Advance Notification of Amendments to the March 2015 Drug Tariff

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1 Advance Notification of Amendments to the March 2015 Drug Tariff ADDITIONS Zero Discount Amiodarone 300mg/10ml solution for injection pre-filled syringes Ampicillin 500mg powder for solution for injection vials Aspirin 300mg suppositories Bumetanide 1mg/5ml oral solution sugar free Caffeine citrate 10mg/1ml solution for injection ampoules Capexion capsules (ALL) Capsorin 100mg capsules Co-codaprin 8mg/400mg dispersible tablets Colistimethate 1million unit powder for solution for injection vials Desferrioxamine 2g powder for solution for injection vials Flucloxacillin 1g powder for solution for injection vials Flucloxacillin 500mg powder for solution for injection vials Flumazenil 500micrograms/5ml solution for injection ampoules Gamolenic acid capsules (ALL) Glycopyrronium bromide tablets (ALL) Heparin sodium 10,000units/10ml solution for injection ampoules Heparin sodium 20,000units/20ml solution for injection ampoules Heparin sodium 25,000units/1ml solution for injection ampoules Heparin sodium 5,000units/0.2ml solution for injection ampoules Heparin sodium 5,000units/1ml solution for injection ampoules Heparin sodium 5,000units/5ml solution for injection ampoules Ibandronic acid 2mg/2ml solution for infusion vials Ibandronic acid 3mg/3ml solution for injection pre-filled syringes Ibandronic acid 6mg/6ml solution for infusion vials Isosorbide mononitrate 40mg modified-release tablets Isotretinoin 40mg capsules Lamivudine 300mg tablets Lotprosin XL capsules (ALL) Memantine 10mg/ml oral solution sugar free Methylprednisolone sodium succinate 1g powder and solvent for solution for injection vials Oraqix 25mg/25mg/g periodontal gel 1.7g cartridge Pamidronate disodium 15mg/1ml solution for infusion ampoules Pantoprazole 40mg powder for solution for injection vials Pericyazine 10mg/5ml oral solution Phenylbutazone 100mg tablets Piperacillin 4g / Tazobactam 500mg powder for solution for injection vials Ralnea XL 4mg tablets Ralnea XL 8mg tablets Raponer XL 8mg tablets Page 1 of 8

2 ADDITIONS - Continued Rivastigmine 2mg/ml oral solution Rivastigmine 2mg/ml oral solution sugar free Seotiapim XL 200mg tablets Sondate XL 200mg tablets Sulfadiazine 500mg tablets Voractiv tablets Zalasta 10mg orodispersible tablets Zalasta 15mg tablets Zalasta 20mg tablets Zinacef 250mg powder for injection vials Zinamide 500mg tablets Part I - Drugs And Preparations * This pack only (others already available) Special Container Drug Qty Price Canagliflozin 50mg / Metformin 1g tablets C Vokanamet Canagliflozin 50mg / Metformin 850mg tablets C Vokanamet Co-amoxiclav 875mg/125mg tablets C Creo Pharma Ltd Colecalciferol 800unit / Calcium carbonate 2.5g Calcichew D3 Once C chewable tablets Daily * Haloperidol 5mg/1ml solution for injection ampoules C AMCo Umeclidinium bromide 65micrograms/dose dry powder 30dose C Incruse Ellipta inhaler Part III Appliances Emollient And Barrier Preparations Preparations containing Urea Allpresan diabetic foam cream Basic 125ml 5.50 Allpresan diabetic foam cream Intensive 125ml 5.50 Synovial Fluid Orthovisc mini Box containing 1 pre-filled 15mg/1ml syringe Tracheostomy And Laryngectomy Appliances Tracheostomy Tube Holders Rusch Neckband Paediatric Adult Page 2 of 8

3 DELETIONS Part I - Drugs And Preparations * This pack only (others still available) Drug Qty Price * Haloperidol 5mg/1ml solution for injection ampoules C Haldol AMENDMENTS Zero Discount Diethylstilbestrol 1mg tablets Diethylstilbestrol tablets (ALL) L-Arginine powder (SHS International Ltd) L-Arginine powder (Nutricia Ltd) Robinul powder Robinul powder for solution for iontophoresis Part I - Drugs And Preparations Special Container Arachis oil liquid 200ml 3.49 A Arachis oil liquid 200ml 2.78 C J M Loveridge Ltd Liquid paraffin / Magnesium hydroxide oral emulsion sugar free Liquid paraffin / Magnesium hydroxide oral emulsion sugar free 150ml A 150ml C J M Loveridge Ltd Page 3 of 8

