SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. February 2016

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1 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS February 2016 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 February ADDITIONS/DELETIONS There following additions apply to Part 1 Annex A (Zero Discount) Esbriet Caps 267mg Pirfenidone Caps 267mg There following addition applies to Part 1 Annex B (Prescription Charges) LIST OF CONTRACEPTIVE DRUGS TO BE DISPENSED FREE OF CHARGE ON AN ENGLISH PRESCRIPTION FORM c. Under 50 Micrograms of Oestrogen Lizinna 35microgram/250microgram 1

2 ADDITIONS The following additions apply to Part 2 (Dressings) DRESSINGS Absorbent Cellulose Dressing with Fluid Repellent Backing Eclypse Contour 30cm x 51cm 825 EMOLLIENT & BARRIER PREPARATIONS AproDerm Colloidal Oat Cream 100ml ml pump 647 MyriBase Gel 100g g pump 466 ExoCream 50g g g g pump 399 LYMPHOEDEMA GARMENTS Haddenham Venex Microlight Class 1 (18-21mmgHg) Per Pair Below Knee Open Toe Short, Regular II-VII 2664 Below Knee Closed Toe Short, Regular II-VII 2664 Below Knee Extra Wide Open Toe Short, Regular II-VII 2972 Below Knee Extra Wide Closed Toe Short, Regular II-VII 2972 Thigh High with Grip Top Open Toe Short, Regular II-VII 4919 Thigh High with Grip Top Closed Toe Short, Regular II-VII 4919 Thigh High with Grip Top Extra Wide Open Toe Short, Regular II-VII 5226 Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II-VII 5226 Tights Open/Closed Toe Short, Regular II-VII 4919 Tights Extra Wide Open/Closed Toe Short, Regular II-VII

3 LYMPHOEDEMA GARMENTS cont. Class 2 (23-32mmgHg) Per Pair Below Knee Open Toe Short, Regular II-VII 2664 Below Knee Closed Toe Short, Regular II-VII 2664 Below Knee Extra Wide Open Toe Short, Regular II-VII 2972 Below Knee Extra Wide Closed Toe Short, Regular II-VII 2972 Thigh High with Grip Top Open Toe Short, Regular II-VII 4919 Thigh High with Grip Top Closed Toe Short, Regular II-VII 4919 Thigh High with Grip Top Extra Wide Open Toe Short, Regular II-VII 5226 Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II-VII 5226 Tights Open/Closed Toe Short, Regular II-VII 4919 Tights Extra Wide Open/Closed Toe Short, Regular II-VII 5226 Sigvaris CompreBoot (20-30mmgHg) Per piece CompreBoot Regular, Long S,M/L,XL/XXL 3500 Sigvaris CompreFit (30-40mmgHg) Per piece Below Knee Regular, Tall S-XXL 9000 Thigh High S-XL 9000 Sigvaris CompreFLEX (30-40mmgHg) Per piece Below Knee Regular, Tall S-XXL Thigh High (Left or Right) Regular, Tall S-XL Sigvaris CompreKnee (20-30mmgHg) Per piece CompreKnee S,M,L/XL 3000 TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES TRACHEOSTOMY BREATHING AIDS SpiroTect HME System SpiroTect Baseplate Pack of 20 Secure Convex PTW

4 WOUND MANAGEMENT DRESSINGS Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds With Adhesive Border Wound contact pad Border GenaFoam Border Square 10cmx10cm 5cmx5cm 2.5cm cmx15cm 10cmx10cm 2.5cm cmx20cm 15cmx15cm 2.5cm 572 Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds Without Adhesive Border GenaFoam Square 5cmx5cm 71 10cmx10cm cmx15cm cmx20cm 445 Heel 14cmx23cm 499 Protease Modulating Matrix Sterile Sorbion Sachet S Square 7.5cmx7.5cm 95 15cmx15cm 295 Rectangular 12cmx5cm 125 Zorflex VB-K Square 5cmx5cm 98 10cmx10cm 235 Rectangular 10cmx20cm cmx25cm 750 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE With Silicone Adhesive Border kliniderm Foam Silicone Heel Border 12.5cmx20cm 459 Topical Negative Pressure System Accessories SNaP Plus Straps ( for 150ml cartridges) Small 1855 Medium 1855 Large

