Drug Tariff Watch – May 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 May 2024.

Part XVI – Notes on charges

Pharmacy owners should note:

  • the increase in prescription charges from £9.65 to £9.90;
  • pre-payment certificates have increased from £111.60 for one year or £31.25 for three months to £114.50 for one year and £32.05 for three months as regards England; and
  • HRT only pre-payment certificates have increased from £19.30 to £19.80.

Download Community Pharmacy England’s new prescription charge resources here.

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:

  • Calcium folinate 15mg tablets (30) – Refolinon DND, BB and OOP
  • Daridorexant 25mg tablets (30) – Quviviq  BB and OOP
  • Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 0.166ml unit dose preservative free (60(12xg5)) – Glaucopt OOP
  • Ethosuximide 250mg/5ml oral solution sugar free g (125 ml) – Aristo Pharma Ltd DND and OOP
  • Ethosuximide 250mg/5ml oral solution sugar free g (200ml) – Aristo Pharma Ltd DND and OOP
  • Famciclovir 250mg tablets (15) – Ennogen Healthcare Ltd DND, BB and OOP
  • Famciclovir 250mg tablets (56) – Ennogen Healthcare Ltd DND, BB and OOP
  • Famciclovir 500mg tablets (30) – Famvir DND, BB and OOP
  • Hydrocortisone 10mg/5ml oral solution sugar free (100ml) – Colonis Pharma Ltd DND, BB and OOP
  • Ivermectin 3mg tablets (4) – Exeltis UK Ltd  BB and OOP
  • Lamotrigine 10mg/ml oral suspension sugar free g (300ml) – Desitin Pharma Ltd OOP
  • Methocarbamol 1500mg tablets (96) – Consilient Health Ltd  BB and OOP
  • * Mycophenolate mofetil 1g/5ml oral suspension sugar free g (160ml) – CellCept see Part VIIIA Deletions – DND and OOP
  • *§Oseltamivir 6mg/ml oral suspension sugar free n (50ml) – Tamiflu see Part VIIIA Deletions OOP
  • * Sildenafil 10mg/ml oral suspension sugar free g (90ml) – Revatio see Part VIIIA DeletionsDND and OOP
  • * Valganciclovir 50mg/ml oral solution sugar free n (88ml) – Valcyte see Part VIIIA DeletionsDND and OOP
  • * Voriconazole 200mg/5ml oral suspension n (70ml) – VFEND – see Part VIIIA Deletions 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. As part of this, 31 lines have been moved from Category A to Category C in the May Drug Tariff as they do not meet the qualifying criteria to remain in Category A. An Excel spreadsheet of these lines can be viewed here.

  • Alfacalcidol 1microgram capsules g (30) Category C – One-Alpha reference product has now been removed OOP
    Price remains at £8.75
  • Eicosapentaenoic acid 460mg / Docosahexaenoic acid 380mg capsules (28) Category C – Omacor reference product has now been removed  BB and OOP
    Price remains at £14.24
  • Emtricitabine 200mg / Tenofovir 245mg tablets (30) Category C – Truvada now reads Emtricitabine 200mg / Tenofovir disoproxil 245mg tablets DND, BB and OOP
    Price remains at £355.73
  • Estriol 1mg/g vaginal cream g (15g) Category C – Ovestin reference product now reads – Aspen Pharma Trading Ltd OOP
    Price increase £4.45 to £5.45
  • Leuprorelin 10.72mg implant pre-filled syringes g (1) Category C – Staladex now reads Leuprorelin 11.25mg implant pre-filled syringes DND and OOP
    Price remains at £208.79
  • Nifedipine 30mg modified-release tablets (28) Category C reference product now reads – Adipine XL  BB and OOP
    Price remains at £4.70
  • Nifedipine 60mg modified-release tablets (28) Category C reference product now reads – Adipine XL  BB and OOP
    Price remains at £7.10
  • Sodium bicarbonate 420mg/5ml (1mmol/ml) oral solution sugar free (100ml) Category C reference product now reads – Thamicarb DND, BB and OOP
    Price remains at £39.80
  • Tenofovir 123mg tablets (30) Category C – Viread now reads Tenofovir disoproxil 123mg tablets DND, BB and OOP
    Price remains at £102.60
  • Tenofovir 163mg tablets (30) Category C – Viread now reads Tenofovir disoproxil 163mg tablets  BB and OOP
    Price remains at £135.98
  • Tenofovir 204mg tablets (30) Category C – Viread now reads Tenofovir disoproxil 204mg tablets  BB and OOP
    Price remains at £1070.19
  • Testosterone 20mg/g transdermal gel (23mg per actuation) g (85.5g) Category C – Testavan now reads Testosterone 20mg/g transdermal gel (23mg per actuation) with applicator OOP
    Price remains at £25.22

