Drug Tariff Watch – 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 July 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 onwers 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:

  • Acetylcysteine 200mg oral powder sachets (30) – Sovereign Medical Ltd BB, OOP and DND
  • Aripiprazole 1mg/ml oral solution sugar free (150ml) – Genus Pharmaceuticals Ltd BB, OOP and DND
  • Benzydamine 3mg lozenges sugar free (20) – Difflam BB and OOP
  • Buprenorphine 1.4mg / Naloxone 360microgram sublingual tablets sugar free (28) – Zubsolv BB, OOP and DND
  • Buprenorphine 11.4mg / Naloxone 2.9mg sublingual tablets sugar free (28) – Zubsolv BB, OOP and DND
  • Buprenorphine 2.9mg / Naloxone 710microgram sublingual tablets sugar free (28) – Zubsolv BB, OOP and DND
  • Buprenorphine 5.7mg / Naloxone 1.4mg sublingual tablets sugar free (28) – Zubsolv BB, OOP and DND
  • Buprenorphine 8.6mg / Naloxone 2.1mg sublingual tablets sugar free (28) – Zubsolv BB, OOP and DND
  • Hydrocortisone 10mg dispersible tablets sugar free (30) – Morningside Healthcare Ltd BB and OOP
  • Hydrocortisone 20mg dispersible tablets sugar free (30) – Morningside Healthcare Ltd BB and OOP
  • Hydrocortisone 5mg dispersible tablets sugar free (30) – Morningside Healthcare Ltd BB and OOP
  • Sitagliptin 100mg/5ml oral solution sugar free (150ml) – Thame Laboratories Ltd BB, OOP and DND

Part VIIIA Amendments
 

  • Alendronic acid 10mg tablets (28) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £7.50
  • Alfacalcidol 1microgram capsules g (30) Category M has moved to Category C – One-Alpha OOP
    Price increase £3.48 to £8.75
  • Apixaban 2.5mg tablets (60) Category C has moved to Category M
    Price decrease £57.00 to £49.96
  • Apixaban 5mg tablets (56) Category C has moved to Category M
    Price decrease £53.20 to £43.12
  • Aprepitant 125mg capsules and Aprepitant 80mg capsules g (3) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd OOP and DND
    Price remains at £47.71
  • Betamethasone 500microgram soluble tablets sugar free (100) Category A has moved to Category M
    Price decrease £58.15 to £22.46
  • Calcium carbonate 1.25g effervescent tablets sugar free (76(4xg19) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd OOP
    Price remains at £12.96
  • Capecitabine 300mg tablets (60) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB, OOP and DND
    Price remains at £76.04
  • Chlorphenamine 4mg tablets (28) Category A has moved to Category M
    Price decrease £3.61 to £1.09
  • Cimetidine 400mg tablets (60) Category A has moved to Category M
    Price decrease £26.11 to £10.94
  • Diazepam 10mg/2.5ml rectal solution tube (5) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £8.78
  • Diclofenac potassium 25mg tablets (28) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £3.86
  • Disopyramide 100mg capsules (84) Category A has moved to Category C – Rythmodan BB and OOP
    Price decrease £25.27 to £14.14
  • Fentanyl 1.6mg lozenges (3) Category C – Actiq reference product has changed to – Cynril BB, OOP and DND
    Price decrease £21.05 to £16.80
  • Furosemide 50mg/5ml solution for injection ampoules (10) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £7.00
  • Glycopyrronium bromide 200micrograms/1ml solution for injection ampoules (10) Category A has moved to Category M
    Price decrease £16.47 to £9.01
  • Ibandronic acid 3mg/3ml solution for injection pre-filled syringes g (1) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB, OOP and DND
    Price remains at £65.40
  • Liquid paraffin light 63.4% bath additive g (150ml) Category C reference product now reads – Oilatum Bath Formula OOP
    Price increase £2.95 to £3.62
  • Liquid paraffin light 63.4% bath additive g (300ml) Category C reference product now reads – Oilatum Bath Formula OOP
    Price increase £5.02 to £6.14
  • Methenamine hippurate 1g tablets (60) Category A has moved to Category M
    Price decrease £33.51 to £18.81
  • Miconazole 2% cream g (30g) Category C – Daktarin reference product has been removed OOP
    Price increase £2.79 to £4.57
  • Morphine sulfate 10mg/1ml solution for injection ampoules (10) Category A has moved to Category M
    Price decrease £16.99 to £5.22
  • Nitrazepam 2.5mg/5ml oral suspension (70ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd BB, OOP and DND
    Price remains at £145.00
  • Paracetamol 1g/100ml solution for infusion vials (12) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £14.40
  • Prednisolone 10mg tablets (28) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £9.70
  • Prednisolone 2.5mg tablets (28) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £3.94
  • Prednisolone 20mg tablets (28) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £19.46
  • Prednisolone 30mg tablets (28) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £29.12
  • Pyridoxine 50mg tablets (28) Category A has moved to Category M
    Price decrease £26.40 to £16.51
  • Quinine bisulfate 300mg tablets (28) Category A has moved to Category M
    Price decrease £20.83 to £12.55
  • Sitagliptin 100mg tablets (28) Category C – Januvia has moved to Category M
    Price decrease £33.26 to £19.49
  • Sitagliptin 25mg tablets (28) Category C – Januvia has moved to Category M
    Price decrease £33.26 to £4.83
  • Sitagliptin 50mg tablets (28) Category C – Januvia has moved to Category M
    Price decrease £33.26 to £13.62
  • Tinzaparin sodium 20,000units/2ml solution for injection vials (10) Category C – Innohep reference product has changed to – LEO Pharma BB, OOP and DND
    Price remains at £110.94
  • Tolterodine 4mg modified-release capsules (28) Category C – Detrusitol XL reference product has changed to – Neditol XL BB and OOP
    Price decrease £25.78 to £12.89
  • Trazodone 100mg tablets (56) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £26.75
  • Trazodone 50mg tablets (84) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £23.43
  • Venlafaxine 225mg modified-release capsules (28) Category C – Efexor XL has moved to Category M
    Price decrease £ 47.11 to £13.71
  • Verapamil 160mg tablets (56) Category C – Accord Healthcare Ltd reference product now reads – Accord-UK Ltd BB and OOP
    Price remains at £ 31.53

