SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. September 2016

Transcription

1 Scottish Drug Tariff: Amendment Sheets September 2016 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS September 2016 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 September Part 1 ADDITIONS The following additions apply to Part 1, Annex A (Zero Discount) Apomorphine 30mg/3ml solution for injection pre-filled disposable devices Apomorphine 50mg/10ml solution for infusion pre-filled syringes Apomorphine 50mg/5ml solution for injection ampoules Briviact 100mg tablets Briviact 10mg/ml oral solution Briviact 25mg tablets Briviact 50mg tablets Briviact 50mg/5ml solution for injection vials Briviact 75mg tablets Stiripentol 250mg oral powder sachets Triptorelin acetate 11.25mg powder and solvent for suspension for injection vials Triptorelin acetate 3mg powder and solvent for suspension for injection vials Triptorelin embonate 22.5mg powder and solvent for suspension for injection vials 1

2 Scottish Drug Tariff: Amendment Sheets September 2016 Part 1 DELETIONS The following deletions apply to Part 1, Annex A (Zero Discount) Aimpart XL 4mg tablets AmBisome 50mg powder for solution for infusion vials Aminoven 25 solution for infusion 500ml bottles Amiodarone 300mg/10ml solution for injection pre-filled syringes Andropatch 5mg/24hours patches Azactam 1g powder for solution for injection vials Azactam 2g powder for solution for injection vials Bondronat concentrate for solution for infusion vials (ALL) Duocal liquid Enstar XL 100 tablets Glucosamine Gold Standard 750mg tablets Ibandronic acid 2mg/2ml solution for infusion vials Ibandronic acid 6mg/6ml solution for infusion vials Incivo 375mg tablets Intelence 100mg tablets Invicorp 1 solution for injection Kalydeco 150mg tablets Norvir 80mg/ml oral solution Novasource GI Forte liquid Ondemet 8mg/4ml solution for injection ampoules Optivate 1,000unit powder and solvent for solution for infusion vials Oraqix 25mg/25mg/g periodontal gel 1.7g cartridges Pamidronate disodium 15mg/1ml solution for infusion ampoules Pharmalgen Bee Venom maintenance set 120microgram powder and solvent for solution for injection vials Pharmalgen Wasp Venom maintenance set 120microgram vaccine powder and solvent for solution for injection vials Prograf 5mg/1ml solution for infusion ampoules ReQuip tablets follow on pack Reyataz 150mg capsules Seotiapim XL 200mg tablets Suplena liquid Sustiva 200mg capsules Tavanic 500mg/100ml solution for infusion vials Telzir 700mg tablets Ventavis 10micrograms/ml nebuliser solution 1ml ampoules Videx EC 200mg capsules Videx EC 250mg capsules Vivadex 1mg capsules XPHEN TYR Tyrosidon free AA Mix powder Zalasta 15mg tablets Zenalb 20% solution for infusion 100ml bottles Zenalb 4.5% solution for infusion 500ml bottles Zerit 30mg capsules Zerit 40mg capsules Zyvox 600mg/300ml infusion bags 2

3 Scottish Drug Tariff: Amendment Sheets September 2016 Part 1 OTHER CHANGES The following changes apply to Part 1, Annex A (Zero Discount) Capexion capsules (ALL) Now Reads Capexion 0.5mg capsules Capexion 1mg capsules Diflucan solution for infusion vials (ALL) Now Reads Diflucan 200mg/100ml solution for infusion vials Elmino XL capsules (ALL) Now Reads Elmino XL 16mg capsules Elmino XL 24mg capsules Evotrox oral solution (ALL) Now Reads Evotrox 100micrograms/5ml oral solution Evotrox 50micrograms/5ml oral solution Gonal-f powder and solvent for solution for injection vials (ALL) Now Reads Gonal-f 75unit powder and solvent for solution for injection vials Gonal-f 450unit powder and solvent for solution for injection vials Gosa-S tablets (ALL) Now Reads Gosa-S 750mg tablets Mycamine powder for solution for infusion vials (ALL) Now Reads Mycamine 50mg powder for solution for infusion vials Revlimid capsules (ALL) Now Reads Revlimid 10mg capsules Revlimid 15mg capsules Revlimid 20mg capsules Revlimid 25mg capsules Revlimid 5mg capsules Revlimid 7.5mg capsules 3

4 Scottish Drug Tariff: Amendment Sheets September 2016 ADDITIONS The following additions apply to Part 2 (Dressings) LYMPHOEDEMA GARMENTS Style Lengths Sizes Per pair Juzo Dual Stretch (20-30 mmhg) Below Knee Open Toe Short, Regular I, II, III, IV, V 2542 TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES Tracheostomy And Laryngectomy Protectors Order No Pack of 2 SpiroTect Universal Shower Protector PTA WOUND MANAGEMENT DRESSINGS Wound Drainage Collection Device Renasys Touch Canister with solidifier 300ml

