SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS. March 2015

Transcription

1 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS March 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 March Prices in pence per item, unless otherwise stated. The following price changes apply to Part 2 (Dressings) TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES Price TRACHEOSTOMY BREATHING AIDS Kapi-Gel Spacers Pack of 10 8mm (3mm thick) LATNG mm (5mm thick) LATNG mm (3mm thick) LATNG mm (5mm thick) LATNG Trachi-Naze Plus Laryngectomy Tube Length 20mm, 30mm, 40mm, 50mm, 60mm Diameter 8mm, 10mm, 12mm, 14mm 1

2 Trachi-Naze Nasal Restoration System Filter Resistance level Blue (Night-time) -2 to 3 kpas1-1 LANNZ 0001A Green (Daytime) -1 to 2 kpas1-1 LANNZ 0002A Orange (Active) Less than 1 kpas1-1 LANNZ 0003A Baseplate Hydrocolloid (Small) LANNZ 0004A Hydrocolloid (Large) LANNZ Non-woven Adhesive (Large) LANNZ Clear Adhesive waterproof Film (round) LANNZ Hands free valve Hands free valve Type `A For replacement only LATNV Hands free valve Type `B For replacement only LATNV Pack of 3 Occulsion Cap LATNV Trachi-Naze Plus Nasal Restoration System Trachi-Naze Plus Filters Blue (Night filter) resistance level 2 to 3k Pas1-1 LATNP Green (Day filter) resistance level 1 to 2k Pas1-1 LATNP Orange (Active filter) resistance level 1k Pas1-1 LATNP Trachi-Naze Plus Stoma Stud Short length 14.5mm Size 8 LATNP Size 10 LATNP Size 12 LATNP Size 14 LATNP Size 16 LATNP Long length 22.5mm Size 8 LATNP Size 10 LATNP Size 12 LATNP Size 14 LATNP Size 16 LATNP

3 TRACHEOSTOMY CLEANING DEVICES Price Pack of 2 Tracheo Cleaning Brush 8mm TR ACC (Kapitex) 10mm TR ACC mm TR ACC mm TR ACC Pack of 50 Trachi-Swab Small TR SWB (Kapitex Healthcare Ltd) (for tubes up to 5mm ID) Large TR SWB (for tubes 6 to 8mm ID) Extra Large TR SWB (for tubes over 8mm ID) Pack of 30 Trachi-Wipe (Skin Wipe) LA NNZ (Kapitex Healthcare Ltd) Voice Prosthesis Cleaning Brush Voiceline LA PCB 003 Pack of TRACHEOSTOMY DRESSINGS Sterile Trachi-Dress Small 60mm x 82mm TRDRE Large 80mm x 100mm TRDRE TRACHEOSTOMY TUBE HOLDER Price Trachi-Hold Adult TR ACC Child TR ACC Mini TR ACC

4 TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES TRACHEOSTOMY & LARYNGECTOMY PROTECTORS Price Buchanan Lite (Laryngectomy Permanent Tracheostomy) Small LA BLT 2001 White pack of LA BLT 2002 Blue pack of LA BLT 2003 Beige pack of Large LA BLT 1001 White pack of LA BLT 1002 Blue pack of LA BLT 1003 Beige pack of Buchanan Protector (Laryngectomy Permanent Tracheostomy) Width 21cm x mid-point height 19cm LABUP0002 Small pack of LABUP0001 Large pack of Buchanan DeltaNex Protector (Laryngectomy Permanent Tracheostomy) LADNX0001 Small pack of Laryngofoam Flesh or White 5.1cm x 6.2cm Pack of Flesh 6.3cm x 6.5cm Pack of WOUND MANAGEMENT DRESSINGS Price Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE With silicone adhesive border Allevyn Gentle Border Lite 10cm x 20cm Oval 8.6cm x 7.7cm cm x 13.1cm

5 The following price changes apply to Part 3 Appliances CATHETERS Gauge (Ch) Price (see Note 1) (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Per 30 Clinimed Ltd Curan Lady Female CL10-CL Cure Male HM8-HM Female HF8-HF HYPODERMIC EQUIPMENT Price Needles for Pre-filled & Reusable Pen Injectors pack of 100 Unifine Pentips Plus 4mm/32gauge mm/31gauge mm/31 gauge mm/31 gauge mm/29 gauge For order on GP10 & GP10 (N) only HYPODERMIC EQUIPMENT Price LANCETS Sterile, Single-Use Pack AgaMatrix Ultra-Thin Lancets 0.35mm/28gauge (AgaMatrix Europe Ltd) HYPODERMIC EQUIPMENT Price Subcutaneous Drug Delivery Accessories each Neria Soft (Unomedical Ltd) 60cm Tubing 13mm/24 gauge cm Tubing 17mm/24 guage cm Tubing 13mm/24 gauge cm Tubing 17mm/24 guage Neria Soft 90 (Unomedical Ltd) 60cm Tubing 6mm/22 gauge cm Tubing 9mm/22 gauge cm Tubing 6mm/22 gauge cm Tubing 9mm/22 gauge

