Drug Tariff Watch – October 2025
Friday 26th September 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 October2025.
| 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:
- Semaglutide 0.25mg/0.37ml solution for injection 1.5ml pre-filled disposable devices g (1) – Wegovy FlexTouch – DND and OOP
- Semaglutide 1.7mg/0.75ml solution for injection 3ml prefilled disposable devices g (1) – Wegovy FlexTouch – DND and OOP
- Semaglutide 1mg/0.75ml solution for injection 3ml pre-filled disposable devices g (1) – Wegovy FlexTouch – DND and OOP
- Semaglutide 2.4mg/0.75ml solution for injection 3ml prefilled disposable devices g (1) – Wegovy FlexTouch – DND and OOP
- Ursodeoxycholic acid 500mg capsules (60) – Alissa Healthcare Research Ltd – BB and OOP
Part VIIIA Amendments
- §Alprostadil 10microgram powder and solvent for solution for injection vials g (1) Category C Caverject reference product has changed to Pfizer Ltd – OOP
Price remains at £9.24
- § Alprostadil 20microgram powder and solvent for solution for injection vials g (1) Category C Caverject reference product has changed to Pfizer Ltd – OOP
Price remains at £11.94
- Azelastine 0.05% eye drops g (8ml) Category C Optilast has now moved to Category A
Price increase £6.40 to £8.16 - Betamethasone 500microgram soluble tablets sugar free (100) Category M has now moved to Category A
Price increase £14.35 to £37.80 - Calamine lotion (200ml) Category C Thornton & Ross Ltd has now moved to Category A
Price increase £1.73 to £2.87 - Carbocisteine 250mg/5ml oral solution sugar free (300ml) Category C Brown & Burk UK Ltd has now moved to Category A
Price decrease £8.39 to £7.77 - Cefalexin 250mg tablets (28) Category C Flynn Pharma Ltd has now moved to Category A
Price increase £2.70 to £4.37 - Cetrimide 0.2% / Benzalkonium chloride 0.01% cream (200g) Category C Drapolene now reads g(200g) to reflect the change in special container status – OOP
Price increase £2.70 to £4.37 - Clindamycin 1% aqueous lotion g (30ml) Category C Dalacin T Topical reference product has changed to Pfizer Ltd – OOP
Price remains at £5.08
- Co-amoxiclav 400mg/57mg/5ml oral suspension sugar free n (70ml) Category C Brown & Burk UK Ltd has now moved to Category A
Price decrease £6.97 to £3.39 - Co-magaldrox 195mg/220mg/5ml oral suspension sugar free (500ml) Category C Mucogel now reads g(500ml) to reflect the change in special container status – OOP
Price remains at £2.99 - Desmopressin 120microgram sublingual tablets sugar free (30) Category C Molecule Pharma Ltd now reads g(30) to reflect the change in special container status – OOP
Price remains at £16.69 - Dexamethasone 2mg/5ml oral solution sugar free (150ml) Category C Dexsol has now moved to Category A
Price decrease £42.30 to £31.69 - Diphenhydramine 25mg tablets (20) Category C Nytol has now moved to Category A
Price decrease £4.06 to £3.39 - Diphenhydramine 50mg tablets (20) Category C Nytol One-A-Night has now moved to Category A
Price decrease £5.49 to £4.73 - Eletriptan 40mg tablets (6) Category C Relpax has now moved to Category A
Price decrease £22.50 to £17.46 - Enoxaparin sodium 100mg/1ml solution for injection pre-filled syringes (10) Category C reference product now reads Clexane – DND, BB and OOP
Price remains at £72.30
- Enoxaparin sodium 20mg/0.2ml solution for injection pre-filled syringes (10) Category C reference product now reads Clexane – BB and OOP
Price remains at £20.86
- Enoxaparin sodium 40mg/0.4ml solution for injection pre-filled syringes (10) Category C reference product now reads Clexane – DND, BB and OOP
Price remains at £30.27
