PREFACE AMENDMENTS TO THE DRUG TARIFF August 2016

Transcription

08/2016
i) Effective date for all parts except those indicated in (ii)
1st day of the month
ii) Effective date for specific provisions in specified parts
N/A
iii) Date of publication
1st day of the month
TO: General Medical Practitioners, Pharmacy Contractors, Appliance Contractors
PREFACE
AMENDMENTS TO THE DRUG TARIFF
August 2016
1.
In accordance with regulation 89(3) of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (“the 2013 Regulations”), the Secretary of State for Health as respects England and in accordance with regulation 41(4) of the National Health Service (Pharmaceutical
Services) (Wales) Regulations 2013, the Welsh Ministers* as respects Wales have amended the Drug
Tariff and determinations made in respect of the amendments to the Drug Tariff shall have effect from 1
August 2015.
For England, by virtue of regulation 91(1) of the 2013 Regulations, the NHS Commissioning Board (“the
Board”) has been appointed as a determining authority in relation to the pharmaceutical remuneration
listed Schedule 8 to the 2013 Regulations (ie types of service remuneration) and remuneration for
advanced services. This means that both the Secretary of State and the Board are able to determine
remuneration in these areas, although if the Secretary of State determines remuneration in these
areas, he is required to notify the Board of his intention to do so before doing so. As part of a phased
transfer of responsibilities between the Secretary of State and the Board, the Board will be acting as
the lead determining authority in relation to the following Parts:
•
•
•
•
•
Part IIIA
Part IIIB
Part VIA
Part VIB
Part VIC (up to Pharmaceutical Services (Advanced and Enhanced Services)(England) Directions
2013)
By virtue of Part VIE, the Board is also a determining authority for England for the remuneration for
enhanced services and acts as the lead determining authority in that area.
The Secretary of State is the sole determining authority for all other Parts.
Part VII, XI, XIIA, XIVD, XVIIID and XXI are rescinded in this edition of the Drug Tariff.
Before the Secretary of State, NHS Commissioning Board and the Welsh Ministers make further
determinations they will consult with such organisations as appear to be representative of persons to
whose remuneration the determination would relate and such other persons as they consider
appropriate in respect of determinations which relate to persons providing pharmaceutical services, or
a category of such services in accordance with section 165 of the National Health Service Act 2006 and
section 89 of the National Health Service (Wales) Act 2006, regulations made under those sections and
under section 164 of the National Health Service Act 2006 and section 88 of the National Health Service
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08/2016
PREFACE
(Wales) Act 2006.
2.
Please note that you are now being supplied each month with the Drug Tariff which incorporates all
amendments to date. All entries showing a change in price are not specifically included in this preface but
are indicated in the Drug Tariff by L for price reduction and K for price increase; changes to the text relating to code, product description, or the inclusion of a new product are indicated by a vertical line in the
margin.
3.
While every effort is made to ensure that each monthly publication of the Drug Tariff includes all
amendments made by the Secretary of State and the Welsh Ministers to the price applicable to the relevant period, the need to observe printing deadlines sometimes defeats those efforts. Any omitted amendments will be effective from the date on which they came into force, even if publication of the details is
unavoidably delayed.
* Functions of the National Assembly for Wales have transferred to Welsh Ministers in accordance with
section 162 of and paragraph 30 of Schedule 11 to the Government of Wales Act 2006.
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08/2016
PREFACE
4.
ADVANCE NOTICE
4.1
ADDITIONS TO SEPTEMBER 2016 DRUG TARIFF
4.1.1 ADDITIONS TO PART VIIIA EFFECTIVE FROM 1 SEPTEMBER 2016
S Special Container
Apomorphine 30mg/3ml solution for injection pre-filled
disposable devices
Apomorphine 50mg/10ml solution for infusion pre-filled
syringes
Apomorphine 50mg/5ml solution for injection ampoules
Coal tar 4% shampoo
Colecalciferol 2,740units/ml oral drops sugar free
Co-trimoxazole 40mg/200mg/5ml oral suspension sugar
free
Co-trimoxazole 80mg/400mg/5ml oral suspension
Darifenacin 15mg modified-release tablets
Dexamethasone 20mg/5ml oral solution sugar free
S
S
S
S
5
Category C APO-go PEN
5
Category C APO-go
5
150ml
25ml
100ml
Category C APO-go
Category C Polytar Scalp
Category C Fultium-D3
Category A
100ml
28
50ml
Category A
Category C Emselex
Category C Focus
Pharmaceuticals Ltd
Category A
Category A
Dexamethasone 6.6mg/2ml solution for injection ampoules
Ergocalciferol 300,000units/1ml solution for injection
ampoules
Fenofibrate 145mg / Simvastatin 20mg tablets
Fenofibrate 145mg / Simvastatin 40mg tablets
Gentamicin 20mg/2ml solution for injection vials
Ibuprofen 200mg orodispersible tablets sugar free
Imipramine 25mg/5ml oral solution sugar free
Isotretinoin 5mg capsules
Metronidazole 0.75% gel
S
Morphine sulfate 50mg/50ml solution for infusion vials
S
Naproxen 250mg effervescent tablets sugar free
Paracetamol 500mg/5ml oral solution sugar free
Pentazocine 50mg capsules
Pimozide 4mg tablets
Prednisolone 10mg/ml oral solution sugar free
S
5
10
Pregabalin 20mg/ml oral solution sugar free
Promazine 25mg tablets
Promazine 50mg tablets
Quinagolide 75microgram tablets
Ranitidine 50mg/2ml solution for injection ampoules
Salbutamol 2.5mg/2.5ml / Ipratropium bromide
500micrograms/2.5ml nebuliser liquid unit dose vials
Sodium chloride 0.9% nebuliser liquid 2.5ml unit dose
ampoules
Sodium fluoride 0.05% mouthwash sugar free
Stiripentol 250mg oral powder sachets
473ml
100
100
30
5
60
Category C Cholib
Category C Cholib
Category C Gentamicin Paediatric
Category C Nurofen Meltlets
Category A
Category A
Category C Metrogel
Category A
Category C Stirlescent
Category C AMCo
Category C Mylan Ltd
Category C Orap
Category C Focus
Pharmaceuticals Ltd
Category C Lyrica
Category A
Category A
Category C Norprolac
Category A
Category C Combivent
20
Category A
250ml
60
Category C Endekay
Category C Diacomit
iii
S
30
30
5
12
150ml
56
40g
1
20
200ml
28
100
30ml
08/2016
PREFACE
4.2
DELETIONS FROM SEPTEMBER 2016 DRUG TARIFF
4.2.1 DELETIONS FROM PART VIIIA EFFECTIVE FROM 1 SEPTEMBER 2016
Benzoyl peroxide 2.5% gel
Benzoyl peroxide 5% cream
Povidone-Iodine 1.14% dry powder spray
40g
40g
50ml
Category C PanOxyl 2.5 Aquagel
Category C PanOxyl 5
Category C Savlon Dry
4.2.2 DELETIONS FROM PART IX EFFECTIVE FROM 1 SEPTEMBER 2016
See Pages: 234, 236, 238, 317, 443, 444, 508, 509, 553, 558, 577, 622, 624.
4.3
OTHER CHANGES TO SEPTEMBER 2016 DRUG TARIFF
4.3.1 OTHER CHANGES TO PART VIIIA EFFECTIVE FROM 1 SEPTEMBER 2016
S Special Container
Acamprosate 333mg gastro-resistant tablets
168
Fludrocortisone 100microgram tablets
30
Gentamicin 0.3% ear/eye drops
S
iv
10ml
Category C Campral EC will be:
Category A
Category C Aspen Pharma
Trading Ltd will be:
Category A
Category C Genticin will be:
Category A
08/2016
PREFACE
5.
PART VIA - PAYMENT FOR ESSENTIAL SERVICES (PHARMACY CONTRACTORS)
Contractors should note changes made to Practice Payments.
6.
CHANGES TO AUGUST 2016 DRUG TARIFF
6.1
ADDITIONS TO AUGUST 2016 DRUG TARIFF
6.1.1 PART VIIIA - BASIC PRICES OF DRUGS
S Special Container
R Item requiring reconstitution
PAGE 117
Aclidinium bromide
396micrograms/dose /
Formoterol 11.8micrograms/
dose dry powder inhaler
S
60
dose
3250
C
Duaklir Genuair
200
ml
8992
C
AAH
Pharmaceuticals Ltd
100
ml
3175
C
Sandoz Ltd
PAGE 134
Co-danthrusate 50mg/60mg/5ml
oral suspension sugar free
PAGE 138
Diazepam 2mg/5ml oral
suspension
PAGE 140
Diltiazem 120mg modified-release
tablets
56
715
C
Tildiem Retard
capsules
28
1385
C
Viazem XL
tablets
56
727
C
Tildiem Retard
1056
C
Erythroped Forte
PAGE 143
Erythromycin ethyl succinate
500mg/5ml oral suspension
sugar free
R
140
ml
PAGE 144
Estradiol 1mg tablets
84
506
C
Elleste Solo
84
506
C
Elleste Solo
Ethinylestradiol 20microgram /
Drospirenone 3mg tablets
84
1470
C
Eloine
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PAGE 151
Glycopyrronium bromide
55microgram inhalation
powder capsules with device
S
30
2750
C
Seebri Breezhaler
5
4200
C
Levemir Penfill
28
3756
C
Constella
PAGE 154
Insulin detemir 100units/ml
solution for injection 3ml
cartridges
PAGE 159
Linaclotide 290microgram
capsules
S
PAGE 160
Lithium citrate 1.018g/5ml oral
solution
150
ml
1158
C
Li-Liquid
Lithium citrate 509mg/5ml oral
solution
150
ml
579
C
Li-Liquid
40
g
431
C
Zidoval
PAGE 164
Metronidazole 0.75% vaginal gel
S
PAGE 181
Sacubitril 24mg / Valsartan 26mg
tablets
28
4578
C
Entresto
tablets
56
9156
C
Entresto
tablets
56
9156
C
Entresto
100
1300
C
Episenta
100
2910
C
Epilim Chrono
Theophylline 200mg modifiedrelease tablets
56
296
C
Uniphyllin Continus
56
477
C
Uniphyllin Continus
10
5950
C
Innohep
PAGE 184
Sodium valproate 300mg
modified-release capsules
Sodium valproate 500mg
modified-release tablets
S
PAGE 187
PAGE 188
Tinzaparin sodium 10,000units/
0.5ml solution for injection
pre-filled syringes
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PREFACE
pre-filled syringes
10
7140
C
Innohep
pre-filled syringes
10
8330
C
Innohep
pre-filled syringes
10
9520
C
Innohep
pre-filled syringes
10
10708
C
Innohep
pre-filled syringes
10
1980
C
LEO Pharma
Tinzaparin sodium 20,000units/2ml
solution for injection vials
10
10566
C
Innohep
pre-filled syringes
10
2771
C
LEO Pharma
pre-filled syringes
10
3563
C
LEO Pharma
1
3420
C
Innohep
10
4760
C
Innohep
S
pre-filled syringes
PAGE 191
Triptorelin acetate 11.25mg
powder and solvent for
suspension for injection vials
S
1
20700
C
Decapeptyl SR
Triptorelin acetate 3mg powder
and solvent for suspension for
injection vials
S
1
6900
C
Decapeptyl SR
Triptorelin embonate 22.5mg
S
1
41400
C
Decapeptyl SR
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PREFACE
6.1.2 PART VIIIB - BASIC PRICE OF UNLICENSED MEDICINES
PAGE 199
Enalapril 10mg/5ml oral suspension
STD, SF, AF
100ml
32112
27
60ml
35403
22
PAGE 204
Tranexamic acid 250mg/5ml oral suspension STD, LF, SF, AF
6.1.3 PART IXA - APPLIANCES
M Products marked with this symbol receive a home delivery fee of 930p
o Products marked with this symbol must be dispensed with a supply of wipes and disposal bags
PAGE 223 - CATHETERS, URINARY, URETHRAL
(A)(i) Nélaton Catheter ('ordinary' cylindrical Catheter)
WyMedical Ltd
M WyCath Uncoated catheter
(Paediatric Tiemann Tip) (UTP06-UTP08)
6-8
pack of 30
4200
PAGE 228
(A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use
Vesica Urology Ltd
M OptiSmooth Mitro XL with 4 extra large heat polished drainage eyes
(40cm)
(OSMXL4010-OSMXL4014)
10-14
pack of 60
7680
PAGE 229
WyMedical Ltd
M WyCath H2O hydrophilic 4 eyelets catheter with water sachet (Soft Tip)
(Male 40cm)
(W4SM10-W4SM16)
10-16
pack of 30
4530
PAGE 286 - DRESSINGS
Wound Management Dressings
Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing - Sterile
ActivHeal Silicone Foam Non-Border
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
10cm x 20cm
83
97
143
264
424
266
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
10cm x 20cm
18cm x 18.5cm
107
162
232
284
491
288
360
PAGE 288
With Silicone Adhesive Border
ActivHeal Silicone Foam Border
Sacral
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PREFACE
PAGE 300 - EMOLLIENT AND BARRIER PREPARATIONS
AproDerm Gel
100g
500g
225
525
50g
150g
1050g pump
140
398
1162
9100
9120
9130
1550
785
1550
PAGE 301
Enopen Cream
PAGE 355 - LYMPHOEDEMA GARMENTS
Juzo Expert - Custom made for the lower limb
Garter Belt
PAGE 388 - PHYSICAL DEBRIDEMENT DEVICE
Physical Debridement Pad
Debrisoft Lolly
579
PAGE 408 - TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES
Tracheostomy Breathing Aids
o Laryngotec System
Laryngotec Kombi Laryngectomy Tube (Non-Fenestrated)
44mm length
Size 7
Size 8
Size 9
Size 10
Size 11
62mm length
Size 7
Size 8
Size 9
Size 10
Size 11
70mm length
Size 8
75mm length
Size 9
85mm length
Size 10
14920-0744
14920-0844
14920-0944
14920-1044
14920-1144
14920-0762
14920-0862
14920-0962
14920-1062
14920-1162
14920-0870
14920-0975
14920-1085
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
Laryngotec Kombi Lingo Laryngectomy Tube (Fenestrated)
44mm length
Size 7
Size 8
Size 9
Size 10
Size 11
62mm length
Size 7
Size 8
Size 9
Size 10
Size 11
70mm length
Size 8
75mm length
Size 9
85mm length
Size 10
14720-0744
14720-0844
14720-0944
14720-1044
14720-1144
14720-0762
14720-0862
14720-0962
14720-1062
14720-1162
14720-0870
14720-0975
14720-1085
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
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PREFACE
6.1.4 PART IXC - STOMA APPLIANCES
PAGE 477 - ADHESIVE REMOVERS
Fontus Health Ltd see Rhodes Pharma Ltd
PAGE 612 - SKIN FILLERS AND PROTECTIVES
Fontus Health Ltd
(see also Rhodes
Pharma Ltd)
AproDerm Barrier Cream
APR525M
APR561R
30g
100g
362
750
50
1624
6.1.5 PART IXR - CHEMICAL REAGENTS
PAGE 689 - DETECTION STRIPS, BLOOD FOR GLUCOSE
Colorimetric Cassette - to be read only with the appropriate meter
Mobile
6.1.6 PART XV - BORDERLINE SUBSTANCES
PAGE 729 - LIST A
Low-protein Products
Mevalia low-protein egg replacer
PAGE 745
Vivomixx
For use under the supervision of a physician for the maintenance of remission of ileoanal pouchitis only in adults
as induced by antibiotics.
6.2
DELETIONS FROM AUGUST 2016 DRUG TARIFF
PAGE 144
Estradiol valerate 2mg /
Norethisterone 700microgram
tablets
84
3574
C
Climesse
Sulfinpyrazone 100mg tablets
84
10296
C
AMCo
84
14765
C
AMCo
PAGE 185
6.2.2 PART VIIIB - BASIC PRICE OF UNLICENSED MEDICINES
PAGE 197
Amiodarone 100mg/5ml oral solution
STD, SF, NSF, FF
100ml
17345
1
Atropine 500micrograms/5ml oral solution
STD, SF, LF, CF
125ml
12802
1
PAGE 202
Naproxen 125mg/5ml oral suspension has been removed from this Part.
alternative which can be found in Part VIIIA.
x
There is now a licensed
08/2016
PREFACE
PAGE 204
Sodium phenylbutyrate 625mg/5ml oral
solution
STD, SF
44026
200ml
1
o Products marked with this symbol must be dispensed with a supply of wipes and disposal bags
Teleflex
M Rusch Soft Rubber Jaques
(DT5143-1)
8-14
pack of 1
151
10-18
pack of 25
3461
10-18
pack of 30
4623
PAGE 228
Wellspect HealthCare
M Wellspect HealthCare LoFric
(Tiemann Tip)
(961000-961800)
M Wellspect HealthCare LoFric Primo with integrated water pocket
(Tiemann Tip)
(9661000-9661800)
PAGE 290 - DRESSINGS
Wound Management Dressings
kliniderm Foam Silicone Heel Border
12.5cm x 20cm
459
PAGE 403 - SURGICAL ADHESIVE TAPES
Permeable Non-Woven Synthetic Adhesive Tape BP 1988(Syn: Permeable Non-Woven Sur
1.25cm x 5m
Transpore
52
PAGE 412 - TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES
o SpiroTect HME System
SpiroTect Antibacterial Cassette
pack of 30
Duo
PTC1007
9005
PTW600
PTW601
9005
9005
SpiroTect Baseplate
pack of 20
Duo Oval
Duo Round
xi
08/2016
PREFACE
z Products marked with this symbol qualify for the stoma customisation fee
Medicareplus International Ltd
Medi Lifteez non sting medical adhesive remover
PAGE 554 - DISCHARGE SOLIDIFYING AGENTS
Medi Gelsorb Sachets
60314 75ml aerosol
1010
60369
61052
30
100
895
2975
60291
75ml
1350
S594LP
5
3376
Medi Derma-S Non Sting Medical Barrier Film Aerosol
PAGE 641 - TWO PIECE OSTOMY SYSTEMS
ConvaTec Ltd
Consecura Low Profile
z Stomahesive Locking Flange
100mm
6.2.5 PART IXR - CHEMICAL REAGENTS
PAGE 690 - DETECTION STRIPS, BLOOD FOR DETERMINATION OF INTERNATIONAL NORMALISED
RATIO (INR)
ProTime 3 cuvettes
6.3
49006000
49005000
6
25
1554
6325
OTHER CHANGES TO AUGUST 2016 DRUG TARIFF
PAGE 193
White soft paraffin 50% / Liquid
paraffin 50% ointment
Now Reads
500
g
457
C
500
g
457
C
Alliance Healthcare
(Distribution) Ltd
WyMedical Ltd
M WyCath Uncoated 4 eyelets soft tip catheter
pack of 30
(Standard)
(U4SM12-U4SM14)
Now Reads
(Standard)
(U4SM10-U4SM16)
xii
12-14
4350
10-16
4350
08/2016
PREFACE
pack of 30
(Paediatric)
(WUP05)
5
3300
(Paediatric)
(WUP05, UP06)
5-6
3300
(Female)
(USF10-USF12)
10-12
4350
(Female)
(USF08-USF12)
8-12
4350
Now Reads
M WyCath Uncoated catheter with soft tip
pack of 30
Now Reads
PAGE 300 - EMOLLIENT AND BARRIER PREPARATIONS
AproDerm Cream
45g
450g pump
153
474
45g
450g pump
153
474
Now Reads
AproDerm Emollient Cream (formerly AproDerm Cream)
PAGE 305 - EYE PRODUCTS
Eye Drops - Hypromellose
Lumecare Singles Hypromellose 0.3% (formerly Lumecare Hypromellose 0.3% Eye Drops Preservative Free)
Now Reads
Lumecare Singles Hypromellose 0.3%
Tear-Lac Hypromellose 0.3% (formerly Tear-Lac)
Now Reads
Tear-Lac Hypromellose 0.3%
PAGE 306
Eye Drops - Sodium Hyaluronate
Hylo-Forte 0.2% (formerly Hylo-Forte)
Now Reads
Hylo-Forte 0.2%
Hylo-Tear 0.1% (formerly Hylo-Tear)
Now Reads
Hylo-Tear 0.1%
PAGE 321 - LOW FRICTION PRODUCTS
Parafricta
Undergarment
Boxer Slip On
XS, S, M, L, XL
3514
Boxer Slip On
XS, S, M, L, XL, XXL
3514
Now Reads
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08/2016
PREFACE
PAGE 364 - LYMPHOEDEMA GARMENTS
ReadyWrap (including products formerly listed under ReadyWrap Quick-Fit)
Armsleeve
Small, Average, Tall
Calf
30cm, 35cm
Now Reads
Armsleeve
Calf
30cm, 35cm
Knee
Thigh
Now Reads
Knee
Thigh
S, M, L
S, M, L, XL
16700
8500
S, M, L, XL
S, M, L, XL, XXL
16700
8500
25cm, 30cm
S, M, L, XL
S, M, L, XL
4500
9500
25cm, 30cm
S, M, L, XL, XXL
S, M, L, XL, XXL
4500
9500
Fontus Health Ltd
StoCare Remove Medical Adhesive
Remover Spray
StoCare Remove Non Sting Medical
Adhesive Remover Wipes
Now Reads
Rhodes Pharma Ltd
(formerly Fontus Health
Remover Spray
Ltd)
STC 100
50ml spray
600
STC 200
30 wipes
870
STC 100
50ml spray
600
STC 200
30 wipes
870
Fontus Health Ltd
StoCare Protect No-Sting Protective
Barrier Film Spray
STC 150
50ml
850
StoCare Protect No-Sting Protective
Barrier Film Spray
STC 150
50ml
850
Now Reads
Rhodes Pharma Ltd
(formerly Fontus
Health Ltd)
6.3.4 PART XV - BORDERLINE SUBSTANCES
PAGE 729 - LIST A
Low-protein Products
Loprofin low-protein chocolate and vanilla flavour cream wafers
Now Reads
Loprofin low-protein vanilla flavour cream wafers
xiv
08/2016
CONTENTS
Definitions
Part I
Part II
Part IIIA
Part IIIB
Part IV
Part V
Part VIA
Part VIB
Part VIC
Part VID
Part VIE
Part VII
Part VIIIA
Part VIIIB
Part IX
Part IX
Part IXA
Part IXB
Part IXC
Part IXR
Part X
Part XI
Part XIIA
Part XIIB
Part XIII
Part XIVA
Part XIVB
Part XIVC
Part XIVD
Part XV
Part XVI
Part XVIIA
Part XVIIB(i)
Part XVIIB(ii)
Part XVIIC
Part XVIIIA
Part XVIIIB
Part XVIIIC
Part XVIIID
Part XIX
Part XX
Part XXI
................................................................................................................................. 2
Requirements for the Supply of Drugs, Appliances and Chemical Reagents .......... 3
Requirements Enabling Payments to be made for the supply of Drugs, Appliances and
Chemical Reagents .................................................................................................. 7
Professional Fees (Pharmacy Contractors) ........................................................... 26
Scale of Fees (Appliance Contractors) .................................................................. 28
Consumables and Containers ................................................................................ 29
Deduction Scale (Pharmacy Contractors) .............................................................. 30
Payment for Essential Services (Pharmacy Contractors) ...................................... 33
Payment for Essential Services (Appliance Contractors)....................................... 40
Advanced Services (Pharmacy and Appliance Contractors)(England) .................. 43
Advanced Services (Pharmacy and Appliance Contractors)(Wales) ..................... 77
Enhanced Services (Pharmacy Contractors) ....................................................... 112
Rescinded - Intentionally Blank............................................................................ 114
Basic Prices of Drugs ........................................................................................... 115
Arrangements for payment for Specials and Imported Unlicensed Medicines..... 195
Appliances (Approved list of Appliances - Notes) ................................................ 206
Appliances (List of Technical Specifications) ....................................................... 207
Appliances............................................................................................................ 208
Incontinence Appliances ...................................................................................... 425
Stoma Appliances ................................................................................................ 473
Chemical Reagents .............................................................................................. 687
Home Oxygen Therapy Service ........................................................................... 691
Essential Small Pharmacies Scheme (ESPS)(Wales) ......................................... 699
Payments in respect of Pre-Registration Trainees............................................... 702
Reward Scheme - Fraudulent Prescription forms ................................................ 703
Arrangements for Contractors Concerning Prescription Pricing Errors................ 706
Devolving the Global Sum - Temporary Safeguarding Payments........................ 709
Borderline Substances ......................................................................................... 712
Notes on Charges ................................................................................................ 781
Dental Prescribing................................................................................................ 797
Nurse Prescribers’ Formulary for Community Practitioners (in Wales District Nurses
and Health Visitors) .............................................................................................. 799
Non-Medical Independent Prescribing (Nurses, Pharmacists, Optometrists, Physiotherapists and Chiropodists/Podiatrists)..................................................................... 801
National out-of-hours formulary............................................................................ 802
Drugs, Medicines and Other Substances not to be ordered under a General Medical
Services Contract................................................................................................. 806
Drugs, Medicines and Other Substances that may be ordered only in certain circumstances................................................................................................................. 827
Criteria notified under the Transparency Directive ............................................... 835
Payments to Chemists Suspended by the NHS Commissioning Board or by Direction
of the First-Tier Tribunal ....................................................................................... 837
Requisitions and Private Prescriptions for Controlled Drugs................................ 842
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Definitions -
Definitions
DEFINITIONS
(a) Except where the context otherwise requires, the terms to which a meaning is assigned by the Regulations
or the Terms of Service have the same meaning in this Tariff.
(b) The term ‘contractor’ has for Wales the same meaning as ‘chemist’ as defined in the National Health Service
(Pharmaceutical Services) Regulations 1992 and for England the same meaning as ‘NHS chemist’ as
defined in the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations
2013. LPS chemists will also need to be paid at least part of their remuneration (depending on the terms of
their scheme) in accordance with the Drug Tariff, and so at least some references to ‘contractor’ will apply
equally to them.
(c) A pharmacy contractor is a person with whom the NHS Commissioning Board (NHSCB) for England and
Local Health Board (LHB) for Wales has made arrangements for the provision of pharmaceutical services
in respect of the supply of drugs, appliances and chemical reagents.
(d) An appliance contractor is a person with whom the NHSCB for England and LHB for Wales has made
arrangements for the provision of pharmaceutical services so far as it relates to the supply of appliances
included within Part IXA/B/C of this Tariff.
(e) The term persons includes a body of persons corporate or unincorporate.
(f)
The term Pricing Authority means, as the case may require, the NHS Business Services Authority
(NHSBSA) or the NHS Wales Shared Services Partnership (NWSSP).
(g) The term appliances as used in this Tariff includes dressings.
(h) The term prescription refers to an item on a prescription form or dispensed in accordance with a repeatable
prescription.
(i)
The term prescription form includes, where appropriate, a repeatable prescription.
(j)
The term pharmacy means any premises where drugs are provided by a pharmacist or pharmacy business
as part of pharmaceutical services under section 126 (arrangements for pharmaceutical services) for
England of the National Health Service Act 2006 and Section 80 of the National Health Service (Wales) Act
2006.
(k) Specials are unlicensed medicinal products manufactured in the UK for human use which have been
specially prepared to meet a prescription ordered for individual patients without the need for the
manufacturer to hold a marketing authorisation for the medicinal product concerned.
(l)
Imported products are unlicensed medicinal products sourced from outside the UK under an importers
licence issued by the MHRA. These products have been specially sourced to meet a prescription ordered
for individual patients without the need for the importer to hold a marketing authorisation for the medicinal
product concerned.
In the preparation of this Tariff the Secretary of State for Health and the Welsh Ministers have consulted the
Pharmaceutical Services Negotiating Committee.
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Part I
REQUIREMENTS FOR THE SUPPLY OF DRUGS, APPLIANCES AND CHEMICAL REAGENTS
Part I - Requirements for the Supply of Drugs, Appliances and Chemical Reagents
CLAUSE 1
DRUGS
Any drug included in this Tariff or in the British National Formulary including the Nurse Prescribers' Formulary,
Dental Practitioner's Formulary, European Pharmacopoeia, British Pharmacopoeia or the British Pharmaceutical
Codex, supplied as part of pharmaceutical services, must comply with the standard or formula specified therein
unless the prescriber has indicated to the contrary. Any drug supplied which is not so included must be of a
grade or quality not lower than that ordinarily used for medicinal purposes.
CLAUSE 2
APPLIANCES
The only appliances which may be supplied as part of the pharmaceutical services are those listed in Part IXA/
B/C, and Part X (see Clause 4 below), of the Tariff and which comply with the specifications therein. The items
within Part IXA which are not prescribable on Forms FP10(CN) and FP10(PN) are annotated 2
CLAUSE 3
CHEMICAL REAGENTS
The only chemical reagents which may be supplied as part of the pharmaceutical services are those listed in
Part IXR of the Tariff. The items within Part IXR which are not prescribable on forms FP10(CN) and FP10(PN)
are annotated 2
CLAUSE 4
DOMICILIARY OXYGEN THERAPY SERVICE
The requirements for the supply of domiciliary oxygen and its associated appliances together with the
arrangements for reimbursement of those contractors included on the CCG’s for England and LHB's for Wales
lists of contractors authorised to provide this service, are set out in Part X of the Tariff.
CLAUSE 5
PAYMENTS FOR PROVIDING PHARMACEUTICAL SERVICES
CLAUSE 5A
CLAIMS FOR PAYMENTS
1.
Contractors shall:
(a) endorse prescription forms as required in Clause 9 (Endorsement Requirements) of this Tariff; and
(b) despatch the forms to the relevant division of the NHS Business Service Authority: NHS Prescription
Services for England, or Primary Care Services (PCS) for Wales:
(i) with the appropriate claim form;
(ii) sorted as appropriate;
(iii) in a secure manner that enables tracking and tracing of the delivery; and
(iv) not later than the 5th day of the month following that in which the supply was made. Pharmacy
contractors in England that are enrolled in the Pharmacy Earlier Payment Scheme (as outlined in
Clause 5C) will need to secure delivery to NHS Prescription Services by the 3rd or 8th day of the
month to be able to access funds early.
2.
Claims for payment - repeat dispensing services
(a) endorse batch issues (rather than repeatable prescriptions) as required in Clause 9 (Endorsement
Requirements) of this Tariff. In addition, batch issues relating to drugs, appliances or chemical
reagents which have been dispensed shall be stamped with the contractor's stamp and dated with the
date on which the items were dispensed
(b) despatch the batch issues relating to drugs, appliances or chemical reagents which have been
dispensed to the NHS Prescription Services for England or PCS for Wales:
(i) with the appropriate claim form;
(ii) sorted as appropriate;
(iii) in a secure manner that enables tracking and tracing of the delivery; and
(iv) not later than the 5th day of the month following that in which the supply was made. Pharmacy
contractors in England that are enrolled in the Pharmacy Earlier Payment Scheme (as outlined in
Clause 5C) will need to secure delivery to NHS Prescription Services by the 3rd or 8th day of the
month to be able to access funds early.
(c) destroy any batch issues relating to drugs, appliances or chemical reagents which are not required, or
which should not be dispensed because the contractor has been notified to that effect by the doctor
who issued them or because the relevant repeatable prescription has expired; and
(d) retain repeatable prescriptions until they have expired or are no longer required and then despatch
them to the NHS Prescription Services for England or PCS for Wales:
(i) sorted as appropriate separate from the batch issues;
(ii) in a secure manner that enables tracking and tracing of the delivery; and
(iii) in the month following that in which they expired or the contractor became aware that they were
no longer required.
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Part I
CLAUSE 5B
**CALCULATION OF PAYMENTS
1.
Pharmacy Contractors
Payment for services provided by pharmacy contractors in respect of the supply of drugs, appliances
and chemical reagents supplied against prescriptions at each separate place of business shall
comprise:(i)
(a) The total of the prices of the drugs, appliances and chemical reagents so supplied
calculated in accordance with the requirements of this Tariff.
LESS
*(b) An amount, based on the total of the prices at (i)(a) above, calculated from the table at
Part V ("Deduction Scale").
AND
(ii)
The appropriate professional fee as set out in Part IIIA
AND
(iii)
The allowance for consumables and containers as set out in Part IV.
*NOTE 1
No deduction will be made in respect of prescriptions for items listed on page 10 to page 24 for which
the contractor has not been able to obtain a discount.
**NOTE 2
(Wales only) Payments in respect of October 1999 to March 2000.
Contractors in agreement with LHBs in Wales who have notified the LHB that they accept the revised
basis of calculation of payments for the period 1 October 1999 to 31 March 2000 set out in the National
Assembly's offer letters on 20 November 2000 and 3 April 2001 shall be paid in accordance with the
provisions of these letters.
***NOTE 3
(Wales only) Payments in respect of 1 October 2008 to 31 October 2008.
Contractors in agreements with LHBs in Wales will be paid in accordance with the provisions of:
Part VIA - Payment for Essential Services (Pharmacy Contractors),
Part VIC - Advanced Services (Pharmacy Contractors), Medicines Use Review and Prescription
Intervention Service, and
Part XIII - Payments in respect of Pre Registration Trainees
of the October 2008 edition of this Tariff as they apply in relation to England.
2.
Appliance Contractors
Payment for services provided by appliance contractors in respect of the supply of appliances so
supplied against prescriptions at each separate place of business, shall comprise:(i)
The total of the prices of the appliances, calculated in accordance with Part IXA/B/C
PLUS
(ii)
The appropriate professional fee as set out in IIIB
PROVIDED THAT
(a)
Where prescription forms are received by the Pricing Authority from two or more
contractors whose names are separately entered on the pharmaceutical list for the
supply of appliances only in respect of the provision of services at the same place of
business, all such prescription forms shall be aggregated for the purpose of the
calculation as at (ii) above and the professional fees so calculated shall be applied
to the total number of appliances supplied by each of those persons.
(b)
A contractor's name shall not be entered on the Pharmaceutical List separately for
the same place of business in respect of (1) the supply of appliances, (2) the supply
of drugs and appliances, or (3) the supply of drugs, except in the case of a contractor
for whom separate entries on the Pharmaceutical List relating to the same place of
business were allowed prior to the first day of November 1961.
(c)
Where a contractor's name is entered on the Pharmaceutical List in respect of the
provision of services at more than one place of business, the calculation as at (ii)
above shall be made separately in respect of prescriptions received in respect of the
services provided at each place of business.
PLUS
(iii)
The appropriate fees as set out in IIIB
PLUS
(iv)
An infrastructure payment as set out in VIB.
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Part I
CLAUSE 5C
1.
TIMETABLE FOR PAYMENTS FOR ENGLAND
Pharmacy Contractors
Pharmacy Contractors will be paid monthly via NHSBSA. Payments will be detailed in the FP34
Schedule of Payment, which pharmacy contractors will receive approximately 5 working days before
payment.
Payments will be made monthly and comprise of the following elements:
1.
An estimated 100% advance payment for prescriptions submitted one month earlier
(dispensed two months earlier). This payment is based on the total items declared on the
FP34C submission document and the latest available average Net Ingredient Cost (NIC) for
that pharmacy, less the value of prescription charges collected and declared on the FP34C
submission document;
Formula for calculating estimated advance payment
Average Net Ingredient Cost of the prescriptions * x number of items
declared on submission document less the value of prescription
charges declared as collected at the rate payable on the date of
dispensing
2.
plus the full value of the priced prescriptions submitted two months earlier (dispensed three
months earlier);
3.
minus the recovery of the estimated 100% advance payment paid the previous month related
to the prescriptions submitted two months earlier (dispensed three months earlier).
For example, August’s payment will comprise the 100% advance payment for prescriptions submitted
in July (dispensed in June) with the full value of the priced prescriptions less the recovery of the
estimated 100% advance payment for prescriptions submitted in June (dispensed in May).
NOTE: for the purposes of explanation, part 1 of the payment will be called ‘the advance payment’ and
parts 2 and 3 together will be called the ‘reconciliation’.
From April 2013, contractors will be paid according to either of two payment timetables available. All
pharmacy contractors will be paid to timetable A unless they have enrolled in the Pharmacy Earlier
Payment Scheme (timetable B).
Timetable A:
Pharmacy contractors will be paid a single payment, which will comprise of all the elements outlined
above.
Table 1 Payment timetable for 2013/14
Payment month
April
2013
May June* July
2013 2013 2013
Aug
2013
Sept
2013
Oct
2013
Nov
2013
Dec
2013
Jan
2014
Feb
2014
Mar
2014
Payment date
2
Apr
1
May
31
May
1
July
1
Aug
30
Aug
1
Oct
1
Nov
29
Nov
31
Dec
31
Jan
28
Feb
Advance for
dispensed
prescriptions
Feb
Mar
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Jan
Quantum of
estimated
advance
80%
80%
100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Reconciliation for
dispensed
prescriptions
Jan
Feb
Mar
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Quantum of
reconciliation**
20%
20%
20%
-
-
-
-
-
-
-
-
-
*Due to the transition to the new payment system, in June 2013’s payment only, contractors will receive circa
120% payment.
**The value of (-) could be a positive, negative or zero.
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Timetable B:
The Pharmacy Earlier Payment Scheme (the ‘Scheme’), introduced for prescriptions dispensed in April
2013 and onwards, is a privately financed, voluntary arrangement between pharmacy contractors and
Citibank and facilitated by NHSBSA.
Under the scheme, pharmacy contractors may choose to access their 100% advance payment earlier
than timetable A at the cost of interest paid. They can use either automatic financing or manual
financing. Under automatic financing, pharmacy contractors will automatically be paid their 100%
advance payment (less interest) by Citibank. Under manual financing, pharmacy contractors will need
to request the funds each time they wish to access the early financing. Further information on the
scheme can be found at http://www.citibank.com/transactionservices/home/supplier_finance/
pharmacypayment/
ALL payments to those contractors enrolled in the Scheme will be made through Citibank.
Pharmacy contractors enrolled in the Scheme may access the 100% advance payment prior to the date
outlined in timetable A. Depending on whether the reconciliation element of the payment is positive, a
pharmacy contractor may receive a further payment in a month.
• Advance payment - 100% advance payment for prescriptions dispensed one month earlier may be
accessed from day 8 or 12 of the month the prescriptions are submitted for pricing. To access the
funds from:
• Day 8 - Pharmacy contractors must ensure delivery of the prescription forms with the
correctly completed FP34C to the NHSBSA by the 3rd day of the month.
• Day 12 - Pharmacy contractors must ensure delivery of the prescription forms with the
correctly completed FP34C to the NHSBSA by the 8th day of the month.
Where the 3rd/8th day of the month falls on a weekend or bank holiday, delivery must be secured on
the next working day following this date. Where the NHSBSA recieves delivery after the 8th day of the
month (or the next working day where this falls on a weekend or bank holiday), all payments for the
month will be paid according to timetable A.
• Reconciliation payment:
• Positive reconciliation - Pharmacy contractors will be paid the reconciliation payment
according to timetable A.
• Negative reconciliation - NHSBSA will recover the value of the overestimate from the 100%
advance payment paid the following month.
Where a pharmacy contractor using manual financing does not access the advance payment prior to
the date outlined in timetable A, all payments for the month will be paid according to timetable A.
Table 2 - The table below provides a summary of key submission and payment dates.
Prescriptions received by
NHSBSA
Pharmacy receives
advance payment
element from Citibank
Pharmacy receives
positive reconciliation
payment from Citibank
NHSBSA recover
negative reconciliation
payment from Pharmacy
through Citibank
3rd of the month*
8th of the month*
Normal payment date,
usually 1st of following
month
As a deduction from next
available advance
payment
No later than the 8th of
the month*
12th of the month*
month
available advance
payment
After 8th of the month*
month
month
available advance
payment
*If days referred to above fall on a weekend or bank holiday, the next available working day will be applied.
2.
Appliance Contractors
Appliance contractors will be paid as outlined in Clause 5B(ii) on the first day of every month unless the
payment date falls on a weekend or bank holiday. In these instances, the payment date is brought
forward to the nearest working day except when 1 April falls on a weekend or bank holiday. In this
instance, the payment date is moved to be the first working day of April
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Part II
REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,
APPLIANCES AND CHEMICAL REAGENTS
Part II - Requirements Enabling Payments to be made for the supply of Drugs, Appliances and Chemical Reagents
CLAUSE 6
INFORMATION RELATING TO THE IDENTIFICATION OF THE PRESCRIBER
Where a contractor provides the drugs or appliances ordered on any NHS prescription form, except
forms issued by a Dental Practitioner, the Pricing Authority may return the prescription form to the
contractor (as a referred back) if there is no prescriber code(s) present on the prescription form and
request that the contractor seek the appropriate code(s).
Where the contractor is able to identify the appropriate code(s), they shall endorse the prescription with
the code and return it to the Pricing Authority. Where the contractor is unable to identify the appropriate
code(s), they shall endorse the prescription to indicate that they have been unable to locate the code
and return it to the Pricing Authority to be paid. Returned prescriptions shall be priced using the Drug
Tariff relevant to the month in which the prescription is returned to the Pricing Authority.
CLAUSE 7
PAYMENTS FOR DRUGS, APPLIANCES AND CHEMICAL REAGENTS
A
The price on which payment is based for a quantity of a drug, appliance or chemical reagent supplied
is calculated proportionately from the basic price (see Clause 8 - Basic Price).
B
Subject to the provisions of Clause 10 (Quantity to be supplied) payment will be calculated on the basis
that the exact quantity ordered by the prescriber has been supplied.
C
Where a prescription form has been returned to the contractor for endorsement or elucidation and it is
returned to the Pricing Authority unendorsed, or incompletely endorsed, or without further explanation,
then the price for the drug, appliance or chemical reagent which it orders shall be determined by the
Secretary of State for Health and the Welsh Ministers.
CLAUSE 8
BASIC PRICE
A
The basic price for those drugs, appliances and chemical reagents ordered by a name, or a synonym
of that name, included in Parts VIII or IX shall be the price listed in the Drug Tariff.
B
In exceptional circumstances, where, in the opinion of the Secretary of State for Health and the Welsh
Ministers, there is no product available to contractors, at the price in Part VIII, claims for reimbursement
for a product with a higher price than that listed may be accepted. Such claims shall be made by
endorsement as set out in Clause 9C but only in the circumstances described in that Clause. If the
Secretary of State for Health and the Welsh Ministers are satisfied that the contractor was not able
reasonably to obtain the product at a lower price, the basic price shall be the list price, for supplying to
contractors, of the product and pack size so used, or such other price as the Secretary of State for
Health and the Welsh Ministers shall determine.
The Secretary of State for Health and the Welsh Ministers will publish details of any preparations to
which this applies and the month(s) in which it applies. The Secretary of State for Health and the Welsh
Ministers may in addition specify the products for which endorsement will be accepted.
C
The basic price for a drug which is not listed in Part VIII of the Tariff shall be the list price, for supplying
to contractors, of the pack size to be used for a prescription for that quantity, published by the
manufacturer, wholesaler or supplier. In default of any such list price, the price shall be determined by
the Secretary of State for Health and the Welsh Ministers.
CLAUSE 9
ENDORSEMENT REQUIREMENTS
A
Contractors shall endorse prescription forms for drugs, appliances and chemical reagents listed in this
Tariff as required by this Clause and when so required by the provisions of Part II Clauses 10 (Quantity
to be Supplied) and 11 (Broken Bulk), Part III (Fees), Notes to Part VIIIB and Note 2 to Part IXA/B/C
(Appliances).
B
Prescriptions for drugs not listed in Part VIII of the Tariff shall be endorsed by the contractor with the
pack size from which the order was supplied and, if the order is in pharmacopoeial or 'generic' form,
with the brand name or the name of the manufacturer or wholesaler from whom the supply was
purchased. Where the preparation is in Part VIIIA of the Tariff, endorsement of pack size is not
necessary except for products in Category C that have more than one pack size listed. Where
additional specific endorsement is necessary, contractors shall endorse prescription forms when so
required by the provisions of Part II Clauses 10 (Quantity to be Supplied) and 11 (Broken Bulk), Part III
(Fees) and Notes to Part VIIIB.
C
Where the preparation is in Part VIII of the Tariff and, as described in Clause 8B, in the opinion of the
Secretary of State for Health and the Welsh Ministers there is no product available to contractors at the
appropriate price, endorsements of brand name or of manufacturer or wholesaler of the product and
pack size so used may be accepted. Contractors shall not so endorse unless they have made all
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Part II
reasonable efforts to obtain the product at the appropriate price but have not succeeded. The
endorsement shall be initialled and dated by or on behalf of the contractor, and shall be further
endorsed "no cheaper stock obtainable" or "NCSO" to indicate that the contractor has taken all such
responsible steps.
D
Where insufficient information is available to enable the Pricing Authority to process the prescription,
the form (or a copy of the original form) shall be returned to the contractor who shall endorse the
prescription form (or copy) with the information requested. Returned prescriptions shall be priced using
the Drug Tariff relevant to the month in which the prescription is returned to the Pricing Authority.
E
Where a contractor supplies a quantity at variance with that ordered, ie under the provisions set out in
Clause 10 (Quantity to be Supplied), the prescription shall be endorsed with the quantity supplied.
CLAUSE 10
QUANTITY TO BE SUPPLIED
A
Subject to the requirements of the Weights and Measures (Equivalents for Dealing with Drugs)
Regulation, 1970, with regard to the supply in metric quantities of orders expressed in imperial
quantities, payment will normally be calculated on the basis that the exact quantity ordered by the
prescriber has been supplied, except only of those preparations referred to in B below:
B
Drugs and Chemical Reagents in Special Containers.
Where the quantity ordered by the prescriber does not coincide with that of an original pack and the
drug or chemical reagent is:
(i)
Sterile
(ii)
Effervescent or hygroscopic, or
(iii)
(a) Liquid preparations for addition to bath water
(b) Coal Tar preparations
(c) Viscous external preparations
(iv)
Packed in a castor, collapsible tube, drop-bottle, pressurised aerosol, puffer pack, roll-on
bottle, sachet, shaker, spray, squeeze pack, container with an integral means of applications,
or any other container from which it is not practicable to dispense the exact quantity:
the contractor shall supply in the special container or containers the quantity nearest to that ordered
and endorse the prescription form with the number and size of those containers. Although payment will
normally be based on the quantity nearest to that ordered, some items are available in a larger size
pack or container than that normally required pursuant to orders on prescription forms. Where the
amount ordered on a prescription form, or the frequency of supply, justifies supply from such larger size
pack or container, payment will be based on the cost of that larger size in the absence of endorsement.
* Products included in Clause 10B(iii) are listed on page 24 and page 25.
CLAUSE 11
BROKEN BULK
A
This clause applies to drugs (including ingredients used when preparing a special under the
manufacturing part of the Section 10 exemption from the Medicines Act 1968 on the pharmacy
premises), incontinence and stoma appliances in Part IXB and IXC, chemical reagents, with the
following exceptions: items supplied in special containers covered by Clause 10B, drugs listed in
Category A and M whose smallest pack size has a price of less than £50 and specials and imported
products covered by Part VIIIB.
B
When the quantity ordered on a prescription form is other than the minimum quantity the manufacturer,
wholesaler or supplier is prepared to supply and the contractor, having purchased such minimum
quantity as may be necessary to supply the quantity ordered cannot readily dispose of the remainder,
payment will be made for the whole of the quantity purchased. Subsequent prescriptions, received
during the next six months, will be deemed to have been supplied from the remainder and no further
payment will be made to drug costs other than fees and consumables and container allowances until
that remainder has been or is deemed to have been used up. Thereafter, contractors must endorse
prescription forms to indicate when a claim for payment is being made. The prescription form must be
endorsed ‘BB’ and with the pack size supplied to claim payment.
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CLAUSE 12
OUT OF POCKET EXPENSES
Where, in exceptional circumstances, out-of-pocket expenses have been incurred in obtaining a drug,
appliance or chemical reagent other than those priced in Part VIIIA Category A and M, Part VIIIB, Part
IXA, Part IXR of the Tariff and all other specials and imported products not listed and not required to be
frequently supplied by the contractor, or where out-of-pocket expenses have been incurred in obtaining
oxygen from a manufacturer, wholesaler or supplier specially for supply against a prescription, where
such expenses on any occasion exceed 50p payment of the full amount may be made where the
contractor sends a claim giving particulars to the Pricing Authority on the appropriate prescription form.
The endorsement shall be ‘XP’ or ‘OOP’ to indicate the contractor has taken all reasonable steps to
avoid claiming.
CLAUSE 13
RECONSTITUTION OF CERTAIN ORAL LIQUIDS
A
This clause applies to antibacterial, antiviral or antifungal preparations listed in 5.1, 5.2 and 5.3 (except
5.3.1) of the British National Formulary (BNF), which are for oral administration and requires
reconstitution from granules or powder.
B
When the quantity reconstituted from an original pack or packs is unavoidably greater than the quantity
ordered and it has not been possible for the contractor to use the remainder for or towards supplying
against another prescription, payment will be calculated from the Basic Price of the preparation and will
be based on the nearest pack or number of packs necessary to cover the quantity ordered.
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Drugs for which discount is not deducted
Contractors who have not received discount in respect of the following products need not endorse the
prescription. The prescription price reimbursement will have no discount deduction applied.
GROUP ITEMS
Cold Chain Storage (ALL)
Controlled Drugs in schedules 1, 2 and 3 of the Misuse of Drugs Regulations 2001
Cytotoxic or Cytostatic items (ALL)
Immunoglobulins (ALL)
Insulins for Injection (ALL)
Vaccines and Antisera (ALL)
Unlicensed medicines not listed in Part VIIIB where the product has been sourced from a supplier holding a
MHRA specials or importers licence (prescriptions must be endorsed with invoice price less discount/rebate)
INDIVIDUAL ITEMS
Acetic acid 33% liquid
Acetic acid dilute 420microlitres/5ml oral solution sugar free
Acetic acid glacial
Aclasta 5mg/100ml infusion bottles
Acumor XL 16mg capsules
Acumor XL 24mg capsules
A-CYS 600mg capsules
A-CYS 600mg tablets
Adcirca 20mg tablets
Add Ins oral powder 18.2g sachets
Addiphos solution for infusion 20ml vials
Adoport capsules (ALL)
Advagraf 1mg modified-release capsules
Aimpart XL 4mg tablets
Alicalm oral powder
Alimemazine 30mg/5ml oral solution
Alprostadil 20microgram powder and solvent for solution for injection vials
AmBisome 50mg powder for solution for infusion vials
Aminoven 25 solution for infusion 500ml bottles
Amiodarone 300mg/10ml solution for injection Minijet pre-filled syringes
Amiodarone 300mg/10ml solution for injection pre-filled syringes
Amitiza 24microgram capsules
Ammonaps 500mg tablets
Ammonaps 940mg/g granules
Ammonia solution strong
Ammonium chloride powder
Ampicillin 500mg powder for solution for injection vials
Anapen Junior 150micrograms/0.3ml (1 in 2,000) solution for injection auto-injectors
Andropatch 5mg/24hours patches
Anise water concentrated
APO-go PEN 30mg/3ml solution for injection
APO-go PFS 50mg/10ml solution for infusion pre-filled syringes
APO-go solution for injection ampoules (ALL)
Arimidex 1mg tablets
Arixtra solution for injection pre-filled syringes (ALL)
Arnica tincture
Aromasin 25mg tablets
Aspirin 300mg suppositories
Atomoxetine capsules (ALL)
Atripla 600mg/200mg/245mg tablets
Avonex 30microgram powder and solvent for solution for injection vials
Azactam 1g powder for solution for injection vials
Azactam 2g powder for solution for injection vials
Baraclude tablets (ALL)
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Benzocaine powder
Benzoic acid powder
Benzoin compound tincture
Benzoin tincture
Benzyl benzoate 25% application
Benzyl benzoate crystals
Berinert 500unit powder and solvent for solution for injection vials
Betaferon 300microgram powder and solvent for solution for injection vials
Bismuth subnitrate powder
Bondronat concentrate for solution for infusion vials (ALL)
Bricanyl 2.5mg/5ml solution for injection ampoules
Bramox 5mg tablets
Bromocriptine 2.5mg tablets
Bronchitol 40mg inhalation powder capsules with two devices
Budesonide 1mg/2ml nebuliser liquid unit dose vials
Budesonide 500micrograms/2ml nebuliser liquid unit dose vials
Bumetanide 1mg/5ml oral solution sugar free
Cabaser 1mg tablets
Cabaser 2mg tablets
Caffeine citrate powder
Caffeine citrate 10mg/1ml solution for injection ampoules
Calamine and coal tar ointment
Calogen Extra emulsion
Camphor racemic powder
Camphor water concentrated
Capexion capsules (ALL)
Capimune 100mg capsules
Capimune 50mg capsules
Capreomycin 1g powder for solution for injection vials
Caprilon powder
Capsicum tincture
Capsorin 100mg capsules
Cardamom compound tincture
Casodex tablets (ALL)
Caverject 20microgram powder and solvent for solution for injection vials
CellCept 1g/5ml oral suspension
CellCept 250mg capsules
CellCept 500mg tablets
Celsentri tablets (ALL)
Cerezyme 400 unit powder for solution for infusion vials
Cetrimide powder
Chloral hydrate crystals
Chloramphenicol 250mg capsules
ChloraPrep solution 26ml applicators
ChloraPrep with Tint solution 26ml applicators
Chlorhexidine gluconate 0.5% solution
Chlorhexidine gluconate 4% solution
Chlorocresol powder
Chloroform and morphine tincture
Chloroform liquid
Chloroform spirit
Chloroform water concentrated
Cholestagel 625mg tablets
Cimzia 200mg/1ml solution for injection pre-filled syringes
Cinacalcet 30mg tablets
Ciprofibrate 100mg tablets
Ciproxin infusion 400mg/200ml solution for infusion bottles
Citric acid monohydrate powder
Citronella oil liquid
Clarithromycin 500mg powder for solution for infusion vials
Clexane 300mg/3ml solution for injection multidose vials
11
Part II
08/2016
Clexane Forte solution for injection pre-filled syringes (ALL)
Clexane 40mg/0.4ml solution for injection pre-filled syringes
Clexane 100mg/1ml solution for injection pre-filled syringes
Clobazam 10mg/5ml oral suspension sugar free
Clobazam 5mg/5ml oral suspension sugar free
Clove oil liquid
Clozaril 100mg tablets
Coal tar solution
Coal tar solution strong
Co-codaprin 8mg/400mg dispersible tablets
Co-danthramer 25mg/200mg/5ml oral suspension sugar free
Colesevelam 625mg tablets
Colistimethate 1million unit powder for solution for injection vials
Colobreathe 1,662,500unit inhalation powder capsules
Combivir 150mg/300mg tablets
Complete Amino Acid Mix Powder
Concord 693 250mg capsules
Copaxone 20mg/1ml solution for injection pre-filled syringes
Copegus tablets (ALL)
Copper sulfate pentahydrate powder
CosmoFer 500mg/10ml solution for injection ampoules
Crystal violet powder BP 1980
Cystadane oral powder
Cystagon capsules (ALL)
Cystine500 oral powder sachets
Dalacin C Phosphate 300mg/2ml solution for injection ampoules
Dalacin C Phosphate 600mg/4ml solution for injection ampoules
Dapsone tablets (ALL)
Decapeptyl SR powder and solvent for suspension for injection vials (ALL)
Demeclocycline 150mg capsules
Demorem 4mg/5ml oral solution
Denzapine 100mg tablets
Desferal 500mg powder for solution for injection vials
Desferrioxamine 2g powder for solution for injection vials
Desmospray 10micrograms/dose nasal spray
Desmospray 2.5micrograms/dose nasal spray
Deximune 100mg capsules
Deximune 50mg capsules
Diacomit capsules (ALL)
Diacomit oral powder sachets (ALL)
Dialamine powder
Diethylstilbestrol tablets (ALL)
Dificlir 200mg tablets
Diflucan 200mg capsules
Diflucan 200mg/5ml oral suspension
Diflucan solution for infusion vials (ALL)
Diloxanide 500mg tablets
Dithranol powder
Donepezil orodispersible tablets (ALL)
Duocal liquid
EAA Supplement oral powder 12.5g sachets
Easiphen liquid
E-B2 50mg capsules
Edurant 25mg tablets
Elemental 028 Extra liquid
Elemental 028 Extra powder
Elemental 028 powder
Elive Cod Liver Oil 1000mg capsules
Elmino XL capsules (ALL)
12
08/2016
Part II
Elmiron 100mg capsules
Eltroxin oral solution (ALL)
Emsogen powder
Emtriva 200mg capsules
EN-CYS 600mg tablets
Energivit powder
Enoxaparin sodium 40mg/0.4ml solution for injection pre-filled syringes
Enoxaparin sodium 100mg/1ml solution for injection pre-filled syringes
Enoxaparin sodium 150mg/1ml solution for injection pre-filled syringes
EN-Selenium 200microgram tablets
Enshake oral powder 96.5g sachets banana
Enstar XL 100 tablets
Ensure Plus Commence liquid
Ensure TwoCal liquid
EN-Taurine 500mg capsules
Entocort 2mg/100ml enema
EpiPen Jr. 150micrograms/0.3ml (1 in 2,000) solution for injection auto-injectors
Epivir 300mg tablets
Erythrocin IV lactobionate 1g powder for solution for infusion vials
Ethanol 70% duty paid
Ethanol 90% including duty
Ethanol Absolute Duty Paid
Ethosuximide 250mg capsules
Ether solvent
Ethinylestradiol 10mcg tablets
Ethinylestradiol 1mg tablets
Ethinylestradiol 50mcg tablets
Eucalyptus oil liquid
Eviplera 200mg/25mg/245mg tablets
Evotrox oral solution (ALL)
Exjade dispersible tablets (ALL)
Extavia 300microgram powder and solvent for solution for injection vials
Famciclovir 250mg tablets
Fampyra 10mg modified-release tablets
Femara 2.5mg tablets
Ferinject 100mg/2ml solution for injection vials
Ferinject 500mg/10ml solution for injection vials
Ferric chloride solution
Ferriprox 1000mg tablets
Ferriprox 100mg/ml oral solution
Ferrous sulfate heptahydrate powder
Fibrovein 0.5% solution for injection 2ml ampoules
Fibrovein 3% solution for injection 5ml vials
Firdapse 10mg tablets
Firmagon powder and solvent for solution for injection vials (ALL)
Flexible collodion methylated
Flixotide 2mg/2ml nebules
Flucloxacillin 1g powder for solution for injection vials
Flucloxacillin 500mg powder for solution for injection vials
Fluconazole 200mg/5ml oral suspension
Flumazenil 500micrograms/5ml solution for injection ampoules
Fluticasone 250micrograms/dose / Formoterol 10micrograms/dose inhaler CFC free
Flutiform 250micrograms/dose / 10micrograms/dose inhaler
Formaldehyde solution
Fortini liquid
Fortini Multi Fibre liquid
Fortisip Compact Starter Pack liquid
13
08/2016
Part II
Fortum 1g powder for solution for injection vials
Fortum 500mg powder for solution for injection vials
Fosrenol chewable tablets (ALL)
Fosrenol oral powder sachets (ALL)
Fostimon powder and solvent for solution for injection vials (ALL)
Fragmin 10,000units/0.4ml solution for injection pre-filled syringes
Fragmin 10,000units/1ml solution for injection pre-filled syringes
Fragmin 100,000units/4ml solution for injection vials
Fragmin solution for injection ampoules (ALL)
Frebini Energy Drink
Frebini Energy Fibre liquid
Frebini Energy Fibre liquid unflavoured
Frebini Energy liquid
Frebini Original Fibre liquid
Frebini Original liquid
Fresubin 1000 Complete liquid
Fresubin 2kcal Fibre drink
Fresubin 5kcal shot drink
Fresubin Energy Fibre liquid
Fresubin Energy liquid unflavoured
Fresubin HP Energy liquid
Fresubin Original Fibre liquid
Fresubin Original liquid unflavoured
Fresubin Soya Fibre liquid
Fresubin Thickened Stage 2 custard
GA amino5 oral powder 6g sachets
GA gel oral powder 20g sachets
GA gel oral powder 24g sachets
GA1 Anamix Infant powder
Gabapentin 50mg/ml oral solution sugar free
Galactomin 17 powder
Galactomin 19 powder
Galsya XL capsules (ALL)
Gamolenic acid capsules (ALL)
Gastrografin oral solution
Generaid Plus powder
Gilenya 0.5mg capsules
Ginger tincture strong
Gluchon-S Glucosamine sulfate 400mg / Chondroitin 100mg capsules
Gluchon-S Glucosamine sulfate 400mg / Chondroitin 100mg tablets
Gluchon-S Glucosamine sulfate 500mg / Chondroitin 400mg tablets
Glucosamine Gold Standard 500mg / Chondroitin 400mg tablets
Glucosamine Gold Standard 500mg capsules
Glucosamine Gold Standard 500mg tablets
Glucosamine Gold Standard 750mg tablets
GluCosamine PDP 500mg / Chondroitin 400mg tablets
GluCosamine PDP 750mg tablets
GlutaminOx 5g oral powder sachets sugar free
Glycopyrronium bromide tablets (ALL)
Glycosade oral powder 60g sachets
14
Part II
08/2016
Gonal-f powder and solvent for solution for injection vials (ALL)
Gosachew 1500mg chewable tablets
Gosachew 500mg/400mg chewable tablets
Gosa-S 500mg capsules
Gosa-S tablets (ALL)
Gosaveg 750mg tablets
Goserelin 10.8mg implant pre-filled syringes
Goserelin 3.6mg implant pre-filled syringes
Granocyte-13 powder and solvent for solution for injection vials
Granocyte-34 powder and solvent for solution for injection vials
Guaifenesin powder
HealthAid Mega CO-Q-10 120mg capsules
HCU cooler liquid
HCU express 15 oral powder 25g sachets
HCU gel oral powder 24g sachets
HCU-LV oral powder 27.8g sachets
Heparin sodium 10,000units/10ml solution for injection ampoules
Heparin sodium 5,000units/0.2ml solution for injection ampoules
Hepsera 10mg tablets
Hydrocortisone powder
Hydrogen peroxide 35% solution
Hydrolysed whey protein / Maltodextrin powder
Ibandronic acid 2mg/2ml solution for infusion vials
Ibandronic acid 3mg/3ml solution for injection pre-filled syringes
Ibandronic acid 6mg/6ml solution for infusion vials
Ichthammol liquid
Imigran 100mg tablets
Imigran Radis 100mg tablets
Imigran Subject 6mg/0.5ml solution for injection pre-filled syringes with device
Imigran Subject 6mg/0.5ml solution for injection syringe refill pack
Incivo 375mg tablets
Indoramin 25mg tablets
Industrial methylated spirit 70%
Industrial methylated spirit 70%/Glycerol 1% gel
Infatrini liquid
Innohep 10,000units/0.5ml solution for injection pre-filled syringes
Innohep solution for injection vials (ALL)
Intelence 100mg tablets
Intelence 200mg tablets
Invicorp 1 solution for injection
Invicorp 2 solution for injection
Iodine alcoholic solution
Iodine aqueous oral solution
Iodine solution strong
Iodoform compound paint BPC 1954
Iodoform powder BPC 1954
Ipecacuanha liquid extract
Iscador 1ml solution for injection ampoules
Iscador oral drops
Isentress 400mg tablets
15
08/2016
Part II
Isoleucine50 oral powder 4g sachets
Isopropyl alcohol 70% / Triclosan 0.5% topical solution
Isopropyl alcohol liquid
Isosorbide mononitrate 40mg modified-release tablets
IVA Anamix Infant powder
Jaydess 13.5mg intrauterine device
Jevity 1.5kcal liquid
Jevity liquid
Jevity Plus liquid
Jevity Plus HP gluten free liquid
Jevity Promote liquid
Jext 150micrograms/0.15ml (1 in 1,000) solution for injection auto-injectors
Kaletra 200mg/50mg tablets
Kalydeco 150mg tablets
Keppra 100mg/ml oral solution
Keppra 500mg/5ml concentrate for solution for infusion vials
Keppra 1g tablets
Keppra 500mg tablets
Keppra 750mg tablets
Ketalar 1g/10ml solution for injection vials
KetoCal 4:1 powder
KetoCal 4:1 liquid
Ketoconazole 200mg tablets
Kindergen powder
Kivexa 600mg/300mg tablets
Klaricid IV 500mg powder for solution for infusion vials
L-Arginine powder (Nutricia Ltd)
Lacosamide 150mg tablets
Lactic acid liquid
Lamictal 100mg dispersible tablets
Lamictal 100mg tablets
Lamictal 200mg tablets
Lamivudine 100mg tablets
Lanthanum carbonate chewable tablets sugar free (ALL)
Lanthanum carbonate oral powder sachets (ALL)
LarvE
Lavender oil liquid
Lemon spirit
Leuprorelin 11.25mg powder and solvent for suspension for injection pre-filled syringes
Levetiracetam 100mg/ml oral solution sugar free
Levocarnitine 1.5g/5ml oral solution paediatric
Levothyroxine sodium 100micrograms/5ml oral solution sugar free
Liothyronine 20microgram tablets
Lipistart powder
Liquigen emulsion
Locasol powder
Lodotra 1mg modified-release tablets
Lophlex powder 27.8g sachets
Lorenzo’s oil
Lotprosin XL capsules (ALL)
Magenta powder
Magstar 160mg capsules
Malarone tablets
Mastic compound paste
MCT Pepdite 1+ powder
MCT Pepdite powder
Medrone 100mg tablets
Medroxyprogesterone 400mg tablets
16
Part II
08/2016
Mefenamic acid 50mg/5ml oral suspension
Memantine 10mg/ml oral solution sugar free
Memantine 20mg tablets
Menopur 75unit powder and solvent for solution for injection vials
Menopur 150unit powder and solvent for solution for injection vials
Menthol crystals
Merional powder and solvent for solution for injection vials (ALL)
Meronem powder for solution for injection vials (ALL)
Mesalazine 400mg gastro-resistant tablets
Mesalazine 800mg gastro-resistant tablets
Mestinon retard 180mg tablets
Metformin 500mg/5ml oral solution sugar free
Methyl salicylate 25% liniment
Methyl salicylate 50% ointment
Methyldopa 125mg tablets
Methylprednisolone sodium succinate 1g powder and solvent for solution for injection vials
Metopirone 250mg capsules
Midodrine 5mg tablets
Milupa PKU 2 Prima powder
Milupa PKU 3 Advanta powder
Mimpara tablets (ALL)
Mineralised methylated spirit
Mirena 20micrograms/24hours intrauterine device
MMA PA Anamix Infant powder
Modafinil tablets (ALL)
Modigraf granules sachets (ALL)
Modisal XL 40mg tablets
Modulen IBD powder
Monogen powder
Moxisylyte 40mg tablets
MSUD Aid 111 powder
MSUD Anamix Infant powder
MSUD Anamix Junior oral powder sachets
MSUD cooler liquid
MSUD express 15 oral powder 25g sachets
MSUD gel 24g sachets
MSUD Maxamaid powder
MSUD Maxamum powder
Mycamine powder for solution for infusion vials (ALL)
Mycobutin 150mg capsules
Myfenax 250mg capsules
Myfenax 500mg tablets
Myfortic 180mg gastro-resistant tablets
Nebido 1000mg/4ml solution for injection ampoules
Nebido 1000mg/4ml solution for injection vials
Nebivolol 2.5mg tablets
Negaban 1g powder for solution for injection vials
Nemdatine 20mg tablets
Neocate Active powder
Neocate Advance powder
Neocate LCP powder
Neocate powder
Neocate Spoon powder
Nepro liquid
Neupro transdermal patches (ALL)
Neupro transdermal patches treatment initiation pack
Neurontin 300mg capsules
Neurontin 400mg capsules
Neurontin 600mg tablets
Neurontin 800mg tablets
Nitrofurantoin 25mg/5ml oral suspension sugar free
17
08/2016
Part II
NKH Anamix Infant powder
Norvir 80mg/ml oral solution
Novasource GI Control liquid
Novasource GI Forte liquid
Noxafil 40mg/ml oral suspension
Noxafil 100mg gastro-resistant tablets
Nutilis Complete Stage 1 liquid
Nutramigen 1 LIPIL powder
Nutramigen 2 LIPIL powder
Nutramigen 1 with LGG powder
Nutramigen 2 with LGG powder
Nutramigen PurAmino powder
Nutrini Energy liquid
Nutrini Energy Multifibre liquid
Nutrini liquid
Nutrini Low Energy Multifibre liquid
Nutrini Multifibre liquid
Nutrini Peptisorb liquid
Nutriprem 2 liquid
Nutrison 1000 Complete Multi Fibre liquid
Nutrison 1200 Complete Multi Fibre liquid
Nutrison Concentrated liquid
Nutrison Energy liquid
Nutrison Energy Multi Fibre liquid
Nutrison liquid
Nutrison Low Sodium liquid
Nutrison MCT liquid
Nutrison Multi Fibre liquid
Nutrison Protein Plus liquid
Nutrison Protein Plus Multifibre liquid
Nutrison Soya liquid
Nutrison Soya Multi Fibre liquid
Octim 150micrograms/dose nasal spray
Olanzapine oral lyophilisates sugar free (ALL)
Ondansetron 4mg oral lyophilisates sugar free
Ondansetron 8mg oral lyophilisates sugar free
Ondansetron 8mg tablets
Ondansetron 4mg orodispersible tablets
Ondemet 4mg tablets
Ondemet 4mg/2ml solution for injection ampoules
Ondemet 8mg/4ml solution for injection ampoules
Opilon 40mg tablets
Optifast dessert oral powder 54g sachets vanilla
Optifast soup oral powder 54g sachets vegetable
Optivate 1,000unit powder and solvent for solution for infusion vials
Oral Impact oral powder 74g sachets
Orange tincture BP 2001
Oraqix 25mg/25mg/g periodontal gel 1.7g cartridges
Orfadin capsules (ALL)
Orgalutran 250micrograms/0.5ml solution for injection pre-filled syringes
Osmolite 1.5kcal tube feed liquid
Osmolite HP liquid
Osmolite liquid
Osmolite Plus liquid
Oxcarbazepine 600mg tablets
PaediaSure fibre liquid
PaediaSure liquid
PaediaSure Peptide liquid
PaediaSure Plus liquid
PaediaSure Plus fibre liquid
PaediaSure Plus Juce liquid
18
Part II
08/2016
Pamidronate disodium 15mg/1ml solution for infusion ampoules
Pantoprazole 40mg powder for solution for injection vials
Parvolex 2g/10ml concentrate for solution for infusion ampoules
Pepdite 1+ powder
Pepdite AA Module powder
Pepdite powder
Peppermint water concentrated
Peptamen AF liquid
Peptamen HN liquid
Peptamen Junior Advance gluten free liquid
Peptamen Junior powder
Peptamen liquid
Peptamen liquid unflavoured
Pepti-Junior powder
Peptisorb liquid
Perative liquid
Perfalgan 1g/100ml solution for infusion vials
Pericyazine 10mg/5ml oral solution
Pharmalgen Bee Venom maintenance set 120microgram powder and solvent for solution for injection vials
Pharmalgen Wasp Venom maintenance set 120microgram vaccine powder and solvent for solution for injection
vials
Phenindione tablets (All)
Phenol crystals
Phenol liquefied
Phenoxybenzamine 10mg capsules
Phenoxyethanol BP
Phenylalanine50 oral powder sachets
Phenylbutazone 100mg tablets
Phenytoin sodium 300mg capsules
Phlexy-10 500mg capsules
Phlexy-10 drink mix
Phlexy-10 tablets
Phlexy-Vits powder
Phlexy-Vits tablets
Piperacillin 4g / Tazobactam 500mg powder for solution for injection vials
PK Aid 4 powder
PKU Anamix First Spoon oral powder 12.5g sachets
PKU Anamix Junior LQ liquid
PKU Anamix Junior Powder
PKU cooler 10 liquid
PKU express 15 powder
PKU gel powder
PKU Lophlex LQ 10 liquid
PKU Lophlex LQ 20 liquid
PKU Start liquid
Podophyllum resin powder
Pollinex Grasses + Rye suspension for injection treatment and extension course vials
Polyfusor SB sodium chloride 0.45% infusion 500ml bottles
Potassium permanganate powder
Pramipexole 350microgram tablets
Prezista 100mg/ml oral suspension
Prezista 150mg tablets
Primaxin IV 500mg powder for solution for infusion vials
Proflavine hemisulfate powder
Prograf capsules (ALL)
Prograf 5mg/1ml solution for infusion ampoules
19
08/2016
Part II
Proguanil 100mg / Atovaquone 250mg tablets
Propylthiouracil 50mg tablets
ProSource liquid 30ml sachets
Prostap 3 DCS 11.25mg powder and solvent for suspension for injection pre-filled syringes
ProSure liquid
Provera 400mg tablets
Psytixol 200mg/1ml solution for injection ampoules
Pyrid-10 tablets
Pyrid-20 tablets
Quetiapine 300mg modified-release tablets
Quetiapine 400mg modified-release tablets
Ralnea XL 4mg tablets
Ralnea XL 8mg tablets
Rapamune tablets (ALL)
Raponer XL 8mg tablets
Rebetol 200mg capsules
Relistor 12mg/0.6ml solution for injection vials
Renagel 800mg tablets
Renapro powder
Renilon 7.5 liquid
Renvela 800mg tablets
Renvela 2.4g oral powder sachets
ReQuip 1mg tablets
ReQuip 2mg tablets
ReQuip 5mg tablets
ReQuip tablets follow on pack
ReQuip XL 8mg tablets
Resource Junior complete sip feed
Respifor milkshake style liquid
Retrovir 100mg capsules
Retrovir 250mg capsules
Revatio 10mg/ml oral suspension
Revatio 20mg tablets
Revlimid capsules (ALL)
Revocon 25mg tablets
Revolade tablets (ALL)
Reyataz 150mg capsules
Reyataz 300mg capsules
Rilutek 50mg tablets
Risperidone 1mg/ml oral solution sugar free
Rivastigmine 2mg/ml oral solution
Rivastigmine 2mg/ml oral solution sugar free
Roaccutane 20mg capsules
Robinul powder for solution for iontophoresis
Rotigotine 2mg/24hours transdermal patches
Salbutamol 2mg tablets
Salicylic acid 12% collodion
Salicylic acid powder
Saline 0.9% nebuliser liquid 2.5ml Steri-Neb unit dose vials
Salvacyl 11.25mg powder and solvent for suspension for injection vials
Samsca 15mg tablets
Samsca 30mg tablets
Sandimmun 100mg/ml oral solution
Sandimmun capsules (ALL)
S-Bicarb 600mg tablets
Selenase 100micrograms/2ml oral solution 2ml unit dose ampoules
Selenase 500micrograms/10ml oral solution unit dose vials
20
Part II
08/2016
Selenase 500micrograms/10ml solution for injection vials
Seotiapim XL 200mg tablets
Seroquel 100mg tablets
Seroquel XL 150mg tablets
Sevelamer 800mg tablets
Sideromal 130mg capsules
Silver nitrate powder
Similac High Energy liquid
Sirolimus tablets (ALL)
SMA Althera powder
SMA High Energy milk
Sodium bicarbonate 8.4% (1mmol/ml) solution for injection 10ml ampoules
Sodium bicarbonate 8.4% solution for injection 10ml Minijet pre-filled syringes
Sodium chloride 0.18% / Glucose 4% infusion 1litre Macoflex bags
Sodium chloride 0.9% infusion 100ml Macoflex N bags
Sodium oxybate 500mg/ml oral solution sugar free
Sodium salicylate powder
Solgar Chelated Magnesium 100mg tablets
Solgar CoQ-10 100mg capsules
Sondate XL 200mg tablets
Souvenaid liquid strawberry
Spiroco XL 8mg tablets
Squill liquid extract
Stiripentol 250mg capsules
Strattera capsules (ALL)
Streptomycin 1g powder for solution for injection vials
Sulfadiazine 500mg tablets
Sumatriptan 6mg/0.5ml solution for injection pre-filled disposable devices
Sumatriptan 6mg/0.5ml solution for injection pre-filled pen
Sumatriptan 6mg/0.5ml solution for injection pre-filled syringes with device
Sumatriptan 6mg/0.5ml solution for injection syringe refill
Suplena liquid
Supportan drink
Surgical spirit
Survimed OPD liquid
Sustiva 200mg capsules
Sustiva 600mg tablets
Synarel 200micrograms/dose nasal spray
Tacrolimus granules sachets sugar free (ALL)
Talidex 25mg tablets
Tapclob 10mg/5ml oral suspension
Tapclob 5mg/5ml oral suspension
Tavanic 500mg/100ml solution for infusion vials
Tazocin powder for solution for injection vials (ALL)
Telzir 700mg tablets
Tentrini Energy liquid
Tentrini Energy Multifibre liquid
Tentrini liquid
Tentrini Multifibre liquid
Testosterone undecanoate 1g/4ml solution for injection ampoules
Testosterone undecanoate 1g/4ml solution for injection vials
Tetmodis 25mg tablets
Thalidomide Celgene 50mg capsules
Tobi Podhaler 28mg inhalation powder capsules with device
Tobramycin 300mg/5ml nebuliser liquid ampoules
21
08/2016
Part II
Tolbutamide 500mg tablets
Topiramate 50mg capsules
Tracleer tablets (ALL)
Tranylcypromine 10mg tablets
Trazodone 50mg/5ml oral solution sugar free
Trientine dihydrochloride 300mg capsules
Trimipramine 50mg capsules
Trimipramine tablets (ALL)
Trizivir tablets
Trobalt 200mg tablets
Truvada tablets
Turpentine oil liquid
TwoCal liquid
Tygacil 50mg powder for solution for infusion vials
TYR Anamix Infant powder
TYR Anamix Junior LQ liquid
TYR Anamix Junior oral powder sachets
TYR cooler liquid
TYR express 15 oral powder 25g sachets
TYR gel oral powder 24g sachets
Uard 180XL capsules
Uard 240XL capsules
Ursodeoxycholic acid 300mg tablets
Valaciclovir 250mg tablets
Valcyte 450mg tablets
Valine50 oral powder 4g sachets
Valtrex tablets (ALL)
Vancomycin capsules (ALL)
Vedrop 50mg/ml oral solution
Ventavis 10micrograms/ml nebuliser solution 1ml ampoules
Ventolin 5mg/5ml solution for infusion ampoules
VFEND 40mg/ml oral suspension
VFEND tablets (ALL)
Videx EC 200mg capsules
Videx EC 250mg capsules
Vimpat 150mg tablets
Vimpat 200mg tablets
Viramune 200mg tablets
Viread 245mg tablets
Viridal Duo Continuation Pack 20microgram powder and solvent for solution for injection cartridges
Viridal Duo Continuation Pack 40microgram powder and solvent for solution for injection cartridges
Vital 1.5kcal liquid
Vivadex 1mg capsules
Volibris tablets (ALL)
Voractiv tablets
Warfarin 1mg/ml oral suspension sugar free (Rosemont Pharmaceuticals Ltd)
Wellvone 750mg/5ml oral suspension
White liniment
Wilzin 25mg capsules
Wilzin 50mg capsules
Xagrid 500microgram capsules
Xeomin 100unit powder for solution for injection vials
Xeplion suspension for injection pre-filled syringe (ALL)
XLYS LOW TRY Maxamaid powder
XMET Homidon powder
XMET Maxamaid powder
XMET Maxamum powder
XMTVI Asadon powder
XMTVI Maxamaid powder
22
08/2016
Part II
XMTVI Maxamum powder
XP Maxamaid powder
XP Maxamum powder
XP Maxamum oral powder sachets
XPHEN TYR Maxamaid powder
XPHEN TYR Maxamum powder
XPHEN TYR Tyrosidon free AA Mix powder
Xtandi 40mg capsules
Xyrem 500mg/ml oral solution
Zalasta 10mg orodispersible tablets
Zalasta 15mg tablets
Zalasta 20mg tablets
Zeffix 100mg tablets
Zemplar 1microgram capsules
Zemplar 2microgram capsules
Zenalb 20% solution for infusion 100ml bottles
Zenalb 4.5% solution for infusion 500ml bottles
Zerit 30mg capsules
Zerit 40mg capsules
Ziagen 20mg/ml oral solution
Ziagen 300mg tablets
Zinacef 250mg powder for injection vials
Zinamide 500mg tablets
Zing 220mg capsules
Zofran 16mg suppositories
Zofran 4mg/5ml syrup
Zofran Flexi-amp 4mg/2ml solution for injection
Zofran Flexi-amp 8mg/4ml solution for injection
Zofran Melt oral lyophilisates (ALL)
Zofran tablets (ALL)
Zoladex 3.6mg implant SafeSystem pre-filled syringes
Zoladex LA 10.8mg implant SafeSystem pre-filled syringes
Zolmitriptan 5mg tablets
Zometa 4mg/100ml infusion bottles
Zometa 4mg/5ml solution for infusion vials
Zonegran 100mg capsules
Zonegran 50mg capsules
Zonisamide 100mg capsules
Zovirax Double Strength 400mg/5ml oral suspension
Zovirax I.V. 250mg powder for solution for infusion vials
Zovirax I.V. 500mg powder for solution for infusion vials
Zyprexa 10mg tablets
Zyprexa 5mg tablets
Zyprexa 7.5mg tablets
Zyprexa Velotabs (ALL)
Zyvox 100mg/5ml granules for oral suspension
Zyvox 600mg tablets
Zyvox 600mg/300ml infusion bags
23
08/2016
Part II
PRODUCTS INCLUDED IN CLAUSE 10B(iii)
Products included in Clause 10B(iii) are listed below.
Liquid preparations for external use:
SubPara
(c)
(c)
(a)
(c)
(c)
(c)
Name
Alphosyl Shampoo 2 in 1
Ascabiol Emulsion
Aveeno Bath Oil
Aveeno Body Wash
Aveeno Lotion
Aveeno Moisturising Creamy Oil
Pack(s)
(250ml)
(100ml)
(250ml)
(500ml)
(500ml)
(300ml)
(a)
(a)
Balneum Bath Oil
Balneum Plus Bath Oil 82.95%/15%
(200ml, 500ml and 1000ml)
(500ml)
(b)
(c)
(a)
Capasal Therapeutic Shampoo
Ceanel Concentrate
Cetraben Bath Oil
(250ml)
(150ml and 500ml)
(500ml)
(c)
(c)
(a)
(c)
(c)
(c)
(c)
(a)
Deb Antimicrobial Body Wash
Dentinox Cradle Cap Shampoo
Dermalo Bath Emollient
Dermol 200 Shower Emollient
Dermol 500 Lotion
Dermol 600 Bath Emollient
Dermol Wash cutaneous emulsion
Doublebase Emollient Bath Additive
(150ml and 400ml)
(125ml)
(500ml)
(200ml)
(500ml pump)
(600ml)
(200ml)
(500ml)
(a)
(c)
(c)
(c)
(c)
(a)
(b)
E45 Emollient Bath Oil
E45 Lotion
E45 Shower Creme Emollient
E45 Emollient Wash Cream
Eczmol 1% Cream
Emulsiderm Emollient
Exorex Lotion
(250ml and 500ml)
(200ml and 500ml pump)
(200ml)
(250ml)
(250ml)
(300ml and 1 litre)
(100ml and 250ml)
(a)
(c)
Hydromol Bath and Shower Emollient
Hydromol Intensive 10% Cream
(350ml, 500ml and 1 litre)
(30g and 100g)
(c)
Meted Shampoo
(120ml)
(b)
(b)
Neutrogena T/Gel Shampoo for Dry Hair
Neutrogena T/Gel Therapeutic Shampoo
(125ml and 250ml)
(125ml and 250ml)
(a)
(c)
(a)
(a)
(c)
(a)
(c)
(c)
(c)
Oilatum Bath Formula
Oilatum Cream
Oilatum Emollient
Oilatum Junior Bath Additive
Oilatum Junior Cream
Oilatum Plus Bath Additive
Oilatum Scalp Intensive Shampoo
Oilatum Scalp Treatment Shampoo
Oilatum Shower Gel Fragrance Free
(150ml and 300ml)
(150g, 500ml and 1050ml)
(250ml and 500ml)
(150ml, 250ml, 300ml and 600ml)
(150g, 350ml and 1050ml)
(500ml)
(100ml)
(50ml, 100ml and 150ml)
(150g)
24
08/2016
Part II
Products included in Clause 10B(iii) are listed below.
Liquid preparations for external use:
SubPara
(b)
(a)
(a)
(a)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
Name
Pentrax Shampoo
Pinetarsol Bath Oil
Pinetarsol Gel
Pinetarsol Solution
Polytar AF Liquid
Polytar Emollient
Polytar Liquid
Polytar Plus (Scalp Cleanser)
Psoriderm Bath Emulsion
Psoriderm Cream
Psoriderm Scalp Lotion Shampoo
Psorin Ointment
Pack(s)
(120ml)
(200ml and 500ml)
(100g)
(200ml and 500ml)
(250ml)
(500ml)
(150ml, 250ml and 500ml)
(500ml)
(200ml)
(225ml)
(250ml)
(50g and 100g)
(c)
(a)
(a)
(c)
(c)
Quellada-M Cream Shampoo
Quellada-M Liquid (Aqueous)
QV Bath Oil
QV Cream
QV Lotion
(40g)
(50ml and 200ml)
(200ml and 500ml)
(100g and 500g)
(250ml)
(c)
(a)
(c)
(c)
(c)
Selsun Shampoo
Skin Salvation Bath Oil
Skin Salvation Ointment
Stellisept med 1% skin cleanser
Stellisept med 1% foam
(50ml, 100ml and 150ml)
(100ml)
(30ml, 60ml and 120ml)
(100ml and 500ml)
(200ml)
(a)
Zeroneum Bath Emollient
(500ml)
25
08/2016
Part IIIA
PROFESSIONAL FEES (PHARMACY CONTRACTORS)
Part IIIA - Professional Fees (Pharmacy Contractors)
*
See Part I, Clause 5B 1 (ii) (page 4)
Endorsements under this heading apply only to claims for the appropriate professional fee. The
endorsement codes to be used are:
ED= Preparations prepared under the Section 10 exemption from the Medicines Act 1968
MF= Measured and Fitted
SP= Preparations manufactured under an MHRA specials licence or sourced under an MHRA
importers licence
Further endorsement may be necessary for other purposes eg Part II “CLAUSE 8 BASIC PRICE”,
“CLAUSE 9 ENDORSEMENT REQUIREMENTS” and Notes to Part VIIIA and VIIIB (page 115 and
page 195)
1.
**ALL PRESCRIPTIONS attract a Professional Fee with a value of:
2.
ADDITIONAL FEES:
*Fee per
prescription p
Endorsements
required by
contractors
90
NIL
A.
UNLICENSED MEDICINES
(a)
Preparations manufactured under an MHRA specials licence or
sourced under an MHRA importers licence
2000
SP
(b)
Preparations prepared under the Section 10 exemption from
the Medicines Act 1968
2000
ED
B.
