Advance Notification of Amendments to the July 2018 Drug Tariff

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1 Advance Notification of Amendments to the July 2018 Drug Tariff ADDITIONS Zero Discount Glycopyrronium bromide 400micrograms/ml oral solution sugar free Sialanar 320micrograms/ml oral solution Part I - Drugs And Preparations Item requiring reconstitution Special Container * This pack only (others already available) Drug Qty Price Alitretinoin 30mg capsules C Toctino Alverine 60mg / Simeticone 300mg capsules C SimAlvia Cefaclor 125mg/5ml oral suspension 100ml 4.13 C Distaclor Cefaclor 250mg/5ml oral suspension 100ml 8.26 C Distaclor Chlorhexidine gluconate 0.05% solution 100ml sachets C Sterets Unisept Chlorhexidine gluconate 0.05% solution 25ml sachets C Sterets Unisept Chlorhexidine gluconate 0.06% / Sodium fluoride 0.05% mouthwash sugar free 500ml 3.03 C Corsodyl Daily Cisplatin 100mg/100ml solution for infusion vials A Darbepoetin alfa 100micrograms/ 0.5ml solution for injection pre-filled C Aranesp Darbepoetin alfa 10micrograms/ 0.4ml solution for injection pre-filled C Aranesp Darbepoetin alfa 130micrograms/ 0.65ml solution for injection pre-filled C Aranesp Darbepoetin alfa 150micrograms/ 0.3ml solution for injection pre-filled C Aranesp Darbepoetin alfa 20micrograms/ 0.5ml solution for injection pre-filled C Aranesp Darbepoetin alfa 300micrograms/ 0.6ml solution for injection pre-filled C Aranesp Darbepoetin alfa 30micrograms/ 0.3ml solution for injection pre-filled C Aranesp Darbepoetin alfa 40micrograms/ 0.4ml solution for injection pre-filled C Aranesp Darbepoetin alfa 500micrograms/ 1ml solution for injection prefilled C Aranesp Darbepoetin alfa 50micrograms/ 0.5ml solution for injection pre-filled C Aranesp Page 1 of 9

2 ADDITIONS Continued Darbepoetin alfa 60micrograms/ 0.3ml solution for injection prefilled Darbepoetin alfa 80micrograms/ 0.4ml solution for injection prefilled C Aranesp C Aranesp Diazepam 2.5mg/1.25ml rectal solution tube C Diazepam RecTubes Fentanyl 1.6mg lozenges C Actiq Fentanyl 1.6mg lozenges C Actiq Fentanyl 100micrograms/2ml solution for injection ampoules A Glyceryl trinitrate 10mg/24hours transdermal patches C Deponit 10 Glyceryl trinitrate 15mg/24hours transdermal patches C Minitran 15 Glyceryl trinitrate 5mg/24hours transdermal patches C Deponit 5 Memantine 10mg soluble tablets sugar free C Alzhok Memantine 20mg soluble tablets sugar free C Alzhok Memantine 5mg/10mg/15mg/ 20mg tablets treatment initiation C Ebixa pack Mycophenolic acid 180mg gastroresistant tablets C Mycophenolic acid 360mg gastroresistant tablets C Nicotine 14mg/24hours transdermal patches C Nicotinell TTS 20 Nicotine 7mg/24hours transdermal patches C Nicotinell TTS 10 Phenylbutazone 100mg tablets A Phenytoin 50mg chewable tablets C Epanutin Infatabs Piracetam 333.3mg/ml oral solution sugar free 300ml C Nootropil 33% Quinagolide 50microgram tablets and Quinagolide 25microgram A tablets Rotigotine 1mg/24hours transdermal patches C Neupro Rotigotine 3mg/24hours transdermal patches C Neupro Silver nitrate 40% caustic pencils C Avoca Sodium lauryl ether sulfosuccinate 6% / Sodium lauryl ether Dentinox Cradle 125ml 1.75 C sulfate 2.7% shampoo Cap Somatropin (rbe) 12mg powder and solvent for solution for Genotropin C injection pre-filled disposable devices GoQuick Soya oil 82.95% / Lauromacrogols 15% bath oi 500ml 6.66 C Balneum Plus Tafluprost 15micrograms/ml / Timolol 5mg/ml eye drops 0.3ml unit 30 dose preservative free (3x 10) C Taptiqom Tetracaine 4% gel 1.5g 1.08 C Ametop Tramadol 400mg modified-release tablets C Zamadol 24hr Tramadol 50mg orodispersible tablets sugar free C Zamadol Melt * Water for injections 100ml vials A Page 2 of 9

