SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. June 2014

Transcription

1 Scottish Drug Tariff: Amendment sheets for June 2014 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS June 2014 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 The following amendments apply to Part 1 Annex A (Zero Discount list) There are no Additions or Deletions for June

2 Scottish Drug Tariff: Amendment sheets for June 2014 ADDITIONS The following additions apply to Part 2 (Dressings) ADHESIVE DRESSING REMOVER STERILE SILICONE BASED Appeel Sterile Foam Applicator LYMPHOEDEMA GARMENTS Lengths Sizes Readywrap Calf 30cm, 35cm S, M, L, XL 8500 WOUND MANAGEMENT DRESSINGS Cavity Dressings Indication: Medium/heavily exuding cavity wounds. Aquacel Ag+ Ribbon 1cm x 45cm 306 2cm x 45cm 467 Protease Modulating Matrix Sterile Indications: All chronic wounds clear of necrotic tissue and visible sign of infection. Aquacel Ag+ Extra Square 5cm x 5cm cm x 10cm cm x15cm 875 Rectangular 20cm x 30cm cm x 10cm 283 4cm x 20cm 369 4cm x 30cm 552 Sorbion Sachet XL Rectangular 45cm x 25cm 1499 Silicone ical Gel & Cream Indications: For prevention and treatment Keloid and Hypertrophic scars SilDerm Dual Action Scar Gel 15g tube 1474 Soft Silicone Wound Contact Dressing Sterile CE Indications: Non-exuding to heavily exuding wounds Should be covered with a simple absorbent secondary dressing Precautions: Dressings should be used with care on heavily bleeding wounds. Spycra Protect 5cm x 7.5cm cm x 10cm cm x 18cm cm x 30cm

3 Scottish Drug Tariff: Amendment sheets for June 2014 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Precautions: Dressings should be used with care on heavily bleeding wounds. Askina DresSil 15cm x 15cm 266 The following additions apply to Part 3 (Appliances) EYE PRODUCTS (p) Eye Drops Carmellose Cellusan 1% (30 x 0.4ml preservative free single dose unit) 300 Cellusan Light 0.5% (30 x 0.4ml preservative free single dose unit) 575 SoftDrops 0.3% (10ml bottle) 167 SoftDrops 0.3% (30 x 0.5ml preservative free single dose unit) 575 PF Drops Carmellose 0.5% (10ml preservative free bottle) 749 PF Drops Carmellose 1% (10ml preservative free bottle) 749 HYPODERMIC EQUIPMENT Price(p) LANCETS Sterile, Single-Use Pack Glucoject Lancets PLUS 0.20mm/33gauge (A. Menarini Diagnostics) 0.20mm/33gauge Sarstedt Safety Lancets 1.6mm/28gauge (Sarstedt Ltd.) 1.8mm/21gauge mm/18gauge Unistik 3 Gentle 1.5mm/30gauge (Owen Mumford Ltd.)

4 Scottish Drug Tariff: Amendment sheets for June 2014 The following additions apply to Part 5 (Incontinence Appliances) CATHETER VALVES Manufacturer Appliance Order No Qty Price (P) CliniSupplies S Prosys Catheter Valve PCV Ltd. LEG BAGS Manufacturer Appliance Order Qty Price No (p) Manfred Sauer UK Bendi Bag leg bag with 10 overnight connector tubes, latex free system, soft wide and narrow straps (1 pair per box of 10) and needle free sample port Ltd. W S * 1300ml 12cm inlet tube, twist tap TBB13S S * 700ml 12cm inlet tube, twist tap TBB07S