APPLIANCES
(a)
Elastic Hosiery (Compression Hosiery) requiring measurement
and endorsed "measured and fitted"
260
MF
(b)
Trusses requiring measurement and endorsed "measured and
fitted"
260
MF
(c)
Para stomal garments (belts and girdles) where size is not*
indicated in the Drug Tariff requiring measurement and
endorsed “measured and fitted”
260
MF
(d)
Home delivery of Part IXA qualifying items1 (excluding catheter
kits and intermittent self-catheters), Part IXB and Part IXC*
340
NIL
(e)
Home delivery of catheter kits and intermittent self-catheters*
930
NIL
1 Part IXA (qualifying items) include: catheters (urinary and urethral), laryngectomy and tracheostomy, catheter
accessories, catheter maintenance solutions, anal irrigation system, vacuum pumps and constrictor rings for
erectile dysfunction, and wound drainage pouches.
** Contractors eligible under Part XIVD of the Drug Tariff will be paid subject to the transition arrangements
outlined.
26
Part IIIA
08/2016
PROFESSIONAL FEES (PHARMACY CONTRACTORS)
See Part I, Clause 5B 1 (ii) (page 4)
Fee per
prescription p
C.
All prescriptions for oral liquid methadone attract a payment
D.
Where the quantity dispensed to the patient for a prescription
for oral liquid methadone covers more than one dose and the
contractor has packaged each dose separately
E.
Where the prescription is for a Controlled Drug in Schedule 2 or
3 of the Misuse of Drugs Regulations 2001
Schedule 2 drug
Schedule 3 drug
F.
250
Endorsements
required by
contractors
NIL
55
PD(n)*
128
43
NIL
NIL
Expensive Prescription Fee
A fee equivalent to 2% of the net ingredient cost will be payable on all prescriptions over £100.
Note - Expensive Prescription Fee is not included in calculation of ESPS payments
*n=number of doses packaged separately minus the number of times the contractor has dispensed the
medicine to the patient**. Where a numeric value is not provided, the contractor will be paid one fee. If the
number of occasions when the medicine is dispensed equals the number of doses that have been
packaged separately, this fee is not payable.
** an interaction with the patient where oral liquid methadone has been supplied
3.
Additional fee for March 2015 for pharmacy contractors
In the month of March 2015 only, pharmacy contractors (England and Wales) will receive an additional fee.
This fee is to be paid according to their dispensing activity from April 2014 to December 2014.
An additional fee of 3.3p will be paid for every professional fee the pharmacy contractor received during the
period April 2014 to December 2014.
The additional fee will be applied to the final payment for March 2015 and no endorsement will be required.
Ceased or closed accounts prior to 1 March 2015 and contractors not submitting any claim for March 2015
will not be entitled to a payment.
Where contractor F codes (England) or CP codes (Wales) have changed, the contractor will need to
contact the NHSBSA (England) or NHS Wales Shared Services Partnership (Wales) at the addresses
below to ensure all their professional fees are considered.
NHS Business Services Authority
Customer Payment Team
Stella House, Goldcrest Way
Newburn Riverside
Newcastle upon Tyne
NE15 8NY
NHS Wales Shared Services Partnership - Primary Care Services
4th Floor, Companies House
Crown Way
Cardiff
CF24 0HA
27
08/2016
Part IIIB
SCALE OF FEES (APPLIANCE CONTRACTORS)
Part IIIB - Scale of Fees (Appliance Contractors)
See Part I, Clause 5B 2(iii) (page 4)
*Fee per
prescription p
*
Endorsements
required by
contractors
Endorsements under this heading apply only to claims for the appropriate professional fee. The
endorsement codes to be used are:
MF= Measured and Fitted
Further endorsement may be necessary for other purposes eg Part II “CLAUSE 8 BASIC PRICE,
“CLAUSE 9 ENDORSEMENT REQUIREMENTS”
1.
ALL PRESCRIPTIONS attract a Professional Fee with a value of:
2.
ADDITIONAL FEES:
90
NIL
A.
APPLIANCES
(a)
Elastic Hosiery (Compression Hosiery) requiring
measurement and endorsed "measured and fitted"
260
MF
(b)
Trusses requiring measurement and endorsed "measured
and fitted"
260
MF
(c)
Para stomal garments (belts and girdles) where size is not
indicated in the Drug Tariff requiring measurement and
endorsed “measured and fitted”
260
MF
(d)
Home delivery of Part IXA qualifying items1 (excluding
catheter kits and intermittent self-catheters), Part IXB and
Part IXC
340
NIL
(e)
Home delivery of catheter kits and intermittent self-catheters
930
NIL
B.
Expensive Prescription Fee
A fee equivalent to 2% of the net ingredient cost will be payable on all prescriptions over £100.
1Part IXA (qualifying items) include: catheters (urinary and urethral), laryngectomy and tracheostomy, catheter
accessories, catheter maintenance solutions, anal irrigation system, vacuum pumps and constrictor rings for
erectile dysfunction, and wound drainage pouches.
28
08/2016
Part IV
CONSUMABLES AND CONTAINERS
Part IV - Consumables and Containers
1.
See Part I Clause 5B 1 (iii)
A Pharmacy Contractor shall supply in a suitable container any drug which he is required to supply under
Part II of Schedule 2 to the Regulations.
Capsules, tablets, pills, pulvules etc shall be supplied in airtight containers of glass, aluminium or rigid
plastics; card containers may be used only for foil/strip packed tablets etc.
For ointments, creams, pastes, card containers shall not be used
Eye, ear and nasal drops shall be supplied in dropper bottles, or with a separate dropper where appropriate.
2.
Payment for consumables used when dispensing is at the average rate of 1.24p per prescription for every
prescription (except an oxygen prescription) supplied by contractors.
This payment includes
3.
•
Provision for supply of either a 5ml plastic measuring spoon (which shall comply with BS 3221:Part
6:1987), or a 1ml, 5ml or 10ml plastic oral syringe measure with every oral liquid medicine, except
where the manufacturer’s pack includes one. Plastic oral syringe measures must be clearly
labelled ‘oral’ and/or ‘enteral’ in a large font size, comply with appropriate British or European
Standards (BS 3221:Part 7:1995 or an equivalent European Standard for the 5ml syringe) and be
wrapped together with a bottle adaptor and instructions. Choice of whether a spoon or syringe (and
its size) is supplied will depend on the nature of the medication regime.
•
In very exceptional circumstances, or where specifically requested by the prescriber, dilution may still
take place. The prescription should be endorsed accordingly.
•
Provision for supply of a dropper bottle or separate dropper with every prescription for a medicine
which is for administration to or via the ear, eye or nose, or a vaginal applicator with every
prescription for contraceptive gel or cream, except where the manufacturer’s pack includes one.
Payment for containers will be at the rate of 10p for every prescription (except special containers) supplied
where the quantity ordered is outside of the pack size (or a multiple of the pack size) for products:
•
Listed in Part VIIIA of the Tariff.
•
Not listed in Part VIIIA of the Tariff, the pack size published by the manufacturer, wholesaler or supplier
is endorsed by or on behalf of the contractor.
•
Where the pack size is unknown by the Pricing Authority, the pack size endorsed by the contractor.
For contractors who have dispensed any drug except for oral liquid methadone against an FP10MDA
prescription form, as a temporary measure, for prescriptions dispensed from April 2013, this payment will
be made once per instalment ie per dispensing to the patient, regardless of whether the quantity ordered
per dispensing was available as a listed pack size. For oral liquid methadone, this payment will only be
made where the total volume prescribed is outside a pack size listed in Part VIIIA Drug Tariff listed pack (or
a multiple of).
4.
Payment for consumables and containers is payable to pharmacy contractors only.
29
08/2016
Part V
DEDUCTION SCALE (PHARMACY CONTRACTORS)
Part V - Deduction Scale (Pharmacy Contractors)
(Revised with effect from 1st September 2006)
See Part I Clause 5B 1 (i)(b) (page 4)
Monthly Total
of Prices £
Deduction
Rate %
From
To
1
126
251
376
501
626
751
876
1001
1126
1251
1376
1501
1626
1751
1876
2001
2126
2251
2376
2501
2626
2751
2876
3001
3126
3251
3376
3501
3626
3751
3876
4001
4126
4251
4376
4501
4626
4751
4876
5001
5126
5251
5376
5501
125
250
375
500
625
750
875
1000
1125
1250
1375
1500
1625
1750
1875
2000
2125
2250
2375
2500
2625
2750
2875
3000
3125
3250
3375
3500
3625
3750
3875
4000
4125
4250
4375
4500
4625
4750
4875
5000
5125
5250
5375
5500
5625
5.63
5.65
5.66
5.68
5.70
5.72
5.73
5.75
5.77
5.79
5.80
5.82
5.84
5.86
5.87
5.89
5.91
5.93
5.94
5.96
5.98
6.00
6.01
6.03
6.05
6.07
6.08
6.10
6.12
6.14
6.15
6.17
6.19
6.21
6.22
6.24
6.26
6.28
6.29
6.31
6.33
6.35
6.36
6.38
6.40
Monthly Total
of Prices £
Deduction
Rate %
From
To
5626
5751
5876
6001
6126
6251
6376
6501
6626
6751
6876
7001
7126
7251
7376
7501
7626
7751
7876
8001
8126
8251
8376
8501
8626
8751
8876
9001
9126
9251
9376
9501
9626
9751
9876
10001
10126
10251
10376
10501
10626
10751
10876
11001
11126
5750
5875
6000
6125
6250
6375
6500
6625
6750
6875
7000
7125
7250
7375
7500
7625
7750
7875
8000
8125
8250
8375
8500
8625
8750
8875
9000
9125
9250
9375
9500
9625
9750
9875
10000
10125
10250
10375
10500
10625
10750
10875
11000
11125
11250
30
6.42
6.43
6.45
6.47
6.49
6.50
6.52
6.54
6.56
6.57
6.59
6.61
6.63
6.64
6.66
6.68
6.70
6.71
6.73
6.75
6.77
6.78
6.80
6.82
6.84
6.85
6.87
6.89
6.91
6.92
6.94
6.96
6.98
6.99
7.01
7.03
7.05
7.06
7.08
7.10
7.12
7.13
7.15
7.17
7.19
Monthly Total
of Prices £
Deduction
Rate %
From
To
11251
11376
11501
11626
11751
11876
12001
12126
12251
12376
12501
12626
12751
12876
13001
13126
13251
13376
13501
13626
13751
13876
14001
14126
14251
14376
14501
14626
14751
14876
15001
15126
15251
15376
15501
15626
15751
15876
16001
16126
16251
16376
16501
16626
16751
11375
11500
11625
11750
11875
12000
12125
12250
12375
12500
12625
12750
12875
13000
13125
13250
13375
13500
13625
13750
13875
14000
14125
14250
14375
14500
14625
14750
14875
15000
15125
15250
15375
15500
15625
15750
15875
16000
16125
16250
16375
16500
16625
16750
16875
7.20
7.22
7.24
7.26
7.27
7.29
7.31
7.33
7.34
7.36
7.38
7.40
7.41
7.43
7.45
7.47
7.48
7.50
7.52
7.54
7.55
7.57
7.59
7.61
7.62
7.64
7.66
7.68
7.69
7.71
7.73
7.75
7.76
7.78
7.80
7.82
7.83
7.85
7.87
7.89
7.90
7.92
7.94
7.96
7.97
08/2016
Part V
Monthly Total
of Prices £
Deduction
Rate %
From
To
16876
17001
17126
17251
17376
17501
17626
17751
17876
18001
18126
18251
18376
18501
18626
18751
18876
19001
19126
19251
19376
19501
19626
19751
19876
20001
20126
20251
20376
20501
20626
20751
20876
21001
21126
21251
21376
21501
21626
21751
21876
22001
22126
22251
22376
22501
22626
22751
22876
17000
17125
17250
17375
17500
17625
17750
17875
18000
18125
18250
18375
18500
18625
18750
18875
19000
19125
19250
19375
19500
19625
19750
19875
20000
20125
20250
20375
20500
20625
20750
20875
21000
21125
21250
21375
21500
21625
21750
21875
22000
22125
22250
22375
22500
22625
22750
22875
23000
7.99
8.01
8.03
8.04
8.06
8.08
8.10
8.11
8.13
8.15
8.17
8.18
8.20
8.22
8.24
8.25
8.27
8.29
8.31
8.32
8.34
8.36
8.38
8.39
8.41
8.43
8.45
8.46
8.48
8.50
8.52
8.53
8.55
8.57
8.59
8.60
8.62
8.64
8.66
8.67
8.69
8.71
8.73
8.74
8.76
8.78
8.80
8.81
8.83
Monthly Total
of Prices £
Deduction
Rate %
From
To
23001
23126
23376
23626
24001
24251
24626
24876
25251
25501
25876
26126
26376
26751
27001
27376
27626
28001
28251
28626
28876
29251
29501
29876
30126
30501
30751
31126
31376
31751
32001
32376
32626
32876
33251
33501
33876
34126
34501
34751
35126
35376
36001
36501
37251
37751
38501
39251
39751
23125
23375
23625
24000
24250
24625
24875
25250
25500
25875
26125
26375
26750
27000
27375
27625
28000
28250
28625
28875
29250
29500
29875
30125
30500
30750
31125
31375
31750
32000
32375
32625
32875
33250
33500
33875
34125
34500
34750
35125
35375
36000
36500
37250
37750
38500
39250
39750
40500
31
8.85
8.88
8.92
8.97
9.01
9.06
9.09
9.15
9.18
9.23
9.27
9.30
9.36
9.39
9.40
9.41
9.41
9.41
9.42
9.42
9.43
9.43
9.44
9.44
9.45
9.45
9.46
9.46
9.47
9.47
9.48
9.48
9.49
9.49
9.49
9.50
9.50
9.51
9.51
9.52
9.52
9.53
9.54
9.55
9.56
9.57
9.58
9.59
9.60
Monthly Total
of Prices £
Deduction
Rate %
From
To
40501
41001
41751
42251
43001
43751
44251
45001
45501
46251
46751
47501
48251
48751
49501
50001
50751
51251
52001
52751
53251
54001
54501
55251
55751
56501
57251
57751
58501
59001
59751
60251
61001
61751
62251
63001
63501
64251
64751
65501
66251
66751
67501
68001
68751
69251
70001
70751
71251
41000
41750
42250
43000
43750
44250
45000
45500
46250
46750
47500
48250
48750
49500
50000
50750
51250
52000
52750
53250
54000
54500
55250
55750
56500
57250
57750
58500
59000
59750
60250
61000
61750
62250
63000
63500
64250
64750
65500
66250
66750
67500
68000
68750
69250
70000
70750
71250
72000
9.61
9.62
9.63
9.64
9.65
9.66
9.67
9.68
9.69
9.70
9.71
9.72
9.73
9.74
9.75
9.76
9.77
9.78
9.79
9.80
9.81
9.81
9.83
9.83
9.85
9.86
9.86
9.88
9.88
9.89
9.90
9.91
9.93
9.93
9.94
9.95
9.96
9.97
9.98
9.99
10.00
10.01
10.02
10.03
10.04
10.05
10.06
10.07
10.08
08/2016
Part V
Monthly Total
of Prices £
Deduction
Rate %
From
To
72001
72501
73251
73751
74501
75251
75751
76501
77001
77751
78251
79001
79751
80251
81001
81501
82251
82751
83501
84251
84751
85501
86001
86751
87251
88001
88751
89251
90001
90501
91251
91751
92501
93251
93751
94501
95001
95501
96001
96501
97001
97501
98001
98501
99001
99501
100001
100501
101001
72500
73250
73750
74500
75250
75750
76500
77000
77750
78250
79000
79750
80250
81000
81500
82250
82750
83500
84250
84750
85500
86000
86750
87250
88000
88750
89250
90000
90500
91250
91750
92500
93250
93750
94500
95000
95500
96000
96500
97000
97500
98000
98500
99000
99500
100000
100500
101000
101500
10.09
10.10
10.11
10.12
10.13
10.14
10.15
10.16
10.17
10.18
10.19
10.20
10.21
10.22
10.23
10.24
10.25
10.26
10.27
10.28
10.29
10.29
10.31
10.31
10.33
10.34
10.34
10.36
10.36
10.37
10.38
10.39
10.41
10.41
10.42
10.43
10.44
10.45
10.45
10.46
10.47
10.48
10.49
10.49
10.50
10.51
10.52
10.52
10.53
Monthly Total
of Prices £
Deduction
Rate %
From
To
101501
102001
102751
103251
103751
104251
104751
105251
105751
106251
106751
107251
107751
108251
108751
109251
109751
110501
111001
111501
112001
112501
113001
113501
114001
114501
115001
115501
116001
116501
117001
117501
118001
118751
119251
119751
120251
120751
121251
121751
122251
122751
123251
123751
124251
124751
125251
125751
126501
102000
102750
103250
103750
104250
104750
105250
105750
106250
106750
107250
107750
108250
108750
109250
109750
110500
111000
111500
112000
112500
113000
113500
114000
114500
115000
115500
116000
116500
117000
117500
118000
118750
119250
119750
120250
120750
121250
121750
122250
122750
123250
123750
124250
124750
125250
125750
126500
127000
32
10.54
10.55
10.56
10.57
10.57
10.58
10.59
10.60
10.60
10.61
10.62
10.63
10.63
10.64
10.65
10.66
10.67
10.68
10.68
10.69
10.70
10.71
10.71
10.72
10.73
10.74
10.74
10.75
10.76
10.77
10.77
10.78
10.79
10.80
10.81
10.82
10.82
10.83
10.84
10.85
10.85
10.86
10.87
10.88
10.89
10.89
10.90
10.91
10.92
Monthly Total
of Prices £
Deduction
Rate %
From
To
127001
127501
128001
128501
129001
129501
130001
130501
131001
131501
132001
132501
133001
133501
134001
134751
135251
135751
136251
136751
137251
137751
138251
138751
139251
139751
140251
140751
141251
141751
142501
143001
143501
144001
144501
145001
145501
146001
146501
147001
147501
148001
149001
150001
160001
127500
128000
128500
129000
129500
130000
130500
131000
131500
132000
132500
133000
133500
134000
134750
135250
135750
136250
136750
137250
137750
138250
138750
139250
139750
140250
140750
141250
141750
142500
143000
143500
144000
144500
145000
145500
146000
146500
147000
147500
148000
149000
150000
160000
& above
10.93
10.93
10.94
10.95
10.96
10.97
10.97
10.98
10.99
11.00
11.00
11.01
11.02
11.03
11.04
11.05
11.05
11.06
11.07
11.08
11.08
11.09
11.10
11.11
11.11
11.12
11.13
11.14
11.14
11.16
11.16
11.17
11.18
11.19
11.19
11.20
11.21
11.22
11.22
11.23
11.24
11.25
11.27
11.42
11.50
08/2016
Part VIA
PAYMENT FOR ESSENTIAL SERVICES (PHARMACY CONTRACTORS)
Part VIA - Payment for Essential Services (Pharmacy Contractors)
1.
Establishment Payments
1.1
Pharmacy contractors who dispense the stated number of prescription items or more in any
month will receive an Establishment Payment from 1 April 2005.
1.2
In England and Wales, pharmacy contractors who dispense 2,500 prescription items or more
in any month from 1 April 2015 to 31 March 2016 will receive an Establishment Payment as
set out in the table below:
Number of items per month for
1 April 2015 to 31 March 2016
2.
Establishment Payment for
1 April 2015 to 31 March 2016
2,500 - 2,829
£23,278
2,830 – 3,149
£24,190
3,150+
£25,100
1.3
Establishment Payments from 1 April 2016 will be as set out in paragraph 1.2 as applied from
1 April 2015 to 31 March 2016.
1.4
The Establishment Payment will be paid monthly, calculated as 1/12th of the payment, on the
basis of the number of prescription items submitted, and reimbursed by the Pricing Authority,
in the relevant month.
1.5
Where total monthly payments in relation to prescriptions passed for pricing for the period
April to March are less than the amount which would have been paid had the payment been
calculated on an annual basis, pharmacy contractors may make a claim for a top up payment
to the NHSCB for England and LHB for Wales. They should submit, by the following 30
November, copies of FP/WP34 statements for the relevant period (April to March) as evidence
of the total number of prescription items passed for pricing during this period.
Practice Payments
2.1
All pharmacy contractors will receive a Practice Payment from 1 April 2005.
2.2
In England and Wales, Practice Payments from 1 April 2016 to 31 July 2016, which includes
a contribution for provision of auxiliary aids for people eligible under the Equality Act 2010
(EA), are set out in the table below:
Number of items per
month
Practice Payment for
1 April 2016 to
31 July 2016
Contribution in Practice Payment
for EA for
1 April 2016 to
31 July 2016
Up to 1,099
£200
£200
1,100 - 1,599
£1,926
£400
1,600 - 2,499
£2,695
£500
2,500+
56.4p per item
6.6p per item
33
08/2016
Part VIA
2.3
In England and Wales, Practice Payments from 1 August 2016 to 30 September 2016 will be
as set out in the table below:
Number of items per
month
1 August 2016 to
30 September 2016
for EA for
1 August 2016 to
30 September 2016
Up to 1,099
£100
£100
1,100 - 1,599
£748
£200
1,600 - 2,499
£1,047
£250
2,500+
43.8p per item
6.6p per item
2.4
In England and Wales, Practice Payments from 1 October 2016 to 31 March 2017 will be as
set out in the table below:
Number of items per
month
1 October 2016 to
31 March 2017
for EA for
1 October 2016 to
31 March 2017
Up to 1,099
£300
£300
1,100 - 1,599
£2,673
£600
1,600 - 2,499
£3,742
£750
2,500+
52.2p per item
6.6p per item
2.5
Practice Payments will be paid monthly, calculated, subject to 2.6 to 2.9, as a proportion of the
payment according to the number of months covered (ie 1/4, 1/2 and 1/6th for 2.2, 2.3 and 2.4
respectively), on the basis of the number of prescription items submitted, and reimbursed by
the Pricing Authority, in the relevant month.
2.6
From 1 October 2005, in order to receive the full Practice Payment pharmacy contractors
must have, and must have declared to the Pricing Authority on the appropriate claim form for
the relevant month minimum dispensing staff levels as set out in the table below:
Number of items per month
Minimum dispensing staff level
(Hours per week)*
2,000 - 3,499
40 hours
3,500 - 4,999
56 hours
5,000 - 6,499
75 hours
6,500 - 7,999
94 hours
8,000 - 9,499
112 hours
9,500 - 10,999
131 hours
11,000**
150 hours
34
08/2016
Part VIA
* Dispensing staff include: a pharmacist; a non-practising pharmacist working as a dispenser;
a pre-registration trainee (only half of the pre-registration trainees hours should be counted
for this purpose) or an assistant trained to undertake the functions being performed. Where a
staff member has multiple roles, only the number of hours spent supporting the dispensing
process may be counted in the staffing declaration.
In determining the dispensing staff level to declare on the appropriate claim form the number
of hours should be rounded as follows:
0.5 or less round down to the nearest whole number of hours
Above 0.5 round up to the nearest whole number of hours.
**Pharmacy Contractors will be required to employ a staff member for an extra 19 hours per
week for each additional 1,500 items the pharmacy contractor dispensed per month above
11,000 items.
2.7
From 1 October 2005, where for any month a pharmacy contractor has declared to the Pricing
Authority dispensing staff levels lower than those set out in the table in 2.6 above, the Practice
Payment for the relevant month will be paid at the level that would be paid if the pharmacy
only dispensed the number of items at the lowest level in the band that corresponds in the
above table to its declared dispensing staff levels. (Example: A pharmacy contractor
dispensing 7,000 prescription items a month who employs dispensing staff for only 75 hours
per week, including a pharmacist, would receive the Practice Payment for 5,000 prescriptions
items per month, ie based on 2.2, 5,000 x 56.4p = £2,820).
2.8
From 1 October 2005, where for any month a pharmacy contractor has not declared
dispensing staff levels to the Pricing Authority, the Practice Payment for the relevant month
will be paid at the minimum level (ie based on 2.2, 1/4 of £200 = £50).
2.9
Subject to 2.9.1 and 2.9.2, where total monthly payments in relation to prescriptions passed
for pricing for the period April to March are less than the amount which would have been paid
had the payment been calculated on the basis of the total of the relevant payments set out in
the tables in 2.2, 2.3 and 2.4, pharmacy contractors may make a claim for a top up payment
to the NHSCB for England and LHB for Wales. They should submit, by 30 November, copies
of FP/WP34 statements for the relevant period (April to March) as evidence of the total
number of prescription items passed for pricing during this period.
2.9.1
Where, in any month, Practice Payments were paid at a lower level because
minimum dispensing staff levels were not met, those months shall be disregarded (in
terms of both the number of items passed for pricing and the payments received)
when calculating the amount of any top up payment which may be payable.
2.9.2
Where, in any month, Practice Payments were paid at a lower level because a
pharmacy contractor did not declare dispensing staff levels, those months shall be
disregarded (in terms of both the number of items passed for pricing and the
payments received) when calculating the amount of any top up payment which may
be payable, unless the pharmacy contractor can satisfy the NHSCB for England and
LHB for Wales that their dispensing staff levels were sufficient in respect of the table
in 2.6 for the relevant month.
35
08/2016
Part VIA
3.
4.
Repeat Dispensing
3.1
All pharmacy contractors will receive a repeat dispensing annual payment of £1,500 from 1
April 2005. The payment will be paid monthly calculated as 1/12th of the annual payment
(£125 per month).
3.2
Pharmacists undertaking repeat dispensing should undertake appropriate training.
Appropriate training for these purposes includes successful completion of the Centre for
Pharmacy Postgraduate Education’s (CPPE) NHS repeat dispensing ‘focal point’ programme.
For pharmacists in Wales, suitable training would be ‘Repeat Dispensing’, a programme
available from the Welsh Centre for Postgraduate Pharmaceutical Education.
Electronic Transmission of Prescriptions Allowances
4.1
The Electronic Prescription Service will be deployed in phases with two releases (Release 1
and Release 2) of ETP compliant pharmacy systems. Further details of service
implementation and deployment can be found at http://www.hscic.gov.uk.
4.2
In order to be able to use the Electronic Prescription Service pharmacy contractors will need
to have:
R An ETP compliant pharmacy system accredited as such by the Health and Social Care
Information Centre (either Release 1 or Release 2)
R Appropriate network connectivity to be able to operate the Electronic Prescription Service
R Staff operating the service who are registered users and have been issued with smart cards
and PIN numbers under the NHSCB’s registration authority arrangements.
4.3
LPS Contractors that are in a position to operate Release 1 of the Electronic Prescription
Service, will need to agree with the NHSCB whether it is appropriate for them to claim up to
£2600.
4.4
The Release 1 allowances are paid only once, in relation to pharmaceutical services provided
at the same premises irrespective of any subsequent merger or sale; or where there has been
a relocation, there is no right to claim further Release 1 allowances for the new relocated
premises.
4.5
An allowance of £1000 will be paid linked to the pharmacy deploying Release 2 of the
Electronic Prescription Service. Payment will be automatically triggered, when a pharmacy
submits a synthetic reimbursement endorsement message to NHS Prescription Services.
This synthetic reimbursement endorsement message must be submitted to NHS Prescription
Services by a date yet to be determined of which three months notice will be given, in order
for the allowance to be paid.
4.6
The Release 2 allowance is paid only once, in relation to pharmaceutical services provided at
the same premises irrespective of any subsequent merger or sale; or where there has been
a relocation, there is no right to claim further Release 2 allowance for the new relocated
premises.
4.7
Subject to the conditions in 4.2, a pharmacy contractor who operates Release 1 or Release 2
of the service if an appropriate prescription is presented or requested, shall be entitled to an
ETP monthly allowance of £200 per calendar month from the NHSCB for each month that he
is able to operate the service.
4.8
A contractor must submit an ETP Monthly Allowance Claim Form (previously known as form
PPAETP1) to the NHSCB by the end of the first month that he is able to operate the service
to receive the monthly allowance for that month and subsequent months. If at a later date the
pharmacy contractor becomes unable to operate the Electronic Prescription Service, the
contractor must inform the NHSCB in writing immediately so that the NHSCB can determine
whether payment of the ETP monthly allowance should be stopped on a permanent basis or
suspended for a month (or other period as specified by the NHSCB). When the EPS service
is resumed, a completed ETP Monthly Allowance Claim Form will need to be resubmitted.
36
08/2016
Part VIA
5.
6.
Summary Care Records Allowance
5.1
To support the implementation of Summary Care Record (SCR) viewing, pharmacy
contractors will be paid an allowance of £200 from the 1 March 2016.
5.2
In order to receive the allowance pharmacy contractors are required to:
•
have an N3 connection;
•
be compliant with the Health and Social Care Information Centre (HSCIC)
Warranted Environment Specification (WES);
•
have a standard operating procedure for SCR viewing;
•
be compliant with the Information Governance Toolkit;
•
ensure staff accessing the SCR have specific smartcard roles enabling access to the
SCR;
•
nominate one individual per site to attend an HSCIC or HSCIC approved face to face
implementation briefing;
•
ensure all staff accessing the SCR complete the Centre for Pharmacy Postgraduate
Education (CPPE) online SCR training and
•
appoint a Privacy Officer, responsible for auditing and reviewing the SCR access.
5.3
The £200 allowance will be triggered when the pharmacy contractor has submitted the SCR
in Community Pharmacy Usage Agreement to the HSCIC and accessed the SCR. The
allowance will only be paid once, irrespective of any subsequent premises merger, sale or
relocation.
5.4
Details of the payment will appear on the pharmacy contractors FP34 Schedule of Payment
and will be made via NHS Prescription Services.
5.5
The allowance will be time-limited and cease on the 31 March 2017.
5.6
The relevant regulations which pharmacy contractors must adhere to are set out in Schedules
4 and 7 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services
(England) (Amendment) Regulations 2016.
IM&T Services and Allowances (Wales)
6.1
The NHS Wales Informatics Service (NWIS) sets and delivers the strategic direction and
corporate IM&T policy for Community Pharmacy in Wales.
6.2
There are parallel strategic developments within England and Wales in relation to the
technical architectures that underpin the ‘NHS Care Records Service’ (England) and the
‘Individual Health Record’ (Wales).
6.3
However, differences in direction and pace of these respective programmes have meant that
Wales, via a national community pharmacy IM&T programme board of representative
stakeholders, has determined appropriate and comparable solutions, deliverable through a
pragmatic, phased approach.
Phase 1 - IT Infrastructure and Connectivity Services
6.4
In 2005/06, two allocations of £1,300 (ie a total of £2,600) were paid to all pharmacy
contractors included, at that time, in a pharmaceutical list maintained by a Local Heath Board
in Wales. Pharmacy contractors were directed to ensure investment in systems support the
Programme’s key objectives associated with Phase 1; specifically, that funding must be
targeted to ensure any investment in IT is “fit for purpose” and capable of running the latest
version of the pharmacy contractors’ PMR system. The allocations applied only to pharmacy
contractors included, at that time, in a pharmaceutical list maintained by a Local Health Board.
6.5
In addition, from 2007, a recurring ‘connectivity’ payment of £200pcm is made available to all
contractors capable of secure/managed access to the NHS Wales network and its
connectivity services, such as web eMail and HOWIS (Health of Wales Information Services).
6.6
With effect from 30 September 2010 the recurring ‘connectivity’ payment of £200pcm,
include Phase 1 and Phase 2 services
37
08/2016
Part VIA
Phase 2 - Release 1 - 3
6.7
Release
Number
Phase 2 is being addressed as three ‘Releases’, consisting of:
Service/System
1
NHS Wales-compliant Email service (ENASElectronic NHS Alerts Service)
2
ETP - 2D-Barcoded Prescription service
3
Electronic Transmission of Claims service
6.8
Available Date
Maximum Deployment
Timescale
1 April 2010
30 September 2010
30 September 2010
30 September 2011
30 April 2017
31 October 2017
With effect from 31 October 2017 all Pharmacy Contractors are required to be compliant with
Phase 2 Releases 1, 2 & 3.
Pharmacy contractors will be given at least three months’ notice of their pharmacy IT system’s
capability to access each respective release of Phase 2. The following website shows the
current status for each of the accredited systems/suppliers for Wales and status of all the
Phase 2 Releases:
http://howis.wales.nhs.uk/wmss.
6.9
Pharmacy Contractors are required to inform the NHS-Shared Services PartnershipContractor Services division whenever: 1) they commence connectivity to their individual
premises, 2) have a change of system supplier, 3) have a change of accredited connectivity
provider. This advice must be submitted using the ETP1 or ETP2 Claim Form, as appropriate.
6.10
A pharmacy contractor must submit the appropriately completed ETP Monthly Allowance
Claim Form to NWIS not later than the last day of the first that the premises can demonstrate
that it is able to operate the services in Phase 2 Releases 1, 2 & 3. This will instigate receipt
of the monthly allowance for that month and subsequent months. The monthly recurring
payment is subject to the pharmacy premises’ ongoing compliance with the specified services
and their terms. If at a later date a pharmacy premises becomes unable to comply with the
requirements of this part they must as soon as is practicable notify their LHB and NWIS in
writing of the date from which the pharmacy ceased to be compliant. The LHB may then
determine whether payment of the recurring connectivity payment should be stopped on a
permanent basis or suspended for a month (or period specified by the LHB). On resumption
of the service, an updated ETP Monthly Allowance Claim Form should be submitted and
connectivity and compliance to the services will have to be demonstrated by the pharmacy
contractor.
6.11
LHBs may monitor and audit pharmacy contractor and individual premises compliance with
the services in Phase 2 Releases 1, 2 & 3. Where NHS Wales audit and monitoring identify a
pharmacy premises to be non compliant with the services in Phase 2 Releases 1, 2 & 3, and
where that non compliance is within the control of the pharmacy contractor, action may result
in the suspension of the recurring connectivity payment and NHS connectivity.
6.12
In 2007/08, to support the implementation requirements of Phase 2, an additional one-off
payment of £1,000 was paid to all pharmacy contractors included, at that time, in a
pharmaceutical list maintained by a Local Health Board in Wales. The allocation applied only
to pharmacy contractors included, at that time, in a pharmaceutical list maintained by a Local
Health Board.
6.13
Failure to place an order for respective Releases of an NHS Wales compliant system or
service within three months following the maximum deployment date advised could result in
the £1,000 allowance also being reclaimed.
Further Information
6.14
These allowances and guidelines will be published in Part VIA of the Drug Tariff, the most
recent edition of which can be found online at: http://www.ppa.org.uk/ppa/edt_intro.htm
6.15
Further supplementary guidance on procedures to support the implementation of forthcoming
developments will be provided, as appropriate.
38
08/2016
Part VIA
7.
Scheme to engage Community Pharmacy in a proportionate response to the emerging
pandemic Influenza infection (Wales only)
7.1
Pharmacy Contractors in Wales who engage in the delivery of arrangements to enable the
dispensing of antiviral medication from the national stockpile will receive the fee of £4 per item
of this stock dispensed. No other fees or allowances will be payable for or in respect of items
dispensed under this scheme.
7.2
This applies to stocks of antiviral medication delivered by Local Health Boards (LHBs) to each
community pharmacy across Wales in a pandemic situation namely:
Oseltamivir (Tamiflu) all presentations
Oseltamivir Oral solution (NHS manufactured special) 15mg in 1ml
Zanamivir (Relenza)
7.3
Under the scheme GPs will write WP10 prescriptions for patients as outlined in the Chief
Medical Officers letter dated 2 July 2009 and community pharmacists will dispense these
prescriptions in accordance with the essential services element of their contract.
7.4
The prescriptions for this treatment will be processed in the usual way through the prescription
pricing system.
7.5
The £4 per item of stock dispensed fee has been agreed in collaboration with Community
Pharmacy Wales upon the principle that participation in the scheme should not afford the
Pharmacy Contractor any loss of income nor should participation afford an opportunity to profit
as a result of assisting in the delivery of services during a pandemic.
7.6
Fees and allowances as described above shall only be payable during an influenza pandemic
and subject to notification of pharmacy contractors by the Welsh Government.
7.7
In situations other than an influenza pandemic, where a pharmacy contractor dispenses
antiviral medication in accordance with the conditions described in Part XVIIIB, normal
remuneration and reimbursement mechanisms shall apply. Pharmacy contractors should not
normally dispense antiviral medication from the national stockpile other than in those
circumstances described above.
7.8
This provision applies to prescriptions dispensed on or after 1 December 2010.
39
08/2016
Part VIB
PAYMENT FOR ESSENTIAL SERVICES (APPLIANCE CONTRACTORS)
Part VIB - Payment for Essential Services (Appliance Contractors)
1.
2.
Infrastructure Payments
1.1
Appliance contractors who dispense a stated number of prescription items in any month will
receive an Infrastructure Payment from 1 April 2010.
1.2
Except where paragraph 1.4 applies the level of infrastructure payment will be as follows:
•
within the first band, all Appliance Contractors will receive a fixed monthly payment
of £150.00; and
•
in the remaining bands, Appliance Contractors will be paid a fee per each Part IXA,
Part IXB and Part IXC item dispensed in that month
Band identifier
Number of Part IX prescription
items dispensed in one month
Infrastructure payment
A
1 - 10
£150.00 fixed
B
11 - 1,000
£13.60 per item
C
1,001 - 35,000
£2.40 per item
D
35,000 +
£2.30 per item
1.3
Infrastructure payment does not have to be claimed but will be paid automatically each month.
1.4
Appliance contractors who have been added to the pharmaceutical list following a successful
application which was granted after 1 July 2010 on the basis of the exemptions set out in
regulation 13 of the NHS (Pharmaceutical Services) Regulations 2005 will not receive any
infrastructure payment if they dispense less than 2,240 items in any month. If they dispense
2,240 items or more, they will receive £2.40 per item for items dispensed between 2,24035,000 and £2.30 per item for items dispensed above 35,000. Similar applications are not
possible under the NHS (Pharmaceutical Services) Regulations 2012.
Electronic Transmission of Prescriptions Allowances
2.1
The Electronic Prescription Service will be deployed in phases with two releases (Release 1
and Release 2) of ETP compliant pharmacy systems. Further details of service
implementation and deployment can be found at http://www.hscic.gov.uk.
2.2
In order to be able to use the Electronic Prescription Service Appliance contractors will need
to have:
•
an ETP compliant dispensing system accredited as such by the Health and Social
Care Information Centre (either Release 1 or Release 2)
•
appropriate network connectivity to be able to operate the Electronic Prescription
Service (details of connectivity arrangements for appliance contractors will be made
available by the Health and Social Care Information Centre)
•
staff operating the service who are registered users and have been issued with smart
cards and PIN numbers under the NHSCB’s registration authority arrangements.
2.3
The release 1 allowance is paid only once, in relation to pharmaceutical services provided at
a relocation, there is no right to claim a further Release 1 allowance for the new relocated
premises
2.4
A further allowance of £1,000 will be paid linked to the appliance contractor deploying Release
2 of the Electronic Prescription Service. Payment will be automatically triggered, when an
appliance contractor submits a synthetic reimbursement endorsement message to NHS
Prescription Services. This synthetic reimbursement endorsement message must be
submitted to NHS Prescription Services by a date yet to be determined of which three months
notice will be given, in order for the allowance to be paid.
40
08/2016
Part VIB
3.
2.5
premises.
2.6
Subject to the conditions in 2.2, an appliance contractor who operates Release 1 or Release
2 of the service if an appropriate prescription is presented or requested, shall be entitled to an
ETP monthly allowance of £200 per calendar month from the NHSCB for each month that he
is able to operate the service.
2.7
A contractor must submit an ETP Monthly Allowance Claim Form (previously known as form
PPAETP1) to the NHSCB by the end of the first month that he is able to operate the service
to receive the monthly allowance for that month and subsequent months. If at a later date the
appliance contractor becomes unable to operate the Electronic Prescription Service, the
contractor must inform the NHSCB in writing immediately so that the NHSCB can determine
whether payment of the ETP monthly allowance should be stopped on a permanent basis or
suspended for a month (or other period as specified by the NHSCB). When the EPS service
is resumed, a completed ETP Monthly Allowance Claim Form will need to be resubmitted.
Electronic Transfer of Prescriptions (Wales)
3.1
The Electronic Transfer of Prescription (ETP) service for Wales will be deployed in phases
with two separate releases (Release 1, 2D Barcoded Prescriptions and Release 2, Electronic
Transmission of Claims) of ETP compliant pharmacy systems. Further details of service
implementation and deployment can be found at http://howis.wales.nhs.uk/wmss.
3.2
In order to be able to use the full Electronic Transfer of Prescription service, Dispensing
Appliance Contractors will need to have:
•
an ETP compliant dispensing system, accredited as such by the NHS Wales (firstly
Release 1 and then Release 2)
•
appropriate NHS Wales accredited network connectivity (details of which will be
made available to Dispensing Appliance Contractors by NHS Wales), to be able to
operate the full Electronic Transfer of Prescription service (specifically Release 2)
•
designated staff to operate the service who are registered users and have been
notified to NHS Wales authorities.
3.3
Any Dispensing Appliance Contractors who have dispensed more than 1200 items in the 12
months preceding 1 April 2010 will be paid an allowance of £2,600 in their June 2010
payment. Payment will automatically be triggered and no claim form needs to be submitted.
If an Appliance Contractor dispenses less than 1200 items in the 12 months before 1 April
2010 or they open after 1 April 2010, if they are in a position to operate Release 1 of the
Electronic Transfer of Prescription service, they may claim the allowance of £2,600 by
submitting an ETP3 Claim Form to the NHS Wales Business Services Centre. Claims must
be made by 31 March 2011. After this date no further payments will be made in respect of
Release 1.
3.4
relocation, there is no right to claim a further Release 1 allowance for the new relocated
Premises.
3.5
A further allowance of £1,000 will be paid linked to the Dispensing Appliance Contractor
deploying Release 2 of the Electronic Transfer of Prescription service. Payment will be
automatically triggered, when a Dispensing Appliance Contractor submits a synthetic
reimbursement endorsement message to NHS Wales Prescription Services Unit. This
synthetic reimbursement endorsement message must be submitted to NHS Wales
Prescription Services Unit by a date yet to be determined of which three months’ notice will
be given, in order for the allowance to be paid.
3.6
premises.
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3.7
Subject to the conditions in 3.2, a Dispensing Appliance Contractor who operates Release 1
or Release 2 of the service if an appropriate prescription is presented, shall be entitled to an
ETP monthly allowance of £200 per calendar month from the LHB for each month that he is
able to operate the service.
3.8
A Dispensing Appliance Contractor must submit an ETP1 Claim Form to the NHS Wales
Business Service Centre by the end of the first month that he is able to operate the service to
receive the monthly allowance for that month and subsequent months. If at a later date the
Dispensing Appliance Contractor becomes unable to operate the Electronic Transfer of
Prescription Service, the contractor must inform the LHB in writing immediately so that the
LHB can determine whether payment of the ETP monthly allowance should be stopped on a
permanent basis or suspended for a month (or other period as specified by the LHB). When
the ETP service is resumed, a completed ETP1 Claim Form will need to be resubmitted.
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ADVANCED SERVICES (PHARMACY AND APPLIANCE CONTRACTORS)(ENGLAND)
Part VIC - Advanced Services (Pharmacy and Appliance Contractors)(England)
MEDICINES USE REVIEW, PRESCRIPTION INTERVENTION SERVICE, NEW MEDICINE
SERVICE, STOMA CUSTOMISATION, APPLIANCE USE REVIEW AND NATIONAL
INFLUENZA ADULT VACCINATION SERVICE
Advanced Services (Pharmacy and Appliance Contractors)(England)
1. The Medicine Use Review and Prescription Intervention Service (MUR), New Medicine Service
(NMS), Stoma Customisation, Appliance Use Review and the National Influenza Adult Vaccination
Service form part of the Advanced Services within the community pharmacy contractual framework.
Stoma Customisation and Appliance Use Reviews are applicable to appliance contractors as well
as pharmacy contractors. The relevant directions are now set out in the Pharmaceutical Services
(Advanced and Enhanced Services)(England) Directions 2013, referred to in this Part as ‘the
principal Directions’.
Medicine Use Review and Prescription Intervention Service
2. A fee of £28 per MUR service consultation is payable with effect from 1 October 2011 to all
pharmacy contractors meeting the requirements for this service. These are set out in directions 4
and 5 of the principal Directions.
3. Payment will be made up to a maximum of 400 MURs per pharmacy for the period commencing on
1 April and ending on 31 March in any year, with the exception of pharmacies that only start
providing MURs after the start of the financial year but who do not notify the NHSCB that they are
intending to start providing MURs and provide the NHSCB with the requisite MUR certificates
before 1 October, in which case payment will be made to a maximum of 200 MURs per pharmacy.
4. Contractors will be paid monthly via the Pricing Authority. The claim for activity for each month must
be made by submitting the appropriate form to the Pricing Authority no later than 5th of the following
month.
New Medicine Service
Monthly Fee
5. A monthly payment will be paid for each completed full service intervention. The fee per intervention
will be dependent on the number of interventions achieved for the month and whether any target
has been achieved based on the monthly prescription volume of the pharmacy. The amount paid
per service intervention starts at £20, but will increase with the volume of interventions subject to a
target level being achieved and an overall cap of 0.5% of monthly prescription volume.
6. The payment to be made per service intervention and the number of interventions required per
month to reach a target can be found in Table 1 below. If contractors fail to reach the first target
level (20%) then all full service interventions provided will be paid at £20 each.
7. Where a target level is reached, all of the full service interventions provided up to that point are paid
at the rate corresponding to the target. For example, where a pharmacy with a monthly prescription
volume between 3501 to 4500 delivers 10 service interventions in the month (achieving the 40 per
cent target rate) all 10 interventions will be reimbursed at the 40 per cent rate of £26 each.
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Table 1
Volume of
prescription items
per month
0-1500
1501-2500
2501-3500
3501-4500
4501-5500
5501-6500
6501-7500
7501-8500
8501-9500
9501-10500
+1000
Number of full service interventions per month necessary to
achieve each target
20% target
40% target
60% target
80% target
£25 per full
service
intervention
1
2-3
3-5
4-7
5-9
6-11
7-13
8-15
9-17
10-19
(+1)-(+2)
£26 per full
service
intervention
2
4-5
6-8
8-11
10-14
12-17
14-20
16-23
18-26
20-29
(+2)-(+3)
£27 per full
service
intervention
3
6-7
9-11
12-15
15-19
18-23
21-27
24-31
27-35
30-39
(+3)-(+4)
£28 per full
service
intervention
4-5
8-10
12-15
16-20
20-25
24-30
28-35
32-40
36-45
40-50
(+4)-(+5)
Maximum
number of full
service
interventions per
month for which
payment will be
received
5
10
15
20
25
30
35
40
45
50
(+5)
8. The claim for activity for each month must be made by submitting the appropriate form to the Pricing
Authority no later than 5th of the following month.
Stoma Customisation
9. In England, from 1 April 2010 a fee of £4.32 is payable for every Part IXC prescription item that can
be customised1. The fee does not have to be claimed and will be paid automatically to those
pharmacy and appliance contractors who in England have informed the NHSBSA of their intention
to provide stoma appliance customisation services as an advanced service by the end of the
month before they start providing the service.
10. Contractors are however required to meet certain preconditions, set out below in direction 9 of the
principal Directions, before the NHSCB is able to enter into arrangements with them to provide the
service - and their ongoing entitlement to provide the service is subject to compliance with the
conditions that the NHSCB is required to impose on them by virtue of direction 10 of the principal
Directions.
Appliance Use Review
11. In England, from 1 April 2010 a fee is payable to all pharmacy and appliance contractors meeting
the requirements for this service for each Appliance Use Review they have carried out. The
requirements they have to meet are also set out below in directions 11 to 13 of the principal
Directions. As with the stoma customisation, there are both preconditions that the contractor has
to meet before the NHSCB is able to enter into arrangements with them (set out in direction 11 of
the principal Directions), and ongoing entitlement to provide the service is subject to compliance
with the conditions that the NHSCB is required to impose on them (see directions 12 and 13 of the
principal Directions)
12. A Fee of £28 is payable for an Appliance Use Review conducted at premises managed by the
pharmacy or appliance contractor. A fee of £54 is payable for a review conducted at the user’s
home. If, within a 24 hour period, reviews are conducted for several users living at the same
location, the appliance or pharmacy contractor may claim £54 for the first review and £28 for each
subsequent review.
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13. In England, the total number of Appliance Use Reviews that an appliance or pharmacy contractor
may claim fees for will be limited to one for every 35 Part IXA (qualifying items), Part IXB and Part
IXC prescription items dispensed for the period commencing on 1 April and ending on 31 March
in any one year (see direction 13 of the principal Directions).
14. In England contractors will be paid monthly, via the Pricing Authority on receipt of the appropriate
claim form in the relevant month.
National Influenza Adult Vaccination Service
15. A fee of £7.64 will be paid for each adult flu vaccination administered by a pharmacy contractor.
An additional fee of £1.50 will be paid to cover training and clinical waste costs associated with the
vaccination.
16. Pharmacy contractors will be reimbursed the cost of the vaccine in accordance with Part II, Clause
8C (Basic Price) of the Drug Tariff. An allowance at the applicable VAT rate will also be paid.
17. The fees will be payable only to contractors meeting the requirements of the service. These are
set out in directions 7A and 7B of the principle Directions and the service specification.
18. Payments will be made monthly, via NHS Prescription Services on receipt of the Community
Pharmacy Seasonal Influenza Vaccination claim form. The form must be sent with the FP34C
reimbursement and remuneration claim form and received no later than the 5th day of the month
following that in which the vaccination was administered.
1Products
that qualify for the stoma customisation fee have been annotated in the Drug Tariff.
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DIRECTIONS
THE NATIONAL HEALTH SERVICE ACT 2006
The Pharmaceutical Services (Advanced and Enhanced
Services) (England) Directions 2013
The Secretary of State gives the following Directions in exercise of the powers conferred by
sections 127, 128, 272(7) and (8) and 273(1) of the National Health Service Act 2006(a).
CONTENTS
PART 1
Introductory
1.
2.
3.
Citation, commencement and application
Interpretation
Revocations
PART 2
Advanced services: pharmacy contractors only
4.
5.
6.
7.
8.
MUR services: general matters and pre-conditions for making arrangements
MUR services: ongoing conditions of arrangements
New Medicine Service: general matters and preconditions for making
arrangements
New Medicine Service: ongoing conditions of arrangements
Duration of New Medicine Service
PART 3
Advanced services: appliances
9.
10.
11.
12.
13.
Establishing and maintaining stoma appliance customisation services
Requirements applying to stoma appliance customisation services
Establishing and maintaining appliance use review services for specified
appliances
Requirements applying to appliance use review services
Maximum number of appliance use review services eligible for payment
PART 4
Enhanced services: pharmacy contractors only
(a) 2006 c. 41. Section 128 has been amended by the Health and Social Care Act 2012 (c. 7) (“the 2012 Act”), Schedule 4,
paragraph 64; and section 128 has been amended by the 2012 Act, Schedule 4, paragraph 65.
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14.
Enhanced services provided by pharmacy contractors
SCHEDULE 1 — National Target Groups for MUR services
SCHEDULE 2 — NMS medicines
PART 1
Introductory
Citation, commencement and application
1.—(1) These Directions may be cited as the Pharmaceutical Services (Advanced and Enhanced
Services) (England) Directions 2013 and come into force on 1st April 2013.
(2) These Directions apply in relation to England.
Interpretation
2. In these Directions—
“the 2012 Directions” means the Pharmaceutical Services (Advanced and Enhanced Services)
(England) Directions 2012(a), as in force on 31st March 2013;
“the Act” means the National Health Service Act 2006;
“appliance contractor” means a person included in a list prepared under regulation 10(2)(b) of
the Pharmaceutical Services Regulations (pharmaceutical lists and EPS lists);
“AUR service” is to be construed in accordance with direction 11(1);
“BNF” means the current edition of British National Formulary, which is published jointly by
the Royal Pharmaceutical Society and the British Medical Association(b);
“clinical management plan” has the same meaning as in the Human Medicines Regulations
2012(c);
“Drug Tariff” has the meaning given in regulation 89(1) of the Pharmaceutical Services
Regulations (the Drug Tariff and section 164: general provisions);
“drugs” includes medicines;
“financial year” means the period of 12 months ending on 31st March in any year;
“general practitioner”, in relation to a patient, means any medical practitioner who is, or who
is a member of, a provider of primary medical services that holds the registered patient list on
which the patient is a registered patient;
“gluten free foods” means only those gluten free foods that are listed in Part XV of the Drug
Tariff (borderline substances);
“high risk medicine” has the meaning given in paragraph 1 of Schedule 1;
“health care professional” means a person, other than a social worker, who is a member of a
profession regulated by a body mentioned in section 25(3) of the National Health Service
Reform and Health Care Professions Act 2002(d) (the Council for Healthcare Regulatory
Excellence);
(a)
(b)
(c)
(d)
Signed on 20th July 2012.
The Formulary is available at www.bnf.org.
S.I. 2012/1916.
2002 c.17. Subsection (3) has been amended by the Health and Social Care Act 2008 (c. 14), section 113(2) and Schedule
10, paragraph 17, and by S.I. 2010/231. The Council’s name was changed to the Council for Healthcare Regulatory
Excellence by section 113(1) of the Health and Social Care Act 2008.
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“listed chemist premises” has the same meaning as in the Pharmaceutical Services
Regulations;
“New Medicine Service” is to be construed in accordance with direction 6(1) and (2);
“MUR certificate” means a statement of satisfactory performance certificate awarded or
endorsed by a higher education institute being evidence that a person has satisfactorily
completed an assessment relating to the competency framework for registered pharmacists
providing MUR services approved by the NHSCB (or, pending the first such approval by the
NHSCB, by the Secretary of State(a));
“MUR services” is to be construed in accordance with direction 4(1);
“NHS BSA” means the NHS Business Services Authority established by the NHS Business
Services Authority (Awdurdod Gwasanaethau Busnes y GIG) (Establishment and
Constitution) Order 2005(b);
“NHSCB” means the National Health Service Commissioning Board;
“NMS medicine” has the meaning given in paragraph 1 of Schedule 2;
“out of hours period” means, in relation to pharmacy premises, the periods of time that are not
part of the hours during which the pharmacy premises must be open by virtue of paragraph
23(1) of Schedule 4 to the Pharmaceutical Services Regulations(c) (terms of service of NHS
pharmacists – pharmacy opening hours: general) (these hours are referred to in those
Regulations as core opening hours);
“the Pharmaceutical Services Regulations” means the National
(Pharmaceutical and Local Pharmaceutical Services) Regulations 2013(d);
Health
Service
“pharmacist independent prescriber” has the same meaning as in the Pharmaceutical Services
Regulations;
“pharmacy contractor” means a person included in a list prepared under regulation 10(2)(a) of
the Pharmaceutical Services Regulations;
“pharmacy premises” has the same meaning as in the Pharmaceutical Services Regulations;
“registered patient” means a patient who is included in a list that is a registered patient list for
the purposes of the Primary Medical Services (Sale of Goodwill and Restrictions on Subcontracting) Regulations 2004(e);
“relevant Primary Care Trust”, in relation to a period before 1st April 2013, means the
Primary Care Trust that entered into the arrangements with the contractor that are continuing,
pursuant to these Directions, with the NHSCB (where such arrangements are continuing by
virtue of a transfer scheme);
“specialist nurse” means a person who is—
(a) registered in the Nurses’ Part or Specialist Community Public Health Nurses’ Part of the
register maintained by the Nursing and Midwifery Council under article 5 of the Nursing and
Midwifery Order 2001(f) (establishment and maintenance of register); and
(b) employed or engaged by any pharmacy contractor or appliance contractor for the purposes
of conducting a review of a person’s use of specified appliances;
“specified appliance” means—
(a) any of the following appliances listed in Part IXA of the Drug Tariff—
(i) a catheter appliance (including a catheter accessory and maintenance solution),
(ii) a laryngectomy or tracheostomy appliance,
(a) The competency framework in place on 1st April 2013 is the one published by the Department of Health on its website,
www.dh.gov.uk.
(b) S.I. 2005/2414.
(c) Paragraph 22 has been amended by S.I. 2006/3373 and 2009/2205.
(d) S.I. 2013/349.
(e) S.I. 2004/906; see regulation 2(2) of those Regulations.
(f) S.I. 2002/253.
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(iii) an anal irrigation system,
(iv) a vacuum pump or constrictor ring for erectile dysfunction, or
(v) a wound drainage pouch;
(b) an incontinence appliance listed in Part IXB of the Drug Tariff; or
(c) a stoma appliance listed in Part IXC of the Drug Tariff;
“stoma appliance customisation” means the customisation of a quantity of more than one
stoma appliance, where—
(a) the stoma appliances to be customised are listed in Part IXC of the Drug Tariff;
(b) the customisation involves modification to the same specification of multiple identical
parts for use with each appliance; and
(c) that modification is based on the patient’s measurements or record of those measurements
and, if applicable, a template; and
“transfer scheme” means a property transfer scheme under section 300 of the Health and
Social Care Act 2012 (transfer schemes) that transfers the rights and liabilities of a Primary
Care Trust under arrangements for the provision of pharmaceutical services to other persons.
Revocation and saving
3.—(1) The Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions
2012(a) are revoked.
(2) Notwithstanding the revocation in paragraph (1)—
(a) the 2012 Directions continue to have effect for the purposes of the resolution, in
accordance with paragraph 13 of Schedule 9 to the Pharmaceutical Services Regulations
(transitional provisions – service provision issues: NHS chemists), of any matter relating
to compliance with the terms of service of NHS chemists included in the 2012 Directions
which is outstanding on 1st April 2013; and
(b) for these purposes, the continuity principles (as defined in paragraph 1(8) of Schedule 9
to the Pharmaceutical Services Regulations (transitional provisions – the continuity
principles)) apply to the 2012 Directions as if those Directions were provisions of the
National Health Service (Pharmaceutical Services) Regulations 2012(b), as in force on
31st March 2013, for the purposes of paragraph 1 of Schedule 9 to the Pharmaceutical
Services Regulations.
PART 2
Advanced services: pharmacy contractors only
MUR services: general matters and pre-conditions for making arrangements
4.—(1) The NHSCB must make arrangements for the provision of medicines use review and
prescription intervention services (“MUR services”) with any pharmacy contractor (P) who—
(a) meets the conditions set out in paragraphs (3) to (5); and
(b) wishes to enter into such arrangements or is required to do so by virtue of regulation 66 of
the Pharmaceutical Services Regulations (conditions relating to providing directed
services).
(2) The underlying purpose of MUR services is, with the patient’s agreement, to improve the
patient’s knowledge and use of drugs by in particular—
(a) Signed on 20th July 2012.
(b) S.I. 2012/1909. These Regulations, and the amendments to them, were revoked by S.I. 2013/349.
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(a) establishing the patient’s actual use, understanding and experience of taking drugs;
(b) identifying, discussing and assisting in the resolution of poor or ineffective use of drugs
by the patient;
(c) identifying side effects and drug interactions that may affect the patient’s compliance
with instructions given to them by a health care professional for the taking of drugs; and
(d) improving clinical and cost effectiveness of drugs prescribed to patients, thereby reducing
the wastage of such drugs.
(3) Condition 1 is that P is satisfactorily complying with P’s obligations under Schedule 4 to the
Pharmaceutical Services Regulations (terms of service of NHS pharmacists) in respect of the
provision of essential services and an acceptable system of clinical governance.
(4) Condition 2 is that—
(a) if P is a registered pharmacist—
(i) P has an MUR certificate, or
(ii) if P intends to employ or engage a registered pharmacist to perform MUR services,
that registered pharmacist has an MUR certificate; or
(b) if P is not a natural person, any registered pharmacist P intends to employ or engage to
perform MUR services has an MUR certificate,
and P has supplied a copy of such certificates to the NHSCB (or supplied them to the relevant
Primary Care Trust before 1st April 2013) prior to entering into an arrangement to provide MUR
services.
(5) Subject to paragraph (6), condition 3 is that the MUR services are provided at an acceptable
location, and for these purposes, “acceptable location” means—
(a) an area for confidential consultations at P’s pharmacy premises, which is—
(i) clearly designated as an area for confidential consultations,
(ii) distinct from the general public areas of the pharmacy premises, and
(iii) an area where both the person receiving MUR services and the registered pharmacist
providing those services are able to sit down together and talk at normal speaking
volumes without being overheard by any other person (including pharmacy staff),
except that paragraphs (i) and (ii) shall not apply in circumstances where the pharmacy
premises are closed to other members of the public;
(b) an area for confidential consultations which is not at P’s pharmacy premises, which is—
(i) clearly designated as an area for confidential consultations,
(ii) distinct from the general public areas of the premises in which it is situated, and
(iii) an area where both the person receiving MUR services and the registered pharmacist
providing those services are able to sit down together and talk at normal speaking
volumes without being overheard by any other person,
and the NHSCB (or before 1st April 2013 the relevant Primary Care Trust) has approved
the premises where the area is situated as being premises at which MUR services may be
provided (and that approval has not been withdrawn); or
(c) premises to which neither sub-paragraph (a) or (b) applies, but which are—
(i) premises as regards which P has obtained the approval of the NHSCB to provide
MUR services to a particular patient on a particular occasion, or
(ii) premises or a category of premises as regards which P has obtained the approval of
the NHSCB (or before 1st April 2013 the relevant Primary Care Trust) (which has
not been withdrawn) to provide MUR services to a particular category of patients, in
such circumstances and subject to such conditions as the NHSCB (or before 1st
April 2013 the relevant Primary Care Trust) may have specified (which the NHSCB
may vary without withdrawing its approval).
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(6) A registered pharmacist who is, or who is employed or engaged by, P may provide MUR
services other than at an acceptable location if that registered pharmacist does so—
(a) by telephone to a particular patient on a particular occasion; and
(b) in circumstances where the telephone conversation cannot be overheard (except by
someone whom the patient wants to hear the conversation, for example a carer),
but only if P has obtained the approval of the NHSCB to do so on that particular occasion.
MUR services: ongoing conditions of arrangements
5.—(1) The NHSCB must ensure that arrangements pursuant to direction 4(1) with a pharmacy
contractor (P) provide that—
(a) only a registered pharmacist with an MUR certificate, a copy of which has been supplied
to the NHSCB (or before 1st April 2013 the relevant Primary Care Trust), may perform
MUR services;
(b) MUR services are only provided—
(i) at an acceptable location within the meaning given in direction 4(5), excepted in the
circumstances provided for in direction 4(6), and
(ii) at a location for which the NHSCB’s approval is required by virtue of direction
4(5)(b) or (c), if the necessary approval has been given by the NHSCB (or, in the
case of approvals under direction 4(5)(b) or (c)(ii), before 1st April 2013 by the
relevant Primary Care Trust) and has not been withdrawn;
(c) where MUR services are provided other than at an acceptable location within the meaning
given in direction 4(5), they are only provided—
(i) by telephone to a particular patient on a particular occasion, and
(ii) in circumstances where the telephone conversation cannot be overheard (except by
someone whom the patient wants to hear the conversation, for example a carer),
with P having obtained the approval of the NHSCB to do so on that particular occasion;
(d) subject to paragraph (2), no more than 400 MUR services consultations are carried out
under the arrangements in any financial year (whether at an acceptable location or by
telephone);
(e) an MUR services consultation which is not triggered by concerns over patient adherence
must not be offered to a patient unless the patient has been receiving pharmaceutical
services from P at or from the pharmacy premises for a period of at least 3 consecutive
months;
(f) a patient must not have—
(i) more than one MUR service consultation in any period of 12 months unless in the
reasonable opinion of a registered pharmacist the patient’s circumstances have
changed sufficiently to justify one or more further consultations during this period,
or
(ii) an MUR service consultation within 6 months of a consultation as part of a New
Medicine Service, unless in the reasonable opinion of a registered pharmacist there
are significant potential benefits to the patient which justify providing MUR services
to them during this period;
(g) at least 50% of the MUR services consultations carried out by P at or from pharmacy
premises in any financial year are to be carried out with patients who are in one or more
of the national target groups set out in Schedule 1;
(h) P ensures that a written record of each MUR service consultation carried out by or on
behalf of P is prepared by the registered pharmacist who carried out the consultation, on
the approved form or in the approved manner and including the approved data
(“approved” for these purposes means approved by the NHSCB);
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(i) where the record mentioned in sub-paragraph (h) has to be on an approved form, P
provides a copy of that form to the patient with whom the consultation to which it relates
was carried out;
(j) P provides information from the record mentioned in sub-paragraph (h) to the NHSCB or
the Secretary of State, on request, in the manner approved for this purpose, and for the
purposes approved, by the NHSCB;
(k) P ensures that where—
(i) MUR services are provided to a patient by or on behalf of P, and
(ii) a registered pharmacist providing those services is of the opinion that it is
appropriate to provide feedback about the consultation to any provider of primary
medical services of which that patient is a registered patient,
that feedback is provided on the approved form or in the approved manner (“approved”
for these purposes means approved by the NHSCB);
(l) P keeps a copy of the record mentioned in sub-paragraph (h) for at least two years after
the date on which the consultation to which the record relates is carried out;
(m) the NHSCB must terminate the arrangements if it is on notice that P is not, or no longer,
satisfactorily complying with P’s obligations under Schedule 4 to the Pharmaceutical
Services Regulations (terms of service of NHS pharmacists) in respect of the provision of
essential services and an acceptable system of clinical governance;
(n) MUR services are only to be provided to patients who are being prescribed more than one
drug, unless the only drug they are being prescribed is a high risk medicine; and
(o) P must obtain from each patient to whom P provides MUR services a signed consent
form to receiving those services, which—
(i) includes the approved wording as regards consent (“approved” for these purposes
means approved by the NHSCB), and
(ii) amongst other matters, indicates the patient’s consent to particular information,
specified in the form, relating to MUR services provided to the patient being handled
in the manner specified in the form (for example, for the purposes of post payment
verification),
and P must not provide MUR services to a patient unless the patient’s consent to that
information being handled in the manner specified has been obtained.
(2) As regards the first financial year during which any arrangements made with a pharmacy
contractor to provide MUR services have effect, paragraph (1)(d) shall apply as if for “400” were
substituted “200” if the arrangements only take effect on or after 1st October of that financial year.
(3) For the purposes of paragraph (2), arrangements with P to provide MUR services at or from
a particular location are to be treated as taking effect once P has—
(a) notified the NHSCB (or before 1st April 2013 the relevant Primary Care Trust) in writing
that P intends to start providing the MUR services; and
(b) supplied the NHSCB (or before 1st April 2013 the relevant Primary Care Trust) with
copies of any MUR certificates that P is required to supply in order to satisfy the
condition in direction 4(4).
(4) For the purposes of paragraph (1)(f)(i), a patient’s circumstances are to be treated as having
changed sufficiently to justify one or more further consultations if the patient—
(a) has been discharged from hospital; and
(b) has had changes made to the drugs they are taking while they were in hospital.
(5) A consultation as part of a New Medicine Service is not to be taken into account for the
purposes of paragraph (1)(f)(ii) if since that consultation the patient—
(a) has been discharged from hospital; and
(b) has had changes made to the drugs they are taking while they were in hospital.
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(6) A form approved by the NHSCB pursuant to paragraph (1)(h) may be in the form of an
electronic record and may be sent or stored electronically (an approved manner may also provide
for electronic storage and transmission of the approved data set).
(7) Any approval of the Secretary of State under direction 5(1)(h), (j), (k) or (o)(i) of the 2012
Directions (MUR services: ongoing conditions of arrangements) continues in effect under the
corresponding provision of paragraph (1), unless or until the approval is revoked or superseded by
an approval of the NHSCB under that corresponding provision.
New Medicine Service: general matters and preconditions for making arrangements
6.—(1) The NHSCB must make arrangements for the provision of a New Medicine Service with
any pharmacy contractor (P) who—
(b) wishes to enter into such arrangements or is required to do so by virtue of regulation 66 of
the Pharmaceutical Services Regulations (conditions relating to providing directed
services).
(2) The underlying purpose of a New Medicine Service is to promote the health and well being
of patients prescribed with new medicines for long term conditions, in order—
(a) as regards the long term conditions—
(i) to help reduce symptoms and long term complications, and
(ii) in particular by intervention post dispensing, to help identification of problems with
management of the condition and the need for further information or support; and
(b) to help the patients—
(i) make informed choices about their care,
(ii) self-manage their long term conditions,
(iii) adhere to agreed treatment programmes, and
(iv) make appropriate life style changes.
(3) Condition 1 is that P has notified the NHSCB (or before 1st April 2013 the relevant Primary
Care Trust) of P’s intention to provide services as part of a New Medicine Service, in the form
approved for that purpose by the NHSCB.
(4) Condition 2 is that P is satisfactorily complying with P’s obligations under Schedule 4 to the
Pharmaceutical Services Regulations (terms of service of NHS pharmacists) in respect of the
provision of essential services and an acceptable system of clinical governance.
(i) P has an MUR certificate, or
(ii) if P intends to employ or engage a registered pharmacist to perform services as part
of a New Medicine Service, that registered pharmacist has an MUR certificate; or
perform services as part of a New Medicine Service has an MUR certificate.
(i) P completes in the approved manner the approved form warranting that P is
competent to perform services as part of a New Medicine Service, or
(ii) if P intends to employ or engage a registered pharmacist to perform services as part
of a New Medicine Service, that registered pharmacist completes in the approved
manner the approved form warranting that they are competent to perform services as
part of a New Medicine Service; or
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perform services as part of a New Medicine Service completes in the approved manner
the approved form warranting that they are competent to perform services as part of a
New Medicine Service,
and “approved” for these purposes means approved by the NHSCB.
(7) Condition 5 is that P has in place a standard operating procedure, at the pharmacy premises
at or from which services as part of a New Medicine Service is to be delivered, for delivery of the
service—
(a) which has been notified to the pharmacy staff;
(b) which explains the service, eligibility criteria for it and the roles that pharmacy staff may
be required to perform as part of it; and
(c) about which staff have received appropriate training, if there is any role that they may be
asked to perform as part of the service.
(8) Condition 6 is that P must have notified providers of primary medical services in their
locality of P’s intention to provide services as part of a New Medicine Service.
(9) Subject to paragraph (10), condition 7 is that second and third stage services provided as part
of the New Medicine Service are provided at an acceptable location, and for these purposes,
“acceptable location” means an area for confidential consultations at P’s pharmacy premises,
which is—
(a) clearly designated as an area for confidential consultations;
(b) distinct from the general public areas of the pharmacy premises; and
(c) an area where both the person receiving services as part of the New Medicine Service and
the registered pharmacist providing those services are able to sit down together and talk at
normal speaking volumes without being overheard by any other person (including
pharmacy staff),
except that sub-paragraphs (a) and (b) shall not apply in circumstances where the pharmacy
premises are closed to other members of the public.
(10) A registered pharmacist who is, or who is employed or engaged by, P may provide second
and third stage services as part of a New Medicine Service other than at the acceptable location at
P’s pharmacy premises if that registered pharmacist does so—
(a) by telephone to a particular patient on a particular occasion;
(b) with the agreement of that patient, that patient having expressed a preference for that
contact to be by telephone on that occasion; and
(c) in circumstances where—
(i) the registered pharmacist is at P’s pharmacy premises, and
(ii) the telephone conversation cannot be overheard (except by someone whom the
patient wants to hear the conversation, for example a carer).
(11) Any approval of the Secretary of State under direction 6(3) or (6) of the 2012 Directions
(New Medicine Service: general matters and preconditions for making arrangements) continues in
effect under the corresponding provision of this direction, unless or until the approval is revoked
or superseded by an approval of the NHSCB under that corresponding provision.
New Medicine Service: ongoing conditions of arrangements
7.—(1) The NHSCB must ensure that arrangements pursuant to direction 6(1) with a pharmacy
contractor (P) provide that—
(a) only a registered pharmacist—
(i) with an MUR certificate, and
(ii) who has completed in the approved manner the approved form warranting that they
are competent to perform services as part of a New Medicine Service,
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may perform services as part of a New Medicine Service;
(b) second and third stage services are only provided as part of a New Medicine Service at an
acceptable location at P’s pharmacy premises, within the meaning given in direction 6(9),
except in the circumstances provided for in direction 6(10);
(c) where second and third stage services are provided as part of a New Medicine Service
other than at the acceptable location at P’s pharmacy premises, they are only provided—
(i) by telephone to a particular patient on a particular occasion, and
(ii) with the agreement of that patient, that patient having expressed a preference for that
contact to be by telephone on that occasion; and
(iii) in circumstances where—
(aa)
the pharmacist is at P’s pharmacy premises, and
(bb)
the telephone conversation cannot be overheard (except by someone whom
the patient wants to hear the conversation, for example a carer);
(d) P maintains and keeps under review its standard operating procedure, at the pharmacy
premises at or from which services as part of a New Medicine Service are to be delivered,
for delivery of those services, and—
(i) any changes to it are notified to the pharmacy staff,
(ii) the procedure explains the service, eligibility criteria for it and the roles that
pharmacy staff may be required to perform as part of it, and
(iii) staff receive appropriate training about the service, if there is any role they may be
asked to perform as part of the service;
(e) P only offers to provide first stage services as part of their New Medicine Service (and so
only offers to provide any part of the service) to persons who have, for the first time, been
prescribed a particular NMS medicine (Schedule 2 lists these drugs) for the medical
condition or therapy in relation to which the NMS medicine is listed in Schedule 2, and—
(i) the prescription is on a prescription form (within the meaning given in the
Pharmaceutical Services Regulations(a)) and is presented at the pharmacy premises
at or from which the service is to be provided, or
(ii) the prescribing occurred while the patient was at a hospital (whether as an inpatient
or an outpatient), but—
(aa)
as part of a course of treatment that is to continue once the patient is no longer
at the hospital, and
(bb)
the patient was referred to P by a health care professional at the hospital who
is (partly) responsible for that course of treatment;
(f) the first stage services that P provides as part of the New Medicine Service (either with
the patient at P’s pharmacy premises or, provided that the registered pharmacist is at P’s
pharmacy premises and to the extent possible, by telephone) must comprise—
(i) agreeing with the patient who is being offered the service (whether as a consequence
of prescriber referral or of P’s own motion)—
(aa)
when P dispenses the newly prescribed NMS medicine to the patient, or
(bb)
in a case to which sub-paragraph (e)(ii) applies, when the patient contacts P
about the service as a consequence of the referral mentioned in sub-paragraph
(e)(ii)(bb),
a time and location for the second stage intervention services (which may be a split
location),
(a) See regulation 2(1) of those Regulations.
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(ii) providing the patient with sufficient information about the New Medicine Service
(for example, in a leaflet) to enable them to give their informed consent to receiving
the service,
(iii) obtaining from the patient a signed consent form to receiving services as part of P’s
New Medicine Service, which—
(aa)
includes the approved wording as regards consent (“approved” for these
purposes means approved by the NHSCB), and
(bb)
amongst other matters, indicates the patient’s consent to particular
information, specified in the form, relating to services provided to the patient
as part of the New Medicine Service being handled in the manner specified in
the form (for example, for the purposes of post payment verification), and
(iv) as appropriate, providing the patient with information relevant to the objectives listed
in direction 6(2) (where this is not already required under Part 2 of Schedule 4 to the
Pharmaceutical Services Regulations (terms of service of NHS pharmacists –
essential services);
(g) P must discontinue providing services to a patient as part of the New Medicine Service if
the patient refuses to consent to the information mentioned in sub-paragraph (f)(iii)(bb)
being handled in the manner specified in the form mentioned in that sub-paragraph, or if
that consent is withdrawn prior to the completion of a full service intervention;
(h) the second stage services that P provides as part of their New Medicine Service must
comprise—
(i) a discussion with the patient about whether or not they wish to withdraw the consent
attested to in the form mentioned in sub-paragraph (f)(iii),
(ii) assessment by the registered pharmacist performing the second stage services of the
adherence by the patient to their treatment programme for the relevant NMS
medicine,
(iii) identification of any problems either with the treatment (including any adverse drug
reactions) or otherwise in relation to the patient’s self-management of their long term
condition, and identification of any need of the patient for further information and
support in relation to the treatment or the long term condition,
(iv) agreement (where possible) between the registered pharmacist and the patient of the
next steps, that is—
(aa)
if the patient is adhering to the treatment programme for the relevant NMS
medicine and no problems are identified under paragraph (iii), agreeing with
the patient a time and location for third stage services (which may be a split
location),
(bb)
if any problems are identified under paragraph (iii) and it is the clinical
judgement of the registered pharmacist that intervention by the patient’s
general practitioner is warranted, explaining that to the patient, completing the
NMS feedback form (which is in a format approved by the NHSCB) and
referring the matter to the patient’s general practitioner (which amounts to a
full service intervention in respect of that patient, unless the second stage
services are being provided in respect of more than one medicine and the
referral to the general practitioner does not relate to the use of every medicine
in respect of which the service is being provided),
(cc)
if any problems are identified under paragraph (iii) but it is the clinical
judgement of the registered pharmacist that intervention by the patient’s
general practitioner is not warranted (or not warranted in relation to every
medicine in respect of which the second stage services are being provided),
agreeing with the patient a time and location for third stage services (which
may be a split location in the event of an intervention by telephone) and any
appropriate remedial steps to be taken prior to that intervention, and
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(v) as appropriate, providing the patient with other information relevant to the objectives
listed in direction 6(2) (where this is not already required under Part 2 of Schedule 4
to the Pharmaceutical Services Regulations);
(i) P must discontinue providing services to a patient as part of the New Medicine Service if,
as a consequence of an act or omission of the patient, the patient does not receive the
second stage services at the agreed time and P is unable, having made reasonable efforts
to do so, to rearrange and provide those second stage services on another occasion;
(j) the third stage services that P provides as part of their New Medicine Service must
comprise—
(i) assessment by the registered pharmacist performing the third stage services of the
adherence by the patient to their treatment programme for the relevant NMS
medicine,
(ii) identification of any new or continuing problems either with the treatment (including
any adverse drug reactions) or otherwise in relation to the patient’s self-management
of their long term condition, and identification of any need of the patient for further
information and support in relation to the treatment or the long term condition,
(iii) if any problems are identified under paragraph (ii) and it is the clinical judgement of
the registered pharmacist that intervention by the patient’s general practitioner is
warranted, explaining that to the patient, completing the NMS feedback form (which
is in a format approved by the NHSCB) and referring the matter to the patient’s
general practitioner, and
(iv) as appropriate, providing the patient with other information relevant to the objectives
listed in direction 6(2) (where this is not already required under Part 2 of Schedule 4
to the Pharmaceutical Services Regulations),
unless a full service intervention has been completed prior to P being able to make the
assessment referred to in paragraph (i);
(k) the NHSCB must terminate the arrangements if it is on notice that P is not, or no longer,
satisfactorily complying with P’s obligations under Schedule 4 to the Pharmaceutical
Services Regulations in respect of the provision of essential services and an acceptable
system of clinical governance;
(l) P ensures that a written record (which may be an electronic record) of each consultation
carried out by or on behalf of P as part of P’s New Medicine Service is prepared by the
registered pharmacist who carried out the consultation and includes the approved data
(“approved” for these purposes means approved by the NHSCB);
(m) P provides information from those records to the NHSCB or the Secretary of State, on
request, in the manner approved for this purpose, and for the purposes approved, by the
NHSCB; and
(n) P keeps a copy of the record mentioned in sub-paragraph (l) for at least 2 years from the
date on which the service intervention is completed or discontinued.
(2) For the purposes of paragraph (1)(g) and (j), a full service intervention has been
completed—
(a) once a patient is referred to their general practitioner as mentioned in paragraph
(1)(h)(iv)(bb);
(b) following the assessment made under paragraph (1)(j)(i)—
(i) if the patient is adhering to the treatment programme for the relevant NMS medicine
and no problems are identified under paragraph (1)(j)(ii), once the assessment has
been made and (where applicable) any further information has been provided as
mentioned in paragraph (1)(j)(iv), or
(ii) if problems are identified under paragraph (1)(j)(ii), if—
(aa)
it is the clinical judgement of the registered pharmacist that intervention by
the patient’s general practitioner is warranted, once that referral has been
made, or
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(bb)
it is the clinical judgement of the registered pharmacist that intervention by
the patient’s general practitioner is not warranted, once any appropriate advice
in relation to the new or continuing problems has been given and (where
applicable) any further information has been provided as mentioned in
paragraph (1)(j)(iv); or
(c) if, as a consequence of an act or omission of the patient, the patient does not receive the
third stage services at the agreed time and P is unable, having made reasonable efforts to
do so, to rearrange and provide those third stage services on another occasion, once those
reasonable efforts have been made.
(3) Any approval of the Secretary of State under direction 7(1)(f)(iii)(aa), (h)(iv)(bb), (j)(iii), (l)
or (m) of the 2012 Directions (New Medicine Service: ongoing conditions of arrangements)
continues in effect under the corresponding provision of paragraph (1), unless or until the approval
is revoked or superseded by an approval of the NHSCB under that corresponding provision.
Duration of New Medicine Service
8. Directions 6 and 7 cease to have effect at the end of 30th September 2013.
PART 3
Advanced services: appliances
9.—(1) The NHSCB must make arrangements for the provision of stoma appliance
customisation services by any pharmacy contractor (P) or appliance contractor (S)—
(a) who supplies stoma appliances listed in Part IXC of the Drug Tariff in the normal course
of business;
(b) who either wishes to enter into the arrangements or is required to do so by virtue of
regulation 66 of the Pharmaceutical Services Regulations (conditions relating to
providing directed services); and
(c) in relation to whom—
(i) Conditions 1, 2 and 3 are met, and
(ii) if services are to be provided elsewhere than at P’s or S’s listed chemist premises,
Condition 4 is also met.
(2) The underlying purpose of a stoma appliance customisation service is to—
(a) ensure the proper use and comfortable fitting of the stoma appliance by a patient; and
(b) improve the duration of usage of the appliance, thereby reducing wastage of such
appliances.
(3) Condition 1 is that, before any arrangements are entered into, the NHSCB (or before 1st
April 2013 the relevant Primary Care Trust) and the NHS BSA have each been supplied with
notice that P or S wishes to provide stoma appliance customisation services.
(4) Condition 2 is that P or S—
(a) is satisfactorily complying with P’s obligations under Schedule 4 to the Pharmaceutical
Services Regulations (terms of services of NHS pharmacists) or S’s obligations under
Schedule 5 to those Regulations (terms of service of NHS appliance contractors), as the
case may be; and
(b) has procedures in place to ensure referral of a patient to the prescriber of the appliance in
any case where—
(i) a customised stoma appliance is not suitable for further customisation, or
(ii) a stoma appliance has been customised and is not a proper fit for the patient.
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(5) Condition 3 is that stoma appliance customisation services must be provided at an acceptable
location and, for these purposes, an “acceptable location” means—
(a) an area within P’s or S’s listed chemist premises which—
(i) is distinct from the general public areas,
(ii) at all times when stoma appliance customisation services are being provided, is
clearly designated as a private area,
(iii) is suitable and designated for the retention of the appropriate equipment for stoma
appliance customisation,
(iv) is suitable and designated for the carrying out of modification of stoma appliances,
and
(v) is suitable and designated for the volume of stoma appliances that may be
customised at any given time; or
(b) an area elsewhere than at P’s or S’s listed chemist premises which—
(i) is distinct from the general public areas of the premises in which it is situated, and
(ii) meets the requirements of paragraph (a)(ii) to (v).
(6) Condition 4 is that, in any case where any stoma appliance customisation services are to be
provided elsewhere than at P’s or S’s listed chemist premises, procedures must be in place to
ensure co-operation with any reasonable inspection or review of the premises by the NHSCB.
Requirements applying to stoma appliance customisation services
10.—(1) This direction has effect in relation to any arrangements with a pharmacy contractor (P)
or appliance contractor (S) which are made pursuant to direction 9.
(2) The NHSCB must ensure that the arrangements provide that—
(a) only appropriately trained and qualified persons are permitted to customise a stoma
appliance;
(b) a record of each stoma customisation must be completed;
(c) each record must include the information listed in paragraph (3);
(d) each record must be retained for a minimum period of 12 months or such longer period as
the NHSCB may reasonably require;
(e) a copy of the record must be supplied to the patient or, if requested by the patient, to the
prescriber or another health care professional; and
(f) unless prevented from doing so by illness or other reasonable cause, P or S must give at
least 3 months’ notice in writing to both the NHSCB (or if it was before 1st April 2013,
the relevant Primary Care Trust) and the NHS BSA in advance of ceasing to provide any
stoma appliance customisation services.
(3) Each stoma customisation record must include—
(a) details of advice given;
(b) the type of stoma appliance customised;
(c) dimensions used in respect of the modification of parts of the appliance;
(d) measurements of the patient (if taken);
(e) dimensions of any template made or modification of any existing template;
(f) any referrals made to the prescriber; and
(g) such other details as may be specified in the arrangements made with P or S.
(4) Stoma customisation records may be in the form of an electronic record and may be stored
electronically.
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Establishing and maintaining appliance use review services for specified appliances
11.—(1) The NHSCB must make arrangements for the provision of appliance use review
services (“AUR services”) by any pharmacist (“P”) or supplier of appliances (“S”)—
(a) who supplies specified appliances in the normal course of business;
(b) who either wishes to enter into the arrangements or is required to do so by virtue of
regulation 66 of the Pharmaceutical Services Regulations (conditions relating to
providing directed services); and
(c) in relation to whom—
(ii) if services are to be provided at listed chemist premises, Condition 4 is also met.
(2) The underlying purpose of an AUR service is, with a patient’s agreement, to improve the
patient’s knowledge and use of any specified appliance by, in particular—
(a) establishing the way the patient uses the specified appliance and the patient’s experience
of such use;
(b) identifying, discussing and assisting in the resolution of poor or ineffective use of the
specified appliance by the patient;
(c) advising the patient on the safe and appropriate storage of the specified appliance; and
(d) advising the patient on the safe and proper disposal of specified appliances that are used
or unwanted,
and an AUR service may be provided either when a pharmacist or specialist nurse visits a patient
at home or when a patient visits listed chemist premises.
April 2013 the relevant Primary Care Trust) and the NHS BSA have each been supplied with—
(a) notice that P or S wishes to provide AUR services;
(b) a statement of whether or not P or S proposes to provide any services to patients at home;
and
(c) unless services are to be provided solely during visits to a patient at home, a statement of
each location (which must be listed chemist premises) at which services are to be
provided.
April 2013 the relevant Primary Care Trust) has also been supplied with the following information
in relation to each pharmacist or specialist nurse who, as part of the AUR services to be provided
by P or S, is to review the use of specified appliances—
(a) full name;
(b) documentary evidence of qualifications; and
(c) details as to competency in respect of the use of specified appliances.
(a) is satisfactorily complying with P’s obligations under Schedule 4 to the Pharmaceutical
Services Regulations (terms of service of NHS pharmacists) or S’s obligations under
Schedule 5 to those Regulations (terms of service of NHS appliance contractors), as the
case may be; and
(b) has procedures in place to ensure referral of a patient to the prescriber of the appliance in
any case where a matter relating to a patient’s use of a specified appliance arises in the
course of an AUR service but falls outside the scope of the service.
