SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. June 2015

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Scottish Drug Tariff: Amendment sheets for June 2015 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.isdscotland.

1 Scottish Drug Tariff: Amendment sheets for June 2015 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS June 2015 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The complete Scottish Drug Tariff is published on the ISD Scotland website: The following amendments take effect from 1st June Amendments to Part 1 Annex A (Zero Discount list) There are no Additions or Deletions for June 2015 Amendments to Part 1 Annex B (Prescription Charges) ADDITIONS LIST OF CONTRACEPTIVE DRUGS TO BE DISPENSED FREE OF CHARGE ON AN ENGLISH PRESCRIPTION FORM a. Progestogen only Etonogestrel 68mg implant Feanolla Isteranda c. Under 50 Micrograms of Oestrogen Aidulan 20 Aidulan 30 Alenini Alenvona Cleosensa Dretine Eribelle Ethinylestradiol 20microgram / Desogestrel 150microgram tablets Ethinylestradiol 30microgram / Desogestrel 150microgram tablets Ethinylestradiol 30microgram / Drospirenone 3mg tablets Ethinylestradiol 20microgram / Gestodene 75microgram tablets Ethinylestradiol 30microgram / Gestodene 75microgram tablets Maexeni Munalea 20 Munalea 30 1

2 Scottish Drug Tariff: Amendment sheets for June 2015 ADDITIONS The following additions apply to Part 2 (Dressings) LYMPHOEDEMA GARMENTS Juzo Hostess Lengths Sizes Class 1 (18-21mm Hg) Per pair Tights open toe Standard, Short I VI 5000 Class 2 (23-32mm Hg) Tights open toe Standard, Short I VI 5000 Juzo Soft Rib Lengths Sizes Class 1 (18-21mm Hg) Per pair Below Knee Closed Toe Standard, Short I VI 2542 Class 2 (23-32mm Hg) Below Knee Closed Toe Standard, Short I VI 2542 WOUND MANAGEMENT DRESSINGS Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Aquacel Foam Adhesive 10cm x 20cm cm x 30cm 495 Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Impregnated with Antimicrobial Agents Kendall AMD Antimicrobial Foam Border Gentle Adhesion 4.4cm x 8.3cm cm x 8.9cm cm x 14cm cm x 14cm cm x 19cm

3 Scottish Drug Tariff: Amendment sheets for June 2015 The following additions apply to Part 3 (Appliances) CATHETERS Gauge (Ch) (A)i Nelaton Catheter ( Ordinary cylindrical catheter) WyMedical Ltd WyCath Uncoated 4 eyelets soft tip catheter Pack of 30 (Standard) U4SM12-U4SM (A)ii Nelaton Catheter ( Ordinary cylindrical catheter) Clinimed Ltd Curan Lady Pack of 30 Female CL EAR WAX SOFTENING MEDICAL DEVICES Ear Drops - Sodium Bicarbonate Alissa Healthcare 10ml 125 EYE PRODUCTS Eye Drops - Sodium Hyaluronate Hylo-Fresh (10ml preservative free bottle) 495 The following additions apply to Part 5 (Incontinence Appliances) INCONTINENCE SHEATHS Manufacturer Appliance OrderNo Qty Jade-Euro Med Ltd Jade Ultra Flex Short Clear Sheath (Self-adhesive) 25mm (small) M mm (medium) M mm (intermediate) M mm (large) M mm (ex-large) M Jade Ultra Flex Extra Clear Sheath (Self-adhesive extra wide application of adhesive) 25mm (small) M mm (medium) M mm (intermediate) M mm (large) M mm (ex-large) M

4 Scottish Drug Tariff: Amendment sheets for June 2015 The following additions apply to Part 9 (Chemical Reagents) CHEMICAL REAGENTS Pack URINE TESTING REAGENTS DETECTION STRIPS FOR KETONURIA (ACETONURIA) GlucoRx KetoRx Sticks 2GK BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter OneTouch Select Plus (v) Colorimetric Cassette - to be read only with appropriate meter Betachek C DELETIONS The following deletion applies to Part 2 (Dressings) WOUND MANAGEMENT DRESSINGS Silicone Topical Gel & Cream Zeraderm Gel 15g tube 1650 The following deletion applies to Part 3 (Appliances) CATHETERS Balloon Size (ml) Gauge (Ch) (A)i Nelaton Catheter ( Ordinary cylindrical catheter) Bard Ltd Bard Reliacath Plastic Pack of 5 Female D (iii) For Long Term Use Adult L.IN.C Medical Systems Ltd All silicone catheter with integral balloon Pack of 1 Male Female

