Advance Notification of Amendments to the April 2012 Drug Tariff
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1 ADDITIONS Advance Notification of Amendments to the April 2012 Drug Tariff PART I - DRUGS AND PREPARATIONS with BSO codes - Special Container -Calendar Pack Code Drug Qty Price Asenapine 10mg sublingual tablets sugar free C Sycrest Asenapine 5mg sublingual tablets sugar free C Sycrest Olanzapine 10mg orodispersible tablets A Olanzapine 10mg orodispersible tablets sugar free A Olanzapine 15mg orodispersible tablets A Olanzapine 15mg orodispersible tablets sugar free A Olanzapine 20mg orodispersible tablets A Olanzapine 20mg orodispersible tablets sugar free A Olanzapine 5mg orodispersible tablets A Olanzapine 5mg orodispersible tablets sugar free A Prednisolone 20mg/application foam enema 14 dose A Rivaroxaban 10mg tablets C Xarelto Rivaroxaban 15mg tablets C Xarelto Rivaroxaban 20mg tablets C Xarelto APPLIANCES CONTRACEPTIVE DEVICES Intrauterine Contraceptive Device Ancora 375 Ag 9.95 Ancora 375 Cu 7.95 Copper T380 A 8.95 Novaplus T 380 Ag Novaplus T 380 Cu EMOLLIENT AND BARRIER PREPARATIONS Zeroderm Ointment 125g g 4.10 HYPODERMIC EQUIPMENT Needles for Pre-filled and Reusable Pen Injectors Penfine see Clickfine Page 1 of 14
2 ADDITIONS (cont) Lancets Sterile, Single-Use MediTouch 0.34mm/28 gauge (Medisana Healthcare (UK) Ltd) LYMPHOEDEMA GARMENTS Sigvaris Arm Sleeves (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 Sigvaris MTM (23-32mmHg) Below Knee Open Toe 503 Beige Below Knee Closed Toe 503 Beige Below Knee Open Toe with Grip Top 503 Beige Below Knee Closed Toe with Grip Top 503 Beige Thigh High Open Toe 503 Beige Thigh High Closed Toe 503 Beige Thigh High Open Toe Full Compression 503 Beige Thigh High Closed Toe Full Compression 503 Beige Thigh High Open Toe with Grip Top 503 Beige Thigh High Closed Toe with Grip Top 503 Beige Thigh High Open Toe with Grip Top Full 503 Beige Compression Thigh High Closed Toe with Grip Top Full 503 Beige Compression Thigh High Open Toe with Waist 503 Beige Beige Thigh High Open Toe with Waist 503 Beige Attachment Full Compression (Left or Right) 503 Beige Attachment Full Compression (Left or Right) Armsleeve (Left or Right) 503 Beige Armsleeve with Grip Top (Left or Right) 503 Beige Price per pair Panty Open Toe 503 Beige Panty Open Toe Full Compression 503 Beige Panty Closed Toe 503 Beige Panty Closed Toe Full Compression 503 Beige Page 2 of 14
3 ADDITIONS (cont) (34-46mmHg) Below Knee Open Toe 504 Beige Below Knee Closed Toe 504 Beige Below Knee Open Toe with Grip Top 504 Beige Below Knee Closed Toe with Grip Top 504 Beige Thigh High Open Toe 504 Beige Thigh High Closed Toe 504 Beige Thigh High Open Toe Full Compression 504 Beige Thigh High Closed Toe Full Compression 504 Beige Thigh High Open Toe with Grip Top 504 Beige Thigh High Closed Toe with Grip Top 504 Beige Thigh High Open Toe with Grip Top Full 504 Beige Compression Thigh High Closed Toe with Grip Top Full 504 Beige Compression Thigh High Open Toe with Waist 504 Beige Beige Thigh High Open Toe with Waist 504 Beige Attachment Full Compression (Left or Right) 504 Beige Attachment Full Compression (Left or Right) Armsleeve (Left or Right) 504 Beige Armsleeve with Grip Top (Left or Right) 504 Beige Price per pair Panty Open Toe 504 Beige Panty Open Toe Full Compression 504 Beige Panty Closed Toe 504 Beige Panty Closed Toe Full Compression 504 Beige Page 3 of 14