5 Scottish Drug Tariff: Amendment sheets for June 2014 DELETIONS The following deletions apply to Part 2 (Dressings) EMOLLIENT & BARRIER PREPARATIONS Evolve Plus 150ml 473 LYMPHOEDEMA GARMENTS Readywrap Quick Fit Length Sizes (Per piece) Calf 30cm S,M,L, XL 5569 Calf 35cm S,M,L, XL 5569 WOUND MANAGEMENT DRESSINGS Soft Polymer Wound Contact Dressing Impregnated with Silver UrgotulDuo Silver 5cm x 7cm 204 The following deletions apply to Part 3 (Appliances) HYPODERMIC EQUIPMENT HYPODERMIC NEEDLES British Standard needles with Luer mount (BS 3522) Specification 2B(I) 37 5

6 Scottish Drug Tariff: Amendment sheets for June 2014 OTHER CHANGES The following change applies to Part 3 (Appliances) Please note. Any reference to Teleflex Medical will now read Teleflex The following change applies to Part 5 (Incontinence Appliances) Please note. Any reference to Teleflex Medical will now read Teleflex NIGHT DRAINAGE BAGS Manufacturer Appliance Order Qty Price No (p) L.IN.C Medical Systems Ltd 2-litre overnight drainage bag with non-return valve. LM2LNS S 2-litre overnight drainage bag with non-return valve. LM2LS S 2-litre drainage bag with tap, 120cm tube, nonreturn TZ valve, antibacterial filter, Pasteur drip chamber and integral handle. S 2-litre drainage bag with lever tap, 120cm tube, non-return valve, antibacterial filter, Pasteur drip chamber and integral handle. TZ01-L Amend to read: NIGHT DRAINAGE BAGS Manufacturer Appliance Order Qty Price No (p) L.IN.C Medical Systems Ltd LINC-Flo 2 non-sterile 2 litre overnight drainage bag with 100cm inlet tube and non-return valve. LINC-Flo 2 sterile 2 litre overnight drainage bag S with 100cm inlet tube and non-return valve. S LINC-Flo 2 litre drainage bag with T-tap, 120cm tube, non-return valve, antibacterial filter, Pasteur drip chamber and integral handle. S LINC-Flo 2 litre drainage bag with lever tap, 120cm tube, non-return valve, antibacterial filter, Pasteur drip chamber and integral handle. LM2LNS LM2LS TZ TZ01-L

7 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS June 2014 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 Appeel Sterile single use wipes 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 Crêpe Bandage BP cm x 4.5m cm x 4.5m cm x 4.5m cm x 4.5m

8 BANDAGES (cont.) Elastic Adhesive Bandage BP Elastoplast 5cm x 4.5m cm x 4.5m cm x 4.5m Multi-layer Compression Bandaging Kits Open-Wove Bandage Type 1 BP cm x 5m cm x 5m 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 Triangular Calico Bandage BP Individually wrapped 90cm (sides) x 127cm (base) CHIROPODY APPLIANCES Adhesive Felt Zinc oxide or acrylic adhesive spread on semi-compressed wool felt. Size 10.5cm x 8.3cm x 5mm thick 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 Standard Dressings Standard Dressing No 16 BPC '73 (Eye Pad with Bandage) Vapour - Permeable Adhesive Film Dressing BP Mepore IV 8cm x 9cm cm x 11cm Vapour - Permeable Adhesive Film Dressing with absorbent pad Hydrofilm Plus 9cm x 10cm cm x 15cm cm x 25cm cm x 30cm GAUZES Absorbent Cotton Gauze Type 13 Light BP 90cm x 1m (Sterile) 90cm x 3m cm x 5m cm x 10m m (Not sterilised) Absorbent Cotton and Viscose Ribbon Gauze 1.25cm x 5m BP 2.5cm x 5m GAUZE AND COTTON TISSUE BP (Gamgee-Blue Label) 500g GAUZE AND COTTON TISSUE (Gamgee-Pink Label) 500g GAUZE DRESSINGS (IMPREGNATED) Chlorhexidine Gauze Dressing BP Bactigras 10cm x10cm 1 piece