(6) Condition 4 is that, where any AUR services are to be provided at listed chemist premises,
there is a consultation area at the premises which—
(a) is distinct from the general public areas;
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(b) at all times when a pharmacist or specialist nurse is reviewing the use of specified
appliances, is clearly designated as an area for confidential consultation;
(c) allows all persons taking part in the review to sit down together and talk at normal
speaking volumes without being overhead by other visitors to, or staff at, the premises;
and
(d) having regard to the nature of specified appliances and the underlying purpose of AUR
services, is suitable for a consultation to determine how a patient uses an appliance and
the extent of the patient’s knowledge about it.
12.—(1) This direction has effect in relation to any arrangements with a pharmacy contractor (P)
or supplier of appliances (S) which are made pursuant to direction 11.
(2) The NHSCB must ensure that the arrangements include such provision about—
(a) the qualifications of persons who review a patient’s use of specified appliances;
(b) the delivery of each AUR service; and
(c) the administration of AUR services,
as is set out in the following provisions of this direction.
(3) The provision referred to in paragraph (2)(a) is that—
(a) only a pharmacist or specialist nurse is permitted to review the use of specified
appliances; and
(b) the NHSCB must be sent (unless before 1st April 2013 the relevant Primary Care Trust
was sent) the following information in relation to each pharmacist or specialist nurse
who, as part of the AUR services provided by P or S, reviews the use of specified
appliances—
(i) full name,
(ii) documentary evidence of education, training or experience in respect of the use of
specified appliances, and
(iii) details as appropriate of relevant clinical training and practice in respect of the use of
specified appliances.
(4) The provision referred to in paragraph (2)(b) is that—
(a) where reasonably possible, an AUR service must be provided within 2 working days of
the day on which a patient requests a review or agrees to one at the suggestion of P or S;
(b) the pharmacist or specialist nurse who reviews the patient’s use of a specified appliance
must obtain the patient’s prior written consent to receiving the service;
(c) a record of each service must be completed;
(d) each record must include—
(i) the date of the review of the patient’s use of the specified appliance,
(ii) the name of the pharmacist or specialist nurse who carried out the review,
(iii) the name of the patient and the address at which the review took place,
(iv) the name of any other person present (and their relationship with the patient),
(v) the reason why a review is required,
(vi) the advice given to the patient, and
(vii) any intervention made; and
(e) the patient must be informed in writing that the record will be kept and that information
from it will be forwarded in accordance with paragraphs (5)(a) to (d); and
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(f) a patient must not be refused delivery of an AUR service by reason solely of the patient’s
location if P or S would, in the normal course of business, dispense the related specified
appliance to that location.
(5) The provision referred to in paragraph (2)(c) is that—
(a) a copy of each record of an AUR service must be provided by the pharmacist or specialist
nurse to P or S;
(b) if the patient is a registered patient, the information referred to in paragraph (4)(d)(i), (ii)
and (iii) must be forwarded to any provider of primary medical services with which the
patient is a registered patient;
(c) if the patient is a registered patient and the pharmacist or specialist nurse considers it
necessary for the provider of primary medical services with which the patient is registered
to be aware of other information from the record, all such information must be forwarded
to that provider;
(d) any information forwarded to any provider of primary medical services under this
paragraph must be copied to any nurse who is—
(i) employed or engaged by a provider, under arrangements with a clinical
commissioning group, of services as part of the health service, and
(ii) providing relevant health care services to the patient,
if it is known that there is such a nurse;
(e) each record must be retained for a minimum period of 12 months or for such longer
period as the NHSCB may reasonably require; and
(f) information about the number of AUR services provided in any financial year must be
submitted in accordance with any arrangements for payment of which P or S is notified.
(6) The record of an AUR service may be in the form of an electronic record and may be stored
electronically.
Maximum number of appliance use review services eligible for payment
13. The maximum number of AUR services for which a pharmacy contractor (P) or an appliance
contractor (S) is eligible for payment in any financial year is not more than 1/35th of the aggregate
number of specified appliances dispensed during that financial year by P or S (as the case may be).
PART 4
Enhanced services: pharmacy contractors only
Enhanced services provided by pharmacy contractors
14.—(1) The NHSCB is authorised to arrange for the provision of the following additional
pharmaceutical services with a pharmacy contractor (P)—
(a) an Anticoagulant Monitoring Service, the underlying purpose of which is for P to test the
patient’s blood clotting time, review the results and adjust (or recommend adjustment to)
the anticoagulant dose accordingly;
(b) a Care Home Service, the underlying purpose of which is for P to provide advice and
support to residents and staff in a care home relating to—
(i) the proper and effective ordering of drugs and appliances for the benefit of residents
in the care home,
(ii) the clinical and cost effective use of drugs,
(iii) the proper and effective administration of drugs and appliances in the care home,
(iv) the safe and appropriate storage and handling of drugs and appliances, and
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(v) the recording of drugs and appliances ordered, handled, administered, stored or
disposed of;
(c) a Disease Specific Medicines Management Service, the underlying purpose of which is
for a registered pharmacist to advise on, support and monitor the treatment of patients
with specified conditions, and where appropriate to refer the patient to another health care
professional;
(d) a Gluten Free Food Supply Service, the underlying purpose of which is for P to supply
gluten free foods to patients;
(e) an Independent Prescribing Service, the underlying purpose of which is to provide a
framework within which pharmacist independent prescribers may act as such under
arrangements to provide additional pharmaceutical services with the NHSCB;
(f) a Home Delivery Service, the underlying purpose of which is for P to deliver to the
patient’s home—
(i) drugs, and
(ii) appliances other than specified appliances;
(g) a Language Access Service, the underlying purpose of which is for a registered
pharmacist to provide, either orally or in writing, advice and support to patients in a
language understood by them relating to—
(i) drugs which they are using,
(ii) their health, and
(iii) general health matters relevant to them,
and where appropriate referral to another health care professional;
(h) a Medication Review Service, the underlying purpose of which is for a registered
pharmacist—
(i) to conduct a review of the drugs used by a patient, including on the basis of
information and test results included in the patient’s care record held by the provider
of primary medical services that holds the registered patient list on which the patient
is a registered patient, with the objective of considering the continued
appropriateness and effectiveness of the drugs for the patient,
(ii) to advise and support the patient regarding their use of drugs, including encouraging
the active participation of the patient in decision making relating to their use of
drugs, and
(iii) where appropriate, to refer the patient to another health care professional;
(i) a Medicines Assessment and Compliance Support Service, the underlying purpose of
which is for P—
(i) to assess the knowledge of drugs, the use of drugs by and the compliance with drug
regimens of vulnerable patients and patients with special needs, and
(ii) to offer advice, support and assistance to vulnerable patients and patients with
special needs regarding the use of drugs, with a view to improving their knowledge
and use of the drugs, and their compliance with drug regimens;
(j) a Minor Ailment Scheme, the underlying purpose of which is for P to provide advice and
support to eligible patients presenting with a minor ailment, and where appropriate to
supply drugs to the patient for the treatment of the minor ailment;
(k) a Needle and Syringe Exchange Service, the underlying purpose of which is for a
registered pharmacist—
(i) to provide sterile needles, syringes and associated materials to drug misusers,
(ii) to receive from drug misusers used needles, syringes and associated materials, and
(iii) to offer advice to drug misusers and where appropriate refer them to another health
care professional or a specialist drug treatment centre;
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(l) an On Demand Availability of Specialist Drugs Service, the underlying purpose of which
is for P to ensure that patients or health care professionals have prompt access to
specialist drugs;
(m) Out of Hours Services, the underlying purpose of which is for P to dispense drugs and
appliances in the out of hours period (whether or not for the whole of the out of hours
period);
(n) a Patient Group Direction Service, the underlying purpose of which is for P to supply or
administer prescription only medicines to patients under patient group directions;
(o) a Prescriber Support Service, the underlying purpose of which is for P to support health
care professionals who prescribe drugs, and in particular to offer advice on—
(i) the clinical and cost effective use of drugs,
(ii) prescribing policies and guidelines, and
(iii) repeat prescribing;
(p) a Schools Service, the underlying purpose of which is for P to provide advice and support
to children and staff in schools relating to—
(i) the clinical and cost effective use of drugs in the school,
(ii) the proper and effective administration and use of drugs and appliances in the school,
(iii) the safe and appropriate storage and handling of drugs and appliances, and
(iv) the recording of drugs and appliances ordered, handled, administered, stored or
disposed of;
(q) a Screening Service, the underlying purpose of which is for a registered pharmacist—
(i) to identify patients at risk of developing a specified disease or condition,
(ii) to offer advice regarding testing for a specified disease or condition,
(iii) to carry out such a test with the patient’s consent, and
(iv) to offer advice following an test and refer to another health care professional as
appropriate;
(r) a Stop Smoking Service, the underlying purpose of which is for P—
(i) to advise and support patients wishing to give up smoking, and
(ii) where appropriate, to supply appropriate drugs and aids;
(s) a Supervised Administration Service, the underlying purpose of which is for a registered
pharmacist to supervise the administration of prescribed medicines at P’s pharmacy
premises; and
(t) a Supplementary Prescribing Service, the underlying purpose of which is for a registered
pharmacist who—
(i) is a supplementary prescriber, and
(ii) with a doctor or a dentist is party to a clinical management plan,
to implement that plan, with the patient’s agreement.
(2) The NHSCB must ensure that any such arrangements make provision for those services—
(a) only to be performed by appropriately trained and qualified persons; and
(b) only to be provided—
(i) in accordance with relevant national guidelines or standards,
(ii) from premises that are suitable for the purpose, and
(iii) using the appropriate or necessary equipment.
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Signed by authority of the Secretary of State for Health
Jeannette Howe
Head of Pharmacy
Department of Health
12th March 2013
SCHEDULE 1
Direction 5(1)(g)
National Target Groups for MUR services
1. Patients taking a high risk medicine, and for these purposes, “high risk medicine” is a
medicine included in the BNF subsections referenced in the table in this paragraph—
BNF reference
BNF 10.1.1
BNF 2.8.2 and 2.8.1
BNF 2.9
BNF 2.2
BNF subsection descriptor
NSAIDs
Anticoagulants (including low molecular weight heparin)
Antiplatelets
Diuretics
2. Patients recently (that is, within the previous 8 weeks) discharged from hospital who had
changes made to the drugs they are taking while they were in hospital (it is anticipated that
patients in this target group will generally be offered an MUR services consultation within 4
weeks of discharge).
3. Patients prescribed a respiratory drug included in the BNF subsections referenced in the table
in this paragraph—
BNF
Reference
3.1.1
3.1.2
3.1.3
3.1.4
3.2
3.3
Adrenoceptor agonists
Antimuscarinic bronchodilators
Theophylline
Compound bronchodilator preparations
Corticosteroids
Cromoglicate and related therapy, leukotriene receptor antagonists
and phosphodiesterase type-4 inhibitors
SCHEDULE 2
Direction 7(1)(e)
NMS medicines
1. For the purposes of these Directions, an “NMS medicine” is a drug included in the BNF
subsections referenced in the tables in this paragraph (which are headed with the conditions or
therapies to which they relate)—
Asthma and Chronic Obstructive Pulmonary Disease
BNF
Reference
3.1.1
3.1.2
Adrenoceptor agonists
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3.1.3
3.1.4
3.2
3.3
Theophylline
Corticosteroids
Cromoglicate and related therapy, leukotriene receptor antagonists
and phosphodiesterase type-4 inhibitors
Type 2 Diabetes
BNF
Reference
6.1.1.1
6.1.1.2
6.1.2
Short acting insulins (where the community pharmacist can determine that
the medicine has been newly prescribed for a patient with Type 2 diabetes)
Intermediate and long acting insulins (where the community pharmacist can
determine that the medicine has been newly prescribed for a patient with
Type 2 diabetes)
Antidiabetic drugs
Antiplatelet/Anticoagulant therapy
BNF
Reference
2.8.2
2.9
Oral anticoagulants
Antiplatelet drugs
Hypertension
BNF
Reference
2.2.1
2.4
2.5.1
2.5.2
2.5.4
2.5.5
2.6.2
Thiazides and related diuretics
Beta-adrenoceptor blocking drugs (where the community pharmacist can
hypertension)
Vasodilator antihypertensive drugs
Centrally acting antihypertensive drugs
Alpha-adrenoceptor blocking drugs (where the community pharmacist can
hypertension)
Drugs affecting the renin-angiotensin system (where the community
pharmacist can determine that the medicine has been newly prescribed for a
patient with hypertension)
Calcium-channel blockers (where the community pharmacist can determine
that the medicine has been newly prescribed for a patient with
hypertension)
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DIRECTIONS
Services) (England) (Amendment) (No. 2) Directions 2013
Citation, commencement, application and interpretation
Services) (England) (Amendment) (No. 2) Directions 2013 and come into force on the day after
the day on which they are signed.
(3) In these Directions, “the principal Directions” means the Pharmaceutical Services
(Advanced and Enhanced Services) (England) Directions 2013(b).
Amendment of direction 2 of the principal Directions
2. In direction 2 of the principal Directions (interpretation), at the appropriate alphabetical place
insert—
““NHS prescription” means a prescription that is an electronic prescription form, an
electronic repeatable prescription, a non-electronic prescription form or a non electronic
repeatable prescription for the purposes of the Pharmaceutical Services Regulations
(c);”.
3. In direction 8 of the principal Directions(d) (duration of New Medicine Service), for “31st
December 2013” substitute “31st March 2014”.
4. In direction 14(1) of the principal Directions (enhanced services provided by pharmacy
contractors)—
(a) omit “and” at the end of sub-paragraph (s);
(b) insert “; and” at the end of sub-paragraph (t); and
(c) after sub-paragraph (t) insert the following sub-paragraph—
(b) Signed on 12th March 2013.
(c) These are the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (S.I.
2013/349).
(d) Amended by the Pharmaceutical Services (Advanced and Enhanced Services) (England) (Amendment) Directions 2013,
signed on 16th September 2013.
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“(u) an Emergency Supply Service, the underlying purpose of which is to ensure that,
in cases of urgency, patients, at their request, have prompt access to drugs or
appliances—
(i) which have previously been prescribed for them in an NHS prescription but
for which they do not have an NHS prescription, and
(ii) where, in the case of prescription only medicines, the requirements of
regulation 225(1) of the Human Medicines Regulations 2012(a) (emergency
sale etc by pharmacist: at patient’s request) are satisfied.”.
Revocation of the Pharmaceutical Services (Advanced and Enhanced Services) (England)
(Amendment) Directions 2013
5. The Pharmaceutical Services (Advanced and Enhanced Services) (England) (Amendment)
Directions 2013(b) are revoked.
Jeannette Howe
Head of Pharmacy
6th December 2013
(a) S.I. 2012/1916.
(b) Signed on 16th September 2013.
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DIRECTIONS
Services) (England) (Amendment) (No. 2) Directions 2014
Services) (England) (Amendment) (No. 2) Directions 2014.
(2) These Directions—
(a) apart from direction 2, come into force on 1st January 2015; and
(b) direction 2 comes into force on 1st April 2015.
(4) In these Directions, “the 2013 Directions” means the Pharmaceutical Services (Advanced
and Enhanced Services) (England) Directions 2013(b).
Amendment of direction 5 of the 2013 Directions
2. In direction 5(1) of the 2013 Directions (MUR services: ongoing conditions of arrangements),
in sub-paragraph (g), for “50%” substitute “70%”.
3. In direction 14(1) of the 2013 Directions (enhanced services provided by pharmacy
contractors), after sub-paragraph (a) insert the following sub-paragraph—
“(aa) an Antiviral Collection Service, the underlying purpose of which is for P to
supply antiviral medicines, in accordance with regulation 247 of the Human
Medicines Regulations 2012(c) (exemption for supply in the event or in
anticipation of pandemic disease), to patients for treatment or prophylaxis;”.
Amendment of Schedule 1 to the 2013 Directions
4. In Schedule 1 to the 2013 Directions (national target groups for MUR services), after
paragraph 3 insert the following paragraph—
(b) Signed on 12th March 2013, and amended by: the Pharmaceutical Services (Advanced and Enhanced Services) (England)
(Amendment) Directions 2013, signed on 16th September 2013; and the Pharmaceutical Services (Advanced and Enhanced
Services) (England) (Amendment) (No. 2) Directions 2013, signed on 6th December 2013, which also revoked the
Pharmaceutical Services (Advanced and Enhanced Services) (England) (Amendment) Directions 2013; and the
Pharmaceutical Services (Advanced and Enhanced Services) (England) (Amendment) Directions 2014, signed on 12th
March 2014.
(c) Amended by S.I. 2013/235.
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“4. Patients who are regularly being prescribed four or more medicines, at least one of
which is a medicine which is included in the BNF chapter and subsections referenced in the
table in this paragraph—
BNF Reference
Chapter 2
Sub Chapter 6.1
Sub Chapter 6.2
Cardiovascular System
Drugs used in Diabetes
Thyroid and Anti Thyroid Drugs
”
Jeannette Howe
Head of Pharmacy
5th December 2014
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DIRECTIONS
Services) (England) (Amendment) Directions 2015
Services) (England) (Amendment) Directions 2015.
(2) These Directions come into force on the day after the day on which they are signed.
(4) In these Directions, “the 2013 Directions” means the Pharmaceutical Services (Advanced
and Enhanced Services) (England) Directions 2013(b).
2. In direction 2 of the 2013 Directions (interpretation), insert each of the following definitions
at the appropriate place in the alphabetical order—
““care home” means a care home within the meaning of the Care Standards Act 2000(c)
in respect of which an organisation is registered under Chapter 2 of Part 1 of the Health
and Social Care Act 2008(d) (the Care Quality Commission – registration in respect of
the provision of health or social care) in respect of a regulated activity (within the
meaning of that Part) carried on in the home;”;
“National PGD” means the Patient Group Direction developed by Public Health
England in respect of the administration of intramuscular inactivated influenza vaccine
for the national immunisation programme for active immunisation against influenza,
which has the published expiry date of 31st August 2016(e) (and which may be revised
by Public Health England from time to time);”;
“NIAVS” means the National Influenza Adult Vaccination Service, described in
direction 7A(2);”;
(b) Signed on 12th March 2013, and amended by: the Pharmaceutical Services (Advanced and Enhanced Services) (England)
(Amendment) Directions 2013, signed on 16th September 2013; the Pharmaceutical Services (Advanced and Enhanced
Services) (England) (Amendment) (No. 2) Directions 2013, signed on 6th December 2013, which also revoked the
Pharmaceutical Services (Advanced and Enhanced Services) (England) (Amendment) Directions 2013; the Pharmaceutical
Services (Advanced and Enhanced Services) (England) (Amendment) Directions 2014, signed on 12th March 2014; and the
Pharmaceutical Services (Advanced and Enhanced Services) (England) (Amendment) (No. 2) Directions 2014, signed on
5th December 2014.
(c) 2000 c. 14. See section 3 of that Act, which defines what a care home is for the purposes of that Act.
(d) 2008 c. 14.
(e) Publications gateway reference 04038.
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“relevant NHS BSA online gateway” means the service provided for on the NHS BSA
website(a) which allows pharmacy contractors to submit online the information referred
to in directions 7A(3) and 7B(13);”; and
“working day” means any day from Monday to Friday except Good Friday, Christmas
Day or any day that is specified or proclaimed as a bank holiday in England pursuant to
section 1 of the Banking and Financial Dealings Act 1971(b) (bank holidays).”.
New directions 7A and 7B of the 2013 Directions
3. In Part 2 of the 2013 Directions (Advanced services: pharmacy contractors only), after
direction 7 (New Medicine Service: ongoing conditions of arrangements) insert the following
directions—
National Influenza Adult Vaccination Service: general matters and preconditions to
making arrangements
7A.—(1) Until the end of 29th February 2016, the NHSCB must make arrangements for
the provision of services as part of the NIAVS with any pharmacy contractor (P) who—
(a) meets Conditions 1 to 6 set out in this direction; and
(b) wishes to enter into such arrangements or is required to do so by virtue of
regulation 66 of the Pharmaceutical Services Regulations (Conditions relating to
providing directed services).
(2) The underlying purpose of the NIAVS is to enable pharmacy contractors to participate
in arrangements for the administration of intramuscular inactivated influenza vaccine to
patients aged 18 and over, in accordance with the National PGD, as part of the national
immunisation programme for active immunisation against influenza.
(3) Condition 1 is that P has notified the NHSCB, via the relevant NHS BSA online
gateway, of P’s intention to provide services as part of the NIAVS.
(4) Condition 2 is that P is satisfactorily complying with P’s obligations under Schedule 4
to the Pharmaceutical Services Regulations (Terms of service of NHS pharmacists) in
respect of the provision of essential services and an acceptable system of clinical
governance.
(a) in respect of any registered pharmacist that P intends to employ or engage as part
of the NIAVS, an approved form—
(i) has been completed, in the approved manner, warranting that the pharmacist is
competent to perform services as part of the NIAVS, and
(ii) is held (or a copy of it is held) at the pharmacy premises at or from which the
services which are part of the NIAVS are to be provided; and
(b) if P is a registered pharmacist, P completes, in the approved manner, an approved
form—
(i) warranting that P is competent to perform services as part of the NIAVS, and
(ii) which is held (or a copy of it is held) at the pharmacy premises at or from
which the services which are part of the NIAVS are to be provided,
and “approved” for these purposes means approved by the NHSCB.
(6) Condition 4 is that P has in place at the pharmacy premises at or from which the
services which are part of the NIAVS are to be provided standard operating procedures —
(a) which have been notified to the pharmacy staff;
(a) The website address is www.nhsbsa.nhs.uk.
(b) 1971 c. 80.
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(b) which explain—
(i) the services to be provided as part of the NIAVS,
(ii) the preconditions for providing the services (in this direction),
(ii) the ongoing conditions under which they have to be provided (in direction
7B), and
(iv) the roles that pharmacy staff may be required to perform as part of the
services;
(c) which provide that registered pharmacists who may be required to administer
vaccines as part of the service are advised that they should consider being
vaccinated against Hepatitis B;
(d) which, if vaccines are to be administered at a care home, set out the standard
operating procedures in respect of performing that activity away from the
pharmacy premises; and
(e) about which pharmacy staff have received appropriate training, if there is any role
that they may be asked to perform as part of the services.
(7) Condition 5 is that, if P is intending to administer vaccines at a care home as part of
the NIAVS, P must in respect of each occasion on which P intends to do so—
(a) have notified the general practitioners of the patients to whom P is intending to
administer vaccines of P’s intention to do so; and
(b) obtain the agreement of the NHSCB to P doing so.
(8) Condition 6 is that P must be able to provide the services which are part of the NIAVS
at an acceptable location, and for these purposes “acceptable location” means—
(a) a room for confidential consultations at P’s pharmacy premises which is—
(i) clearly designated as a room for confidential consultations,
(ii) distinct from the general public areas of the pharmacy premises, and
(iii) a room where both the person receiving the services which are part of the
NIAVS and the registered pharmacist who is to administer the vaccine are
able to sit down together and talk at normal speaking volumes without being
overheard by any other person (including pharmacy staff),
except that paragraphs (ii) and (iii) do not apply in circumstances where the
pharmacy premises are closed to other members of the public; or
(b) if, with the agreement of the NHSCB, P is to provide services as part of the
NIAVS at a care home on a particular occasion, then for the purposes of that
particular occasion only, a room—
(i) which is at that care home, and
(ii) where both the person receiving the services and the registered pharmacist
who is to administer the vaccine are able to sit down together and talk at
normal speaking volumes without being overheard by any other person, other
than a person whose presence the person receiving the service requests or
consents to (such as a carer).
National Influenza Adult Vaccination Service: ongoing conditions of arrangements
7B.—(1) The NHSCB must ensure that arrangements pursuant to direction 7A(1) with a
pharmacy contractor (P) include terms equivalent to Conditions A to O set out in this
direction.
(2) Condition A is that P has in place and keeps under review at the pharmacy premises at
or from which services are to be provided standard operating procedures—
(a) which have been notified to the pharmacy staff (including any changes to the
procedures);
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(b) which explain—
(i) the services to be provided as part of the NIAVS,
(ii) the preconditions for providing them (under direction 7A),
(iii) the ongoing conditions under which they have to be provided (under this
direction), and
(iv) the roles that pharmacy staff may be required to perform as part of the
services;
(c) which provide that registered pharmacists who may be required to administer
vaccines as part of the service are advised that they should consider being
vaccinated against Hepatitis B;
(d) which, if vaccines are to be administered at a care home, set out the standard
operating procedures in respect of performing that activity away from the
pharmacy premises; and
(e) about which pharmacy staff have received appropriate training, if there is any role
that they may be asked to perform as part of the services.
(3) Condition B is that intramuscular inactivated influenza vaccine must only be
administered under the arrangements to persons aged 18 and over.
(4) Condition C is that intramuscular inactivated influenza vaccine must only be
administered under the arrangements by an appropriately trained registered pharmacist
(notwithstanding that other health care professionals may administer the vaccine under the
National PGD), and for these purposes, “appropriately trained” is to be construed in
accordance with the “additional requirements” and “continued training requirements” in the
National PGD.
(5) Condition D is that a registered pharmacist administering the intramuscular
inactivated influenza vaccine must adhere to the National PGD and, as appropriate, to the
standard operating procedures referred to in condition A.
(6) Condition E is that, in respect of each registered pharmacist who administers vaccines
under the arrangements, an approved form—
(a) has been completed, in the approved manner, warranting that the pharmacist is
competent to perform services as part of the NIAVS; and
(b) is held (or a copy of it is held) at the pharmacy premises at or from which the
services which are part of the NIAVS are to be provided.
(7) Condition F is that, in respect of each occasion on which P intends to administer
vaccines at a care home as part of the NIAVS, P must—
(a) notify (if P has not already done so under Condition 5 in direction 7A(7)) the
general practitioners of the patients to whom P is intending to administer vaccines
of P’s intention to do so; and
(b) obtain the agreement of the NHSCB to P doing so.
(8) Condition G is that P must only provide the services which are part of the NIAVS at
an acceptable location, and for these purposes, “acceptable location” has the same meaning
as in Condition 6 in direction 7A(8).
(9) Condition H is that P must record the patient’s consent to the administration of the
intramuscular inactivated influenza vaccine (which is a requirement of the National PGD)
on the consent form approved for this purpose by the NHSCB.
(10) Condition I is that the NHSCB must terminate the arrangements if it is on notice that
P is not, or no longer, satisfactorily complying with P’s obligations under Schedule 4 to the
Pharmaceutical Services Regulations (terms of service of NHS pharmacists) in respect of
the provision of essential services and an acceptable system of clinical governance.
(11) Condition J is that P must ensure that the patient’s general practitioner is notified, in
the manner approved by the NHSCB (which may include approval of methods of
transmission of the information as well as of the form in which the information is to be
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transmitted) before the end of the working day after the day on which the patient is
vaccinated.
(12) Condition K is that if—
(a) a patient vaccinated under the arrangements presents with an adverse drug reaction
which is or may be linked to that vaccination; and
(b) a pharmacist who is P or who is employed or engaged by P believes the adverse
reaction is of significance,
P or a person employed or engaged by P must ensure that the patient’s general practitioner
is notified (either as part of the notification in accordance with Condition J or separately).
(13) Condition L is that if P is to terminate the arrangements, P must notify the NHSCB
of that via the relevant NHS BSA online gateway.
(14) Condition M is that once P has begun to provide services under the arrangements at
P’s pharmacy premises, then until P or the NHSCB has terminated the arrangements, P
must ensure, in so far as is practicable, that services which are part of the arrangements are
available at P’s pharmacy premises throughout its core opening hours and supplementary
opening hours (as defined in the Pharmaceutical Services Regulations(a)).
(15) Condition N is that each patient vaccinated under the arrangements must be asked to
complete a patient questionnaire, approved for this purpose by the NHSCB, and thereafter P
must process the information contained in any completed patient questionnaires in the
manner requested by the NHSCB.
(16) Condition O is that NHSCB must terminate any arrangements that are entered into or
still in force on 29th February 2016 with effect from the end of 29th February 2016.”.
Jeannette Howe
Head of Pharmacy
15th September 2015
(a) See regulation 2(1) of those Regulations.
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ADVANCED SERVICES (PHARMACY AND APPLIANCE CONTRACTORS)(WALES)
Part VID - Advanced Services (Pharmacy and Appliance Contractors)(Wales)
MEDICINES USE REVIEW, PRESCRIPTION INTERVENTION SERVICE, NEW MEDICINE
SERVICE, STOMA CUSTOMISATION AND APPLIANCE USE REVIEW
Advanced Services (Pharmacy Contractors)(Wales)
1. The Medicine Use Review and Prescription Intervention Service (MUR) form part of the Advanced
Services within the community pharmacy contractual framework.
Medicine Use Review and Prescription Intervention Service
2. A fee of £28 per MUR is payable with effect from 1 October 2011 to all pharmacy contractors
meeting the requirements for this service. These are set out below in the principal Directions to
LHBs (as amended by the Amendment Directions of 11 December 2006) in Wales.
3. Payment will be made up to a maximum of 400 MURs per pharmacy for the period commencing
on 1 April and ending on 31 March in any year, with the exception of pharmacies who have not
made arrangements before 1 October, in which case payment will be made to a maximum of 200
MURs per pharmacy (see Amendment Directions dated 11 December 2006 (Wales) below).
4. Contractors will be paid monthly, via the NHS Wales Shared Services Partnership, on the basis of
the number of MURs declared by the pharmacy to the NHS Wales Shared Services Partnership in
the relevant month. The pharmacy must submit all declarations of the number of MURs provided
through the National Electronic Claim and Audit Form (NECAF) system.
5. All claims relating to MURs provided in the period commencing on 1 April and ending on 31 March
of any financial year must be made by 5 May of the following financial year. For example claims
relating to the financial year ending 31 March 2015 must be made by 5 May 2015.
The Discharge Medicines Review Service
6. A fee of £37 per DMR full service intervention is payable from 1 April 2012 to all pharmacy
contractors meeting the requirements to provide the service. A pharmacy contractor will be eligible
for payment up to a maximum of 140 DMRs per pharmacy for the period commencing 1 April and
ending 31 March of any financial year.
7. Contractors will be paid monthly via the NHS Wales Shared Services Partnership on the basis of
the number of completed DMR claims submitted to NHS Wales Shared Services Partnership in the
relevant month. From April 2012 both the DMR claim and DMR summary form were replaced by
an electronic summary form which is accessed through the NECAF system. All claims must be
submitted using the NECAF system.
8. Where a contractor initiates DMR service consultations in any financial year but is not able to
complete the full service intervention before 31 March of that financial year they shall be eligible
to receive payment provided that they initiate a claim using the NECAF system not later than 5
April of the following financial year. The payment will be made on completion of the DMR full
service intervention.
Stoma customisation and Appliance Use Reviews form part of the Advanced Services within the
community pharmacy contractual framework and are also applicable to appliance contractors
Stoma Customisation
9. In Wales, from 1 April 2010 a fee of £4.32 is payable for every Part IXC prescription item that can
be customised1. The fee does not have to be claimed and will be paid automatically to those
pharmacy and appliance contractors who in Wales have informed their Local Health Board of their
intention to provide stoma appliance customisation services as an advanced service by the end of
the month before they start providing the service.
10. Contractors are however required to meet certain preconditions, set out below in direction 3
Pharmaceutical Services (Advanced Services) (Appliances) (Wales) Directions 2010, (“the
Appliances Directions”) before their Local Health Board is able to enter into arrangements with
them to provide the service - and their ongoing entitlement to provide the service is subject to
compliance with the conditions that Local Health Boards are required to impose on them by virtue
of direction 4 of the Appliances Directions.
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Appliance Use Review
11. In Wales, from 1 April 2010 a fee is payable to all pharmacy and appliance contractors meeting the
requirements for this service for each Appliance Use Review they have carried out. The
requirements they have to meet are also set out below in the Appliances Directions. As with the
stoma customisation, there are both preconditions that the contractor has to meet before the Local
Health Board is able to enter into arrangements with them (set out in direction 5 of the Appliances
Directions), and ongoing entitlement to provide the service is subject to compliance with the
conditions that the Local Health Board is required to impose on them (see direction 6 of the
Appliances Directions).
12. A Fee of £28 is payable for an Appliance Use Review conducted at premises managed by the
pharmacy or appliance contractor. A fee of £54 is payable for a review conducted at the user’s
home. If, within a 24 hour period, reviews are conducted for several users living at the same
location, the appliance or pharmacy contractor may claim £54 for the first review and £28 for each
subsequent review.
13. In Wales, the total number of Appliance Use Reviews that an appliance or pharmacy contractor
may claim fees for will be limited to one for every 35 Part IXA (qualifying items), Part IXB and Part
IXC prescription items dispensed for the period commencing on 1 April and ending on 31 March
in any one year (see direction 7 of the Appliances Directions)
14. In Wales contractors will be paid monthly via the NHS Wales Shared Services Partnership on
behalf of LHBs on receipt of the appropriate claim form in the relevant month
1
Products that qualify for the stoma customisation fee have been annotated in the Drug Tariff.
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NATIONAL ASSEMBLY FOR WALES
DIRECTIONS
NATIONAL HEALTH SERVICE, WALES
Services) (Wales) Directions 2005
The National Assembly for Wales in exercise of the powers conferred by sections 16BB(4), 41A,
41B and 126(4) of the National Health Service Act 1977(1) hereby gives the following Directions:
Title, commencement and application
1.—(1) The title of these Directions is the Pharmaceutical Services (Advanced and Enhanced
Services) (Wales) Directions 2005 and will come into force on 5 May 2005.
(2) These Directions are given to Local Health Boards and apply in relation to Wales.
“the Act” means the National Health Service Act 1977;
“clinical management plan” has the same meaning as in the POM Order;
“drug misuser” means a person who is misusing drugs by self-injection;
“drugs” includes medicines;
“Drug Tariff” means the Drug Tariff published under regulation 18 of the Pharmaceutical
Services Regulations;
“gluten free foods” means only those gluten free foods that are listed in Part XV (borderline
substances) of the Drug Tariff;
(1)
1977 c.49 (“the 1977 Act”); section 16BB(4) was inserted by the National Health Service Reform and Health Care
Professions Act 2002 (c.17)(“the 2002 Act”), section 6(1). Date in force 10.10.02; see SI 2002/2532 and was
amended by section 184 of and paragraphs 7 and 10 of Schedule 11 to the Health and Social Care (Community
Health and Standards Act 2003 (c.43) (“the 2003 Act”).
Section 41A was inserted into the 1977 by the National Health Service (Primary Care) Act 1997 (c.46) (“the 1997
Act”), section 27(1); and has been amended by the Health and Social Care Act 2001 (c.15) (“the 2001 Act), section
43(1)(b) and the 2002 Act, section 2(5) and Schedule 2, Part I, paragraphs 1 and 14.
Section 41B was inserted into the 1977 Act by the 1997 Act, section 28(1) and has been amended by the 2002 Act,
section 2(5) and Schedule 2, Part 1, paragraphs 1 and 15.
Section 126(4) was amended by the National Health Service and Community Care Act 1990 (c.19), section 65(2); and
by the 2001 Act, section 67(1) and Schedule 5, Part 1, paragraphs 5(1) and 13(b), by the 2002 Act, section 6(3)(c) and
by the Health and Social Care (Community Health and Standards) Act 2003 (c.43) (“the 2003 Act”), section 184 and
Schedule 11, paragraphs 7 and 38.
The functions of the Secretary of State under sections 41A, 41B and 126(4) of the 1977 Act were transferred to the
National Assembly for Wales by the National Assembly for Wales (Transfer of Functions) Order 1999, SI 1999/672,
article 2 and Schedule 1, as amended by the 1999 Act, section 66(5), the 2001 Act, section 68(1), the 2002 Act,
section 40(1) and by the 2003 Act, section 197(1).
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“GMS contract essential services” has the meaning given to it in regulation 2(1) of the
National Health Service (General Medical Services Contracts) (Wales) Regulations 2004(1);
“health care professional” means a person who is a member of a profession regulated by a
body mentioned in section 25(3) (the Council for the Regulation of Health Care Professionals)
of the National Health Service Reform and Health Care Professions Act 2002(2);
“independent prescriber” means a doctor or dentist who is a party to a clinical management
plan with a supplementary prescriber;
“MUR certificate” means a statement of satisfactory performance awarded or endorsed by a
higher education institute being evidence that a person has satisfactorily completed an
assessment relating to the competency framework for chemists providing MUR services
approved by the National Assembly for Wales;(3)
“out of hours period” means, in relation to a pharmacy, the days and times at which the
pharmacy is not obliged to remain open by virtue of paragraph 21(1) (pharmacy opening
hours: general) of Schedule 2 to the Pharmaceutical Services Regulations;
“patient’s care record” means the patient records kept by the person or body who is providing
the patient with GMS contract essential services or their equivalent;
“pharmaceutical essential services” has the same meaning as that given to essential services in
“Pharmaceutical Services Regulations” means the National Health Service (Pharmaceutical
Services) Regulations 1992(4);
“chemist” means, except where the context otherwise required—
(a) a registered pharmacist; or
(b) a person lawfully conducting a retail pharmacy business in accordance with section 69
(general provisions) of the Medicines Act 1968(5),
whose name is included in the pharmaceutical list of a Local Health Board (including a
chemist who is suspended from such a list), but does not include a supplier of appliances only;
“pharmacy” has the meaning given to it in the Pharmaceutical Services Regulations;
“the POM Order” means the Prescription Only Medicines (Human Use) Order 1997(6); and
“supplementary prescriber” has the meaning given to it in the Pharmaceutical Services
Regulations.
Advanced Services: Medicines Use Review and Prescription Intervention Service
3.—(1) Each Local Health Board must make arrangements for the provision of medicines use
review and prescription intervention services (“MUR services”) for persons within or outside its
area with any pharmacist on its pharmaceutical list who—
(a) meets the conditions set out in paragraphs (3), (4) and (5); and
(b) wishes to enter into such arrangements.
(2) The underlying purpose of MUR services is, with the patient’s agreement, to improve his or
her knowledge and use of drugs by, in particular—
(a) establishing the patient’s actual use, understanding and experience of taking drugs;
(b) identifying, discussing and assisting in the resolution of poor or ineffective use of drugs
by the patient;
(1)
(2)
(3)
(4)
(5)
(6)
SI 2004/478 (W.48) to which there are no relevant amendments.
2002 c.17
A copy of the document “Competency Framework for the Assessment of Pharmacists Providing the Medicines Use
Review (MUR) and prescription intervention service” dated 19th April 2005 is available on the NHS Wales website
– www.wales.nhs.uk
SI 1992/662; for relevant amendments see SI 2005/1013 (W.67)
1968 c.67
SI 1997/1839; relevant amending instruments are SI 2000/1917 and 2003/2915.
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(c) identifying side effects and drug interactions that may affect the patient’s compliance
with instructions given to him or her by a health care professional for the taking of drugs;
and
(d) improving the clinical and cost effectiveness of drugs prescribed to patients thereby
reducing the wastage of such drugs.
(3) The first condition is—
(a) if the chemist is a registered pharmacist, that he or she has an MUR certificate;
(b) if the chemist is a registered pharmacist, but he or she intends to employ or engage a
registered pharmacist to provide MUR services, that that registered pharmacist has an
MUR certificate;
(c) if the chemist is not a natural person, that any registered pharmacist that it intends to
employ or engage to provide MUR services has an MUR certificate,
and the chemist has supplied a copy of the relevant certificates to the Local Health Board prior to
entering into an arrangement to provide MUR services.
(4) The second condition is that the pharmacy meets the following requirements, namely that it
has a consultation area which—
(a) must be a clearly designated area for confidential consultations which is distinct from the
general public areas of the pharmacy; and
(b) must be an area where both the person receiving MUR services and the registered
pharmacist providing MUR services can sit down together and talk at normal speaking
volumes without being overheard by other visitors to the pharmacy or by any other
person, including pharmacy staff.
(5) Subject to direction 6(2), the third condition is that the chemist is satisfactorily complying
with his or her obligation under Schedule 2 to the Pharmaceutical Services Regulations to provide
pharmaceutical essential services and has a system of clinical governance that is acceptable.
(6) The Local Health Board must ensure that the arrangements made pursuant to paragraph (1)
provide—
(a) only a registered pharmacist who has an MUR certificate may perform MUR services;
(b) MUR services that are provided in a pharmacy may only be provided from a consultation
area that meets the requirements set out in paragraph (4) unless the pharmacy is closed to
other members of the public in which case the consultation may take place in another part
of the pharmacy provided that the condition in paragraph (4)(b) is met;
(c) MUR services may be provided outside the pharmacy or exceptionally by telephone only
where the Local Health Board consents;
(d) no more than 200 MUR services consultations may be carried out in each pharmacy (or
outside it in accordance with sub-paragraph (c)) in any one period of twelve months
under the arrangements;
(e) an MUR service consultation must not be offered to a patient unless the patient has been
receiving pharmaceutical services from the pharmacy for a period of at least three
consecutive months;
(f) a patient may not have more than one MUR service consultation in any one period of
twelve months unless in the reasonable opinion of the registered pharmacist the patient’s
circumstances have changed sufficiently to justify one or more further consultations
during this period;
(g) where the Local Health Board has notified chemists in its area of the categories of
patients who would benefit from the provision of MUR services, the chemist must have
regard to the notification in determining to whom to offer a MUR service consultation;
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(h) the chemist must ensure that a written record of each MUR service consultation held with
a patient is prepared by the registered pharmacist carrying out the consultation on a form
approved by the National Assembly for Wales(1);
(i) the chemist must provide a copy of the record prepared pursuant to sub-paragraph (h) to
the patient and to a person with whom the patient is registered for the provision of GMS
contract essential services or their equivalent;
(j) the chemist must keep a copy of the record prepared pursuant to sub-paragraph (h) for
such period as the Local Health Board may reasonable require; and
(k) the arrangements will be terminated where after 1 October 2005 the chemist is not
satisfactorily complying with his or her obligation under Schedule 2 to the
Pharmaceutical Services Regulations to provide pharmaceutical essential services and to
have an acceptable system of clinical governance.
Enhanced services
4.—(1) Each Local Health Board is authorised to arrange for the provision of the following
additional pharmaceutical services to persons within or outside its area with chemists included in
its pharmaceutical list or in the pharmaceutical list of a neighbouring Local Health Board—
(a) an Anticoagulant Monitoring Service, the underlying purpose of which is for the chemist
to test the patient’s blood clotting time, review the results and adjust (or recommend an
adjustment to) the anticoagulant dose accordingly;
(b) a Care Home Service, the underlying purpose of which is for the chemist to provide
advice and support to residents and staff in a care home relating to—
(i) the proper and effective ordering of drugs and appliances for the benefit of residents
in the care home,
(ii) the clinical and cost effective use of drugs,
(iii) the proper and effective administration of drugs and appliances in the care home,
(iv) the safe and appropriate storage and handling of drugs and appliances, and
(v) the recording of drugs and appliances ordered, handled, administered, stored or
disposed of;
(c) a Disease Specific Management Service, the underlying purpose of which is for the
chemist to advise on, support and monitor the treatment of patients with specified
conditions, and where appropriate, to refer the patient to another health care professional;
(d) a Gluten Free Food Supply service, the underlying purpose of which is for the chemist to
supply gluten free foods to patients;
(e) a Home Delivery Service, the underlying purpose of which is for the chemist to deliver
drugs and appliances to patients at their home;
(f) a Language Access Service, the underlying purpose of which is for the chemist to
provide, either orally or in writing, advice and support to patients in a language
understood by them relation to—
(i) drugs which they are using,
(ii) their health, and
(iii) general health matters relevant to them,
and where appropriate referral to another health care professional;
(g) a Medication Review Service, the underlying purpose of which is for the chemist to—
(i) conduct a review of the drugs used by a patient on the basis of information and test
results included in the patient’s care record, with the objective of considering the
continued appropriateness and effectiveness of the drugs for the patient,
(1) Details for obtaining copies of this form will be made available shortly.
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(ii) advise and support a patient regarding the use of his or her drugs including
encouraging the active participation of the patient in decision making relating to his
or her use of drugs, and
(iii) where appropriate, refer the patient to another health care professional;
(h) a Medicines Assessment and Compliance Support Service, the underlying purpose of
which is for the chemist to—
(i) assess the knowledge of, compliance with and use of, drugs by vulnerable patients
and patients with special needs, and
(ii) offer advice, support and assistance to vulnerable patients and patients with special
needs regarding the use of drugs with a view to improving the patient’s knowledge
of, compliance with and use of, such drugs;
(i) a Minor Ailment Scheme, the underlying purpose of which is for the chemist to provide
advice and support to eligible patients complaining of a minor ailment, and where
appropriate, to supply drugs to them for the treatment of the minor ailment;
(j) a Needle and Syringe Exchange Scheme, the underlying purpose of which is for the
chemist to—
(i) to provide sterile needles, syringes and associated materials to drug misusers,
(ii) receive from drug misusers used needles, syringes and associated materials, and
(iii) offer advice to drug misusers and where appropriate referral to another health care
professional or a specialist drug treatment centre;
(k) an On Demand Availability of Specialist Drugs Service, the underlying purpose of which
is for the chemist to ensure that patients or health care professionals have prompt access
to specialist drugs;
(l) Out of Hours Services, the underlying purpose of which is for the chemist to dispense
drugs and appliances in the out of hours period (whether or not for the whole of the out of
hours period);
(m) a Patient Group Direction Service, the underlying purpose of which is for the chemist to
supply a prescription only medicine to a patient under a Patient Group Direction;
(n) a Prescriber Support Service, the underlying purpose of which is for the chemist to
support health care professionals who prescribe drugs, and in particular to offer advice
on—
(i) the clinical and cost effective use of drugs,
(ii) prescribing policies and guidelines, and
(iii) repeat prescribing;
(o) a Schools Service, the underlying purpose of which is for the chemist to provide advice
and support to children and staff in schools relating to—
(i) the clinical and cost effective use of drugs in the school,
(ii) the proper and effective administration and use of drugs and appliances in the school,
(iii) the safe and appropriate storage and handling of drugs and appliances, and
(iv) the recording of drugs and appliances ordered, handled, administered, stored or
disposed of;
(p) a Screening Service, the underlying purpose of which is for the chemist to—
(i) identify patients at risk of developing a specified disease or condition,
(ii) offer advice regarding testing for a specified disease or condition,
(iii) carry out such a test with the patient’s consent, and
(iv) offer advice following a test and referral to another health care professional where
appropriate;
(q) a Stop Smoking Service, the underlying purpose of which is for the chemist to—
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(i) advise and support patients wishing to give up smoking, and
(ii) where appropriate, to supply appropriate drugs and aids;
(r) a Supervised Administration Service, the underlying purpose of which is for the chemist
to supervise the administration of prescribed medicines in the pharmacy; and
(s) a Supplementary Prescribing Service, the underlying purpose of which is for the chemist
who is a supplementary prescriber to implement with an independent prescriber a clinical
management plan for a patient with that patient’s agreement.
(2) The Local Health Board must ensure that the arrangements for the services referred to in
paragraph (1) make provision for those services to be provided—
(a) only by appropriately trained and qualified persons
(b) in accordance with relevant national guidelines or standards;
(c) from premises that are suitable for the purpose; and
(d) using the appropriate or necessary equipment.
Signed by authority of the National Assembly for Wales
D. Ellis-Thomas
04-05-2005
Presiding Officer of the National Assembly
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NATIONAL ASSEMBLY FOR WALES
SUBORDINATE LEGISLATION
NATIONAL HEALTH SERVICE, WALES
Services) (Wales) Amendment Directions 2006
Made
December 2006
Coming into force
11th December 2006
The National Assembly for Wales, in exercise of the powers conferred by sections 16BB(4), 41A,
41B and 126(4) of the National Health Service Act 1977(1) hereby gives the following directions.
Title, commencement, application and interpretation
1.—(1) The title of these directions is the Pharmaceutical Services (Advanced and Enhanced
Services) (Wales) Amendment Directions 2006.
(2) These Directions come into force on 11th December 2006
(4) In these Directions “the Principal Directions” means the Pharmaceutical Service (Advanced
and Enhanced Services) (Wales) Directions 2005.
(1) 1977 c.49 (“the 1977 Act”); section 16BB(4) was inserted by the National Health Service Reform and Health Care
Professions Act 2002 (c.17)(“the 2002 Act”) section 6(1). Date in force 10.10.02; see S.I. 2002/2532 and was amended by
section 184 of and paragraphs 7 and 10 of Schedule 11 to the Health and Social Care (Community Health and Standards Act
2003 9 (c.43) (“the 2003 Act”).
Section 41A was inserted into the 1977 Act by the National Heath Service (Primary Care )Act 1997 (c.46) (“the 1997 Act”),
section 27(1) ; and has been amended by the Health and Social Care Act 2001 (c.15) (“the 2001 Act”), section 43(1)(b) and the
2002 Act, section 2(5) and Schedule 2, Part I, paragraphs 1and 14.
Section 41B was inserted into the 1977 Act, section 28(1) and has been amended by the 2002 Act, section 2(5) and Schedule
2, Part I paragraphs 1 and 15.
Section 126(4) was amended by the National Health Service and Community Care Act 1990 (c.19), section 65(2); and by the
2001 Act, section 67(1) and Schedule 5, Part 1, paragraphs 5(1) and 13(b), by the 2002 Act, section 6(3)(c) and by the Health and
Social Care (Community Health and Standards) Act 2003 (c.43) (“the 2003 Act”), section 184 and Schedule 11, paragraphs 7 and
38.
The functions of the Secretary of State under sections 41A, 41B and 126(4) of the 1977 Act were transferred to the National
Assembly for Wales by the National Assembly for Wales (Transfer of Functions) Order 1999, S.I. 1999/672, article 2 and
Schedule 1, as amended by the 1999 Act, section 66(5), the 2001 Act, section 68(1), the 2002 Act, section 40(1) and by the 2003
Act, section 197(1).
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Amendment of the Direction 3 of the Principal Directions
2.—(1) Direction 3 of the Principal Directions (Advanced Services: Medicines Use Review and
Prescription Intervention Service) is amended as follows.
(2) In subparagraph (6)(d)—
(i) insert the words “subject to subparagraph (6)(dd)” at the beginning;
(ii) delete the figure “200” and replace it with the figure “400”.
(3) After subparagraph (6)(d), insert the following subparagraph
“(dd) where arrangements made under paragraph (1) between an LHB and a
pharmacist only take effect after 1st October of the financial year in question then
the maximum number of MUR services consultations that can be carried out in that
year is 200;”.
(4) Delete subparagraph (6)(e).
Signed Dr Brian Gibbons
Dated 11th December 2006
Minister for Health and Social Services
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2008 No. 11
NATIONAL HEALTH SERVICE (WALES) ACT 2006
Services) (Wales) (Amendment) Directions 2008
Made
-
-
-
Coming into force -
-
3rd March 2008
- 3rd March 2008
The Welsh Ministers, in exercise of the powers conferred by sections 12(3), 81 and 203(9) and
(10) of the National Health Service (Wales) Act 2006 (1) hereby give the following Directions.
Services) (Wales) (Amendment) Directions 2008.
(2) These Directions come into force on 3rd March 2008.
(4) In these Directions “the principal Directions” means the Pharmaceutical Services (Advanced
and Enhanced Services) (Wales) Directions 2005(2).
2.In direction 2 (interpretation) insert the following definition in the appropriate place in the
alphabetical order—
““financial year” means the period of twelve months ending on the 31st March in any year;”.
(1) The National Health Service (Wales) Act 2006 (c.42) (“the 2006 Act”) is a consolidation Act which repeals and re-enacts in
its entirety the National Health Service Act 1977 (c.49) (“the 1977 Act”) and incorporates some of the provisions from the
National Health Service and Community Care Act 1990 (c.19), the Health Act 1999 (c.8), the Health and Social Care Act
2001 (c.15), the National Health Service Reform and Health Care Professions Act 2002 (c.17), the Health and Social Care
(Community Health and Standards) Act 2003 (c.43) and the Health Act 2006 (c.8).
Sections 12(3), 81 and 203(9) and (10) of the 2006 Act are respectively equivalent to sections 16BB(4), 41A and 126(4) of
the 1977 Act.
The functions of the “Welsh Ministers” in the 2006 Act were transferred to the Welsh Ministers after the end of the “initial
period” (as defined by section 161(5) of the Government of Wales Act 2006) in accordance with section 5 of and paragraph
10 of Schedule 3 to the National Health Service (Consequential Provisions) Act 2006 (c.43) and section 162 of and
paragraph 30 of Schedule 11 to the Government of Wales Act 2006 (c.32).
(2) Signed on 4th May 2005. These Directions were amended by the Pharmaceutical Services (Advanced and Enhanced
Services)(Wales) Amendment Directions 2006, signed on 15th December 2006.
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3.—(1) In direction 3 (Advanced Services: Medicines Use Review and Prescription Intervention
Service) for sub-paragraph (i) of paragraph 6 substitute the following—
“(i) the pharmacist must provide a copy of the record prepared pursuant to sub-paragraph
(h) to the patient;
(i)(a) the pharmacist must provide to a person with whom the patient is registered for the
provision of GMS contract essential services or their equivalent–
(i) a copy of the record prepared pursuant to sub-paragraph (h);
(ii) a copy of part of that record; or
(iii) a notification that the patient has received MUR service,
such copy or notification to be provided in the circumstances and in accordance with the
time limits set out in Schedule A to these Directions;”.
Insertion of Schedule A into the principal Directions
4.Schedule A which is set out in the Schedule to these Directions is inserted into the principal
Directions.
Transitional Provision
5.Direction 3 does not apply in the case where the record prepared pursuant to direction 3(6)(h)
is on the form which was approved by the National Assembly for Wales on 4th May 2005 and that
form is provided to the patient before 1st October 2008.
Signed by Peter Lawler, Acting Director of Community Primary Care and Health Services Policy
Directorate, under the authority of the Minister for Health and Social Services, one of the Welsh
Ministers
Date:
3 March 2008
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SCHEDULE
Direction 4
“SCHEDULE A
Requirements for the provision of MUR service consultation records
1. Where as a result of the MUR1 service consultation, a recommendation is to be made to a
person with whom the patient is registered for the provision of GMS contract essential services (or
their equivalent), the pharmacist must provide to that person within seven days of the MUR
consultation a copy of the overview page2 of the MUR form or, if in the opinion of the pharmacist
it is more appropriate to do so, a copy of the whole MUR form.
2. Where as a result of the MUR service consultation, no recommendation is to be made to a
person with whom the patient is registered for the provision of GMS contract essential services (or
their equivalent), the pharmacist must notify that person within one month of the date of the MUR
consultation that the patient has received an MUR consultation. There is no need to send to that
person a copy of the overview page or the whole MUR form unless the pharmacist considers that
it is appropriate to do so.
3. Where following the MUR service consultation, a person with whom the patient is registered
for the provision of GMS contract essential services (or their equivalent) requests a copy of the
overview page or complete MUR form , the pharmacist must supply a copy to that person within a
reasonable time. This requirement applies even where a recommendation has not been made.
1
“MUR form” is the form that was approved by the National Assembly for Wales on 4th May
2005 and which can be used until 30th September 2008.
2
“overview page” is the page of the MUR form marked ‘overview page’.”.
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2011 No. 47
THE NATIONAL HEALTH SERVICE (WALES) ACT 2006
The Pharmaceutical Services (Advanced and Enhanced Services)
(Wales) (Amendment) Directions 2011
Made
-
-
31 October 2011
Coming into force -
-
-
-
1 November 2011
The Welsh Ministers, in exercise of the powers conferred on them by sections 12(3), 81, 82, 203(9) and (10)
and 204(1) of the National Health Service (Wales) Act 2006(1), herby give the following Directions—
1.—(1) The title of these Directions is the Pharmaceutical Services (Advanced and Enhanced Services)
(Wales) (Amendment) Directions 2011.
(2) These Directions come into force on 1 November 2011.
(4) In these Directions “the principal Directions” means the Pharmaceutical Services (Advanced and
Enhanced Services) (Wales) Directions 2005(2).
Amendment of Direction 2 of the principal Directions
2. In Direction 2 (interpretation) of the principal Directions insert the following definitions in the
appropriate place in the alphabetical order —
““BNF” means the British National Formulary No.62 published September 2011(3);”,
““high risk medicine” has the meaning given in paragraph 1 and 2 of Schedule B;”, and
““NHS Wales Shared Services Partnership” means the NHS bodies that are the parties to the
arrangements made pursuant to the NHS Wales Shared Services Directions 2011(4);”.
Amendment of Direction 3 of the principal Directions
3.—(1) Direction 3 (Advanced Services: Medicines Use Review and Prescription Intervention Service) of
the principal Directions is amended as follows.
(2) In paragraph (6) after the words “pursuant to paragraph (1) provide” insert the word “that”.
(3) For sub-paragraph (f) of paragraph (6) substitute the following —
(1) 2006 c.42.
(2) The Pharmaceutical Services (Advanced and Enhanced Services) (Wales) Directions 2005 have been amended by the Pharmaceutical
Services (Advanced and Enhanced Services) (Wales) (Amendment) Directions 2006 (2006 No.88) and the Pharmaceutical Services
(Advanced and Enhanced Services) (Wales) (Amendment) Directions 2008 (2008 No.11).
(3) The British National Formulary is one of the specified publications mentioned in section 103(1) of the Medicines Act 1968 (c.67). The
Formulary is available at www.bnf.org.
(4) 2011 No.13.
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“(f) a patient must not have —
(i) more than one MUR service consultation in any period of 12 months unless in the
reasonable opinion of a registered pharmacist the patient’s circumstances have changed
sufficiently to justify one or more further consultations during this period, or
(ii) an MUR service consultation within 6 months of a consultation as part of a Discharge
Medicines Review Service, unless in the reasonable opinion of a registered pharmacist
there are significant potential benefits to the patient which justify providing MUR
services to them during this period;”.
(4) In sub-paragraph (j) of paragraph (6) after the semicolon omit the word “and”.
(5) In sub-paragraph (k) of paragraph (6) for the full stop at the end of the sub-paragraph substitute “; and”.
(6) After sub-paragraph (k) of paragraph (6) insert the following —
“(l) subject to paragraph (7), at least 50% of the MUR services consultations carried out by the
chemist at or from a pharmacy in any financial year are to be carried out with patients who
are in one or more of the national target groups set out in Schedule B;
(m) the chemist provides information from the record mentioned in sub-paragraph (h) to the Local
Health Board or the NHS Wales Shared Services Partnership on request, in the manner
approved for this purpose, and for the purposes approved, by the Welsh Ministers;
(n) the chemist keeps a copy of the record mentioned in sub-paragraph (h) for at least two years
after the date on which the consultation to which the record relates is carried out;
(o) MUR services are only to be provided to patients who are being prescribed more than one
drug, unless the only drug they are being prescribed is a high risk medicine; and
(p) the chemist must obtain from each patient to whom he or she provides MUR services a signed
consent form to receiving those services, which —
(i) includes the approved wording as regards consent which indicates that the patient has
consented to receive those services (“approved” for these purposes means approved by
the Welsh Ministers), and
(ii) amongst other matters indicates that the patient has either consented or does not consent
to particular information, specified in the form, relating to MUR services provided to the
patient being handled in the manner specified in the form (for example, for the purposes
of post payment verification), and
the chemist must not provide MUR services to a patient unless the patient has consented to
receive those services in accordance with sub-paragraph (p)(i); and may only handle
particular information, specified in the form, in the manner specified in the form where the
patient has provided consent in accordance with sub-paragraph (p)(ii).”.
(7) After paragraph (6) insert the following —
“(7) As regards the financial year ending 31st March 2012, the chemist need only ensure that at least
50% of the MUR services consultations carried out by the chemist at or from the pharmacy on and
after 1 December 2011 are carried out with patients who are in one or more of the national target
groups set out in Schedule B.”.
Insertion of Direction 5, Direction 6 and Direction 7 into the Principal Directions
4.After Direction 4 (Enhanced Services) of the Principal Directions insert the following —
“Advanced Services: Discharge Medicines Review Service general matters and preconditions for
making arrangements
5.—(1) Each Local Health Board must make arrangements for the provision of a discharge
medicines review service (“DMR service”) for persons within and outside its area with any chemist
included in its pharmaceutical list who —
(b) wishes to enter into such arrangements.
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(2) The underlying purpose of the DMR service is, with the patient’s agreement, to contribute to a
reduction in risk of medication errors and adverse drug events by, in particular —
(a) increasing the availability of accurate information about a patient’s medicines;
(b) improving communication between healthcare professionals and others involved in the
transfer of patient care, and patients and their carers;
(c) increasing patient involvement in their own care by helping them to develop a better
understanding of their medicines; and
(d) reducing the likelihood of unnecessary or duplicated prescriptions being dispensed thereby
reducing wastage of medicines.
(3) The first condition is that the chemist has notified the Local Health Board of his or her intention
to provide services as part of the DMR service, in the form(1) approved for that purpose by the Welsh
Ministers.
(4) The second condition is that the chemist is satisfactorily complying with his or her obligations
under Schedule 2 to the Pharmaceutical Services Regulations(2) in respect of the provision of essential
services and an acceptable system of clinical governance.
(5) The third condition is that —
(a) if the chemist is a registered pharmacist, that he or she has an MUR certificate;
registered pharmacist to perform services as part of the DMR service, that registered
pharmacist has an MUR certificate; or
(c) if the chemist is not a natural person, any registered pharmacist he or she intends to employ or
engage to perform services as part of the DMR service has an MUR certificate.
(6) The fourth condition is that —
(a) if the chemist is a registered pharmacist, that he or she completes in the approved manner the
approved form warranting that the chemist is competent to perform services as part of the
DMR service; or
registered pharmacist to perform services as part of the DMR service, that registered
pharmacist completes in the approved manner the approved form warranting that they are
competent to perform services as part of the DMR service; or
(c) if the chemist is not a natural person, any registered pharmacist he or she intends to employ or
engage to perform services as part of the DMR service completes in the approved manner the
approved form warranting that they are competent to perform services as part of the DMR
service,
and “approved” for these purposes means approved by the Welsh Ministers.
(7) The fifth condition is that the chemist has in place a standard operating procedure, at the
pharmacy at or from which services as part of the DMR service are to be delivered, for delivery of the
service —
(a) which has been notified to the pharmacy staff;
(b) which explains the service, eligibility criteria for it and the roles that pharmacy staff may be
required to perform as part of it; and
(c) about which staff have received appropriate training, if there is any role that they may be
asked to perform as part of the service.
(8) Subject to paragraph (9), the sixth condition is that the services provided as part of the DMR
service are provided at an acceptable location, and for these purposes, “acceptable location” means an
area for confidential consultations at the chemist’s pharmacy, which is —
(1) Advanced services specifications and forms can be accessed at http://www.wales.nhs.uk/sites3/page.cfm?orgid=498&pid=7551
(2) “Pharmaceutical Services Regulations” are defined in Direction 2 of the principal Directions as the National Health Service
(Pharmaceutical Services) Regulations 1992.
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(a) clearly designated as an area for confidential consultations;
(b) distinct from the general public areas of the pharmacy; and
(c) an area where both the person receiving services as part of the DMR service and the
registered pharmacist providing those services are able to sit down together and talk at normal
speaking volumes without being overheard by any other person (including pharmacy staff),
except that sub-paragraphs (a) and (b) shall not apply in circumstances where the pharmacy is closed
to other members of the public.
(9) A registered pharmacist who is, or who is employed or engaged by the chemist may provide
services as part of the DMR service other than at the acceptable location at the chemist’s pharmacy if
that registered pharmacist does so —
(a) by telephone to a particular patient on a particular occasion,
(b) with the agreement of that patient, that patient having expressed a preference for that contact
to be by telephone on that occasion, and
(c) in circumstances where —
(i) the registered pharmacist is at the chemist’s pharmacy, and
(ii) the telephone conversation cannot be overheard (except by someone whom the patient
wants to hear the conversation, for example a carer); or
(d) in a location other than the chemist’s pharmacy only with the consent of the Local Health
Board.
Advanced Services: Discharge Medicines Review Service ongoing conditions of arrangements
6.—(1) A Local Health Board making arrangements pursuant to direction 5(1) with a chemist must
ensure that those arrangements provide that —
(a) only a registered pharmacist —
(i) with an MUR certificate, and
(ii) who has completed in the approved manner the approved form warranting that they are
competent to perform services as part of the DMR service,
may perform services as part of the DMR service;
(b) the services are only provided as part of the DMR service at an acceptable location at the
chemist’s pharmacy, within the meaning given in direction 5(8), except in the circumstances
provided for in direction 5(9);
(c) where services are provided as part of the DMR service other than at the acceptable location
at the chemist’s pharmacy, they are only provided —
(i) by telephone to a particular patient on a particular occasion,
(ii) with the agreement of that patient, that patient having expressed a preference for that
contact to be by telephone on that occasion, and
(iii) in circumstances where —
(aa)
the pharmacist is at the chemist’s pharmacy, and
(bb)
the telephone conversation cannot be overheard (except by someone whom the
patient wants to hear the conversation, for example a carer); or
(iv) in a location other than the chemist’s pharmacy only with the consent of the Local
Health Board.
(d) the chemist maintains and keeps under review its standard operating procedure, at the
pharmacy at or from which services as part of the DMR service are to be delivered, for
delivery of those services, and —
(i) any changes to it are notified to the pharmacy staff,
(ii) the procedure explains the service, eligibility criteria for it and the roles that pharmacy
staff may be required to perform as part of it, and
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(iii) staff receive appropriate training about the service, if there is any role they may be asked
to perform as part of the service;
(e) the chemist only offers to provide the service as part of their DMR service to persons who
have within the previous 4 weeks been discharged from one care setting to another, and —
(i) the pharmacy has received a copy of any advice note, regarding the patient’s medicines,
issued from the care setting from which the patient has been discharged, and
(ii) a change has occurred to the patient’s medicines prior to discharge, or
(iii) the patient is taking four or more medicines, or
(iv) the patient requires a reasonable adjustment to be made to the presentation of their
medicines, or
(v) the pharmacist has, in their professional opinion, reason to consider that the patient
would benefit from the service;
(f) the part one services that the chemist provides as part of the DMR service must comprise —
(i) providing the patient with sufficient information about the DMR service to enable them
to give their informed consent to receiving the service,
(ii) obtaining from the patient a signed consent form to receiving services, which —
(aa)
includes the approved wording as regards consent which indicates that the patient
has consented to receive those services (“approved” for these purposes means
approved by the Welsh Ministers), and
(bb)
amongst other matters, indicates that the patient has either consented or does not
consent to particular information, specified in the form, relating to DMR services
provided to the patient being handled in the manner specified in the form (for
example, for the purposes of post payment verification), and
the chemist may not provide DMR services to a patient unless the patient has consented
to receive those services in accordance with sub-paragraph (f)(ii)(aa); and may only
handle particular information, specified in the form, in the manner specified in the form
where the patient has provided consent in accordance with sub-paragraph (f)(ii)(bb),
(iii) a discussion with the patient about the medicines the patient is taking,
(iv) identification, by the registered pharmacist performing the service, of any discrepancies
between the medicines the patient is taking and those prescribed at discharge, and
(v) agreement (where possible) between the registered pharmacist and the patient of the next
steps, that is —
(aa)
if no discrepancies between the medicines the patient is taking and those
prescribed at discharge are agreeing with the patient a time and location for the
part two services,
(bb)
if any discrepancies or problems are identified under paragraph (iv) and it is the
clinical judgement of the registered pharmacist that intervention by the patient’s
general practitioner is warranted, explaining that to the patient, completing the
DMR feedback form (which is in a format approved by the Welsh Ministers) and
referring the matter to the patient’s general practitioner,
(cc)
if any discrepancies or problems are identified under paragraph (iv) but it is the
clinical judgement of the registered pharmacist that intervention by the patient’s
general practitioner is not warranted, agreeing with the patient a time and location
for the part two services and any appropriate remedial steps to be taken prior to
that intervention;
(g) the part two services that the chemist provides as part of their DMR service must comprise —
(i) a discussion with the patient about the medicines the patient is taking,
(ii) an assessment by the registered pharmacist performing the part two services of the extent
to which any discrepancies between the medicines the patient is taking and those
prescribed at discharge have been resolved,
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(iii) a service consultation which meets the requirements of Direction 3 (Advanced services:
Medicines Use Review and Prescription Intervention Services), and
(iv) if any problems are identified under paragraph (ii) and it is the clinical judgement of the
registered pharmacist that intervention by the patient’s general practitioner is warranted,
explaining that to the patient, completing the DMR form (which is in a format approved
by the Welsh Ministers) and referring the matter to the patient’s general practitioner;
(h) the Local Health Board must terminate the arrangements if it is on notice that the chemist is
not, or no longer, satisfactorily complying with his or her obligations under Schedule 2 to the
Pharmaceutical Services Regulations in respect of the provision of essential services and an
acceptable system of clinical governance;
(i) the chemist ensures that a written record (which may be an electronic record) of each
consultation carried out by or on behalf of the chemist as part of his or her DMR service is
prepared by the registered pharmacist who carried out the consultation and includes the
approved data (“approved” for these purposes means approved by the Welsh Ministers);
(j) the chemist provides information from those records to the Local Health Board, the NHS
Wales Shared Services Partnership or the Welsh Ministers, on request, in the manner
approved for this purpose, and for the purposes approved, by the Welsh Ministers; and
(k) the chemist keeps a copy of the record mentioned in sub-paragraph (i) for at least 2 years
from the date on which the service intervention is completed or discontinued.
(2) For the purposes of paragraph (1)(f) and (g), a full service has been completed —
(a) once the patient has received the part one and part two services; or
(b) if, as a consequence of an act or omission of the patient, the patient does not receive the part
two services at the agreed time and the chemist is unable, having made reasonable efforts to
do so, to rearrange and provide those part two services on another occasion, once those
reasonable efforts have been made.
Duration of Discharge Medicines Review Service
7. Directions 5 and 6 cease to have effect at the end of 31 March 2013.”.
Insertion of Schedule B into the Principal Directions
5.Schedule B which is set out in the Schedule to these Directions is inserted into the Principal Directions.
Transitional arrangements
6.—(1) This Direction has effect only in relation to Direction 3 of these Directions.
(2) The amendments to Direction 3 (Advanced Services: Medicines Use Review and Prescription
Intervention Service) of the principal Directions made by these Directions shall not have effect in relation to
arrangements for the provision of MUR services at any time before the end of the transitional period by a
chemist whose name was, immediately before these Directions came into force, already on a pharmaceutical
list maintained by a Local Health Board under the Pharmaceutical Services Regulations provided that —
(a) the chemist chooses to comply and does comply with the provisions of Direction 3 of the principal
Directions as they had effect prior to the amendment by these Directions; and
(b) at the end of the transitional period the chemist complies with Direction 3 of the principal Directions
as amended by these Directions.
(3) In this Direction, “transitional period” means the period that begins on the day that these Directions
come into force and ends at the end of 1 December 2011.
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Signed by Professor Roger Walker, Chief Pharmaceutical Officer, under the authority of the Minister
for Health and Social Services, one of the Welsh Ministers
Date: 31 October 2011
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SCHEDULE
Direction 5
“SCHEDULE B
Direction3
National Target Groups for MUR Services
1. Patients taking a high risk medicine, and for these purposes, “high risk medicine” is a
medicine included in the BNF subsections referenced in the table in this paragraph—
BNF Reference
BNF 10.1.1
NSAIDs
BNF 2.8.2
Oral anticoagulants
BNF 2.9
Antiplatelets
BNF 2.2
Diuretics
2. For these purposes, “high risk medicine” is a medicine referenced in the table in this
paragraph—
BNF Reference
BNF 4.2.3
Lithium
BNF 10.1.3
Methotrexate
3. Patients prescribed a respiratory drug included in the BNF subsections referenced in
the table in this paragraph—
BNF Reference
BNF 3.1.1
Adrenoreceptor agonists
BNF 3.1.2
BNF 3.1.3
Theophylline
BNF 3.1.4
BNF 3.2
Corticosteroids
BNF 3.3
Cromoglicate and related therapy, leukotriene receptor
antagonists and phosphodiesterase type-4 inhibitors
4. Patients with hypertension prescribed an antihypertensive drug included in the BNF
subsections referenced in the table in this paragraph—
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BNF Reference
BNF 2.2.1
Thiazides and related diuretics
BNF 2.4
Beta-adrenoreceptor blocking drugs
BNF 2.5.2
Centrally acting antihypertensive drugs
BNF 2.5.4
Alpha-adrenoreceptor blocking drugs
BNF 2.5.5
Drugs affecting the renin-angiotensin system
BNF 2.6.2
Calcium-channel blockers
5. Patients prescribed a medicine no longer required identified and who fit one of the
descriptors in the table in this paragraph—
Group
Descriptor
Repeat prescriptions are
not synchronised
“When required”
medicines are ordered
routinely
Medicines waste is
returned to the pharmacy
Patients present on multiple occasions each month to collect
prescriptions.
Patients routinely order medicines prescribed ‘prn’ and which
would normally be taken only when required.
Patients return unused medicines for disposal.
”
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DIRECTIONS
THE NATIONAL HEALTH SERVICE
(WALES) ACT 2006
The Pharmaceutical Services (Advanced
Services) (Appliances) (Wales) Directions 2010
The Welsh Ministers, in exercise of the powers conferred by sections 80,
83, 121 and 203(9) and (10) of the National Health Service (Wales) Act
2006(1), hereby give the following Directions—
Title, commencement and application
1.—(1) These Directions may be cited as the Pharmaceutical Services
(Advanced Services) (Appliances) (Wales) Directions 2010 and come into
force on 1st April 2010.
(2) These Directions are given to Local Health Boards in Wales.
Interpretation
“the 2005 Directions” (“cyfarwyddiadau 2005”) means the
Pharmaceutical Services (Advanced and Enhanced Services) (Wales)
Directions 2005(2);
“Drug Tariff” (“Tariff Cyffuriau”) has the meaning given in regulation
2(1) of the Pharmaceutical Services Regulations;
“financial year” (“blwyddyn ariannol”) means a period of 12 months
ending with 31 March in any year;
“health care professional” (“gweithiwr gofal iechyd proffesiynol”)
means a person who is a member of a profession regulated by a body
mentioned in section 25(3) of the National Health Service Reform and
Health Care Professions Act 2002(3) (the Council for Healthcare
Regulatory Excellence);
(1)
(2)
2006 c.42.
Signed on 4 May 2005. These Directions were amended by the Pharmaceutical
Services (Advanced and Enhanced Services) (Wales) (Amendment) Directions 2006,
signed on 15 December 2006 and the Pharmaceutical Services (Advanced and
Enhanced Services)(Wales) (Amendment) Directions 2008, made on 3 March 2008.
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“pharmaceutical list” (“rhestr fferyllol”) means a list referred to in
regulation 4(1)(a) of the Pharmaceutical Services Regulations
(preparation of lists);
“Pharmaceutical Services Regulations” (“Rheoliadau Gwasanaethau
Fferyllol”) means the National Health Service (Pharmaceutical
Services) Regulations 1992(1);
“pharmacist”(“fferyllydd”)—
(a) means—
(i) a registered pharmacist, or
(ii) a person lawfully conducting a retail pharmacy business in
accordance with section 69 (general provisions) of the
Medicines Act 1968(2),
whose name is included in the pharmaceutical list of a Local
Health Board (including a pharmacist who is suspended from
such a list); but
(b) does not include a supplier of appliances only;
“pharmacy” (“fferyllfa”) has the meaning given in regulation 2(1) of
“registered patient”(“claf cofrestredig”) means a patient who is
included in a list that is a registered patient list for the purposes of the
Primary Medical Services (Sale of Goodwill and Restrictions on Subcontracting) (Wales) Regulations 2004(3);
“specialist nurse” (“nyrs arbennigol”) means a person who is—
(a) registered in the Nurses’ Part or Specialist Community Public
Health Nurses’ Part of the register maintained by the Nursing and
Midwifery Council under article 5 of the Nursing and Midwifery
Order 2001(4) (establishment and maintenance of register); and
(b) employed or engaged by any pharmacist or supplier of appliances
for the purposes of conducting a review of a person’s use of
specified appliances;
“specified appliance” (“cyfarpar penodedig”) means—
(a) any of the following appliances listed in Part IXA of the Drug
Tariff—
(i) a catheter appliance (including a catheter accessory and
maintenance solution),
(ii) a laryngectomy or tracheostomy appliance,
(iii) an anal irrigation system,
(1)
(2)
(3)
(3)
(5)
2002 c.17. The Council’s name was changed to the Council for Healthcare Regulatory
Excellence by section 113 of the Health and Social Care Act 2008 (c.14).
S.I. 1992/662 Relevant amending instruments are S.I. 2007/205 (W.19) and S.I.
2009/1491 (W.144).
1998 c.67. Section 69 was amended by Part 12 of Schedule 1 to the Statute Law
Repeals Act 1993 (c.50); by regulation 13 of the European Qualifications (Pharmacy)
Regulations (Northern Ireland) 2008 (S.R. 2008/182); and by S.I. 1976/1213 and
2007/289 and 3101.
S.I. 2004/1017 (W.114); see regulation 2(2) of those Regulations.
S.I. 2002/253.
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(iv) a vacuum pump or constrictor ring for erectile dysfunction,
or
(v) a wound drainage pouch;
(b) an incontinence appliance listed in Part IXB of the Drug Tariff; or
(c) a stoma appliance listed in Part IXC of the Drug Tariff;
“stoma appliance customisation” (“addasu cyfarpar stoma”) means
the customisation of a quantity of more than one stoma appliance,
where—
(a) the stoma appliances to be customised are listed in Part IXC of
the Drug Tariff;
(b) the customisation involves modification to the same specification
of multiple identical parts for use with each appliance; and
(c) that modification is based on the patient’s measurements or
record of those measurements and, if applicable, a template; and
“supplier of appliances” (“cyflenwr cyfarpar”) means a person with
whom a Local Health Board has entered into arrangements for the
provision of pharmaceutical services, being arrangements which are
incorporated into terms of service as a consequence of regulation 3(c)
of the Pharmaceutical Services Regulations.
Stoma appliance customisation services
3.—(1) The underlying purpose of a stoma appliance customisation
service is to—
(a) ensure the proper use and comfortable fitting of the stoma
appliance by a patient; and
(b) improve the duration of usage of the appliance, thereby reducing
wastage of such appliances.
(2) Each Local Health Board must make arrangements for the provision
of stoma appliance customisation services for persons within or outside its
area by any pharmacist (“P”) or supplier of appliances (“S”)—
(a) who is on the Local Health Board’s pharmaceutical list;
(b) who supplies stoma appliances listed in Part IXC of the Drug
Tariff in the normal course of business;
(c) who wishes to enter into the arrangements; and
(d) in relation to whom—
(ii) if services are to be provided elsewhere than at P’s pharmacy
or S’s premises, Condition 4 is also met.
(3) Condition 1 is that, before any arrangements are entered into, the
Local Health Board has been supplied with notice that P or S wishes to
provide stoma appliance customisation services.
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(a) is satisfactorily complying with P’s obligations under Schedule 1
to the Pharmaceutical Services Regulations or S’s obligations
under Schedule 3 to those Regulations (as the case may be);
(b) has an acceptable system of clinical governance; and
(c) has procedures in place to ensure referral of a patient to the
prescriber of the appliance in any case where—
(i) a customised stoma appliance is not suitable for further
customisation, or
(ii) a stoma appliance has been customised and is not a proper fit
for the patient.
(5) Condition 3 is that stoma appliance customisation services must be
provided at an acceptable location and, for these purposes, an “acceptable
location” (“lleoliad derbynid”) means—
(a) an area within P’s pharmacy or S’s premises which—
(i) is distinct from the general public areas,
(ii) at all times when stoma appliance customisation services are
being provided, is clearly designated as a private area,
(iii) is suitable and designated for the retention of the appropriate
equipment for stoma appliance customisation,
(iv) is suitable and designated for the carrying out of
modification of stoma appliances, and
(v) is suitable and designated for the volume of stoma appliances
that may be customised at any given time; or
(b) an area elsewhere than at P’s pharmacy or S’s premises which—
(i) is distinct from the general public areas of the premises in
which it is situated, and
(ii) meets the requirements of paragraph (a)(ii) to (v).
(6) Condition 4 is that, in any case where any stoma appliance
customisation services are to be provided elsewhere than at P’s pharmacy
or S’s premises, procedures must be in place to ensure co-operation with
any reasonable inspection or review of the premises by the Local Health
Board of the area where the services are provided.
Requirements applying to stoma customisation services
4.—(1) This direction has effect in relation to any arrangements with a
pharmacist (“P”) or supplier of appliances (“S”) which are made pursuant
to direction 3.
(2) The Local Health Board must ensure that the arrangements provide
that—
(a) only appropriately trained and qualified persons are permitted to
customise a stoma appliance;
(b) a record of each stoma customisation must be completed;
(c) each record must include the information listed in paragraph (3);
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(d) each record must be retained for a minimum period of 12 months
or such longer period as the Local Health Board may reasonably
require;
(e) a copy of the record must be supplied to the patient or, if
requested by the patient, to the prescriber or another health care
professional; and
(f) unless prevented from doing so by illness or other reasonable
cause, P or S must give at least 3 months’ notice in writing to
both the Local Health Board in advance of ceasing to provide any
stoma appliance customisation services.
(3) Each stoma customisation record must include—
(a) details of advice given;
(b) the type of stoma appliance customised;
(c) dimensions used in respect of the modification of parts of the
appliance;
(d) measurements of the patient (if taken);
(e) dimensions of any template made or modification of any existing
template;
(f) any referrals made to the prescriber; and
(g) such other details as may be specified in the arrangements made
with P or S.
(4) Stoma customisation records may be in the form of an electronic
record and may be stored electronically.
Appliance use review services for specified appliances
Establishing and maintaining appliance use review services for
specified appliances
5.—(1) The underlying purpose of an appliance use review service
(“AUR service”) is, with a patient’s agreement, to improve the patient’s
knowledge and use of any specified appliance by, in particular—
(a) establishing the way the patient uses the specified appliance and
the patient’s experience of such use;
(b) identifying, discussing and assisting in the resolution of poor or
ineffective use of the specified appliance by the patient;
(c) advising the patient on the safe and appropriate storage of the
specified appliance; and
(d) advising the patient on the safe and proper disposal of specified
appliances that are used or unwanted,
and an AUR service may be provided either when a pharmacist or
specialist nurse visits a patient at home or when a patient visits a
pharmacy or visits the premises of a supplier of appliances.
(2) Each Local Health Board must make arrangements for the provision
of AUR services for persons within or outside its area by any pharmacist
(“P”) or supplier of appliances (“S”)—
(a) who is on the Local Health Board’s pharmaceutical list;
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(b) who supplies specified appliances in the normal course of
business;
(c) who wishes to enter into the arrangements; and
(d) in relation to whom—
(ii) if services are to be provided at a pharmacy or at the
premises of a supplier of appliances, Condition 4 is also met.
Local Health Board have each been supplied with—
(a) notice that P or S wishes to provide AUR services;
(b) a statement of whether or not P or S proposes to provide any
services to patients at home; and
(c) unless services are to be provided solely during visits to a patient
at home, a statement of each location at which services are to be
provided.
Local Health Board has also been supplied with the following information
in relation to each pharmacist or specialist nurse who, as part of the AUR
services to be provided by P or S, is to review the use of specified
appliances—
(a) full name;
(b) documentary evidence of qualifications; and
(c) details as to competency in respect of the use of specified
appliances.
(a) is satisfactorily complying with P’s obligations under Schedule 1
to the Pharmaceutical Services Regulations or S’s obligations
under Schedule 3 to those Regulations (as the case may be);
(b) has an acceptable system of clinical governance; and
(c) has procedures in place to ensure referral of a patient to the
prescriber of the appliance in any case where a matter relating to
a patient’s use of a specified appliance arises in the course of an
AUR service but falls outside the scope of the service.
(6) Condition 4 is that, where any AUR services are to be provided at a
pharmacy or at the premises of a supplier of appliances, there is a
consultation area at the pharmacy or premises which—
(a) is distinct from the general public areas;
(b) at all times when a pharmacist or specialist nurse is reviewing the
use of specified appliances, is clearly designated as an area for
confidential consultation;
(c) allows all persons taking part in the review to sit down together
and talk at normal speaking volumes without being overhead by
other visitors to, or staff at, the pharmacy or the premises; and
(d) having regard to the nature of specified appliances and the
underlying purpose of AUR services, is suitable for a
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consultation to determine how a patient uses an appliance and the
extent of the patient’s knowledge about it.
6.—(1) This direction has effect in relation to any arrangements with a
pharmacist (“P”) or supplier of appliances (“S”) which are made pursuant
to direction 5.
(2) The Local Health Board must ensure that the arrangements include
such provision about—
(a) the qualifications of persons who review a patient’s use of
specified appliances;
(b) the delivery of each AUR service; and
(c) the administration of AUR services,
as is set out in the following provisions of this direction.
(3) The provision referred to in paragraph (2)(a) is that—
(a) only a pharmacist or specialist nurse is permitted to review the
use of specified appliances; and
(b) the Local Health Board must be sent the following information in
relation to each pharmacist or specialist nurse who, as part of the
AUR services provided by P or S, reviews the use of specified
appliances—
(i) full name,
(ii) documentary evidence of education, training or experience in
respect of the use of specified appliances, and
(iii) details as appropriate of relevant clinical training and
practice in respect of the use of specified appliances.
(4) The provision referred to in paragraph (2)(b) is that—
(a) where reasonably possible, an AUR service must be provided
within 2 working days of the day on which a patient requests a
review or agrees to one at the suggestion of P or S;
(b) the pharmacist or specialist nurse who reviews the patient’s use
of a specified appliance must obtain the patient’s prior written
consent to receiving the service;
(c) a record of each service must be completed;
(d) each record must include—
(i) the date of the review of the patient’s use of the specified
appliance,
(ii) the name of the pharmacist or specialist nurse who carried
out the review,
(iii) the name of the patient and the address at which the review
took place,
(iv) the name of any other person present (and their relationship
with the patient),
(v) the reason why a review is required,
(vi) the advice given to the patient, and
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(vii) any intervention made; and
(e) the patient must be informed in writing that the record will be
kept and that information from it will be forwarded in accordance
with paragraphs (5)(a) to (d).
(5) The provision referred to in paragraph (2)(c) is that—
(a) a copy of each record of an AUR service must be forwarded to P
or S;
(b) if the patient is a registered patient, the information referred to in
paragraph (4)(d)(i), (ii) and (iii) must be forwarded to any
provider of primary medical services with which the patient is a
registered patient;
(c) if the patient is a registered patient and the pharmacist or
specialist nurse considers it necessary for the provider of primary
medical services with which the patient is registered to be aware
of other information from the record, all such information must
be forwarded to that provider;
(d) any information forwarded to any provider of primary medical
services under this paragraph must be copied to any nurse
employed by a Local Health Board who is practising with the
provider and providing relevant primary medical services to the
patient, if it is known that there is such a nurse;
(e) each record must be retained for a minimum period of 12 months
or for such longer period as the Local Health Board may
reasonably require; and
(f) information about the number of AUR services provided in any
financial year must be submitted in accordance with any
arrangements for payment of which P or S is notified.
(6) The record of an AUR service may be in the form of an electronic
record and may be stored electronically.
