Drug Tariff Watch – January 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 January 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 :

  • Nebivolol 1.25mg tablets (28)

Category C Additions:

  • Buprenorphine 160mg/0.45ml prolonged-release solution for injection pre-filled syringes g (1) – Buvidal OOP and DND
  • Dexamethasone 1mg/ml / Levofloxacin 5mg/ml eye drops g (5ml) – Ducressa OOP
  • Docusate 100mg/5ml oral solution sugar free (300ml) – Lucis Pharma Ltd BB and OOP
  • Fidaxomicin 40mg/ml oral suspension sugar free n (110ml) – Dificlir OOP and DND
  • Metolazone 5mg tablets (20) – Xaqua BB, OOP and DND
  • Pentamidine 300mg powder for solution for injection vials (5) – Pentacarinat BB, OOP and DND

Part VIIIA Amendments
 

  • Alendronic acid 10mg tablets (28) Category M has moved to Category C – Accord Healthcare Ltd BB and OOP
    Price increase £ 5.96 to £7.50
  • Aspirin 300mg dispersible tablets (32) Category M has moved to Category A
    Price decrease £1.46 to £1.27
  • Aspirin 300mg suppositories (10) Category A has moved to Category C – Martindale Pharmaceuticals Ltd BB, OOP and DND
    Price increase £45.60 to £50.16
  • Benzoyl peroxide 5% / Clindamycin 1% gel g (30g) Category C – Duac Once Daily has moved to Category M DND
    Price decrease £13.14 to £8.92
  • Benzoyl peroxide 5% / Clindamycin 1% gel g (60g) Category C – Duac Once Daily has moved to Category M DND
    Price decrease £26.28 to £19.17
  • Cefalexin 125mg/5ml oral suspension sugar free n (100ml) Category A has moved to Category C – Milpharm Ltd OOP
    Price decrease £3.28 to £2.92
  • Cefalexin 250mg/5ml oral suspension sugar free n (100ml) Category A has moved to Category C – Milpharm Ltd OOP
    Price increase £3.34 to £3.38
  • Cefradine 250mg capsules (20) Category M has moved to Category A
    Price increase £6.88 to £7.75
  • Cefradine 500mg capsules (20) Category M has moved to Category A
    Price increase £8.34 to £9.35
  • Celiprolol 200mg tablets (28) Category M has moved to Category A
    Price increase £10.68 to £11.82
  • Celiprolol 400mg tablets (28) Category M has moved to Category A
    Price increase £17.71 to £19.80
  • Cilostazol 100mg tablets (56) Category M has moved to Category A
    Price increase £6.61 to £20.56
  • Clomipramine 10mg capsules (28) Category M has moved to Category A
    Price increase £3.15 to £3.48
  • Co-amoxiclav 125mg/31mg/5ml oral suspension sugar free n (100ml) Category M has moved to Category A
    Price increase £1.92 to £2.00
  • Co-beneldopa 12.5mg/50mg capsules (100) Category C – Madopar has moved to Category A BB and OOP
    Price decrease £4.96 to £4.62
  • Co-beneldopa 12.5mg/50mg dispersible tablets sugar free (100) Category C – Madopar now reads g (100) to reflect the change in special container status – OOP
    Price remains at £5.90
  • Co-beneldopa 25mg/100mg capsules (100) Category C – Madopar now reads g (100) to reflect the change in special container status- OOP
    Price remains at £6.91
  • Co-beneldopa 25mg/100mg dispersible tablets sugar free (100) Category C – Madopar now reads g (100) to reflect the change in special container status- OOP
    Price remains at £10.45
  • Co-beneldopa 25mg/100mg modified-release capsules (100) Category C – Madopar CR now reads g (100) to reflect the change in special container status – OOP
    Price remains at £12.77
  • Co-beneldopa 50mg/200mg capsules (100) Category C – Madopar now reads g (100) to reflect the change in special container status – OOP
    Price remains at £11.78
  • Codeine 60mg tablets (28) Category M has moved to Category A
    Price decrease £1.84 to £1.83
  • Co-tenidone 100mg/25mg tablets (28) Category M has moved to Category A
    Price decrease £1.38 to £1.39
  • Dapsone 50mg tablets (28) Category M has moved to Category A DND
    Price increase £6.66 to £7.15
  • Diazepam 10mg/2.5ml rectal solution tube (5) Category A has moved to Category C – Accord Healthcare Ltd BB and OOP
    Price remains at £8.78
  • Diclofenac sodium 25mg gastro-resistant tablets (28) Category M has moved to Category C – Teva UK Ltd BB and OOP
    Price increase £1.02 to £4.13
  • Dipyridamole 100mg tablets (84) Category M has moved to Category A
    Price increase £28.23 to £34.61
  • Doxycycline 50mg capsules (28) Category M has moved to Category A
    Price decrease £1.47 to £1.44
  • Entacapone 200mg tablets (30) Category M has moved to Category A
    Price increase £3.20 to £5.04
  • Erythromycin ethyl succinate 500mg tablets (28) Category C – Erythroped A has moved to Category C – Dawa Ltd BB and OOP
    Price increase £10.78 to £15.95
  • Famciclovir 125mg tablets (10) Category A has moved to Category C – Famvir BB, OOP and DND
    Price increase £45.99 to £53.45
  • Flucloxacillin 125mg/5ml oral solution sugar free n (100ml) Category M has moved to Category A