10 LINTS Absorbent Lint BPC 73 25g g g LYMPHOEDEMA GARMENTS Style Length Sizes Juxta-Fit Armsleeve (Right, Left) Standard, 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 Calf 28cm M,L,XL cm M,L,XL Ankle Foot Wrap, Interlocking S,M,L Ankle Foot Wrap, Closed Heel S,M,L Juxta-Fit Essentials Upper Leg with Knee Piece (Right, Left) (per piece) 45cm XS,S,M,L,XL cm XS,S,M,L,XL (per pair) Full Leg Liner Sock Mediven Active 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 Elegance Class 1 (18-21mm Hg) (Per pair) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Thigh Length with Band Closed Toe I VII Thigh Length Petite Band Closed Toe I VII Thigh Length Extra Wide Closed Toe Band I VII Thigh Length Extra Wide Petite Closed Toe I VII Band Tights Closed Toe I VII Tights Closed Toe Petite I VII

11 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Mediven Elegance (cont.) Class 2 (23-32mm Hg) (Per pair) Below Knee Closed Toe I VII Below Knee Closed Toe Petite I VII Thigh Length with Band Closed Toe I VII Thigh Length Petite Band Closed Toe I VII Thigh Length Extra Wide Closed Toe Band I VII Thigh Length Extra Wide Petite Closed Toe I VII Band Tights Closed Toe I VII Tights Closed Toe Petite I VII 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 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 band DTTB Zip DTZIP 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 Open Toe I VII Thigh Length Silicone Open Toe I VII Thigh Length Extra Wide Open Toe Silicone I VII Thigh Length Extra Wide Petite Open Toe Silicone I VII

12 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Mediven Plus (cont.) Class 1 (18-21mm Hg)(cont.) Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open I VII Toe 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 Open Toe I VII Thigh Length Silicone Open Toe I VII Thigh Length Extra Wide Open Toe Silicone I VII Thigh Length Extra Wide Petite Open Toe Silicone I VII (price each) Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open I VII Toe 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 Open Toe I VII Thigh Length Silicone Open Toe I VII Thigh Length Extra Wide Open Toe Silicone I VII Thigh Length Extra Wide Petite Open Toe Silicone I VII (price each) Thigh Length Waist Attachment Right Open Toe I VII Thigh Length Petite Waist Attachment Right Open I VII Toe Thigh Length Waist Attachment Left Open Toe I VII Thigh Length Petite Waist Attachment Left Open Toe I VII Mediven 95 Whitaker Pouch II IV

13 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Order Sigvaris Arm Sleeves (23-32mm Hg) per piece with Shoulder Cap / no Hand Short, S,M,L Piece with Shoulder Cap / with Hand Piece Short, S,M,L Sigvaris Advance Arm Sleeves Advance 1 Low Compression (14-18mm Hg) per piece with Grip / no Hand Piece, Normal XS, S,M,L, XL with Hand Piece and Grip, Normal XS, S,M,L, XL with Hand Piece and Grip, Normal XS, S,M,L, XL Plus Size with Hand Piece without Grip, Normal XS, S,M,L, XL without Hand Piece + Grip, Normal XS, S,M,L, XL Plus Size without Hand Piece without Grip, Normal XS, S,M,L, XL Advance 2 Medium Compression (20-25mm Hg) with Grip / no Hand Piece, Normal XS, S,M,L, XL with Hand Piece and Grip, Normal XS, S,M,L, XL with Hand Piece and Grip, Normal XS, S,M,L, XL Plus Size with Hand Piece without Grip, Normal XS, S,M,L, XL without Hand Piece + Grip, Normal XS, S,M,L, XL Plus Size without Hand Piece without Grip, Normal XS, S,M,L, XL Sigvaris Comfort Length Sizes Per pair Class 1 (18-21mmHg) Below Knee Open Toe Normal, XS,S,M,L Below knee Open Toe Plus Normal, XS,S,M,L Below Knee Closed Toe Normal, XS,S,M,L Below Knee Closed Toe Plus Normal, XS,S,M,L Thigh High Open Toe XS,S,M,L Thigh High Open Toe Plus XS,S,M,L Thigh High Closed Toe XS,S,M,L Thigh High Closed Toe Plus XS,S,M,L Thigh High Open Toe with Grip XS,S,M,L

