Advance Notification of Amendments to the January 2018 Drug Tariff ADDITIONS Zero Discount Brivaracetam 50mg/5ml oral solution sugar free Part I - Drugs And Preparations Special Container * This pack only (others already listed) Drug Qty Price Betaxolol 0.25% eye drops 0.25ml unit dose preservative free 50 13.77 C Betoptic Bimatoprost 300micrograms/ml eye drops 3ml 10.30 C Aspire Pharma Ltd Brimonidine 3mg/g gel 30g 33.69 C Mirvaso Brivaracetam 50mg/5ml oral solution sugar free 300ml 115.83 C Briviact Chlorhexidine gluconate 5% solution 5000ml 14.50 C HiBiTane Plus Chloroquine phosphate 80mg/5ml oral solution 75ml 51.65 C Malarivon Cholera vaccine oral suspension and vehicle 2 dose 26.35 C Dukoral Cinchocaine 0.5% / Hydrocortisone 0.5% ointment 30g 10.34 C Proctosedyl Cinchocaine 5mg / Hydrocortisone 5mg suppositories 12 5.08 C Proctosedyl Clobetasol 500micrograms/g foam 100g 11.06 C Clarelux * Co-codamol 8mg/500mg capsules 100 13.55 A Dequalinium chloride 10mg vaginal tablets 6 6.95 C Fluomizin Dexamethasone 40mg tablets 10 200.00 C Neofordex Diclofenac 0.1% eye drops 5ml 6.68 C Voltarol Ophtha Multidose Diclofenac 0.1% eye drops 0.3ml unit dose preservative free 5 4.00 C Voltarol Ophtha Diclofenac 0.1% eye drops 0.3ml unit dose preservative free 40 32.00 C Voltarol Ophtha Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 5ml preservative free 14.29 C Eylamdo Dorzolamide 20mg/ml eye drops preservative free 5ml 12.09 C Eydelto Glycerol 40% cream 100ml 4.00 C Hydrocortisone 20mg modifiedrelease tablets 50 400.00 C Plenadren Hydrocortisone 5mg modifiedrelease tablets 50 242.50 C Plenadren Imiquimod 3.75% cream 250mg sachets 28 113.00 C Zyclara Leuprorelin 22.5mg powder and solvent for suspension for injection vials Leuprorelin 3.75mg powder and solvent for suspension for injection vials 1 191.86 C Lutrate 1 63.95 C Lutrate Neutrogena Norwegian Formula Page 1 of 6
ADDITIONS Continued Levetiracetam 1g granules sachets sugar free 60 76.27 C Desitrend Levetiracetam 250mg granules sachets sugar free 60 22.41 C Desitrend Levetiracetam 500mg granules sachets sugar free 60 39.46 C Desitrend Levetiracetam 500mg/5ml solution for infusion ampoules 10 127.31 C Desitrend Loratadine 10mg oral lyophilisates sugar free 10 3.24 C Clarityn Rapide Allergy Magnesium aspartate (magnesium 10mmol) oral powder sachets 10 8.95 C Magnaspartate Memantine 10mg orodispersible tablets sugar free 28 32.78 C Valios Memantine 20mg orodispersible tablets sugar free 28 65.56 C Valios Nicotine 6mg medicated chewing gum sugar free 105 12.97 C Nicorette Fruitfusion Nicotine 6mg medicated chewing gum sugar free 210 20.81 C Nicorette Fruitfusion Olmesartan medoxomil 20mg / Amlodipine 5mg tablets 28 16.95 C Sevikar Olmesartan medoxomil 40mg / Amlodipine 10mg tablets 28 16.95 C Sevikar Olmesartan medoxomil 40mg / Amlodipine 5mg tablets 28 16.95 C Sevikar Simeticone 125mg capsules 20 2.71 C Wind-eze Simeticone 42mg/5ml oral drops 100ml 1.80 C Dentinox Infant colic drops Ulipristal 30mg tablets 1 14.05 C EllaOne White soft paraffin 10% spray 250ml 5.97 C Dermamist Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter GlucoRx GO Professional 50 9.95 Part III Appliances Bandages Short Stretch Compression Bandage Clinistretch 4cm x 6m 2.42 6cm x 6m 2.83 8cm x 6m 3.25 10cm x 6m 3.38 12cm x 6m 4.31 Clinistretch Short 6cm x 5m 2.65 8cm x 5m 3.17 10cm x 5m 3.46 12cm x 5m 4.20 Sub-compression Wadding Bandage Clinistretch Soft 10cm x 2.75m 0.47 2.75m unstretched Page 2 of 6