5 The following additions apply to Part 3 (Appliances) EYE PRODUCTS Eye Ointment Parafin Based HydraMed Night (5g preservative free tube) 275 EAR WAX SOFTENING MEDICAL DEVICES Ear Drops - Sodium Bicarbonate Sai-Meds Ltd 10ml 123 HYPODERMIC EQUIPMENT Needles for Pre-filled & Reusable Pen Injectors Pack of 100 HaemoFine 4mm/32 gauge 535 5mm/31 gauge 535 5mm/32 gauge 535 6mm/31 gauge 535 6mm/32 gauge 535 8mm/31 gauge 535 8mm/32 gauge mm/29 gauge mm/29 gauge 535 LANCETS Sterile, Single-Use Acti-Lance 2mm/17 gauge (HTL-STREFA S.A.) mm/23 gauge mm/28 gauge Droplet 0.2mm/33 gauge (HTL-STREFA S.A.) 0.31mm/30 gauge mm/28 gauge

6 LANCETS cont. Medlance Plus 2mm/0.8mm blade (HTL-STREFA S.A.) mm/21 gauge mm/21 gauge mm/25 gauge mm/30 gauge The following additions apply to Part 5 (Incontinence Appliances) LEG BAGS Optimum Medical Solutions S* Ugo leg bags with non-return valve,needle free sample port, outlet connector, soft fabric backing and a pair of non-latex Ugo fix leg bag straps Ugo 5C 350ml, direct inlet, Lever Tap 5C/350/DI/L Ugo 6C 350ml, short tube, Lever Tap 6C/350/ST/L Ugo 1C 500ml, short tube, Lever Tap 1C/500/ST/L Ugo 2C 500ml, long tube, Lever Tap 2C/500/LT/L Ugo 3C 500ml, short tube, T-tap 3C/500/ST/T Ugo 4C 500ml, long tube, T-tap 4C/500/LT/T Ugo 7C 750ml, short tube, Lever Tap 7C/750/ST/L Ugo 8C 750ml, long tube, Lever Tap 8C/750/LT/L The following additions apply to Part 9 (Chemical Reagents) DETECTION STRIPS FOR KETONES GlucoRx HCT Ketone Test Strips BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter Finetest Lite GlucoNavii GlucoRx HCT Glucose Test Strips

7 DELETIONS The following deletions apply to Part 2 (Dressings) WOUND MANAGEMENT DRESSINGS Protease Modulating Matrix Sterile Tegaderm Matrix 5cmx6cm 498 Silver Coated Barrier Dressings Sterile Acticoat Absorbent Square 5cmx5cm 535 Rectangular 10cmx12.5cm 1284 OTHER CHANGES The following changes apply to Part 3 (Appliances) EYE PRODUCTS Eye Drops Carmellose Lumecare Evolve Carmellose 0.5% (10ml preservative free bottle) 499 Now Reads Evolve Carmellose 0.5% (10ml preservative free bottle) 499 Eye Drops Hypromellose Lumecare Evolve Hypromellose 0.3% (10ml preservative free bottle) 198 Now Reads Evolve Hypromellose 0.3% (10ml preservative free bottle) 198 7

8 Scottish Drug Tariff: Price Amendment sheets February 2016 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS February 2016 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 February Prices in pence per item, unless otherwise stated. The following price changes apply to Part 2 Dressings DRESSINGS Absorbent Perforated Dressing with Adhesive Border Cosmopor 8cmx15cm 3.8cmx11cm cmx20cm 5.5cmx16cm cmx25cm 5.5cmx20.5cm SURGICAL ADHESIVE TAPES Permeable apertured non-woven synthetic adhesive tape BP 1988 OpSite Flexifix Gentle 2.5cmx5m cmx5m WOUND MANAGEMENT DRESSINGS Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Aquacel Foam Adhesive 8cmx8cm Topical Negative Pressure System Accessories Wound Dressing pack Pico 10cmx40cm cmx30cm cmx20cm cmx25cm

9 Scottish Drug Tariff: Price Amendment sheets February 2016 The following price changes apply to Part 3 Appliances CATHETERS (A)i Nelaton Catheter ( Ordinary cylindrical catheter) Teleflex Rusch PVC Riplex Jacques Pack of 5 (Male) DT (Female) DT Rusch PVC Riplex Extra Long (76cm) (Male/Female DT Rusch Soft Rubber Jacques DT5143 1/ (For pack of 1) (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Hollister Ltd Hollister Advance Intermittent catheter with protective tip Per 25 Male Female Hollister InstantCath Per 25 Male Female Paediatric (B) Foley Catheter 2 Way (Indwelling Nelaton Catheter with balloon) iii) For Long Term Use Adult Teleflex Rusch Sympacath Aquaflate Hydrogel Coated Latex with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation. Male DH DH Female DH DH ((D) Intermittent Catheter with introducer tip & urine bag. Hollister Ltd Hollister Advance Plus Per 25 Nelaton Tiemann Tip Hollister InstantCath Protect Per 25 Nelaton

