Drug Tariff Watch – February 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 February 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, contractors incur expenses in obtaining this product (which is not required to be frequently supplied by the contractor).
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 Additions :

  • Oxybutynin 10mg modified-release tablets g (28)
  • Oxybutynin 5mg modified-release tablets g (28)

Category C Additions:

  • Lorazepam 4mg/1ml solution for injection ampoules (10) – Macure Pharma UK Ltd BB and DND
  • Methotrexate 27.5mg/0.55ml solution for injection pre-filled syringes g (1) – Methofill DND
  • Water for injections 100ml bottles (20) – B.Braun Medical Ltd BB

Part VIIIA Amendments
 

  • Co-beneldopa 12.5mg/50mg capsules (100) Category A now reads g (100) to reflect the change in special container status
    Price decrease £4.62 to £4.48
  • Macrogol compound oral powder sachets NPF sugar free (30) Category C- CosmoCol reference product has now been removed BB and OOP
    Price remains at £4.72
  • Paliperidone 100mg/1ml suspension for injection pre-filled syringes g (1) Category C – Xeplion now reads Paliperidone 100mg/1ml prolonged-release suspension for injection pre-filled syringes OOP and DND
    Price remains at £314.07
  • Paliperidone 150mg/1.5ml suspension for injection pre-filled syringes g (1) Category C – Xeplion now reads Paliperidone 150mg/1.5ml prolonged-release suspension for injection pre-filled syringes OOP and DND
    Price remains at £392.59
  • Paliperidone 50mg/0.5ml suspension for injection pre-filled syringes g (1) Category C – Xeplion now reads Paliperidone 50mg/0.5ml prolonged-release suspension for injection pre-filled syringes OOP and DND
    Price remains at £183.92
  • Paliperidone 75mg/0.75ml suspension for injection pre-filled syringes g (1) Category C – Xeplion now reads Paliperidone 75mg/0.75ml prolonged-release suspension for injection pre-filled syringes OOP and DND
    Price remains at £244.90
  • Prucalopride 1mg tablets (28) Category C Resolor has moved to Category A
    Price increase £38.69 to £42.03
  • Simvastatin 20mg / Ezetimibe 10mg tablets (28) Category C – Inegy reference product has now been removed BB and OOP
    Price remains at £33.42
  • Simvastatin 40mg / Ezetimibe 10mg tablets (28) Category C – Inegy reference product has now been removed BB and OOP
    Price remains at £ 38.98
  • Simvastatin 80mg / Ezetimibe 10mg tablets (28) Category C – Inegy reference product has now been removed BB and OOP
    Price remains at £41.21
  • Vitamins B and C high potency intramuscular solution for injection 5ml and 2ml ampoules (20) Category C – Pabrinex now reads 20 (2xg10) to reflect the change in special container status OOP and DND
    Price remains at £22.53

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:

  • Ampicillin 125mg/5ml oral suspension (100ml)
  • Diamorphine 10mg tablets (100)

Category C Deletions:

  • Benzocaine 1.5mg/dose oromucosal spray sugar free (60 dose) – AAA
  • Chlorhexidine gluconate 2% / Isopropyl alcohol 70% solution 0.67ml applicators (200) – ChloraPrep
  • Nandrolone 50mg/1ml solution for injection ampoules (1) – Deca-Durabolin
  • Paroxetine 10mg/5ml oral suspension sugar free (150ml) – Seroxat Liquid
  • Sodium fluoride 0.37% oral drops sugar free (60ml) – En-De-Kay Fluodrops

Part VIIIB Additions

  • Dihydrocodeine 10mg/5ml oral suspension STD, AF, CF, FF, SF (100ml)

