Drug Tariff Watch – October 2026
Monday 28th September 2026
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 2026.
| 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) having taken all reasonable steps to avoid incurring the out-of-pocket expense. |
| 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:
- Amlodipine 10mg orodispersible tablets sugar free (28) – Amdelta – BB and OOP
- Amlodipine 5mg orodispersible tablets sugar free (28) – Amdelta – BB and OOP
- Cholera vaccine (recombinant, live, oral) effervescent powder and powder for oral suspension g (1 dose) – Vaxchora – DND and OOP
- Isosorbide mononitrate 30mg modified-release tablets (28) – Zevona XL – BB and OOP
- Mexiletine hydrochloride 100mg (Mexiletine 83mg) capsules (84) – Colonis Pharma Ltd – DND, BB and OOP
- Semaglutide 0.5mg/0.75ml solution for injection 3ml prefilled disposable devices g (1) – Wegovy FlexTouch – DND and OOP
- Testosterone 20mg/g transdermal gel (23mg per actuation) refill g (85.5g) – Testavan – OOP
- * Varenicline 1mg tablets and Varenicline 500microgram tablets g (25) – Champix – OOP
Part VIIIA Amendments
- Bimatoprost 300micrograms/ml / Timolol 5mg/ml eye drops 0.4ml unit dose preservative free (30(6xg5)) Category M has moved to Category C Ganfort – OOP
Price increase £8.83 to £17.94
- Bimatoprost 300micrograms/ml eye drops 0.4ml unit dose preservative free (30(6xg5)) Category M has moved to Category C Lumigan – OOP
Price increase £7.47 to £13.75
- Capsaicin 0.025% cream g (45g) Category C Zacin reference product has changed to Ennogen Healthcare International Ltd – OOP
Price increase £17.71 to £24.95
- Capsaicin 0.075% cream g (45g) Category C Axsain reference product has changed to Ennogen Healthcare International Ltd – OOP
Price increase £14.58 to £24.95
- Cetirizine 1mg/ml oral solution sugar free (200ml) Category A has moved to Category M
Price decrease £5.88 to £2.83 - Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 0.166ml unit dose preservative free (60(12xg5)) Category C Glaucopt has moved to Category A
Price increase £21.44 to £34.81 - Erythromycin 250mg gastro-resistant tablets (28) Category M has moved to Category A
Price increase £2.06 to £11.88 - Ethosuximide 250mg/5ml oral solution sugar free g (125ml) Category C Aristo Pharma Ltd has moved to Category A – DND
Price decrease £108.13 to £104.22 - Ethosuximide 250mg/5ml oral solution sugar free g (200ml) Category C Aristo Pharma Ltd has moved to Category A – DND
Price decrease £173.00 to £55.97 - Ethosuximide 250mg/5ml oral solution sugar free (250ml(2 x g125ml)) Category C Aristo Pharma Ltd has moved to Category A – DND
Price decrease £216.25 to £85.77 - Galantamine 20mg/5ml oral solution sugar free g (100ml) Category C SyriMed has moved to Category A
Price increase £108.00 to £109.51 - Hydrocortisone 2.5% cream g (15g) Category A has moved to Category C Essential Generics Ltd – DND
Price decrease £103.01 to £56.29
- Loratadine 5mg/5ml oral solution (100ml) Category M has moved to Category A
Price increase £2.06 to £4.11 - Melatonin 5mg tablets (30) Category C has moved to Category A
Price increase £10.89 to £17.10 - Mesalazine 2g/59ml enema (7) Category C Salofalk reference product has changed to Dr. Falk Pharma UK Ltd – BB and OOP
Price remains £29.92
- Methenamine hippurate 1g tablets (60) Category M has moved to Category A
Price increase £19.97 to £32.21 - Methylphenidate 5mg tablets (30) Category C has moved to Category M – DND
Price decrease £3.03 to £2.91 - Montelukast 4mg granules sachets sugar free (28) Category M has moved to Category A
Price increase £5.20 to £7.96 - Olmesartan medoxomil 20mg / Hydrochlorothiazide 25mg tablets (28) Category C Olmetec Plus reference product has changed to Thornton & Ross Ltd – BB and OOP
Price remains £12.95
- Olmesartan medoxomil 40mg / Hydrochlorothiazide 12.5mg tablets (28) Category C Olmetec Plus reference product has changed to Thornton & Ross Ltd – BB and OOP
Price remains £17.50
- Olopatadine 1mg/ml eye drops g (5ml) Category M has moved to Category A
Price increase £2.91 to £3.68 - Oxybutynin 5mg tablets (56) Category M has moved to Category A
Price increase £3.57 to £8.29 - Paracetamol 120mg suppositories (10) Category A has moved to Category C Martindale Pharmaceuticals Ltd – BB and OOP
Price increase £21.75 to £41.04
- Perampanel 10mg tablets (28) Category C Fycompa reference product has changed to Eisai Ltd – BB and OOP
Price remains £140.00
- Perampanel 12mg tablets (28) Category C Fycompa reference product has changed to Eisai Ltd – BB and OOP
Price remains £140.00
- Perampanel 6mg tablets (28) Category C Fycompa reference product has changed to Eisai Ltd – BB and OOP
Price remains £140.00