5 Scottish Drug Tariff: Amendment sheets for June 2015 CATHETERS cont. Balloon Gauge (Ch) Size (ml) (iii) For Long Term Use Adult L.IN.C Medical Systems Ltd 2 Way Foley All Silicone Pack of (J) Urinary Suprapubic Catheters L.IN.C Medical Systems Ltd 2 Way All-Silicone Suprapubic catheter with integral balloon & central opening Pack of 1 Paediatric Female Long Way All-Silicone Suprapubic catheter with integral balloon, central opening & shaped tip Pack of The following deletion applies to Part 9 (Chemical Reagents) CHEMICAL REAGENTS BLOOD GLUCOSE TESTING STRIPS (iii) Biosensor disc to be read only with appropriate meter Every x 3 15 drums of 6 strips each

6 Scottish Drug Tariff: Amendment sheets for June 2015 OTHER CHANGES The following change applies to Part 2 (Dressings) WOUND MANAGEMENT DRESSINGS Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Mepilex 10cm x 11cm cm x 20cm cm x 16cm cm x 21cm 728 Now reads Mepilex XT 10cm x 11cm cm x 20cm cm x 16cm cm x 21cm 728 Topical Negative Pressure System Accessories Kendall Kerlix AMD Gauze 11.4cm x 3.7m 162 Now reads Kerlix AMD Gauze 11.4cm x 3.7m 162 6

7 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS June 2015 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The complete Scottish Drug Tariff is published on the ISD Scotland website: The following price changes listed become effective from 1 st June Prices in pence per item, unless otherwise stated. The following price changes apply to Part 2 (Dressings) ABSORBENT COTTONS Absorbent Cotton BP 25g g g Absorbent Cotton, Hospital Quality 500g ADHESIVE DRESSING REMOVER STERILE SILICONE BASED Pack size Appeel Sterile single use wipes foam applicator BANDAGES Cotton Crepe Bandage BP 1988 Elastocrepe 7.5cm x 4.5m cm x 4.5m Flexocrepe 7.5cm x 4.5m cm x 4.5m

8 BANDAGES cont. Crêpe Bandage BP cm x 4.5m cm x 4.5m cm x 4.5m Elastic Adhesive Bandage BP 5cm x 4.5m cm x 4.5m cm x 4.5m Open-Wove Bandage Type 1 BP cm x 5m cm x 5m Suspensory Bandage, Cotton Type 1. Cotton net bag with draw tapes and webbing waistband (Each in a carton or envelope). Small Medium Large Ex-Large Type 2. Cotton net bag with elastic edge and webbing waistband (Each in a carton or envelope). Small Medium Large Ex-Large Type 3. Cotton net bag with elastic edge and webbing waistband with insertion of elastic centre-front (each in a carton or envelope). Small Medium Large Ex-Large CHIROPODY APPLIANCES Adhesive Felt Zinc oxide or acrylic adhesive spread on semi-compressed wool felt. Size 10cm x 22.5m x 5mm thick Animal Wool for Chiropody BP 25g Bunion Rings Self-adhesive, semi-compressed felt: Thick Wallet of Corn rings Self-adhesive, semi-compressed felt 5mm Thick Wallet of

