Drug Tariff Watch – June 2025
Wednesday 28th May 2025
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 2025.
Paxlovid® reimbursement arrangements for May 2025 have now come to an end. From 1st June 2025 NHS prescriptions for Paxlovid® will be reimbursed based on the NHS list price as published by the manufacturer on the dictionary of medicines and devices (dm+d). No endorsement is needed.
| 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:
- Dexamethasone 0.1% eye drops 0.3ml unit dose preservative free (20) – Kent Pharma (UK) Ltd – BB and OOP
- * Dienogest 2mg tablets (84) – Kent Pharma (UK) Ltd – BB and OOP
- Fludrocortisone 50microgram tablets (30) – Aspire Pharma Ltd – BB and OOP
- Phenoxymethylpenicillin 500mg tablets (20) – Brown & Burk UK Ltd – BB and OOP
Part VIIIA Amendments
- Buprenorphine 400microgram sublingual tablets sugar free (7) Category C reference product now reads Subutex – DND, BB and OOP
Price remains at £1.36 - Carmellose 1% eye drops 0.4ml unit dose preservative free (30) Category C Celluvisc now reads 30(3xg10)) to reflect the change in special container status – OOP
Price remains at £3.00 - Colecalciferol 880unit / Calcium carbonate 2.5g chewable tablets (30) Category C reference product now reads TheiCal-D3 – BB and OOP
Price increase £2.95 to £3.95
- Conjugated oestrogens 1.25mg tablets (84) Category C Premarin reference product has changed to Pfizer Ltd – BB and OOP
Price increase £33.89 to £52.56
- Conjugated oestrogens 300microgram tablets (84) Category C Premarin reference product has changed to Pfizer Ltd – BB and OOP
Price increase £14.94 to £24.02
- Conjugated oestrogens 625microgram tablets (84) Category C Premarin reference product has changed to Pfizer Ltd – BB and OOP
Price increase £17.50 to £26.87
- Diclofenac 0.1% eye drops 0.3ml unit dose preservative free (40) Category C Voltarol Ophtha now reads 40(8xg5)) to reflect the change in special container status – OOP
Price remains at £32.00 - Fluticasone propionate 50micrograms/dose / Azelastine 137micrograms/ dose nasal spray g (120dose) Category C Dymista reference product has now been removed – OOP
Price remains at £14.80 - Liraglutide 6mg/ml solution for injection 3ml pre-filled disposable devices (2) Category C Victoza reference product has changed to Diavic
Price decrease £78.48 to £50.49
- Netilmicin 3mg/ml / Dexamethasone 1mg/ml eye drops 0.3ml unit dose preservative free (20) Category C Netildex now reads 20(4xg5)) to reflect the change in special container status – DND, BB and OOP
Price remains at £11.29 - Nystatin 100,000units/ml oral suspension g (30ml) Category C Nystan reference product has changed to Zydus Pharmaceuticals UK Ltd – OOP
Price increase £1.80 to £8.75
- Rifaximin 550mg tablets (56) Category C Targaxan reference product has changed to Norgine Pharmaceuticals Ltd – DND, BB and OOP
Price remains at £259.23
- Terbutaline 5mg/2ml nebuliser liquid unit dose vials (20) Category C Bricanyl Respules now reads 20(4xg5)) to reflect the change in special container status – OOP
Price remains at £11.64
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 C Deletions:
- Activated charcoal 81.3% granules for gastroenteral or oral suspension sugar free g (50g) – Carbomix
- Adalimumab 20mg/0.2ml solution for injection pre-filled syringes (2) – Humira
- Adalimumab 40mg/0.4ml solution for injection pre-filled disposable devices (2) – Humira
- Adalimumab 40mg/0.4ml solution for injection pre-filled syringes (2) – Humira
- Adrenaline (base) 500micrograms/5ml (1 in 10,000) dilute solution for injection ampoules (10) – Martindale Pharmaceuticals Ltd
- Alfacalcidol 1micrograms/0.5ml solution for injection ampoules (10) – One-Alpha