4 AMENDMENTS - Continued Catheters, Urinary, Urethral (B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - Adult Bard Ltd Bard Bardex I.C. Comprehensive Care Foley Tray Pack of 1 (Male) (D23655S12-16) (D23655M12-16) (D23655L12-16) (Female) (D23695S12-16) (D23695M12-16) (D23695L12-16) Bard Bardex I.C. Bard Tray (formerly Bard Bardex I.C. Comprehensive Care Foley Tray) Pack of 1 (Male) (D23655S12-16) (D23655M12-16) (D23655L12-16) (Female) (D23695S12-16) (D23695M12-16) (D23695L12-16) L.IN.C Medical Systems Ltd 2 Way Foley All Silicone Catheter Pack of 1 (Tiemann Tip) ( ) (Tiemann Tip) ( ) Page 4 of 8

5 AMENDMENTS continued Lymphoedema Garments Sigvaris MTM (23-32mmHg) Below Knee Open Toe Below Knee Closed Toe Below Knee Open Toe with Grip Top Below Knee Closed Toe with Grip Top Thigh High Open Toe Thigh High Closed Toe Thigh High Open Toe Full Compression Thigh High Closed Toe Full Compression Thigh High Open Toe with Grip Top Thigh High Closed Toe with Grip Top Thigh High Open Toe with Grip Top Full Compression Thigh High Closed Toe with Grip Top Full Compression Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) Panty Open Toe Panty Open Toe Full Compression Panty Closed Toe Panty Closed Toe Full Compression (34-46mmHg) Below Knee Open Toe Below Knee Closed Toe Below Knee Open Toe with Grip Top Below Knee Closed Toe with Grip Top Thigh High Open Toe Thigh High Closed Toe Thigh High Open Toe Full Compression Thigh High Closed Toe Full Compression Thigh High Open Toe with Grip Top Thigh High Closed Toe with Grip Top Thigh High Open Toe with Grip Top Full Compression Thigh High Closed Toe with Grip Top Full Compression Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) Panty Open Toe Panty Open Toe Full Compression Panty Closed Toe Panty Closed Toe Full Compression Page 5 of 8

6 AMENDMENTS continued (49-59mmHg) Below Knee Open Toe with Grip Top Below Knee Closed Toe with Grip Top Thigh High Open Toe Thigh High Closed Toe Thigh High Open Toe Full Compression Thigh High Closed Toe Full Compression Thigh High Open Toe with Grip Top Thigh High Closed Toe with Grip Top Thigh High Open Toe with Grip Top Full Compression Thigh High Closed Toe with Grip Top Full Compression Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) Panty Open Toe Panty Open Toe Full Compression Panty Closed Toe Panty Closed Toe Full Compression Sigvaris MTM Traditional (formerly Sigvaris MTM) (23-32mmHg) Below Knee Open Toe Below Knee Closed Toe Below Knee Open Toe with Grip Top Below Knee Closed Toe with Grip Top Thigh High Open Toe Thigh High Closed Toe Thigh High Open Toe Full Compression Thigh High Closed Toe Full Compression Thigh High Open Toe with Grip Top Thigh High Closed Toe with Grip Top Thigh High Open Toe with Grip Top Full Compression Thigh High Closed Toe with Grip Top Full Compression Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) Panty Open Toe Panty Open Toe Full Compression Panty Closed Toe Panty Closed Toe Full Compression Page 6 of 8

7 AMENDMENTS continued (34-46mmHg) Below Knee Open Toe Below Knee Closed Toe Below Knee Open Toe with Grip Top Below Knee Closed Toe with Grip Top Thigh High Open Toe Thigh High Closed Toe Thigh High Open Toe Full Compression Thigh High Closed Toe Full Compression Thigh High Open Toe with Grip Top Thigh High Closed Toe with Grip Top Thigh High Open Toe with Grip Top Full Compression Thigh High Closed Toe with Grip Top Full Compression Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) Panty Open Toe Panty Open Toe Full Compression Panty Closed Toe Panty Closed Toe Full Compression (49-59mmHg) Below Knee Open Toe with Grip Top Below Knee Closed Toe with Grip Top Thigh High Open Toe Thigh High Closed Toe Thigh High Open Toe Full Compression Thigh High Closed Toe Full Compression Thigh High Open Toe with Grip Top Thigh High Closed Toe with Grip Top Thigh High Open Toe with Grip Top Full Compression Thigh High Closed Toe with Grip Top Full Compression Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) Panty Open Toe Panty Open Toe Full Compression Panty Closed Toe Panty Closed Toe Full Compression Page 7 of 8

8 AMENDMENTS continued Sodium Hyaluronate Injection SportVis 1 injection TendoVis (formerly SportVis) 1 injection th February 2015 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 8 of 8

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