Drug Tariff Watch – March 2022

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 March 2022.

Key
g Special container – This product is a special container and should be dispensed in its complete original pack size.
§ Selected List Scheme (SLS)
* 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 A Additions:

  • Metoprolol 25mg tablets (28)

Category C Additions:

  • Chlorpromazine 10mg tablets (28) – Genesis Pharmaceuticals Ltd BB and OOP
  • Mometasone 25micrograms/dose / Olopatadine 600micrograms/dose nasal spray g (240 dose) – Ryaltris BB and OOP
  • Olanzapine 10mg powder for solution for injection vials g (1) – Zyprexa BB and OOP
  • Paracetamol 500mg / Pseudoephedrine hydrochloride 30mg tablets (15) – Sinutab Non-Drowsy BB and OOP
  • Rivaroxaban 1mg/ml oral suspension sugar free g (250ml) –  Xarelto BB and OOP
  • *Sodium zirconium cyclosilicate 10g oral powder sachets (30) – Lokelma BB, OOP and DND
  • Sodium zirconium cyclosilicate 5g oral powder sachets (30) – Lokelma BB, OOP and DND

Part VIIID Additions
From March 2022, the Drug Tariff includes a new section, Part VIIID, which sets out payment arrangements for specials and imported unlicensed medicines to be paid relative to an identified pack size.

For guidance on the new Part VIIID arrangements as FAQs covering the reasons for the introduction of a new section in the Drug Tariff for specials, Part VIIID price-setting processes as well as prescription endorsing and submission requirements see our briefing Part VIIID – Specials with reimbursement prices relative to commonly identified pack sizes.

Product Formulations covered in this part Quantity Basic price (pence)
Albendazole 400mg tablets STD 1 1891
Benzbromarone 100mg tablets STD, FF, LF,SF 30 8262
Biotin 5mg tablets STD 30 11125
Calcium carbonate 300mg tablets STD 200 23632
Colecalciferol 10,000unit tablets STD 12 13747
Colecalciferol 2,000unit tablets STD, SF 28 9286
Colecalciferol 20,000unit tablets STD 14 14612
Colecalciferol 3,000unit tablets STD 28 14323
Co-phenotrope 2.5mg/0.025mg tablets STD 20 5073
Co-proxamol 32.5mg/325mg tablets STD 100 16737
Danazol 100mg capsules STD 100 16860
Flunarizine dihydrochloride 10mg tablets STD 30 18031
Flunarizine dihydrochloride 5mg capsules STD 50 16273
Hydrochlorothiazide 25mg tablets STD 28 7052
Hydrochlorothiazide 25mg tablets STD 100 25184
Ivermectin 3mg tablets STD 4 9222
Levamisole 50mg tablets STD 50 7946
Levothyroxine sodium 100microgram capsules STD, LF, SF 50 15631
Levothyroxine sodium 25microgram capsules STD, LF, SF 28 7378
Levothyroxine sodium 50microgram capsules STD, LF, SF 28 4308
Liothyronine 2.5microgram capsules STD, SF 100 27684
Magnesium citrate 200mg tablets STD 60 2141
Magnesium oxide 160mg capsules STD 100 13924
Megestrol 40mg tablets STD 100 26572
Melatonin 10mg capsules STD, LF, SF 30 6433
Melatonin 10mg capsules STD, LF, SF 60 12866
Melatonin 1mg capsules STD, LF, SF 60 3959
Melatonin 2.5mg capsules STD, LF, SF 60 10070
Melatonin 3mg modified-release capsules STD 60 8142
Mepacrine 100mg tablets STD, LF 50 22309
Mercaptopurine 10mg capsules STD, CF, FF, SF 50 17955
Mercaptopurine 10mg tablets STD 100 45752
Metolazone 2.5mg tablets STD, LF, SF 4 1042
Metolazone 2.5mg tablets STD, LF, SF 100 26048
Metolazone 5mg tablets STD, LF, SF 28 6952
Metolazone 5mg tablets STD, LF, SF 50 12414
Nadolol 40mg tablets STD, CF, FF 28 6867
Nadolol 40mg tablets STD, CF, FF 100 24524
Naltrexone 3mg capsules STD, AF, LF, SF 30 3709
Naltrexone 4.5mg capsules STD, AF, LF, SF 30 3469
Nicotinamide 250mg tablets STD 100 5862
Orphenadrine 50mg tablets STD 100 10418
Phenelzine 15mg capsules STD, AF, CF, LF, PF, SF 60 19783
Phenelzine 15mg tablets STD, LF, SF 60 41820
Phytomenadione 10mg tablets STD, SF 30 7940
Phytomenadione 10mg tablets STD, SF 50 13233
Pirenzepine 50mg tablets STD 50 16739
Prazosin 2mg tablets STD 28 4592
Prazosin 2mg tablets STD 100 16401
Probenecid 500mg tablets STD, CF, LF, SF 50 20645
Riboflavin 100mg modified-release tablets STD 60 3272
Sucralfate 1g tablets  STD, CF, FF, LF, PF, SF 40 12072
Sultiame 200mg tablets STD 50 23472
Trimetazidine 35mg modified-release tablets STD 60 13815