6 The following price changes apply to Part 5 - Incontinence Appliances CATHETER VALVES Jade-Euro -Med S Euro Catheter Valve JECV CATHETER VALVE WITH INTEGRAL BAG Jade-Euro -Med S Euro bag with dual tap JEDT DRAINABLE DRIBBLING APPLIANCES Jade-Euro -Med Dribbling bag with loops and tapes Fig Drip Male Urinal with tap M Replacement belt for M 100 JB INCONTINENCE BELTS Jade-Euro -Med Waist belt for Kipper bags KBWB mm webbing/elastic waist belt for WB use with Jade-Euro-Med appliances Web Belt 86cm WS cm WS cm WS cm WS cm WS cm WS cm WS cm WS cm WS cm WS G

7 INCONTINENCE SHEATHS Jade-Euro Med Ltd Incontinence Sheath Small WS F Medium WS K Large WS P Ex Large WS T INCONTINENCE SHEATHS FIXING STRIPS & ADHESIVES Jade-Euro Med Jade Velcro Foam Strap M LEG BAGS Jade-Euro -Med Ltd * Catheter drainage bag Large WP S Small WP B Kipper bag, black KB S* Leg drainage bag/ Direct Inlet (350mL) S LBWT/ S* Leg drainage bag/ 30cm Inlet Tube (350ml) L LBWT/ S* Leg drainage bag/ Direct Inlet (500ml) S LBWT/ S* Leg drainage bag/ 10cm Inlet Tube (500ml) M LBWT/ S* Leg drainage bag/ 30cm Inlet Tube (500ml) L LBWT/ S* Leg drainage bag/direct Inlet (750ml) S LBWT/ S* Leg drainage bag/ 10 cm Inlet tube (750ml) M LBWT/ S* Leg drainage bag/ 30cm Inlet Tube (750ml) L LBWT/ S* Leg drainage bag/ 38cm Inlet Tube (750ml) XL LBWT/ Rubber bag with leg strap WS U NIGHT DRAINAGE BAGS Jade-Euro -Med Ltd S 2 litre drainage bag with tap outlet 2LNB Jade J2S 2 litre drainage bag with tap outlet J2S

8 SUSPENSORY SYSTEMS Jade-Euro -Med Ltd Portabag Left Hand Inlet JEPB/L Portabag Right Hand Inlet JEPB/R Portabelt JEPB/B TUBING AND ACCESSORIES Jade-Euro -Med Velcro leg straps VLS Leg bag connecting tube with mount LBCTM Leg bag connecting tube LBCT Euro J-strap JEJS Eurosleeve Small 24-33cm JES Standard 34-39cm JES Medium 40-46cm JES Large 47-64cm JES Eurosleeve Small-Yellow 24-39cm JES All in one Medium-Blue 36-55cm JES Large-Brown 40-70cm JES Rubber extension tube (with mounts) WS M Female Connector for Mitcham bag WH G Night Bag Connector WH C Spare "O" rings for pp urinal WR R

9 URINAL SYSTEMS Jade-Euro -Med Ltd Day and night use, urinal with diaphragm, scrotal Fig 4A support & bag. STATE SIZE of DIAPHRAGM Urinal with waistband, Scrotal Support complete Fig with inner sheath & bag Adult male urinal with pressure ring, diaphragm and Fig rubber under-straps. STATE SIZE OF DIAPHRAGM Day & night urinal with pressure ring, inner sheath, Fig waistband and under-straps. STATE SHEATH SIZE Day & night urinal with sheath, waist belt under- Fig straps and plastic bag Urinal with inner sheath rubber under-straps and Fig plastic bag. STATE SHEATH SIZE Day and night urinal, scrotal support & plastic bag Fig Day and night urinal, to contain penis and scrotum, Fig 111A fitted with inner sheath and diaphragm, complete with bag. 9

