SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS. July 2016

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1 Scottish Drug Tariff: Price Amendment Sheets - July 2016 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS July 2016 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 price changes listed become effective from 1 st July 2016 Prices in pence per item unless otherwise stated The following price changes apply to Part 2 (Dressings) BANDAGES Cotton, Polyamide & Elastane Bandage Setocrepe 10cm x 4.5m Elastomer and Viscose Bandage, Knitted BS Compression type 2, for light support K-Lite 4.5m stretched 7cm x4.5m * 4.5m stretched 10cm x4.5m m stretched 15cm x4.5m * K-Lite Long 5.25m stretched 10cm x5.25m BS Compression type 3a, for light compression Elset 6m stretched 10cm x 6m m stretched 15cm x 6m m stretched 10cm x 8m Elset S 12m stretched 15cm x 12m * K-Plus 8.7m stretched 10cm x8.7m * K-Plus Long 10.25m stretched 10cm x10.25m High Compression Bandage (Extensible) * K-ThreeC 10cm x 3m unstretched Polyamide, Elastane, and Cotton Compression (High) Extensible Bandage PECCHE Bandage Setopress 10cm x 3.5m unstretched

2 Scottish Drug Tariff: Price Amendment Sheets - July 2016 Multi-layer Compression Bandaging Urgo Ltd K-Four #2 K-Lite Long 10cm x 5.25m Stretched K-Four #3 K-Plus Long 10cm x 10.25m Stretched K-Four #4 Ko-Flex Long 10cm x 7m Stretched Multi-layer Compression Bandaging Kits Urgo Ltd K-Four multi-layer compression bandage kit Ankle Circumference Less than 18cm cm-25cm cm-30cm Greater than 30cm duced compression 18cm contain a combination of the following components: 10cmx3m unstretched K-Soft 10cm x 3.5m unstretched Ko-Lite 10cm x 4.5m Stretched Ko-Plus 10cm x 8.7m Stretched Ko-Flex 10cm x 6m Stretched Polyamide and Cellulose Contour Bandage BP 1988 Slinky 10cm x4m cm X4m Sub- Compression Bandaging K-Soft 3.5m stretched 10cm x 3.5m DRESSINGS Vapour - Permeable Adhesive Film Dressing with absorbent pad Alldress 10cm x10cm cm x15cm cm x20cm Hydrofilm Plus 10cm x20cm cm x25cm cm x30cm IRRIGATION SOLUTIONS Normasol Sachet 10 x 100ml (Molnlycke Health Care) 2

3 Scottish Drug Tariff: Price Amendment Sheets - July 2016 STOCKINETTE Elasticated Surgical Tubular Stockinette, Foam-padded Tubipad Heel / Elbow / Knee Small P4 6.5cm x 60cm Medium P4X 7.5cm x 60cm Large P5 10cm x 60cm Sacral Medium P9 28cm x 27cm Large P9 35cm x 27cm Elasticated Viscose Stockinette Bandage Width Length 1m 3m 5m Comfifast Small Limb (Red line) 3.5cm MultiStretch Medium Limbs (Green line) 5cm Large Limbs (Blue line) 7.5cm Trunks (Child) (Yellow line) 10.75cm WOUND MANAGEMENT DRESSINGS Alginate Dressing Sterile Melgisorb Ag 5cm x 5cm cm x 10cm cm x 15cm Cavity Dressings Melgisorb Ag Cavity 3cm x 44cm The following price changes apply to Part 3 (Appliances) CATHETERS (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Hollister VaPro Pocket Hydrophilic Intermittent Catheter Per 30 Male 40cm Wellspect HealthCare Lofric Primo with integrated water pocket Per 30 Non-PVC (Male )

