Advance Notification of Amendments to the November 2017 Drug Tariff ADDITIONS Pyridostigmine bromide 180mg modified-release capsules Special Container * This pack only (others already listed) Drug Qty Price Arnica montana gel 50ml 3.75 C Atrogel Arnica Arnica montana gel 100ml 5.52 C Atrogel Arnica Calcium carbonate 500mg chewable tablets 48 2.38 C Rennie Orange Capsicum tincture 500ml 13.36 C J M Loveridge Ltd * Cyproterone 50mg tablets 56 29.00 A Escitalopram 20mg/ml oral drops sugar free 15ml 20.16 C Cipralex Ethinylestradiol 2.7mg / Etonogestrel 11.7mg vaginal delivery system 3 29.70 C NuvaRing Ethinylestradiol 20microgram / Desogestrel 150microgram tablets 63 5.08 C Gedarel Ethinylestradiol 30microgram / Desogestrel 150microgram tablets 63 4.19 C Gedarel Ferrous sulfate 125mg/ml oral drops sugar free 15ml 30.00 C Ironorm Formaldehyde (Buffered) 4% solution 1000ml 3.90 A Galantamine 20mg/5ml oral solution sugar free 100ml 120.00 A * Gemfibrozil 600mg tablets 30 15.00 C Tillomed Laboratories Ltd Magnesium glycerophosphate (magnesium 97.2mg (4mmol)) chewable tablets sugar free 50 22.77 C Neomag Methotrexate 10mg/0.4ml solution for injection pre-filled syringes 1 13.77 C Zlatal Midazolam 50mg/10ml solution for injection ampoules 10 51.50 A Octreotide 100micrograms/1ml solution for injection vials 5 32.65 C Pfizer Ltd Octreotide 500micrograms/1ml solution for injection pre-filled syringes 5 154.22 A Pyridostigmine bromide 180mg modified-release tablets 100 170.00 C Mestinon retard Salicylic acid 16.7% / Lactic acid 15% paint 15ml 2.25 C Duofilm Venlafaxine 37.5mg modifiedrelease capsules 28 5.25 C Venlablue XL Page 1 of 5
ADDITIONS Continued Part III Appliances Catheters, Accessories L.IN.C. Medical Systems Ltd pack of 10 LockBand LB-F01 16.00 Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Clinimed Ltd Curan Man pack of 30 (Male) (CM12-CM16) 12-16 45.90 MacGregor Healthcare Ltd Qufora Onestep Hydrophilic Intermittent Catheter pack of 30 (Male) (351412-351416) 12-16 37.50 (Female) (351210-351214) 10-14 37.50 Detection Sensor, Interstitial Fluid For Glucose FreeStyle Libre Sensor each (contains 1 sensor, 1 sensor applicator and 1 wipe) 1 35.00 Hypodermic Equipment Needles for Pre-filled and Reusable Pen Injectors pack of 90 BD Viva 6mm/31 gauge 3.64 Plantar Pressure Offloading Device Kerraped Plus All Purpose Boot Small, Medium, Large, Extra Large 19.50 Spacer/Holding Chamber Devices AeroChamber Plus Flow-Vu Anti-Static 5.22 AeroChamber Plus Flow-Vu Anti-Static youth (5+ years) 5.22 AeroChamber Plus Flow-Vu Anti-Static with small mask for infants (0-18 months) 8.72 AeroChamber Plus Flow-Vu Anti-Static with medium mask for children (1-5 years) 8.72 AeroChamber Plus Flow-Vu Anti-Static with adult small mask 8.72 AeroChamber Plus Flow-Vu Anti-Static with adult large mask 8.72 Page 2 of 5
ADDITIONS Continued Surgical Adhesive Tapes Soft Silicone Fixation Tape Hypafix gentle touch 2.5cm x 2.5m 5.50 5cm x 5m 11.76 10cm x 5m 16.47 15cm x 5m 20.00 10cm x 2m 10.00 Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Provox HME System ("Stomafilter") pack of 10 Provox Adhesive Strips 8015 23.20 each Provox FreeHands Support Flat 8021 56.70 Medium 8022 56.70 Deep 8023 56.70 pack of 15 Provox FreeHands Support Adhesive 8024 42.15 pack of 15 Provox Luna Adhesive 8014 78.97 pack of 30 Provox Luna HME 8013 76.80 Page 3 of 5
DELETIONS Capexion 1mg capsules Demorem 4mg/5ml oral solution Prezista 150mg tablets Revlimid 20mg capsules * This pack only (others already listed) Drug Qty Price * Cyproterone 50mg tablets 168 87.00 C Cyprostat Part III Appliances Catheters, Urinary, Urethral (A)(i) Nélaton Catheter ('ordinary' cylindrical Catheter) Bard Ltd Bard Reliacath Plastic (Paediatric) (D5032) 8 7.67 Paraffin Gauze Dressing BP Sterile (Syn: Tulle Gras) Normal Loading - 175-220g/m2 Paragauze 10cm x 10cm 0.28 Page 4 of 5
AMENDMENTS APO-go solution for injection ampoules (ALL) Now Reads APO-go 50mg/5ml solution for injection ampoules Triptorelin acetate 11.25mg powder and solvent for suspension for injection vials Now Reads Triptorelin 11.25mg powder and solvent for suspension for injection vials Special Container Calcium gluconate 1g effervescent tablets 28 15.68 A Calcium gluconate 1g effervescent tablets 28 15.68 A Cyanocobalamin 50microgram tablets 50 8.99 C Cytacon Cyanocobalamin 50microgram tablets 50 9.42 A Fluoxetine 30mg capsules 30 2.12 A Fluoxetine 30mg capsules 30 1.80 C Medreich Plc Gemfibrozil 600mg tablets 56 34.98 A Gemfibrozil 600mg tablets 56 35.57 C Lopid Isosorbide mononitrate 40mg modified-release capsules 28 6.52 C Monomax SR 40 Isosorbide mononitrate 40mg modified-release capsules 28 6.52 C Nyzamac SR Isosorbide mononitrate 60mg modified-release capsules 28 8.86 C Monomax SR 60 Isosorbide mononitrate 60mg modified-release capsules 28 8.86 C Nyzamac SR Methylphenidate 54mg modifiedrelease tablets 30 60.48 C Matoride XL Methylphenidate 54mg modifiedrelease tablets 30 36.80 C Tiotropium bromide 18microgram inhalation powder capsules 30 (6x 5) 33.50 C Spiriva Tiotropium bromide 18microgram inhalation powder capsules 30 (3x 10) 33.50 C Spiriva 27 th October 2017 Pharmaceutical web site: www.hscbusiness.hscni.net From the homepage go to Services, FPS Pharmaceutical Services. Page 5 of 5