10 Scottish Drug Tariff: Price Amendment sheets February 2016 The following price changes apply to Part 5 Incontinence Appliances FAECAL COLLECTORS Hollister Ltd. Incare Faecal Collector 500ml ml LEG BAGS Hollister Ltd. 500mL /10cm inlet (regular) mL /50cm inlet (regular) mL /10cm inlet (regular) mL /50 cm variable inlet (regular) S * Urinary Leg Bag 540mL with direct inlet connector NIGHT DRAINAGE BAGS Dansac Ltd Dansac Night Drainage Bag - 2 Litre Hollister Ltd. Hollister Urostomy Night Drainage Bag Night Drainage bag 2000mL (non-drainable) mL (drainable) TUBING AND ACCESSORIES Hollister Ltd Leg Bag Holsters Deluxe Leg Bag Straps Small Medium Large cm (Extra Small) cm (Small) cm (Medium) cm (Large) Leg Bag Straps Elasticated & Washable cm (calf) cm (thigh)

11 Scottish Drug Tariff: Price Amendment sheets February 2016 URINAL SYSTEMS Hollister Ltd Retracted Penis Pouch The following price changes apply to Part 9 Chemical Reagents BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter Contour DETECTION STRIPS FOR USE IN TESTING BLOOD FOR DETERMINATION OF INTERNATIONAL NORMALISED RATIO (INR) CoaguChek XS PT Test

12 Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : Fax : SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS February 2016 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 February ADDITIONS/DELETIONS There are no additions or deletions to Part 1 Annex A (Zero Discount) There following addition applies to Part 1 Annex B (Prescription Charges) LIST OF CONTRACEPTIVE DRUGS TO BE DISPENSED FREE OF CHARGE ON AN ENGLISH PRESCRIPTION FORM c. Under 50 Micrograms of Oestrogen Lizinna 35microgram/250microgram 1

13 ADDITIONS The following additions apply to Part 2 (Dressings) DRESSINGS Absorbent Cellulose Dressing with Fluid Repellent Backing Eclypse Contour 30cm x 51cm 825 EMOLLIENT & BARRIER PREPARATIONS AproDerm Colloidal Oat Cream 100ml ml pump 647 DoubleGel 100g g pump 466 ExoCream 50g g g g pump 399 LYMPHOEDEMA GARMENTS Haddenham Venex Microlight Class 1 (18-21mmgHg) Per Pair Below Knee Open Toe Short, Regular II-VII 2664 Below Knee Closed Toe Short, Regular II-VII 2664 Below Knee Extra Wide Open Toe Short, Regular II-VII 2972 Below Knee Extra Wide Closed Toe Short, Regular II-VII 2972 Thigh High with Grip Top Open Toe Short, Regular II-VII 4919 Thigh High with Grip Top Closed Toe Short, Regular II-VII 4919 Thigh High with Grip Top Extra Wide Open Toe Short, Regular II-VII 5226 Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II-VII 5226 Tights Open/Closed Toe Short, Regular II-VII 4919 Tights Extra Wide Open/Closed Toe Short, Regular II-VII

14 LYMPHOEDEMA GARMENTS cont. Class 2 (23-32mmgHg) Per Pair Below Knee Open Toe Short, Regular II-VII 2664 Below Knee Closed Toe Short, Regular II-VII 2664 Below Knee Extra Wide Open Toe Short, Regular II-VII 2972 Below Knee Extra Wide Closed Toe Short, Regular II-VII 2972 Thigh High with Grip Top Open Toe Short, Regular II-VII 4919 Thigh High with Grip Top Closed Toe Short, Regular II-VII 4919 Thigh High with Grip Top Extra Wide Open Toe Short, Regular II-VII 5226 Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II-VII 5226 Tights Open/Closed Toe Short, Regular II-VII 4919 Tights Extra Wide Open/Closed Toe Short, Regular II-VII 5226 Sigvaris CompreBoot (20-30mmgHg) Per piece CompreBoot Regular, Long S,M/L,XL/XXL 3500 Sigvaris CompreFit (30-40mmgHg) Per piece Below Knee Regular, Tall S-XXL 9000 Thigh High S-XL 9000 Sigvaris CompreFLEX (30-40mmgHg) Per piece Below Knee Regular, Tall S-XXL Thigh High (Left or Right) Regular, Tall S-XL Sigvaris CompreKnee (20-30mmgHg) Per piece CompreKnee S,M,L/XL 3000 TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES TRACHEOSTOMY BREATHING AIDS SpiroTect HME System SpiroTect Baseplate Pack of 20 Secure Convex PTW