- Enoxaparin sodium 60mg/0.6ml solution for injection pre-filled syringes (10) Category C reference product now reads Clexane – DND, BB and OOP
Price remains at £39.26
- Enoxaparin sodium 80mg/0.8ml solution for injection pre-filled syringes (10) Category C reference product now reads Clexane – DND, BB and OOP
Price remains at £55.13
- Eprosartan 600mg tablets (28) Category C Teveten has now moved to Category A
Price increase £14.31 to £21.74 - Fentanyl 200microgram lozenges (3) Category C Actiq reference product has changed to Cynril – DND, BB and OOP
Price decrease £21.05 to £17.75
- Fentanyl 600microgram lozenges (3) Category C Actiq reference product has changed to Cynril – DND, BB and OOP
Price decrease £21.05 to £17.75
- Fentanyl 800microgram lozenges (3) Category C Actiq reference product has changed to Cynril – DND, BB and OOP
Price decrease £21.05 to £17.75
- Fluoxetine 20mg/5ml oral solution sugar free g (70ml) Category C Prozep has now moved to Category A
Price decrease £12.95 to £4.74 - Fluticasone propionate 50micrograms/dose / Azelastine 137micrograms/ dose nasal spray g (120 dose) Category A has now moved to Category M
Price decrease £24.14 to £7.77 - Gentamicin 0.3% ear/eye drops g (10ml) Category C Advanz Pharma has now moved to Category A
Price increase £20.00 to £30.72 - Glycopyrronium bromide 600micrograms/3ml solution for injection ampoules (10) Category C Martindale Pharmaceuticals Ltd has now moved to Category A
Price increase £21.12 to £24.72 - Isosorbide mononitrate 40mg tablets (56) Category M has now moved to Category A
Price increase £1.61 to £7.32 - Ivermectin 3mg tablets (4) Category C Exeltis UK Ltd has now moved to Category A – BB
Price increase £57.75 to £101.34 - Lisdexamfetamine 30mg capsules (28) Category C reference product now reads Elvanse – DND, BB and OOP
Price remains at £58.24
- Lisdexamfetamine 50mg capsules (28) Category C reference product now reads Elvanse – DND, BB and OOP
Price remains at £68.60
- Lisdexamfetamine 70mg capsules (28) Category C reference product now reads Elvanse – DND, BB and OOP
Price remains at £83.16
- Medroxyprogesterone 100mg tablets (100) Category C Provera reference product has changed to Pfizer Ltd – BB and OOP
Price remains at £49.94
- Medroxyprogesterone 10mg tablets (10) Category C Provera reference product has changed to Pfizer Ltd – BB and OOP
Price remains at £2.47
- Medroxyprogesterone 10mg tablets (90) Category C Provera reference product has changed to Pfizer Ltd – BB and OOP
Price remains at £22.16
- Medroxyprogesterone 10mg tablets (100) Category C Provera reference product has changed to Pfizer Ltd – BB and OOP
Price remains at £24.73
- Medroxyprogesterone 2.5mg tablets (30) Category C Provera reference product has changed to Pfizer Ltd – BB and OOP
Price remains at £1.84
- Medroxyprogesterone 200mg tablets (30) Category C Provera reference product has changed to Pfizer Ltd – BB and OOP
Price remains at £29.65
- Medroxyprogesterone 400mg tablets (30) Category C Provera reference product has changed to Pfizer Ltd – DND, BB and OOP
Price remains at £58.67
- Medroxyprogesterone 5mg tablets (10) Category C Provera reference product has changed to Pfizer Ltd – BB and OOP
Price remains at £1.23
- Metformin 750mg modified-release tablets (28) Category C has now moved to Category A
Price decrease £3.20 to £1.66 - Metformin 750mg modified-release tablets (56) Category C has now moved to Category A
Price decrease £6.40 to £3.32 - Methotrexate 10mg tablets (100) Category A has now moved to Category C Morningside Healthcare Ltd – DND, BB and OOP
Price increase £52.21 to £53.77
