Drug Tariff Watch – October 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 October 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: 

  • Buprenorphine 2mg / Naloxone 500microgram sublingual films sugar free (28) – Suboxone BB, OOP and DND
  • Buprenorphine 8mg / Naloxone 2mg sublingual films sugar free (28) – Suboxone BB, OOP and DND
  • Calcipotriol 0.005% / Betamethasone dipropionate 0.05% cream g (60g) – Wynzora OOP
  • Hydrocortisone 10mg modified-release capsules g (50) – Efmody OOP and DND
  • Hydrocortisone 5mg modified-release capsules g (50) – Efmody OOP and DND

Part VIIIA Amendments 

  • Bisacodyl 10mg suppositories (12) Category C – Dulcolax reference product now reads Dulcolax Twelve Plus BB and OOP
    Price remains at £2.77
  • Cinacalcet 30mg tablets (28) Category A has moved to Category M – DND
    Price decrease £25.49 to £ 9.11
  • Clonazepam 2mg tablets (100) Category A has moved to Category M
    Price decrease £37.93 to £ 28.92
  • Clonazepam 500microgram tablets (100) Category A has moved to Category M
    Price decrease £34.98 to £ 27.15
  • Colecalciferol 1,000unit capsules (30) Category C – Colonis Pharma Ltd has moved to Category M
    Price decrease £10.00 to £ 5.30
  • Cycloserine 250mg capsules (100) Category A has moved to Category C – Neon Healthcare Ltd
    Price remains at £442.89
  • Docusate 50mg/5ml oral solution sugar free (300ml) Category A has moved to Category M
    Price decrease £21.63 to £16.86
  • Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops preservative free g (5ml) Category C now has a reference product of – Eylamdo – OOP
    Price decrease £21.63 to £16.86
  • Dorzolamide 20mg/ml eye drops preservative free g (5ml) Category C now has a reference product of – Eydelto OOP
    Price decrease £7.09 to £7.08
  • Etoricoxib 30mg tablets (28) Category A has moved to Category M
    Price decrease £12.13 to £3.33
  • Fluticasone propionate 50micrograms/dose nasal spray g (150 dose) Category M has moved to Category C – Flixonase OOP
    Price decrease £14.86 to £11.01
  • Gliclazide 60mg modified-release tablets (28) Category C now has a reference product of – Laaglyda MR BB and OOP
    Price increase £4.77 to £5.62
  • Latanoprost 50micrograms/ml eye drops 0.2ml unit dose preservative free (30(6xg5)) Category C – Monopost quantity now reads 30 (3xg10) OOP
    Price remains at £8.49
  • Latanoprost 50micrograms/ml eye drops 0.2ml unit dose preservative free (90(18xg5)) Category C – Monopost quantity now reads 90 (9xg10) OOP
    Price remains at £25.47
  • Lenalidomide 10mg capsules (21) Catergory C – Revlimid reference product has now been removed BB, OOP and DND
    Price remains at £3780.00
  • Lenalidomide 15mg capsules (21) Catergory C – Revlimid reference product has now been removed BB and OOP
    Price remains at £3969.00
  • Lenalidomide 2.5mg capsules (21) Catergory C – Revlimid reference product has now been removed BB and OOP
    Price remains at £3426.00
  • Lenalidomide 20mg capsules (21) Catergory C – Revlimid reference product has now been removed BB and OOP
    Price remains at £4168.50
  • Lenalidomide 25mg capsules (21) Catergory C – Revlimid reference product has now been removed BB, OOP and DND
    Price remains at £4368.00
  • Lenalidomide 5mg capsules (21) Catergory C – Revlimid reference product has now been removed BB, OOP and DND
    Price remains at £3570.00
  • Lenalidomide 7.5mg capsules (21) Catergory C – Revlimid reference product has now been removed BB, OOP and DND
    Price remains at £3675.00
  • Mycophenolate mofetil 250mg capsules (100) Category A has moved to Category C – CellCept BB, OOP and DND
    Price increase £19.30 to £82.26
  • Propranolol 160mg modified-release capsules (28) Category M has moved to Category C Beta-Prograne BB and OOP
    Price increase £2.43 to £4.88

