Advance Notification of Amendments to the September 2018 Drug Tariff

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1 Advance Notification of Amendments to the September 2018 Drug Tariff ADDITIONS Zero Discount Atovaquone 750mg/5ml oral suspension sugar free Eltrombopag tablets (ALL) Fluticasone 2mg/2ml nebuliser liquid unit dose vials Levonorgestrel 13.5mg intrauterine device Sildenafil 10mg/ml oral suspension sugar free Part I - Drugs And Preparations Special Container Drug Qty Price Atovaquone 750mg/5ml oral suspension sugar free 226ml C Wellvone Benzalkonium chloride 0.5% shampoo 250ml 5.69 C Dermax Therapeutic Bimatoprost 300micrograms/ml eye drops preservative free 3ml C Eyreida Budesonide 2mg foam enema 14dose C Budenofalk Calcium polystyrene sulfonate powder sugar free 300g C Calcium Resonium Clindamycin 1% / Tretinoin 0.025% gel 30g C Treclin Coal tar 2.5% / Lecithin 0.3% scalp lotion 250ml 4.74 C Psoriderm Coal tar 40% bath emulsion 200ml 2.74 C Psoriderm Coal tar 6% / Lecithin 0.4% cream 225ml 9.42 C Psoriderm Colecalciferol 14,400units/ml oral drops sugar free 12.5ml 8.95 C Sapvit-D3 Colecalciferol 2,400units/ml oral drops sugar free 10ml 3.60 C InVita D3 Diazoxide 50mg tablets C Eudemine Dithranol 0.1% cream 50g 3.77 C Dithrocream Dithranol 0.25% cream 50g 4.04 C Dithrocream Dithranol 0.5% cream 50g 4.66 C Dithrocream Dithranol 1% cream 50g 5.42 C Dithrocream Dithranol 2% cream 50g 6.79 C Dithrocream Eltrombopag 25mg tablets C Revolade Eltrombopag 50mg tablets C Revolade Eltrombopag 75mg tablets C Revolade Estradiol 7.5micrograms/24hours vaginal delivery system C Estring Fentanyl 400micrograms/dose nasal spray 8dose C PecFent 32dose (4x 8) C PecFent Fluorouracil 0.5% / Salicylic acid 10% cutaneous solution 25ml C Actikerall Fluticasone 2mg/2ml nebuliser liquid unit dose vials C Flixotide Fluticasone 500micrograms/2ml nebuliser liquid unit dose vials C Flixotide Page 1 of 7

2 ADDITIONS Continued Fulvestrant 250mg/5ml solution for injection pre-filled syringes C Faslodex Glucose 50% solution for infusion 50ml vials A Hepatitis A (inactivated) / Hepatitis B (rdna) vaccine (adsorbed) 1 suspension for injection 0.5ml pre-filled syringes C Twinrix Paediatric Hydrocortisone sodium phosphate 3.35mg/ml eye drops 0.4ml unit dose preservative free C Softacort Insulin isophane biphasic human 15/85 100units/ml suspension C Insuman Comb 15 Insulin isophane biphasic human 25/75 100units/ml suspension C Insuman Comb 25 Insulin isophane biphasic human 50/50 100units/ml suspension C Insuman Comb 50 Insulin isophane biphasic porcine 30/70 100units/ml suspension Insulin isophane human 100units/ ml suspension for injection 10ml vials Insulin isophane porcine 100units/ ml suspension for injection 10ml vials C C Humulin I C Insulin soluble porcine 100units/ml solution for injection 10ml vials C Hypurin Porcine 30/70 Mix Hypurin Porcine Isophane Hypurin Porcine Neutral Hypurin Porcine Neutral Insulin soluble porcine 100units/ml solution for injection 3ml cartridges C Levonorgestrel 13.5mg intrauterine device C Jaydess Maraviroc 150mg tablets C Celsentri Maraviroc 300mg tablets C Celsentri Meningococcal polysaccharide A, C, W135 and Y vaccine powder C Nimenrix and solvent for solution for injection 0.5ml pre-filled syringes Orlistat 60mg capsules C Alli Povidone-Iodine 10% alcoholic solution 500ml 7.67 C Videne Povidone-Iodine 10% antiseptic solution 500ml 7.67 C Videne Povidone-Iodine 7.5% surgical scrub solution 500ml 7.67 C Videne Propamidine 0.1% eye drops 10ml 2.80 C Brolene Sildenafil 10mg/ml oral suspension sugar free 112ml C Revatio Sodium bicarbonate 8.4% (1mmol/ ml) solution for injection 10ml Martindale C ampoules Pharmaceuticals Ltd Somatropin (rbe) 24mg powder and solvent for solution for 1 injection cartridges C Humatrope Somatropin (rbe) 6mg powder and solvent for solution for injection 1 cartridges C Humatrope Stiripentol 500mg capsules C Diacomit Teriparatide 600micrograms/2.4ml solution for injection pre-filled 1 disposable devices C Forsteo Tocilizumab 162mg/0.9ml solution for injection pre-filled syringes C RoActemra Triptorelin acetate 3.75mg powder and solvent for suspension for 1 injection pre-filled syringes C Gonapeptyl Depot Zinc oxide impregnated medicated stockings C Zipzoc C Zipzoc Page 2 of 7

