Gemscript Bulletin May v.01

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1 1) General information: Gemscript Bulletin May v.01 Welcome to the May edition of the Gemscript bulletin. Best regards, The Pharmacy Team 2) Major clinical changes The following have been updated with the latest MHRA guidance: Gemscript Bulletin May v.01 Ponatinib (Iclusig) consider dose reduction for patients with chronic phase CML who have achieved a major cytogenic response, due to risk of vascular occlusive events. Fingolimod (Gilenya) potential rebound effect after stopping or switching therapy. 3) New brands added to Gemscript this month: Antistatic Space Chamber Plus (Medical Developments International Antistatic Space Chamber Plus Compact (Medical Developments International Antistatic Space Chamber Plus Compact with large, medium, small mask (Medical Developments International Antistatic Space Chamber Plus with large, medium, small mask (Medical Developments International Brava skin cleanser wipes (Coloplast Chemifix tape 15cm, 20cm (Medicareplus International Chemipore-PE tape 2.5cm, 5cm, 7.5cm (Medicareplus International CoaguChek XS PT Test PST testing strips (Roche Diagnostics Conform 2 two piece ostomy system CeraPlus convex skin barrier floating flange mm flange, cut to fit 13mm-25mm (Hollister Conform 2 two piece ostomy system CeraPlus convex skin barrier floating flange mm flange, cut to fit 13mm-38mm (Hollister Conform 2 two piece ostomy system CeraPlus convex skin barrier floating flange mm flange, cut to fit 13mm-51mm (Hollister Conform 2 two piece ostomy system CeraPlus skin barrier floating flange mm flange, cut to fit 13mm-30mm (Hollister Conform 2 two piece ostomy system CeraPlus skin barrier floating flange mm flange, cut to fit 13mm-40mm (Hollister Conform 2 two piece ostomy system CeraPlus skin barrier floating flange mm flange, cut to fit 13mm-55mm (Hollister Enlon 150mg/15ml solution for injection vials (Imported (United States)) Esmolol hydrochloride 100mg/10ml solution for injection vials (AOP Orphan Pharmaceuticals AG) Esmolol hydrochloride 2.5g powder for concentrate for solution for infusion vials (AOP Orphan Pharmaceuticals AG) Esmolol hydrochloride 2.5g/10ml concentrate for solution for infusion Copyright RESIP UK 2017 Page 1

2 ampoules (AOP Orphan Pharmaceuticals AG) Ethosuximide 250mg/5ml syrup (A A H Pharmaceuticals Eydelto 20mg/ml eye drops (Aspire Pharma Eylamdo 20mg/ml / 5mg/ml eye drops (Aspire Pharma Eysano 2.5mg/ml, 5mg/ml eye drops (Aspire Pharma Freederm Treatment 4% gel (Dendron FSC Fish Oil 1000mg capsules (Bee Health FSC High Strength Vitamin D3 2,500unit capsules (Bee Health FSC Vitamin D3 400unit tablets (Bee Health Genius gluten free seeded brown farmhouse loaf sliced (Genius Foods Gynest vaginal applicator type 1 (Marlborough Pharmaceuticals HealthAid Osteoflex & Omega 3 tablets and capsules (HealthAid HealthAid Osteoflex Fizzy effervescent tablets (HealthAid HealthAid Osteoflex Plus modified-release tablets (HealthAid HealthAid Vitamin C 100% Pure Ultra-fine powder (HealthAid HiLINE lightweight belt XX large, extra large, large, medium, small Res 3 13cm Beige, Black, White (Respond Healthcare HiLINE lightweight belt long extra large Res 4 21cm Beige, Black, White (Respond Healthcare HiLINE lightweight belt long large Res 4 21cm Beige, Black, White (Respond Healthcare HiLINE lightweight belt long medium Res 4 21cm Beige, Black, White (Respond Healthcare HiLINE lightweight belt long small Res 4 21cm Beige, Black, White (Respond Healthcare HiLINE lightweight belt long XX large Res 4 21cm Beige, Black, White (Respond Healthcare InVita D3 400unit, 5,600unit, 25,000unit, 50,000unit capsules (Consilient Health Jobst FarrowWrap (20-30mmHg) lite gauntlet lymphoedema garment extra small, small, medium, large Beige (BSN medical Keytruda 100mg/4ml concentrate for solution for infusion vials (Merck Sharp & Dohme Kybernin P 500unit, 1,000unit powder and solvent for solution for infusion vials (Imported (Germany)) LINC-Flo drainage bag with T tap LM750NDB 750ml (L.In.C. Medical Systems Lofenoxal 2.5mg/25microgram tablets (Imported (Australia)) MagnaPhos mg/5ml (5mmol/5ml) oral solution (TriOn Pharma MagnaPhos 48.6mg (2mmol), 97.2mg (4mmol) capsules (TriOn Pharma MagnaPhos 97.2mg (4mmol) chewable tablets (TriOn Pharma Mepilex Border Lite dressing 10cm x 10.5cm (Molnlycke Health Care Nanova therapy unit (KCI Medical Naproxen 50mg/ml oral suspension (A A H Pharmaceuticals Neocate Junior powder (Flavour Not Specified) Neocate Junior powder strawberry, unflavoured, vanilla (Nutricia device 110cm tubing 6mm needle 27gauge (Unomedical Olumiant 4mg tablets (Eli Lilly and Company Optiflausch tracheostomy tube holder 32550, Child (Severn Healthcare Technologies Optison 570micrograms/3ml dispersion for injection vials (GE Healthcare AS) Phillips' Milk of Magnesia 415mg/5ml oral suspension (Omega Pharma Copyright RESIP UK 2017 Page 2

