Advance Notification of Amendments to the November 2018 Drug Tariff ADDITIONS Zero Discount Otezla 30mg tablets Otezla tablets treatment initiation pack Posaconazole 100mg gastro-resistant tablets Sodium phenylbutyrate 500mg tablets Tocofersolan 50mg/ml oral solution sugar free Part I - Drugs And Preparations Special Container Drug Qty Price Alitretinoin 10mg capsules 30 411.43 C Toctino Beclometasone 5mg gastroresistant modified-release tablets 30 56.56 C Clipper Bupivacaine 25mg/10ml (0.25%) solution for injection ampoules 5 7.92 C Marcain Bupivacaine 25mg/10ml (0.25%) solution for injection ampoules 20 17.50 C Bupivacaine Sure- Amp Bupivacaine 50mg/10ml (0.5%) solution for injection ampoules 5 9.25 C Marcain Bupivacaine 50mg/10ml (0.5%) solution for injection ampoules 10 7.56 C AMCo Bupivacaine 50mg/10ml (0.5%) solution for injection ampoules 20 18.30 C Bupivacaine Sure- Amp C1-esterase inhibitor 1,500unit powder and solvent for solution for 1 injection vials 1650.00 C Berinert C1-esterase inhibitor 500unit powder and solvent for solution for 1 injection vials 550.00 C Berinert Chlorhexidine gluconate 1% solution 150ml 31.45 C Cepton Deferasirox 180mg tablets 30 252.00 C Exjade Deferasirox 360mg tablets 30 504.00 C Exjade Deferasirox 90mg tablets 30 126.00 C Exjade Dicobalt edetate 300mg/20ml solution for injection ampoules 6 117.20 A Ephedrine 30mg/1ml solution for injection ampoules 10 54.80 A Epoetin alfa 1,000units/0.5ml solution for injection pre-filled 6 33.18 C Eprex Epoetin alfa 10,000units/1ml solution for injection pre-filled 6 331.85 C Eprex Epoetin alfa 2,000units/0.5ml solution for injection pre-filled 6 66.37 C Eprex Epoetin alfa 20,000units/0.5ml solution for injection pre-filled 1 110.62 C Eprex Epoetin alfa 3,000units/0.3ml solution for injection pre-filled 6 99.55 C Eprex Epoetin alfa 30,000units/0.75ml solution for injection pre-filled 1 199.11 C Eprex Page 1 of 8
ADDITIONS Continued Epoetin alfa 4,000units/0.4ml solution for injection pre-filled 6 132.74 C Eprex Epoetin alfa 40,000units/1ml solution for injection pre-filled 1 265.48 C Eprex Epoetin alfa 5,000units/0.5ml solution for injection pre-filled 6 165.92 C Eprex Epoetin alfa 6,000units/0.6ml solution for injection pre-filled 6 199.11 C Eprex Epoetin alfa 8,000units/0.8ml solution for injection pre-filled 6 265.48 C Eprex Etanercept 25mg/0.5ml solution for injection pre-filled 4 357.50 C Enbrel Etanercept 50mg/1ml solution for injection pre-filled 4 715.00 C Enbrel Golimumab 100mg/1ml solution for injection pre-filled 1 disposable devices 1525.94 C Simponi Golimumab 50mg/0.5ml solution for injection pre-filled 1 disposable devices 762.97 C Simponi Golimumab 50mg/0.5ml solution for injection pre-filled 1 762.97 C Simponi Hepatitis B (rdna) 20micrograms/ 1ml vaccine suspension for 1 injection vials 12.34 C Engerix B Hepatitis B (rdna) 40micrograms/ 1ml vaccine suspension for 1 injection vials 27.60 C HBvaxPRO Insulin isophane porcine 100units/ ml suspension for injection Hypurin Porcine 5 46.95 C 3ml cartridges Isophane Insulin soluble bovine 100units/ml solution for injection 10ml 1 vials 27.72 C Hypurin Bovine Neutral Insulin soluble bovine 100units/ml solution for injection 3ml cartridges 5 41.58 C Hypurin Bovine Neutral Ivabradine 2.5mg tablets 56 42.68 A Levobunolol 0.5% eye drops 0.4ml unit dose preservative free 30 