Drug Tariff Watch – November 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 November 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 C Additions: 

  • Clonazepam 1mg tablets (100) – Neuraxpharm UK Ltd – BB and OOP
  • Netilmicin 3mg/ml / Dexamethasone 1mg/ml eye drops 0.3ml unit dose preservative free (20) – Netildex BB and OOP
  • *Sodium cromoglicate 2% eye drops preservative free g (13.5ml) – Eycrom  OOP
  • Tapentadol 100mg modified-release capsules (56) – Tapimio BB, OOP and DND
  • Tapentadol 150mg modified-release capsules (56) – Tapimio BB, OOP and DND
  • Tapentadol 200mg modified-release capsules (56) – Tapimio BB, OOP and DND
  • Tapentadol 250mg modified-release capsules (56) – Tapimio BB, OOP and DND
  • Tapentadol 50mg modified-release capsules (28) – Tapimio BB, OOP and DND
  • Tapentadol 50mg modified-release capsules (56) -Tapimio BB, OOP and DND
  • Tramadol 50mg/5ml oral solution sugar free (100ml) – Morningside Healthcare Ltd BB, OOP and DND
  • Trifarotene 50micrograms/g cream g (75g) – Aklief  OOP

Part VIIIA Amendments 

  • Dorzolamide 20mg/ml eye drops 0.2ml unit dose preservative free 60 (4xg15) Category C Trusopt quantity now reads 60 (6xg10)  OOP
    Price remains at £24.18
  • Loperamide 2mg / Simeticone 125mg tablets (6) Category C – Imodium Plus Comfort reference product now reads Imodium Dual Action Relief BB and OOP
    Price remains at £3.02
  • Loperamide 2mg / Simeticone 125mg tablets (12) Category C – Imodium Plus reference product now reads Imodium Dual Action Relief BB and OOP
    Price remains at £4.40
  • Nystatin 100,000units/g / Chlorhexidine hydrochloride 1% / Hydrocortisone 0.5% cream g (30g) Category A has moved to Category C – Nystaform HC  OOP
    Price decrease £11.49 to £9.66
  • Nystatin 100,000units/g / Chlorhexidine hydrochloride 1% / Hydrocortisone 0.5% ointment g (30g) Category A has moved to Category C – Nystaform HC  OOP
    Price decrease £11.49 to £9.66
  • Nystatin 100,000units/g / Chlorhexidine hydrochloride 1% cream g (30g) Category A has moved to Category C – Nystaform  OOP
    Price decrease £11.29 to £9.50
  • Rivastigmine 13.3mg/24hours transdermal patches (30) Catergory C – Exelon reference product has now been removed BB and OOP
    Price remains at £77.97

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:

  • Fluoxetine 10mg tablets (30)

Category C Deletions:

  • Atenolol 50mg / Nifedipine 20mg modified-release capsules (28) – Tenif
  • Fluocinolone acetonide 0.025% / Clioquinol 3% ointment (15g) – Synalar C
  • Griseofulvin 1% spray (20ml) – Grisol
  • Minocycline 100mg capsules (28) – Aknemin
  • Morphine tartrate 10mg/1ml / Cyclizine tartrate 50mg/1ml solution for injection ampoules (5) – Cyclimorph 10
  • Morphine tartrate 15mg/1ml / Cyclizine tartrate 50mg/1ml solution for injection ampoules (5) – Cyclimorph 15
  • *Nicotinamide 4% gel (60g) – Nicam
  • *Paracetamol 325mg / Isometheptene 65mg capsules (30) – Midrid

Part VIIIB Additions

Product Formulations covered
by tariff
Minimum
volume
Price for minimum volume (p) Price for each extra ml/g above minimum volume (p)
Doxycycline 50mg/5ml oral suspension STD 100ml 20537 10
Fexofenadine 180mg/5ml oral suspension STD, AF, SF 100ml 24596 1

