SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS. August 2014

Transcription

1 Scottish Drug Tariff: Price Amendment sheets August 2014 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS August 2014 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The complete Scottish Drug Tariff is published on the ISD Scotland website: The following price changes listed become effective from 1 st August Prices in pence per item, unless otherwise stated. The following price changes apply to Part 2 Dressings BANDAGES Polyamide and Cellulose Contour age BP 1988 Acti-wrap 8cm x 4m cm x 4m High Compression ages (Extensible) Viscose, Elastane, and Cotton (High) Compression Extensible age VECCHE age Tensopress 7.5cm x 3m unstretched cm x 3m unstretched Short Stretch Compression age Actico (Cohesive) 4cm x 6m cm x 6m cm x 6m cm x 6m cm x 6m Comprilan 6cm x 5m cm x 5m cm x 5m cm x 5m Sub-compression Wadding age Flexiban 3.5m unstretched 10cm x 3.5m

2 Scottish Drug Tariff: Price Amendment sheets August 2014 DRESSINGS Vapour - Permeable Adhesive Film Dressing with absorbent pad Mepore Ultra 11cm x 15cm LOW FRICTION PRODUCTS Vapour - Permeable Adhesive Film Dressing with absorbent pad Aderma Dermal Pad Sacrum /Ankle Wrap Heel Standard Extra Large Sheet 10x10x0.3cm x10x1.2cm x20x0.3cm Strip 50x2.5x0.3cm x5.0x0.3cm LYMPHOEDEMA GARMENTS Actilymph Class 1 (18-21mm Hg) Per pair Below Knee Closed Toe Petite S, M, L, XL Below Knee Closed Toe Standard S, M, L, XL, 2799 XXL 2823 Below Knee Open Toe Standard S, M, L, XXL Thigh Closed Toe with Regular Top Standard S, M, L, XL Thigh Closed Toe with Wide Top Standard S, M, L, XL Thigh Open Toe with Regular Top Standard S, M, L, XL, XXL Per piece Armsleeve No Top Standard S, M, L, XL Armsleeve with Top Standard S, M, L, XL Armsleeve with Top Long S, M, L, XL Combined Armsleeve No Top Standard S, M, L Combined Armsleeve with Top Standard S, M, L Combined Armsleeve with Top Long S, M, L Per pair Below Knee Closed Toe Petite S, M, L, XL Below Knee Closed Toe Standard S, M, L, XL Below Knee Open Toe Petite S, M, L, XL Below Knee Open Toe Standard S, M, L, XL, XXL

3 Scottish Drug Tariff: Price Amendment sheets August 2014 LYMPHOEDEMA GARMENTS cont. Actilymph cont. Thigh Closed Toe with Regular Top Standard S, M, L, XL Thigh Closed Toe with Wide Top Standard S, M, L, XL Thigh Open Toe with Wide Top Standard S, M, L, XL Thigh Open Toe with Regular Top Standard S, M, L, XL, XXL Per piece Armsleeve No Top Standard S, M, L, XL Armsleeve with Top Standard S, M, L, XL Armsleeve with Top Long S, M, L, XL Combined Armsleeve No Top Standard S, M, L Combined Armsleeve with Top Standard S, M, L Combined Armsleeve with Top Long S, M, L Class 3 (34-46mm Hg) Below Knee Open Toe No Top Standard S, M, L, XL Thigh Open Toe with Wide Top Standard S, M, L, XL Actilymph MTM Dura Stiffer Fabric for Lower Extremities Per piece Class 2 (23-32mmHg) Below Knee A-D AL-DURAC2-AD Thigh Length A-G AL-DURAC2-AG Thigh with Waist Attachment A-GT AL-DURAC2-AGT Legged Panty A-T (includes cycle style pants) AL-DURAC2-AT Class 3 (34-346mmHg) Below Knee A-D AL-DURAC3-AD Thigh Length A-G AL-DURAC3-AG Thigh with Waist Attachment A-GT AL-DURAC3-AGT Legged Panty A-T (includes cycle style pants) AL-DURAC3-AT NB. The above garments are available with optional extras. These are priced separately. See Below Closed Toe ALO-CT Ankle Pads ALO-PAD Silicone ALO-BAND Slip Form ALO-FORM T Heel Ankle Seam ALO-SEAM Full Compression Body Part (in AT) ALO-FCBODY Actilymph MTM Ease Soft Fabric for Lower Extremities Per piece Class 1 (18-21mmHg) Below Knee A-D AL-EASEC1-AD Thigh Length A-G AL-EASEC1-AG Thigh with Waist Attachment A-GT AL-EASEC1-AGT Legged Panty A-T (includes cycle style pants) AL-EASEC1-AT Class 2 (23-32mmHg) Below Knee A-D AL-EASEC2-AD Thigh Length A-G AL-EASEC2-AG Thigh with Waist Attachment A-GT AL-EASEC2-AGT Legged Panty A-T (includes cycle style pants) AL-EASEC2-AT