3 ADDITIONS Continued Part III Appliances Devices For Fungal Nail Infections Emtrix Wound Dressing Pack Snap Bridge dressing kit Emollient And Barrier Preparations Preparations for the treatment of Radiation Induced Dermatitis Flamigel RT 100g g Hypodermic Equipment Needles for Pre-filled and Reusable Pen Injectors pack of 100 4SURE 4mm/31 gauge mm/32 gauge mm/31 gauge mm/32 gauge mm/31 gauge mm/32 gauge mm/31 gauge 3.95 Inhalation Solutions Sodium Chloride 6% Solution - Sterile Resp-Ease 6% 60 x 4ml Page 3 of 9

4 ADDITIONS Continued Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Provox HME System ("Stomafilter") Provox LaryTube Standard (including 5 HME Cassette XtraFlow) 27mm length Diam 9.5mm inner, 12mm outer Diam 10.5mm inner, 13.5mm outer Diam 12mm inner, 15mm outer Diam 13.5mm inner, 17mm outer mm length Diam 9.5mm inner, 12mm outer Diam 10.5mm inner, 13.5mm outer Diam 12mm inner, 15mm outer Diam 13.5mm inner, 17mm outer mm length Diam 9.5mm inner, 12mm outer Diam 10.5mm inner, 13.5mm outer Diam 12mm inner, 15mm outer Diam 13.5mm inner, 17mm outer Provox LaryTube with Ring (including 5 HME Cassette XtraFlow) 36mm length Diam 9.5mm inner, 12mm outer Diam 10.5mm inner, 13.5mm outer Diam 12mm inner, 15mm outer Diam 13.5mm inner, 17mm outer mm length Diam 9.5mm inner, 12mm outer Diam 10.5mm inner, 13.5mm outer Diam 12mm inner, 15mm outer Diam 13.5mm inner, 17mm outer Page 4 of 9

5 DELETIONS Zero Discount Exjade dispersible tablets (ALL) Nutramigen 1 LIPIL powder Nutramigen 2 LIPIL powder Trobalt 200mg tablets Trobalt 300mg tablets Trobalt 400mg tablets Part I - Drugs And Preparations Special Container * This pack only (others already available) Drug Qty Price Methadone 1mg/ml oral solution sugar free 50ml 1.04 C Pergolide 50microgram tablets A * Water for injections 100ml vials A Rosemont Pharmaceuticals Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter GlucoNavii Part III Appliances Bandages Multi-layer Compression Bandaging Aspen Medical Europe AndoFlex NL cohesive self-adherent bandage (latex free) 10cm x 4.5m (stretched) cm x 5.9m (stretched) 2.51 Sub-compression Wadding Bandage Formflex Natural 5cm x 2.7m m unstretched 7.5cm x 2.7m cm x 2.7m cm x 2.7m cm x 2.7m 0.69 Formflex Synthetic 5cm x 2.7m m unstretched 7.5cm x 2.7m cm x 2.7m cm x 2.7m cm x 2.7m 0.63 Page 5 of 9

6 DELETIONS - Continued Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Hunter Urology Aloe Hydro (Male Tiemann Tip) (AHM12TT-AHM16TT) Hunter Urology Aloe Original Plus (PSAOM18) Dressings Vapour-permeable Adhesive Film Dressing Tegaderm IV Advanced (including products formerly listed as Tegaderm IV with securing tapes (Intravenous/ Sub-cutaneous Therapy)) 8.5cm x 10.5cm central line 1.16 Eye Products Eye Drops - Polyvinyl Alcohol PVA 1.4% Tubilux 15ml 1.63 Irrigation Solutions Sodium Chloride 0.9% Irrigation Solution - Sterile Sterac Pour Bottle 1 x 150ml 0.99 Water for Irrigation - Sterile Sterac Pour Bottle 1 x 150ml 0.99 Nasal Products Nasal Drops - Sodium Chloride 0.9% Sandoz Dropper Bottle 10ml 0.99 Tubilux Pharma (Tubilux Brand) Dropper Bottle 10ml 0.99 Page 6 of 9

