SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. June 2016

Transcription

1 Scottish Drug Tariff: Amendment Sheets June 2016 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS June 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 June ADDITIONS The following additions apply to Part 1 Annex A (Zero Discount) Bramox 5mg Tabs Midodrine 5mg tabs 1

2 Scottish Drug Tariff: Amendment Sheets June 2016 The following additions apply to Part 2 Dressings LYMPHOEDEMA GARMENTS Order No. Per Piece Sigvaris MTM Optiform Flex Class 1 (18-21mmHg) Below Knee Open Toe OFC Below Knee Closed Toe OFC Thigh High Open Toe OFT Thigh High Closed Toe OFT Thigh High Open Toe with Waist Attachment (Left or Right) OFW Thigh High Closed Toe with Waist Attachment (Left or Right) OFW Body Bandage OFB Shorts OFS Capri Length OFCL Leggings OFL Class 2 (23-32mmHg) Per Piece Below Knee Open Toe OFC Below Knee Closed Toe OFC Thigh High Open Toe OFT Thigh High Closed Toe OFT Thigh High Open Toe with Waist Attachment (Left or Right) OFW Thigh High Closed Toe with Waist Attachment (Left or Right) OFW Body Bandage OFB Shorts OFS Capri Length OFCL Leggings OFL NB: The above garments are available with optional extras. See below Silicone band/strips OA1S 600 Knee functional zone OA1K 600 Adjustable waistband OA2AW 1000 Ankle Pad 1 piece OA2AP 1000 Silk pocket OA2SP 1000 Fly Opening (Horizontal or Vertical) OA2FO 1000 Reinforced gusset OA2RG 1000 Zip with lining OA3Z

3 Scottish Drug Tariff: Amendment Sheets June 2016 Order No. Per Piece Sigvaris MTM Optiform Hold Class 1 (18-21mmHg) Below Knee Open Toe OHC Below Knee Closed Toe OHC Thigh High Open Toe OHT Thigh High Closed Toe OHT Thigh High Open Toe with Waist Attachment (Left or Right) OHW Thigh High Closed Toe with Waist Attachment (Left or Right) OHW Body Bandage OHB Shorts OHS Capri Length OHCL Leggings OHL Class 2 (23-32mmHg) Per Piece Below Knee Open Toe OHC Below Knee Closed Toe OHC Thigh High Open Toe OHT Thigh High Closed Toe OHT Thigh High Open Toe with Waist Attachment (Left or Right) OHW Thigh High Closed Toe with Waist Attachment (Left or Right) OHW Body Bandage OHB Shorts OHS Capri Length OHCL Leggings OHL Class 3 (34-46mmHg) Per Piece Below Knee Open Toe OHC Below Knee Closed Toe OHC Thigh High Open Toe OHT Thigh High Closed Toe OHT Thigh High Open Toe with Waist Attachment (Left or Right) OHW Thigh High Closed Toe with Waist Attachment (Left or Right) OHW Body Bandage OHB Shorts OHS Capri Length OHCL Leggings OHL NB: The above garments are available with optional extras. See below Silicone band/strips OA1S 600 Knee functional zone OA1K 600 Adjustable waistband OA2AW 1000 Ankle Pad 1 piece OA2AP 1000 Silk pocket OA2SP 1000 Fly Opening (Horizontal or Vertical) OA2FO 1000 Reinforced gusset OA2RG 1000 Zip with lining OA3Z