4 Scottish Drug Tariff: Price Amendment Sheets - July 2016 CATHETERS (cont) (G) Intermittent Catheter with integrated hydrating vapour strip, introducer tip, non return valve and urine bag Hollister Ltd Per 30 pack Hollister VaPro Plus (Male 40cm) ( ) (Female 20cm) ( ) EAR WAX SOFTENING MEDICAL DEVICES Ear Drops - Olive Oil Arjun 10ml HYPODERMIC EQUIPMENT LANCETS Sterile, Single-Use Multiclix 0.30mm/30gauge (Roche Diabetes Care Ltd) Softclix 0.4mm/28gauge (Roche Diabetes Care Ltd) Softclix XL 0.8mm/21 gauge (Roche Diagnostics) NASAL PRODUCTS Nasal Drops Glycerdex Nose Drops (Glucose in Glycerol) Dropper Bottle 10ml ORAL FILM FORMING AGENTS Gelclair 21 x15ml sachets OSCILLATING POSITIVE EXPIRATORY PRESSURE DEVICE PARI O-PEP SPACER/HOLDING CHAMBER DEVICES Aerochamber plus Aerochamber plus with adult, child or infant mask Volumatic Volumatic with paediatric mask

5 Scottish Drug Tariff: Price Amendment Sheets - July 2016 The following price changes apply to Part 5 (Incontinence Appliances) LEG BAGS Hollister Ltd. Urinary Leg Bag System containing sterile leg bag, extension tubing and a pair of leg bag straps Leg Bag 540ml The following price changes apply to Part 9 (Chemical Reagents) BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter Aviva (iv) Colorimetric - to be read only with appropriate meter Compact 3 drums of 17 strips

6 Scottish Drug Tariff: Amendment Sheets July 2016 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS July 2016 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 ADDITIONS The following additions apply to Part 1 Annex A (Zero Discount) No Additions or Deletions for July 16 1

7 Scottish Drug Tariff: Amendment Sheets July 2016 The following additions apply to Part 2 Dressings LOW FRICTION PRODUCTS Dyna-Tek Per pair Heel Pad 387 LYMPHOEDEMA GARMENTS Price (p) (each unless otherwise stated) Style Lengths Sizes Sigvaris Diaphane (10-15mmHg) (Per pair) Below Knee Closed Toe Female Normal, Long S, M, L, XL 2679 Thigh High Grip Top Closed Toe Female Normal, Long S, M, L, XL 5146 Panty Closed Toe Female Normal, Long S, M, L, XL 5146 Sigvaris Initial (10-15mmHg) (Per pair) Below Knee Closed Toe Male Normal, Long S, M, L, XL,XXL 2725 WOUND MANAGEMENT DRESSINGS Price (p) (each unless otherwise stated) Protease Modulating Matrix - Sterile kliniderm fiber cmc Square 5cm x 5cm 63 10cm x 10cm cm x 15cm 267 Rectangular 1cm x 45cm 135 2cm x 45cm 175 4cm x 30cm 160 The following additions apply to Part 3 Appliances CATHETERS, ACCESSORIES Price (p) (each unless otherwise stated) Cath-Fix Pack of M-S Small M-M Medium M-L Large 1157 CATHETERS, URINARY, URETHRAL (E) Intermittent Catheter with lubricant, insertion aid and urine bag B. Braun Medical Actreen Hi-Lite Set Per 30 pack (Nelaton) (242210E E) (Tiemann Tip (242110E E)

8 Scottish Drug Tariff: Amendment Sheets July 2016 The following additions apply to Part 3 Appliances (cont) DRY MOUTH PRODUCTS Saliva replacement and stimulating Bioxtra Dry Mouth Gel Mouthspray 50 ml 394 Bioxtra Dry Mouth Oral Gel 40ml 394 DELETIONS The following deletions apply to Part 2 Dressings DRESSINGS Vapour - Permeable Adhesive Film Dressing BP Bioclusive 10.2cm x 12.7cm 154 WOUND MANAGEMENT DRESSINGS Protease Modulating Matrix Sterile Exufiber Rectangular 2cm x 50cm 205 The following deletions apply to Part 3 Appliances CATHETERS, URINARY, URETHRAL (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Wellspect HealthCare Lofric Plus (Non-PVC) Per 25 (Male) (Female) (Female 15cm) (Paed. 30cm) HYPODERMIC EQUIPMENT LANCETS Sterile, Single-Use Pack Unilet General Purpose 0.66mm/23gauge Superlite (Owen Mumford)

9 Scottish Drug Tariff: Amendment Sheets July 2016 The following deletions apply to Part 5 Incontinence Appliances INSERT FOR FEMALE STRESS INCONTINENCE Rochester Medical Ltd FemSoft Insert Standard Length (35mm) Size 1 (16CH) Size 2 (18CH) Size 3 (20CH) Long Length (45mm) Size 1 (16CH) Size 2 (18CH) Size 3 (20CH) The following deletions apply to Part 9 Chemical Reagents BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter CozyLab S OTHER CHANGES The following change applies to Part 2 Dressings STOCKINETTE Elasticated Viscose Stockinette Bandage Comfifast MultiStretch Comfifast MultiStretch 2- way stretch 4

