The Drug Tariff Preface published monthly, lists additions, deletions and other changes to products listed in the Drug Tariff. Below is a summary of the changes coming into effect from 1 December 2025.
Part IXA – Appliances – Trusses
Contractors should note the deletion of all Trusses from Part IXA.
Part XVI – Notes on charges
Contractors should note changes made to this Part. From 1 December 2025, the use of the ‘FS’ prescriber endorsement has been extended to treatments used in the management of tuberculosis (TB) and latent TB infections, including the effects of TB and the adverse effects from TB treatment. The NHS (Charges for Drugs and Appliances) Regulations 2015 have been amended to enable free supply of TB items endorsed ‘FS’.
| Key | |
| g | Special container – This product is a special container and should be dispensed in its complete original pack size. |
| n | Item requiring reconstitution – This product requires reconstitution; pharmacy teams are advised to endorse the amount of packs supplied to enable the patient to complete the full course of medication prescribed. |
| § | Selected List Scheme (SLS) – see Part XVIIIB of the Drug Tariff |
| * | This pack only (others already/still available) |
| BB | Product is eligible for Broken Bulk claims where payment is made for a complete pack if a part-pack has been dispensed to match the prescribed quantity and it is unlikely that you will be able to dispense the balance within the following six months. |
| OOP | Product eligible for Out Of Pocket expense claims (over £0.50) where in exceptional circumstances, pharmacy owners incur expenses in obtaining this product (which is not required to be frequently supplied by the pharmacy owner). |
| DND | Product is not subject to discount deduction or ‘clawback’ as it meets either group or individual item criteria for DND (Discount Not Deducted) as set out in Part II of the Drug Tariff. |
Part VIIIA Additions
Category C Additions:
- *Atomoxetine 4mg/ml oral solution sugar free g (100ml) – Consilient Health Ltd – DND and OOP
- Clascoterone 10mg/g cream g (60g) – Winlevi – DND and OOP
- *Estradiol 75micrograms/24hours transdermal patches (4) – FemSeven 75 – BB and OOP
- Rizatriptan 5mg orodispersible tablets sugar free (6) – Macleods Pharma UK Ltd – BB and OOP
- Rizatriptan 5mg orodispersible tablets sugar free (12) – Macleods Pharma UK Ltd – BB and OOP
Part VIIIA Amendments
- Clonidine 150micrograms/1ml solution for injection ampoules (5) Category C Catapres reference product has now changed to Glenwood GmbH – BB and OOP
Price increase £2.09 to £4.18
- Degarelix 80mg powder and solvent for solution for injection vials g (1) Category C Firmagon reference product has now changed to Ferring Pharmaceuticals Ltd – DND and OOP
Price decrease £89.01 to £79.90
- Eltrombopag 25mg tablets (28) Category C Revolade reference product has been removed – DND, BB and OOP
Price remains at £770.00 - Eltrombopag 50mg tablets (28) Category C Revolade reference product has been removed – DND, BB and OOP
Price remains at £1540.00 - Fentanyl 100micrograms/hour transdermal patches (5) Category C reference product has now changed to Mezolar Matrix – DND, BB and OOP
Price decrease £57.86 to £34.60
- Fentanyl 12micrograms/hour transdermal patches (5) Category C reference product has now changed to Mezolar Matrix – DND, BB and OOP
Price decrease £12.59 to £7.53 - Fentanyl 25micrograms/hour transdermal patches (5) Category C reference product has now changed to Mezolar Matrix – DND, BB and OOP
Price decrease £17.99 to £10.77
- Fentanyl 50micrograms/hour transdermal patches (5) Category C reference product has now changed to Mezolar Matrix – DND, BB and OOP
Price decrease £33.66 to £20.13 - Fentanyl 75micrograms/hour transdermal patches (5) Category C reference product has now changed to Mezolar Matrix – DND, BB and OOP
Price decrease £46.99 to £28.07 - Fluorouracil 5% cream g (40g) Category C Efudix reference product has now changed to Viatris UK Healthcare Ltd – DND and OOP
Price remains at £32.90 - Flupentixol 200mg/1ml solution for injection ampoules (5) Category C reference product has now changed to Depixol Low Volume – BB and OOP
