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 February 2026.
| 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) having taken all reasonable steps to avoid incurring the out-of-pocket expense. |
| 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:
- Allopurinol 200mg tablets (30) – Aspire Pharma Ltd – BB and OOP
- Dydrogesterone 10mg tablets (20) – Nalvee – BB and OOP
- Enalapril 250microgram orodispersible tablets sugar free g (50) – Aqumeldi – DND and OOP
- Escitalopram 15mg orodispersible tablets sugar free (28) – Enalto – BB and OOP
- *Miconazole 20mg/g oromucosal gel sugar free g (80g) – Daktarin – OOP
- Progesterone micronised 400mg vaginal capsules (15) – Prometrium – BB and OOP
- Relugolix 120mg tablets g (30) – Orgovyx – DND and OOP
Part VIIIA Amendments
- Bezafibrate 200mg tablets (100) Category C reference product now reads Teva UK Ltd – BB and OOP
Price remains at £8.63
- Buprenorphine 400microgram sublingual tablets sugar free (7) Category C Subutex reference product has changed to Prefibin – DND, BB and OOP
Price increase £1.36 to £1.60 - Ciclosporin 100mg/ml oral solution sugar free g (50ml) Category C reference product now reads Neoral – OOP
Price decrease £164.72 to £102.30
- Denosumab 60mg/1ml solution for injection pre-filled syringes g (1) Category C Prolia reference product has now been removed – DND and OOP
Price remains at £8.63 - Galantamine 20mg/5ml oral solution sugar free g (100ml) Category C Reminyl reference product has changed to SyriMed – OOP
Price decrease £120.00 to £108.00
- Haloperidol 200micrograms/ml oral solution sugar free g (100ml) Category C Halkid reference product has changed to SyriMed – DND and OOP
Price increase £89.90 to £185.00
- Insulin aspart 100units/ml solution for injection 3ml pre-filled disposable devices (5) Category C reference product now reads NovoRapid FlexPen – DND, BB and OOP
Price remains at £30.60 - Isoniazid 100mg tablets (28) Category C Alliance Healthcare (Distribution) Ltd reference product has changed to Morningside Healthcare Ltd – DND, BB and OOP
Price decrease £75.11 to £54.34
- Ketamine 200mg/20ml solution for injection vials g (1) Category C Pfizer Ltd reference product has now been removed – DND and OOP
Price remains at £5.06 - Ketamine 500mg/10ml solution for injection vials g (1) Category C Pfizer Ltd reference product has now been removed – DND and OOP
Price remains at £8.77 - Loperamide 2mg orodispersible tablets sugar free (12) Category C Imodium Instants reference product has changed to Imodium Instant Melts – BB and OOP
Price increase £4.98 to £5.21
- Macrogol compound oral powder sachets NPF sugar free (20) Category C reference product now reads CosmoCol Orange – BB and OOP
Price remains at £4.18
- Macrogol compound oral powder sachets NPF sugar free (30) Category C reference product now reads CosmoCol – BB and OOP
Price remains at £5.97 - Voriconazole 200mg tablets (28) Category C VFEND reference product has now been removed – DND, BB and OOP
Price remains at £1102.74 - Voriconazole 50mg tablets (28) Category C VFEND reference product has now been removed – DND, BB and OOP
Price remains at £275.68
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:
- Dolutegravir 50mg tablets (30) – Tivicay
- Fentanyl 800microgram buccal tablets sugar free (28) – Effentora
- Lidocaine 400mg/20ml (2%) solution for injection vials (10) – hameln pharma Ltd
- Semaglutide 14mg tablets g (30) – Rybelsus
- Semaglutide 3mg tablets g (30) – Rybelsus
- Semaglutide 7mg tablets g (30) – Rybelsus
- Tacalcitol 4micrograms/g ointment g (100g) – Curatoderm
Part VIIIB Amendments
