Advance Notification of Amendments to the December 2014 Drug Tariff
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1 Advance Notification of Amendments to the December 2014 Drug Tariff ADDITIONS Part I - Drugs And Preparations Special Container Drug Qty Price Apixaban 2.5mg tablets C Eliquis Apixaban 5mg tablets C Eliquis Calcipotriol 0.005% / Betamethasone dipropionate 30g 0.05% ointment C Dovobet Chloral hydrate 143.3mg/5ml oral solution BP 150ml A Dapagliflozin 5mg / Metformin 1g tablets C Xigduo Dapagliflozin 5mg / Metformin 850mg tablets C Xigduo Ethinylestradiol 35microgram / Norethisterone 1mg C Norimin tablets Hyoscine 1mg/72hours transdermal patches C Scopoderm Levonorgestrel 30microgram tablets C Norgeston Mestranol 50microgram / Norethisterone 1mg tablets C Norinyl-1 Norethisterone 350microgram tablets C Micronor Prucalopride 1mg tablets C Resolor Prucalopride 2mg tablets C Resolor Ranolazine 375mg modifiedrelease tablets C Ranexa Ranolazine 500mg modifiedrelease tablets C Ranexa Ranolazine 750mg modifiedrelease tablets C Ranexa Tiotropium bromide 2.5micrograms/ dose solution for inhalation cartridge with device CFC free 60 dose C Spiriva Respimat Part II Chemical Reagents Detection Strips, Blood For Glucose Biosensor Strips - to be read only with the appropriate meter Contour TS GlucoMen areo Sensor Page 1 of 9
2 Part III Appliances Catheters, Accessories Uriflo Catheterisation Pack Pack of 1 Short tube leg bag FCP001-S 8.64 Long tube leg bag FCP001-L 8.64 Catheters, Urinary, Urethral (B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - Adult Mediplus Ltd 2 Way Foley All Silicone Catheter with glycerine filled syringe for balloon inflation and empty syringe for balloon deflation Pack of 1 (Male open tip) ( ) Dry Mouth Products Saliva Replacement and Stimulating Products A.S Saliva Orthana Spray 50ml ml Emollient And Barrier Preparations Enopen Cream 500g 5.99 Eye Products Eye Drops - Carmellose Carmellose 0.5% (Medicom Healthcare) (30 x 0.4ml single dose unit) 5.75 Lumecare Advance Carmellose 0.5% (10ml bottle) 6.99 Eye Drops - Hypromellose Hypromol (10ml preservative free bottle) 5.75 Eye Drops - Sodium Hyaluronate HydraMed (10ml preservative free bottle) (30 x 0.5ml preservative free single dose unit) 8.00 Eye Drops - Zinc Hyaluronate eyezin (10ml preservative free bottle) 7.99 Eye Gel - Carbomer Carbomer 0.2% (Medicom Healthcare) (10g tube) 2.80 Page 2 of 9
3 Lymphoedema Garments Juzo Attractive - Custom made for the lower limb Class 2 (23-232mmHg) Juzo Dynamic - Custom made for the lower limb One-legged Panty Open Toe One-legged Panty Closed Toe Thigh High Open Toe with Waist Attachment Right Leg Thigh High Closed Toe with Waist Attachment Right Leg Thigh High Open Toe with Waist Attachment Left Leg Thigh High Closed Toe with Waist Attachment Left Leg Page 3 of 9
4 Class 2 (23-32mmHg) One-legged Panty Open Toe One-legged Panty Closed Toe Thigh High Open Toe with Waist Attachment Right Leg Thigh High Closed Toe with Waist Attachment Right Leg Thigh High Open Toe with Waist Attachment Left Leg Thigh High Closed Toe with Waist Attachment Left Leg Class 3 (34-46mmHg) Below Knee Open Toe Below Knee Closed Toe Below Knee Open Toe with Silicone Top Band Below Knee Closed Toe with Silicone Top Band Thigh High Open Toe Thigh High Closed Toe Thigh High Open Toe with Silicone Top Band Thigh High Closed Toe with Silicone Top Band One-legged Panty Open Toe One-legged Panty Closed Toe Thigh High Open Toe with Waist Attachment Right Leg Thigh High Closed Toe with Waist Attachment Right Leg Thigh High Open Toe with Waist Attachment Left Leg Thigh High Closed Toe with Waist Attachment Left Leg Tights Open Toe Tights Closed Toe NB: The above garments are available with additional options. These are priced separately. See below Fly Open Crotch 6.00 Page 4 of 9
