Drug Tariff Watch – November 2025
Wednesday 29th October 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 November 2025.
| 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% / Neomycin 0.5% / Acetic acid (glacial) 2% ear spray g (5ml) – Ennogen Healthcare International Ltd – OOP
- * Estradiol 1mg transdermal gel sachets (91) – Sandrena – BB and OOP
- Flurbiprofen 2.92mg/actuation oromucosal spray sugar free g (15ml) – Strefen Direct – OOP
- Progesterone micronised 200mg capsules (30) – Gepretix – BB and OOP
- Rosuvastatin 10mg capsules (28) – Sun Pharma UK Ltd – BB and OOP
- Rosuvastatin 20mg capsules (28) – Sun Pharma UK Ltd – BB and OOP
- Rosuvastatin 40mg capsules (28) – Sun Pharma UK Ltd – BB and OOP
- Rosuvastatin 5mg capsules (28) – Sun Pharma UK Ltd – BB and OOP
Part VIIIA Amendments
- Alogliptin 12.5mg / Metformin 1g tablets (56) Category C Vipdomet reference product has now changed to Takeda UK Ltd – BB and OOP
Price remains at £26.60
- Alogliptin 12.5mg tablets (28) Category C Vipidia reference product has now changed to Takeda UK Ltd – BB and OOP
Price remains at £26.60
- Alogliptin 25mg tablets (28) Category C Vipidia reference product has now changed to Takeda UK Ltd – BB and OOP
Price remains at £26.60
- Alogliptin 6.25mg tablets (28) Category C Vipidia reference product has now changed to Takeda UK Ltd – BB and OOP
Price remains at £26.60
- Bezafibrate 200mg tablets (100) Category C Bezalip reference product has been removed – BB and OOP
Price remains at £8.63 - Loperamide 2mg orodispersible tablets sugar free (12) Category C reference product now reads Imodium Instants – BB and OOP
Price remains at £4.98
- Macrogol compound oral powder sachets NPF sugar free (20) Category C CosmoCol Orange reference product has been removed – BB and OOP
Price remains at £4.18
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:
- * Alginate raft-forming oral suspension sugar free (300ml) – Gaviscon Original Aniseed Relief
- * Alginate raft-forming oral suspension sugar free (600ml) – Gaviscon Original Aniseed Relief
- Ceftriaxone 250mg powder for solution for injection vials g (1) – Rocephin
- Ceftriaxone 2g powder for solution for injection vials g (1) – Rocephin
- Cefuroxime 125mg/5ml oral suspension n (70ml) – Zinnat
- Coal tar extract 2% shampoo g (125ml) – Neutrogena T/Gel Therapeutic shampoo
- Coal tar extract 2% shampoo g (250ml) – Neutrogena T/Gel Therapeutic shampoo
- Codeine 25mg/5ml oral solution (500ml) – Thornton & Ross Ltd
- Exenatide 5micrograms/0.02ml solution for injection 1.2ml pre-filled disposable devices g (1) – Byetta
- Labetalol 50mg tablets (56) – Trandate
- Povidone-Iodine 10% alcoholic solution (500ml) – Videne
- Pseudoephedrine 30mg/5ml / Chlorphenamine 2mg/5ml oral solution sugar free (500ml) – Galpseud Plus Linctus
- * Pseudoephedrine hydrochloride 60mg tablets (24) – Galpseud
- White soft paraffin 50% / Liquid paraffin 50% ointment (500g) – Alliance Healthcare (Distribution) Ltd
Part VIIIB Amendments
| Previous Part VIIIB wording | Now reads |
| Chlorothiazide 250mg/5ml oral solution STD, AF (100ml) | Chlorothiazide 250mg/5ml oral solution STD, AF, CF, SF (100ml) |
| Diazepam 2.5mg/5ml oral solution STD (100ml) | Diazepam 2.5mg/5ml oral solution STD, SF (100ml) |
| Diltiazem 2% cream STD, AF, CF, LF (30g) | Diltiazem 2% cream STD, AF, CF (30g) |
| Diltiazem 2% ointment STD, AF, CF, LF, SF (30g) | Diltiazem 2% ointment STD, AF, CF (30g) |
| Doxycycline 50mg/5ml oral suspension STD, SF, AF, NSF (100ml) | Doxycycline 50mg/5ml oral suspension STD, SF, AF, NSF, CF (100ml) |
| Furosemide 5mg/5ml oral suspension STD, SF, AF, CF, NSF (100ml) | Furosemide 5mg/5ml oral suspension STD, SF, AF, CF, NSF, FF (100ml) |
| Glycopyrronium bromide 2% in Cetomacrogol cream (Formula A) STD, AF, SF (30g) | Glycopyrronium bromide 2% in Cetomacrogol cream (Formula A) STD, AF (30g) |
