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 November 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, 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 XVI (List of medicines covered by the HRT PPC)

The November 2023 Drug Tariff (Part XVI) has been updated to include the following HRT medicine for which patients will be able to purchase an HRT PPC:

Gepretix – Progesterone micronised 100mg capsules

Part VIIIA Additions

Category C Additions:

Econazole 1% vaginal cream g (30g) – Gyno-Pevaryl – OOP
Omeprazole 1mg/ml oral suspension sugar free g (75ml) – Rosemont Pharmaceuticals Ltd – OOP and DND
Urofollitropin 75unit powder and solvent for solution for injection vials (10) – Fostimon – BB, OOP and DND

Part VIIIA Amendments

Colistimethate 1million unit powder for nebuliser solution unit dose vials g (30) Category C – Promixin reference product has now been removed – OOP
Price remains at £204.00
Econazole 1% cream g (30g) Category C reference product now reads – Pevaryl – OOP
Price decrease £3.78 to £3.71

Estradiol 0.06% gel (750microgram per actuation) g (80g) Category C – Oestrogel now reads Estradiol 0.06% transdermal gel  (750microgram per actuation) – OOP
Price remains at £6.17
Estradiol 1mg gel sachets (28) Category C – Sandrena now reads Estradiol 1mg transdermal gel sachets – BB and OOP
Price remains at £5.85
Estradiol 500microgram gel sachets (28) Category C – Sandrena now reads Estradiol 500microgram transdermal gel sachets
Price remains at £5.08
Macrogol compound oral powder sachets NPF sugar free (30) Category C reference product now reads – CosmoCol
Price increase £4.72 to £4.99

Testosterone 16.2mg/g gel (20.25mg per actuation) g (88g) Category C – Testogel now reads Testosterone 16.2mg/g transdermal gel (20.25mg per actuation)
Price remains at £ 31.11
Testosterone 2% gel (10mg per actuation) g (60g) Category C – Tostran now reads Testosterone 2% transdermal gel (10mg per actuation)
Price remains at £28.63
Testosterone 50mg/5g gel unit dose sachets (30) Category C – Testogel now reads Testosterone 50mg/5g transdermal gel unit dose sachets
Price remains at £ 31.11
Testosterone 50mg/5g gel unit dose tube (30) Category C – Testim Testosterone 50mg/5g transdermal gel unit dose tube
Price remains at £30.50

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:

Benzydamine 3% cream g (35g) – Difflam
Benzydamine 3% cream g (100g) – Difflam
Coal tar extract 5% shampoo g (250ml) – Alphosyl 2 in 1
Fluconazole 200mg/100ml solution for infusion vials g (1) – Advanz Pharma
Liquid paraffin light 82.8% bath additive g (500ml) – Cetraben emollient

Part VIIIB Additions

Methylphenidate 5mg/5ml oral solution STD, AF, SF (60ml)

Part VIIIB Amendments

Previous Part VIIIB wording 
Now reads 

Azathioprine 50mg/5ml oral solution STD, AF, SF, FF (100ml)
Azathioprine 50mg/5ml oral solution STD, AF, SF, FF, LF (100ml)

Bisoprolol 5mg/5ml oral suspension STD, SF, LF, NSF, AF, FF (100ml)
Bisoprolol 5mg/5ml oral suspension STD, SF, LF, NSF, AF, FF, CF, PF (100ml)

Chlorothiazide 25mg/5ml oral suspension STD, SF, LF, AF, FF (100ml)
Chlorothiazide 25mg/5ml oral suspension STD, SF, LF, AF, FF, CF, NSF, PF (100ml)

Diazepam 10mg/5ml oral suspension STD, AF, FF, LF, NSF, SF (100ml)
Diazepam 10mg/5ml oral suspension STD, AF, FF, LF, NSF, SF, CF, PF (100ml)

Diltiazem 60mg/5ml oral suspension STD, SF, NSF, AF, LF, CF (100ml)
Diltiazem 60mg/5ml oral suspension STD, SF, NSF, AF, LF, CF, FF, PF (100ml)