- Mometasone 0.1% ointment g (30g) Category M has now moved to Category C Elocon – OOP
Price increase £3.03 to £4.32
- Mometasone 0.1% ointment g (100g) Category M has now moved to Category C Elocon – OOP
Price increase £10.10 to £12.44
- Oxybutynin 2.5mg tablets (56) Category M has now moved to Category A
Price increase £1.40 to £1.87 - Posaconazole 100mg gastro-resistant tablets (24) Category C reference product now reads Noxafil – DND, BB and OOP
Price remains at £596.96
- Metformin 1g / Sitagliptin 50mg tablets (56) Category M now reads Sitagliptin 50mg / Metformin 1mg tablets
Price decrease £7.21 to £5.61 - Sodium chloride 0.9% nebuliser liquid 2.5ml unit dose ampoules (20) Category C now reads 20(2gx10) to reflect the change in special container status – OOP
Price remains at £15.50 - Trifluoperazine 1mg tablets (112) Category C Advanz Pharma has now moved to Category A – BB
Price increase £59.12 to £113.62 - Ursodeoxycholic acid 250mg capsules (60) Category M has now moved to Category A
Price increase £8.00 to £14.19 - Venlafaxine 150mg modified-release tablets (30) Category M has now moved to Category A
Price increase £4.13 to £6.31 - Venlafaxine 37.5mg modified-release capsules (28) Category C has now moved to Category M
Price decrease £5.25 to £3.51
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:
- Betamethasone valerate 0.1% / Clioquinol 3% ointment g (30g)
Category C Deletions:
- Antazoline 0.5% / Xylometazoline 0.05% eye drops g (10ml) – Otrivine-Antistin
- Calcium acetate 1g tablets (180) – Phosex
- Colistimethate 1million unit powder for nebuliser solution unit dose vials g (30)
- Insulin glargine 100units/ml / Lixisenatide 33micrograms/ml solution for injection 3ml prefilled disposable devices (3) – Suliqua SoloStar
- Insulin glargine 100units/ml / Lixisenatide 50micrograms/ml solution for injection 3ml prefilled disposable devices (3) – Suliqua SoloStar
- Lacidipine 6mg tablets (28) – Dr Reddy’s Laboratories (UK) Ltd
- Lidocaine 200mg/20ml (1%) solution for injection vials (10) – hameln pharma Ltd
- * Miconazole 20mg/g oromucosal gel sugar free g (80g) – Daktarin
Category M Deletions:
- Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose vials (20(4xg5))
Part VIIIB Deletions
- Bisoprolol 1.25mg/5ml oral solution STD, SF, FF, AF, CF, NSF (100ml)
- Bisoprolol 1.25mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
- Bisoprolol 2.5mg/5ml oral solution STD, SF, LF, CF, AF, FF, NSF (150ml)
- Bisoprolol 2.5mg/5ml oral suspension STD, SF, LF, NSF, AF, CF, FF (100ml)
Part XVI List of medicines covered by the HRT PPC Additions
- Ovesse – Estriol 1mg/g vaginal cream with applicator
Part II (Drugs for which discount is not deducted (DND)) Additions
- Almuriva 13.3mg/24hours transdermal patches
- Altrajuce liquid
- Altraplen Compact liquid
- Altraplen Compact Protein Max liquid
- Aymes Actagain 2.4 liquid
- Aymes Actagain Juce liquid
- Eflornithine 11.5% cream
- Fortisip PlantBased 1.5kcal liquid
- Fresubin 2kcal Creme dessert
- GlucoMen iCan Sensor
- Latuda tablets (ALL)
- Macrogol 3350 oral powder 8.5g sachets sugar free
- Nutrison Peptisorb Plus HEHP liquid
- Nutrison Protein Shot liquid
- Pro-Cal powder
- Pro-Cal powder 15g sachets
- Progesterone micronised 200mg vaginal capsules
- Ropiqual XL 8mg tablets
- Seravit Paediatric powder
- Testogel 16.2mg/g gel
- Testosterone 16.2mg/g transdermal gel (20.25mg per actuation)
- TransiSoft oral powder 8.5g sachets
- Utrogestan 200mg vaginal capsules
- Vaniqa 11.5% cream
Part II (Drugs for which discount is not deducted (DND)) Amendments
| Previous Part II wording | Now reads |