| Methylphenidate 5mg/5ml oral solution STD, AF, SF (60ml) | Methylphenidate 5mg/5ml oral solution STD, AF, SF, NSF (60ml) |
| Olanzapine 2.5mg/5ml oral solution STD (100ml) | Olanzapine 2.5mg/5ml oral solution STD, CF, FF (100ml) |
| Salicylic acid 10% in Aqueous cream BP STD, AF, CF, FF, LF, SF, NSF, PF (100g) | Salicylic acid 10% in Aqueous cream BP STD, AF, LF, NSF, PF (100g) |
| Salicylic acid 5% ointment All bases, STD, AF, CF, FF, LF, SF (100g) | Salicylic acid 5% ointment All bases, STD, AF, LF, (100g) |
Part VIIID Amendments
| Previous Part VIIIB wording | Now reads |
| Mercaptopurine 10mg capsules STD, AF, CF, FF, SF, PF (50) | Mercaptopurine 10mg capsules STD, CF, FF, SF, LF (50) |
Part VIIIE - Retrospective top-up payment for Concessionary prices
| Month applicable | Product for top-up | Top-up amount |
| January 2025 | Lofepramine 70mg tablets (56 pack) | £4.54 |
| March 2025 | Vardenafil 20mg tablets (4 pack) | £5.47 |
Part XVI List of medicines covered by the HRT PPC Additions
- Estradot Conti – Estradiol 30micrograms/24hours / Norethisterone 95micrograms/ 24hours transdermal patches & Estradiol 40micrograms/24hours / Norethisterone 130micrograms/ 24hours transdermal patches
Part II (Drugs for which discount is not deducted (DND)) Additions
- Alprostadil powder and solvent for solution for injection cartridges with device (ALL)
- Altrajuce Starter Pack liquid
- Anquil 250microgram tablets
- Aqumeldi 0.25mg orodispersible tablets
- Fresubin 2kcal HP tube liquid feed
- Fresubin 3.2kcal drink
- Fresubin YOcreme dessert
- Maxijul Super Soluble powder 132g sachets
- Peptisip Energy HP liquid
- ProSource TF ENFit liquid 60ml sachets
- ProSource TF plant liquid 45ml sachets
- Viridal Duo Starter Pack powder and solvent for solution for injection cartridges with device (ALL)
Part II (Drugs for which discount is not deducted (DND)) Amendments
| Previous Part II wording | Now reads |
| Gilenya capsules (ALL) | Gilenya 0.5mg capsules |
Part II (Drugs for which discount is not deducted (DND)) Deletions
- Ampicillin 500mg powder for solution for injection vials
- Tafinlar 75mg capsules
- Zometa 4mg/5ml solution for infusion vials
Part VIC (Lateral flow device reimbursement price) - Amendments
The payment for these tests, where supplied as part of the service, will be £3.50 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 November 2025 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single use – Hollister Ltd – Hunter Urology Ltd Aloe Original Plus | All types and sizes |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Dilatation Catheter without drainage eyes – Not indicated for bladder emptying – Hunter Urology Ltd – Hunter Urology Ltd Aloe Meatal | ALOEM10-ALOEM16, 10-16 |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Dilatation Catheter without drainage eyes – Not indicated for bladder emptying – Hunter Urology Ltd – Hunter Urology Ltd Aloe Original Dilation | ABD16-ABD18, 16-18 |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Soft Silicone Wound Contact Dressing – Sterile – Askina SilNet | 10cm x 18cm |
| APPLIANCES – LYMPHOEDEMA GARMENTS – Fitlegs – Class 2 (23-32mmHg) – Tights Closed Toe | S, M, L, XL |
| APPLIANCES – PROTECTIVES – Hand – EMA Film Gloves-Disposable Specification 21 – Dispos-A-Gloves (non-sterile) | Small, Medium, Large, pack of 30 |
| INCONTINENCE APPLIANCES – NIGHT DRAINAGE BAGS – Bard Ltd – Uriplan collection bag, 2 litre with 90cm inlet tube and non-return valve | D8420 10 |
| INCONTINENCE APPLIANCES – NIGHT DRAINAGE BAGS – Bard Ltd – Uriplan One MT 2 litre bag with drainage tap | D1MT30 30 |
| STOMA APPLIANCES – ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) – Opus Healthcare – Lift medical Adhesive Remover | 5500, 30 sachets |
To view appliances due to be deleted from Part IX of the December 2025, January 2026 and February 2026 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 29th October 2025
