Advance Notification of Amendments to the January 2017 Drug Tariff ADDITIONS Drug Qty Price Chlorpromazine 25mg/5ml oral solution sugar free 150ml 2.35 C A A H Pharmaceuticals Ltd Empagliflozin 12.5mg / Metformin 1g tablets 56 36.59 C Synjardy Empagliflozin 12.5mg / Metformin 850mg tablets 56 36.59 C Synjardy Empagliflozin 5mg / Metformin 1g tablets 56 36.59 C Synjardy Empagliflozin 5mg / Metformin 850mg tablets 56 36.59 C Synjardy Fluoxetine 10mg capsules 30 63.50 A Fluoxetine 30mg capsules 30 1.98 A Fluoxetine 40mg capsules 30 1.98 A Leflunomide 15mg tablets 30 46.00 C medac UK Macrogol compound half-strength oral powder sachets NPF sugar free 30 4.38 C Movicol Paediatric Mesalazine 4g modified-release granules sachets sugar free 30 73.78 C Pentasa Salbutamol 2.5mg/2.5ml / Ipratropium bromide 500micrograms/2.5ml nebuliser liquid ampoules 60 17.50 C Salipraneb Trientine dihydrochloride 300mg capsules 100 3090.00 C Univar Ltd Part III Appliances Catheters, Urinary, Urethral (E) Intermittent Catheter with lubricant, insertion aid and urine bag Pioneer Medical Europe Ltd mtg EZ-Gripper Intermittent closed system catheter pack of 50 (50112-50116) 12-16 150.00 Dry Mouth Products Saliva Replacement and Stimulating Products Glandosane Spray 50ml 5.68 Eye Products Eye Drops Carmellose Optho-Lique 0.5% (10ml bottle) 3.73 Optho-Lique Forte 1% (10ml bottle) 5.47 Page 1 of 5
ADDITIONS Continued Eye Drops Hypromellose Vizulize Hypromellose 0.3% (10ml bottle) 1.25 Eye Drops Sodium Hyaluronate Hylo-Dual (10ml preservative free bottle) 9.95 Vizulize 0.1% (10ml bottle) 1.71 Vizulize Intensive 0.3% (10ml bottle) 2.17 Hypodermic Equipment Lancets - Sterile, Single-Use Unistik Touch 1.5mm/30 gauge 100 4.80 (Owen Mumford Ltd) 1.5mm/30 gauge 200 9.60 1.8mm/28 gauge 100 4.80 1.8mm/28 gauge 200 9.60 2.0mm/23 gauge 100 4.80 2.0mm/23 gauge 200 9.60 2.0mm/21 gauge 100 4.80 2.0mm/21 gauge 200 9.60 Subcutaneous Drug Delivery Accessories - Sterile Saflo 90 (Applied Medical Technology Ltd) 100cm tubing 6mm/24 gauge SF90-106 6.90 100cm tubing 9mm/24 gauge SF90-109 6.90 Lubricant Gels OptiLube Active CHG Free 1167 6ml syringe 1.08 1168 11ml syringe 1.13 Nasal Products Nasal Spray Sterimar Kids Spray 50ml 2.89 Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Combiphon 27131 15.00 Wound Drainage Pouch Eakin Wound Pouches Bung Closure for wounds up to: pack of 5 Large (vertical incision wounds upto 250 x 80mm) 839270 67.21 Eakin access windows for use with Eakin pouches pack of 5 Small 839281 37.74 Page 2 of 5
DELETIONS Zero Discount Ciproxin infusion 400mg/200ml solution for infusion bottles * This pack only (others still available) * Fludroxycortide 4micrograms/ square cm tape 7.5cm 50 9.27 C Haelan AMENDMENTS Ampicillin 250mg capsules 28 5.42 A Ampicillin 250mg capsules 28 4.52 C Essential Generics Ltd Colecalciferol 20,000unit capsules 30 29.00 C Colecalciferol 20,000unit capsules 30 29.00 C Fultium-D3 Colecalciferol 800unit capsules 30 3.60 C Colecalciferol 800unit capsules 30 3.60 C Fultium-D3 Dexamethasone 2mg tablets 50 49.00 A Dexamethasone 2mg tablets 50 42.85 M Fludroxycortide 4micrograms/ square cm tape 7.5cm 20 8.19 C Haelan Fludroxycortide 4micrograms/ square cm tape 7.5cm 20 12.49 A Lofepramine 70mg/5ml oral suspension sugar free 150ml 25.22 C Lomont Lofepramine 70mg/5ml oral suspension sugar free 150ml 25.22 A Lymecycline 408mg capsules 28 6.36 A Lymecycline 408mg capsules 28 5.14 M Nefopam 30mg tablets 90 65.07 A Nefopam 30mg tablets 90 51.00 M Nicardipine 30mg capsules 56 6.37 A Nicardipine 30mg capsules 56 6.96 C Cardene Page 3 of 5