5 Scottish Drug Tariff: Amendment Sheets September 2016 The following additions apply to Part 3 (Appliances) ANAL IRRIGATION SYSTEM each Manufacturer Appliance Order No Quantity Price(p) Wellspect Healthcare Ltd Navina Classic Control Unit Navina Classic System (System includes 1 Navina Classic control unit, 1 water container, 1 tube set, 2 rectal catheters, 1 accessory set, 1 Navina case) Navina Classic System refill (contains 1 Navina Classic control unit, 1 water container, 1 tube set, 2 rectal catheters) Navina Consumable Set (contains 15 rectal catheters, 1 water container) Navina Rectal Catheter Set (pack of 10) 8144 (contains 10 rectal catheters) Navina Smart System (System includes 1 control unit, 2 rectal catheters,1 water container, 1 tube set, 1 accessory set, 1 Navina case) Navina Smart Control Unit (contains 1 Navina Smart control unit, 1 charger, 1 power adapter) Navina Tube Set (contains 1 catheter tube, 1 water container tube) EYE PRODUCTS each Eye Drops Polyvinyl Alcohol Sno Tears 1.4% (10ml bottle) Allowed on Minor Ailment Scheme (MAS) 5

6 Scottish Drug Tariff: Amendment Sheets September 2016 HYPODERMIC EQUIPMENT Needles for Pre-Filled and Reusable Pen Injectors Pack of 100 Neon Verifine 4mm / 31 gauge 450 5mm / 31 gauge 450 6mm / 31 gauge 450 8mm / 31 gauge mm / 30 gauge mm / 29 gauge 450 Neon Verifine Ultra 4mm / 32 gauge 450 LANCETS - Sterile Single-Use Pack Mylife Safety Comfort Lancets 0.32mm / 30 gauge (Ypsomed Ltd) VivaChek Lancets 0.37mm / 28 gauge (JR Biomedical Ltd) ACCESSORIES Sharpsafe 1.8 litre litre litre litre 460 SharpSafety 8 litre 449 Sharpsguard 5 litre 120 ORAL FILM FORMING AGENTS each Mucodis Mouthwash 250ml bottle 1900 Oromucosal Spray 30ml 1900 The following additions apply to Part 9 (Chemical Reagents) DETECTION STRIPS FOR KETONES Quantity GlucoMen areo Kentone Sensors BLOOD GLUCOSE TESTING STRIPS Quantity (ii) Biosensor strips to be read only with the appropriate meter VivaChek Ino

7 Scottish Drug Tariff: Amendment Sheets September 2016 DELETIONS The following deletions apply to Part 3 (Appliances) CATHETERS Balloon Gauge (Ch) Price Size (ml) (see Note 1) (p) (iii) For Long Term Use Adult Per 1 Pack MacGregor Healthcare Ltd Qufora All Silicone Catheter with pre-filled water/glycerin syringe for balloon inflation and supplementary syringe for balloon deflation (Male) ( ) (Female) ( ) iv. For Long Term Use Paediatric Per 1 pack MacGregor Healthcare Ltd Qufora All Silicone Catheter with pre-filled water/glycerin syringe for balloon inflation and supplementary syringe for balloon deflation ( ) ( ) ( ) (J) Urinary Suprapubic Catheters Per 1 pack MacGregor Healthcare Ltd Qufora All Silicone Catheter with integral balloon and open tip with pre-filled water/glycerin syringe for balloon inflation and supplementary syringe for balloon deflation ( ) HYPODERMIC EQUIPMENT (p) NEEDLE FREE Insulin Delivery System InsuJet Nozzle pack GB (Pack contains 15 pieces) InsuJet 3ml Cartridge Adaptor Pack GB (Pack contains 15 pieces) InsuJet 10ml Vial Adaptor Pack 01207GB (Pack contains 15 pieces) 7

8 Scottish Drug Tariff: Amendment Sheets September 2016 The following deletions apply to Part 5 (Incontinence Appliances) LEG BAGS Manufacturer Appliance Order No Qty Price Macgregor Healthcare Ltd Qufora Sterile Leg Bags, containing 1 pair of non-latex gloves and soft elasticated cotton Velcro straps per box of ml direct Inlet, Q Flow Lever Tap ml short tube, Q Flow Lever Tap ml long tube, Q Flow Lever Tap ml direct Inlet, T-Tap ml short tube, T-Tap ml long tube, T-Tap OTHER CHANGES The following change applies to Part 2 (Dressings) SURGICAL ADHESIVE TAPES now reads Soft Silicone Fixation Tape 3M Kind Removal Silicone Tape (no liner) 2.5cm x 5m 358 5cm x 5m 648 3M Micropore Silicone Tape (no liner) 2.5cm x 5m 358 5cm x 5m 648 The following change applies to Part 3 (Appliances) CATHETERS Gauge (Ch) Price (see Note 1) (p) (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Hollister VaPro Pocket Hydrophilic Intermittent Catheter Per 30 Male 40cm now reads Hollister VaPro Pocket Hydrophilic Intermittent Catheter Per 30 Male 40cm

9 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS September 2016 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 September 2016 Prices in pence per item unless otherwise stated The following price changes apply to Part 2 (Dressings) ADHESIVE DRESSING REMOVER STERILE SILICONE BASED Appeel Sterile single use sachet 5ml BANDAGES Elastomer and Viscose Bandage BS Compression type 3a, for light compression L3 8.6m stretched 10cm x 8.6m Multi-layer Compression Bandaging Smith & Nephew Healthcare Ltd Profore #1 10cm x 3.5m Unstretched Profore #2 10cm x 4.5m Stretched Profore #3 10cm x 8.7m Stretched Profore #4 10cm x 2.5m Unstretched Profore + 10cm x 3m Unstretched Profore #1 Latex-free 10cm x 3.5m Unstretched Profore #2 Latex-free 10cm x 4.5m Stretched Profore #3 Latex-free 10cm x 8.7m Stretched Profore #4 Latex-free 10cm x 2.5m Unstretched Profore + Latex-free 10cm x 3m Unstretched