4 Scottish Drug Tariff: Amendment Sheets June 2016 TRACHEOSTOMY AND LARYNECTOMY APPLIANCES TRACHEOSTOMY BREATHING AIDS Shiley Tracheostomy System Shiley Uncuffed Paediatric Tracheostomy tube 39 mm length Diam 3.0mm inner, 4.5mm outer 3.0PED mm length Diam 3.5mm inner, 5.2mm outer 3.5PED mm length Diam 4.0mm inner, 5.9mm outer 4.0PED mm length Diam 4.5mm inner, 6.5mm outer 4.5PED mm length Diam 5.0mm inner, 7.1mm outer 5.0PED mm length Diam 5.5mm inner, 7.7mm outer 5.5PED 2970 Shiley Long Uncuffed Paediatric Tracheostomy tube 50mm length Diam 5.0mm inner, 7.1mm outer 5.0PDL mm length Diam 5.5mm inner, 7.7mm outer 5.5PDL mm length Diam 6.0mm inner, 8.3mm outer 6.0PDL mm length Diam 6.5mm inner, 9.0mm outer 6.5PDL 3455 Shiley Cuffed Paediatric Tracheostomy tube 41mm length Diam 4.0mm inner, 5.9mm outer 4.0PDC mm length Diam 4.5mm inner, 6.5mm outer 4.5PDC mm length Diam 5.0mm inner, 7.1mm outer 5.0PDC mm length Diam 5.5mm inner, 7.7mm outer 5.5PDC 3444 Shiley Long Cuffed Paediatric Tracheostomy tube 50mm length Diam 5.0mm inner, 7.1mm outer 5.0PLC mm length Diam 5.5mm inner, 7.7mm outer 5.5PLC mm length Diam 6.0mm inner, 8.3mm outer 6.0PLC mm length Diam 6.5mm inner, 9.0mm outer 6.5PLC 3455 Shiley Low Pressure Cuffed Tracheostomy tube with reusable inner cannula 65mm length Diam 5.0mm inner, 9.4mm outer 4LPC mm length Diam 7.0mm inner, 10.8mm outer 6LPC mm length Diam 8.5mm inner, 12.2mm outer 8LPC mm length Diam 9.0mm inner, 13.8mm outer 10LPC 5429 Shiley Low Pressure Cuffed Fenestrated Tracheostomy tube with reusable inner cannula 65mm length Diam 5.0mm inner, 9.4mm outer 4FEN mm length Diam 6.4mm inner, 10.8mm outer 6FEN mm length Diam 7.6mm inner, 12.2mm outer 8FEN mm length Diam 8.9mm inner, 13.8mm outer 10FEN 5237 Shiley Uncuffed Fenestrated Tracheostomy tube with reusable inner cannula 65mm length Diam 5.0mm inner, 9.4mm outer 4CFN mm length Diam 6.4mm inner, 10.8mm outer 6CFN mm length Diam 7.6mm inner, 12.2mm outer 8CFN mm length Diam 8.9mm inner, 13.8mm outer 10CFN

5 Scottish Drug Tariff: Amendment Sheets June 2016 Shiley Uncuffed Tracheostomy tube with reusable inner cannula 65mm length Diam 5.0mm inner, 9.4mm outer 4CFS mm length Diam 6.4mm inner, 10.8mm outer 6CFS mm length Diam 7.6mm inner, 12.2mm outer 8CFS mm length Diam 8.9mm inner, 13.8mm outer 10CFS 5237 Shiley Low Pressure Cuffed Tracheostomy tube with Disposable inner cannula 62mm length Diam 5.0mm inner, 9.4mm outer 4DCT mm length Diam 6.4mm inner, 10.8mm outer 6DCT mm length Diam 7.6mm inner, 12.2mm outer 8DCT mm length Diam 8.9mm inner, 13.8mm outer 10DCT 5237 Shiley Low Pressure Cuffed Fenestrated Tracheostomy tube with Disposable inner cannula 62mm length Diam 5.0mm inner, 9.4mm outer 4DFEN mm length Diam 6.4mm inner, 10.8mm outer 6DFEN mm length Diam 7.6mm inner, 12.2mm outer 8DFEN mm length Diam 8.9mm inner, 13.8mm outer 10DFEN 5237 Shiley Uncuffed Tracheostomy tube with Disposable inner cannula 62mm length Diam 5.0mm inner, 9.4mm outer 4DCFS mm length Diam 6.4mm inner, 10.8mm outer 6DCFS mm length Diam 7.6mm inner, 12.2mm outer 8DCFS mm length Diam 8.9mm inner, 13.8mm outer 10DCFS 5237 Shiley Uncuffed Fenestrated Tracheostomy tube with Disposable inner cannula 62mm length Diam 5.0mm inner, 9.4mm outer 4DCFN mm length Diam 6.4mm inner, 10.8mm outer 6DCFN mm length Diam 7.6mm inner, 12.2mm outer 8DCFN mm length Diam 8.9mm inner, 13.8mm outer 10DCFN 5237 Shiley Laryngectomy tube with low profile inner cannula 50mm length Diam 6.4mm inner, 11.1mm outer 6LGT 5774 Diam 7.6mm inner, 12.6mm outer 8LGT 5774 Diam 8.9mm inner, 13.7mm outer 10LGT 5774 Shiley reusable spare inner cannula (short term use) Pack of 10 4SIC SIC SIC SIC 5022 Shiley Disposable Non-Fenestrated inner cannula Pack of 10 4DIC DIC DIC DIC 1860 Shiley Disposable Fenestrated inner cannula for size 4 tubes 4DICFEN 1860 for size 6 tubes 6DICFEN 1860 for size 8 tubes 8DICFEN 1860 for size 10 tubes 10DICFEN

