SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. July 2017

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Nickolas Melton
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Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 www.isdscotland.

1 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS July 2017 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 July Part 1 ADDITIONS The following additions apply to Part 1 Annex A (Zero Discount) Epclusa 100mg/400mg tablets Fycompa 2mg tablets (Discount Rate applies from June 2017) Fycompa 4mg tablets (Discount Rate applies from June 2017) Fycompa 6mg tablets (Discount Rate applies from June 2017) Fycompa 8mg tablets (Discount Rate applies from June 2017) Fycompa 10mg tablets (Discount Rate applies from June 2017) Fycompa 12mg tablets (Discount Rate applies from June 2017) Perampanel 2mg tablets (Discount Rate applies from June 2017) Perampanel 4mg tablets (Discount Rate applies from June 2017) Perampanel 6mg tablets (Discount Rate applies from June 2017) Perampanel 8mg tablets (Discount Rate applies from June 2017) Perampanel 10mg tablets (Discount Rate applies from June 2017) Perampanel 12mg tablets (Discount Rate applies from June 2017) Rifamixin 550mg tablets Sovaldi 400mg tablets Targaxan 550mg tablets Part 1 DELETIONS The following deletions apply to Part 1 Annex A (Zero Discount) Capreomycin 1g powder for solution for injection vials Negaban 1g powder for solution for injection vials OTHER CHANGES Myfortic 180mg gastro-resistant Tabs Now reads Myfortic gastro-resistant Tabs (ALL) 1

2 ADDITIONS The following additions apply to Part 2 (Dressings) DRESSINGS Absorbent Cellulose Dressing with Fluid Repellent Backing Kliniderm superabsorbent 20cm x 40cm 199 EMOLLIENT AND BARRIER PREPARATIONS Preparations containing Urea Dermatonics Dry Skin Balm 200ml ml 1175 LYMPHOEDEMA GARMENTS Lymed Made to Measure for lower extremities Per piece Class 1(15-21mmHg) Below Knee Open Toe DT1 CO Below Knee Closed Toe DT1 CO Thigh High Open Toe DT1 CO Thigh High Closed Toe DT1 CO Thigh High Open Toe with Waist Attachment DT1 CO20638 A20B 5572 Thigh High Closed Toe with Waist Attachment DT1 CO20639 A20B 5676 One-legged Panty Female DT1 CO One-legged Panty Male DT1 CO Leggings Female DT1 CO Leggings Male DT1 CO Shorts Female DT1 CO Shorts Male DT1 CO Class 2(23-32mmHg) Per piece Below Knee Open Toe DT2 CO Below Knee Closed Toe DT2 CO Thigh High Open Toe DT2 CO Thigh High Closed Toe DT2 CO Thigh High Open Toe with Waist Attachment DT2 CO20638 A20B 5988 Thigh High Closed Toe with Waist Attachment DT2 CO20639 A20B 6092 One-legged Panty Female DT2 CO One-legged Panty Male DT2 CO Tights Female DT2 CO Tights Male DT2 CO Leggings Female DT2 CO Leggings Male DT2 CO Shorts Female DT2 CO Shorts Male DT2 CO

3 LYMPHOEDEMA GARMENTS (cont.) Lymed Made to Measure for lower extremities (cont.) Class 3(34-46mmHg) Per piece Below Knee Open Toe DT3 CO Below Knee Closed Toe DT3 CO Thigh High Open Toe DT3 CO Thigh High Closed Toe DT3 CO Thigh High Open Toe with Waist Attachment DT3 CO20638 A20B 6144 Thigh High Closed Toe with Waist Attachment DT3 CO20639 A20B 6248 One-legged Panty Female DT3 CO One-legged Panty Male DT3 CO Tights Female DT3 CO Tights Male DT3 CO Leggings Female DT3 CO Leggings Male DT3 CO Shorts Female DT3 CO Shorts Male DT3 CO Class 4(>49mmHg) Per piece Below Knee Open Toe DT4 CO Below Knee Closed Toe DT4 CO Thigh High Open Toe DT4 CO Thigh High Closed Toe DT4 CO Thigh High Open Toe with Waist Attachment DT4 CO20638 A20B 6928 Thigh High Closed Toe with Waist Attachment DT4 CO20639 A20B 7032 One-legged Panty Female DT4 CO One-legged Panty Male DT4 CO Tights Female DT4 CO Tights Male DT4 CO Leggings Female DT4 CO Leggings Male DT4 CO Shorts Female DT4 CO Shorts Male DT4 CO