10 Scottish Drug Tariff: Amendment Sheets July 2016 The following changes apply to Part 3 Appliances ANAL IRRIGATION SYSTEM MacGregor Healthcare Ltd Qufora Irrigation System IrriSedo Mini System (15 irrigation set) (Contains 1 pump, 15 Hydrophilic coated cones, 15 waste bags) IrriSedo Mini System (30 irrigation set) (Contains 1 pump, 1 conebag, 30 Hydrophillic cones) Bed System (5 Irrigation Set) (Contains 1 water bag, 1 water pump, 5 rectal catheters 12mm, 5 collection bags) Bed System (5 Irrigation Set) (Contains 1 water bag, 1 water pump, 5 rectal catheters 21mm, 5 collection bags) Bed System (5 Irrigation Set) (Contains 1 water bag, 1 water pump, 5 rectal catheters 30mm, 5 collection bags) Bed System (15 Irrigation Set) (Contains 1 water bag, 1 water pump, 15 rectal catheters 12mm, 15 collection bags) Bed System (15 Irrigation Set) (Contains 1 water bag, 1 water pump, 15 rectal catheters 21mm, 15 collection bags) Bed System (15 Irrigation Set) (Contains 1 water bag, 1 water pump, 15 rectal catheters 30mm, 15 collection bags) Balloon System Base Set (Contains 1 control with velcro strap, 1 water bag, 2 rectal balloon catheters medium) Balloon System Base Set (Contains 1 control with velcro strap, 1 water bag, 2 rectal balloon catheters small) Balloon System Accessory Set (Contains 1 water bag, 15 rectal balloon catheters medium) Balloon System Accessory Set (Contains 1 water bag, 15 rectal balloon catheters small) Balloon System Catheter Set (Contains 10 rectal balloon catheters medium) Balloon System Catheter Set (Contains 10 rectal balloon catheters small) Qufora IrriSedo Cone System Accessory Set (Contains 15 Hydrophillic cones) Starter Set QTS 7780 (Contains 1 pump, 1 water bag, 5 Hydrophilic coated cones, 5 waste bags, 1 toilet bag) 15 Irrigation Set QTM (Contains 1 pump, 1 water bag, 15 Hydrophilic coated cones, 15 waste bags) Qufora IrriSedo Extension Tube Qufora Irrigation System IrriSedo Mini System (30 irrigation set) (Contains 1 pump, 1 conebag, 30 Hydrophillic cones) 5

11 Scottish Drug Tariff: Amendment Sheets July 2016 Qufora Irrigation System IrriSedo Mini System (15 irrigation set) (Contains 1 pump, 15 Hydrophilic coated cones, 15 waste bags) IrriSedo Mini System (30 irrigation set) (Contains 1 pump, 1 conebag, 30 Hydrophillic cones) IrriSedo Bed System (5 Irrigation Set) (Contains 1 water bag, 1 water pump, 5 rectal catheters 12mm, 5 collection bags) IrriSedo Bed System (5 Irrigation Set) (Contains 1 water bag, 1 water pump, 5 rectal catheters 21mm, 5 collection bags) IrriSedo Bed System (5 Irrigation Set) (Contains 1 water bag, 1 water pump, 5 rectal catheters 30mm, 5 collection bags) IrriSedo Bed System (15 Irrigation Set) (Contains 1 water bag, 1 water pump, 15 rectal catheters 12mm, 15 collection bags) IrriSedo Bed System (15 Irrigation Set) (Contains 1 water bag, 1 water pump, 15 rectal catheters 21mm, 15 collection bags) IrriSedo Bed System (15 Irrigation Set) (Contains 1 water bag, 1 water pump, 15 rectal catheters 30mm, 15 collection bags) IrriSedo Balloon System Base Set (Contains 1 control with velcro strap, 1 water bag, 2 rectal balloon catheters medium) IrriSedo Balloon System Base Set (Contains 1 control with velcro strap, 1 water bag, 2 rectal balloon catheters small) IrriSedo Balloon System Accessory Set (Contains 1 water bag, 15 rectal balloon catheters medium) IrriSedo Balloon System Accessory Set (Contains 1 water bag, 15 rectal balloon catheters small) IrriSedo Balloon System Catheter Set (Contains 10 rectal balloon catheters medium) IrriSedo Balloon System Catheter Set (Contains 10 rectal balloon catheters small) IrriSedo Cone System Accessory Set (Contains 15 Hydrophillic cones) Starter Set QTS 7780 (Contains 1 pump, 1 water bag, 5 Hydrophilic coated cones, 5 waste bags, 1 toilet bag) 15 Irrigation Set QTM (Contains 1 pump, 1 water bag, 15 Hydrophilic coated cones, 15 waste bags) Qufora IrriSedo Extension Tube

