Scottish Drug Tariff: Amendment sheets for November 2014
1
This document is prepared by the eVADIS Team, Healthcare Information Group, Information Services Division. Enquiries to: [email protected] The complete Scottish Drug Tariff is published on the ISD Scotland website: www.isdscotland.org The following amendments take effect from 1st November 2014. _______________________________________________________________________
The following amendment apply to Part 1 Annex A (Zero Discount list)
ADDITION Noxafil 100mg gastro-resistant tablets
Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.show.scot.nhs.uk/nss
SCOTTISH DRUG TARIFF
MONTHLY NOTICE OF AMENDMENTS
November 2014
Scottish Drug Tariff: Amendment sheets for November 2014
2
ADDITIONS The following additions apply to Part 2 (Dressings)
ADHESIVE DRESSING REMOVER STERILE – SILICONE BASED Appeel Sterile Medical adhesive remover spray 100ml 1650
EMOLLIENT & BARRIER PREPARATIONS Price (p) (each unless otherwise stated)
Cetraben Oint 125g 349 450g 539 Epimax Cream 100g 75 500g pump 249
GAUZE DRESSINGS (IMPREGNATED) Price (p) (each unless otherwise stated)
ManukaDress-IG (Impregnated with manuka honey) 5cm x 5cm 170 10cm x 10cm 280 ManukaDress-IGMAX (Impregnated with manuka honey) 5cm x 5cm 185 10cm x 10cm 325
LYMPHOEDEMA GARMENTS Price (p) (each unless otherwise stated)
Juzo Attractive
Class 1 (18-21mmHg) Per Pair Below Knee closed toe Standard / Short I-VI 2542 Thigh High Closed Toe with Silicone Border
Standard / Short I-VI 4693
Thigh High Closed Toe Wide with Silicone Border
Standard / Short I-VI 4693
Tights Closed Toe Standard / Short I-VI 5000 Class 2 (23-32mmHg) Per Pair Below Knee closed toe Standard / Short I-VI 2542 Thigh High Closed Toe with Silicone Border
Standard / Short I-VI 4693
Thigh High Closed Toe Wide with Silicone Border
Standard / Short I-VI 4693
Tights Closed Toe Standard / Short I-VI 5000
Scottish Drug Tariff: Amendment sheets for November 2014
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LYMPHOEDEMA GARMENTS cont. Price (p) (each unless otherwise stated)
Juzo Dynamic Cotton
Class 1 (18-21mmHg) Per Pair Below Knee Open toe Standard / Short I-VI 2451 Below Knee Closed toe Standard / Short I-VI 2451 Below Knee Open Toe with Silicone Border Standard / Short I-VI 2650 Below Knee Closed Toe with Silicone Border
Standard / Short I-VI 2650
Thigh High Open Toe Standard / Short I-VI 3616 Thigh High Closed Toe Standard / Short I-VI 3616 Thigh High Open Toe with Silicone Border Standard / Short I-VI 4534 Thigh High Closed Toe with Silicone Border Standard / Short I-VI 4534 Thigh High Open Toe Wide with Silicone Border
Standard / Short I-VI 4534
Thigh High Closed Toe Wide with Silicone Border
Standard / Short I-VI 4534
Tights Open Toe Standard / Short I-VI 4900 Tights Closed Toe Standard / Short I-VI 4900 Per Piece Thigh High Open Toe with Waist Attachment Right Leg
Standard / Short I-VI 2800
Thigh High Closed Toe with Waist Attachment Right Leg
Standard / Short I-VI 2800
Thigh High Open Toe with Waist Attachment Left Leg
Standard / Short I-VI 2800
Thigh High Closed Toe with Waist Attachment Left Leg
Standard / Short I-VI 2800
Class 2 (23-32mmHg) Per Pair Below Knee Open toe Standard / Short I-VI 2451 Below Knee Closed toe Standard / Short I-VI 2451 Below Knee Open Toe with Silicone Border Standard / Short I-VI 2650 Below Knee Closed Toe with Silicone Border