10 URINAL SYSTEMS Jade-Euro -Med Ltd Aquadry cones for use with pubic pressure flanges Straight Small Medium Large Curved Small Medium Large Aquadry pubic pressure flange with rubber under-straps Child 12mm mm mm mm mm Adult 25mm mm mm mm mm mm mm Aquadry pubic pressure urinal 1 all-in-one appliance with pressure ring, tapered inner sleeve trimmed to fit and rubber under-straps Aquadry pubic pressure urinal 2 all-in-one appliance with pressure ring, diaphragm and rubber straps 25mm mm mm Aquadry pubic pressure urinal 3 all-in-one appliance with pressure ring, diaphragm and scrotal support 25mm mm mm

11 URINAL SYSTEMS Jade-Euro -Med Ltd Aquadry urinal all-in-one appliance with inner sheath and rubber under-straps. 29mm mm mm mm mm Rubber leg bag connecting tube with female attachment for urinal 11

12 URINAL SYSTEMS Jade-Euro -Med Ltd Male jockey appliance with bag M STATE WAIST SIZE Replacement belt for M200 JB/ STATE WAIST SIZE Rubber Bag RB/M Stoke Mandeville Replacement sheath SMS (state size of sheath) Male PP urinal with 5 plastic bags (state PP size of sheath) Spare Parts for PP urinals: Flange with sheath PP Cone - small straight PP Cone - small curved PP Cone - medium straight PP Cone - medium curved PP Cone - large straight PP Cone - large curved PP Cone ex large straight PP Plastic bag small OLBWT (S) Plastic bag large OLBWT (L) Rubber bag with air vent for use with all PP Jade-Euro-Med urinals Progress long life plastic urinal bags M Progress long life plastic scrotal urinal bags M Fridjohn urinal M piece belt, incorporating double based flange & bag KM piece belt, with flange & 5 plastic bag KM

13 URINAL SYSTEMS Jade-Euro -Med Ltd Male PP urinal, child, with integral flange Plastic bag: Curved cone Medium WR R Replacement PP flange with integral sheath for child PP urinals Sheath 22mm, Flange 25mm WS L Sheath 25mm, Flange 32mm WS K Replacement curved rubber cone top for above urinals Small WS S Medium WS W Large WS B Replacement straight rubber cone top for above urinals Medium WS T Large WS X Ex Large WS C Replacement double-based PP Flange Child 32mm opening WS V Adult 38mm opening WS J Adult 44mm opening WS D Chailey male urinal adolescent/adult with rubber bag WP P plastic bag WP L

14 URINAL SYSTEMS Spares for Chailey urinals one piece curved top with integral sheath & understraps Child 22mm Sheath WS R Adult 22mm Sheath WS A mm Sheath WS G mm Sheath WS Q mm Sheath WS D mm Sheath WS K mm Sheath WS R mm Sheath WS L Rubber Belt 61cm WS A cm WS cm WS cm WS cm WS cm WS cm WS cm WS cm WS cm WS cm WS cm WS

15 URINAL SYSTEMS Jade-Euro -Med Ltd Rubber bags (suitable WS G also for PP & Chiron urinals) WS Q Plastic bags (suitable also for PP & Chiron urinals) Wide Neck WS N Adult WS V Child WS M Male PP urinal adult with integral flange Rubber bag various sizes WP M WP V WP E Plastic bag various sizes WP S WP B WP K Replacement PP flange for above 19mm WS R mm WS E mm WS L mm WS U mm WS H mm WS P mm WS V mm WS J Male PP urinal, adult, with double-based flange rubber bag various sizes WP D plastic bag various sizes WP V WP J Rubber bag with vent tube for PP WS G urinals Adult Rubber double bag, adult, for PP urinals WS N Stoke Mandeville sheath type urinal WP U Stoke Mandeville double rubber bag urinal WP H Replacement sheaths WS L Replacement bag for WP113 WS L Replacement sheath for WP113 22mm WS B mm WS H mm WS R mm WS E

16 URINAL SYSTEMS Jade-Euro -Med Ltd Chiron male rubber urinal with webbing belt WP S Surrey model L/weight urinal L - MKI 25mm WP V mm WP F L - MKII 25mm WP J mm WP F mm WP T For Replacement Bags for Surrey Urinal, see Part 6, Urostomy Bags Chiron male plastic urinal (rubber sheaths) WP H Chiron geriatric urinal (film type sheaths) WP V Replacement sheaths for 25mm WS J WP145 & WP151 29mm WS S Replacement net suspensory for WP107, WS W WP129 & WP145 Transverse rubber bag & stopcock (child) WS U