| Previous Part VIIIB wording | Now reads |
| Betahistine 8mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (200ml) | Betahistine 8mg/5ml oral suspension STD, SF, CF, NSF, AF, FF (200ml) |
| Bisacodyl 2.74mg/ml rectal solution STD, LF, CF, AF, FF, PF, SF (200ml) | Bisacodyl 2.74mg/ml rectal solution STD, CF, AF, FF, PF, SF (200ml) |
| Co-careldopa 12.5mg/50mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml) | Co-careldopa 12.5mg/50mg/5ml oral suspension STD, SF, CF, NSF, AF, FF (100ml) |
| Co-careldopa 25mg/100mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml) | Co-careldopa 25mg/100mg/5ml oral suspension STD, SF, CF, NSF, AF, FF (100ml) |
| Cyclizine 50mg/5ml oral solution STD, SF, AF, FF, PF (100ml) | Cyclizine 50mg/5ml oral solution STD, SF, AF, FF, PF, CF (100ml) |
| Dantrolene 100mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml) | Dantrolene 100mg/5ml oral suspension STD, SF, CF, NSF, AF, FF (100ml) |
| Diltiazem 60mg/5ml oral suspension STD, SF, NSF, AF, LF, CF, FF, PF (100ml) | Diltiazem 60mg/5ml oral suspension STD, SF, NSF, AF, CF, FF, PF (100ml) |
| Fludrocortisone 50micrograms/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF, PF (100ml) | Fludrocortisone 50micrograms/5ml oral suspension STD, SF, CF, NSF, AF, FF, PF (100ml) |
| Levomepromazine 6mg/5ml oral suspension STD, SF, AF, CF, FF, LF, NSF (100ml) | Levomepromazine 6mg/5ml oral suspension STD, SF, AF, CF, FF, NSF (100ml) |
| Melatonin 2.5mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml) | Melatonin 2.5mg/5ml oral suspension STD, SF, CF, NSF, AF, FF (100ml) |
| Salicylic acid 10% in Aqueous cream BP STD, AF, LF, NSF, PF (100g) | Salicylic acid 10% in Aqueous cream BP STD, AF, NSF, PF (100g) |
| Salicylic acid 5% ointment All bases, STD, AF, LF (100g) | Salicylic acid 5% ointment All bases, STD, AF, CF (100g) |
| Tolterodine 2mg/5ml oral suspension STD, SF, NSF, AF, LF, FF, CF, PF (100ml) | Tolterodine 2mg/5ml oral suspension STD, SF, NSF, AF, FF, CF, PF (100ml) |
Part VIIID Amendments
| Previous Part VIIID wording | Now reads |
| Coal tar 5% ointment All bases, STD g(100g) | Coal tar 5% ointment All bases, STD, PF g(100g) |
| Sucralfate 2g/50ml enema STD g(1) | Sucralfate 2g/50ml enema STD, CF g(1) |
Part VIIIB Deletions
- Spironolactone 5mg/5ml oral suspension STD, SF, LF, CF, NSF, FF, AF (125ml)
Part XVI List of contraceptive drugs to be dispensed free of charge Additions
- Akizza 75microgram/30microgram tablets
Part XVI List of contraceptive drugs to be dispensed free of charge Deletions
- Melkine 1.5mg tablets
Part XVI List of medicines covered by the HRT PPC Additions
- Angeliq – Estradiol 1mg / Drospirenone 2mg tablets
Part XVI List of medicines covered by the HRT PPC Amendments
| Previous Part XVI wording | Now reads |
| Non-branded products not listed elsewhere in the table – Estriol 500microgram pessaries & Estriol 0.01% vaginal cream with applicator & Estriol 0.01% vaginal cream |
Non-branded products not listed elsewhere in the table – Estriol 500microgram pessaries & Estriol 0.01% vaginal cream with applicator & Estriol 0.01% vaginal cream & Estriol 1mg/g vaginal cream |
Part XVI List of medicines covered by the HRT PPC Deletions
- FemSeven Sequi Phase 1 – Estradiol 50micrograms/24hours transdermal patches
- FemSeven Sequi Phase 2 – Estradiol 50micrograms/24hours / Levonorgestrel 10micrograms/ 24hours transdermal patches
- Ovestin – Estriol 1mg/g vaginal cream
Note: Ovestin is no longer a branded
medicine and is now available as a
generic medicine. Remaining stocks of
Ovestin cream can still be supplied and
remain eligible for the HRT PPC.