9.98 C Betagan Unit Dose Mefloquine 250mg tablets 8 14.53 C Lariam Methyl salicylate 30% / Menthol 8% cream 35g Deep Heat Maximum 2.87 C Strength Nevirapine 400mg modifiedrelease tablets 30 71.48 A Paliperidone 175mg/0.875ml prolonged-release suspension for 1 injection prefilled 551.76 C Trevicta Paliperidone 263mg/1.315ml prolonged-release suspension for 1 injection prefilled 734.70 C Trevicta Paliperidone 350mg/1.75ml 1 prolonged-release suspension for injection prefilled 942.21 C Trevicta Paliperidone 525mg/2.625ml prolonged-release suspension for 1 injection prefilled 1177.77 C Trevicta Paroxetine 40mg tablets 28 19.56 A Posaconazole 100mg gastroresistant tablets 24 596.96 C Noxafil Prednisolone 30mg tablets 28 8.15 C Actavis UK Ltd Sodium phenylbutyrate 500mg tablets 250 493.00 C Ammonaps Sodium valproate 50mg modifiedrelease granules sachets sugar free 30 30.00 C Epilim Chronosphere Tocofersolan 50mg/ml oral solution sugar free 20ml 54.55 C Vedrop Tramadol 75mg / Dexketoprofen 25mg tablets 20 5.52 C Skudexa Valproic acid 150mg gastroresistant capsules 100 3.68 C Convulex Valproic acid 300mg gastroresistant capsules 100 7.35 C Convulex Valproic acid 500mg gastroresistant capsules 100 12.25 C Convulex Page 2 of 8
ADDITIONS Continued Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter GlucoRx Evolve Glucose Test Strips 50 9.95 Detection Strips, Blood For Ketones (Beta-Hydroxybuterate) GlucoRx Evolve Ketone Test Strips 10 9.95 Part III Appliances Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Bard HydroSil Go Intermittent Catheter pack of 30 (Male) (73810G-73820G) 10-20 51.50 (Paediatric) (72806G-72810G) 6-10 51.50 CliniSupplies Ltd Prosys SensaCath Hydrophilic Intermittent Catheter pack of 30 (Male) (PSCM10-PSCM18) 10-18 37.50 (Female) (PSCF10-PSCF16) 10-16 37.50 Dry Mouth Products Saliva Replacement and Stimulating Products Saliveze Mouth Spray 50ml 3.50 Elastic Hosiery Accessories Sigvaris Simon (XS, S, M, L) 42.00 Emollient And Barrier Preparations Ovelle Emulsifying Ointment 500g 4.15 Inhalation Solutions Sodium Chloride 3% Solution - Sterile PulmoClear 3% 60 x 4ml 18.94 Sodium Chloride 6% Solution - Sterile PulmoClear 6% 60 x 4ml 18.94 Sodium Chloride 7% Solution - Sterile PulmoClear 7% 60 x 4ml 18.94 Page 3 of 8
ADDITIONS Continued Irrigation Solutions Sodium Chloride 0.9% Irrigation Solution - Sterile Bell, Sons & Co (Druggists) Ltd Pod 25 x 20ml 6.76 Lymphoedema Garments Jobst Elvarex Custom Fit - For lower extremities Knee Functional Zone L-A015 7.00 Jobst Elvarex Custom Fit - For upper extremities Elbow Functional Zone U-A008 6.00 Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Laryvox HME System Laryvox Extra HME Cassette 49860 57.00 Laryvox Extra HME Medium Cassette 49862 57.00 Laryvox Extra HME HighFlow Cassette 49861 57.00 Tracheostomy Dressings - Sterile Trachi-Dress F Small 60mm x 80mm TR DRF 0001 1.48 Page 4 of 8
DELETIONS Zero Discount HCU Maxamaid powder MMA/PA Maxamaid powder Orfadin capsules 10mg Orfadin capsules 5mg Pollinex Grasses + Rye suspension for injection treatment and extension course vials Part I - Drugs And Preparations Drug Qty Price Emulsifying ointment 500g 4.28 M Part III Appliances Lymphoedema Garments Sigvaris Advance Arm Sleeves Advance 1 Low Compression (14-18mmHg) with Seamless Hand Piece and Grip Top Long, Normal XS, S, M, L, XL 28.24 with Seamless Hand Piece and Grip Top Plus Size Long, Normal XS, S, M, L, XL 28.24 with Seamless Hand Piece without Grip Top Long, Normal XS, S, M, L, XL 28.24 Advance 2 Low Compression (20-25mmHg) with Seamless Hand Piece and Grip Top Long, Normal XS, S, M, L, XL 28.24 with Seamless Hand Piece and Grip Top Plus Size Long, Normal XS, S, M, L, XL 28.24 with Seamless Hand Piece without Grip Top Long, Normal XS, S, M, L, XL 28.24 Page 5 of 8