Maximum number of appliance use review services eligible for
payment
7. The maximum number of AUR services for which a pharmacist (“P”)
or a supplier of appliances (S”) is eligible for payment in any financial
year is not more than 1/35th of the aggregate number of specified
appliances dispensed during that financial year by P or S (as the case may
be).
Amendment of the 2005 Directions
8. In the 2005 Directions, for paragraph (1)(e) of direction 4 (enhanced
services), substitute—
“(e) a Home Delivery Service, the underlying purpose of which
is for the pharmacist to deliver to the patient’s home—
(i) drugs, and
(ii) appliances other than specified appliances within the
meaning of regulation 2(1) of the Pharmaceutical
Services Regulations;”.
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Transitional provision
9.—(1) Paragraph (2) applies to any arrangements which were made
between a Local Health Board and a pharmacist under direction 4(1)(e) of
the 2005 Directions and which were in force immediately before 1 April
2010.
(2) In so far as the arrangements relate to home delivery by the
pharmacist of any specified appliance, the arrangements may continue in
force until—
(a) the pharmacist enters into arrangements to provide appliance use
review services in accordance with directions 5 and 6; or
(b) if later, 31 December 2010.
Signed by the authority of the Welsh Ministers
Edwina Hart
2010
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Part VID
2013 No. 7
THE NATIONAL HEALTH SERVICE (WALES) ACT
2006
Services)(Wales)(Amendment) Directions 2013
Made
March 2013
Coming into force
30 March 2013
The Welsh Ministers, in exercise of the powers conferred on them by sections 12(3), 81, 82,
203(9) and (10) and 204(1) of the National Health Service (Wales) Act 2006(1), give the
following Directions:
Title, commencement and interpretation
Services)(Wales)(Amendment)Directions 2013.
(2) These Directions come into force on 30 March 2013.
(3) In these Directions, “the principal Directions”, means the Pharmaceutical Services
(Advanced and Enhanced Services)(Wales)Directions 2005(2).
Amendments to Direction 7 of the principal Directions
2. In Direction 7 (Duration of Discharge Medicines Review Service), for “31 March 2013”
substitute “30 June 2014”.
Signed by Professor Roger Walker, Chief Pharmaceutical Officer under the authority of the
Minister for Health and Social Services, one of the Welsh Ministers.
Dated:
March 2013
.
(1) 2006 c.42.
(2) The Pharmaceutical Services (Advanced and Enhanced Services)(Wales) Directions 2005 have been amended by 2006 No.
88, 2008 No. 11, and 2011 No. 41.
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Part VID
SUBORDINATE
LEGISLATION
2014 No. 15
THE NATIONAL HEALTH SERVICE (WALES) ACT
2006
Services) (Wales) (Amendment) Directions 2014
Made
10 June 2014
Coming into force
30 June 2014
The Welsh Ministers, in exercise of the powers conferred on them by sections 12(3), 81, 82,
203(9) and (10) and 204(1) of the National Health Service (Wales) Act 2006(1), give the
following Directions:
Services) (Wales) (Amendment) Directions 2014.
(2) These Directions come into force on 20 June 2014.
(3) In these Directions, “the principal Directions”, means the Pharmaceutical Services
(Advanced and Enhanced Services) (Wales) Directions 2005(2).
Revocations
2.—(1) Direction 7 (duration of discharge medicines review service) of the principal Directions is
revoked.
(2) The Pharmaceutical Services (Advanced and Enhanced Services) (Wales) (Amendment)
Directions 2013 are revoked.
Signed by Professor Roger Walker, Chief Pharmaceutical Officer under the authority of the
Minister for Health and Social Services, one of the Welsh Ministers.
Dated:
10 June 2014
(1) 2006 c.42.
(2) The Pharmaceutical Services (Advanced and Enhanced Services) (Wales) Directions 2005 have been amended by 2006 No.
88, 2008 No. 11, 2011 No. 41 and 2013 No.7.
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Part VID
2015 No. 10 (W.)
THE NATIONAL HEALTH SERVICE (WALES) ACT 2006
The Pharmaceutical Services (Advanced and Enhanced Services)
(Wales) (Amendment) Directions 2015
Made
30 March 2015
Coming into force
1 April 2015
The Welsh Ministers, in exercise of the powers conferred on them by sections 12(3), 81, 82, 203(9) and
(10) and 204(1) of the National Health Service (Wales) Act 2006(1), give the following Directions:
1.—(1) The title of these Directions is the Pharmaceutical Services (Advanced and Enhanced Services)
(Wales) (Amendment) Directions 2015.
(2) These Directions come into force on 1 April 2015.
(3) In these Directions, “the principal Directions”, means the Pharmaceutical Services (Advanced and
Enhanced Services) (Wales) Directions 2005(2).
Amendment to direction 3 of the principal Directions
2.—(1) Paragraph (6) of direction 3 (Advanced Services: Medicines Use, Review and Prescription
Intervention Service) of the principal Directions is amended as follows.
(2) In sub-paragraph (l) for “50%” substitute “70%”.
(3) For sub-paragraph (p) substitute—
“(p) The chemist must obtain from each patient to whom the chemist provides MUR services
consent to receive all those services, which amongst other matters indicates that the patient
has either consented or does not consent to particular information, relating to MUR services
provided to the patient, being handled in the manner specified by the Welsh Ministers (for
example, for the purposes of post payment verification).”
(4) After sub-paragraph (p) insert—
“(pa) The chemist—
(i) must maintain a record of any consent obtained under sub-paragraph (p),
(ii) must not provide MUR services to a patient unless the patient has consented to
receive those services in accordance with sub-paragraph (p), and
(iii) may only handle particular information in the manner for which the patient has
provided consent in accordance with sub-paragraph (p).
(1)
(2)
2006 c.42.
The Pharmaceutical Services (Advanced and Enhanced Services) (Wales) Directions 2004 have been amended by 2006 No. 88,
2008 No. 11, 2011 No. 41, 2013 No. 7 and 2014 No. 15.
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3.—(1) Paragraph (1) of direction 4 (Enhanced Services) of the principal Directions is amended as
follows.
(2) After sub-paragraph (s) insert the following sub-paragraphs—
“(t) an anti-viral collection service, the underlying purpose of which is for the chemist to supply
anti-viral medicines, in accordance with regulation 247 of the Human Medicines
Regulations 2012(1) (Exemption for supply in event of or in anticipation of Pandemic
disease), to patients for treatment or prophylaxis, and
(u) an Emergency Supply Service, the underlying purpose of which is to ensure that in cases of
urgency, patients, at their request have prompt access to drugs or appliances—
(i) which have previously been prescribed for them in an NHS prescription but for which
they do not have an NHS prescription, and
(ii) where in the case of prescription only medicines the requirements of regulation 225(1)
of the Human Medicines Regulations 2012 (emergency sale etc. by Pharmacist: at
patient’s request), are satisfied.”
4.—(1) Paragraph (1) of direction 6 (Advanced Services: Discharge Medicines Review Service ongoing
conditions of arrangement) of the principal Directions is amended as follows.
(2) For sub-paragraph (f)(ii) substitute the following—
“(ii) obtaining from the patient to whom the chemist provides DMR services consent to receiving
those services, which amongst other matters indicates that the patient has either consented or does
not consent to particular information, relating to DMR services provided to the patient, being
handled in the manner specified by the Welsh Ministers (for example, the purpose of post payment
verification).”.
(3) After sub-paragraph (f)(ii) insert the following—
“(iia) The chemist—
(aa)
must maintain a record of any consent obtained under sub-paragraph (f)(ii),
(bb)
must not provide DMR services to a patient unless the patient has consented to receive
those services in accordance with sub-paragraph (f)(ii), and
(cc)
may only handle particular information in the manner for which the patient has
provided consent in accordance with sub-paragraph (f)(ii).”
Amendment to Schedule B of the principal Directions
5.—(1) In Schedule B (National Target Groups for MUR Services) to the principal Regulations , after
paragraph 5 insert the following paragraph—
“6 Patients aged 85 of over who are prescribed six or more medicines.”
Signed by Professor Roger Walker, Chief Pharmaceutical Officer under the authority of the Minister for
Health and Social Services, one of the Welsh Ministers.
Dated: 30 March 2015
(1)
S.I. 2012/1916
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Part VIE
ENHANCED SERVICES (PHARMACY CONTRACTORS)
Part VIE - Enhanced Services (Pharmacy Contractors)
Directions have been issued to the NHSCB in England and LHBs in Wales authorising them to make
arrangements for enhanced services. The directions are reproduced in Part VIC and VID.
For enhanced services, the NHSCB and LHBs are the determining authority for the payment arrangements. The
NHSCB can commission enhanced service from any pharmacy in England and LHBs can commission enhanced
services from pharmacies within its area or the area of neighbouring LHBs. Determinations to allow for this on
an England/Wales basis are detailed below.
Determination of payments for enhanced services
In accordance with section 164(3)(b) of the National Health Service Act 2006, the NHSCB is appointed as the
determining authority for the purposes of making a determination for the fees and allowances for the provision
of the enhanced services referred to in direction 14 of the Pharmaceutical Services (Advanced and Enhanced
Services)(England) Directions 2013, by pharmacy contractors based in England.
When making a determination of remuneration in respect of an enhanced service, the NHSCB must
•
have consulted any Local Pharmaceutical Committee (LPC) for the area in which the service is to be
provided.
•
allow for the making for any deduction that may or must be made from that remuneration by virtue of
any provision of, or made under, the 2006 Act
Where the NHSCB makes a determination of the remuneration payable in respect of an enhanced service, it
must publish the determination in such manner as it thinks appropriate for bringing it to the attention of persons
included in the relevant pharmaceutical lists.
In Wales, in accordance with Regulation 18(g) of the National Health Service (Pharmaceutical Services)
Regulations 1992, each Local Health Board is the determining authority for the purposes of making a
determination for the fees and allowances for the provision of the enhanced services referred to in direction 4 of
the Pharmaceutical Services (Advanced and Enhanced Services) (Wales) Directions 2005, by pharmacists
included in its pharmaceutical list or in the list of a neighbouring Local Health Board.
1.
Arrangements for payment of Community Pharmacy Contractors providing Community
Pharmacy National Enhanced Services (Wales only)
1.1 Pharmacy Contractors in Wales who provide one or more of the Community Pharmacy National
Enhanced Services shall receive payment in accordance with the schedule of fees and allowances set
out below. No other fees or allowances will be payable in respect of the Community Pharmacy National
Enhanced Services.
1.2 This applies to:
Provision of Emergency Hormonal Contraception
Seasonal Influenza Vaccination
1.3 Pharmacy Contractors shall have the agreement of their Local Health Board before providing any
service listed above.
1.4 Pharmacy Contractors shall ensure that services are provided only by pharmacists that meet the
nationally determined training and competence framework for the services provided, where applicable.
1.5 Pharmacy Contractors shall ensure that services are provided in accordance with the nationally
determined specifications for each service.
1.6 All claims for payment for provision of services must be made using the National Electronic Claim and
Audit Form (NECAF) system.
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ENHANCED SERVICES (PHARMACY CONTRACTORS)
1.7 All claims relating to enhanced services provided in the period commencing on 1 April and ending on
31 March of any financial year must be made by 5 May of the following financial year. For example
claims relating to the financial year ending 31 March 2015 must be made by 5 May 2015.
Service
Fees and Allowances
Provision of Emergency Hormonal
Contraception
£10.78 per consultation
Plus
Where a supply Emergency Hormonal
Contraception is made, reimbursement of the
basic price of the drug supplied
Seasonal Influenza Vaccination
£9.37 per vaccination
Plus
Reimbursement of the manufacturer’s list price
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Part VII
RESCINDED - INTENTIONALLY BLANK
Part VII - Rescinded - Intentionally Blank
This Part has been rescinded and is intentionally blank.
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Part VIIIA
BASIC PRICES OF DRUGS
Part VIIIA - Basic Prices of Drugs
BASIC PRICE OF DRUGS
COVERED BY PART II CLAUSE 8A
The price listed in respect of a drug specified in the following list is the basic price (see Part II, Clause 8) on which
payment will be calculated pursuant to Part I Clause 5B 1 for the dispensing of that drug
NOTES:
1.
All drugs listed in this Part have a pack size and price which has been determined by the Secretary of
State for Health as respects England and the Welsh Ministers as respects Wales.
2.
Categories A, C and M of the drugs (appearing in Col.4) are as under:
3.
2.1
Category A - Drugs which are readily available. Broken Bulk may be claimed for those
products whose smallest pack size has a price greater than or equal to £50, if necessary. The
prices listed in this Part of the Drug Tariff are indicative of the prices determined by the
Secretary of State for Health. The following pack sizes are considered when calculating
Category A prices:
•
for tablets and capsules, all prescription only medicine pack sizes up to and including 120
unit doses:
•
for liquids and some creams (including special containers) up to and including 500ml/
500g.
Where a pack size for a product listed in this Part exceeds the quantities stated above, the
listed pack size is the only pack size considered when calculating the price. The Secretary of
State determines the prices for Category A drugs to be the average of the price calculated for
the pack size listed in the Drug Tariff weighted by the following four manufacturers and
suppliers; AAH, Alliance Healthcare (Distribution) Ltd, Teva UK and Actavis on or before the
8th of the month being reimbursed. In the weighted formula, AAH and Alliance Healthcare
(Distribution) Ltd prices have a weighting of 2, the prices from the other suppliers have a
weighting of one.
2.2
Category C - Drugs which are not readily available as a generic, where the price is based on
a particular proprietary product, manufacturer or as the case may be supplier. Endorsement
of pack size is required if more than one pack is listed. Broken Bulk may be claimed, if
necessary. Where the price of the product is based upon a non-proprietary product the price
listed in this Part of the Drug Tariff is indicative of the price determined and in this case the
Secretary of State determines the price to be the price listed by the manufacturer or as the
case may be supplier on or before the 8th of the month being reimbursed.
2.3
Category M - Drugs which are readily available. Broken Bulk may be claimed for those
products whose smallest pack size has a price greater than or equal to £50, if necessary. The
Secretary of State determines the price based on information submitted by eligible suppliers
participating in Scheme M. The following pack sizes are considered when calculating
Category M prices:
•
for tablets and capsules, all prescription only medicine pack sizes up to and including 120
unit doses;
•
for liquids and some creams (including special containers) up to and including 500ml/
500g.
Where a pack size for a product listed in this Part exceeds the quantities stated above, the
listed pack size is the only pack size considered when calculating the price.
Recommended International Non-proprietary Names
With effect from 1 December 2003 drugs will be listed in this Part by their recommended International
Non-proprietary Name (rINN), with the exception of Adrenaline and Noradrenaline (which will be listed
by their BAN). Where such products are ordered by the former BAN, reimbursement will be made
whether the manufacturer of those products is using the former BAN or the rINN to name them. Where
prices are calculated for Category A products such prices will be included in the calculation whether
they are listed by suppliers as a former BAN or as a rINN.
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Part VIIIA
4.
NHS dictionary of medicines and devices (NHS dm+d)
The drugs listed in this Part will reflect the naming convention used in the NHS dictionary of medicines
and devices. Where such products are ordered by another naming convention, reimbursement will be
made using the Part VIII dm+d naming convention. Where prices are calculated for Category A
products such prices will be included in the calculation whether they are listed by suppliers using the
NHS dm+d naming convention or as other naming conventions.Products are displayed as Name,
strength, modification (when present), presentation and 'freeness' (when present e.g. sugar free, gluten
free).
eg Aciclovir 400mg/5ml oral suspension sugar free.
A salt will only be displayed if more than one clinically significant salt exists in that presentation.
eg Calcium carbonate and Calcium gluconate.
Please note that the NHS dm+d uses the European Directorate for the Quality of Medicines &
Healthcare (EDQM) List of Standard Terms e.g. gastro-resistant is used to describe enteric coated.
5.
Symbols
The following symbols are used in Part VIIIA
S
R
§
6.
7.
8.
Special Container
Item requiring reconstitution
Selected List Scheme (SLS)
Methylated Spirit
Industrial Methylated Spirit should be supplied or used and payment will be calculated accordingly,
where:
6.1
"Methylated Spirit", "Spirit", "Spt. Vini. Meth.", "SVM", "IMS", is ordered alone or as an
ingredient of a preparation for external use, or
6.2
A liniment, lotion, etc., in the preparation of which Methylated Spirit is permitted, is ordered
and the prescriber has not indicated to the contrary.
Rectified Spirit
7.1
Where Alcohol (96%), or Rectified Spirit (Ethanol 90%), or any other of the dilute Ethanols is
prescribed alone or as an ingredient in a medicament for external application, payment will be
made for supply of Industrial Methylated Spirit unless the prescriber has indicated that no
alternative may be used.
7.2
Where Alcohol (96%), or Rectified Spirit (Ethanol 90%), or any other of the dilute Ethanols is
prescribed as an ingredient of a medicine for internal use, the price of the duty paid to
Customs and Excise will be allowed, unless the contractor endorses the prescription form
"rebate claimed".
Purified Water (Exclusive of ordinary potable water)
Payment for Purified Water will be made:
9.
8.1
where it is ordered; or
8.2
where the NHSCB for England and LHB for Wales, after consultation with the Local Medical
Committee and Local Pharmaceutical Committee, has decided that the water ordinarily
available is unsuitable for dispensing purposes, and has notified the contractor accordingly,
the pharmacist should use purified water and will be paid at the Drug Tariff rate, through local
arrangements specified in the notice.
A "Bulk" prescription is an order for two or more patients, bearing the name of a school or institution in
which at least 20 persons normally reside, for the treatment of at least 10 of whom a particular doctor
is responsible. Such a prescription must be an order for a drug which is prescribable under the NHS
and which is not designated a "Prescription Only Medicine" (POM) under Section 58(1) of the
Medicines Act 1968, or for a prescribable dressing which does not contain a product which is
designated POM.
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Part VIIIA
Drug
Quantity
Basic Price
Category
Part VIIIA - Basic Prices of Drugs Product List
Part VIIIA products A
Acacia spray dried powder
Acamprosate 333mg gastroresistant tablets
Acarbose 100mg tablets
Acarbose 50mg tablets
Acebutolol 100mg capsules
Acebutolol 200mg capsules
Acebutolol 400mg tablets
Aceclofenac 100mg tablets
Acemetacin 60mg capsules
Acenocoumarol 1mg tablets
Acetazolamide 250mg modifiedrelease capsules
Acetazolamide 250mg tablets
Acetic acid 2% ear spray
Acetone liquid
Acetylcysteine 5% eye drops
Aciclovir 200mg dispersible tablets
Aciclovir 200mg tablets
Aciclovir 200mg/5ml oral
suspension sugar free
Aciclovir 3% eye ointment
Aciclovir 400mg/5ml oral
Aciclovir 5% cream
Acipimox 250mg capsules
Acitretin 10mg capsules
Acitretin 25mg capsules
Aclidinium bromide 375micrograms/
Aclidinium bromide 396micrograms/
dose / Formoterol
11.8micrograms/dose dry
powder inhaler
Acrivastine 8mg capsules
Adapalene 0.1% / Benzoyl peroxide
2.5% gel
Adapalene 0.1% cream
Adapalene 0.1% gel
Adrenaline (base) 1mg/1ml (1 in
1,000) solution for injection
ampoules
250
168
g
90
90
84
56
28
60
90
100
30
S
S
S
112
5
50
10
25
25
125
4.5
56
56
100
ml
ml
ml
ml
g
ml
1539
2880
C
C
1894
1145
1497
1918
1862
963
2820
462
1666
L A
L A
C
C
C
C
C
C
C
4272
410
83
1493
228
140
3576
M
C
A
C
M
M
A
934
1196
308
3947
C
A
M
A
M
M
K A
M
C
A
A
C
J M Loveridge Ltd
Campral EC
Sectral
Sectral
Sectral
Preservex
Emflex
Sinthrome
Diamox SR
EarCalm
Ilube
Zovirax
g
g
S
2
10
35
35
90
60
60
60
dose
108
540
1097
326
4633
2380
5524
2860
S
60
dose
3250
C
Duaklir Genuair
291
C
Benadryl Allergy
Relief
Epiduo
S
S
12
S
45
g
1905
C
S
S
45
45
10
g
g
1643
1643
582
C
C
A
117
Olbetam
Eklira
Differin
Differin
Part VIIIA
08/2016
Drug
Adrenaline (base) 300micrograms/
0.3ml (1 in 1,000) solution for
injection pre-filled disposable
devices
Adrenaline (base) 500micrograms/
0.5ml (1 in 1,000) solution for
injection ampoules
Agomelatine 25mg tablets
Alclometasone 0.05% cream
Alendronic acid 10mg tablets
Alendronic acid 70mg /
Colecalciferol 70microgram
tablets
Alendronic acid 70mg effervescent
tablets sugar free
Alendronic acid 70mg tablets
Alendronic acid 70mg/100ml oral
solution unit dose sugar free
Alfacalcidol 1microgram capsules
Alfacalcidol 250nanogram capsules
Alfacalcidol 2micrograms/ml oral
drops sugar free
Alfacalcidol 500nanogram capsules
Alfuzosin 10mg modified-release
tablets
Alfuzosin 2.5mg tablets
Alginate raft-forming oral
Alimemazine 10mg tablets
Alimemazine 30mg/5ml oral
solution
Alimemazine 7.5mg/5ml oral
solution
Aliskiren 150mg tablets
Aliskiren 300mg tablets
Allopurinol 100mg tablets
Allopurinol 300mg tablets
Almond oil liquid
Almotriptan 12.5mg tablets
Alogliptin 12.5mg / Metformin 1g
tablets
Alogliptin 12.5mg tablets
Alogliptin 25mg tablets
Alogliptin 6.25mg tablets
Alpha tocopheryl acetate 500mg/
5ml oral suspension
S
Quantity
Basic Price
1
2645
C
Category
10
5837
K A
3000
268
156
2280
C
C
M
C
Valdoxan
Modrasone
Binosto
S
28
50
28
4
S
4
2280
C
S
4
4
77
2736
M
A
S
S
S
30
30
10
421
124
2130
M
M
C
S
30
30
398
1251
M
C
S
g
ml
60
150
ml
237
258
M
C
300
ml
433
C
500
600
ml
ml
195
711
C
C
28
100
ml
8311
17917
K A
K A
100
ml
13222
A
2851
3427
79
87
85
1814
2660
C
C
M
M
C
C
C
2660
2660
2660
5350
C
C
C
A
28
28
28
28
50
6
56
28
28
28
100
ml
ml
118
EpiPen
Fosavance
One-Alpha
Gaviscon Original
Aniseed Relief
Gaviscon Original
Aniseed Relief
Peptac liquid
Gaviscon Original
Aniseed Relief
Rasilez
Rasilez
Thornton & Ross Ltd
Almogran
Vipdomet
Vipidia
Vipidia
Vipidia
08/2016
Part VIIIA
Drug
§ Alprostadil 10microgram powder
and solvent for solution for
injection vials
§ Alprostadil 1mg urethral sticks
injection vials
§ Alprostadil 250microgram urethral
sticks
injection vials
§ Alprostadil 500microgram urethral
sticks
§ Alprostadil 5microgram powder and
solvent for solution for injection
vials
Alum powder
Aluminium chloride 20% solution
Aluminium hydroxide 475mg
capsules
Alverine 120mg capsules
Alverine 60mg capsules
Amantadine 100mg capsules
Amantadine 50mg/5ml oral solution
sugar free
Amiloride 2.5mg / Cyclopenthiazide
250microgram tablets
Amiloride 5mg / Bumetanide 1mg
tablets
Amiloride 5mg tablets
Amiloride 5mg/5ml oral solution
sugar free
Aminophylline 250mg/10ml solution
for injection ampoules
Aminophylline hydrate 225mg
Aminophylline hydrate 350mg
Amiodarone 100mg tablets
Amiodarone 200mg tablets
Amisulpride 100mg tablets
Amisulpride 100mg/ml oral solution
sugar free
Amitriptyline 10mg tablets
Quantity
Basic Price
S
1
924
C
Caverject
S
S
1
1
1156
1194
C
C
Muse
Caverject
S
1
1130
C
Muse
S
1
2158
C
Caverject
S
1
1130
C
Muse
S
1
773
C
Caverject
S
S
S
500
20
60
75
120
587
351
251
301
1371
C
C
C
C
C
J M Loveridge Ltd
Driclor
Anhydrol Forte
Driclor
Alu-Cap
2326
1948
4100
13789
K A
A
A
K A
28
324
C
28
2960
A
213
3735
M
C
10
650
C
56
240
C
56
422
C
28
28
60
60
133
175
387
3592
M
M
M
K A
596
3521
270
91
78
M
A
M
M
M
60
100
56
150
28
150
S
g
ml
ml
ml
ml
ml
ml
60
60
60
28
28
119
Category
Navispare
Amilamont
Hameln
Pharmaceuticals Ltd
Phyllocontin
Continus
Phyllocontin Forte
Continus
Part VIIIA
08/2016
Drug
Amitriptyline 25mg/5ml oral solution
sugar free
Amitriptyline 50mg/5ml oral solution
sugar free
Amlodipine 10mg / Valsartan 160mg
tablets
Amlodipine 10mg tablets
Amlodipine 10mg/5ml oral solution
sugar free
tablets
tablets
Amlodipine 5mg/5ml oral solution
sugar free
Ammonium bicarbonate powder
Amorolfine 5% medicated nail
lacquer
Amoxicillin 125mg/1.25ml oral
suspension paediatric
Amoxicillin 125mg/5ml oral
suspension
Amoxicillin 1g powder for solution
for injection vials
Amoxicillin 250mg capsules
suspension
Amoxicillin 3g oral powder sachets
sugar free
Amoxicillin 500mg capsules
Amoxicillin 500mg powder for
Ampicillin 125mg/5ml oral
suspension
Ampicillin 250mg capsules
Ampicillin 250mg/5ml oral
suspension
Ampicillin 500mg capsules
Ampicillin 500mg powder for
Anastrozole 1mg tablets
Anise oil liquid
Antazoline 0.5% / Xylometazoline
0.05% eye drops
Quantity
Basic Price
Category
150
ml
1800
A
28
150
ml
94
1920
M
A
2651
C
77
11512
M
L A
28
2651
C
Exforge
28
2011
C
Exforge
28
28
150
ml
Exforge
28
150
ml
73
7535
M
L A
500
5
g
ml
407
800
C
M
J M Loveridge Ltd
S
R
20
ml
318
C
Amoxil
R
100
ml
97
M
R
100
ml
106
M
10
1096
C
R
15
21
100
ml
72
101
112
M
M
M
R
100
ml
123
M
2
998
A
15
21
10
91
127
548
M
M
C
R
100
ml
2986
C
R
28
100
ml
542
3886
A
C
2992
7830
A
A
122
989
235
M
C
C
28
10
S
28
100
10
ml
ml
120
Amoxil
Amoxil
Essential Generics
Ltd
Essential Generics
Ltd
J M Loveridge Ltd
Otrivine-Antistin
08/2016
Part VIIIA
Drug
Apixaban 2.5mg tablets
Apixaban 5mg tablets
Apraclonidine 1% eye drops 0.25ml
unit dose preservative free
Apraclonidine 5mg/ml eye drops
Aqueous calamine cream
Aqueous cream
Arachis oil 130ml enema
Arachis oil liquid
Aripiprazole 10mg orodispersible
tablets sugar free
Aripiprazole 10mg tablets
Aripiprazole 15mg orodispersible
tablets sugar free
Aripiprazole 1mg/ml oral solution
Ascorbic acid 100mg tablets
Ascorbic acid powder
Asenapine 10mg sublingual tablets
sugar free
Asenapine 5mg sublingual tablets
sugar free
Aspirin 300mg dispersible tablets
Aspirin 300mg gastro-resistant
tablets
Aspirin 300mg tablets
Aspirin 75mg dispersible tablets
Aspirin 75mg gastro-resistant
tablets
Aspirin 75mg tablets
Aspirin 900mg / Metoclopramide
10mg oral powder sachets
sugar free
Aspirin powder
Atenolol 100mg tablets
Atenolol 25mg/5ml oral solution
sugar free
Atenolol 50mg / Nifedipine 20mg
Atomoxetine 100mg capsules
S
S
S
Quantity
Basic Price
60
56
24
(12xS2)
5
100
100
500
1
200
28
5700
5320
7785
C
C
C
1088
129
88
440
3750
284
8327
C
C
M
M
A
K C
L A
277
8327
M
L A
274
10290
6288
283
1430
1986
2687
1504
526
10260
M
C
L A
M
A
K A
A
L A
C
C
60
10260
C
32
100
100
105
328
2034
M
M
A
32
28
100
28
335
69
246
74
A
M
M
M
28
6
110
661
K A
C
864
73
73
559
K C
M
M
A
28
1276
C
Tenif
28
28
28
68
7079
5309
M
C
C
Strattera
Strattera
ml
g
g
g
ml
28
28
28
150
28
28
28
28
28
28
100
60
250
28
28
300
ml
g
g
ml
121
Category
Eliquis
Eliquis
Iopidine
Iopidine
Thornton & Ross Ltd
J M Loveridge Ltd
Abilify
J M Loveridge Ltd
Sycrest
Sycrest
Migramax
J M Loveridge Ltd
Part VIIIA
08/2016
Drug
Atomoxetine 4mg/1ml oral solution
sugar free
Atorvastatin 10mg chewable tablets
sugar free
Atorvastatin 10mg tablets
Atorvastatin 20mg chewable tablets
sugar free
Atropine 1% eye drops
Atropine 1% eye drops 0.5ml unit
dose preservative free
Atropine 1mg/1ml solution for
injection ampoules
Atropine 400micrograms/1ml
solution for injection ampoules
Atropine 600microgram tablets
Atropine 600micrograms/1ml
§ Avanafil 100mg tablets
§
§
§
Azathioprine 25mg tablets
Azathioprine 50mg tablets
Azelaic acid 15% gel
Azelaic acid 20% cream
Azelastine 0.05% eye drops
Azelastine 140micrograms/dose
nasal spray
Azilsartan medoxomil 20mg tablets
Azithromycin 15mg/g eye drops
0.25g unit dose preservative
free
Azithromycin 200mg/5ml oral
suspension
Azithromycin 250mg capsules
S
S
S
S
S
Quantity
Basic Price
28
28
28
300
(3xS100)
28
28
30
5309
5309
5309
8500
C
C
C
C
Strattera
Strattera
Strattera
Strattera
5309
7079
1380
C
C
C
Strattera
Strattera
Lipitor
28
30
92
2640
M
C
Lipitor
28
28
28
28
28
10
20
109
2450
127
2800
211
4236
1510
M
A
M
A
M
K A
C
10
6872
K A
10
7372
K A
28
10
2575
1170
A
A
4
8
4
8
4
8
28
56
30
30
8
22
1408
2626
2190
3940
1094
1970
200
228
748
374
640
1050
C
C
C
C
C
C
M
M
C
C
C
C
Finacea
Skinoren
Optilast
Rhinolast
1680
1680
1995
699
C
C
C
C
Edarbi
Edarbi
Edarbi
Azyter
ml
ml
g
g
ml
ml
28
28
28
6
Category
Minims
Spedra
Spedra
Spedra
Spedra
Spedra
Spedra
R
15
ml
406
C
Zithromax
R
R
22.5
30
6
ml
ml
610
1104
1513
C
C
A
Zithromax
Zithromax
122
08/2016
Part VIIIA
Drug
Azithromycin 250mg tablets
Azithromycin 500mg tablets
Quantity
Basic Price
4
3
140
132
M
M
Category
213
336
M
M
C
C
C
A
A
C
Fostair
Part VIIIA products B
Baclofen 10mg tablets
Baclofen 5mg/5ml oral solution
sugar free
Balsalazide 750mg capsules
Bambuterol 10mg tablets
Bambuterol 20mg tablets
Beclometasone 0.025% cream
Beclometasone 0.025% ointment
Beclometasone 100micrograms/
dose / Formoterol
6micrograms/dose inhaler CFC
free
Beclometasone 100micrograms/
dose breath actuated inhaler
CFC free
Beclometasone 50micrograms/dose
breath actuated inhaler CFC
free
Beclometasone 50micrograms/dose
nasal spray
Beeswax white solid
Bendroflumethiazide 2.5mg tablets
Bendroflumethiazide 5mg tablets
Benperidol 250microgram tablets
Benzoin compound tincture
Benzoin tincture
Benzoyl peroxide 10% gel
Benzoyl peroxide 10% wash
Benzoyl peroxide 2.5% gel
Benzoyl peroxide 3% / Clindamycin
1% gel
Benzoyl peroxide 5% / Clindamycin
1% gel
Benzoyl peroxide 5% gel
Benzydamine 0.15% mouthwash
sugar free
Benzydamine 0.15% oromucosal
spray sugar free
Benzydamine 3% cream
Benzyl benzoate crystals
Benzylpenicillin 1.2g powder for
84
300
ml
S
S
S
130
28
28
30
30
120
g
g
dose
3042
1446
1577
6800
6800
2932
S
200
dose
1721
C
Qvar Autohaler
S
200
dose
787
C
Qvar Autohaler
S
200
dose
194
M
g
S
S
S
S
500
28
28
112
500
500
40
150
40
30
ml
ml
g
ml
g
g
733
68
89
11731
1120
995
213
400
176
1314
K C
M
M
C
K C
L C
C
C
C
C
S
S
50
30
g
g
413
1314
C
C
Brevoxyl
Duac Once Daily
S
S
S
S
S
60
40
30
40
300
g
g
g
g
ml
2628
189
544
192
610
C
C
C
C
M
Duac Once Daily
PanOxyl 5
Acnecide
PanOxyl 5 Aquagel
S
30
ml
450
A
S
S
35
100
500
25
g
g
g
263
684
1498
7864
C
C
K C
A
123
Colazide
Bambec
Bambec
J M Loveridge Ltd
Anquil
J M Loveridge Ltd
J M Loveridge Ltd
PanOxyl 10 Aquagel
PanOxyl 10
PanOxyl 2.5 Aquagel
Duac Once Daily
Difflam
Difflam
J M Loveridge Ltd
Part VIIIA
08/2016
Drug
Benzylpenicillin 600mg powder for
Betahistine 16mg tablets
Betahistine 8mg tablets
Betamethasone 0.1% / Neomycin
0.5% ear/eye/nose drops
Betamethasone 0.1% ear/eye/nose
drops
Betamethasone 0.1% eye ointment
Betamethasone 0.1% foam
Betamethasone 500microgram
soluble tablets sugar free
Betamethasone dipropionate 0.05%
/ Salicylic acid 2% scalp
application
/ Salicylic acid 3% ointment
cream
ointment
scalp lotion
Betamethasone dipropionate
0.064% / Clotrimazole 1%
cream
Betamethasone valerate 0.025%
cream
ointment
Betamethasone valerate 0.1% /
Clioquinol 3% cream
Clioquinol 3% ointment
Fusidic acid 2% cream
Neomycin 0.5% cream
Neomycin 0.5% ointment
cream
lotion
Quantity
Basic Price
2
467
C
S
84
84
10
ml
134
124
239
M
M
C
Betnesol-N
S
10
ml
232
C
Betnesol
S
S
3
100
100
g
g
141
975
4246
C
C
K A
S
100
ml
1010
C
Diprosalic
S
30
g
318
C
Diprosalic
S
S
100
30
g
g
914
216
C
C
Diprosalic
Diprosone
S
S
100
30
g
g
612
216
C
C
Diprosone
Diprosone
S
S
100
30
g
ml
612
273
C
C
Diprosone
Diprosone
S
S
100
30
ml
g
780
634
C
C
Diprosone
Lotriderm
S
100
g
315
C
Betnovate-RD
S
100
g
315
C
Betnovate-RD
S
30
g
2888
A
S
30
g
2888
A
S
30
g
638
C
Fucibet
S
S
60
30
g
g
1276
1774
C
A
Fucibet
S
S
100
30
g
g
5914
1774
A
A
S
S
100
30
g
g
5914
324
A
M
S
S
100
100
g
ml
1080
458
M
C
124
Category
Genus
Pharmaceuticals Ltd
Betnesol
Bettamousse
Betnovate
08/2016
Part VIIIA
Drug
ointment
Betamethasone valerate 0.1% scalp
application
Betaxolol 0.25% eye drops
Betaxolol 0.5% eye drops
Bezafibrate 200mg tablets
Bezafibrate 400mg modifiedrelease tablets
Bicalutamide 150mg tablets
Bicalutamide 50mg tablets
Bimatoprost 100micrograms/ml eye
drops
Bimatoprost 300micrograms/ml /
Timolol 5mg/ml eye drops
Bimatoprost 300micrograms/ml eye
drops 0.4ml unit dose
preservative free
Bisacodyl 10mg suppositories
Bisacodyl 5mg gastro-resistant
tablets
Bisacodyl 5mg suppositories
Bisoprolol 1.25mg tablets
Bisoprolol 10mg / Aspirin 100mg
capsules
capsules
Bisoprolol 10mg tablets
capsules
capsules
Bisoprolol 5mg tablets
Black currant syrup
Boric acid powder
Brimonidine 0.2% eye drops
Brimonidine 2mg/ml / Timolol 5mg/
ml eye drops
Brinzolamide 10mg/ml / Brimonidine
2mg/ml eye drops
Brinzolamide 10mg/ml / Timolol
5mg/ml eye drops
Brinzolamide 10mg/ml eye drops
Bromocriptine 10mg capsules
Bromocriptine 1mg tablets
Bromocriptine 2.5mg tablets
Bromocriptine 5mg capsules
Quantity
Basic Price
Category
S
30
g
239
M
S
S
100
100
g
ml
797
319
M
C
S
S
5
5
100
30
ml
ml
266
190
434
763
C
C
M
C
Bezalip-Mono
M
M
C
Lumigan
Betacap
Betoptic Susp
Betoptic
S
28
28
3
ml
433
183
1171
S
3
ml
1395
C
Ganfort
30
1375
C
Lumigan
12
60
353
190
A
M
5
28
30
99
89
750
C
M
C
Aspire Pharma Ltd
30
550
C
Aspire Pharma Ltd
28
28
28
30
80
81
109
750
M
M
M
C
Aspire Pharma Ltd
30
550
C
Aspire Pharma Ltd
S
S
28
28
500
500
5
5
ml
g
ml
ml
76
432
1028
572
170
1000
M
A
K C
C
M
C
S
5
ml
923
C
Simbrinza
S
5
ml
1105
C
Azarga
S
5
100
100
30
100
ml
256
6950
6762
7483
3757
M
C
A
K A
C
125
Dulcolax
J M Loveridge Ltd
J M Loveridge Ltd
Combigan
Parlodel
Parlodel
Part VIIIA
08/2016
Drug
Budesonide 100micrograms/dose /
Formoterol 6micrograms/dose
dry powder inhaler
Budesonide 100micrograms/dose
dry powder inhaler
Budesonide 1mg/2ml nebuliser
liquid unit dose vials
dry powder inhaler
dry powder inhaler
Budesonide 3mg gastro-resistant
capsules
Budesonide 3mg gastro-resistant
Formoterol 12micrograms/
dry powder inhaler
Budesonide 500micrograms/2ml
nebuliser liquid unit dose vials
nasal spray
Budesonide 9mg modified-release
tablets
Bumetanide 1mg tablets
Bumetanide 1mg/5ml oral solution
sugar free
Bumetanide 5mg tablets
Buprenorphine 10micrograms/hour
transdermal patches
Buprenorphine 200microgram
sublingual tablets sugar free
transdermal patches
Buprenorphine 2mg / Naloxone
500microgram sublingual
tablets sugar free
Buprenorphine 2mg sublingual
tablets sugar free
transdermal patches
Buprenorphine 400microgram
sublingual tablets sugar free
Buprenorphine 52.5micrograms/
hour transdermal patches
transdermal patches
transdermal patches
Quantity
Basic Price
Category
S
120
dose
3300
C
Symbicort 100/6
S
200
dose
1184
C
Pulmicort Turbohaler
100
3641
K A
20
S
120
dose
3800
C
Symbicort 200/6
S
100
dose
1184
C
100
7505
C
200
Budenofalk
S
100
9900
C
Entocort CR
S
60
dose
3800
C
Symbicort 400/12
S
50
dose
1386
C
400
2479
A
477
A
7500
C
137
16800
M
A
28
4
698
3155
A
C
BuTrans
50
504
C
Temgesic
4
5746
C
BuTrans
28
2540
C
Suboxone
7
148
M
4
1580
C
7
160
C
50
4
1007
2371
C
C
Temgesic
4
1760
C
BuTrans
4
3160
C
20
S
120
dose
30
28
150
ml
126
Cortiment
08/2016
Part VIIIA
Drug
Quantity
Basic Price
28
7619
C
7
290
M
60
4176
C
30
30
463
392
M
M
S
20
20
8
200
60
ml
g
6425
7312
3497
96
3721
A
K A
A
C
C
S
30
g
1984
C
Dovobet
S
30
g
578
C
Dovonex
S
60
ml
5694
A
S
120
100
100
100
180
200
200
28
100
ml
11388
1804
1806
3225
1979
971
1845
1542
933
A
C
C
C
C
C
C
K A
C
76
(4xS19)
100
1181
C
Cacit
870
C
Adcal
60
1316
C
Calcichew Forte
480
4911
1568
C
A
A
J M Loveridge Ltd
84
30
(3xS10)
457
795
C
C
Sandocal 1000
30
30
3920
3920
C
C
Invokana
Invokana
Buprenorphine 8mg / Naloxone
2mg sublingual tablets sugar
free
Buprenorphine 8mg sublingual
tablets sugar free
Bupropion 150mg modified-release
tablets
Buspirone 10mg tablets
Buspirone 5mg tablets
Category
Suboxone
Zyban
Part VIIIA products C
Cabergoline 1mg tablets
Cabergoline 2mg tablets
Cabergoline 500microgram tablets
Calamine lotion
Calcipotriol 0.005% /
0.05% gel
Calcipotriol 0.005% /
0.05% ointment
Calcipotriol 50micrograms/g
ointment
Calcipotriol 50micrograms/ml scalp
solution
Calcitriol 250nanogram capsules
Calcitriol 3micrograms/g ointment
Calcitriol 500nanogram capsules
Calcium acetate 1g tablets
Calcium acetate 475mg tablets
Calcium acetate 950mg tablets
Calcium and Ergocalciferol tablets
Calcium carbonate 1.25g chewable
tablets sugar free
Calcium carbonate 1.25g
effervescent tablets sugar free
tablets sugar free
tablets sugar free
Calcium carbonate powder
Calcium folinate 15mg tablets
Calcium gluconate 1g effervescent
tablets
Calcium lactate 300mg tablets
Calcium lactate gluconate 2.263g /
Calcium carbonate 1.75g
Canagliflozin 100mg tablets
Canagliflozin 300mg tablets
S
S
S
S
S
500
10
28
g
g
127
Thornton & Ross Ltd
Rocaltrol
Silkis
Rocaltrol
Phosex
Renacet
Renacet
Calcichew
Part VIIIA
08/2016
Drug
Canagliflozin 50mg / Metformin 1g
tablets
Canagliflozin 50mg / Metformin
850mg tablets
Candesartan 16mg tablets
Capsaicin 0.025% cream
Capsaicin 0.075% cream
Captopril 12.5mg tablets
Captopril 25mg tablets
Captopril 25mg/5ml oral solution
sugar free
Captopril 50mg tablets
Captopril 5mg/5ml oral solution
sugar free
Carbamazepine 100mg tablets
Carbamazepine 100mg/5ml oral
Carbamazepine 200mg modifiedrelease tablets
Carbamazepine 400mg modifiedrelease tablets
Carbimazole 20mg tablets
Carbimazole 5mg tablets
Carbocisteine 250mg/5ml oral
solution
Carbocisteine 375mg capsules
Carbocisteine 750mg/10ml oral
solution 10ml sachets sugar
free
Carbomer '980' 0.2% eye drops
Carbomer 974P 0.25% eye gel
Carmellose 0.5% eye drops 0.4ml
Carmellose 1% eye drops 0.4ml unit
Carteolol 1% eye drops
Carteolol 2% eye drops
Carvedilol 12.5mg tablets
Carvedilol 25mg tablets
Cefaclor 125mg/5ml oral
Cefaclor 250mg capsules
S
S
Quantity
Basic Price
60
3920
C
Vokanamet
60
3920
C
Vokanamet
28
7
28
7
28
45
45
56
56
100
ml
130
216
177
67
107
1771
1458
244
105
10894
M
M
M
M
M
C
C
A
M
C
Noyada
56
100
ml
247
9821
A
C
Noyada
84
300
ml
207
612
C
C
Tegretol
Tegretol
56
520
C
84
56
383
1024
C
C
56
100
100
300
502
19627
7588
839
C
M
M
C
Tegretol Prolonged
Release
Tegretol
Tegretol Prolonged
Release
Tegretol
1089
385
M
C
g
g
ml
120
15
Category
Zacin
Axsain
Mucodyne Syrup
Intrapharm
Laboratories Ltd
S
10
g
280
C
S
10
30
g
450
480
C
C
GelTears Ophthalmic
Gel
Liquivisc
Celluvisc
300
C
Celluvisc
760
840
96
116
88
97
516
C
C
M
M
M
M
C
Teoptic
Teoptic
Keftid
680
C
Keftid
30
S
S
R
5
5
28
28
28
28
100
ml
ml
ml
21
128
08/2016
Part VIIIA
Drug
Cefaclor 250mg/5ml oral
Cefaclor 375mg modified-release
tablets
Cefaclor 500mg capsules
Cefadroxil 500mg capsules
Cefalexin 125mg/5ml oral
suspension
Cefalexin 250mg capsules
Cefalexin 250mg tablets
Cefalexin 250mg/5ml oral
suspension
Cefalexin 500mg capsules
Cefalexin 500mg tablets
Cefixime 200mg tablets
Cefradine 250mg capsules
Cefradine 500mg capsules
Ceftriaxone 1g powder for solution
for injection vials
Ceftriaxone 250mg powder for
Ceftriaxone 2g powder for solution
for injection vials
Cefuroxime 125mg tablets
Cefuroxime 250mg tablets
Celecoxib 100mg capsules
Celecoxib 200mg capsules
Celiprolol 200mg tablets
Celiprolol 400mg tablets
Cetirizine 10mg capsules
Cetirizine 10mg tablets
Cetirizine 1mg/ml oral solution
sugar free
Cetomacrogol cream (Formula A)
Chloral hydrate 143.3mg/5ml oral
solution BP
Chlorambucil 2mg tablets
Chloramphenicol 0.5% eye drops
Chloramphenicol 0.5% eye drops
0.5ml unit dose preservative
free
Chloramphenicol 1% eye ointment
Chloramphenicol 250mg capsules
Chloramphenicol 5% ear drops
Quantity
Keftid
14
910
C
Distaclor MR
ml
750
2238
203
C
A
A
Distaclor
R
21
20
100
R
28
28
100
ml
123
187
174
M
M
M
S
21
21
7
20
20
1
143
194
1323
182
276
958
M
M
C
M
M
C
S
1
240
C
Rocephin
S
1
1918
C
Rocephin
14
14
60
30
28
28
7
456
1772
235
192
2025
3637
291
C
A
M
M
M
M
C
Zinnat
S
S
Chlordiazepoxide 10mg capsules
Chlordiazepoxide 10mg tablets
Chlordiazepoxide 5mg capsules
Chlorhexidine 0.2% oral spray
sugar free
ml
Category
C
S
100
Basic Price
1032
R
30
200
ml
86
145
M
M
500
150
g
ml
390
24425
K A
K A
25
10
20
ml
4287
133
1099
A
M
C
206
37700
5790
M
A
C
1780
4950
A
C
1150
428
A
C
4
60
10
g
ml
100
100
S
100
60
ml
129
Suprax
Rocephin
Benadryl Allergy
Liquid Release
Minims
Martindale
Pharmaceuticals Ltd
AAH
Pharmaceuticals Ltd
Corsodyl
Part VIIIA
08/2016
Drug
Chlorhexidine 1% dental gel sugar
free
Chlorhexidine gluconate 0.2%
mouthwash
Chloroquine phosphate 250mg
tablets
Chlorphenamine 10mg/1ml solution
Chlorphenamine 2mg/5ml oral
solution
solution sugar free
Chlorphenamine 4mg tablets
Chlorpromazine 100mg tablets
Chlorpromazine 100mg/5ml oral
solution
Chlorpromazine 25mg/5ml oral
solution
Chlortalidone 50mg tablets
Choline salicylate 8.7% oromucosal
gel sugar free
Ciclesonide 160micrograms/dose
inhaler CFC free
Ciclesonide 80micrograms/dose
inhaler CFC free
Ciclosporin 0.1% eye drops 0.3ml
unit dose
Ciclosporin 100mg capsules
Cilazapril 5mg tablets
Cilostazol 100mg tablets
Cilostazol 50mg tablets
Cimetidine 200mg/5ml oral solution
Cimetidine 200mg/5ml oral solution
sugar free
Cimetidine 400mg tablets
Cimetidine 800mg tablets
Cinacalcet 30mg tablets
Cinchocaine 0.5% / Prednisolone
0.19% ointment
Cinchocaine 1mg / Prednisolone
hexanoate 1.3mg suppositories
Cinnarizine 15mg tablets
Ciprofibrate 100mg tablets
Quantity
S
Basic Price
Category
50
g
126
C
300
ml
355
K A
20
795
C
5
2250
A
Corsodyl
Avloclor
150
ml
262
C
150
ml
262
A
28
28
150
ml
75
180
550
M
M
A
28
150
ml
180
235
M
C
S
28
30
15
g
177
8800
258
M
A
C
Bonjela
S
60
dose
1931
C
Alvesco 160
S
S
120
120
dose
dose
3862
3283
C
C
Alvesco 160
Alvesco 80
30
7200
C
Ikervis
30
60
30
30
28
6828
1825
1837
3597
5180
C
C
C
C
C
Neoral
Neoral
Neoral
Neoral
Genesis
Pharmaceuticals Ltd
56
56
600
300
ml
ml
368
4005
2849
1425
M
A
C
A
g
1518
909
12575
294
M
A
C
C
Mimpara
Scheriproct
12
138
C
Scheriproct
84
28
507
11206
M
A
S
60
30
28
30
130
Piriton Syrup
Rosemont
Pharmaceuticals Ltd
Tagamet Syrup
08/2016
Part VIIIA
Drug
Ciprofloxacin 0.3% /
Dexamethasone 0.1% ear
drops
Ciprofloxacin 0.3% eye drops
Ciprofloxacin 100mg tablets
Ciprofloxacin 250mg/5ml oral
suspension
Citalopram 10mg tablets
Citalopram 40mg/ml oral drops
sugar free
Citric acid monohydrate powder
Clarithromycin 125mg/5ml oral
suspension
Clarithromycin 250mg tablets
Clarithromycin 250mg/5ml oral
suspension
Clarithromycin 500mg modifiedrelease tablets
Clarithromycin 500mg powder for
solution for infusion vials
Clarithromycin 500mg tablets
Clemastine 1mg tablets
Clindamycin 1% alcoholic solution
Clindamycin 1% aqueous lotion
Clindamycin 1% gel
Clindamycin 150mg capsules
Clindamycin 2% vaginal cream
§ Clobazam 10mg tablets
§ Clobazam 10mg/5ml oral
§ Clobazam 5mg/5ml oral suspension
sugar free
Clobetasol 0.05% cream
Clobetasol 0.05% ointment
Clobetasol 0.05% scalp application
Clobetasol 500microgram /
Neomycin 5mg / Nystatin
100,000units/g cream
Clobetasol 500microgram /
Neomycin 5mg / Nystatin
100,000units/g ointment
Quantity
Basic Price
Category
S
5
ml
612
C
Cilodex
S
ml
ml
470
186
75
1980
C
A
M
C
Ciloxan
R
5
6
10
100
S
10
10
28
28
28
15
ml
92
800
78
83
94
475
M
A
M
M
M
M
R
500
70
g
ml
424
378
C
M
R
14
70
ml
138
504
M
M
7
672
C
1
945
C
14
60
30
30
30
24
40
30
24
30
150
ml
228
500
434
508
866
1158
1086
3859
745
348
9500
M
C
C
C
C
M
C
K A
C
K A
C
150
ml
9000
C
S
S
S
S
S
S
S
30
100
30
100
30
100
30
g
g
g
g
ml
ml
g
269
790
269
790
307
1042
6400
C
C
C
C
C
C
A
S
30
g
6400
A
S
S
S
S
S
ml
ml
g
g
131
Ciproxin
J M Loveridge Ltd
Klaricid IV
Tavegil
Dalacin T Topical
Dalacin T Topical
Zindaclin
Dalacin
Dalacin C
Dermovate
Dermovate
Dermovate
Dermovate
Dermovate
Dermovate
Part VIIIA
08/2016
Drug
Clobetasol 500micrograms/g
shampoo
Clobetasone 0.05% cream
Clobetasone 0.05% ointment
Clomethiazole 192mg capsules
Clomifene 50mg tablets
Clomipramine 10mg capsules
Clonazepam 2mg tablets
Clonazepam 2mg/5ml oral solution
sugar free
Clonazepam 500microgram tablets
Clonazepam 500micrograms/5ml
oral solution sugar free
Clonidine 100microgram tablets
Clonidine 25microgram tablets
Clopidogrel 300mg tablets
Clopidogrel 75mg tablets
Cloral betaine 707mg tablets
Clotrimazole 1% cream
Clotrimazole 1% solution
Clotrimazole 10% cream and
Clotrimazole 10% vaginal cream
Clotrimazole 100mg pessaries
Clotrimazole 500mg pessary and
Clove oil liquid
Coal tar extract 2% shampoo
Coal tar extract 5% shampoo
Coal tar solution 5% cutaneous
emulsion
Co-amilofruse 10mg/80mg tablets
Co-amilofruse 2.5mg/20mg tablets
Co-amilofruse 5mg/40mg tablets
Co-amilozide 2.5mg/25mg tablets
Quantity
Basic Price
Category
S
125
ml
1029
C
Etrivex
S
15
g
357
C
S
S
S
S
30
100
30
100
60
30
28
28
28
100
150
g
g
g
g
ml
186
544
186
544
3140
1015
131
159
187
3089
10836
C
C
C
C
A
C
M
M
M
K A
A
Eumovate Eczema &
Dermatitis
Eumovate
Eumovate
Eumovate
Eumovate
100
150
ml
2784
6950
K A
C
804
577
14254
154
13859
106
265
230
821
C
M
C
M
K A
M
M
C
C
623
350
446
310
293
521
C
C
C
C
M
C
S
S
S
S
100
112
30
28
30
20
50
20
1
S
S
S
S
S
S
5
6
20
3
1
1
S
10
125
ml
ml
188
361
C
C
S
250
ml
538
C
S
S
250
100
ml
ml
452
811
C
C
S
250
28
28
28
28
ml
1624
1552
150
162
605
C
A
M
M
A
g
g
ml
g
g
132
Clomid
Rosemont
Pharmaceuticals Ltd
Catapres
Plavix
Canesten
Canesten Combi
Internal & External
Canesten Internal
Canesten
Canesten Thrush
Canesten
Canesten Combi
Thornton & Ross Ltd
Neutrogena T/Gel
Therapeutic
shampoo
Neutrogena T/Gel
Therapeutic
shampoo
Alphosyl 2 in 1
Exorex
Exorex
08/2016
Part VIIIA
Drug
Co-amilozide 5mg/50mg tablets
Co-amoxiclav 125mg/31mg/5ml
oral suspension
Co-amoxiclav 250mg/125mg tablets
oral suspension
Co-beneldopa 12.5mg/50mg
capsules
Co-beneldopa 12.5mg/50mg
dispersible tablets sugar free
Co-beneldopa 25mg/100mg
capsules
dispersible tablets sugar free
capsules
Co-careldopa 10mg/100mg tablets
Co-careldopa 12.5mg/50mg tablets
Co-careldopa 25mg/100mg
Co-careldopa 50mg/200mg
Co-codamol 15mg/500mg capsules
Co-codamol 15mg/500mg
Co-codamol 15mg/500mg tablets
effervescent tablets
effervescent tablets
Quantity
Basic Price
R
28
100
ml
104
500
M
C
R
100
ml
203
M
R
21
100
ml
234
500
M
C
R
100
ml
212
M
R
35
ml
413
C
R
70
ml
579
C
21
14
100
209
860
496
M
C
C
Creo Pharma Ltd
100
590
C
Madopar
100
691
C
100
1045
C
Madopar
100
1277
C
Madopar CR
100
1178
C
100
90
868
628
A
C
60
1160
C
Sinemet 12.5mg/
50mg
Half Sinemet CR
100
100
60
1405
3498
1160
M
A
C
Sinemet CR
100
100
725
825
C
C
Codipar
Codipar
100
100
32
958
350
250
A
M
M
100
30
100
32
100
32
781
120
400
359
1122
207
M
M
M
M
M
M
100
647
M
133
Category
Mylan Ltd
Mylan Ltd
Augmentin Duo 400/
57
Augmentin Duo 400/
57
Part VIIIA
08/2016
Drug
Co-codaprin 8mg/400mg
dispersible tablets
Coconut oil
Co-cyprindiol 2000microgram/
35microgram tablets
Co-danthramer 25mg/200mg/5ml
Co-danthramer 75mg/1000mg/5ml
Co-danthrusate 50mg/60mg
capsules
Co-danthrusate 50mg/60mg/5ml
Codeine 15mg tablets
Colecalciferol 200unit / Calcium
carbonate 1.25g chewable
tablets
carbonate 750mg tablets
91
303
9193
M
M
K A
475
567
C
K A
g
300
ml
14636
K A
300
ml
29357
K A
5250
C
ml
8992
C
ml
ml
95
339
184
163
M
M
C
A
646
112
400
180
90
300
2393
A
M
M
M
M
M
A
28
220
M
100
100
100
28
2023
3823
1998
225
C
C
M
C
Calci-D
28
100
200
200
R
Category
500
63
200
Co-dydramol 10mg/500mg tablets
Colecalciferol 15,000units/5ml oral
solution
Colecalciferol 20,000unit capsules
Basic Price
30
100
100
63
Codeine 15mg/5ml linctus
Codeine 15mg/5ml linctus sugar
free
Codeine 25mg/5ml oral solution
Co-fluampicil 125mg/125mg/5ml
oral suspension
Co-fluampicil 250mg/250mg
capsules
Co-flumactone 25mg/25mg tablets
Co-flumactone 50mg/50mg tablets
Colchicine 500microgram tablets
Colecalciferol 1,000unit / Calcium
tablets
Colecalciferol 1,000unit tablets
Colecalciferol 10,000units/ml oral
drops sugar free
Colecalciferol 10,000units/ml oral
solution sugar free
Quantity
500
28
100
28
30
100
100
ml
ml
J M Loveridge Ltd
Alliance Healthcare
(Distribution) Ltd
AAH
Pharmaceuticals Ltd
Thornton & Ross Ltd
Aldactide 25
Aldactide 50
S
28
10
ml
295
585
C
C
Stexerol-D3
Thorens
S
2.5
ml
155
C
Thorens
ml
585
C
Thorens
S
10
(4xS2.5)
100
ml
14400
C
15
30
100
1704
2900
768
C
C
C
Thame Laboratories
Ltd
Fultium-D3
112
295
C
134
Calcichew D3
Adcal-D3
08/2016
Part VIIIA
Drug
Colecalciferol 25,000unit tablets
solution unit dose ampoules
sugar free
tablets
carbonate 1.25g tablets
tablets
carbonate 1.5g effervescent
tablets
carbonate 1.25g effervescent
granules sachets
solution unit dose ampoules
sugar free
tablets
tablets
phosphate 3.1g oral powder
sachets
Colecalciferol 800unit capsules
Colecalciferol 800unit tablets
tablets
Colesevelam 625mg tablets
Colestyramine 4g oral powder
sachets sugar free
Conjugated oestrogens 1.25mg
tablets
Conjugated oestrogens 1.25mg
tablets and Norgestrel
Conjugated oestrogens
300microgram /
Medroxyprogesterone 1.5mg
Quantity
Basic Price
12
3
1700
445
C
C
Stexerol-D3
InVita D3
30
10
60
1332
1500
424
C
C
C
Fultium-D3
Plenachol
Calcichew D3 Forte
100
743
C
56
365
C
Calcichew D3
Caplets
Adcal-D3
56
(4xS14)
599
C
Adcal-D3 Dissolve
60
295
C
Accrete D3
30
406
C
Cacit D3
3
625
C
InVita D3
30
421
C
Kalcipos-D
30
421
C
Kalcipos-D
30
675
C
Calcichew D3 Once
Daily
30
432
C
Calfovit D3
30
30
30
360
360
295
C
C
C
Desunin
TheiCal-D3
180
50
9610
2901
C
K A
84
358
C
Premarin
120
(3xS40)
740
C
Prempak-C
84
652
C
Premique Low Dose
135
Category
Cholestagel
Part VIIIA
08/2016
Drug
625microgram /
Medroxyprogesterone 5mg
tablets
625microgram tablets and
Norgestrel 150microgram
tablets
Co-simalcite 125mg/500mg/5ml
Co-tenidone 100mg/25mg tablets
Co-tenidone 50mg/12.5mg tablets
Co-triamterzide 50mg/25mg tablets
Co-trimoxazole 160mg/800mg
tablets
Co-trimoxazole 80mg/400mg
tablets
Crotamiton 10% cream
Cyanocobalamin 1mg/1ml solution
Cyanocobalamin 50microgram
tablets
Cyclizine 50mg tablets
Cyclizine 50mg/1ml solution for
injection ampoules
Cyclopentolate 0.5% eye drops
Cyclopentolate 0.5% eye drops
free
Cyclopentolate 1% eye drops
Cyclopentolate 1% eye drops 0.5ml
Cyclophosphamide 50mg tablets
Cycloserine 250mg capsules
Cyproheptadine 4mg tablets
Cyproterone 100mg tablets
Cyproterone 50mg tablets
Quantity
Basic Price
84
607
C
Premarin
84
1061
C
Premique
84
402
C
Premarin
120
(3xS40)
625
C
Prempak-C
520
C
Altacite Plus
28
28
30
100
184
203
95
2346
M
M
C
C
28
230
M
250
435
1450
C
C
C
Eurax
Eurax
Cytamen
50
899
C
Cytacon
100
5
772
1354
M
C
AMCo
500
S
S
30
100
5
ml
g
g
Category
Dyazide
Aspen Pharma
Trading Ltd
S
5
20
ml
673
1097
C
C
Mydrilate
Minims
S
5
20
ml
673
1123
C
C
Mydrilate
Minims
100
13900
C
Alliance Healthcare
(Distribution) Ltd
100
30
84
168
40263
599
5519
8700
A
C
A
C
60
5100
C
Pradaxa
60
5100
C
Pradaxa
60
60
60
5100
1638
3243
C
C
C
Pradaxa
Danol
Danol
Periactin
Cyprostat
Part VIIIA products D
Dabigatran etexilate 110mg
capsules
Dabigatran etexilate 150mg
capsules
Dabigatran etexilate 75mg capsules
Danazol 100mg capsules
Danazol 200mg capsules
136
08/2016
Part VIIIA
Drug
Dantrolene 100mg capsules
Dantrolene 25mg capsules
Dapagliflozin 10mg tablets
Dapagliflozin 5mg / Metformin 1g
tablets
Dapagliflozin 5mg / Metformin
850mg tablets
Dapagliflozin 5mg tablets
Dapsone 100mg tablets
Dapsone 50mg tablets
Darifenacin 7.5mg modified-release
tablets
Demeclocycline 150mg capsules
Denosumab 60mg/1ml solution for
injection pre-filled syringes
Desloratadine 2.5mg/5ml oral
solution sugar free
Desloratadine 5mg tablets
Desmopressin 100microgram
tablets
Desmopressin 100micrograms/ml
intranasal solution
Desmopressin 10micrograms/dose
nasal spray
Desmopressin 120microgram oral
lyophilisates sugar free
Desmopressin 200microgram
tablets
Desmopressin 360micrograms/ml
oral solution
Desogestrel 75microgram tablets
Dexamethasone 0.1% / Tobramycin
0.3% eye drops
Dexamethasone 0.1% eye drops
free
free
Dexamethasone 10mg/5ml oral
solution sugar free
Dexamethasone 2mg soluble
tablets sugar free
Dexamethasone 2mg tablets
Dexamethasone 2mg/5ml oral
solution sugar free
S
Quantity
Basic Price
100
100
28
56
4307
1687
3659
3659
C
C
C
C
Dantrium
Dantrium
Forxiga
Xigduo
56
3659
C
Xigduo
28
28
28
28
3659
10502
2169
2548
C
K A
M
C
Forxiga
28
1
16089
18300
C
C
AMCo
Prolia
1015
C
Neoclarityn
103
6303
M
K A
972
C
2166
M
30
3034
C
DesmoMelt
100
30
10107
750
C
M
DDAVP Melt
30
6068
C
DesmoMelt
3000
A
5053
C
DDAVP Melt
191
537
M
C
Tobradex
142
280
975
C
C
C
Maxidex
Maxidex
Dropodex
1146
C
Minims
9444
A
3563
K A
4900
4230
A
C
150
ml
30
90
S
2.5
ml
S
60
dose
S
15
ml
100
S
S
S
84
5
5
10
20
ml
ml
ml
20
150
ml
50
50
150
ml
137
Category
Emselex
DDAVP Nasal
Solution
Part VIIIA
08/2016
Drug
Dexamethasone 3.8mg/1ml solution
for injection vials
tablets sugar free
Dexamethasone 500microgram
tablets
tablets sugar free
Dexamfetamine 5mg tablets
Dexamfetamine 5mg/5ml oral
solution sugar free
Dexibuprofen 400mg tablets
Dexketoprofen 25mg tablets
Diamorphine 100mg powder for
Diamorphine 10mg tablets
Diazepam 10mg tablets
Diazepam 10mg/2.5ml rectal
solution tube
Diazepam 10mg/2ml solution for
injection ampoules
Diazepam 2mg/5ml oral solution
sugar free
Diazepam 2mg/5ml oral suspension
Diazepam 5mg/2.5ml rectal solution
tube
Dibrompropamidine 0.15% eye
ointment
Diclofenac 1.16% gel
Diclofenac 100mg suppositories
Diclofenac 12.5mg suppositories
Diclofenac 140mg medicated
plasters
Diclofenac 16mg/ml topical solution
Diclofenac 2.32% gel
Quantity
Basic Price
10
1999
A
50
7125
K A
28
5421
K A
50
14025
K A
2475
11449
A
C
60
50
5
847
918
4239
C
C
A
5
1656
M
100
5
2781
1652
K A
M
5
18770
A
5
20500
A
5
1136
A
28
5
89
735
M
A
10
550
A
74
3175
M
C
ml
3175
77
585
C
M
A
Sandoz Ltd
28
500
28
100
100
28
5
ml
ml
Category
Martindale
Pharmaceuticals Ltd
Seractil
Keral
Actavis UK Ltd
S
5
g
349
C
Golden Eye
S
100
10
10
2
g
563
364
70
599
C
C
C
C
Voltarol Emulgel
Voltarol
Voltarol
Voltarol
S
S
60
30
ml
g
1600
419
C
C
S
50
g
599
C
S
100
g
1079
C
Pennsaid
Voltarol 12 Hour
Emulgel P
Voltarol 12 Hour
Emulgel P
Voltarol 12 Hour
Emulgel P
138
08/2016
Part VIIIA
Drug
Diclofenac 50mg dispersible tablets
sugar free
Diclofenac 75mg/3ml solution for
injection ampoules
Diclofenac potassium 25mg tablets
Diclofenac potassium 50mg tablets
Diclofenac sodium 100mg modifiedrelease capsules
Diclofenac sodium 100mg modifiedrelease tablets
Diclofenac sodium 25mg gastroresistant tablets
Diclofenac sodium 3% gel
Diclofenac sodium 50mg gastroresistant / Misoprostol
Diclofenac sodium 50mg gastroresistant tablets
Diclofenac sodium 75mg gastroresistant / Misoprostol
Diclofenac sodium 75mg gastroresistant modified-release
capsules
Diclofenac sodium 75mg modifiedrelease capsules
Diclofenac sodium 75mg modifiedrelease tablets
Dicycloverine 10mg tablets
Dicycloverine 10mg/5ml oral
solution
Dicycloverine 20mg tablets
Diethylamine salicylate 10% cream
Diethylstilbestrol 1mg tablets
Diethylstilbestrol 5mg tablets
Diflucortolone 0.1% oily cream
Diflucortolone 0.3% oily cream
Digoxin 125microgram tablets
Digoxin 250microgram tablets
Digoxin 50micrograms/ml oral
solution
Digoxin 62.5microgram tablets
Dihydrocodeine 10mg/5ml oral
solution
Dihydrocodeine 120mg modifiedrelease tablets
Dihydrocodeine 30mg tablets
S
Quantity
Basic Price
10
21
124
743
C
C
Voltarol
Voltarol Dispersible
10
10
204
991
C
C
Voltarol
Voltarol I/M
30
30
28
415
794
697
C
C
C
Voltarol Rapid
Voltarol Rapid
Diclomax Retard
28
1136
C
Voltarol Retard
28
260
M
3830
1198
C
C
28
327
M
60
1583
C
56
800
C
Motifene 75mg
56
969
C
Diclomax SR
56
1550
C
Voltarol SR
15952
15850
K A
K A
K A
C
K A
C
C
C
M
M
C
50
60
100
120
S
S
S
S
g
ml
Category
Solaraze
84
50
28
28
30
15
28
28
60
ml
17011
149
11999
20800
495
470
222
233
535
28
150
ml
219
715
M
K A
56
1095
C
DHC Continus
28
100
100
117
418
978
M
M
C
DF 118 Forte
g
g
g
139
Algesal
Teva UK Ltd
Nerisone Oily
Nerisone Forte
Lanoxin PG Elixir
Part VIIIA
08/2016
Drug
Dihydrocodeine 50mg/1ml solution
tablets
capsules
capsules
capsules
capsules
capsules
tablets
capsules
tablets
Dimeticone 22% / Benzalkonium
chloride 0.1% cream
Dimeticone 4% lotion
Dipipanone 10mg / Cyclizine 30mg
tablets
Dipyridamole 100mg tablets
Dipyridamole 200mg modifiedrelease / Aspirin 25mg
capsules
Dipyridamole 200mg modifiedrelease capsules
Dipyridamole 200mg/5ml oral
Dipyridamole 25mg tablets
Dipyridamole 50mg/5ml oral
Disopyramide 100mg capsules
Disopyramide 150mg capsules
Disopyramide 250mg modifiedrelease tablets
Disulfiram 200mg tablets
Docusate 100mg capsules
Docusate 12.5mg/5ml oral solution
sugar free
Docusate 50mg/5ml oral solution
sugar free
Docusate sodium 0.5% ear drops
Quantity
Basic Price
10
9114
C
56
520
C
Martindale
Pharmaceuticals Ltd
DHC Continus
56
866
C
DHC Continus
56
715
C
Tildiem Retard
28
629
C
Tildiem LA 200
28
1152
C
Adizem-XL
28
901
C
Tildiem LA
28
1385
C
Viazem XL
56
604
C
Dilzem SR 60
84
4160
K A
56
850
C
Adizem-SR
56
727
C
Tildiem Retard
88
C
Conotrane
298
692
35306
C
C
C
Hedrin
Hedrin
AMCo
Asasantin Retard
S
100
g
S
S
50
150
50
ml
ml
Category
S
84
60
454
984
M
C
S
60
1006
C
S
150
ml
12849
K A
84
150
ml
940
4106
A
A
84
84
2209
2758
A
C
60
3208
C
AAH
Pharmaceuticals Ltd
Rythmodan Retard
50
30
300
ml
9173
209
529
A
C
C
Dioctyl
Docusol
300
ml
549
C
Docusol
10
ml
195
C
Waxsol
140
08/2016
Part VIIIA
Drug
Domperidone 10mg tablets
Domperidone 5mg/5ml oral
Donepezil 10mg orodispersible
tablets sugar free
Donepezil 10mg tablets
Donepezil 1mg/ml oral solution
sugar free
Donepezil 5mg orodispersible
tablets sugar free
Donepezil 5mg tablets
Dornase alfa 2.5mg/2.5ml nebuliser
liquid ampoules
Dorzolamide 2% / Timolol 0.5% eye
drops
Dorzolamide 2% / Timolol 0.5% eye
preservative free
Dorzolamide 2% eye drops
Dorzolamide 2% eye drops 0.2ml
Dosulepin 25mg capsules
Dosulepin 75mg tablets
Doxazosin 1mg tablets
Doxazosin 4mg modified-release
tablets
Doxazosin 8mg modified-release
tablets
Doxepin 25mg capsules
Doxepin 50mg capsules
Doxycycline 100mg capsules
Doxycycline 100mg dispersible
tablets sugar free
Doxycycline 20mg tablets
Doxycycline 40mg modified-release
capsules
Doxycycline 50mg capsules
Dronedarone 400mg tablets
Duloxetine 20mg gastro-resistant
capsules
capsules
capsules
capsules
Dutasteride 500microgram capsules
Quantity
Basic Price
30
100
200
97
323
1343
M
M
A
862
K A
135
4798
M
K A
28
683
K A
28
30
107
49643
M
C
192
M
2859
C
Cosopt
217
2418
M
C
Trusopt
137
135
71
72
500
M
M
M
M
C
Cardura XL
28
28
81
998
M
C
Cardura XL
28
28
8
8
9700
15400
86
491
A
A
M
C
Vibramycin-D
56
14
1730
799
C
C
Periostat
Efracea
28
20
28
134
2250
558
M
C
M
Multaq
28
481
M
56
1001
M
28
439
M
30
1460
C
ml
28
28
150
S
5
ml
ml
60
(4xS15)
S
5
60
(4xS15)
28
28
28
28
28
ml
Part VIIIA products E
141
Category
Pulmozyme
Avodart
Part VIIIA
08/2016
Drug
Edoxaban 15mg tablets
Eflornithine 11.5% cream
Eicosapentaenoic acid 460mg /
Docosahexaenoic acid 380mg
capsules
Eletriptan 20mg tablets
Eletriptan 40mg tablets
Emedastine 0.5mg/ml eye drops
Empagliflozin 10mg tablets
Empagliflozin 25mg tablets
Emulsifying ointment
Enalapril 10mg tablets
Enalapril 2.5mg tablets
Enalapril 20mg /
Hydrochlorothiazide 12.5mg
tablets
Enoxaparin sodium 100mg/1ml
solution for injection pre-filled
syringes
Enoxaparin sodium 120mg/0.8ml
syringes
Enoxaparin sodium 150mg/1ml
syringes
syringes
syringes
syringes
syringes
Entacapone 200mg tablets
Ephedrine 0.5% nasal drops
Ephedrine 1% nasal drops
Ephedrine hydrochloride 15mg
tablets
Ephedrine hydrochloride 30mg
tablets
Epinastine 500micrograms/ml eye
drops
Eplerenone 25mg tablets
Eplerenone 50mg tablets
S
S
S
S
Quantity
Basic Price
10
28
28
60
28
1850
5180
5180
5687
1424
C
C
C
C
C
Lixiana
Lixiana
Lixiana
Vaniqa
Omacor
2250
2250
731
3659
3659
212
99
284
1998
C
C
C
C
C
M
M
M
A
Relpax
Relpax
Emadine
Jardiance
Jardiance
28
28
10
144
88
7230
M
M
C
Clexane
10
8793
C
Clexane Forte
10
9991
C
Clexane Forte
10
2086
C
Clexane
10
3027
C
Clexane
10
3926
C
Clexane
10
5513
C
Clexane
537
175
181
2231
M
A
A
K A
3412
K A
990
C
808
870
M
M
6
6
5
28
28
500
28
28
28
30
10
10
28
g
ml
g
ml
ml
28
S
5
ml
28
28
142
Category
Relestat
08/2016
Part VIIIA
Drug
Eprosartan 300mg tablets
Erdosteine 300mg capsules
Erythromycin 250mg gastroresistant capsules
Erythromycin 250mg gastroresistant tablets
Erythromycin 40mg/ml / Zinc
acetate 12mg/ml lotion
sugar free
sugar free
500mg tablets
sugar free
Erythromycin stearate 250mg
tablets
Erythromycin stearate 500mg
tablets
Escitalopram 10mg tablets
Esomeprazole 10mg gastroresistant granules sachets
Esomeprazole 20mg gastroresistant capsules
Esomeprazole 20mg gastroresistant tablets
Esomeprazole 40mg gastroresistant capsules
Esomeprazole 40mg gastroresistant tablets
Estradiol 0.06% gel (750microgram
per actuation)
Estradiol 1.5mg / Nomegestrol
2.5mg tablets
Estradiol 10microgram pessaries
Estradiol 1mg / Dydrogesterone
5mg tablets
Quantity
Basic Price
28
56
28
20
28
703
2018
1376
425
561
L A
L A
L A
C
C
Category
28
150
M
Erdotin
Erymax
S
30
ml
771
C
Zineryt
S
R
90
100
ml
ml
1668
405
C
A
Zineryt
R
100
ml
333
M
R
100
ml
638
K A
R
100
ml
487
M
1078
C
28
Erythroped A
R
100
ml
1124
A
R
140
ml
1056
C
Erythroped Forte
100
1820
C
Erythrocin
100
3640
C
Erythrocin 500
28
28
28
28
123
126
98
2519
M
M
M
C
Nexium
28
340
C
28
310
M
28
396
C
28
377
M
480
C
Oestrogel
84
1980
C
Zoely
24
84
1672
2443
C
C
Vagifem
Femoston-conti
S
80
g
143
Emozul
Part VIIIA
08/2016
Drug
Estradiol 1mg / Norethisterone
acetate 500microgram tablets
Estradiol 1mg gel sachets
Estradiol 500microgram gel sachets
Estradiol 50micrograms/24hours /
Norethisterone
170micrograms/24hours
transdermal patches
Medroxyprogesterone 2.5mg
tablets
tablets
tablets
Estriol 0.01% cream with applicator
Estriol 0.1% cream
Ethambutol 100mg tablets
Ethambutol 400mg tablets
Ethanol 90% including duty
Ethinylestradiol 10microgram
tablets
Ethinylestradiol 1mg tablets
Drospirenone 3mg tablets
Levonorgestrel 150microgram
tablets
Ethinylestradiol 33.9micrograms/
24hours / Norelgestromin
203micrograms/24hours
transdermal patches
Norethisterone 1mg tablets
Ethinylestradiol 50microgram
tablets
Ethosuximide 250mg capsules
Ethosuximide 250mg/5ml oral
solution
Etodolac 300mg capsules
Etodolac 600mg modified-release
tablets
Etonogestrel 68mg implant
Etoricoxib 120mg tablets
Eucalyptus oil liquid
Exemestane 25mg tablets
S
S
Quantity
Basic Price
84
(3xS28)
28
84
84
28
24
1320
C
Kliovance
585
506
506
508
3722
C
C
C
C
C
Sandrena
Elleste Solo
Elleste Solo
Sandrena
Evorel Conti
84
2058
C
Indivina
84
2058
C
Indivina
84
2058
C
Indivina
2498
445
1151
4274
1718
20000
A
C
A
A
A
C
UCB Pharma Ltd
28
84
20000
1470
A
C
Eloine
63
282
C
9
1951
C
Evra
63
228
C
Norimin
21
20000
C
UCB Pharma Ltd
7320
422
A
C
Zarontin
60
30
814
1550
C
C
Eccoxolac
Lodine SR
1
28
28
28
28
500
30
8343
2411
1399
2011
2296
1558
595
C
C
C
C
C
K C
M
1
15
56
56
100
21
56
200
S
g
ml
ml
ml
144
Category
Ovestin
Nexplanon
Arcoxia
Arcoxia
Arcoxia
Arcoxia
J M Loveridge Ltd
08/2016
Part VIIIA
Drug
Exenatide 10micrograms/0.04ml
solution for injection 2.4ml prefilled disposable devices
Exenatide 5micrograms/0.02ml
solution for injection 1.2ml prefilled disposable devices
Ezetimibe 10mg tablets
Quantity
Basic Price
S
1
6824
C
Category
Byetta
S
1
6824
C
Byetta
28
2631
C
Ezetrol
10
21
14
28
28
28
28
30
3622
15431
17482
2145
3896
2436
2436
226
Part VIIIA products F
Famotidine 20mg tablets
Famotidine 40mg tablets
Febuxostat 120mg tablets
Febuxostat 80mg tablets
Felbinac 3% gel
Felbinac 3.17% foam
Felodipine 10mg modified-release
tablets
Felodipine 2.5mg modified-release
tablets
Felodipine 5mg modified-release /
Ramipril 5mg tablets
Felodipine 5mg modified-release
tablets
Fenofibrate micronised 160mg
tablets
capsules
capsules
capsules
Fentanyl 100microgram buccal
tablets sugar free
Fentanyl 100micrograms/hour
transdermal patches
transdermal patches
tablets sugar free
transdermal patches
tablets sugar free
transdermal patches
tablets sugar free
S
S
S
100
100
28
g
g
g
K
K
K
K
A
A
A
A
A
C
C
C
803
841
566
C
C
C
28
631
C
28
1613
C
28
421
C
28
669
A
28
673
M
28
459
M
90
2264
K A
28
13972
C
5
5786
C
5
1259
C
28
13972
C
5
1799
C
28
13972
C
5
3366
C
28
13972
C
145
Adenuric
Adenuric
Traxam Pain Relief
Gel
Traxam
Traxam
Triapin
Effentora
Effentora
Effentora
Effentora
Part VIIIA
08/2016
Drug
transdermal patches
tablets sugar free
Ferric chloride solution
Ferrous fumarate 140mg/5ml oral
solution
Ferrous fumarate 140mg/5ml oral
solution sugar free
Ferrous fumarate 210mg tablets
Ferrous fumarate 305mg / Folic acid
350microgram capsules
Ferrous fumarate 305mg capsules
Ferrous fumarate 322mg / Folic acid
Ferrous fumarate 322mg tablets
Ferrous gluconate 300mg tablets
Ferrous sulfate 200mg tablets
Ferrous sulfate 325mg / Folic acid
350microgram modifiedrelease tablets
Ferrous sulfate 325mg modifiedrelease tablets
Fesoterodine 4mg modified-release
tablets
Fesoterodine 8mg modified-release
tablets
Fexofenadine 120mg tablets
Finasteride 5mg tablets
Flavoxate 200mg tablets
Flecainide 100mg tablets
Flecainide 50mg tablets
Flucloxacillin 125mg/5ml oral
solution
solution sugar free
Flucloxacillin 250mg capsules
solution
solution sugar free
Flucloxacillin 500mg capsules
Fluconazole 150mg capsule and
Fluconazole 150mg capsules
Fluconazole 200mg/5ml oral
suspension
Quantity
Basic Price
5
4699
C
Category
28
13972
C
Effentora
500
200
ml
ml
540
373
C
C
J M Loveridge Ltd
AMCo
300
ml
533
C
Galfer Syrup
84
100
275
325
C
C
AMCo
Galfer F.A.