10 Multi-layer Compression Bandaging Kits Smith & Nephew Healthcare Ltd Ankle Circumference Profore 4 Layer System Up to 18cm cm cm Above 30cm Profore Lite Above 18cm Profore Latex-free 4 Layer System 18-25cm Profore Lite Latex-free Above 18cm K Press (layer #2) Size 0 (short) 10cm x 6.5m Size 18-25cm (8cm) 8cm x 7.5m Size 18-25cm (10cm) 10cm x 7.5m Size 18-25cm (12cm) 12cm x 7.5m Size 25-32cm (8cm) 8cm x 10.5m Size 25-32cm (10cm) 10cm x 10.5m Size 25-32cm (12cm) 12cm x 10.5m K Tech (layer #1) Size 0 (short) 10cm x 5m Size 18-25cm (8cm) 8cm x 6m cm (10cm) 10cm x 6m cm (12cm) 12cm x 6m Size 25-32cm (8cm) 8cm x 7.3m cm (10cm) 10cm x 7.3m cm (12cm) 12cm x 7.3m K Tech Reduced Size 18-25cm (10cm) 10cm x 6m (Layer #1) Size 25-32cm (10cm) 10cm x 7.3m UrgoK Two multi-layer compression bandage kit UrgoK Two Latex Free multi-layer compression bandage kit UrgoK Two Reduced multi-layer compression bandage kit UrgoK Two Reduced Latex Free multilayer compression bandage kit UrgoK Two Start multi-layer compression bandage kit 0 (short) cm (8cm) cm (10cm) cm (12cm) cm (8cm) cm (10cm) cm (12cm) cm (10cm) cm (10cm) cm cm cm (10cm) cm (10cm) cm cm

11 Polyamide and Cellulose Contour Bandage BP 1988 (Cohesive / Latex Free) Acti-wrap 6cm x 4m cm x 4m cm x 4m Short Stretch Compression Bandage Indications: Venous leg ulcers and lymphoedema Actico (Cohesive) 4cm x 6m cm x 6m cm x 6m cm x 6m cm x 6m Zinc Paste 10% Bandage BP 1993 Viscopaste PB7 10% 7.5cm x 6m Zinc Paste 6% and Ichthammol 2% Bandage BP 1993 Ichthopaste 7.5cm x 6m DRESSINGS Absorbent Cellulose Dressing with Fluid Repellent Backing Exu-Dry 10cm x 15cm cm x 23cm cm x 38cm Absorbent Perforated Dressing with Adhesive Border Wound Contact Pad Border Primapore 8cm x 15cm 4.5cm x 10cm cm cm x 20cm 5cm x 14cm 2.5-3cm cm x 35cm 5.1cm x 28cm cm Absorbent Perforated Plastic Film Faced Dressing (Syn. PFA Dressing) Melolin 10cm x 10cm

12 Vapour - Permeable Adhesive Film Dressing BP cont. (Syn: Semi-Permeable Adhesive Dressing) IV3000 (Intravenous/Sub-Cutaneous Therapy) Ported 7cm x 9cm cm x 12cm Opsite Flexifix (non-sterile) 5cm x 1m cm x1m Opsite Flexigrid 12cm x 12cm cm x 20cm Vapour - Permeable Adhesive Film Dressing with absorbent pad (Syn: Semi-Permeable Adhesive Dressing) Opsite Plus Wound contact pad Border 8.5cm x 9.5cm 3.7cm x 7.3cm cm cm x 12cm 5cm x 7.5cm cm cm x 20 cm 5.5cm x 15cm cm cm x 35cm 5.7cm x 30cm 2.15cm-2.5cm OpSite Post-Op 8.5cm x 15.5cm cm x 12cm cm x 20cm cm x 25cm cm x 30cm cm x 35cm LOW FRICTION PRODUCTS Aderma Dermal Pad Sacrum /Ankle Wrap Heel Standard Extra Large Sheet 10x10x0.3cm x10x1.2cm x20x0.3cm Strip 50x2.5x0.3cm x5.0x0.3cm

13 LYMPHOEDEMA GARMENTS Style Lengths Sizes Actilymph Class 1 (18-21mmHg) (Per pair) Below Knee Closed Toe Petite S, M, L, XL Below Knee Closed Toe Standard S, M, L, XL, XXL Below Knee Open Toe Standard S, M, L, XL, XXL Thigh Closed Toe with Regular Top Band Standard S, M, L, XL Thigh Closed Toe with Wide Top Band Standard S, M, L, XL Thigh Open Toe with Regular Top Band Standard S, M, L, XL, XXL (Per piece) Armsleeve No Top Band Standard S, M, L, XL Armsleeve with Top Band Standard S, M, L, XL Armsleeve with Top Band Long S, M, L, XL Combined Armsleeve No Top Band Standard S, M, L Combined Armsleeve with Top Band Standard S, M, L Combined Armsleeve with Top Band 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 Thigh Closed Toe with Regular Top Band Standard S, M, L, XL Thigh Closed Toe with Wide Top Band Standard S, M, L, XL Thigh Open Toe with Wide Top Band Standard S, M, L, XL Thigh Open Toe with Regular Top Band Standard S, M, L, XL, XXL (Per piece) Armsleeve No Top Band Standard S, M, L,XL Armsleeve with Top Band Standard S, M, L,XL Armsleeve with Top Band Long S, M, L, XL Combined Armsleeve No Top Band Standard S, M, L Combined Armsleeve with Top Band Standard S, M, L Combined Armsleeve with Top Band Long S, M, L Class 3 (34-46mmHg) (Per pair) Below Knee Open Toe No Top Band Standard S, M, L, XL Thigh Open Toe with Wide Top Band Standard S, M, L, XL