6 Scottish Drug Tariff: Amendment Sheets June 2016 WOUND MANAGEMENT DRESSINGS Protease Modulating Matrix - Sterile KerraCel Square 5cm x 5cm 60 10cm x 10cm cm x 15cm 269 Ribbon 2.5cm x45cm 190 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile With Silicone Adhesive Border Biatain Silicone Lite 5cm x 5cm 90 5cm x 12.5cm 195 The following additions apply to Part 3 Appliances ANAL IRRIGATION SYSTEM Manufacturer Appliance Order No Quantity MacGregor Healthcare Ltd Qufora IrriSedo Extension Tube CATHETERS, URINARY, URETHRAL Gauge (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Per 30 Bard Bard HydroSil Go Intermittent Catheter (Female) ( )

7 Scottish Drug Tariff: Amendment Sheets June 2016 EYE PRODUCTS Eye Compress Hot Eye Compress Eye Drops - Carmellose Cellusan 1% (10ml preservative free bottle) 480 Cellusan Light 0.5% (10ml preservative free bottle) 480 Eye Drops - Hypromellose Ocu-Lube (10ml preservative free bottle) 575 Eye Drops Sodium Hyaluronate Thealoz Duo (10ml preservative free bottle) 899 Thealoz Duo UD (30 x 0.4ml preservative free single dose unit) 699 HYPODERMIC EQUIPMENT NEEDLE FREE Insulin Delivery System InsuJet Nozzle Pack (Pack contains 5 pieces) UK InsuJet 3ml Cartridge Adaptor Pack (Pack contains 5 pieces) UK InsuJet 10ml Vial Adaptor Pack (Pack contains 5 pieces) UK

8 Scottish Drug Tariff: Amendment Sheets June 2016 DELETIONS The following deletions apply to Part 2 Dressings WOUND MANAGEMENT DRESSINGS Hydrocolloid Dressing Fibrous Sterile With Adhesive Border Versiva XC Square 10cm x 10cm cm x 14cm cm x 19cm cm x 22cm 600 Heel 18.5cm x 20.5cm 600 Sacral 21cm x 25cm 643 Without Adhesive Border Versiva XC Square 7.5cm x 7.5cm cm x 11cm cm x 15cm cm x 20cm 676 Silver Coated Barrier Dressings Sterile Sorbion silver flex Square 5cm x 5cm cm x 10cm cm x 20cm 3995 Rectangular 10cm x 20cm

9 Scottish Drug Tariff: Amendment Sheets June 2016 The following deletions apply to Part 3 Appliances CATHETERS, URINARY, URETHRAL Gauge (A)(v) Nelaton Catheter with Water Container & Urine Drainage Bag Pack of 20 Wellspect HealthCare LoFric Hydro-Kit Tiemann HYPODERMIC EQUIPMENT LANCETS Sterile, Single-Use MediSafe Solo Lancets 0.50mm/29gauge (Cambridge Sensors Ltd) OTHER CHANGES The following changes apply to Part 3 Appliances HYPODERMIC EQUIPMENT LANCETS Sterile, Single-Use Dario 0.31mm/30gauge (Farla Medical Ltd) Now Reads Dario 0.31mm/30gauge LabStyle Innovations Ltd 9