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:

  • Amiodarone 300mg/10ml solution for injection pre-filled syringes g (1)
  • Ampicillin 250mg capsules (28)
  • Ampicillin 500mg powder for solution for injection vials (10)
  • Atropine 1mg/1ml solution for injection ampoules (10)
  • Atropine 600micrograms/1ml solution for injection ampoules (10)
  • Benzylpenicillin 1.2g powder for solution for injection vials (25)
  • Benzylpenicillin 600mg powder for solution for injection vials (2)
  • Betamethasone 4mg/1ml solution for injection ampoules (5)
  • Busulfan 2mg tablets (25)
  • Calcitonin (salmon) 100units/1ml solution for injection ampoules (5)
  • Calcium chloride 14.7% solution for injection 10ml ampoules (10)
  • Calcium gluconate 10% solution for injection 10ml ampoules (10)
  • Chlorambucil 2mg tablets (25)
  • Chloramphenicol 1g powder for solution for injection vials g (1)
  • Chloramphenicol 250mg capsules (60)
  • Cisplatin 50mg/50ml solution for infusion vials g (1)
  • Co-danthramer 25mg/200mg/5ml oral suspension sugar free (300ml)
  • Co-danthramer 75mg/1000mg/5ml oral suspension sugar free (300ml)
  • Dexamethasone (base) 6.6mg/2ml solution for injection ampoules (10)
  • Ephedrine 30mg/1ml solution for injection ampoules (10)
  • Imatinib 100mg tablets (60)
  • Imatinib 400mg tablets (30)
  • Labetalol 100mg/20ml solution for injection ampoules (5)
  • Linezolid 600mg tablets (10)
  • Magnesium sulfate 50% (magnesium 2mmol/ml) solution for injection 10ml ampoules (10)
  • Magnesium sulfate 50% (magnesium 2mmol/ml) solution for injection 2ml ampoules (10)
  • Melphalan 2mg tablets (25)
  • Morphine sulfate 50mg/50ml solution for infusion vials g (1)
  • Naloxone 400micrograms/1ml solution for injection ampoules (10)
  • Neostigmine 2.5mg/1ml solution for injection ampoules (10)
  • Nevirapine 400mg modified-release tablets (30)
  • Pethidine 50mg tablets (50)
  • Tenofovir 245mg tablets (30)

Category C Deletions:

  • Diclofenac potassium 25mg tablets (28) – Accord-UK Ltd
  • * Mycophenolate mofetil 1g/5ml oral suspension sugar free g (175ml) – CellCept – see Part VIIIA Additions
  • *§ Oseltamivir 6mg/ml oral suspension sugar free n (65ml) – Tamiflu see Part VIIIA Additions
  • * Sildenafil 10mg/ml oral suspension sugar free g (112ml) – Revatio see Part VIIIA Additions
  • Somatropin (epr) 10mg/1.5ml solution for injection pre-filled disposable devices g (1) – Norditropin NordiFlex
  • Somatropin (epr) 15mg/1.5ml solution for injection pre-filled disposable devices g (1) – Norditropin NordiFlex
  • Somatropin (epr) 5mg/1.5ml solution for injection pre-filled disposable devices g (1) – Norditropin NordiFlex
  • * Valganciclovir 50mg/ml oral solution sugar free n (100ml) – Valcyte see Part VIIIA Additions
  • * Voriconazole 200mg/5ml oral suspension n (75ml) – VFEND see Part VIIIA Additions

Part VIIIB Deletions

  • Azathioprine 50mg/5ml oral solution STD, AF, SF, FF, LF (100ml) – Azathioprine 50mg/5ml oral suspension has been removed from this Part. There is an alternative product
    which can be found in Part VIIIA.
  • Dantrolene 10mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
  • Lamotrigine 50mg/5ml oral suspension SF, STD, AF, NSF, FF, CF, LF, PF (100ml)

Part VIIID Additions

  • Clonidine 300micrograms/24hours transdermal patches STD (4)

Part VIIID Deletions

  • Benzbromarone 100mg tablets STD, FF, LF, SF (30)
  • Ivermectin 3mg tablets STD (4)

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

  • Dexcom One+ Sensor
  • Levorol 6.25mg tablets
  • Semaglutide tablets (ALL)
  • Tinzaparin sodium 10,000units/0.5ml solution for injection pre-filled syringes
  • Tinzaparin sodium 14,000units/0.7ml solution for injection pre-filled syringes
  • Tinzaparin sodium 18,000units/0.9ml solution for injection pre-filled syringes
  • Tinzaparin sodium solution for injection vials (ALL)