Standard / Short I-VI 2650
Thigh High Open Toe Standard / Short I-VI 3616 Thigh High Closed Toe Standard / Short I-VI 3616 Thigh High Open Toe with Silicone Border Standard / Short I-VI 4534 Thigh High Closed Toe with Silicone Border Standard / Short I-VI 4534 Thigh High Open Toe Wide with Silicone Border
Standard / Short I-VI 4534
Thigh High Closed Toe Wide with Silicone Border
Standard / Short I-VI 4534
Tights Open Toe Standard / Short I-VI 4900 Tights Closed Toe Standard / Short I-VI 4900 Per Piece Thigh High Open Toe with Waist Attachment Right Leg
Standard / Short I-VI 2800
Thigh High Closed Toe with Waist Attachment Right Leg
Standard / Short I-VI 2800
Thigh High Open Toe with Waist Attachment Left Leg
Standard / Short I-VI 2800
Thigh High Closed Toe with Waist Attachment Left Leg
Standard / Short I-VI 2800
Scottish Drug Tariff: Amendment sheets for November 2014
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LYMPHOEDEMA GARMENTS cont. (each unless otherwise stated)
Mediven harmony
Class 1 (15-21mmHg) Per Piece Armsleeve with Shoulder Cap I-VIII 1947 Armsleeve with Shoulder Cap Extra Wide I-VIII 1947 Combined Armsleeve with Shoulder Cap I-VIII 3075 Combined Armsleeve with Shoulder Cap Extra Wide
I-VIII 3075
Class 2 (23-32mmHg) Per Piece Armsleeve with Shoulder Cap I-VIII 2120 Armsleeve with Shoulder Cap Extra Wide I-VIII 2120 Combined Armsleeve with Shoulder Cap I-VIII 3182 Combined Armsleeve with Shoulder Cap Extra Wide
I-VIII 3182
SWABS Alcohol Impregnated Swabs Medicareplus Skin Prep Wipes 3cm sq 160 100 sachets per pkt
WOUND MANAGEMENT DRESSINGS Price (p) (each unless otherwise stated)
Honey Based Topical Application
ManukaDress-T 15g 285 Polyurethane Foam Film Dressing – Sterile Indications: Moderate to heavily exuding wounds With Adhesive Border Biatain Silicone See - Soft Silicone Wound Contact Dressing with Polyurethane Foam Film
Backing–Sterile CE With Silicone Adhesive Border
Protease Modulating Matrix – Sterile Biosorb Square 10cm x 10cm 180 20cm x 20cm 560 Rectangular 10cm x 20cm 298 20cm x 30cm 799
Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing–Sterile CE Precautions: Dressings should be used with care on heavily bleeding wounds. With Silicone Adhesive Border Biatain Silicone Lite 7.5cm x 7.5cm 131 10cm x 10cm 200 12.5cm x 12.5cm 237
Scottish Drug Tariff: Amendment sheets for November 2014
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The following additions apply to Part 3 (Appliances)
Price (p) (each unless otherwise stated)
ANAL IRRIGATION SYSTEM Warning: This product should not be used without assessment by an appropriate
medical professional. Manufacturer Appliance Order No Quantity Price (p) B Braun Medical IryPump S Set 29120E 48500 IryCone+ 29220E 5950 IryPump Container 29240E 4120
Price (p) (each unless otherwise stated)
CATHETERS, Urethral, Urinary (A) ii Nelaton Catheters – (‘ordinary’ cylindrical catheter) single use Teleflex SafetyCat Active Per 30 (Male) (851741-000120-000160) 12-16 5040 (Male Ergothan Tip) (851742-000100-000160) 10-16 5040 (Male Tiemann Tip) (851743-000120-000160) 12-16 5040 (Female Ergothan Tip) (851722-000060-000140) 6-14 5040 (Paediatric Ergothan Tip) (851732-000080-000100) 8-10 5040
EYE PRODUCTS Eye Gel - Carbomer EyeGel 0.2% 10g tube 280