17 Scottish Drug Tariff: Amendment sheets for March 2015 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS March 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 March Amendments to Part 1 Annex A (Zero Discount list) ADDITIONS Amiodarone 300mg/10ml solution for injection pre-filled syringes Ampicillin 500mg powder for solution for injection vials Aspirin 300mg suppositories Bumetanide 1mg/5ml oral solution sugar free Caffeine citrate 10mg/1ml solution for injection ampoules Capexion capsules (ALL) Capsorin 100mg capsules Co-codaprin 8mg/400mg dispersible tablets Colistimethate 1million unit powder for solution for injection vials Desferrioxamine 2g powder for solution for injection vials Flucloxacillin 1g powder for solution for injection vials Flucloxacillin 500mg powder for solution for injection vials Flumazenil 500micrograms/5ml solution for injection ampoules Gamolenic acid capsules (ALL) Glycopyrronium bromide tablets (ALL) Heparin sodium 10,000units/10ml solution for injection ampoules Heparin sodium 20,000units/20ml solution for injection ampoules Heparin sodium 25,000units/1ml solution for injection ampoules Heparin sodium 5,000units/0.2ml solution for injection ampoules Heparin sodium 5,000units/1ml solution for injection ampoules Heparin sodium 5,000units/5ml solution for injection ampoules Ibandronic acid 2mg/2ml solution for infusion vials Ibandronic acid 3mg/3ml solution for injection pre-filled syringes Ibandronic acid 6mg/6ml solution for infusion vials Isosorbide mononitrate 40mg modified-release tablets Isotretinoin 40mg capsules Lamivudine 300mg tablets Lotprosin XL capsules (ALL) Memantine 10mg/ml oral solution sugar free Methylprednisolone sodium succinate 1g powder and solvent for solution for injection vials Oraqix 25mg/25mg/g periodontal gel 1.7g cartridge Pamidronate disodium 15mg/1ml solution for infusion ampoules Pantoprazole 40mg powder for solution for injection vials Pericyazine 10mg/5ml oral solution Phenylbutazone 100mg tablets Piperacillin 4g / Tazobactam 500mg powder for solution for injection vials Ralnea XL 4mg tablets 1

18 Scottish Drug Tariff: Amendment sheets for March 2015 ADDITIONS cont. Ralnea XL 8mg tablets Raponer XL 8mg tablets Rivastigmine 2mg/ml oral solution Rivastigmine 2mg/ml oral solution sugar free Seotiapim XL 200mg tablets Sondate XL 200mg tablets Sulfadiazine 500mg tablets Voractiv tablets Zalasta 10mg orodispersible tablets Zalasta 15mg tablets Zalasta 20mg tablets Zinacef 250mg powder for injection vials Zinamide 500mg tablets OTHER CHANGES Diethylstilbestrol 1mg tabs NOW READS Diethylstilbestrol (ALL) L-Arginine powder (SHS International Ltd) NOW READS L-Arginine powder (Nutricia Ltd) Robinul Powder NOW READS Robinul powder for solution for iontophoresis 2

19 Scottish Drug Tariff: Amendment sheets for March 2015 ADDITIONS cont. The following additions apply to Part 2 (Dressings) DRESSINGS Price Absorbent Cellulose Dressing with Fluid Repellent Backing kliniderm superabsorbent 10cm x 10cm 49 10cm x 15cm 69 20cm x 20cm 99 20cm x 30cm 149 EMOLLIENT & BARRIER PREPARATIONS Price Preparations containing Urea Allpresan diabetic foam cream Basic 125ml 550 Allpresan diabetic foam cream Intensive 125ml 550 TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES Price Tracheostomy Tube Holders Rusch Neckband Paediatric Adult WOUND MANAGEMENT DRESSINGS Price Honey Based Topical Application MANUKApli 30g 590 Keratin Dressing Keragel 20g tube 6600 Protease Modulating Matrix Sterile Exufiber Square 5cm x 5cm 85 10cm x 10cm cm x 15cm 385 Rectangular 2cm x 50cm cm x 10cm cm x 20cm cm x 30cm cm x 30cm 894 Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Sterile Aquacel Foam Adhesive 8cm x 13cm 223 Aquacel Foam Non-Adhesive 10cm x 20cm 350 3