3 ADDITIONS Continued Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter 4SURE Detection Strips, Blood For Ketones (Beta-Hydroxybuterate) 4SURE ß-Ketone Test Strips 4S Part III Appliances Dry Mouth Products Saliva Replacement and Stimulating Products Salivix Spray 50ml 4.90 Emollient And Barrier Preparations Preparations containing Urea Ultraveen Very Dry Skin Cream 125ml 4.99 Hypodermic Equipment Lancets - Sterile, Single-Use 4SURE 0.32mm/30 gauge (Nipro Diagnostics UK Ltd) 0.195mm/33 gauge Lymphoedema Garments Jobskin Alleviant Class 1(18-21mmHg) Price per piece Armsleeve with Glove and Dotted Silicone Topband Long Finger I, II, III, IV, V, VI, VII Armsleeve with Glove and Dotted Silicone Topband Short Finger I, II, III, IV, V, VI, VII Glove with Long Finger I, II, III, IV, V, VI, VII Glove with Short Finger I, II, III, IV, V, VI, VII Class 2 (23-32mmHg) Price per piece Armsleeve with Glove and Dotted Silicone Topband Long Finger I, II, III, IV, V, VI, VII Armsleeve with Glove and Dotted Silicone Topband Short Finger I, II, III, IV, V, VI, VII Glove with Long Finger I, II, III, IV, V, VI, VII Glove with Short Finger I, II, III, IV, V, VI, VII Class 3 (34-46mmHg) Price per piece Armsleeve with Glove and Dotted Silicone Topband Long Finger I, II, III, IV, V, VI, VII Armsleeve with Glove and Dotted Silicone Topband Short Finger I, II, III, IV, V, VI, VII Glove with Long Finger I, II, III, IV, V, VI, VII Glove with Short Finger I, II, III, IV, V, VI, VII Page 3 of 7

4 ADDITIONS Continued Tracheostomy And Laryngectomy Appliances Tracheostomy and Laryngectomy Protectors FreeVent Tracheofi pack of 10 Beige 55mm x 60mm (1 strip) 1429H mm x 60mm (2 strips) 1432H mm x 70mm (1 strip) 1430H mm x 70mm (2 strips) 1433H 4.41 Ivory 55mm x 60mm (1 strip) mm x 70mm (1 strip) mm x 70mm (2 strips) Provox Luna ShowerAid Provox ShowerAid (including 1 ShowerAid and 1 Flexiderm oval baseplate) Vaginal Moisturisers Vagisil Internal Hydrating Gel 6 pre-filled applicators 6.06 Venous Ulcer Compression System per pack Jobst FarrowHybrid AD1 Compression Liner Pack (BSN medical Ltd) (pack contains 2 liners mmHg) Available as Standard and Wide Small, Medium, Large, Extra Large AD11 Compression Liner Pack (pack contains 2 liners mmHg) Available as Standard and Wide Small, Medium, Large, Extra Large Jobst FarrowWrap 4000 Compression System (BSN medical Ltd) (pack contains 1 Jobst FarrowWrap 4000 legpiece and 1 wide Jobst FarrowHybrid AD1 liner) Available as Regular and Tall Extra Small, Small, Medium Compression System (pack contains 1 Jobst FarrowWrap 4000 legpiece, 1 wide Jobst FarrowHybrid AD1 liner and 1 Jobst FarrowWrap silver liner) Available as Regular and Tall Large Page 4 of 7

