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 April 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:
- * Adapalene 0.1% cream g (50g) – Differin – OOP
- * Adapalene 0.1% gel g (50g) – Differin – OOP
- Estradiol 30micrograms/24hours / Norethisterone 95micrograms/24hours transdermal patches (8) – Estradot Conti 30/95 – BB and OOP
- Estradiol 30micrograms/24hours / Norethisterone 95micrograms/24hours transdermal patches (24) – Estradot Conti 30/95 – BB and OOP
- Estradiol 40micrograms/24hours / Norethisterone 130micrograms/24hours transdermal patches (8) – Estradot Conti 40/130 – BB and OOP
- Estradiol 40micrograms/24hours / Norethisterone 130micrograms/24hours transdermal patches (24) – Estradot Conti 40/130 – BB and OOP
Part VIIIA Amendments
- Aceclofenac 100mg tablets (60) Category C reference product has changed to Rivopharm (UK) Ltd – BB and OOP
Price increase £8.67 to £9.50
- Amlodipine 10mg/5ml oral solution sugar free (150ml) Category C SyriMed has moved to Category A – DND and BB
Price increase £60.41 to £84.76 - Atomoxetine 40mg capsules (28) Category A has moved to Category M – DND
Price decrease £10.82 to £4.31 - Bezafibrate 200mg tablets (100) Category C Teva UK Ltd has moved to Category A
Price increase £8.63 to £9.92 - Bezafibrate 400mg modified-release tablets (30) Category C Bezalip-Mono reference product has been removed
Price remains at £7.63 - Budesonide 1mg/2ml nebuliser liquid unit dose vials (20) Category A now reads 20(4xg5) to reflect the change in special container status – DND
Price decrease £25.56 to £22.44 - Budesonide 500micrograms/2ml nebuliser liquid unit dose vials (20) Category A now reads 20(4xg5) to reflect the change in special container status – DND
Price decrease £22.90 to £20.94 - Clonazepam 2mg/5ml oral solution sugar free (150ml) Category C SyriMed has moved to Category A – DND
Price decrease £73.86 to £49.79 - Fluoxetine 30mg capsules (30) Category A has moved to Category M
Price decrease £2.17 to £1.37 - Haloperidol 10mg/5ml oral solution sugar free (100ml) Category A has moved to Category C Haldol and now reads g100ml to reflect the change in special container status
Price decrease £7.24 to £4.45 - Hydroxyzine 25mg tablets (28) Category A has moved to Category M
Price decrease £0.81 to £0.80 - Lidocaine 100mg/10ml (1%) solution for injection ampoules (10) Category C hameln pharma Ltd has moved to Category A
Price increase £7.00 to £8.10 - Lidocaine 100mg/5ml (2%) solution for injection ampoules (10) Category C hameln pharma Ltd has moved to Category A
Price increase £6.00 to £7.60 - Lithium carbonate 250mg tablets (100) Category A has moved to Category C Essential Pharma Ltd – DND, BB and OOP
Price decrease £177.59 to £99.53
- Lurasidone 18.5mg tablets (28) Category C Latuda has moved to Category A – BB
Price decrease £80.00 to £67.74 - Lurasidone 37mg tablets (28) Category C Latuda has moved to Category A – BB
Price decrease £80.00 to £69.63 - Mebeverine 50mg/5ml oral suspension sugar free (300ml) Category C Essential Generics Ltd has moved to Category A – DND and BB
Price decrease £205.70 to £146.49 - Metformin 1g/5ml oral solution sugar free (150ml) Category A has moved to Category C Colonis Pharma Ltd – DND, BB and OOP
Price decrease £116.78 to £80.00
- Mitotane 500mg tablets (100) Category C Lysodren reference product has changed to Esteve Pharmaceuticals Ltd – DND, BB and OOP
Price increase £590.97 to £780.08
- Propranolol 50mg/5ml oral solution sugar free (150ml) Category C Rosemont Pharmaceuticals Ltd has moved to Category A
Price decrease £38.50 to £26.60 - Propylthiouracil 100mg tablets (56) Category C Macleods Pharma UK Ltd has moved to Category A
Price decrease £56.05 to £44.48 - Prucalopride 1mg tablets (28) Category A has moved to Category M
Price decrease £13.98 to £5.87 - Risperidone 2mg orodispersible tablets sugar free (28) Category C Krka UK Ltd has moved to Category A
Price decrease £45.82 to £9.55 - Roflumilast 500microgram tablets (30) Category C Daxas has moved to Category A
Price increase £37.71 to £52.38 - Salbutamol 100micrograms/dose inhaler CFC free g (200 dose) Category C Ventolin Evohaler reference product has been removed – OOP
Price remains at £1.50 - Sodium picosulfate 5mg/5ml oral solution sugar free (300ml) Category A has moved to Category M
Price decrease £35.72 to £17.00 - Tapentadol 100mg modified-release tablets (56) Category C has moved to Category A
Price decrease £49.82 to £22.79 - Tapentadol 150mg modified-release tablets (56) Category C has moved to Category A
Price decrease £74.73 to £33.01 - Tapentadol 200mg modified-release tablets (56) Category C has moved to Category A
Price decrease £99.64 to £51.53 - Tapentadol 50mg modified-release tablets (28) Category C has moved to Category A
Price decrease £12.46 to £8.73 - Tapentadol 50mg modified-release tablets (56) Category C has moved to Category A
Price decrease £24.91 to £17.46 - Tobramycin 300mg/4ml nebuliser liquid ampoules (56) Category C Bramitob now reads 56(14xg4) to reflect the change in special container status – DND and OOP