100
28
233
125
C
C
Galfer
Pregaday
28
28
28
30
95
195
278
264
C
A
M
C
Fersaday
Ferrograd Folic
30
258
C
Ferrograd
2578
C
Toviaz
2578
C
Toviaz
R
28
(4xS7)
28
(4xS7)
30
30
60
28
90
60
60
100
ml
195
313
546
112
1167
424
339
522
M
M
C
M
C
M
M
M
R
100
ml
2252
M
R
28
100
ml
130
2604
M
A
R
100
ml
2724
M
S
28
1
222
826
M
C
1
7
35
83
604
6642
M
A
C
89
M
S
R
ml
7
146
Telfast 30
Urispas 200
Canesten Oral &
Cream Duo
Diflucan
08/2016
Part VIIIA
Drug
Fluconazole 50mg/5ml oral
suspension
Fludrocortisone 100microgram
tablets
Fludroxycortide 4micrograms/
square cm tape 7.5cm
Flumetasone 0.02% / Clioquinol 1%
ear drops
Fluocinolone acetonide 0.0025%
cream
cream
ointment
cream
Fluocinolone acetonide 0.025% gel
ointment
Fluocinonide 0.05% cream
Fluocinonide 0.05% ointment
Fluorometholone 0.1% eye drops
Fluorouracil 5% cream
Fluoxetine 20mg capsules
Fluoxetine 20mg dispersible tablets
sugar free
Fluoxetine 20mg/5ml oral solution
Fluoxetine 60mg capsules
Flupentixol 1mg tablets
Flupentixol 3mg tablets
Flupentixol 500microgram tablets
Fluphenazine decanoate 100mg/
1ml solution for injection
ampoules
Fluphenazine decanoate 25mg/1ml
Flurbiprofen 100mg tablets
Flurbiprofen 50mg tablets
Flurbiprofen 8.75mg lozenges
Flutamide 250mg tablets
Fluticasone 0.005% ointment
Quantity
30
3000
C
S
20
819
C
Aspen Pharma
Trading Ltd
Haelan
S
S
50
7.5
ml
927
1037
C
C
Haelan
AMCo
S
S
10
50
ml
g
1382
458
C
C
S
50
g
484
C
S
50
g
484
C
S
30
g
414
C
AMCo
Synalar 1 in 10
Dilution
Synalar 1 in 4
Dilution
Synalar 1 in 4
Dilution
Synalar
S
S
S
S
100
30
60
30
g
g
g
g
1175
556
1002
414
C
C
C
C
Synalar
Synalar
Synalar
Synalar
S
S
S
S
S
S
S
S
100
25
100
25
100
5
10
40
30
28
g
g
g
g
g
ml
ml
g
1175
396
1334
350
1315
171
295
3290
93
344
C
C
C
C
C
C
C
C
M
C
Synalar
Metosyn FAPG
Metosyn FAPG
Metosyn
Metosyn
FML Liquifilm
FML Liquifilm
Efudix
70
30
60
100
60
5
ml
306
998
486
1392
288
4373
M
M
C
C
C
C
10
2255
C
100
100
16
84
15
30
6180
3455
258
10599
227
424
K A
K A
C
K A
C
C
S
S
ml
Category
A
S
35
Basic Price
2051
R
g
g
147
Olena
Fluanxol
Depixol
Fluanxol
Modecate
Concentrate
Modecate
Strefen
Cutivate
Cutivate
Part VIIIA
08/2016
Drug
Fluticasone 0.05% cream
Fluticasone 125micrograms/dose /
inhaler CFC free
Salmeterol 25micrograms/dose
inhaler CFC free
Fluticasone 125micrograms/dose
inhaler CFC free
Formoterol 10micrograms/
dose inhaler CFC free
inhaler CFC free
inhaler CFC free
Fluticasone 400microgram/unit
dose nasal drops
inhaler CFC free
inhaler CFC free
inhaler CFC free
Fluticasone furoate 184micrograms/
dose / Vilanterol
22micrograms/dose dry
powder inhaler
Fluticasone furoate
27.5micrograms/dose nasal
spray
Fluticasone furoate 92micrograms/
dose / Vilanterol
powder inhaler
Fluticasone propionate
dry powder inhaler
powder inhaler
dry powder inhaler
powder inhaler
Quantity
Basic Price
Category
S
S
S
15
30
120
g
g
dose
227
424
2800
C
C
C
Cutivate
Cutivate
Flutiform
S
120
dose
3500
C
Seretide 125
Evohaler
S
120
dose
2126
C
Flixotide Evohaler
S
120
dose
4556
C
Flutiform
S
120
dose
5948
C
Seretide 250
Evohaler
S
120
dose
3614
C
Flixotide Evohaler
1299
C
Flixonase
S
28
(4xS7)
120
dose
1440
C
Flutiform
S
120
dose
1800
C
Seretide 50 Evohaler
S
120
dose
544
C
Flixotide Evohaler
S
30
dose
2950
C
Relvar Ellipta
S
120
dose
644
C
Avamys
S
30
dose
2200
C
Relvar Ellipta
S
60
dose
1800
C
Seretide 100
Accuhaler
S
60
dose
893
C
Flixotide Accuhaler
S
60
dose
3500
C
Seretide 250
Accuhaler
S
60
dose
2126
C
Flixotide Accuhaler
148
08/2016
Part VIIIA
Drug
dry powder inhaler
powder inhaler
50micrograms/dose /
Azelastine 137micrograms/
dose nasal spray
powder inhaler
50micrograms/dose nasal
spray
Fluvastatin 20mg capsules
Fluvastatin 40mg capsules
Fluvastatin 80mg modified-release
tablets
Fluvoxamine 100mg tablets
Fluvoxamine 50mg tablets
Folic acid 2.5mg/5ml oral solution
sugar free
Folic acid 400microgram tablets
Folic acid 5mg tablets
Formaldehyde solution
Formoterol 12microgram inhalation
Formoterol 12micrograms/dose dry
powder inhaler
inhaler CFC free
Formoterol 6micrograms/dose dry
powder inhaler
Fosinopril 10mg tablets
Fosinopril 20mg tablets
Frovatriptan 2.5mg tablets
Furosemide 20mg tablets
Furosemide 20mg/5ml oral solution
sugar free
sugar free
sugar free
Fusidic acid 1% modified-release
eye drops
Quantity
Basic Price
Category
S
60
dose
4092
C
Seretide 500
Accuhaler
S
60
dose
3614
C
Flixotide Accuhaler
S
120
dose
1480
C
Dymista
S
60
dose
638
C
Flixotide Accuhaler
S
150
dose
1101
C
Flixonase
28
28
28
209
232
1920
M
M
C
30
60
150
2481
2481
916
L A
L A
C
271
93
584
2806
C
M
C
C
J M Loveridge Ltd
Foradil
ml
Lexpec
S
90
28
500
60
S
60
dose
2480
C
Oxis Turbohaler 12
S
120
dose
2375
C
S
100
dose
3006
C
Formoterol
Easyhaler
Atimos Modulite
S
60
dose
2480
C
Oxis Turbohaler 6
28
28
6
28
150
ml
763
736
1634
72
1449
M
M
L A
M
A
28
150
ml
71
1869
M
A
28
150
ml
3752
2021
K A
A
g
2906
C
S
5
ml
149
Preconceive
AMCo
Part VIIIA
08/2016
Drug
Fusidic acid 2% cream
Quantity
S
S
15
30
Basic Price
Category
g
g
181
362
M
M
ml
225
307
407
6900
M
M
M
A
100
100
56
28
674
2773
7410
6490
M
L A
A
C
28
7980
C
28
5188
C
56
240
120
5
100
56
10
6113
5801
5801
1999
3176
3497
2392
A
A
A
C
C
A
C
213
746
83
281
C
K A
M
C
28
28
336
477
C
C
Laaglyda MR
28
30
30
30
30
28
1
84
84
91
94
112
221
1152
M
M
M
M
M
M
C
GlucaGen Hypokit
60
1840
C
Alateris
1820
716
C
C
Dolenio
201
A
99
C
Part VIIIA products G
Gabapentin 100mg capsules
Gabapentin 50mg/ml oral solution
sugar free
Gabapentin 600mg tablets
Gabapentin 800mg tablets
Galantamine 12mg tablets
Galantamine 16mg modifiedrelease capsules
Galantamine 24mg modifiedrelease capsules
Galantamine 8mg modified-release
capsules
Galantamine 8mg tablets
Gamolenic acid 40mg capsules
Gamolenic acid 80mg capsules
Ganciclovir 0.15% eye gel
Gemfibrozil 300mg capsules
Gemfibrozil 600mg tablets
Gentamicin 0.3% / Hydrocortisone
acetate 1% ear drops
Gentamicin 0.3% ear/eye drops
Glibenclamide 2.5mg tablets
Glibenclamide 5mg tablets
Gliclazide 30mg modified-release
tablets
Gliclazide 40mg tablets
Gliclazide 60mg modified-release
tablets
Gliclazide 80mg tablets
Glimepiride 1mg tablets
Glipizide 5mg tablets
Glucagon 1mg powder and solvent
for solution for injection vials
Glucosamine hydrochloride 625mg
tablets
Glucosamine sulfate 1.5g tablets
Glucose 40% oral gel
Glucose 50% solution for infusion
50ml vials
Glucose liquid BPC 1963
100
100
100
150
S
S
S
S
S
10
28
28
28
30
75
(3xS25)
1
140
g
ml
ml
g
g
150
Virgan
Lopid
AMCo
Genticin
J M Loveridge Ltd
08/2016
Part VIIIA
Drug
Glutaraldehyde 10% solution
Glycerol 1g suppositories
Glycerol liquid
Glyceryl trinitrate 0.4% rectal
ointment
Glyceryl trinitrate 2% ointment
Glyceryl trinitrate 300microgram
sublingual tablets
Glyceryl trinitrate 400micrograms/
dose aerosol sublingual spray
Glyceryl trinitrate 400micrograms/
dose pump sublingual spray
Glyceryl trinitrate 500microgram
sublingual tablets
Glycopyrronium bromide 1mg
tablets
200micrograms/1ml solution
Glycopyrronium bromide 2mg
tablets
55microgram inhalation
Goserelin 10.8mg implant pre-filled
syringes
Goserelin 3.6mg implant pre-filled
syringes
Granisetron 1mg tablets
Granisetron 2mg tablets
Griseofulvin 125mg tablets
Griseofulvin 500mg tablets
Quantity
S
10
12
Basic Price
ml
Category
207
104
C
C
Glutarol
Martindale
Pharmaceuticals Ltd
167
139
75
3930
A
M
A
C
Rectogesic
7900
230
C
C
Percutol
GTN
S
12
12
100
30
S
S
60
100
g
S
180
dose
300
A
S
S
200
180
dose
dose
350
179
A
M
S
S
200
100
dose
185
379
M
M
30
21132
K A
10
828
A
30
23340
K A
S
30
2750
C
Seebri Breezhaler
S
1
23500
C
Zoladex LA
S
1
6500
C
Zoladex
10
5
100
100
3726
5239
9667
10017
K A
C
A
A
28
28
100
ml
197
1290
710
M
K A
A
28
30
28
100
ml
1899
118
242
647
L A
C
M
K A
50
50
g
g
399
399
C
C
ml
g
Kytril
Part VIIIA products H
Haloperidol 1.5mg tablets
Haloperidol 10mg tablets
Haloperidol 10mg/5ml oral solution
sugar free
Haloperidol 500microgram capsules
Haloperidol 5mg/5ml oral solution
sugar free
Heparinoid 0.3% cream
Heparinoid 0.3% gel
S
S
151
Serenace
Hirudoid
Hirudoid
Part VIIIA
08/2016
Drug
Hexetidine 0.1% mouthwash sugar
free
Hydralazine 25mg tablets
Hydralazine 50mg tablets
Hydrocortisone 0.1% cream
Hydrocortisone 0.5% ointment
Hydrocortisone 1% / Clotrimazole
1% cream
Hydrocortisone 1% / Miconazole
2% cream
Hydrocortisone 1% / Miconazole
2% ointment
Hydrocortisone 1% / Pramocaine
1% foam enema
Hydrocortisone 1% / Urea 10%
cream
Hydrocortisone 1% cream
Hydrocortisone 1% ointment
Hydrocortisone 10% foam aerosol
enema
Hydrocortisone 10mg tablets
Hydrocortisone 2.5% ointment
Hydrocortisone 2.5mg mucoadhesive buccal tablets sugar
free
Hydrocortisone 20mg tablets
Hydrocortisone acetate 1% / Fusidic
acid 2% cream
Hydrocortisone acetate 25mg/1ml
suspension for injection
ampoules
Hydrocortisone butyrate 0.1%
cream
Hydrocortisone butyrate 0.1%
ointment
Hydrocortisone butyrate 0.1% scalp
lotion
Quantity
200
Basic Price
Category
ml
221
C
S
S
S
S
S
56
56
15
30
15
15
15
g
g
g
g
g
709
1296
283
203
114
555
311
M
M
C
C
M
A
C
S
S
30
15
g
g
242
317
C
C
S
S
30
30
g
g
249
250
C
C
Canesten
Hydrocortisone
Canesten HC
Daktacort
Hydrocortisone
Daktacort
Daktacort
S
40
dose
607
C
Proctofoam HC
S
30
g
238
C
Alphaderm
S
S
S
S
S
S
S
S
100
15
30
50
15
30
50
14
g
g
g
g
g
g
g
dose
703
91
182
303
106
212
353
933
C
M
M
M
M
M
M
C
Alphaderm
S
S
30
15
15
20
8211
523
2443
553
M
M
A
K A
10078
602
L A
C
S
30
30
g
g
g
Oraldene
Dermacort
Dioderm
Colifoam
Fucidin H
S
60
10
g
1205
6872
C
C
Fucidin H
Hydrocortistab
S
30
g
160
C
Locoid
S
S
100
30
g
g
493
160
C
C
Locoid
Locoid
S
S
100
100
g
ml
493
683
C
C
Locoid
Locoid
152
08/2016
Part VIIIA
Drug
Hydrocortisone sodium succinate
100mg powder and solvent for
Hydrogen peroxide 1% cream
Hydrous ointment
Hydrous wool fat
Hydroxocobalamin 1mg/1ml
Hydroxycarbamide 100mg tablets
Hydroxycarbamide 500mg capsules
Hydroxychloroquine 200mg tablets
Hydroxyzine 10mg tablets
Hydroxyzine 25mg tablets
Hyoscine 1mg/72hours transdermal
patches
Hyoscine butylbromide 10mg
tablets
Hyoscine butylbromide 20mg/1ml
Hyoscine hydrobromide
Hypromellose 0.3% eye drops
Hypromellose 1% eye drops
Quantity
Basic Price
S
1
116
C
S
25
500
500
5
807
489
1518
728
C
A
K C
M
Crystacide
60
100
60
84
28
2
10000
1203
363
120
62
452
C
K A
M
C
C
C
Siklos
56
300
C
Buscopan
10
292
C
Buscopan
12
167
C
Kwells Kids
12
167
C
Kwells
10
4360
K A
10
4644
K A
ml
ml
ml
102
81
94
M
C
C
Isopto Plain
Isopto Alkaline
M
M
C
C
Ibugel Forte
Brufen Syrup
g
g
g
Category
S
S
S
10
10
10
S
1
28
100
500
g
ml
113
628
492
888
100
ml
132
M
g
g
g
g
g
440
90
315
90
315
288
359
646
231
462
C
M
M
M
M
C
C
C
A
A
Solu - Cortef
J M Loveridge Ltd
Atarax
Atarax
Scopoderm
Part VIIIA products I
Ibandronic acid 150mg tablets
Ibandronic acid 50mg tablets
Ibuprofen 10% gel
Ibuprofen 100mg/5ml oral
suspension
Ibuprofen 100mg/5ml oral
Ibuprofen 200mg capsules
Ibuprofen 200mg tablets
S
Ibuprofen 5% / Levomenthol 3% gel
Ibuprofen 5% gel
S
S
S
S
S
30
24
84
24
84
30
50
100
50
100
153
Nurofen Express
Deep Relief
Deep Relief
Deep Relief
Part VIIIA
08/2016
Drug
Ibuprofen 5% spray
Ibuprofen 600mg effervescent
granules sachets
Ibuprofen 800mg modified-release
tablets
Ichthammol liquid
Imidapril 10mg tablets
Imipramine 10mg tablets
Imipramine 25mg tablets
Imiquimod 5% cream 250mg
sachets
Indacaterol 150microgram
inhalation powder capsules
with device
Indacaterol 300microgram
with device
Indapamide 1.5mg modified-release
tablets
Indapamide 2.5mg tablets
Indometacin 100mg suppositories
Indometacin 25mg capsules
Indometacin 50mg capsules
Indometacin 75mg modified-release
capsules
Inositol nicotinate 500mg tablets
Inositol nicotinate 750mg tablets
Insulin detemir 100units/ml solution
for injection 3ml cartridges
Ipratropium bromide 20micrograms/
dose inhaler CFC free
Ipratropium bromide 21micrograms/
dose nasal spray
Ipratropium bromide
250micrograms/1ml nebuliser
Ipratropium bromide
500micrograms/2ml nebuliser
Irbesartan 150mg /
tablets
Irbesartan 150mg tablets
Irbesartan 300mg /
tablets
Quantity
S
S
35
100
20
Basic Price
ml
ml
84
56
100
28
28
28
28
28
12
g
Category
326
618
680
C
C
C
Ibuleve Speed Relief
Ibuspray
Brufen
561
774
M
C
Brufen Retard
1142
722
867
640
100
101
4860
C
C
C
C
M
M
C
Aldara
J M Loveridge Ltd
Tanatril
Tanatril
Tanatril
S
30
3219
C
Onbrez Breezhaler
S
30
3219
C
Onbrez Breezhaler
30
340
C
28
10
28
28
100
129
1761
100
132
865
M
A
M
M
C
Berlind 75 Retard
60
84
100
112
5
788
6026
2615
4337
4200
M
C
C
C
C
AMCo
Hexopal
Hexopal Forte
Levemir Penfill
S
200
dose
556
C
Atrovent
S
180
dose
654
C
Rinatec
20
450
K A
20
277
M
28
449
L A
28
28
130
157
M
M
154
08/2016
Part VIIIA
Drug
Irbesartan 300mg /
Hydrochlorothiazide 25mg
tablets
Isocarboxazid 10mg tablets
Isoniazid 100mg tablets
Isoniazid 50mg tablets
Isopropyl myristate 15% / Liquid
paraffin 15% gel
S
S
Isosorbide dinitrate 10mg tablets
Isosorbide dinitrate 20mg modifiedrelease tablets
Isosorbide dinitrate 20mg tablets
Isosorbide dinitrate 40mg modifiedrelease tablets
Isosorbide mononitrate 10mg
tablets
tablets
tablets
Isotretinoin 0.05% / Erythromycin
2% gel
Isotretinoin 0.05% gel
Ispaghula husk 3.5g / Mebeverine
135mg effervescent granules
sachets sugar free
Ispaghula husk 3.5g effervescent
granules sachets gluten free
sugar free
Isradipine 2.5mg tablets
Itraconazole 100mg capsules
Itraconazole 50mg/5ml oral solution
sugar free
Quantity
Basic Price
28
640
L A
28
28
56
28
56
100
180
99
17995
1924
1924
265
M
M
A
A
A
C
583
1341
258
C
A
C
Isoket Retard 20
56
56
1438
636
A
C
Isoket Retard 40
56
150
M
56
119
M
28
340
C
Elantan LA25
28
675
C
Isotard 25XL
28
652
C
Monomax SR 40
56
172
M
28
369
C
Elantan LA50
28
675
C
Isotard 50 XL
28
886
C
Monomax SR 60
28
1050
C
500
56
56
g
g
Category
S
30
g
747
C
S
30
30
30
30
10
g
594
1454
1661
3898
422
C
C
K A
C
C
30
248
C
56
15
150
18456
342
5834
A
M
A
ml
155
Doublebase
Isotrexin
Isotrex
Roaccutane
Mylan Ltd
Fybogel Mebeverine
Fybogel
Part VIIIA
08/2016
Drug
Ivabradine 5mg tablets
Ivabradine 7.5mg tablets
Quantity
Basic Price
56
56
4017
4017
C
C
Category
Procoralan
Procoralan
Thornton & Ross Ltd
KL Pharmaceutical
Ltd
Nizoral
Part VIIIA products J
Part VIIIA products K
Kaolin and Morphine mixture
Kaolin poultices
Ketoconazole 2% cream
Ketoconazole 2% shampoo
Ketoprofen 100mg modified-release
capsules
Ketoprofen 2.5% gel
Ketoprofen 200mg modified-release
capsules
Ketoprofen 50mg capsules
Ketorolac 0.5% eye drops
Ketotifen 1mg/5ml oral solution
sugar free
Ketotifen 250micrograms/ml eye
drops
S
S
S
S
S
200
200
ml
g
150
276
C
C
30
120
56
g
ml
424
272
2393
C
M
C
Oruvail 100
50
100
28
g
g
168
336
2385
M
M
C
Oruvail 200
S
112
5
300
ml
ml
1720
300
891
C
C
C
Tiloket
Acular
Zaditen Elixir
S
5
ml
780
C
Zaditen
S
56
56
56
56
28
28
56
200
ml
617
913
2314
379
253
249
8650
2574
M
M
A
C
M
M
C
C
12974
14416
1081
250
C
C
C
A
250
6879
428
M
K A
M
56
56
56
163
241
244
M
M
M
56
146
M
Part VIIIA products L
Labetalol 100mg tablets
Lacidipine 2mg tablets
Lacidipine 4mg tablets
Lacosamide 10mg/ml oral solution
sugar free
Lactulose 10g/15ml oral solution
15ml sachets sugar free
Lactulose 3.1-3.7g/5ml oral solution
Lamotrigine 100mg dispersible
tablets sugar free
Lamotrigine 100mg tablets
Lamotrigine 25mg dispersible
tablets sugar free
56
56
14
10
500
28
56
ml
156
Trandate
Vimpat
Vimpat Syrup
Vimpat
Vimpat
Vimpat
08/2016
Part VIIIA
Drug
Lamotrigine 2mg dispersible tablets
sugar free
Lamotrigine 5mg dispersible tablets
sugar free
Lansoprazole 15mg gastro-resistant
capsules
Lansoprazole 15mg orodispersible
tablets
Lansoprazole 30mg gastro-resistant
capsules
Lansoprazole 30mg orodispersible
tablets
Lanthanum carbonate 1g chewable
tablets sugar free
Lanthanum carbonate 1g oral
powder sachets
Lanthanum carbonate 500mg
chewable tablets sugar free
Lanthanum carbonate 750mg
chewable tablets sugar free
Lanthanum carbonate 750mg oral
powder sachets
Latanoprost 50micrograms/ml /
Latanoprost 50micrograms/ml eye
drops
Latanoprost 50micrograms/ml eye
preservative free
Leflunomide 10mg tablets
Leflunomide 20mg tablets
Lemon spirit
Lercanidipine 10mg tablets
Lercanidipine 20mg tablets
Letrozole 2.5mg tablets
Leuprorelin 11.25mg powder and
solvent for suspension for
Leuprorelin 3.75mg powder and
Levetiracetam 100mg/ml oral
solution sugar free
Levetiracetam 1g tablets
Levetiracetam 250mg tablets
Levobunolol 0.5% eye drops
Levocarnitine 1.5g/5ml oral solution
paediatric
Quantity
Basic Price
30
1254
C
Category
56
28
141
558
M
M
28
94
M
28
232
M
28
123
M
28
418
M
90
19359
C
Fosrenol
90
19359
C
Fosrenol
90
12406
C
Fosrenol
90
18260
C
Fosrenol
90
18260
C
Fosrenol
Lamictal Dispersible
S
2.5
ml
222
M
S
2.5
ml
154
M
30
(6xS5)
849
C
Monopost
2547
C
Monopost
S
90
(18xS5)
30
30
100
28
28
14
1
585
480
1272
679
901
140
22572
M
M
K C
M
M
M
C
S
1
7524
C
S
300
ml
621
M
S
S
60
60
60
60
5
20
ml
ml
641
213
335
425
185
7140
M
M
M
M
C
A
S
S
ml
157
J M Loveridge Ltd
Prostap 3 DCS
Prostap SR DCS
Betagan
Part VIIIA
08/2016
Drug
Levocetirizine 500micrograms/ml
Levocetirizine 5mg tablets
Levofloxacin 250mg tablets
Levofloxacin 500mg tablets
Levomepromazine 25mg tablets
Levomepromazine 25mg/1ml
Levonorgestrel 1.5mg tablets
Levonorgestrel 30microgram tablets
Levothyroxine sodium
100micrograms/5ml oral
solution sugar free
Levothyroxine sodium 25microgram
tablets
25micrograms/5ml oral solution
sugar free
Levothyroxine sodium 50microgram
tablets
50micrograms/5ml oral solution
sugar free
Lidocaine 100mg/10ml (1%)
Lidocaine 100mg/5ml (2%) solution
Lidocaine 2% and Chlorhexidine gel
Lidocaine 2% cream
Lidocaine 2.5% / Prilocaine 2.5%
cream
Lidocaine 200mg/20ml (1%) /
Adrenaline (base)
100micrograms/20ml (1 in
vials
Lidocaine 4% cream
Lidocaine 400mg/20ml (2%) /
Adrenaline (base)
100micrograms/20ml (1 in
vials
Quantity
200
S
Basic Price
C
30
10
10
84
10
431
992
1788
2026
2013
K A
L A
K A
C
C
1
35
28
520
92
171
C
C
M
16259
K A
270
M
9384
K A
172
M
9752
A
10
401
A
10
241
A
ml
1405
C
Instillagel
ml
1576
C
Instillagel
g
g
281
1230
C
C
Vagisil
Emla
5
966
C
Xylocaine 1% with
Adrenaline
10
875
C
Hameln
Pharmaceuticals Ltd
10
198
A
298
1490
885
C
C
C
LMX 4
LMX 4
Xylocaine 2% with
Adrenaline
900
C
Hameln
Pharmaceuticals Ltd
ml
28
100
ml
28
100
S
S
S
S
Category
600
100
ml
60
(10xS6)
110
(10xS11)
30
30
5
30
5
ml
g
g
10
158
Xyzal
Nozinan
Nozinan
Norgeston
08/2016
Part VIIIA
Drug
Lidocaine 5% / Hydrocortisone
acetate 0.275% ointment
Lidocaine 5% / Phenylephrine 0.5%
nasal spray
Lidocaine 5% medicated plasters
Lidocaine 5% ointment
Linaclotide 290microgram capsules
Linagliptin 5mg tablets
Liothyronine 20microgram tablets
Liquid paraffin light 63.4% bath
additive
Basic Price
10
211
A
Category
S
20
g
419
C
S
2.5
ml
1148
A
7240
C
Versatis
S
30
(6xS5)
15
618
C
AAH
Pharmaceuticals Ltd
10
236
A
28
28
28
150
3756
3326
25820
284
C
C
C
C
275
488
457
589
399
1189
7848
C
C
C
C
K C
K C
C
28
28
28
28
28
28
28
5462
5824
6282
6860
7518
8316
499
C
C
C
C
C
C
A
28
28
28
78
72
200
M
M
M
28
28
150
84
73
15411
M
M
A
100
276
C
Priadel
100
100
4818
402
A
C
Priadel
60
288
C
Liskonum
S
S
S
S
S
S
Liquid paraffin light liquid
Liquorice liquid extract
Liraglutide 6mg/ml solution for
injection 3ml pre-filled
disposable devices
Lisdexamfetamine 20mg capsules
Lisinopril 10mg /
tablets
Lisinopril 10mg tablets
Lisinopril 2.5mg tablets
Lisinopril 20mg /
tablets
Lisinopril 5mg/5ml oral solution
sugar free
Lithium carbonate 200mg modifiedrelease tablets
Lithium carbonate 250mg tablets
Quantity
250
300
500
600
500
500
2
g
ml
ml
ml
ml
ml
ml
ml
ml
159
Xyloproct
Constella
Trajenta
AMCo
Oilatum Emollient
Oilatum Emollient
Oilatum Junior
J M Loveridge Ltd
J M Loveridge Ltd
Victoza
Elvanse
Elvanse
Elvanse
Part VIIIA
08/2016
Drug
Lithium citrate 1.018g/5ml oral
solution
Lithium citrate 509mg/5ml oral
solution
Lixisenatide 10micrograms/0.2ml
solution for injection 3ml prefilled disposable devices
Lixisenatide 20micrograms/0.2ml
solution for injection 3ml prefilled disposable devices
Lodoxamide 0.1% eye drops
Lofepramine 70mg tablets
Lofepramine 70mg/5ml oral
Loperamide 1mg/5ml oral solution
sugar free
Loperamide 2mg capsules
Loperamide 2mg orodispersible
tablets sugar free
Loperamide 2mg tablets
Loprazolam 1mg tablets
Loratadine 10mg tablets
Loratadine 5mg/5ml oral solution
Lorazepam 1mg tablets
Lorazepam 2.5mg tablets
Lormetazepam 1mg tablets
Lormetazepam 500microgram
tablets
Losartan 100mg /
tablets
Losartan 100mg /
tablets
Losartan 100mg tablets
Losartan 12.5mg tablets
Losartan 50mg /
tablets
Loteprednol 0.5% eye drops
Lymecycline 408mg capsules
Quantity
S
S
S
Basic Price
Category
150
ml
1158
C
Li-Liquid
150
ml
579
C
Li-Liquid
1
3167
C
Lyxumia
2
5793
C
Lyxumia
C
M
K C
Alomide
10
56
150
ml
521
1215
2522
100
ml
117
C
30
18
117
502
M
C
30
28
30
100
28
28
30
30
215
1800
86
188
214
298
905
1376
C
A
M
M
M
M
M
M
28
1039
L A
28
156
M
28
28
28
28
104
2666
81
132
M
A
M
M
87
550
665
M
C
L A
427
C
28
5
28
ml
ml
ml
Lomont
Imodium Syrup
Imodium Instant
Melts
Norimode
Lotemax
Part VIIIA products M
Macrogol compound oral powder
sachets NPF sugar free
Magnesium hydroxide 415mg/5ml
Magnesium hydroxide oral
suspension
30
200
ml
322
C
200
ml
350
C
160
Phillips' Milk of
Magnesia
J M Loveridge Ltd
08/2016
Part VIIIA
Drug
Magnesium sulfate 50%
(magnesium 2mmol/ml)
solution for injection 2ml
ampoules
Magnesium sulfate paste
Magnesium sulfate powder
Magnesium trisilicate compound
tablets
Magnesium trisilicate oral
suspension
Malathion 0.5% aqueous liquid
Quantity
Basic Price
10
1185
A
Category
50
500
100
g
g
245
320
2663
L A
C
K A
200
ml
150
C
Thornton & Ross Ltd
S
S
50
200
6
ml
ml
357
844
134
C
C
C
Derbac-M
Derbac-M
Vermox
S
30
ml
155
C
Vermox
688
692
M
C
Colofac MR
16343
A
100
4994
C
Provera
90
1
2216
601
C
C
Provera
Depo-Provera
30
30
184
2965
C
C
Provera
Provera
30
5867
C
Provera
10
100
28
125
123
946
722
7998
C
M
M
A
Provera
30
30
1952
1539
C
C
Megace
Circadin
30
30
25
28
50
ml
109
102
4538
135
5862
M
M
A
M
K A
g
g
g
g
168
16900
1607
397
1659
1697
M
A
C
C
C
C
Mebendazole 100mg chewable
tablets sugar free
Mebendazole 100mg/5ml oral
suspension
Mebeverine 135mg tablets
Mebeverine 200mg modifiedrelease capsules
Mebeverine 50mg/5ml oral
tablets
Medroxyprogesterone 150mg/1ml
suspension for injection prefilled syringes
Medroxyprogesterone 2.5mg tablets
tablets
tablets
Mefenamic acid 250mg capsules
Mefenamic acid 500mg tablets
Mefenamic acid 50mg/5ml oral
suspension
Megestrol 160mg tablets
Melatonin 2mg modified-release
tablets
Meloxicam 15mg tablets
Meloxicam 7.5mg tablets
Melphalan 2mg tablets
Memantine 10mg/ml oral solution
sugar free
Menadiol 10mg tablets
Menthol 0.5% in Aqueous cream
Menthol 1% in Aqueous cream
S
S
Menthol 2% in Aqueous cream
S
100
60
300
S
S
28
100
500
100
500
500
ml
ml
161
J M Loveridge Ltd
Dermacool
Dermacool
Dermacool
Dermacool
Part VIIIA
08/2016
Drug
Quantity
Menthol and Eucalyptus inhalation
Menthol crystals
Meprobamate 400mg tablets
Meptazinol 200mg tablets
Mercaptopurine 50mg tablets
100
5
84
112
25
Mesalazine 1.2g gastro-resistant
Mesalazine 1.5g gastro-resistant
modified-release granules
sachets sugar free
Mesalazine 1g gastro-resistant
sachets sugar free
Mesalazine 1g modified-release
granules sachets sugar free
tablets
Mesalazine 1g suppositories
Mesalazine 1g/100ml enema
Mesalazine 250mg suppositories
granules sachets sugar free
Mesalazine 3g gastro-resistant
sachets sugar free
Mesalazine 400mg gastro-resistant
tablets
Mesalazine 500mg modifiedrelease tablets
Mesalazine 500mg suppositories
Mesalazine 800mg gastro-resistant
tablets
Mestranol 50microgram /
Metformin 1g / Sitagliptin 50mg
tablets
Metformin 1g modified-release
tablets
Metformin 500mg modified-release
tablets
Metformin 500mg tablets
Metformin 500mg/5ml oral solution
sugar free
Metformin 750mg modified-release
tablets
Metformin 850mg tablets
Methadone 10mg/1ml solution for
injection ampoules
Basic Price
Category
136
115
19763
2211
4915
A
A
L A
C
C
60
4295
C
Meptid
Aspen Pharma
Trading Ltd
Mezavant XL
60
4885
C
Salofalk
50
2874
C
Salofalk
50
3074
C
Pentasa
60
3689
C
Pentasa
28
7
20
60
4001
1773
482
7378
C
C
C
C
Pentasa
Pentasa Mesalazine
Asacol
Pentasa
60
9770
C
Salofalk
84
2745
C
Asacol
90
100
1950
3074
C
C
Octasa
Pentasa SR
10
84
482
5490
C
C
Asacol
Asacol
180
63
9500
219
C
C
Octasa
Norinyl-1
56
3326
C
Janumet
56
852
C
56
532
C
86
1647
M
M
56
640
C
Glucophage SR
56
10
132
649
M
C
Physeptone
28
150
ml
g
ml
162
Glucophage SR
08/2016
Part VIIIA
Drug
Quantity
Methadone 1mg/ml oral solution
Methyl salicylate liquid
Methylcellulose 500mg tablets
Methylphenidate 10mg modifiedrelease capsules
Methylphenidate 10mg tablets
Methylphenidate 18mg modifiedrelease tablets
Methylprednisolone 40mg/1ml /
Category
ml
ml
ml
123
615
104
M
M
C
100
ml
208
C
500
ml
630
C
10
1117
C
Rosemont
Pharmaceuticals Ltd
Rosemont
Pharmaceuticals Ltd
Rosemont
Pharmaceuticals Ltd
Physeptone
10
1287
C
Physeptone
10
1388
C
Physeptone
ml
241
1974
4893
3783
179
9500
C
C
K A
L A
M
C
Physeptone
Hiprex
S
50
60
100
100
28
35
S
65
ml
12500
C
500
112
56
56
56
30
ml
898
464
11295
537
957
2500
L C
C
A
L A
K A
C
Equasym XL
30
30
549
3119
C
C
Concerta XL
30
3000
C
Equasym XL
30
30
1092
3681
C
C
Concerta XL
30
3500
C
Equasym XL
30
4245
C
Concerta XL
30
5772
C
Medikinet XL
30
6048
C
Matoride XL
30
1
303
394
C
C
Methadone 1mg/ml oral solution
sugar free
injection ampoules
Methadone 35mg/3.5ml solution for
injection ampoules
injection ampoules
Methadone 5mg tablets
Methenamine hippurate 1g tablets
Methocarbamol 750mg tablets
Methotrexate 10mg tablets
Methotrexate 2.5mg tablets
Methotrexate 2mg/ml oral solution
sugar free
Basic Price
100
500
50
S
163
Rosemont
Pharmaceuticals Ltd
Rosemont
Pharmaceuticals Ltd
J M Loveridge Ltd
Celevac
Depo-Medrone with
Lidocaine
Part VIIIA
08/2016
Drug
Methylprednisolone 80mg/2ml /
Methylprednisolone acetate 120mg/
3ml suspension for injection
vials
vials
vials
Metoclopramide 10mg tablets
Metoclopramide 10mg/2ml solution
Metoclopramide 5mg/5ml oral
solution sugar free
Metoprolol 100mg tablets
Metoprolol 50mg tablets
Metronidazole 0.75% cream
Metronidazole 0.75% vaginal gel
Metronidazole 200mg tablets
Metronidazole 200mg/5ml oral
suspension
Mianserin 10mg tablets
Mianserin 30mg tablets
Miconazole 0.16% dry powder
spray
Miconazole 1.2g vaginal capsules
Miconazole 2% cream
Miconazole 2% powder
Miconazole 20mg/g oromucosal gel
sugar free
Midazolam 10mg/2ml oromucosal
solution pre-filled oral syringes
sugar free
Midazolam 10mg/2ml solution for
injection ampoules
Midazolam 2.5mg/0.5ml
oromucosal solution pre-filled
oral syringes sugar free
Midazolam 5mg/1ml oromucosal
solution pre-filled oral syringes
sugar free
Midazolam 7.5mg/1.5ml
oromucosal solution pre-filled
oral syringes sugar free
Midodrine 2.5mg tablets
Midodrine 5mg tablets
Quantity
Basic Price
S
1
706
C
Depo-Medrone with
Lidocaine
S
1
896
C
Depo-Medrone
S
1
344
C
Depo-Medrone
S
1
618
C
Depo-Medrone
28
10
74
318
M
A
ml
1977
A
g
g
g
ml
141
122
660
988
431
136
3293
M
M
C
C
C
M
A
S
21
21
28
28
100
g
113
3782
831
1834
317
M
A
K A
A
C
Daktarin Aktiv
S
S
S
S
1
30
20
15
g
g
g
294
182
258
323
C
C
C
C
Gyno-Daktarin
Daktarin
Daktarin
Daktarin
S
80
4
438
9150
C
C
Daktarin
Buccolam
10
690
A
4
8200
C
Buccolam
4
8550
C
Buccolam
4
8900
C
Buccolam
100
100
5505
7505
C
C
Bramox
Bramox
150
S
S
S
28
28
30
40
40
21
100
g
164
Category
Rozex
Rozex
Zidoval
08/2016
Part VIIIA
Drug
Minocycline 100mg capsules
Minocycline 100mg modifiedrelease capsules
Minocycline 100mg tablets
Minocycline 50mg capsules
Minocycline 50mg tablets
Minoxidil 10mg tablets
Minoxidil 2.5mg tablets
Minoxidil 5mg tablets
Mirabegron 25mg modified-release
tablets
Mirabegron 50mg modified-release
tablets
Mirtazapine 15mg orodispersible
tablets
Mirtazapine 15mg tablets
Mirtazapine 15mg/ml oral solution
sugar free
tablets
tablets
Misoprostol 200microgram tablets
Mizolastine 10mg modified-release
tablets
Moclobemide 150mg tablets
Moclobemide 300mg tablets
Modafinil 100mg tablets
Modafinil 200mg tablets
Mometasone 0.1% cream
Mometasone 0.1% ointment
Mometasone 0.1% scalp lotion
Mometasone 200micrograms/dose
dry powder inhaler
dry powder inhaler
nasal spray
Montelukast 10mg tablets
Montelukast 4mg chewable tablets
sugar free
Montelukast 4mg granules sachets
sugar free
Montelukast 5mg chewable tablets
sugar free
Quantity
Basic Price
28
56
1309
2008
C
C
28
56
28
60
60
60
30
1401
1527
619
3068
888
1583
2900
A
C
A
C
C
C
C
Loniten
Loniten
Loniten
Betmiga
30
2900
C
Betmiga
30
149
M
123
5028
M
A
30
146
M
28
30
119
204
M
M
28
60
30
150
1003
692
M
C
C
S
S
S
S
S
S
30
30
30
30
30
100
30
100
30
30
g
g
g
g
ml
dose
2204
1399
588
1377
211
703
189
630
436
1570
K A
C
M
M
M
M
M
M
C
C
Elocon
Asmanex Twisthaler
S
S
60
30
dose
dose
2354
2178
C
C
Asmanex Twisthaler
Asmanex Twisthaler
S
S
60
140
dose
dose
3605
223
C
M
Asmanex Twisthaler
28
28
181
139
M
M
28
411
M
28
169
M
S
28
66
ml
165
Category
Aknemin
Minocin MR
Aknemin 50
Cytotec
Mizollen
Manerix
Part VIIIA
08/2016
Drug
Morphine 100mg modified-release
tablets
capsules
tablets
Morphine 10mg tablets
tablets
capsules
tablets
capsules
tablets
tablets
capsules
tablets
Morphine sulfate 10mg/1ml solution
Morphine sulfate 10mg/5ml oral
solution
Morphine sulfate 15mg
suppositories
Morphine sulfate 20mg/ml oral
solution sugar free
Morphine sulfate 30mg
suppositories
Mouthwash solution tablets
Moxifloxacin 400mg tablets
Moxisylyte 40mg tablets
Moxonidine 200microgram tablets
Mupirocin 2% cream
Mupirocin 2% nasal ointment
Mupirocin 2% ointment
Mycophenolate mofetil 250mg
capsules
Mycophenolate mofetil 500mg
tablets
Quantity
Basic Price
60
3850
C
MST Continus
60
347
C
Zomorph
60
520
C
MST Continus
56
60
531
910
C
C
Sevredol
MST Continus
60
4360
C
Zomorph
60
8134
C
MST Continus
56
60
1061
830
C
C
Sevredol
Zomorph
60
1247
C
MST Continus
56
60
2802
329
C
C
Sevredol
MST Continus
60
1620
C
Zomorph
60
2432
C
MST Continus
10
936
C
Wockhardt UK Ltd
545
C
Oramorph
12
1648
A
10
895
C
1950
C
12
1860
A
10
884
C
100
5
112
28
28
28
15
3
15
100
1509
1062
9022
148
157
168
526
389
438
8226
C
K A
C
M
M
M
C
C
C
A
698
M
300
120
S
S
S
S
ml
ml
g
g
g
50
166
Category
Martindale
Pharmaceuticals Ltd
Oramorph
Martindale
Pharmaceuticals Ltd
Actavis UK Ltd
Opilon
Bactroban
Bactroban Nasal
Bactroban
08/2016
Part VIIIA
Drug
Quantity
Basic Price
Category
56
28
84
14
30
30
28
100
695
500
469
4242
5520
5520
2234
11000
L A
C
M
C
C
C
C
C
56
346
M
28
56
90
2682
M
C
Actavis UK Ltd
60
1495
C
Vimovo
56
754
M
28
112
(4xS28)
124
2376
M
C
6
84
84
84
28
28
28
5
90
15
190
2976
2976
2612
396
4041
132
286
6409
224
M
C
C
C
A
M
M
C
K A
C
100
56
56
56
3469
600
637
715
C
C
A
C
Cardene SR
56
1040
C
Cardene SR
60
(6xS10)
60
(6xS10)
60
7
238
M
465
M
957
1037
C
C
Part VIIIA products N
Nabumetone 500mg tablets
Nadolol 80mg tablets
Naftidrofuryl 100mg capsules
Nalmefene 18mg tablets
Naloxegol 12.5mg tablets
Naloxegol 25mg tablets
Naltrexone 50mg tablets
Naproxen 125mg/5ml oral
Naproxen 250mg gastro-resistant
tablets
Naproxen 250mg tablets
tablets
Naproxen 500mg / Esomeprazole
20mg modified-release tablets
tablets
Naproxen 500mg tablets
Naproxen 500mg tablets and
Misoprostol 200microgram
tablets
Naratriptan 2.5mg tablets
Nateglinide 120mg tablets
Nebivolol 10mg tablets
Nebivolol 2.5mg tablets
Nebivolol 5mg tablets
Nedocromil 2% eye drops
Nefopam 30mg tablets
Neomycin 0.5% / Chlorhexidine
hydrochloride 0.1% cream
Neomycin 500mg tablets
Nicardipine 20mg capsules
Nicardipine 30mg capsules
Nicardipine 30mg modified-release
capsules
Nicardipine 45mg modified-release
capsules
Nicorandil 10mg tablets
Nicorandil 20mg tablets
Nicotine 1.5mg lozenges sugar free
Nicotine 10mg/16hours transdermal
patches
S
S
ml
ml
g
167
Corgard
Selincro
Moventig
Moventig
Nalorex
Orion Pharma (UK)
Ltd
Napratec OP
Starlix
Starlix
Starlix
Rapitil
Naseptin
AMCo
Cardene
NiQuitin Minis
Nicorette invisi
Part VIIIA
08/2016
Drug
Nicotine 15mg inhalation cartridges
with device
patches
Nicotine 1mg/dose oromucosal
spray sugar free
patches
patches
Nicotine 2mg lozenges sugar free
Nicotine 2mg medicated chewing
gum sugar free
Nicotine 2mg sublingual tablets
sugar free
Nicotine 4mg lozenges sugar free
Nicotine 4mg medicated chewing
gum sugar free
Nicotine 500micrograms/dose nasal
spray
Nicotine bitartrate 1mg lozenges
sugar free
Nifedipine 10mg capsules
Nifedipine 10mg modified-release
capsules
tablets
capsules
capsules
tablets
tablets
Nifedipine 5mg capsules
capsules
tablets
Nitrazepam 2.5mg/5ml oral
suspension
Nitrazepam 5mg tablets
Nitrofurantoin 100mg capsules
Nitrofurantoin 100mg modifiedrelease capsules
Nitrofurantoin 100mg tablets
Nitrofurantoin 25mg/5ml oral
Nitrofurantoin 50mg capsules
Nitrofurantoin 50mg tablets
Quantity
Basic Price
S
4
427
C
Nicorette
S
S
20
36
7
1511
2403
1037
C
C
C
Nicorette
Nicorette
Nicorette invisi
S
13.2
1212
C
Nicorette QuickMist
7
997
C
7
1037
C
Nicorette Invisi
72
96
997
826
C
C
NiQuitin
Nicotinell
100
1312
C
Nicorette Microtabs
72
96
997
1026
C
C
NiQuitin
Nicotinell
1380
C
Nicorette
96
912
C
Nicotinell
84
60
1146
390
M
C
Coracten SR
56
734
C
Adalat retard
60
541
C
Coracten SR
28
489
C
Coracten XL
28
685
C
Adalat LA
30
1440
C
Fortipine LA 40
84
28
1913
734
M
C
Coracten XL
28
903
C
11400
A
121
1042
950
M
C
C
246
44695
M
C
1542
750
C
M
S
10
70
ml
ml
ml
28
30
14
28
300
ml
30
28
168
Category
AMCo
Macrobid
Alliance Healthcare
(Distribution) Ltd
AMCo
08/2016
Part VIIIA
Drug
Nizatidine 150mg capsules
Nizatidine 300mg capsules
Norethisterone 350microgram
tablets
Nortriptyline 10mg tablets
Nortriptyline 25mg tablets
Nystatin 100,000units/g /
Chlorhexidine hydrochloride
1% cream
Nystatin 100,000units/ml oral
suspension
Quantity
Basic Price
30
30
84
424
1543
180
M
A
C
Category
Micronor
S
30
100
100
30
g
222
4756
4961
262
M
M
M
C
Nystaform
S
30
ml
218
M
13547
C
217
665
1237
8740
C
K A
K A
C
28
281
A
28
239
K A
28
28
111
13110
M
C
28
320
A
28
291
L A
28
28
28
132
82
17479
M
M
C
28
432
A
28
436
L A
28
28
147
4807
M
C
28
254
A
28
194
K A
28
28
28
92
99
1095
M
M
C
Part VIIIA products O
Octreotide 500micrograms/1ml
Ofloxacin 0.3% eye drops
Ofloxacin 200mg tablets
Ofloxacin 400mg tablets
Olanzapine 10mg oral lyophilisates
sugar free
Olanzapine 10mg orodispersible
tablets
tablets sugar free
Olanzapine 10mg tablets
sugar free
tablets
tablets sugar free
Olanzapine 2.5mg tablets
sugar free
tablets
tablets sugar free
sugar free
tablets
tablets sugar free
Olanzapine 7.5mg tablets
Olmesartan medoxomil 10mg
tablets
5
S
5
10
5
28
ml
169
Sandostatin
Exocin
Zyprexa Velotab
Zyprexa Velotab
Zyprexa Velotab
Zyprexa Velotab
Olmetec
Part VIIIA
08/2016
Drug
Olmesartan medoxomil 20mg /
tablets
tablets
tablets
tablets
tablets
Olodaterol 2.5micrograms/dose
solution for inhalation cartridge
with device CFC free
Olopatadine 1mg/ml eye drops
Olsalazine 250mg capsules
Olsalazine 500mg tablets
Omeprazole 10mg dispersible
gastro-resistant tablets
Omeprazole 10mg gastro-resistant
capsules
tablets
capsules
tablets
capsules
tablets
Ondansetron 4mg oral lyophilisates
sugar free
Ondansetron 4mg orodispersible
tablets
Ondansetron 4mg/5ml oral solution
sugar free
Ondansetron 8mg oral lyophilisates
sugar free
Ondansetron 8mg orodispersible
tablets
Orange syrup
Orange tincture BP 2001
Orlistat 120mg capsules
Quantity
Basic Price
28
1295
C
Olmetec Plus
28
1295
C
Olmetec Plus
28
1295
C
Olmetec
28
1750
C
Olmetec Plus
28
1750
C
Olmetec
2635
C
Striverdi Respimat
468
14400
16100
775
C
A
A
C
Opatanol
28
92
M
28
790
A
28
1160
C
28
91
M
28
605
M
7
580
C
7
78
M
7
609
M
10
3597
C
10
4337
K A
116
3804
M
K A
10
7194
C
10
8543
A
228
1071
1020
1867
M
C
L C
M
S
60
S
5
112
60
28
10
50
10
500
100
84
dose
ml
ml
ml
ml
170
Category
Losec MUPS
Losec MUPS
Losec MUPS
Zofran Melt
Zofran Melt
J M Loveridge Ltd
J M Loveridge Ltd
08/2016
Part VIIIA
Drug
Orphenadrine 50mg/5ml oral
solution sugar free
Oxazepam 10mg tablets
Oxazepam 15mg tablets
Oxerutins 250mg capsules
Oxprenolol 20mg tablets
Oxprenolol 40mg tablets
Oxybutynin 10mg modified-release
tablets
Oxybutynin 2.5mg tablets
Oxybutynin 2.5mg/5ml oral solution
sugar free
Oxybutynin 3.9mg/24hours
transdermal patches
Oxybutynin 3mg tablets
Oxybutynin 5mg modified-release
tablets
Oxybutynin 5mg tablets
Oxybutynin 5mg/5ml oral solution
sugar free
Oxycodone 10mg / Naloxone 5mg
Oxycodone 10mg capsules
Oxycodone 10mg modified-release
tablets
Oxycodone 10mg/1ml solution for
injection ampoules
Oxycodone 10mg/ml oral solution
sugar free
Oxycodone 120mg modifiedrelease tablets
tablets
Oxycodone 20mg / Naloxone 10mg
tablets
injection ampoules
tablets
tablets
injection ampoules
Oxycodone 5mg / Naloxone 2.5mg
Quantity
150
S
Category
3369
K A
118
119
855
612
3889
1681
537
722
2754
M
M
L A
M
L A
C
C
C
C
126
14450
M
C
8
2720
C
Thame Laboratories
Ltd
Kentera
56
30
1680
1377
A
C
Lyrinel XL
191
19920
M
C
56
4232
C
Thame Laboratories
Ltd
Targinact
56
56
2286
2504
C
C
OxyNorm
OxyContin
5
800
C
OxyNorm
4663
C
OxyNorm
56
30502
C
OxyContin
56
3812
C
OxyContin
56
8462
C
Targinact
56
56
4571
5008
C
C
OxyNorm
OxyContin
5
1600
C
OxyNorm
56
7623
C
OxyContin
56
10019
C
OxyContin
5
7010
C
OxyNorm
28
2116
C
Targinact
56
1143
C
OxyNorm
28
28
50
50
50
120
56
56
30
56
150
S
Basic Price
ml
56
150
120
ml
ml
ml
171
Paroven
AMCo
AMCo
Lyrinel XL
Part VIIIA
08/2016
Drug
tablets
Oxycodone 5mg/5ml oral solution
sugar free
tablets
tablets
Oxytetracycline 250mg tablets
Oxytetracycline 3% /
Hydrocortisone 1% ointment
Quantity
Basic Price
28
1252
C
OxyContin
971
C
OxyNorm
56
15249
C
OxyContin
56
20039
C
OxyContin
90
501
M
C
Terra-Cortril
28
97
M
28
116
M
250
S
28
30
ml
g
Category
Part VIIIA products P
Pantoprazole 20mg gastro-resistant
tablets
Pantoprazole 40mg gastro-resistant
tablets
Paracetamol 120mg suppositories
Paracetamol 120mg/5ml oral
solution paediatric sugar free
suspension paediatric
suspension paediatric sugar
free
suspension
Paracetamol 500mg /
Paracetamol 500mg /
Paracetamol 500mg /
Metoclopramide 5mg
effervescent powder sachets
sugar free
Paracetamol 500mg /
Metoclopramide 5mg tablets
Paracetamol 500mg capsules
Paracetamol 500mg soluble tablets
Paracetamol 500mg tablets
10
500
ml
1126
286
A
C
500
ml
311
A
100
ml
131
M
10
10
10
100
ml
1380
2201
2760
112
C
A
C
M
200
ml
197
A
112
1113
C
Remedeine
56
682
C
Remedeine Forte
42
1252
C
Paramax
42
964
C
Paramax
32
100
24
100
10
32
100
150
95
297
172
717
3650
74
231
2400
M
M
M
M
A
M
M
A
1195
C
ml
10
172
AAH
Pharmaceuticals Ltd
Alvedon
Alvedon
Alvedon
08/2016
Part VIIIA
Drug
Paraffin hard MP 43-46C solid
Paraffin hard solid
Paroxetine 10mg tablets
Paroxetine 10mg/5ml oral
Penciclovir 1% cream
Penicillamine 125mg tablets
Penicillamine 250mg tablets
Pentazocine 25mg tablets
Pentazocine 60mg/2ml solution for
injection ampoules
Pentoxifylline 400mg modifiedrelease tablets
Peppermint oil 0.2ml gastroresistant capsules
Peppermint oil 0.2ml gastroresistant modified-release
capsules
Peppermint oil liquid
Peppermint water concentrated
Pergolide 1mg tablets
Pergolide 250microgram tablets
Pergolide 50microgram tablets
Pericyazine 10mg tablets
Pericyazine 10mg/5ml oral solution
Pericyazine 2.5mg tablets
Perindopril arginine 10mg tablets
Perindopril arginine 2.5mg tablets
Perindopril arginine 5mg /
Indapamide 1.25mg tablets
Perindopril arginine 5mg tablets
Perindopril erbumine 2mg tablets
Perindopril erbumine 4mg /
Permethrin 1% scalp application
Permethrin 5% cream
Pethidine 100mg/2ml solution for
injection ampoules
Pethidine 50mg tablets
Quantity
500
500
28
150
S
S
S
S
S
S
S
S
Basic Price
Category
478
337
1711
912
C
C
K A
C
160
174
370
4476
8907
2427
3214
M
M
C
K A
K A
A
C
90
1939
C
Trental 400
84
704
C
Mintec
100
1218
C
Colpermin
1324
1009
13166
3795
3203
4047
4601
1623
1065
443
951
K C
C
A
K A
L A
A
A
A
C
C
C
30
30
30
628
115
500
C
M
A
30
500
A
30
30
125
500
M
A
30
500
A
141
355
646
746
466
M
C
C
A
C
4992
A
30
30
2
56
56
28
10
100
100
100
100
100
84
100
84
30
30
30
30
59
118
30
10
g
g
ml
g
ml
ml
ml
ml
ml
g
50
173
J M Loveridge Ltd
J M Loveridge Ltd
Seroxat Liquid
Fenistil Cold Sore
Zentiva
J M Loveridge Ltd
J M Loveridge Ltd
Coversyl Arginine
Coversyl Arginine
Coversyl Arginine
Plus
Coversyl Arginine
Lyclear
Lyclear
Martindale
Pharmaceuticals Ltd
Part VIIIA
08/2016
Drug
Pethidine 50mg/1ml solution for
injection ampoules
Phenelzine 15mg tablets
Phenindione 10mg tablets
Phenindione 25mg tablets
Phenobarbital 15mg tablets
Phenobarbital 15mg/5ml elixir
Phenoxybenzamine 10mg capsules
Phenoxymethylpenicillin 125mg/5ml
oral solution
Phenoxymethylpenicillin 250mg
tablets
oral solution
Phenytoin 30mg/5ml oral
suspension
Phenytoin sodium 100mg tablets
Pholcodine 10mg/5ml linctus strong
sugar free
Pholcodine 2mg/5ml oral solution
sugar free
Pholcodine 5mg/5ml linctus
Pholcodine 5mg/5ml linctus sugar
free
Phosphates enema (Formula B)
128ml long tube
Phosphates enema (Formula B)
128ml standard tube
Phytomenadione 10mg/1ml solution
Phytomenadione 1mg capsules
Pilocarpine 5mg tablets
Pilocarpine hydrochloride 1% eye
drops
drops
drops
Pimecrolimus 1% cream
Quantity
Basic Price
10
497
A
ml
R
100
28
28
28
500
28
28
30
100
ml
2250
51998
51998
2011
8300
80
605
9738
1473
C
C
C
L A
A
M
L A
C
A
R
100
ml
1602
A
92
M
28
Category
Nardil
AMCo
AMCo
AMCo
R
100
ml
1466
A
R
100
ml
1602
A
500
ml
427
C
Epanutin
84
28
28
28
28
2000
ml
5400
2575
1574
5738
1598
988
C
M
C
C
C
C
Flynn Pharma Ltd
Flynn Pharma Ltd
Flynn Pharma Ltd
Galenphol Strong
2000
ml
450
C
Galenphol Paediatric
200
200
ml
ml
129
131
C
C
Thornton & Ross Ltd
Thornton & Ross Ltd
S
1
2793
A
S
1
398
A
10
378
C
S
12
84
10
ml
395
4114
639
C
C
K A
S
10
ml
782
K A
S
10
ml
879
K A
S
S
S
30
60
100
g
g
g
1969
3741
5907
C
C
C
174
Konakion MM
Neokay
Salagen
Elidel
Elidel
Elidel
08/2016
Part VIIIA
Drug
Pindolol 10mg / Clopamide 5mg
tablets
Pindolol 5mg tablets
Pioglitazone 15mg / Metformin
850mg tablets
Pioglitazone 15mg tablets
Piperacillin 2g / Tazobactam 250mg
powder for solution for injection
vials
Piroxicam 0.5% gel
Piroxicam 10mg capsules
Piroxicam 20mg capsules
Piroxicam 20mg orodispersible
tablets sugar free
Pivmecillinam 200mg tablets
Pizotifen 1.5mg tablets
Pizotifen 500microgram tablets
Podophyllotoxin 0.15% cream
Polymyxin B 10,000units/g /
Bacitracin 500units/g ointment
Potassium (potassium 6.5mmol)
effervescent tablets BPC 1968
Potassium chloride (potassium
12mmol) effervescent tablets
Potassium chloride powder
Potassium citrate mixture
Potassium citrate powder
Potassium iodide powder
Potassium permanganate 400mg
tablets for cutaneous solution
Povidone-Iodine 1.14% dry powder
spray
Povidone-Iodine 2.5% dry powder
spray
Pramipexole 1.05mg modifiedrelease tablets
Pramipexole 260microgram
S
S
S
Quantity
Basic Price
28
670
C
Viskaldix
100
56
822
3589
A
C
Competact
28
28
28
1
1331
1481
1729
791
M
M
M
C
294
549
362
298
1053
M
M
L A
L A
C
540
272
275
1783
462
K C
M
M
C
C
60
112
56
28
30
g
g
Category
S
S
10
28
28
5
20
S
56
9202
A
100
(5xS20)
500
200
500
500
30
765
C
g
ml
g
g
1093
133
591
8099
1750
K C
A
K C
C
C
g
g
AAH
Pharmaceuticals Ltd
Feldene Melt
Selexid
Warticon
Polyfax
Sando-K
J M Loveridge Ltd
J M Loveridge Ltd
J M Loveridge Ltd
Permitabs
S
50
ml
251
C
Savlon Dry
S
100
ml
995
C
Betadine
30
12996
C
Mirapexin
30
20236
C
Mirapexin
30
30
183
25991
M
C
Mirapexin
30
33727
C
30
3249
C
30
38987
C
30
1141
L A
175
Mirapexin
Part VIIIA
08/2016
Drug
Pramipexole 520microgram
Prasugrel 10mg tablets
Prasugrel 5mg tablets
Pravastatin 10mg tablets
Prazosin 1mg tablets
Prazosin 500microgram tablets
Prednisolone 10mg tablets
Prednisolone 2.5mg gastroresistant tablets
Prednisolone 2.5mg tablets
Prednisolone 20mg/100ml enema
standard tube
Prednisolone 20mg/application
foam enema
Prednisolone 5mg gastro-resistant
tablets
Prednisolone 5mg soluble tablets
Prednisolone 5mg/5ml oral solution
unit dose
Prednisolone acetate 1% eye drops
Prednisolone sodium phosphate
0.5% ear/eye drops
0.5% eye drops 0.5ml unit
5mg suppositories
Pregabalin 100mg capsules
Primidone 250mg tablets
Primidone 50mg tablets
Prochlorperazine 12.5mg/1ml
Prochlorperazine 3mg buccal
tablets
S
S
S
S
Quantity
Basic Price
30
6498
C
30
30
28
28
28
28
28
60
60
30
28
28
227
201
4756
4756
89
106
136
346
269
190
77
122
M
M
C
C
M
M
M
C
C
C
M
M
30
30
7
142
380
750
C
C
C
7800
A
56
28
7500
126
A
M
30
28
10
(2xS5)
5
10
10
5348
86
1141
C
M
C
182
366
200
C
C
C
20
1178
C
10
3845
K A
84
56
84
56
56
56
84
56
100
100
10
9660
6440
9660
6440
6440
6440
9660
6440
11420
10643
523
C
C
C
C
C
C
C
C
K A
K A
C
50
4277
K A
14
dose
ml
ml
ml
176
Category
Mirapexin
Efient
Efient
Hypovase
Hypovase
Pevanti
Pevanti
Pevanti
Predsol
AMCo
Logixx Pharma
Solutions Ltd
Pred Forte
Pred Forte
Predsol Ear / Eye
Drops
Minims
Lyrica
Lyrica
Lyrica
Lyrica
Lyrica
Lyrica
Lyrica
Lyrica
Stemetil
08/2016
Part VIIIA
Drug
Prochlorperazine 5mg tablets
Prochlorperazine 5mg/5ml oral
solution
Procyclidine 10mg/2ml solution for
injection ampoules
Procyclidine 2.5mg/5ml oral solution
sugar free
Procyclidine 5mg tablets
Procyclidine 5mg/5ml oral solution
sugar free
Progesterone 100mg pessaries
Proguanil 100mg / Atovaquone
250mg tablets
Proguanil 100mg tablets
Promazine 25mg/5ml oral solution
Promazine 50mg/5ml oral solution
Promethazine 5mg/5ml oral solution
sugar free
Promethazine hydrochloride 10mg
tablets
Promethazine hydrochloride 25mg
tablets
Promethazine teoclate 25mg tablets
Propafenone 150mg tablets
Propafenone 300mg tablets
Propantheline bromide 15mg tablets
Propiverine 15mg tablets
Propiverine 30mg modified-release
capsules
Propiverine 45mg modified-release
capsules
Propranolol 10mg tablets
Propranolol 10mg/5ml oral solution
sugar free
Propranolol 160mg modifiedrelease capsules
sugar free
sugar free
sugar free
Propranolol 80mg modified-release
capsules
Propylene glycol liquid
Propylthiouracil 50mg tablets
Prucalopride 1mg tablets
Quantity
Basic Price
28
100
92
334
M
C
6825
L A
ml
5
Category
Stemetil Syrup
150
ml
622
K C
Arpicolin
28
150
ml
1265
1154
M
K C
Arpicolin
1950
895
1296
2521
C
C
C
C
Lutigest
Cyclogest
Cyclogest
Malarone
1195
1321
1524
285
C
A
A
C
Paludrine
Phenergan Elixir
56
296
C
Phenergan
56
465
C
Phenergan
28
90
60
112
56
28
313
737
934
2074
1800
2445
C
C
C
C
C
C
Avomine
Arythmol
Arythmol
Pro-Banthine
Detrunorm
Detrunorm XL
28
2700
C
Detrunorm XL
91
2045
M
K C
28
488
A
56
28
150
ml
579
89
3150
K A
M
C
Syprol
150
ml
2498
K C
Syprol
150
ml
1550
K C
Syprol
495
C
186
538
5866
3869
M
C
M
C
21
15
15
12
98
150
150
100
28
150
ml
ml
ml
ml
28
56
500
56
28
ml
177
Syprol
J M Loveridge Ltd
Resolor
Part VIIIA
08/2016
Drug
Prucalopride 2mg tablets
Pseudoephedrine 30mg/5ml /
solution sugar free
Pseudoephedrine 30mg/5ml oral
solution sugar free
Pseudoephedrine hydrochloride
60mg tablets
Purified water
Pyridostigmine bromide 60mg
tablets
Pyridoxine 50mg tablets
Quantity
Basic Price
28
500
ml
5952
367
C
C
Resolor
Galpseud Plus
Linctus
100
ml
157
C
Care Decongestant
542
C
Galpseud
328
4558
A
A
28
646
K A
60
60
186
11310
M
C
60
60
210
11310
M
C
60
60
60
232
106
17000
M
M
C
60
60
312
22620
M
C
60
6766
C
28
1175
C
28
28
28
28
28
28
28
857
152
197
857
191
166
192
A
M
M
A
M
M
M
28
160
M
28
190
M
28
60
60
60
28
373
11785
21302
2946
88
M
C
C
C
M
100
S
5000
200
ml
Category
Part VIIIA products Q
Quetiapine 100mg tablets
Quetiapine 150mg modified-release
tablets
tablets
tablets
tablets
tablets
Quinapril 10mg /
tablets
Quinapril 10mg tablets
Quinine bisulfate 300mg tablets
Quinine sulfate 200mg tablets
Quinine sulfate 300mg tablets
Seroquel XL
Accuretic
Part VIIIA products R
Rabeprazole 10mg gastro-resistant
tablets
Rabeprazole 20mg gastro-resistant
tablets
Raloxifene 60mg tablets
Raltegravir 100mg chewable tablets
Raltegravir 100mg granules sachets
Raltegravir 25mg chewable tablets
Ramipril 1.25mg capsules
178
Isentress
Isentress
Isentress
08/2016
Part VIIIA
Drug
Ramipril 1.25mg tablets
Ramipril 10mg capsules
Ramipril 2.5mg capsules
Ramipril 2.5mg tablets
Ramipril 2.5mg/5ml oral solution
sugar free
Ramipril 5mg capsules
Ranitidine 150mg effervescent
tablets
Ranitidine 150mg tablets
Ranitidine 300mg effervescent
tablets
Ranitidine 300mg tablets
Ranitidine 75mg/5ml oral solution
sugar free
Ranolazine 375mg modifiedrelease tablets
Rasagiline 1mg tablets
Reboxetine 4mg tablets
Repaglinide 1mg tablets
Repaglinide 2mg tablets
Repaglinide 500microgram tablets
Rifampicin 150mg capsules
Rifampicin 300mg capsules
Rifaximin 200mg tablets
Rifaximin 550mg tablets
Riluzole 25mg/5ml oral suspension
sugar free
Riluzole 50mg tablets
Risedronate sodium 30mg tablets
Risperidone 1mg orodispersible
tablets sugar free
Risperidone 1mg tablets
Risperidone 1mg/ml oral solution
sugar free
tablets sugar free
tablets sugar free
tablets sugar free
Quantity
Basic Price
28
28
28
28
28
150
128
113
109
145
97
9600
M
M
M
M
M
A
106
97
3482
M
M
K A
127
3482
M
K A
127
646
M
M
60
4898
C
Ranexa
60
4898
C
Ranexa
60
4898
C
Ranexa
28
60
90
90
90
100
100
9
56
300
5308
1891
1071
588
903
4325
9938
1515
25923
10000
L A
C
L A
A
A
K A
K A
C
C
C
1881
14384
87
1885
2107
M
K A
M
K A
A
80
475
M
M
28
3877
A
60
28
141
3350
M
A
60
28
177
3795
M
A
28
28
60
(4xS15)
60
30
(2xS15)
30
300
S
S
ml
ml
ml
56
28
4
28
28
20
100
ml
179
Category
Edronax
Xifaxanta
Targaxan
Teglutik
Part VIIIA
08/2016
Drug
Risperidone 500microgram
orodispersible tablets sugar
free
Risperidone 500microgram tablets
Rivaroxaban 10mg tablets
Rivaroxaban 2.5mg tablets
Rivastigmine 1.5mg capsules
Rivastigmine 13.3mg/24hours
transdermal patches
Rivastigmine 2mg/ml oral solution
sugar free
Rivastigmine 3mg capsules
Rivastigmine 4.5mg capsules
transdermal patches
Rivastigmine 6mg capsules
transdermal patches
Rizatriptan 10mg oral lyophilisates
sugar free
Rizatriptan 10mg orodispersible
tablets sugar free
Rizatriptan 10mg tablets
Rizatriptan 5mg tablets
Roflumilast 500microgram tablets
Ropinirole 1mg tablets
Ropinirole 250microgram tablets
Ropinirole 2mg modified-release
tablets
tablets
Ropinirole 500microgram tablets
tablets
Rosuvastatin 10mg tablets
Rotigotine 2mg/24hours
transdermal patches
transdermal patches
transdermal patches
Quantity
Basic Price
60
28
197
2386
M
A
20
28
30
28
56
28
28
30
81
385
5400
5040
5040
5040
256
7797
M
L A
C
C
C
C
M
C
9682
A
28
28
30
285
1455
7797
M
L A
C
28
30
1545
3208
L A
K A
S
3
1337
C
Maxalt Melt
S
6
3
2674
214
C
L A
Maxalt Melt
3
6
30
84
12
28
146
2674
3771
180
122
1254
M
A
C
M
M
C
28
28
266
2509
M
C
28
84
28
212
397
4211
M
M
C
28
28
28
28
28
1803
2602
2969
1803
8110
C
C
C
C
C
Crestor
Crestor
Crestor
Crestor
Neupro
28
12360
C
Neupro
28
14993
C
Neupro
S
120
ml
180
Category
Xarelto
Xarelto
Xarelto
Xarelto
Daxas
08/2016
Part VIIIA
Drug
transdermal patches
Quantity
Basic Price
28
14993
C
Category
Neupro
28
4578
C
Entresto
56
9156
C
Entresto
56
9156
C
Entresto
Part VIIIA products S
tablets
tablets
tablets
Salbutamol 100micrograms/dose
breath actuated inhaler CFC
free
dry powder inhaler
inhaler CFC free
Salbutamol 2.5mg/2.5ml nebuliser
dry powder inhaler
Salbutamol 2mg/5ml oral solution
sugar free
Salbutamol 5mg/2.5ml nebuliser
Salbutamol 5mg/ml nebuliser liquid
Salicylic acid 11% / Lactic acid 4%
gel
Salicylic acid 12% / Lactic acid 4%
gel
Salicylic acid 16.7% / Lactic acid
16.7% paint
Salicylic acid 2% /
Mucopolysaccharide
polysulfate 0.2% cream
Salicylic acid 2% /
Mucopolysaccharide
polysulfate 0.2% gel
Salicylic acid 2% ointment
Salicylic acid 26% gel
Salicylic acid 26% solution
inhaler CFC free
Salmeterol 50micrograms/dose dry
powder inhaler
Saxagliptin 2.5mg / Metformin 1g
tablets
S
200
dose
630
C
Salamol EasiBreathe
S
200
dose
331
C
Easyhaler
Salbutamol
S
200
dose
150
C
191
A
20
S
60
dose
300
C
Ventolin Accuhaler
S
200
dose
663
C
Easyhaler
Salbutamol
28
150
ml
10495
72
A
C
10743
382
A
A
28
20
Ventolin
S
S
20
5
ml
g
218
288
C
C
Ventolin
Cuplex Verruca
S
8
g
298
C
Salatac
S
10
ml
171
C
Salactol
S
125
g
719
C
Movelat
S
125
g
719
C
Movelat
S
450
5
g
g
808
395
C
C
S
S
10
120
ml
dose
356
2926
C
C
Thornton & Ross Ltd
Bazuka Extra
Strength
Occlusal
S
60
dose
2926
C
Serevent Accuhaler
3160
C
Komboglyze
56
181
Part VIIIA
08/2016
Drug
Saxagliptin 2.5mg / Metformin
850mg tablets
Saxagliptin 2.5mg tablets
Saxagliptin 5mg tablets
Selegiline 10mg tablets
Selegiline 5mg tablets
Selenium sulfide 2.5% shampoo
Senna 7.5mg tablets
Senna 7.5mg/5ml oral solution
sugar free
Senna fruit 12.4% / Ispaghula
54.2% granules
Sertraline 100mg tablets
Sertraline 50mg tablets
Sevelamer 800mg tablets
Sildenafil 100mg tablets
Silver nitrate 95% caustic pencils
Simeticone 40mg/ml oral
Simple eye ointment
Simple linctus
Simple linctus paediatric
Simple linctus paediatric sugar free
Simple linctus sugar free
Simvastatin 10mg tablets
Simvastatin 20mg / Ezetimibe 10mg
tablets
Simvastatin 20mg/5ml oral
tablets
Simvastatin 40mg/5ml oral
tablets
Sirolimus 1mg tablets
Sirolimus 2mg tablets
Sirolimus 500microgram tablets
Sitagliptin 100mg tablets
Soap spirit methylated
Quantity
Basic Price
56
3160
C
Komboglyze
28
28
100
100
50
100
150
60
500
C
C
C
C
C
C
C
M
C
Onglyza
Onglyza
Eldepryl
Eldepryl
Selsun
Selsun
Selsun
ml
3160
3160
3223
1652
161
215
306
299
399
Senokot Pharmacy
S
400
g
925
C
Manevac
S
28
28
180
4
4
4
1
148
125
8398
95
83
88
244
M
M
M
M
M
M
C
S
50
ml
271
C
S
4
200
200
200
200
28
28
g
ml
ml
ml
ml
701
99
101
125
89
67
3342
K A
A
C
C
A
M
C
75
11940
M
A
3898
C
84
18240
M
A
28
4121
C
Inegy
28
30
30
30
28
28
28
500
182
8649
17298
6900
3326
3326
3326
430
M
C
C
C
C
C
C
A
Rapamune
Rapamune
Rapamune
Januvia
Januvia
Januvia
S
S
S
28
150
ml
ml
ml
ml
28
28
150
ml
ml
182
Category
Avoca Wart
Treatment Set
Infacol
Thornton & Ross Ltd
Care
Inegy
Inegy
08/2016
Part VIIIA
Drug
Sodium alginate 500mg / Potassium
bicarbonate 100mg chewable
tablets sugar free
Sodium alginate 500mg/5ml /
Potassium bicarbonate 100mg/
5ml oral suspension sugar free
Sodium bicarbonate 420mg/5ml
(1mmol/ml) oral solution sugar
free
Sodium bicarbonate 500mg
capsules
Sodium bicarbonate powder
Sodium chloride 0.9% eye drops
free
Sodium chloride 0.9% solution for
injection 10ml ampoules
injection 50ml vials
Sodium chloride 292.5mg/5ml
(1mmol/ml) oral solution sugar
free
Sodium chloride 600mg modifiedrelease tablets
Sodium citrate powder
Sodium clodronate 400mg capsules
Sodium clodronate 520mg tablets
Sodium clodronate 800mg tablets
Sodium cromoglicate 100mg
capsules
Sodium cromoglicate 2% eye drops
Sodium cromoglicate 2% eye drops
free
Sodium dihydrogen phosphate
anhydrous 340mg / Sodium
bicarbonate 250mg
suppositories
Sodium dihydrogen phosphate
anhydrous 680mg / Sodium
bicarbonate 500mg
suppositories
Sodium feredetate 190mg/5ml oral
solution sugar free
Sodium fluoride 0.37% oral drops
sugar free
Sodium fluoride 0.619% dental
paste sugar free
S
Quantity
Basic Price
60
307
C
Gaviscon Advance
500
ml
512
C
Gaviscon Advance
100
ml
3980
C
Thamicarb
500
56
ml
19920
233
C
M
Thamicarb
300
20
g
220
714
C
C
Thornton & Ross Ltd
Minims saline
10
296
A
10
207
A
1
341
A
10
211
A
3020
C
Viridian Pharma Ltd
605
C
Slow Sodium
528
13983
15259
14643
4114
C
C
C
C
C
J M Loveridge Ltd
Nalcrom
189
899
M
C
Catacrom
10
820
C
Lecicarbon C
10
820
C
Lecicarbon A
100
ml
100
S
Category
500
120
60
60
100
g
13.5
30
ml
Loron
500
ml
1495
C
Sytron Elixir
S
60
ml
238
C
S
75
ml
326
C
En-De-Kay
Fluodrops
Colgate Duraphat
183
Part VIIIA
08/2016
Drug
Sodium fluoride 1.1% dental paste
sugar free
Sodium fluoride 1.1mg chewable
tablets sugar free
Sodium fluoride 1.1mg tablets
Quantity
S
Sodium fluoride 2.2mg chewable
tablets sugar free
Sodium fluoride 2.2mg tablets
Sodium fusidate 2% ointment
Sodium fusidate 250mg tablets
Sodium oxybate 500mg/ml oral
solution sugar free
Sodium picosulfate 5mg/5ml oral
solution sugar free
Sodium valproate 100mg modifiedrelease granules sachets sugar
free
Sodium valproate 100mg tablets
Sodium valproate 1g modifiedrelease granules sachets sugar
free
Sodium valproate 200mg gastroresistant tablets
Sodium valproate 200mg modifiedrelease tablets
Sodium valproate 200mg/5ml oral
solution
Sodium valproate 200mg/5ml oral
solution sugar free
free
Sodium valproate 300mg modifiedrelease capsules
Sodium valproate 500mg gastroresistant tablets
free
free
Solifenacin 10mg tablets
Solifenacin 5mg tablets
S
S
S
S
51
Basic Price
g
Category
650
C
Colgate Duraphat
200
279
C
Fluor-A-Day
200
238
C
200
279
C
En-De-Kay Fluotabs
3-6 years
Fluor-A-Day
200
238
C
C
C
C
C
g
g
En-De-Kay Fluotabs
6+ years
Fucidin
Fucidin
Fucidin
Xyrem
15
30
10
180
ml
268
455
602
36000
300
ml
710
A
30
3000
C
Epilim Chronosphere
100
30
560
3000
C
C
Epilim
Epilim Chronosphere
100
100
4100
403
C
M
Episenta
100
1165
C
Epilim Chrono
Epilim Syrup
300
ml
933
C
300
ml
424
M
30
3000
C
Epilim Chronosphere
100
1300
C
Episenta
100
1747
C
Epilim Chrono
100
788
M
30
3000
C
Epilim Chronosphere
100
100
2100
2910
C
C
Episenta
Epilim Chrono
30
3000
C
Epilim Chronosphere
30
30
3591
2762
C
C
Vesicare
Vesicare
184
08/2016
Part VIIIA
Drug
Solifenacin 6mg / Tamsulosin
400microgram modifiedrelease tablets
Sotalol 160mg tablets
Spironolactone 100mg tablets
Squill oxymel
Sterculia 62% / Frangula 8%
granules 7g sachets gluten free
Sterculia 62% / Frangula 8%
granules gluten free
Sterculia 62% granules 7g sachets
gluten free
Sterculia 62% granules gluten free
Stiripentol 250mg capsules
Strontium ranelate 2g granules
sachets sugar free
Sulfadiazine 500mg tablets
Sulfadiazine silver 1% cream
Sulfasalazine 250mg/5ml oral
Sulfasalazine 500mg gastroresistant tablets
Sulfasalazine 500mg tablets
Sulfur sublimed powder
Sulfuric acid dilute liquid
Sulindac 100mg tablets
Sulindac 200mg tablets
Sulpiride 200mg tablets
Sulpiride 200mg/5ml oral solution
sugar free
Sulpiride 400mg tablets
Sumatriptan 100mg tablets
Sumatriptan 10mg/0.1ml nasal
spray unit dose
Sumatriptan 20mg/0.1ml nasal
spray unit dose
Sumatriptan 50mg tablets
Sumatriptan 6mg/0.5ml solution for
injection pre-filled disposable
devices
injection pre-filled syringes with
device
injection syringe refill
Quantity
Basic Price
30
2762
C
28
28
28
28
28
28
28
2000
60
593
240
102
117
209
124
177
3343
678
A
C
M
M
M
M
M
C
C
J M Loveridge Ltd
Normacol Plus
805
C
Normacol Plus
635
C
Normacol
754
28400
2708
C
C
C
Normacol
Diacomit
Protelos
8466
385
1032
1827
4342
K A
C
C
C
A
1108
M
614
595
846
2978
3829
412
2700
M
K C
C
A
A
M
K C
1880
136
1180
A
M
C
Imigran
3539
C
Imigran
S
30
6
2
(2xS1)
6
(6xS1)
6
2
122
3950
M
C
S
2
4247
C
Imigran Subject
S
2
4041
C
Imigran Subject
500
ml
g
60
500
60
28
S
S
S
56
50
250
500
500
g
g
g
g
ml
112
112
500
500
56
56
30
150
g
ml
ml
185
Category
Vesomni
Beta-Cardone
Flamazine
Flamazine
Flamazine
J M Loveridge Ltd
J M Loveridge Ltd
Sulpor
Sun Pharmaceuticals
UK Ltd
Part VIIIA
08/2016
Drug
Quantity
Surgical spirit
Basic Price
200
ml
30
60
100
30
60
30
60
50
50
g
g
g
g
g
g
g
Category
111
C
Thornton & Ross Ltd
1340
2314
3086
1944
3546
2160
3940
8028
35665
C
C
C
C
C
C
C
C
C
Curatoderm
Curatoderm
Curatoderm
Protopic
Protopic
Protopic
Protopic
Prograf
Modigraf
50
7130
C
Modigraf
50
50
4
28
4
28
30
(3xS10)
6188
29658
2888
5499
2888
5499
1220
C
C
C
C
C
C
C
Prograf
Prograf
Cialis
Cialis
Cialis
Cialis
Saflutan
3770
2961
K A
C
Soltamox
30
30
30
306
3318
1980
M
K A
C
Combodart
30
393
L A
30
1047
C
Flomaxtra XL
56
4982
C
Palexia SR
56
7473
C
Palexia SR
56
9964
C
Palexia SR
1780
C
Palexia
56
12455
C
Palexia SR
28
1246
C
Palexia SR
28
28
500
1246
1868
1076
C
C
K C
Part VIIIA products T
Tacalcitol 4micrograms/g ointment
Tacrolimus 0.03% ointment
Tacrolimus 0.1% ointment
§
§
§
§
Tacrolimus 1mg capsules
Tacrolimus 1mg granules sachets
sugar free
Tacrolimus 200microgram granules
sachets sugar free
Tacrolimus 500microgram capsules
Tacrolimus 5mg capsules
Tadalafil 10mg tablets
Tadalafil 2.5mg tablets
Tafluprost 15micrograms/ml eye
preservative free
Tamoxifen 10mg tablets
Tamoxifen 10mg/5ml oral solution
sugar free
Tamsulosin 400microgram /
Dutasteride 500microgram
capsules
Tamsulosin 400microgram
Tamsulosin 400microgram
Tapentadol 100mg modified-release
tablets
tablets
tablets
Tapentadol 20mg/ml oral solution
sugar free
tablets
tablets
Tapentadol 50mg tablets
Tapentadol 75mg tablets
Tartaric acid powder
S
S
S
S
S
S
S
S
S
S
30
150
100
ml
ml
g
186
Palexia
Palexia
J M Loveridge Ltd
08/2016
Part VIIIA
Drug
Telmisartan 20mg tablets
Telmisartan 40mg /
tablets
Telmisartan 80mg /
tablets
Telmisartan 80mg /
tablets
Temazepam 10mg tablets
Temazepam 10mg/5ml oral solution
sugar free
Temazepam 20mg tablets
Tenoxicam 20mg tablets
Terazosin 10mg tablets
Terbinafine 1% cream
Terbinafine 1% spray
Terbinafine 250mg tablets
Terbutaline 1.5mg/5ml oral solution
sugar free
Terbutaline 500micrograms/dose
dry powder inhaler
Terbutaline 5mg tablets
Terbutaline 5mg/2ml nebuliser liquid
unit dose vials
Testosterone 40mg capsules
Testosterone 50mg/5g gel unit dose
sachets
Testosterone enantate 250mg/1ml
Testosterone undecanoate 1g/4ml
Tetrabenazine 25mg tablets
Tetracycline 250mg tablets
Theophylline 125mg modifiedrelease capsules
S
S
S
S
S
Quantity
Basic Price
28
28
106
1361
M
C
28
28
107
1700
M
C
28
1700
C
28
28
300
137
278
12064
M
M
K A
272
1616
787
203
212
131
262
328
119
280
M
A
C
M
M
M
M
C
M
C
Bricanyl
692
C
Bricanyl Turbohaler
100
20
491
404
C
A
Bricanyl
60
30
1710
3111
C
C
Restandol Testocap
Testogel
3
7250
A
1
8711
C
Nebido
112
28
56
10000
198
348
C
M
C
Slo-Phyllin
60
638
C
Nuelin SA
56
296
C
Uniphyllin Continus
56
434
C
Slo-Phyllin
60
892
C
Nuelin SA-250
56
477
C
Uniphyllin Continus
ml
28
28
28
28
28
15
30
15
14
100
ml
100
dose
g
g
ml
187
Category
Hytrin
Lamisil AT
Part VIIIA
08/2016
Drug
Thiamine 100mg tablets
Thiamine 50mg tablets
Tiaprofenic acid 300mg tablets
Tibolone 2.5mg tablets
Ticagrelor 60mg tablets
Ticagrelor 90mg tablets
Timolol 0.25% eye drops
Timolol 0.25% eye gel
Timolol 0.5% eye drops
Timolol 0.5% eye drops 0.2ml unit
Timolol 0.5% eye gel
Timolol 10mg / Bendroflumethiazide
2.5mg tablets
Timolol 10mg tablets
Timolol 1mg/g gel eye drops 0.4g
Tinidazole 500mg tablets
0.5ml solution for injection prefilled syringes
pre-filled syringes
pre-filled syringes
pre-filled syringes
Tinzaparin sodium 8,000units/0.4ml
syringes
S
S
S
S
S
Quantity
Basic Price
56
565
C
Uniphyllin Continus
56
276
C
Slo-Phyllin
100
100
56
28
56
56
5
2.5
5
30
1001
714
1495
1036
5460
5460
103
312
104
965
L A
A
C
C
C
C
M
C
M
C
312
2574
C
K A
30
30
(3xS10)
16
10
1940
749
K A
C
1104
5950
C
C
Fasigyn
Innohep
10
7140
C
Innohep
10
8330
C
Innohep
10
9520
C
Innohep
10
10708
C
Innohep
10
1980
C
LEO Pharma
10
10566
C
Innohep
10
2771
C
LEO Pharma
10
3563
C
LEO Pharma
1
3420
C
Innohep
10
4760
C
Innohep
2.5
30
ml
ml
ml
ml
188
Category
Surgam 300
Livial
Brilique
Brilique
Timoptol-LA
Timoptol
Timoptol-LA
Tiopex
08/2016
Part VIIIA
Drug
Tioconazole 283mg/ml medicated
nail lacquer
Tiotropium bromide 18microgram
Tiotropium bromide 18microgram
with device
Tiotropium bromide 2.5micrograms/
dose / Olodaterol
2.5micrograms/dose solution
for inhalation cartridge with
device CFC free
Tiotropium bromide 2.5micrograms/
dose solution for inhalation
cartridge with device CFC free
Tizanidine 2mg tablets
Tizanidine 4mg tablets
Tobramycin 300mg/5ml nebuliser
liquid ampoules
Tolbutamide 500mg tablets
Tolfenamic acid 200mg tablets
Tolterodine 1mg tablets
Tolterodine 2mg tablets
Tolterodine 4mg modified-release
capsules
Topiramate 100mg tablets
Torasemide 10mg tablets
Torasemide 2.5mg tablets
Torasemide 5mg tablets
Tramadol 100mg modified-release
capsules
Tramadol 100mg/ml oral drops
capsules
capsules
Tramadol 37.5mg / Paracetamol
325mg effervescent tablets
sugar free
Tramadol 37.5mg / Paracetamol
325mg tablets
Tramadol 50mg capsules
capsules
Quantity
S
12
S
30
(6xS5)
30
S
60
S
60
S
Basic Price
Category
2857
K A
3350
C
Spiriva
3487
C
Spiriva
dose
3250
C
Spiolto Respimat
dose
2300
C
Spiriva Respimat
120
120
56
(4xS14)
28
10
56
56
28
363
2936
130592
M
K A
C
986
1925
195
201
2578
M
A
M
M
C
60
60
60
60
60
60
60
28
28
28
60
269
2499
1401
1455
169
5511
201
814
378
553
1447
M
K A
L A
M
M
K A
M
C
C
C
C
350
2171
C
C
60
2893
C
60
968
C
60
922
A
30
100
60
87
290
724
M
M
C
10
60
ml
ml
189
Tobi
Torem
Torem 2.5
Torem
AMCo
Tramacet
Part VIIIA
08/2016
Drug
tablets
Tramadol 50mg soluble tablets
sugar free
Trandolapril 1mg capsules
Trandolapril 500microgram
capsules
Tranexamic acid 500mg tablets
Tranylcypromine 10mg tablets
Travoprost 40micrograms/ml /
Travoprost 40micrograms/ml eye
drops
Trazodone 100mg capsules
Trazodone 150mg tablets
Trazodone 50mg capsules
Trazodone 50mg/5ml oral solution
sugar free
Tretinoin 0.025% / Erythromycin 4%
solution
Tretinoin 10mg capsules
Triamcinolone 55micrograms/dose
nasal spray
Triamcinolone acetonide 10mg/1ml
suspension for injection
ampoules
Triamcinolone acetonide 40mg/1ml
Triamterene 50mg / Furosemide
40mg tablets
Triamterene 50mg capsules
Trifluoperazine 1mg tablets
Trifluoperazine 1mg/5ml oral
solution sugar free
Trifluoperazine 5mg tablets
Trifluoperazine 5mg/5ml oral
solution sugar free
Trihexyphenidyl 2mg tablets
Trihexyphenidyl 5mg tablets
Trihexyphenidyl 5mg/5ml oral
solution
Trimethoprim 100mg tablets
Trimethoprim 200mg tablets
Trimethoprim 50mg/5ml oral
Trimipramine 10mg tablets
Trimipramine 25mg tablets
Trimipramine 50mg capsules
Quantity
Basic Price
60
460
C
Zydol SR
100
1333
C
Zydol
28
28
28
14
1999
438
1324
166
A
M
A
A
S
60
28
2.5
ml
443
23773
1395
M
L A
C
DuoTrav
S
2.5
ml
1095
C
Travatan
56
28
84
120
ml
4254
3388
3016
15306
M
M
M
M
25
ml
705
C
Aknemycin Plus
24000
C
739
C
Intrapharm
Laboratories Ltd
Nasacort
5
447
C
Adcortyl
5
745
C
Kenalog
56
434
C
Frusene
30
112
200
ml
4190
5400
10253
C
C
C
AMCo
AMCo
AMCo
112
150
ml
12320
2550
C
C
AMCo
Rosemont
Pharmaceuticals Ltd
ml
819
1791
2000
M
A
C
ml
134
78
182
191
M
M
M
M
15535
17340
15000
K A
K A
C
S
100
S
120
84
84
200
28
6
14
100
dose
28
28
28
190
Category
Rosemont
Pharmaceuticals Ltd
Zentiva
08/2016
Part VIIIA
Drug
Triptorelin acetate 11.25mg powder
and solvent for suspension for
injection vials
Triptorelin acetate 3mg powder and
injection vials
Triptorelin embonate 22.5mg
Trospium chloride 20mg tablets
Trospium chloride 60mg modifiedrelease capsules
Quantity
Basic Price
S
1
20700
C
Category
Decapeptyl SR
S
1
6900
C
Decapeptyl SR
S
1
41400
C
Decapeptyl SR
60
28
506
2305
M
C
Regurin XL
Part VIIIA products U
Umeclidinium bromide
65micrograms/dose / Vilanterol
powder inhaler
Umeclidinium bromide
powder inhaler
Urea 10% / Lactic acid 5% cream
Urea hydrogen peroxide 5% ear
drops
Ursodeoxycholic acid 250mg
capsules
Ursodeoxycholic acid 250mg/5ml
S
30
dose
3250
C
Anoro Ellipta
S
30
dose
2750
C
Incruse Ellipta
S
S
S
100
500
8
g
g
ml
575
3340
289
C
C
C
Calmurid
Calmurid
Otex
1902
2529
A
A
2698
C
Ursofalk
60
4763
C
Wockhardt UK Ltd
60
10
90
12328
291
1708
C
M
C
Valtrex
Depakote
90
3411
C
Depakote
28
245
M
60
60
250
ml
Part VIIIA products V
Valproic acid 250mg gastroresistant tablets
Valproic acid 500mg gastroresistant tablets
Valsartan 160mg /
tablets
Valsartan 160mg /
tablets
Valsartan 160mg capsules
Valsartan 160mg tablets
28
1083
K A
28
28
89
1469
M
C
28
28
7
1431
87
266
A
M
A
191
Macleods Pharma
UK Ltd
Part VIIIA
08/2016
Drug
Valsartan 80mg /
tablets
§
§
§
§
Vancomycin 125mg capsules
Vancomycin 250mg capsules
Vardenafil 10mg orodispersible
tablets sugar free
Vardenafil 10mg tablets
Varenicline 1mg tablets
Varenicline 1mg tablets and
Varenicline 500microgram
tablets
Varenicline 500microgram tablets
Venlafaxine 150mg modifiedrelease capsules
Venlafaxine 150mg modifiedrelease tablets
Venlafaxine 225mg modifiedrelease tablets
Venlafaxine 37.5mg modifiedrelease tablets
Venlafaxine 37.5mg tablets
Venlafaxine 75mg modified-release
capsules
Venlafaxine 75mg modified-release
tablets
Venlafaxine 75mg tablets
Verapamil 120mg modified-release
capsules
tablets
Verapamil 120mg tablets
capsules
capsules
tablets
Verapamil 40mg/5ml oral solution
sugar free
Vigabatrin 500mg oral powder
sachets sugar free
Vigabatrin 500mg tablets
S
Quantity
Basic Price
28
827
A
28
28
88
1369
M
C
28
28
4
13247
14008
1788
A
A
C
Levitra
4
4
4
28
25
1408
2348
756
2730
2730
C
C
C
C
C
Levitra
Levitra
Levitra
Champix
Champix
56
28
5460
3681
C
C
Champix
30
1870
C
Venlalic XL
30
3360
C
Venlalic XL
30
660
C
Venlalic XL
56
28
204
2208
M
C
30
1120
C
Venlalic XL
56
28
235
486
M
C
Univer
28
771
C
Half - Securon SR
28
56
56
148
2820
1138
M
C
C
Actavis UK Ltd
Univer
28
767
C
Univer
28
555
C
Securon SR
173
3900
M
K C
84
50
197
2460
M
C
Sabril
100
4441
C
Sabril
84
150
ml
192
Category
Macleods Pharma
UK Ltd
Zolvera
08/2016
Part VIIIA
Drug
Vildagliptin 50mg / Metformin 1g
tablets
Vildagliptin 50mg / Metformin
850mg tablets
Vildagliptin 50mg tablets
Vitamin B compound strong tablets
Vitamin B compound tablets
Vitamins A and D capsules BPC
1973
Vitamins B and C high potency
intramuscular solution for
injection 5ml and 2ml
ampoules
Vitamins B and C high potency
intravenous solution for
injection 5ml and 5ml
ampoules
Vitamins capsules
Vortioxetine 10mg tablets
Quantity
Basic Price
60
3568
C
Category
Eucreas
60
3568
C
Eucreas
56
28
28
84
3335
155
2663
842
C
M
A
A
Galvus
20
2253
C
Pabrinex
20
2253
C
Pabrinex
1000
28
28
28
1548
2772
2772
2772
A
C
C
C
Brintellix
Brintellix
Brintellix
74
10800
M
A
g
78
153
82
300
245
143
240
167
M
M
M
A
A
A
A
C
g
ml
ml
ml
g
306
465
528
998
457
C
C
C
C
C
g
128
C
g
g
ml
g
599
323
2348
1684
C
A
L C
K C
1946
C
Part VIIIA products W
Warfarin 1mg tablets
Warfarin 1mg/ml oral suspension
sugar free
Warfarin 500microgram tablets
Water for injections 100ml vials
Water for injections 10ml ampoules
paraffin light 6% cream
28
150
S
S
S
S
S
S
White soft paraffin solid
Wild cherry syrup
Wool fat solid
28
28
28
1
10
10
10
50
150
350
500
1050
500
S
50
S
500
500
2000
500
ml
Oilatum
Oilatum Junior
Alliance Healthcare
(Distribution) Ltd
Diprobase
Diprobase
J M Loveridge Ltd
J M Loveridge Ltd
Part VIIIA products X
Xipamide 20mg tablets
140
193
Diurexan
Part VIIIA
08/2016
Drug
Xylometazoline 0.05% nasal drops
Xylometazoline 0.1% nasal drops
Xylometazoline 0.1% nasal spray
Quantity
S
S
S
Basic Price
Category
10
10
10
ml
ml
ml
191
218
218
C
C
C
Otrivine Child
Otrivine Adult
Otrivine Adult
500
g
1377
K A
56
500
115
1775
534
890
C
A
C
Accolate
g
g
1043
1495
C
C
J M Loveridge Ltd
Solvazinc
133
M
6
6
141
1111
M
A
6
(6xS1)
28
28
56
14
56
28
28
100
100
100
5
3650
C
118
122
6359
894
4770
113
116
806
1613
314
2421
M
M
K A
K A
K A
M
M
C
C
C
C
10
3151
C
Clopixol
5
3718
C
Clopixol-Conc
Part VIIIA products Y
Yellow soft paraffin solid
Part VIIIA products Z
Zafirlukast 20mg tablets
Zinc and Castor oil ointment
Zinc oxide 12.5% / Dimeticone
1.04% spray
Zinc oxide powder
Zinc sulfate monohydrate 125mg
Zolmitriptan 2.5mg orodispersible
tablets sugar free
Zolmitriptan 2.5mg tablets
Zolmitriptan 5mg orodispersible
tablets sugar free
Zolmitriptan 5mg/0.1ml nasal spray
unit dose
Zolpidem 10mg tablets
Zolpidem 5mg tablets
Zopiclone 3.75mg tablets
Zopiclone 7.5mg tablets
Zuclopenthixol 10mg tablets
Zuclopenthixol acetate 50mg/1ml
Zuclopenthixol decanoate 200mg/
ampoules
Zuclopenthixol decanoate 500mg/
ampoules
S
500
90
(3xS30)
6
S
S
S
g
194
Sprilon
Zomig
Clopixol
Clopixol
Clopixol
Clopixol Acuphase
08/2016
Part VIIIB
ARRANGEMENTS FOR PAYMENT FOR SPECIALS AND IMPORTED UNLICENSED
MEDICINES
Part VIIIB - Arrangements for payment for Specials and Imported Unlicensed Medicines
The arrangements laid out in this Part cover specials and imported unlicensed medicines (except for those
specials and imported medicines listed in Part VIIIA)
Basic price of certain Specials and Imported unlicensed medicines
The price listed in respect of a drug specified in the following list is the basic price on which payment will be
calculated pursuant to Part I Clause 5B 1 for the dispensing of that drug.