3 Propofol-Lipuro 1% emulsion for infusion 50ml vials (B.Braun Melsungen AG) Saline 0.9% nebuliser liquid 2.5ml Steri-Neb unit dose ampoules (Teva UK Saline Steripoules nebuliser liquid 2.5ml unit dose ampoules (Galen Sensotrach Uno Ped tracheostomy dressing 6cm x 7cm (Severn Healthcare Technologies SimAlvia 60mg/300mg capsules (HFA Healthcare Products SMA PRO High Energy liquid (SMA Nutrition) SunVit-D3 400unit, 2,200unit, 3,200unit, 10,000unit, 50,000unit capsules (SunVit-D TransiSoft oral powder 8.5g sachets (HFA Healthcare Products Truxima 500mg/50ml concentrate for solution for infusion vials (Napp Pharmaceuticals U-drain consumable extension pack U/D-CTN-001 (U-drain U-drain consumable pack tapered ridge connector U/D-CTN-004 (Udrain Xeljanz 5mg tablets (Pfizer Ximaract 50mg powder for solution for injection vials (Bausch & Lomb UK Xydalba 500mg powder for concentrate for solution for infusion vials (Cardiome UK Zacco 5mg/5ml, 10mg/5ml oral suspension (Thame Laboratories 4) New generics added to Gemscript this month: Alverine 60mg / Simeticone 300mg capsules Antithrombin III 500unit, 1,000unit powder and solvent for solution for infusion vials Baricitinib 4mg tablets Capsaicin 0.03% nebuliser liquid 5ml bottles Carmoisine 1% cutaneous solution Clindamycin 150mg/5ml oral suspension Colecalciferol 5,600unit, 25,000unit capsules Dalbavancin 500mg powder for solution for infusion vials Dextromethorphan 30mg/5ml oral solution Disodium edetate 3.72% solution for injection 2ml ampoules Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops preservative free Dorzolamide 20mg/ml eye drops preservative free Edrophonium chloride 150mg/15ml solution for injection vials Esmolol 2.5g powder for solution for infusion vials Esmolol 2.5g/10ml solution for infusion ampoules Generic HealthAid Osteoflex & Omega 3 tablets and capsules Generic HealthAid Osteoflex Fizzy effervescent tablets sugar free Generic HealthAid Osteoflex Plus modified-release tablets Generic Neocate Junior powder Generic SMA PRO High Energy liquid Glycopyrronium bromide 3% in Cetomacrogol cream (Formula A) Hydroxyzine 10mg/5ml oral solution Macrogol 3350 oral powder 8.5g sachets sugar free Magnesium hydroxide % oral suspension BP Magnesium hydroxide 8% oral suspension Melatonin 10mg tablets Melatonin 7mg capsules Metronidazole 10% ointment Paracetamol 1g/100ml solution for infusion bottles Copyright RESIP UK 2017 Page 3