Price remains at £97.59
- Flupentixol 20mg/1ml solution for injection ampoules (10) Category C reference product has now changed to Depixol – BB and OOP
Price remains at £15.17 - Flupentixol 40mg/2ml solution for injection ampoules (10) Category C reference product has now changed to Depixol – BB and OOP
Price remains at £25.39 - Hydrocortisone sodium succinate 100mg powder and solvent for solution for injection vials g (1) Category C Solu – Cortef reference product has now changed to Pfizer Ltd – OOP
Price increase £1.16 to £2.61
- Hydrocortisone sodium succinate 100mg powder for solution for injection vials (10) Category C Solu – Cortef reference product has now changed to Pfizer Ltd – BB and OOP
Price increase £9.17 to £17.18 - Melatonin 2mg tablets (30) Catehory C Adaflex reference product has been removed – BB and OOP
Price remains at £10.89 - Melatonin 5mg tablets (30) Catehory C Adaflex reference product has been removed – BB and OOP
Price remains at £10.89 - Methylphenidate 18mg modified-release tablets (30) Category C Concerta XL reference product has been removed – DND, BB and OOP
Price remains at £31.19 - Methylphenidate 27mg modified-release tablets (30) Category C Concerta XL reference product has been removed – DND, BB and OOP
Price remains at £36.81 - Methylphenidate 36mg modified-release tablets (30) Category C Concerta XL reference product has been removed – DND, BB and OOP
Price remains at £42.45 - Phenelzine 15mg tablets (100) Category C Nardil reference product has now changed to Neon Healthcare Ltd – DND, BB and OOP
Price increase £120.00 to £236.40 - Sulfasalazine 500mg suppositories (10) Category C Salazopyrin reference product has now changed to Pfizer Ltd – BB and OOP
Price remains at £3.30
Please note price listed here was correct at the time of publishing and is subject to change in line with the price change mechanism.
Part VIIIA Deletions
If all pack sizes of a drug have been removed from Part VIII of the Drug Tariff, the drug can continue to be dispensed as long as it does NOT appear in Part XVIIIA (Drugs, Medicines and other substances not to be ordered under a General Medical Services Contract).
Category C Deletions:
- Bilastine 10mg orodispersible tablets sugar free (30) – Ilaxten
- Bilastine 2.5mg/ml oral solution sugar free (120ml) – Ilaxten
- Dalteparin sodium 10,000units/1ml solution for injection ampoules (10) – Fragmin
- Fludroxycortide 0.0125% cream g (60g) – Typharm Ltd
- Flurbiprofen 0.03% eye drops 0.4ml unit dose preservative free g (40) – Ocufen
- Hepatitis A GBM strain (adsorbed) / Typhoid polysaccharide vaccine suspension for injection 1ml pre-filled syringes g (1) – ViATIM
- Memantine 5mg/10mg/15mg/20mg orodispersible tablets initiation pack sugar free g (28) – Valios
- Morphine 200mg modified-release tablets (60) – MST Continus
- Sodium fusidate 250mg tablets (100) – Fucidin
- Tolfenamic acid 200mg tablets (10) – Galen Ltd
- Triamcinolone acetonide 40mg/1ml suspension for injection vials (5) – Kenalog
- Triamcinolone acetonide 50mg/5ml suspension for injection vials g (1) – Adcortyl Intraarticular/Intradermal
- Varicella immunoglobulin 250mg solution for injection vials g (1) – Varicella-Zoste
Part XVI List of contraceptive drugs to be dispensed free of charge Additions
- LoviOne
- Postinor
- SyreniRing
- Ulipristal 30mg tablets
Part XVI List of contraceptive drugs to be dispensed free of charge Deletions
- Akizza 75microgram/30microgram tablets
- Feanolla
- Femodene ED
- Gygel 2% contraceptive jelly
- Katya
- Mestranol 50microgram / Norethisterone 1mg tablets
- Moonia 75microgram tablets
- Nonoxinol-9 2% gel
- Norinyl-1
- Sunya
- Yiznell 0.03mg/3mg tablets
Part II (Drugs for which discount is not deducted (DND)) Additions
- Anzupgo 20mg/g cream
Part II (Drugs for which discount is not deducted (DND)) Deletions
- Fortum 1g powder for solution for injection vials
- Neocate Advance powder
Part VIC (Lateral flow device reimbursement price) – Amendments
The payment for these tests, where supplied as part of the service, will be £3.50 for 5 LFD tests. An allowance at the applicable VAT rate will also be paid.