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:

  • Ciprofloxacin 100mg tablets (6)

Category C Deletions:

  • Felbinac 3% gel g (30g) – Traxam Pain Relief Gel
  • Felbinac 3% gel g (100g) – Traxam
  • Fluocinolone acetonide 0.025% / Clioquinol 3% cream g (15g) – Synalar C
  • Lidocaine 7.5mg/actuation / Prilocaine 2.5mg/actuation cutaneous spray g (5ml) – Fortacin
  • Varenicline 1mg tablets (28) – Champix
  • Varenicline 1mg tablets and Varenicline 500microgram tablets g (25) – Champix
  • Varenicline 500microgram tablets (56) – Champix

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

  • Amisulpride 100mg/ml oral solution sugar free
  • Anagrelide 500microgram capsules
  • Cenobamate tablets (ALL)
  • Clobetasol 500microgram / Neomycin 5mg / Nystatin 100,000units/g cream
  • Hydrocortisone modified-release capsules (ALL)
  • Icosapent 998mg capsules
  • Isoniazid 100mg tablets
  • Lacosamide 100mg tablets
  • Mag-4 (magnesium 97.2mg (4mmol)) capsules
  • Naproxen 250mg effervescent tablets sugar free
  • Penicillamine 125mg tablets
  • Potassium permanganate 400mg tablets for cutaneous solution
  • Risperidone 4mg orodispersible tablets sugar free
  • Rivaroxaban 10mg tablets
  • Rivaroxaban 15mg tablets and Rivaroxaban 20mg tablets
  • Rivaroxaban 2.5mg tablets
  • Ropinirole 5mg tablets
  • Stirlescent 250mg effervescent tablets
  • Vimpat 100mg tablets
  • Xarelto 10mg tablets
  • Xarelto 15mg/20mg treatment initiation pack
  • Xarelto 2.5mg 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 II (Drugs for which discount is not deducted (DND)) Amendments 

Previous Part II listing  Now reads 
Glytactin Build 20/20 oral powder 30g sachets Glytactin Build 20/20 oral powder sachets
Ondansetron 4mg orodispersible tablets Ondansetron orodispersible tablets (ALL)
Trientine dihydrochloride 300mg capsules Trientine 200mg capsules

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 October 2022 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – BANDAGES – Two-layer Cohesive Compression Systems – 3M Health Care Ltd – Coban 2 Comfort Foam Layer (layer #1) 20cm x 3.5m
APPLIANCES – CATHETERS, URINARY, URETHRAL – Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single use – MacGregor Healthcare Ltd – Qufora Onestep Hydrophilic Intermittent Catheter All types and sizes
APPLIANCES – CATHETERS, URINARY, URETHRAL – Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single use – MacGregor Healthcare Ltd – Qufora Twostep Hydrophilic Intermittent Catheter All types and sizes
APPLIANCES – DRESSINGS – Vapour-permeable Adhesive Film Dressing – Niko-Fix securement device for ported IV cannula 7cm x 8.5cm
APPLIANCES – NASAL PRODUCTS – Nasal Aspirator – Snufflebabe nasal aspirator 1 device
INCONTINENCE APPLIANCES – LEG BAGS – MacGregor Healthcare Ltd – Qufora Sterile Leg Bags, containing 1 pair of non-latex gloves and soft elasticated cotton velcro straps per box of 10 – 750ml, short tube Q Flow Lever Tap 12361804, 10
STOMA APPLIANCES – BELTS – CUI International – Fulcionel – Male All types and sizes
STOMA APPLIANCES – BELTS – CUI International – Fulcionel – Medium Support Hernia Belt – White, Black – 15cm depth with customised hole cut All sizes
STOMA APPLIANCES – BELTS – CUI International – Fulcionel – Medium Support Hernia Belt – White, Black – 20cm depth with customised hole cut All sizes
STOMA APPLIANCES – BELTS – CUI International – Fulcionel – Medium Support Hernia Belt – White, Black – 26cm depth with customised hole cut All sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Peak Medical Ltd – Fleximate 2-piece urostomy pouch, with non-return valve and soft bottom outlet tap – Transparent – Large All sizes

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