5 DELETIONS Zero Discount Prezista 100mg/ml oral suspension Part I - Drugs And Preparations Special Container Drug Qty Price Glucose 50% solution for infusion 50ml vials A Part III Appliances Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Teleflex Rusch Flocath Hydro Gel pack of 30 (Female Olive Tip) (851122) (Paediatric Olive Tip) (851132) (Male Olive Tip) (851142) (E) Intermittent Catheter with lubricant, insertion aid and urine bag Teleflex Rusch Flocath Intro Gel pack of 30 (Female Olive Tip) (851622) (Paediatric Olive Tip) (851632) (Male Olive Tip) (851642) AMENDMENTS Zero Discount Granocyte-13 powder and solvent for solution for injection vials Granocyte 13million unit powder and solvent for solution for injection vials Granocyte-34 powder and solvent for solution for injection vials Granocyte 34million unit powder and solvent for solution for injection vials Maraviroc 25mg tablets Maraviroc 75mg tablets Maraviroc tablets (ALL) Stiripentol 250mg capsules Stiripentol capsules (ALL) Stiripentol 250mg oral powder sachets Stiripentol 500mg oral powder sachets Stiripentol oral powder sachets (ALL) Page 5 of 7

6 AMENDMENTS - continued Part I - Drugs And Preparations Special Container Alendronic acid 70mg / Colecalciferol 70microgram tablets C Fosavance Alendronic acid 70mg / Colecalciferol 70microgram tablets A Calcipotriol 0.005% / Betamethasone dipropionate 0.05% 30g C Dovobet ointment Calcipotriol 0.005% / Betamethasone dipropionate 0.05% 30g A ointment Desloratadine 2.5mg/5ml oral solution sugar free 150ml C Neoclarityn Desloratadine 2.5mg/5ml oral solution sugar free 150ml A Diclofenac potassium 25mg tablets C Actavis UK Ltd Diclofenac potassium 25mg tablets C Accord Healthcare Ltd Eprosartan 300mg tablets A Eprosartan 300mg tablets C Teveten Famciclovir 125mg tablets A Famciclovir 125mg tablets C Famvir Felodipine 2.5mg modified-release tablets C Felodipine 2.5mg modified-release tablets C Cardioplen XL Levofloxacin 5mg/ml eye drops 5ml 6.95 C Levofloxacin 5mg/ml eye drops 5ml 6.95 A Mercaptopurine 50mg tablets C Aspen Pharma Trading Ltd Mercaptopurine 50mg tablets A Oxybutynin 5mg/5ml oral solution sugar free 150ml C Thame Laboratories Ltd Oxybutynin 5mg/5ml oral solution sugar free 150ml A Telmisartan 80mg / Hydrochlorothiazide 25mg tablets C Telmisartan 80mg / Hydrochlorothiazide 25mg tablets A Page 6 of 7

7 AMENDMENTS - continued Part III Appliances Devices For Fungal Nail Infections Emtrix Emtrix 15ml Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Provox HME System ("Stomafilter") Provox LaryButton Diam 8mm inner, 12mm outer Diam 8mm inner, 14mm outer Diam 8mm inner, 16mm outer Diam 8mm inner, 18mm outer Diam 18mm inner, 12mm outer Diam 18mm inner, 14mm outer Diam 18mm inner, 16mm outer Diam 18mm inner, 18mm outer Provox LaryButton Diam 8mm length, 12mm outer Diam 8mm length, 14mm outer Diam 8mm length, 16mm outer Diam 8mm length, 18mm outer Diam 18mm length, 12mm outer Diam 18mm length, 14mm outer Diam 18mm length, 16mm outer Diam 18mm length, 18mm outer th August 2018 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 7 of 7

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