4 Scottish Drug Tariff: Price Amendment sheets August 2014 LYMPHOEDEMA GARMENTS cont. Actilymph MTM Ease Soft Fabric for Lower Extremities cont. Class 3 (34-346mmHg) Below Knee A-D AL-EASEC3-AD Thigh Length A-G AL-EASEC3-AG Thigh with Waist Attachment A-GT AL-EASEC3-AGT Legged Panty A-T (includes cycle style pants) AL-EASEC3-AT NB. The above garments are available with optional extras. These are priced separately. See Below Closed Toe ALO-CT Silicone ALO-BAND Slip Form ALO-FORM T Heel Ankle Seam ALO-SEAM Full Compression Body Part (in AT) ALO-FCBODY (only available in Class 2 and 3) Altiven Class 1 (18-21mm Hg) (per pair) Below Knee Open Toe Short,Regular I-VII Below Knee Closed Toe Short,Regular I-VII Hold-up Open Toe Short,Regular I-VII Hold-up Closed Toe Short,Regular I-VII Hold-up (Extra Wide) Open Toe Short,Regular I-VII Hold-up (Extra Wide) Closed Toe Short,Regular I-VII Tights Open Toe Short,Regular I-VII Tights Closed Toe Short,Regular I-VII (per piece) Thigh with Waist Attachment Open Toe Short,Regular I-VII Thigh with Waist Attachment Closed Toe Short,Regular I-VII (per pair) Below Knee Open Toe Short,Regular I-VII Below Knee Closed Toe Short,Regular I-VII Hold-up Open Toe Short,Regular I-VII Hold-up Closed Toe Short,Regular I-VII Hold-up (Extra Wide) Open Toe Short,Regular I-VII Hold-up (Extra Wide) Closed Toe Short,Regular I-VII Tights Open Toe Short,Regular I-VII Tights Closed Toe Short,Regular I-VII (per piece) Thigh with Waist Attachment Open Toe Short,Regular I-VII Thigh with Waist Attachment Closed Toe Short,Regular I-VII Class 3 (34-46mm Hg) (per pair) Below Knee Open Toe Short,Regular I-VII Below Knee Closed Toe Short,Regular I-VII Hold-up Open Toe Short,Regular I-VII Hold-up Closed Toe Short,Regular I-VII Hold-up (Extra Wide) Open Toe Short,Regular I-VII Hold-up (Extra Wide) Closed Toe Short,Regular I-VII Tights Open Toe Short,Regular I-VII

5 Scottish Drug Tariff: Price Amendment sheets August 2014 LYMPHOEDEMA GARMENTS cont. Altiven cont. Tights Closed Toe Short,Regular I-VII (per piece) Thigh with Waist Attachment Open Toe Short,Regular I-VII Thigh with Waist Attachment Closed Toe Short,Regular I-VII Altiven Armsleeves Class 1 (18-21mm Hg) (per piece) Axilla Wrist Regular I-V Axilla Wrist with Grip Top Regular I-V Axilla Mitten Regular I-V Axilla Mitten with Grip Top Regular I-V Axilla Wrist with Elbow Pouch Regular I-V Axilla Wrist with Grip Top and Elbow Pouch Regular I-V Axilla Mitten with Elbow Pouch Regular I-V Axilla Mitten with Grip Top and Elbow Pouch Regular I-V (per piece) Axilla Wrist Regular I-V Axilla Wrist with Grip Top Regular I-V Axilla Mitten Regular I-V Axilla Mitten with Grip Top Regular I-V Axilla Wrist with Elbow Pouch Regular I-V Axilla Wrist with Grip Top and Elbow Pouch Regular I-V Axilla Mitten with Elbow Pouch Regular I-V Axilla Mitten with Grip Top and Elbow Pouch Regular I-V Altiven Made to Measure Low Compression (14-18mm Hg) (per pair) Below Knee Open Toe Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe (per piece) Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe Class 1 (18-21mm Hg) (per pair) Below Knee Open Toe Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe (per piece) Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe (per pair) Below Knee Open Toe

6 Scottish Drug Tariff: Price Amendment sheets August 2014 LYMPHOEDEMA GARMENTS cont. Altiven Made to Measure cont. Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe (per piece) Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe Class 3 (34-46mm Hg) (per pair) Below Knee Open Toe Below Knee Closed Toe Thigh High Hold-up Open Toe Thigh High Hold-up Closed Toe Tights Open Toe Tights Closed Toe (per piece) Thigh with Waist Attachment Open Toe Thigh with Waist Attachment Closed Toe Altiven Made to Measure Arm Sleeves Low Compression (12-16mm Hg) (per piece) Armsleeve Axilla Wrist with elbow pocket Armsleeve Axilla Wrist Armsleeve Axilla Wrist with Top and elbow pocket Armsleeve Axilla Wrist with Top Armsleeve Axilla Mitten with elbow pocket Armsleeve Axilla Mitten Armsleeve Axilla Mitten with Top and elbow pocket Armsleeve Axilla Mitten with Top Class 1 (18-21mmHg) (per piece) Armsleeve Axilla Wrist with elbow pocket Armsleeve Axilla Wrist Armsleeve Axilla Wrist with Top and elbow pocket Armsleeve Axilla Wrist with Top Armsleeve Axilla Mitten with elbow pocket Armsleeve Axilla Mitten Armsleeve Axilla Mitten with Top and elbow pocket Armsleeve Axilla Mitten with Top Class 2 (23-32mmHg) (per piece) Armsleeve Axilla Wrist with elbow pocket Armsleeve Axilla Wrist Armsleeve Axilla Wrist with Top and elbow pocket Armsleeve Axilla Wrist with Top Armsleeve Axilla Mitten with elbow pocket Armsleeve Axilla Mitten Armsleeve Axilla Mitten with Top and elbow pocket Armsleeve Axilla Mitten with Top

