Advance Notification of Amendments to the June 2017 Drug Tariff

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1 Advance Notification of Amendments to the June 2017 Drug Tariff ADDITIONS Zero Discount Sevelamer 2.4g oral powder sachets sugar free Part I - Drugs And Preparations Drug Qty Price Acetylcysteine 200mg oral powder sachets sugar free A Amobarbital sodium 60mg capsules C Sodium Amytal Aspirin 150mg suppositories C Martindale Pharmaceuticals Ltd Aspirin 300mg suppositories C Martindale Pharmaceuticals Ltd Dexamfetamine 10mg tablets C Amfexa Diclofenac 0.074% mouthwash sugar free 200ml C Morningside Healthcare Ltd Diphenhydramine 25mg tablets C Nytol Emulsifying ointment 50% / Liquid paraffin 50% ointment 100g C Emulfin Folic acid 5mg/5ml oral solution sugar free 150ml A Guaifenesin 66.67mg/5ml oral solution sugar free 150ml 3.15 C Covonia Chesty Cough Sugar Free syrup Magnesium glycerophosphate (magnesium mg/5ml (5mmol/5ml)) oral solution 200ml C MagnaPhos Metformin 1g/5ml oral solution sugar free 150ml A Metformin 850mg/5ml oral solution sugar free 150ml A Nortriptyline 50mg tablets C Focus Pharmaceuticals Ltd Paracetamol 500mg / Ibuprofen 150mg tablets C Combogesic Paracetamol 500mg / Ibuprofen 150mg tablets C Combogesic Quetiapine 100mg/5ml oral suspension sugar free 150ml C Rosemont Pharmaceuticals Ltd Rupatadine 10mg tablets C Aspire Pharma Ltd Saxagliptin 5mg / Dapagliflozin 10mg tablets C Qtern Sevelamer 2.4g oral powder sachets sugar free C Renvela Part III Appliances Catheters, Urinary, Urethral (B)(ii)(b) Foley Catheter - 2 Way Long Term Use - Paediatric L.IN.C Medical Systems Ltd Uniflo-Xtra All Silicone Foley Tip Catheter with Unibal integral balloon and extra drainage hole beneath balloon, with sterile water filled syringe for balloon inflation, empty syringe for pack of 1 balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (1007UBS UBS10) Page 1 of 7

2 ADDITIONS Continued (J) Urinary Suprapubic Catheters L.IN.C Medical Systems Ltd OptiTip All Silicone Open Tip Catheter with Unibal integral balloon and extra drainage hole beneath balloon, with sterile water filled syringe for balloon inflation, empty syringe for pack of 1 balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (Paediatric) (1007UBS08OT-1007UBS10OT) (Standard) (1007UB12OT-1007UB14OT) (1007UB16OT-1007UB18OT) (Female) (1007UBF12OT-1007UBF14OT) (1007UBF16OT-1007UBF18OT) Emollient And Barrier Preparations Zeroveen 100g g 5.89 Lubricant Gels Lube in a Tube 82g tube 1.59 Lymphoedema Garments Haddenham EasyWrap Light (20-30mmHg) Lengths Sizes price per piece Arm (Right, Left) Short, Regular, Long S, M, L Hand (Right, Left) XS, S, M, L Foot Regular, Long XS, S, M, L, XL Leg Regular, Tall XS, S, M, L, XL Thigh Short, Regular, Tall XS, S, M, L, XL Strong (30-40mmHg) Foot Regular, Long XS, S, M, L, XL Leg Regular, Tall XS, S, M, L, XL Thigh Short, Regular, Tall XS, S, M, L, XL Jobst Elvarex Custom Fit - For lower extremities Class 1 (18-21mmHg) Knee High Footless L Thigh High Footless L Bermuda L Class 2 (23-32mmHg) Knee High Footless L Thigh High Footless L Bermuda L Class 3 (34-46mmHg) Knee High Footless L Thigh High Footless L Bermuda L Page 2 of 7

3 ADDITIONS Continued Class 3 forte (34-46mmHg) Knee High Footless L Thigh High Footless L Bermuda L Class 4 (49-70mmHg) Knee High Footless L Thigh High Footless L Bermuda L Class 4 Super (60-90mmHg) Knee High Footless L Thigh High Footless L Bermuda L Jobst Elvarex Soft Custom Fit - For lower extremities Class 1 (18-21mmHg) Soft Thigh High Footless L Soft Bermuda L Class 2 (23-32mmHg) Soft Thigh High Footless L Soft Bermuda L Class 3 (34-46mmHg) Soft Thigh High Footless L Soft Bermuda L Solidea Medical Gauntlet Arm Band Class 2 (23-32mmHg) Armsleeve S, M, L, XL Surgical Adhesive Tapes Permeable Non-Woven Synthetic Adhesive Tape BP 1988 (Syn: Permeable Non-Woven Surgical Synthetic adhesive Tape) Size 2.5 cm Quantity 5m Aidpore microporous 0.30 Vaginal Moisturisers YES VM 6 pre-filled applicators ml tube 7.00 Page 3 of 7

