Advance Notification of Amendments to the April 2017 Drug Tariff

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Advance Notification of Amendments to the April 2017 Drug Tariff ADDITIONS Part I - Drugs And Preparations * This pack only (others already available) Special Container Drug Qty Price * Dipyridamole 200mg modifiedrelease / Aspirin 25mg capsules 100 9.35 C Molita Estradiol 75micrograms/24hours transdermal patches 8 4.12 C Evorel 75 Flupentixol 100mg/1ml solution for injection ampoules 10 62.51 C Depixol Conc Indacaterol 85micrograms/dose / Glycopyrronium bromide 54micrograms/dose inhalation powder capsules with device 10 10.83 C Ultibro Breezhaler Magnesium hydroxide 7.45-8.35% oral suspension BP 200ml 3.22 C Phillips' Milk of Magnesia Magnesium hydroxide 8% oral suspension 200ml 3.22 C J M Loveridge Ltd Mercaptopurine 20mg/ml oral suspension 100ml 170.00 C Xaluprine Morphine sulfate 60mg/2ml solution for injection ampoules 5 10.07 C Wockhardt UK Ltd * Nifedipine 10mg capsules 90 7.30 C Adalat * Nifedipine 5mg capsules 90 5.73 C Adalat Paracetamol 1g suppositories 10 59.50 C Typharm Ltd Phenobarbital 200mg/1ml solution for injection ampoules 10 68.30 A Phenobarbital 30mg/1ml solution for injection ampoules 10 81.07 A Pyrazinamide 500mg tablets 30 34.85 A Sodium citrate 4g oral powder sachets 6 1.55 C Numark cystitis treatment Tiotropium bromide 10microgram inhalation powder capsules with 30 device 25.80 C Braltus Urea 5% / Lauromacrogols 3% cream 50g 2.81 C E45 Itch Relief 100g 4.28 C E45 Itch Relief 500g 14.99 C Ursodeoxycholic acid 250mg tablets 60 18.00 C Cholurso Part II Chemical Reagents Detection Strips, Blood For Determination Of International Normalised Ratio (Inr) CoaguChek XS PT Test PST 07671687019 24 69.40 Page 1 of 6

ADDITIONS Continued Part III Appliances Emollient And Barrier Preparations Hydromol Bath & Shower Emollient 350ml 3.88 500ml 4.42 1L 8.80 Lymphoedema Garments Jobst FarrowWrap Lite (20-30mmHg) price per piece Gauntlet XS, S, M, L 28.00 Spacer/Holding Chamber Devices Antistatic Space Chamber Plus 4.45 Antistatic Space Chamber Plus with small mask 7.45 Antistatic Space Chamber Plus with medium mask 7.45 Antistatic Space Chamber Plus with large mask 7.45 Antistatic Space Chamber Plus Compact 4.45 Antistatic Space Chamber Plus Compact with small mask 7.45 Antistatic Space Chamber Plus Compact with medium mask 7.45 Antistatic Space Chamber Plus Compact with large mask 7.45 Surgical Adhesive Tapes Permeable, Apertured Non-Woven Synthetic Adhesive Tape BP 1988 Chemifix 15cm x 10m 4.02 20cm x 10m 4.68 Permeable Non-Woven Synthetic Adhesive Tape BP 1988 Size 1.25 cm 2.5 cm 5 cm 7.5 cm Quantity 5m 10m 5m 10m 5m 10m 5m 10m Chemipore-PE - - 0.68 1.15 1.20-3.15 - Tracheostomy And Laryngectomy Appliances Tracheostomy Dressings - Sterile Sensotrach Uno Ped 6cm x 7cm 30523 0.50 Tracheostomy Tube Holders Optiflausch 32550 2.50 Child 32555 2.50 Page 2 of 6

DELETIONS Zero Discount Neupro transdermal patches treatment initiation pack Part I - Drugs And Preparations * This pack only (others already available) Special Container Drug Qty Price Conjugated oestrogens 1.25mg tablets and Norgestrel 120 150microgram tablets (3x 40) 7.40 C Prempak-C Conjugated oestrogens 625microgram tablets and Norgestrel 120 150microgram tablets (3x 40) 6.25 C Prempak-C * Dipyridamole 200mg modifiedrelease / Aspirin 25mg capsules 60 9.84 C Asasantin Retard Hexetidine 0.1% mouthwash sugar free 200ml 2.21 C Oraldene Isradipine 2.5mg tablets 56 184.56 A Magnesium hydroxide 415mg/5ml oral suspension sugar free 200ml 3.22 C Phillips' Milk of Magnesia Magnesium hydroxide oral suspension 200ml 3.22 C J M Loveridge Ltd * Nifedipine 10mg capsules 84 11.55 M * Nifedipine 5mg capsules 84 19.30 M Part III Appliances Catheters, Urinary, Urethral (B)(i)(a) Foley Catheter - 2 Way (indwelling Nelaton catheter with Balloon) For Short/medium Term Use - Adult Universal Hospital Supplies Ltd Silicone Elastomer pack of 1 (Male) (UN51161210-UN51162610) 10 12-26 2.74 (B)(ii)(a)Foley Catheter - 2 Way For Long Term Use - Adult Universal Hospital Supplies Ltd All Silicone pack of 1 (Male) (UN41151205-UN41152005) 10 12-20 4.12 Lubricious pack of 1 (Male) (UN51181210-UN51182610) 10 12-26 5.05 Tracheostomy And Laryngectomy Appliances Tracheostomy and Laryngectomy Protectors Laryngofoam each Beige (Large) (formerly flesh) 6.3cm x 6.5cm LA LFF 0023 0.43 Page 3 of 6