4 LYMPHOEDEMA GARMENTS (cont. NB: The above garments are available with additional options. These are priced separately. See below Pocket DT AP 1764 Pocket for prosthesis DT APP 1764 Pocket with neoprene DT APN 2064 Zip DT AZ 2203 Hook/eye fastener DT AH 2203 Velcro fastener DT AV 2203 Reinforcement Liner DT AL 2203 Additional compression layer, foot DT ACLF 3996 Additional compression layer, ankle-knee DT ACLA 5748 Additional compression layer, knee-high DT ACLK 5748 Additional compression layer, front and/or back panty DT ACLFB 5748 Fly for men DT FLY 1143 Open crotch DT O 606 Non-standard colour DT NSC 318 Choice of silicone bands: silicone band 3cm DT ELA1 795 honeycomb 3cm DT SIL1 795 droplet 2cm DT SIL2 795 block 2cm DT SIL stripe 5cm DT SIL4 795 Oblique finish (slip form) DT OF 669 Incorporated anatomical ankles DT IAA 962 Incorporated anatomical knees DT IAK 750 WOUND MANAGEMENT DRESSINGS Topical Negative Pressure System Accessories Avelle pump 9900 Wound Dressing Pack Avelle dressing 16cm x 16cm cm x 21cm cm x 21cm cm x 31cm

5 The following additions apply to Part 3 (Appliances) CATHETERS, ACCESSORIES FIX Strip 996 HYPODERMIC EQUIPMENT U100 Insulin Pens Reusable pens Cartridge Size Dial Up Unit Dose AllStar (Sanofi) (Purple) 3.0ml 1 unit (1-80 units) 2500 (Teal) 3.0ml 1 unit (1-80 units) 2500 The following additions apply to Part 5 (Incontinence Appliances) URINAL SYSTEMS Manufacturer Appliance Order No. Quantity Beambridge Medical Beambridge Bed Bottle with tap 6-BBT Beambridge Bed Bottle without tap 6-BB

6 DELETIONS The following deletions apply to Part 2 (Dressings) EMOLLIENT AND BARRIER PREPARATIONS Elave Intensive Cream 50g g g 559 WOUND MANAGEMENT DRESSINGS Capillary Action Absorbent Wound Dressing Advadraw 5cm x7.5cm 57 10cm x 10cm 88 10cm x 15cm cm x 20cm 157 Advadraw Spiral 0.5cm x 40cm 82 Honey Based Topical Application Surgihoney 10g 199 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Mepilex Border Lite 10cm x 10cm 187 The following deletions apply to Part 3 (Appliances) CATHETERS, ACCESSORIES Uriflo Catherisation Pack Short tube leg bag FCP001-S 864 Long tube leg bag FCP001-L 864 HYPODERMIC EQUIPMENT U100 Insulin Pens Reusable pens Cartridge Size Dial Up Unit Dose NovoPen 3 Demi (Novo 3.0ml 0.5unit (1-35 units) 2595 Nordisk) NovoPen Junior ( Novo Nordisk) Green 3.0ml 0.5unit (1-35 units) 2551 Yellow 3.0ml 0.5unit (1-35 units) 2551 Needles for Pre-filled and Reusable Pen Injectors NovoFine 12mm/28 gauge 940 6

7 The following deletions apply to Part 5 (Incontinence Appliances) LEG BAGS Red Fox Medical Uriflo sterile leg bags with lever tap and needle free sample port. Containing 1 pair of elasticated cotton Velcro straps per box of 10 S 500ml short tube Lever tap F500S-LT S 500ml long tube Lever tap F500L-LT Uriflo sterile leg bags with slide T tap and needle free sample port. Containing 1 pair of elasticated cotton Velcro straps per box of 10 S 500ml short tube F500S S 500ml long tube F500L S 750ml short tube F750S S 750ml long tube F750L NIGHT DRAINAGE BAGS Red Fox Medical S Uriflo sterile 2 litre night drainage bag with 90cm inlet tube, non-return valve, needle free sample port connector and slide T tap drain Uriflo non sterile 2 litre night drainage bag with 90cm inlet tube, non-return valve and single use slide T tap drain # Uriflo non sterile 2 litre night drainage bag with 90cm inlet tube, non-return valve and tear top drainage F FSU F TUBING AND ACCESSORIES Manufacturer Appliance Order No. Quantity Red Fox Medical Ltd Uriflo Catheter Retaining Strap FCS Uriflo soft elasticated cotton leg bag support straps with silicone leg grip F10LS

8 OTHER CHANGES The following changes apply to Part 3 (Appliances) EYE PRODUCTS Hot Eye Compress NOW READS EYE PRODUCTS Clinitas Hot Eye Compress SPACER/HOLDING CHAMBER DEVICES Vortex with child mask (age 0-2 years) 799 NOW READS SPACER/HOLDING CHAMBER DEVICES Vortex with baby mask (age 0-2 years) 799 8

SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. February 2018

Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 www.isdscotland.org SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS February 2018 This document is