9 DRESSINGS Multiple Pack Dressing No 1 (Drug Tariff) Contents packed in a carton: - Absorbent Cotton BP (Inter-leaved) 25g Absorbent Cotton Gauze BP Sterile 90cm x 1m Open-Wove Type 1 Bandages BP 3 x 5cm x 5m per carton Sterile Dressing Pack The Pack contains a selection of sterile dressings required in special nursing procedures (usually for post-operative re-dressing of wounds) when performed in the home by a nurse or doctor. per pack The Sterilised Pack contains: - 8.5cm x 20cm 1 Gauze and Cotton Tissue pad 10cm x 10cm 4 Gauze Swabs 12-ply 0.9g approx. 4 Cotton Wool Balls, large 45cm x 50cm 1 Absorbent Paper Towel 50cm x 50cm 1 Water repellent inner wrapper (opens out as sterile working field). To be supplied in the individual pack, sealed and sterilised as received from the manufacturer or wholesaler. Sterile Dressing Pack with Non-Woven Pads (Vernaid) per pack The Sterilised Pack contains: - 10cm x 20cm 1 Non-woven Fabric Covered Dressing Pad 10cm x 10cm 4 Non-woven Fabric Swabs 4 Absorbent Cotton Wool Balls 50cm x 45cm 1 Absorbent Paper Towel 50cm x 50cm 1 Water repellent inner wrapper (opens out as a sterile working field) Vapour - Permeable Adhesive Film Dressing with absorbent pad (Syn: Semi-Permeable Adhesive Dressing) Hydrofilm Plus 5cm x 7.2cm

10 GAUZES Absorbent Cotton Gauze Type 13 Light BP (Sterile) 90cm x 1m cm x 3m cm x 5m cm x 10m m (Not sterilised) Absorbent Cotton and Viscose Ribbon Gauze BP 2.5cm x 5m GAUZE AND COTTON TISSUE BP (Gamgee-Blue Label) 500g GAUZE AND COTTON TISSUE (Gamgee-Pink Label) 500g LINTS Absorbent Lint BPC g g LYMPHOEDEMA GARMENTS Juxta-Fit Style Length Sizes Price(p) (per piece) Armsleeve (Right, Left) Standard, Long 1,2,3,4,5, Hand Wrap (Right, Left) XS,S,M,L,XL Lower Legging 28cm S,M,L,XL,XXL cm S,M,L,XL,XXL Lower Legging Extra Wide 28cm M,L,XL Calf 36cm M,L,XL Ankle Foot Wrap, Interlocking S,M,L Ankle Foot Wrap, Closed Heel S,M,L Juxta-Fit Essentials (per piece) Upper Leg with Knee Piece (Right, Left) 45cm XS,S,M,L,XL cm XS,S,M,L,XL (per pair) Full Leg Liner Sock

11 LYMPHOEDEMA GARMENTS cont. Mediven Active Sizes Class 1 (18-21mm Hg) (Per pair) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Class 2 (23-32mmHg) (Per pair) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Mediven 95 Whitaker Pouch II IV Mediven for men Class 1 (18-21mmHg) (Per pair) Below Knee Closed Toe I Vil Below Knee Closed Toe Petite I Vil Class 2 (23-32mm Hg) (per pair) Below Knee Closed Toe I Vil Below Knee Closed Toe Petite I Vil Mediven Elegance Sizes Class 1 (18-21mm Hg) (Per pair) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Thigh Length with Top Band Closed Toe I VII Thigh Length Petite Top Band Closed Toe I VII Thigh Length Extra Wide Closed Toe Top Band I VII Thigh Length Extra Wide Petite Closed Toe Top I VII Band Tights Closed Toe I VII Tights Closed Toe Petite I VII Class 2 (23-32mm Hg) (Per pair) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Thigh Length with Top Band Closed Toe I VII Thigh Length Petite Top Band Closed Toe I VII Thigh Length Extra Wide Closed Toe Top Band I VII Thigh Length Extra Wide Petite Closed Toe Top I VII Band Tights Closed Toe I VII Tights Closed Toe Petite I VII