12 Scottish Drug Tariff: Amendment Sheets July 2016 CATHETERS, URINARY, URETHRAL (J) Urinary Suprapubic Catheters Pack of 1 L.IN.C Medical Systems Ltd All Silicone Open Tipped Catheter with integral balloon with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication L.IN.C Medical Systems Ltd All Silicone foley catheter with guidewire hole and sterile water filled syringe. L.IN.C Medical Systems Ltd All Silicone Open Tipped Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication All Silicone foley catheter with guidewire hole and glycerine filled syringe. EYE PRODUCTS Eye Drops - Sodium Hyaluronate Evolve HA 0.2% (10ml bottle) 599 Eye Drops - Sodium Hyaluronate Evolve HA 0.2% (10ml bottle) 599 Hyabak (10ml bottle) 799 Hyabak (10ml preservative free bottle) 799 7

13 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : MONTHLY NOTICE OF AMENDMENTS TO STOMA APPLIANCES July 2016 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The following amendments to Stoma Appliances take effect from 1 st July Please note that potential additions to Stoma Appliances Reimbursement prices must be referred through National Procurement (NSS). The full list of Stoma Appliances Reimbursement prices is available at: ADDITIONS ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) Manufacturer Appliance Order Qty Price No (p) Salts Healthcare Wipe-Away Plus No-Sting Adhesive Remover WAP2 30 wipes 865 ILEOSTOMY BAGS Manufacturer Appliance Order Qty Price No (p) Salts Healthcare Confidence Natural Advance Transparent drainable pouches with integral closure and easy-open tab, integral filter, clear-view porthole window, soft comfort cover on body-side and superior adhesion Flexifit hydrocolloid wafer containing Aloe extracts. Large Starter hole 13-90mm NDALT Large Starter hole 13mm NDALT Standard Starter hole 13mm NDAT Drainable pouches with integral closure and easy-open tab, integral filter, clear-view porthole window, soft comfort cover on body-side and superior adhesion Flexifit hydrocolloid wafer containing Aloe extracts. Largel Starter hole 13-90mm NDAL

14 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 DELETIONS COLOSTOMY BAGS B. Braun Biotrol Elite bag with filter, skin protector adhesive and fabric backing White Starter hole mm ILEOSTOMY BAGS B. Braun Medical Almarys Optima Drainable Bag with all over soft non-woven cover Transparent Starter Hole 10mm F018710E B. Braun Medical Softima drainable pouch with filter, skin protector, protective cover and `Flow Control soft outlet Beige Pre-cut 40mm E TWO PIECE OSTOMY SYSTEMS B. Braun Medical Almarys Twin + Drainable Pouch with filter and protective cover and `Flow Control soft outlet Beige 40mm E mm E mm E Transparent 40mm E mm E mm E

15 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 OTHER CHANGES BELTS Respond Healthcare Ltd Hi-Line Medium Control Ostomy Girdle/ Pantie Brief including hole over stoma with suspenders as required Hi-Line Medium Control Ostomy Girdle/ Pantie Brief including hole over stoma Res Res HiLINE Ostomy Girdle/Pantie Brief including hole over stoma with suspenders as required HiLINE Ostomy Girdle/Pantie Brief including hole over stoma Res Res