14 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Sigvaris Comfort (cont.) Per pair Class 1 (18-21mm Hg)(cont.) Thigh High Plus Open Toe with XS,S,M,L Grip Thigh High Closed Toe with Grip XS,S,M,L Thigh High Closed Toe with Grip XS,S,M,L Plus Panty Open Toe Normal, XS,S,M,L Panty Open Toe Plus Normal, XS,S,M,L Panty Closed Toe Normal, XS,S,M,L Panty Closed Toe Plus Normal, XS,S,M,L Panty Extra Open Toe Normal, XS,S,M,L Panty Extra Open Toe Plus Normal, XS,S,M,L Panty Extra Closed Toe Normal, XS,S,M,L Panty Extra Closed Toe Plus Normal, XS,S,M,L Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment (Left or Right) Plus Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Plus Per piece XS,S,M,L XS,S,M,L XS,S,M,L XS,S,M,L Class 2 (23-32mmHg) Below Knee Open Toe Normal, XS,S,M,L Below knee Open Toe Plus Normal, XS,S,M,L Below Knee Closed Toe Normal, XS,S,M,L Below Knee Closed Toe Plus Normal, XS,S,M,L Thigh High Open Toe Thigh High Open Toe Plus Thigh High Closed Toe Thigh High Closed Toe Plus Thigh High Open Toe with Grip Thigh High Plus Open Toe with Grip Thigh High Closed Toe with Grip Thigh High Closed Toe with Grip Plus XS,S,M,L XS,S,M,L XS,S,M,L XS,S,M,L XS,S,M,L XS,S,M,L XS,S,M,L XS,S,M,L

15 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Sigvaris Comfort (cont.) Per pair Class 2 (23-32mmHg)(cont.) Panty Open Toe Normal, XS,S,M,L Panty Open Toe Plus Normal, XS,S,M,L Panty Closed Toe Normal, XS,S,M,L Panty Closed Toe Plus Normal, XS,S,M,L Panty Extra Open Toe Normal, XS,S,M,L Panty Extra Open Toe Plus Normal, XS,S,M,L Panty Extra Closed Toe Normal, XS,S,M,L Panty Extra Closed Toe Plus Normal, XS,S,M,L Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment (Left or Right) Plus Thigh High Closed Toe with Waist Attachment (Left or Right) Thigh High Closed Toe with Waist Attachment (Left or Right) Plus Per piece XS,S,M,L XS,S,M,L XS,S,M,L XS,S,M,L Sigvaris Coton 2 (15-20mmHg) Per Pair Below Knee Closed Toe Female, Normal S,M,L,XL Thigh High Hold Up Closed Toe, Normal S,M,L,XL Female Sigvaris Coton 3 (20-36mmHg) Per Pair Below Knee Closed Toe Female, Normal S,M,L,XL Thigh High Hold Up Closed Toe Female, Normal S,M,L,XL Sigvaris Cotton Class 1 (18-21mmHg) Per pair Below Knee Open Toe Normal, XS,S,M,L,XL Below knee Open Toe Plus Normal, XS,S,M,L,XL Below Knee Xtra Closed Toe Normal, XS,S,M,L,XL Below Knee Xtra Closed Toe Normal, XS,S,M,L,XL Plus Below Knee Xtra Maxi Closed Normal, XS,S,M,L,XL Toe Below Knee Xtra Maxi Closed Normal, XS,S,M,L,XL Toe Plus Thigh High Open Toe with Grip XS,S,M,L,XL Thigh High Open Toe with Grip XS,S,M,L,XL Plus