20 Scottish Drug Tariff: Amendment sheets for March 2015 The following additions apply to Part 3 (Appliances) SYNOVIAL FLUID Price Orthovisc mini Box containing 1 pre-filled 15mg/1ml syringe 3500 The following additions apply to Part 5 (Incontinence Appliances) S Sterile Single Use Only NIGHT DRAINAGE BAGS Price L.IN.C Medical Systems Ltd S LINC-Flo 3 litre drainage bag with non-return valve LM3LS TUBING AND ACCESSORIES Great Bear Healthcare Ltd Mummy and Baby Bear Leg Bag Straps with non-slip silicone backing 50cm x 5cm 10657P U-drain Ltd U-drain consumable pack U/D-CTN (contains connecting tubes (with straight connectors), syringes, bed clips and emergency night drainage bags) DELETIONS The following deletion applies to Part 5 (Incontinence Appliances) NIGHT DRAINAGE BAGS Price Coloplast Ltd Simpla 2 litre S4 Urine drainage bag S short tube

21 Scottish Drug Tariff: Amendment sheets for March 2015 OTHER CHANGES The following change applies to Part 2 (Dressings) BANDAGES Elastic Adhesive Bandage BP Elastoplast 5cm x 4.5m cm x 4.5m cm x 4.5m 695 NOW READS Elastic Adhesive Bandage BP 5cm x 4.5m cm x 4.5m cm x 4.5m 695 LYMPHOEDEMA GARMENTS Sigvaris MTM NOW READS Sigvaris MTM Traditional The following changes apply to Part3 (Appliances) CATHETERS (B)(ii)(a) For Long Term Use Adult: L.IN.C Medical Systems Ltd 2 Way Foley all Silicone Catheter (Tiemann Tip) NOW READS (Tiemann Tip)

22 Scottish Drug Tariff: Amendment sheets for March 2015 CATHETERS B(iii) Foley Catheter for Long Term Use Adult Bard Bardex I.C. Comprehensive Care Foley Tray Male D23655S D23655M D23655L Female D23695S D23695M D23695L NOW READS Bard Bardex I.C. Bard Tray Male D23655S D23655M D23655L Female D23695S D23695M D23695L SODIUM HYALURONATE INJECTION SportVis NOW READS TendoVis 6

23 Stoma Appliances- Reimbursement Prices: Amendment sheets for March 2015 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : MONTHLY NOTICE OF AMENDMENTS TO STOMA APPLIANCES March 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 March 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 COLOSTOMY BAGS Order Qty Price Manufacturer Appliance No Pelican Healthcare Ltd Pelican Platinum Contour Closed Pouch with soft foam backed contour skin protector, fabric on both sides, split fabric backing for viewing/positioning and hydrophobic filter. Clear Standard cut-to-fit 12-65mm mm pre-cut 22.5mm mm mm mm mm mm mm mm mm mm mm Clear Mini cut-to-fit 12-65mm Clear Maxi cut-to-fit 12-65mm

24 Stoma Appliances- Reimbursement Prices: Amendment sheets for March 2015 ILEOSTOMY BAGS Order Qty Price Manufacturer Appliance No Pelican Healthcare Ltd Pelican Platinum Contour Drainable Pouch with soft foam backed contour skin protector, fabric on both sides, split fabric backing for viewing/positioning, hydrophobic filter and clipless outlet. Clear Standard cut-to-fit 12-65mm mm pre-cut 20mm mm mm mm mm mm mm mm mm mm mm mm Clear Mini cut-to-fit 12-65mm Clear Maxi cut-to-fit 12-65mm Pelican Healthcare Ltd Pelican Platinum Drainable Pouch with soft foam backed skin protector, fabric on both sides, split fabric backing for viewing/positioning, hydrophobic filter and clipless outlet. Clear Standard cut-to-fit 12-65mm mm pre-cut 20mm mm mm mm mm mm mm mm mm mm mm mm Clear Mini cut-to-fit 12-65mm Clear Maxi cut-to-fit 12-65mm

25 Stoma Appliances- Reimbursement Prices: Amendment sheets for March 2015 ADDITIONS cont. SKIN FILLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels & Wipes) Manufacturer Appliance Order Qty Price Clinimed Ltd Essentials Accessories No LBF No Sting Barrier Film Foam Applicator (2ml) Pelican Healthcare Ltd Pelican Protect Plus Non-Sting Barrier Film Spray ml 934 SKIN PROTECTORS (Wafers, Blankets, Foam Pads, Washers) Manufacturer Appliance Order Qty Price No Pelican Healthcare Ltd Eakin Cohesive StomaWrap