12 LYMPHOEDEMA GARMENTS cont. Mediven Harmony Class 1 (15-21mmHg) (per piece) Armsleeve I VIII Armsleeve Extra Wide I VIII Armsleeve with Grip Top I VIII Armsleeve with Grip Top Extra Wide I VIII Combined Armsleeve I VIII Combined Armsleeve Extra Wide I VIII Combined Armsleeve with Grip Top I VIII Combined Armsleeve with Grip Top Extra Wide I VIII Glove II VII Class 2 (23-32mmHg) Armsleeve I VIII Armsleeve Extra Wide I VIII Armsleeve with Grip Top I VIII Armsleeve with Grip Top Extra Wide I VIII Combined Armsleeve I VIII Combined Armsleeve Extra Wide I VIII Combined Armsleeve with Grip Top I VIII Combined Armsleeve with Grip Top Extra Wide I VIII Glove II VII Mediven Mondi MTM Order No. Class 1 (18-21mm Hg) Per Piece Below Knee DTMK Thigh Length DTMT Thigh Length with Waist Attachment DTMW Class 2 (23-32mm Hg) Below Knee DTMK Thigh Length DTMT Thigh Length with Waist Attachment DTMW Class 3 (34-46mm Hg) Below Knee DTMK Thigh Length DTMT Thigh Length with Waist Attachment DTMW NB: The above garments are available with optional extras. These are priced separately. See below Closed Toe DTTOE Silicone Topband DTTB Zip DTZIP

13 LYMPHOEDEMA GARMENTS cont. Mediven Plus Sizes Class 1 (18-21mm Hg) (per pair) Below Knee Open Toe I VII Below Knee Open Toe Petite I VII Below Knee Open Toe Extra Wide I VII Below Knee Open Toe Petite Extra Wide I VII Thigh Length Petite Silicone Top Open Toe I VII Thigh Length Silicone Top Open Toe I VII Thigh Length Extra Wide Open Toe Silicone Top I VII Thigh Length Extra Wide Petite Open Toe Silicone Top I VII (price each) Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open Toe I VII Thigh Length Waist Attachment Left Open Toe I VII Thigh Length Petite Waist Attachment Left Open Toe I VII Class 2 (23-32mm Hg) Below Knee Open Toe I VII Below Knee Open Toe Petite I VII Below Knee Open Toe Extra Wide I VII Below Knee Open Toe Petite Extra Wide I VII Thigh Length Petite Silicone Top Open Toe I VII Thigh Length Silicone Top Open Toe I VII Thigh Length Extra Wide Open Toe Silicone Top I VII Thigh Length Extra Wide Petite Open Toe Silicone Top I VII (price each) Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open Toe I VII Thigh Length Waist Attachment Left Open Toe I VII Thigh Length Petite Waist Attachment Left Open Toe I VII Class 3 (34-46mm Hg) (per pair) Below Knee Open Toe I VII Below Knee Open Toe Petite I VII Below Knee Open Toe Extra Wide I VII Thigh Length Petite Silicone Top Open Toe I VII Thigh Length Silicone Top Open Toe I VII Thigh Length Extra Wide Open Toe Silicone Top I VII Thigh Length Extra Wide Petite Open Toe Silicone Top I VII (price each) Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open Toe I VII Thigh Length Waist Attachment Left Open Toe I VII Thigh Length Petite Waist Attachment Left Open Toe I VII

14 PLASTERS Nx Belladonna Adhesive Plaster BP Medium 19cm x 12.5cm Large 28cm x 17.5cm STOCKINETTE Cotton Stockinette Bleached BP Synonym: Cotton Stockinette) Heavyweight 10cm x 6m SURGICAL ADHESIVE TAPES Plasters Impermeable Plastic Adhesive Tape BP (Waterproof Strapping) Sleek 2.5cm x 3m cm x 5m cm x 5m cm x 5m Zinc Oxide Adhesive Tape BP cm x 5m cm x 5m cm x 5m cm x 5m SWABS Filmated Gauze Swab 10 cm sq Pack of Non-Sterile Pads of 8-ply gauze 10 cm sq. Pack of Non-Woven Fabric Swabs Filmated Non-Woven Fabric Swab Non Sterile 10 cm x 10 cm Pack of

15 VENOUS ULCER COMPRESSION SYSTEM Per Pack Juxta CURES Compression System (Medi UK Ltd) (Pack contains Juxta CURES, 2 standard anklets and 2 liners) Short, Standard, Long Comfort Leg Liner (Pack contains 2 liners) Comfort Compression Anklet (Pack contains 2 anklets) Mediven Ulcer Kit (Medi UK Ltd) Medical stocking & compression liner (pack contains one over stocking and 2 liners) Size Standard Length Kit i, ii, iii, iv, v, vi, vii Petite Length Kit i, ii, iii, iv, v, vi, vii Liner Pack (pack contains 2 liners) i, ii, iii, iv, v, vi, vii WOUND MANAGEMENT DRESSINGS Protease Modulating Matrix Sterile Indications: All chronic wounds clear of necrotic tissue and visible sign of infection. Durafiber Square 5cm x 5cm cm x 10cm cm x15cm Rectangular 2cm x 45cm cm x 10cm cm x 20cm cm x 30cm ELECT Superabsorber Square 10cm x 10cm cm x 20cm Rectangular 10cm x 20cm cm x 30cm