ADDITIONS Continued Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use ConvaTec Limited GentleCath Glide Hydrophilic Catheter with water sachet pack of 30 (Male) (421565-421568) 10-16 37.50 (Female) (421571-421574) 10-16 37.50 (B)(ii)(a)Foley Catheter - 2 Way For Long Term Use Adult Teleflex Brillant Plus AquaFlate 2 way All Silicone foley catheter with 10% glycerine solution pre-filled syringe for balloon inflation (Cylindrical tip) (850081-000120-000240) 10 12-24 6.00 Emollient And Barrier Preparations AproDerm Ointment 500g 3.95 Exmabase Gel 500g 2.85 Exmaben Cream 500g 4.25 Exmalatum Cream 500g 4.45 ExmaQS 500g 2.95 Preparations containing Urea Dermatonics Once Callus Removing Balm 75ml 3.80 200ml 9.50 Eye Products Preparations for the care of eyelids Evolve eyelid wipes 20 sachets 3.99 Hypodermic Equipment Needles for Pre-filled and Reusable Pen Injectors GlucoRx CarePoint Ultra 4mm/32 gauge 3.95 Lymphoedema Garments Juzo Classic Class 2 (23-32mmHg) price per piece Glove ii,iii,iv,v HFA2302 40.42 Page 3 of 6
ADDITIONS Continued Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Blom-Singer HME System Blom-Singer HME Cartridge ClassicFlow BE1055EZ 1.82 Provox FreeHands HME System pack of 30 Provox FreeHands HME Flow 8221 66.00 Provox FreeHands HME Moist 8220 66.00 Wound Drainage Pouch Indications: Suitable for wounds with a low volume of exudate Independence Extra Sticky Wound Protection/Collection Pouch pack of 10 EA2 90.17 DELETIONS Zero Discount Addiphos solution for infusion 20ml vials S-Bicarb 600mg tablets Part III Appliances Hypodermic Equipment Lancets - Sterile, Single-Use Multiclix 0.3mm/30 gauge 204 10.01 (Roche Diabetes Care Ltd) Softclix XL 0.8mm/21 gauge 50 2.00 (Roche Diabetes Care Ltd (formerly Roche Diagnostics Ltd)) Page 4 of 6
AMENDMENTS Part I - Drugs And Preparations Special Container Item requiring reconstitution Co-amilofruse 2.5mg/20mg tablets 28 0.90 M Co-amilofruse 2.5mg/20mg tablets 28 4.10 A Co-amilofruse 5mg/40mg tablets 28 0.85 M Co-amilofruse 5mg/40mg tablets 28 5.35 A Co-codamol 8mg/500mg capsules 32 2.69 C Paracodol Co-codamol 8mg/500mg capsules 32 4.34 A Ferrous gluconate 300mg tablets 28 1.95 A Ferrous gluconate 300mg tablets 28 0.80 M Haloperidol 1.5mg tablets 28 1.12 M Haloperidol 1.5mg tablets 28 11.20 A Haloperidol 5mg tablets 28 1.53 M Haloperidol 5mg tablets 28 12.34 A Ipratropium bromide 20micrograms/dose inhaler CFC free 200 dose 5.56 C Atrovent Ipratropium bromide 20micrograms/dose inhaler CFC free 200 dose 5.56 C Losartan 12.5mg tablets 28 26.66 A Losartan 12.5mg tablets 28 4.33 M Methylphenidate 10mg tablets 30 5.49 C Methylphenidate 10mg tablets 30 3.97 M Phenoxymethylpenicillin 125mg/ 5ml oral solution 100ml 14.73 A Phenoxymethylpenicillin 125mg/ 5ml oral solution 100ml 1.93 M Phenoxymethylpenicillin 250mg/ 5ml oral solution 100ml 14.66 A Phenoxymethylpenicillin 250mg/ 5ml oral solution 100ml 2.96 M Ursodeoxycholic acid 250mg capsules 60 25.29 A Ursodeoxycholic acid 250mg capsules 60 15.99 M Page 5 of 6
AMENDMENTS - continued Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Bard HydroSil Go Intermittent Catheter pack of 30 (Female) (71810-71818) 10-18 46.90 Now Reads (Female) (71808-71818) 8-18 47.28 (B)(ii)(a)Foley Catheter - 2 Way For Long Term Use Adult Teleflex Rüsch Brillant Plus AquaFlate All-Silicone with glycerine filled syringe for balloon inflation pack of 1 (Tiemann Tip) (850084-000120-000220) 10 12-22 8.46 Now Reads Brillant Plus AquaFlate 2 way All Silicone foley catheter with 10% glycerine solution pre-filled syringe for balloon inflation (formerly Rüsch Brillant Plus AquaFlate All-Silicone with glycerine filled syringe for balloon inflation) pack of 1 (Tiemann Tip) (850084-000120-000220) 10 12-22 8.46 Hernia Support Garments Orione Hernia Brief Size 2 (76-80cm) 36.50 Size 3 (81-85cm) 36.50 Size 4 (86-90cm) 36.50 Size 5 (91-95cm) 36.50 Size 6 (96-100cm) 36.50 Size 7 (101-105cm) 36.50 Size 8 (106-110cm) 36.50 Size 9 (111-115cm) 36.50 Size 10 (116-120cm) 36.50 Now Reads Orione Hernia Brief (Male) Size 2 (76-80cm) 36.50 Size 3 (81-85cm) 36.50 Size 4 (86-90cm) 36.50 Size 5 (91-95cm) 36.50 Size 6 (96-100cm) 36.50 Size 7 (101-105cm) 36.50 Size 8 (106-110cm) 36.50 Size 9 (111-115cm) 36.50 Size 10 (116-120cm) 36.50 27 th December 2017 Pharmaceutical web site: www.hscbusiness.hscni.net From the homepage go to Services, FPS Pharmaceutical Services. Page 6 of 6