HYPODERMIC EQUIPMENT ● Needles for Pre-filled & Reusable Pen Injectors TriCare 4mm/32 gauge 595 5mm/31 gauge 595 6mm/31 gauge 595 8mm/31 gauge 595
PEAK FLOW METERS (p) (each unless otherwise stated) Order No Each (p) Standard Range EN ISO 23747:2007 Vitalograph myPEF 43950 708
Scottish Drug Tariff: Amendment sheets for November 2014
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The following additions apply to Part 5 (Incontinence Appliances) TUBING AND ACCESSORIES
Manufacturer Appliance Order No Qty Price (p)
Great Bear Healthcare Ltd Mummy and Baby Bear Leg Bag Straps with non-slip silicone backing
30 x 5cm 10633P 5 1400
Optimum Medical Solutions Ugo fix Catheter Straps
Extra Short 35cm 3001 5 1250
Short 45cm 3002 5 1250
Medium 80cm 3003 5 1380
Long 130cm 3009 5 1680
Extra Long 180cm 3010 5 1880
DELETIONS The following deletions apply to Part 2 (Dressings) DRESSINGS
Absorbent Perforated Plastic Film Faced Dressing (Syn. PFA Dressing)
Interpose 5cm x 5cm 9 10cm x 10cm 15 10cm x 20cm 32
Sterile Dressing Pack Non-Drug Tariff Specification CE marked Sterile Woundcare Dressing Packs Sterilised Pack containing: - per pack 44 1 Sterile Field 50cm x 50cm 1 Compartment Dressing Tray 1 Large Apron 1 Pair Walleted Nitrile Gloves Small, medium or large 1 White Polythene Disposable Bag 5 Non Woven Swabs 10cm x 10cm 1 Drape 50cm x 50cm
WOUND MANAGEMENT DRESSINGS – (contd.)
Price (p) (each unless otherwise stated)
Extracellular Matrix Protein Xelma 0.5ml 5882 1ml 10293
Scottish Drug Tariff: Amendment sheets for November 2014
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OTHER CHANGES The following Changes apply to Part 2 (Dressings) WOUND MANAGEMENT DRESSINGS Price (p) (each unless otherwise stated)
Polyurethane Foam Film Dressing – Sterile Indications: Moderate to heavily exuding wounds With Adhesive Border Biatain Silicone
Now Reads With Adhesive Border Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing–Sterile CE With Silicone Adhesive Border Biatain Silicone
Topical Negative Pressure System Accessories Wound Dressing Pack each V.A.C. Simplace Dressing Kit Small 2660 Medium 3058
Now Reads V.A.C. Simplace EX Dressing Kit Small 2660 Medium 3058
The following change applies to Part 3 - Appliances
HERNIA SUPPORT GARMENTS Size or Weight Price (p)
Herniapants.com Orione Hernia Brief each Size 2 (76-80cm) 3650 Size 3 (81-85cm) 3650 Size 4 (86-90cm) 3650 Size 5 (91-95cm) 3650 Size 6 (96-100cm) 3650 Size 7 (101-105cm) 3650 Size 8 (106-110cm) 3650 Size 9 (111-115cm) 3650 Size 10 (116-120cm) 3650
Now listed in Part 2 – Dressings
Scottish Drug Tariff: Amendment sheets for November 2014
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The following change applies to Part 3 – Appliances cont. NASAL PRODUCTS Nasal Aspirator Baby nose clear aspirator (4 little 1) 432 Now Reads Snufflebabe nasal aspirator 432
Scottish Drug Tariff: Price Amendment sheets November 2014
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Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.show.scot.nhs.uk/nss
SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS
November 2014
This document is prepared by the eVADIS Team, Healthcare Information Group,
Information Services Division. Enquiries to: [email protected]
The complete Scottish Drug Tariff is published on the ISD Scotland website: www.isdscotland.org
The following price changes listed become effective from 1st November 2014.
