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 June 2023.

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, contractors incur expenses in obtaining this product (which is not required to be frequently supplied by the contractor).
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 II 

Contractors should note changes made to Clause 14 Serious Shortage Protocol – Reimbursement and Remuneration in the June Drug Tariff:

From 1 June 2023, the allowance for VAT currently paid alongside product reimbursement will stop being paid when reimbursing for products supplied in accordance with SSPs. This change will be reflected from the June 2023 Drug Tariff. For more information click here.

Part XVI (List of medicines covered by the HRT PPC)

From June 2023, the Department of Health and Social Care (DHSC) has updated its definition of Hormone Replacement Therapy covered by the new HRT prepayment certificate (HRT PPC) to include two more HRT medicines to the list. The June 2023 Drug Tariff (Part XVI) has been updated to include the following HRT medicines for which patients will be able to purchase an HRT PPC:

Intrarosa – Prasterone 6.5mg pessaries
Livial – Tibolone 2.5mg tablets

Part VIIIA Additions

Category A Additions:

Colecalciferol 15,000units/5ml oral solution sugar free g (100 ml)

Category C Additions:

Ondansetron 8mg/5ml oral solution sugar free (100ml) – Rosemont Pharmaceuticals Ltd – BB, OOP and DND

Part VIIIA Amendments

 
Aciclovir 3% eye ointment g (4.5g) Category C – Agepha Pharma s.r.o generic description now reads Aciclovir 30mg/g eye ointment – OOP
Price remains at £45.00

Budesonide 2mg foam enema g (14 dose) Category C – Budenofalk generic description now reads Budesonide 2mg/application foam enema – OOP
Price remains at £57.11
Drospirenone 3mg / Estetrol 14.2mg tablets (28(1xg28) Category C – Drovelis special container annotation now reads g (28) – OOP
Price remains at £8.60
Fluticasone propionate 250micrograms/dose / Salmeterol 50micrograms/ dose dry powder inhaler g (60 dose) Category C reference product now reads – Seretide 250
Accuhaler – OOP
Price remains at £33.95
Tinzaparin sodium 12,000units/0.6ml solution for injection pre-filled syringes (10) Category C – Innohep reference product has changed to – LEO Pharma – BB, OOP and DND
Price remains at £74.97

Tramadol 100mg modified-release capsules (60) Category C reference product now reads – Zamadol SR – BB, OOP and DND
Price remains at £14.47

Tramadol 200mg modified-release capsules (60) Category C reference product now reads – Zamadol SR – BB, OOP and DND
Price remains at £28.93
Urea 5% / Lauromacrogols 3% cream g (500g) Category C reference product now reads – E45 Itch Relief – OOP
Price increase £14.99 to £17.77

White soft paraffin 15% / Liquid paraffin light 6% cream g (150g) Category C reference product now reads – Oilatum – OOP
Price remains at £3.91

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 A Deletions:

Co-amilofruse 10mg/80mg tablets (28)
Colecalciferol 15,000units/5ml oral solution g 100 ml – Please note the addition of Colecalciferol 15,000units/5ml oral solution sugar free to the June Drug Tariff

Category C Deletions:

Artificial saliva lozenges (30) – AS Saliva Orthana
Chlorhexidine gluconate 0.015% / Cetrimide 0.15% solution 25ml sachets (25) – Sterets Tisept
Chlorhexidine gluconate 0.05% solution 100ml sachets (10) – Sterets Unisept
Chlorhexidine gluconate 0.05% solution 25ml sachets (25) – Sterets Unisept
Co-amoxiclav 125mg/31mg/5ml oral suspension (100ml) – Viatris UK Healthcare Ltd
Co-amoxiclav 250mg/62mg/5ml oral suspension (100ml) – Viatris UK Healthcare Ltd
Colestipol 5g granules sachets sugar free (30) – Colestid
Dolutegravir 10mg tablets (30) – Tivicay
Dolutegravir 25mg tablets (30) – Tivicay
*Fentanyl 100micrograms/dose nasal spray (6 dose (6xg0.1ml)) – Instanyl
Granisetron 2mg tablets (5) – Kytril
Lidocaine 0.66% / Aminoacridine 0.05% oromucosal gel sugar free (8g) – Iglu
Lixisenatide 10micrograms/0.2ml solution for injection 3ml pre-filled disposable devices (1) – Lyxumia
Saxagliptin 2.5mg / Metformin 850mg tablets (56) – Komboglyze

Part II (Drugs for which discount is not deducted (DND)) Additions

Ampicillin 250mg capsules
Chlortalidone 50mg tablets
Diazoxide 50mg tablets
Eudemine 50mg tablets
Flutamide 250mg tablets
Hydrocortisone 10mg soluble tablets sugar free
Hydrocortisone 2.5mg tablets
Mianserin 30mg tablets
Pyrazinamide 500mg tablets
Sitagliptin 100mg/5ml oral solution sugar free

Part II (Drugs for which discount is not deducted (DND)) Deletions

Erythromycin 1g powder for solution for infusion vials
Gosa-S 500mg tablets
Harvoni 90mg/400mg tablets
Magstar 160mg capsules
XPHEN TYR Tyrosidon Free AA Mix powder

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 June 2023 Drug Tariff:

