SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS. August 2015

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Wesley Terry
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Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.isdscotland.

1 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS August 2015 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The complete Scottish Drug Tariff is published on the ISD Scotland website: The following price changes listed become effective from 1 st August Prices in pence per item, unless otherwise stated. The following price changes apply to Part 2 (Dressings) BANDAGES Short Stretch Compression age Indications: Venous leg ulcers and lymphoedema Price (p) (each unless otherwise stated) Actico (Cohesive) 4cm x 6m cm x 6m cm x 6m cm x 6m cm x 6m Comprilan 6cm x 5m cm x 5m cm x 5m cm x 5m High Compression ages (Extensible) Viscose, Elastane, and Cotton (High) Compression Extensible age VECCHE age Tensopress 7.5cm x 3m unstretched cm x 3m unstretched Dressings Vapour - Permeable Adhesive Film Dressing BP Askina Derm 10cm x 20cm cm x 20cm cm x 30cm

2 IRRIGATION SOLUTIONS Prontosan 24 x 40ml (B Braun Medical) Bottle 350ml LOW FRICTION PRODUCTS Aderma Dermal Pad Sacrum /Ankle Wrap Standard Heel Extra Large Sheet 10x10x0.3cm x10x1.2cm x20x0.3cm Strip 50x2.5x0.3cm x5.0x0.3cm LYMPHOEDEMA GARMENTS Style Lengths Sizes Actilymph Class 1 (18-21mmHg) (per pair) Below Knee Closed Toe Petite S, M, L, XL, XL Below Knee Closed Toe Standard S, M, L, XL, XXL Below Knee Open Toe Standard S, M, L, XL, XXL Thigh Closed Toe with Regular Top Standard S, M, L, XL Thigh Closed Toe with Wide Top Standard S, M, L, XL Thigh Open Toe with Regular Top Standard S, M, L, XL, XXL (Per Piece) Armsleeve No Top Standard S, M, L, XL Armsleeve with Top Standard S, M, L, XL Armsleeve with Top Long S, M, L, XL Combined Armsleeve No Top Standard S, M, L Combined Armsleeve with Top Standard S, M, L Combined Armsleeve with Top Long S, M, L Class 2 (23-32mmHg) (per pair) Below Knee Closed Toe Petite S, M, L, XL Below Knee Closed Toe Standard S, M, L, XL Below Knee Open Toe Petite S, M, L, XL Below Knee Open Toe Standard S, M, L, XL, XXL

3 LYMPHOEDEMA GARMENTS cont. Thigh Closed Toe with Regular Top Standard S, M, L, XL Thigh Closed Toe with Wide Top Standard S, M, L, XL Thigh Open Toe with Wide Top Standard S, M, L, XL Thigh Open Toe with Regular Top Standard S, M, L, XL, XXL (Per Piece) Armsleeve No Top Standard S, M, L,XL Armsleeve with Top Standard S, M, L,XL Armsleeve with Top Long S, M, L,XL Combined Armsleeve No Top Standard S, M, L Combined Armsleeve with Top Standard S, M, L Combined Armsleeve with Top Long S, M, L Class 3 (34-46mmHg) (per pair) Below Knee Open Toe No Top Standard S, M, L, XL Thigh Open Toe with Wide Top Standard S, M, L, XL Actilymph MTM Dura Stiffer Fabric for Lower Extremities Style Product Code Class 2 (23-32mmHg) Below Knee A-D AL-DURAC2-AD Thigh Length A-G AL-DURAC2-AG Thigh with Waist Attachment A-GT AL-DURAC2-AGT Legged Panty A-T (includes cycle style pants) AL-DURAC2-AT Class 3 (34-346mmHg) Below Knee A-D AL-DURAC3-AD Thigh Length A-G AL-DURAC3-AG Thigh with Waist Attachment A-GT AL-DURAC3-AGT Legged Panty A-T (includes cycle style pants) AL-DURAC3-AT Ankle Pads ALO-PAD Oblique Toe ALO-OBT Silicone ALO-BAND Slip Form ALO-FORM T Heel Ankle Seam ALO-SEAM Full Compression Body Part (in AT) ALO-FCBODY