16 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Per piece Sigvaris Cotton (cont.) Class 1 (18-21mmHg)(cont.) Thigh High Open Toe with Waist XS,S,M,XL Attachment (Left or Right) Thigh High Open Toe with Waist Attachment (Left or Right) Plus XS,S,M,XL Class 2 (23-32mmHg) Per pair Below Knee Open Toe Normal, XS,S,M,L,XL Below knee Open Toe Plus Normal, XS,S,M,L,XL Below Knee Xtra Closed Toe Normal, XS,S,M,L,XL Below Knee Xtra Closed Toe Normal, XS,S,M,L,XL Plus Below Knee Xtra Maxi Closed Normal, XS,S,M,L,XL Toe Below Knee Xtra Maxi Closed Normal, XS,S,M,L,XL Toe Plus Below Knee Open Toe with Grip Normal, XS,S,M,L,XL Below Knee Open Toe Plus with Normal, XS,S,M,L,XL Grip Below Knee Closed Toe with Normal, XS,S,M,L,XL Grip Below Knee Closed Toe Plus Normal, XS,S,M,L,XL with Grip Thigh High Closed Toe with Grip XS,S,M,L,XL Thigh High Closed Toe with Grip XS,S,M,L,XL Plus Thigh High Open Toe with Grip XS,S,M,L,XL Thigh High Open Toe with Grip Plus XS,S,M,L,XL Per pair Panty Open Toe Normal, XS,S,M,L,XL Panty Open Toe Plus Normal, XS,S,M,L,XL Panty Closed Toe Normal, XS,S,M,L,XL Panty Closed Toe Plus Normal, XS,S,M,L,XL Thigh High Open Toe with Waist Attachment (Left or Right) Thigh High Open Toe with Waist Attachment (Left or Right) Plus XS,S,M,XL XS,S,M,XL Per piece

17 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Sigvaris Cotton (cont.) Per piece Class 3 (33-46mmHg) Below Knee Open Toe Normal, XS,S,M,L Below knee Open Toe Plus Normal, XS,S,M,L Below Knee Xtra Closed Toe Normal, XS,S,M,L Below Knee Xtra Closed Toe Normal, XS,S,M,L Plus Below Knee Xtra Maxi Closed Normal, XS,S,M,L Toe Below Knee Xtra Maxi Closed Toe Plus Normal, XS,S,M,L Per piece Thigh High Open Toe with Waist XS,S,M,L Attachment (Left or Right) Thigh High Open Toe with Waist Attachment (Left or Right) Plus XS,S,M,L Sigvaris Coton Instinct (15-20mm Hg) Per Pair Below Knee Closed Toe Male, Normal S,M,L,XL,XXL Below Knee Open Toe Male, Normal S,M,L,XL,XXL Thigh High Grip Closed Toe, Normal S,M,L,XL,XXL Male Thigh High Grip Open Toe Male, Normal S,M,L,XL,XXL (20-36mm Hg) Below Knee Closed Toe Male, Normal S,M,L,XL,XXL Thigh High Grip Closed Toe Male, Normal S,M,L,XL,XXL Sigvaris Diaphane (15-21mm Hg) Per Pair Below Knee Closed Toe Female, Normal XS-XXL Thigh High Grip Closed Toe, Normal XS-XXL Female Panty Female, Normal S-XL (20-32mm Hg) Below Knee Closed Toe Female, Normal XS-XXL Thigh High Grip Closed Toe, Normal XS-XXL Female Panty Female, Normal S-XL Sigvaris Lymphoedema Glove Class 1 (18-21mmHg) Length Sizes Per piece Glove (Left or Right) with compressive fingers Standard S,M,L

