Drug Tariff Watch – June 2024

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 2024.

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:

  • Cytisinicline 1.5mg tablets (100) – Cytisine  BB and OOP
  • Docusate sodium 5% ear drops g (15ml) – Molcer OOP
  • Drospirenone 4mg tablets (84(3xg28)) – Slynd OOP
  • Etoposide 100mg capsules (10) – Neon Healthcare Ltd DND, BB and OOP
  • Etoposide 50mg capsules (20) – Neon Healthcare Ltd DND, BB and OOP
  • Levomepromazine 6.25mg tablets (28) – Levorol DND, BB and OOP
  • Naloxone 1.26mg/0.1ml nasal spray unit dose (2(2xg1)) – Accord-UK Ltd OOP
  • Tinzaparin sodium 40,000units/2ml solution for injection vials (10) – LEO Pharma DND, BB and OOP
  • Tirzepatide 2.5mg/0.6ml solution for injection 2.4ml pre-filled disposable devices g (1) – Mounjaro KwikPen  DND and OOP
  • Tirzepatide 5mg/0.6ml solution for injection 2.4ml pre-filled disposable devices g (1) – Mounjaro KwikPen  DND and OOP

Part VIIIA Amendments

The Department of Health and Social Care (DHSC) imposed the introduction of new reimbursement arrangements for the setting of Drug Tariff Category A products from April 2024. 

  • Aceclofenac 100mg tablets (60) Category C – Rivopharm (UK) Ltd reference product has been removed BB and OOP
    Price remains at £8.67
  • Acetic acid 2% ear spray g (5ml) Category C – EarCalm now reads Acetic acid (glacial) 2% ear spray – OOP
    Price remains at £4.92
  • Acetylcysteine 600mg effervescent tablets sugar free (30(2xg15) Category C reference product now reads – NACSYS with a new pack size listing of (30(3xg10)) – OOP
    Price remains at £5.50
  • Betamethasone 0.1% ear/eye/ nose drops g (10ml) Category C – Betnesol reference product now been removed OOP
    Price remains at £2.32
  • Chlorhexidine gluconate 4% solution g 250 ml Category C – HiBiScrub reference product has been removed DND and OOP
    Price remains at £5.26
  • Chlorhexidine gluconate 4% solution g 500 ml Category C – HiBiScrub reference product has been removed DND and OOP
    Price remains at £8.28
  • Clonazepam 2mg/5ml oral solution sugar free (150ml) Category A has now moved to Category C – Thame Laboratories LtdDND, BB and OOP
    Price remains at £108.38
  • Clotrimazole 10% cream and Clotrimazole 2% cream g (1) Category C reference product now reads – Canesten Thrush Combi Internal & ExternalOOP
    Price decrease £11.07 to £10.73
  • Co-careldopa 10mg/100mg tablets (100) Category A has now moved to Category C – Teva UK LtdBB and OOP
    Price increase £13.98 to £14.00
  • Co-careldopa 25mg/250mg tablets (100) Category A has now moved to Category C – Teva UK LtdBB and OOP
    Price decrease £35.02 to £35.00
  • Fosinopril 10mg tablets (28) Category A has now moved to Category C – Milpharm LtdBB and OOP
    Price increase £2.53 to £5.11
  • Levofloxacin 250mg tablets (10) Category A has now moved to Category C – Macleods Pharma UK LtdBB and OOP
    Price increase £8.23 to £11.09
  • Lormetazepam 500microgram tablets (30) Category A has now moved to Category C – Genus Pharmaceuticals Holdings LtdBB and OOP
    Price decrease £18.94 to £8.58
  • Methadone 10mg/1ml solution for injection ampoules (10) Category C – Physeptone reference product has changed to – Martindale Pharmaceuticals LtdBB and OOP
    Price remains at £8.47
  • Methadone 50mg/1ml solution for injection ampoules (10) Category C – Physeptone reference product has changed to- Martindale Pharmaceuticals LtdBB and OOP
    Price remains at £19.67
  • Methylphenidate 60mg modified-release capsules (30) Category C – Medikinet X reference product now reads – Medikinet XLDND, BB and OOP
    Price remains at £67.32
  • Midazolam 50mg/10ml solution for injection ampoules (10) Category A has now moved to Category C – hameln pharma LtdDND, BB and OOP
    Price decrease £33.51 to £33.00
  • Quinagolide 50microgram tablets and Quinagolide 25microgram tablets g (6) Category A has now moved to Category C – Aspire Pharma LtdDND and OOP
    Price decrease £53.54 to £30.00
  • Salmeterol 25micrograms/dose inhaler CFC free g (120 dose) Category C reference product now reads – Serevent EvohalerOOP
    Price remains at £29.26
  • Sodium chloride 0.9% solution for injection 20ml ampoules (20) Category C – Sodium chloride Mini-Plasco reference product changed to – B.Braun Medical LtdBB and OOP
    Price increase £19.87 to £22.38
  • White soft paraffin 15% / Liquid paraffin light 6% cream g (150g) Category C – Oilatum reference product has been removed – 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:

  • Alclometasone 0.05% cream g (50g)
  • Sodium bicarbonate 600mg tablets (100)