Part VIIIB Amendments 

The following products listed in Part VIIIB have now been annotated as special containers. Due to the annotation of special container status the ‘Price for each extra ml/g above minimum volume (p)’ has been removed for these lines:

  • Ciprofloxacin 0.3% ear drops – PF, STD g (10ml)
  • Clonazepam 2.5mg/ml drops – STD, SF, CF g (10ml)
  • Coal tar 10% ointment – All bases, STD g (100g)
  • Coal tar 5% ointment – All bases, STD g (100g)
  • Coal tar solution 5% in Betamethasone valerate 0.025% ointment – STD g (100g)
  • Coal tar solution 6% / Salicylic acid 2% in ointment – STD, All bases, PF g (100g)
  • Lidocaine 2% gel – STD, CF, AF, FF g (15ml)
  • Nifedipine 20mg/ml oral drops – STD, AF, FF, SF g (30ml)
  • Triamcinolone 0.1% oromucosal paste – STD, PF g (5g)

Other amendments to Part VIIIB:

Previous Part VIIIB wording  Now reads 
Chloral hydrate 200mg/5ml oral suspension STD, AF, CF, NSF,
SF (100ml)
Chloral hydrate 200mg/5ml oral suspension STD, AF, CF, NSF, SF, FF (100ml)
Diltiazem 60mg/5ml oral suspension STD, SF, NSF, AF, LF (100ml) Diltiazem 60mg/5ml oral suspension STD, SF, NSF, AF, LF, CF (100ml)
Glycopyrronium bromide 2% in Cetomacrogol cream (Formula A) STD (30g) Glycopyrronium bromide 2% in Cetomacrogol cream (Formula A) STD, AF,SF (30g)
Hydroxyzine 10mg/5ml oral suspension STD, SF, AF, NSF, CF (100ml) Hydroxyzine 10mg/5ml oral suspension STD, SF, AF, NSF, CF, FF, PF (100ml)
Lansoprazole 30mg/5ml oral solution STD (100ml) Lansoprazole 30mg/5ml oral solution STD, NSF, SF (100ml)
Metoprolol 12.5mg/5ml oral suspension STD, SF, AF, NSF (100ml) Metoprolol 12.5mg/5ml oral suspension STD, SF, AF, NSF, CF (100ml)
Paraldehyde 50% in Olive oil rectal solution STD (10ml) Paraldehyde 50% in Olive oil rectal solution STD, SF (10ml)
Pizotifen 250micrograms/5ml oral solution STD, SF (100ml) Pizotifen 250micrograms/5ml oral solution STD, SF, AF (100ml)
Quinine sulfate 200mg/5ml oral suspension STD, SF, AF, FF (100ml) Quinine sulfate 200mg/5ml oral suspension STD, SF, AF, FF, NSF (100ml)
Spironolactone 50mg/5ml oral solution STD, SF (20ml) Spironolactone 50mg/5ml oral solution STD, SF, FF (20ml)
Tamsulosin 400micrograms/5ml oral solution STD (100ml) Tamsulosin 400micrograms/5ml oral solution STD, AF, LF, SF (100ml)

Part VIIIB Deletions

  • Azathioprine 100mg/5ml oral suspension STD, SF, LF, CF, NSF, AF (100ml)
  • Azathioprine 20mg/5ml oral suspension STD, SF, LF, CF, AF, FF, NSF (100ml)
  • Azathioprine 25mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (150ml)
  • Colecalciferol 200units/drop oral drops SF, STD (15ml)
  • Phenobarbital 25mg/5ml oral solution STD, AF, CF, FF, LF, SF (100ml)
  • Phenobarbital 25mg/5ml oral suspension STD, AF, LF, NSF, SF (100ml)
  • Spironolactone 100mg/5ml oral suspension STD, SF, LF, CF, NSF, FF, AF (125ml)
  • Spironolactone 10mg/5ml oral suspension STD, SF, LF, CF, NSF, FF, AF (125ml)
  • Spironolactone 25mg/5ml oral solution SF, CF, FF, LF, STD (100ml)