4 LYMPHOEDEMA GARMENTS cont. Style Product Code Actilymph MTM Ease Soft Fabric for Lower Extremities Class 1 (18-21mmHg) Below Knee A-D AL-EASEC1-AD Thigh Length A-G AL-EASEC1-AG Thigh with Waist Attachment A-GT AL-EASEC AGT 2 Legged Panty A-T (includes cycle style pants) AL-EASEC1-AT Class 2 (23-32mmHg) Below Knee A-D AL-EASEC2-AD Thigh Length A-G AL-EASEC2-AG Thigh with Waist Attachment A-GT AL-EASEC AGT 2 Legged Panty A-T (includes cycle style pants) AL-EASEC2-AT Class 3 (34-46mmHg) Below Knee A-D AL-EASEC3-AD Thigh Length A-G AL-EASEC3-AG Thigh with Waist Attachment A-GT AL-EASEC AGT 2 Legged Panty A-T (includes cycle style pants) AL-EASEC3-AT Oblique Toe ALO-OBT Silicone ALO-BAND Slip Form ALO-FORM T Heel Ankle Seam ALO-SEAM Full Compression Body Part (in AT) ALO-FCBODY (only available in Class 2 and 3) 4

5 LYMPHOEDEMA GARMENTS cont. Lengths Sizes Altiven Class 1 (18-21mmHg) (Per pair) Below Knee Open Toe Short,Regular I-VII Below Knee Closed Toe Short,Regular I-VII Hold-up Open Toe Short,Regular I-VII Hold-up Closed Toe Short,Regular I-VII Hold-up (Extra Wide) Open Toe Short,Regular I-VII Hold-up (Extra Wide) Closed Toe Short,Regular I-VII Tights Open Toe Short, Regular I-VII Tights Closed Toe Short, Regular I-VII (per piece) Thigh with Waist Attachment Open Toe Short,Regular I-VII Thigh with Waist Attachment Closed Toe Short,Regular I-VII Class 2 (23-32mmHg) (Per pair) Below Knee Open Toe Short,Regular I-VII Below Knee Closed Toe Short,Regular I-VII Hold-up Open Toe Short,Regular I-VII Hold-up Closed Toe Short,Regular I-VII Hold-up (Extra Wide) Open Toe Short,Regular I-VII Hold-up (Extra Wide) Closed Toe Short,Regular I-VII Tights Open Toe Short,Regular I-VII Tights Closed Toe Short,Regular I-VII (per piece) Thigh with Waist Attachment Open Toe Short,Regular I-VII Thigh with Waist Attachment Closed Toe Short,Regular I-VII Class 3 (34-46mmHg) (Per pair) Below Knee Open Toe Short, Regular I-VII Below Knee Closed Toe Short, Regular I-VII Hold-up Open Toe Short,Regular I-VII Hold-up Closed Toe Short,Regular I-VII Hold-up (Extra Wide) Open Toe Short,Regular I-VII Hold-up (Extra Wide) Closed Toe Short,Regular I-VII Tights Open Toe Short, Regular I-VII Tights Closed Toe Short, Regular I-VII (per piece) Thigh with Waist Attachment Open Toe Short, Regular I-VII Thigh with Waist Attachment Closed Toe Short, Regular I-VII

6 LYMPHOEDEMA GARMENTS cont Altiven Made to Measure Low Compression (14-18mmHg) Per pair Below Knee Open Toe Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe Per piece Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe Class 1 (18-21mmHg) Per pair Below Knee Open Toe Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe Per piece Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe Class 2 (23-32mmHg) Per pair Below Knee Open Toe Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe Per piece Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe Class 3 (34-46mmHg) Per pair Below Knee Open Toe Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe Per piece Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe

7 LYMPHOEDEMA GARMENTS cont Altiven Armsleeves Class 1 (18-21mmHg) per piece Axilla Wrist Regular I-V Axilla Wrist with Grip Top Regular I-V Axilla Mitten Regular I-V Axilla Mitten with Grip Top Regular I-V Axilla Wrist with Elbow Pouch Regular I-V Axilla Wrist with Grip Top and Elbow Pouch Regular I-V Axilla Mitten with Elbow Pouch Regular I-V Axilla Mitten with Grip Top and Elbow Pouch Regular I-V Class 2 (23-32mmHg) per piece Axilla Wrist Regular I-V Axilla Wrist with Grip Top Regular I-V Axilla Mitten Regular I-V Axilla Mitten with Grip Top Regular I-V Axilla Wrist with Elbow Pouch Regular I-V Axilla Wrist with Grip Top and Elbow Pouch Regular I-V Axilla Mitten with Elbow Pouch Regular I-V Axilla Mitten with Grip Top and Elbow Pouch Regular I-V Altiven Made to Measure Armsleeves Low Compression (12-16mmHg) Per piece Armsleeve Axilla Wrist with elbow pocket Armsleeve Axilla Wrist Armsleeve Axilla Wrist with Top and elbow pocket Armsleeve Axilla Wrist with Top Armsleeve Axilla Mitten with elbow pocket Armsleeve Axilla Mitten Armsleeve Axilla Mitten with Top and elbow pocket Armsleeve Axilla Mitten with Top Class 1 (18-21mmHg) Per piece Armsleeve Axilla Wrist with elbow pocket Armsleeve Axilla Wrist Armsleeve Axilla Wrist with Top and elbow pocket Armsleeve Axilla Wrist with Top Armsleeve Axilla Mitten with elbow pocket Armsleeve Axilla Mitten Armsleeve Axilla Mitten with Top and elbow pocket Armsleeve Axilla Mitten with Top Class 2 (23-32mmHg) Per piece Armsleeve Axilla Wrist with elbow pocket Armsleeve Axilla Wrist Armsleeve Axilla Wrist with Top and elbow pocket Armsleeve Axilla Wrist with Top Armsleeve Axilla Mitten with elbow pocket

8 LYMPHOEDEMA GARMENTS cont Per piece Armsleeve Axilla Mitten Armsleeve Axilla Mitten with Top and elbow pocket Armsleeve Axilla Mitten with Top Jobst Bellavar Class 2 (23-32mmHg) Length Sizes Knee High, Open Toe Petite, Regular I,II,III,IV,V,VI Thigh High, Open Toe, with Knitted Standard I,II,III,IV,V,VI Thigh High, Open Toe, with Silicone Standard I,II,III,IV,V,VI Tights, Open Toe Petite, Regular I,II,III,IV,V,VI Class 3 (34-46mmHg) Knee High, Open Toe Petite, Regular I,II,III,IV,V,VI Thigh High, Open Toe with Knitted Standard I,II,III,IV,V,VI Thigh High, Open Toe with Silicone Standard I,II,III,IV,V,VI Tights Open Toe Petite, Regular I,II,III,IV,V,VI Jobst Elvarex Soft Custom Fit for lower extremities Class mmHg Code Price Soft Seamless Foot Cap with Toes L Soft Knee High L Soft Thigh High L Soft Body age L Class mmHg Soft Seamless Foot Cap with Toes L Soft Knee High L Soft Thigh High L Soft Body age L Class mmHg Soft Knee High L Soft Thigh High L Soft Body age L Adjustable Waistband L-A013S Non-Standard Colour L-A008S Slipform Soft L-A011S Silicone Soft L-A004S T-Heel L-A010S Waist attachment with garter belt L-A005S Jobst Elvarex Soft Custom Fit for upper extremities Class 1 (15-21mmHg) Soft Armsleeve from Wrist to Axilla U Soft Seamless Gauntlet to Wrist U Soft Seamless Gauntlet to Elbow U Class mmHg Soft Armsleeve from Wrist to Axilla U Soft Seamless Gauntlet to Wrist AC1-WF-WT