Drugs listed in this Part have a minimum quantity and price for that quantity and a price per subsequent
ml/g/tab/cap unless in a special container.
The Secretary of State determines the price based on information submitted by manufacturers that hold Specials
Manufacturers Licences issued by the Medicine and Healthcare products Regulatory Agency (MHRA).
Formulations - The Tariff covers the formulations specified. The following symbols are used in Part VIIIB.
STD
Standard formulation including standard flavours
SF
Sugar free
AF
Alcohol free
CF
Colour free
FF
Flavour free
LF
Lactose free
PF
Preservative free
NSF
Non standard flavours
S
Special Container
§
Selected List Scheme (SLS)
Price - All unlicensed medicines are listed with a minimum quantity and corresponding price, which is payable
for any amount prescribed up to the minimum quantity. Unless in a special container, subsequent quantities will
be payable at the additional price per ml/g/tab/cap up to the total quantity prescribed.
The price of each product listed in this Part covers the formulations specified and this price will be paid regardless
of how the product was sourced.
Arrangements for payment for all other Specials and Imported unlicensed medicines
Prescriptions for specials not listed in this Part will be paid depending on how the special was sourced. Where
the special has been sourced
•
From a manufacturer holding a MHRA specials licence, the contractor will be paid the price endorsed
on the prescription form. This price should be invoice price less any discount or rebate which may be
linked to the procurement of this product.
•
Under the manufacturing part of the Section 10 exemption from the Medicines Act 1968, the contractor
will be paid the cost of the ingredients used to manufacture the special.
Prescriptions for imported unlicensed medicines not listed in this Part will be paid the price endorsed on the
prescription form. This price should be invoice price less any discount or rebate which may be linked to the
procurement of this product.
Endorsement requirements above Part II Clause 9
It is not necessary to endorse prescription forms for unlicensed medicines listed in this Part other than with the
endorsement requirements outlined in Part II Clause 9. For products not listed in this Part, contractors shall
endorse the form according to how the unlicensed medicine was sourced.
1.
Where the unlicensed medicine is manufactured under a specials licence or sourced under an
importers licence issued by the MHRA, the contractor shall endorse the
•
pack size from which the order was supplied
•
invoice price per pack size from which the product was supplied less discount/rebates
•
manufacturer’s/importer’s licence number
•
batch number of the unlicensed medicine.
2.
Where the special has been prepared under the manufacturing part of the Section 10 exemption from
the Medicines Act 1968, by the contractor or by a third party, the contractor shall endorse the names,
quantities and cost of the ingredients used in preparing the special.
195
08/2016
Part VIIIB
MEDICINES
Further requirements when supplying unlicensed medicines
Contractors shall
a
Keep the following records for 5 years:
•
The source of the special or imported unlicensed product
•
The person to whom and the date on which the special or imported unlicensed product was sold
or supplied
•
The prescriber’s details
•
The quantity of each sale or supply
•
The batch number of the special
b
Make available these records for inspection by the Licensing Authority.
For specials not listed in this Part, the contractor or his representative must stamp, date, initial and endorse the
Certificate of Analysis (COA)/Certificate of Conformity (COC) with the invoice price less discount and
prescriber’s details. At the end of each month, the contractor shall send a copy of the appropriately endorsed
COA/COC to the NHSCB of the prescriber, allowing the NHSCB to match expenditure to the special supplied.
For imported unlicensed products not listed in this Part, the contractor or his representative shall make every
reasonable effort to obtain a Certificate of Analysis (COA)/Certificate of Conformity (COC) for each imported
product sourced.
•
Where a COA/COC is available, the contractor must stamp, date, initial and endorse the COA/COC
with the invoice price less discount and prescribers details.
•
Where a COC/COA is not available, the contractor must stamp, date, initial and endorse the invoice
with the invoice price less discount (where not clearly detailed by the supplier) and the prescriber’s
details.
At the end of each month, the contractor shall send a copy of the appropriately endorsed COA/COC/invoice to
the NHSCB of the prescriber, allowing the NHSCB to match expenditure to the special supplied.
196
08/2016
Part VIIIB
MEDICINES
Product
Formulations covered
by tariff
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
Acetazolamide 250mg/5ml oral suspension
100ml
Acetylcysteine 10% eye drops
STD, SF, LF, CF, NSF,
AF, FF
STD, PF
S10ml
Alfentanil 0.1% nasal spray
STD
S5ml
Allopurinol 100mg/5ml oral suspension
150ml
5352L
14L
100ml
14291L
1L
100ml
20044L
12K
100ml
24047K
54L
Antacid and Oxetacaine oral suspension
AF, FF
AF, FF
AF, FF
AF, FF
STD, SF, LF, CF, NSF
150ml
1881K
13K
Arginine 2g/5ml oral solution
STD, SF, FF
250ml
8938L
5L
Arginine 500mg/5ml oral solution
AF, FF
STD, SF, NSF, AF, FF
200ml
14122L
39L
Allopurinol 300mg/5ml oral suspension
Amiodarone 100mg/5ml oral suspension
Amiodarone 50mg/5ml oral suspension
Atorvastatin 20mg/5ml oral suspension
12640L
5L
4137K
8360K
100ml
9657L
15K
AF
STD, SF, LF, CF, AF
100ml
25165L
54K
100ml
27875K
26L
AF, FF
Azathioprine 50mg/5ml oral suspension
AF, FF
Bendroflumethiazide 2.5mg/5ml oral suspension STD, SF, LF, CF, NSF
150ml
24037L
6L
100ml
8908L
1
Betahistine 8mg/5ml oral suspension
150ml
3628L
1
AF, FF
STD, SF
200ml
15006L
27L
100ml
19010K
1L
Bisacodyl 2.74mg/ml rectal solution
STD, LF, CF
200ml
2756L
1
Bisoprolol 1.25mg/5ml oral solution
STD, SF, LF, FF, AF
100ml
22075K
1L
Bisacodyl 2.5mg/5ml oral suspension
Bisoprolol 1.25mg/5ml oral suspension
100ml
12779L
2L
Bisoprolol 2.5mg/5ml oral solution
STD, SF, LF, CF
150ml
3373L
13L
Bisoprolol 2.5mg/5ml oral suspension
STD, SF, LF, NSF
100ml
9323L
1
Bisoprolol 5mg/5ml oral solution
STD, SF, LF
150ml
13912K
3L
Bisoprolol 5mg/5ml oral suspension
STD, SF, LF, NSF
100ml
9711L
4K
Calcium carbonate 500mg/5ml oral suspension STD, SF, LF, CF, NSF
100ml
14045L
7K
Calcium carbonate 600mg/5ml oral suspension STD, SF, LF, CF, NSF,
FF
Carbimazole 10mg/5ml oral suspension
AF, FF
Carvedilol 5mg/5ml oral suspension
150ml
12612L
1
150ml
25378K
35L
100ml
13329L
9
Chloral hydrate 1g/5ml oral solution
100ml
18014L
19L
FF
197
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
Chloral hydrate 500mg/5ml oral solution
STD, SF, CF, NSF, FF,
100ml
2865K
AF
Any prescription for chloral hydrate 500mg/5ml mixture will be reimbursed at this price.
Chlorothiazide 150mg/5ml oral suspension
100ml
25356L
AF
Chlorothiazide 250mg/5ml oral suspension
50ml
9225L
FF
Ciclosporin 0.05% eye drops 0.4ml unit dose
PF
S0.4ml
520L
preservative free
Ciclosporin 0.2% eye ointment preservative free PF
S3.5g
7540L
Clindamycin 75mg/5ml oral suspension
1L
17L
6L
100ml
21749K
9L
Clomipramine 50mg/5ml oral suspension
AF, FF
STD, SF,CF, NSF, AF
100ml
29677K
46K
Clonazepam 2.5mg/ml drops
STD, SF
10ml
9550L
76L
Clonidine 50micrograms/5ml oral solution
100ml
10033L
18L
Clonidine 50micrograms/5ml oral suspension
100ml
12208K
2L
100ml
13882K
5K
Clopidogrel 75mg/5ml oral solution
AF
AF
STD, SF, LF, CF, AF
150ml
4944L
32L
Clopidogrel 75mg/5ml oral suspension
STD, SF, NSF, AF
100ml
14036L
1
Coal tar 10% ointment
All bases
100g
18838L
3L
Coal tar 5% ointment
All bases
100g
26526K
17L
Coal tar and Salicylic acid ointment BP
STD, All bases
100g
12290L
12L
100g
12794L
15L
100g
11633L
1L
100ml
17150L
23L
100ml
9940K
1
Clopidogrel 1mg/1ml oral suspension
Coal tar solution 5% in Betamethasone valerate STD
0.025% ointment
Coal tar solution 6% / Salicylic acid 2% in
STD, All bases
ointment
Co-careldopa 12.5mg/50mg/5ml oral suspensionSTD, SF, LF, CF, NSF,
AF, FF
Co-careldopa 25mg/100mg/5ml oral suspension STD, SF, LF, CF, NSF
100g
17588L
1L
Co-dydramol 10mg/500mg/5ml oral suspension STD, SF, LF, CF, NSF,
FF
Colecalciferol 10,000units/5ml oral solution
STD, SF, LF, AF, FF
Coconut oil 25% ointment
STD
150ml
4045L
8K
20ml
13862K
16L
Colecalciferol 20,000units/ml oral solution
30ml
16617L
24K
Colecalciferol 5,000units/5ml oral solution
STD, SF, LF, AF, FF
20ml
11054L
1
Cyclizine 50mg/5ml oral solution
STD, SF, NSF, FF
100ml
19724L
1L
Cyclizine 50mg/5ml oral suspension
STD, NSF
100ml
8950L
1L
Dantrolene 10mg/5ml oral suspension
100ml
21663L
1
AF, FF
100ml
7220L
26L
STD, SF, LF, NSF, FF
100ml
10108L
1
198
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
Diazoxide 250mg/5ml oral suspension
30ml
14203K
1
100ml
16221L
25K
Diltiazem 2% cream
FF
FF
STD
30g
6314L
18L
Diltiazem 2% ointment
STD
30g
4631L
1
Diltiazem 60mg/5ml oral suspension
STD, SF, NSF
100ml
9993L
12
Dosulepin 25mg/5ml oral solution
STD, SF, LF, CF, FF
500ml
9008K
1L
Dosulepin 75mg/5ml oral solution
STD, SF, LF, CF, FF
150ml
13667L
1
Doxazosin 1mg/5ml oral solution
STD, SF, LF, CF
150ml
7906L
53L
Doxazosin 1mg/5ml oral suspension
100ml
15124L
12L
Diazoxide 50mg/5ml oral suspension
Doxazosin 4mg/5ml oral solution
STD, SF, LF, CF
150ml
8350K
14K
Doxazosin 4mg/5ml oral suspension
STD, SF, NSF
150ml
13966L
1
STD, SF, AF
100ml
32112
27
Enalapril 5mg/5ml oral solution
STD, SF, LF, CF
150ml
8450L
13K
75ml
11475L
1
Eosin 2% solution
FF
STD
100ml
17540L
9
Ergocalciferol 1,000units/5ml oral solution
STD, SF, LF, CF
100ml
14807L
1
100ml
14637L
26K
20ml
17522L
1
Ergocalciferol 3,000units/ml oral solution
60ml
11044L
20
100ml
15393L
14K
Ferrous sulfate 60mg/5ml oral solution
FF
100ml
1726L
3L
Ferrous sulfate 60mg/5ml oral suspension
STD, LF
100ml
3181L
1
Flecainide 25mg/5ml oral solution
300ml
14687L
1
Flecainide 25mg/5ml oral suspension
FF
200ml
6967L
4K
Fludrocortisone 100micrograms/5ml oral
suspension
Fludrocortisone 50micrograms/5ml oral
suspension
Gliclazide 40mg/5ml oral suspension
AF, FF
AF
STD, SF, NSF, AF
100ml
20812L
22K
100ml
15766K
6K
100ml
7912L
1
Gliclazide 80mg/5ml oral suspension
AF, FF
STD
150ml
8413L
1
2347L
7L
19299K
1
Glyceryl trinitrate 0.2% ointment
Glycopyrronium bromide 0.05% topical solution STD
199
30g
500ml
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Glycopyrronium bromide 1mg/5ml oral solution/ STD, SF, LF, CF, NSF,
suspension
AF, FF
Glycopyrronium bromide 2.5mg/5ml oral solutionSTD, SF, LF, CF, NSF,
AF, FF
Glycopyrronium bromide 2.5mg/5ml oral
suspension
AF, FF
Glycopyrronium bromide 200micrograms/5ml
oral solution
AF, FF
oral suspension
AF, FF
Glycopyrronium bromide 2mg/5ml oral solution STD, SF, LF, CF, NSF,
AF, FF
Glycopyrronium bromide 2mg/5ml oral
suspension
AF, FF
Glycopyrronium bromide 5mg/5ml oral solution STD, SF, LF, CF, NSF,
AF, FF
Glycopyrronium bromide 5mg/5ml oral
suspension
AF, FF
oral solution
AF, FF
oral suspension
AF, FF
Griseofulvin 125mg/5ml oral suspension
Griseofulvin 175mg/5ml oral suspension
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
100ml
9611L
3
100ml
30158L
3L
200ml
13895L
4L
100ml
11791L
1L
100ml
7008K
1L
100ml
14196L
2K
100ml
10946L
2K
100ml
11676L
1L
50ml
5416L
30L
100ml
15143L
3L
300ml
15022K
1L
100ml
15715L
16K
100ml
21151L
42L
100ml
12306K
1L
Hydrocortisone 5mg/5ml oral suspension
AF
AF, FF
100ml
10803L
3L
Hydroquinone 4% cream
STD
30g
17542K
6L
Hydroxycarbamide 500mg/5ml oral suspension STD, SF
100ml
18409K
18L
Hydroxychloroquine 200mg/5ml oral suspension STD, SF, CF, NSF, AF,
FF
Hyoscine butylbromide 10mg/5ml oral solution STD, SF
100ml
15995L
17
Hydrocortisone 10mg/5ml oral suspension
Hyoscine butylbromide 10mg/5ml oral
STD, NSF
suspension
Hyoscine hydrobromide 300micrograms/5ml oral STD, SF, LF, CF, NSF
solution
Hyoscine hydrobromide 300micrograms/5ml oral STD, SF, LF, CF, NSF
suspension
Hyoscine hydrobromide 500micrograms/5ml oral STD, SF, LF, AF, FF
solution
Hyoscine hydrobromide 500micrograms/5ml oral STD, SF
suspension
STD, PF
100ml
9713K
1
100ml
10763L
16K
100ml
11585L
1
100ml
5681L
6K
100ml
11567L
1
100ml
9500L
1
S10ml
1416L
Indometacin 25mg/5ml oral suspension
STD, SF, NSF
100ml
11117L
1
Isoniazid 50mg/5ml oral solution
STD, SF, LF, CF
500ml
3613L
5K
Isosorbide mononitrate 20mg/5ml oral
suspension
100ml
19059L
2L
200
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
Ketamine 50mg/5ml oral solution
FF
200ml
15824L
3
200ml
13278K
5K
Ketamine 50mg/5ml oral suspension
Lansoprazole 15mg/5ml oral suspension
100ml
11095L
1L
STD, SF, NSF, AF
100ml
9040L
9L
100ml
9318L
3L
Levomepromazine 2.5mg/5ml oral suspension
AF, FF
STD
100ml
19801L
5K
Lidocaine 2% gel
Lisinopril 20mg/5ml oral solution
Lisinopril 20mg/5ml oral suspension
Loperamide 25mg/5ml oral solution
Loperamide 25mg/5ml oral suspension
Lorazepam 1mg/5ml oral solution
15ml
10301L
1
AF, FF
AF, FF
STD, SF, FF
100ml
21159L
15L
100ml
12860L
10L
100ml
14399L
1
AF, FF
100ml
11156L
9L
150ml
3596L
17L
Lorazepam 1mg/5ml oral suspension
100ml
7840L
1
Lorazepam 500micrograms/5ml oral solution
STD, SF, LF, CF
150ml
3639L
7L
100ml
7536L
1
Lorazepam 500micrograms/5ml oral suspension STD, SF, LF, CF, NSF,
FF
Losartan 50mg/5ml oral suspension
Magnesium glycerophosphate (magnesium
121.25mg/5ml (5mmol/5ml)) oral solution
121.25mg/5ml (5mmol/5ml)) oral suspension
97.2mg/5ml (4mmol/5ml)) oral solution
97.2mg/5ml (4mmol/5ml)) oral suspension
Melatonin 10mg/5ml oral solution
Melatonin 10mg/5ml oral suspension
Melatonin 2.5mg/5ml oral solution
Melatonin 2.5mg/5ml oral suspension
150ml
10191L
12K
AF
STD, SF, LF, NSF
200ml
9769L
17K
150ml
10780L
1
STD, SF
200ml
14506L
19K
STD, SF, LF, NSF, AF
100ml
12173L
12L
100ml
11672L
3
100ml
14234L
5
AF, FF
AF
AF, FF
AF, FF
FF
STD, SF, LF, NSF
100ml
6422L
7K
100ml
11633L
1L
100ml
8501K
3K
100ml
16028L
1
100ml
7427L
5K
100ml
13380L
7L
200ml
6019L
8L
FF
201
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
100ml
7386L
1
30ml
9382L
9K
150ml
20898L
1
Metoprolol 12.5mg/5ml oral solution
AF, FF
AF, FF
AF, FF
STD, SF, LF, CF
150ml
3691L
25L
Metoprolol 12.5mg/5ml oral suspension
STD, SF, AF
100ml
5693K
12L
Metoprolol 50mg/5ml oral solution
STD, SF, LF, CF, AF
150ml
5998L
40L
Metoprolol 50mg/5ml oral suspension
AF, FF
100ml
8137L
82K
Menadiol 5mg/5ml oral suspension
Methylphenidate 5mg/5ml oral suspension
Modafinil 100mg/5ml oral suspension
100ml
36180L
1
100ml
18550L
16K
Nadolol 30mg/5ml oral suspension
AF
STD, SF, LF, AF, FF
100ml
21361L
5L
STD, SF, NSF
100ml
20356L
9K
Naltrexone 5mg/5ml oral solution
AF, FF
100ml
13850L
13L
Naltrexone 5mg/5ml oral suspension
100ml
22218L
2L
AF, FF
AF, FF
AF, FF
100ml
11169L
1
100ml
11864K
5L
100ml
21621L
6L
70ml
8688L
26K
FF
FF
75ml
7747L
2
150ml
9522L
1
100ml
11882L
1
70ml
6841L
13K
Paraldehyde 50% in Olive oil rectal solution
FF
STD
10ml
10387L
154L
Perindopril erbumine 4mg/5ml oral solution
STD, SF, LF, CF
150ml
5418L
36L
Perindopril erbumine 4mg/5ml oral suspension STD, SF, LF, CF, NSF
100ml
8140L
1L
Phenytoin 90mg/5ml oral suspension
500ml
7603L
15L
100ml
3825K
27K
Naproxen 200mg/5ml oral suspension
Nifedipine 10mg/5ml oral suspension
Nifedipine 5mg/5ml oral suspension
Olanzapine 2.5mg/5ml oral suspension
Omeprazole 10mg/5ml oral suspension
AF, FF
Phosphate 0.98mmol/ml / Sodium 0.78mmol/ml STD, SF, LF, CF, NSF
oral solution
Pilocarpine hydrochloride 2% eye drops
PF
preservative free
Pilocarpine hydrochloride 4% eye drops
PF
preservative free
Pizotifen 250micrograms/5ml oral solution
STD, SF
202
S10ml
8040L
S10ml
9359K
100ml
21483L
69K
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Pizotifen 250micrograms/5ml oral suspension
STD, SF, NSF
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
100ml
31181K
Prednisolone sodium phosphate 0.03% eye
STD, PF
drops
Prednisolone sodium phosphate 0.05% eye
STD, PF
drops
Prednisolone sodium phosphate 0.1% eye dropsSTD, PF
S10ml
3273L
S10ml
10271L
S10ml
2592L
Prednisolone sodium phosphate 0.3% eye dropsSTD, PF
S10ml
2160L
Prednisolone sodium phosphate 1% eye drops PF
preservative free
Primidone 50mg/5ml oral suspension
AF, FF
Primidone 62.5mg/5ml oral suspension
S10ml
4117L
150ml
7822L
26L
1
100ml
9323L
5K
100ml
19530L
12K
50ml
18820L
5K
100ml
29585K
23K
STD, SF, LF, NSF, AF
200ml
29406L
20K
STD, SF, LF, CF, AF
100ml
13927L
19L
50ml
23205K
20L
Quetiapine 100mg/5ml oral suspension
AF, FF
100ml
7890L
3
Quetiapine 12.5mg/5ml oral suspension
100ml
5975L
1
150ml
6094L
14
AF
100ml
14723L
9L
Quinine sulfate 200mg/5ml oral suspension
STD, SF, AF
100ml
17863K
59L
Quinine sulfate 300mg/5ml oral suspension
150ml
9981L
67L
Ranitidine 5mg/5ml oral solution
100ml
10463L
1
Ranitidine 5mg/5ml oral suspension
AF, FF
100ml
8121L
5K
Salicylic acid 5% cream
STD
100g
14426L
8K
Salicylic acid 10% in Aqueous cream BP
STD
100g
11509L
10K
STD, All bases
100g
11029L
3L
All bases
100g
19831K
1
All bases
100g
18239L
3L
Salicylic acid 2% in Aqueous cream BP
Pyridostigmine bromide 20mg/5ml oral
suspension
suspension
suspension
suspension
Pyridoxine 100mg/5ml oral solution
Pyridoxine 100mg/5ml oral suspension
AF, FF
AF, FF
STD, SF
STD
100g
13692L
2
Salicylic acid 2% / sulfur 2% in Aqueous cream STD
100g
15250L
15L
Sertraline 100mg/5ml oral suspension
100ml
15303L
12
203
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
Sertraline 50mg/5ml oral suspension
150ml
5338L
2
Sildenafil 10mg/5ml oral suspension
STD, SF, NSF, AF
100ml
13408L
10L
Sildenafil 25mg/5ml oral suspension
STD, SF, NSF, AF
100ml
15165L
62K
Sodium benzoate 500mg/5ml oral solution
AF
STD, SF, LF
100ml
11157L
15K
100ml
13369K
1L
STD, SF, LF, CF, PF,
AF, FF
STD, SF, LF, CF, AF,
FF, PF
STD
100ml
11043L
21K
100ml
3608K
2L
Sodium chloride 1.17g/5ml (4mmol/ml) oral
solution
Sodium chloride 1.46g/5ml (5mmol/ml) oral
solution
Sodium chloride 1.5g/5ml (5.13mmol/ml) oral
solution
Sodium chloride 5% eye ointment
S5g
2576L
Sodium dihydrogen phosphate dihydrate 780mg/STD, SF, LF
5ml oral solution
Sotalol 25mg/5ml oral suspension
AF, FF
Spironolactone 100mg/5ml oral suspension
FF
FF
100ml
6136L
4
200ml
16028L
1
125ml
14014L
1
125ml
6187L
11L
125ml
4128K
20L
125ml
6874L
2K
125ml
5364L
16L
100ml
25821K
33L
AF, FF
FF
Tamsulosin 400micrograms/5ml oral suspension STD, SF
Terbinafine 250mg/5ml oral suspension
50ml
8818L
6K
Tetrabenazine 12.5mg/5ml oral suspension
100ml
13665L
12K
Tetrabenazine 25mg/5ml oral suspension
140ml
14449L
16K
Thiamine 100mg/5ml oral solution
STD, SF, LF, AF
100ml
10558L
18K
Thiamine 100mg/5ml oral suspension
100ml
7910L
1L
Thiamine 50mg/5ml oral suspension
AF, FF
100ml
9899K
61L
100ml
4996L
8K
FF
STD, SF, NSF, AF
100ml
8500L
10L
100ml
10176L
3K
200ml
25898L
2L
100ml
11324L
1
100ml
12151L
2K
35403
22
Tizanidine 2mg/5ml oral solution
Tizanidine 2mg/5ml oral suspension
Tolterodine 2mg/5ml oral suspension
Topiramate 100mg/5ml oral suspension
Tranexamic acid 250mg/5ml oral suspension
AF, FF
AF, FF
AF, FF
STD, LF, SF, AF
204
60ml
08/2016
Part VIIIB
MEDICINES
Product
by tariff
Minimum Price for
Price for
volume
minimum each extra
volume ml/g above
(p)
minimum
volume (p)
Tranexamic acid 5% mouthwash
100ml
Tranexamic acid 500mg/5ml oral solution
AF, FF
Tranexamic acid 500mg/5ml oral suspension
STD, NSF, AF
Venlafaxine 37.5mg/5ml oral solution
STD, SF, LF, CF, AF
Venlafaxine 37.5mg/5ml oral suspension
Venlafaxine 75mg/5ml oral solution
Venlafaxine 75mg/5ml oral suspension
17402K
8L
100ml
9609K
10L
100ml
13366K
3L
150ml
10931K
1L
STD, SF, NSF, AF
100ml
10400L
7K
STD, SF, LF, CF
150ml
6296L
19L
11K
100ml
9880L
100g
19040L
4K
STD
200g
27912K
32K
200ml
21765L
6L
Zopiclone 3.75mg/5ml oral solution
STD, SF, LF, CF
150ml
3652L
1
Zopiclone 3.75mg/5ml oral suspension
100ml
8561L
1
Zopiclone 7.5mg/5ml oral solution
STD, SF, LF, CF
100ml
8020K
1L
Zopiclone 7.5mg/5ml oral suspension
100ml
9270L
5
Zinc and Salicylic acid paste BP
Zinc oxide 15% and ichthammol 1% in yellow
soft paraffin
Zonisamide 50mg/5ml oral suspension
205
08/2016
Part IX
APPLIANCES (APPROVED LIST OF APPLIANCES - NOTES)
Part IX - Appliances (Approved list of Appliances - Notes)
APPROVED LIST OF APPLIANCES
See Part II, Clause 8A (page 7)
The price listed in respect of an appliance specified in the following list is the basic price (see Part II, Clause 8)
on which payment will be calculated pursuant to Part I, Clause 5B in respect of the dispensing of appliances.
NOTES
1.
Definition - The appliances that may be supplied against orders on Forms FP10 are listed below and
must conform with the specifications shown. See Part 1, Clause 2 (page 3). These specifications
include published official standards ie BP, BPC or relevant British, European or International Standards
or the Drug Tariff Technical Specification. It should be emphasized that any appliance must conform
with the entry in this part of the Tariff as well as the official standard or technical specification quoted
therein. Other dressings and appliances which may be necessary will normally be provided through the
Hospital Services.
2.
Sealed Packets - These are those which are "tamper-evident" - sealed with an easily detachable
device that prevents removal of the contents without the seal being broken. Additionally in the case of
sterile products: once a sealed package has been opened it should not be possible to re-seal it easily.
Where an appliance, other than a bandage, required by the Tariff to be supplied in a sealed packet is
ordered of a quantity or weight not listed in the Tariff, the quantity ordered should be made up as nearly
as possible with the smallest numbers of sealed packets available for the purpose. Where the quantity
ordered is less than the smallest quantity/weight, supply the smallest pack. The quantity of material in
each packet supplied should be recorded on the prescription form.
3.
Quality - Any medical device placed on the market in the UK has to be CE marked by the manufacturer
in accordance with the safety, quality and performance requirements laid down in the EC Medical
Devices Directive 93/42/EC and the Medical Devices Regulations 2002 (as amended) which
transposes the Directive in to UK law. Manufacturers are required to obtain certification from a third
party conformity assessment organisation known as a notified body for all but the lowest risk devices.
Notified bodies have been designated as competent to undertake this function by the regulatory
authority in the registering member state. In the UK this is the Medicines and Healthcare products
Regulatory Agency (MHRA). There are a number of conformity assessment routes that the
manufacturers can adopt to demonstrate conformity with the requirements of the Directive but the
majority use a quality system approach. More details of the CE marking process can be obtained from
the MHRA, 151 Buckingham Palace Road, Victoria, London. SW1W 9SZ or from their website http://
www.mhra.gov.uk/Howweregulate/Devices/index.htm.
4.
Weights - All weights specified in the Tariff in respect of appliances are exclusive of wrappings and
packing material.
5.
Invoice price - This is the price chargeable for the appliance to the contractor by the manufacturer,
wholesaler or supplier.
6.
Technical Specifications - Numbered Technical Specifications for the items in Part IXA/B/C were
published separately in 1981 in loose leaf volume and a revised list was published in 1983. The
Specifications will not be reprinted annually but individual specifications will be introduced, amended
and reprinted, or withdrawn, as necessary. A list of Technical Specifications is given on page 207. CE
marked Devices have shown that they meet the essential requirements of the Medical Devices
Regulations 2002 and there is no further need for them to demonstrate compliance with other
specifications, such as those referred to above.
7.
Nurse Prescribing - See Part XVIIB for details of Nurse Prescribing.
206
08/2016
Part IX
APPLIANCES (LIST OF TECHNICAL SPECIFICATIONS)
Part IX - Appliances (List of Technical Specifications)
LIST OF TECHNICAL SPECIFICATIONS
These specifications are available from:
NHS Business Services Authority,
NHS Prescription Services
Drug Tariff Team
Ground Floor
Stella House
Goldcrest Way
Newburn Riverside
Newcastle upon Tyne
NE15 8NY
Spec
No.
1
Date of
last
revision
1981
52
5/1992
8
1981
Dressings
Povidone Iodine Fabric
Sterile Dressing Pack
Sterile Dressing Pack with NW Pads
43
10
35
1988
1981
1/1991
Elastic Hosiery
Graduated Compression
Suspender Belt
40
13
1988
1981
Gauze Tissues
Gauze and Cotton Tissue
14
1983
Latex Foam Adhesive
19
1981
Pessaries
20
1981
Protectives
EMA Film Gloves, Disposable
21
1981
Stockinette
Elasticated Surgical Tubular, Foam Padded
25
1983
28
29
3/1993
1981
31a
31b
1981
1981
Absorbent Cotton, Hospital Quality
Bandages
High Compression (Extensible)
Contraceptive Devices
Vaginal Contraceptive Caps (Pessaries)
Swabs
Non-Woven Fabric
Non-Woven Fabric, Filmated
Trusses
Spring
Elastic Band
207
08/2016
Part IXA
APPLIANCES
Part IXA - Appliances
Part IXA-Appliances
Appliance
Size or Weight
Basic Price p
ABSORBENT COTTONS
Absorbent Cotton BP 1988
Where no quantity is stated on the prescription the 25g
pack is to be supplied.
Absorbent Cotton, Hospital Quality
Specification 1
To be supplied only where specifically ordered.
25g
100g
500g
100g
500g
each
77
175
588
121
383
ACNE TREATMENT
Aknicare
Cream
Lotion
Aknicare SR
Skin Roller
50ml
25ml
1200
1300
5ml
1000
5
100ml
5ml
30
381
1650
113
1543
ADHESIVE DRESSING REMOVER STERILE - SILICONE BASED
Appeel Sterile foam applicator
Appeel Sterile medical adhesive remover spray
Appeel Sterile single use sachet
Appeel Sterile single use wipes
ANAL IRRIGATION SYSTEM
Products marked with the symbol o in this category must be dispensed with a supply of wipes
and disposal bags.
All products in this category receive a home delivery fee of 340p
Aquaflush Actif Irrigation Cone System (Oakmed Ltd)
o Starter Set
AFAS
7773
(Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones
wrapped in glove/disposal bag, 1 strap, 1 washbag)
o Monthly Set
AFAM
10196
(Contains 1 water bag, 1 pump, 1 hook for water bag, 15 cones wrapped in glove/
disposal bag)
Aquaflush Compact System (Oakmed Ltd)
o Starter Set
(Contains 1 pump, 5 cones, 5 glove/disposal bags, 1 wash bag)
o Monthly Set
(Contains 1 pump, 15 cones, 15 glove/disposal bags)
AFCS
3360
AFCM
6007
Aquaflush Quick System (Oakmed Ltd)
o Starter Set
AFQS
(Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones,
5 glove/disposal bags, 1 strap, 1 washbag)
o Monthly Set
AFQM
(Contains 1 water bag, 1 pump, 15 cones, 15 glove/disposal bags)
Aquaflush Extension Tubes
AFExtn
Aquaflush Straps
AFStrap
208
7839
10283
pack of 2
606
per pair
504
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
IryPump S (B Braun Medical)
o IryPump S Set
o IryCone+
IryPump Container
Basic Price p
each
29120E
29220E
29240
48961
6007
4159
o Peristeen System
(System includes 1 control unit, 2 rectal catheters, 1 water bag, 2 straps)
o
Small
(System includes 1 control unit, 2 rectal catheters, 1 water bag, 1 strap)
29121
7549
29126
7549
o Peristeen Accessory Unit
(Contains 15 rectal catheters, 1 water bag)
o
Small
(Contains 15 rectal catheters, 1 water bag)
29122
13157
29127
13157
o Peristeen Rectal Catheters
o
Small
(Contains 10 rectal catheters)
29123
29128
Pack of 10
8412
8412
Peristeen Straps
29124
Peristeen Tubes
29125
Qufora Irrigation System (MacGregor Healthcare Ltd)
o IrriSedo Mini System (formerly Mini Set)
(15 irrigation set)
(Contains 1 pump, 15 Hydrophilic coated cones, 15 waste bags)
o IrriSedo Mini System
(30 irrigation set)
(Contains 1 pump, 1 conebag, 30 Hydrophilic cones)
Per Pair
539
Pack of 2
755
53601-015
each
5900
53601-030
11800
o IrriSedo Bed System (5 Irrigation Set) - 12mm
53201-055
(Contains 1 water bag with pump, 5 rectal catheters 12mm, 5 collection bags, 5 gel
sachets)
53001-055
sachets)
53101-055
sachets)
4990
53201-015
(Contains 1 water bag with pump, 15 rectal catheters 12mm, 15 collection bags, 15
gel sachets)
53001-015
gel sachets)
o IrriSedo Bed System (15 Irrigation Set) - 30 mm
53101-015
gel sachets)
14970
209
4990
4990
14970
14970
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
o Irrisedo Balloon System - Base Set (Regular)
58101-002
(Contains 1 control unit with velcro strap, 1 water bag, 2 hydrophilic rectal balloon
catheters (regular))
o IrriSedo Balloon System - Base Set (Small)
58102-002
(Contains 1 control unit with velcro strap, 1 water bag, 2 hydrophilic rectal balloon
catheters (small))
o IrriSedo Balloon System - Accessory Set (Regular)
58201-015
(Contains 1 water bag, 15 hydrophilic rectal balloon catheters (regular))
o IrriSedo Balloon System - Accessory Set (Small)
58202-015
(Contains 1 water bag, 15 hydrophilic rectal balloon catheters (small))
o IrriSedo Balloon System - Catheter Set (Regular)
(Contains 10 hydrophilic rectal balloon catheters (regular))
o IrriSedo Balloon System - Catheter Set (Small)
(Contains 10 hydrophilic rectal balloon catheters (small))
each
7000
7000
11500
11500
58301-010
7900
58302-010
7900
IrriSedo Cone System (formerly Qufora Toilet System)(MacGregor Healthcare Ltd)
o Starter Set
QTS
(Contains 1 pump, 1 water bag, 5 hydrophilic coated cones, 5 waste bags, 1 toilet
bag)
o 15 Irrigation Set (formerly Monthly Set)
QTM
(Contains 1 pump, 1 water bag, 15 hydrophilic coated cones, 15 waste bags)
o Accessory Set
52601-015
(Contains 15 hydrophilic cones)
Qufora IrriSedo Extension Tube
Basic Price p
52715-015
7780
10166
5900
pack of 15
4500
APPLICATORS - VAGINAL
Type 1. (Gynest)(formerly Ortho)
160
NB 1 Where an Ortho pack ordered by the prescriber does not include an applicator, and the contractor
considers that one is required, a Gynest Vaginal Applicator should be supplied and the prescription
form endorsed accordingly.
2 For details of prescription charges payable, See Part XVI, Sub paragraph 12.14.8
ARM SLINGS
Web, Adjustable
205
AUTO INFLATION DEVICE (for the treatment of Glue Ear)
Otovent
490
BACTERIAL DECOLONISATION PRODUCTS
Prontoderm Foam
Prontoderm Nasal Gel
200ml bottle
30ml tube
Part IXA-Appliances
210
363
514
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
Basic Price p
BANDAGES
each
1.
The term "bandage" used in a prescription form without qualification is to be interpreted to mean an
Open-Wove Bandage, Type 1 BP 5cm x 5m. All bandages supplied are to be of the lengths and widths
specified in the Tariff. Where a bandage longer than those specified in the Tariff is ordered, the number
of bandages which will, in total, provide the length nearest to that ordered should be supplied. Where a
bandage in a width other than those specified is ordered, the next wider specified width should be
supplied.
2.
All bandages to be supplied completely wrapped as received from the manufacturer or wholesaler. Elastic
Adhesive Bandages and Plaster of Paris Bandages to be supplied sealed in containers as received from
the manufacturer or wholesaler. Except where otherwise stated all bandages possessing elasticity to be
not less than 4.5m in length when fully stretched.
Conforming Bandage (Synthetic)
Hospiform
6cm x 4m (stretched)
14
8cm x 4m
17
10cm x 4m
19
12cm x 4m
24
Cotton Conforming Bandage BP 1988
Type A
Easifix Crinx
5cm x 3.5m
68
7.5cm x 3.5m
84
10cm x 3.5m
103
15cm x 3.5m
141
Cotton Crêpe Bandage
Hospicrepe 239
5cm
44
7.5cm
63
10cm
81
15cm
118
Cotton Crêpe Bandage BP 1988
7.5cm
10cm
312
400
5cm
7.5cm
10cm
15cm
37
51
62
91
Neosport
5cm
7.5cm
10cm
15cm
54
73
91
112
Setocrepe
10cm
120
Soffcrepe
5cm
7.5cm
10cm
15cm
69
98
124
180
5cm
7.5cm
10cm
15cm
52
72
96
136
PremierBand
5cm
7.5cm
10cm
15cm
45
63
79
118
Crêpe Bandage BP 1988
5cm
7.5cm
10cm
15cm
99
140
182
264
Cotton, Polyamide and Elastane Bandage
Hospilite
Cotton Stretch Bandage BP 1988
Hospicrepe 233
Part IXA-Appliances
211
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
Elastic Adhesive Bandage BP 1993
(Syn: Zinc Oxide Elastic Adhesive Bandage)
Where no size is stated by the prescriber 7.5cm size should
be supplied.
Elastomer and Viscose Bandage, Knitted
BS compression type 2, for light support
Clinilite
Size or Weight
5cm
7.5cm
10cm
Basic Price p
each
367
531
706
5cm
7.5cm
10cm
15cm
44
61
80
116
5cm x 4.5m
7cm x 4.5m
*10cm x 4.5m
15cm x 4.5m
55
77
101
146
*10cm x 5.25m
116
5cm
7cm
10cm
15 cm
36
51
66
96
10cm x 8.7m
180
8m stretched
10cm x 6m
15cm x 6m
10cm x 8m
261
280
334
Elset S
12m stretched
15cm x 12m
560
K-Plus
8.7m stretched
*10cm x 8.7m
229
*10cm x 10.25m
265
10cm x 8.6m
220
*10cm x 3m unstretched
10cm x 3m unstretched
285
361
K-Lite
4.5m stretched
K-Lite Long
5.25m stretched
Knit-Firm
BS compression type 3a, for light compression
Cliniplus
Elset
6m stretched
K-Plus Long
10.25m stretched
L3
8.6m Stretched
High Compression Bandage (Extensible)
K-ThreeC
SurePress
Specification No. 52
P.E.C. High Compression Bandage
Syns: Polyamide, Elastane, and Cotton Compression (High) Extensible Bandage; "PECCHE" Bandage
Setopress
10cm x 3.5m unstretched
355
V.E.C. High Compression Bandage
Syns: Viscose, Elastane, and Cotton Compression (High) Extensible Bandage; "VECCHE" Bandage
Tensopress
7.5cm x 3m unstretched
271K
349K
* see also Multi Layer Compression Bandaging
Part IXA-Appliances
212
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
Multi-layer Compression Bandaging
3M Health Care Ltd
Coban 2 - multi-layer compression bandage kit
Coban 2 Lite - multi-layer compression bandage kit
Coban Self-Adherent Bandage
Size or Weight Basic Price p
each
one size
one size
824
824
293
18-25cm
25-32cm
803
904
10cm x 3.5m
10cm x 6m
434
399
5cm x 2.75m
7.5cm x 2.75m
10cm x 2.75m
15cm x 2.75m
31
38
47
60
10cm x 2.5m
12cm x 2.5m
15cm x 2.5m
523
640
808
10cm x 4.5m (stretched)
192
249
AndoFlex TLC (formerly CoFlex TLC)- 2 layer compression
bandage kit with malodour control (latex free)
AndoFlex TLC Lite (formerly CoFlex TLC Lite) - 2 layer
compression bandage kit with malodour control (latex free)
AndoFlex TLC-XL (formerly CoFlex TLC-XL) - 2 layer
compression bandage kit with malodour control (latex free)
one size
720
one size
720
one size
845
AndoFlex UBZ (formerly CoFlex UBZ) - 2 layer compression
bandage kit with zinc (latex free)
7.5cm
10cm
525
635
18-25cm
25-32cm
664
759
Jobst Compri2 lite - two-layer compression bandage kit
18-25cm
25-32cm
664
836
Jobst Comprifore - multi-layer compression bandage kit
18-25cm
681K
Jobst Comprifore kits contain a combination of the following components:
Jobst Comprifore #1
10cm x 3.5m (unstretched)
Jobst Comprifore #2
Jobst Comprifore #3
Jobst Comprifore #4
43
94K
215K
268K
Activa Healthcare
Actico 2C - multi-layer compression bandage kit
Actico 2C kits contain a combination of the following components:
Actico 2C Comfort layer 1
Actico 2C Compression layer 2
Cellona Undercast Padding - listed on page 218
Rosidal Soft
Aspen Medical Europe
AndoFlex NL (formerly CoFlex NL) cohesive self-adherent
bandage (latex free)
BSN medical Ltd
Jobst Compri2 - two-layer compression bandage kit
Jobst Comprifore Latex-free - multi layer compression
18-25cm
bandage kit
Jobst Comprifore Latex-free kits contain a combination of the following components:
Jobst Comprifore #1 Latex-free
213
717K
43
93
224K
280K
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
Jobst Comprifore Lite - multi-layer compression bandage kit
each
18-25cm
446K
Jobst Comprifore Lite kits contain a combination of the following components:
Jobst Comprifore #1
Jobst Comprifore #2
Jobst Comprifore #4
Jobst Comprifore Lite Latex-free - multi-layer compression
18-25cm
bandage kit
Jobst Comprifore Lite Latex-free kits contain a combination of the following components:
Velband Absorbent Padding Bandage - listed on page 218
43
94K
268K
480K
43
93
280K
10cm x 4.5m
73
10cm x 3m
56
18-25cm
18-25cm
25-32cm
699
699
799
10cm x 3m
10cm x 5m
10cm x 5m
10cm x 5m
10cm x 6m
420
395
395
480
450
up to 18cm
18-25cm
18-25cm
641
567
414
Ultra Four kits contain a combination of the following components:
Ultra Soft Wadding Bandage (layer #1) - listed on page 218
Ultra Lite (layer #2)
Ultra Plus (layer #3)
Ultra Fast Cohesive Bandage (layer #4)
39
85
189
259
ConvaTec Limited
SurePress Absorbent Padding - listed on page 218
H & R Healthcare Ltd
Hero H-2 - multi-layer compression bandage kit
Hero H-2 Lite - multi-layer compression bandage kit
Hero H-2 XL - multi-layer compression bandage kit
Hero H-2 kits contain a combination of the following components:
Hero H-2 layer 1
Hero H-2 layer 2
Hero H-2 Lite layer 2
Hero H-2 XL layer 1
Hero H-2 XL layer 2
Robinson Healthcare
(Ultra Four Non-latex Bandages)
Ultra Four - multi-layer compression bandage kit
Ultra Four RC - multi-layer compression bandage kit
Smith & Nephew Healthcare Ltd
Profore - multi-layer compression bandage kit
up to 18cm
18-25cm
25-30cm
above 30cm
above 18cm
1016
947
786
1177
546
Profore kits contain a combination of the following components:
Profore Wound Contact Layer
14cm x 20cm
Profore #1 - listed on page 218
Profore #2
Profore #3
Profore #4
Profore +
10cm x 3m (unstretched)
32
70
135
392
324
367
Profore Lite - multi-layer compression bandage kit
214
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
Profore Latex Free - multi-layer compression bandage kit
Profore Lite Latex Free - multi-layer compression bandage
kit
each
18-25cm
1011
above 18cm
594
Profore Latex Free kits contain a combination of the following components:
Profore #1 Latex-free
Profore + Latex-free
10cm x 3m (unstretched)
Urgo Ltd
K-Four - multi-layer compression bandage kit
76
143
426
353
392
Less than 18cm
18-25cm
25cm - 30cm
Greater than 30cm
18cm +
721
690
690
950
451
K-Four kits contain a combination of the following components:
K-Soft (layer #1) - listed on page 218
K-Lite (layer #2) - listed on page 212
K-Plus (layer #3) - listed on page 212
Ko-Flex (layer #4)
K-ThreeC - listed on page 212
K-Soft Long (layer #1) - listed on page 218
K-Lite Long (layer #2) - listed on page 212
K-Plus Long (layer #3) - listed on page 212
Ko-Flex Long (layer #4)
46
101
229
304
285
57
116
265
348
K-Four - Reduced Compression multi layer compression bandage kit
UrgoKTwo - multi-layer compression bandage kit (formerly
K Two - multi-layer compression bandage kit)
0 (short)
18-25cm (8cm)
18-25cm (10cm)
18-25cm (12cm)
25-32cm (8cm)
25-32cm (10cm)
25-32cm (12cm)
683
763
809
1020
830
884
1115
UrgoKTwo Latex Free - multi-layer compression bandage
kit (formerly K Two Latex Free - multi-layer compression
bandage kit)
18-25cm (10cm)
25-32cm (10cm)
859
939
18-25cm
25cm - 32cm
809
884
18-25cm (10cm)
25-32cm (10cm)
859
939
18-25cm
25-32cm
1008
1075
UrgoKTwo Reduced - multi-layer compression bandage kit
(formerly K Two Reduced multi-layer compression bandage
kit)
UrgoKTwo Reduced Latex Free - multi-layer compression
bandage kit (formerly K Two Reduced Latex Free - multilayer compression bandage kit)
UrgoKTwo with UrgoStart - multi-layer compression
bandage kit (formerly K Two Start - multi-layer compression
bandage kit)
215
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
each
UrgoKTwo, UrgoKTwo Reduced and UrgoKTwo with UrgoStart kits contain a combination of the
following components:
UrgoStart Contact (wound contact layer) - listed on
10cm x 10cm
420
page 282
K Tech (layer #1)
size 0 (short) 10cm x 5m
size 18-25cm (8cm) 8cm x 6m
size 18-25cm(10cm) 10cm x 6m
size 18-25cm (12cm) 12cm x 6m
size 25-32cm (8cm) 8cm x 7.3m
size 25-32cm (10cm) 10cm x 7.3m
size 25-32cm (12cm) 12cm x 7.3m
392
444
470
593
484
513
647
K Tech Reduced (layer #1)
size 18-25cm(10cm) 10cm x 6m
size 25-32cm (10cm) 10cm x 7.3m
470
513
size 0 (short) 10cm x 6.5m
size 18-25cm (10cm) 10cm x 7.5m
size 18-25cm (12cm) 12cm x 7.5m
size 25-32cm (10cm) 10cm x 10.5m
size 25-32cm (12cm) 12cm x 10.5m
290
319
339
426
347
370
467
2.5cm x 5m
5cm x 5m
7.5cm x 5m
10cm x 5m
33
57
80
104
7.5cm x 2.7m
10cm x 2.7m
172
226
2.5cm x 4m
4cm x 4m
6cm x 4m
8cm x 4m
10cm x 4m
12cm x 4m
74
48
56
67
77
91
5cm x 4m
7.5cm x 4m
10cm x 4m
15cm x 4m
12
14
17
25
K Press (layer #2)
Open-Wove Bandage, Type 1 BP 1988
(Syn: White open-wove bandage)
Plaster of Paris Bandage BP 1988
Gypsona
Polyamide and Cellulose Contour Bandage
Peha-haft (Cohesive/Latex Free)
PremierBand
Part IXA-Appliances
Polyamide and Cellulose Contour Bandage, BP 1988
(Nylon & Viscose Stretch Bandage)
Length 4m stretched
Size
4cm
5cm
6cm
7.5cm
8cm
10cm
15cm
Acti-Wrap
(Cohesive/
Latex Free)
46
68
80
-
Easifix
35
43
51
86
Basic Price (p) each
Kontour
Mollelast
28
35
40
66
216
30
-
Slinky
59
72
104
Stayform
29
36
40
68
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
Polyamide and Cellulose Contour Bandage, Knitted BP 1988
Easifix K
For dressing retention - Length 4m stretched
each
2.5cm
5cm
7.5cm
10cm
15cm
10
11
16
18
32
K-Band
5cm
7cm
10cm
15cm
20
26
28
50
Knit-Band
5cm
7cm
10cm
15cm
10
15
17
30
Knit Fix
5cm
7cm
10cm
15cm
12
17
17
33
4cm x 6m
6cm x 6m
8cm x 6m
10cm x 6m
12cm x 6m
239
280
322
334
426
Comprilan
6cm x 5m
8cm x 5m
10cm x 5m
12cm x 5m
270K
317K
341K
415K
Rosidal K
6cm x 5m
8cm x 5m
10cm x 5m
10cm x 10m
12cm x 5m
265
317
346
602
420
Short Stretch Compression Bandage
Indications: Venous leg ulcers and lymphoedema
Actico (Cohesive)
217
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
Sub-compression Wadding Bandage
Cellona Undercast Padding
2.75m unstretched
each
Flexi-Ban
3.5m unstretched
Formflex Natural
2.7m unstretched
Formflex Synthetic
2.7m unstretched
*5cm x 2.75m
*7.5cm x 2.75m
*10cm x 2.75m
*15cm x 2.75m
31
38
47
60
10cm x 3.5m
50
5cm x 2.7m
7.5cm x 2.7m
10cm x 2.7m
15cm x 2.7m
20cm x 2.7m
33
39
48
62
69
5cm x 2.7m
7.5cm x 2.7m
10cm x 2.7m
15cm x 2.7m
20cm x 2.7m
27
33
42
56
63
K-Soft
3.5m unstretched
*10cm x 3.5m
46
K-Soft Long
4.5m unstretched
*10cm x 4.5m
57
Ortho-Band Plus
3.5m unstretched
10cm x 3.5m
37
*10cm x 3.5m
70
10cm x 3.5m
62
*10cm x 3m
56
Ultra Soft Wadding Bandage
3.5m unstretched
*10cm x 3.5m
39
Velband Absorbent Padding Bandage
4.5m unstretched
*10cm x 4.5m
73
Profore #1 (100% Natural Fleece)
3.5m unstretched
Softexe
3.5m unstretched
SurePress Absorbent Padding
* see also Multi-layer Compression Bandaging
218
08/2016
Part IXA
APPLIANCES
Appliance
BANDAGES
Suspensory Bandage, Cotton
Note: type supplied to be endorsed.
Type 1
Cotton net bag with draw tapes and webbing waistband
Type 2
Cotton net bag with elastic edge and webbing waistband
Type 3
Cotton net bag with elastic edge and webbing waistband with
insertion of elastic centre-front
Triangular Calico Bandage BP 1980
Two-layer Cohesive Compression Systems
Indications: Lymphoedema
3M Health Care Ltd
Coban 2 Comfort Foam Layer (layer #1)
Coban 2 Compression Layer (layer #2)
Coban 2 Lite Comfort Foam Layer (layer #1)
Coban 2 Lite Compression Layer (layer #2)
Zinc Paste Bandages
Zinc Paste (10%) Bandage BP 1993
Viscopaste PB7 (10%)
Zinc Paste (6%) and Ichthammol (2%) Bandage BP 1993
Ichthopaste (6/2%)
BLADDER INSTILLATION
Chondroitin Sulfate
Gepan Instill (contains chondroitin sulfate 0.2%) pre-filled syringe
Hyaluronic Acid
Cystistat (contains 40mg of sodium hyaluronate)
Hyacyst (contains 40mg of sodium hyaluronate)
Hyacyst (contains 40mg of sodium hyaluronate) pre-filled syringe
Hyacyst (contains 120mg of sodium hyaluronate) pre-filled syringe
Hyaluronic Acid and Chondroitin Sulfate
iAluRil
(contains 800mg of sodium hyaluronate and 1g sodium chondroitin sulfate)
BREAST RELIEVER
Plasticised PVC polymer bulb with glass or polycarbonate receiver
BREAST SHIELDS
Plastic circular - (Not to be confused with Nipple Shields)
Part IXA-Appliances
219
each
Small
Medium
Large
Ex-large
Small
Medium
Large
Ex-large
Small
Medium
Large
Ex-large
172
172
172
182
190
196
203
211
205
205
205
212
Sides - 90cm
Base - 127cm
125
5cm x 1.2m
10cm x 3.5m
15cm x 3.5m
20cm x 3.5m
5cm x 2.7m
10cm x 4.5m
15cm x 4.5m
7.5cm x 2.7m
10cm x 2.7m
15cm x 2.7m
2.5cm x 3.5m
7.5cm x 3.5m
10cm x 3.5m
15cm x 3.5m
286
745
1132
1326
143
479
714
469
581
877
224
357
459
622
7.5cm x 6m
365
7.5cm x 6m
368
40ml
6800
50ml
50ml
50ml
50ml
9800
7000
7000
7000
50ml
8800
60ml approx.
494
per pair
464
08/2016
Part IXA
APPLIANCES
Appliance
CATHETERS, ACCESSORIES
Bard Comfasure Catheter Retainer Strap
SM3404
AD3403
AB3405
Bard StatLock Foley Catheter Stabilisation Device
For use with All Silicone and Latex Foley catheters
pack of 5
Small
Adult
Abdominal
FOL0102DT
1453
1453
1511
1267
Cath-Fix
630M-S
630M-M
630M-L
Small
Medium
Large
Cath-It Catheter Insertion/Removal Pack
908410
908420
908430
Small/Medium
Medium/Large
Large/Extra Large
CliniFix Tube Holder
40-310
40-410
110mm x 25mm
140mm x 40mm
Grip-Lok Catheter securement device
3300M
3400L
Medium
Large
pack of 100
1157
1157
1157
each
198
198
198
pack of 10
1741K
1904K
2300
2350
Grip-Lok Foley Catheter securement device
For use with all designs of Foley Catheter
2800FCS
2350
L.IN.C. Medical Systems Ltd
Bladder Infusion Kit
MCI/701
1990
P. Grip Catheter Retaining Strap
CS.01 1 x leg strap (38mm x 600mm)
1 x green velcro tab (20mm x 130mm)
2 x self adhesive micro hooktabs (43mm x 25mm)
CS.02 1 x abdominal strap (38mm x 900mm)
CS.TABS
each
262
279
235
Prosys Vesica Community Catheterisation Pack
VESCP-01
865
Prosys Vesica Community Catheterisation Pack LT
VESCP-02
865
SpeediBag Compact
28592
pack of 30
2071
Ugo fix gentle
For the fixation of foley catheters
3004
pack of 5
1235
Uriflo Catheterisation Pack
Short tube leg bag
Long tube leg bag
FCP001-S
FCP001-L
220
each
864
864
08/2016
Part IXA
APPLIANCES
Appliance
CATHETER MAINTENANCE SOLUTIONS
OptiFlo G
(CSG50)
3.23% Citric Acid (Suby G)
(CSG100)
each
50ml
100ml
356
356
OptiFlo R
6.0% Citric Acid (Solution R)
(CSR50)
(CSR100)
50ml
100ml
356
356
OptiFlo S
0.9% Saline
(CSS50)
(CSS100)
50ml
100ml
336
336
Uro-Tainer NaCI 0.9%
(FB99849)
(FB99833)
50ml
100ml
351
351
Uro-Tainer PHMB
0.02% Polihexanide
(FB99965)
100ml
340
Uro-Tainer Twin Solutio R
6.0% Citric Acid
(9746625)
2 x 30ml
481
Uro-Tainer Twin Suby G
3.23% Citric Acid
(9746609)
2 x 30ml
481
221
08/2016
Part IXA
APPLIANCES
Catheters
CATHETERS, URINARY, URETHRAL
1. Catheter sizes are designated by the Charrière (Ch) gauge system - even numbers only. (The equivalent
metric sizes for Charrière gauges 6-30 are 2.0mm-10.0mm, rising in 0.66mm). Where size is not stated
by the prescriber, size 14 or 16 should be supplied.
2. If a balloon size is not stated by the prescriber when ordering a Foley catheter, a 10ml balloon catheter
should be supplied - a 5ml balloon in the case of a paediatric catheter.
3. Where the brand is not stated by the prescriber, the basic price of each listed catheter Basic Price p
supplied must not exceed:
Nélaton (Male)
41
Nélaton (Female)
38
Nélaton (Paediatric)
38
Foley (Male) short/medium term
216
Foley (Female) short/medium term
216
Foley (Paediatric) short/medium term
442
Foley (Male) long term
412
Foley (Female) long term
450
Foley (Paediatric) long term
450
Where the specification of the Foley Catheter is not specified by the prescriber and not endorsed as
short/medium or long term the dispenser will be paid no more than the lowest basic price listed which is
currently 216p.
4. 5-units of plastic catheters, for example, represents on average one month's supply for patients practising
intermittent catheterisation.
5. For names and addresses of suppliers see pages 471-472
6. The rate of use of single use Nélaton catheters is approximately between 6 and 45 times greater than
reusable Nélaton catheters for patients practising intermittant catheterisation.
All products in this category receive a home delivery fee of 340p unless marked with the symbol M.
Products marked with this symbol receive a fee of 930p.
All products in this category must be dispensed with a supply of wipes and disposal bags.
Catheters
Gauge (Ch)
Appliance
(See Note 1 - page 222)
Bard Ltd
M Bard Reliacath Plastic
(Male)
(D5030)
12-16
(Female)
(D5031)
12-16
(Paediatric)
(D5032)
8-10
Coloplast Ltd
M Self-Cath
(Male)
(Female)
(Paediatric)
(Male Coude Taper Tip)
(Male Coude Olive Tip)
Hunter Urology Ltd
M HunterCath non-coated ISC
(Male)
(Female)
(Paediatric)
Basic Price p
pack of 5
759
759
759
(408-416)
P(208)
(210-214)
(306-308)
P(310)
(612-614)
(810-816)
8-16
8
10-14
6-8
10
12-14
10-16
pack of 30
3416
3416
3416
3416
3416
4756
4756
(SCM10-SCM16)
(SCF08-SCF14)
(SCP06-SCP10)
10-16
8-14
6-10
pack of 30
4789
4789
4789
Pto be deleted 1 October 2016
222
08/2016
Part IXA
APPLIANCES
Gauge (Ch)
Appliance
M Smooth Nelaton
(Male)
(SNM08-SNM14)
(Female)
(SNF08-SNF14)
(Paediatric)
(SNP06-SNP10)
Basic Price p
8-14
8-14
6-10
pack of 30
3353
3353
3353
12-16
10-14
6-10
pack of 10
412
376
376
8-16
8-16
pack of 10
985
1140
8-16
984
8-16
8-16
pack of 5
734
669
8-14
pack of 5
744
8-14
pack of 5
638
(22082210-22082216)
(22082110-22082116)
(22082008-22082010)
10-16
10-16
8-10
pack of 50
7650
7650
7650
(ZT01007182-ZT01013182)
(ZT01004182)
(ZT02015182-ZT02017182)
10-16
8
10-14
pack of 5
576
576
576
10-16
pack of 30
4350
5-6
6-8
pack of 30
3300
4200
M WyCath Uncoated catheter with soft tip
(Male)
(USM10-USM16)
(Female)
(USF08-USF12)
(Paediatric)
(USP08-USP10)
10-16
8-12
8-10
pack of 30
4350
4350
4350
M WyCath Uncoated catheter with tapered tip
(Male)
(UTAM10-UTAM16)
(Female)
(UTAF08-UTAF12)
(Paediatric)
(UTAP06-UTAP10)
10-16
8-12
6-10
pack of 30
4200
4200
4200
Pennine Healthcare Ltd
M Pennine
(Male)
(Female)
(Paediatric)
(NC-1212/FP-1216/FP)
(FC-1410/FP-1414/FP)
(NC-1206/FP/25-1210/FP/25)
M Pennine Pre-Lube catheter with integral PVC capsule containing lubragel
(Male)
(NC1608/FP-NC1616/FP)
(Male)
(NC1608/BG/FP-NC1616/BG/FP)
(including 1 litre integral bag)
(Female)
(FC1608/FP-FC1616/FP)
Teleflex
M Rusch PVC Riplex Jaques
(Male)
(Female)
(DT6115-5)
(DT6114-5)
M Rusch PVC Riplex Extra Long (76cm)
(Male/Female)
(DT6116)
M Rusch Soft Rubber Jaques
M SafetyCat non-coated ISC
(Male)
(Female)
(Paediatric)
Unomedical Ltd
M (Male)
M (Male Paediatric)
M (Female)
(DT5143-5)
WyMedical Ltd
M WyCath Uncoated 4 eyelets soft tip catheter
(Standard)
(U4SM10-U4SM16)
(Paediatric)
(Paediatric Tiemann Tip)
(WUP05, UP06)
(UTP06-UTP08)
Catheters
223
08/2016
Part IXA
APPLIANCES
Gauge (Ch)
Appliance
Bard Ltd
M Bard Interglide Coated Intermittent Catheter
(Male)
(D6030)
8-18
(Female)
(D6031)
8-18
(Paediatric)
(D6032)
8-10
M Bard HydroSil Go Intermittent Catheter
(Female)
(71810-71818)
Basic Price p
pack of 25
3582
3582
3582
10-18
pack of 30
4690
B.Braun Medical Ltd
M B.Braun Medical Actreen Glys Luer Lock
(Male)
(227208E-227216E)
(Female)
(227308E-227316E)
(Male Olive Tip Tiemann) (227408E-227416E)
8-16
8-16
8-16
pack of 10
1488
1488
1488
M B.Braun Medical Actreen Hi-Lite
(Male)
(238208E-238216E)
(Female)
(238306E-238316E)
(Tiemann)
(238108E-238116E)
8-16
6-16
8-16
pack of 30
4450
4450
4450
M B.Braun Medical Actreen Lite Cath
(Female/Paediatric 20cm) (228306E-228316E)
(Male)
(228208E-228218E)
(Male Olive Tip Tiemann) (228108E-228118E)
6-16
8-18
8-18
pack of 30
4562
4562
4562
M B.Braun Medical Actreen Mini Cath
(Female)
(228010E-228014E)
10-14
pack of 30
4350
C S Bullen Ltd
M C S Bullen Ltd Hi-Slip Hydrophilic Catheter
(Male)
(HS.SM4008-HS.SM4022)
(Female)
(HS.SF2008-HS.SF2016)
(Paediatric 20cm)
(HS.SP2006-HS.SP2010)
(Paediatric 30cm)
(HS.SP3006-HS.SP3010)
(Tiemann)
(HS.ST4010-HS.ST4020)
8-22
8-16
6-10
6-10
10-20
pack of 30
3067
3067
3067
3067
3442
M C S Bullen Ltd Hi-Slip Plus Hydrophilic Catheter with water sachet
(Male)
(HS.PM4008-HS.PM4024)
(Female)
(HS.PF2008-HS.PF2016)
(Paediatric 20cm)
(HS.PP2006-HS.PP2010)
(Paediatric 30cm)
(HS.PP3006-HS.PP3010)
(Tiemann)
(HS.PT4010-HS.PT4020)
8-24
8-16
6-10
6-10
10-20
pack of 30
3286
3286
3286
3286
3755
8-14
pack of 30
4179
Clinimed Ltd
M Curan Lady
(Female)
(CL08-CL14)
Catheters
224
08/2016
Part IXA
APPLIANCES
Gauge (Ch)
Appliance
Coloplast Ltd
M SpeediCath (Pre-Hydrated Polyurethane)
(Male)
(28408-28418)
8-18
(Female)
(28506-28516)
6-16
(Paediatric)
(28706-28710)
6-10
(SpeediCath 30cm)
(28606-28612)
6-12
(Tiemann)
(28490-28496)
10-16
M SpeediCath Compact
(Male)
(Female)
Basic Price p
pack of 30
4470
4470
4470
4470
4470
(28692)
(28576)
(28578-28584)
12/18 (one size)
6
8-14
pack of 30
5421
4629
4623
M SpeediCath Compact Eve
(Female)
(28110-28114)
10-14
pack of 30
5058
M SpeediCath Compact Plus
(Female)
(28810-28814)
10-14
pack of 30
4872
M SpeediCath Control
(Male)
(28212)
12
pack of 30
4629
M Conveen EasiCath
(Male Nélaton)
(Female)
(Tiemann Tip)
(5348-5362)
(5368-5376)
(5382-5386)
8-22
8-16
12-16
pack of 25
3107
3107
3107
Covidien UK Commercial Ltd
M VaQua
(Male)
(Female)
(Paediatric)
(VAQ08M-VAQ18M)
(VAQ08F-VAQ18F)
(VAQ08P-VAQ10P)
8-18
8-18
8-10
pack of 30
3242
3242
3242
10-16
8-14
6-10
pack of 30
4054
4054
4054
8-24
8-18
6-10
8-10
pack of 20
1940
1940
1940
1940
8-18
6-14
pack of 25
3602
3602
10-16
10-14
6-8
pack of 25
3346
3346
3346
M Hollister VaPro Hydrophilic Catheter with integrated hydrating vapour strip
(Male 40cm)
(72084-72164)
8-16
(Female 20cm)
(72082-72142)
8-14
(Tiemann)
(73124-73164)
12-16
pack of 30
5181
5181
5196
Great Bear Healthcare Ltd
M Great Bear Healthcare Ltd Cubcath
(Male)
(AVM10-AVM16)
(Female)
(AVF08-AVF14)
(Paediatric)
(AVP06-AVP10)
GTA (UK) Ltd
M GTA (UK) Ltd Idrocath
(Male)
(Female)
(Paediatric)
(Child)
(50010)
(50011)
(50012)
(50013)
Hollister Ltd
M Hollister Advance Intermittent catheters with protective tip
(Male)
(92084-92184)
(Female)
(92062-92142)
M Hollister InstantCath
(Male)
(Female)
(Paediatric)
(9670-9673)
(9674-9676)
(9677-9678)
Catheters
225
08/2016
Part IXA
APPLIANCES
Gauge (Ch)
Appliance
M Hollister VaPro Pocket Hydrophilic Intermittent Catheter
(Male 40cm)
(70104-70144)
10-14
(Female 20cm)
(70102-70142)
10-14
Hunter Urology Ltd
M Hunter Urology Ltd Aloe Hydro
(Male)
(Female)
(Paediatric)
(Male Tiemann Tip)
(AHM10-AHM16)
(AHF08-AHF14)
(AHP06-AHP10)
(AHM12TT-AHM16TT)
M Hunter Urology Ltd AntiBac
(Male)
(Female)
(Paediatric)
Basic Price p
pack of 30
5191
5207
10-16
8-14
6-10
12-16
pack of 30
5005
5005
5005
5005
(ABM08-ABM18)
(ABF08-ABF14)
(ABP06-ABP10)
8-18
8-14
6-10
pack of 30
4434
4434
4434
MacGregor Healthcare Ltd
M Qufora Twostep Hydrophilic Intermittent Catheter
(Male)
(361412-361416)
(Female)
(361210-361214)
12-16
10-14
pack of 30
2580
2580
Manfred Sauer UK Ltd
M Manfred Sauer UK Ltd iQ Cath
(Male)
10-18
pack of 30
4665
(IQ2004.10-IQ2004.18)
M Manfred Sauer UK Ltd iQ Cath with external saline sachet (Hydrophilic)
(Male)
(IQ2704.10-IQ2704.18)
10-18
M Manfred Sauer UK Ltd iQ Cath with external saline sachet (Hydrophilic)
double wrapped
(Male)
(IQ2714.10-IQ2714.18)
10-18
pack of 30
4619
pack of 30
M Manfred Sauer UK Ltd iQ Cath Easy Hydrophilic
(Male)
(IQ4004.10-IQ4004.18)
pack of 30
4512
M Manfred Sauer UK Ltd iQ Cath Gel+
(Male)
(IQ3204.10-IQ3204.18)
M Manfred Sauer UK Ltd iQ Cath Integral Gel Sachet
(Male)
(IQ3104.10-IQ3104.18)
10-18
4619
10-18
pack of 30
5147
pack of 30
4619
M Manfred Sauer UK Ltd iQ Cath Original Solo Hydrophilic double wrapped
(Male)
(IQ2014.10-IQ2014.18)
10-18
pack of 30
4594
M Manfred Sauer UK Ltd iQ Cath Solo for Gel
(Male)
(IQ3004.12-IQ3004.16)
M Manfred Sauer UK Ltd iQ Cath Solo for Gel double wrapped
(Male)
(IQ3014.12-IQ3014.16)
12-16
pack of 30
4594
pack of 30
4594
8-18
8-16
8-16
6-10
pack of 30
3540
3540
3540
3540
8-18
8-16
pack of 30
3840
3840
Mediwatch UK Ltd
M Mediwatch UK Ltd uCath
(Male 40cm)
(Female 12cm)
(Female 18cm)
(Paediatric 30cm)
(M08-M18)
(F1208-F1216)
(F1808-F1816)
(P06-P10)
M Mediwatch UK Ltd uCath H2O with water sachet
(Male)
(uCath/HM08-uCath/HM18)
(Female 12cm)
(uCath/HF1208-uCath/
HF1216)
(Female 18cm)
(uCath/HF1808-uCath/
HF1816)
(Paediatric)
(uCath/HP06-uCath/HP10)
Catheters
226
10-18
12-16
8-16
3840
6-10
3840
08/2016
Part IXA
APPLIANCES
Gauge (Ch)
Appliance
(A)(ii) Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single use
Peak Medical Ltd
M Peak Medical Ltd UltraSmooth MCath4 with 4 drainage eyes (formerly Peak
Medical Ltd UltraSmooth MitroCath with 4 drainage eyes)
(40cm)
(USM4008-USM4018)
8-18
M Peak Medical Ltd UltraSmooth Plus Hydrophilic Catheter
(Male)
(USP4008-USP4018)
(Female)
(USP1808-USP1818)
(Paediatric)
(USP3006-USP3010)
Basic Price p
pack of 60
6300
8-18
8-18
6-10
pack of 25
3000
3000
3000
Rochester Medical
M HydroSil gripper
(Male)
(Paediatric)
(73610-73618)
(72606-72610)
10-18
6-10
pack of 30
4484
4432
M HydroSil rose
(Female)
(71410-71418)
10-18
pack of 30
4642
M HydroSil Silicone Hydrophilic Personal Catheter with integral water pack
(Male)
(63610-63618)
10-18
(Female)
(71610-71618)
10-18
(Paediatric)
(62606-62610)
6-10
pack of 30
4345
4360
4345
M HydroSil discreet
(Female)
(61610-61618)
10-18
pack of 30
4345
Teleflex
M Liquick Base
(Male)
(Female)
(Paediatric)
(Tiemann Tip)
(630010-630016)
(630106-630114)
(630208-630210)
(631012-631016)
10-16
6-14
8-10
12-16
pack of 60
8400
8400
8400
8400
M Liquick Pure
(Female)
(Female Ergothan Tip)
(851321-000080-000140)
(851322-000080-000140)
8-14
8-14
pack of 30
4470
4560
M Mobile SL
(Male)
(Female)
(Paediatric)
(Tiemann Tip)
(580010G-580016G)
(580108G-580114G)
(580208G-580210G)
(581012G-581016G)
10-16
8-14
8-10
12-16
pack of 60
8400
8400
8400
8400
M MobiLoc
(Female)
(Male)
(Paediatric)
(550114G)
(550012G-550014G)
(550208G-550210G)
14
12-14
8-10
pack of 60
8100
8100
8100
M MobiStom with gel
(Male 40cm)
(Tiemann Tip 40cm)
(Nelaton Tip 40cm)
(570014G-570018G)
(571014G)
(572014G)
14-18
14
14
pack of 60
8700
8700
8700
M Rusch Flocath Hydro Gel
(Female)
(Female Olive Tip)
(Paediatric)
(Paediatric Olive Tip)
(Male)
(Male Olive Tip)
(Male Tiemann Tip)
(851121)
(851122)
(851131)
(851132)
(851141)
(851142)
(851143)
8-16
8-16
6-10
8-10
8-20
8-18
10-18
pack of 30
3520
3945
3520
3945
3520
3945
3520
Catheters
227
08/2016
Part IXA
APPLIANCES
Gauge (Ch)
Appliance
M Rusch Flocath quick, with integral 0.9% sterile saline solution
(Female)
(851221)
8-14
16-20
(Male)
(851241)
8-18
20
M SafetyCat Active
(Male)
(Male Ergothan Tip)
(Male Tiemann Tip)
(Female Ergothan Tip)
(Paediatric Ergothan Tip)
(851741-000120-000160)
(851742-000100-000160)
(851743-000120-000160)
(851722-000060-000140)
(851732-000080-000100)
Vesica Urology Ltd
M OptiSmooth Hydrophilic
(Male)
(Female)
(Female Mini)
(Paediatric)
(OS4008-OS4018)
(OS1808-OS1816)
(OS1208-OS1216)
(OS3006-OS3010)
Basic Price p
pack of 30
3641
3641
3641
3641
12-16
10-16
12-16
6-14
8-10
pack of 30
5040
5040
5040
5040
5040
8-18
8-16
8-16
6-10
pack of 30
3540
3540
3540
3540
8-18
8-18
pack of 60
7680
7680
M OptiSmooth Mitro XL with 4 extra large heat polished drainage eyes
(40cm)
(OSMXL4010-OSMXL4014)
10-14
pack of 60
7680
M Wellspect HealthCare LoFric (non PVC)
(Male)
(4000825-4002225)
(Female15cm)
(4040825-4041425)
(Female 20cm)
(4030825-4031825)
(Paediatric 20cm)
(4010625)
(Paediatric 30cm)
(4020825-4021025)
(Tiemann Tip)
(4051025-4051825)
8-22
8-14
8-18
6
8-10
10-18
pack of 30
4140
4251
4251
4251
4251
4110
M Wellspect HealthCare LoFric Insti-Cath
(Male 40cm)
(4070825-4071425)
(Female 20cm)
(4080825-4081425)
(Paediatric 20cm)
(4400825-4401025)
8-14
8-14
8-10
M OptiSmooth Mitro with 4 staggered drainage eyes
(40cm)
(OSM4008-OSM4018)
(50cm)
(OSM5008-OSM5018)
(Tiemann)
(821000-821400)
M Wellspect HealthCare LoFric Origo with water
(Male 40cm)
(4431025-4431825)
(Paediatric 30cm)
(4420825-4421225)
(Tiemann 40cm)
(4441025-4441825)
228
10-14
pack of 30
4414
4414
4414
pack of 25
3636
10-18
8-12
10-18
pack of 30
5128
5128
5128
08/2016
Part IXA
APPLIANCES
Gauge (Ch)
Appliance
M Wellspect HealthCare LoFric Primo non-PVC with integrated water pocket
(Male)
(4100825-4101825)
8-18
(Female 15cm)
(4140825-4141425)
8-14
(Female 20cm)
(4130825-4131825)
8-18
(Paediatric)
(4110625-4111025)
6-10
(Tiemann Tip)
(4151025-4151825)
10-18
M Wellspect HealthCare LoFric Sense
(Female 15cm)
(4160825-4161425)
Basic Price p
pack of 30
4607
4737
4737
4737
4580
8-14
pack of 30
4737
WyMedical Ltd
M WyCath H2O hydrophilic 4 eyelets catheter with water sachet (Soft Tip)
(Male 40cm)
(W4SM10-W4SM16)
10-16
pack of 30
4530
M WyCath H2O hydrophilic catheter with water sachet
(Male 40cm)
(W2M10-W2M16)
(Female 18cm)
(W2F08-W2F12)
(Female Short 11cm) (W2SH08-W2SH12)
(Paediatric 30cm)
(W2P06-W2P10)
10-16
8-12
8-12
6-10
pack of 30
4140
4140
4140
4140
M WyCath H2O hydrophilic catheter with water sachet (Soft Tip)
(Male 40cm)
(W2SM10-W2SM18)
(Female 18cm)
(W2SF08-W2SF14)
(Paediatric 30cm)
(W2SP08-W2SP10)
10-18
8-14
8-10
pack of 30
4530
4530
4530
M WyCath H2O hydrophilic catheter with water sachet (Tapered Tip)
(Male 40cm)
(W2TAM10-W2TAM18)
(Female 18cm)
(W2TAF08-W2TAF14)
(Paediatric 30cm)
(W2TAP06-W2TAP10)
10-18
8-14
6-10
pack of 30
4350
4350
4350
M WyCath H2O hydrophilic catheter with water sachet (Tiemann Tip)
(Male 40cm)
(W2TM10-W2TM16)
(Paediatric 30cm)
(W2TP06-W2TP10)
10-16
6-10
pack of 30
4200
4200
10-16
pack of 30
3923
16-18
pack of 30
3904
12-18
pack of 25
3418
8-18
pack of 25
3418
M Wellspect HealthCare LoFric Dila-Cath (non PVC)
(4061625-4061825)
16-18
pack of 30
4085
WyMedical Ltd
M WyMedical Ltd WyCath Hydrophilic Meatal Dilator
Standard tip
(WCM08-WCM18)
Tapered tip
(WMT08-WMT18)
8-18
8-18
pack of 30
3840
4020
(A)(iii) Dilatation Catheter without drainage eyes
Not indicated for bladder emptying
Hunter Urology Ltd
M Hunter Urology Ltd Aloe Meatal
(ALOEM10-ALOEM16)
M Hunter Urology Ltd AntiBac D
(ABD16-ABD18)
Peak Medical Ltd
M Peak Medical Ltd UltraSmooth Hydrophilic Catheter
(Male)
(USD4012-USD4018)
M Peak Medical Ltd UltraSmooth Meatal Dilator
(USMD08-18)
Catheters
229
08/2016
Part IXA
APPLIANCES
Appliance
Balloon
Size (ml)
Gauge (Ch)
(See Note
2
- page 222)
(See Note 1
- page 222)
(A)(iv) Nelaton Catheter with Urine Drainage Bag
B.Braun Medical Ltd
M B.Braun Medical Actreen Glys Set
(Male)
(226208E-226218E)
(Female)
(226306E-226316E)
(Male Tiemann)
(226108E-226116E)
(A)(v) Nélaton Catheter with Water Container and Urine Drainage Bag
C S Bullen Ltd
M Hi-Slip Kit
(Male)
(HS.KM4008-HS.KM4018)
(Female)
(HS.KF2008-HS.KF2016)
(Paediatric 20cm)
(HS.KP2006-HS.KP2010)
(Paediatric 30cm)
(HS.KP3006-HS.KP3010)
(Tiemann)
(HS.KT4010-HS.KT4018)
Basic
Price p
8-18
6-16
8-16
pack of 30
6155
6155
6154
8-18
8-16
6-10
6-10
10-18
pack of 20
3197
3197
3197
3197
3300
GTA(UK) Ltd
M Idrocath Kit
(Male)
(Female)
(Paediatric)
(Child)
(50110)
(50111)
(50112)
(50113)
8-24
8-18
6-10
8-10
pack of 20
3234
3234
3234
3234
M LoFric Hydro-Kit
(Female)
(Paediatric)
(4230825-4231825)
(4210825-4211025)
8-18
8-10
pack of 20
3915
3915
M LoFric Hydro-Kit (non PVC)
(Male)
(4200825-4201825)
(Tiemann Tip)
(4251025-4251825)
8-18
10-18
pack of 20
3748
3783
12-26
16-26
12-22
pack of 1
268
268
400
12-22
pack of 1
306
(B)(i)(a) Foley Catheter - 2 Way (indwelling Nelaton catheter with Balloon)
For Short/medium Term Use - Adult
Bard Ltd
Bard PTFE Coated Latex
(Male)
(D1265LV)
10
(D1266LV)
30
(Female)
(D0169LV)
10
V Bard PTFE Aquamatic Coated Latex
(D1265AL)
10
230
08/2016
Part IXA
APPLIANCES
Appliance
Balloon
Size (ml)
Gauge (Ch)
(See Note
2
- page 222)
(See Note 1
- page 222)
(B)(i)(a) Foley Catheter - 2 Way (indwelling Nelaton catheter with Balloon)
For Short/medium Term Use - Adult
Teleflex
Rüsch PTFE AquaFlate. PTFE Coated Latex with sterile water filled syringe for
balloon inflation and empty syringe for balloon deflation
(Male)
(DP310112 - DP310124)
10
(Female)
(DP210112 - DP210124)
10
Universal Hospital Supplies Ltd
Silicone Elastomer
(Male)
(UN51161210-UN51162610)
Basic
Price p
pack of 1
12-24
12-24
216
216
pack of 1
10
12-26
274
(B)(i)(b) Foley Catheter - 2 Way (indwelling Nélaton catheter with balloon)
For Short/Medium Term Use - Paediatric
Note: Average period of use is 1 to 3 weeks
Bard
PTFE Coated Latex
(D0165PV)
5
8-10
pack of 1
741
5
8-10
pack of 1
442
10
10
10
10
10
10
12-16
12-16
12-16
12-16
12-16
12-16
pack of 1
1784
1784
1784
1784
1784
1784
Bard Bardex I.C. with silver alloy coating and a pre-filled syringe of sterile water
(Standard)
(D236512S-D236522S)
10
(Female)
(D236912S-D236916S)
10
12-22
12-16
pack of 1
966
966
Bard Biocath Hydrogel Coated
(Male)
(D2265)
(D2266)
(Female)
(D2269)
10
30
10
12-26
12-26
12-22
pack of 1
828
838
838
10
10
12-22
12-22
pack of 1
851
855
Coloplast Ltd
Folatex Silicone Coated Latex
(AP1408-AP1410)
(B)(ii)(a)Foley Catheter - 2 Way For Long Term Use - Adult
Bard Ltd
M Bard Bardex I.C. Bard Tray
(Male)
(D23655S12-16)
(D23655M12-16)
(D23655L12-16)
(Female)
(D23695S12-16)
(D23695M12-16)
(D23695L12-16)
# Bard Biocath Aquamatic Hydrogel Coated
(Male)
(D2264)
(Female)
(D2268)
VPre-filled with sterile water
231
08/2016
Part IXA
APPLIANCES
Appliance
Balloon
Size (ml)
Gauge (Ch)
(See Note 2
- page 222)
(See Note 1
- page 222)
10
10
10
10
10
10
12-16
12-16
12-16
12-16
12-16
12-16
pack of 1
1694
1694
1694
1694
1694
1694
Bard Lubri-Sil Aquafil Hydrogel Coated Silicone with pre-filled syringe of sterile water
(Male)
(D175812-22E)
10
12-22
(Female)
(D176112-16E)
10
12-16
pack of 1
950
950
(B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - Adult
M Bard Biocath Comprehensive Care Foley Tray
(Male)
(D22655S12-16)
(D22655M12-16)
(D22655L12-16)
(Female)
(D22695S12-16)
(D22695M12-16)
(D22695L12-16)
M Bard Lubri-Sil Comprehensive Care Foley Tray
(Male)
(D17585S12-16)
(D17585M12-16)
(D17585L12-16)
(Female)
(D17615S12-16)
(D17615M12-16)
(D17615L12-16)
#
Basic
Price p
10
10
10
10
10
10
12-16
12-16
12-16
12-16
12-16
12-16
pack of 1
1789
1789
1789
1789
1789
1789
Bard Lubri-Sil Hydrogel Coated Silicone
(Male)
(D176816-22E)
30
16-22
pack of 1
936
Bard Silicone Elastomer Coated Latex
(Male)
(D1657)
(D1667)
(Female)
(D1647)
10
30
30
12-22
16-22
16-22
pack of 1
909
909
909
Bard Silicone Elastomer Coated Latex
(Male)
(D1657AL)
(Female)
(D1637AL)
10
10
12-22
12-22
pack of 1
983
983
Bard All Silicone
(Male/Standard)
(Male/Standard)
(Female)
(D1658)
(D1668)
(D1661)
10
30
10
12-22
16-22
12-16
pack of 1
939
939
900
(336)
(334)
10
30
12-24
16-28
pack of 1
868
923
Bard Silastic Silicone Coated
V Pre-filled with sterile water
232
08/2016
Part IXA
APPLIANCES
Catheters
Appliance
Balloon
Size (ml)
Gauge (Ch)
(See Note
2
- page 222)
(See Note 1
- page 222)
10
10
12-18
12-18
pack of 1
564
564
10
10
10
12-18
12-22
12-16
pack of 1
631
631
631
CliniSupplies Ltd
Prosys All-Silicone Foley Catheter
(Male)
(PCF12M10-PCF18M10)
(Female)
(PCF12F10-PCF18F10)
Coloplast Ltd
Folysil All Silicone Catheter
(Male) (open ended) (AA74)
(Male)
(AA71)
(Female)
(AA75)
Basic
Price p
Folysil X-Tra with pre-filled syringe for balloon inflation and supplementary syringe
pack of 1
for balloon deflation
(Male)
(AA8A12-AA8A22)
10
12-22
631
(Female)
(AA8B12-AA8B18)
10
12-18
631
Folysil X-Tra silicone open ended catheter with pre-filled syringe
for balloon inflation and empty syringe for balloon deflation
(Male)
(AA8C12-AA8C18)
Dover All Silicone
(Male)
(Female)
(8887705120-8887705203)
(8887805128-8887805227)
(8887715129-8887715186)
(8887815127-8887815184)
Dover Silver
(Male)
(605122IC-605247IC)
Ultramer
(Male)
(Female)
(1612-1M/1618-1M)
(1712-1F/1716-1F)
Flexicare Medical Ltd
FlexiCath All Silicone Catheter
(Male)
(00-411205C - 00-412605C)
(00-411630C - 00-412630C)
(Female)
(00-421205C - 00-421605C)
pack of 1
10
12-18
638
5-10
10
5-10
10
12-20
12-22
12-18
12-18
pack of 1
713
594
713
594
10
12-24
pack of 1
916
5
5
12-18
12-16
pack of 1
637
637
10
30
10
12-26
16-26
12-16
pack of 1
450
450
450
FlexiCath All Silicone Catheter with pre-filled syringe for balloon inflation and
supplementary syringe for balloon deflation
(Standard)
(01-111205C - 01-112605C)
10
(01-111630C - 01-112630C)
30
(Female)
(01-121205C - 01-121605C)
10
Catheters
233
pack of 1
12-26
16-26
12-16
550
550
550
08/2016
Part IXA
APPLIANCES
Appliance
Balloon
Size (ml)
Gauge (Ch)
(See Note
2
- page 222)
(See Note 1
- page 222)
Basic
Price p
L.IN.C Medical Systems Ltd
All Silicone Catheter with UniBal type balloon with sterile water filled syringe for balloon pack of 1
inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine
for lubrication
(Standard)
(08501205W)
5
12
552
(08501405W)
5
14
552
(08501610W)
10
16
552
(08501810W)
10
18
552
(Female)
(085012051W)
5
12
552
(085014051W)
5
14
552
(085016101W)
10
16
552
All Silicone Catheter with UniBal type balloon with glycerine filled syringe for balloon
pack of 1
for lubrication
(Standard)
(08501205G)
5
12
552
(08501405G)
5
14
552
(08501610G)
10
16
552
(08501810G)
10
18
552
(Female)
(085012051G)
5
12
552
(085014051G)
5
14
552
(085016101G)
10
16
552
2 Way Foley All Silicone
(Male)
(08501430)
(08501630)
20
30
14
16
pack of 1
552
552
2 Way Foley All Silicone Catheter with glycerine filled syringe for balloon inflation, empty pack of 1
syringe for balloon deflation and a syringe of lidocaine & chlorhexine for lubrication
(Tiemann Tip)
(1011-12-1011-18)
5
12-18
850
Qufora All Silicone Catheter with pre-filled water/glycerin syringe
for balloon inflation and supplementary syringe for balloon deflation
(Male)
(34220512-34220518)
X (34220520-34220526)
(Female)
(34240512-34240514)
X (34240516-34240526)
Medasil (Surgical) Ltd All Silicone
(Male)
(84M)
(85M)
(Female)
(86F)
(87F)
Xto be deleted 1 September 2016
Catheters
234
pack of 1
5-10
5-10
5-10
5-10
12-18
20-26
12-14
16-26
429
429
429
429
10
30
10
30
12-26
16-26
12-26
16-26
pack of 1
462
462
462
462
08/2016
Part IXA
APPLIANCES
Appliance
Balloon Size
(ml)
Gauge (Ch)
Basic
Price p
(See Note 2 (See Note 1
- page 222) - page 222)
(B)(ii)(a)Foley Catheter - 2 Way For Long Term Use - Adult
Mediplus Ltd
2 Way Foley All Silicone Catheter with glycerine filled syringe for balloon inflation and
empty syringe for balloon deflation
(Male)
(5772-5778)
5-10
12-18
(Male open tip)
(5777, 5779, 5775)
5-10
14-18
(Female)
(5782-5786)
5-10
12-16
Richardson Healthcare Ltd
Cath-It Advance
(908112-16)
10
12-16
Teleflex
Rüsch Brillant AquaFlate All-Silicone with sterile water filled syringe for balloon inflation
and empty syringe for balloon deflation
(Male)
(DA310112 - DA310124)
10
12-24
(Female)
(DA210112 - DA210124)
10
12-24
pack of 1
865
859
856
pack of 1
1095
pack of 1
607
607
Rüsch Brillant Plus AquaFlate All-Silicone with glycerine filled syringe for balloon
inflation
(Tiemann Tip)
(850084-000120-000220)
10
12-22
pack of 1
Rüsch Brillant SilFlate All-Silicone with glycerine filled syringe for balloon inflation and
empty syringe for balloon deflation
(Male)
(DG310112 - DG310124)
10
12-24
(Female)
(DG210112 - DG210124)
10
12-24
pack of 1
Rüsch Sympacath AquaFlate Hydrogel Coated Latex with sterile water filled syringe
for balloon inflation and empty syringe for balloon deflation.