16 WOUND MANAGEMENT DRESSINGS (contd.) Topical Negative Pressure System Accessories Avance Round Drain Avance Transparent Film Avance Y Quick Connector Wound Dressing Pack Avance Dressing Kit Foam with ViewPad Small Medium Large Foam with Mepitel & Small ViewPad Medium Large Gauze with ViewPad Small Medium Large Wound Drainage Collection Device Avance Canister & Tubing Kit Canister with Solidifier 300ml ml The following price changes apply to Part 3 Appliances ARM SLINGS Web, adjustable CATHETERS Gauge (Ch) Price (see Note 1) (p) (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use SpeediCath Compact Plus Female P220 Wellspect HealthCare Lofric Per 25 (Non-PVC) Per 30 (Male) (Female 15cm) (Female 20cm) (Paediatric 20cm) (Paediatric 30cm)

17 CATHETERS cont. Gauge (Ch) Price (see Note 1) (p) (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Wellspect HealthCare Lofric Primo with integrated water pocket Per 30 Non-PVC (Female 15cm) (Female 20cm) (Paediatric) Wellspect HealthCare Lofric Sense Per 30 (Female 15cm) Wellspect HealthCare LoFric Hydro-Kit Per 20 Female Paediatric HYPODERMIC EQUIPMENT HYPODERMIC NEEDLES Specification 2B(ii) The needles shall be of length not less than 12mm and the following diameters may be supplied: Pack size 0.5mm(25g), 0.45mm(26g) and 0.4mm(27g) For order on GP10 & GP10 (N) only. U100 Insulin Syringes with needle sterile, single use (disposable) Sterile: intended for single use only for the injection of U100 insulin. NB. Intended for use immediately after filling, and not for containing insulin over extended periods of time. Each scale graduation represents one unit on the 0.3ml and 0.5ml syringes and two units on the 1.0ml syringe. The graduations on the syringes are clearly numbered at every 5 units on the 0.3ml and 0.5ml syringes and at every 10 units on the 1.0ml syringe. Where no indication on prescription 0.5ml should be dispensed unless the dosage of insulin indicates otherwise Needles not less than 12mm long shall have needle diameters as follows: 0.45mm(26G), 0.4mm(27G), 0.36mm(28G), 0.33mm(29G) and 0.3mm (30G) Per 10 Size 0.5ml syringe with needle ml syringe with needle Needles 8mm long shall have needle diameters as follows: 0.33mm (29G) & 0.3mm (30G) Size 0.3ml syringe and needle ml syringe and needle ml syringe and needle

18 HYPODERMIC EQUIPMENT cont. Accessories Needle Clipping (Chopping) Device- for use with single use syringe. Consisting of a clipper to remove the needle from its hub, and incorporating a suitable receptacle from which the cut-off needles cannot be retrieved. Sufficiently robust to accommodate needles of diameter 0.45mm (26g) or finer & length: 16mm or shorter. Not generally suitable for use with lancets. Designed to hold approximately 1,200 such needles Nx LATEX FOAM, ADHESIVE * 2 Specification 19 Raised cotton backed 22.5cm x 45cm x 7mm Pack of ORAL FILM FORMING AGENTS Gelclair 21 x 15ml sachets PESSARIES Ring Polythene - Specification 3 (ii) 7.5mm thick 50mm to 80mm (rising in 3mm) mm to 100mm (rising in 5mm) mm PVC - Specification 3 (iii) 1.25cm thick 50mm to 80mm (rising in 3mm) mm to 100mm (rising in 5mm) mm SYRINGES Bladder, Irrigating Polypropylene with catheter nozzle. Graduated from 0 to 100ml in 5ml, the graduation marked clearly numbered in multiples of ml The items within Part 3, which are NOT prescribable by nurses on forms GP10 (N) are annotated Nx. See Part 8b for details on Nurse Prescribing. 2 Items marked * are for order on GP10A only 12