9 LYMPHOEDEMA GARMENTS cont Soft Seamless Gauntlet to Elbow U Non-Standard Colour U-A007S Silicone Soft U-A002S Soft Seamless Finger (Class mmHg) U1-A Soft Seamless Finger (Class mmHg) U2-A Jobst Opaque Class 1 (18-21mmHg) Length Size Knee High Closed Toe Petite, Regular I-VI Knee High Open Toe Petite, Regular I-VI Thigh High Open Toe with Silicone Standard Width Petite, Regular I-VI Thigh High Open Toe with Silicone Wide Width Petite, Regular I-VI Thigh High Closed Toe Standard Width with Soft Silicone Petite, Regular I-VI Thigh High Closed Toe Wide Width with Soft Silicone Petite, Regular I-VI Thigh High Closed Toe Standard Width with Lace Silicone Petite, Regular I-VI Thigh High Closed Toe Wide Width with Lace Silicone Petite, Regular I-VI Thigh High Open Toe Standard Width with Lace Silicone Petite, Regular I-VI Thigh High Open Toe Wide Width with Lace Silicone Petite, Regular I-VI Thigh High Closed Toe Standard Width with Dotted Silicone Petite, Regular I-VI Thigh High Closed Toe Wide Width with Dotted Silicone Petite, Regular I-VI Thigh High Open Toe Standard Width with Dotted Silicone Petite, Regular I-VI Thigh High Open Toe Wide Width with Dotted Silicone Petite, Regular I-VI Tights Closed Toe Petite, Regular I-VI Tights Open Toe Petite, Regular I-VI Class 2 (23-32mmHg) Length Size Knee High Closed Toe Petite, Regular I-VI Knee High Open Toe Petite, Regular I-VI Thigh High Open Toe with Silicone Standard Width Petite, Regular I-VI Thigh High Open Toe with Silicone Wide Width Petite, Regular I-VI Thigh High Closed Toe Standard Width with Soft Silicone Petite, Regular I-VI Thigh High Closed Toe Wide Width with Soft Silicone Petite, Regular I-VI Thigh High Closed Toe Standard Width with Lace Silicone Petite, Regular I-VI Thigh High Closed Toe Wide Width with Lace Silicone Petite, Regular I-VI Thigh High Closed Toe Standard Width with Dotted Silicone Petite, Regular I-VI Thigh High Closed Toe Wide Width with Dotted Silicone Petite, Regular I-VI Thigh High Open Toe Standard Width with Dotted Silicone Petite, Regular I-VI