- Perampanel 8mg tablets (28) Category C Fycompa reference product has changed to Eisai Ltd – BB and OOP
Price remains £140.00
- Relugolix 120mg tablets g (30) Category C Orgovyx now reads (30) to reflect the change in special container status – DND and OOP
Price remains £87.45 - Ropinirole 250microgram tablets (12) Category A has moved to Category M
Price increase £2.83 to £4.35 - Rufinamide 100mg tablets (10) Category C Inovelon reference product has changed to Eisai Ltd – BB and OOP
Price remains £5.15
- Timolol 0.5% eye drops g (5ml) Category M has moved to Category A
Price increase £1.65 to £4.24 - Trandolapril 1mg capsules (28) Category C Accord-UK Ltd reference product has changed to Viatris UK Healthcare Ltd – BB and OOP
Price decrease £20.19 to £17.16
- Ulipristal 30mg tablets g (1) Category C ellaOne has moved to Category A
Price increase £14.05 to £16.58 - Valsartan 160mg capsules (28) Category A has moved to Category M
Price decrease £12.93 to £5.72
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:
- Glyceryl trinitrate 400micrograms/dose aerosol sublingual spray g (180 dose)
- Glyceryl trinitrate 400micrograms/dose aerosol sublingual spray g (200 dose)
Category C Deletions:
- Dequalinium chloride 10mg vaginal tablets (6) – Fluomizin
- * Dextromethorphan 7.5mg/5ml oral solution sugar free (250ml) – Robitussin Dry Cough
- * Guaifenesin 100mg/5ml oral solution sugar free (250ml) – Robitussin Chesty Cough
- Paracetamol 80mg suppositories (10) – Phoenix Labs Ltd
- Purified water (5000ml) – Alliance Healthcare (Distribution) Ltd
Part VIIIE - Retrospective top-up payment for Concessionary prices
| Product for top-up | January 2026 | February 2026 | March 2026 |
| Captopril 50mg tablets (56 tablets) | £77.68 | ||
| Dipyridamole 200mg modified-release capsules (60 pack) | £4.43 | ||
| Fesoterodine 8mg modified-release tablets (28 pack) | £3.62 | ||
| Ivabradine 2.5mg tablets (56 pack) | £6.42 | £3.23 | |
| Labetalol 100mg tablets (56 pack) | £9.63 | ||
| Leflunomide 10mg tablets (30 pack) | £3.07 | ||
| Leflunomide 20mg tablets (30 pack) | £5.88 | ||
| Propranolol 160mg modified-release capsules (28 pack) | £4.36 | ||
| Rosuvatatin 40mg tablets (28 pack) | £2.55 |
Part II (Drugs for which discount is not deducted (DND)) Additions
- Apixaban 1mg/1ml oral suspension sugar free
- D-Mannose powder
- Erythromycin 1g powder for solution for infusion vials
- Fructose Module powder
- Glycine powder
- HYPER LYS Anamix Infant powder
- Intuniv modified-release tablets (ALL)
- L-Lysine powder
- L-Ornithine powder
- L-Serine powder
- Low Fat Module powder
- MSUD Anamix Junior LQ liquid
- Nutricia Hydrolysed protein powder
- Nutrini Mix Energy Multifibre liquid
- Nutrison Bolus Energy HP liquid
- Nutrison Diason Energy HP liquid
- Nutrison PlantBased 2kcal HP liquid
- Nutrison PlantBased 2kcal HP Multi Fibre liquid
- Nutrison Protein Advance liquid
- Ocaliva 5mg tablets
- PKU GMPro oral powder 33.3g sachets
- TYR GMPro Mix-In oral powder 12.5g sachets
- Xydalba 500mg powder for concentrate for solution for infusion vials
Part II (Drugs for which discount is not deducted (DND)) Amendments
| Previous Part II wording | Now reads |
| Adempas tablets (ALL) | Adempas 2.5mg tablets |
| Ambrisentan 10mg tablets Ambrisentan 5mg tablets |
Ambrisentan tablets (ALL |
| Riociguat tablets (ALL) | Riociguat 2.5mg tablets |
| Sodium chloride 30% solution for infusion vials (ALL) | Sodium chloride 30% solution for infusion 100ml vials |
| Volibris 10mg tablets Volibris 5mg tablets |
Volibris tablets (ALL) |
Part II (Drugs for which discount is not deducted (DND)) Deletions
- Betaferon 300microgram powder and solvent for solution for injection vials
- Celsentri 300mg tablets
- Chenodeoxycholic acid 250mg capsules
- Esmya 5mg tablets
- Gosachew 500mg/400mg chewable tablets
- Maraviroc 300mg tablets
- Merional powder and solvent for solution for injection vials (ALL)
- Ulipristal 5mg tablets
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 2026 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – SpiroTect HME System – SpiroTect Antibacterial Cassette | All types and sizes |
| STOMA APPLIANCES – COLOSTOMY BAGS – Unora Healthcare Ltd (formerly Oakmed Ltd) (including products formerly listed under – Trio Healthcare Ltd) – Trio Genii with Sil2 Silicone flange one-piece closed bag with filter and split cover – Midi | All types and sizes |
To view appliances due to be deleted from Part IX of the November and December 2026 Drug Tariffs and the January 2027 Drug Tariff 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 find out more about retrospective top-up payments for price concession lines, visit our page Retrospective top-up payments.
To view previous Drug Tariff Watch months visit our page here.
Monday 28th September 2026