4 ADDITIONS (cont) (49-59mmHg) Below Knee Open Toe with Grip Top 505 Beige Below Knee Closed Toe with Grip Top 505 Beige Thigh High Open Toe 505 Beiige Thigh High Closed Toe 505 Beige Thigh High Open Toe Full Compression 505 Beige Thigh High Closed Toe Full Compression 505 Beige Thigh High Open Toe with Grip Top 505 Beige Thigh High Closed Toe with Grip Top 505 Beige Thigh High Open Toe with Grip Top Full 505 Beige Compression Thigh High Closed Toe with Grip Top Full 505 Beige Compression Thigh High Open Toe with Waist 505 Beige Beige Thigh High Open Toe with Waist 505 Beige Attachment Full Compression (Left or Right) Attachment Full Compression (Left or Right) 505 Beige Price per pair Panty Open Toe 505 Beige Panty Open Toe Full Compression 505 Beige Panty Closed Toe 505 Beige Panty Closed Toe Full Compression 505 Beige Sigvaris MTM Comfort Class 1 (18-21mmHg) Below Knee Open Toe Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe Black, Brown, Caramel, Grey, Honey, Skin Below Knee Open Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Thigh High Open Toe Black, Brown, Caramel, Grey, Honey, Skin Thigh High Closed Toe Black, Brown, Caramel, Grey, Honey, Skin Thigh High Open Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Thigh High Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Panty Open Toe Black, Brown, Caramel, Grey, Honey, Skin Panty Closed Toe Black, Brown, Caramel, Grey, Honey, Skin Thigh High Open Toe with Waist Attachment Black, Brown, Caramel, Grey, Honey, Skin (Left or Right) Black, Brown, Caramel, Grey, Honey, Skin Page 4 of 14
5 ADDITIONS (cont) Class 2 (23-32mmHg) Below Knee Open Toe Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe Black, Brown, Caramel, Grey, Honey, Skin Below Knee Open Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Thigh High Open Toe Black, Brown, Caramel, Grey, Honey, Skin Thigh High Closed Toe Black, Brown, Caramel, Grey, Honey, Skin Thigh High Open Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Thigh High Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Panty Open Toe Black, Brown, Caramel, Grey, Honey, Skin Panty Closed Toe Black, Brown, Caramel, Grey, Honey, Skin Thigh High Open Toe with Waist Attachment Black, Brown, Caramel, Grey, Honey, Skin (Left or Right) Black, Brown, Caramel, Grey, Honey, Skin Sigvaris MTM Cotton Class 1 (18-21mmHg) Below Knee Open Toe Black, Caramel, Nature Below Knee Closed Toe Black, Caramel, Nature Below Knee Open Toe with Grip Top Black, Caramel, Nature Below Knee Closed Toe with Grip Top Black, Caramel, Nature Thigh High Open Toe with Grip Top Black, Caramel, Nature Thigh High Closed Toe with Grip Top Black, Caramel, Nature Panty Open Toe Black, Caramel, Nature Panty Closed Toe Black, Caramel, Nature Thigh High Open Toe with Waist Attachment Nature (Left or Right) Nature Page 5 of 14
6 ADDITIONS (cont) Class 2 (23-32mmHg) Below Knee Open Toe Black, Caramel, Nature Below Knee Closed Toe Black, Caramel, Nature Below Knee Open Toe with Grip Top Black, Caramel, Nature Below Knee Closed Toe with Grip Top Black, Caramel, Nature Thigh High Open Toe with Grip Top Black, Caramel, Nature Thigh High Closed Toe with Grip Top Black, Caramel, Nature Panty Open Toe Black, Caramel, Nature Panty Closed Toe Black, Caramel, Nature Thigh High Open Toe with Waist Attachment Nature (Left or Right) Nature Class 3 (34-46mmHg) Below Knee Open Toe Black, Caramel, Nature Below Knee Closed Toe Black, Caramel, Nature Below Knee Open Toe with Grip Top Black, Caramel, Nature Below Knee Closed Toe with Grip Top Black, Caramel, Nature Thigh High Open Toe with Grip Top Black, Caramel, Nature Thigh High Closed Toe with Grip Top Black, Caramel, Nature Panty Open Toe Black, Caramel, Nature Panty Closed Toe Black, Caramel, Nature Thigh High Open Toe with Waist Attachment Nature (Left or