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

Previous Part II listing  Now reads 
Pradaxa 150mg capsules Pradaxa capsules (ALL)
Pradaxa 75mg capsules

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

  • Alprostadil 20microgram powder and solvent for solution for injection cartridges
  • Alprostadil 40microgram powder and solvent for solution for injection cartridges
  • Anquil 250microgram tablets
  • Benperidol 250microgram tablets
  • Desmopressin 150micrograms/dose nasal spray
  • Larve
  • Octim 150micrograms/dose nasal spray
  • Pregestimil LIPIL powder
  • Viridal Duo Continuation Pack 20microgram powder and solvent for solution for injection cartridges
  • Viridal Duo Continuation Pack 40microgram powder and solvent for solution for injection cartridges

Part VIC (Lateral flow device reimbursement price) - Amendments

The payment for these tests, where supplied as part of the service, will be £5.73 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 May 2024 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – CATHETERS, URINARY, URETHRAL – Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single use – Great Bear Healthcare Ltd – Great Bear Healthcare Ltd Cubcath  All types and sizes
APPLIANCES – Intermittent Catheter with finger grip and lid – Hunter Urology Ltd – Emteva Pure 46F12-30-UK, Gauge (Ch) 12, 30
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Hydrogel Sheet With Adhesive Border – Cutimed HydroControl – Square All types and sizes
APPLIANCES – LYMPHOEDEMA GARMENTS – Jobskin MTM Premium – For Lower Extremities All classes and types
APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy and Laryngectomy Protectors – Phoniq DigiClose Shower Shield LAPPB0001
APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy and Laryngectomy Protectors – Phoniq Low Profile Shower Shield LAPPB0002, 2
APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – SpiroTect Protector All types and sizes
INCONTINENCE APPLIANCES – INCONTINENCE SHEATHS – Spirit Healthcare Ltd – SpiritCare Incontinence Sheath – Short All sizes
INCONTINENCE APPLIANCES – INCONTINENCE SHEATHS – Spirit Healthcare Ltd – SpiritCare Incontinence Sheath – Wide All sizes
INCONTINENCE APPLIANCES – LEG BAGS – Great Bear Healthcare Ltd – Baby Bear paediatric leg bag with soft fabric backing, lever tap and one elastic non-slip paw print velcro strap All types and sizes
INCONTINENCE APPLIANCES – LEG BAGS – Great Bear Healthcare Ltd – Daddy Bear paediatric leg bag with soft fabric backing, lever tap and one elastic non-slip paw print velcro strap All types and sizes
INCONTINENCE APPLIANCES – LEG BAGS – Great Bear Healthcare Ltd – Mummy Bear paediatric leg bag with soft fabric backing, lever tap and one elastic non-slip paw print velcro strap All types and sizes
INCONTINENCE APPLIANCES – LEG BAGS – Great Bear Healthcare Ltd – Libra Conform 3 chambered leg bag with soft backing and lever action tap All types and sizes
INCONTINENCE APPLIANCES – LEG BAGS – Great Bear Healthcare Ltd – Libra leg bag with direct inlet and lever tap 350ml direct inlet, 10130G, 10
750ml direct inlet, 10132J, 10
1000ml direct inlet, 10133K, 10
INCONTINENCE APPLIANCES – NIGHT DRAINAGE BAGS – Great Bear Healthcare Ltd – GB4 FOLD UP 2 litre sterile drainable night bag with a foldable lever action tap, non-return valve, sample port and star formed anti-kink tubing 10402Y, 10
INCONTINENCE APPLIANCES – TUBING AND ACCESSORIES – Great Bear Healthcare Ltd – Mummy and Baby Bear Leg Bag Straps with non-slip silicone backing All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Peak Medical Ltd – Ileomate 1-piece drainable soft convex pouch with split cover, 4-point belt lugs, high capacity bar filter and SoftSafe closure with integral finger pocket – Transparent – Medium – pre-cut 19mm, IMTC119, 10
28mm, IMTC128, 10
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Peak Medical Ltd – Ileomate 1-piece drainable soft convex pouch with split cover, 4-point belt lugs, high capacity bar filter and SoftSafe closure with integral finger pocket – Transparent – Large – pre-cut 19mm, ILTC119, 10
41mm, ILTC141, 10
STOMA APPLIANCES – TUBING AND ACCESSORIES – Salts Healthcare – Salts Night Tube Adaptor 833043, 2

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

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