14 LYMPHOEDEMA GARMENTS continued Style Product Code (per piece) Actilymph MTM Dura Stiffer Fabric for Lower Extremities 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 2 Ankle Pads ALO-PAD Oblique Toe ALO-OBT Silicone Band 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 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 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 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 Oblique Toe ALO-OBT Silicone Band 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) 6

15 LYMPHOEDEMA GARMENTS continued Style Order No Haddenham Custom Goldpunkt a firmer fabric for the lower limb Toe Cap GP Below Knee GP Thigh High GP Thigh High with Waist Attachment GP Pantyhose GP Class 3 (34-46mmHg) Toe Cap GP Below Knee GP Thigh High GP Thigh High with Waist Attachment GP Pantyhose GP Class 4 (49-70mmHg) Below Knee GP Thigh High GP Thigh High with Waist Attachment GP Pantyhose GP NB: The garments are available with additional options. These are priced separately. See below Silicone Grip Top CM Malleolus pads CM Zip CM Velcro Fastening CM Velcro Strap CM Style Order No Haddenham Custom Goldpunkt a firmer fabric for the upper limb Glove no Fingers (gauntlet) GP Glove with Fingers GP Armsleeve Wrist to Axilla GP Armsleeve with Glove no Fingers GP Armsleeve with Glove and Fingers GP Class 3 (34-46mmHg) Glove no Fingers (gauntlet) GP Glove with Fingers GP Armsleeve Wrist to Axilla GP Armsleeve with Glove no Fingers GP Armsleeve with Glove and Fingers GP NB: The garments are available with additional options. These are priced separately. See below Silicone Grip Top CM Zip CM Shoulder Cap CM

16 LYMPHOEDEMA GARMENTS continued Style Order No Haddenham Custom Pertex a softer fabric for the lower limb Class 1 (18-21mmHg) Toe Cap PX Below Knee PX Thigh High PX Thigh High with Waist Attachment PX Pantyhose PX Toe Cap PX Below Knee PX Thigh High PX Thigh High with Waist Attachment PX Pantyhose PX Class 3 (34-46mmHg) Toe Cap PX Below Knee PX Thigh High PX Thigh High with Waist Attachment PX Pantyhose PX NB: The garments are available with additional options. These are priced separately. See below Silicone Grip Top CM Malleolus pads CM Zip CM Velcro Fastening CM Velcro Strap CM

17 LYMPHOEDEMA GARMENTS continued Style Order No Haddenham Custom Pertex a softer fabric for the lower limb Class 1 (18-21mmHg) Glove no Fingers (gauntlet) PX Glove with Fingers PX Armsleeve Wrist to Axilla PX Armsleeve with Glove no Fingers PX Armsleeve with Glove and Fingers PX Glove no Fingers (gauntlet) PX Glove with Fingers PX Armsleeve Wrist to Axilla PX Armsleeve with Glove no Fingers PX Armsleeve with Glove and Fingers PX Class 3 (34-46mmHg) Glove no Fingers (gauntlet) PX Glove with Fingers PX Armsleeve Wrist to Axilla PX Armsleeve with Glove no Fingers PX Armsleeve with Glove and Fingers PX NB: The garments are available with additional options. These are priced separately. See below Silicone Grip Top CM Zip CM Shoulder Cap CM

18 LYMPHOEDEMA GARMENTS continued Style Lengths Sizes Haddenham Doktus Armsleeve Regular / Long XS, S, M, L Armsleeve Extra Wide Regular / Long XS, S, M, L Armsleeve with Mitten Regular / Long XS, S, M, L Armsleeve with Mitten Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top Regular / Long XS, S, M, L Armsleeve with Grip Top Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Extra Wide Regular / Long XS, S, M, L Class 3 (34-46mmHg) Armsleeve Regular / Long XS, S, M, L Armsleeve Extra Wide Regular / Long XS, S, M, L Armsleeve with Mitten Regular / Long XS, S, M, L Armsleeve with Mitten Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top Regular / Long XS, S, M, L Armsleeve with Grip Top Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Extra Wide Regular / Long XS, S, M, L Haddenham Microfine (20-36mmHg) Glove with compressive fingers XS, S, M, L Toe Cap with compressive toes XS, S, M, L, XL

