Advance Notification of Amendments to the April 2015 Drug Tariff ADDITIONS Part I - Drugs And Preparations Drug Qty Price Chlorambucil 2mg tablets 25 40.51 A Melphalan 2mg tablets 25 42.88 A Part III Appliances Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Hollister Ltd Hollister VaPro Pocket Hydrophilic Intermittent Catheter pack of 30 (Female 20cm) (70102-70142) 10-14 51.58 (D) Intermittent Catheter with introducer tip and urine bag Pioneer Medical Europe Ltd pack of 25 mtg EZ-Advancer (Male Soft) (30212-30214) 12-14 68.44 (Male Firm) (30112-30116) 12-16 68.44 mtg EZ-Advancer Mini-Pak (Male) (40112-40116) 12-16 68.44 mtg Cath-Lean (Female) (40412-40414) 12-14 68.44 mtg Kiddie-Kath Paediatric (Paediatric) (30108) 8 68.44 mtg EZ-Advancer Adolescent (Paediatric) (30110) 10 68.44 Emollient And Barrier Preparations Pure Health Liquid Paraffin 50% in White Soft Paraffin Ointment 500g 3.66 Eye Products Eye Drops - Sodium Hyaluronate Clinitas Multi 0.4% (10ml preservative free bottle) 6.99 Hyabak UD (30 x 0.4ml preservative free single dose unit) 4.99 Page 1 of 9
ADDITIONS Continued Hypodermic Equipment Reusable Pens JuniorSTAR (Blue) 3.0ml 0.5 unit (1-30 units) 26.00 (Red) 3.0ml 0.5 unit (1-30 units) 26.00 (Silver) 3.0ml 0.5 unit (1-30 units) 26.00 (Sanofi) NovoPen 5 (Blue) 3.0ml 1 unit (1-60 units) 26.86 (Silver) 3.0ml 1 unit (1-60 units) 26.86 (Novo Nordisk) Needles for Pre-filled and Reusable Pen Injectors Comfort Point 5mm/31 gauge 9.95 GlucoRx FinePoint Ultra 4mm/32 gauge 5.95 Oscillating Positive Expiratory Pressure Device PARI O-PEP 27.00 Surgical Sutures Skin Closure Strips, Sterile 50 envelopes 365 Strips Code No. 36519065 6mm x 75mm 3 strips per env. 5.18 DELETIONS Part I - Drugs And Preparations Special Container Drug Qty Price Ammonia and Ipecacuanha mixture 200ml 1.29 C Thornton & Ross Ltd Beclometasone 250micrograms/ dose dry powder Asmabec 250 100dose 12.31 C inhaler Clickhaler Carbamazepine 200mg chewable tablets sugar free 56 5.88 C Tegretol Chewtab Part III Appliances Eye Products Eye Drops - Sodium Hyaluronate Lumecare Sodium Hyaluronate 0.15% (10ml bottle) 3.97 Page 2 of 9
AMENDMENTS Zero Discount KetoCal powder KetoCal 4:1 powder Nutramigen AA LIPIL powder Nutramigen PurAmino powder Part I - Drugs And Preparations Special Container Amantadine 50mg/5ml oral solution sugar free 150ml 89.30 C Amantadine 50mg/5ml oral solution sugar free 150ml 89.30 A Aripiprazole 10mg tablets 28 96.04 C Abilify Aripiprazole 10mg tablets 28 92.04 A Aripiprazole 15mg tablets 28 96.04 C Abilify Aripiprazole 15mg tablets 28 92.04 A Aripiprazole 30mg tablets 28 192.08 C Abilify Aripiprazole 30mg tablets 28 184.08 A Aripiprazole 5mg tablets 28 96.04 C Abilify Aripiprazole 5mg tablets 28 92.04 A Benzylpenicillin 1.2g powder for solution for Benzylpenicillin 1.2g powder for solution for Budesonide 1mg/2ml nebuliser liquid unit dose vials Budesonide 1mg/2ml nebuliser liquid unit dose vials Auden McKenzie (Pharma Division) Ltd 25 78.64 C Thornton & Ross Ltd 25 78.64 A 20 (4x 5) 20 (4x 5) 40.00 C 40.00 C Pulmicort Respules Page 3 of 9
AMENDMENTS Continued Budesonide 500micrograms/2ml nebuliser liquid 20 unit dose vials (4x 5) 26.42 C Budesonide 500micrograms/2ml nebuliser liquid 20 unit dose vials (4x 5) 26.42 C Pulmicort Respules Celecoxib 100mg capsules 60 21.55 C Celebrex Celecoxib 100mg capsules 60 4.20 M Celecoxib 200mg capsules 30 21.55 C Celebrex Celecoxib 200mg capsules 30 3.86 M Colecalciferol 25,000units/ml oral solution sugar free 1ml unit dose ampoules 3 4.45 C InVita D3 Colecalciferol 25,000units/1ml oral solution unit dose ampoules sugar free 3 4.45 C InVita