18 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Sigvaris Magic Class 1 (18-21mmHg) Per pair Below Knee Closed Toe Normal, XS,S,M,L Below Knee Closed Toe Plus Normal, XS,S,M,L Below Knee Open Toe Plus Normal, XS,S,M,L Below Knee Open Toe Normal, XS,S,M,L Thigh High Grip Closed Toe XS,S,M,L Female Thigh High Grip Closed Toe XS,S,M,L Plus Female Thigh High Grip Open Toe XS,S,M,L Female Thigh High Grip Open Toe XS,S,M,L Plus Female Tights Open Toe Normal, XS,S,M,L Tights Closed Toe Normal, XS,S,M,L Tights Open Toe Plus Normal, XS,S,M,L Tights Closed Toe Plus Normal, XS,S,M,L Class 2 (23-32mmHg) Per pair Below Knee Closed Toe Normal, XS,S,M,L Below Knee Closed Toe Plus Normal, XS,S,M,L Below Knee Open Toe Plus Normal, XS,S,M,L Below Knee Open Toe Normal, XS,S,M,L Thigh High Grip Closed Toe XS,S,M,L Female Thigh High Grip Closed Toe XS,S,M,L Plus Female Thigh High Grip Open Toe XS,S,M,L Female Thigh High Grip Open Toe XS,S,M,L Plus Female Tights Open Toe Normal, XS,S,M,L Tights Closed Toe Normal, XS,S,M,L Tights Open Toe Plus Normal, XS,S,M,L Tights Closed Toe Plus Normal, XS,S,M,L Sigvaris Microfibre 3 Expert (20-36mmHg) Per Pair Below Knee Closed Toe Male, Normal S,M,L,XL Below Knee Closed Toe Female, Normal S,M,L,XL Thigh High Grip Closed Toe, Normal S,M,L,XL Male Thigh High Hold Up Closed Toe, Normal S,M,L,XL Female

19 LYMPHOEDEMA GARMENTS (cont.) Style Length Sizes Sigvaris Opalis (15-21mmHg) Per Pair Below Knee Closed Toe Female, Normal XS,S,M,L,XL, XXL Below Knee Open Toe Female, Normal XS-XXL Thigh High Plus Grip, Normal XS,S,M,L,XL,XXL Closed Toe Female Thigh High Plus Grip Open Toe Female, Normal XS-XXL Sigvaris Urban 2 (15-20mmHg) Per pair Below Knee Closed Toe Male, Normal S,M,L,XL,XXL Thigh High Grip Closed Toe Male, Normal S,M,L,XL, XXL Sigvaris 500 Class 2 (23-32mm Hg) Per Pair Below Knee Open Toe Short, XS,S,M,L,XL Below Knee Open Toe Plus Short, S, M, L, XL Thigh High Open Toe XS,S, M,L,XL Thigh High Open Toe Short S, M, L Thigh High Open Toe Plus S, M, L, XL Thigh High Open Toe Plus Short S, M, L Thigh High Open Toe with Grip Short, S, M, L Thigh High Open Toe with Grip Short, S, M, L Plus Thigh High with Waist Attachment (left or right) Thigh High Open Toe with Waist Attachment (Left or Right) Plus Per Piece Short/ S, M, L Short/ S, M, L Class 3 (34-46mm Hg) Per Pair Below Knee Open Toe Short, S, M, L Below Knee Open Toe Plus Short, S, M, L Thigh High Open Toe Short, S, M, L Thigh High Open Toe Plus Short, S, M, L Thigh High Open Toe with Grip Short, S, M, L Thigh High Open Toe with Grip Plus Short, S, M, L Thigh High with Waist Attachment (left or right) Plus Per Piece Short/ S, M, L

20 PLASTERS Nx Belladonna Adhesive Plaster BP Medium 19cm x 12.5cm Large 28cm x 17.5cm PROTECTIVES Hand Polythene Occlusive Dressings (Disposable) For use as an occlusive with medicated creams. Gloves Polythene 100 gauge Pack of STOCKINETTE Cotton Stockinette Bleached BP (Synonym: Cotton Stockinette) Heavyweight 2.5cm x 1m cm x 1m cm x 1m cm x 6m SURGICAL ADHESIVE TAPES 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

