Advance Notification of Amendments to the December 2015 Drug Tariff

Transcription

1 Advance Notification of Amendments to the December 2015 Drug Tariff ADDITIONS Part I - Drugs And Preparations Special Container Selected List Scheme (SLS) Drug Qty Price Atomoxetine 4mg/1ml oral solution sugar free 300 ml (3x 100) C Strattera Avanafil 100mg tablets C Spedra C Spedra Avanafil 200mg tablets C Spedra C Spedra Avanafil 50mg tablets C Spedra C Spedra Carbocisteine 750mg/10ml oral solution 10ml sachets Intrapharm C sugar free Laboratories Ltd Ciclosporin 0.1% eye drops 0.3ml unit dose C Ikervis Methotrexate 2mg/ml oral solution sugar free 35 ml C Rosemont Pharmaceuticals Ltd 65 ml C Rosemont Pharmaceuticals Ltd Naloxegol 12.5mg tablets C Moventig Naloxegol 25mg tablets C Moventig Nitrazepam 2.5mg/5ml oral suspension 70 ml C Tiotropium bromide 2.5micrograms/dose / Olodaterol 2.5micrograms/ dose solution for inhalation cartridge with device CFC free Essential Pharma Ltd 60 dose C Spiolto Respimat Page 1 of 8

2 ADDITIONS Continued Part III Appliances Bandages Sub-compression Wadding Bandage Formflex Natural 5cm x 2.7m m unstretched 7.5cm x 2.7m cm x 2.7m cm x 2.7m cm x 2.7m 0.69 Formflex Synthetic 5cm x 2.7m m unstretched 7.5cm x 2.7m cm x 2.7m cm x 2.7m cm x 2.7m 0.63 Wound Dressings - other Topical Negative Pressure System Accessories SNaP Plus Cartridge Device (150ml capacity) 125mmHg Emollient And Barrier Preparations HypoBase Gel 500g pump 5.83 Preparations containing Urea Allpresan diabetic foam cream Basic 300ml 9.75 Allpresan diabetic foam cream Intensive 300ml 9.75 Eye Products Eye Drops - Carmellose Lumecare Evolve Carmellose 0.5% (10ml preservative free bottle) 4.99 Eye Drops - Hypromellose Lumecare Evolve Hypromellose 0.3% (10ml preservative free bottle) 1.98 Head Lice Device Chemists' Own Head Lice Spray 100ml spray 5.90 Hedrin Once Liquid Gel 100ml ml Hedrin Once Spray Gel 60ml spray ml spray 6.83 Hypodermic Equipment Lancets - Sterile, Single-Use GlucoZen (GlucoZen Ltd) 0.36mm/28 gauge Page 2 of 8

3 ADDITIONS Continued Lymphoedema Garments Juzo Dynamic - Custom made for the upper limb Class 1 (18-21mmHg) Armsleeve Armsleeve with Grip Top Armsleeve with Shoulder Strap Armsleeve with Bra Strap Attachment Combined Armsleeve Class 2 (23-32mmHg) Armsleeve Armsleeve with Grip Top Armsleeve with Shoulder Strap Armsleeve with Bra Strap Attachment Combined Armsleeve Class 3 (34-46mmHg) Armsleeve Armsleeve with Grip Top Armsleeve with Shoulder Strap Armsleeve with Bra Strap Attachment Juzo Soft - Custom made for the upper limb Class 1 (18-21mmHg) Armsleeve Armsleeve with Grip Top Armsleeve with Shoulder Strap Armsleeve with Bra Strap Attachment Class 2 (23-32mmHg) Armsleeve Armsleeve with Grip Top Armsleeve with Shoulder Strap Armsleeve with Bra Strap Attachment Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids SpiroTect HME System SpiroTect Baseplate Extra Sticky Round PTW Page 3 of 8

4 DELETIONS Part I - Drugs And Preparations Acetic acid 33% liquid 500 ml 4.52 C J M Loveridge Ltd Ammonia solution aromatic 500 ml C J M Loveridge Ltd Chloral hydrate crystals 100 g C J M Loveridge Ltd Co-danthramer 25mg/200mg capsules C A A H Pharmaceuticals Ltd Co-proxamol 32.5mg/325mg tablets C Meda Pharmaceuticals Ltd Nitrazepam 2.5mg/5ml oral suspension 150 ml C Essential Pharma Ltd Oxybutynin 2.5mg/5ml oral solution 150 ml 6.88 C Ditropan elixir Part III Appliances Bandage Cotton Crêpe Bandage Hospicrepe 229 5cm cm cm cm 1.18 Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Peak Medical Ltd Peak Medical Ltd UltraSmooth Hydrophilic Catheter pack of 25 (Male) (US4008-US4018) (Female) (US1808-US1818) (Paediatric) (US3006-US3010) Hypodermic Equipment Lancets - Sterile, Single-Use Unilet Eco (Owen Mumford Ltd) 0.375mm/28 gauge Page 4 of 8