D3 Cyclizine 50mg/1ml solution for injection ampoules 5 8.65 A Cyclizine 50mg/1ml solution for injection ampoules 5 8.65 C AMCo Esomeprazole 20mg gastro-resistant capsules 28 3.40 C Emozul Esomeprazole 20mg gastro-resistant capsules 28 3.40 C Estriol 0.01% cream with applicator 1 16.04 C Marlborough Pharmaceuticals Ltd Estriol 0.01% cream with applicator 1 16.04 A Gentamicin 0.3% / Hydrocortisone acetate 1% ear 10ml 4.76 drops C Gentisone HC Gentamicin 0.3% / Hydrocortisone acetate 1% ear 10ml 6.66 drops C AMCo Itraconazole 50mg/5ml oral solution sugar free 150ml 58.34 C Sporanox Itraconazole 50mg/5ml oral solution sugar free 150ml 58.34 A Page 4 of 9
AMENDMENTS Continued Lidocaine 200mg/20ml (1%) / Adrenaline 100micrograms/ 20ml (1 in 200,000) solution for 5 9.66 C Lidocaine 200mg/20ml (1%) / Adrenaline (base) 100micrograms/20ml (1 in 200,000) solution for 5 9.66 C Lidocaine 400mg/20ml (2%) / Adrenaline 100micrograms/ 20ml (1 in 200,000) solution for 5 8.85 C Lidocaine 400mg/20ml (2%) / Adrenaline (base) 100micrograms/20ml (1 in 200,000) solution for 5 8.85 C Oxprenolol 40mg tablets 56 7.22 A Oxprenolol 40mg tablets 56 7.22 C AMCo Peppermint oil liquid 100ml 17.56 A Xylocaine 1% with Adrenaline Xylocaine 1% with Adrenaline Xylocaine 2% with Adrenaline Xylocaine 2% with Adrenaline Peppermint oil liquid 100ml 12.96 C J M Loveridge Ltd Prednisolone 5mg soluble tablets 30 42.78 A Prednisolone 5mg soluble tablets 30 53.48 C AMCo Triamterene 50mg capsules 30 27.92 A Triamterene 50mg capsules 30 27.92 C AMCo Trifluoperazine 1mg tablets 112 54.00 A Trifluoperazine 1mg tablets 112 54.00 C AMCo Trifluoperazine 1mg/5ml oral solution sugar free 200ml 32.86 A Trifluoperazine 1mg/5ml oral solution sugar free 200ml 32.86 C AMCo Trifluoperazine 5mg tablets 112 77.00 A Trifluoperazine 5mg tablets 112 77.00 C AMCo Page 5 of 9
AMENDMENTS - Continued Part III Appliances Catheters, Urinary, Urethral (B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - Adult L.IN.C Medical Systems Ltd All Silicone Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation (Standard) (08501205W) 5 12 5.50 (08501405W) 5 14 5.50 (08501610W) 10 16 5.50 (08501810W) 10 18 5.50 (Female) (085012051W) 5 12 5.50 (085014051W) 5 14 5.50 (085016101W) 10 16 5.50 All Silicone Catheter with UniBal type balloon with sterile water filled syringe for alloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (formerly All Silicone Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation) (Standard) (08501205W) 5 12 5.50 (08501405W) 5 14 5.50 (08501610W) 10 16 5.50 (08501810W) 10 18 5.50 (Female) (085012051W) 5 12 5.50 (085014051W) 5 14 5.50 (085016101W) 10 16 5.50 All Silicone Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation and empty syringe for balloon deflation (Standard) (08501205G) 5 12 5.50 (08501405G) 5 14 5.50 (08501610G) 10 16 5.50 (08501810G) 10 18 5.50 (Female) (085012051G) 5 12 5.50 (085014051G) 5 14 5.50 (085016101G) 10 16 5.50 All Silicone 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 (formerly All Silicone Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation and empty syringe for balloon deflation) (Standard) (08501205G) 5 12 5.50 (08501405G) 5 14 5.50 (08501610G) 10 16 5.50 (08501810G) 10 18 5.50 (Female) (085012051G) 5 12 5.50 (085014051G) 5 14 5.50 (085016101G) 10 16 5.50 Page 6 of 9