4 ADDITIONS Continued Wound Dressings other Wound Dressing Pack Nanova therapy multi-dressing kit 18cm x 14cm cm x 28cm DELETIONS Zero Discount Avonex 30microgram powder and solvent for solution for injection vials Elmino XL 24mg capsules MMA/PA Maxamum powder Primaxin IV 500mg powder for solution for infusion vials Part I - Drugs And Preparations Special Container Drug Qty Price Benzoyl peroxide 10% gel 40g 2.13 C PanOxyl 10 Aquagel Calcium carbonate powder 500g 4.80 C J M Loveridge Ltd Methyl salicylate liquid 500ml 8.98 C J M Loveridge Ltd Pentazocine 60mg/2ml solution for injection ampoules C Zentiva Part III Appliances Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Humistom Stoma Button/Stud and HPC Filter (Nasal Restoration System) HPC Filter Normal to low resistance HSF Humistom Stoma Button/Stud size 10 HS1-L Standard Length 20mm size 12 size 12 HS1-L size 14 HS1-L Short Length 14mm size 10 HS1-S size 12 HS1-S size 14 HS1-S Page 4 of 7

5 AMENDMENTS Part I - Drugs And Preparations Special Container Felodipine 10mg modified-release tablets C Felodipine 10mg modified-release tablets C Plendil Metformin 500mg modified-release tablets C Glucophage SR Metformin 500mg modified-release tablets C Phenytoin sodium 100mg capsules C Flynn Pharma Ltd Phenytoin sodium 100mg capsules C Potassium chloride (potassium 12mmol) effervescent tablets 100 (5x 20) 7.65 C Sando-K Potassium chloride 600mg / Potassium bicarbonate 400mg 100 (total potassium 12mmol) effervescent tablets (5x 20) 7.65 C Sando-K Sodium clodronate 800mg tablets C Sodium clodronate 800mg tablets C Bonefos Zolmitriptan 5mg tablets C Glenmark Generics (Europe) Ltd Zolmitriptan 5mg tablets C Glenmark Pharmaceuticals Europe Ltd Part III Appliances Anal Irrigation System Aquaflush Actif Irrigation Cone System (Oakmed Ltd) Starter Set AFAS (Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones wrapped in glove/disposal bag, 1 strap, 1 washbag) Monthly Set AFAM (Contains 1 water bag, 1 pump, 1 hook for water bag, 15 cones wrapped in glove/ disposal bag) Page 5 of 7

6 AMENDMENTS - Continued Aquaflush Compact System (Oakmed Ltd) Starter Set AFCS (Contains 1 pump, 5 cones, 5 glove/disposal bags, 1 wash bag) Monthly Set AFCM (Contains 1 pump, 15 cones, 15 glove/disposal bags) Aquaflush Quick System (Oakmed Ltd) Starter Set AFQS (Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones, 5 glove/disposal bags, 1 strap, 1 washbag) Monthly Set AFQM (Contains 1 water bag, 1 pump, 15 cones, 15 glove/disposal bags) Aquaflush Actif Irrigation Cone System (CS Bullen Ltd (formerly Oakmed Ltd)) Starter Set AFAS (Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones wrapped in glove/disposal bag, 1 strap, 1 washbag) Monthly Set AFAM (Contains 1 water bag, 1 pump, 1 hook for water bag, 15 cones wrapped in glove/ disposal bag) Aquaflush Compact System (CS Bullen Ltd (formerly Oakmed Ltd)) Starter Set AFCS (Contains 1 pump, 5 cones, 5 glove/disposal bags, 1 wash bag) Monthly Set AFCM (Contains 1 pump, 15 cones, 15 glove/disposal bags) Aquaflush Quick System (CS Bullen Ltd (formerly Oakmed Ltd)) Starter Set AFQS (Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones, 5 glove/disposal bags, 1 strap, 1 washbag) Monthly Set AFQM (Contains 1 water bag, 1 pump, 15 cones, 15 glove/disposal bags) Page 6 of 7

7 AMENDMENTS - Continued Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Hunter Urology Ltd Hunter Urology Ltd AntiBac pack of 30 (Male) (ABM08) (ABM10-ABM18) (Female) (ABF08-ABF14) (Paediatric) (ABP06-ABP10) Now Read Hunter Urology Ltd Aloe Original (formerly AntiBac) pack of 30 (Male) (ABM08) (ABM10-ABM18) (Female) (ABF08-ABF14) (Paediatric) (ABP06-ABP10) to be deleted 1 September 2017 (A)(iii) Dilatation Catheter without drainage eyes Hunter Urology Ltd Hunter Urology Ltd AntiBac D pack of 30 (ABD16-ABD18) Now Read Hunter Urology Ltd Aloe Original Dilation (formerly AntiBac D) pack of 30 (ABD16-ABD18) th May 2017 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 7 of 7

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