mg tablets A Lemon spirit 100ml 8.59 A Lemon spirit 100ml C J M Loveridge Ltd Catheters, Urinary, Urethral (B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - Adult Mediplus Ltd Pack of 1 2 Way Foley All Silicone Catheter with glycerine filled syringe for balloon inflation and empty syringe for balloon deflation (Male open tip) ( ) (Male open tip) (5777, 5779, 5775) Eye Products Eye Drops - Carmellose Carmize 0.5% (30 x 0.4ml single dose unit) 5.75 (90 x 0.4ml single dose unit) Now Read (30 x 0.4ml preservative free single dose unit) 5.75 (90 x 0.4ml preservative free single dose unit) Carmize 1% (30 x 0.4ml single dose unit) 3.00 (60 x 0.4ml single dose unit) 6.00 Now Read (30 x 0.4ml preservative free single dose unit) 3.00 (60 x 0.4ml preservative free single dose unit) 6.00 Page 7 of 11
8 AMENDMENTS continued Lymphoedema Garments Sigvaris Comfort Class 1 (18-21mmHg) price per pair Below Knee Open Toe Normal, Long XS, S, M, L Below Knee Open Toe Plus Normal, Long XS, S, M, L Below Knee Closed Toe Normal, Long XS, S, M, L Below Knee Closed Toe Plus Normal, Long XS, S, M, L Below Knee Open Toe Normal, Long XXS, XS, S, M, L, XL Below Knee Open Toe Plus Normal, Long XXS, XS, S, M, L, XL Below Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL Thigh High Open Toe Short, Normal, Long XS, S, M, L Thigh High Open Toe Plus Short, Normal, Long XS, S, M, L Thigh High Closed Toe Short, Normal, Long XS, S, M, L Thigh High Closed Toe Plus Short, Normal, Long XS, S, M, L Thigh High Open Toe with Grip Top Short, Normal, Long XS, S, M, L Thigh High Plus Open Toe with Grip Top Short, Normal, Long XS, S, M, L Thigh High Closed Toe with Grip Top Short, Normal, Long XS, S, M, L Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XS, S, M, L Thigh High Open Toe Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Plus Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL Panty Open Toe Normal, Long XS, S, M, L Panty Open Toe Plus Normal, Long XS, S, M, L Panty Closed Toe Normal, Long XS, S, M, L Panty Closed Toe Plus Normal, Long XS, S, M, L Panty Extra Open Toe Normal, Long XS, S, M, L Panty Extra Open Toe Plus Normal, Long XS, S, M, L Panty Extra Closed Toe Normal, Long XS, S, M, L Panty Extra Closed Toe Plus Normal, Long XS, S, M, L Panty Open Toe Normal, Long XXS, XS, S, M, L, XL Panty Open Toe Plus Normal, Long XXS, XS, S, M, L, XL Panty Closed Toe Normal, Long XXS, XS, S, M, L, XL Panty Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL Panty Extra Open Toe Normal, Long XXS, XS, S, M, L, XL Panty Extra Open Toe Plus Normal, Long XXS, XS, S, M, L, XL Panty Extra Closed Toe Normal, Long XXS, XS, S, M, L, XL Panty Extra Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL Page 8 of 11
9 AMENDMENTS continued price per piece Sigvaris Comfort Class 2 (23-32mmHg) price per pair Below Knee Open Toe Normal, Long XS, S, M, L Below Knee Open Toe Plus Normal, Long XS, S, M, L Below Knee Closed Toe Normal, Long XS, S, M, L Below Knee Closed Toe Plus Normal, Long XS, S, M, L Below Knee Open Toe Normal, Long XXS, XS, S, M, L, XL Below Knee Open Toe Plus Normal, Long XXS, XS, S, M, L, XL Below Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL Thigh High Open Toe Short, Normal, Long XS, S, M, L Thigh High Open Toe Plus Short, Normal, Long XS, S, M, L Thigh High Closed Toe Short, Normal, Long XS, S, M, L Thigh High Closed Toe Plus Short, Normal, Long XS, S, M, L Thigh High Open Toe with Grip Top Short, Normal, Long XS, S, M, L Thigh High Plus Open Toe with Grip Top Short, Normal, Long XS, S, M, L Thigh High Closed Toe with Grip Top Short, Normal, Long XS, S, M, L Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XS, S, M, L Thigh High Open Toe Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Plus Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL Page 9 of 11
10 AMENDMENTS continued Panty Open Toe Normal, Long XS, S, M, L Panty Open Toe Plus Normal, Long XS, S, M, L Panty Closed Toe Normal, Long XS, S, M, L Panty Closed Toe Plus Normal, Long XS, S, M, L Panty Extra Open Toe Normal, Long XS, S, M, L Panty Extra Open Toe Plus Normal, Long XS, S, M, L Panty Extra Closed Toe Normal, Long XS, S, M, L Panty Extra Closed Toe Plus Normal, Long XS, S, M, L Panty Open Toe Normal, Long XXS, XS, S, M, L, XL Panty Open Toe Plus Normal, Long XXS, XS, S, M, L, XL Panty Closed Toe Normal, Long XXS, XS, S, M, L, XL Panty Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL Panty Extra Open Toe Normal, Long XXS, XS, S, M, L, XL Panty Extra Open Toe Plus Normal, Long XXS, XS, S, M, L, XL Panty Extra Closed Toe Normal, Long XXS, XS, S, M, L, XL Panty Extra Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL price per piece Page 10 of 11
11 AMENDMENTS continued Tracheostomy And Laryngectomy Appliances Tracheostomy and Laryngectomy Protectors pack of 10 Buchanan Protector Small (Laryngectomy - Permanent tracheostomy) Large Buchanan Protector Small LA BUP (Laryngectomy - Permanent tracheostomy) Large LA BUP Buchanan DeltaNex Protector Small (Laryngectomy - Permanent tracheostomy) Buchanan DeltaNex Protector Small LA DNX (Laryngectomy - Permanent tracheostomy) 22th January 2015 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 11 of 11
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