21 SWABS Filmated Gauze Swab 10 cm sq Pack of Gauze Swab Type 13 Light BP Sterile Pads of 8-ply gauze 7.5 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 Non-Woven Fabric Swab Non-Sterile 10 cm x 10cm Pack of Swab of folded 4-ply non-woven fabric. These swabs are an alternative to Filmated Gauze Swabs BP for general swabbing and cleansing purposes. Sterile 7.5 cm x 7.5 cm Pack of Sterile swabs of folded 4 ply non-woven fabric. These swabs are an alternative to Gauze Swabs, Type 13 light BP sterile TOPICAL SKIN COOLANTS Magicool Plus itchy skin spray 150ml Magicool Plus prickly heat spray 150ml Magicool Plus sunburn spray 150ml

22 TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES TRACHEOSTOMY BREATHING AIDS Prim-Air Pack of 50 Kas II (Tinted, for night time use) H Phon I (Tinted, for normal breathing) H Phon I High Flow (Tinted, low breathing resistance, for sport and first time users) HL Prim-Air Strip Pack of 50 Fine Oval (Flesh tone, for sensitive skin) O Fine Round (Flesh tone, for sensitive skin) R Firm Oval (Transparent with strong adhesive) O Firm Round (Transparent with strong R adhesive) Special Oval (Skin tone with shower resistant O adhesive) Special Round (Skin tone with shower resistant adhesive) R Each Prima-Resist hands free voice prosthesis valve H Prima-Low-Resist hands free voice prosthesis valve H Prima-Resist Air II HME for Prima-Resist / Low-Resist hands free valves Pack of H TRACHEOSTOMY CLEANING DEVICES Pack of 5 Hei-Clean Size XXS Size XS Size S Size M Size L Pack of 5 Hei-Clean Soft Size XS W Size S W Size M W

23 TRACHEOSTOMY CLEANING DEVICES (cont.) Voice Prosthesis Cleaning Brush Pack of 6 Phonax Plus TRACHEOSTOMY TUBE HOLDER Primus-Plain Primus-Silk S TRACHEOSTOMY & LARYNGECTOMY PROTECTORS Stoma-Quick laryngectomy protector Pack of 30 5 x 7cm N x 7cm N VENOUS ULCER COMPRESSION SYSTEM Juxta CURES Compression System (Medi UK Ltd) (Pack contains Juxta CURES, 2 standard anklets and 2 liners) Short, Standard, 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 i, ii, iii, iv, v, vi, vii liners) 17

24 VENOUS ULCER COMPRESSION SYSTEM (cont.) Ulcer X Medical Stocking & Compression Liner Pack Open Toe (Sigvaris Britain (pack contains 1 stocking and 2 liners 23-32mmHg) Ltd) Available in Short and Lengths Small, Medium, Large Medical Stocking & Compression Liner Pack Open Toe Plus (pack contains 1 stocking and 2 liners 23-32mmHg) Available in Short and Lengths Small, Medium, Large Compression Liner Pack Closed Toe (pack contains 4 liners 18-21mmHg) Small, Medium, Large WOUND MANAGEMENT DRESSINGS Protease Modulating Matrix Sterile 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 The following price changes apply to Part 3 Appliances ARM SLINGS Web, adjustable each

25 CATHETERS Gauge (Ch) Price (see Note 1) (p) (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use SpeediCath Compact Plus Pack of 30 Female Wellspect HealthCare Lofric (Non-PVC) Per 30 (Male) (Female 15cm) (Female 20cm) (Paediatric 20cm) (Paediatric 30cm) 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) (A)(v) Nelaton Catheter with Water Container & Urine Drainage Bag Wellspect HealthCare LoFric Hydro-Kit Pack of 20 Female Paediatric DROPPERS Glass, with bull-nose or curved flat end, and fitted with good quality rubber teat. In box EYE SHADES Plastics, semi-rigid, non-flammable, perforation along top for ventilation, to fit either eye. (each in box) FINGER COTS Seamless latex Box of