19 LYMPHOEDEMA GARMENTS continued Haddenham Star Cotton For lower extremities Style Lengths Sizes Class 1 (18-21mmHg) (Per pair) Below Knee Open Toe Short / Reg / Long I VIII Below Knee Closed Toe Short / Reg / Long I VIII Below Knee Extra Wide Open Toe Short / Reg / Long I VIII Below Knee Extra Wide Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Open Toe Short / Reg / Long I VII Thigh High with Grip Top Closed Toe Short / Reg / Long I VII Thigh High with Grip Top Extra Wide Open Toe Short / Reg / Long I VII Thigh High with Grip Top Extra Wide Closed Toe Short / Reg / Long I VII Tights Open / Closed Toe Short / Reg / Long I VII Tights Extra Wide Open / Closed Toe Short / Reg / Long I VII (Per pair) Below Knee Open Toe Short / Reg / Long I VIII Below Knee Closed Toe Short / Reg / Long I VIII Below Knee Extra Wide Open Toe Short / Reg / Long I VIII Below Knee Extra Wide Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Open Toe Short / Reg / Long I VII Thigh High with Grip Top Closed Toe Short / Reg / Long I VII Thigh High with Grip Top Extra Wide Open Toe Short / Reg / Long I VII Thigh High with Grip Top Extra Wide Closed Toe Short / Reg / Long I VII Tights Open / Closed Toe Short / Reg / Long I VII Tights Extra Wide Open / Closed Toe Short / Reg / Long I VII Haddenham Star Cotton For upper extremities Style Lengths Sizes Class 1 (18-21mmHg) (Per piece) Armsleeve Reg / Long XS, S, M, L Armsleeve Extra Wide Reg / Long XS, S, M, L Armsleeve with Mitten Reg / Long XS, S, M, L Armsleeve with Mitten Extra Wide Reg / Long XS, S, M, L Armsleeve with Grip Top Reg / Long XS, S, M, L Armsleeve with Grip Top Extra Wide Reg / Long XS, S, M, L Armsleeve with Grip Top with Mitten Reg / Long XS, S, M, L Armsleeve with Grip Top with Mitten Extra Wide Reg / Long XS, S, M, L (Per piece) Armsleeve Reg / Long XS, S, M, L Armsleeve Extra Wide Reg / Long XS, S, M, L Armsleeve with Mitten Reg / Long XS, S, M, L Armsleeve with Mitten Extra Wide Reg / Long XS, S, M, L Armsleeve with Grip Top Reg / Long XS, S, M, L Armsleeve with Grip Top Extra Wide Reg / Long XS, S, M, L Armsleeve with Grip Top with Mitten Reg / Long XS, S, M, L Armsleeve with Grip Top with Mitten Extra Wide Reg / Long XS, S, M, L

20 LYMPHOEDEMA GARMENTS continued Haddenham Venex Class 1 (18-21mmHg) Armsleeve Regular / Long XS, S, M, L Armsleeve Extra Wide Regular / Long XS, S, M, L Armsleeve with Mitten Regular / Long XS, S, M, L Armsleeve with Mitten Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top Regular / Long XS, S, M, L Armsleeve with Grip Top Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Extra Wide Regular / Long XS, S, M, L Armsleeve Regular / Long XS, S, M, L Armsleeve Extra Wide Regular / Long XS, S, M, L Armsleeve with Mitten Regular / Long XS, S, M, L Armsleeve with Mitten Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top Regular / Long XS, S, M, L Armsleeve with Grip Top Extra Wide Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Regular / Long XS, S, M, L Armsleeve with Grip Top with Mitten Extra Wide Regular / Long XS, S, M, L Haddenham Venex Microlight Class 1 (18-21mmgHg) Per Pair Below Knee Open Toe Short, Regular II-VII Below Knee Closed Toe Short, Regular II-VII Below Knee Extra Wide Open Toe Short, Regular II-VII Below Knee Extra Wide Closed Toe Short, Regular II-VII Thigh High with Grip Top Open Toe Short, Regular II-VII Thigh High with Grip Top Closed Toe Short, Regular II-VII Thigh High with Grip Top Extra Wide Open Toe Short, Regular II-VII Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II-VII Tights Open/Closed Toe Short, Regular II-VII Tights Extra Wide Open/Closed Toe Short, Regular II-VII Class 2 (23-32mmgHg) Per Pair Below Knee Open Toe Short, Regular II-VII Below Knee Closed Toe Short, Regular II-VII Below Knee Extra Wide Open Toe Short, Regular II-VII Below Knee Extra Wide Closed Toe Short, Regular II-VII Thigh High with Grip Top Open Toe Short, Regular II-VII Thigh High with Grip Top Closed Toe Short, Regular II-VII Thigh High with Grip Top Extra Wide Open Toe Short, Regular II-VII Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II-VII Tights Open/Closed Toe Short, Regular II-VII Tights Extra Wide Open/Closed Toe Short, Regular II-VII

21 LYMPHOEDEMA GARMENTS continued. Style Lengths Sizes Haddenham Veni Class 1 (18-21mmHg) (Per pair) Below Knee Open Toe Short / Reg / Long I VIII Below Knee Closed Toe Short / Reg / Long I VIII Below Knee Extra Wide Open Toe Short / Reg / Long I VIII Below Knee Extra Wide Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Open Toe Short / Reg / Long I VIII Thigh High with Grip Top Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Extra Wide Open Toe Short / Reg / Long I VIII Thigh High with Grip Top Extra Wide Closed Short / Reg / Long I VIII Toe Tights Open / Closed Toe Short / Reg / Long I VIII Tights Extra Wide Open / Closed Toe Short / Reg / Long I VIII (Per pair) Below Knee Open Toe Short / Reg / Long I VIII Below Knee Closed Toe Short / Reg / Long I VIII Below Knee Extra Wide Open Toe Short / Reg / Long I VIII Below Knee Extra Wide Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Open Toe Short / Reg / Long I VIII Thigh High with Grip Top Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Extra Wide Open Toe Short / Reg / Long I VIII Thigh High with Grip Top Extra Wide Closed Short / Reg / Long I VIII Toe Tights Open / Closed Toe Short / Reg / Long I VIII Tights Extra Wide Open / Closed Toe Short / Reg / Long I VIII Class 3 (34-46mmHg) (Per Pair) Below Knee Open Toe Short / Reg / Long I VIII Below Knee Closed Toe Short / Reg / Long I VIII Below Knee Extra Wide Open Toe Short / Reg / Long I VIII Below Knee Extra Wide Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Open Toe Short / Reg / Long I VIII Thigh High with Grip Top Closed Toe Short / Reg / Long I VIII Thigh High with Grip Top Extra Wide Open Toe Short / Reg / Long I VIII Thigh High with Grip Top Extra Wide Closed Short / Reg / Long I VIII Toe Tights Open / Closed Toe Short / Reg / Long I VIII Tights Extra Wide Open / Closed Toe Short / Reg / Long I VIII

