Advance Notification of Amendments to the January 2018 Drug Tariff
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1 Advance Notification of Amendments to the January 2018 Drug Tariff ADDITIONS Zero Discount Brivaracetam 50mg/5ml oral solution sugar free Part I - Drugs And Preparations Special Container * This pack only (others already listed) Drug Qty Price Betaxolol 0.25% eye drops 0.25ml unit dose preservative free C Betoptic Bimatoprost 300micrograms/ml eye drops 3ml C Aspire Pharma Ltd Brimonidine 3mg/g gel 30g C Mirvaso Brivaracetam 50mg/5ml oral solution sugar free 300ml C Briviact Chlorhexidine gluconate 5% solution 5000ml C HiBiTane Plus Chloroquine phosphate 80mg/5ml oral solution 75ml C Malarivon Cholera vaccine oral suspension and vehicle 2 dose C Dukoral Cinchocaine 0.5% / Hydrocortisone 0.5% ointment 30g C Proctosedyl Cinchocaine 5mg / Hydrocortisone 5mg suppositories C Proctosedyl Clobetasol 500micrograms/g foam 100g C Clarelux * Co-codamol 8mg/500mg capsules A Dequalinium chloride 10mg vaginal tablets C Fluomizin Dexamethasone 40mg tablets C Neofordex Diclofenac 0.1% eye drops 5ml 6.68 C Voltarol Ophtha Multidose Diclofenac 0.1% eye drops 0.3ml unit dose preservative free C Voltarol Ophtha Diclofenac 0.1% eye drops 0.3ml unit dose preservative free C Voltarol Ophtha Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 5ml preservative free C Eylamdo Dorzolamide 20mg/ml eye drops preservative free 5ml C Eydelto Glycerol 40% cream 100ml 4.00 C Hydrocortisone 20mg modifiedrelease tablets C Plenadren Hydrocortisone 5mg modifiedrelease tablets C Plenadren Imiquimod 3.75% cream 250mg sachets C Zyclara Leuprorelin 22.5mg powder and solvent for suspension for injection vials Leuprorelin 3.75mg powder and solvent for suspension for injection vials C Lutrate C Lutrate Neutrogena Norwegian Formula Page 1 of 6
2 ADDITIONS Continued Levetiracetam 1g granules sachets sugar free C Desitrend Levetiracetam 250mg granules sachets sugar free C Desitrend Levetiracetam 500mg granules sachets sugar free C Desitrend Levetiracetam 500mg/5ml solution for infusion ampoules C Desitrend Loratadine 10mg oral lyophilisates sugar free C Clarityn Rapide Allergy Magnesium aspartate (magnesium 10mmol) oral powder sachets C Magnaspartate Memantine 10mg orodispersible tablets sugar free C Valios Memantine 20mg orodispersible tablets sugar free C Valios Nicotine 6mg medicated chewing gum sugar free C Nicorette Fruitfusion Nicotine 6mg medicated chewing gum sugar free C Nicorette Fruitfusion Olmesartan medoxomil 20mg / Amlodipine 5mg tablets C Sevikar Olmesartan medoxomil 40mg / Amlodipine 10mg tablets C Sevikar Olmesartan medoxomil 40mg / Amlodipine 5mg tablets C Sevikar Simeticone 125mg capsules C Wind-eze Simeticone 42mg/5ml oral drops 100ml 1.80 C Dentinox Infant colic drops Ulipristal 30mg tablets C EllaOne White soft paraffin 10% spray 250ml 5.97 C Dermamist Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter GlucoRx GO Professional Part III Appliances Bandages Short Stretch Compression Bandage Clinistretch 4cm x 6m cm x 6m cm x 6m cm x 6m cm x 6m 4.31 Clinistretch Short 6cm x 5m cm x 5m cm x 5m cm x 5m 4.20 Sub-compression Wadding Bandage Clinistretch Soft 10cm x 2.75m m unstretched Page 2 of 6