AMENDMENTS Zero Discount Truvada tablets Truvada 200mg/245mg tablets Part I - Drugs And Preparations Special Container Aspirin 300mg suppositories 10 35.89 C Martindale Pharmaceuticals Ltd Aspirin 300mg suppositories 10 35.89 A Coal tar 2.5% / Lecithin 0.3% scalp lotion 250ml 4.74 C Psoriderm Coal tar 2.5% scalp lotion 250ml 4.74 C Psoriderm Diltiazem 120mg modified-release capsules 28 9.14 C Diltiazem 120mg modified-release capsules 28 9.14 C Adizem-XL Diltiazem 180mg modified-release capsules 28 10.37 C Diltiazem 180mg modified-release capsules 28 10.37 C Adizem-XL Diltiazem 240mg modified-release capsules 28 11.52 C Diltiazem 240mg modified-release capsules 28 11.52 C Adizem-XL Diltiazem 300mg modified-release capsules 28 9.01 C Diltiazem 300mg modified-release capsules 28 9.01 C Tildiem LA Fluticasone 125micrograms/dose / Salmeterol 25micrograms/ 120 dose inhaler CFC free Fluticasone 125micrograms/dose / Salmeterol 25micrograms/ dose inhaler CFC free dose 23.45 C 120 dose Fluticasone 250micrograms/dose / Salmeterol 25micrograms/ 120 dose inhaler CFC free dose 39.85 C Fluticasone 250micrograms/dose / Salmeterol 25micrograms/ 120 dose inhaler CFC free dose Imiquimod 5% cream 250mg sachets 12 48.60 C Aldara Imiquimod 5% cream 250mg sachets 12 48.60 C 23.45 C Seretide 125 Evohaler 39.85 C Seretide 250 Evohaler Page 6 of 8
AMENDMENTS - continued Macrogol compound oral powder sachets NPF sugar free 30 3.95 C Macrogol compound oral powder sachets NPF sugar free 30 3.95 A Metformin 1g modified-release tablets 56 8.52 C Metformin 1g modified-release tablets 56 6.40 C Glucophage SR Metformin 500mg modified-release tablets 56 5.32 C Metformin 500mg modified-release tablets 56 4.00 C Glucophage SR Paracetamol 500mg effervescent tablets sugar free 100 6.79 C Accord Healthcare Ltd Paracetamol 500mg effervescent tablets 100 8.13 C Accord Healthcare Ltd Quetiapine 200mg modifiedrelease tablets 60 113.10 C Quetiapine 200mg modifiedrelease tablets 60 113.10 C Seroquel XL Terazosin 10mg tablets 28 7.87 C Hytrin Terazosin 10mg tablets 28 7.92 A Part III Appliances Eye Products Eye Drops - Hypromellose Hypromellose 0.3% (10ml bottle) 1.50 (Blumont Healthcare Ltd) Ocufresh (formerly Hypromellose 0.3% (10ml bottle) 1.50 (Blumont Healthcare Ltd)) Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Laryvox HME System pack of 30 Laryvox Touch HME HighFlow Cassette 49850 62.50 Laryvox Touch HME HighFlow Cassette Blue Metallic 49850-01 63.01 Gold 49850-02 63.01 Silver 49850-03 63.01 Beige 49850-04 63.01 Clear 49850-13 63.01 Page 7 of 8
AMENDMENTS - continued Provox FreeHands HME System Provox LaryClip 7669 91.68 Provox LaryClip (8 clips) 7669 91.68 Tracheostomy Dressings - Sterile Trachi-Dress F 80mm x 100mm TR DRF 0002 1.48 Large 80mm x 100mm TR DRF 0002 1.48 29 th October 2018 Pharmaceutical web site: www.hscbusiness.hscni.net From the homepage go to Services, FPS Pharmaceutical Services. Page 8 of 8