22 LYMPHOEDEMA GARMENTS continued Juzo Attractive Length Sizes Price(p) Custom made for the lower limb Per Piece 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 Tights Open Toe Tights Closed Toe Per Piece 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 Tights Open Toe Tights Closed Toe Juzo Classic Sizes Code Class 1 (18-21mmHg) (Per pair) Armsleeve Wrist to Axilla I,ii,iii,iv,v,vi CG Armsleeve Wrist to Axilla max I,ii,iii,iv,v,vi CG2301-Max Armsleeve Wrist to Axilla with Silicone Border I,ii,iii,iv,v,vi CG2301-Sil Armsleeve Wrist to Axilla with Silicone Border I,ii,iii,iv,v,vi CG2301-Max-Sil max Gauntlet 2,3,4,5 I Glove ii,iii,iv,v HFA Armsleeve Wrist to Axilla I,ii,iii,iv,v,vi CG Armsleeve Wrist to Axilla max I,ii,iii,iv,v,vi CG2302-Max Armsleeve Wrist to Axilla with Silicone Border I,ii,iii,iv,v,vi CG2302-Sil Armsleeve Wrist to Axilla with Silicone Border I,ii,iii,iv,v,vi CG2302-Max-Sil max Gauntlet 2,3,4,5 I

23 LYMPHOEDEMA GARMENTS continued Juzo Dynamic Sizes Class 1 (18-21mmHg) Armsleeve I VI Armsleeve max I VI Armsleeve with Silicone Border I VI Armsleeve with Silicone Border max I VI Combined Armsleeve with Silicone Border I VI Combined Armsleeve with Silicone Border max I VI Armsleeve with Shoulder and Strap I VI Armsleeve with Shoulder and Strap max I VI Armsleeve I VI Armsleeve max I VI Armsleeve with Silicone I VI Border Armsleeve with Silicone Border max I VI Combined Armsleeve with Silicone Border I VI Combined Armsleeve with Silicone Border max I VI Armsleeve with Shoulder and Strap I VI Armsleeve with Shoulder and Strap max I VI

24 LYMPHOEDEMA GARMENTS continued Juzo Dynamic (cont) Custom made for the lower limb Class 1 (18-21mmHg) Per Piece 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 Per Piece 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 Class 3 (34-46mmHg) Per Piece 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

25 LYMPHOEDEMA GARMENTS continued Juzo Dynamic (cont.) Class 3 (34-46mmHg) 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 NB: Where Juzo Dynamic custom made garments are prescribed including specifically prescribed additional options, the dispenser must ensure that full details are clearly endorsed on the GP10. The additional options for the base garments do not attract any additional prescription charges. One prescription charge is payable where one or more of the same base garment is supplied. More than one prescription charge is payable if different base garments (Including different compression of the same garment type) are ordered 17

26 LYMPHOEDEMA GARMENTS continued Juzo Dynamic Cotton Custom made for the lower limb Class 1 (18-21mmHg) Per Piece 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 Per Piece 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

27 LYMPHOEDEMA GARMENTS continued Juzo Expert Custom made for the upper limb Length Order No. Class 1 (18-21mmHg) Armsleeve JUE1CG Armsleeve with Gauntlet JUE1AG Armsleeve with Glove JUE1AGL Gauntlet with thumb stub short JUE1G Gauntlet with thumb stub long JUE1G Glove with open Fingers short JUE1GLO Glove with closed Fingers short JUE1GLC Glove with open Fingers long JUE1GLO Glove with closed Fingers long JUE1GLC Armsleeve JUE2CG Armsleeve with Gauntlet JUE2AG Armsleeve with Glove JUE2AGL Gauntlet with thumb stub short JUE2G Gauntlet with thumb stub long JUE2G Glove with open Fingers short JUE2GLO Glove with closed Fingers short JUE2GLC Glove with open Fingers long JUE2GLO Glove with closed Fingers long JUE2GLC

28 LYMPHOEDEMA GARMENTS continued Juzo Expert Custom made for the upper limb (cont) Length Order No. Class 3 (34-46mmHg) Armsleeve JUE3CG Armsleeve with Gauntlet JUE3AG Armsleeve with Glove JUE3AGL Gauntlet with thumb stub short JUE3G Glove with open Fingers short JUE3GLO Glove with closed Fingers short JUE3GLC N.B.: The above garments are available with additional options. These are priced separately below: Anatomically flexed middle of elbow JUEA Overheight JUEA Pressure pads (piece) JUEA Shoulder Cap JUEA Shoulder Cap with silicone support JUEA Tricot lining JUEA Velcro fastener JUEA Zipper JUEA N.B.: The dispenser must ensure that the full details including order codes for the garment and any options are clearly endorsed on the GP10 Juzo Expert Custom made for the lower limb Class 1 (18-21mmHg) Foot with open toe JLE1TC Below Knee JLE1AD Thigh High JLE1AG Thigh High with Hip Attachment JLE1AGH Tights open toe JLE1AT Capri pants JLE1CP Bermuda pants JLE1BP Foot with open toe JLE2TC Below Knee JLE2AD Thigh High JLE2AG Thigh High with Hip Attachment JLE2AGH Tights open toe JLE2AT Capri pants JLE2CP Bermuda pants JLE2BP