(Male)
(DH310112 - DH310124)
10
12-24
(Female)
(DH210112 - DH210124)
10
12-24
pack of 1
Universal Hospital Supplies Ltd
All Silicone
(Male)
(UN41151205-UN41152005)
Lubricious
(Male)
(UN51181210-UN51182610)
(B)(ii)(b) Foley Catheter - 2 Way For Long Term Use - Paediatric
Bard Ltd
Bard Biocath Hydrogel Coated
(D2263)
Bard Lubri-Sil Hydrogel Coated Silicone
(D1758)
Coloplast Ltd
Folysil All Silicone Catheter
(AA7106, AA7108, AA7110)
Dover All Silicone
(8887703083-8887703109)
(8887803081-8887803107)
FlexiCath All Silicone Catheter
(00-410603C - 00-411003C)
707
707
618
618
pack of 1
412
pack of 1
505
10
12-20
10
12-26
5
8-10
5
8-10
pack of 1
838
pack of 1
936
1.5-3
6-10
pack of 1
687
3-5
5
8-10
8-10
pack of 1
713
641
3-5
6-10
pack of 1
450
FlexiCath All Silicone Catheter with pre-filled syringe for balloon inflation and
(01-110603C - 01-111003C)
3-5
235
840
pack of 1
6-10
550
08/2016
Part IXA
APPLIANCES
Appliance
Balloon Size
(mL)
Gauge (Ch)
(See Note 2
- page 222)
(See Note 1
- page 222)
(B)(ii)(b) Foley Catheter - 2 Way Long Term Use - Paediatric
All Silicone Catheter with integral balloon with sterile water filled syringe for balloon
for lubrication
(08500601W)
1.5
6
(08500803W)
3
8
(08501003W)
3
10
All Silicone Catheter with integral balloon with glycerine filled syringe for balloon
for lubrication
(08500601G)
1.5
6
(08500803G)
3
8
(08501003G)
3
10
All Silicone Catheter with integral balloon and stylet with glycerine filled syringe for
balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine &
chlorhexidine for lubrication
(08500601SG)
1.5
6
(08500803SG)
3
8
(08501003SG)
3
10
All Silicone Catheter with integral balloon and stylet with sterile water filled syringe for
(08500601SW)
1.5
6
(08500803SW)
3
8
(08501003SW)
3
10
XMacGregor Healthcare Ltd
Qufora All Silicone Catheter with pre-filled water/glycerin syringe for balloon inflation and
(34210506)
1-1.5
6
(34210508)
2-3
8
(34210510)
3-5
10
Medasil (Surgical) Ltd
All Silicone
(83P)
5
8-10
(C) Intermittent Catheter with finger grip and lid
Hunter Urology Ltd
MEmteva
46F12-30-UK
(D) Intermittent Catheter with introducer tip and urine bag
Hollister Ltd
MHolister Advance Plus
(Nélaton)
(94064-94184)
(Tiemann Tip)
(95124-95164)
MHollister InstantCath Protect
(Nélaton)
(9691)
(9693-9694)
(9696)
(Tiemann Tip)
(9697-9699)
Pioneer Medical Europe Ltd
Mmtg EZ-Advancer
(Male Soft)
(30212-30214)
(Male Firm)
(30112-30116)
Mmtg EZ-Advancer Mini-Pak
(Male)
(40112-40116)
Mmtg Cath-Lean
(Female)
(40412-40414)
Mmtg Kiddie-Kath Paediatric
(Paediatric)
(30108)
Mmtg EZ-Advancer Adolescent
(Paediatric)
(30110)
236
12
6-18
12-16
8
12-14
18
12-16
Basic
Price p
pack of 1
799
799
799
pack of 1
799
799
799
pack of 1
799
799
799
pack of 1
799
799
799
pack of 1
650
650
650
pack of 1
462
pack of 30
4054K
pack of 25
6968
6968
pack of 25
6980
6980
6980
6976
pack of 25
12-14
12-16
6909
6909
12-16
6909
12-14
6909
8
6909
10
6909
08/2016
Part IXA
APPLIANCES
Appliance
Balloon Size
(mL)
Gauge (Ch)
(See Note 2
- page 222)
(E) Intermittent Catheter with lubricant, insertion aid and urine bag
B.Braun Medical Ltd
MActreen Hi-Lite Set
(Nelaton)
(242210E-242218E)
(Tiemann Tip)
(242110E-242118E)
(See Note 1
- page 222)
Basic
Price p
10-18
10-18
pack of 30
7380
7380
(239010E-239014E)
10-14
pack of 30
6872
MiQ Cath Set
(Male Soft Tip)
(IQ3604.10-IQ3604.18)
10-18
pack of 30
7451
Teleflex
MLiquick Plus
(Female)
(Male)
(620210)
(620012-620016)
10
12-16
pack of 30
6600
6600
(851621)
(851622)
(851631)
(851632)
(851641)
(851642)
(851643)
8-16
8-16
8-10
8-10
8-18
8-18
10-18
pack of 30
6676
7404
6676
7404
6676
7404
6676
10
12
14
12/18
pack of 20
5213
5213
5213
5213
MActreen Mini Set
(Female)
MRusch Flocath Intro Gel
(Female)
(Female Olive Tip)
(Paediatric)
(Paediatric Olive Tip)
(Male)
(Male Olive Tip)
(Male Tiemann Tip)
(F) Compact Intermittent Catheter with lubricant and urine bag
Coloplast Ltd
MSpeediCath Compact Set
(Female)
(28520)
(28522)
(28524)
(Male)
(28422)
(G) Intermittent Catheter with integrated hydrating vapour strip, introducer tip, non return valve and
urine bag
Hollister Ltd
MHollister VaPro Plus
pack of 30
(Male 40cm)
(74124-74144)
12-14
9121
(Female 20cm)
(74122-74142)
12-14
9121
MHollister VaPro Plus Pocket
(Male 40cm)
(71084-71164)
(Female 20cm)
(71082- 71142)
(H) Silver Female Reusable Catheter
For Long Term Use, Reusable For Intermittent Self Catheterisation
S G & P Payne
MIncontiaid Silver Female Catheter
(1315-1318)
8-16
8-14
pack of 30
9026
9026
8-14
pack of 1
4262
(I) Stainless Steel Catheter
For Long Term Use, Reusable For Intermittent Self Catheterisation
Malvern Medical Developments Ltd
MBiscath System
Comprises of 6 stainless steel catheters
with case, brushes, scraper and hard and soft carrying case.
(Female)
(BISC001)
8
(BISC002)
10
(BISC003)
12
(BISC004)
14
Catheters
237
pack of 6
24875
24875
24875
24875
08/2016
Part IXA
APPLIANCES
Appliance
Balloon Size
(mL)
Gauge (Ch)
(See Note 2
- page 222)
(See Note 1
- page 222)
(J) Urinary Suprapubic Catheters
All Silicone Open Tipped Catheter with UniBal type balloon with sterile water filled syringe
for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine &
(Paediatric)
(08470803W-08471003W)
3
8-10
(Standard)
(08451205W-08451405W)
5
12-14
(08451610W-08452410W)
10
16-24
(Female)
(08471205W-08471405W)
5
12-14
(08471610W-08472410W)
10
16-24
Basic
Price p
pack of 1
1095
1095
1095
1095
1095
All Silicone Open Tipped Catheter with UniBal type balloon with glycerine filled syringe for
(Paediatric)
(08470803G-08471003G)
3
8-10
(Standard)
(08451205G-08451405G)
5
12-14
(08451610G-08452410G)
10
16-24
(Female)
(08471205G-08471405G)
5
12-14
(08471610G-08472410G)
10
16-24
pack of 1
All Silicone foley catheter with guidewire hole and sterile water filled syringe (formerly All
Silicone Open Tipped Catheter with integral balloon with sterile water filled syringe for
chlorhexidine for lubrication)
(Standard)
(084612051W-084614051W)
5
12-14
(084616101W-084620101W)
10
16-20
pack of 1
All Silicone foley catheter with guidewire hole and glycerine filled syringe (formerly All
Silicone Open Tipped Catheter with integral balloon with glycerine filled syringe for balloon
inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for
lubrication)
(Standard)
(084612051G-084614051G)
5
12-14
(084616101G-084620101G)
10
16-20
pack of 1
Qufora All Silicone Catheter with integral balloon and open tip with pre-filled water/glycerin
syringe for balloon inflation and supplementary syringe for balloon deflation
(34230212-34230220)
5-10
12-20
X (34230222-34230224)
5-10
22-24
238
1095
1095
1095
1095
1095
1100
1100
1100
1100
pack of 1
550
550
08/2016
Part IXA
APPLIANCES
Part IXA-Appliances
Appliance
CELLULOSE WADDING BP 1988
Cellosene
CERVICAL COLLAR, SOFT FOAM
Clini Cervical Collar
Small (44cm)
Medium (48cm)
Large (53cm)
Eesiness Soft Cervical Foam Collar
Small
Medium
Large
Size or Weight
500g
Basic Price p
each
220
OA8009
OA8016
OA8023
240
240
240
23562000
23562100
23562200
262
262
262
CHIROPODY APPLIANCES
Adhesive Felt
Zinc oxide or acrylic adhesive, spread
on semi-compressed surgical wool felt
10.5cm x 8.3cm x 5mm thick
10cm x 22.5cm x 5mm thick
104
211
25g
100
Animal Wool BP 1988
(Syn: Animal Wool for Chiropody)
(Long Strand Lamb's Wool for Chiropody)
box
102
Bunion Rings
Self-adhesive, semi-compressed felt
(in box of 4 pieces)
Corn Rings
Self-adhesive, semi-compressed felt in
a box of 9 pieces
5 mm thick
102
CONTRACEPTIVE DEVICES
each
Intrauterine Contraceptive Device
Ancora 375 Cu
795
Copper T380 A
895
Flexi-T 300
947
Flexi-T+380
1006
GyneFix intrauterine contraceptive implant
2711
Load 375
852
Mini TT380 Slimline
1246
Multiload CU 375
924
Multi-Safe 375
896
Neo-Safe T380
1331
Nova-T 380
1520
Novaplus T 380 Ag (Normal, Mini)
1250
Novaplus T 380 Cu (Normal, Mini)
1095
Optima TCu380A
965
Steriload
965
T-Safe 380A QL
1047
TT380 Slimline
1246
UT380 Short
1122
UT380 Standard
1122
The type of device and the size (where more than one is listed above) must be specified by the prescriber.
239
08/2016
Part IXA
APPLIANCES
Appliance
CONTRACEPTIVE DEVICES
Vaginal Contraceptive Caps (Pessaries)
The size of the pessary and the type must be specified by the prescriber.
Silicone
CE Marked
FemCap
Soft Silicone Cap
Vaginal Contraceptive Diaphragm
The size of the diaphragm, and the type must be specified by the prescriber.
Milex Silicone Diaphragm
Omniflex - Coil Spring (Type B)
Arcing - Arcing Spring (Type C)
Ortho All-Flex Diaphragm
Arcing - Arcing Spring (Type C)
each
22, 26, 30mm
1529
60-90mm
(rising in 5mm)
931
60-90mm
(rising in 5mm)
931
65-80mm
(rising in 5mm)
835
CYCLOIDAL VIBRATION ACCESSORIES
Vibro-Pulse
pack of 3
1500
DEVICES FOR ADJUNCTIVE TREATMENT OF HYPERTENSION
RESPeRATE
DOUCHES
Vaginal fittings
Douche can and fittings white polypropylene, complete with two piece
fittings, tube and instructions, singly packed - no rectal fittings)
240
each
13200
1 litre
each
512
08/2016
Part IXA
APPLIANCES
Part IXA-Appliances
Appliance
DRESSINGS
each
Note for all dressings: The exact number of pieces, ordered by the prescriber is to be dispensed.
Absorbent Cellulose Dressing with Fluid Repellent Backing
Indications: Primary or secondary dressing for medium to heavily exuding wounds.
CelluDress
10cm x 10cm
19
10cm x 15cm
20
10cm x 20cm
22
15cm x 20cm
30
20cm x 25cm
40
20cm x 30cm
85
Eclypse
10cm x 10cm
15cm x 15cm
20cm x 30cm
60cm x 40cm
73
97
214
815
Eclypse Adherent
10cm x 10cm
10cm x 20cm
15cm x 15cm
20cm x 30cm
299
375
499
999
Eclypse Adherent Sacral
17cm x 19cm
22cm x 23cm
376
623
Eclypse Boot
55cm x 47cm
60cm x 70cm
990
1378
Eclypse Border
15cm x 15cm
20cm x 30cm
495
780
Eclypse Border Oval
10cm x 20cm
15cm x 20cm
20cm x 30cm
435
575
780
Eclypse Contour
30cm x 51cm
825
Eclypse Foot
33cm x 48cm
790
Exu-Dry
10cm x 15cm
15cm x 23cm
23cm x 38cm
113
230
534
241
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
kliniderm superabsorbent
10cm x 10cm
10cm x 15cm
20cm x 20cm
20cm x 30cm
each
49
69
99
149
Mesorb
10cm x 10cm
10cm x 15cm
10cm x 20cm
15cm x 20cm
20cm x 25cm
20cm x 30cm
62
81
100
143
225
255
Zetuvit E (Non-Sterile)
10cm x 10cm
10cm x 20cm
20cm x 20cm
20cm x 40cm
7
9
14
28
Zetuvit E (Sterile)
10cm x 10cm
10cm x 20cm
20cm x 20cm
20cm x 40cm
21
25
39
111
10cm x 20cm
17
10cm x 20cm
20cm x 20cm
10cm x 12cm
10cm x 20cm
20cm x 20cm
20cm x 40cm
18
25
15
17
28
40
Absorbent Dressing Pads, Sterile
Drisorb Dressing Pad
PremierPad
Xupad Dressing Pad
Part IXA-Dressings
242
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Absorbent, Perforated Dressing with Adhesive Border
365 Non Woven Island
5cm x 7.2cm
(wound contact pad 2.3cm x 3.9cm + border 1.35-1.65cm)
6cm x 8cm
(wound contact pad 3cm x 4cm + border 1.5-2cm)
8cm x 10cm
(wound contact pad 4cm x 5cm + border 2-2.5cm)
8cm x 15cm
(wound contact pad 4cm x 10.1cm + border 2-2.45cm)
10cm x 10cm
(wound contact pad 5cm x 5cm + border 2.5cm)
10cm x 15cm
(wound contact pad 5cm x 10.5cm + border 2.5-2.25cm)
10cm x 20cm
10cm x 25cm
(wound contact pad 5.5cm x 20cm + border 2.5cm)
each
3
4
6
7
6
9
12
14
Adpore
7cm x 8cm
10cm x 10cm
10cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm
(wound contact pad 4.5cm x 5cm + border 2.5cm - 2.75cm)
8
10
16
30
34
42
50
Advapore
5cm x 7.2cm
6cm x 7cm
8cm x 10cm
8cm x 15cm
9cm x 15cm
9cm x 20cm
10cm x 10cm
10cm x 15cm
10cm x 20cm
10cm x 25cm
(wound contact pad 2.5cm x 3cm + border 1.25-2.1cm)
4
5
10
14
15
20
9
15
20
25
Cosmopor
5cm x 7.2cm
8cm x 10cm
8cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 35cm
(wound contact pad 2.5cm x 4cm + border 1.25 - 1.6cm)
(wound contact pad 3.8cm x 6.5cm + border 1.75 - 2.1cm)
(wound contact pad 5.5cm x 20.5cm + border 2.25cm)
10
19
33
41
55
69
Cosmopor E
5cm x 7.2cm
8cm x 10cm
8cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 35cm
(wound contact pad 3.8cm x 6.5cm + border 1.75 - 2.1cm)
8
18
28
46
56
78
243
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Cutiplast Steril
5cm x 7.2cm
8cm x 10cm
8cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
Leukomed
7.2cm x 5cm
8cm x 10cm
8cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm
Medipore + Pads
5cm x 7.2cm
10cm x 10cm
10cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 35cm
Medisafe
6cm x 8cm
8cm x 10cm
8cm x 12cm
9cm x 15cm
9cm x 20cm
9cm x 25cm
Mepore
7cm x 8cm
9cm x 20cm
9cm x 25cm
9cm x 30cm
9cm x 35cm
10cm x 11cm
11cm x 15cm
each
(wound contact pad 4cm x 2.7cm + border 0.9 - 1.15cm)
(wound contact pad 6cm x 4cm + border 2cm)
(wound contact pad 16cm x 5cm + border 2.0 - 2.5cm)
5
11
24
31
32
42
(wound contact pad 4cm x 11.6cm + border 1.7-2cm)
9
18
32
43
49
63
72
(wound contact pad 2.8cm x 3.8cm + border 1 - 2 cm)
(wound contact pad 5cm x 5.5cm + border 2 - 2.5cm)
7
15
25
37
46
64
(wound contact pad 4cm x 14cm + border 2.5 - 3cm)
8
13
23
29
34
36
(wound contact pad 6cm x 6cm + border 2cm - 2.5cm)
11
44
61
70
76
22
36
244
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
PremierPore
5cm x 7cm
10cm x 10cm
10cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm
(wound contact pad 3cm x 4cm + border 1cm-1.5cm)
(wound contact pad 6cm x 5cm + border 2cm-2.5cm)
5
12
18
32
36
45
52
Primapore
6cm x 8.3cm
8cm x 10cm
8cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm
18
19
33
43
50
63
96
Softpore
6cm x 7cm
10cm x 10cm
10cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm
6
13
20
35
40
49
58
(wound contact pad 5cm x 8cm + border 2.5-2.25cm)
(wound contact pad 5cm x 20.5cm + border 2.5cm)
(wound contact pad 5cm x 30.5cm + border 2.25-2.5 cm)
59
86
98
122
Telfa Island (Non adherent dressing pad)
5cm x 10cm
10cm x 12.5cm
10cm x 20cm
10cm x 25.5cm
(wound contact pad 5cm x 20cm + border 2.5-2.75cm)
10cm x 35cm
8
27
35
45
62
Telfa AMD Island
10cm x 12.5cm
10cm x 20cm
10cm x 25.5cm
10cm x 35cm
each
Part IXA-Dressings
245
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
Absorbent, Perforated Plastic Film Faced, Dressing
Where not specified by the prescriber, the 5cm size is to be supplied.
Where the brand is not specified by the prescriber, for the sizes listed below, the Basic Price must not
exceed:
5cm x 5cm
3
10cm x 10cm
9
20cm x 10cm
17
365 Non Adherent
5cm x 5cm
10cm x 10cm
10cm x 20cm
20cm x 30cm
3
9
17
38
Absopad
5cm x 5cm
10cm x 10cm
20cm x 10cm
7
13
28
Askina Pad
10cm x 10cm
21
Melolin
5cm x 5cm
10cm x 10cm
20cm x 10cm
17
27
54
Skintact
5cm x 5cm
10cm x 10cm
20cm x 10cm
10
17
34
Solvaline N
5cm x 5cm
10cm x 10cm
10cm x 20cm
7.5cm x 5cm
10cm x 7.5cm
15cm x 7.5cm
20cm x 7.5cm
10
18
36
12
16
18
29
7.5cm x 10cm
7.5cm x 20cm
18
28
5cm x 5cm
10cm x 10cm
10cm x 20cm
20cm x 30cm
30cm x 30cm
30cm x 60cm
57
98
190
536
886
1532
Activon Tulle
(Impregnated with manuka honey)
Where not specified by the prescriber, the 5cm size to be supplied
5cm x 5cm
10cm x 10cm
180
297
Chlorhexidine Gauze Dressing BP
(Syn: Chlorhexidine Tulle Gras)
5cm x 5cm
10cm x 10cm
30
62
Cutimed Sorbact Dressing Pad
(Impregnated with dialkylcarbamoyl chloride)
7cm x 9cm
10cm x 10cm
10cm x 20cm
352
550
858
Cutimed Sorbact Swab
(Impregnated with dialkylcarbamoyl chloride)
4cm x 6cm
7cm x 9cm
165
275
5cm x 5cm
10cm x 10cm
170
280
Telfa (Non adherent dressing pad)
Telfa AMD
Gauze Dressings (Impregnated)
Actilite
ManukaDress-IG
246
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
ManukaDress-IG MAX
each
5cm x 5cm
185
10cm x 10cm
325
Medihoney Tulle Dressing
(Impregnated with Medihoney medical honey)
5cm x 5cm
10cm x 10cm
170
298
Melladerm Plus Tulle
(Impregnated with melladerm plus honey gel)
10cm x 10cm
210
10cm x 10cm
25
10cm x 10cm
10cm x 10cm
10cm x 10cm
10cm x 10cm
29
41
29
28
Knitted Polyester Primary Dressing Impregnated with Neutral Triglycerides
Atrauman
5cm x 5cm
7.5cm x 10cm
10cm x 20cm
20cm x 30cm
27
28
63
174
Paraffin Gauze Dressing BP Sterile (Syn: Tulle Gras)
Light Loading - 90-130g/m2
Paranet
Normal Loading Cuticell Classic
Jelonet
Neotulle
Paragauze
175-220g/m2
Knitted Viscose Primary Dressing BP Type 1
(Sterile Knitted Viscose Dressing)
N-A Dressing
9.5cm x 9.5cm
19cm x 9.5cm
35
67
N-A Ultra
9.5cm x 9.5cm
19cm x 9.5cm
33
63
Tricotex
9.5cm x 9.5cm
Multiple Pack Dressing No. 1
Carton containing:
Absorbent Cotton BP 1988 (interleaved)
Absorbent Cotton Gauze. Type 13 Light BP, sterile
Open-Wove Bandages BP 1988 (banded)
34
435
25g
90 cm x 1 m
3 x 5 cm x 5 m
Perforated Film Absorbent Dressing BP - See Absorbent, Perforated Plastic Film Faced, Dressing
(P.F.A. Dressing).
Povidone–Iodine Fabric Dressing, Sterile
Specification 43
Where not specified by the prescriber, the 5cm size is to be supplied.
Inadine
Povitulle
5cm x 5cm
9.5cm x 9.5cm
5cm x 5cm
9.5cm x 9.5cm
33
49
28
42
STERILE DRESSING PACKS The exact number of pieces ordered by the prescriber is to be dispensed.
Drug Tariff Specification Sterile Dressing Packs
Sterile Dressing Pack Specification 10
54
Sterile Pack containing:
Gauze and Cotton Tissue Pad
8.5cm x 20cm
Gauze Swabs 12 ply
4 x 10 x 10cm
Absorbent Cotton Balls, large
4 x 0.9g approx
Absorbent Paper Towel
45cm x 50cm
Water Repellent Inner Wrapper opens out as a sterile
50cm x 50cm
working field
247
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Sterile Dressing Pack with Non-Woven Pads Specification 35
Non-woven Fabric Covered Dressing Pad
Non-woven Fabric Swabs
4 Absorbent Cotton Wool Balls
Absorbent Paper Towel
Water Repellent Inner Wrapper opens out as a sterile
working field
each
53
10cm x 20cm
4 x 10cm x 10cm
50cm x 45cm
50cm x 50cm
Non Drug Tariff Specification CE marked Sterile Dressing Packs
Dressit
1 Pair Vitrex Gloves
small/medium, medium/large
1 Large Apron
1 Disposable Bag
26cm x 46cm
1 Paper Towel
45cm x 50cm
4 Softswabs 4 ply
10cm x 10cm
1 Absorbent Pad
10cm x 12cm
1 Sterile field
50cm x 50cm
MeCoBo
5 Non-Woven swabs 4 ply
1 Folded Laminate Drape
1pc Absorbent Towel
1pc Gallipot
1pc Kidney Tray
1pc Wrapping Drape
1pc Packed Pouch
60
46
7.5cm x 7.5cm
500mm x 500mm
500mm x 500mm
60ml
210mm x 110mm x 25mm
500mm x 500mm
133mm x 280mm
Multi-Pack
1 Sterile Field
1 Tray
1 Pair Nitrile Gloves
1 Blue Drape
1 White Bag
1 White Large Apron
5 Non Woven Swabs 4 Ply
46
small, medium or large
10cm x 10cm
Nurse It
1 Pair Latex Free Powder Free Nitrile Gloves
7 Non-Woven Swabs 4 ply
1 Compartment Tray
1 Disposable Forceps
2 Laminated Paper Sterile Fields
1 Large Apron
1 Paper Towel
1 White Polythene Disposable Bag
1 Paper Measuring Tape
Polyfield Nitrile Patient Pack
1 Pair Powder Free Nitrile AF gloves
1 Sterile Laminate Sheet
7 Non Woven Swabs
1 Towel
1 White Polythene Disposable Bag
1 Apron
55
small/medium, medium/large
10cm x 10cm
12cm x 11cm
11cm
40cm x 40cm
80cm x 130cm
35cm x 40cm
46cm x 26cm
52
small, medium or large
50cm x 45cm
10cm x 10cm
43cm x 38cm
248
08/2016
Part IXA
APPLIANCES
Part IXA-Dressings
Appliance
DRESSINGS
Super-Absorbent Dressing
Zetuvit Plus
each
10cm x 10cm
10cm x 20cm
15cm x 20cm
20cm x 25cm
20cm x 40cm
64
88
101
138
213
4cm x 5cm
6cm x 7cm
10cm x 12cm
10cm x 15cm
15cm x 20cm
4
7
16
19
38
365 IV Reinforced IV Transparent Dressing Frame Application
5cm x 5.7cm
7cm x 8.5cm
23
18
365 IV Transparent IV Dressing
7cm x 9cm
10cm x 12cm
24
59
Askina Derm
6cm x 7cm
10cm x 12cm
10cm x 20cm
15cm x 20cm
20cm x 30cm
37
108
206
250
446
Bioclusive Plus
6cm x 7cm
10cm x 12cm
15cm x 20cm
20cm x 30cm
36
99
144
235
16cm x 7cm central line
16cm x 8.8cm central line
95
104
ClearFilm
6cm x 7cm
10cm x 12cm
12cm x 12cm
15cm x 20cm
20cm x 30cm
25
55
62
115
195
ClearFilm I.V.
6cm x 7cm
7cm x 9cm
10cm x 12cm
10cm x 15cm
28
36
98
140
C-View
6cm x 7cm
10cm x 12cm
12cm x 12cm
15cm x 20cm
38
102
109
236
Dressfilm
15cm x 20cm
190
EasI-V securement device for IV peripheral lines
7cm x 7.5cm
38
Vapour-permeable Adhesive Film Dressing
(Syn: Semipermeable Adhesive Dressing)
365 Film
Central Gard (Intravenous/Sub-Cutaneous Therapy)
Healthgard I.V. Film Dressing
7cm x 9cm
Healthgard Film
4cm x 5cm
6cm x 7cm
10cm x 12cm
15cm x 20cm
249
21
8
14
42
84
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Hydrofilm
each
6cm x 7cm
23
10cm x 12.5cm
42
10cm x 15cm
53
10cm x 25cm
82
12cm x 25cm
87
15cm x 20cm
97
20cm x 30cm
161
Hydrofilm IV Control
Hypafix Transparent
7cm x 9cm
31
10cm x 2m
879
Ported 5cm x 6cm
6cm x 7cm
Ported 7cm x 9cm
Ported 9cm x 12cm
10cm x 12cm
Ported 11cm x 14cm
43
56
73
145
140
162
Kendall Film
4cm x 4cm
5cm x 7cm
10cm x 12cm
10cm x 20cm
15cm x 20cm
20cm x 25cm
36
40
103
204
235
411
Leukomed T
7.2cm x 5cm
8cm x 10cm
10cm x 12.5cm
11cm x 14cm
15cm x 20cm
15cm x 25cm
38
70
102
124
237
253
Mepitel Film
6.5cm x 7cm
10.5cm x 12cm
10.5cm x 25cm
15.5cm x 20cm
49
131
255
324
Mepore Film
6cm x 7cm
10cm x 12cm
10cm x 25cm
15cm x 20cm
46
123
239
304
Mepore IV
5cm x 5.5cm
8cm x 9cm
10cm x 11cm
31
40
107
Niko-Fix securement device for ported IV cannula
7cm x 8.5cm
19
5cm x 1m
10cm x 1m
391
660
6cm x 7cm
12cm x 12cm
15cm x 20cm
40
113
285
6cm x 7cm ported cannula
7cm x 9cm one hand application
8.5cm x 7cm for cannula
8
17
7
IV3000 (Intravenous/Sub-Cutaneous Therapy)
OpSite Flexifix (non sterile)
OpSite Flexigrid
Pharmapore-PU.-I.V
250
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Premierfilm
each
6cm x 7cm
25
10cm x 12cm
78
10cm x 15cm
61
12cm x 25cm
105
15cm x 20cm
155
Premierfilm I.V.
5cm x 5.7cm
7cm x 8.5cm
9cm x 12cm
10cm x 14cm
31
38
75
107
ProtectFilm
6cm x 7cm
10cm x 12cm
15cm x 20cm
11
20
40
Suprasorb F
5cm x 7cm
10cm x 12cm
15cm x 20cm
34
81
252
Tegaderm Diamond
6cm x 7cm
10cm x 12cm
6cm x 7cm
12cm x 12cm
15cm x 20cm
45
121
39
111
241
Tegaderm IV with securing tapes (Intravenous/Sub-cutaneous Therapy)
7cm x 8.5cm peripheral line
8.5cm x 10.5cm central line
10cm x 15.5cm PICC line
59
116
167
Transparent Semi Permeable Dressing LMJTD
9cm x 11cm
75
12cm x 12cm
12cm x 35cm
15cm x 20cm
110
275
210
Vapour-permeable Adhesive Film Dressing - with absorbent pad
(Syn: Semipermeable Adhesive Dressing)
365 Transparent Island
5cm x 7.2cm (wound contact pad 2.5cm x 3.6cm + border 1.25cm - 1.8cm)
8.5cm x 9.5cm (wound contact pad 3.8cm x 6.8cm + border 2.35cm - 1.35cm)
10cm x 25cm (wound contact pad 5.5cm x 20cm + border 2.25cm - 2.5cm)
12cm x 10cm (wound contact pad 7.5cm x 5cm + border 2.5cm)
20cm x 10cm (wound contact pad 15cm x 5.3cm + border 2.5cm - 2.35cm)
5
11
15
26
14
21
27
Tegaderm Film
Vellafilm
Adpore Ultra
7cm x 8cm (wound contact pad 4cm x 5cm + border 1.5cm)
10cm x10cm (wound contact pad 4.5cm x 5cm + border 2.5cm - 2.75cm)
10cm x15cm (wound contact pad 5cm x 10cm + border 2.5cm)
251
12
14
22
33
35
52
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Alldress
each
10cm x 10cm
96
15cm x 15cm
210
15cm x 20cm
259
C-View Post-Op
6cm x 7cm
8.5cm x 9.5cm
8.5cm x 15cm
10cm x 12cm
10cm x 20cm
10cm x 25cm
10cm x 35cm
40
54
68
110
102
160
260
10cm x 10cm (wound contact pad 6cm x 6cm + border 2cm)
12
15
20
24
36
40
65
8cm x 10cm (wound contact pad 4cm x 5cm + border 2cm - 2.5cm)
9
10
18
22
33
55
48
5cm x 7.2cm
9cm x 10cm
9cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
18
27
30
46
61
69
Leukomed T plus
7.2cm x 5cm (wound contact pad 2.8cm x 3.7cm + border 1.6cm x 1.1cm)
8cm x 10cm (wound contact pad 4.2cm x 6.1cm + border 1.7cm x 2cm)
8cm x 15cm (wound contact pad 3.8cm x 11cm + border 1.7cm x 2cm)
10cm x 20cm (wound contact pad 5cm x 16cm + border 2.5cm x 2cm)
10cm x 25cm (wound contact pad 5cm x 21cm + border 2cm x 2.5cm)
10cm x 30cm (wound contact pad 5cm x 25cm + border 2.4cm x 2.5cm)
10cm x 35cm (wound contact pad 5cm x 30cm + border 2.1cm x 2.5cm)
27
54
81
135
151
253
307
Clearpore
Healthgard Film+
Hydrofilm Plus
Mepore Film & Pad
4cm x 5cm (wound contact pad 1.5cm x 2.5cm + border 1.25cm)
252
24
24
62
92
136
150
201
250
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Mepore Ultra
each
7cm x 8cm
40
9cm x 20cm
151
9cm x 25cm
167
9cm x 30cm
275
10cm x 11cm
80K
11cm x 15cm
118K
OpSite Plus
6.5cm x 5cm (wound contact pad 4cm x 2.5cm + border 1.25cm)
32
88
120
202
334
OpSite Post-Op
8.5cm x 9.5cm
8.5cm x 15.5cm
10cm x 12cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm
87
120
118
198
249
295
328
Pharmapore-PU
8.5cm x 15.5cm
10cm x 25cm
10cm x 30cm
20
38
58
Premierfilm Plus
5cm x 7cm (wound contact pad 2.5cm x 4cm + border 1.25cm x 1.5cm)
PremierPore VP
17
24
42
61
101
168
5cm x 7cm
10cm x 10cm
10cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm
13
16
24
36
38
57
69
9cm x 10cm (wound contact pad 4.5cm x 6cm + border 2.25cm - 2cm)
26
65
95
140
157
260
Tegaderm +Pad
Part IXA-Dressings
253
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
WOUND MANAGEMENT DRESSINGS
Note for all wound management dressings: The exact number of pieces, ordered by the prescriber is to
be dispensed.
Activated Charcoal Absorbent Dressing
Askina Carbosorb
10cm x 10cm
289
10cm x 20cm
558
CarboFlex
KoCarbon Hydrophilic
KoCarbon Occlusive
Sorbsan Plus Carbon
Activated Charcoal Non-Absorbent Dressing
Carbopad VC
CliniSorb
ODOLOCK
Activated Charcoal Cloth with Silver
Actisorb Silver 220
Alginate containing Hydrocolloid Dressing - Sterile
Indications: Medium to heavily exuding wounds.
Biatain Alginate
Urgosorb Pad
Urgosorb Silver
Alginate Dressing - Sterile
Indications: Medium to heavily exuding wounds.
ActivHeal Alginate
Algicell Ag
254
10cm x 10cm
8cm x 15cm (Oval)
15cm x 20cm
321
385
730
10cm x 10cm
20cm x 20cm
269
1061
4cm x 6.4cm (non-waterproof)
4cm x 6.5cm (waterproof)
10cm x 15cm (waterproof)
10cm x 25cm (waterproof)
85
85
325
636
7.5cm x 10cm
10cm x 15cm
10cm x 20cm
15cm x 20cm
256
496
594
684
10cm x 10cm
10cm x 20cm
10cm x 10cm
10cm x 20cm
15cm x 25cm
10.5cmx10.5cm
10.5cmx19cm
162
219
189
251
405
175
240
6.5cm x 9.5cm
10.5cm x 10.5cm
10.5cm x 19cm
164
258
470
5cm x 5cm
10cm x 10cm
15cm x 15cm
5cm x 5cm
10cm x 10cm
10cm x 20cm
5cm x 5cm
10cm x 10cm
10cm x 20cm
97
231
438
88
211
387
153
365
688
5cm x 5cm
10cm x 10cm
10cm x 20cm
59
115
283
5cm x 5cm
10.8cm x 10.8cm
10.1cm x 20.3cm
20.3cm x 30.5cm
122
352
700
1880
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Algisite Ag
each
5cm x 5cm
10cm x 10cm
10cm x 20cm
166
416
765
Algisite M
5cm x 5cm
10cm x 10cm
15cm x 20cm
92
191
514
Algisorb
5cm x 5cm
10cm x 10cm
10cm x 20cm
15cm x 25cm
55
110
270
495
Algivon
5cm x 5cm
10cm x 10cm
198
340
Algivon Plus
5cm x 5cm
10cm x 10cm
5cm x 5cm
10cm x 10cm
10cm x 20cm
15cm x 15cm
196
336
65
127
311
352
Algi-White Standard
5cm x 5cm
10cm x 10cm
10cm x 20cm
15cm x 15cm
62
121
297
336
Algosteril
5cm x 5cm
10cm x 10cm
10cm x 20cm
92
210
355
Biatain Alginate Ag
5cm x 5cm
10cm x 10cm
15cm x 15cm
3cm x 44cm
162
397
649
429
Cutimed Alginate
5cm x 5cm
10cm x 10cm
10cm x 20cm
75
156
294
Kaltostat
5cm x 5cm
7.5cm x 12cm
10cm x 20cm
15cm x 25cm
95
208
408
701
Kendall Calcium Alginate
5cm x 5cm
10cm x 10cm
10cm x 14cm
10cm x 20cm
15cm x 25cm
30cm x 61cm
72
152
245
298
525
2756
Kendall Calcium Alginate Plus
10cm x 10cm
208
Kendall Calcium Alginate Zn
5cm x 5cm
10cm x 10cm
10cm x 20cm
81
172
337
Algi-White Dense
255
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Maxorb II
each
5cm x 5cm
10cm x 10cm
70
145
Medihoney Gel Sheet
5cm x 5cm
10cm x 10cm
175
420
Melgisorb
5cm x 5cm
10cm x 10cm
10cm x 20cm
90
188
352
Melgisorb Ag
5cm x 5cm
10cm x 10cm
15cm x 15cm
182
364
771
Melgisorb Plus
5cm x 5cm
10cm x 10cm
10cm x 20cm
74
149
293
Sorbalgon
5cm x 5cm
10cm x 10cm
82
172
Sorbsan Flat
5cm x 5cm
10cm x 10cm
10cm x 20cm
81
171
320
Sorbsan Silver Flat
5cm x 5cm
10cm x 10cm
10cm x 20cm
157
397
726
Suprasorb A
5cm x 5cm
10cm x 10cm
63
123
Suprasorb A + Ag
5cm x 5cm
10cm x 10cm
10cm x 20cm
163
411
759
Tegaderm Alginate
5cm x 5cm
10cm x 10cm
81
172
Tegaderm Alginate Ag
5cm x 5cm
10cm x 10cm
139
324
Trionic
5cm x 10cm
10cm x 15cm
10cm x 20cm
119
268
332
Part IXA-Dressings
256
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Alginate Dressing with Superabsorbent Backing - Sterile
Sorbsan Plus
each
7.5cm x 10cm
10cm x 15cm
10cm x 20cm
15cm x 20cm
176
310
396
549
(wound contact pad 6.5cm x 9cm + border 2.5cm)
309
449
543
682
7.5cm x 10cm
10cm x 15cm
10cm x 20cm
15cm x 20cm
335
556
677
908
10cm x 10cm
450
5cm x 5cm
9cm x 9cm
14cm x 20cm
2cm x 21cm
205
427
846
658
5cm x 5cm
9cm x 9cm
14cm x 20cm
2cm x 21cm
257
512
1164
725
Capillary Action Absorbent Wound Dressing
Indications: Low to heavily exuding wounds.
Precautions: Avoid any arterial bleeds or very vascular wounds eg fungating wounds
Advadraw
5cm x 7.5cm
10cm x 10cm
10cm x 15cm
15cm x 20cm
57
88
119
157
Advadraw Spiral
0.5cm x 40cm
82
Cerdak Aerocloth
5cm x 5cm
5cm x 10cm
137
194
Cerdak Aerofilm
5cm x 5cm
5cm x 10cm
151
207
Cerdak Basic
5cm x 5cm
10cm x 10cm
10cm x 15cm
70
156
208
Sumar Lite
5cm x 5cm
10cm x 10cm
10cm x 15cm
93
159
212
Sorbsan Plus Border
11.5cm x 14cm
14cm x 19cm
14cm x 24cm
19cm x 24cm
Sorbsan Silver Plus
Bio-Cellulose Dressing
CelluDress - PHMB
Square
Suprasorb X
Square
Rectangular
Rope
Suprasorb X + PHMB
Square
Rectangular
Rope
257
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Sumar Max
each
5cm x 5cm
10cm x 10cm
10cm x 15cm
95
161
215
Sumar Spiral
0.5cm x 40cm
157
Vacutex
5cm x 5cm
10cm x 10cm
10cm x 15cm
10cm x 20cm
94
166
223
268
Cavity Dressing
Acticoat Flex 7
2.5cm x 60cm
938
ActivHeal Alginate Rope
2.5cm x 30cm
213
2cm x 42cm
181
ActivHeal Aquafiber Rope
Algicell Ag
1.9cm x 30.5cm
445
Algisite Ag
30cm/2g
574
Algisite M-Rope
2cm x 30cm
347
Algivon Plus Ribbon (with probe)
2.5cm x 20cm
336
Algi-White Dense
2.5cm x 30cm
254
Algi-White Standard
2.5cm x 30cm
224
Algosteril Rope
30cm/2g
379
5cm diameter
10cm diameter
9cm x 2.5cm
12cm x 4cm
421
1004
408
719
5cm x 6cm
10cm x 10cm
15cm x 20cm
189
315
631
Aquacel Ribbon
1cm x 45cm
2cm x 45cm
184
245
Aquacel Ag Ribbon
1cm x 45cm
2cm x 45cm
308
471
Aquacel Ag+ Ribbon
1cm x 45cm
2cm x 45cm
306
467
Askina Foam Cavity
2.4cm x 40cm
244
5cm x 8cm
402
44cm
272
10cm x 10cm
10cm x 15cm
210
263
N Allevyn Cavity
circular
tubular
Allevyn Plus Cavity
Biatain Ag
Biatain Alginate
Cerdak Cavity
N to be deleted 1 November 2016
258
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Cutimed Alginate
each
2.5cm x 30cm
359
Cutimed Cavity
5cm x 6cm
10cm x 10cm
15cm x 15cm
188
312
468
Cutimed Sorbact Ribbon
2cm x 50cm
5cm x 200cm
403
795
Cutimed Sorbact Round Swab
3cm/5 pieces
330
Kaltostat
2g
382
30cm
61cm
91cm
289
507
546
2.5cm x 30cm
340
1.9cm x 30cm
420
2.2cm x 32cm
355
Melgisorb Plus Cavity
3cm x 45cm
316
Melgisorb Ag Cavity
3cm x 44cm
454
PermaFoam Cavity
Kendall Calcium Alginate Rope
Maxorb II
Medihoney Antibacterial
Honey Apinate
Rope
Melgisorb Cavity
10cm x 10cm
203
PolyMem Silver WIC
8cm x 8cm
705
PolyMem WIC
8cm x 8cm
369
2.5cm x 30.5cm
394
Sorbalgon T
30cm/2g
351
Sorbsan Packing (with probe)
30cm/2g
347
40cm
204
30cm/2g
576
Silvercel non-adherent
Sorbsan Ribbon (with probe)
Sorbsan Silver Packing (with probe)
Sorbsan Silver Ribbon (with probe)
40cm/1g
415
Suprasorb A
30cm/2g
228
Suprasorb A + Ag
30cm/2g
608
2cm x 30.4cm
287
3cm x 30cm
370
9.5cm x 9.5cm
212
Tegaderm Alginate
Tegaderm Alginate Ag
Tielle Packing
259
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
UrgoClean Rope (with probe)
each
2.5cm x 40cm
5cm x 40cm
238
315
30cm
276
2.5cm x 30cm
367
Honey Based Topical Application
Actibalm
10g
255
Activon Medical Grade Manuka Honey
25g
205
L-Mesitran Ointment
20g
388
L-Mesitran SOFT
15g
359
ManukaDress-T
15g
285
MANUKApli
30g
590
Medihoney Antibacterial Medical Honey
20g
50g
396
990
Medihoney Antibacterial Wound Gel
10g
20g
269
402
Melladerm Plus
20g
50g
398
850
Melloxy
20g
50g
398
850
Mesitran Ointment
50g
990
Surgihoney
10g
199
5cm x 5cm
11cm x 11cm
2.5cm x 30.5cm
10cm x 20cm
168
414
445
768
Urgosorb Rope
Urgosorb Silver Rope
Hydrocolloid Dressing - Fibrous - Silver Impregnated - Sterile
Silvercel
Square
Rectangular
Part IXA- Wound Management Dressings
260
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
Hydrocolloid Dressing - Semi-permeable - Sterile - With Adhesive Border
Indications: Light to medium exudating wounds.
Precautions: Not suitable for infected wounds. Heavy exudate leads to too frequent changes of dressing.
Dressing should seal round the borders of a wound.
Sterile one-piece pack:
BeneHold Bordered
Square
5cm x 5cm
(wound contact pad 3.4cm x 3.4 cm + border 0.8cm)
90
10cm x 10cm
227
15cm x 15cm
487
20cm x 20cm
701
Sacral
8.47cm x 10cm
(wound contact pad 6.47cm x 8cm + irregular border)
302
15.08cm x 17.8cm (wound contact pad 13.08cm x 15.8cm + irregular border)
544
Comfeel Plus Contour Dressing
These dressings are contoured to facilitate application to difficult areas, such as elbows and heels.
6cm x 8cm
(wound contact pad 6cm x 8cm + irregular border)
220
9cm x 11cm
383
Comfeel Plus Pressure Relieving Dressing
Circular
7cm diameter
(wound contact pad 7cm diameter + irregular border)
10cm diameter
15cm diameter
Granuflex Bordered
Square
6cm x 6cm
10cm x 10cm
15cm x 15cm
Triangular
10cm x 13cm
15cm x 18cm
344
461
694
176
333
636
393
613
Hydrocoll Border (Bevelled Edge)
Square
5cm x 5cm
101
7.5cm x 7.5cm
167
10cm x 10cm
243
15cm x 15cm
457
Concave
These dressings are contoured to facilitate application to difficult areas such as elbows and heels.
8cm x 12cm
(wound contact pad 9.3cm x 4.7cm + irregular border)
214
Sacral (previously measured as 15cm x 18cm)
12cm x 18cm
364
Tegaderm Hydrocolloid
Oval
10cm x 12cm
13cm x 15cm
Sacral
17.1cm x 16.1cm
Ultec Pro
Square
21cm x 21cm
Sacral
15cm x 18cm
19.5cm x 23cm
233
434
485
(wound contact pad 15.2cm x 15.2cm + 2.9cm border)
467
(wound contact pad 10cm x 12.5cm + irregular border)
330
498
261
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
DRESSINGS
Hydrocolloid Dressing - Semi-permeable - Sterile - Without Adhesive Border
ActivHeal Hydrocolloid
Square
10cm x 10cm
15cm x 15cm
Sacral
15cm x 18cm
Rectangular
5cm x 7.5cm
ActivHeal Hydrocolloid Foam Backed
Square
Sacral
Rectangular
Askina Hydro
Square
Basic Price p
each
158
343
398
78
10cm x 10cm
15cm x 15cm
15cm x 18cm
5cm x 7.5cm
155
291
336
97
10cm x 10cm
15cm x 15cm
20cm x 20cm
140
276
572
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
83
152
310
619
10cm x 10cm
15cm x 15cm
20cm x 20cm
4cm x 6cm
18cm x 20cm
243
521
751
95
567
10cm x 10cm
14cm x 14cm
20cm x 20cm
18.5cm x 19.5cm
22.5cm x 20cm
11cm x 19cm
212
371
738
519
607
325
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
10cm x 9cm
15cm x 16.5cm
80
155
336
591
332
398
10cm x 10cm
219
BeneHold
Square
Comfeel Plus Ulcer Dressing (Bevelled Edge)
Square
Rectangular
Triangular
DuoDERM Signal
Square
Heel
Sacral
Oval
Exuderm Satin
Square
Sacral
Flexigran
Square
262
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
DRESSINGS
Granuflex (modified)
Square
Basic Price p
each
10cm x 10cm
15cm x 15cm
20cm x 20cm
15cm x 20cm
280
530
798
575
10cm x 10cm
247
Heel/Elbow
Sacral
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
8cm x 12cm
15cm x 18cm
85
156
318
636
318
445
Tegaderm Hydrocolloid
Square
10cm x 10cm
237
10cm x 10cm
15cm x 15cm
20cm x 20cm
228
444
669
Rectangular
Hydrocoll Basic
Square
NU-DERM
Square
Ultec Pro
Square
Hydrocolloid Dressing - Semi-permeable - Sterile - Chronic and acute exudating wounds
With Adhesive Border
Biatain Super
Square
10cm x 10cm
12.5cm x 12.5cm
(wound contact pad 8.5cm x 8.5cm + border 2cm)
15cm x 15cm
20cm x 20cm
Rectangular
12cm x 20cm
With Non-Adhesive Border
Biatain Super
Square
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
Rectangular
12cm x 20cm
218
360
435
678
361
218
360
435
678
361
263
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
Hydrocolloid Dressing - Thin - Semi-permeable - Sterile - With Adhesive Border
Tegaderm Hydrocolloid Thin
Oval
10cm x 12cm
155
13cm x 15cm
289
Hydrocolloid Dressing - Thin - Semi-permeable - Sterile - Without Adhesive Border
Askina Biofilm Transparent
10cm x 10cm
Square
20cm x 20cm
BeneHold TASA
Square
107
317
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
45
130
281
334
10cm x 10cm
15cm x 15cm
20cm x 20cm
5cm x 7cm
5cm x 15cm
5cm x 25cm
9cm x 14cm
9cm x 25cm
15cm x 20cm
127
331
338
66
157
256
242
343
336
5cm x 10cm
9cm x 15cm
9cm x 25cm
9cm x 35cm
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
76
177
282
394
80
132
285
10cm x 10cm
108
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
70
116
261
NU-DERM
10cm x 10cm
106
Tegaderm Hydrocolloid Thin
Square
10cm x 10cm
155
Comfeel Plus Transparent Dressing
Square
Rectangular
DuoDERM Extra Thin
Rectangular
Square
Flexigran Thin
Square
Hydrocoll Thin Film
Square
264
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
Hydrogel Dressing - Sterile
Indications:Dry "sloughy" or necrotic wounds; lightly exudating wounds; granulating wounds.
Precautions: Not suitable for heavily-exudating wounds. Care should be taken to choose the appropriate
secondary dressing.
ActivHeal Hydrogel
8g
123
15g
141
AquaForm Hydrogel
8g
15g
166
202
Askina Gel
15g
201
Cutimed Gel
8g
15g
25g
168
205
302
Flamozil Hydrocolloid Gel
50g
645
Flexigran Gel
15g
190
Granugel Hydrocolloid Gel
15g
233
Hyiodine
22g
50g
1995
3500
IntraSite Gel
8g
15g
25g
180
242
359
Iodoflex Paste
5g
10g
17g
413
825
1306
10g tube
20g tube
456
912
3g sachet
195
15g
209
Octenilin Wound Gel
20ml
478
Prontosan Wound Gel
30ml
638
Prontosan Wound Gel X
50g
250g
1180
3158
8g
15g
174
227
Iodosorb Ointment
Iodosorb Powder
Nu-Gel
Purilon Gel
265
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Hydrogel Sheet
Hydrosorb Comfort
each
Square
Rectangular
12.5cm x 12.5cm
4.5cm x 6.5cm
7.5cm x 10cm
361
187
248
KerraLite Cool Adhesive
Square
8cm x 8cm
11cm x 11cm
15cm x 15cm
202
270
429
L-Mesitran Border
Square
10cm x 10cm
274
Without Adhesive Border
ActiFormCool
Square
Aquaflo
Discs
10cm x 10cm
20cm x 20cm
5cm x 6.5cm
10cm x 15cm
7.5cm
12cm
263
793
179
379
260
537
Rectangular
Coolie
Disc
7cm Diameter
196
Cutimed Sorbact Gel
Square
Rectangular
7.5cm x 7.5cm
7.5cm x 15cm
265
448
Gel FX
Square
Geliperm
Square
10cm x 10cm
15cm x 15cm
10cm x 10cm
160
320
253
Hydrosorb
Square
10cm x 10cm
20cm x 20cm
5cm x 7.5cm
226
677
158
IntraSite Conformable
Square
Rectangular
10cm x 10cm (7.5g)
10cm x 20cm (15g)
10cm x 40cm (30g)
180
244
435
KerraLite Cool Non-Adhesive
Square
Rectangular
6cm x 6cm
8.5cm x 12cm
18cm x 12.5cm
175
257
371
L-Mesitran Hydro
Square
Rectangular
10cm x 10cm
15cm x 20cm
263
548
L-Mesitran Net
Square
10cm x 10cm
253
Novogel
Square
10cm x 10cm
30cm x 30cm (0.15cm thickness)
30cm x 30cm (0.30cm thickness)
5cm x 7.5cm
15cm x 20cm
20cm x 40cm
7.5cm Diameter
318
1271
1347
199
607
1156
289
Rectangular
Rectangular
Circular
SanoSkin NET
Vacunet
Square
Rectangular
266
8.5cm x 12cm
228
10cm x 10cm
10cm x 15cm
193
286
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Keratin Dressing
keragel
keragelT
each
Non-Adherent Polyester Film Dressing
Kendall Telfa Clear
20g tube
5g tube
6600
3960
7.5cm x 7.5cm
10cm x 12.5cm
30cm x 30cm
30cm x 60cm
158
166
230
293
Polyurethane Foam Film Dressing - Sterile - With Adhesive Border
Light to medium exudating wounds
Tielle
Square 11cm x 11cm
15cm x 15cm
18cm x 18cm
Rectangular
7cm x 9cm
15cm x 20cm
wound contact pad 11cm x 16cm + border 2cm)
Tielle Sacrum
Square 18cm x 18cm
(wound contact pad 12cm x 10cm + border 3 - 5cm)
Polyurethane Foam Film Dressing - Sterile - Without Adhesive Border
Light to medium exudating wounds
Advazorb Lite
Square
7.5cm x 7.5 cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
Rectangular
10cm x 20cm
NAllevyn Lite
Square
Rectangular
PolyMem
Finger/Toe
Tube
Transorbent (adhesive)
Square
Rectangular
267
128
487
360
70
97
143
189
338
302
5cm x 5 cm
10cm x 10cm
10cm x 20cm
15cm x 20cm
113
205
351
438
Size 1
Size 2
Size 3
Size 4
Size 5
7cm x 7cm
9cm x 9cm
250
250
250
299
325
172
217
10cm x 10cm
15cm x 15cm
20cm x 20cm
5cm x 7cm
198
365
583
105
Lightly to non-exuding wounds
PolyMem
Square 5cm x 5cm
Tielle Lite
Square
11cm x 11cm
Rectangular
7cm x 9cm
8cm x 15cm
8cm x 20cm
238
389
495
52
228
121
281
297
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Moderate to heavily exuding wounds
ActivHeal Foam Adhesive
Square
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
ActivHeal Foam Contact
Square
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
Rectangular
10cm x 20cm
Sacral
18cm x 18.5cm
each
118
163
168
215
450
129
189
218
416
605
270
(wound contact pad 13cm x 14.5cm + border 2cm-2.5cm)
320
Allevyn Adhesive (Adhesive faced pad)
Square
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
17.5cm x 17.5cm
22.5cm x 22.5cm
Rectangular
12.5cm x 22.5cm
Anatomically Shaped Sacral Dressing
17cm x 17cm
22cm x 22cm
N Allevyn Plus Adhesive
Square
12.5cm x 12.5cm
17.5cm x 17.5cm
Rectangular
12.5cm x 22.5cm
Anatomically Shaped Sacral Dressing
17cm x 17cm
22cm x 22cm
268
149
218
267
527
767
416
396
570
335
647
594
489
707
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Biatain Adhesive
Square
7.5cm x 7.5cm
10cm x 10cm
(circular wound contact pad 6cm diameter + irregular border)
12.5cm x 12.5cm
15cm x 15cm
18cm x 18cm
Sacral
17cm x 17cm
23cm x 23cm
Heel Dressing
19cm x 20cm
Contour
17cm diameter
Rectangular
18cm x 28cm
Circular
see under 'Square' with circular pad
each
105
175
255
380
516
232
441
516
496
763
ComfiHEAL
Square
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
GenaFoam Border
Square
10cm x 10cm
15cm x 15cm
20cm x 20cm
122
189
338
154
393
572
Kendall AMD Foam Island
Square 8.9cm x 8.9cm
14cm x 14cm
19cm x 19cm
Rectangular
4.4cm x 8.3cm
8.9cm x 14cm
Kendall Foam Island
Square
10cm x 10cm
15cm x 15cm
20cm x 20cm
PermaFoam
Concave
16.5cm x 18cm
Sacral
18cm x 18cm
22cm x 22cm
308
637
1225
247
485
(wound contact pad 5cm x 5cm + 2.5cm border)
154
290
546
(wound contact pad 10.5cm x 12cm + border 3cm)
406
(wound contact pad 11cm x 9.5cm + border 3-4.25cm)
334
384
269
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
PermaFoam Comfort
Square 8cm x 8cm
11cm x 11cm
15cm x 15cm
20cm x 20cm
Rectangular
10cm x 20cm
each
113
214
350
508
338
293
(wound contact pad 2.5cm x 5cm + irregular border)
(wound contact pad 11.4cm x 12cm + border 3.5-4cm)
218
115
205
674
453
354
(wound contact pad 6cm x 7.6cm + border 1.7-2cm)
(wound contact pad 14cm x 17.1cm + border 2.5cm)
146
239
424
696
422
171
263
430
539
313
Tielle Plus Heel Hydropolymer Adhesive Dressing
Heel Dressing
20cm x 26.5cm
445
PolyMem
Square
15cm x 15cm
Rectangular
10cm x 13cm
Oval
5cm x 7.6cm
8.8cm x 12.7cm
16.5cm x 20.9cm
Sacral 18.4cm x 20cm
Tegaderm Foam Adhesive
Square
14.3cm x 14.3cm
Oval
6.9cm x 7.6cm
10cm x 11cm
14.3cm x 15.6cm
19cm x 22.2cm
Circular (Heel)
13.9cm x 13.9cm
Soft Cloth Border
6.9cm x 6.9cm
Tielle Plus
Square
11cm x 11cm
15cm x 15cm
Rectangular
15cm x 20cm
Sacrum
15cm x 15cm
Trufoam Border
Square
11cm x 11cm
15cm x 15cm
Rectangular
7cm x 9cm
15cm x 20cm
170
223
116
404
270
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Xtrasorb Foam Adhesive
Square
8cm x 8cm
11.5cm x 11.5cm
15.5cm x 15.5cm
each
Polyurethane Foam Film Dressing - Sterile - Without Adhesive Border
Moderate to heavily exuding wounds
ActivHeal Foam
Heel
ActivHeal Non-Adhesive Foam Square
Rectangular
ActivHeal Tracheostomy Foam Square
Advazorb
Square
Rectangular
150
240
340
18cm x 12cm
348
5cm x 5cm
10cm x 10cm
20cm x 20cm
10cm x 20cm
75
113
392
234
10cm x 10cm (fenestrated)
146
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
20cm x 20cm
15cm x 15cm
10cm x 20cm
65
78
108
159
375
210
335
Advazorb Heel
Heel
17cm x 21cm
475
Allevyn Compression
N Square
10cm x 10cm
15cm x 15cm
5cm x 6cm
15cm x 20cm
258
437
125
490
5cm x 5cm
10cm x 10cm
20cm x 20cm
10cm x 20cm
10.5cm x 13.5cm
126
249
669
401
511
Rectangular
10cm x 10cm
20cm x 20cm
10cm x 20cm
219
577
345
Askina Heel
Heel
12cm x 20cm
468
Biatain-Ibu Non-Adhesive
Square
15cm x 15cm
20cm x 20cm
5cm x 7cm
10cm x 12cm
10cm x 22.5cm
520
885
172
331
520
15cm x 15cm
10cm x 12cm
10cm x 22.5cm
520
331
520
10cm x 10cm
15cm x 15cm
20cm x 20cm
5cm x 7cm
10cm x 20cm
238
438
650
131
392
Rectangular
Allevyn Non-Adhesive
Square
Rectangular
Heel (Cup Shaped)
Askina Foam
Square
Rectangular
Biatain-Ibu Soft-Hold
Square
Rectangular
Biatain Non-Adhesive
Square
Rectangular
271
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Biatain Soft-Hold Dressing
Square
each
Rectangular
GenaFoam
Square
Heel
Kendall AMD Antimicrobial foam dressing
Square
Rectangular
Kendall AMD Antimicrobial Plus foam dressing
Square
Rectangular
Kendall Foam
Square
Rectangular
Kendall Foam Plus
Square
Rectangular
Kerraheel
Heel
Lyofoam Max
Square
Rectangular
PermaFoam
Circular
Square
Rectangular
PolyMem
Square
Rectangular
Roll
PolyMem Max
Square
272
10cm x 10cm
15cm x 15cm
5cm x 7cm
10cm x 20cm
259
429
131
392
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
14cm x 23cm
71
134
263
445
499
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
8.8cm x 7.5cm (fenestrated)
10cm x 20cm
250
471
892
1307
423
892
10cm x 10cm
8.8cm x 7.5cm (fenestrated)
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
8.5cm x 7.5cm fenestrated
10cm x 20cm
494
443
71
121
106
180
260
301
91
205
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
8.5cm x 7.5cm fenestrated
10cm x 20cm
82
142
147
338
404
124
269
12cm x 20cm
465
10cm x 10cm
15cm x 15cm
20cm x 20cm
7.5cm x 8.5cm
10cm x 20cm
15cm x 20cm
114
215
399
109
201
271
6cm diameter
8cm x 8cm (fenestrated)
10cm x 10cm
15cm x 15cm
20cm x 20cm
10cm x 20cm
111
126
214
406
620
367
8cm x 8cm
10cm x 10cm
13cm x 13cm
17cm x 19cm
10cm x 61cm
20cm x 60cm
159
247
412
608
1310
3090
11cm x 11cm
20cm x 20cm
297
1168
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Tegaderm Foam
Square
each
Rectangular
Tielle Non Adhesive
Square
Rectangular
Tielle Xtra
Square
Rectangular
8.8cm x 8.8cm (Fenestrated)
10cm x 10cm
20cm x 20cm
10cm x 20cm
10cm x 60cm
223
219
592
371
1254
5cm x 5cm
10cm x 10cm
15cm x 15cm
17.5cm x 17.5cm
21cm x 22cm
120
217
367
551
590
11cm x 11cm
15cm x 15cm
15cm x 20cm
224
337
551
Trufoam Non Adhesive
Square
5cm x 5cm
10cm x 10cm
15cm x 15cm
71
134
263
Xtrasorb Foam Non-Adhesive
Square
5cm x 5cm
20cm x 20cm
10cm x 12cm
112
500
230
10cm x 10cm
5cm x 6cm
15cm x 20cm
254
126
538
Rectangular
Polyurethane Matrix Dressing
Indications: Light to medium exudating wounds
Cutinova Hydro
Square
Rectangular
Protease Modulating Matrix - Sterile
Abilar Resin Salve
20g tube (approximate coverage 200cm2)
800
ActivHeal Aquafiber
Square
5cm x 5cm
10cm x 10cm
15cm x 15cm
76
180
340
Aquacel
Square
5cm x 5cm
10cm x 10cm
15cm x 15cm
4cm x 10cm
4cm x 20cm
4cm x 30cm
102
242
455
130
192
289
5cm x 5cm
10cm x 10cm
15cm x 15cm
4cm x 10cm
4cm x 20cm
4cm x 30cm
20cm x 30cm
197
469
882
285
372
557
2189
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 30cm
197
468
882
2189
Rectangular
Aquacel Ag
Square
Rectangular
Aquacel Ag Extra
Square
Rectangular
273
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Aquacel Ag+ Extra
Square
each
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 30cm
4cm x 10cm
4cm x 20cm
4cm x 30cm
195
464
875
2171
283
369
552
5cm x 5cm
10cm x 10cm
15cm x 15cm
4cm x 10cm
4cm x 20cm
4cm x 30cm
100
238
448
130
191
287
922
Rectangular
Aquacel Extra
Square
Rectangular
Biosorb see Cutimed Sorbion Sachet S
Cadesorb
Catrix
C-Sorb
Square
Rectangular
Curea P1
Square
Rectangular
1g sachet
380
7.5cm x 7.5cm
10cm x 10cm
20cm x 20cm
10cm x 20cm
15cm x 25cm
20cm x 30cm
58
65
180
98
185
220
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
10cm x 20cm
10cm x 30cm
20cm x 30cm
172
215
393
689
364
520
1003
Curea P1 drain
Square
Rectangular
Square
16cm x 16cm
15cm x 25cm
12cm x 12cm
403
605
265
Curea P2 (Non-Adherent)
Rectangular
10cm x 20cm
20cm x 30cm
11cm x 11cm
15cm x 15cm
20cm x 20cm
449
1060
247
495
782
10cm x 10cm
15cm x 15cm
25cm x 15cm
295
449
699
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
20cm x 20cm
20cm x 10cm
30cm x 20cm
145
178
225
700
373
999
Curea P1 Border
Square
Cutimed Sorbion Sachet Border
(formerly sorbion sachet border)
Square
Rectangular
Cutimed Sorbion Sachet Extra
(formerly sorbion sachet EXTRA)
274
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Cutimed Sorbion Sachet Multi Star
(formerly sorbion sachet multi star)
each
Cutimed Sorbion Sachet S (formerly
sorbion sachet S)(including products Square
formerly listed as Biosorb)
Rectangular
Cutimed Sorbion Sachet XL
(formerly sorbion sachet XL)
Rectangular
Cutimed Sorbion Sana Gentle
(formerly sorbion sana gentle)
Cutisorb Ultra
Square
Rectangular
Drawtex
DryMax Extra
Square
Rectangular
Durafiber
Square
Rectangular
275
8cm x 8cm
14cm x 14cm
299
489
10cm x 10cm drainage
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
12cm x 5cm
10cm x 20cm
20cm x 30cm
264
95
149
295
349
125
199
499
45cm x 25cm
1499
8.5cm x 8.5cm
12cm x 12cm
12cm x 22cm
22cm x 22cm
32cm x 22cm
199
249
449
799
1099
10cm x 10cm
20cm x 20cm
10cm x 20cm
20cm x 30cm
213
668
356
1006
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
15cm x 20cm
20cm x 20cm
7.5cm x 1m
10cm x 1m
20cm x 1m
10cm x 1.3m
95
177
224
600
698
1550
1600
2500
1600
10cm x 10cm
20cm x 20cm
10cm x 20cm
20cm x 30cm
37cm x 56cm
87
184
104
233
479
5cm x 5cm
10cm x 10cm
15cm x 15cm
4cm x 10cm
4cm x 20cm
4cm x 30cm
2cm x 45cm
92
219
411
118
173
259
221
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Durafiber Ag
Square
each
5cm x 5cm
10cm x 10cm
15cm x 15cm
2cm x 45cm
4cm x 10cm
4cm x 20cm
4cm x 30cm
20cm x 30cm
179
426
801
427
259
337
505
1985
10cm x 10cm
20cm x 20cm
10cm x 20cm
20cm x 30cm
96
201
113
254
5cm x 5cm
10cm x 10cm
15cm x 15cm
2cm x 45cm
4.5cm x 10cm
4.5cm x 20cm
4.5cm x 30cm
20cm x 30cm
85
205
385
185
112
164
248
894
768
2542
768
2542
10cm x 10cm
20cm x 20cm
10cm x 20cm
20cm x 30cm
88
186
105
235
Rectangular
12cm x 12cm
15cm x 15cm
15cm x 25cm
335
458
655
Iodozyme
Square
Rectangular
10cm x 10cm
6.5cm x 5cm
1262
757
KerraCel
Square
5cm x 5cm
10cm x 10cm
15cm x 15cm
2.5cm x 45cm
60
143
269
190
Rectangular
ELECT Superabsorber
Square
Rectangular
Exufiber
Square
Rectangular
Flaminal Forte
Flaminal Hydro
Flivasorb
Square
Rectangular
Flivasorb Adhesive
Square
Ribbon
KerraFibre
Rectangular
7cm x 5cm
11cm x 9cm
17cm x 11cm
100
238
448
KerraMaxCare
Square
5cm x 5cm
10cm x 10cm
10cm x 22cm
20cm x 22cm
20cm x 30cm
20cm x 50cm
100
129
168
298
340
450
Rectangular
276
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
KerraMaxCare Border Adhesive
each
Square
Rectangular
KerraMaxCare Multisite
kliniderm fiber cmc
Square
Rectangular
KytoCel
Square
Rectangular
16cm x 16cm
26cm x 26cm
16cm x 26cm
433
984
684
21cm x 23cm
323
5cm x 5cm
10cm x 10cm
15cm x 15cm
1cm x 45cm
2cm x 45cm
4cm x 30cm
63
142
267
135
175
160
5cm x 5cm
10cm x 10cm
15cm x 15cm
4cm x 10cm
4cm x 20cm
4cm x 30cm
2.5cm x 45cm
80
192
360
103
151
227
194
Medihoney Antibacterial Honey
Apinate
Square
5cm x 5cm
10cm x 10cm
200
340
Medihoney HCS
Square
6cm x 6cm
11cm x 11cm
20cm x 20cm
20cm x 30cm
224
447
1805
2808
11cm x 11cm
15cm x 15cm
306
579
Rectangular
Medihoney HCS with Adhesive Border Square
MelMax
Rectangular
5cm x 6cm
8cm x 10cm
8cm x 20cm
482
990
1979
Mextra Superabsorbent
Square
Rectangular
10cm x 10cm
10cm x 15cm
10cm x 20cm
15cm x 20cm
20cm x 25cm
20cm x 30cm
125
151
173
244
299
385
Oxyzyme
Square
Rectangular
10cm x 10cm
6.5cm x 5cm
1010
606
Proheal
Square
5.1cm x 5.1cm
10.2cm x 10.2cm
468
1248
Promogran
28cm2 (matrix is hexagonal in shape)
519
1562
Promogran Prisma
631
1798
5cm x 5cm
11cm x 11cm
10cm x 20cm
162
389
725
Silvercel non-adherent
Square
Rectangular
277
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
sorbion sachet border see Cutimed Sorbion Sachet Border
each
sorbion sachet EXTRA see Cutimed Sorbion Sachet Extra
sorbion sachet multi star see Cutimed Sorbion Sachet Multi Star
sorbion sachet S see Cutimed Sorbion Sachet S
sorbion sachet XL see Cutimed Sorbion Sachet XL
sorbion sana gentle see Cutimed Sorbion Sana Gentle
SorbXtra
Square
Rectangular
Suprasorb C
Rectangular
Tegaderm Superabsorber
Square
Rectangular
UrgoClean Ag
Square
Rectangular
UrgoClean Pad
Square
Rectangular
10cm x 10cm
20cm x 20cm
10cm x 20cm
20cm x 30cm
87
184
104
233
4cm x 6cm
6cm x 8cm
8cm x 12cm
463
716
1292
10cm x 10cm
20cm x 20cm
10cm x 20cm
20cm x 30cm
96
224
128
256
6cm x 6cm
10cm x 10cm
15cm x 20cm
194
441
832
6cm x 6cm
10cm x 10cm
20cm x 15cm
95
212
398
Xtrasorb HCS
Square
6cm x 6cm
11cm x 11cm
20cm x 20cm
115
220
650
Xtrasorb HCS Adhesive
Square
8cm x 8cm
15cm x 15cm
150
330
Zorflex VB-K
Square
5cm x 5cm
10cm x 10cm
10cm x 20cm
15cm x 25cm
98
235
450
750
Rectangular
278
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Scar Treatment Preparations
Silicone Gel Sheet
Indications: For prevention treatment - Keloid and Hypertrophic scars.
Advasil Conform
Square
10cm x 10cm
Rectangular
10cm x 15cm
each
520
917
Bapscarcare S
Rectangular
5cm x 20cm
10cm x 15cm
15cm x 20cm
1950
2450
3450
Bapscarcare T
Rectangular
Cica-Care
Rectangular
5cm x 7cm
5cm x 30cm
10cm x 15cm
6cm x 12cm
15cm x 12cm
315
900
900
1463
2852
Ciltech
Square
10cm x 10cm
15cm x 15cm
10cm x 20cm
750
1400
1250
Rectangular
Dermatix Clear
Square
Rectangular
13cm x 13cm
4cm x 13cm
13cm x 25cm
20cm x 30cm
1579
688
2853
5197
Dermatix Fabric
Square
Rectangular
13cm x 13cm
4cm x 13cm
13cm x 25cm
20cm x 30cm
1579
688
2853
5197
Mepiform
Rectangular
5cm x 7cm
9cm x 18cm
4cm x 31cm
345
1349
1090
NewGel+
Rectangular
(available in fabric backed and clear)
Shaped
2.5cm x 15.2cm
12.7cm x 15.2cm
2.5cm Diameter
4.5cm x 20.3cm
551
2413
182
1279
Oleeva Fabric
Square
Rectangular
13cm x 13cm
4cm x 13cm
13cm x 25cm
20cm x 30cm
1574
683
2848
5192
Scar Fx
Rectangular
10cm x 20cm
25.5cm x 30.5cm
3.75cm x 22.5cm
7.5cm Diameter
22.5cm x 14.5cm
1600
6000
1200
850
1200
Shaped
279
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Silgel
Square
each
10cm x 10cm
20cm x 20cm
40cm x 40cm
10cm x 5cm
15cm x 10cm
30cm x 5cm
10cm x 30cm
5cm Diameter
5.5cm Diameter
25cm x 15cm
46cm x 8.5cm
Rectangular
Shaped
Silicone Topical Cream & Gel
Indications: For prevention treatment - Keloid and Hypertrophic scars.
