Drug Tariff Watch – August 2023
Thursday 27th July 2023
The Drug Tariff Preface published monthly lists additions, deletions and other changes to products listed in the Drug Tariff. Below is a summary of the changes coming into effect from 1 August 2023.
| Key | |
| g | Special container – This product is a special container and should be dispensed in its complete original pack size. |
| n | Item requiring reconstitution – This product requires reconstitution; pharmacy teams are advised to endorse the amount of packs supplied to enable the patient to complete the full course of medication prescribed. |
| § | Selected List Scheme (SLS) – see Part XVIIIB of the Drug Tariff |
| * | This pack only (others already/still available) |
| BB | Product is eligible for Broken Bulk claims where payment is made for a complete pack if a part-pack has been dispensed to match the prescribed quantity and it is unlikely that you will be able to dispense the balance within the following six months. |
| OOP | Product eligible for Out Of Pocket expense claims (over £0.50) where in exceptional circumstances, pharmacy owners incur expenses in obtaining this product (which is not required to be frequently supplied by the pharmacy owner). |
| DND | Product is not subject to discount deduction or ‘clawback’ as it meets either group or individual item criteria for DND (Discount Not Deducted) as set out in Part II of the Drug Tariff. |
Part VIIIA Additions
Category C Additions:
- Betahistine 24mg tablets (84) – Medreich Plc – BB and OOP
- Lamivudine 50mg/5ml oral solution (240ml) – Epivir – BB and OOP
- Naldemedine 200microgram tablets (28) – Rizmoic – BB and OOP
Part VIIIA Amendments
- Adrenaline (base) 300micrograms/0.3ml (1 in 1,000) solution for injection pre-filled disposable devices g (1) Category C – EpiPen reference product has now been removed – OOP and DND
Price remains at £53.80 - Dexamethasone (base) 3.8mg/1ml solution for injection vials (10) Category A has now moved to Category C – Aspen Pharma Trading Ltd – BB, OOP and DND
Price remains at £19.99
- Digoxin 50micrograms/ml oral solution g (60ml) Category C – Lanoxin PG Elixir Digoxin 50micrograms/ml oral reference product has changed to – Aspen Pharma Trading Ltd – OOP
Price remains at £5.35
- Domperidone 1mg/ml oral suspension sugar free (200ml) Category A has now moved to Category C – Zentiva Pharma UK Ltd – BB, OOP and DND
Price decrease £65.18 to £49.32 - Fluvoxamine 100mg tablets (30) Category C – Wockhardt UK Ltd reference product has changed to – Faverin – BB and OOP
Price decrease £20.98 to £17.10
- Furosemide 20mg/2ml solution for injection ampoules (10) Category A has now moved to Category C – hameln pharma Ltd – BB and OOP
Price increase £4.99 to £13.20
- Gentamicin 0.3% ear/eye drops g (10ml) Category A has now moved to Category C – Advanz Pharma – OOP
Price decrease £20.36 to £20.00
- Gliclazide 60mg modified-release tablets (28) Category C – Laaglyda MR reference product has changed to – Krka UK Ltd – BB and OOP
Price remains at £5.62
- Glucose 50% solution for infusion 20ml ampoules (10) Category A has now moved to Category C – hameln pharma Ltd – BB and OOP
Price increase £14.00 to £18.94
- Glucose 50% solution for infusion 50ml vials (25) Category A has now moved to Category C – hameln pharma Ltd – BB and OOP
Price increase £60.00 to £85.00
- Ketoconazole 200mg tablets (60) Category A has now moved to Category C – HRA Pharma UK & Ireland Ltd – BB, OOP and DND
Price remains at £515.00
- Lamivudine 100mg tablets (28) Category A has now moved to Category C – Zeffix – BB, OOP and DND
Price increase £56.72 to £78.09
- Magnesium sulfate 10% (magnesium 0.4mmol/ml) solution for injection 10ml ampoules (10) Category A has now moved to Category C – Synchrony Pharma Ltd – BB, OOP and DND
Price decrease £84.14 to £54.00
- Morphine sulfate 30mg/1ml solution for injection ampoules (10) Category A has now moved to Category C – Martindale Pharmaceuticals Ltd – BB, OOP and DND
Price increase £41.62 to £48.44
- Nitrofurantoin 100mg modified-release capsules (14) Category C – Macrobid reference product has changed to – Advanz Pharma – BB and OOP
Price remains at £9.50
- Phenobarbital 30mg/1ml solution for injection ampoules (10) Category A has now moved to Category C – Martindale Pharmaceuticals Ltd – BB, OOP and DND
Price increase £131.29 to £144.40
- Phenytoin sodium 50mg capsules (28) Category A has now moved to Category C – Flynn Pharma Ltd – BB and OOP
Price remains at £7.07
- Rupatadine 1mg/ml oral solution (120ml) Category A has now moved to Category C – Aspire Pharma Ltd – BB and OOP
Price decrease £13.71 to £9.95
- White soft paraffin 15%/Liquid paraffin light 6% cream g (500ml) Category C reference product now reads – Oilatum – OOP
Price remains at £5.28
Please note price listed here was correct at the time of publishing and is subject to change in line with the price change mechanism.
