SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS. February 2016

Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.isdscotland.org 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: www.isdscotland.org The following amendments take effect from 1st February 2016. 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

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 357 500ml pump 647 MyriBase Gel 100g 212 500g pump 466 ExoCream 50g 105 125g 233 350g 417 500g 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 5226 2

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 11000 Thigh High (Left or Right) Regular, Tall S-XL 11000 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 PTW700 14800. 3

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 154 15cmx15cm 10cmx10cm 2.5cm 393 20cmx20cm 15cmx15cm 2.5cm 572 Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds Without Adhesive Border GenaFoam Square 5cmx5cm 71 10cmx10cm 134 15cmx15cm 263 20cmx20cm 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 450 15cmx25cm 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 1855 4

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 535 10mm/29 gauge 535 12mm/29 gauge 535 LANCETS Sterile, Single-Use Acti-Lance 2mm/17 gauge 100 549 (HTL-STREFA S.A.) 200 1041 1.8mm/23 gauge 100 549 200 988 1.5mm/28 gauge 100 549 200 988 Droplet 0.2mm/33 gauge 100 219 (HTL-STREFA S.A.) 0.31mm/30 gauge 100 219 0.36mm/28 gauge 100 219 5

LANCETS cont. Medlance Plus 2mm/0.8mm blade 100 539 (HTL-STREFA S.A.) 200 1025 1.8mm/21 gauge 100 481 200 957 2.4mm/21 gauge 100 481 200 957 1.5mm/25 gauge 100 481 200 957 1.2mm/30 gauge 100 481 200 957 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 10 2377 Ugo 6C 350ml, short tube, Lever Tap 6C/350/ST/L 10 2377 Ugo 1C 500ml, short tube, Lever Tap 1C/500/ST/L 10 2377 Ugo 2C 500ml, long tube, Lever Tap 2C/500/LT/L 10 2377 Ugo 3C 500ml, short tube, T-tap 3C/500/ST/T 10 2377 Ugo 4C 500ml, long tube, T-tap 4C/500/LT/T 10 2377 Ugo 7C 750ml, short tube, Lever Tap 7C/750/ST/L 10 2377 Ugo 8C 750ml, long tube, Lever Tap 8C/750/LT/L 10 2377 The following additions apply to Part 9 (Chemical Reagents) DETECTION STRIPS FOR KETONES GlucoRx HCT Ketone Test Strips 10 1495 BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter Finetest Lite 50 786 GlucoNavii 50 895 GlucoRx HCT Glucose Test Strips 50 1395 6

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

Scottish Drug Tariff: Price Amendment sheets February 2016 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 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: www.isdscotland.org The following price changes listed become effective from 1 st February 2016. 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 32 33 10cmx20cm 5.5cmx16cm 40 41 10cmx25cm 5.5cmx20.5cm 54 55 SURGICAL ADHESIVE TAPES Permeable apertured non-woven synthetic adhesive tape BP 1988 OpSite Flexifix Gentle 2.5cmx5m 1020 1030 5cmx5m 1913 1931 WOUND MANAGEMENT DRESSINGS Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Sterile CE Aquacel Foam Adhesive 8cmx8cm 138 139 Topical Negative Pressure System Accessories Wound Dressing pack Pico 10cmx40cm 14281 14417 15cmx30cm 14281 14417 20cmx20cm 14281 14417 25cmx25cm 14281 14417 1

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) DT6115-5 8-16 727 734 (Female) DT6114-5 8-16 663 669 Rusch PVC Riplex Extra Long (76cm) (Male/Female DT6116 8-14 737 744 Rusch Soft Rubber Jacques DT5143 1/5 8-14 632 638 (For pack of 1) 150 151 (A) ii Nelaton Catheters ( ordinary cylindrical catheter) single use Hollister Ltd Hollister Advance Intermittent catheter with protective tip Per 25 Male 92084-92184 8-18 3568 3602 Female 92062-92142 6-14 3568 3602 Hollister InstantCath Per 25 Male 9670-9673 10-16 3315 3346 Female 9674-9676 10-14 3315 3346 Paediatric 9677-9678 6-8 3315 3346 (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 DH310112-DH310124 10 12-24 612 618 Female DH210112-DH210124 10 12-24 612 618 ((D) Intermittent Catheter with introducer tip & urine bag. Hollister Ltd Hollister Advance Plus Per 25 Nelaton 94064-94184 6-18 6902 6968 Tiemann Tip 95124-95164 12-16 6902 6968 Hollister InstantCath Protect Per 25 Nelaton 9691-9696 8-18 6915 6980 2