Right) Nature Sigvaris MTM Magic Class 1 (18-21mmHg) Below Knee Open Toe Female Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe Female Black, Brown, Caramel, Grey, Honey, Skin Below Knee Open Toe with Grip Top Female Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Female Thigh High Open Toe with Grip Top Female Black, Brown, Caramel, Grey, Honey, Skin Thigh High Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Female Panty Open Toe Female Black, Brown, Caramel, Grey, Honey, Skin Panty Closed Toe Female Black, Brown, Caramel, Grey, Honey, Skin Page 6 of 14
7 ADDITIONS (cont) Class 2 (23-32mmHg) Below Knee Open Toe Female Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe Female Black, Brown, Caramel, Grey, Honey, Skin Below Knee Open Toe with Grip Top Female Black, Brown, Caramel, Grey, Honey, Skin Below Knee Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Female Thigh High Open Toe with Grip Top Female Black, Brown, Caramel, Grey, Honey, Skin Thigh High Closed Toe with Grip Top Black, Brown, Caramel, Grey, Honey, Skin Female Panty Open Toe Female Black, Brown, Caramel, Grey, Honey, Skin Panty Closed Toe Female Black, Brown, Caramel, Grey, Honey, Skin SODIUM HYALURONATE INJECTION each SportVis 1 injection injections SYNOVIAL FLUID RenehaVis Box containing 1 pre-filled dual chambered 1.4ml Syringe TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES Tracheostomy Breathing Aids Saint Marina Safety Net - see Breeze Saint Marina Safety Net Tracheostomy and Laryngectomy Protectors Wet Protect see Breeze Wet Protect VACUUM PUMPS AND CONSTRICTOR RINGS FOR ERECTILE DYSFUNCTION Vacuum Pumps Genesis Medical Ltd Revive CHEMICAL REAGENTS Detection Strips, Blood For Glucose Biosensor Strips- to be read only with the appropriate meter Contour Next GlucoDock Glucose MediTouch Page 7 of 14
8 DELETIONS PART I - DRUGS AND PREPARATIONS - Special Container - Calendar Pack * - This pack only (others still available) Drug Qty Price Co-prenozide 160mg/0.25mg C Trasidrex modified-release tablets Flunisolide 25micrograms/dose 24ml 5.05 C Syntaris nasal spray * Lansoprazole 30mg orodispersible tablets C Zoton FasTab APPLIANCES HYPODERMIC EQUIPMENT Lancets Sterile, Single-Use Apollo Safety Lancets 2.4mm/21 gauge (Apollo Medical Technologies Ltd) 2.4mm/23 gauge mm/26 gauge Mylife Pura lancets 0.31mm/30 gauge (Ypsomed Ltd formerly GBUK Healthcare) LYMPHOEDEMA GARMENTS Sigvaris Coton (15-20mmHg) Below Knee Closed Toe Male Charcoal, Sienna Long, Normal Thigh High Grip Top Closed Toe Charcoal Long, Male Normal Thigh High Grip Top Closed Toe Beige Long, Male Normal (20-36mmHg) Below Knee Closed Toe Male Charcoal, Flesh Long, Normal Thigh High Grip Top Closed Toe Charcoal, Flesh Long, Male Normal Price per pair S, M, L, XL, XXL S, M, L, XL, XXL S, M, L, XL Price per pair S,M, L, XL S,M,L,XL Page 8 of 14
9 DELETIONS (cont) CHEMICAL REAGENTS Detection Strips, Blood For Determination of International, Normalised Ratio (INR) 4.2 CoaguChek PT AMENDMENTS PART I - DRUGS AND PREPARATIONS Special Container Calendar Pack Adrenaline acid tartrate 1mg/1ml ( A in 1,000) solution for injection Ampoules Adrenaline (base) 1mg/1ml (1 in 1,000) solution for injection Ampoules A Adrenaline acid tartrate 500micrograms/0.5ml (1 in 1,000) solution for injection Ampoules A Adrenaline (base) 500micrograms/ A 0.5ml (1 in 1,000) solution for injection ampoules Apraclonidine 0.5% eye drops 5ml C Iopidine Apraclonidine 5mg/ml eye drops 5ml C Iopidine Co-cyprindiol 2000microgram/35 microgram tablets M Co-cyprindiol 2000microgram/ 35microgram tablets A Emedastine 0.05% eye drops 5ml 7.31 C Emadine Emedastine 0.5mg/ml eye drops 5ml 7.31 C Emadine Page 9 of 14