10 LYMPHOEDEMA GARMENTS cont Thigh High Open Toe Wide Width with Dotted Silicone Petite, Regular I-VI Thigh High Open Toe Standard Width with Lace Silicone Petite, Regular I-VI Thigh High Open Toe Wide Width with Lace Silicone Petite, Regular I-VI Tights Closed Toe Petite, Regular I-VI Tights Open Toe Petite, Regular I-VI Solidea Relax Unisex Class 1 (18-21mmHg Length Per pair Below Knee Closed Toe S, M, L, XL, XXL Below Knee Open Toe S, M, L, XL, XXL Class 2 (25-32mmHg) Per pair Below Knee Closed Toe S, M, L, XL, XXL Below Knee Closed Toe S, M, L, XL, XXL Plus Line Below Knee Open Toe S, M, L, XL, XXL Below Knee Open Toe Plus Line S, M, L, XL, XXL VENOUS ULCER COMPRESSION SYSTEM Sizes Per Pack (p) Activa Leg Ulcer Hosiery Kit Medical stocking & compression liner S, M, L, XL, XXL (Activa Healthcare) (Pack contains 1 stocking + 2 liners 40MMHg) Compression Liner Pack Closed Toe S, M, L, XL, XXL (Pack contains 3 liners 10mmHg) Compression Liner Pack Open Toe S, M, L, XL, XXL (Pack contains 3 liners 10mmHg) Altipress 40 Ulcer Kit Medical stocking & compression liner S, M, L, XL, XXL (Altimed Ltd) (Pack contains 1 stocking + 2 liners) Available in Short, Regular and Long Lengths Altipress Compression Liner Pack S, M, L, XL, XXL (Altimed Ltd) (Pack contains 3 liners) Available in Short, Regular and Long Lengths Altipress 40 Made to Measure Ulcer Kit Medical stocking & compression liner (Pack contains 1 Made to Measure stocking + 2 Made to Measure liners) (Altimed Ltd) Altipress Made to Measure Compression Liner Pack (Altimed Ltd) (Pack contains 2 Made to Measure liners) 10

11 VENOUS ULCER COMPRESSION SYSTEM cont. Jobst UlcerCare (BSN Medical Ltd.) Compression Liner Pack (pack contains 3 liners) S, M, L, XL, XXL, XXXL, XXXXL Jobst UlcerCare Medical stocking & compression liner S, M, L, XL, (BSN Medical Ltd.) With or without zip (Pack contains 1 XXL, XXXL, stocking + 2 liners) XXXXL Jobst UlcerCare Custom Medical stocking LZ (BSN Medical Ltd.) Compression Liner Pack LL (pack contains 2 liners) WOUND MANAGEMENT DRESSINGS Activated Charcoal Absorbent Dressing Size Askina Carbosorb 10cm x 10cm cm x 20cm Cavity Dressings Askina Foam Cavity 2.4cm x 40cm Hydrocolloid Dressing Semi-permeable Sterile Without Adhesive Border Askina Hydro Square 10cm x 10cm cm x 15cm cm x 20cm Hydrocolloid Dressing Thin Semi Permeable- Sterile Without Adhesive Border Askina Biofilm Transparent Square 20cm x 20cm Hydrogel Dressing Sterile Askina Gel 15g Prontosan Wound Gel 30ml Polyurethane Foam Film Dressing Sterile Without Adhesive Border Askina Foam Square 10cm x 10cm cm x 20cm Rectangular 10cm x 20cm Askina Heel Heel 12cm x 20cm Transorbent (adhesive) Square 15cm x 15cm cm x 20cm Silver Coated Barrier Dressings Sterile Askina Calgitrol Thin Square 5cm x 5cm cm x 10cm cm x 15cm cm x 20cm

12 WOUND MANAGEMENT DRESSINGS cont. Silver Paste Askina Calgitrol Paste 15g Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Askina DresSil 15cmx15cm With Silicone Adhesive Border Allevyn Gentle Border Sacrum 21.6cm x 23cm Askina DresSil Border 10cm x 10cm cm x 15cm cm x 20cm cm x 20cm Askina DresSil Sacrum 16cm x 17.5cm Topical Negative Pressure System Accessories Avance Transfer Pad Renasys Y Connector (for use with soft port) Wound Dressing Pack Pico 10cm x 30cm cm x 15cm cm x 20cm Renasys G Dressing Kit Round Drain 10fr fr Flat Drain 10mm Channel Drain 15fr

