SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. April 2011
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1 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS April 2011 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 1 April The following amendments apply to Part 1 Annex A (Zero Discount list) ADDITIONS Zonisamide 100mg Capsules Zonisamide 50mg Capsules CHANGES Tacrolimus Caps 1mg Tacrolimus Caps 5mg Tacrolimus All Caps The following amendments apply to Part 8A (Dental Prescribing) DELETIONS Artificial Saliva Liquid, DPF CHANGES Co-amoxiclav Oral Suspension 125/31 (amoxicillin 125mg as trihydrate, clavulanic acid 31.25mg as potassium salt)/5ml, DPF (Includes sugar-free formulation) Co-amoxiclav Oral Suspension 250/62 (amoxicillin 250mg as trihydrate, clavulanic acid 62.5mg as potassium salt)/5ml, DPF (Includes sugar-free formulation) Co-amoxiclav Oral Suspension BP 125/31 (amoxicillin 125mg as trihydrate, clavulanic acid 31.25mg as potassium salt)/5ml, DPF (Includes sugar-free formulation) Co-amoxiclav Oral Suspension BP 250/62 (amoxicillin 250mg as trihydrate, clavulanic acid 62.5mg as potassium salt)/5ml, DPF (Includes sugar-free formulation)
2 ADDITIONS The following additions apply to Part 2 (Dressings) LYMPHOEDMA GARMENTS Actilymph Class 1 (18-21mm Hg) (Per pair) Thigh Closed Toe with Regular Top Band Black Standard S, M, L, XL 5136 Class 2 (23-32mm Hg) (Per pair) Thigh Closed Toe with Regular Top Band Black Standard S, M, L, XL 5136 WOUND MANAGEMENT DRESSINGS Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds With Adhesive Border Wound contact pad Border Tegaderm Foam Adhesive Oval 6.9cm x 7.6cm 3.1cm x 3.8cm 0.35cm 142 Soft Cloth Border 6.9cm x 6.9cm 2.5cm x 2.5cm 0.95cm 166 Protease Modulating Matrix Sterile Indications: All chronic wounds clear of necrotic tissue and visible sign of infection. Curea P1 Square 12cm x 12cm 254 Silicone Topical Gel & Cream Indications: For prevention and treatment Keloid and Hypertrophic scars NewGel+E 15g tube 1770 The following additions apply to Part 3 (Appliances) CATHETERS, Urethral, Urinary Gauge (Ch) (see Note 1) (a) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Rochester HydroSil Gripper Per 30 Medical (Male)
3 The following additions apply to Part 3 (Appliances) Cont. DRY MOUTH PRODUCTS Saliva Stimulating Xerostom Mouthwash 250ml bottle 313 Xerostom Pastilles 30 pastilles 285 Xerostom Saliva Substitute Chewable Capsules 40 capsules 342 Xerostom Toothpaste 50ml tube 285 EYE PRODUCTS Eye Drops Sodium Hyaluronate Vismed Gel (20 x 0.45ml preservative free single dose unit) 598 HEAD LICE DEVICE NYDA 50ml spray ml spray (2 x 50ml spray) 1431 HYPODERMIC EQUIPMENT Lancets Sterile, Single-Use Pack Microdot 0.31mm/30gauge (Cambridge Sensors) ORAL FILM FORMING AGENTS Episil 10ml oral spray 4921 PROSTHETIC ADHESIVES Edge Adhesive 5g g 1625 The following additions apply to Part 5 (Incontinence Appliances) FAECAL COLLECTORS Manufacturer Appliance Order No Qty Coloplast Ltd Fistula Bed Drainage Bag
4 The following deletions apply to Part 2 (Dressings) TRACHEOSTOMY CLEANING DEVICES Voice Prosthesis Cleaning Brush Order No. Pack of 6 Phonax WOUND MANAGEMENT DRESSINGS Hydrocolloid Dressing Thin Semi Permeable- Sterile Without Adhesive Border Askina Biofilm Transparent Square 15cm x 15cm 235 The following deletions apply to Part 3 (Appliances) BREAST RELIEVER Plasticised PVC polymer bulb with glass or polycarbonate receiver 60 ml approx. 456 FINGER STALLS Simulated leather, on a knitted fabric base, with adjustable elastic wrist band 43 NIPPLE SHIELDS Plastic, semi-rigid polypropylene base with latex teat, 62 RECTAL DILATORS (Coldlite) Perspex, boilable Specification 1 Diameter of cone 19mm tapering to 12.5mm. Base 2.5cm diameter. Length 8.6cm. Small-Large 504