Product
Additional information (size, product code etc)
APPLIANCES – BANDAGES – Cotton, Polyamide and Elastane Bandage – Setocrepe
10cm
APPLIANCES – BANDAGES – Polyamide and Cellulose Contour Bandage, BP 1988 (Nylon & Viscose Stretch Bandage) Length 4m stretched – Slinky
All types and sizes
APPLIANCES – BANDAGES – Sub-compression Wadding Bandage – Softexe 3.5m unstretched
10cm x 3.5m
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Melgisorb
All types and sizes
APPLIANCES – HYPODERMIC EQUIPMENT – Mylife Clickfine AutoProtect
All types and sizes
APPLIANCES – IRRIGATION SOLUTIONS – Steripod (Molnlycke Health Care) – Pod
25 x 20ml
APPLIANCES – PROSTHETIC ADHESIVES – Edge Adhesive
5g
25g
APPLIANCES – SPACER/HOLDING CHAMBER DEVICES – Clip-Tone E
pack of 2
APPLIANCES – SPACER/HOLDING CHAMBER DEVICES – Clip-Tone F
pack of 2
APPLIANCES – Elasticated Surgical Tubular Stockinette Foam Padded – Tubipad Specification 25 – Heel, Elbow, Knee
All types and sizes
APPLIANCES – Elasticated Surgical Tubular Stockinette Foam Padded – Tubipad Specification 25 – Sacral
All types and sizes
APPLIANCES – Ribbed Cotton Surgical Tubular Stockinette – Ribbed Stockinette (Molnlycke) 
All types and sizes
APPLIANCES – SWABS – Alcohol Impregnated Swabs – Sterets Skin Cleansing Swab
3cm sq, 100 sachets per pkt
INCONTINENCE APPLIANCES – INCONTINENCE SHEATHS  – Rochester Medical Ltd – Freedom Sheath (Self-adhesive) – extra large (dia 40mm)
786288, 30
STOMA APPLIANCES – ADHESIVE DISCS/RINGS/PADS/PLASTERS – C S Bullen Ltd – Double-sided Adhesive – Plaster Zinc Oxide
All types and sizes
STOMA APPLIANCES – ADHESIVE DISCS/RINGS/PADS/PLASTERS – C S Bullen Ltd – Double-sided Adhesive – Plastic Acrylic Base
All types and sizes
STOMA APPLIANCES – ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) – ConvaTec Ltd – ConvaTec Niltac Sting Free Medical 
TR101, 50ml aerosol
STOMA APPLIANCES – BAG CLOSURES – C S Bullen Ltd – Plastic Bag Clamp
400, 10
STOMA APPLIANCES – BAG CLOSURES – C S Bullen Ltd – Soft Wire Ties
410, 50
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch Bio dressing resin – Beige – cut-to-fit
13mm-80mm, 2450/00, 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch Bio dressing resin – Clear – cut-to-fit
13mm-64mm, 2250/00, 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch Bio dressing resin – Clear – pre-cut 
All types and sizes
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive – Beige – cut-to-fit
13mm-64mm, 2240/00, 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive – Beige – pre-cut
All types and sizes
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive bio dressing resin – Clear – cut-to-fit
13mm-64mm 2245/00 20
STOMA APPLIANCES – COLOSTOMY BAGS – C S Bullen Ltd – Shelter Closed Pouch microporous adhesive, bio dressing resin  – Clear – pre-cut
 All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Absorbian drainable pouch – 2 Openings with Bio-dressing resin, microporous adhesive and skin barrier – Clear – cut-to-fit
13mm-80mm, UFAS05, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Drainable Pouch – Extra Large Opaque – cut-to-fit
13-80mm, 3600/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Drainable Pouch Microporous adhesive – Clear – cut-to-fit
13-64mm, 3200/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Drainable Pouch Microporous adhesive – Clear – pre-cut
 All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure Bio dressing resin, skin barrier and integral closure – cut-to-fit
All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Bio dressing resin, skin barrier and integral closure – pre-cut
All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, bio dressing resin, skin barrier and integral closure – cut-to-fit
All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, bio dressing resin, skin barrier and integral closure – pre-cut
All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Extra large capacity – cut-to-fit
13mm-80mm, SS3600/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, skin barrier and integral closure – cut-to-fit
13-64mm, SS3200/00, 15
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – C S Bullen Ltd – Shelter Soft and Secure – Microporous adhesive, skin barrier and integral closure – pre-cut
All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Unique – Maxi Clear
All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Unique – Mini opaque 
All types and sizes
STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Unique – Mini Clear
All types and sizes
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – C S Bullen Ltd – Balspray Aerosol
UF95, 1
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – ConvaTec Ltd – ConvaTec Silesse Sting Free – Skin Barrier Wipes
TR103, 30
STOMA APPLIANCES – SKIN FILLERS AND PROTECTIVES – ConvaTec Ltd – ConvaTec Silesse Sting Free – Skin Barrier Soft-Pump Spray
TR104, 50ml
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Shelter Stomacap – Microporous adhesive – cut-to-fit
13mm-64mm 1240/00 15
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Shelter Stomacap – Microporous adhesive – pre-cut
All types and sizes
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Mini Stomacap – cut-to-fit
10mm-32mm, 1740/00, 50
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Microporous adhesive, bio dressing resin – cut-to-fit
13mm-64mm, 1245/00, 15
STOMA APPLIANCES – STOMA CAPS/DRESSINGS – C S Bullen Ltd – Microporous adhesive, bio dressing resin – pre-cut
All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Flexible Plate Microporous adhesive and Bio dressing resin
All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Rigid Plate Bio dressing resin
All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Closed Pouch
All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Drainable Pouch
All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Stoma Cap
All types and sizes
STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – C S Bullen Ltd – Shelter – Drainable Pouch Extra Large
All types and sizes

To view appliances due to be deleted from Part IX of the June, July and August 2023 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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