5 Juzo Dynamic Cotton - Custom made for the lower limb One-legged Panty Open Toe One-legged Panty Closed Toe Thigh High Open Toe with Waist Attachment Right Leg Thigh High Closed Toe with Waist Attachment Right Leg Thigh High Open Toe with Waist Attachment Left Leg Thigh High Closed Toe with Waist Attachment Left Leg Class 2 (23-32mmHg) One-legged Panty Open Toe One-legged Panty Closed Toe Thigh High Open Toe with Waist Attachment Right Leg Thigh High Closed Toe with Waist Attachment Right Leg Thigh High Open Toe with Waist Attachment Left Leg Thigh High Closed Toe with Waist Attachment Left Leg NB: The above garments are available with additional options. These are priced separately. See below Fly Open Crotch 6.00 Page 5 of 9
6 Juzo Hostess - Custom made for the lower limb Class 2 (23-232mmHg) Juzo Soft - Custom made for the lower limb Thigh High Open Toe with Waist Attachment Right Leg Thigh High Closed Toe with Waist Attachment Right Leg Thigh High Open Toe with Waist Attachment Left Leg Thigh High Closed Toe with Waist Attachment Left Leg Page 6 of 9
7 Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment Right Leg Thigh High Closed Toe with Waist Attachment Right Leg Thigh High Open Toe with Waist Attachment Left Leg Thigh High Closed Toe with Waist Attachment Left Leg NB: The above garments are available with additional options. These are priced separately. See below Fly Open Crotch 6.00 Tracheostomy And Laryngectomy Appliances Tracheostomy Breathing Aids ProTrach DualCare HME System Pack of 30 ProTrach DualCare HME each ProTrach DualCare speaking valve (tinted) ProTrach DualCare speaking valve (blue) Provox FreeHands HME System Provox FreeHands FlexiVoice Light Medium Strong Provox HME System ("Stomafilter") Provox adhesive FlexiDerm Plus Provox adhesive OptiDerm Plus Provox adhesive Regular Plus Provox LaryClip TracheoFix Speaking Valve and O2 adapter Page 7 of 9
8 DELETIONS Part I - Drugs And Preparations Drug Qty Price Chlordiazepoxide 5mg tablets C A A H Pharmaceuticals Ltd Coal tar solution 500ml C J M Loveridge Ltd AMENDMENTS Part I - Drugs And Preparations Special Container Cilazapril 5mg tablets C Vascace Cilazapril 5mg tablets C Alliance Healthcare (Distribution) Ltd Cilostazol 50mg tablets C Pletal Cilostazol 50mg tablets A Cloral betaine 707mg tablets C Marlborough Pharmaceuticals Ltd Cloral betaine 707mg tablets A Cyclizine 50mg/1ml solution for injection ampoules C Valoid Cyclizine 50mg/1ml solution for injection ampoules A Doxepin 25mg capsules C Marlborough Pharmaceuticals Ltd Doxepin 25mg capsules A Doxepin 50mg capsules C Marlborough Pharmaceuticals Ltd Doxepin 50mg capsules A Levonorgestrel 1.5mg tablets C Levonelle 1500 Levonorgestrel 1.5mg tablets C Moxifloxacin 400mg tablets C Avelox Moxifloxacin 400mg tablets A Page 8 of 9
9 AMENDMENTS continued Part III Appliances Catheters, Urinary, Urethral (A)(ii) Nélaton Catheter ( ordinary cylindrical Catheter) Single use Teleflex MobiStom with gel Pack of 60 (Tiemann Tip 20cm) (571014G) (Tiemann Tip 40cm) (571014G) WyMedical Ltd WyCath H2O hydrophilic catheter with water sachet (Soft Tip) Pack of 30 (Male 40cm) (W2SM10-W2SM16) (Male 40cm) (W2SM10-W2SM18) WyCath H2O hydrophilic catheter with water sachet (Tapered Tip) Pack of 30 (Male 40cm) (W2TAM10-W2TAM16) (Male 40cm) (W2TAM10-W2TAM18) th November 2014 Pharmaceutical web site: From the homepage go to Services, FPS Pharmaceutical Services. Page 9 of 9
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