10 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : MONTHLY NOTICE OF AMENDMENTS TO STOMA APPLIANCES June 2016 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 June 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 COLOSTOMY BAGS Manufacturer Appliance Order No Qty Dansac Ltd Dansac NovaLife 1 Closed Soft Convex with viewing option Cut-to-fit 15-44mm ILEOSTOMY BAGS Manufacturer Appliance Order No Qty Dansac Ltd Dansac NovaLife 1 Open Soft Convex with viewing option Maxi Cut-to-fit 15-24mm mm mm Pre-cut 25mm mm mm Manufacturer Appliance Order No Qty Oakmed Ltd Option Midi Drainable Soft Convex Pouch with Window, Filter, Soft Covering to both sides and velcro Opaque 25mm Plateau Cut-to-fit 15-24mm SC KV Pre-cut 20mm SC KV mm Plateau Cut-to-fit 15-34mm SC KV Pre-cut 20mm SC KV mm SC KV mm SC KV

11 Stoma Appliances- Reimbursement Prices: Amendment sheets for June mm Plateau Cut-to-fit 15-44mm SC KV Pre-cut 20mm SC KV mm SC KV mm SC KV mm SC KV mm SC KV IRRIGATION/WASH-OUT APPLIANCES - (Replacement Parts) (SLEEVES/DRAINS/BAGS/CONES/LUBRICANTS) Manufacturer Appliance Order No Qty Corpak MedSystems Corstop a.c.e. stopper CS8-15- CS SKIN FILLLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes) Manufacturer Appliance Order No Qty CD Medical Ltd Clinifilm Barrier Cream g 318 Medline Industries Ltd Sureprep No-Sting Barrier Film Spray MSC ml 500 Sureprep No-Sting Barrier Film Foam Applicators (Sterile) 1ml MSC ml MSC Sureprep No-Sting Barrier Wipes MSC TWO PIECE OSTOMY SYSTEMS Manufacturer Appliance Order No Qty Hollister Ltd Conform 2 CeraPlus Skin Barrier with Adhesive Border Cut-to-fit 45mm flange 13-30mm mm flange 13-40mm mm flange 13-55mm

12 Stoma Appliances- Reimbursement Prices: Amendment sheets for June 2016 Manufacturer Appliance Order No Qty Hollister Ltd Conform 2 CeraPlus Skin Barrier with Adhesive Border and Integral Convexity Cut-to-fit 45mm flange 13-25mm mm flange 13-38mm mm flange 13-51mm Pre-cut 45mm flange 20mm mm flange 25mm mm flange 29mm mm flange 32mm Manufacturer Appliance Order No Qty Hollister Ltd Conform 2 Floating Flange Adhesive Border Cut-to-fit 102mm flange 13-89mm OTHER CHANGES ADHESIVE DISCS/RINGS/PADS/PLASTERS Clinimed Ltd Essentials Accessories Now reads Clinimed Ltd BAG CLOSURES Clinimed Ltd Essentials Accessories Now reads Clinimed Ltd DEODORANTS Clinimed Ltd Essentials Accessories Now reads Clinimed Ltd DISCHARGE SOLIDIFYING AGENTS Clinimed Ltd Essentials Accessories Now reads Clinimed Ltd SKIN PROTECTORS 3

13 Stoma Appliances- Reimbursement Prices: Amendment sheets for June 2016 Clinimed Ltd Essentials Accessories Now reads Clinimed Ltd 4

14 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS June 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 June 2016 Prices in pence per item unless otherwise stated The following price changes apply to Part 2 (Dressings) ABSORBENT COTTONS Absorbent Cotton BP 25g g g Absorbent Cotton, Hospital Quality 500g ADHESIVE DRESSING REMOVER STERILE SILICONE BASED Appeel Sterile single use wipes foam applicator BANDAGES 1 Crêpe Bandage BP cm x 4.5m cm x 4.5m cm x 4.5m cm x 4.5m Elastic Adhesive Bandage BP 5cm x 4.5m cm x 4.5m cm x 4.5m

