Advance Notification of Amendments to the March 2017 Drug Tariff

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1 Advance Notification of Amendments to the March 2017 Drug Tariff ADDITIONS Part I - Drugs And Preparations Special Container Drug Qty Price Acetylcysteine 600mg capsules A Caffeine citrate 50mg/5ml oral solution 5ml A Carbamazepine 125mg suppositories C Carbamazepine 250mg suppositories C Essential Pharma Ltd Essential Pharma Ltd Carbomer '980' 0.2% eye drops 0.6ml unit dose preservative free C Viscotears Chloramphenicol 10% ear drops 10ml A Cisplatin 50mg/50ml solution for infusion vials A Colestyramine 4g oral powder sachets C Questran Desmopressin 25microgram oral lyophilisates sugar free C Noqdirna Desmopressin 50microgram oral lyophilisates sugar free C Noqdirna Exenatide 2mg powder and solvent for prolonged-release suspension C Bydureon for injection prefilled Glycopyrronium bromide 400micrograms/ml oral solution sugar free 250ml C Sialanar Imatinib 400mg tablets C Glivec Insulin detemir 100units/ml solution for injection 3ml prefilled C Levemir FlexPen Levonorgestrel 20micrograms/ 24hours intrauterine device C Mirena Midazolam 10mg/5ml solution for injection ampoules A Midazolam 5mg/5ml solution for injection ampoules A Neostigmine 15mg tablets A Oily phenol 5% solution for injection 5ml ampoules A Peginterferon alfa-2a 135micrograms/0.5ml solution for injection prefilled syringes Potassium dihydrogen phosphate 13.6% (potassium 10mmol/ 10ml) solution for infusion 10ml ampoules Sodium alginate 225mg/dose / Magnesium alginate 87.5mg/ dose oral powder sachets sugar free C Pegasys A C Gaviscon Infant Sodium chloride 0.9% nebuliser liquid 2.5ml unit dose vials C Saline Steripoules Timolol 0.25% eye drops 0.2ml unit dose preservative free C Timoptol Unit Dose Urea 10% lotion 250ml 7.93 C Eucerin Intensive Venlafaxine 225mg modified release capsules C Efexor XL Page 1 of 5

2 ADDITIONS Continued Eye Products Eye Drops - Hypromellose Hypromellose 0.3% (Sai-Meds Ltd) (10ml bottle) 0.99 Eye Drops - Sodium Hyaluronate Thealoz Duo Gel (30 x 0.4g preservative free single dose unit) 6.87 Hypodermic Equipment Needles for Pre-filled and Reusable Pen Injectors pack of 100 Omnican Fine 5mm/31 gauge 5.95 Lymphoedema Garments Gloria Med Comfort Class 1 (18-21mmHg) price per pair Below Knee Open Toe Short, Long XS, S, M, L, XL Below Knee Open Toe Max Short, Long XS, S, M, L, XL Below Knee Closed Toe Short, Long XS, S, M, L, XL Below Knee Closed Toe Max Short, Long XS, S, M, L, XL Thigh High Open Toe Short, Long XS, S, M, L, XL Thigh High Open Toe Max Short, Long XS, S, M, L, XL Thigh High Open Toe with Silicone Border Short, Long XS, S, M, L, XL Thigh High Open Toe with Silicone Border Max Short, Long XS, S, M, L, XL price per peice (Left or Right) (Left or Right) Max Class 2 (23-32mmHg) price per pair Below Knee Open Toe Short, Long XS, S, M, L, XL Below Knee Open Toe Max Short, Long XS, S, M, L, XL Below Knee Closed Toe Short, Long XS, S, M, L, XL Below Knee Closed Toe Max Short, Long XS, S, M, L, XL Thigh High Open Toe Short, Long XS, S, M, L, XL Thigh High Open Toe Max Short, Long XS, S, M, L, XL Thigh High Open Toe with Silicone Border Short, Long XS, S, M, L, XL Thigh High Open Toe with Silicone Border Max Short, Long XS, S, M, L, XL price per piece (Left or Right) (Left or Right) Max Page 2 of 5

3 ADDITIONS Continued Jobst Elvarex Custom Fit - For lower extremities SoftFit L-A Jobst Elvarex Custom Fit - For upper extremities SoftFit U-A Jobst Elvarex Soft Custom Fit - For lower extremities SoftFit L-A016S 7.88 Jobst Elvarex Soft Custom Fit - For upper extremities SoftFit U-A018S 4.67 Tracheostomy And Laryngectomy Appliances Tracheostomy Dressings - Sterile Sensotrach Alu Slit 8cm x 10cm Sensotrach Duo Slit 9cm x 9.8cm Sensotrach Uno Slit 9cm x 9.8cm Tracheostomy Tube Holders Neckfix Duo K Page 3 of 5

4 DELETIONS Zero Discount Dalacin C Phosphate 600mg/4ml solution for injection ampoules Diflucan 200mg/100ml solution for infusion vials EN-CYS 600mg tablets Innohep 4,500units/0.45ml solution for injection pre-filled syringes Sideromal 130mg capsules Catheters, Urinary, Urethral (D) Intermittent Catheter with introducer tip and urine bag Hollister Ltd Hollister InstantCath Protect pack of 25 (Nélaton) (9693) (J) Urinary Suprapubic Catheters L.IN.C Medical Systems Ltd All Silicone Open Tipped Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (Female) pack of 1 ( W W) All Silicone Open Tipped Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (Female) pack of 1 ( G G) Skin Adhesives, Sterile Histoacryl 0.2g 6.41 Histoacryl L 0.2g 6.20 Page 4 of 5

5 AMENDMENTS Part I - Drugs And Preparations Special Container Insulin aspart 100units/ml solution for injection 10ml vials C NovoRapid Insulin aspart 100units/ml solution for injection 10ml vials C Insulin aspart 100units/ml solution for injection 3ml cartridges C NovoRapid Penfill Insulin aspart 100units/ml solution for injection 3ml cartridges C Insulin aspart 100units/ml solution for injection 3ml pre-filled C NovoRapid FlexPen Insulin aspart 100units/ml solution for injection 3ml pre-filled C Phenytoin sodium 100mg capsules C Phenytoin sodium 100mg capsules C Flynn Pharma Ltd Prednisolone 5mg soluble tablets C AMCo Prednisolone 5mg soluble tablets C White soft paraffin 15% / Liquid paraffin light 6% cream 150g 3.06 C White soft paraffin 15% / Liquid paraffin light 6% cream 150g 3.06 C Oilatum White soft paraffin 15% / Liquid paraffin light 6% cream 500ml 5.28 C White soft paraffin 15% / Liquid paraffin light 6% cream 500ml 5.28 C Oilatum Emollient And Barrier Preparations AproDerm Colloidal Oat Cream 100ml 3.57 Now Reads AproDerm Colloidal Oat Cream 100ml 3.57 AproDerm Gel 100g 1.99 Now Reads AproDerm Gel 100g 1.99 to be deleted 1 March th February 2017 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 5 of 5

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