Part VIIIB Amendments

Previous Part VIIIB wording  Now reads 
Acitretin 5mg/5ml oral suspension STD, SF, LF, FF, AF (60ml) Acitretin 5mg/5ml oral suspension STD, SF, LF, FF, AF, CF (60ml)
Allopurinol 100mg/5ml oral solution STD (100ml) Allopurinol 100mg/5ml oral solution STD, SF (100ml)
Azathioprine 50mg/5ml oral solution STD, AF, SF (100ml) Azathioprine 50mg/5ml oral solution STD, AF, SF, FF (100ml)
Betamethasone valerate 0.1% ointment 50% in Unguentum M cream
STD (30g)
Betamethasone valerate 0.1% ointment 50% in Unguentum M cream STD, NSF (30g)
Bisoprolol 5mg/5ml oral suspension STD, SF, LF, NSF, AF (100ml) Bisoprolol 5mg/5ml oral suspension STD, SF, LF, NSF, AF, FF (100ml)
Carvedilol 5mg/5ml oral suspension STD, SF, LF, CF, NSF, AF
(100ml)
Carvedilol 5mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
Chlorothiazide 150mg/5ml oral suspension STD, SF, LF, CF,
NSF, AF (100ml)
Chlorothiazide 150mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
Chlorothiazide 200mg/5ml oral suspension AF, LF, SF, STD (150ml) Chlorothiazide 200mg/5ml oral suspension AF, LF, SF, STD, FF (150ml)
Chlorothiazide 25mg/5ml oral suspension STD, SF, LF, AF (100ml) Chlorothiazide 25mg/5ml oral suspension STD, SF, LF, AF, FF (100ml)
Clopidogrel 75mg/5ml oral solution STD, SF, LF, CF, AF, NSF (150ml) Clopidogrel 75mg/5ml oral solution STD, SF, LF, CF, AF, NSF, FF (150ml)
Co-careldopa 25mg/100mg/5ml oral suspension STD, SF, LF, CF,
NSF, AF (100ml)
Co-careldopa 25mg/100mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
Cyclizine 50mg/5ml oral suspension STD, NSF, AF, CF, FF (100ml) Cyclizine 50mg/5ml oral suspension STD, NSF, AF, CF, FF, PF (100ml)
Diclofenac 50mg/5ml oral suspension STD, SF, LF, AF, FF, NSF (150ml) Diclofenac 50mg/5ml oral suspension STD, SF, LF, AF, FF, NSF, CF (150ml)
Diltiazem 2% cream STD (30g) Diltiazem 2% cream STD, AF, CF, LF (30g)
Lamotrigine 50mg/5ml oral suspension SF, STD, AF, NSF (100ml) Lamotrigine 50mg/5ml oral suspension SF, STD, AF, NSF, FF (100ml)
Lansoprazole 15mg/5ml oral solution STD (100ml) Lansoprazole 15mg/5ml oral solution STD, SF (100ml)
Losartan 50mg/5ml oral suspension STD, SF, LF, CF, NSF, AF (150ml) Losartan 50mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (150ml)
Metoprolol 12.5mg/5ml oral suspension STD, SF, AF, NSF, CF (100ml) Metoprolol 12.5mg/5ml oral suspension STD, SF, AF, NSF, CF, LF (100ml)
Nadolol 40mg/5ml oral suspension STD, SF, NSF, AF, LF (100ml) Nadolol 40mg/5ml oral suspension STD, SF, NSF, AF, LF, FF (100ml)
Quetiapine 12.5mg/5ml oral suspension STD, SF, LF, CF, NSF, AF (100ml) Quetiapine 12.5mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
Riboflavin 120mg/5ml oral suspension STD, SF, LF, NSF, AF, CF, FF
(100ml)
Riboflavin 120mg/5ml oral suspension STD, SF, LF, NSF, AF, CF, FF, PF (100ml)
Salicylic acid 10% in Aqueous cream BP STD (100g) Salicylic acid 10% in Aqueous cream BP STD, AF, CF, FF, LF, SF (100g)
Salicylic acid 5% ointment All bases, STD (100g) Salicylic acid 5% ointment All bases, STD, AF, CF, FF, LF, SF (100g)
Tamsulosin 400micrograms/5ml oral suspension STD, SF (100ml) Tamsulosin 400micrograms/5ml oral suspension STD, SF, FF (100ml)
Terbinafine 250mg/5ml oral suspension STD, SF, LF, CF, NSF, AF
(50ml)
Terbinafine 250mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (50ml)