15 Cotton Crêpe Bandage BP 1988 Elastocrepe 7.5cm x 4.5m cm x 4.5m Flexocrepe 7.5cm x 4.5m cm x 4.5m Open-Wove Bandage Type 1 BP cm x 5m cm x 5m cm x 5m Suspensory Bandage, Cotton Type 1. Cotton net bag with draw tapes and webbing waistband (Each in a carton or envelope). Type 2. Cotton net bag with elastic edge and webbing waistband (Each in a carton or envelope). Small Medium Large Ex-Large Small Medium Large Ex-Large Type 3. Cotton net bag with elastic edge and webbing waistband with insertion of elastic centre-front (each in a carton or envelope). Small Medium Large Ex-Large Triangular Calico Bandage BP Individually wrapped 90cm (sides) x 127cm (base) CHIROPODY APPLIANCES Adhesive Felt Zinc oxide or acrylic adhesive spread on semi-compressed wool felt. Size 10.5cm x 8.3cm x 5mm thick Size 10cm x 22.5m x 5mm thick Animal Wool for Chiropody BP 25g Bunion Rings Self-adhesive, semi-compressed felt Wallet of Corn rings Self-adhesive, semi-compressed felt 5mm Thick Wallet of

16 DRESSINGS Multiple Pack Dressing No 1 (Drug Tariff) Contents packed in a carton: - Absorbent Cotton BP (Inter-leaved) 25g Absorbent Cotton Gauze BP Sterile 90cm x 1m Open-Wove Type 1 Bandages BP 3 x 5cm x 5m Per carton Sterile Dressing Pack Non-Drug Tariff Specification CE Marked Sterile Nurse It Sterilised Pack containing: - per pack Pair Powder Free Latex Free Nitrile Gloves Small/Medium, Medium/ Large 7 Non-Woven Swabs 4-ply 10cm x 10cm 1 Compartment Tray 12cm x 11cm 1 Disposable Forceps 11cm 2 Laminated Paper Sterile Field 40cm x 40cm 1 Large Apron 80cm x 130cm 1 Paper Towel 35cm x 40cm 1 White Polythene Disposable Bag 46cm x 26cm 1 Paper Measuring Tape Vapour - Permeable Adhesive Film Dressing BP IV3000 Ported 5cm x 6cm Mepore IV 10cm x 11cm GAUZES Absorbent Cotton Gauze Type 13 Light BP (Sterile) 90cm x 1m cm x 3m cm x 5m cm x 10m m (Not sterilised Absorbent Cotton and Viscose Ribbon Gauze BP 1.25cm x 5m cm x 5m GAUZE AND COTTON TISSUE BP (Gamgee-Blue Label) 500g GAUZE AND COTTON TISSUE (Gamgee-Pink Label) 500g

17 GAUZE DRESSINGS (IMPREGNATED) Chlorhexidine Gauze Dressing BP Bactigras 5cm x 5cm cm x10cm LINTS Absorbent Lint BPC 73 25g g g Juxta-Fit LYMPHOEDEMA GARMENTS Per Piece Armsleeve (Right, Left) Standard, Long 1,2,3,4,5, Hand Wrap (Right, Left) XS,S,M,L,XL Lower Legging 28cm S,M,L,XL,XXL cm S,M,L,XL,XXL Lower Legging Extra Wide Calf 28cm M,L,XL cm M,L,XL Ankle Foot Wrap, Interlocking S,M,L Ankle Foot Wrap, Closed Heel S,M,L Juxta-Fit Essentials Per Piece Upper Leg with Knee Piece (Right, Left) 45cm XS,S,M,L,XL cm XS,S,M,L,XL Per Pair Full Leg Liner Sock Mediven Active Class 1 (18-21mmHg) Per Pair Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Class 2 (23-32mmHg) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Mediven 95 Per Piece Whitaker Pouch II IV