16 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS Oakmed Ltd. Option Ileostomy Alginate Drainable Soft Convex Pouch 25mm diameter Opaque Pre-cut 20mm SCA KV mm Opaque Pre-cut 20mm SCA KV mm SCA KV mm SCA KV mm diameter Opaque Pre-cut 20mm SCA KV mm SCA KV mm SCA KV mm SCA KV mm SCA KV Oakmed Ltd. Option Alginate Soft Convex Ileostomy Pouch with Window, Filter, Soft Covering to both sides and soft touch closure 25mm diameter Opaque Cut-to-fit 20mm SCA KV mm Opaque Cut-to-fit 20mm SCA KV mm SCA KV Pre-cut 30mm SCA KV mm diameter Opaque Cut-to-fit 20mm SCA KV mm SCA KV mm SCA KV Pre-cut 30mm SCA KV mm SCA KV

17 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS (cont) Oakmed Ltd. Option Bi-Form Ileostomy Midi pouches with window, filter and soft covering to both sides and velcro Opaque Starter Hole 20mm BFV-4320K Pre-cut 25mm BFV-4325K mm BFV-4330K mm BFV-4335K mm BFV-4340K mm BFV-4345K Option Bi-Form Ileostomy Midi with Window, Filter and Soft Covering to both sides and soft touch closure Opaque Starter Hole 20mm BFV-4320K Pre-cut 25mm BFV-4325K mm BFV-4330K mm BFV-4335K mm BFV-4340K mm BFV-4345K Option Bi-Form Ileostomy pouches with window, filter and soft covering to both sides and velcro Opaque Starter Hole 20mm BFV-4120K Pre-cut 25mm BFV-4125K mm BFV-4130K mm BFV-4135K mm BFV-4140K mm BFV-4145K Option Bi-Form Ileostomy pouches with window, Filter and Soft Covering to both sides and soft touch closure Opaque Starter Hole 20mm BFV-4120K Pre-cut 25mm BFV-4125K mm BFV-4130K mm BFV-4135K mm BFV-4140K mm BFV-4145K

18 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS (cont) Option-Ileostomy with Velcro fastening Opaque Starter Hole 20mm V-4120k mm V-4125k mm V-4130k mm V-4135k mm V-4140k mm V-4145k mm V-4150k mm V-4155k mm V-4160k Option-Ileostomy with soft touch closure Opaque Starter Hole 20mm V-4120K mm V-4125K mm V-4130K mm V-4135K mm V-4140K mm V-4145K mm V-4150K mm V-4155K mm V-4160K Option-Ileostomy Alginate with Velcro fastening Opaque Starter Hole 20mm AV-4120k mm AV-4125k mm AV-4130k mm AV-4135k mm AV-4140k mm AV-4145k mm AV-4150k mm AV-4155k mm AV-4160k Option-Ileostomy Alginate with soft touch closure Opaque Starter Hole 20mm AV-4120K Pre-Cut 25mm AV-4125K mm AV-4130K mm AV-4135K mm AV-4140K mm AV-4145K mm AV-4150K mm AV-4155K mm AV-4160K

19 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS (cont) Option-Ileostomy Microskin with Velcro fastening Opaque Starter Hole 20mm MV-4120K mm MV-4125K mm MV-4130K mm MV-4135K mm MV-4140K mm MV-4145K mm MV-4150K Option-Ileostomy Microskin with soft touch closure Opaque Starter Hole 20mm MV-4120K mm MV-4125K mm MV-4130K mm MV-4135K mm MV-4140K mm MV-4145K mm MV-4150K Option Ileostomy Midi with Soft Covering to one side, Filter and Velcro Closure Clear Starter Hole 20mm V-3220K mm V-3225K mm V-3230K mm V-3235K mm V-3240K mm V-3245K mm V-3250K mm V-3255K mm V-3260K Option Ileostomy Midi with Soft Covering to one side, Filter and soft touch closure Clear Starter Hole 20mm V-3220K mm V-3225K mm V-3230K mm V-3235K mm V-3240K mm V-3245K mm V-3250K mm V-3255K mm V-3260K