Part VIIID Amendments 

Previous Part VIIID wording  Now reads 
Co-phenotrope 2.5mg/0.025mg tablets STD (20) Co-phenotrope 2.5mg/0.025mg tablets STD, SF (20)
Levothyroxine sodium 100microgram capsules STD, LF, SF (50) Levothyroxine sodium 100microgram capsules STD, CF, LF, SF (50)
Levothyroxine sodium 50microgram capsules STD, LF, SF (28) Levothyroxine sodium 50microgram capsules STD, CF, LF, SF (28)
Liothyronine 2.5microgram capsules STD, SF (100) Liothyronine 2.5microgram capsules STD, AF, FF, LF, SF (100)
Melatonin 3mg modified-release capsules STD (60) Melatonin 3mg modified-release capsules STD, LF (60)
Mercaptopurine 10mg capsules STD, CF, FF, SF (50) Mercaptopurine 10mg capsules STD, AF,CF, FF, SF (50)

Part VIIID Deletions

  • Metolazone 2.5mg tablets STD, LF, SF (4)
  • Metolazone 2.5mg tablets STD, LF, SF (100)

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

  • Vitasavoury powder 50g sachets

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 November 2022 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – CATHETER MAINTENANCE PRODUCTS – UroFlush R – 6.0% Citric Acid (Solution R) URO50R, 50ml
APPLIANCES – WOUND MANAGEMENT DRESSINGS – Alginate Dressing with Superabsorbent Backing – Sterile – Sorbsan Plus All types and sizes
APPLIANCES – WOUND MANAGEMENT DRESSINGS – Alginate Dressing with Superabsorbent Backing – Sterile – Sorbsan Plus Border All types and sizes
APPLIANCES – WOUND MANAGEMENT DRESSINGS – Alginate Dressing with Superabsorbent Backing – Sterile – Sorbsan Silver Plus All types and sizes
APPLIANCES – WOUND MANAGEMENT DRESSINGS – Cavity Dressing – Biatain Ag 5cm x 8cm
APPLIANCES – WOUND MANAGEMENT DRESSINGS – Hydrocolloid Dressing – Semi-permeable – Sterile – With Adhesive Border – Comfeel Plus Pressure Relief Circular All types and sizes
APPLIANCES – WOUND MANAGEMENT DRESSINGS – Soft Silicone Wound Contact Dressing – Sterile – kliniderm Silicone Wound Contact Layer 17cm x 25cm
APPLIANCES – EYE PRODUCTS  – Eye Drops – Sodium Hyaluronate – VIZhyal 0.17%  10ml preservative free bottle
APPLIANCES – STOCKINETTE – Elasticated Viscose Stockinette – Bandage – Flexifast All types and sizes
APPLIANCES – SURGICAL ADHESIVE TAPES – Permeable, Apertured Non-Woven Synthetic Adhesive Tape BP 1988 – Chemifix All types and sizes
APPLIANCES – SURGICAL ADHESIVE TAPES – Permeable Non-Woven Synthetic Adhesive Tape BP 1988 – Chemipore All types and sizes
APPLIANCES – SURGICAL ADHESIVE TAPES – Permeable Non-Woven Synthetic Adhesive Tape BP 1988 – Chemipore-PE All types and sizes
INCONTINENCE APPLIANCES – LEG BAGS – Bard Ltd – Urisac Range: Leg Bags with push/pull outlet and foam velcro straps All types and sizes
INCONTINENCE APPLIANCES – NIGHT DRAINAGE BAGS – MacGregor Healthcare Ltd – Qufora S4 2 litre drainable night bag with 120cm inlet tube, non-return valve, sample port connector, tube clamp lever valve tap, plastic flap to tuck in tap and pair of non-latex gloves 14851204, 10
STOMA APPLIANCES – DEODORANTS – Medicareplus International Ltd – Medi Citrone Ostomy Deodorant Aerosol 60352, 50ml

To view appliances due to be deleted from Part IX of the December 2022, January 2023 and February 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.