Advance Notification of Amendments to the July 2018 Drug Tariff ADDITIONS Zero Discount Glycopyrronium bromide 400micrograms/ml oral solution sugar free Sialanar 320micrograms/ml oral solution Part I - Drugs And Preparations Item requiring reconstitution Special Container * This pack only (others already available) Drug Qty Price Alitretinoin 30mg capsules 30 411.43 C Toctino Alverine 60mg / Simeticone 300mg capsules 90 11.00 C SimAlvia Cefaclor 125mg/5ml oral suspension 100ml 4.13 C Distaclor Cefaclor 250mg/5ml oral suspension 100ml 8.26 C Distaclor Chlorhexidine gluconate 0.05% solution 100ml sachets 10 6.83 C Sterets Unisept Chlorhexidine gluconate 0.05% solution 25ml sachets 25 5.54 C Sterets Unisept Chlorhexidine gluconate 0.06% / Sodium fluoride 0.05% mouthwash sugar free 500ml 3.03 C Corsodyl Daily Cisplatin 100mg/100ml solution for infusion vials 1 50.88 A Darbepoetin alfa 100micrograms/ 0.5ml solution for injection pre-filled 4 587.24 C Aranesp Darbepoetin alfa 10micrograms/ 0.4ml solution for injection pre-filled 4 58.72 C Aranesp Darbepoetin alfa 130micrograms/ 0.65ml solution for injection pre-filled 4 763.42 C Aranesp Darbepoetin alfa 150micrograms/ 0.3ml solution for injection pre-filled 4 880.86 C Aranesp Darbepoetin alfa 20micrograms/ 0.5ml solution for injection pre-filled 4 117.45 C Aranesp Darbepoetin alfa 300micrograms/ 0.6ml solution for injection pre-filled 1 440.43 C Aranesp Darbepoetin alfa 30micrograms/ 0.3ml solution for injection pre-filled 4 176.17 C Aranesp Darbepoetin alfa 40micrograms/ 0.4ml solution for injection pre-filled 4 234.90 C Aranesp Darbepoetin alfa 500micrograms/ 1ml solution for injection prefilled 1 734.05 C Aranesp Darbepoetin alfa 50micrograms/ 0.5ml solution for injection pre-filled 4 293.62 C Aranesp Page 1 of 9
ADDITIONS Continued Darbepoetin alfa 60micrograms/ 0.3ml solution for injection prefilled Darbepoetin alfa 80micrograms/ 0.4ml solution for injection prefilled 4 352.35 C Aranesp 4 469.79 C Aranesp Diazepam 2.5mg/1.25ml rectal solution tube 5 5.65 C Diazepam RecTubes Fentanyl 1.6mg lozenges 3 21.05 C Actiq Fentanyl 1.6mg lozenges 30 210.41 C Actiq Fentanyl 100micrograms/2ml solution for injection ampoules 10 13.95 A Glyceryl trinitrate 10mg/24hours transdermal patches 28 14.06 C Deponit 10 Glyceryl trinitrate 15mg/24hours transdermal patches 30 14.19 C Minitran 15 Glyceryl trinitrate 5mg/24hours transdermal patches 28 12.77 C Deponit 5 Memantine 10mg soluble tablets sugar free 28 29.09 C Alzhok Memantine 20mg soluble tablets sugar free 28 58.18 C Alzhok Memantine 5mg/10mg/15mg/ 20mg tablets treatment initiation 28 43.13 C Ebixa pack Mycophenolic acid 180mg gastroresistant tablets 120 96.72 C Mycophenolic acid 360mg gastroresistant tablets 120 193.43 C Nicotine 14mg/24hours transdermal patches 7 9.40 C Nicotinell TTS 20 Nicotine 7mg/24hours transdermal patches 7 9.12 C Nicotinell TTS 10 Phenylbutazone 100mg tablets 84 135.00 A Phenytoin 50mg chewable tablets 200 13.18 C Epanutin Infatabs Piracetam 333.3mg/ml oral solution sugar free 300ml 16.31 C Nootropil 33% Quinagolide 50microgram tablets and Quinagolide 25microgram 6 33.75 A tablets Rotigotine 1mg/24hours transdermal patches 28 77.24 C Neupro Rotigotine 3mg/24hours transdermal patches 28 102.35 C Neupro Silver nitrate 40% caustic pencils 1 1.13 C Avoca Sodium lauryl ether sulfosuccinate 6% / Sodium lauryl ether Dentinox Cradle 125ml 1.75 C sulfate 2.7% shampoo Cap Somatropin (rbe) 12mg powder and solvent for solution for Genotropin 1 208.65 C injection pre-filled disposable devices GoQuick Soya oil 82.95% / Lauromacrogols 15% bath oi 500ml 6.66 C Balneum Plus Tafluprost 15micrograms/ml / Timolol 5mg/ml eye drops 0.3ml unit 30 dose preservative free (3x 10) 14.50 C Taptiqom Tetracaine 4% gel 1.5g 1.08 C Ametop Tramadol 400mg modified-release tablets 28 28.51 C Zamadol 24hr Tramadol 50mg orodispersible tablets sugar free 60 7.12 C Zamadol Melt * Water for injections 100ml vials 25 75.00 A Page 2 of 9