Price remains at £1187.00 - Trandolapril 2mg capsules (28) Category A has moved to Category C Viatris UK Healthcare Ltd – BB and OOP
Price decrease £5.72 to £2.94
- Varenicline 1mg tablets (28) Category C Champix has moved to Category A
Price decrease £27.30 to £22.91 - Water for injections 20ml ampoules (20) Category C B.Braun Medical Ltd has moved to Category A
Price increase £18.80 to £23.78
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:
- * Adapalene 0.1% cream g (45g) – Differin
- * Adapalene 0.1% gel g (45g) – Differin
- Alendronic acid 10mg tablets (28) – Accord-UK Ltd
- Econazole 1% cream g (30g) – Pevaryl
- Econazole 1% vaginal cream g (30g) – Gyno-Pevaryl
- Econazole 150mg pessaries g (3) – Gyno-Pevaryl
- Epoetin beta 20,000units/0.6ml solution for injection pre-filled syringes (6) – NeoRecormon
- Insulin degludec 100units/ml solution for injection 3ml prefilled disposable devices (5) – Tresiba FlexTouch
- Methadone 20mg/ml oral solution sugar free (150ml) – Methadose
- Pneumococcal polysaccharide vaccine solution for injection 0.5ml pre-filled syringes g (1) – Pneumovax 23
- Terbutaline 500micrograms/1ml solution for injection ampoules (5) – Bricanyl
- Tramadol 37.5mg / Paracetamol 325mg effervescent tablets sugar free (60) – Tramacet
- Vitamins B and C high potency intramuscular solution for injection 5ml and 2ml ampoules (20(2xg10)) – Pabrinex
- White soft paraffin 15% / Liquid paraffin 6% cream g (50g) – Emcrem
- White soft paraffin 15% / Liquid paraffin 6% cream g (500g) – Emcrem
Part II (Drugs for which discount is not deducted (DND)) Additions
- Aptamil Pepti Syneo powder
- Arize powder
- Aymes Actagain 2.0 Fibre liquid
- Aymes Actagain 2.0 liquid
- Aymes Actagain 2.4 Starter Pack liquid
- Aymes Actagain Creme dessert
- Aymes Actagain Protein Shot
- Aymes Actagain Protein Shot Starter Pack
- Aymes ActaJuni liquid
- Aymes ActaJuni Starter Pack liquid
- FlavourPac oral powder 4g sachets
- Foodlink Extra powder 85g sachets
- L-Citrulline powder
Part II (Drugs for which discount is not deducted (DND)) Amendments
| Previous Part II wording | Now reads |
| Adrenaline (base) solution for injection pre-filled disposable devices (ALL) | Adrenaline (base) 150micrograms/0.15ml (1 in 1,000) solution for injection pre-filled disposable devices |
| Adrenaline (base) 150micrograms/0.3ml (1 in 2,000) solution for injection pre-filled disposable devices | |
| Adrenaline (base) 300micrograms/0.3ml (1 in 1,000) solution for injection pre-filled disposable devices | |
| Emerade (1 in 1,000) solution for injection auto-injectors (ALL) | Emerade 150micrograms/0.15ml (1 in 1,000) solution for injection auto-injectors |
| Emerade 300micrograms/0.3ml (1 in 1,000) solution for injection auto-injectors |
Part II (Drugs for which discount is not deducted (DND)) Deletions
- Dexcom One Sensor
- Dexcom One Transmitter
- FreeStyle Libre 3 Sensor
- Nortriptyline oral solution sugar free (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 April 2026 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – DEBRIDEMENT DEVICE – Physical Debridement Pad – Debrisoft | All packs and sizes |
| APPLIANCES – DETECTION SENSOR, INTERSTITIAL FLUID FOR GLUCOSE – Dexcom One | Sensors and transmitter |
| APPLIANCES – DETECTION SENSOR, INTERSTITIAL FLUID FOR GLUCOSE – Freestyle Libre 3 Sensor | |
| APPLIANCES – HEAD LICE DEVICE – Full Marks Solution | 300ml |
| APPLIANCES – HYPODERMIC EQUIPMENT – Reusable Pens – For Insulin – HumaPen Savvio | Green, Pink and Silver |
| APPLIANCES – HYPODERMIC EQUIPMENT – Lancets – Sterile, Single-Use- palmdoc iCare Advanced (Palmdoc Ltd) | 0.38mm/30 gauge, 100 |
| APPLIANCES – HYPODERMIC EQUIPMENT – Subcutaneous Drug Delivery Accessories – Sterile – Neria Soft 90 | All types and sizes |
| APPLIANCES – HYPODERMIC EQUIPMENT – Subcutaneous Drug Delivery Accessories – Sterile – Neria Soft | 60cm tubing connecting tube, 76-060-2652 |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Breathing Aids- Kapi-Gel Spacers | All types and sizes |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Cleaning Devices – SpiroTect Tube Cleaning Swabs (Kapitex Healthcare Ltd) | |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Cleaning Devices –Trachi-Wipe (Skin Wipe) (Kapitex Healthcare Ltd) | |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Tube Holders – SpiroTect Tube Holder | All types and sizes |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES- Tracheostomy and Laryngectomy Protectors – Provox Tracheofix – Ivory | 70mm x 70mm (1 strip) |
| STOMA APPLIANCES-SKIN FILLERS AND PROTECTIVES –Essity UK Ltd- Cutimed Protect Cream | 2g sachet |
| CHEMICAL REAGENTS-DETECTION STRIPS, BLOOD FOR DETERMINATION OF INTERNATIONAL NORMALISED RATIO (INR) – LumiraDx INR Test |
To view appliances due to be deleted from Part IX of the May, June and July 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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