Part VIIIA Deletions
If all pack sizes of a drug have been removed from Part VIII of the Drug Tariff the drug can continue to be dispensed as long as it does NOT appear in Part XVIIIA (Drugs, Medicines and other substances not to be ordered under a General Medical Services Contract).
Category A Deletions:
- Calcitonin (salmon) 50units/1ml solution for injection ampoules (5)
- *§ Clobazam 10mg/5ml oral suspension sugar free (250ml)
- *§ Clobazam 5mg/5ml oral suspension sugar free (250ml)
- Co-codamol 30mg/500mg/5ml oral solution sugar free (150ml)
Category C Deletions:
- * Cetrimide 0.5% cream g (15g) – Cetrimide Antiseptic First Aid
- Chlorhexidine gluconate 1% solution g (150ml) – Cepton
- Clarithromycin 250mg granules sachets (14) – Klaricid Adult
- Co-flumactone 25mg/25mg tablets (100) – Aldactide 25
- Co-flumactone 50mg/50mg tablets (100) – Aldactide 50
- Colecalciferol 40,000unit capsules (10) – Plenachol
- Colecalciferol 800unit/Calcium phosphate 3.1g oral powder sachets (30) – Calfovit D3
- Fenofibrate 145mg/Simvastatin 20mg tablets (30) – Cholib
- Fenofibrate 145mg/Simvastatin 40mg tablets (30) – Cholib
- * Ibuprofen 100mg/5ml oral suspension 5ml sachets sugar free (12) – Calprofen
- Ibuprofen 200mg / Phenylephrine 6.1mg tablets (16) – Sudafed Sinus Pain Relief
- * Ibuprofen lysine 684mg tablets (24) – Nurofen Express
- Levocarnitine 1g chewable tablets (10) – Carnitor
- Miconazole 2% vaginal cream g (78g) – Gyno-Daktarin
- * Ondansetron 4mg/2ml solution for injection ampoules (5) – Zofran Flexi-amp
- Ondansetron 8mg/4ml solution for injection ampoules (5) – Zofran Flexi-amp
- Pamidronate disodium 90mg/6ml solution for infusion ampoules g (1) – Wockhardt UK Ltd
- Paracetamol 120mg/5ml oral solution paediatric sugar free (2000ml) – Alliance Healthcare (Distribution) Ltd
- Torasemide 2.5mg tablets (28) – Torem 2.5
Part VIIIB Additions
- Clopidogrel 25mg/5ml oral suspension STD, SF, AF, CF, LF, NSF (50ml)
- Losartan 50mg/5ml oral solution STD, SF, FF (100ml)
Part VIIIB Amendments
| Previous Part VIIIB wording | Now reads |
| Allopurinol 100mg/5ml oral solution STD, SF (100ml) | Allopurinol 100mg/5ml oral solution STD, SF, AF (100ml) |
| Bisacodyl 2.5mg/5ml oral suspension STD, SF, LF, AF, FF (100ml) | Bisacodyl 2.5mg/5ml oral suspension STD, SF, LF, AF, FF, CF (100ml) |
| Chloral hydrate 200mg/5ml oral suspension STD, AF, CF, NSF, SF, FF (100ml) | Chloral hydrate 200mg/5ml oral suspension STD, AF, CF, NSF, SF, FF, LF (100ml) |
| Cyclizine 50mg/5ml oral solution STD, SF (100ml) | Cyclizine 50mg/5ml oral solution STD, SF, AF, FF, PF (100ml) |
| Fexofenadine 180mg/5ml oral suspension STD, AF, SF, NSF (100ml) | Fexofenadine 180mg/5ml oral suspension STD, AF, SF, NSF, LF (100ml) |
| Ketamine 50mg/5ml oral suspension STD, SF, LF, CF, NSF, FF (200ml) | Ketamine 50mg/5ml oral suspension STD, SF, LF, CF, NSF, FF, AF (200ml) |
| Lansoprazole 15mg/5ml oral solution STD, SF (100ml) | Lansoprazole 15mg/5ml oral solution STD, SF, NSF (100ml) |
| Lansoprazole 30mg/5ml oral solution STD, NSF, SF (100ml) | Lansoprazole 30mg/5ml oral solution STD, NSF, SF, LF (100ml) |
| Sildenafil 10mg/5ml oral suspension STD, SF, NSF, AF (100ml) | Sildenafil 10mg/5ml oral suspension STD, SF, NSF, AF, LF (100ml) |
| Sildenafil 25mg/5ml oral suspension STD, SF, NSF, AF (100ml) | Sildenafil 25mg/5ml oral suspension STD, SF, NSF, AF, LF (100ml) |
| Sodium dihydrogen phosphate dihydrate 780mg/5ml oral solution STD, SF, LF, AF, FF, PF (100ml) | Sodium dihydrogen phosphate dihydrate 780mg/5ml oral solution STD, SF, LF, AF, FF, PF, CF (100ml) |