19 TRUSSES NB Before the prescription can be dispensed the following details must be given by the prescriber: - (i) Single, or double, and the side, if single Price (p) (ii) Position e.g. Inguinal Scrotal (iii) Type e.g. Spring Truss Elastic Band Truss Spring Truss Specification 31(a) Spring Trusses shall conform to the British Standard 2930:1970 for Surgical Spring Trusses Inguinal Single Left or Right Double Inguinal Rat-tail Single Left or Right Double Femoral Single Left or Right Double Scrotal Single Left or Right Double Inguinal/Scrotal Double Back Pads, fixed or sliding (if ordered). Extra Slotted, polished, Spring Ends (if ordered) Single Extra Double Extra $ Special Trusses Specification 31(b) Single Extra Double Extra Replacement and Repairs - Understrap for inguinal or femoral trusses, as above Elastic Band Truss - Specification 13 Elastic Band Trusses shall conform to the British Standard 3271:1970 for Surgical Elastic Band Trusses Inguinal Single Left or Right Double Scrotal Single Left or Right Double Umbilical single belt Left or Right Umbilical double belt where specified by prescriber $ Special Trusses Specification 13 Single Extra Double Extra $ Requirement for a "special" truss should normally be confirmed by the prescriber 13

20 The following price changes apply to Part 4 Elastic Hosiery Description of Articles Available Price Per Pair In Pence Compression Class Type of Garment Stock Sized Garments Made-to-measure Garments Knit Style I Circular Thigh B. Knee Light Wt Thigh Elastic Net B. Knee II Circular Thigh B. Knee Net Thigh B. Knee Flat Bed Thigh B. Knee III Circular Thigh B. Knee Flatbed Thigh B. Knee Accessories Price Per Item in Pence Additional Price for Fitted Suspender Mediven 2 in Spare Suspender for thigh stockings Suspender Belt

21 Description of Articles Available Price Per Pair In Pence Compression Class Type of Garment Standard Stock Sized Garments Made-to-measure Garments Knit Style CII Circular Anklet Kneecap Flat Bed Anklet Kneecap Net Anklet Kneecap CIII Circular Anklet Kneecap Flat Bed Anklet Kneecap

22 Stoma Appliances- Reimbursement Prices: Amendment sheets for June 2015 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : MONTHLY NOTICE OF AMENDMENTS TO STOMA APPLIANCES June 2015 This document is prepared by the evadis Team, Healthcare Information Group, Information Services Division. Enquiries to: NSS.evadis@nhs.net The following amendments to Stoma Appliances take effect from 1 st June Please note that potential additions to Stoma Appliances Reimbursement prices must be referred through National Procurement (NSS). The full list of Stoma Appliances Reimbursement prices is available at: ADDITIONS COLOSTOMY BAGS Order Qty Price Manufacturer Appliance No (p) Convatec Ltd. Esteem+ Closed End Pouch Standard clear Mould to fit 20-30mm mm ILEOSTOMY BAGS Order Qty Price Manufacturer Appliance No (p) Convatec Ltd. Esteem+ Drainable Pouch with ConvaTec Mouldable Technology and InvisiClose outlet Standard clear with filter Mould to fit 20-30mm mm Standard clear without filter Mould to fit 20-30mm mm Standard opaque with filter Mould to fit 20-30mm mm

23 Stoma Appliances- Reimbursement Prices: Amendment sheets for June 2015 SKIN PROTECTORS Order Qty Price Manufacturer Appliance No (p) Convatec Ltd. Stomahesive Seal 48mm x 4mm mm x 3mm mm x 3mm TWO PIECE OSTOMY SYSTEMS Order Qty Price Manufacturer Appliance No (p) Convatec Ltd. Natura Accordion Flange, Durahesive 13-22mm (for 57mm pouches) mm (for 57mm pouches) mm (for 70mm pouches)

SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. June 2014

SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. June 2014 Scottish Drug Tariff: Amendment sheets for June 2014 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.show.scot.nhs.uk/nss SCOTTISH