15 WOUND MANAGEMENT DRESSINGS Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds With Adhesive Border Wound contact pad Border GenaFoam Border Square 10cmx10cm 5cmx5cm 2.5cm cmx15cm 10cmx10cm 2.5cm cmx20cm 15cmx15cm 2.5cm 572 Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds Without Adhesive Border GenaFoam Square 5cmx5cm 71 10cmx10cm cmx15cm cmx20cm 445 Heel 14cmx23cm 499 Protease Modulating Matrix Sterile Sorbion Sachet S Square 7.5cmx7.5cm 95 15cmx15cm 295 Rectangular 12cmx5cm 125 Zorflex VB-K Square 5cmx5cm 98 10cmx10cm 235 Rectangular 10cmx20cm cmx25cm 750 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE With Silicone Adhesive Border kliniderm Foam Silicone Heel Border 12.5cmx20cm 459 Topical Negative Pressure System Accessories SNaP Plus Straps ( for 150ml cartridges) Small 1855 Medium 1855 Large

16 The following additions apply to Part 3 (Appliances) EYE PRODUCTS Eye Ointment Parafin Based HydraMed (5g preservative free tube) 275 EAR WAX SOFTENING MEDICAL DEVICES Ear Drops - Sodium Bicarbonate Sai-Meds Ltd 10ml 123 HYPODERMIC EQUIPMENT Needles for Pre-filled & Reusable Pen Injectors Pack of 100 HaemoFine 4mm/32 gauge 535 5mm/31 gauge 535 5mm/32 gauge 535 6mm/31 gauge 535 6mm/32 gauge 535 8mm/31 gauge 535 8mm/32 gauge mm/29 gauge mm/29 gauge 535 LANCETS Sterile, Single-Use Acti-Lance 2mm/17 gauge (HTL-STREFA S.A.) mm/23 gauge mm/28 gauge Droplet 0.2mm/33 gauge (HTL-STREFA S.A.) 0.31mm/30 gauge mm/28 gauge

17 LANCETS cont. Medlance Plus 2mm/0.8mm blade (HTL-STREFA S.A.) mm/21 gauge mm/21 gauge mm/25 gauge mm/30 gauge The following additions apply to Part 5 (Incontinence Appliances) LEG BAGS Optimum Medical Solutions S* Ugo leg bags with non-return valve,needle free sample port, outlet connector, soft fabric backing and a pair of non-latex Ugo fix leg bag straps Ugo 5C 350ml, direct inlet, Lever Tap 5C/350/DI/L Ugo 6C 350ml, short tube, Lever Tap 6C/350/ST/L Ugo 1C 500ml, short tube, Lever Tap 1C/500/ST/L Ugo 2C 500ml, long tube, Lever Tap 2C/500/LT/L Ugo 3C 500ml, short tube, T-tap 3C/500/ST/T Ugo 4C 500ml, long tube, T-tap 4C/500/LT/T Ugo 7C 750ml, short tube, Lever Tap 7C/750/ST/L Ugo 8C 750ml, long tube, Lever Tap 8C/750/LT/L The following additions apply to Part 9 (Chemical Reagents) DETECTION STRIPS FOR KETONES GlucoRx HCT Ketone Test Strips BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter Finetest Lite GlucoNavii GlucoRx HCT Glucose Test Strips

18 DELETIONS The following deletions apply to Part 2 (Dressings) WOUND MANAGEMENT DRESSINGS Protease Modulating Matrix Sterile Tegaderm Matrix 5cmx6cm 498 Silver Coated Barrier Dressings Sterile Acticoat Absorbent Square 5cmx5cm 535 Rectangular 10cmx12.5cm 1284 OTHER CHANGES The following changes apply to Part 3 (Appliances) EYE PRODUCTS Eye Drops Carmellose Lumecare Evolve Carmellose 0.5% (10ml preservative free bottle) 499 Now Reads Evolve Carmellose 0.5% (10ml preservative free bottle) 499 Eye Drops Hypromellose Lumecare Evolve Hypromellose 0.3% (10ml preservative free bottle) 198 Now Reads Evolve Hypromellose 0.3% (10ml preservative free bottle) 198 7

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