| Ambrisentan tablets (ALL) | Ambrisentan 10mg tablets Ambrisentan 5mg tablets |
| Efmody modified-release capsules (ALL) | Efmody 10mg modified-release capsules Efmody 5mg modified-release capsules |
| Hydrocortisone modified-release capsules (ALL) | Hydrocortisone 10mg modified-release capsules Hydrocortisone 5mg modified-release capsules |
| Volibris tablets (ALL) | Volibris 10mg tablets Volibris 5mg tablets |
| Yselty 100mg tablets | Yselty tablets (ALL) |
Part II (Drugs for which discount is not deducted (DND)) Deletions
- FreeStyle Libre 2 Sensor
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 October 2025 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – DETECTION SENSOR, INTERSTITIAL FLUID FOR GLUCOSE – FreeStyle Libre 2 Sensor (contains 1 sensor, 1 sensor applicator) | 1 |
| APPLIANCES – DRESSINGS – Gauze Dressings (Impregnated) – Medihoney Tulle Dressing – (Impregnated with Medihoney medical honey) | All sizes |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Medihoney Gel Sheet | All sizes |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Medihoney Antibacterial Rope – Honey Apinate | 1.9cm x 30cm |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Honey Based Topical Application – Medihoney Antibacterial Medical Honey | All sizes |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Honey Based Topical Application – Medihoney Antibacterial Wound Gel | All sizes |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – Medihoney Antibacterial Honey Apinate – Square | All sizes |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – Medihoney HCS | All types and sizes |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – Medihoney HCS Surgical with Adhesive Border | 7.5cm x 20cm |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Protease Modulating Matrix – Sterile – Medihoney HCS with Adhesive Border – Square | All sizes |
| APPLIANCES – EMOLLIENT AND BARRIER PREPARATIONS – Preparations containing Urea – Aquadrate Cream | All sizes |
| APPLIANCES – EYE PRODUCTS – Eye Drops – Hypromellose – Evolve Hypromellose 0.3% | 10ml preservative free bottle |
| INCONTINENCE APPLIANCES – INCONTINENCE SHEATHS – Bard Ltd – Clear Advantage Silicone Sheath (Self-adhesive) – medium (dia 28mm) | 786195, 30 |
| STOMA APPLIANCES – BELTS – Peak Medical Ltd – EuroTec Adjustable Elastic Ostomy Belt 50mm wide – Large (90-110cm) | SB 50 L, 1 |
| STOMA APPLIANCES – COLOSTOMY BAGS – Hollister Ltd – Compact – Transparent – with filter and white comfort backing on body-worn side – cut-to-fit | 13-64mm, 3520, 30 |
| STOMA APPLIANCES – COLOSTOMY BAGS – Hollister Ltd – Moderma Flex Convex – Closed Pouch with integral convexity, QuietWear film and integral filter – Maxi – Beige – pre-cut | 30mm, 42830, 30 |
| STOMA APPLIANCES – DISCHARGE SOLIDIFYING AGENTS – Oakmed Ltd – Gel-X Capsules | Gel-X, 140 |
| STOMA APPLIANCES – DISCHARGE SOLIDIFYING AGENTS – Oakmed Ltd – Gel-X Tablets | Gel-XT, 140 |
| STOMA APPLIANCES – STOMA CAPS/DRESSINGS – Oakmed Ltd – Option Stoma Cap | 1320K, 50 |
| STOMA APPLIANCES – STOMA CAPS/DRESSINGS – Oakmed Ltd – Option Stoma Cap – Mini with Soft Covering Opaque for:- cut-to-fit 20mm – 40mm | 1120K, 50 |
| STOMA APPLIANCES – STOMA CAPS/DRESSINGS – Oakmed Ltd – Option Stoma Cap – with Soft Covering Opaque for:- cut-to-fit 20mm – 50mm | 1520K, 50 |
| STOMA APPLIANCES – TUBING AND ACCESSORIES – Peak Medical Ltd – Urostomy Night Drainage Adaptor | AD10, 10 |
To view appliances due to be deleted from Part IX of the November, December 2025 and January 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.
Friday 26th September 2025