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:

  • Disopyramide 150mg capsules (84)
  • White soft paraffin solid (500g)

Category C Deletions:

  • Fluticasone 500micrograms/2ml nebuliser liquid unit dose vials (10) – Flixotide
  • Hydrocortisone 1% / Miconazole 2% ointment (30g) – Daktacort
  • Insulin human 100units/ml solution for injection 3.15ml cartridges (5) – Insuman Infusat
  • Prochlorperazine 5mg/5ml oral solution (100ml) – Stemetil Syrup
  • Spironolactone 50mg / Furosemide 20mg capsules (28) – Lasilactone
  • Vancomycin 1g powder for solution for infusion vials (1) – Bowmed Ibisqus Ltd
  • Vancomycin 1g powder for solution for infusion vials (10) – Flynn Pharma Ltd
  • Vancomycin 500mg powder for solution for infusion vials (1) – Bowmed Ibisqus Ltd
  • Vancomycin 500mg powder for solution for infusion vials (10) – Flynn Pharma Ltd

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

Previous Part II listing  Now reads 
KetoClassic 3:1 Meal bolognese 126g pouches KetoClassic 3:1 Meal
KetoClassic 3:1 Meal chicken 135g pouches KetoClassic 3:1 Meal

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 July 2023 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – BANDAGES – High Compression Bandage (Extensible) – SurePress 10cm x 3m unstretched
APPLIANCES – BANDAGES – Multi-layer Compression Bandaging – ConvaTec Ltd – SurePress Absorbent Padding 10cm x 3m
APPLIANCES – BANDAGES – Sub-compression Wadding Bandage – SurePress Absorbent Padding 10cm x 3m
APPLIANCES – CATHETERS, URINARY, URETHRAL – Foley Catheter – 2 Way (indwelling Nélaton catheter with balloon) For Short/Medium Term Use – Paediatric – Coloplast Ltd – Folatex Silicone Coated Latex AP1408-AP1410, 5, 8-10
APPLIANCES – HYPODERMIC EQUIPMENT – Lancets – Sterile, Single-Use – BGStar Ultra-Thin Lancets (Sanofi) 0.20mm/33 gauge, 100
APPLIANCES – HYPODERMIC EQUIPMENT – Lancets – Sterile, Single-Use – SylkFeel Ultra-Thin Lancets (Sanofi) 0.20mm/33 gauge, 100
STOMA APPLIANCES – BELTS – Pelican Healthcare Ltd – Pelican Support Stoma WaistbandWhite All types and sizes
STOMA APPLIANCES – BELTS – Pelican Healthcare Ltd – Pelican Support Stoma WaistbandBeige All types and sizes
STOMA APPLIANCES – BELTS – Pelican Healthcare Ltd – Pelican Support Stoma WaistbandBlack All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Belt – Black All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Belt – Nude All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Belt – White All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Brief – Black All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Brief – Nude All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Brief – White All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Boxer – Black All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Boxer – Nude All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Cool Comfort Unisex Light Control Support Garment – Boxer – White All types and sizes
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Ostoshield (belt required) Res50, 1
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Ostoshield Belt Small/Medium only for use with Res 50 – Ostoshield Res40, 1
STOMA APPLIANCES – BELTS – Respond Healthcare Ltd – OstoMart Ostoshield Belt Large/Extra Large only for use with Res 50 – Ostoshield Res45, 1
STOMA APPLIANCES – COLOSTOMY BAGS – B. Braun Medical Ltd – Iryfix F00014E, 15
STOMA APPLIANCES – PRESSURE PLATES/SHIELDS – Respond Healthcare Ltd – OstoMart Ostoshield (without belt) Res50, 1
STOMA APPLIANCES – PRESSURE PLATES/SHIELDS – Respond Healthcare Ltd – OstoMart Ostoshield Belt – Small/Medium  – 45cm/85cm Res40, 1
STOMA APPLIANCES – PRESSURE PLATES/SHIELDS – Respond Healthcare Ltd – OstoMart Ostoshield Belt – Large/Extra Large – 66cm/124cm Res45, 1
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – Pelican Healthcare Ltd – Pelican Ultra Barrier Cream 130105, 50g

To view appliances due to be deleted from Part IX of the August, September and October 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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