7 Scottish Drug Tariff: Price Amendment sheets August 2014 LYMPHOEDEMA GARMENTS cont. Jobst Bellavar Knee High, Open Toe Short, Long I,II,III,IV,V,VI Tights, Open Toe Short, Long I,II,III,IV,V,VI Class 3 (34-46mm Hg) Knee High, Open Toe Short, Long I,II,III,IV,V,VI Thigh High, Open Toe with Knitted Standard I,II,III,IV,V,VI Thigh High, Open Toe with Silicone Standard I,II,III,IV,V,VI Tights Open Toe Short, Long I,II,III,IV,V,VI Jobst Elvarex Soft Custom Fit for lower extremities Class mm Hg Soft Seamless Foot Cap with Toes L Soft Knee High L Soft Thigh High L Soft Body age L Class mm Hg Soft Seamless Foot Cap with Toes L Soft Knee High L Soft Thigh High L Soft Body age L Class mm Hg Soft Knee High L Soft Thigh High L Soft Body age L N.B.: The above garments are available with additional options. These are priced Separately below: Adjustable Waistband L-A013S Closed Toe Soft L-A001S Non-Standard Colour L-A008S Slipform Soft L-A011S Silicone Soft L-A004S Jobst Elvarex Soft Custom Fit for upper extremities Class 1 (15-21mm Hg) Soft Armsleeve from Wrist to Axilla U Soft Seamless Gauntlet to Wrist U Soft Seamless Gauntlet to Elbow U Class mm Hg Soft Armsleeve from Wrist to Axilla U Soft Seamless Gauntlet to Wrist AC1-WF-WT Soft Seamless Gauntlet to Elbow U N.B.: The above garments are available with additional options. These are priced Separately below: Non-Standard Colour U-A007S

8 Scottish Drug Tariff: Price Amendment sheets August 2014 LYMPHOEDEMA GARMENTS cont. Jobst Elvarex Soft Custom Fit for upper extremities cont. Silicone Soft U-A002S Soft Seamless Finger (Class mm Hg) U1-A Soft Seamless Finger (Class mm Hg) U2-A Jobst Opaque Class 1 (18-21mm Hg) (per pair) Knee High Closed Toe Short, Long I-VI Knee High Open Toe Short, Long I-VI Tights Closed Toe Short, Long I-VI Tights Open Toe Short, Long I-VI (per pair) Knee High Closed Toe Short, Long I-VI Knee High Open Toe Short, Long I-VI Thigh High Open Toe Standard Width with Dotted Short, Long I-VI Silicone Thigh High Open Toe Wide Width with Dotted Short, Long I-VI Silicone Tights Closed Toe Short, Long I-VI Tights Open Toe Short, Long I-VI VENOUS ULCER COMPRESSION SYSTEM ActiLymph Hosiery Kit (Activa Healthcare) Medical stocking & compression liner Per Pack (p) (Pack contains 1 stocking + 2 liners) M, L, XL, XXL Activa Leg Ulcer Hosiery Kit (Activa Healthcare) Medical stocking & compression liner S, M, L, XL, XXL (Pack contains 1 stocking + 2 liners 40MMHg) Compression Liner Pack Closed Toe S, M, L, XL, XXL (Pack contains 3 liners 10mm Hg) Compression Liner Pack Open Toe S, M, L, XL, XXL (Pack contains 3 liners 10mm Hg) Altipress 40 Ulcer Kit (Altimed Ltd) Medical stocking & compression liner S, M, L, XL, XXL (Pack contains 1 stocking + 2 liners) Available in Short, Regular and Long Lengths Altipress (Altimed Ltd) Compression Liner Pack S, M, L, XL, XXL (Pack contains 3 liners) Available in Short, Regular and Long Lengths 8

9 Scottish Drug Tariff: Price Amendment sheets August 2014 VENOUS ULCER COMPRESSION SYSTEM cont. Altipress 40 Made to Measure Ulcer Kit (Altimed Ltd) Medical stocking & compression liner (Pack contains 1 Made to Measure stocking + 2 Made to Measure liners) Altipress Made to Measure (Altimed Ltd) Compression Liner Pack (Pack contains 2 Made to Measure liners) Jobst UlcerCare (BSN Medical Ltd.) Medical stocking & compression liner S, M, L, XL, XXL, XXXL XXXXL With or without zip (Pack contains 1 stocking + 2 liners) Compression Liner Pack (pack contains 3 liners) S, M, L, XL, XXL, XXXL, XXXXL Jobst UlcerCare Custom (BSN Medical Ltd.) Medical stocking Compression Liner Pack (pack contains 2 liners) 9

10 Scottish Drug Tariff: Price Amendment sheets August 2014 WOUND MANAGEMENT DRESSINGS Hydrogel Sheet Without adhesive Border ActiFormCool Square 10cm x 10cm cm x 20 cm Rectangular 5cm x 6.5cm cm x 15cm Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE With silicone adhesive border Allevyn Gentle Border Sacrum 21.6cm x 23cm Topical Negative Pressure System Accessories Renasys Y Connector ( for use with soft port) Wound Dressing Pack Pico 10cm x 30cm cm x 15cm cm x 20cm Renasys G Dressing Kit Round Drain 10fr fr Flat Drain 10mm Channel Drain 15fr V.A.C GranuFoam dressing kit Small Medium Large Wound Drainage Collection Device ActiV.A.C. Canister with gel 300ml The following price changes apply to Part 3 Appliances CATHETERS, ACCESSORIES Clinifix Tube Holder Pack of mm x 25mm mm x 40mm CATHETERS C) Intermittent Catheter with finger grip and lid Gauge (Ch) Per pack of 30 Hunter Urology Ltd 46F12-30-UK Emteva 10

11 Scottish Drug Tariff: Price Amendment sheets August 2014 The following price changes apply to Part 4 Elastic Hosiery ELASTIC HOSIERY Accessories Price Per Item in Pence Acti-glide Sockaid The following price changes apply to Part 5 Incontinence Appliances NIGHT DRAINAGE BAGS L.IN.C Medical Systems Ltd Price Per Item in Pence S LINC-Flo Urinary Drainage Bag SLC S LINC-Flo Urinary Drainage Bag with lever tap SLC13-L