AMENDMENTS continued 2 Way Foley All Silicone Catheter (Tiemann Tip) (1011-12-1011-18) 5 12-18 8.50 2 Way Foley All Silicone Catheter with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (formerly 2 Way Foley All Silicone Catheter) (Tiemann Tip) (1011-12-1011-18) 5 12-18 8.50 (B)(ii)(b) Foley Catheter - 2 Way For Long Term Use - Paediatric All Silicone Catheter with integral balloon with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation (08500601W) 1.5 6 7.95 (08500803W) 3 8 7.95 (08501003W) 3 10 7.95 All Silicone 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 (formerly All Silicone Catheter with integral balloon with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation) (08500601W) 1.5 6 7.95 (08500803W) 3 8 7.95 (08501003W) 3 10 7.95 All Silicone Catheter with integral balloon with glycerine filled syringe for balloon inflation and empty syringe for balloon deflation (08500601G) 1.5 6 7.95 (08500803G) 3 8 7.95 (08501003G) 3 10 7.95 All Silicone Catheter with integral balloon with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (formerly All Silicone Catheter with integral balloon with glycerine filled syringe for balloon inflation and empty syringe for balloon deflation) (08500601G) 1.5 6 7.95 (08500803G) 3 8 7.95 (08501003G) 3 10 7.95 Page 7 of 9
AMENDMENTS continued (J) Urinary Suprapubic Catheters All Silicone Open Tipped Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation (Paediatric) (08470803W-08471003W) 3 8-10 10.95 (Standard) (08451205W-08451405W) 5 12-14 10.95 (08451610W-08452410W) 10 16-24 10.95 (Female) (08471205W-08471405W) 5 12-14 10.95 (08471610W-08472410W) 10 16-24 10.95 All Silicone Open Tipped Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (formerly All Silicone Open Tipped Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation) (Paediatric) (08470803W-08471003W) 3 8-10 10.95 (Standard) (08451205W-08451405W) 5 12-14 10.95 (08451610W-08452410W) 10 16-24 10.95 (Female) (08471205W-08471405W) 5 12-14 10.95 (08471610W-08472410W) 10 16-24 10.95 All Silicone Open Tipped Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation (Paediatric) (08470803G-08471003G) 3 8-10 10.95 (Standard) (08451205G-08451405G) 5 12-14 10.95 (08451610G-08452410G) 10 16-24 10.95 (Female) (08471205G-08471405G) 5 12-14 10.95 (08471610G-08472410G) 10 16-24 10.95 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 (formerly All Silicone Open Tipped Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation) (Paediatric) (08470803G-08471003G) 3 8-10 10.95 (Standard) (08451205G-08451405G) 5 12-14 10.95 (08451610G-08452410G) 10 16-24 10.95 (Female) (08471205G-08471405G) 5 12-14 10.95 (08471610G-08472410G) 10 16-24 10.95 All Silicone Open Tipped Catheter with integral balloon with sterile water filled syringe for balloon inflation (Standard) (084612051W-084614051W) 5 12-14 10.95 (084616101W-084620101W) 10 16-20 10.95 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 (formerly All Silicone Open Tipped Catheter with integral balloon with sterile water filled syringe for balloon inflation) (Standard) (084612051W-084614051W) 5 12-14 10.95 (084616101W-084620101W) 10 16-20 10.95 Page 8 of 9
AMENDMENTS continued All Silicone Open Tipped Catheter with integral balloon with glycerine filled syringe for balloon inflation (Standard) (084612051G-084614051G) 5 12-14 10.95 (084616101G-084620101G) 10 16-20 10.95 All Silicone Open Tipped Catheter with integral balloon with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication (formerly All Silicone Open Tipped Catheter with integral balloon with glycerine filled syringe for balloon inflation) (Standard) (084612051G-084614051G) 5 12-14 10.95 (084616101G-084620101G) 10 16-20 10.95 Emollient And Barrier Preparations Epimax Cream 500g pump 2.49 500g 2.49 23rd March 2015 Pharmaceutical web site: www.hscbusiness.hscni.net From the homepage go to Services, FPS Pharmaceutical Services. Page 9 of 9