Part VIIIB Deletions

  • Bisacodyl 10mg/30ml enema STD g (37ml) – can now be found in Part VIIID
  • Ciclosporin 0.05% eye drops 0.4ml unit dose preservative free PF g (0.4ml) – can now be found in Part VIIID
  • Ciclosporin 0.2% eye ointment STD g (3.5g) – can now be found in Part VIIID
  • Ciclosporin 0.2% eye ointment preservative free PF g (3.5g) – can now be found in Part VIIID
  • Ciprofloxacin 0.3% ear drops PF, STD g (10ml) – can now be found in Part VIIID
  • Clonazepam 2.5mg/ml drops STD, SF, CF g (10ml) – can now be found in Part VIIID
  • Coal tar 10% ointment All bases, STD g (100g) – can now be found in Part VIIID
  • Coal tar 5% ointment All bases, STD g (100g) – can now be found in Part VIIID
  • Mercaptamine hydrochloride 0.55% eye drops preservative free PF g (10ml)
  • Nifedipine 20mg/ml oral drops STD, AF, FF, SF g (30ml) – can now be found in Part VIIID
  • Prednisolone sodium phosphate 0.03% eye drops STD, PF g (10ml) – can now be found in Part VIIID
  • Prednisolone sodium phosphate 0.05% eye drops STD, PF g (10ml) – can now be found in Part VIIID
  • Prednisolone sodium phosphate 1% eye drops preservative free PF g (10ml) – can now be found in Part VIIID
  • Ranitidine 5mg/5ml oral solution STD, SF, LF, CF, NSF, AF, FF, PF (100ml)
  • Sodium chloride 5% eye ointment STD, PF g (5g) – can now be found in Part VIIID
  • Sucralfate 2g/50ml enema STD g (50ml) – can now be found in Part VIIID

Part VIIID Additions

  • Bisacodyl 10mg/30ml enema STD g (37ml)
  • Ciclosporin 0.05% eye drops 0.4ml unit dose preservative free PF g (30)
  • Ciclosporin 0.2% eye ointment STD g (3.5g)
  • Ciclosporin 0.2% eye ointment preservative free PF g (3.5g)
  • Ciprofloxacin 0.3% ear drops PD, STD g (10ml)
  • Clonazepam 2.5mg/ml drops STD, SF, CF g (10ml)
  • Coal tar 10% ointment All bases, STD g (100g)
  • Coal tar 5% ointment All bases, STD g (100g)
  • Nifedipine 20mg/ml oral drops STD, AF, FF, SF g (30ml)
  • Prednisolone sodium phosphate 0.03% eye drops STD, PF g (10ml)
  • Prednisolone sodium phosphate 0.05% eye drops STD, PF g (10ml)
  • Prednisolone sodium phosphate 1% eye drops preservative free PF g (10ml)
  • Sodium chloride 5% eye ointment STD, PF g (3.5g)
  • Sucralfate 2g/50ml enema STD g (50ml)

Part VIIID Amendments

Previous Part VIIID wording  Now reads 
Danazol 100mg capsules STD, LF, SF (100) Danazol 100mg capsules STD, LF, SF, FF (100)
Levothyroxine sodium 25microgram capsules STD, LF, SF (28) Levothyroxine sodium 25microgram capsules STD, LF, SF, AF, CF, FF (28)
Liothyronine 2.5microgram capsules STD, AF, FF, LF, SF (100) Liothyronine 2.5microgram capsules STD, AF, FF, LF, SF, CF, PF (100)
Mercaptopurine 10mg capsules STD, AF, CF, FF, SF (50) Mercaptopurine 10mg capsules STD, AF, CF, FF, SF, PF (50)