20 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS (cont) Option Ileostomy Midi with window, filter, soft covering to both sides and velcro Opaque Starter Hole 20mm V-4320K Pre-cut 25mm V-4325K mm V-4330K mm V-4335K mm V-4340K mm V-4345K mm V-4350K mm V-4355K mm V-4360K Option Ileostomy Midi with window, filter, soft covering to both sides and soft touch closure Opaque Starter Hole 20mm V-4320K Pre-cut 25mm V-4325K mm V-4330K mm V-4335K mm V-4340K mm V-4345K mm V-4350K mm V-4355K mm V-4360K Option Ileostomy Midi Alginate with window, filter, soft covering to both sides and velcro Opaque Starter Hole 20mm AV-4320K mm AV-4325K mm AV-4330K mm AV-4335K mm AV-4340K mm AV-4345K mm AV-4350K mm AV-4355K mm AV-4360K Option Ileostomy Midi Alginate with window, filter, soft covering to both sides and soft touch closure Opaque Starter Hole 20mm AV-4320K mm AV-4325K mm AV-4330K mm AV-4335K mm AV-4340K mm AV-4345K mm AV-4350K mm AV-4355K mm AV-4360K

21 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS (cont) Option Ileostomy Midi Microskin with window, filter, softer covering to both sides and velcro Opaque Starter Hole 20mm MV-4320K mm MV-4325K mm MV-4330K mm MV-4335K mm MV-4340K mm MV-4345K Option Ileostomy Midi Microskin with window, filter, softer covering to both sides and soft touch closure Opaque Starter Hole 20mm MV-4320K Pre-Cut 25mm MV-4325K mm MV-4330K mm MV-4335K mm MV-4340K mm MV-4345K Option Ileostomy pouches with Velcro closure, filter and soft covering to one side Clear Starter Hole 20mm V-3020K mm V-3025K mm V-3030K mm V-3035K mm V-3040K mm V-3045K mm V-3050K mm V-3055K mm V-3060K Option Ileostomy pouches with soft touch closure, filter and soft covering to one side Clear Starter Hole 20mm V-3020K mm V-3025K mm V-3030K mm V-3035K mm V-3040K mm V-3045K mm V-3050K mm V-3055K mm V-3060K ILEOSTOMY BAGS (cont) 9

22 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 Oakmed Ltd. Option Midi Drainable Soft Convex Pouch with Window, Filter, Soft Covering to both sides and velcro Opaque 25mm Plateau Cut-to-fit 15-24mm SC KV Pre-cut 20mm SC KV mm Plateau Cut-to-fit 15-34mm SC KV Pre-cut 20mm SC KV mm SC KV mm SC KV mm Plateau Cut-to-fit 15-44mm SC KV Pre-cut 20mm SC KV mm SC KV mm SC KV mm SC KV mm SC KV Oakmed Ltd. Option Midi Drainable Soft Convex Pouch with Window, Filter, Soft Covering to both sides and soft touch closure Opaque 25mm Plateau Cut-to-fit 15-24mm SC KV Pre-cut 20mm SC KV mm Plateau Cut-to-fit 15-34mm SC KV Pre-cut 20mm SC KV mm SC KV mm SC KV mm Plateau Cut-to-fit 15-44mm SC KV Pre-cut 20mm SC KV mm SC KV mm SC KV mm SC KV mm SC KV

23 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS (cont) Oakmed Ltd Option Ileostomy with Soft Convex Pouch 25mm diameter 20mm SC KV Now reads 35mm diameter 20mm SC KV mm SC KV mm SC KV mm diameter 20mm SC KV mm SC KV mm SC KV mm SC KV mm SC KV Option with Soft Convex Ileostomy Pouch with Window,Filter, Soft Covering to both sides and soft touch closure 25mm diameter Cut-to fit 20-24mm SC KV mm diameter Cut-to fit 20-34mm SC KV Pre-cut 25mm SC KV mm SC KV mm diameter Cut-to fit 20-44mm SC KV Pre-cut 25mm SC KV mm SC KV mm SC KV mm SC KV

24 Stoma Appliances- Reimbursement Prices: Amendment sheets for July 2016 ILEOSTOMY BAGS (cont) STOMA CAPS/DRESSINGS Peak Medical Ltd Colomate Stoma Cap 1 piece high capacity bar filter cut to fit Starter hole 20mm CCB Peak Medical Ltd Colomate Stoma Cap 1 piece high capacity bar filter Pre-cut 20mm CCB TWO PIECE OSTOMY SYSTEMS Oakmed Ltd. Option Connect 2 Ileostomy with Velcro fastening To fit up to 45mm stoma VJH Oakmed Ltd. Option Connect 2 Ileostomy with soft touch closure To fit up to 45mm stoma VJH

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