12 Scottish Drug Tariff: Amendment sheets for August 2014 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS August 2014 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The complete Scottish Drug Tariff is published on the ISD Scotland website: The following amendments take effect from 1st August The following amendments apply to Part 1 Annex A (Zero Discount list) Additions none Deletions Arzip 250mg caps DocOmega oral powder 4g sachets Entrocalm Loperamide Caps 2mg Ketalar Inj 500mg/10ml Lidocaine 4% oromucosal solution Laryngojet pre-filled syringes Sustiva Caps 200mg Timentin 3.2g powder for solution for infusion vials Tonpular XL Caps 150mg Other changes Perfalgan solution for infusion vials (ALL) Now reads Perfalgan 1g/100ml solution for infusion vials 1

13 Scottish Drug Tariff: Amendment sheets for August 2014 ADDITIONS The following additions apply to Part 2 (Dressings) EMOLLIENT AND BARRIER PREPARATIONS Preparations containing Urea imuderm emollient 500g pump 650 LYMPHOEDEMA GARMENTS Style Lengths Sizes Sigvaris Cotton Class 1 (18-21mm Hg) Below Knee Open Toe Normal, Long XXS 2713 Below Knee Xtra Closed Toe Normal, Long XXS 2713 Thigh High Open Toe with Grip Top Short, Normal, Long XXS 5713 Below Knee Open Toe Normal, Long XXS 2713 Below Knee Open Toe Short XXS-XL 2713 Below Knee Open Toe Plus Short XS-XL 2713 Below Knee Xtra Closed Toe Normal, Long XXS 2713 Below Knee Open Toe with Grip Top Normal, Long XXS 2713 Below Knee Closed Toe with Grip Top Normal, Long XXS 2713 Thigh High Open Toe with Grip Top Short, Normal, Long XXS 5213 Thigh High Closed Toe with Grip Top Short, Normal, Long XXS 5213 Panty Open Toe Normal, Long XXS 5213 Panty Closed Toe Normal, Long XXS 5213 Style Lengths Sizes Sigvaris Magic Class 1 (18-21mm Hg) Below Knee Open Toe Normal, Long XXS,XL 2713 Below Knee Open Toe Plus Normal, Long XXS,XL 2713 Below Knee Closed Toe Normal, Long XXS,XL 2713 Below Knee Closed Toe Plus Normal, Long XXS,XL 2713 Thigh High Grip Top Open Toe Female Short, Normal, Long XXS,XL 5213 Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XXS,XL 5213 Thigh High Grip Top Closed Toe Female Short, Normal, Long XXS,XL 5213 Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XXS,XL 5213 Tights Open Toe Normal, Long XXS,XL 5213 Tights Closed Toe Normal, Long XXS,XL 5213 Tights Open Toe Plus Normal, Long XXS,XL 5213 Tights Closed Toe Plus Normal, Long XXS,XL

14 Scottish Drug Tariff: Amendment sheets for August 2014 LYMPHOEDEMA GARMENTS cont. Sigvaris Magic cont. Below Knee Open Toe Normal, Long XXS,XL 2713 Below Knee Open Toe Plus Normal, Long XXS,XL 2713 Below Knee Closed Toe Normal, Long XXS,XL 2713 Below Knee Closed Toe Plus Normal, Long XXS,XL 2713 Thigh High Grip Top Open Toe Female Short, Normal, Long XXS,XL 5213 Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XXS,XL 5213 Thigh High Grip Top Closed Toe Female Short, Normal, Long XXS,XL 5213 Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XXS,XL 5213 Tights Open Toe Normal, Long XXS,XL 5213 Tights Closed Toe Normal, Long XXS,XL 5213 Tights Open Toe Plus Normal, Long XXS,XL 5213 Tights Closed Toe Plus Normal, Long XXS,XL 5213 PLANTAR PRESSURE OFFLOADING DEVICE Liqua Care Diabetic FlowGel Orthotics Size Size Size Size Size Size TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES TRACHEOSTOMY BREATHING AIDS SpiroTect HME System SpiroTect Laryngectomy Tube (Perforated) 44mm length Size 8 (outer diam 12mm) PTT Size 9 (outer diam 13.5mm) PTT Size 10 (outer diam 15mm) PTT Size 12 (outer diam 17mm) PTT mm length Size 8 (outer diam 12mm) PTT Size 9 (outer diam 13.5mm) PTT Size 10 (outer diam 15mm) PTT Size 12 (outer diam 17mm) PTT

15 Scottish Drug Tariff: Amendment sheets for August 2014 TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES cont. TRACHEOSTOMY BREATHING AIDS cont. SpiroTect Laryngectomy Tube (Non-Perforated) 44mm length Size 8 (outer diam 12mm) PTT Size 9 (outer diam 13.5mm) PTT Size 10 (outer diam 15mm) PTT Size 12 (outer diam 17mm) PTT mm length Size 8 (outer diam 12mm) PTT Size 9 (outer diam 13.5mm) PTT Size 10 (outer diam 15mm) PTT Size 12 (outer diam 17mm) PTT TRACHEOSTOMY TUBE HOLDER SpiroTect Tube Holder 1 piece PTA piece adult PTA piece child PTA TRACHEOSTOMY CLEANING DEVICES SpiroTect Tube Cleaning Swabs Pack of 50 (Prosys International) PTA WOUND MANAGEMENT DRESSINGS Keratin Dressing keragelt 5g tube 3960 Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Aquacel Foam Adhesive Sacral 24cm x 21.5cm 550 Soft Silicone Wound Contact Dressing Sterile CE Cuticell Contact 5cm x 7.5cm cm x 10cm cm x 18cm cm x 25cm 729 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE With silicone adhesive border KerraFoam Gentle Border Sacrum 17cm x 17.5cm 446 KerraFoam Gentle Border Heel 23cm x 25cm 795 4