18 Mediven for men Class 1 (18-21mmHg) Per Pair Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Class 2 (23-32mmHg) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Mediven Elegance Class 1 (18-21mmHg) Per Pair Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Thigh Length with Top Band Closed Toe I VII Thigh Length Petite Top Band Closed Toe I VII Thigh Length Extra Wide Closed Toe Top Band I VII Thigh Length Extra Wide Petite Closed Toe Top Band I VII Tights Closed Toe I VII Tights Closed Toe Petite I VII Class 2 (23-32mmHg) Per Pair Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Thigh Length with Top Band Closed Toe I VII Thigh Length Petite Top Band Closed Toe I VII Thigh Length Extra Wide Closed Toe Top Band I VII Thigh Length Extra Wide Petite Closed Toe Top Band I VII Tights Closed Toe I VII Tights Closed Toe Petite I VII Mediven Harmony Class 1 (15-21mmHg) Per Piece Armsleeve I VIII Armsleeve Extra Wide I VIII Armsleeve with Grip Top I VIII Armsleeve with Grip Top Extra Wide I VIII Armsleeve with Shoulder Cap I VIII Armsleeve with Shoulder Cap Extra Wide I VIII Combined Armsleeve I VIII Combined Armsleeve Extra Wide I VIII Combined Armsleeve with Grip Top I VIII Combined Armsleeve with Grip Top Extra Wide I VIII Combined Armsleeve with Shoulder Cap I VIII Combined Armsleeve with Shoulder Cap Extra Wide I VIII Glove II VII

19 Class 2 (23-32mmHg) Armsleeve I VIII Armsleeve Extra Wide I VIII Armsleeve with Grip Top I VIII Armsleeve with Grip Top Extra Wide I VIII Armsleeve with Shoulder Cap I VIII Armsleeve with Shoulder Cap Extra Wide I VIII Combined Armsleeve I VIII Combined Armsleeve Extra Wide I VIII Combined Armsleeve with Grip Top I VIII Combined Armsleeve with Grip Top Extra Wide I VIII Combined Armsleeve with Shoulder Cap I VIII Combined Armsleeve with Shoulder Cap Extra Wide I VIII Glove II VII Mediven Mondi MTM Class 1 (18-21mmHg) Per Piece Below Knee DTMK One Legged Panty DTMOP Thigh Length DTMT Thigh Length with Waist Attachment DTMW Class 2 (23-32mmHg) Below Knee DTMK One Legged Panty DTMOP Thigh Length DTMT Thigh Length with Waist Attachment DTMW Tights DTMTG Class 3 (34-46mmHg) Below Knee DTMK One Legged Panty DTMOP Thigh Length DTMT Thigh Length with Waist Attachment DTMW Tights DTMTG NB: The above garments are available with optional extras. These are priced separately. See below Closed Toe DTTOE Silicone Topband DTTB Zip DTZIP

20 Mediven Plus Class 1 (18-21mmHg) Per Pair Below Knee Open Toe I VII Below Knee Open Toe Petite I VII Below Knee Open Toe Extra Wide I VII Below Knee Open Toe Petite Extra Wide I VII Thigh Length Petite Silicone Top Open Toe I VII Thigh Length Silicone Top Open Toe I VII Thigh Length Extra Wide Open Toe Silicone Top I VII Thigh Length Extra Wide Petite Open Toe Silicone Top I VII price each Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open Toe I VII Thigh Length Waist Attachment Left Open Toe I VII Thigh Length Petite Waist Attachment Left Open Toe I VII Class 2 (23-32mmHg) Per Pair Below Knee Open Toe I VII Below Knee Open Toe Petite I VII Below Knee Open Toe Extra Wide I VII Below Knee Open Toe Petite Extra Wide I VII Thigh Length Petite Silicone Top Open Toe I VII Thigh Length Silicone Top Open Toe I VII Thigh Length Extra Wide Open Toe Silicone Top I VII Thigh Length Extra Wide Petite Open Toe Silicone Top I VII price each Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open Toe I VII Thigh Length Waist Attachment Left Open Toe I VII Thigh Length Petite Waist Attachment Left Open Toe I VII Class 3 (34-46mmHg) Per Pair Below Knee Open Toe I VII Below Knee Open Toe Petite I VII Below Knee Open Toe Extra Wide I VII Thigh Length Petite Silicone Top Open Toe I VII Thigh Length Silicone Top Open Toe I VII Thigh Length Extra Wide Open Toe Silicone Top I VII Thigh Length Extra Wide Petite Open Toe Silicone Top I VII price each Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open Toe I VII Thigh Length Waist Attachment Left Open Toe I VII Thigh Length Petite Waist Attachment Left Open Toe I VII PLASTERS Nx Belladonna Adhesive Plaster BP Medium 19cm x 12.5cm Large 28cm x 17.5cm