Prices in pence per item, unless otherwise stated. __________________________________________________________
The following price changes apply to Part 2 – Dressings
BANDAGES Price (p)
(each unless otherwise stated) High Compression Bandages (Extensible)
Surepress 10cm x 3m unstretched 358 361
EMOLLIENT & BARRIER PREPARATIONS Price (p)
(each unless otherwise stated)
Fifty:50 Ointment 250g 244 183 500g 487 366 Thirty:30 Ointment 125g 378 381 250g 425 429 500g 642 647 Preparations containing Menthol
Aquasoothe 1% 100g 367 370 500g 1530 1543 2% 50g 184 186 500g 1530 1543
IRRIGATION SOLUTIONS Price (p) (each unless otherwise stated)
Sterile Sodium Chloride 0.9% Sal-e Pods Pod 25 x 20ml 784 791 (Ennogen Healthcare Ltd)
Scottish Drug Tariff: Price Amendment sheets November 2014
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WOUND MANAGEMENT DRESSINGS Price (p) (each unless otherwise stated)
Alginate Dressing Sterile Indications: Medium to Heavy exuding wounds. Algisite Ag 5cm x 5cm 163 165 10cm x 10cm 408 412 10cm x 20cm 751 757
Cavity Dressings Algisite Ag 30cm/2g 564 569
Hydrocolloid Dressing – Semi-permeable – Sterile Sterile One Piece Pack Indications: Light to medium exuding wounds. DuoDERM Signal Square 10cm x 10cm 210 212 14cm x 14cm 368 371 20cm x 20cm 732 738 Heel 18.5cm x 19.5cm 515 519 Sacral 22.5cm x 20cm 602 607
Protease Modulating Matrix – Sterile Indications: All chronic wounds clear of necrotic tissue and visible sign of infection.
Aquacel Extra Rectangular 4cm x 10cm 129 130 4cm x 20cm 189 191 4cm x 30cm 285 287
Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing – Sterile CE
Aquacel Foam Adhesive 10cm x 10cm 212 214
12.5cm x 12.5cm 263 265
17.5cm x 17.5cm 526 530
21cm x 21cm 770 776
25cm x 30cm 996 1005
Heel 19.8cm x 14cm 538 543
Sacral 20cm x 16.9cm 482 487
Aquacel Foam Non-Adhesive 5cm x 5cm 131 134
10cm x 10cm 251 253
15cm x 15cm 422 425
15cm x 20cm 577 581
20cm x 20cm 688 694
Silver Impregnated Polyurethane Foam Film Dressing Without Adhesive Border
Allevyn Ag Heel 10.5cm x 13.5cm 1057 1066
Scottish Drug Tariff: Price Amendment sheets November 2014
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WOUND MANAGEMENT DRESSINGS – (contd.) Price (p)
(each unless otherwise stated)
Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing–Sterile CE Allevyn Gentle Border 15cm x 15cm 393 396
Allevyn Gentle Border Multisite 17.1cm x 17.9cm 422 426
Allevyn Life Heel 25cm x 25.2cm 1094 1103
Topical Negative Pressure System Accessories Wound Dressing Pack each Pico 10cm x 20cm 12350 12455
The following price changes apply to Part 3 – Appliances
Price (p)
(each unless otherwise stated) ANAL IRRIGATION SYSTEM
Oakmed Ltd Aquaflush Compact System Starter Set AFCS 3300 3328 (Contains 1 pump, 5 cones, 5 glove/disposal bags, 1 wash
bag)
Monthly Set AFCM 5900 5950 (Contains 1 pump, 15 cones, 15 glove/disposal bags) Aquaflush Quick System Starter Set AFQS 7700 7765 (Contains 1 water bag, 1 pump, 1 hook for water bag, 1
extension tube, 5 cones, 5 glove/disposal bags, 1 strap 1 wash bag)
Monthly Set AFQM 10100 10186 (Contains 1 water bag, 1 pump, 15 cones, 15 glove/disposal
bags)
Aquaflush Extension Tubes AFExtn pack of 2 595 600 Aquaflush Straps AFStrap per pair 495 499
CATHETERS Gauge (Ch) Price (see Note 1) (p)
(A)i Nelaton Catheter (“Ordinary” cylindrical catheter) Hunter Urology
HunterCath non-coated ISC Pack of 30
Ltd Smooth Nelaton
(Male) SNM08-SNM14 8-14 3293 3321