Category C Deletions:

  • Aspirin 900mg / Metoclopramide 10mg oral powder sachets sugar free (6) – Migramax
  • Capsaicin 0.025% cream g (45g) – Zacin
  • Capsaicin 0.075% cream g (45g) – Axsain
  • * Chlorhexidine gluconate 0.5% solution (600ml) – Hydrex
  • Co-danthrusate 50mg/60mg/5ml oral suspension sugar free (200ml) – A A H Pharmaceuticals Ltd
  • Co-magaldrox 200mg/175mg/5ml oral suspension sugar free (250ml) – Maalox
  • Dibrompropamidine 0.15% eye ointment g (5g) – Golden Eye
  • Ferrous fumarate 322mg / Folic acid 350microgram tablets (28) – Pregaday
  • Hydrogen peroxide 3% solution (200ml) – Thornton & Ross Ltd
  • Hydrogen peroxide 6% solution (200ml) – Thornton & Ross Ltd
  • Hydrogen peroxide 9% solution (200ml) – Thornton & Ross Ltd
  • Lixisenatide 20micrograms/0.2ml solution for injection 3ml pre-filled disposable devices (2) – Lyxumia
  • * Mesalazine 400mg gastro-resistant tablets (84) – Asacol
  • Paracetamol 1g/100ml solution for infusion vials (12) – Accord-UK Ltd
  • Pseudoephedrine 30mg/5ml oral solution sugar free (100 ml) – Care Decongestant
  • * Sodium chloride 30% solution for infusion 50ml vials g (1) – Martindale Pharmaceuticals Ltd
  • * Sodium fusidate 250mg tablets (10) – Fucidin

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

  • Dabigatran etexilate granules sachets sugar free (ALL)
  • D-mine Infset subcutaneous drug delivery device 80cm tubing 8mm needle 28 gauge
  • D-mine Pen injection pen reusable for 3ml cartridge
  • D-mine Pump Reservoir
  • Levomepromazine 6.25mg tablets
  • Potassium para-aminobenzoate 3g oral powder sachets

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

Previous Part II listing  Now reads 
Tenofovir 123mg tablets Tenofovir disoproxil 123mg tablets

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

  • Tagrisso 80mg tablets

Part VIC (Lateral flow device reimbursement price) - Amendments

The payment for these tests, where supplied as part of the service, will be £5.69 for 5 LFD tests An allowance at the applicable VAT rate will also be paid.

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 2024 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Cutisorb Ultra All types and sizes
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Askina Calgitrol Ag – Square 20cm x 20cm
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Askina Calgitrol Thin – Square 10cm x 10cm
APPLIANCES – EMOLLIENT AND BARRIER PREPARATIONS – QV Bath Oil All sizes
APPLIANCES – EMOLLIENT AND BARRIER PREPARATIONS – QV Gentle Wash 250ml
APPLIANCES – EMOLLIENT AND BARRIER PREPARATIONS – QV Skin Lotion  250ml
APPLIANCES – HYPODERMIC EQUIPMENT – Reusable Pens For Insulin – HumaPen Luxura HD 3.0ml, 0.5 unit (1-30 units)
APPLIANCES – HYPODERMIC EQUIPMENT – Needles for Pre-filled and Reusable Pen Injectors – Insupen 4mm/32 gauge
4mm/33 gauge
APPLIANCES – HYPODERMIC EQUIPMENT – Lancets – Sterile, Single-Use – Glucoject No-dol Lancets – (A. Menarini Diagnostics) 0.315mm/30 gauge, 100
0.315mm/30 gauge, 200
INCONTINENCE APPLIANCES – TUBING AND ACCESSORIES – Great Bear Healthcare Ltd – Libra Leg Bag Holder All types and sizes
INCONTINENCE APPLIANCES – URINAL SYSTEMS – Jade-Euro-Med Ltd – Stoke Mandeville replacement sheath (state size of sheath) Male PP urinal with 5 plastic bags (state size of sheath) All types and sizes
INCONTINENCE APPLIANCES – URINAL SYSTEMS – Jade-Euro-Med Ltd – Spare parts for PP Urinals: Flange with sheaths, state size All types and sizes
INCONTINENCE APPLIANCES – URINAL SYSTEMS – Jade-Euro-Med Ltd – Replacement bag for WP113 WS140-07-L, 1
STOMA APPLIANCES – COLOSTOMY BAGS – Hollister Ltd – Karaya 5 seal – with microporous adhesive and filter – Transparent All sizes
STOMA APPLIANCES – COLOSTOMY BAGS – Hollister Ltd – Karaya 5 seal – without filter Transparent All sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Karaya 5 seal – with microporous adhesive 229mm Length  All types and sizes
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – CliniMed Ltd – Ostagel Skin Cleanser bottle 8801, 100ml
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Dansac Ltd – Nova 2 Drainable Pouches including filtration system and water repellent soft fabric covers – Opaque 55mm Flange, 1213-55, 10
STOMA APPLIANCES – UROSTOMY BAGS – Hollister Ltd – Lo-Profile – With Microporous II Adhesive and Karaya 5 Seal  All sizes

To view appliances due to be deleted from Part IX of the July, August and September 2024 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.