26 HYPODERMIC EQUIPMENT HYPODERMIC NEEDLES Specification 2B(ii) The needles shall be of length not less than 12mm and the following diameters may be supplied: 0.5mm(25g), 0.45mm(26g) and 0.4mm(27g) U100 Insulin Syringes with needle sterile, single use (disposable) 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 Accessories Needle Clipping (Chopping) Device- for use with single use syringe. Designed to hold approximately 1,200 such needles 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 100ml

27 TRUSSES 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 - Understraps 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

28 The following price changes apply to Part 4 Elastic Hoisery 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

29 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 The following prices changes apply to Part 5 Incontinence Appliances LEG BAGS Manufacturer Appliance Order Qty Price No (p) L.IN.C Medical Ltd LINC-Flo sterile leg drainage bag with tap outlet, overnight connector and elastic Velcro straps, containing 10 pairs of straps per box of 10 leg bags S 350ml direct inlet tube, T-tap LM350SD-T S 350ml 10cm inlet tube, T-tap LM350MD-T S 500ml direct inlet tube, Lever tap LM500SD-L S 500ml 10cm inlet tube, Lever tap LM500MD-L S 500ml direct inlet tube, T-tap LM500SD-T S 500ml 10cm inlet tube, T-tap LM500MD-T S 500ml 30cm inlet tube, T-tap LM500LD-T S 500ml 30cm inlet tube, Lever tap LM500LD-L S 500ml adjustable inlet tube, T-tap LM500AD-T

30 Stoma Appliances- Reimbursement Prices: Amendment sheets for June 2014 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : MONTHLY NOTICE OF AMENDMENTS TO STOMA APPLIANCES June 2014 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 ADHESIVE DISCS/RINGS/PADS/PLASTERS Manufacturer Appliance Order Qty Price No (p) Clinimed Ltd. Hydroframe Flange Extenders with manuka honey Essentials MHWAF H33 20 (strips) 1315 Accessories Hydroframe Mini Flange Extenders with manuka honey MHWAF M33 30 (strips) 1004 COLOSTOMY BAGS Manufacturer Appliance Order Qty Price No (p) Pelican Healthcare Ltd. Pelican Platinum Closed pouch with skin protector, fabric on both sides, split fabric backing for viewing/positioning and filter. Opaque Standard Shape Cut-to-fit 12-65mm mm Pre-Cut 22.5mm mm mm mm mm mm mm mm mm

31 Stoma Appliances- Reimbursement Prices: Amendment sheets for June 2014 COLOSTOMY BAGS (cont.) Manufacturer Appliance Order Qty Price No (p) Opaque Clear Opaque Clear Opaque Clear Standard Shape Pre-Cut 50mm mm Standard Shape Cut-to-fit 12-65mm mm Pre-Cut 22.5mm mm mm mm mm mm mm mm mm mm mm Mini shape Cut-to-fit 12-65mm Mini shape Cut-to-fit 12-65mm Maxi shape Cut-to-fit 12-65mm Maxi shape Cut-to-fit 12-65mm PRESSURE PLATES/SHIELDS Manufacturer Appliance Order Qty Price No (p) Peak Medical Ltd. EuroTec Support Plate with 4-point belt attachment for use with 1-piece and 2-piece appliances 60mm diameter FP mm diameter FP mm diameter FP SKIN PROTECTORS Manufacturer Appliance Order Qty Price No (p) Clinimed Ltd. Hyperseal washers with manuka honey Essentials Small 2.5mm Thick MHWA Accessories Small 4mm Thick MHWA Large 2.5mm Thick MHWA

32 Stoma Appliances- Reimbursement Prices: Amendment sheets for June 2014 DELETIONS COLOSTOMY BAGS Order Qty Price Manufacturer Appliance No (p) Peak Medical Ltd. Colomate Closed 1 piece pouch in transparent with high capacity bar filter. Small Starter Hole 10mm CST