29 LYMPHOEDEMA GARMENTS continued Juzo Expert Custom made for the lower limb (cont.) Class 3 (34-46mmHg) Order No. Foot with open toe JLE3TC Below Knee JLE3AD Thigh High JLE3AG Thigh High with Hip Attachment JLE3AGH Tights open toe JLE3AT Capri pants JLE3CP Bermuda pants JLE3BP Class 4 (>46mmHg) Below Knee JLE4AD Thigh High JLE4AG Thigh High with Hip Attachment JLE4AGH Tights open toe JLE4AT N.B.: The above garments are available with additional options. These are priced separately below: Adhesive border JLEA Adhesive border at bottom of leg JLEA Adjustable waist band JLEA Ball stub (diagonal foot) JLEA Fly JLEA Hip fastening belt at T JLEA Hip fastening belt at T with Velcro JLEA Incorporated scrotum JLEA Instep stitching JLEA Internal sewn-in adhesive border JLEA Open crotch JLEA Overheight JLEA Pressure pads (piece) JLEA Silicone stopper JLEA Tricot lining JLEA Velcro fastener JLEA Zipper JLEA

30 LYMPHOEDEMA GARMENTS continued Juzo Expert Strong Custom made for the upper limb Class 1 (18-21mmHg) Length Order No. Armsleeve JUES1CG Armsleeve with Gauntlet JUES1AG Armsleeve with Glove JUES1AGL Gauntlet with thumb stub short JUES1G Gauntlet with thumb stub long JUES1G Glove with open Fingers short JUES1GLO Glove with closed Fingers short JUES1GLC Glove with open Fingers long JUES1GLO Glove with closed Fingers long JUES1GLC Armsleeve JUES2CG Armsleeve with Gauntlet JUES2AG Armsleeve with Glove JUES2AGL Gauntlet with thumb stub short JUES2G Gauntlet with thumb stub long JUES2G Glove with open Fingers short JUES2GLO Glove with closed Fingers short JUES2GLC Glove with open Fingers long JUES2GLO Glove with closed Fingers long JUES2GLC Class 3 (34-46mmHg) Armsleeve JUES3CG Armsleeve with Gauntlet JUES3AG Armsleeve with Glove JUES3AGL Gauntlet with thumb stub short JUES3G Glove with open Fingers short JUES3GLO Glove with closed Fingers short JUES3GLC N.B.: The above garments are available with additional options. These are priced separately below: Anatomically flexed middle of elbow JUESA Overheight JUESA Pressure pads (piece) JUESA Shoulder Cap JUESA Shoulder Cap with silicone support JUESA Tricot lining JUESA Velcro fastener JUESA Zipper JUESA

31 LYMPHOEDEMA GARMENTS continued Juzo Expert Strong Custom made for the lower limb Class 1 (18-21mmHg) Order No. Foot with open toe JLES1TC Below Knee JLES1AD Thigh High JLES1AG Thigh High with Hip Attachment JLES1AGH Tights open toe JLES1AT Capri pants JLES1CP Bermuda pants JLES1BP Foot with open toe JLES2TC Below Knee JLES2AD Thigh High JLES2AG Thigh High with Hip Attachment JLES2AGH Tights open toe JLES2AT Capri pants JLES2CP Bermuda pants JLES2BP

32 LYMPHOEDEMA GARMENTS continued Juzo Expert Strong Custom made for the lower limb (cont) Class 3 (34-46mmHg) Order No. Foot with open toe JLES3TC Below Knee JLES3AD Thigh High JLES3AG Thigh High with Hip Attachment JLES3AGH Tights open toe JLES3AT Capri pants JLES3CP Bermuda pants JLES3BP Class 4 (>46mmHg) Below Knee JLES4AD Thigh High JLES4AG Thigh High with Hip Attachment JLES4AGH Tights open toe JLES4AT N.B.: The above garments are available with additional options. These are priced separately below: Adhesive border JLESA Adhesive border at bottom of leg JLESA Adjustable waist band JLESA Ball stub (diagonal foot) JLESA Fly JLESA Hip fastening belt at T JLESA Hip fastening belt at T with Velcro JLESA Incorporated scrotum JLESA Instep stitching JLESA Internal sewn-in adhesive border JLESA Open crotch JLESA Overheight JLESA Pressure pads (piece) JLESA Silicone stopper JLESA Tricot lining JLESA Velcro fastener JLESA Zipper JLESA N.B.: The dispenser must ensure that the full details including order codes for the garment and any options are clearly endorsed on the GP10 24

33 LYMPHOEDEMA GARMENTS continued Juzo Hostess Custom made for the lower limb Class 1 (18-21mmHg) Per Piece 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 Tights Open Toe Tights Closed Toe Per Piece 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 Tights Open Toe Tights Closed Toe

34 LYMPHOEDEMA GARMENTS continued Juzo Soft Custom made for the lower limb Class 1 (18-21mmHg) (Per Piece) 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 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 (Per Piece) 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 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 Juzo Soft Length Sizes (Per Pair) Fly Open Crotch

