Drug Tariff Watch – June 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 June 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 II 

Contractors should note changes made to Clause 14 Serious Shortage Protocol – Reimbursement and Remuneration in the June Drug Tariff:

From 1 June 2023, the allowance for VAT currently paid alongside product reimbursement will stop being paid when reimbursing for products supplied in accordance with SSPs. This change will be reflected from the June 2023 Drug Tariff. For more information click here.

Part XVI (List of medicines covered by the HRT PPC)

From June 2023, the Department of Health and Social Care (DHSC) has updated its definition of Hormone Replacement Therapy covered by the new HRT prepayment certificate (HRT PPC) to include two more HRT medicines to the list. The June 2023 Drug Tariff (Part XVI) has been updated to include the following HRT medicines for which patients will be able to purchase an HRT PPC:

  • Intrarosa – Prasterone 6.5mg pessaries
  • Livial – Tibolone 2.5mg tablets
Part VIIIA Additions

Category A Additions:

  • Colecalciferol 15,000units/5ml oral solution sugar free g (100 ml)

Category C Additions:

  • Ondansetron 8mg/5ml oral solution sugar free (100ml) – Rosemont Pharmaceuticals Ltd BB, OOP and DND

Part VIIIA Amendments
 

  • Aciclovir 3% eye ointment g (4.5g) Category C – Agepha Pharma s.r.o generic description now reads Aciclovir 30mg/g eye ointment OOP
    Price remains at £45.00
  • Budesonide 2mg foam enema g (14 dose) Category C – Budenofalk generic description now reads Budesonide 2mg/application foam enema OOP
    Price remains at £57.11
  • Drospirenone 3mg / Estetrol 14.2mg tablets (28(1xg28) Category C – Drovelis special container annotation now reads g (28) OOP
    Price remains at £8.60
  • Fluticasone propionate 250micrograms/dose / Salmeterol 50micrograms/ dose dry powder inhaler g (60 dose) Category C reference product now reads – Seretide 250
    Accuhaler OOP
    Price remains at £33.95
  • Tinzaparin sodium 12,000units/0.6ml solution for injection pre-filled syringes (10) Category C – Innohep reference product has changed to – LEO Pharma BB, OOP and DND
    Price remains at £74.97
  • Tramadol 100mg modified-release capsules (60) Category C reference product now reads – Zamadol SR BB, OOP and DND
    Price remains at £14.47
  • Tramadol 200mg modified-release capsules (60) Category C reference product now reads – Zamadol SR BB, OOP and DND
    Price remains at £28.93
  • Urea 5% / Lauromacrogols 3% cream g (500g) Category C reference product now reads – E45 Itch Relief OOP
    Price increase £14.99 to £17.77
  • White soft paraffin 15% / Liquid paraffin light 6% cream g (150g) Category C reference product now reads – Oilatum OOP
    Price remains at £3.91

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:

  • Co-amilofruse 10mg/80mg tablets (28)
  • Colecalciferol 15,000units/5ml oral solution g 100 ml – Please note the addition of Colecalciferol 15,000units/5ml oral solution sugar free to the June Drug Tariff

Category C Deletions:

  • Artificial saliva lozenges (30) – AS Saliva Orthana
  • Chlorhexidine gluconate 0.015% / Cetrimide 0.15% solution 25ml sachets (25) – Sterets Tisept
  • Chlorhexidine gluconate 0.05% solution 100ml sachets (10) – Sterets Unisept
  • Chlorhexidine gluconate 0.05% solution 25ml sachets (25) – Sterets Unisept
  • Co-amoxiclav 125mg/31mg/5ml oral suspension (100ml) – Viatris UK Healthcare Ltd
  • Co-amoxiclav 250mg/62mg/5ml oral suspension (100ml) – Viatris UK Healthcare Ltd
  • Colestipol 5g granules sachets sugar free (30) – Colestid
  • Dolutegravir 10mg tablets (30) – Tivicay
  • Dolutegravir 25mg tablets (30) – Tivicay
  • *Fentanyl 100micrograms/dose nasal spray (6 dose (6xg0.1ml)) – Instanyl
  • Granisetron 2mg tablets (5) – Kytril
  • Lidocaine 0.66% / Aminoacridine 0.05% oromucosal gel sugar free (8g) – Iglu
  • Lixisenatide 10micrograms/0.2ml solution for injection 3ml pre-filled disposable devices (1) – Lyxumia
  • Saxagliptin 2.5mg / Metformin 850mg tablets (56) – Komboglyze

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

  • Ampicillin 250mg capsules
  • Chlortalidone 50mg tablets
  • Diazoxide 50mg tablets
  • Eudemine 50mg tablets
  • Flutamide 250mg tablets
  • Hydrocortisone 10mg soluble tablets sugar free
  • Hydrocortisone 2.5mg tablets
  • Mianserin 30mg tablets
  • Pyrazinamide 500mg tablets
  • Sitagliptin 100mg/5ml oral solution sugar free

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

  • Erythromycin 1g powder for solution for infusion vials
  • Gosa-S 500mg tablets
  • Harvoni 90mg/400mg tablets
  • Magstar 160mg capsules
  • XPHEN TYR Tyrosidon Free AA Mix powder