Part IX Deletions
It is important to take careful note of removals from Part IX because if you dispense a deleted product, prescriptions will be returned as disallowed and therefore payment will not be made for dispensing the item.
The following appliances have been deleted from Part IX of the December 2025 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Foley Catheter – 2 Way For Long Term Use – Adult – Bard Silastic Silicone Coated | All types and sizes |
| APPLIANCES – HYPODERMIC EQUIPMENT – Needles for Pre-filled and Reusable Pen Injectors – Glucoject | 10mm/29 gauge 12mm/29 gauge |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracoe Humid Assist IV HME | 642, pack of 30 |
| APPLIANCES – TRUSSES – ALL | All types and sizes |
| INCONTINENCE APPLIANCES – TUBING AND ACCESSORIES – Hollister Ltd – Leg bag holsters | All types and sizes |
| STOMA APPLIANCES – COLOSTOMY BAGS – Dansac Ltd – Dansac Nova 1 X3 Closed | All types and sizes |
| STOMA APPLIANCES – COLOSTOMY BAGS – Hollister Ltd – Compact – Closed Pouch – Beige-with filter and beige comfort backing on both sides – pre-cut | 51mm, 3474, 30 |
| STOMA APPLIANCES – COLOSTOMY BAGS – Rocialle Healthcare Ltd – Emperor 1-piece closed pouch – Beige – Standard | All types and sizes |
| STOMA APPLIANCES – COLOSTOMY BAGS – Rocialle Healthcare Ltd – Emperor Convex 1-piece closed pouch – Beige – Standard | All types and sizes |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Dansac Nova 1 Soft Convex EasiFold Drainable with 5mm integral convexity – Opaque – pre-cut | 35mm, 881-35, 10 |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Moderma Flex – Maxi Drainable Pouch with FlexWear skin barrier, adhesive border, integral filter and Lock ‘n’ Roll closure system – Beige – pre-cut | 35mm, 58335, 30 |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Moderma Flex Convex – Drainable Pouch with FlexWear skin barrier and adhesive border, Viewing Option Lock ‘n’ Roll closure system and AF300 filter – Maxi – Beige – pre-cut | 35mm, 5683135, 30 |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Rocialle Healthcare Ltd – Emperor 1-piece drainable pouch | All types and sizes |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Rocialle Healthcare Ltd – Emperor Convex 1-piece drainable pouch | All types and sizes |
| STOMA APPLIANCES – IRRIGATION/WASH – OUT APPLIANCES – (Replacement Parts) (SLEEVES/DRAINS/BAGS/CONES/LUBRICATION) – Hollister Ltd – Stoma Lubricant | 1 |
| STOMA APPLIANCES – UROSTOMY BAGS – Hollister Ltd – Impression With Convex wafer (transparent) | 16mm, 1481, 10 |
| CHEMICAL REAGENTS – DETECTION STRIPS, BLOOD FOR GLUCOSE – Biosensor Strips – GlucoZen.auto | 50 100 |
| CHEMICAL REAGENTS – DETECTION STRIPS, BLOOD FOR GLUCOSE – Biosensor Strips – Microdot+ | 50 |
To view appliances due to be deleted from Part IX of the January, February and March 2026 Drug Tariffs visit our page Drug Tariff Appliance Watch: Notice of Deletion
To view the latest changes to special container status, visit our page Notice of changes to special container status of products page.
To view all the monthly changes to the DND status of products, visit our page Notice of changes to discount not deducted (DND) status of products.
To view previous Drug Tariff Watch months visit our page here.
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