AMENDMENTS Zero Discount Saline 0.9% nebuliser liquid 2.5ml Steri-Neb unit dose vials Now Reads Saline 0.9% nebuliser liquid 2.5ml Steri-Neb unit dose ampoules Part I - Drugs And Preparations * This pack only (others already available) Special Container Aciclovir 5% cream 2g 1.10 M Now Reads Aciclovir 5% cream 2g 1.12 A Aciclovir 5% cream 10g 5.50 M Now Reads Aciclovir 5% cream 10g 5.63 A Alverine 60mg capsules 100 19.48 A Now Reads Alverine 60mg capsules 100 7.28 M Bisoprolol 7.5mg tablets 28 4.32 A Now Reads Bisoprolol 7.5mg tablets 28 1.47 M Carbamazepine 100mg/5ml oral suspension sugar free 300ml 6.12 C Tegretol Now Reads Carbamazepine 100mg/5ml oral suspension sugar free 300ml 6.12 C Chlorphenamine 4mg tablets 28 0.76 M Now Reads Chlorphenamine 4mg tablets 28 0.76 A Cimetidine 400mg tablets 60 15.31 M Now Reads Cimetidine 400mg tablets 60 16.28 A Dorzolamide 2% / Timolol 0.5% eye drops 0.2ml unit dose 60 preservative free (4x 15) 28.59 C Cosopt Now Reads Dorzolamide 2% / Timolol 0.5% eye drops 0.2ml unit dose preservative free 60 (4x 15) 28.59 C Page 4 of 6

AMENDMENTS - continued Fenofibrate micronised 160mg tablets 28 6.69 A Now Reads Fenofibrate micronised 160mg tablets 28 4.50 M Glycerol 4g suppositories 12 1.16 M Now Reads Glycerol 4g suppositories 12 1.16 A Mefenamic acid 250mg capsules 100 9.54 M Now Reads Mefenamic acid 250mg capsules 100 9.54 A Prednisolone 5mg soluble tablets 30 53.48 C Now Reads Prednisolone 5mg soluble tablets 30 52.75 M Ropinirole 1mg tablets 84 2.07 M Now Reads Ropinirole 1mg tablets 84 56.71 C ReQuip Sulfasalazine 500mg gastroresistant tablets 112 11.18 M Now Reads Sulfasalazine 500mg gastroresistant tablets 112 8.43 C Salazopyrin ENTabs Venlafaxine 150mg modifiedrelease capsules 28 36.81 C Efexor XL Now Reads Venlafaxine 150mg modifiedrelease capsules 28 3.90 C Vensir XL Venlafaxine 225mg modifiedrelease capsules 28 47.11 C Efexor XL Now Reads Venlafaxine 225mg modifiedrelease capsules 28 47.11 C Venlafaxine 75mg modifiedrelease capsules 28 22.08 C Efexor XL Now Reads Venlafaxine 75mg modifiedrelease capsules 28 2.60 C Vensir XL White soft paraffin 15% / Liquid paraffin light 6% cream 150g 3.06 C Oilatum Now Reads White soft paraffin 15% / Liquid paraffin light 6% cream 150g 3.06 C White soft paraffin 15% / Liquid paraffin light 6% cream 500ml 5.28 C Oilatum Now Reads White soft paraffin 15% / Liquid paraffin light 6% cream 500ml 5.28 C Page 5 of 6

AMENDMENTS - continued Part III Appliances Eye Products Eye Drops - Sodium Hyaluronate Evolve HA 0.2% (10ml bottle) 5.99 Now Reads Evolve HA 0.2% (10ml bottle) 5.99 Please refer to manufacturer for availability Hypodermic Equipment Subcutaneous Drug Delivery Accessories - Sterile Neria Soft 90 (Unomedical Ltd) each 60cm tubing 6mm/22 gauge 722060-5226 6.90 60cm tubing 9mm/22 gauge 722060-5229 6.90 110cm tubing 6mm/22 gauge 722110-5226 6.90 110cm tubing 9mm/22 gauge 722110-5229 6.90 Now Reads Neria Soft 90 (Unomedical Ltd) each 60cm tubing 6mm/27 gauge 722060-5226 6.90 60cm tubing 9mm/27 gauge 722060-5229 6.90 110cm tubing 6mm/27 gauge 722110-5226 6.90 110cm tubing 9mm/27 gauge 722110-5229 6.90 29 th March 2017 Pharmaceutical web site: www.hscbusiness.hscni.net From the homepage go to Services, FPS Pharmaceutical Services. Page 6 of 6