    Price increase £2.22 to £3.14
  • Fluvastatin 20mg capsules (28) Category M has moved to Category A
    Price increase £3.11 to £3.47
  • Fluvastatin 40mg capsules (28) Category M has moved to Category A
    Price increase £3.50 to £4.07
  • Fosinopril 10mg tablets (28) Category M has moved to Category A
    Price increase £2.78 to £2.80
  • Fosinopril 20mg tablets (28) Category M has moved to Category A
    Price decrease £3.78 to £3.27
  • Glyceryl trinitrate 500microgram sublingual tablets g (100) Category M has moved to Category A
    Price increase £7.35 to £7.80
  • Glycopyrronium bromide 600micrograms/3ml solution for injection ampoules (10) Category A has moved to Category C – Martindale Pharmaceuticals Ltd BB and OOP
    Price decrease £18.66 to £18.64
  • Hydrocortisone 20mg tablets (30) Category M has moved to Category A
    Price increase £2.70 to £3.06
  • Imipramine 10mg tablets (28) Category M has moved to Category A
    Price increase £1.36 to £1.41
  • Indometacin 25mg capsules (28) Category M has moved to Category A
    Price increase £0.92 to £2.08
  • Labetalol 200mg tablets (56) Category M has moved to Category A
    Price increase £7.98 to £8.37
  • Lorazepam 2.5mg tablets (28) Category M has moved to Category A
    Price decrease £3.05 to £2.99
  • Macrogol compound oral powder sachets NPF sugar free (30) Category C now has a reference product of – CosmoCol – BB and OOP
    Price increase £4.29 to £4.72
  • Metformin 1g tablets (28) Category C – RX Farma has moved to Category A BB and OOP
    Price increase £38.65 to £48.42
  • Metoprolol 100mg tablets (28) Category M has moved to Category A
    Price increase £1.32 to £1.50
  • Moclobemide 150mg tablets (30) Category C – Sandoz Ltd reference product has now been removed BB and OOP
    Price increase £7.93 to £9.33
  • Modafinil 200mg tablets (30) Category M has moved to Category A DND
    Price decrease £7.18 to £7.09
  • Ondansetron 8mg tablets (10) Category M has moved to Category A DND
    Price remains at £1.19
  • Oxazepam 10mg tablets (28) Category M has moved to Category A
    Price decrease £4.91 to £4.60
  • Oxazepam 15mg tablets (28) Category M has moved to Category A
    Price decrease £3.04 to £3.03
  • Oxcarbazepine 300mg tablets (50) Category M has moved to Category A
    Price increase £6.05 to £6.31
  • Phenoxymethylpenicillin 125mg/5ml oral solution sugar free n (100 ml) Category M has moved to Category A
    Price increase £3.79 to £4.52
  • Phenoxymethylpenicillin 250mg/5ml oral solution sugar free n (100 ml) Category M has moved to Category A
    Price increase £4.17 to £5.31
  • Pramipexole 700microgram tablets (30) Category M has moved to Category A
    Price increase £1.87 to £2.10
  • Propylthiouracil 50mg tablets (56) Category M has moved to Category A DND
    Price increase £4.29 to £4.70
  • Raloxifene 60mg tablets (28) Category M has moved to Category A
    Price increase £4.02 to £4.07
  • Riluzole 50mg tablets (56) Category M has moved to Category A
    Price decrease £8.83 to £8.65
  • Tetracycline 250mg tablets (28) Category M has moved to Category A
    Price increase £6.87 to £26.72
  • Tinzaparin sodium 10,000units/0.5ml solution for injection pre-filled syringes (10) Category C – Innohep has changed reference product to – Leo Pharma BB, OOP and DND
    Price remains at £62.48
  • Tinzaparin sodium 14,000units/0.7ml solution for injection pre-filled syringes (10) Category C – Innohep has changed reference product to – Leo Pharma BB, OOP and DND
    Price remains at £87.36
  • Tinzaparin sodium 16,000units/0.8ml solution for injection pre-filled syringes (10) Category C – Innohep has changed reference product to – Leo Pharma BB, OOP and DND
    Price remains at £99.96
  • Tinzaparin sodium 8,000units/0.4ml solution for injection pre-filled syringes (10) Category C – Innohep has changed reference product to – Leo Pharma BB, OOP and DND
    Price remains at £49.98
  • Torasemide 10mg tablets 28 Category C – Torem has moved to Category A BB and OOP
    Price increase £8.14 to £10.46
  • Torasemide 5mg tablets 28 Category C – Torem has moved to Category A BB and OOP
    Price increase £5.53 to £7.77
  • Tramadol 37.5mg / Paracetamol 325mg tablets (60) Category M has moved to Category A
    Price decrease £1.82 to £1.79
  • Trandolapril 2mg capsules (28) Category M has moved to Category A
    Price increase £2.04 to £2.28
  • Valsartan 160mg / Hydrochlorothiazide 12.5mg tablets (28) Category M has moved to Category A
    Price increase £8.88 to £13.96
  • § Vardenafil 20mg tablets (4) Category M has moved to Category A
    Price increase £2.64 to £8.63
  • Water for injections 100ml vials (25) Category A has moved to Category C – hameln pharma Ltd BB and OOP
    Price increase £75.00 to £82.50