3 ADDITIONS Continued Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use ConvaTec Limited GentleCath Glide Hydrophilic Catheter with water sachet pack of 30 (Male) ( ) (Female) ( ) (B)(ii)(a)Foley Catheter - 2 Way For Long Term Use Adult Teleflex Brillant Plus AquaFlate 2 way All Silicone foley catheter with 10% glycerine solution pre-filled syringe for balloon inflation (Cylindrical tip) ( ) Emollient And Barrier Preparations AproDerm Ointment 500g 3.95 Exmabase Gel 500g 2.85 Exmaben Cream 500g 4.25 Exmalatum Cream 500g 4.45 ExmaQS 500g 2.95 Preparations containing Urea Dermatonics Once Callus Removing Balm 75ml ml 9.50 Eye Products Preparations for the care of eyelids Evolve eyelid wipes 20 sachets 3.99 Hypodermic Equipment Needles for Pre-filled and Reusable Pen Injectors GlucoRx CarePoint Ultra 4mm/32 gauge 3.95 Lymphoedema Garments Juzo Classic Class 2 (23-32mmHg) price per piece Glove ii,iii,iv,v HFA Page 3 of 6
4 ADDITIONS Continued Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Blom-Singer HME System Blom-Singer HME Cartridge ClassicFlow BE1055EZ 1.82 Provox FreeHands HME System pack of 30 Provox FreeHands HME Flow Provox FreeHands HME Moist Wound Drainage Pouch Indications: Suitable for wounds with a low volume of exudate Independence Extra Sticky Wound Protection/Collection Pouch pack of 10 EA DELETIONS Zero Discount Addiphos solution for infusion 20ml vials S-Bicarb 600mg tablets Part III Appliances Hypodermic Equipment Lancets - Sterile, Single-Use Multiclix 0.3mm/30 gauge (Roche Diabetes Care Ltd) Softclix XL 0.8mm/21 gauge (Roche Diabetes Care Ltd (formerly Roche Diagnostics Ltd)) Page 4 of 6
5 AMENDMENTS Part I - Drugs And Preparations Special Container Item requiring reconstitution Co-amilofruse 2.5mg/20mg tablets M Co-amilofruse 2.5mg/20mg tablets A Co-amilofruse 5mg/40mg tablets M Co-amilofruse 5mg/40mg tablets A Co-codamol 8mg/500mg capsules C Paracodol Co-codamol 8mg/500mg capsules A Ferrous gluconate 300mg tablets A Ferrous gluconate 300mg tablets M Haloperidol 1.5mg tablets M Haloperidol 1.5mg tablets A Haloperidol 5mg tablets M Haloperidol 5mg tablets A Ipratropium bromide 20micrograms/dose inhaler CFC free 200 dose 5.56 C Atrovent Ipratropium bromide 20micrograms/dose inhaler CFC free 200 dose 5.56 C Losartan 12.5mg tablets A Losartan 12.5mg tablets M Methylphenidate 10mg tablets C Methylphenidate 10mg tablets M Phenoxymethylpenicillin 125mg/ 5ml oral solution 100ml A Phenoxymethylpenicillin 125mg/ 5ml oral solution 100ml 1.93 M Phenoxymethylpenicillin 250mg/ 5ml oral solution 100ml A Phenoxymethylpenicillin 250mg/ 5ml oral solution 100ml 2.96 M Ursodeoxycholic acid 250mg capsules A Ursodeoxycholic acid 250mg capsules M Page 5 of 6
6 AMENDMENTS - continued Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Bard HydroSil Go Intermittent Catheter pack of 30 (Female) ( ) Now Reads (Female) ( ) (B)(ii)(a)Foley Catheter - 2 Way For Long Term Use Adult Teleflex Rüsch Brillant Plus AquaFlate All-Silicone with glycerine filled syringe for balloon inflation pack of 1 (Tiemann Tip) ( ) Now Reads Brillant Plus AquaFlate 2 way All Silicone foley catheter with 10% glycerine solution pre-filled syringe for balloon inflation (formerly Rüsch Brillant Plus AquaFlate All-Silicone with glycerine filled syringe for balloon inflation) pack of 1 (Tiemann Tip) ( ) Hernia Support Garments Orione Hernia Brief Size 2 (76-80cm) Size 3 (81-85cm) Size 4 (86-90cm) Size 5 (91-95cm) Size 6 (96-100cm) Size 7 ( cm) Size 8 ( cm) Size 9 ( cm) Size 10 ( cm) Now Reads Orione Hernia Brief (Male) Size 2 (76-80cm) Size 3 (81-85cm) Size 4 (86-90cm) Size 5 (91-95cm) Size 6 (96-100cm) Size 7 ( cm) Size 8 ( cm) Size 9 ( cm) Size 10 ( cm) th December 2017 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 6 of 6
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