ADDITIONS Continued Part III Appliances Devices For Fungal Nail Infections Emtrix 10.00 Wound Dressing Pack Snap Bridge dressing kit 32.04 Emollient And Barrier Preparations Preparations for the treatment of Radiation Induced Dermatitis Flamigel RT 100g 13.49 250g 19.50 Hypodermic Equipment Needles for Pre-filled and Reusable Pen Injectors pack of 100 4SURE 4mm/31 gauge 3.95 4mm/32 gauge 3.95 5mm/31 gauge 3.95 5mm/32 gauge 3.95 6mm/31 gauge 3.95 6mm/32 gauge 3.95 8mm/31 gauge 3.95 Inhalation Solutions Sodium Chloride 6% Solution - Sterile Resp-Ease 6% 60 x 4ml 21.60 Page 3 of 9
ADDITIONS Continued Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids Provox HME System ("Stomafilter") Provox LaryTube Standard (including 5 HME Cassette XtraFlow) 27mm length Diam 9.5mm inner, 12mm outer 7601 74.33 Diam 10.5mm inner, 13.5mm outer 7605 74.33 Diam 12mm inner, 15mm outer 7609 74.33 Diam 13.5mm inner, 17mm outer 7613 74.33 36mm length Diam 9.5mm inner, 12mm outer 7602 74.33 Diam 10.5mm inner, 13.5mm outer 7606 74.33 Diam 12mm inner, 15mm outer 7610 74.33 Diam 13.5mm inner, 17mm outer 7614 74.33 55mm length Diam 9.5mm inner, 12mm outer 7603 74.33 Diam 10.5mm inner, 13.5mm outer 7607 74.33 Diam 12mm inner, 15mm outer 7611 74.33 Diam 13.5mm inner, 17mm outer 7615 74.33 Provox LaryTube with Ring (including 5 HME Cassette XtraFlow) 36mm length Diam 9.5mm inner, 12mm outer 7624 74.33 Diam 10.5mm inner, 13.5mm outer 7626 74.33 Diam 12mm inner, 15mm outer 7628 74.33 Diam 13.5mm inner, 17mm outer 7630 74.33 55mm length Diam 9.5mm inner, 12mm outer 7625 74.33 Diam 10.5mm inner, 13.5mm outer 7627 74.33 Diam 12mm inner, 15mm outer 7629 74.33 Diam 13.5mm inner, 17mm outer 7631 74.33 Page 4 of 9
DELETIONS Zero Discount Exjade dispersible tablets (ALL) Nutramigen 1 LIPIL powder Nutramigen 2 LIPIL powder Trobalt 200mg tablets Trobalt 300mg tablets Trobalt 400mg tablets Part I - Drugs And Preparations Special Container * This pack only (others already available) Drug Qty Price Methadone 1mg/ml oral solution sugar free 50ml 1.04 C Pergolide 50microgram tablets 100 32.00 A * Water for injections 100ml vials 1 3.00 A Rosemont Pharmaceuticals Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter GlucoNavii 50 8.95 Part III Appliances Bandages Multi-layer Compression Bandaging Aspen Medical Europe AndoFlex NL cohesive self-adherent bandage (latex free) 10cm x 4.5m (stretched) 1.93 10cm x 5.9m (stretched) 2.51 Sub-compression Wadding Bandage Formflex Natural 5cm x 2.7m 0.33 2.7m unstretched 7.5cm x 2.7m 0.39 10cm x 2.7m 0.48 15cm x 2.7m 0.62 20cm x 2.7m 0.69 Formflex Synthetic 5cm x 2.7m 0.27 2.7m unstretched 7.5cm x 2.7m 0.33 10cm x 2.7m 0.42 15cm x 2.7m 0.56 20cm x 2.7m 0.63 Page 5 of 9
DELETIONS - Continued Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use Hunter Urology Aloe Hydro (Male Tiemann Tip) (AHM12TT-AHM16TT) 12-16 50.40 Hunter Urology Aloe Original Plus (PSAOM18) 18 51.30 Dressings Vapour-permeable Adhesive Film Dressing Tegaderm IV Advanced (including products formerly listed as Tegaderm IV with securing tapes (Intravenous/ Sub-cutaneous Therapy)) 8.5cm x 10.5cm central line 1.16 Eye Products Eye Drops - Polyvinyl Alcohol PVA 1.4% Tubilux 15ml 1.63 Irrigation Solutions Sodium Chloride 0.9% Irrigation Solution - Sterile Sterac Pour Bottle 1 x 150ml 0.99 Water for Irrigation - Sterile Sterac Pour Bottle 1 x 150ml 0.99 Nasal Products Nasal Drops - Sodium Chloride 0.9% Sandoz Dropper Bottle 10ml 0.99 Tubilux Pharma (Tubilux Brand) Dropper Bottle 10ml 0.99 Page 6 of 9