4 Pembrolizumab 100mg/4ml solution for infusion vials Pentoxifylline 100mg/5ml oral suspension Perampanel 4mg/5ml oral suspension Perflutren-containing microspheres of heat treated human albumin 570micrograms/3ml dispersion for injection vials Pizotifen 750micrograms/5ml oral suspension Progesterone 100mg/1ml solution for injection ampoules Propofol 500mg/50ml emulsion for infusion vials Sodium bicarbonate 50mg/5ml oral solution Sulfur 30c homeopathic pillules Theophylline 75mg/5ml oral suspension Tioguanine 50mg/5ml oral suspension Tracheostomy dressing sterile 6cm x 7cm Tranexamic acid 150mg/5ml oral solution 5) Manufacturer s name changes: a) Brands: Previous Name Comfeel Plus Pressure Relieving dressing 7cm, 10cm, 15cm diameter circular (Coloplast 10cm x 10cm, 15cm x 15cm square (Coloplast 18cm x 20cm triangular (Coloplast 20cm x 20cm square (Coloplast 4cm x 6cm rectangular (Coloplast Kalms Lavender One-a-Day 80mg capsules (G.R. Lane Health Products Kalms Night One-a-Night 500mg tablets (G.R. Lane Health Products device 110cm tubing 9mm needle 22gauge (Unomedical device 60cm tubing 6mm, 9mm needle 22gauge , (Unomedical Osteoflex cream (HealthAid Current Name Comfeel Plus Pressure Relief dressing 7cm, 10cm, 15cm diameter circular (Coloplast Comfeel Plus dressing 10cm x 10cm, 15cm x 15cm square (Coloplast Comfeel Plus dressing 18cm x 20cm triangular (Coloplast Comfeel Plus dressing 20cm x 20cm square (Coloplast Comfeel Plus dressing 4cm x 6cm rectangular (Coloplast Kalms Lavender One-A-Day 80mg capsules (G.R. Lane Health Products Kalms Night One-A-Night 500mg tablets (G.R. Lane Health Products device 110cm tubing 9mm needle 27gauge (Unomedical device 60cm tubing 6mm, 9mm needle 27gauge , (Unomedical HealthAid Osteoflex cream (HealthAid b) Generics: Previous Name Generic Osteoflex cream Haloperidol 1mg/5ml oral solution sugar free Perflutren 225microlitres/1.5ml solution for dispersion for injection vials Sterile subcutaneous drug delivery device 110cm tubing 9mm needle 22gauge Sterile subcutaneous drug delivery device 60cm tubing 6mm, 9mm needle 22gauge Timolol 0.25%, 0.5% eye drops preservative free Current Name Generic HealthAid Osteoflex cream Haloperidol 200micrograms/ml oral solution sugar free Perflutren-containing lipid microspheres 225microlitres/1.5ml solution for dispersion for injection vials Sterile subcutaneous drug delivery device 110cm tubing 9mm needle 27gauge Sterile subcutaneous drug delivery device 60cm tubing 6mm, 9mm needle 27gauge Timolol 2.5mg/ml, 5mg/ml eye drops preservative free Copyright RESIP UK 2017 Page 4

5 6) Drug tariff changes: 7) Discontinued and non available items: a) Discontinued brands: Advadraw dressing 5cm x 7.5cm, 10cm x 10cm, 10cm x 15cm, 15cm x 20cm (Advancis Medical) Advadraw Spiral dressing 0.5cm x 40cm (Advancis Medical) Benadryl Allergy 1mg/ml oral solution (McNeil Products Benylin Children's Blackcurrant Flavour Cough syrup (McNeil Products Conchae 5% compound tablets (Weleda (UK) Ebesque XL 50mg, 200mg, 300mg, 400mg tablets (Ethypharm UK Elave Intensive cream (Ovelle Pharmaceuticals) Fullers Earth cream (A A H Pharmaceuticals Haloperidol 1mg/5ml oral solution sugar free (Special Order) Idrolax 10g oral powder sachets (DE Pharmaceuticals) Ileomate Ileostomy bag with filter and oval barrier, large ILTO110V Starter hole 10mm-110mm Transparent (Peak Medical Ileomate Ileostomy bag with filter, extra large IXLT110V Starter hole 10mm-110mm Transparent (Peak Medical Imodium LiquiCaps 2mg Soft capsules (McNeil Products Ipocol 400mg gastro-resistant tablets (Sandoz Isopto Alkaline 1% eye drops (Alcon Laboratories (UK) Isteranda 1.5mg tablets (Sandoz Kemicetine 1g powder for solution for injection vials (Essential Pharma Laryngofoam laryngectomy protector large LA LFF cm x 6.5cm Beige (Kapitex Healthcare Mepilex Border Lite dressing 10cm x 10cm (Molnlycke Health Care NovoFine hypodermic insulin needles for pre-filled / reusable pen injectors screw on 12mm/28gauge (Novo Nordisk NovoPen 3 Demi hypodermic insulin injection pen reusable for 3ml cartridge 0.5 unit dial up / range 1-35 units (Novo Nordisk Novopen Junior hypodermic insulin injection pen reusable for 3ml cartridge 0.5 unit dial up / range 1-35 units Green, Yellow (Novo Nordisk Onkotrone 20mg/10ml, 25mg/12.5ml solution for infusion vials (Baxter Healthcare Option Connect 2 two piece ostomy system ileostomy bag with filter JH300, midi JH200, mini JH100 To fit up to 45mm stoma Opaque (Oakmed Option two piece ostomy system colostomy bag with filter CA50K 50mm Opaque (Oakmed Propofol-Lipuro 1% emulsion for infusion 50ml ampoules (B.Braun Melsungen AG) Remifentanil 1mg, 2mg, 5mg powder for concentrate for solution for injection vials (Hospira UK Rhumalgan XL 100mg capsules (Sandoz Skintex Medicinal cream (Sestri (Sales) St. James' Balm ointment (Sestri (Sales) Sudafed Chesty Coughs with Decongestant liquid (McNeil Products Copyright RESIP UK 2017 Page 5