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 June 2023 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – BANDAGES – Cotton, Polyamide and Elastane Bandage – Setocrepe 10cm
APPLIANCES – BANDAGES – Polyamide and Cellulose Contour Bandage, BP 1988 (Nylon & Viscose Stretch Bandage) Length 4m stretched – Slinky All types and sizes
APPLIANCES – BANDAGES – Sub-compression Wadding Bandage – Softexe 3.5m unstretched 10cm x 3.5m
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Melgisorb All types and sizes
APPLIANCES – HYPODERMIC EQUIPMENT – Mylife Clickfine AutoProtect All types and sizes
APPLIANCES – IRRIGATION SOLUTIONS – Steripod (Molnlycke Health Care) – Pod 25 x 20ml
APPLIANCES – PROSTHETIC ADHESIVES – Edge Adhesive 5g
25g
APPLIANCES – SPACER/HOLDING CHAMBER DEVICES – Clip-Tone E pack of 2
APPLIANCES – SPACER/HOLDING CHAMBER DEVICES – Clip-Tone F pack of 2
APPLIANCES – Elasticated Surgical Tubular Stockinette Foam Padded – Tubipad Specification 25 – Heel, Elbow, Knee All types and sizes
APPLIANCES – Elasticated Surgical Tubular Stockinette Foam Padded – Tubipad Specification 25 – Sacral All types and sizes
APPLIANCES – Ribbed Cotton Surgical Tubular Stockinette – Ribbed Stockinette (Molnlycke)  All types and sizes
APPLIANCES – SWABS – Alcohol Impregnated Swabs – Sterets Skin Cleansing Swab 3cm sq, 100 sachets per pkt
INCONTINENCE APPLIANCES – INCONTINENCE SHEATHS  – Rochester Medical Ltd – Freedom Sheath (Self-adhesive) – extra large (dia 40mm) 786288, 30
STOMA APPLIANCES – ADHESIVE DISCS/RINGS/PADS/PLASTERS – C S Bullen Ltd – Double-sided Adhesive – Plaster Zinc Oxide All types and sizes
STOMA APPLIANCES – ADHESIVE DISCS/RINGS/PADS/PLASTERS – C S Bullen Ltd – Double-sided Adhesive – Plastic Acrylic Base All types and sizes
STOMA APPLIANCES – ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) – ConvaTec Ltd – ConvaTec Niltac Sting Free Medical  TR101, 50ml aerosol
STOMA APPLIANCES – BAG CLOSURES – C S Bullen Ltd – Plastic Bag Clamp 400, 10
STOMA APPLIANCES – BAG CLOSURES – C S Bullen Ltd – Soft Wire Ties 410, 50
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch Bio dressing resin – Beige – cut-to-fit 13mm-80mm, 2450/00, 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch Bio dressing resin – Clear – cut-to-fit 13mm-64mm, 2250/00, 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch Bio dressing resin – Clear – pre-cut  All types and sizes
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive – Beige – cut-to-fit 13mm-64mm, 2240/00, 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive – Beige – pre-cut All types and sizes
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive bio dressing resin – Clear – cut-to-fit 13mm-64mm 2245/00 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive, bio dressing resin  – Clear – pre-cut  All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Absorbian drainable pouch – 2 Openings with Bio-dressing resin, microporous adhesive and skin barrier – Clear – cut-to-fit 13mm-80mm, UFAS05, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen LtdShelter Drainable Pouch – Extra Large Opaque – cut-to-fit 13-80mm, 3600/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Drainable Pouch Microporous adhesive – Clear – cut-to-fit 13-64mm, 3200/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Drainable Pouch Microporous adhesive – Clear – pre-cut  All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure Bio dressing resin, skin barrier and integral closure – cut-to-fit All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Bio dressing resin, skin barrier and integral closure – pre-cut All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, bio dressing resin, skin barrier and integral closure – cut-to-fit All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, bio dressing resin, skin barrier and integral closure – pre-cut All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Extra large capacity – cut-to-fit 13mm-80mm, SS3600/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, skin barrier and integral closure – cut-to-fit 13-64mm, SS3200/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, skin barrier and integral closure – pre-cut All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Unique – Maxi Clear All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Unique – Mini opaque  All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Unique – Mini Clear All types and sizes
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – C S Bullen Ltd – Balspray Aerosol UF95, 1
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – ConvaTec Ltd – ConvaTec Silesse Sting Free – Skin Barrier Wipes TR103, 30
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – ConvaTec Ltd – ConvaTec Silesse Sting Free – Skin Barrier Soft-Pump Spray TR104, 50ml
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Shelter Stomacap – Microporous adhesive – cut-to-fit 13mm-64mm 1240/00 15
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Shelter Stomacap – Microporous adhesive – pre-cut All types and sizes
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Mini Stomacap – cut-to-fit 10mm-32mm, 1740/00, 50
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Microporous adhesive, bio dressing resin – cut-to-fit 13mm-64mm, 1245/00, 15
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Microporous adhesive, bio dressing resin – pre-cut All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Flexible Plate Microporous adhesive and Bio dressing resin All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Rigid Plate Bio dressing resin All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Closed Pouch All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Drainable Pouch All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Stoma Cap All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Drainable Pouch Extra Large All types and sizes

To view appliances due to be deleted from Part IX of the June, July and August 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.