Part II (Drugs for which discount is not deducted (DND)) Additions

  • Acarizax 12 SQ-HDM oral lyophilisates
  • Deferiprone 100mg/ml oral solution sugar free
  • Desizon 20mg/ml oral suspension
  • Emeside 250mg/5ml syrup
  • Ethosuximide 250mg/5ml oral solution
  • Ferriprox 100mg/ml oral solution
  • Kyleena 19.5mg intrauterine device
  • Levocarnitine 1.5g/5ml oral solution paediatric sugar free
  • Levonorgestrel 19.5mg intrauterine device
  • Melatonin 1mg modified-release tablets
  • Mexiletine hydrochloride 200mg (Mexiletine 167mg) capsules
  • Namuscla 167mg capsules
  • Nortriptyline oral solution sugar free (ALL)
  • Olanzapine embonate 210mg powder and solvent for suspension for injection vials
  • Paliperidone 175mg/0.875ml prolonged-release suspension for injection pre-filled syringes
  • Paliperidone 263mg/1.315ml prolonged-release suspension for injection pre-filled syringes
  • Paliperidone 350mg/1.75ml prolonged-release suspension for injection pre-filled syringes
  • Paliperidone 525mg/2.625ml prolonged-release suspension for injection pre-filled syringes
  • Pentamidine 300mg powder for solution for injection vials
  • Risedronate sodium 30mg tablets
  • Sodium bicarbonate 8.4% (1mmol/ml) solution for injection 100ml bottles
  • Sodium chloride 0.9% solution for injection 50ml vials
  • Sodium chloride 30% solution for infusion 50ml vials
  • Sodium cromoglicate 100mg/5ml oral solution 5ml unit dose ampoules sugar free
  • Tasmar 100mg tablets
  • Tolcapone 100mg tablets
  • Trevicta prolonged-release suspension for injection pre-filled syringes (ALL)
  • Trifluoperazine 5mg tablets
  • Vancomycin 1g powder for solution for infusion vials
  • Zonisamide 100mg/5ml oral suspension
  • Zypadhera 210mg powder and solvent for suspension for injection vials

Part II (Drugs for which discount is not deducted (DND)) Deletions

  • HCU Maxamum powder
  • Oral Impact oral powder 74g sachets

Part II (Drugs for which discount is not deducted (DND)) Amendments

Previous Part II listing  Now reads 
Co-danthramer 25mg/200mg/5ml oral suspension sugar free Co-danthramer oral suspension sugar free (ALL)
Hydrocortisone 5mg modified-release tablets Hydrocortisone modified-release tablets (ALL)
Ikervis 0.1% eye drops 0.3ml unit dose Ikervis 0.1% eye drops emulsion 0.3ml unit dose
Isentress 400mg tablets Isentress tablets (ALL)
Plenadren 5mg modified-release tablets Plenadren modified-release tablets (ALL)
Raltegravir 400mg tablets Raltegravir tablets (ALL)
Slenyto 5mg modified-release tablets Slenyto modified-release tablets (ALL)
Verkazia 0.1% eye drops 0.3ml unit dose Verkazia 0.1% eye drops emulsion 0.3ml unit dose

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 February 2023 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – Polyamide and Cellulose Contour Bandage, BP 1988 – Acti-Wrap (Cohesive/Latex Free) All types and sizes
APPLIANCES – EYE PRODUCTS – Eye Drops – Sodium Hyaluronate – Lubristil 20 x 0.3ml preservative free single dose unit
APPLIANCES – EYE PRODUCTS – Eye Drops – Sodium Hyaluronate – Lubristil Gel 20 x 0.4ml preservative free single dose unit
APPLIANCES – EYE PRODUCTS – Eye Drops – Soybean Oil – Emustil 20 x 0.3ml preservative free single dose unit
APPLIANCES – EYE PRODUCTS – Preparations for the care of eyelids – Blefarette 30 wipes
APPLIANCES – EYE PRODUCTS – Preparations for the care of eyelids – Blefarette Med 14 wipes
INCONTINENCE APPLIANCES – NIGHT DRAINAGE BAGS – MacGregor Healthcare Ltd – Qufora Q4 2 litre drainable night bag with 120cm inlet tube, non-return valve, needle free sample port connector, tube clamp T valve tap and pair of non latex gloves 14853204, 10

To view appliances due to be deleted from Part IX of the March, April and May 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.

Join us on 7th May to discuss our work and progress in key areas, as well as sharing views on the issues that matter to you.

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