21 PROTECTIVES Polythene Occlusive Dressings (Disposable) For use as an occlusive with medicated creams. Gloves Polythene 100 gauge Pack of STOCKINETTE Cotton Stockinette Bleached BP (Synonym: Cotton Stockinette) Heavyweight 2.5cm x 1m cm x 1m cm x 1m cm x 6m SURGICAL ADHESIVE TAPES Impermeable Plastic Adhesive Tape BP (Waterproof Strapping) Sleek 2.5cm x 3m cm x 5m cm x 5m cm x 5m Zinc Oxide Adhesive Tape BP cm x 5m cm x 5m cm x 5m cm x 5m SWABS Gauze Swab Type 13 Light BP Sterile Pads of 8-ply gauze 7.5 cm sq Pack of Non-Sterile 10 cm sq. Pack of Non-Woven Fabric Swabs Filmated Non-Woven Fabric Swab Non Sterile 10 cm x 10 cm Pack of Non-Woven Fabric Swab Non-Sterile 10 cm x 10 cm Pack of

22 VENOUS ULCER COMPRESSION SYSTEM Juxta CURES (Medi UK Ltd) Compression System (Pack contains Juxta CURES, 2 standard anklets and 2 liners) Short, Standard, Long Comfort Leg Liner (Pack contains 2 liners) Comfort Compression Anklet (Pack contains 2 anklets) Standard, Large WOUND MANAGEMENT DRESSINGS Protease Modulating Matrix Sterile Durafiber Square 5cm x 5cm cm x 10cm cm x15cm Rectangular 2cm x 45cm cm x 10cm cm x 20cm cm x 30cm ELECT Superabsorber Square 10cm x 10cm cm x 20cm Rectangular 10cm x 20cm cm x 30cm The following price changes apply to Part 3 (Appliances) ARM SLINGS Web, adjustable each

23 CATHETERS (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use SpeediCath Compact Plus Per 30 Female (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Wellspect HealthCare pack of 30 Wellspect HealthCare Lofric Non-PVC (Male) (Female 15cm) (Female 20cm) (Paediatric 20cm) (Paediatric 30cm) Wellspect HealthCare Lofric Primo with integrated water pocket pack of 30 Non-PVC (Female 15cm) (Female 20cm) (Paediatric) Wellspect HealthCare Lofric Sense (Female 15cm) (A)(v) Nelaton Catheter with Water Container & Urine Drainage Bag Wellspect HealthCare LoFric Hydro-Kit pack of 20 Female Paediatric D) Intermittent Catheter with introducer tip & urine bag. Pioneer Medical Europe Ltd pack of 25 mtg EZ-Advancer Male Soft Male Firm mtg EZ-Advancer Mini-Pak Male mtg Cath-Lean Female mtg Kiddie-Kath Paediatric Paediatric mtg EZ-Advancer Adolescent Paediatric

24 EYE PRODUCTS Eye Baths Plastic squat shape, with finger grips, rigid plastics, smooth inner surface and base, rounded rim HYPODERMIC EQUIPMENT HYPODERMIC NEEDLES Specification 2B(ii) The needles shall be of length not less than 12mm and the following diameters may be supplied: 0.5mm(25g), 0.45mm(26g) and 0.4mm(27g) For order on GP10 & GP10 (N) only. U100 Insulin Syringes with needle sterile, single use (disposable) Sterile: intended for single use only for the injection of U100 insulin. Each scale graduation represents one unit on the 0.3ml and 0.5ml syringes and two units on the 1.0ml syringe. The graduations on the syringes are clearly numbered at every 5 units on the 0.3ml and 0.5ml syringes and at every 10 units on the 1.0ml syringe. Where no indication on prescription 0.5ml should be dispensed unless the dosage of insulin indicates otherwise Needles not less than 12mm long shall have needle diameters as follows: 0.45mm(26G), 0.4mm(27G), 0.36mm(28G), 0.33mm(29G) and 0.3mm (30G) Per 10 Size 0.5ml syringe with needle ml syringe with needle Needles 8mm long shall have needle diameters as follows: Size 0.33mm (29G) & 0.3mm (30G) 0.3ml syringe and needle ml syringe and needle ml syringe and needle Needles for Pre-filled & Reusable Pen Injectors Pack of 100 TriCare 4mm/32gauge mm/31gauge mm/31 gauge mm/31 gauge Unifine Pentips Plus 4mm/32gauge mm/31gauge mm/31 gauge mm/31 gauge mm/29 gauge NEEDLE FREE Insulin Delivery System InsuJet Starter Set GBSP GBSP (Set includes 1 InsuJet pen, 1 nozzle cap, 1 nozzle & piston, 1 Vial (10ml) adaptor, 1 cartridge (3ml) adaptor, 1 cartridge cap removal key 11