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 9822 10 4512 4555 1000ml 9821 10 4512 4555 LEG BAGS Hollister Ltd. 500mL /10cm inlet (regular) 9621 10 2908 2935 500mL /50cm inlet (regular) 9624 10 2908 2935 800mL /10cm inlet (regular) 9631 10 2918 2946 800mL /50 cm variable inlet (regular) 9632 10 2915 2946 S * Urinary Leg Bag 540mL with direct inlet connector 9814 10 2885 2913 NIGHT DRAINAGE BAGS Dansac Ltd Dansac Night Drainage Bag - 2 Litre 420-00 10 1271 1283 Hollister Ltd. Hollister Urostomy Night Drainage Bag 5550 10 1208 1220 Night Drainage bag 2000mL (non-drainable) 9651 10 257 260 2000mL (drainable) 9650 10 1303 1316 TUBING AND ACCESSORIES Hollister Ltd Leg Bag Holsters Deluxe Leg Bag Straps Small 9612 4 818 826 Medium 9613 4 818 826 Large 9614 4 818 826 35cm (Extra Small) 9663 2 325 328 38cm (Small) 9660 2 325 328 49cm (Medium) 9661 2 325 328 56cm (Large) 9662 2 325 328 Leg Bag Straps Elasticated & Washable 9625 10 1388 1401 35.5cm (calf) 9342 2 330 333 58.5cm (thigh) 9343 2 330 333 3

Scottish Drug Tariff: Price Amendment sheets February 2016 URINAL SYSTEMS Hollister Ltd Retracted Penis Pouch 9811 10 2913 2941 9873 10 2863 2890 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 50 1523 995 DETECTION STRIPS FOR USE IN TESTING BLOOD FOR DETERMINATION OF INTERNATIONAL NORMALISED RATIO (INR) CoaguChek XS PT Test 24 6874 6940 48 13439 13567 4

Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.isdscotland.org 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: www.isdscotland.org The following amendments take effect from 1st February 2016. 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

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 357 500ml pump 647 DoubleGel 100g 212 500g pump 466 ExoCream 50g 105 125g 233 350g 417 500g 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 5226 2

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 11000 Thigh High (Left or Right) Regular, Tall S-XL 11000 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 PTW700 14800. 3

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 154 15cmx15cm 10cmx10cm 2.5cm 393 20cmx20cm 15cmx15cm 2.5cm 572 Polyurethane Foam Film Dressing Sterile Indications: Moderate to heavily exuding wounds Without Adhesive Border GenaFoam Square 5cmx5cm 71 10cmx10cm 134 15cmx15cm 263 20cmx20cm 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 450 15cmx25cm 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 1855 4

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 535 10mm/29 gauge 535 12mm/29 gauge 535 LANCETS Sterile, Single-Use Acti-Lance 2mm/17 gauge 100 549 (HTL-STREFA S.A.) 200 1041 1.8mm/23 gauge 100 549 200 988 1.5mm/28 gauge 100 549 200 988 Droplet 0.2mm/33 gauge 100 219 (HTL-STREFA S.A.) 0.31mm/30 gauge 100 219 0.36mm/28 gauge 100 219 5

LANCETS cont. Medlance Plus 2mm/0.8mm blade 100 539 (HTL-STREFA S.A.) 200 1025 1.8mm/21 gauge 100 481 200 957 2.4mm/21 gauge 100 481 200 957 1.5mm/25 gauge 100 481 200 957 1.2mm/30 gauge 100 481 200 957 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 10 2377 Ugo 6C 350ml, short tube, Lever Tap 6C/350/ST/L 10 2377 Ugo 1C 500ml, short tube, Lever Tap 1C/500/ST/L 10 2377 Ugo 2C 500ml, long tube, Lever Tap 2C/500/LT/L 10 2377 Ugo 3C 500ml, short tube, T-tap 3C/500/ST/T 10 2377 Ugo 4C 500ml, long tube, T-tap 4C/500/LT/T 10 2377 Ugo 7C 750ml, short tube, Lever Tap 7C/750/ST/L 10 2377 Ugo 8C 750ml, long tube, Lever Tap 8C/750/LT/L 10 2377 The following additions apply to Part 9 (Chemical Reagents) DETECTION STRIPS FOR KETONES GlucoRx HCT Ketone Test Strips 10 1495 BLOOD GLUCOSE TESTING STRIPS (ii) Biosensor strips to be read only with the appropriate meter Finetest Lite 50 786 GlucoNavii 50 895 GlucoRx HCT Glucose Test Strips 50 1395 6

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