6 Sudafed Day & Night capsules (McNeil Products Supranettes sterile eye cleansing wipes (Alcon Laboratories (UK) Surgihoney dressing (H & R Healthcare Timolol 0.25%, 0.5% eye drops preservative free (Special Order) Uriflo catheter retaining strap FCS-05 (Red Fox Medical Uriflo Catheterisation Pack long FCP001-L, short FCP001-S (Red Fox Medical Uriflo elasticated cotton leg bag strap F10LS (Red Fox Medical Uriflo non-drainable night drainage bag F2 2litre (Red Fox Medical Uriflo single use non-sterile drainable night drainage bag with slide T tap FSU2 2litre (Red Fox Medical Uriflo sterile drainable night drainage bag with slide T tap F2000 2litre (Red Fox Medical Uriflo sterile leg bag with lever tap F500S-LT, F500L-LT 500ml bag, short, long tube (Red Fox Medical Uriflo sterile leg bag with slide T tap F500S, F500L 500ml bag, short, long tube (Red Fox Medical Uriflo sterile leg bag with slide T tap F750S, F750L 750ml bag, short, long tube (Red Fox Medical Uriflo sterile leg bag with slide T tap F750S 750ml bag, short tube (Red Fox Medical Vitalux Omega capsules (Alcon Laboratories (UK) Zoledronic acid 4mg/5ml concentrate for solution for infusion vials (Sandoz b) Discontinued generics: Capillary action absorbent wound dressing 5cm x 7.5cm, 15cm x 20cm Chloroform spirit Generic Conchae 5% compound tablets Generic Elave Intensive cream Generic St. James' Balm ointment Hypodermic insulin injection pen reusable for 3ml cartridge 0.5 unit dial up / range 1-35 units Hypodermic insulin needles for pre-filled / reusable pen injectors screw on 12mm/28gauge Hypromellose 1% eye drops Macrogol g oral powder sachets sugar free Mitoxantrone 25mg/12.5ml solution for infusion vials Propofol 500mg/50ml emulsion for infusion ampoules Racemic camphor 0.5% / Chloroxylenol 0.25% cream c) Not available brands: d) Not available generics: Copyright RESIP UK 2017 Page 6

7 8) Drug class changes: a) New: b) Edited: 9) Black triangle changes: a) Black triangle added to brands: b) Black triangle removed from brands: Signifor 0.3mg/1ml, 0.6mg/1ml, 0.9mg/1ml solution for injection ampoules (Novartis Pharmaceuticals UK Signifor 20mg, 40mg, 60mg powder and solvent for suspension for injection vials (Novartis Pharmaceuticals UK c) Black triangle added to generics: DM+D Code Rituximab 500mg/50ml solution for infusion vials Tofacitinib 5mg tablets d) Black triangle removed from generics: Pasireotide 20mg, 40mg, 60mg powder and solvent for suspension for injection vials Pasireotide 300micrograms/1ml, 600micrograms/1ml, 900micrograms/1ml solution for injection ampoules Temoporfin 3mg/3ml, 6mg/6ml solution for injection vials Copyright RESIP UK 2017 Page 7

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