Advance Notification of Amendments to the August 2018 Drug Tariff

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1 Advance Notification of Amendments to the August 2018 Drug Tariff ADDITIONS Zero Discount Brivaracetam 100mg tablets Brivaracetam 25mg tablets Brivaracetam 50mg tablets Brivaracetam 75mg tablets Maraviroc 25mg tablets Maraviroc 75mg tablets Stiripentol 500mg oral powder sachets Part I - Drugs And Preparations Special Container Drug Qty Price Adrenaline (base) 500micrograms/ 0.5ml (1 in 1,000) solution for injection pre-filled disposable devices C Emerade Alfentanil 1mg/2ml solution for injection ampoules C Rapifen Alprostadil 3mg/g cream C Vitaros Brivaracetam 100mg tablets C Briviact Brivaracetam 10mg tablets C Briviact Brivaracetam 25mg tablets C Briviact Brivaracetam 50mg tablets C Briviact Brivaracetam 75mg tablets C Briviact Carbimazole 10mg tablets C Macleods Pharma UK Ltd Carbimazole 15mg tablets C Macleods Pharma UK Ltd Ciprofloxacin 2mg/ml ear drops 0.25ml unit dose preservative free C Cetraxal Colestipol 5g granules sachets sugar free C Colestid Docusate 120mg/10g enema C Norgalax Fentanyl 100microgram sublingual tablets sugar free C Abstral Fentanyl 200microgram sublingual tablets sugar free C Abstral Fentanyl 300microgram sublingual tablets sugar free C Abstral Fentanyl 400microgram sublingual tablets sugar free C Abstral Fentanyl 600microgram sublingual tablets sugar free C Abstral Fentanyl 800microgram sublingual tablets sugar free C Abstral Page 1 of 6

2 ADDITIONS Continued Glycopyrronium bromide 600micrograms/3ml solution for injection ampoules A Guanfacine 1mg modified-release tablets C Intuniv Guanfacine 2mg modified-release tablets C Intuniv Guanfacine 3mg modified-release tablets C Intuniv Guanfacine 4mg modified-release tablets C Intuniv Hepatitis B (rdna) 10micrograms/ 0.5ml vaccine suspension for 1 injection pre-filled syringes 9.67 C Engerix B Hepatitis B (rdna) 20micrograms/ 1ml vaccine suspension for injection 1 pre-filled syringes C Engerix B Insulin glulisine 100units/ml solution for injection 10ml vials C Apidra Insulin glulisine 100units/ml solution for injection 3ml cartridges C Apidra Levetiracetam 500mg/5ml solution for infusion vials C Keppra Liquid paraffin light 82.8% bath additive 500ml Cetraben 5.75 C emollient Maraviroc 20mg/ml oral solution sugar free 230ml C Celsentri Maraviroc 25mg tablets C Celsentri Maraviroc 75mg tablets C Celsentri Methylphenidate 50mg modifiedrelease capsules C Medikinet XL Methylphenidate 5mg modifiedrelease capsules C Medikinet XL Methylphenidate 60mg modifiedrelease capsules C Medikinet XL Ondansetron 4mg orodispersible films sugar free C Setofilm Ondansetron 8mg orodispersible films sugar free C Setofilm Potassium chloride 375mg/5ml (potassium 5mmol/5ml) oral solution sugar free 500ml 8.43 C Kay-Cee-L syrup Proguanil 25mg / Atovaquone 62.5mg tablets C Malarone Paediatric Sodium chloride 0.9% solution for injection 50ml vials A Stiripentol 500mg oral powder sachets C Diacomit Tramadol 75mg modified-release tablets C Zytram SR Trazodone 100mg/5ml oral solution sugar free 120ml A Page 2 of 6

3 ADDITIONS Continued Part III Appliances Wound Dressing Pack Pico 7 10cm x 20cm cm x 30cm cm x 40cm cm x 15cm cm x 20cm cm x 30cm cm x 20cm cm x 25cm Pico 7 Multisite 15cm x 20cm cm x 25cm Emollient And Barrier Preparations Epimax Paraffin-Free Cream 500g 3.99 Epimax Paraffin-Free Ointment 500g 4.99 Eye Products Eye Gel - Carbomer Evolve Carbomer 980 (10g preservative free tube) 2.80 Spacer/Holding Chamber Devices EasyChamber Spacer 3.98 EasyChamber Spacer with infant mask 6.53 EasyChamber Spacer with child mask 6.55 EasyChamber Spacer with adult mask 6.59 Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Provox HME System ("Stomafilter") Provox StabiliBase OptiDerm Page 3 of 6

4 DELETIONS Part I - Drugs And Preparations Special Container Drug Qty Price Polymyxin B 10,000units/g / Bacitracin 500units/g ointment 20g 4.62 C Polyfax Sodium chloride 0.9% solution for injection 50ml vials A Strontium ranelate 2g granules sachets sugar free C Protelos Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter DiaCheck SuperCheck Plus SuperCheck Part III Appliances Contraceptive Devices Vaginal Contraceptive Diaphragm Ortho All-Flex Diaphragm 65-80mm 8.35 Arcing - Arcing Spring (Type C) (rising in 5mm) Elastic Hosiery Class I Lt. Wt Elas. Net Thigh B. Knee Spacer/Holding Chamber Devices Fisio Chamber Vision 4.54 Fisio Chamber Vision with infant mask (0-3 years) 7.58 Fisio Chamber Vision with paediatric mask (3-6 years) 7.58 Fisio Chamber Vision with large mask (6 years - adult) 7.58 Page 4 of 6

5 AMENDMENTS Part I - Drugs And Preparations Special Container Aceclofenac 100mg tablets C Aceclofenac 100mg tablets A Calcipotriol 50micrograms/g ointment 30g 5.78 C Dovonex Calcipotriol 50micrograms/g ointment 30g 5.78 A Carbamazepine 125mg suppositories C Essential Pharma Ltd Carbamazepine 125mg suppositories A Diclofenac potassium 25mg tablets C Accord Healthcare Ltd Diclofenac potassium 25mg tablets C Actavis UK Ltd Isotretinoin 10mg capsules C Roaccutane Isotretinoin 10mg capsules A Morphine sulfate 30mg/1ml solution for injection ampoules C Morphine sulfate 30mg/1ml solution for injection ampoules A Martindale Pharmaceuticals Ltd Simple linctus paediatric 200ml 1.05 C Thornton & Ross Ltd Simple linctus paediatric 200ml 1.05 A Tetrabenazine 25mg tablets C Tetrabenazine 25mg tablets A Page 5 of 6

6 AMENDMENTS - continued Part III Appliances Bandages Multi-layer Compression Bandaging Aspen Medical Europe AndoFlex UBZ - 2 layer compression bandage kit with zinc (latex free) 7.5cm cm 6.40 AndoFlex TLC Zinc Lite - 2 layer compression kit (latex free) (formerly 7.5cm 5.29 AndoFlex UBZ - 2 layer compression bandage kit with zinc (latex free)) 10cm 6.40 Lymphoedema Garments Adore Class 1(18-21mmHg) Thigh High Standard, Petite S, M, L, XL Thigh High Standard S, M, L, XL Class 2 (23-32mmHg) Thigh High Standard, Petite S, M, L, XL Thigh High Standard S, M, L, XL Tracheostomy And Laryngectomy Appliances Tracheostomy Dressings - Sterile Trachi-Dress F 80mm x 100mm TR DRF This product code will change in the August 2018 Drug Tariff Trachi-Dress F 80mm x 100mm TR DRF th July 2018 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 6 of 6

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