16 Scottish Drug Tariff: Amendment sheets for August 2014 The following additions apply to Part 3 (Appliances) CATHETERS, Urethral, Urinary (A) i Nelaton Catheters ( Ordinary cylindrical catheter) WyMedical Ltd Order No Gauge Pack of 30 WyCath Uncoated catheter (Paediatric) WUP (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Vesica Urology Ltd Gauge Pack of 60 OptiSmooth Mitro with 4 staggered drainage eyes (40cm) OSM (50cm) OSM (B) (ii)(a) Foley Catheter 2 Way For Long Term Use Adult: CliniSupplies Ltd Balloon size Gauge Pack of 1 Prosys All-Silicone Foley Catheter (Male) PCF12M10-PCF18M (Female) PCF12F10-PCF18F L.IN.C Medical Systems Ltd 2 Way Foley all Silicone Catheter Pack of 1 (Tiemann Tip) EYE PRODUCTS Eye Drops Hypromellose Hypromellose 0.3% (Alissa Healthcare) (10ml preservative free bottle) 575 PF Drops Hypromellose 0.3% (10ml preservative free bottle) 575 Sodium Chloride PF Drops Sodium Chloride 5% (10ml preservative free bottle) 2520 PELVIC TONING DEVICE Kegel

17 Scottish Drug Tariff: Amendment sheets for August 2014 The following additions apply to Part 5 (Incontinence Appliances) CATHETER VALVES Manufacturer Appliance Order No Qty Optimum Medical S Ugo Catheter Valve Solutions INCONTINENCE SHEATHS Manufacturer Appliance Order No Qty Great Bear Healthcare Ltd GB Libra Sheath Latex free self-adhesive penile sheath Standard 24mm GBLSS mm GBLSS mm GBLSS mm GBLSS mm GBLSS Pop On 24mm GBLSP mm GBLSP mm GBLSP mm GBLSP mm GBLSP Wide 24mm GBLSW mm GBLSW mm GBLSW mm GBLSW mm GBLSW LEG BAGS Manufacturer Appliance Order No Qty Manfred Sauer UK Ltd Comfort Leg Bag 600ml, twist tap with connecting tube attached, needle free sample port and universal adapter, latex free system, soft wide and narrow straps (1 pair per box of 10) S * 49cm inlet tube twist tap T710S Comfort Leg Bag 1000ml, twist tap with connecting tube attached, needle free sample port and universal adapter, latex free system, soft wide and narrow straps (1 pair per box of 10) S * 49cm inlet tube twist tap T711S

18 Scottish Drug Tariff: Amendment sheets for August 2014 TUBING AND ACCESSORIES Manufacturer Appliance Order No Qty U-drain Ltd U-drain consumable pack (contains connecting tubes, syringes, bed clips and emergency night drainage bags) U/D-CTN DELETIONS The following deletion applies to Part 3 (Appliances) CATHETERS, Urethral, Urinary (A) i Nelaton Catheters ( Ordinary cylindrical catheter) Bard Ltd Order No Gauge Bard Reliacath Plastic D The following deletions apply to Part 5 (Incontinence Appliances) INCONTINENCE SHEATHS FIXING STRIPS & ADHESIVES Manufacturer Appliance Order No Qty Camp Ltd Posey Sheath Holder Adult Paeidiatric

19 Scottish Drug Tariff: Amendment sheets for August 2014 Other Changes The following changes apply to Part 2 (Dressings) LYMPHOEDEMA GARMENTS Style Lengths Sizes Jobst Bellavar Knee High, Open Toe Short, Long I-VI 2630 Tights, Open Toe Short, Long I-VI 4579 Now reads Jobst Bellavar Knee High, Open Toe Petite, Regular I-VI 2652 Tights, Open Toe Petite, Regular I-VI 4618 Style Lengths Sizes Jobst Bellavar Class 3 (34-46mm Hg) Knee High, Open Toe Short, Long I-VI 2887 Tights, Open Toe Short, Long I-VI 4950 Now reads Jobst Bellavar Class 3 (34-46mm Hg) Knee High, Open Toe Petite, Regular I-VI 2911 Tights, Open Toe Petite, Regular I-VI