25 Accessories Needle Clipping (Chopping) Device- for use with single use syringe. Consisting of a clipper to remove the needle from its hub, and incorporating a suitable receptacle from which the cut-off needles cannot be retrieved. Sufficiently robust to accommodate needles of diameter 0.45mm (26g) or finer & length: 16mm or shorter. Not generally suitable for use with lancets. Designed to hold approximately 1,200 such needles LATEX FOAM, ADHESIVE 1 Nx Specification 19 Raised cotton backed 22.5cm x 45cm x 7mm Pack of PESSARIES Ring Polythene - Specification 3 (ii) 7.5mm thick 50mm to 80mm (rising in 3mm) mm to 100mm (rising in 5mm) PVC - Specification 3 (iii) 1.25cm thick 50mm to 80mm (rising in 3mm) mm to 100mm (rising in 5mm) mm SYRINGES Polypropylene with catheter nozzle. Graduated from 0 to 100ml in 5ml, the graduation marked clearly numbered in multiples of ml

26 TRUSSES Spring Truss Specification 31(a) Spring Trusses shall conform to the British Standard 2930:1970 for Surgical Spring Trusses Inguinal Single Left or Right Double Inguinal Rat-tail Single Left or Right Double Femoral Single Left or Right Double Scrotal Single Left or Right Double Inguinal/Scrotal Double Back Pads, fixed or sliding (if ordered). Extra Slotted, polished, Spring Ends (if ordered) Single Extra Double $ Special Trusses Specification 31(b) Single Extra Double Extra Replacement and Repairs - Understraps for inguinal or femoral trusses, as above Elastic Band Truss - Specification 31 (b) Elastic Band Trusses shall conform to the British Standard 3271:1970 for Surgical Elastic Band Trusses Inguinal Single Left or Right Double Scrotal Single Left or Right Double Umbilical single belt Left or Right Umbilical double belt where specified by prescriber $ Special Trusses Specification 31 (b) Single Extra Double Extra

27 The following price changes apply to Part 4 (Elastic Hosiery) ELASTIC HOSIERY Description of Articles Available Compression Class Type of Garment Knit Style Stock Sized Garments Price Per Pair In Pence Made-to-measure Garments I Circular Thigh B. Knee Light Wt Thigh Elastic Net B. Knee II Circular Thigh B. Knee Net Thigh B. Knee Flat Bed Thigh B. Knee III Circular Thigh B. Knee Flatbed Thigh B. Knee Accessories Price Per Item in Pence Mediven 2 in 1 S, M, L Suspender Belt NB: The reimbursable price for one item is half the price of a pair 14

28 Description of Articles Available Price Per Pair In Pence Compression Class Type of Garment Standard Stock Sized Garments Made-to-measure Garments Knit Style CII Circular Anklet Kneecap Flat Bed Anklet Kneecap Net Anklet Kneecap CIII Circular Anklet Kneecap Flat Bed Anklet Kneecap

29 The following price changes apply to Part 5 (Incontinence Appliances) INSERT FOR FEMALE STRESS INCONTINENCE Vaginal Pioneer Medical Europe Ltd Contiform Starter Pack SKU Replacement Pack Small SKU Medium SKU Large SKU SUSPENSORY SYTEMS Pioneer Medical Europe Ltd Hi N Dry Collection System Pouches SCSP Support Brief SCSSB (S, M, L, XL, XXL) The following price changes apply to Part 9 (Chemical Reagents) BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter GlucoZen. auto