Doxazosin 4mg/5ml oral suspension STD, SF, NSF, AF (150ml)
Doxazosin 4mg/5ml oral suspension STD, SF, NSF, AF, CF, FF, LF, PF (150ml)

Ergocalciferol 1,000units/5ml oral solution STD, SF, LF, CF, AF,
FF (100ml)
Ergocalciferol 1,000units/5ml oral solution STD, SF, LF, CF, AF,
FF, NSF, PF (100ml)

Gabapentin 100mg/5ml oral suspension STD, AF, FF, LF, NSF, SF
(100ml)
Gabapentin 100mg/5ml oral suspension STD, AF, FF, LF, NSF, SF, CF, PF (100ml)

Indapamide 2.5mg/5ml oral suspension STD, SF (150ml)
Indapamide 2.5mg/5ml oral suspension STD, SF, AF, CF, FF, LF, NSF, PF (150ml)

Lamotrigine 50mg/5ml oral suspension SF, STD, AF, NSF, FF (100ml)
Lamotrigine 50mg/5ml oral suspension SF, STD, AF, NSF, FF, CF, LF, PF (100ml)

Lansoprazole 15mg/5ml oral solution STD, SF, NSF (100ml)
Lansoprazole 15mg/5ml oral solution STD, SF, NSF, LF (100ml)

Melatonin 3mg/5ml oral suspension STD, SF, LF, NSF, AF, CF (100ml)
Melatonin 3mg/5ml oral suspension STD, SF, LF, NSF, AF, CF, FF, PF (100ml)

Melatonin 4mg/5ml oral suspension STD, SF, LF, AF, NSF (150ml)
Melatonin 4mg/5ml oral suspension STD, SF, LF, AF, NSF, CF, FF, PF (150ml)

Metoprolol 12.5mg/5ml oral suspension STD, SF, AF, NSF, CF, LF (100ml)
Metoprolol 12.5mg/5ml oral suspension STD, SF, AF, NSF, CF, LF, FF, PF (100ml)

Nadolol 40mg/5ml oral suspension STD, SF, NSF, AF, LF, FF (100ml)
Nadolol 40mg/5ml oral suspension STD, SF, NSF, AF, LF, FF, CF, PF (100ml)

Phosphate 0.98mmol/ml / Sodium 0.78mmol/ ml oral solution STD, SF, LF, CF, NSF, PF (100ml)
Phosphate 0.98mmol/ml / Sodium 0.78mmol/ ml oral solution STD, SF, LF, CF, NSF, PF, FF (100ml)

Pizotifen 250micrograms/5ml oral suspension STD, SF, NSF, AF, CF, FF (100ml)
Pizotifen 250micrograms/5ml oral suspension STD, SF, NSF, AF, CF, FF, LF, PF (100ml)

Salicylic acid 10% in Aqueous cream BP STD, AF, CF, FF, LF, SF (100g)
Salicylic acid 10% in Aqueous cream BP STD, AF, CF, FF, LF, SF, NSF, PF (100g)

Sildenafil 10mg/5ml oral suspension STD, SF, NSF, AF, LF (100ml)
Sildenafil 10mg/5ml oral suspension STD, SF, NSF, AF, LF, CF, FF, PF (100ml)

Sildenafil 25mg/5ml oral suspension STD, SF, NSF, AF, LF (100ml)
Sildenafil 25mg/5ml oral suspension STD, SF, NSF, AF, LF, CF, FF, PF (100ml)

Sodium chloride 1.5g/5ml (5.13mmol/ml) oral solution STD, SF, LF, CF, AF, FF, PF (100ml)
Sodium chloride 1.5g/5ml (5.13mmol/ml) oral solution STD, SF, LF, CF, AF, FF, PF, NSF (100ml)

Spironolactone 50mg/5ml oral solution STD, SF, FF (20ml)
Spironolactone 50mg/5ml oral solution STD, SF, FF, NSF (20ml)