10 AMENDMENTS (cont) Esomeprazole 20mg gastroresistant C Nexium Tablets Esomeprazole 20mg gastroresistant M Tablets Esomeprazole 40mg gastroresistant C Nexium Tablets Esomeprazole 40mg gastroresistant Tablets M Gabapentin 800mg tablets M Gabapentin 800mg tablets A Glyceryl trinitrate 400micrograms/ 180 dose 2.63 C Nitromin dose pump sublingual spray Glyceryl trinitrate 400micrograms/ 180 dose 2.44 C Actavis UK Ltd dose pump sublingual spray Levetiracetam 100mg/ml oral 300ml C Keppra solution sugar free Levetiracetam 100mg/ml oral 300ml A solution sugar free Nicotine 10mg/16hours transdermal C Nicorette Patches Nicotine 10mg/16hours transdermal C Patches Nicotine 15mg/16hours transdermal C Nicorette Patches Nicotine 15mg/16hours transdermal Patches C Page 10 of 14
11 AMENDMENTS cont. Olopatadine 0.1% eye drops 5ml 3.91 C Opatanol Olopatadine 1mg/ml eye drops 5ml 3.91 C Opatanol Pioglitazone 15mg tablets A Pioglitazone 15mg tablets M Pioglitazone 30mg tablets A Pioglitazone 30mg tablets M Pioglitazone 45mg tablets A Pioglitazone 45mg tablets M Rimexolone 1% eye drops 5ml 5.66 C Vexol Rimexolone 10mg/ml eye drops 5ml 5.66 C Vexol Simvastatin 20mg/5ml oral suspension sugar free 150ml C Rosemont Pharmaceuticals Ltd Simvastatin 20mg/5ml oral suspension sugar free 150ml A Simvastatin 40mg/5ml oral suspension sugar free Simvastatin 40mg/5ml oral 150ml A suspension sugar free 150ml C Rosemont Pharmaceuticals Ltd Topiramate 200mg tablets M Topiramate 200mg tablets A Ursodeoxycholic acid 300mg tablets C Urdox Ursodeoxycholic acid 300mg tablets C Wockhardt UK Ltd Page 11 of 14
12 AMENDMENTS cont. Valsartan 160mg / C Co-Diovan Hydrochlorothiazide 12.5mg tablets Valsartan 160mg / M Hydrochlorothiazide 12.5mg tablets Valsartan 160mg capsules C Diovan Valsartan 160mg capsules M Valsartan 40mg capsules C Diovan Valsartan 40mg capsules M Valsartan 80mg capsules C Diovan Valsartan 80mg capsules M HYPODERMIC EQUIPMENT Needles for Pre-filled and Reusable Pen Injectors Pack of 100 Penfine 6mm/31 gauge mm/31 gauge mm/29 gauge mm/29 gauge 9.11 NOW READS Clickfine (formerly Penfine) 6mm/31 gauge mm/31 gauge mm/29 gauge mm/29 gauge 9.11 SILK GARMENTS Skinnies Silk each Mittens 0.24 months years years Socks 6 months - 8 years years Page 12 of 14
13 AMENDMENTS cont. Gloves Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Knee Length Sock Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Adult XL per pair NOW READS 0-24 months Mittens 2-8 years years Socks 6 months - 8 years years Gloves Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Knee Length Sock Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Adult XL Page 13 of 14
14 AMENDMENTS cont. TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES Tracheostomy Breathing Aids Saint Marina Safety Net Air filter and humidifier NOW READS Breeze Saint Marina Safety Net (formerly Saint Marina Safety Net) Air filter and humidifier each SMSN 1.60 SMSN 1.60 Provox HME System ("Stomafilter") Provox XtraBase adhesive NOW READS Provox XtraBase (Convex, strong adhesive) Tracheostomy Tube Holders EMS Adjustable Tracheostomy Tube Holder with Elasticated Cough Strip NOW READS Breeze Adjustable Tracheostomy Tube Holder with Elasticated Cough Strip (formerly EMS Adjustable Tracheostomy Tube Holder with Elasticated Cough Strip) each T T Pack of 2 TWP Tracheostomy and Laryngectomy Protectors Wet Protect NOW READS Pack of 2 Breeze Wet Protect (formerly Wet Protect) TWP th March 2012 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 14 of 14
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