(Female) SNF08-SNF14 8-14 3293 3321
(Paediatric) SNP06-SNP10 6-10 3293 3321
Scottish Drug Tariff: Price Amendment sheets November 2014
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CATHETERS cont. Gauge (Ch) Price (see Note 1) (p)
(A)(iii) Dilatation catheter – without drainage eyes Hunter Urology Ltd Pack of 30 Aloe Meatal ALOEM10 - ALOEM16 10-16 3854 3887 Anti-Bac D ABD16 – ABD18 16/18 3835 3867
iv. For Long Term Use – Paediatric Per 1 pack (F) Compact Intermittent Catheter with lubricant and urine bag Coloplast Ltd
SpeediCath Compact Set Per 20 pack Female 28522 12 5120 5164 Male 28422 12/18 5120 5164
Stoma Appliances- Reimbursement Prices: Amendment sheets for November 2014
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Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.show.scot.nhs.uk/nss
MONTHLY NOTICE OF AMENDMENTS TO
STOMA APPLIANCES
November 2014
This document is prepared by the eVADIS Team, Healthcare Information Group, Information Services Division. Enquiries to: [email protected] The following amendments to Stoma Appliances take effect from 1st November 2014. Please note that potential additions to Stoma Appliances – Reimbursement prices must be referred through National Procurement (NSS). The full list of Stoma Appliances – Reimbursement prices is available at: http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Stoma-Supplies
____________________________________________________________ ADDITIONS BELTS V BLUSH Vanilla Blush Hernia Support Girdles Ladies Briefs Black Medium (52cm) VBSLB2 1 5000 Large (56cm) VBSLB3 1 5000 X Large (60cm) VBSLB4 1 5000 XX Large (64cm) VBSLB5 1 5000 White Medium (52cm) VBSLW2 1 5000 Large (56cm) VBSLW3 1 5000 X Large (60cm) VBSLW4 1 5000 XX Large (64cm) VBSLW5 1 5000 Ladies Briefs with Legs Black Medium (52cm) VBSKB2 1 5000 Large (56cm) VBSKB3 1 5000 X Large (60cm) VBSKB4 1 5000 XX Large (64cm) VBSKB5 1 5000 White Medium (52cm) VBSKW2 1 5000 Large (56cm) VBSKW3 1 5000 X Large (60cm) VBSKW4 1 5000 XX Large (64cm) VBSKW5 1 5000 Male Briefs Black Medium (66cm) VBSPB2 1 5000 Large (70cm) VBSPB3 1 5000 X Large (74cm) VBSPB4 1 5000 XX Large (78cm) VBSPB5 1 5000 White Medium (66cm) VBSPW2 1 5000 Large (70cm) VBSPW3 1 5000 X Large (74cm) VBSPW4 1 5000 XX Large (78cm) VBSPW5 1 5000
Stoma Appliances- Reimbursement Prices: Amendment sheets for November 2014
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BELTS cont. V BLUSH Vanilla Blush Hernia Support Girdles Male Briefs with Legs Black Medium (66cm) VBSBB2 1 5000 Large (70cm) VBSBB3 1 5000 X Large (74cm) VBSBB4 1 5000 XX Large (78cm) VBSBB5 1 5000 White Medium (66cm) VBSBW2 1 5000 Large (70cm) VBSBW3 1 5000 X Large (74cm) VBSBW4 1 5000 XX Large (78cm) VBSBW5 1 5000 OTHER CHANGES BELTS Manufacturer Appliance Order Qty Price No (p) Bullen CS CareFix StomaSafe Plus Belt S/M CF Plus S/M 1 1759 M/L CF Plus M/L 1 1759 L/XL CF Plus L/XL 1 1759 Now Reads AMI Medical Ltd Corsinil Suportx StomaSafe Plus S/M CF Plus S/M 1 1759 M/L CF Plus M/L 1 1759 L/XL CF Plus L/XL 1 1759 Tytex A/S Carefix Corsinel Made to measure support garments Female 160010-160960 1 7837 162010-162080 1 7837 162340-162480 1 7837 Male 170010-170480 1 7837 172010-172040 1 7837 172180-172240 1 7837 Now Reads AMI Medical Ltd Corsinel Suportx Made to measure support garments Female 160010-160960 1 7837 162010-162080 1 7837 162340-162480 1 7837 Male 170010-170480 1 7837 172010-172040 1 7837 172180-172240 1 7837