Theophylline 50mg/5ml oral solution STD, SF, LF, AF, CF, FF (500ml)
Theophylline 50mg/5ml oral solution STD, SF, LF, AF, CF, FF, NSF, PF (500ml)

Theophylline 50mg/5ml oral suspension STD, SF, LF, AF (500ml)
Theophylline 50mg/5ml oral suspension STD, SF, LF, AF, FF, NSF, PF (500ml)

Tolterodine 2mg/5ml oral suspension STD, SF, NSF, AF, LF, FF (100ml)
Tolterodine 2mg/5ml oral suspension STD, SF, NSF, AF, LF, FF, CF, PF (100ml)

Trihexyphenidyl 2mg/5ml oral solution STD, LF, NSF, SF (200ml)
Trihexyphenidyl 2mg/5ml oral solution STD, LF, NSF, SF, CF (200ml)

Trihexyphenidyl 2mg/5ml oral suspension STD, AF, LF, SF, FF (300ml)
Trihexyphenidyl 2mg/5ml oral suspension STD, AF, LF, SF, FF, CF (300ml)

Part VIIIB Deletions

Betamethasone valerate 0.1% ointment 50% in Unguentum M cream STD, NSF (30g)
Chloral hydrate 200mg/5ml oral solution STD, AF, CF, LF,FF,NSF, SF (100ml)
Omeprazole 40mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF, PF (100ml)
Omeprazole 5mg/5ml oral suspension STD, SF, LF, CF, NSF, FF, AF, PF (70ml) – alternative product can be found in Part VIIIA.
Sertraline 100mg/5ml oral suspension STD, SF, LF, CF, NSF, AF, FF (100ml)
Sertraline 25mg/5ml oral suspension STD, SF, LF, AF, FF, CF, NSF (150ml)
Sertraline 50mg/5ml oral suspension STD, SF, LF, CF, NSF, FF, AF (150ml)

Part VIIID Deletions

Calcium carbonate 300mg tablets STD (200)
Colecalciferol 10,000unit tablets STD (12)
Colecalciferol 2,000unit tablets STD, SF (28)
Colecalciferol 20,000unit tablets STD (14)
Colecalciferol 3,000unit tablets STD (28)
Hydrochlorothiazide 25mg tablets STD (28)
Nicotinamide 250mg tablets STD (100)
Phytomenadione 10mg tablets STD, SF (30)
Phytomenadione 10mg tablets STD, SF (50)
Prazosin 2mg tablets STD (28)
Prednisolone sodium phosphate 1% eye drops preservative free PF g(10ml)
Riboflavin 100mg modified-release tablets STD (60)

Part XVI (List of Contraceptive Drugs to be Dispensed Free of Charge) Additions

Drospirenone 3mg / Estetrol 14.2mg tablets
Drovelis

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

Rimegepant 75mg oral lyophilisates sugar free
Vydura 75mg oral lyophilisates

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

Previous Part II listing 
Now reads 

Urofollitropin 150unit powder and solvent for solution for injection vials
Urofollitropin powder and solvent for solution for injection vials (ALL)

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 November 2023 Drug Tariff:

Product
Additional information (size, product code etc)

APPLIANCES – Stainless Steel Catheter For Long Term Use, Reusable For Intermittent Self Catheterisation – Malvern Medical Developments Ltd – Biscath System Comprises of 6 stainless steel catheters with case, brushes, scraper and hard and soft carrying case
All types and sizes

APPLIANCES – CERVICAL COLLAR, SOFT FOAM – Clini Cervical Collar
Small (44cm), OA8009
Medium (48cm), OA8016

APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Activated Charcoal Absorbent Dressing – Askina Carbosorb
All types and sizes

APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Polyurethane Foam Film Dressing – Sterile – Without Adhesive Border Moderate to heavily exuding wounds – Lyofoam Max
All types and sizes

APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Polyurethane Foam Film Dressing – Sterile – Without Adhesive Border Moderate to heavily exuding wounds – Lyofoam Max T
All types and sizes

APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – With Silicone Adhesive Border – Mepilex Border Flex
All types and sizes

APPLIANCES – EMOLLIENT AND BARRIER PREPARATIONS – ExoCream
50g
350g

APPLIANCES – HYPODERMIC EQUIPMENT – Needles for Pre-filled and Reusable Pen Injectors – Unifine Pentips Plus
4mm/33 gauge, 100

APPLIANCES – LYMPHOEDEMA GARMENTS – Jobskin MTM Premium – For Upper Extremities
All types and sizes

APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Breathing Aids – Blom-Singer Hands-Free ATSV II System – ATSV II replacement kit
BE8025H

APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Breathing Aids – Blom-Singer Hands-Free ATSV II System – Diaphragm/faceplate for ATSV II
BE8026H

INCONTINENCE APPLIANCES – ANAL PLUGS – Coloplast Ltd – Peristeen Anal Plug
All types and sizes

STOMA APPLIANCES – COLOSTOMY BAGS – Coloplast Ltd – Assura Conseal 1 Piece Plug
All types and sizes

STOMA APPLIANCES – COLOSTOMY BAGS – Dansac Ltd – Dansac Light Convex – Integral convexity closed bag with filter and soft cover front and back – Opaque starter hole
All types and sizes

STOMA APPLIANCES – COLOSTOMY BAGS – Dansac Ltd – Dansac Light Convex – Integral convexity closed bag with filter and soft cover front and back – Opaque pre-cut
20mm, 257-20, 10
30mm, 257-30, 10
35mm, 257-35, 10
40mm, 257-40, 10

STOMA APPLIANCES – COLOSTOMY BAGS – Dansac Ltd – Dansac Light Convex – Integral convexity closed bag with filter and soft cover front and back – Clear starter hole
All types and sizes

STOMA APPLIANCES – COLOSTOMY BAGS – Dansac Ltd – Dansac Light Convex – Integral convexity closed bag with filter and soft cover front and back – Clear pre-cut
20mm, 258-20, 10
25mm, 258-25, 10
35mm, 258-35, 10
40mm, 258-40, 10
45mm, 258-45, 10

STOMA APPLIANCES – DEODORANTS – Pelican Healthcare Ltd – Dor Pouch Deodorant
130103, 7ml

STOMA APPLIANCES – DEODORANTS – Pelican Healthcare Ltd – Deo-Mint
130770, 50ml

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Dansac InVent Symm Convex – Integral convexity drainable bag with filter, soft spunlace cover front and back (opaque) and back only (clear) symmetrically shaped – Opaque – pre-cut
35mm, 343-35, 10

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Dansac InVent Symm Convex – Integral convexity drainable bag with filter, soft spunlace cover front and back (opaque) and back only (clear) symmetrically shaped – Clear – pre-cut
25mm, 344-25, 10

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd Dansac Nova 1 Drainable – With twin filter and water repellent soft covers includes increased outlet. Anatomical – Opaque
All types and sizes

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd Dansac Nova 1 Drainable – With twin filter and water repellent soft covers includes increased outlet. Symmetrical – Opaque
All types and sizes

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Dansac Ltd – Invent Drainable with filter, soft spunlace material on both sides anatomically – Opaque – pre-cut
20mm, 339-20, 30

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Impression with Convex wafer Transparent
All types and sizes

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Moderma Flex – Maxi Drainable Pouch with integral convexity, FlexWear skin barrier, adhesive border, integral filter and Lock ‘n’ Roll closure system
All types and sizes

STOMA APPLIANCES – ILEOSTOMY (DRAINABLE) BAGS – Hollister Ltd – Premium – with integral filter holder and twenty replacement filters
All types and sizes

STOMA APPLIANCES – TWO PIECE OSTOMY SYSTEMS – Dansac Ltd – Dansac Nova 2 Mini EasiFold Drainable pouch – Clear
All types and sizes

To view appliances due to be deleted from Part IX of the December 2023, January and February 2024 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.

The post Drug Tariff Watch – November 2023 appeared first on Community Pharmacy England.