7 AMENDMENTS Zero Discount Rotigotine 2mg/24hours transdermal patches Rotigotine 4mg/24hours transdermal patches Rotigotine 6mg/24hours transdermal patches Rotigotine 8mg/24hours transdermal patches Rotigotine transdermal patches (ALL) Part I - Drugs And Preparations Item requiring reconstitution Special Container Aceclofenac 100mg tablets C Preservex Aceclofenac 100mg tablets C Aciclovir 200mg dispersible tablets M Aciclovir 200mg dispersible tablets A Almotriptan 12.5mg tablets C Almogran Almotriptan 12.5mg tablets A Ampicillin 125mg/5ml oral suspension 100ml C Ampicillin 125mg/5ml oral suspension 100ml A Ampicillin 250mg capsules C Ampicillin 250mg capsules A Ampicillin 500mg capsules C Ampicillin 500mg capsules A Co-careldopa 12.5mg/50mg tablets C Co-careldopa 12.5mg/50mg tablets A Colecalciferol 1,000unit / Calcium carbonate 2.5g chewable tablets Colecalciferol 1,000unit / Calcium carbonate 2.5g chewable tablets C Calci-D 28 (2x 14) 2.25 C Calci-D Essential Generics Essential Generics Essential Generics Sinemet 12.5mg/ 50mg Page 7 of 9

8 AMENDMENTS - continued Colecalciferol 15,000units/5ml oral solution 100ml C Thame Laboratories Colecalciferol 15,000units/5ml oral solution 100ml A Diazepam 2mg/5ml oral solution sugar free 100ml C Actavis UK Diazepam 2mg/5ml oral solution sugar free 100ml A Dutasteride 500microgram capsules A Dutasteride 500microgram capsules M Enoxaparin sodium 120mg/0.8ml solution for injection prefilled C Clexane Forte Enoxaparin sodium 120mg/0.8ml solution for injection prefilled C Enoxaparin sodium 150mg/1ml solution for injection prefilled C Clexane Forte Enoxaparin sodium 150mg/1ml solution for injection prefilled C Etoricoxib 120mg tablets C Arcoxia Etoricoxib 120mg tablets A Felodipine 2.5mg modified-release tablets C Plendil Felodipine 2.5mg modified-release tablets C Gliclazide 40mg tablets A Gliclazide 40mg tablets M Lisinopril 20mg / Hydrochlorothiazide 12.5mg tablets M Lisinopril 20mg / Hydrochlorothiazide 12.5mg tablets A Methadone 1mg/ml oral solution sugar free 100ml 2.08 C Methadone 1mg/ml oral solution sugar free 100ml 0.74 M Methadone 1mg/ml oral solution sugar free 500ml 6.30 C Methadone 1mg/ml oral solution sugar free 500ml 3.70 M Rosemont Pharmaceuticals Rosemont Pharmaceuticals Page 8 of 9

9 AMENDMENTS - continued Naltrexone 50mg tablets C Nalorex Naltrexone 50mg tablets C Proguanil 100mg / Atovaquone 250mg tablets C Malarone Proguanil 100mg / Atovaquone 250mg tablets A Propafenone 300mg tablets C Arythmol Propafenone 300mg tablets C Quinapril 20mg tablets M Quinapril 20mg tablets C Accupro Sodium valproate 300mg modified-release tablets C Epilim Chrono Sodium valproate 300mg modified-release tablets C Sodium valproate 500mg modified-release tablets C Epilim Chrono Sodium valproate 500mg modified-release tablets C Sotalol 40mg tablets M Sotalol 40mg tablets A Terazosin 5mg tablets M Terazosin 5mg tablets A Tibolone 2.5mg tablets C Livial Tibolone 2.5mg tablets A Trimethoprim 50mg/5ml oral suspension sugar free 100ml 2.30 M Trimethoprim 50mg/5ml oral suspension sugar free 100ml 4.50 A 27 th June 2018 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 9 of 9

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