- Alirocumab 300mg/2ml solution for injection pre-filled disposable devices g (1) – Praluent
- Anakinra 100mg/0.67ml solution for injection pre-filled syringes (7) – Kineret
- Aztreonam 75mg powder and solvent for nebuliser solution vials with device g (84) – Cayston
- Baclofen 10mg/20ml solution for infusion ampoules g (1) – Lioresal Intrathecal
- Buprenorphine 11.4mg / Naloxone 2.9mg sublingual tablets sugar free (28) – Zubsolv
- Buprenorphine 16mg / Naloxone 4mg sublingual tablets sugar free (28) – Suboxone
- Buprenorphine 2.9mg / Naloxone 710microgram sublingual tablets sugar free (28) – Zubsolv
- Buprenorphine 5.7mg / Naloxone 1.4mg sublingual tablets sugar free (28) – Zubsolv
- Buprenorphine 8.6mg / Naloxone 2.1mg sublingual tablets sugar free (28) – Zubsolv
- § Buserelin 5.5mg/5.5ml solution for injection vials (2)
- C1-esterase inhibitor human 1,500unit powder and solvent for solution for injection vials g (1) – Berinert
- C1-esterase inhibitor human 500unit powder and solvent for solution for injection vials g (1) – Berinert
- Calcium chloride 10% solution for injection 10ml pre-filled syringes g (10) – Martindale Pharmaceuticals Ltd
- Caspofungin 50mg powder for solution for infusion vials g (1) – Zentiva Pharma UK Ltd
- Cetrorelix 250microgram powder and solvent for solution for injection vials g (1) – Cetrotide
- Ciclosporin 50mg/1ml solution for infusion ampoules (10) – Sandimmun
- Metronidazole 500mg/100ml infusion 100ml bags (20) – A A H Pharmaceuticals Ltd
- Strontium ranelate 2g granules for oral suspension sachets sugar free (28) – Aristo Pharma Ltd
- Tramadol 50mg/5ml oral solution sugar free (100ml) – Morningside Healthcare Ltd
Part II (Drugs for which discount is not deducted (DND)) Deletions
- Alimentum powder
- Fluconazole 200mg/100ml solution for infusion vials
- Indoramin 25mg tablets
Part VIC (Lateral flow device reimbursement price) Amendments
The payment for these tests, where supplied as part of the service, will be £3.79 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 2025 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – DETECTION SENSOR, INTERSTITIAL FLUID FOR GLUCOSE – Dexcom One – CGM System (contains 1 sensor, 1 sensor applicator, 1 transmitter) | 1 |
| APPLIANCES – DRESSINGS – Vapour-permeable Adhesive Film Dressing – Suprasorb F | All sizes |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Hydrogel Dressing – Sterile – Actolind w Gel | 30ml |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Soft Silicone Wound Contact Dressing – Sterile – Askina SilNet | 5cm x 7.5cm |
| APPLIANCES – HYPODERMIC EQUIPMENT – B. Reusable Pen For Insulin – Autopen 24 (Owen Mumford Ltd) | 3.0ml, 2 unit (2-42 units) |
| APPLIANCES – INSUFFLATORS – Cyclohaler (for use with Cyclocaps) | |
| APPLIANCES – IRRIGATION SOLUTIONS – Actolind w Solution (Creed Medical Ltd) | All types and sizes |
| APPLIANCES – LUBRICANT GELS – Cathejell Lidocain | CJLL12501, 12.5g |
| APPLIANCES – LUBRICANT GELS – Cathejell Lidocaine C | CJL 12501, 12.5g |
| APPLIANCES – SURGICAL SUTURES – Non Absorbable Sutures – Ethicon – Sterile Polyamide 6 Suture, Monofilament – W1621T 2.0 45cm (blue) 19mm P needle reverse cutting | 24 |
| APPLIANCES – SYNOVIAL FLUID – Suplasyn | All types and sizes |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Breathing Aids – Blom-Singer Hands-Free ATSV II System – Replacement Foam Filters for ATSV II | BE1030 |
| STOMA APPLIANCES – ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) – Creed Medical Ltd – Limisan Pro Medical Adhesive Remover | LS10UK100, 50ml spray |
To view appliances due to be deleted from Part IX of the July, August and September 2025 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.
Wednesday 28th May 2025