Part II (Drugs for which discount is not deducted (DND)) Additions
- Bosentan tablets (ALL)
- Compleat 1.1 tube feed liquid
- Enalapril 250microgram orodispersible tablets sugar free
- Flupentixol 200mg/1ml solution for injection ampoules
- SLO Milkshake+ IDDSI Level 2 Mildly Thick oral powder 50g sachets
- SLO Milkshake+ IDDSI Level 3 Moderately Thick oral powder 50g sachets
- Solifenacin 5mg/5ml oral solution sugar free
- TYR sphere20 oral powder 35g sachets
Part II (Drugs for which discount is not deducted (DND)) Amendments
| Previous Part II wording | Now reads |
| Dimethyl fumarate 120mg gastro-resistant tablets | Dimethyl fumarate gastro-resistant tablets (ALL) |
| Fragmin 100,000units/4ml solution for injection vials | Fragmin solution for injection vials (ALL) |
| Skilarence 120mg gastro-resistant tablets | Skilarence gastro-resistant tablets (ALL) |
Part II (Drugs for which discount is not deducted (DND)) Deletions
- HealthAid Mega CO-Q-10 120mg capsules
- Ondansetron 4mg oral lyophilisates sugar free
- Ondansetron 8mg oral lyophilisates sugar free
- Phenylbutazone 100mg tablets
- Zofran Melt oral lyophilisates (ALL)
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 February 2026 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Silver Coated Barrier Dressings – Askina Calgitrol Thin | Square 5cm x 5cm |
| HYPODERMIC EQUIPMENT – Needle-Free Insulin Delivery Systems – InsuJet Starter Set | |
| HYPODERMIC EQUIPMENT – Needle-Free Insulin Delivery Systems – InsuJet Nozzle pack | |
| HYPODERMIC EQUIPMENT – Needle-Free Insulin Delivery Systems – InsuJet 3ml Cartridge Adaptor Pack | |
| HYPODERMIC EQUIPMENT – Needle-Free Insulin Delivery Systems – InsuJet 10ml Vial Adaptor Pack | |
| APPLIANCES – PESSARIES – Milex (Mediplus Ltd) – Ring Silicone Without Support/Folding | Size 11, 114mm (Outer Diameter) N Size 12, 121mm (Outer Diameter) N Size 13, 127mm (Outer Diameter) |
| APPLIANCES – PESSARIES – Milex (Mediplus Ltd) – Ring Silicone With Support/Folding | N Size 11, 114mm (Outer Diameter) N Size 12, 121mm (Outer Diameter) N Size 13, 127mm (Outer Diameter) |
| STOMA APPLIANCES – ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) – Pelican Platinum with Vitamin E Adhesive Remover Wipe | 130500E, 30 sachets |
| STOMA APPLIANCES – COLOSTOMY BAGS – Ostique Ltd – Onovus Solo 1 piece closed ostomy bag, Light Grey | Cut-to-fit, 13-45mm, OST45MC/S |
| STOMA APPLIANCES – DEODORANTS – Respond Healthcare Ltd – Glide Odour Neutralising Pouch Lubricant | TCB6, 300ml |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Dansac Nova 1 EasiFold X3 Drainable |
Clear, cut-to-fit, 15-46mm, 862-15 Opaque, N cut-to-fit, 15-46mm, 861-15 Opaque, pre-cut, N 25mm 861-25 Opaque, pre-cut, N 35mm 861-35 |
| STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Ostique Ltd – Onovus Solo 1 piece open ostomy bag | Light Grey, cut-to-fit, 13-45mm, OST45MI/S |
| STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – Pelican Healthcare Ltd – Pelican Platinum with Vitamin E Barrier Cream | 130100E, 60g |
| STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – Respond Healthcare Ltd – Guard Barrier Cream | All products |
| STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Hollister Ltd – Convex-Floating Flange | 55mm flange 35mm stoma, 25335 |
| STOMA APPLIANCES – UROSTOMY BAGS – Hollister Ltd – Impression With Convex wafer (transparent) | 25mm, 1484 |
To view appliances due to be deleted from Part IX of the March, April and May 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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