35 SKIN CLOSURE STRIPS - STERILE Leukostrip Code No mm x 76mm 3 strips per envelope 10 envelope pack VENOUS ULCER COMPRESSION SYSTEM Sizes Per Pack (p) ActiLymph Hosiery Kit (Activa Healthcare) Medical stocking & compression liner M, L, XL, XXL (Pack contains 1 stocking + 2 liners) Activa Leg Ulcer Hosiery Kit Medical stocking & compression liner S, M, L, XL, XXL (Activa Healthcare) (Pack contains 1 stocking + 2 liners 40MMHg) Compression Liner Pack Closed Toe S, M, L, XL, XXL (Pack contains 3 liners 10mmHg) Compression Liner Pack Open Toe (Pack contains 3 liners 10mmHg) S, M, L, XL, XXL WOUND MANAGEMENT DRESSINGS Activated Charcoal Non-Absorbent Dressing Clinisorb 10cm x 10cm cm x 20cm cm x 25cm Alginate Dressing Sterile Indications: Medium/heavily exuding cavity wounds Algisite M 5cm x 5cm cm x 10cm cm x 20cm Algosteril 5cm x 5cm cm x 10cm cm x 20cm Biatain Alginate Ag 5cm x 5cm cm x 10cm cm x 15cm cm x 44cm

36 Alginate containing Hydrocolloid Dressing Sterile Indications: Medium/heavily exuding cavity wounds Biatain Alginate 5cm x 5cm cm x 10cm cm x 15cm Urgosorb Pad 5cm x 5cm cm x10cm cm x 20cm Urgosorb Silver 5cm x 5cm cm x 10cm cm x 20cm Cavity Dressing Indications: Medium/heavily exuding cavity wounds Acticoat Flex 7 2.5cm x 60cm Algisite M-Rope 30cm/2g Algosteril Rope 30cm/2g Allevyn Plus Cavity 5cm x 6cm cm x 10cm cm x 20cm Aquacel Ag Ribbon 2cm x 45cm Biatain Ag 5cm x 8cm Biatain Alginate 44cm UrgoClean Rope (with probe) 5cm x 40cm cm x 40cm Urgosorb Rope 30cm Urgosorb Silver Rope 2.5cm x 30cm

37 Hydrocolloid Dressing Semi-Permeable Sterile Indications: Light to medium exuding wounds. With Adhesive Border Wound contact pad Border Comfeel Plus Contour Dressing 6cm x 8cm 6cm x8cm Irregular cm x 11cm 9cm x11cm Irregular Comfeel Plus Pressure Relieving Dressing 7cm diameter 7cm diameter Irregular cm diameter 10cm diameter Irregular cm diameter 15cm diameter Irregular Without Adhesive Border Comfeel Plus Ulcer Dressing Square 10cm x 10cm (bevelled edge) 15cm x 15cm cm x 20cm Rectangular 4cm x 6cm Triangular 18cm x 20cm Hydrocolloid Dressing Thin Semi Permeable - Sterile Without Adhesive Border Comfeel Plus Transparent Dressing Square 10cm x 10cm cm x 15cm cm x 20cm Rectangular 5cm x 7cm cm x 15cm cm x 25cm cm x 14cm cm x 25cm cm x 20cm Hydrogel Dressing Sterile Intrasite Gel 8g g g Purilon Gel 8g g Hydrogel Sheet Without adhesive Border ActiFormCool Square 10cm x 10cm cm x 20 cm Rectangular 5cm x 6.5cm cm x 15cm Intrasite Conformable 10cm x 10cm 7.5g cm x 20cm 15g cm x 40cm 30g

38 Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds With Adhesive Border Wound contact pad Border Allevyn Adhesive (Adhesive faced pad) Square 7.5cm x 7.5cm 5cm x 5 cm 1.25cm cm x 10cm 7.5cm x 7.5 cm 1.25cm cm x 12.5cm 10cm x 10cm 1.25cm cm x 17.5cm 15cm x 15cm 1.25cm cm x 22.5cm 20cm x 20cm 1.25cm Rectangular 12.5cm x 22.5cm 10cm x 20cm 2cm Anatomically 17cm x 17cm 13cm x 13cm 2cm Shaped Sacral 22cm x 22cm 18cm x 18cm 2cm Biatain Adhesive Square 7.5cm x 7.5cm 4cm x 4cm 1.75cm cm x 10cm 6cm diameter Irregular cm x 12.5cm 8cm x 8cm 2.25cm cm x 15cm 10cm x 10cm 2.5cm cm x 18cm 13cm x 13cm 2.5 cm Rectangular 18cm x 28cm 10cm x 20cm 4cm Sacral 17cm x 17cm 9.5cm x 9.5cm 3.75cm cm x 23cm 13cm x 13cm 5cm Contour 17cm diameter 8cm diameter Irregular Heel Dressing 19cm x 20cm 12cm x 13cm 3.5cm Without Adhesive Border Allevyn Non-Adhesive Square 5cm x 5cm cm x 10cm cm x 20cm Rectangular 10cm x 20cm Heel (Cupped Shape) 10.5cm x 13.5cm Biatain-Ibu Non-Adhesive Square 15cm x 15cm cm x 20cm Rectangular 5cm x 7cm cm x 12cm cm x 22.5cm Biatain-Ibu Soft-Hold Square 15cm x 15cm Rectangular 10cm x 12cm cm x 22.5cm Biatain Non-Adhesive Square 10cm x10cm cm x15cm cm x 20cm Rectangular 5cm x 7cm cm x 20cm Biatain Soft-Hold Dressing Square 10cm x10cm cm x15cm Rectangular 5cm x 7cm cm x 20cm