13 The following price changes apply to Part 3 (Appliances) CATHETER, ACCESORIES B Braun Medical Per 10 Clinifix Tube Holder mm x 25mm mm x 40mm CATHETERS (A)i Nelaton Catheter ( Ordinary cylindrical catheter) B Braun Medical Actreen Hi-Lite Per 30 Male E E Female E E Tiemann E E C) Intermittent Catheter with finger grip and lid Hunter Urology Ltd Per 30 Emteva 46F12-30-UK HYPODERMIC EQUIPMENT LANCETS Glucoject Lancets PLUS 0.20mm/33gauge (A. Menarini Diagnostics) The following price changes apply to Part 4 (Elastic Hoisery) Accessories Price Per Item in Pence Acti-glide Sockaid The following price changes apply to Part 5 (Incontinence Appliances) NIGHT DRAINAGE BAGS B. Braun Medical Ltd Urimed drainable night drainage bag, 2 litre 28300A

14 Stoma Appliances- Reimbursement Prices: Amendment sheets for August 2015 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : MONTHLY NOTICE OF AMENDMENTS TO STOMA APPLIANCES August 2015 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The following amendments to Stoma Appliances take effect from 1 st August Please note that potential additions to Stoma Appliances Reimbursement prices must be referred through National Procurement (NSS). The full list of Stoma Appliances Reimbursement prices is available at: ADDITIONS ADHESIVE DISCS/RINGS/PADS/PLASTERS Coloplast Ltd Brava Elastic Tape Belt Brava Elastic Tape Straight ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) Peak Medical Offmate Stoma Adhesive Remover OM50 50ml Spray 705 BELTS Peak Medical Ltd EuroTec Adjustable Elastic Ostomy Belt 50mm wide with 4 point belt lugs 50mm 60-75cm SB 50 S mm 75 90cm SB 50 M mm cm SB 50 L mm 110cm 130cm SB 50 XL mm 130cm and above SB 50 XXL SKIN FILLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels & Wipes) Ilex Health Products Limited Ilex Skin Protectant Paste IP51 57g 807 1

15 Stoma Appliances- Reimbursement Prices: Amendment sheets for August 2015 DELETIONS BELTS Peak Medical Ltd Combimate Adjustable Elastic Ostomy Belt 50mm wide SB TWO PIECE OSTOMY SYSTEMS Convatec Ltd. Esteem Synergy+ Closed Pouch with Filter Small Clear 48mm Convatec Ltd. Esteem Synergy+ Drainable Pouch with InvisiClose outlet and filter Standard Clear 35mm

16 Scottish Drug Tariff: Amendment sheets for August 2015 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS August 2015 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The complete Scottish Drug Tariff is published on the ISD Scotland website: The following amendments take effect from 1st August Amendments to Part 1 Annex A (Zero Discount list) Additions Isentress 400mg tablets Jaydess 13.5mg intrauterine device Ketoconazole 200mg tablets Metopirone 250mg capsules Sodium oxybate 500mg/ml oral solution sugar free Zemplar capsules 1mcg Zemplar capsules 2mcg Deletions Arzip 500mg tablets Clinutren Junior powder Denzapine 200mg tablets Enrich Liquid Generaid powder Glucosamine Gold Standard 1500mg tablets Kefadin 1g powder for solution for injection vials Milupa PKU 2 Secunda Powder Phenytoin Sodium 100mg capsules Quetiapine 150 modified-release tablets Zemplar capsules (ALL) 1

17 Scottish Drug Tariff: Amendment sheets for August 2015 ADDITIONS The following additions apply to Part 2 (Dressings) DRESSINGS Vapour - Permeable Adhesive Film Dressing Healthgard I.V. Film Dressing 7cm x 9cm 21 LYMPHOEDEMA GARMENTS Haddenham FarrowWrap Lite (20-30mmHg) Price per piece Armpiece Short, Regular, Long S, M, L Mediven Mondi MTM Y Knitting Mark DTYKM 962 VENOUS ULCER COMPRESSION SYSTEM JuxtaLite Compression System 9630 (Medi UK Ltd) (Pack contains JuxtaLite, 2 compression anklets and 2 liners) Available as Short and Long Small, Medium, Large, Extra Large, Extra Extra Large Available as Short Extra Wide and Long Extra Wide Medium, Large, Extra Large WOUND MANAGEMENT DRESSINGS Honey Based Topical Application Surgihoney 10g 199 Protease Modulating Matrix Sterile KerraMaxCare Square 5cm x 5cm 100 Rectangular 20cmx50cm 450 KerraMaxCare Multisite 21cmx23cm 323 Soft Polymer Wound Contact Dressing Lomatuell Pro 5cmx5cm 70 10cmx10cm cmx20cm cmx30cm 655 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing - Sterile With Silicone Adhesive Border KerraFoam Gentle Border Sacrum 23cmx26cm 837 2