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:

  • Diazepam 2mg/5ml oral suspension (100ml)

Category C Deletions:

  • Acebutolol 200mg capsules (56) – Sectral
  • *Betamethasone dipropionate 0.05% cream (30g) – Diprosone
  • *Betamethasone dipropionate 0.05% ointment (100g) – Diprosone
  • Dimeticone 22% / Benzalkonium chloride 0.1% cream (100g) – Conotrane
  • Exenatide 2mg powder and solvent for prolonged-release suspension for injection pre-filled disposable devices (4) – Bydureon
  • Glutaraldehyde 10% solution (10ml) – Glutarol
  • Hydrocortisone acetate 25mg/1ml suspension for injection ampoules (10) – Hydrocortistab
  • *Ibuprofen 100mg/5ml oral suspension 5ml sachets sugar free (8) – Nurofen for Children Singles
  • Indoramin 25mg tablets (84) – Advanz Pharma
  • Insulin isophane biphasic human 50/50 100units/ml suspension for injection 3ml cartridges (5) – Insuman Comb 50
  • Lidocaine 200mg/10ml (2%) solution for injection ampoules (20) – Lidocaine Mini-Plasco
  • Oxybutynin 10mg modified-release tablets (30) – Lyrinel XL
  • Oxybutynin 5mg modified-release tablets (30) – Lyrinel XL
  • *Paracetamol 500mg / Ibuprofen 200mg tablets (24) – Nuromol Dual Action Pain Relief
  • Povidone-Iodine 2.5% dry powder spray (100ml) – Betadine
  • Salicylic acid 50% ointment (6g) – Verrugon
  • Salicylic acid 50% ointment (12g) – Pickles
  • Salicylic acid 50% ointment (28g) – Pickles
  • Triamterene 50mg / Furosemide 40mg tablets (56) – Frusene

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

  • Fidaxomicin 40mg/ml oral suspension sugar free
  • Fresubin Energy Fibre tube feed liquid unflavoured
  • Fresubin Energy tube feed liquid unflavoured
  • Infatrini tube feed liquid
  • Metolazone 5mg tablets
  • Nepro HP tube feed liquid vanilla
  • PaediaSure Peptide tube feed liquid
  • PaediaSure Plus fibre tube feed liquid vanilla
  • Peptamen tube feed liquid unflavoured
  • Survimed OPD tube feed liquid
  • Vital 1.5kcal tube feed liquid vanilla

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

  • Albunorm 5% solution for infusion 100ml bottles
  • Alpro Organic Soya Wholebean Unsweetened milk
  • FreeStyle Libre Sensor
  • Solgar Chelated Magnesium 100mg tablets
  • Tracleer 125mg tablets

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

Previous Part II listing  Now reads 
Frebini Energy Fibre liquid unflavoured Frebini Energy Fibre tube feed liquid unflavoured
Jorveza 1mg orodispersible tablets Jorveza orodispersible tablets (ALL)

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 January 2023 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – DETECTION SENSOR, INTERSTITIAL FLUID FOR GLUCOSE – FreeStyle Libre Sensor 1
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Cavity Dressing – Aquacel Ag Ribbon All types and sizes
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – Aquacel Ag All types and sizes
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – Aquacel Ag Extra All types and sizes
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – DryMax Super (including products formerly listed as DryMax Extra Soft) – Square 10cm x 10cm
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – DryMax Super (including products formerly listed as DryMax Extra Soft) – Rectangular 10cm x 20cm
APPLIANCES – LYMPHOEDEMA GARMENTS – Juzo Energy All types and sizes
APPLIANCES – LYMPHOEDEMA GARMENTS – Juzo Spirit MTO All types and sizes
STOMA APPLIANCES – BAG CLOSURES (Available separately from the bags) – Peak Medical Ltd – Curved Beige Clip for Drainable Pouches CLS 10, 10
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – Peak Medical Ltd – Colomate Mini Stoma Cap with superabsorbent pad 1-piece beige 8.5cm diameter, pre-cut 30mm CCS130, 30
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Peak Medical Ltd – Fleximate oval soft convex flange 60mm flange All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Peak Medical Ltd – Fleximate soft convex flange 60mm flange All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Peak Medical Ltd – Fleximate SuperFlex 2-piece flange All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Peak Medical Ltd – Fleximate Supersoft 2-piece flange All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Peak Medical Ltd – Fleximate Supersoft flange with shallow convexity All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Peak Medical Ltd – Fleximate Supersoft flange with deep convexity All types and sizes

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

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