5 AMENDMENTS Part I - Drugs And Preparations Special Container Budesonide 1mg/2ml nebuliser liquid unit dose Budesonide 1mg/2ml nebuliser liquid unit dose 20 (4x 5) A C Pulmicort Respules Budesonide 500micrograms/2ml nebuliser liquid 20 unit dose (4x 5) C Pulmicort Respules Budesonide 500micrograms/2ml nebuliser liquid unit dose A Phenytoin sodium 100mg capsules C Flynn Pharma Ltd Phenytoin sodium 100mg capsules C Prednisolone 25mg tablets C Zentiva Prednisolone 25mg tablets C Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose Salbutamol 5mg/2.5ml nebuliser liquid unit dose Salbutamol 5mg/2.5ml nebuliser liquid unit dose C A C A Part III Appliances Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ( ordinary cylindrical Catheter) Single use Peak Medical Ltd Peak Medical Ltd UltraSmooth MitroCath with 4 drainage eyes pack of 60 (40cm) (USM4008-USM4018) Peak Medical Ltd UltraSmooth MCath4 with 4 drainage eyes (formerly Peak Medical Ltd pack of 60 UltraSmooth MitroCath with 4 drainage eyes) (40cm) (USM4008-USM4018) Page 5 of 8

6 AMENDMENTS Continued Wound Dressings - other Topical Negative Pressure System Accessories SNaP Cartridge Device 75mmHg mmHg mmHg SNaP Cartridge Device (60ml capacity) 75mmHg mmHg mmHg SNaP Straps Small 7.00 Medium 7.00 Large 7.00 SNaP Straps (for 60ml cartridges) Small 7.00 Medium 7.00 Large 7.00 Hypodermic Equipment Lancets - Sterile, Single-Use Mendor Discreet 0.32mm/28 gauge (Merck Serono Ltd) Mendor Discreet 0.32mm/28 gauge (SpringMed Solutions Ltd (formerly Merck Serono Ltd)) Page 6 of 8

7 AMENDMENTS Continued Lymphoedema Garments Sigvaris Arm Sleeves Code Lengths Sizes (23-32mmHg) with Grip Top/no Hand Piece 503 Short, Long S, M, L with Grip Top/with Hand Piece 503 Short, Long S, M, L with Shoulder Cap/no Hand Piece 503 Short, Long S, M, L with Shoulder Cap/with Hand Piece 503 Short, Long S, M, L Sigvaris Traditional (formerly Sigvaris) Arm Sleeves Lengths Sizes (23-32mmHg) with Grip Top/no Hand Piece Short, Long S, M, L with Grip Top/with Hand Piece Short, Long S, M, L with Shoulder Cap/no Hand Piece Short, Long S, M, L with Shoulder Cap/with Hand Piece Short, Long S, M, L Sigvaris 500 Style Lengths Sizes Class 2 (23-32mmHg) Price per pair Below Knee Open Toe Short, Long XS, S, M, L, XL Below Knee Open Toe Plus Short, Long S, M, L, XL Thigh High Open Toe Short S, M, L Thigh High Open Toe Long XS, S, M, L, XL Thigh High Open Toe Plus Short S, M, L Thigh High Open Toe Plus Long S, M, L, XL Thigh High Open Toe with Grip Top Short, Long S, M, L Thigh High Open Toe with Grip Top Plus Short, Long S, M, L Thigh High with Waist Attachment (Left or Right) Short, Long S, M, L Thigh High Open Toe with Waist Attachment Short, Long S, M, L (Left or Right) Plus Class 3 (34-46mmHg) Price per pair Below Knee Open Toe Short, Long S, M, L, XL Below Knee Open Toe Plus Short, Long S, M, L, XL Thigh High Open Toe Short, Long S, M, L Thigh High Open Toe Plus Short, Long S, M, L Thigh High Open Toe with Grip Top Short, Long S, M, L Thigh High Open Toe with Grip Top Plus Short, Long S, M, L Thigh High with Waist Attachment (Left or Right) Plus Short, Long S, M, L Page 7 of 8

8 AMENDMENTS Continued Sigvaris Traditional 500 (formerly Sigvaris 500) Style Lengths Sizes Class 2 (23-32mmHg) Price per pair Below Knee Open Toe Short, Long XS, S, M, L, XL Below Knee Open Toe Plus Short, Long S, M, L, XL Thigh High Open Toe Short S, M, L Thigh High Open Toe Long XS, S, M, L, XL Thigh High Open Toe Plus Short S, M, L Thigh High Open Toe Plus Long S, M, L, XL Thigh High Open Toe with Grip Top Short, Long S, M, L Thigh High Open Toe with Grip Top Plus Short, Long S, M, L Thigh High with Waist Attachment (Left or Right) Short, Long S, M, L Thigh High Open Toe with Waist Attachment Short, Long S, M, L (Left or Right) Plus Class 3 (34-46mmHg) Price per pair Below Knee Open Toe Short, Long S, M, L, XL Below Knee Open Toe Plus Short, Long S, M, L, XL Thigh High Open Toe Short, Long S, M, L Thigh High Open Toe Plus Short, Long S, M, L Thigh High Open Toe with Grip Top Short, Long S, M, L Thigh High Open Toe with Grip Top Plus Short, Long S, M, L Thigh High with Waist Attachment (Left or Right) Plus Short, Long S, M, L th November 2015 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 8 of 8