Part VIIIB Deletions
- Ranitidine 5mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
Part II (Drugs for which discount is not deducted (DND)) Amendments
| Previous Part II listing | Now reads |
| Celsentri tablets (ALL) | Celsentri 150mg tablets Celsentri 300mg tablets |
| Maraviroc tablets (ALL) | Maraviroc 150mg tablets Maraviroc 300mg tablets |
Part IX Deletions
It is important to take careful note of removals from Part IX because if you dispense a deleted product, prescriptions will be returned as disallowed and therefore payment will not be made for dispensing the item.
The following appliances have been deleted from Part IX of the August 2023 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single use – Manfred Sauer UK Ltd iQ Cath Easy Hydrophilic – Male – IQ4004.10-IQ4004.18 | Pack of 30, 10-18 |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Intermittent Catheter with lubricant, insertion aid and urine bag – Manfred Sauer UK Ltd – iQ Cath Set – Male Soft Tip – IQ3604.10 | Pack of 30, 10 |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Intermittent Catheter with lubricant, insertion aid and urine bag – Manfred Sauer UK Ltd – iQ Cath Set – Male Soft Tip – IQ3604.18 | Pack of 30, 18 |
| APPLIANCES – CHIROPODY APPLIANCES – Adhesive Felt – Zinc oxide or acrylic adhesive, spread on semi-compressed surgical wool felt | 10.5cm x 8.3cm x 5mm thick |
| APPLIANCES – ELECTRICAL STIMULATION WOUND DEVICE – Accel-Heal (12 day treatment) | 6 unit |
| APPLIANCES – SPACER/HOLDING CHAMBER DEVICES – Flo-Tone MDI (circular fit) | pack of 2 |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Trachi-Dress F | All types and sizes |
| INCONTINENCE APPLIANCES – NIGHT DRAINAGE BAGS – Manfred Sauer UK Ltd – 3 litre night bag with 130cm inlet tube | NB3ND, 10 |
| INCONTINENCE APPLIANCES – SUSPENSORY SYSTEMS – Manfred Sauer UK Ltd – NephSys: Nephrostomy drainage system | Contains 4x 500ml sterile drainage bags, 2x bag suspenders, 1x waist belt |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Dansac InVent Symm Convex – Integral convexity drainable bag with filter, soft spunlace cover front and back (opaque) and back only (clear) symmetrically shaped – Clear – starter hole | 15-37mm, 344-37, 10 15-46mm, 344-46, 10 |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Dansac InVent Symm Convex – Integral convexity drainable bag with filter, soft spunlace cover front and back (opaque) and back only (clear) symmetrically shaped – Clear – pre-cut | 30mm, 344-30, 10 |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Impression with Convex wafer – Transparent | All types and sizes |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Moderma Flex – Maxi Drainable Pouch with integral convexity, FlexWear skin barrier, adhesive border, integral filter and Lock ‘n’ Roll closure system | All types and sizes |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Premium with integral filter holder and twenty replacement filters | 38mm, 3663, 15 44mm, 3669, 15 |
To view appliances due to be deleted from Part IX of the September, October and November 2023 Drug Tariffs visit our page Drug Tariff Appliance Watch: Notice of Deletion
To view the latest changes to special container status, visit our page Notice of changes to special container status of products page.
To view all the monthly changes to the DND status of products, visit our page Notice of changes to discount not deducted (DND) status of products.
To view previous Drug Tariff Watch months visit our page here.
Thursday 27th July 2023
