SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. November 2009

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Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6311 Fax : 0131 275 7606 www.show.scot.nhs.uk/nss SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS November 2009 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: www.isdscotland.org The following amendments take effect from 1 November 2009. Please note that potential additions to Part 6 (Stoma) must be referred through National Procurement (NSS). The following amendments apply to Part 1 Annex A (Zero Discount List) ADDITIONS Atomoxetine 10mg caps Atomoxetine 18mg caps Atomoxetine 25mg caps Atomoxetine 40mg caps Atomoxetine 60mg caps Atomoxetine 80mg caps Ethinylestradiol 10mcg tabs Ethinylestradiol 1mg tabs Ethinylestradiol 50mcg tabs Keppra 100mg/ml oral solution Keppra 1g tabs Keppra 500mg tabs Keppra 750mg tabs Levetiracetam 100mg/ml oral solution sugar free Levetiracetam 1gm tabs Levetiracetam 500mg tabs Levetiracetam 750mg tabs Strattera 10mg tabs Strattera 18mg tabs Strattera 25mg tabs Strattera 40mg tabs Strattera 60mg tabs Strattera 80mg tabs Viridal 10 Duo Continuation Pack powder and solvent for solution for injection cartridges Viridal 20 Duo Continuation Pack powder and solvent for solution for injection cartridges Viridal 40 Duo Continuation Pack powder and solvent for solution for injection cartridges J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 1

The following amendments apply to Part 1 Annex A (Zero Discount List) (cont.) DELETIONS Additrace solution for infusion 10ml ampoules Novasource GI Junior liquid Sodium Bircarbonate 8.4% (1mmol/ml) solution for injection 500ml bottles OTHER CHANGES Imigran Subject Injection 6mg/0.5ml Pre-filled syringe Imigran Subject Injection 6mg/0.5ml Pre-filled syringe with device Sodium Bicarbonate 8.4% (1mmol/ml) solution for infusion 10ml ampoules Sodium Bicarbonate 8.4% (1mmol/ml) solution for injection 10ml ampoules Sumatriptan Injection 6mg/0.5ml Pre-filled syringe Sumatriptan Injection 6mg/0.5ml Pre-filled syringe with device The following addition applies to Annex B (Prescription charges) ADDITIONS List of contraceptive drugs to be dispensed free of charge: Ellaone The following amendments apply to Part 8B (Nurse Prescriber Formulary) DELETIONS MEDICINAL PREPERATIONS Emollient Bath Additives as listed below: Alpha Keri Bath Oil OTHER CHANGES Emollients as listed: Neutrogena Dermatological Cream Neutrogena Norwegian Formula Dermatological Cream Emollient Bath Additives as listed below: Hydromol Emollient Hydromol Bath and Shower Emollient J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 2

ADDITIONS The following additions apply to Part 2 (Dressings) BANDAGES (each unless otherwise stated) Polymide and Cellulose Contour Bandage Mollelast 4cm x 4m 28 6cm x 4m 34 Polyamide and Cellulose Contour Bandage Knitted BP 1988 (Nylon & Viscose Stretch Bandage) Easifix K For dressing retention 5cm x 4m 10 7.5cm x 4m 15 10cm x 4m 17 15cm x 4m 30 Vapour - Permeable Adhesive Film Dressing with absorbent pad (Syn: Semi-Permeable Adhesive Dressing) Opsite Plus Wound contact pad Border 6.5cm x 5cm 4cm x 2.5cm 1.25cm 30 GAUZE DRESSINGS (IMPREGNATED) (each unless otherwise stated) Melladerm Plus Tulle (Impregnated with melladerm plus honey gel) Sterile one-piece pack containing a single piece of impregnated gauze 10cm x10cm 1 piece 210 STOCKINETTE (each unless otherwise stated) Elasticated Viscose Stockinette Bandage (Syn: Lightweight Elasticated Viscose Tubular Bandage) A lightweight plain-knitted elasticated tubular fabric for dressing retention; washable for re-use. CliniFast Gloves Small Child (Pair) 499 Medium Child (Pair) 499 Large Child / Small Adult (Pair) 499 Medium Adult (Pair) 499 Large Adult (Pair) 499 J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 3