20 Scottish Drug Tariff: Amendment sheets for August 2014 Style Lengths Sizes Jobst Opaque Class 1 (18-21mm Hg) Knee High Closed Toe Short, Long I-VI 2630 Knee High Open Toe Short, Long I-VI 2630 Thigh High Open Toe with Silicone Standard Width Short, Long I-VI 5053 Thigh High Open Toe with Silicone Wide Width Short, Long I-VI 5053 Thigh High Closed Toe Standard Width with Soft Silicone Short, Long I-VI 5053 Thigh High Closed Toe Wide Width with Soft Silicone Short, Long I-VI 5053 Thigh High Closed Toe Standard Width with Lace Silicone Short, Long I-VI 5053 Thigh High Closed Toe Wide Width with Lace Silicone Short, Long I-VI 5053 Thigh High Closed Toe Standard Width with Dotted Silicone Short, Long I-VI 5053 Thigh High Closed Toe Wide Width with Dotted Silicone Short, Long I-VI 5053 Thigh High Open Toe Standard Width with Dotted Silicone Short, Long I-VI 5053 Thigh High Open Toe Wide Width with Dotted Silicone Short, Long I-VI 5053 Thigh High Open Toe Standard Width with Lace Silicone Short, Long I-VI 5053 Thigh High Open Toe Wide Width with Lace Silicone Short, Long I-VI 5053 Tights Closed Toe Short, Long I-VI 4579 Tights Open Toe Short, Long I-VI 4579 Now reads Jobst Opaque Class 1 (18-21mm Hg) Knee High Closed Toe Petite, Regular I-VI 2652 Knee High Open Toe Petite, Regular I-VI 2652 Thigh High Open Toe with Silicone Standard Width Petite, Regular I-VI 5053 Thigh High Open Toe with Silicone Wide Width Petite, Regular I-VI 5053 Thigh High Closed Toe Standard Width with Soft Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Wide Width with Soft Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Standard Width with Lace Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Wide Width with Lace Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Standard Width with Dotted Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Wide Width with Dotted Silicone Petite, Regular I-VI 5053 Thigh High Open Toe Standard Width with Dotted Silicone Petite, Regular I-VI 5053 Thigh High Open Toe Wide Width with Dotted Silicone Petite, Regular I-VI 5053 Thigh High Open Toe Standard Width with Lace Silicone Petite, Regular I-VI 5053 Thigh High Open Toe Wide Width with Lace Silicone Petite, Regular I-VI 5053 Tights Closed Toe Petite, Regular I-VI 4618 Tights Open Toe Petite, Regular I-VI

21 Scottish Drug Tariff: Amendment sheets for August 2014 Style Lengths Sizes Jobst Opaque Knee High Closed Toe Short, Long I-VI 2630 Knee High Open Toe Short, Long I-VI 2630 Thigh High Open Toe with Silicone Standard Width Short, Long I-VI 5053 Thigh High Open Toe with Silicone Wide Width Short, Long I-VI 5053 Thigh High Closed Toe Standard Width with Soft Silicone Short, Long I-VI 5053 Thigh High Closed Toe Wide Width with Soft Silicone Short, Long I-VI 5053 Thigh High Closed Toe Standard Width with Lace Silicone Short, Long I-VI 5053 Thigh High Closed Toe Wide Width with Lace Silicone Short, Long I-VI 5053 Thigh High Closed Toe Standard Width with Dotted Silicone Short, Long I-VI 5053 Thigh High Closed Toe Wide Width with Dotted Silicone Short, Long I-VI 5053 Thigh High Open Toe Standard Width with Dotted Silicone Short, Long I-VI 4996 Thigh High Open Toe Wide Width with Dotted Silicone Short, Long I-VI 4996 Thigh High Open Toe Standard Width with Lace Silicone Short, Long I-VI 5053 Thigh High Open Toe Wide Width with Lace Silicone Short, Long I-VI 5053 Tights Closed Toe Short, Long I-VI 4579 Tights Open Toe Short, Long I-VI 4579 Now reads Jobst Opaque Knee High Closed Toe Petite, Regular I-VI 2652 Knee High Open Toe Petite, Regular I-VI 2652 Thigh High Open Toe with Silicone Standard Width Petite, Regular I-VI 5053 Thigh High Open Toe with Silicone Wide Width Petite, Regular I-VI 5053 Thigh High Closed Toe Standard Width with Soft Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Wide Width with Soft Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Standard Width with Lace Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Wide Width with Lace Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Standard Width with Dotted Silicone Petite, Regular I-VI 5053 Thigh High Closed Toe Wide Width with Dotted Silicone Petite, Regular I-VI 5053 Thigh High Open Toe Standard Width with Dotted Silicone Petite, Regular I-VI 5038 Thigh High Open Toe Wide Width with Dotted Silicone Petite, Regular I-VI 5038 Thigh High Open Toe Standard Width with Lace Silicone Petite, Regular I-VI 5053 Thigh High Open Toe Wide Width with Lace Silicone Petite, Regular I-VI 5053 Tights Closed Toe Petite, Regular I-VI 4618 Tights Open Toe Petite, Regular I-VI

22 Scottish Drug Tariff: Amendment sheets for August 2014 Style Lengths Sizes Sigvaris Cotton Class 1 (18-21mm Hg) Below Knee Open Toe Normal, Long XS,S,M,L,XL 2713 Below Knee Xtra Closed Toe Normal, Long XS,S,M,L,XL 2713 Thigh High Open Toe with Grip Top Short, Normal, Long XS,S,M,L,XL 5213 Now reads Style Lengths Sizes Sigvaris Cotton Class 1 (18-21mm Hg) Below Knee Open Toe Normal, Long XXS,XS,S,M,L,XL 2713 Below Knee Xtra Closed Toe Normal, Long XXS,XS,S,M,L,XL 2713 Thigh High Open Toe with Grip Top Short, Normal, Long XXS,XS,S,M,L,XL 5213 Style Lengths Sizes Sigvaris Cotton Below Knee Open Toe Normal, Long XS,S,M,L,XL 2713 Below knee Open Toe Plus Normal, Long XS,S,M,L,XL 2713 Below Knee Xtra Closed Toe Normal, Long XS,S,M,L,XL 2713 Below Knee Open Toe with Grip Top Normal, Long XS,S,M,L,XL 2713 Below Knee Closed Toe with Grip Top Normal, Long XS,S,M,L,XL 2713 Thigh High Closed Toe with Grip Top Short, Normal, Long XS,S,M,L,XL 5213 Thigh High Open Toe with Grip Top Short, Normal, Long XS,S,M,L,XL 5213 Panty Open Toe Normal, Long XS,S,M,L,XL 5213 Panty Closed Toe Normal, Long XS,S,M,L,XL 5213 Now reads Style Lengths Sizes Sigvaris Cotton Below Knee Open Toe Short, Normal, Long XXS,XS,S,M,L,XL 2713 Below knee Open Toe Plus Short, Normal, Long XS,S,M,L,XL 2713 Below Knee Xtra Closed Toe Normal, Long XXS,XS,S,M,L,XL 2713 Below Knee Open Toe with Grip Top Normal, Long XXS,XS,S,M,L,XL 2713 Below Knee Closed Toe with Grip Top Normal, Long XXS,XS,S,M,L,XL 2713 Thigh High Closed Toe with Grip Top Short, Normal, Long XXS,XS,S,M,L,XL 5213 Thigh High Open Toe with Grip Top Short, Normal, Long XXS,XS,S,M,L,XL 5213 Panty Open Toe Normal, Long XXS,XS,S,M,L,XL 5213 Panty Closed Toe Normal, Long XXS,XS,S,M,L,XL 5213 Style Lengths Sizes 11