AMENDMENTS continued Paroxetine 10mg tablets 28 16.07 A Paroxetine 10mg tablets 28 12.98 M Procyclidine 2.5mg/5ml oral solution sugar free 150ml 6.22 C Arpicolin Procyclidine 2.5mg/5ml oral solution sugar free 150ml 6.22 A Procyclidine 5mg/5ml oral solution sugar free 150ml 11.54 C Arpicolin Procyclidine 5mg/5ml oral solution sugar free 150ml 11.54 A Propranolol 10mg/5ml oral solution sugar free 150ml 20.45 C Syprol Propranolol 10mg/5ml oral solution sugar free 150ml 20.45 A Propranolol 40mg/5ml oral solution sugar free 150ml 31.50 C Syprol Propranolol 40mg/5ml oral solution sugar free 150ml 31.50 A Propranolol 50mg/5ml oral solution sugar free 150ml 24.98 C Syprol Propranolol 50mg/5ml oral solution sugar free 150ml 24.98 A Propranolol 5mg/5ml oral solution sugar free 150ml 15.50 C Syprol Propranolol 5mg/5ml oral solution sugar free 150ml 15.50 A Sulpiride 200mg/5ml oral solution sugar free 150ml 27.00 C Sulpor Sulpiride 200mg/5ml oral solution sugar free 150ml 27.00 A Verapamil 40mg/5ml oral solution sugar free 150ml 39.00 C Zolvera Verapamil 40mg/5ml oral solution sugar free 150ml 39.00 A White soft paraffin 15% / Liquid paraffin light 6% cream 1050ml 9.98 C White soft paraffin 15% / Liquid paraffin light 6% cream 1050ml 9.98 C Oilatum Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter GlucoRx Original Strips 50 9.45 GlucoRx Q (formerly GlucoRx Original Strips) 50 9.45 Page 4 of 5
AMENDMENTS continued Part III Appliances Applicators - Vaginal Type 1. (Gynest)(formerly Ortho) 1.60 NB1 Where an Ortho pack ordered by the prescriber does not include an applicator, and the contractor considers that one is required, a Gynest Vaginal Applicator should be supplied and the prescription form endorsed accordingly. Type 1. (Estriol)(formerly Gynest) 1.60 NB1 Where an Estriol Cream pack ordered by the prescriber does not include an applicator, and the contractor considers that one is required, an Estriol Vaginal Applicator should be supplied and the prescription form endorsed accordingly. Tracheostomy And Laryngectomy Appliances Tracheostomy and Laryngectomy Protectors Laryngofoam pack of 30 flesh or white 5.1cm x 6.2cm 4mm thick 13.02 flesh 6.3cm x 6.5cm 13.02 each 0.43 Now reads Laryngofoam pack of 30 White 5.1cm x 6.2cm LA LFF 0001 13.02 Beige (formerly flesh) 5.1cm x 6.2cm LA LFF 0003 13.02 Beige (Large) (formerly flesh) 6.3cm x 6.5cm LA LFF 0023 13.02 each 0.43 to be deleted 1 April 2017 Wound Drainage Pouch Eakin Wound Pouches Eakin access windows for use with Eakin pouches 839280 37.74 Large 839280 38.14 28 th December 2016 Pharmaceutical web site: www.hscbusiness.hscni.net From the homepage go to Services, FPS Pharmaceutical Services. Page 5 of 5