AMENDMENTS Zero Discount Rotigotine 2mg/24hours transdermal patches Rotigotine 4mg/24hours transdermal patches Rotigotine 6mg/24hours transdermal patches Rotigotine 8mg/24hours transdermal patches Rotigotine transdermal patches (ALL) Part I - Drugs And Preparations Item requiring reconstitution Special Container Aceclofenac 100mg tablets 60 9.63 C Preservex Aceclofenac 100mg tablets 60 9.63 C Aciclovir 200mg dispersible tablets 25 0.86 M Aciclovir 200mg dispersible tablets 25 0.86 A Almotriptan 12.5mg tablets 6 18.14 C Almogran Almotriptan 12.5mg tablets 6 17.30 A Ampicillin 125mg/5ml oral suspension 100ml 29.86 C Ampicillin 125mg/5ml oral suspension 100ml 29.86 A Ampicillin 250mg capsules 28 20.50 C Ampicillin 250mg capsules 28 20.50 A Ampicillin 500mg capsules 28 40.30 C Ampicillin 500mg capsules 28 40.30 A Co-careldopa 12.5mg/50mg tablets 90 6.28 C Co-careldopa 12.5mg/50mg tablets 90 6.28 A Colecalciferol 1,000unit / Calcium carbonate 2.5g chewable tablets Colecalciferol 1,000unit / Calcium carbonate 2.5g chewable tablets 28 2.25 C Calci-D 28 (2x 14) 2.25 C Calci-D Essential Generics Essential Generics Essential Generics Sinemet 12.5mg/ 50mg Page 7 of 9
AMENDMENTS - continued Colecalciferol 15,000units/5ml oral solution 100ml 144.00 C Thame Laboratories Colecalciferol 15,000units/5ml oral solution 100ml 144.00 A Diazepam 2mg/5ml oral solution sugar free 100ml 31.75 C Actavis UK Diazepam 2mg/5ml oral solution sugar free 100ml 31.75 A Dutasteride 500microgram capsules 30 11.32 A Dutasteride 500microgram capsules 30 4.14 M Enoxaparin sodium 120mg/0.8ml solution for injection prefilled 10 87.93 C Clexane Forte Enoxaparin sodium 120mg/0.8ml solution for injection prefilled 10 87.93 C Enoxaparin sodium 150mg/1ml solution for injection prefilled 10 99.91 C Clexane Forte Enoxaparin sodium 150mg/1ml solution for injection prefilled 10 99.91 C Etoricoxib 120mg tablets 28 24.11 C Arcoxia Etoricoxib 120mg tablets 28 19.97 A Felodipine 2.5mg modified-release tablets 28 6.31 C Plendil Felodipine 2.5mg modified-release tablets 28 6.31 C Gliclazide 40mg tablets 28 2.94 A Gliclazide 40mg tablets 28 1.71 M Lisinopril 20mg / Hydrochlorothiazide 12.5mg tablets 28 1.83 M Lisinopril 20mg / Hydrochlorothiazide 12.5mg tablets 28 1.91 A Methadone 1mg/ml oral solution sugar free 100ml 2.08 C Methadone 1mg/ml oral solution sugar free 100ml 0.74 M Methadone 1mg/ml oral solution sugar free 500ml 6.30 C Methadone 1mg/ml oral solution sugar free 500ml 3.70 M Rosemont Pharmaceuticals Rosemont Pharmaceuticals Page 8 of 9
AMENDMENTS - continued Naltrexone 50mg tablets 28 22.34 C Nalorex Naltrexone 50mg tablets 28 22.34 C Proguanil 100mg / Atovaquone 250mg tablets 12 25.21 C Malarone Proguanil 100mg / Atovaquone 250mg tablets 12 25.21 A Propafenone 300mg tablets 60 9.34 C Arythmol Propafenone 300mg tablets 60 9.34 C Quinapril 20mg tablets 28 3.52 M Quinapril 20mg tablets 28 10.79 C Accupro Sodium valproate 300mg modified-release tablets 100 17.47 C Epilim Chrono Sodium valproate 300mg modified-release tablets 100 17.47 C Sodium valproate 500mg modified-release tablets 100 29.10 C Epilim Chrono Sodium valproate 500mg modified-release tablets 100 29.10 C Sotalol 40mg tablets 28 1.53 M Sotalol 40mg tablets 28 1.53 A Terazosin 5mg tablets 28 1.18 M Terazosin 5mg tablets 28 1.60 A Tibolone 2.5mg tablets 28 10.36 C Livial Tibolone 2.5mg tablets 28 10.36 A Trimethoprim 50mg/5ml oral suspension sugar free 100ml 2.30 M Trimethoprim 50mg/5ml oral suspension sugar free 100ml 4.50 A 27 th June 2018 Pharmaceutical web site: www.hscbusiness.hscni.net From the homepage go to Services, FPS Pharmaceutical Services. Page 9 of 9