The following additions apply to Part 2 (Dressings) (cont.) WOUND MANAGEMENT DRESSINGS (each unless otherwise stated) Alginate Dressing Sterile Indications: Medium to Heavy exuding wounds. Precautions: Not the dressing of choice for infected wounds; not suitable for those which are very dry or covered with hard necrotic tissue. Suprasorb A + Ag 5cm x 5cm 151 10cm x 10cm 380 10cm x 20cm 702 Cavity Dressings Indication: Medium/heavily exuding cavity wounds. Suprasorb A & Ag 30cm/2g 562 Hydrogel Dressing Sterile Indications: Dry sloughy or necrotic wounds; lightly exudating wounds; granulating wounds. Precautions: Not suitable for infected or heavily-exudating wounds. Care should be taken to choose the appropriate secondary dressing. Octenlin Wound Gel 20ml 478 Protease Modulating Matrix Sterile Indications: All chronic wounds clear of necrotic tissue and visible sign of infection. Iodozyme Rectangular 6.5cm x 5cm 750 Silicone Gel Sheet Indications: For prevention and treatment Keloid and Hypertrophic scars Scar Fx Rectangular 10cm x 20cm 1600 25cm x 39cm 6000 3.75cm x 22.5cm 1200 Shaped 7.5cm Diameter 850 22.5cm x 14.5cm 1200 Silicone Topical Gel & Cream Indications: For prevention and treatment Keloid and Hypertrophic scars F2H gel 60ml pump 5800 Topical Negative Pressure System Accessories Wound Dressing Pack Renasys F Dressing Kit Small 1915 Medium 2225 Large 2639 Extra Large 4528 V.A.C GranuFoam Silver dressing kit with SensaT.R.A.C Small 3150 Medium 3654 J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 4

The following additions apply to Part 3 (Appliances) CATHETERS, ACCESSORIES Bluebox Medical Ltd Grip-Lok Catheter securement device Pack of 10 3300M Medium 2300 3400L Large 2350 CONTRACEPTIVE DEVICES Intrauterine Contraceptive Device each Steriload 965 EAR WAX SOFTENING MEDICAL DEVICES Care Olive Oil Ear Drops 10ml 142 (Thornton & Ross) EYE PRODUCTS Eye Drops Sodium Hyaluronate Hylo-forte (10ml bottle) 1080 HYPODERMIC EQUIPMENT LANCETS Sterile, Single-Use Pack Mylife Pura Lancets 0.31mm/30gauge 200 620 (GBUK Healthcare) The following additions apply to Part 5 (Incontinence Appliances) ANAL IRRIGATION SYSTEM Warning: This product should not be used without assessment by an appropriate medical professional. Manufacturer Appliance Order No Quantity Coloplast Ltd Small Peristeen System 29126 7000 (System includes 1 control unit, 2 rectal catheters, 1 water bag, 2 straps) Small Peristeen Accessory Unit 29127 12200 (Contains 15 rectal catheters, 1 water bag) Small Peristeen Rectal Catheters 29128 Pack of 10 7800 J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 5

The following additions apply to Part 9 (Chemical Reagents) BLOOD GLUCOSE TESTING STRIPS Meters for use with Blood Glucose Testing Strips or Discs are not available separately on prescription (ii) Biosensor Strips to be read only with the appropriate meter pack Mylife Pura 50 1400 DELETIONS The following deletions apply to Part 2 (Dressings) DRESSINGS Vapour - Permeable Adhesive Film Dressing with absorbent pad (Syn: Semi-Permeable Adhesive Dressing) PremierPore VP 6cm x 7cm 21 EMOLLIENT & BARRIER PREPERATIONS Aloe Vesta Multi Purpose Bathing Cloths 8 240 TRACHEOSTOMY CLEANING DEVICES Price(p) Pack of 10 Trachi-Swab Small TR SWB 0110 173 (Kapitex Healthcare Ltd) Large TR SWB 0210 175 J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 6

OTHER CHANGES The following changes apply to Part 2 (Dressings) EMOLLIENT & BARRIER PREPERATIONS Dexeryl Cream 250g 316 Dermatonics Heel Balm 75g 400 200g 950 Emollin Aerosol 240ml 598 150ml 374 Epaderm Ointment 125g 369 500g 626 1kg 1153 Epaderm Cream Pump 50g 159 Pump 500g 650 Flexitol Heel Balm 75g 435 200g 990 Hydromol ointment 125g 279 500g 474 1kg 181 Dexeryl Cream 250g 316 Dermatonics Heel Balm 75g 400 200g 950 Emollin Aerosol 240ml 598 150ml 374 Epaderm Ointment 125g 369 500g 626 1kg 1153 Epaderm Cream Pump 50g 159 Pump 500g 650 Hydromol ointment 125g 279 500g 474 1kg 181 Preparations containing Urea Flexitol Heel Balm 75g 435 200g 990 J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 7

The following changes apply to Part 2 (Dressings) (cont.) LYMPHOEDEMA GARMENTS Sigvaris Urban 2 Class 1 (15-20mmHg) Per pair Below Knee Closed Toe Male Black Long, Normal S,M,L,XL,XXL 2601 Thigh High Grip Top Closed Toe Male Black Long, Normal S,M,L,XL, XXL 4998 Sigvaris Urban 2 (15-20mmHg) Per pair Below Knee Closed Toe Male Black Long, Normal S,M,L,XL,XXL 2601 Thigh High Grip Top Closed Toe Male Black Long, Normal S,M,L,XL, XXL 4998 SILK GARMENTS DermaSilk each Facial Mask Teen and Adult size 1996 DermaSilk each Facial Mask Teen size 1996 Adult size 1996 J:\ISD\HIG\evadis\Core\Tariff_main\TARIFF\AMEN\2009\AMD Nov 09.doc 8