Part VIIIA Amendments 

  • Amiloride 5mg/5ml oral solution sugar free (150 ml) Category A has moved to Category C – Essential Pharma Ltd – BB, OOP and DND
    Price increase £46.45 to £158.85
  • Cimetidine 200mg/5ml oral solution sugar free (300 ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd – BB, OOP
    Price decrease £48.78 to £48.75
  • Fluticasone propionate 250micrograms/dose/Salmeterol 50micrograms/dose dry powder inhaler g (60) dose Category C Seretide 250 Accuhaler reference product has been removed BB, OOP
    Price remains at £33.95
  • Glucose 40% oral gel 75g (3xg25) Category C GlucoGel reference product has been removed BB, OOP
    Price remains at £7.16
  • Mirtazapine 15mg/ml oral solution sugar free g (66 ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd – BB, OOP and DND
    Price increase £89.22 to £97.89
  • Omeprazole 10mg/5ml oral suspension sugar free g (75 ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd – BB, OOP and DND
    Price increase £103.93 to £106.46
  • Omeprazole 20mg/5ml oral suspension sugar free g (75 ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd – BB, OOP and DND
    Price increase £201.10 to £206.00
  • Posaconazole 100mg gastroresistant tablets (24) Category C Noxafil reference product has been removed BB, OOP and DND
    Price remains at £596.96
  • Promazine 25mg/5ml oral solution (150 ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd – BB, OOP and DND
    Price increase £50.49 to £60.19
  • Simvastatin 20mg/5ml oral suspension sugar free (150 ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd – BB, OOP and DND
    Price increase £162.92 to £173.89
  • Sodium cromoglicate 100mg capsules (100) Category C Nalcrom has moved to Category A
    Price increase £41.14 to £46.80
  • Warfarin 1mg/ml oral suspension sugar free (150 ml) Category A has moved to Category C – Rosemont Pharmaceuticals Ltd – BB, OOP and DND
    Price increase £140.29 to £156.07

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:

  • Gamolenic acid 40mg capsules (240)
  • Gamolenic acid 80mg capsules (120)
  • Paroxetine 40mg tablets (28)

Category C Deletions:

  • Co-codamol 15mg/500mg effervescent tablets sugar free (100) – Codipar
  • Glucosamine sulfate 1.5g tablets (30) – Dolenio
  • Hypromellose 0.3% / Dextran ’70’ 0.1% eye drops g (15ml) – Tears Naturale
  • Hypromellose 0.3% / Dextran ’70’ 0.1% eye drops 0.4ml unit dose preservative free (28 (7xg4) – Tears Naturale
  • Ivermectin 10mg/g cream g (30g) – Soolantra
  • Morphine 60mg modified-release granules sachets sugar free (30) – MST Continus

Part VIIIB Deletions

  • Pyridostigmine bromide 60mg/5ml oral suspension (200ml) has been removed from Part VIIIB.

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

  • Carnitor 1g chewable tablets
  • E-Caps 200unit capsules
  • E-Caps 400unit capsules
  • Fareston 60mg tablets
  • Gabapentin 400mg/5ml oral suspension (Group Item)
  • Gosa-S 500mg tablets
  • Iasibon 50mg tablets
  • Ketamine 50mg/5ml oral solution (Group Item)
  • Ketamine 50mg/5ml oral suspension (Group Item)
  • Levocarnitine 1g chewable tablets
  • Mercaptopurine 10mg capsules (Group Item)
  • Mercaptopurine 10mg tablets (Group Item)
  • Methylphenidate 5mg/5ml oral suspension (Group Item)
  • Phenobarbital 50mg/5ml oral solution (Group Item)
  • Phenobarbital 50mg/5ml oral suspension (Group Item)
  • Pregabalin 75mg/5ml oral suspension (Group Item)
  • Toremifene 60mg tablets
  • Venlafaxine oral solution sugar free(ALL)

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

  • Diloxanide 500mg tablets
  • Mestinon retard 180mg tablets
  • Pyridostigmine bromide 180mg modified-release tablets

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

Previous Part II listing  Now reads 
Diethylstilbestrol tablets (ALL) Diethylstilbestrol 1mg tablets

For a list of all the monthly changes to the DND status of products please see the following page Notice of changes to discount not deducted (DND) status of products.

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 March 2022 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen System (System includes 1 control unit, 2 rectal catheters, 1 water bag, 2 straps) 29121
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen System – small (System includes 1 control unit, 2 rectal catheters, 1 water bag, 1 strap) 29126
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen Accessory Unit (Contains 15 rectal catheters, 1 water bag) 29122
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen Accessory Unit – small (Contains 15 rectal catheters, 1 water bag) 29127
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen Rectal Catheters (Contains 10 rectal catheters)  29123
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen Rectal Catheters – small (Contains 10 rectal catheters)  29128
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen Straps 29124
APPLIANCES – ANAL IRRIGATION SYSTEM – Peristeen Tubes 29125
APPLIANCES – STOCKINETTE – Elasticated Tubular Bandage BP (Elasticated Surgical Tubular Stockinette; ESTS; Elasticated Stockinette) – Tubigrip B, 1m
C, 1m
D, 1m
E, 1m
F, 1m
G, 1m
STOMA APPLIANCES – ADHESIVE PASTES, SPRAYS, SOLUTIONS – Hollister Ltd Medical – Adhesive Aerosol 7730, 112ml
STOMA APPLIANCES – UROSTOMY BAGS – Hollister Ltd – Moderma Flex CeraPlus Soft Convex – Urostomy pouch with adhesive border, enhanced tap and viewing option – pre-cut 20mm, 59820, 10

To view appliances due to be deleted from Part IX of the April 2022, May 2022 and June 2022 Drug Tariffs visit our page Drug Tariff Appliance Watch: Notice of Deletion

To view the latest changes to special container status, visit our Notice of changes to special container status of products page.

To view previous Drug Tariff Watch months visit our page here.

Discover how we are working to improve the outlook for community pharmacy at an event near you.

Click Here