18 Scottish Drug Tariff: Amendment sheets for August 2015 The following additions apply to Part 3 (Appliances) ANAL IRRIGATION SYSTEM B Braun Medical IryPump S IryPump Container The following additions apply to Part 5 (Appliances) NIGHT DRAINAGE BAGS Manfred Sauer UK Ltd 3 litre night bag with 130cm inlet tube NB3ND SUSPENSORY SYSTEMS Manfred Sauer UK Ltd NephSys 500ml sterile drainage bag 20cm inlet, twist tap NS S cm inlet, twist tap NS S 4159 The following additions apply to Part 9 (Appliances) BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter Advocate Redi-Code Performa

19 Scottish Drug Tariff: Amendment sheets for August 2015 DELETIONS The following deletions apply to Part 2 (Dressings) BANDAGES Multi-layer Compression aging Kits Molnlycke System 4 multi-layer compression bandage kit 18-25cm 772 System 4 kits contain a combination of the following components: System 4 -#1 Softexe 10cm x 3.5m Unstretched 62 System 4 -#2 Setocrepe 10cm x 4.5m Stretched 119 System 4 -#3 Elset 10cm x 8m Stretched 331 System 4 -#4 Meban Self-adherent 10cm x 6m Stretched 276 The following deletions apply to Part 3 (Appliances) ANAL IRRIGATION SYSTEM B Braun Medical IryPump S IryPump Container 29240E 4120 HYPODERMIC EQUIPMENT Reusable Pens HumaPen Memoir (Lilly) 3.0ml 1 unit (1-60 units)

20 Scottish Drug Tariff: Amendment sheets for August 2015 OTHER CHANGES The following changes apply to Part 2 (Dressings) EMOLLIENT & BARRIER PREPARATIONS Aproderm Cream 45g g 474 NOW READS AproDerm Cream 45g g 474 The following changes apply to Part 3 (Appliances) EYE PRODUCTS Eye Drops Hypromellose Lumecare Hypromellose 0.3% eye drops Preservative Free NOW READS Lumecare Singles Hypromellose 0.3% (30 x 0.5ml single dose unit) 460 (30 x 0.5ml preservative free single dose unit) 460 Hypromellose Tear-Lac (10ml preservative free bottle) 575 NOW READS Tear-Lac Hypromellose 0.3% (10ml preservative free bottle) 575 Eye Drops Sodium Hyaluronate Hylo-Forte (10ml preservative free bottle) 950 NOW READS Hylo-Forte 0.2% (10ml preservative free bottle) 950 Hylo-Tear (10ml preservative free bottle) 850 NOW READS Hylo-Tear 0.1% (10ml preservative free bottle) 850 5

21 Scottish Drug Tariff: Amendment sheets for August 2015 The following products are moving from Part 2 Dressings to Part 3 Appliances GAUZES HERNIA SUPPORT GARMENTS each Orione Hernia Brief Size 2 (76-80cm) 3650 Size 3 (81-85cm) 3650 Size 4 (86-90cm) 3650 Size 5 (91-95cm) 3650 Size 6 (96-100cm) 3650 Size 7 ( cm) 3650 Size 8 ( cm) 3650 Size 9 ( cm) 3650 Size 10 ( cm)

SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. July 2017

Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 www.isdscotland.org SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS July 2017 This document is prepared