23 Scottish Drug Tariff: Amendment sheets for August 2014 Sigvaris Magic Class 1 (18-21mm Hg) Below Knee Closed Toe Normal, Long XS,S,M,L 2713 Below Knee Closed Toe Plus Normal, Long XS,S,M,L 2713 Below Knee Open Toe Plus Normal, Long XS,S,M,L 2713 Below Knee Open Toe Normal, Long XS,S,M,L 2713 Thigh High Grip Top Closed Toe Female Short, Normal, Long XS,S,M,L 5213 Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XS,S,M,L 5213 Thigh High Grip Top Open Toe Female Short, Normal, Long XS,S,M,L 5213 Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XS,S,M,L 5213 Tights Open Toe Normal, Long XS,S,M,L 5213 Tights Closed Toe Normal, Long XS,S,M,L 5213 Tights Open Toe Plus Normal, Long XS,S,M,L 5213 Tights Closed Toe Plus Normal, Long XS,S,M,L 5213 Now reads Sigvaris Magic Class 1 (18-21mm Hg) Below Knee Closed Toe Normal, Long XXS,XS,S,M,L,XL 2713 Below Knee Closed Toe Plus Normal, Long XXS,XS,S,M,L,XL 2713 Below Knee Open Toe Plus Normal, Long XXS,XS,S,M,L,XL 2713 Below Knee Open Toe Normal, Long XXS,XS,S,M,L,XL 2713 Thigh High Grip Top Closed Toe Female Short, Normal, Long XXS,XS,S,M,L,XL 5213 Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XXS,XS,S,M,L,XL 5213 Thigh High Grip Top Open Toe Female Short, Normal, Long XXS,XS,S,M,L,XL 5213 Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XXS,XS,S,M,L,XL 5213 Tights Open Toe Normal, Long XXS,XS,S,M,L,XL 5213 Tights Closed Toe Normal, Long XXS,XS,S,M,L,XL 5213 Tights Open Toe Plus Normal, Long XXS,XS,S,M,L,XL 5213 Tights Closed Toe Plus Normal, Long XXS,XS,S,M,L,XL

24 Scottish Drug Tariff: Amendment sheets for August 2014 Style Lengths Sizes Sigvaris Magic Below Knee Closed Toe Normal, Long XS,S,M,L 2713 Below Knee Closed Toe Plus Normal, Long XS,S,M,L 2713 Below Knee Open Toe Plus Normal, Long XS,S,M,L 2713 Below Knee Open Toe Normal, Long XS,S,M,L 2713 Thigh High Grip Top Closed Toe Female Short, Normal, Long XS,S,M,L 5213 Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XS,S,M,L 5213 Thigh High Grip Top Open Toe Female Short, Normal, Long XS,S,M,L 5213 Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XS,S,M,L 5213 Tights Open Toe Normal, Long XS,S,M,L 5213 Tights Closed Toe Normal, Long XS,S,M,L 5213 Tights Open Toe Plus Normal, Long XS,S,M,L 5213 Tights Closed Toe Plus Normal, Long XS,S,M,L 5213 Now reads Sigvaris Magic Below Knee Closed Toe Normal, Long XXS,XS,S,M,L.XL 2713 Below Knee Closed Toe Plus Normal, Long XXS,XS,S,M,L.XL 2713 Below Knee Open Toe Plus Normal, Long XXS,XS,S,M,L.XL 2713 Below Knee Open Toe Normal, Long XXS,XS,S,M,L.XL 2713 Thigh High Grip Top Closed Toe Female Short, Normal, Long XXS,XS,S,M,L.XL 5213 Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XXS,XS,S,M,L.XL 5213 Thigh High Grip Top Open Toe Female Short, Normal, Long XXS,XS,S,M,L.XL 5213 Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XXS,XS,S,M,L.XL 5213 Tights Open Toe Normal, Long XXS,XS,S,M,L.XL 5213 Tights Closed Toe Normal, Long XXS,XS,S,M,L.XL 5213 Tights Open Toe Plus Normal, Long XXS,XS,S,M,L.XL 5213 Tights Closed Toe Plus Normal, Long XXS,XS,S,M,L.XL