5 The following deletions apply to Part 3 (Appliances) Cont. SYRINGES Ear Plastic-plasticised PVC polymer moulded in one piece, fine pointed 60ml approx. Enema Higginson s : - Plastics-plasticised PVC polymer or rubber, bulb with inverted flutter valve moulded in the tube or with metal valve inserted in the tube, full length tubes, polypropylene rectal pipe, PVC polymer or rubber vaginal, pipe PVC polymer shield The following deletions apply to Part 9 (Chemical Reagents) OTHER REAGENTS Papers, Litmus Book of 20 leaves Blue 6cm x 10mm 18 Red 6cm x 10mm 92 OTHER CHANGES The following changes apply to Part 2 (Dressings) DRESSINGS Sterile Dressing Pack Non-Drug Tariff Specification CE Marked Sterile Nurse It Sterilised Pack containing: - per pack 52 1 Pair Powder Free Latex Free Vinyl Gloves Small/Medium Medium / Large 7 Non-Woven Swabs 4-ply 10cm x 10cm 1 Compartment Tray 12cm x 11cm 1 Disposable Forceps 11cm 1 Laminated Paper Sterile Field 40cm x 40cm 1 Large Apron 80cm x 130cm 1 Paper Towel 35cm x 40cm 1 White Polythene Disposable Bag 46cm x 26cm DRESSINGS Sterile Dressing Pack Non-Drug Tariff Specification CE Marked Sterile Nurse It Sterilised Pack containing: - per pack 52 1 Pair Powder Free Latex Free Nitrile Gloves Small/Medium Medium / Large 7 Non-Woven Swabs 4-ply 10cm x 10cm 1 Compartment Tray 12cm x 11cm 1 Disposable Forceps 11cm 1 Laminated Paper Sterile Field 40cm x 40cm 1 Large Apron 80cm x 130cm 1 Paper Towel 35cm x 40cm 1 White Polythene Disposable Bag 46cm x 26cm
6 The following changes apply to Part 2 (Dressings) Cont. LYMPHOEDEMA GARMENTS Jobst Elvarex Custom-Fit for upper extremities Price in pence per piece Garment Type Class1 Class 2 Class mm Hg 23-32mm Hg 34-46mm Hg Gauntlet to wrist Code U U U Price per piece 3368p 3527p 3599p Gauntlet to elbow Code U U U Price per piece 3819p 3848p 3942p Armsleeve to Axilla with gauntlet Code U U U Price per piece 6544p 6660p 6707p Armsleeve from wrist to Axilla Code U U U Price per piece 3028p 3611p 3647p N.B.: The above garments are available with additional options. These are priced separately below: Code Zipper U-A Silicone Band U-A Shoulder Cap U-A Non-standard colour U-A finger 15-21mm Hg U1-A finger 23-32mm Hg U2-A finger 34-46mm Hg U3-A Seamless Finger U2-A LYMPHOEDEMA GARMENTS Jobst Elvarex Custom-Fit for upper extremities Price in pence per piece Garment Type Class1 Class 2 Class mm Hg 20-25mm Hg 25-30mm Hg Gauntlet to wrist Code U U U Price per piece 3368p 3527p 3599p Gauntlet to elbow Code U U U Price per piece 3819p 3848p 3942p Armsleeve to Axilla with gauntlet Code U U U Price per piece 6544p 6660p 6707p Armsleeve from wrist to Axilla Code U U U Price per piece 3028p 3611p 3647p N.B.: The above garments are available with additional options. These are priced separately below: Code Zipper U-A Silicone Band U-A Shoulder Cap U-A Non-standard colour U-A finger 14-18mm Hg U1-A finger 20-25mm Hg U2-A finger 25-30mm Hg U3-A Seamless Finger U2-A
7 The following changes apply to Part 2 (Dressings) Cont. LYMPHOEDEMA GARMENTS Jobst Elvarex Soft Custom Fit for upper extremities Class mm Hg Code Soft Armsleeve from Wrist to Axilla U Soft Armsleeve from Wrist to Axilla with Silicone Band U Soft Seamless Gauntlet to Wrist AC1-WF-WT 3527 Soft Seamless Gauntlet to Elbow U LYMPHOEDEMA GARMENTS Jobst Elvarex Soft Custom Fit for upper extremities Class mm Hg Code Soft Armsleeve from Wrist to Axilla U Soft Armsleeve from Wrist to Axilla with Silicone Band U Soft Seamless Gauntlet to Wrist AC1-WF-WT 3527 Soft Seamless Gauntlet to Elbow U The following changes apply to Part 3 (Appliances) CATHETERS, Urethral, Urinary Gauge (Ch) (see Note 1) (a) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Coloplast Ltd Self-Cath Plus Per 25 Male USCC8M-USCC16M Conveen EasiCath Per 25 Tiemann Tip CATHETERS, Urethral, Urinary Gauge (Ch) (see Note 1) (a) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Coloplast Ltd Self-Cath Plus Per 25 Male USCC10M-USCC16M Conveen EasiCath Per 25 Tiemann Tip
8 The following changes apply to Part 3 (Appliances) Cont. EYE PRODUCTS Eye Drops Sodium Hyaluronate Vismed (20 x 0.3ml single dose unit) 511 Vismed Multi (10ml bottle) 681 EYE PRODUCTS Eye Drops Sodium Hyaluronate Vismed (20 x 0.3ml preservative free single dose unit) 511 Vismed Multi (10ml preservitave free bottle) 681
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