25 Scottish Drug Tariff: Amendment sheets for August 2014 The following changes apply to Part 3 (Appliances) CATHETERS, Urethral, Urinary (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Vesica Urology Ltd Gauge Pack of 60 OptiSmooth Mitro with 4 staggered drainage eyes (40cm) OSM4010-OSM (50cm) OSM5010-OSM Now reads (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Vesica Urology Ltd Gauge Pack of 60 OptiSmooth Mitro with 4 staggered drainage eyes (40cm) OSM4008-OSM (50cm) OSM5008-OSM EYE PRODUCTS Eye Drops Sodium Chloride Sodium Chloride 5% (Alissa Healthcare) (5g preservative free tube) 2250 Now reads Eye Ointment Sodium Chloride Sodium Chloride 5% (Alissa Healthcare) (5g preservative free tube) 2250 HYPODERMIC EQUIPMENT Needles for Pre-filled & Reusable Pen Injectors Unifine Pentips Plus 5mm/31gauge mm/31 gauge mm/31 gauge mm/29 gauge 895 Now reads Needles for Pre-filled & Reusable Pen Injectors Unifine Pentips Plus 5mm/31gauge mm/31 gauge mm/31 gauge mm/29 gauge

26 Stoma Appliances- Reimbursement Prices: Amendment sheets for August 2014 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : MONTHLY NOTICE OF AMENDMENTS TO STOMA APPLIANCES August 2014 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The following amendments to Stoma Appliances take effect from 1 st August Please note that potential additions to Stoma Appliances Reimbursement prices must be referred through National Procurement (NSS). The full list of Stoma Appliances Reimbursement prices is available at: ADDITIONS ADHESIVE DISCS/RINGS/PADS/PLASTERS Manufacturer Appliance Order No Qty Price(p) Oakmed Ltd. Curvies Flange Extenders CUR BELTS Order No Qty Price(p) Manufacturer Appliance Kavendor Ltd. Unisex Boxer (level II support) Small/Medium Black 2BOX-S/M-B Medium/Large Black 2BOX-M/L- B Large/X Large Black 2BOX-L/XL- B X Large/XX Large Black 2BOX-XL/2XL- B XX Large/XXX Large Black 2BOX-2XL/3XL- B Ladies Brief (level II support) Small/Medium Black 2BRF-S/M-B Medium/Large Black 2BRF-M/L-B Large/X Large Black 2BRF-L/XL-B X Large/XX Large Black 2BRF-XL/2XL-B XX Large/XXX Large Black 2BRF-2XL/3XL-B

27 Stoma Appliances- Reimbursement Prices: Amendment sheets for August 2014 BELTS cont Order No Qty Price(p) Manufacturer Appliance Kavendor Ltd. Comfizz Multi Support Belt (level III) Medium Neutral WNM-L3-0/ Large Neutral WNL-L3-0/ X Large Neutral WNXL-L3-0/ XX Large Neutral WN2XL-L3-0/ XXXLarge Neutral WN3XL-L3-0/ XXXXL Large Neutral WN4XL-L3-0/ Comfizz Support Belt (level III) 60mm shallow Medium Neutral WNM-L3-60/ Large Neutral WNL-L3-60/ X Large Neutral WNXL-L3-60/ XX Large Neutral WN2XL-L3-60/ XXX Large Neutral WN3XL-L3-60/ XXXX Large Neutral WN4XL-L3-60/ Comfizz Support Belt (level III) 72mm shallow Medium Neutral WNM-L3-72/ Large Neutral WNL-L3-72/ X Large Neutral WNXL-L3-72/ XX Large Neutral WN2XL-L3-72/ XXX Large Neutral WN3XL-L3-72/ XXXX Large Neutral WN4XL-L3-72/ Comfizz Support Belt (level III) 85mm Medium Neutral WNM-L3-85/ Large Neutral WNL-L3-85/ X Large Neutral WNXL-L3-85/ XX Large Neutral WN2XL-L3-85/ XXX Large Neutral WN3XL-L3-85/ XXXX Large Neutral WN4XL-L3-85/ DISCHARGE SOLIDIFYING AGENTS Order No Qty Price(p) Manufacturer Appliance Medicareplus International Ltd Medi Gelsorb Sachets

28 Stoma Appliances- Reimbursement Prices: Amendment sheets for August 2014 DELETIONS BELTS Order No Qty Manufacturer Appliance B. Braun Medical Almarys Twin Belt (support) 120mm for Two Piece system E Kavendor Ltd Comfizz Stoma Support Wear (level 1 support) Boxer Junior XSmall Grey BOX-JXS-G Junior Small Grey BOX-JS-G Junior Medium Grey BOX-JM-G Junior Large Grey BOX-JL-G COLOSTOMY BAGS Order No Qty Manufacturer Appliance B. Braun Medical Biotrol Preference bag with filter, skin protector adhesive, fabric backing Beige Starter hole mm mm mm mm mm mm mm White Starter hole mm mm mm mm mm mm Softima closed pouch with filter, skin protector and protective cover Mini Beige Cut-to-fit 16-50mm E

29 Stoma Appliances- Reimbursement Prices: Amendment sheets for August 2014 ILEOSTOMY BAGS Order No Qty Manufacturer Appliance B. Braun Medical Biotrol Almarys Optima Mini Drainable Bag with all over soft non-woven cover Beige 20mm F008820E mm F008825E mm F008830E mm F008835E mm F008840E Ileo S Bag with skin protector White 60mm mm IRRIGATION/WASH-OUT APPLIANCES - (Replacement Parts) (SLEEVES/DRAINS/BAGS/CONES/LUBRICANTS) Order No Qty Manufacturer Appliance B. Braun Medical Irrimatic Pump Accessories Belt Plate for Irrigation Sleeves Iryflex Reservior F05060E Set F05065E OTHER CHANGES Manufacturer name change Comfizz Ltd Now Kavendor Ltd 4