Bapscarcare
20g tube
1350
4000
14400
750
1950
1950
3150
400
400
2112
3946
1700
Ciltech gel
15g tube
60g tube
1750
5000
Dermatix
15g tube
60g tube
1666
6053
Kelo-cote gel
15g tube
60g tube
1788
5100
Kelo-cote spray
100ml spray
5100
Kelo-cote UV
15g tube
1788
NewGel+E
15g tube
1770
Pro-Sil gel
17g tube
1500
ScarSil gel
15ml tube
30ml tube
1013
1519
SilDerm Dual Action Scar Gel
15g tube
1474
SilDerm Scar Gel
6g tube
15g tube
558
1395
SilDerm Scar Spray
30ml spray
60ml spray
1530
3060
Silgel STC-SE (gel)
20ml tube
1900
30ml tube
100ml tube
250ml tube
1900
3500
5900
59ml tube
2995
Topical Cream and Gel (Non-Silicone/Others)
Alhydran
Alhydran SPF30
280
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Silver Coated Barrier Dressings - Sterile
Acticoat
Square
each
Rectangular
Acticoat 7
Square
Acticoat Flex 3
Square
Rectangular
Rectangular
Acticoat Flex 7
Square
Rectangular
Acticoat Moisture Control
Square
Rectangular
5cm x 5cm
10cm x 10cm
10cm x 20cm
20cm x 40cm
351
856
1339
4580
5cm x 5cm
15cm x 15cm
10cm x 12.5cm
609
3263
1815
5cm x 5cm
10cm x 10cm
10cm x 20cm
20cm x 40cm
354
864
1350
4621
5cm x 5cm
15cm x 15cm
10cm x 12.5cm
615
3292
1831
5cm x 5cm
10cm x 10cm
10cm x 20cm
718
1678
3270
Askina Calgitrol Ag
Square
10cm x 10cm
15cm x 15cm
20cm x 20cm
324
627
1462
Askina Calgitrol Thin
Square
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
197
408
916
1618
KerraContact Ag
Square
5cm x 5cm
15cm x 15cm
10cm x 12.5cm
20cm x 40cm
315
1350
770
4119
Rectangular
Silver Impregnated Polyurethane Foam Film Dressings
Allevyn Ag Adhesive
Square
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
17.5cm x 17.5cm
Sacral
17cm x 17cm
22cm x 22cm
Biatain Ag
Square
Heel
Sacral
12.5cm x 12.5cm
18cm x 18cm
19cm x 20cm
23cm x 23cm
PolyMem Silver
Oval
5cm x 7.6cm
12.7cm x 8.8cm
349
550
723
1390
1085
1454
924
1854
1828
1943
227
560
281
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Allevyn Ag Heel
Allevyn Ag Non-Adhesive
Square
each
10.5cm x 13.5cm
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
1076
326
614
1164
1704
10cm x 10cm
15cm x 15cm
20cm x 20cm
5cm x 7cm
10cm x 20cm
10.8cm x 10.8cm
17cm x 19cm
808
1621
2287
332
1484
886
1776
15g
655
7.5cm x 7.5cm
10cm x 10cm
10cm x 20cm
20cm x 20cm
20cm x 30cm
149
199
399
699
999
Lomatuell Pro
5cm x 5cm
10cm x 10cm
10cm x 20cm
10cm x 30cm
70
265
495
655
Physiotulle
10cm x 10cm
15cm x 20cm
226
689
7.5cm x 10cm
20cm x 25cm
227
1086
5cm x 5cm
10cm x 10cm
10cm x 40cm
15cm x 15cm
15cm x 20cm
20cm x 30cm
5cm x 10cm
10cm x 12cm
15cm x 20cm
5cm x 7cm
*10cm x 10cm
15cm x 20cm
154
307
1033
653
870
1399
248
383
889
297
420
1001
Soft Polymer Wound Contact Dressing Impregnated with Silver
Atrauman Ag
5cm x 5cm
10cm x 10cm
10cm x 20cm
52
126
247
Physiotulle Ag
10cm x 10cm
227
Urgotul Silver
10cm x 12cm
15cm x 20cm
10cm x 12cm
15cm x 20cm
354
965
314
889
Biatain Ag
Square
Rectangular
Polymem Silver
Silver Paste
Askina Calgitrol Paste
Square
Rectangular
Soft Polymer Wound Contact Dressing
Cutimed Sorbion Contact (formerly
sorbion contact)
sorbion contact see Cutimed Sorbion Contact
Tegaderm Contact
Urgotul
UrgotulDuo
UrgoStart Contact
Urgotul SSD
*see also Multi Layer Compression Bandaging
282
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing - Sterile
Allevyn Gentle
5cm x 5cm
126
10cm x 10cm
250
10cm x 20cm
402
15cm x 15cm
420
20cm x 20cm
671
Aquacel Foam Adhesive
8cm x 8cm
8cm x 13cm
10cm x 10cm
10cm x 20cm
10cm x 30cm
12.5cm x 12.5cm
17.5cm x 17.5cm
21cm x 21cm
25cm x 30cm
19.8cm x 14cm
20cm x 16.9cm
24cm x 21.5cm
139
223
214
260
495
265
530
776
1005
543
487
550
Aquacel Foam Non-Adhesive
5cm x 5cm
10cm x 10cm
10cm x 20cm
15cm x 15cm
15cm x 20cm
20cm x 20cm
134
253
350
425
581
694
HydroTac
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
18cm x 18.5cm
6cm diameter
255
370
425
625
595
150
8cm x 8cm
10cm x 20cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
18cm x 18cm
130
330
240
350
550
450
6cm x 6cm
10cm x 10cm
15cm x 20cm
12cm x 19cm
441
610
1096
840
6cm x 6cm
10cm x 10cm
15cm x 20cm
12cm x 19cm
185
268
609
480
Heel
Sacral
Heel
Circular
HydroTac Comfort (with adhesive border)
Sacral
UrgoStart
Heel
UrgoTul Absorb (formerly UrgoCell
TLC)
Heel
283
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Impregnated with
Antimicrobial Agents
Allevyn Ag Gentle
5cm x 5cm
331
10cm x 10cm
618
10cm x 20cm
1021
15cm x 15cm
1149
20cm x 20cm
1702
Allevyn Ag Gentle Border
7.5cm x 7.5cm
423
10cm x 10cm
636
12.5cm x 12.5cm
818
17.5cm x 17.5cm
1558
Aquacel Ag Foam Adhesive
8cm x 8cm
10cm x 10cm
12.5cm x 12.5cm
17.5cm x 17.5cm
21cm x 21cm
25cm x 30cm
19.8cm x 14cm
20cm x 16.9cm
341
544
713
1313
1817
2352
1191
1186
Aquacel Ag Foam Non-Adhesive
5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
15cm x 20cm
328
601
1140
1670
1247
Cutimed Siltec Sorbact
7.5cm x 7.5cm
12.5cm x 12.5cm
15cm x 15cm
17.5cm x 17.5cm
22.5cm x 22.5cm
17.5cm x 17.5cm
23cm x 23cm
251
644
798
1117
1699
807
1214
7cm x 8.5cm
14cm x 14cm
19cm x 19cm
24cm x 24cm
14cm x 24cm
5cm x 6.5cm
10cm x 10cm
15cm x 15cm
10cm x 20cm
368
537
1010
1531
860
397
708
1334
1135
Heel
Sacral
Sacral
Cutimed Sorbact Hydroactive
Cutimed Sorbact Hydroactive B
Kendall AMD Antimicrobial Foam Border Gentle Adhesion 4.4cm x 8.3cm
8.9cm x 8.9cm
8.9cm x 14cm
14cm x 14cm
19cm x 19cm
280
360
567
745
1433
UrgoCell Silver
428
589
1079
6cm x 6cm
10cm x 10cm
15cm x 20cm
284
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
each
Soft Silicone Wound Contact Dressing - Sterile
Indications: Non-exuding to heavily exuding wounds.Should be covered with a simple absorbent secondary
dressing.
Precautions: Dressing should be used with care in heavily bleeding wounds.
ActivHeal
5cm x 7.5cm
89
10cm x 10cm
209
10cm x 20cm
397
15cm x 15cm
381
Adaptic Touch
5cm x 7.6cm
7.6cm x 11cm
12.7cm x 15cm
20cm x 32cm
113
225
465
1250
Askina SilNet
5cm x 7.5cm
7.5cm x 10cm
10cm x 18cm
20cm x 30cm
113
228
498
1220
Atrauman Silicone
7.5cm x 10cm
10cm x 20cm
20cm x 30cm
259
535
1438
Cuticell Contact
5cm x 7.5cm
7.5cm x 10cm
10cm x 18cm
15cm x 25cm
109
209
435
729
Mepilex Transfer
7.5cm x 8.5cm
10cm x 12cm
15cm x 20cm
20cm x 50cm
223
351
1064
2720
Mepitel
5cm x 7cm
8cm x 10cm
12cm x 15cm
20cm x 32cm
159
319
645
1757
Mepitel One
6cm x 7cm
9cm x 10cm
13cm x 15cm
24cm x 27.5cm
159
319
645
1738
Silflex
5cm x 7cm
8cm x 10cm
12cm x 15cm
20cm x 30cm
35cm x 60cm
111
227
458
1179
3954
Silon-TSR
13cm x 13cm
13cm x 25cm
28cm x 30cm
352
547
737
Spycra Protect
5cm x 7.5cm
5cm x 150cm
7.5cm x 10cm
10cm x 18cm
18cm x 30cm
132
1792
221
644
1483
285
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Precautions: Dressing should be used with care in heavily bleeding wounds.
ActivHeal Silicone Foam Non-Border
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
20cm x 20cm
10cm x 20cm
each
83
97
143
264
424
266
Advazorb Silfix
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
10cm x 20cm
20cm x 20cm
99
185
259
336
318
498
Advazorb Silfix Lite
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
10cm x 20cm
20cm x 20cm
89
167
233
302
286
448
Askina DresSil
5cm x 7cm
10cm x 10cm
15cm x 15cm
10cm x 20cm
20cm x 20cm
85
145
267
268
426
Cutimed Siltec
5cm x 6cm
10cm x 10cm
10cm x 20cm
15cm x 15cm
20cm x 20cm
133
248
410
464
703
Cutimed Siltec Heel
16cm x 24cm
722
Cutimed Siltec L
5cm x 6cm
10cm x 10cm
15cm x 15cm
106
214
352
Cutimed Siltec Plus
5cm x 6cm
10cm x 10cm
10cm x 20cm
15cm x 15cm
20cm x 20cm
16cm x 24cm
130
244
403
455
691
709
Cutimed Siltec Plus Heel
286
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
GentilFoam
each
5cm x 5cm
7.5cm x 7.5cm
10cm x 10cm
10cm x 10cm (contoured)
15cm x 20cm
120
150
187
360
535
kliniderm Foam Silicone
5cm x 5cm
10cm x 10cm
10cm x 20cm
15cm x 15cm
20cm x 20cm
95
195
349
395
650
kliniderm Foam Silicone Heel
10cm x 17.5cm
315
kliniderm Foam Silicone Lite
6cm x 8.5cm
10cm x 10cm
15cm x 15cm
20cm x 50cm
127
157
370
1878
Mepilex
5cm x 5cm
20cm x 50cm
121
2907
Mepilex Ag
10cm x 10cm
10cm x 20cm
15cm x 15cm
20cm x 20cm
20cm x 50cm
612
1009
1136
1684
6320
Mepilex Heel
13cm x 20cm
15cm x 22cm
541
622
Mepilex Heel Ag
13cm x 20cm
15cm x 22cm
1278
1432
Mepilex Lite
6cm x 8.5cm
10cm x 10cm
15cm x 15cm
20cm x 50cm
182
217
422
2666
Mepilex XT
10cm x 11cm
11cm x 20cm
15cm x 16cm
20cm x 21cm
266
439
482
728
287
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
ActivHeal Silicone Foam Border
each
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
20cm x 20cm
10cm x 20cm
18cm x 18.5cm
107
162
232
284
491
288
360
Advazorb Border
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
10cm x 20cm
20cm x 20cm
10cm x 30cm
119
210
258
315
290
546
425
Advazorb Border Lite
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
10cm x 20cm
20cm x 20cm
10cm x 30cm
107
189
232
284
261
491
383
Advazorb Sacral
17cm x 19cm
22cm x 23cm
495
650
Allevyn Gentle Border
7.5cm x 7.5cm
10cm x 10cm
10cm x 20cm
12.5cm x 12.5cm
15cm x 15cm
17.5cm x 17.5cm
149
219
352
268
400
529
Allevyn Gentle Border Heel
23cm x 23.2cm
964
Allevyn Gentle Border Lite
5cm x 5cm
5.5cm x 12cm
7.5cm x 7.5cm
8cm x 15cm
10cm x 10cm
10cm x 20cm
15cm x 15cm
8.6cm x 7.7cm
15.2cm x 13.1cm
90
185
139
343
216
346
381
152
356
Allevyn Gentle Border Lite Multisite
8cm x 8.4cm
201
Allevyn Gentle Border Multisite
17.1cm x 17.9cm
430
Sacral
Oval
288
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Allevyn Gentle Border Sacrum
each
16.8cm x 17.1cm
21.6cm x 23cm
396
561
10.3cm x 10.3cm
12.9cm x 12.9cm
15.4cm x 15.4cm
21cm x 21cm
25cm x 25.2cm
17.2cm x 17.5cm
21.6cm x 23cm
169
248
303
597
1114
451
637
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
15cm x 20cm
20cm x 20cm
22cm x 21.6cm
16cm x 17.5cm
107
190
285
371
493
640
362
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
17.5cm x 17.5cm
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
17.5cm x 17.5cm
5cm x 5cm
5cm x 12.5cm
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
146
215
263
390
518
330
520
680
1120
1240
90
195
132
202
239
7.5cm x 7.5cm
12.5cm x 12.5cm
15cm x 15cm
17.5cm x 17.5cm
22.5cm x 22.5cm
17.5cm x 17.5cm
23cm x 23cm
154
327
503
529
855
460
736
GentilFoam Border
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
15cm x 20cm
135
210
275
450
535
KerraFoam Gentle Border
7.5cm x 7.5cm
10cm x 10cm
10cm x 20cm
12.5cm x 12.5cm
23cm x 25cm
17cm x 17.5cm
23cm x 26cm
146
214
344
260
803
450
837
7.5cm x 7.5cm
10cm x 10cm
12.5cm x 12.5cm
15cm x 15cm
10cm x 20cm
15cm x 20cm
118
163
233
395
320
500
Allevyn Life
Allevyn Life Heel
Allevyn Life Sacrum
Askina DresSil Border
Askina DresSil Heel
Askina DresSil Sacrum
Biatain Silicone
Biatain Silicone Ag
Biatain Silicone Lite
Cutimed Siltec B
Cutimed Siltec Sacrum
KerraFoam Gentle Border Heel
KerraFoam Gentle Border Sacrum
kliniderm Foam Silicone Border
289
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
kliniderm Foam Silicone Lite Border
each
4cm x 5cm
5cm x 12.5cm
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
60
150
100
150
350
kliniderm Foam Silicone Sacrum Border
18cm x 18cm
390
Mepilex Border
7cm x 7.5cm
10cm x 12.5cm
10cm x 20cm
10cm x 30cm
15cm x 17.5cm
17cm x 20cm
139
272
369
555
474
607
Mepilex Border Ag
7cm x 7.5cm
10cm x 12.5cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
15cm x 17.5cm
17cm x 20cm
341
616
897
1123
1346
1131
1466
13cm x 16cm
15cm x 19cm
18.5cm x 24cm
4cm x 5cm
5cm x 12.5cm
7.5cm x 7.5cm
10cm x 10cm
15cm x 15cm
15cm x 15cm
18cm x 18cm
23cm x 23cm
18cm x 18cm
20cm x 20cm
23cm x 23cm
334
404
663
92
201
139
253
413
334
485
791
1183
1438
1889
Tielle Silicone Border
7cm x 9cm
10cm x 10cm
12.5cm x 12.5cm
17.5cm x 17.5cm
21cm x 22cm
144
211
259
510
602
UrgoStart Border
Sacrum
8cm x 8cm
10cm x 10cm
13cm x 13cm
15cm x 20cm
20cm x 20cm
512
607
849
1092
1467
Sacrum
6.5cm x 10cm
8cm x 8cm
8cm x 15cm
10cm x 10cm
10cm x 25cm
13cm x 13cm
15cm x 20cm
20cm x 20cm
145
136
240
196
360
240
391
427
Mepilex Border Flex
Oval
Mepilex Border Heel
Mepilex Border Lite
Mepilex Border Sacrum
Mepilex Border Sacrum Ag
UrgoTul Absorb Border
290
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Topical Negative Pressure System Accessories
Avance Film with Safetac
Avance Flat Drain
Avance Round Drain
Avance Solo kit
Avance Transfer Pad
Avance Transparent Film
Avance Y Quick Connector
each
747
981
987
35000
973
618
275
Foam Wound Dressing (Smith & Nephew)
10cm x 12.5cm x 1.5cm
Gauze Wound Dressing (Smith & Nephew)
15cm x 17cm
Kerlix AMD Antimicrobial Super Sponges
15.2cm x 17.1cm
Kerlix AMD Gauze
Mepiseal
Renasys Adhesive gel patch
Renasys Soft Port
Renasys Y Connector (for use with Soft Port)
Renasys Port Kit
11.4cm x 3.7m
SensaT.R.A.C Pad
770
pack of 5
1088
pack of 2
71
pack of 5
178
each
162
495
338
1121
325
983
1095
SNaP Cartridge Device (60ml capacity)
75mmHg
100mmHg
125mmHg
10380
10380
10380
SNaP Plus Cartridge Device
125mmHg
12495
(150ml capacity)
SNaP Straps (for 60ml cartridges)
Small
Medium
Large
700
700
700
SNaP Plus Straps (for 150ml cartridges)
Small
Medium
Large
1855
1855
1855
T.R.A.C. Y Connector
313
V.A.C. Drape
V.A.C. Via 7-day kit
V.A.C. Gel
939
33413
376
pack of 5
1500
1500
each
337
Venturi Adhesive Gel Patches
Venturi Y Connector
WoundASSIST TNP Gel Strip
XLR8 Y Connector
320
291
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Wound Dressing Pack
Avance dressing kit
Foam with ViewPad
Foam with Mepitel &
ViewPad
Gauze with ViewPad
Avance dressing kit including
film with Safetac
Foam with ViewPad
Gauze with ViewPad
Exsu-Fast kits
each
Small
Medium
Large
Small
Medium
Large
Small
Medium
Large
1974
2286
2701
2262
2906
3942
1610
2026
2597
Small
Medium
Large
Small
Medium
Large
2058
2509
2911
1707
2258
2811
Kit 1 (small wounds with low exudate)
Kit 2 (large wounds with heavy exudate)
Kit 3 (large wounds with low to medium exudate)
Kit 4 (small wounds with heavy exudate)
KCI NPWT gauze dressing kit
2804
3583
3583
2804
1821
Nanova therapy system starter kit
18cm x 18cm
9798
Nanova therapy multi-dressing kit
18cm x 18cm
3972
Pico
10cm x 20cm
10cm x 30cm
10cm x 40cm
15cm x 15cm
15cm x 20cm
15cm x 30cm
20cm x 20cm
25cm x 25cm
12574
12511
14417
12511
12511
14417
14417
14417
Pico Multisite
15cm x 20cm
20cm x 25cm
12455
14281
Renasys-F Foam dressing kit with soft port
Small
Medium
Large
2312
2686
3186
Renasys G dressing kit
10fr
19fr
10mm
15fr
2351
2351
2351
2351
Small
Medium
Large
1970
2470
3135
Round Drain
Flat Drain
Channel Drain
Renasys G Gauze dressing kit with soft port
292
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
SNaP dressing kit
Foam
each
10cm x 10cm
15cm x 15cm
20cm x 20cm
10cm x 10cm
15cm x 15cm
2867
3345
3632
2676
2867
Small
2295
Medium
Large
2732
3170
3204
V.A.C. GranuFoam Silver dressing kit with SensaT.R.A.C
Small
Medium
3279
3804
V.A.C. Simplace EX dressing kit
Small
Medium
2660
3058
V.A.C. WhiteFoam dressing
Small
Large
1064
1704
V.A.C. WhiteFoam dressing kit
Small
Large
2591
3354
Venturi Foam Wound Care Set Portal Drain
Small
Standard
1500
1750
Venturi Gauze Wound Care
Set
Standard
Large
1500
1750
10cm x 15cm x 3cm
4000
10cm x 15cm x 1.5cm
3500
15cm x 17cm
4000
Gauze
V.A.C. GranuFoam dressing
kit
V.A.C. GranuFoam Bridge dressing kit
Portal Drain
Venturi MiNO Foam Weekly
Portal Drain
Therapy Wound Care Set
Venturi MiNO Slim Foam
Portal Drain
Weekly Therapy Wound Care
Set
Venturi MiNO Gauze Weekly Portal Drain
Therapy Wound Care Set
Venturi wound sealing kits
Flat Drain
Flat Drain
Channel Drain
Standard
Large
1500
1750
1500
WoundASSIST TNP
Channel Drain
Small/Medium
Medium/Large
Small/Medium
Medium/Large
Extra Large
2081
2385
2081
2385
3405
Small
Medium
Large
Small
Medium
Large
2245
2608
3094
1939
2431
3085
Wound Pack
XLR8 Foam dressing kit
XLR8 Gauze dressing kit
293
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Wound Drainage Collection Device
ActiV.A.C
Canister with gel
each
300ml
2842
Canister with solidifier 300ml
800ml
1974
2597
Avance Solo Canister with Tubing Canister with solidifier 150ml
1500
Renasys canister kit
250ml with solidifier
Small
Large
1915
2127
Renasys Go canister kit
Small
Large
2001
2759
S-Canister
Avance Canister & Tubing Kit
V.A.C. Freedom canister with gel
1900
300ml
2885
Venturi canister kit
Canister with solidifier
1250
Venturi Compact canister kit
Canister with solidifier
1250
Venturi MiNO
Canister
150ml
1000
WoundASSIST TNP
Canister
500ml
2030
200ml
400ml
600ml
1915
2400
2600
XLR8 canister
Transparent Absorbent Acrylic Dressing with adhesive Border
Tegaderm Absorbent Clear Acrylic dressing
Oval
7.6cm x 9.5cm (wound contact pad 3.8cm x 5.7cm)
11.1cm x 12.7cm (wound contact pad 6cm x 7.5cm)
Rectangular
20cm x 20.3cm (wound contact pad 14.9cm x 15.2cm)
Sacral
16.8cm x 19cm (wound contact pad 11.6cm x 14.5cm)
Ultrasound Therapy System Accessories
MIST
Single use applicator kit containing: single use applicator, 100ml bottle of saline, absorbent
pad 17cm x 24cm and 2 germicidal wipes
294
317
411
578
866
1391
1037
3554
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Wound Drainage Pouch
Indications: Suitable for wounds with a low volume of exudate
Biotrol Draina S Fistula for wound drainage and fistula management
pack of 30
Mini (Cut to 30mm)
(H08560E)
7784
Oakmed Option Wound Manager
cut-to-fit:
10mm - 30mm Small
10mm - 50mm Medium
10mm - 50mm Large
pack of 30
(OM-S)
(OM-M)
(OM-L)
Indications: Suitable for wounds with a high volume of exudate
Biotrol Draina S Fistula for wound drainage and fistula management
Medium (Cut to 50mm)
(H28555E)
Large (Cut to 88mm)
(H28556E)
Draina S Vision
Vision 50 (150ml cut to 50mm)
H28565E
H28566E
H28567E
Eakin Wound Pouches
Fold and Tuck closure for wounds up to:
Small (45 x 30mm)
839250
Medium (110 x 75mm)
839251
Large (175 x 110mm)
839252
Extra Large (horizontal wounds upto 245 x 160mm)
839253
Bung Closure for wounds up to:
Small (45 x 30mm)
839260
Small Plus (86 x 60mm)
839267
Medium (110 x 75mm)
839261
Large (175 x 110mm)
839262
839263
Extra Large (vertical wounds upto 245 x 160mm)
839265
Extra Large (vertical incision wounds upto 290 x 130mm)
839266
Bung Closure and access window for wounds up to:
839264
Extra Large (vertical wounds up to 245 x 160mm)
839268
Eakin access windows for use with Eakin pouches
839280
Hollister Wound Drainage Collector
76mm
95mm
9701
9702
100mm x 200mm
9703
295
7259
8042
8423
pack of 20
7761
9545
pack of 10
10111
10682
12394
pack of 10
4853
7010
9166
pack of 5
8088
pack of 10
5392
6359
7549
10245
pack of 5
9166
9166
9166
10245
10068
3774
pack of 10
8006
8737
pack of 3
5188
08/2016
Part IXA
APPLIANCES
Appliance
DRESSINGS
Independence Easy Access Pouch
EA1
pack of 10
9949
Independence Wound Protection/Collection Pouch
VAP1
11521
Independence Xtra Large Wound Protection/Collection
Pouch
VAP2
12300
Oakmed Option Wound Manager
Extra Small (wounds upto 90mm x 180mm)
(WWM-XS)
Small (horizontal wounds upto 245mm wide x 160mm high)
(WWM-S)
Medium (vertical wounds upto 90mm wide x 260mm high)
(WWM-M)
Large (wounds upto 160mm x 260mm)
(WWM-L)
Square (vertical wounds upto 160mm wide x 200mm high)
(WWM-SQ)
Oblong (vertical wounds upto 60mm x 190mm)
(WWM-O)
Extra Small with Access Port (wounds upto 90mm x 180mm)
(WWM-XSA)
Small with Access Port (horizontal wounds upto 245mm wide x 160mm
high)
(WWM-SA)
Medium with Access Port (vertical wounds upto 90mm wide x 260mm
high)
(WWM-MA)
Large with Access Port (wounds upto 160mm x 260mm)
(WWM-LA)
Square with Access Port (vertical wounds upto 160mm wide x 200mm
high)
(WWM-SQA)
Oblong with Access Port (vertical wounds upto 60mm x 190mm)
(WWM-OA)
pack of 10
11823
Salts Healthcare Confidence Wound and Fistula Pouch with Flexifit (non sterile)
Small (horizontal wounds up to 60mm x 40mm)
CWM01
Small (vertical wounds up to 40mm x 60mm)
CWM02
Medium (vertical wound up to 53mm x 150mm)
CWM03
pack of 10
5686
Welland Fistula Bag
Cut-to-fit up to:
40mm x 70mm
pack of 30
PFV700
Welland Wound Manager
Small (cut to fit 30mm x 40mm) Clear
(NOP700)
Medium (cut to fit 50mm x 70mm) Beige, split soft cover
(SOP500)
Large (cut to fit 90mm x 90mm) Beige, split soft cover
(POP513)
Large (cut to fit 90mm x 90mm) Clear, with inspection window
(WOP713)
296
13150
13442
16022
14027
11676
12928
13734
14027
17127
14611
12767
5686
7936
8207
pack of 10
5235
6359
pack of 5
3660
5474
08/2016
Part IXA
APPLIANCES
Part IXA-Appliances
Appliance
DROPPERS
each
Glass, with bull-nose or curved flat end fitted (each in box) with good quality rubber teat.
35
Where appropriate, a dropper should be supplied with eye, ear and nasal drops
(See Part IV, containers and Part XVI (11.1.6) for details of prescription charges payable).
DRY MOUTH PRODUCTS
Saliva Replacement and Stimulating Products
AS Saliva Orthana Spray
Aequasyal Spray (see also Part XVIIA, Artificial Saliva Protective Spray,
DPF)
Biotene Moisturising Mouthwash
Biotene Oralbalance Gel
50ml
500ml refill bottle
492
3427
40ml
985
500ml
567
50g
446
BioXtra Dry Mouth Gel Mouthspray
50ml
394
BioXtra Dry Mouth Oral Gel
40ml
394
Oralieve Moisturising Mouth Gel
Salivix (see also Part XVIIA, Artificial Saliva Pastilles, DPF)
Salivix Plus
SST Saliva Stimulating Tablets (see also Part XVIIA)
Xerostom Mouthwash
Xerostom Pastilles
Xerostom Saliva Substitute Chewable Capsules
Xerostom Saliva Substitute Gel
Xerostom Toothpaste
Xerotin Spray
EAR WAX SOFTENING MEDICAL DEVICES
Ear Drops - Olive Oil
Alissa Healthcare
50ml
296
50 pastilles
355
50 pastilles
355
container of 100
486
250ml bottle
313
30 pastilles
285
40 capsules
342
25ml
228
50ml tube
285
100ml
686
10ml
142
Arjun
10ml
126
Care (Thornton & Ross)
10ml
142
Oleax
15ml
140
Sai-Meds Ltd
10ml
135
St Georges Medical Ltd
10ml
20ml
140
270
Ear Drops - Sodium Bicarbonate
Alissa Healthcare
10ml
125
Sai-Meds Ltd
10ml
123
Thornton & Ross
10ml
125
Part IXA-Appliances
297
08/2016
Part IXA
APPLIANCES
Appliance
Size or Basic Price p
Weight
ELASTIC HOSIERY
Graduated Compression Hosiery
Specification 40
Explanation of Garments
N.B. The "Class" can be expressed either with roman or arabic numerals.
Class I
Indications
Styles
Class II
Indications
Styles
Class III
Indications
Styles
Light (Mild) Support
Compression at ankle 14mm Hg - 17mm Hg
- Superficial or early Varices. Varicosis during pregnancy.
- Thigh length or below knee with knitted in heel (reciprocated).
Medium (Moderate) Support
- Varices of medium severity
- Ulcer Treatment and prevention of recurrence. Mild oedema
- Varicosis during pregnancy
- Anklets and kneecaps: for soft tissue support
- Thigh length or below knee with knitted in heel (reciprocated)
Strong support
- Gross varices
- Post Thrombotic Venous Insufficiency
- Gross Oedema
- Ulcer Treatment and prevention of recurrence
- Anklets and kneecaps: for soft tissue support
- Thigh length or below knee open or knitted in heel (reciprocated)
General Notes
Prescribing
Before the prescription can be dispensed the following details must be given by the prescriber.
1.
2.
3.
Quantity - single or pair
Article including any accessories (see pages 299-300 for knit, style and price)
Compression Class I, II or III
Constructional Specification
The complete structural specification, as well as performance requirements are contained in Drug Tariff
Specification No. 40.
298
08/2016
Part IXA
APPLIANCES
ELASTIC HOSIERY
Specially Made Garments
1. In cases where stock sizes are not suitable for patients owing to irregular limb dimensions, surgical
stockings in the prescribed compression class, to be made to the patient's individual measurements,
should be specified.
2. All such garments are specially shaped during manufacture and may have a knitted in or open heel
and open or knitted in toe.
Sizing
All articles must conform to BS 6612:1985 with regard to size designation.
Labelling
All articles must state clearly on the packaging that they conform with Drug Tariff Technical Specification
No 40. The packaging should also provide clear washing instructions in conformity with handwashing at
40°C as defined in BS 2747 and washing instructions should be durably and clearly marked on each
garment. The packaging should clearly define the garments percentage and fibre content.
DESCRIPTION OF ARTICLES AVAILABLE
Compression
Type of Garment
Class
(See page 298)
Knit
CLASS I
Standard Stock
Sized Garments
Style
Circular
Thigh
B. Knee
Thigh
B. Knee
Thigh
B. Knee
Thigh
B. Knee
Thigh
B. Knee
Thigh
B. Knee
Thigh
B. Knee
Lt. Wt Elas. Net
CLASS II
Circular
Net
Flat Bed
CLASS III
Circular
Flat Bed
*
* Made-toMeasure
Garments
Price per pair in Price per pair in
pence
pence
824
4360
752
2727
2206
1722
1224
4360
1100
2727
2206
1722
4360
2727
1451
4360
1247
2727
4360
2727
All such garments are specially shaped during manufacture and many have a knitted in or open heel and
open or knitted in toe with the following exceptions:
Class II/III - Flat Bed Knit can only be supplied with closed heel and open toe.
For Above Knee Stockings - see Thigh Length.
Accessories
Acti-Glide
Additional Price for Fitted Suspender
Arm Butler
Easy-Slide (application aid for open toe stockings)
EZY-As compression hosiery applicator
EZY-As compression hosiery applicator handles
Foot Butler
GUS Comfort
Juzo Easy Fit
Juzo Easy Fit XL
Magnide
Mediven 2 in 1
Neo-Slip
Rolly
Sockaid
Spare Suspender for thigh stockings
Suspender Belt Drug Tariff Specification No. 13
299
Price per item in pence
1447
72
800
(S,M,L,XL)
1233
3240
1525
800
1428
3399
3399
(M, L)
1417
1271
(S, M, L)
711
2856
1318 K
71
549
08/2016
Part IXA
APPLIANCES
Appliance
ELASTIC HOSIERY
DESCRIPTION OF ARTICLES AVAILABLE
Size or Weight
Basic Price p
Standard Stock Sized
Garments
Compression
Class
CLASS II
Knit
Type of Garment
Circular
Made-toMeasure
Garments
Price per pair in Price per pair
pence
in pence
721
721
721
1498
1597
1498
1597
1417
1177
1006
1006
961
961
1006
1597
961
1597
Anklet
Kneecap
Flat Bed
Anklet
Kneecap
Net
Anklet
Kneecap
CLASS III
Circular
Anklet
Kneecap
Flat Bed
Anklet
Kneecap
NB: The reimbursable price for one item is half the price of a pair.
More than one prescription charge is payable when more than one piece of elastic hosiery is supplied. (see
Part XVI sub paragraph 12.12)
Note: Prescriptions should be endorsed with the style, ie, fabric or knit supplied.
ELECTRICAL STIMULATION WOUND DEVICE
Accel-Heal
6 unit
EMOLLIENT AND BARRIER PREPARATIONS
AproDerm Colloidal Oat Cream
per pack
24000
100ml
500ml pump
each
357
647
45g
450g pump
153
474
AproDerm Gel
100g
500g
225
525
Aquamax Cream
100g
500g
189
399
Aquamax Wash
250g
299
50g
500g pump
122
640
250ml Aerosol
750
Cetraben Cream
50g
150g
500g
1050g
140
398
599
1162
Cetraben Lotion
200ml
500ml
400
564
125g
450g
349
539
AproDerm Emollient Cream
(formerly AproDerm Cream)
Aquamol
AriPro
Cetraben Ointment
300
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
Dexeryl Cream
Basic Price p
250g
500g
each
316
590
50ml
300ml
128
349
Elave Intensive Cream
50g
125g
500g
159
289
559
Emelpin Ointment
125g
500g
308
522
150ml
240ml Aerosol
400
639
50g
150g
500g
1050g pump
140
398
599
1162
50g pump
500g pump
170
695
Epaderm Ointment
125g
500g
1kg
385
653
1202
Epimax Cream
100g
500g
75
249
50g
125g
350g
500g pump
105
233
417
399
Fifty:50 Ointment
250g
500g
183
366
Hydromol Ointment
125g
500g
1 kg
288
489
909
500g pump
583
100g
500g
199
399
Diprobase Lotion
Emollin
Enopen Cream
Epaderm Cream
ExoCream
HypoBase Gel
isomol Gel
301
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
LPL 63.4 bath additive and emollient
500ml
MyriBase Gel
Basic Price p
each
310
100g
500g pump
212
466
500g
366
250ml
500ml
100g
500g
1050g
250ml
500ml
450g
250ml
500ml
291
476
206
592
1205
317
529
571
317
529
Soffen Cream
500g
479
Thirty:30 Ointment
125g
250g
500g
381
429
647
ZeroAQS Cream
500g
329
Zerobase Cream
50g
500g
104
526
Zerocream
50g
500g
125g
500g
117
408
241
410
Zerodouble Gel
100g
475g
225
471
Zeroguent Cream
100g
500g
233
699
Zerolatum Emollient Bath Additive
500ml
479
Zeroneum Bath Additive
500ml
448
Pure Health Liquid Paraffin 50% in White Soft Paraffin Ointment
QV Bath Oil
QV Cream
QV Gentle Wash
QV Intensive Ointment
QV Skin Lotion
Zeroderm Ointment
302
08/2016
Part IXA
APPLIANCES
Appliance
Preparations containing Menthol
AquaSoothe 1%
Size or Weight
Basic Price p
each
100g
500g
370
1543
AquaSoothe 2%
50g
500g
186
1543
Arjun Cream 0.5%
500g
1530
Arjun Cream 1%
100g
500g
325
1530
Arjun Cream 2%
500g
1530
40ml
100ml
620
1240
120ml
1480
50g
1700
125ml
300ml
125ml
300ml
550
975
550
975
50g pump
500g pump
285
997
ClearZal Hard Skin Remover
100g
430
Dermatonics Once Heel Balm
75ml
200ml
360
850
150g
500g
500
1177
Flexitol Hand Balm
75g
350
Flexitol Heel Balm
40g
75g
200g
500g
275
380
940
1475
Flexitol Skin Balm
100g
200g
500g pump
450
820
650
30 x 6g
168 x 1g
1820
2415
50g
75g
334
486
Preparations containing Sodium Hyaluronate
Atopiclair
Atopiclair Lotion
Xclair
Preparations containing Urea
Allpresan diabetic foam cream Basic
Allpresan diabetic foam cream Intensive
Balneum Cream
Flexitol 10% Urea Cream
imuDERM emollient
Preparations for the treatment of Radiation Induced Dermatitis
R1 gel
R2 lotion
Symptomatic Relief of Chickenpox
Care ViraSoothe gel
Part IXA-Appliances
303
08/2016
Part IXA
APPLIANCES
Appliance
EYE PRODUCTS
Artificial Eye Lubricant
Opsil
Size or Weight
Standard
Thick
15ml
15ml
Eye Baths
Squat shape, with finger grips, rigid plastics smooth inner surface and base, rounded rim
Eye Compress
Hot Eye Compress
MGDRx EyeBag
Eye Drops - Carmellose
Carmellose 0.5% (Alissa Healthcare)
Carmellose 0.5% (Medicom Healthcare)
Carmellose 1% (Medicom Healthcare)
Carmize 0.5%
Carmize 1%
Cellusan 1%
Cellusan Light 0.5%
Evolve Carmellose 0.5% (formerly
Lumecare Evolve Carmellose 0.5%)
Basic Price p
each
510
510
26
1
1
749
1000
(10ml bottle)
(30 x 0.4ml single dose unit)
749
575
(10ml bottle)
749
575
300
(10ml bottle)
(30 x 0.4ml preservative free single dose unit)
(10ml bottle)
749
575
1553
849
300
600
(10ml preservative free bottle)
480
300
480
575
499
Lumecare Advance Carmellose 0.5%
(10ml bottle)
Lumecare Evolve Carmellose 0.5% see Evolve Carmellose 0.5%
Lumecare Singles Carmellose 0.5%
599
Melophthal 0.5%
Melophthal 1%
575
300
Optive 0.5%
Optive Plus 0.5%
(10ml bottle)
(10ml bottle)
749
749
PF Drops Carmellose 0.5%
PF Drops Carmellose 1%
749
749
Xailin Fresh 0.5%
384
Eye Drops - Dispensers
ComplEye
Opticare
Opticare Arthro 5
Opticare Arthro 10
(for 2.5, 5, 10, 15 & 20ml bottles)
(for 2.5 & 5ml bottles)
(for 10, 15, 20ml bottles)
200
492
492
492
304
460
08/2016
Part IXA
APPLIANCES
Appliance
EYE PRODUCTS
Eye Drops - Hydroxypropyl Guar
Systane
Size or Weight
Basic Price p
each
(10ml bottle)
(10ml bottle)
(10ml bottle)
(10ml bottle)
466
466
749
749
669
669
Eye Drops - Hypromellose
Evolve Hypromellose 0.3% (formerly
Lumecare Evolve Hypromellose 0.3%)
198
Hydromoor
575
Hypromellose 0.3% (Alissa Healthcare)
575
Hypromol
455
Systane Gel Drops
Systane Balance
Systane Ultra
Lumecare Evolve Hypromellose 0.3% see Evolve Hypromellose 0.3%
Lumecare Hypromellose 0.3% Eye Drops (10ml bottle)
Lumecare Singles Hypromellose 0.3%
Lumecare Tear Drops
(10ml bottle)
167
460
95
Mandanol
(10ml bottle)
133
Ocu-Lube
575
PF Drops Hypromellose 0.3%
575
Tear-Lac Hypromellose 0.3%
575
SoftDrops 0.3% Eye Drops
(10ml bottle)
167
575
Xailin Hydrate
(10ml bottle)
460
Eye Drops - Polyvinyl Alcohol
PVA 1.4% Tubilux
15ml
163
Eye Drops - Sodium Chloride
Hypersal 5%
NaCl 5%
(Essential Pharmaceuticals Ltd)
ODM5
PF Drops Sodium Chloride 5%
Sodium Chloride 5% (Alissa Healthcare)
Xailin Wash
(10ml bottle)
2525
1970
(10ml bottle)
(20 x 5ml preservative free single dose unit)
2400
2520
2525
571
305
08/2016
Part IXA
APPLIANCES
Appliance
EYE PRODUCTS
Eye Drops - Sodium Hyaluronate
Artelac Rebalance
Artelac Splash
Size or Weight
Basic Price p
each
(10ml bottle)
400
700
1120
Blink Intensive Tears
(10ml bottle)
297
297
Clinitas
Clinitas Multi 0.4%
570
699
(10ml bottle)
599
Hy-Opti 0.1%
Hy-Opti 0.2%
850
950
Hyabak
Hyabak UD
799
499
HydraMed 0.2%
560
560
Hylo-Care
Hylo-Forte 0.2%
Hylo-Fresh
Hylo-Tear 0.1%
Lubristil
Lubristil Gel
499
649
Ocusan
531
Optive Fusion
(10ml bottle)
749
Oxyal
(10ml bottle)
415
Thealoz Duo
Thealoz Duo UD
899
699
Vismed
Vismed Gel
Vismed Gel Multi
Vismed Multi
510
598
795
681
Xailin HA
(10ml bottle)
713
R Evolve HA 0.2%
RPlease refer to manufacturer for availability
306
1030
950
495
850
08/2016
Part IXA
APPLIANCES
Appliance
EYE PRODUCTS
Eye Drops - Soybean Oil
Emustil
each
622
(10g tube)
296
Carbomer 0.2%
(Blumont Healthcare Ltd)
(10g tube)
280
Carbomer 0.2%
(Medicom Healthcare)
(10g tube)
280
Clinitas Carbomer Gel
(10g tube)
149
EyeGel 0.2%
(10g tube)
280
Lumecare Carbomer 0.2% Eye Gel
(10g tube)
151
Xailin Gel
(10g tube)
325
Eye Ointment - Paraffin Based
HydraMed night
VitA-POS
Xailin Night
(5g preservative free tube)
275
275
249
Eye Ointment - Sodium Chloride
Sodium Chloride 5% (Alissa Healthcare)(5g preservative free tube)
2250
Eye Gel - Carbomer
Artelac Nighttime Gel
Eye Pad
No. 16 Eye Pad with Bandage BPC, sterile
Eye Shades
Plastics, semi-rigid, non flam., perforation along top for ventilation, to fit either eye
FINGER COTS Seamless latex
box of 10
FINGER STALLS
Plastic
Portia Clear - with adjustable elastic wristband
Portia Blue - with wrist tie
GAUZES
Absorbent Cotton Gauze, Type 13 Light BP 1988, sterile
(Syn: Absorbent Gauze)
Where no quantity is stated by the prescriber the 1m packet should
be supplied.
Absorbent Cotton Gauze, Type 13 Light BP 1988
not sterilised
(Syn. Absorbent Gauze)
Absorbent Cotton and Viscose Ribbon Gauze BP 1988 Sterile
307
Medium & Large
Medium & Large
69
32
per box
35
each
29
19
90cm x 1m
90cm x 3m
90cm x 5m
90cm x 10m
25m roll
115
240
374
716
1641
1.25cm x 5m
2.5cm x 5m
86
96
08/2016
Part IXA
APPLIANCES
Appliance
GAUZE PADS/SWABS - See SWABS
each
GAUZE TISSUES
Gauze and Cotton Tissue BP 1988
(Absorbent Gauze Tissue; Gauze Tissue)
Gauze and Cotton Tissue (Drug Tariff)
Specification 14
To be supplied only where specifically ordered.
500g
746
500g
545
HEAD LICE DEVICE
Bug Buster Kit
483
(Kit containing 3 Bug Buster combs,
1 Nit Buster comb, 1 wide tooth comb plus a protective cape).
The Bug Buster Kit works in combination with ordinary shampoo and hair conditioner - no additional
medicated products are required.
Chemists' Own Head Lice Spray
100ml spray
590
Full Marks Solution
100ml
200ml
300ml
347
636
867
Hedrin Once Liquid Gel
100ml
250ml
595
1040
Hedrin Once Spray Gel
60ml spray
100ml spray
416
683
100ml
549
Linicin Lotion 15 mins
Nitcomb-M2
212
Nitcomb-S1
113
Nitlotion
419
Nitty Gritty NitFree
Steel Nit comb with Microgrooved Teeth
567
NYDA
50ml spray
100ml spray (2 x 50ml)
Portia Head Lice Comb
800
1431
40
Vamousse
HERNIA SUPPORT GARMENTS
Orione Hernia Brief
Part IXA-Appliances
308
160ml aerosol
937
Size 2 (76-80cm)
Size 3 (81-85cm)
Size 4 (86-90cm)
Size 5 (91-95cm)
Size 6 (96-100cm)
Size 7 (101-105cm)
Size 8 (106-110cm)
Size 9 (111-115cm)
Size 10 (116-120cm)
3650
3650
3650
3650
3650
3650
3650
3650
3650
08/2016
Part IXA
APPLIANCES
Appliance
HYPODERMIC EQUIPMENT
A. Single Patient-Use Products
(i) U100 Insulin Syringes with Needle - Sterile, Single-use or Single Patient-use
for the injection of U100 Insulin by diabetics in the community.
Shall comply with the requirements of BS 7548:1992
COLOUR CODING: The colour orange is used to distinguish U100 insulin syringes.
Note: When the size is not specified by the prescriber the 0.5ml syringe with needle should be supplied.
If the patient is known to inject more than 50 units of insulin per injection the 1.0ml syringe shall be
supplied.
Needles 8mm long shall have a range of needle diameters as follows:
0.33mm (29G) and 0.3mm (30G)
Size
0.3ml syringe and needle
pack of 10
149
144
143
Needles not less than 12mm long shall have a range of needle diameters as follows:
0.45mm (26G), 0.4mm (27G), 0.36mm (28G), 0.33mm (29G) and 0.3mm (30G)
Size
155
156
Safety Needles 8mm long shall have a range of needle diameters as follows:
BD SafetyGlide insulin syringe
(Becton Dickinson)
0.3ml syringe and needle (0.25mm/31G)
Kendall Magellan insulin safety syringe
(Covidien Commercial UK Ltd)
pack of 100
1320
1320
pack of 50
660
660
660
Safety Needles not less than 12mm long shall have a range of needle diameters as follows:
BD SafetyGlide insulin syringe
pack of 100
(Becton Dickinson)
1320
1320
Kendall Magellan insulin safety syringe
(Covidien Commercial UK Ltd)
pack of 50
660
660
660
(ii) Hypodermic Needles-Sterile, Single-use
Shall comply with the requirements of BS 5081: Part 2: 1987:
0.4mm size needles shall comply with the requirements of the above BS and the needle tube
shall have the properties given in Annex D of BS 7548: 1992.
The needles shall be of a length not less than 12mm and the following diameters may be
supplied:
Size
0.5 mm (25G), 0.45mm (26G) and 0.4mm (27G)
100
297
Part IXA-Appliances
309
08/2016
Part IXA
APPLIANCES
Appliance
B. Reusable Pens
Autopen Classic
Cartridge Size
3.0ml
3.0ml
Dial up unit dose
1 unit (1-21 units)
2 unit (2-42 units)
each
1672
1672
Autopen 24
(Owen Mumford)
3.0ml
3.0ml
1 unit (1-21 units)
2 unit (2-42 units)
1647
1647
ClikSTAR
(Blue)
(Silver)
(Sanofi)
3.0ml
3.0ml
1 unit (1-80 units)
1 unit (1-80 units)
2500
2500
HumaPen Luxura HD
3.0ml
0.5 unit (1-30 units)
2682
HumaPen Savvio
(Blue)
(Graphite)
(Green)
(Pink)
(Red)
(Silver)
(Lilly)
3.0ml
3.0ml
3.0ml
3.0ml
3.0ml
3.0ml
1 unit (1-60 units)
1 unit (1-60 units)
1 unit (1-60 units)
1 unit (1-60 units)
1 unit (1-60 units)
1 unit (1-60 units)
2682
2682
2682
2682
2682
2682
JuniorSTAR
(Blue)
(Red)
(Silver)
(Sanofi)
3.0ml
3.0ml
3.0ml
2600
2600
2600
NovoPen 3
Demi
(Novo Nordisk)
3.0ml
2595
NovoPen 4
(Blue)
(Silver)
(Novo Nordisk)
3.0ml
3.0ml
1 unit (1-60 units)
1 unit (1-60 units)
2686
2686
NovoPen 5
(Blue)
(Silver)
(Novo Nordisk)
3.0ml
3.0ml
1 unit (1-60 units)
1 unit (1-60 units)
2686
2686
NovoPen Echo
(Blue)
(Red)
(Novo Nordisk)
3.0ml
3.0ml
0.5 unit (0.5-30 units)
0.5 unit (0.5-30 units)
2686
2686
NovoPen Junior
(Green)
(Yellow)
(Novo Nordisk)
3.0ml
3.0ml
2551
2551
310
08/2016
Part IXA
APPLIANCES
Appliance
C. Needles for Pre-filled and Reusable Pen Injectors
BD AutoShield Duo
5mm/30 gauge
pack of 100
3008
BD Micro-Fine+
5mm/31 gauge
8mm/31 gauge
969
790
BD Micro-Fine Ultra
4mm/32 gauge
BD Viva
4mm/32 gauge
5mm/31 gauge
8mm/31 gauge
CarePoint (formerly Comfort Point)
4mm/31 gauge
5mm/31 gauge
6mm/31 gauge
8mm/31 gauge
12mm/29 gauge
969
pack of 90
536
536
536
pack of 100
995
995
995
660
660
Glucoject
4mm/32 gauge
5mm/31 gauge
6mm/31 gauge
8mm/31 gauge
10mm/29 gauge
12mm/29 gauge
595
595
595
595
595
595
GlucoRx FinePoint
4mm/31 gauge
5mm/31 gauge
6mm/31 gauge
8mm/31 gauge
10mm/29 gauge
12mm/29 gauge
595
595
595
595
595
595
4mm/32 gauge
595
4mm/32 gauge
5mm/31 gauge
5mm/32 gauge
6mm/31 gauge
6mm/32 gauge
8mm/31 gauge
8mm/32 gauge
10mm/29 gauge
12mm/29 gauge
535
535
535
535
535
535
535
535
535
6mm/31 gauge
8mm/31 gauge
1120
820
4mm/32 gauge
4mm/33 gauge
5mm/31 gauge
6mm/31 gauge
6mm/32 gauge
8mm/31 gauge
8mm/32 gauge
12mm/29 gauge
595
1269
595
595
595
595
595
595
GlucoRx FinePoint Ultra
HaemoFine
IME-FINE
Insupen
311
08/2016
Part IXA
APPLIANCES
Appliance
Microdot Droplet
pack of 100
4mm/32 gauge
595
6mm/31 gauge
595
8mm/31 gauge
595
Mylife Clickfine
4mm/32 gauge
6mm/31 gauge
8mm/31 gauge
10mm/29 gauge
12mm/29 gauge
1232
1284
911
911
911
Mylife Clickfine AutoProtect
5mm/31 gauge
8mm/29 gauge
1900
1900
Mylife Penfine Classic
4mm/32 gauge
6mm/32 gauge
8mm/31 gauge
594
594
594
4mm/32.5 gauge
6mm/32.5 gauge
8mm/32.5 gauge
760
760
760
4mm/32 gauge
5mm/31 gauge
8mm/31 gauge
695
695
695
6mm/31 gauge
8mm/30 gauge
12mm/28 gauge
1302
924
940
NovoFine Autocover
8mm/30 gauge
2228
NovoTwist
5mm/32 gauge
1299
4mm/31 gauge
6mm/31 gauge
8mm/31 gauge
10mm/30 gauge
12mm/29 gauge
595
595
595
595
595
4mm/32 gauge
5mm/31 gauge
6mm/31 gauge
8mm/31 gauge
536
536
536
536
Unifine Pentips
4mm/32 gauge
5mm/31 gauge
6mm/31 gauge
8mm/31 gauge
12mm/29 gauge
1175
1200
1175
825
825
Unifine Pentips Plus
4mm/32 gauge
5mm/31 gauge
6mm/31 gauge
8mm/31 gauge
12mm/29 gauge
595
595
595
595
595
Nanopass
NeedleBay Fine Pen Needles
NovoFine
Omnican Fine
TriCare
Part IXA-Appliances
312
08/2016
Part IXA
APPLIANCES
Appliance
D. Lancets - Sterile, Single-Use
Acti-Lance
(HTL-STREFA S.A.)
each
2.0mm/17 gauge
1.8mm/23 gauge
1.5mm/28 gauge
100
200
100
200
100
200
549
1041
549
988
549
988
Advocate
(Diabetes Care Technology Ltd)
0.31mm/30 gauge
100
295
AgaMatrix Ultra-Thin Lancets
(AgaMatrix Europe Ltd)
0.35mm/28 gauge
0.20mm/33 gauge
200
200
543
717
Apollo Pressure-Activated Safety Lancets
(Apollo Medical Technologies Ltd)
1.8mm/26 gauge
1.8mm/28 gauge
2.4mm/21 gauge
2.4mm/23 gauge
0.36mm/28 gauge
100
100
100
100
200
599
599
599
599
450
BD Micro-Fine +
(Becton Dickinson)
0.20mm/33 gauge
0.30mm/30 gauge
100
200
316
613
BGStar Ultra-Thin Lancets
(Sanofi)
0.20mm/33 gauge
100
365
CareSens
(Spirit Healthcare Ltd)
0.31mm/30 gauge
0.36mm/28 gauge
100
100
295
295
Dario
(LabStyle Innovations Ltd
(formerly Farla Medical Ltd))
0.31mm/30 gauge
100
345
Droplet
(HTL-STREFA S.A.)
0.2mm/33 gauge
0.31mm/30 gauge
0.36mm/28 gauge
100
100
100
219
219
219
FastClix
(Roche Diabetes Care Ltd)
0.3mm/30 gauge
204
992
FreeStyle
(Abbott Labs Ltd)
0.5mm/28 gauge
200
736
GlucoDock Lancets
(Medisana Healthcare UK Ltd)
0.35mm/28 gauge
100
360
Glucoject Lancets PLUS
(A. Menarini Diagnostics)
0.20mm/33 gauge
100
200
377 K
550
Glucoject No-dol Lancets
(A. Menarini Diagnostics)
0.315mm/30 gauge
100
200
371
719
Apollo twist
(Apollo Medical Technologies Ltd)
313
08/2016
Part IXA
APPLIANCES
Appliance
GlucoRx Lancets
(GlucoRx Ltd)
0.31mm/30 gauge
200
each
550
1.6mm/30 gauge
1.8mm/28 gauge
1.8mm/26 gauge
2.2mm/23 gauge
100
100
100
100
550
550
550
550
GlucoZen
(GlucoZen Ltd)
0.36mm/28 gauge
200
499
Greenlan Lancets
(Neon Diagnostics Ltd)
0.35mm/28 gauge
100
200
300
600
0.3mm/30 gauge
100
300
0.34mm/28 gauge
100
360
2.0mm/0.8mm blade
100
200
100
200
100
200
100
200
100
200
539
1025
481
957
481
957
481
957
481
957
GlucoRx Safety lancets
(GlucoRx Ltd)
iCare Advanced see palmdoc iCare Advanced
IME-DC
(Arctic Medical Ltd)
MediTouch
(Medisana Healthcare (UK) Ltd)
Medlance Plus
(HTL-STREFA S.A.)
1.8mm/21 gauge
2.4mm/21 gauge
1.5mm/25 gauge
1.2mm/30 gauge
Mendor Discreet
(SpringMed Solutions Ltd (formerly Merck
Serono Ltd))
0.32mm/28 gauge
100
361
Microdot
(Cambridge Sensors Ltd)
0.31mm/30 gauge
100
200
300
600
314
08/2016
Part IXA
APPLIANCES
Appliance
Microdot Lite
1.8mm/28 gauge
each
200
1075
Microdot Professional
2.2mm/23 gauge
200
1075
Microdot SuperLite
1.8mm/30 gauge
200
1075
Microdot Universal
1.8mm/26 gauge
200
1075
Microlet
(Bayer Diagnostics)
0.5mm/28 gauge
100
200
390
744
0.66mm/23 gauge
100
200
100
200
300
570
300
570
Milward Steri-Let
(Entaco)
0.36mm/28 gauge
Multiclix
(Roche Diabetes Care Ltd)
0.3mm/30 gauge
204
993
Mylife lancets (Ypsomed Ltd)
0.3mm/30 gauge
200
550
Mylife multicolour(Ypsomed Ltd)
0.3mm/30 gauge
200
550
Mylife Safety lancets
(Ypsomed Ltd)
0.36mm/28 gauge
200
1200
Omnican Lance Soft
(B.Braun Medical UK Ltd)
0.30mm/30 gauge
200
545
OneTouch Comfort
(LifeScan UK)
0.20mm/33 gauge
200
763
OneTouch Delica
(Lifescan UK)
0.32mm/30 gauge
200
585
0.4mm/28 gauge
100
381
palmdoc Lancets
(Palmdoc Ltd)
0.38mm/30 gauge
100
285
palmdoc iCare Advanced (formerly iCare
Advanced)
(Palmdoc Ltd (formerly iCare Medical UK))
0.38mm/30 gauge
100
200
285
445
Sarstedt Safety Lancets
(Sarstedt Ltd)
1.6mm/28 gauge
1.8mm//21 gauge
1.8mm/18 gauge
200
200
200
1092
1092
1092
OneTouch UltraSoft (LifeScan UK)
315
08/2016
Part IXA
APPLIANCES
Appliance
Softclix (Roche Diabetes Care Ltd)
0.4mm/28 gauge
Softclix XL (Roche Diagnostics Ltd)
0.8mm/21 gauge
50
199
Sterilance Lite II Safety Lancets
(Spirit Healthcare Ltd)
1.8mm/18 gauge
1.8mm/21 gauge
1.8mm/26 gauge
1.8mm/28 gauge
2.4mm/21 gauge
2.4mm/26 gauge
100
100
100
100
100
100
570
570
570
570
570
570
SylkFeel Ultra-Thin Lancets
(Sanofi)
0.20mm/33 gauge
100
365
Thin Lancets (Abbott Labs Ltd)
0.36mm/28 gauge
200
759
TRUEplus Lancets
(Nipro Diagnostics)
0.32mm/30 gauge
0.195mm/33 gauge
100
100
290
290
Unilet ComforTouch
(Owen Mumford Ltd)
0.375mm/28 gauge
100
200
373
707
Unilet Eco (Owen Mumford Ltd)
0.375mm/28 gauge
100
299
Unistik 3 Comfort
(Owen Mumford Ltd)
1.8mm/28 gauge
50
100
200
324
631
1234
Unistik 3 Extra
(Owen Mumford Ltd)
2.0mm/21 gauge
100
200
631
1234
Unistik 3 Gentle
(Owen Mumford Ltd)
1.5mm/30 gauge
50
100
200
324
600
1200
Unistik 3 Normal
(Owen Mumford Ltd)
1.8mm/23 gauge
50
100
200
324
631
1234
Vitrex Gentle
(Vitrex Medical Ltd)
0.36mm/28 gauge
100
200
319
613
Vitrex Soft
(Vitrex Medical Ltd)
0.65mm/23 gauge
100
200
300
570
1 litre
1 litre
146
85
85
E. Accessories
Needle Clipping (Chopping) Device
Sharpsafe
Sharpsguard
Part IXA-Appliances
316
each
200
793
08/2016
Part IXA
APPLIANCES
Appliance
F. Needle-Free Insulin Delivery Systems
RInjex Starter Set
60500
(Set includes 1 needle-free delivery system, reset box, transporter, 9 disposable
10ml vial adaptors, 165 ampoules)
RInjex 4 monthly Refill Pack
60504
(Pack contains 6 disposable 10ml vial adaptors, 100 ampoules)
RInjex Ampoule Pack
60501
(Contains 50 ampoules)
RInjex 10ml Vial Adaptor Pack
60502
(Contains 20 10ml vial adaptors)
InsuJet Starter Set
012003GBSP012007GBSP
(Set includes 1 InsuJet pen, 1 nozzle cap, 1 nozzle & piston, 1 vial (10ml) adaptor,
1 cartridge (3ml) adaptor, 1 cartridge cap removal key)
InsuJet Nozzle pack
017000UK205
(Pack contains 5 pieces)
InsuJet 3ml Cartridge Adaptor Pack
017100UK205
InsuJet 10ml Vial Adaptor Pack
017200UK0205
XInsuJet Nozzle Pack
XInsuJet 3ml Cartridge Adaptor Pack
XInsuJet 10ml Vial Adaptor Pack
RPlease refer to manufacturer for availability
2447
1228
1223
9000
1500
1200
1200
2840
012071GB1503
2170
01207GB1510
2170
8mm/29 gauge
10mm/29 gauge
6mm/27 gauge
6mm/29 gauge
8mm/27 gauge
8mm/29 gauge
10mm/27 gauge
10mm/29 gauge
317
14936
012070GB15
G. Subcutaneous Drug Delivery Accessories - Sterile
Cleo 90 (Smiths Medical International Ltd)
61cm tubing
6mm inserter/retractor
79cm tubing
107cm tubing
61cm tubing
79cm tubing
107cm tubing
Neria (Unomedical Ltd)
60cm tubing
60cm tubing
110cm tubing
110cm tubing
110cm tubing
110cm tubing
110cm tubing
110cm tubing
each
21-7220-24
21-7221-24
21-7222-24
21-7230-24
21-7231-24
21-7232-24
pack of 10
6900
6900
6900
6900
6900
6900
78-060-2938
78-060-2931
78-110-2736
78-110-2936
78-110-2738
78-110-2938
78-110-2731
78-110-2931
pack of 10
4633
4633
4633
4633
4633
4633
4633
4633
08/2016
Part IXA
APPLIANCES
Appliance
Neria Multi (Unomedical Ltd)
100cm tubing
100cm tubing
100cm tubing
100cm tubing
100cm tubing
100cm tubing
100cm tubing
100cm tubing
Neria Soft 90 (Unomedical Ltd)
60cm tubing
60cm tubing
110cm tubing
110cm tubing
Neria Soft (Unomedical Ltd)
60cm tubing
60cm tubing
60cm tubing
110cm tubing
110cm tubing
110cm tubing
2 x 8mm/27 gauge
2 x 10mm/27 gauge
3 x 8mm/27 gauge
3 x 10mm/27 gauge
3 x 12mm/27 gauge
4 x 8mm/27 gauge
4 x 10mm/27 gauge
4 x 12mm/27 gauge
721060-2738
721060-2731
721060-3738
721060-3731
721060-3737
721060-4738
721060-4731
721060-4737
pack of 10
9016
9016
12359
12359
12359
15601
15601
15601
6mm/22 gauge
9mm/22 gauge
6mm/22 gauge
9mm/22 gauge
722060-5226
722060-5229
722110-5226
722110-5229
each
690
690
690
690
13mm/24 gauge
17mm/24 gauge
connecting tube
13mm/24 gauge
17mm/24 gauge
connecting tube
79-060-2522
79-060-2622
76-060-2652
79-110-2522
79-110-2622
76-110-2652
each
690
690
220
690
690
220
INDWELLING PLEURAL CATHETER DRAINAGE SYSTEMS
Rocket IPC
Dressing Pack and 1000ml Pre-evacuated
R54411
Bottle
1000ml Pre-Evacuated Bottle and Valve Cap
R54411-00-00
1000ml Bottle and Mini dressing pack
R54411-00-PP
Dressing Pack and Bottle
R54400
Drainage Bag and Dressing Pack
R54401
Pre-Evacuated Bottle
R54410
Mini Dressing Pack and Bottle
R54400-00-PP
Drainage Line
R54410-00-DL
Valve Cap
R54410-00-CP
Part IXA-Appliances
318
each
3750
2850
3250
2544
1820
1781
2116
590
440
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
INHALATION SOLUTIONS
Sodium Chloride 3% Solution - Sterile
MucoClear 3%
MucoClear 6%
Nebusal 7%
Resp-Ease 7%
Basic Price p
20 x 4ml
60 x 4ml
1298
2700
20 x 4ml
60 x 4ml
1298
2700
60 x 4ml
60 x 4ml
2700
2160
INSPIRATORY MUSCLE TRAINING DEVICES
Pressure Threshold Device
POWERbreathe Medic
Threshold IMT
1790
1150
Resistance Breathing Device
Ultrabreathe
1095
INSUFFLATORS
Cyclohaler (for use with Cyclocaps)
140
IRRIGATION SOLUTIONS
Octenilin
(Schulke & Mayr UK Ltd)
Bottle
350ml
460
Pod
Bottle
24 x 40ml
350ml
1418
478
Sodium Chloride 0.9% Irrigation Solution - Sterile
Alissa
Pod
25 x 20ml
736
Clinipod
Pod
25 x 20ml
480
Crest Medical Ltd
Pod
25 x 20ml
499
Flowfusor
(Fresenius Kabi)
Bellows Pack
1 x 120ml
153
Fresenius Kabi
Pour Bottle
1 x 1000ml
97
Generics UK
Pod
25 x 20ml
550
Irriclens
(ConvaTec)
Aerosol
1 x 240ml
350
Irripod
(C D Medical Ltd)
Pod
25 x 20ml
584
Prontosan
(B Braun Medical Ltd)
319
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
IRRIGATION SOLUTIONS
ISO-POD
(St Georges Medical Ltd)
Pod
Basic Price p
25 x 20ml
each
495
25 x 25ml
10 x 100ml
642
792
Normasol
(Molnlycke Health Care)
Sachet
Sal-e Pods (Ennogen Healthcare Ltd)
Pod
25 x 20ml
480
Sterac
Pour Bottle
1 x 150ml
99
Stericlens
(C D Medical Ltd)
Aerosol
100ml
240ml
207
315
Steripod (Molnlycke Health Care)
Pod
25 x 20ml
790
Sterowash (Steroplast Ltd)
Pod
25 x 20ml
540
Water for Irrigation - Sterile
Fresenius Kabi
Pour Bottle
1 x 1000ml
97
Sterac
Pour Bottle
1 x 150ml
99
Note:The exact number of containers (ie aerosols, bellows packs, bottles, cans, pods, pour bottles or
sachets) ordered by the prescriber is to be dispensed.
JAW REHABILITATION DEVICE
TheraBite
Device, initial Bite
Pads and
Accessories
Bite Pads
Adult,
Paediatric
Adult,
Edentulous,
Paediatric
each
22347
pack of 4
1044
LARYNGECTOMY PROTECTORS - See “Tracheostomy and Laryngectomy Protectors” on page 415.
LATEX FOAM, ADHESIVE, raised cotton backed
each
Specification 19
22.5cm x 45cm
7mm thick
2005
Cervical Collar - now listed in Part IXA
LEG ULCER WRAP
4UlcerCare
LINT
Absorbent Lint BPC
(Syn: Absorbent Cotton Lint; Cotton Lint; Plain Lint; White Lint)
Where no quantity is stated on the prescription form the 25g pack is
to be supplied.
Part IXA-Appliances
320
28-35cm
35-43cm
43-51cm
51-61cm
61cm+
1380
1380
1380
1380
1380
25g
100g
500g
95
291
1226
08/2016
Part IXA
APPLIANCES
Appliance
LOW FRICTION PRODUCTS
Aderma Dermal Pad
Sacrum/Ankle Wrap
Heel
Sheet
Size or Weight
Standard
Extra Large
10x10x0.3cm
10x10x1.2cm
20x20x0.3cm
50x2.5x0.3cm
30x5.0x0.3cm
Strip
51x30x5cm
Dyna-Tek
Heel Boot
Heel Pad
499
799
399
387
KerraPro
Heel
Sacrum/Ankle
Sheet
10x10x0.3cm
10x10x1.2cm
50x2.5x0.3cm
30x5x0.3cm
Strip
Undergarment
1694
1509
1719
432
1295
1723
540
647
price per pair
Devon Positioning Products
Foot and Heel Protector
Utility Pad
Parafricta
Bootee
Basic Price p
each
Velcro Closure
Slip On
Velcro Closure
Brief Slip On
Boxer Slip On
LUBRICANT GELS
Aquagel Lubricating Jelly (sterile until opened)
each
1497
1685
424
1276
531
638
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
3514
3514
3514
3514
3514
5g sachet
42g tube
82g tube
19
110
183
Cathejell Lidocaine C
CJL 08501
CJL 12501
8.5g
12.5g
120
125
Cathejell Mono
CJM 08501
CJM 12501
8.5g
12.5g
80
85
50ml pump
225
HYD-006
HYD-011
6ml syringe
11ml syringe
110
115
82g tube
233
OptiLube Sterile Lubricating Jelly
1120
1121
1122
1125
1126
5g sachet
42g tube
82g tube
6ml syringe
11ml syringe
15
100
165
90
95
OptiLube Active Sterile Lubricating Jelly
1160
1161
6ml syringe
11ml syringe
108
113
5g sachet
42g tube
82g tube
11
126
197
Elite Lubricating Jelly
Hydro-Caine Gel
K-Y Jelly (sterile until opened)
Sutherland Lubricating Jelly (sterile until opened)
Part IXA-Appliances
321
08/2016
Part IXA
APPLIANCES
LYMPHOEDEMA GARMENTS
ActiLymph
Style
Class 1(18-21mmHg)
Below Knee Closed Toe
Lengths
Sizes
Standard S, M, L, XL, XXL
Petite
S, M, L, XL
Standard
S, M, L, XL
Standard
S, M, L, XL
Below Knee Open Toe
Thigh Closed Toe with Wide Top Band
Thigh Open Toe with Regular Top Band
Thigh Closed Toe with Regular Top Band
Armsleeve no Top Band
Armsleeve with Top Band
Standard
Standard
Long
Standard
Standard
Long
Combined Armsleeve no Top Band
Combined Armsleeve with Top band
Class 2 (23-32mmHg)
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L
S, M, L
S, M, L
Standard
Standard
Long
Standard
Standard
Long
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L
S, M, L
S, M, L
Price per pair
2836
2836
2836
2836
5449
5449
5342
5332
Price per piece
1612
2113
2071
2836
3336
3271
Standard
Standard
S, M, L, XL
S, M, L, XL
Price per pair
3114
5671
Standard
S, M, L, XL
Petite
S, M, L, XL
Petite
S, M, L, XL
Standard
S, M, L, XL
Standard
S, M, L, XL
Standard
S, M, L, XL
Below Knee Open Toe
Thigh Closed Toe with Wide Top Band
Thigh Open Toe with Wide Top Band
Thigh Open Toe with Regular Top Band
Thigh Closed Toe with Regular Top Band
Armsleeve no Top Band
Armsleeve with Top Band
Combined Armsleeve no Top Band
Combined Armsleeve with Top Band
Class 3 (34-46mmHg)
Below Knee Open Toe no Top Band
Thigh Open Toe with Wide Top Band
Part IXA-Appliances
322
Price per pair
2836
2836
2836
5449
5342
5332
Price per piece
1501
2002
1962
2724
3225
3161
08/2016
Part IXA
APPLIANCES
ActiLymph MTM Dura - Stiffer Fabric for Lower Extremities
Style
Class 2 (23-32mmHg)
Below Knee A-D
Thigh Length A-G
Thigh with Waist Attachment A-GT
2 Legged Panty A-T (includes cycle style pants)
AL-DURAC2-AD
AL-DURAC2-AG
AL-DURAC2-AGT
AL-DURAC2-AT
Class 3 (34-46mmHg)
Below Knee A-D
Thigh Length A-G
AL-DURAC3-AD
AL-DURAC3-AG
AL-DURAC3-AGT
AL-DURAC3-AT
Product Code
Price per piece
3441
4243
5995
15744
3649
4567
6151
16682
NB: The above garments are available with optional extras. These are priced separately. See below
Closed Toe
ALO-CT
104
Oblique Toe
ALO-OBT
666
2 Ankle Pads
ALO-PAD
2085
Silicone Band
ALO-BAND
772
Slip Form
ALO-FORM
678
T Heel Ankle Seam
ALO-SEAM
678
Full Compression Body Part (in AT)
ALO-FCBODY
2502
Part IXA-Appliances
ActiLymph MTM Ease - Soft Fabric for Lower Extremities
Style
Class 1 (18-21mmHg)
Below Knee A-D
Thigh Length A-G
AL-EASEC1-AD
AL-EASEC1-AG
AL-EASEC1-AGT
AL-EASEC1-AT
Class 2 (23-32mmHg)
Below Knee A-D
Thigh Length A-G
AL-EASEC2-AD
AL-EASEC2-AG
AL-EASEC2-AGT
AL-EASEC2-AT
3441
4243
5995
15744
Class 3 (34-46mmHg)
Below Knee A-D
Thigh Length A-G
AL-EASEC3-AD
AL-EASEC3-AG
AL-EASEC3-AGT
AL-EASEC3-AT
3649
4567
6151
16682
Product Code
Price per piece
3300
3941
5578
14263
Closed Toe
ALO-CT
104
Oblique Toe
ALO-OBT
666
Silicone Band
ALO-BAND
772
Slip Form
ALO-FORM
678
T Heel Ankle Seam
ALO-SEAM
678
Full Compression Body Part (in A-T)
ALO-FCBODY
2502
(only available in Class 2 and 3)
Part IXA-Appliances
323
08/2016
Part IXA
APPLIANCES
Altiven
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Hold Up Open Toe
Hold Up Closed Toe
Hold Up (Extra Wide) Open Toe
Hold Up (Extra Wide) Closed Toe
Tights Open Toe
Tights Closed Toe
Lengths
Sizes
Thigh with Waist Attachment Open Toe
Thigh with Waist Attachment Closed Toe
Price per pair
2161K
2161K
4154K
4154K
4154K
4154K
4293K
4293K
Price per piece
Short, Regular I, II, III, IV, V, VI, VII
2228K
2228K
Class 2 (23-32mmHg)
Below Knee Open Toe
Hold Up Open Toe
Hold Up Closed Toe
Tights Open Toe
Tights Closed Toe
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
I, II, III, IV, V, VI, VII
Price per pair
2161K
2161K
4154K
4154K
4154K
4154K
4716K
4716K
Price per piece
2228K
2228K
Class 3 (34-46mmHg)
Below Knee Open Toe
Hold Up Open Toe
Hold Up Closed Toe
Tights Open Toe
Tights Closed Toe
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Price per pair
2161K
2161K
4154K
4154K
4154K
4154K
5027K
5027K
Price per piece
2453K
2453K
Part IXA-Appliances
324
08/2016
Part IXA
APPLIANCES
Altiven Armsleeves
Style
Class 1(18-21mmHg)
Axilla - Wrist
Axilla - Wrist with Grip Top
Axilla - Mitten
Axilla - Mitten with Grip Top
Axilla - Wrist with Elbow Pouch
Axilla - Wrist with Grip Top and Elbow Pouch
Axilla - Mitten with Elbow Pouch
Axilla - Mitten with Grip Top and Elbow Pouch
Class 2 (23-32mmHg)
Axilla - Wrist
Axilla - Wrist with Grip Top
Axilla - Mitten
Axilla - Mitten with Grip Top
Axilla - Wrist with Elbow Pouch
Axilla - Wrist with Grip Top and Elbow Pouch
Axilla - Mitten with Elbow Pouch
Axilla - Mitten with Grip Top and Elbow Pouch
Lengths
Sizes
Regular
Regular
Regular
Regular
Regular
Regular
Regular
Regular
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
Regular
Regular
Regular
Regular
Regular
Regular
Regular
Regular
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
I, II, III, IV, V
Price per piece
1144 K
1527 K
2077 K
2458 K
1144 K
1527 K
2077 K
2458 K
1230
1611
2161
2543
1230
1611
2161
2543
K
K
K
K
K
K
K
K
Part IXA-Appliances
Altiven Made to Measure
Style
Low Compression (14-18mmHg)
Below Knee Open Toe
Thigh High Hold-up Open Toe
Thigh High Hold-up Closed Toe
Tights Open Toe
Tights Closed Toe
Price per pair
2740 K
2740 K
4741 K
4741 K
5057 K
5057 K
Price per piece
2765 K
2765 K
Class 1 (18-21mmHg)
Below Knee Open Toe
Tights Open Toe
Tights Closed Toe
Price per pair
2740 K
2740 K
4741 K
4741 K
5057 K
5057 K
Price per piece
2765 K
2765 K
325
08/2016
Part IXA
APPLIANCES
Class 2 (23-32mmHg)
Below Knee Open Toe
Tights Open Toe
Tights Closed Toe
Price per pair
2740 K
2740 K
4741 K
4741 K
5057 K
5057 K
Price per piece
2765 K
2765 K
Class 3 (34-46mmHg)
Below Knee Open Toe
Tights Open Toe
Tights Closed Toe
Price per pair
3018 K
3018 K
5162 K
5162 K
5057 K
5057 K
Price per piece
3044 K
3044 K
Part IXA-Appliances
Altiven Made to Measure Arm Sleeves
Style
Armsleeve Axilla - Wrist with elbow pocket
Armsleeve Axilla - Wrist
Armsleeve Axilla - Wrist with Top Band and elbow pocket
Armsleeve Axilla - Wrist with Top Band
Armsleeve Axilla - Mitten with elbow pocket
Armsleeve Axilla - Mitten
Armsleeve Axilla - Mitten with Top Band and elbow pocket
Armsleeve Axilla - Mitten with Top Band
Price per piece
1451 K
1451 K
1934 K
1934 K
2633 K
2633 K
3116 K
3116 K
Class 1 (18-21mmHg)
Price per piece
1451 K
1451 K
1934 K
1934 K
2633 K
2633 K
3116 K
3116 K
Class 2 (23-32mmHg)
Price per piece
1558 K
1558 K
2042 K
2042 K
2740 K
2740 K
3224 K
3224 K
Part IXA-Appliances
326
08/2016
Part IXA
APPLIANCES
Carolon
Style
Class 1 (14-17mmHg)
Below Knee
Cushion Sock
Class 2 (18-24mmHg)
Below Knee
Thigh with silicone band Closed Toe
Thigh with silicone band Open Toe
Lengths
Sizes
Short, Regular
Short, Regular
A-G
A-E
Price per pair
1995
1995
Short, Regular
Short, Regular
Regular
Regular
A-G
A-C
D-E
A-E
Price per pair
1995
3995
3995
3995
Part IXA-Appliances
Comfy Care
Style
Class 1(18-21mmHg)
Below Knee Open Toe
Thigh High Closed Toe
Lengths
Sizes
38-44cm, 45-50cm
38-44cm, 45-50cm
65-73cm, 74-82cm
S,M,L,XL
S,M,L,XL
S,M,L,XL
Price per pair
2100
2100
2100
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
38-44cm, 45-50cm
38-44cm, 45-50cm
65-73cm, 74-82cm
65-73cm, 74-82cm
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
2100
2100
2100
2100
Part IXA-Appliances
Haddenham Custom Goldpunkt - a firmer fabric for the lower limb
Garment Type
Class 2 (23-32mmHg)
Toe Cap
Below Knee
Thigh High
Thigh High with Waist Attachment
Pantyhose
GP-12
GP-22
GP-32
GP-42
GP-52
Class 3 (34-46mmHg)
Toe Cap
Below Knee
Thigh High
Pantyhose
GP-13
GP-23
GP-33
GP-43
GP-53
4602
3784
4602
6239
17160
Class 4 (49-70mmHg)
Below Knee
Thigh High
Pantyhose
GP-24
GP-34
GP-44
GP-54
3989
5165
6801
18658
Code
Price per piece
4398
3477
4244
5830
16143
NB: The garments are available with additional options. These are priced separately. See below
Silicone Grip Top
CM-90
767
2 Malleolus pads
CM-91
2045
Zip
CM-92
2148
Velcro Fastening
CM-93
2045
Velcro Strap
CM-94
307
NB: Where Haddenham Custom Made garments are prescribed including specifically prescribed additional
options, the dispenser must ensure that full details including order codes are clearly endorsed on the
FP10. The additional options for the base garments do not attract any additional prescription charges.
One prescription charge is payable where one or more of the same base garment is supplied. More than
one prescription charge is payable if different base garments (Including different compression of the
same garment type) are ordered.
(See Part XVI sub-paragraph 12.13)
Part IXA-Appliances
327
08/2016
Part IXA
APPLIANCES
Haddenham Custom Goldpunkt - a firmer fabric for the upper limb
Garment Type
Class 2 (23-32mmHg)
Glove no Fingers (gauntlet)
Glove with Fingers
Armsleeve - Wrist to Axilla
Armsleeve - with Glove no Fingers
Armsleeve - with Glove and Fingers
Class 3 (34-46mmHg)
Glove with Fingers
Code
GP-62
GP-65
GP-72
GP-75
GP-78
GP-63
GP-66
GP-73
GP-76
GP-79
Price per piece
3631
6136
3733
6904
9409
3733
6290
3784
6955
9512
NB: The above garments are available with additional options. These are priced separately. See below
Silicone Grip Top
CM-80
409
Zip
CM-81
2148
Shoulder Cap
CM-83
1278
Part IXA-Appliances
Haddenham Custom Pertex - a softer fabric for the lower limb
Garment Type
Class 1 (18-21mmHg)
Toe Cap
Below Knee
Thigh High
Pantyhose
Class 2 (23-32mmHg)
Toe Cap
Below Knee
Thigh High
Pantyhose
Class 3 (34-46mmHg)
Toe Cap
Below Knee
Thigh High
Pantyhose
Code
PX-11
PX-21
PX-31
PX-41
PX-51
Price per piece
4193
3222
3835
5983
13960
PX-12
PX-22
PX-32
PX-42
PX-52
4296
3426
4193
5830
15443
PX-13
PX-23
PX-33
PX-43
PX-53
4500
3733
4500
6136
16364
Silicone Grip Top
CM-90
767
2 Malleolus pads
CM-91
2045
Zip
CM-92
2148
Velcro Fastening
CM-93
2045
Velcro Strap
CM-94
307
Part IXA-Appliances
328
08/2016
Part IXA
APPLIANCES
Haddenham Custom Pertex - a softer fabric for the upper limb
Garment Type
Class 1 (18-21mmHg)
Glove with Fingers
Class 2 (23-32mmHg)
Glove with Fingers
Class 3 (34-46mmHg)
Glove with Fingers
Code
PX-61
PX-64
PX-71
PX-74
PX-77
Price per piece
3426
5318
3375
6648
8540
PX-62
PX-65
PX-72
PX-75
PX-78
3580
6034
3477
6750
9205
PX-63
PX-66
PX-73
PX-76
PX-79
3733
6239
3580
6852
9409
Silicone Grip Top
CM-80
409
Zip
CM-81
2148
Shoulder Cap
CM-83
1278
Part IXA-Appliances
Haddenham Doktus
Style
Class 2 (23-32mmHg)
Armsleeve
Armsleeve Extra Wide
Armsleeve with Mitten
Armsleeve with Mitten Extra Wide
Armsleeve with Grip Top
Armsleeve with Grip Top Extra Wide
Armsleeve with Grip Top with Mitten
Armsleeve with Grip Top with Mitten Extra Wide
Length
Sizes
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
Class 3 (34-46mmHg)
Armsleeve
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
Part IXA-Appliances
329
Price per piece
1486
1588
2664
2767
1793
1896
2972
3074
1486
1588
2664
2767
1793
1896
2972
3074
08/2016
Part IXA
APPLIANCES
Haddenham FarrowWrap see Jobst FarrowWrap
Part IXA-Appliances
Haddenham Microfine
Style
(20-36mmHg)
Glove with compressive fingers
Toe Cap with compressive toes
Sizes
XS, S, M, L
XS, S, M, L, XL
Price per piece
4181
2664
Part IXA-Appliances
Haddenham Star Cotton - For lower extremities
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Below Knee Extra Wide Open Toe
Below Knee Extra Wide Closed Toe
Thigh High with Grip Top Open Toe
Thigh High with Grip Top Closed Toe
Thigh High with Grip Top Extra Wide Open Toe
Thigh High with Grip Top Extra Wide Closed Toe
Tights Open/Closed Toe
Tights Extra Wide Open/Closed Toe
Length
Sizes
Short, Regular, Long
I,II,III,IV,V,VI,VII,VIII
I,II,III,IV,V,VI,VII
Class 2 (23-32mmHg)
Below Knee Open Toe
Price per pair
2664
2664
2972
2972
4919
4919
5226
5226
4919
5021
2664
2664
2972
2972
4919
4919
5226
5226
4919
5226
Part IXA-Appliances
Haddenham Star Cotton - For upper extremities
Style
Class 1 (18-21mmHg)
Armsleeve
Length
Sizes
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
Class 2 (23-32mmHg)
Armsleeve
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
Part IXA-Appliances
330
Price per piece
1486
1588
2664
2767
1793
1896
2972
3074
1486
1588
2664
2767
1793
1896
2972
3074
08/2016
Part IXA
APPLIANCES
Haddenham Venex
Style
Class 1 (18-21mmHg)
Armsleeve
Length
Sizes
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
Class 2 (23-32mmHg)
Armsleeve
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
Regular, Long
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
XS, S, M, L
Price per piece
1383
1486
2562
2664
1691
1793
2869
2972
1383
1486
2562
2664
1691
1793
2869
2972
Part IXA-Appliances
Haddenham Venex Microlight
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Length
Sizes
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
Price per pair
2664
2664
2972
2972
4919
4919
5226
5226
4919
5226
Class 2 (23-32mmHg)
Below Knee Open Toe
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
Short, Regular
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
II,III,IV,V,VI,VII
2664
2664
2972
2972
4919
4919
5226
5226
4919
5226
Part IXA-Appliances
331
08/2016
Part IXA
APPLIANCES
Haddenham Veni
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Length
Sizes
Price per pair
2664
2664
2972
2972
4919
4919
5226
5226
4919
5021
Class 2 (23-32mmHg)
Below Knee Open Toe
2664
2664
2972
2972
4919
4919
5226
5226
4919
5021
Class 3 (34-46mmHg)
Below Knee Open Toe
2664
2664
2972
2972
4919
4919
5226
5226
4919
5226
Part IXA-Appliances
332
08/2016
Part IXA
APPLIANCES
Jobskin Alleviant
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh Length Silicone Top Open Toe
Thigh Length Silicone Top Closed Toe
Panty Hose Open Toe
Panty Hose Closed Toe
Length
Sizes
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Armsleeve
Armsleeve with Hand
Short, Normal
Short, Normal
Price per pair
2000
2000
3000
3000
2800
2800
Price per piece
1350
2000
Class 2 (23-32mmHg)
Below Knee Open Toe
Panty Hose Open Toe
Panty Hose Closed Toe
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Armsleeve
Armsleeve with Shouldercap and Belt
Armsleeve with Silicone Topband
Armsleeve with Hand
Armsleeve with Hand, Shouldercap and Belt
Armsleeve with Hand and Silicone Topband
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Class 3 (34-46mmHg)
Below Knee Open Toe
Panty Hose Open Toe
Short, Normal
Short, Normal
Short, Normal
Armsleeve
Armsleeve with Shouldercap and Belt
Armsleeve with Silicone Topband
Armsleeve with Hand
Armsleeve with Hand, Shouldercap and Belt
Armsleeve with Hand and Silicone Topband
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Short, Normal
Part IXA-Appliances
333
Price per pair
2200
2200
3000
3000
2800
2800
Price per piece
1350
1500
1500
2000
2500
2500
Price per pair
2300
3500
3000
Price per piece
1350
1500
1500
2000
2500
2500
08/2016
Part IXA
APPLIANCES
Jobskin MTM Premium - For Upper Extremities
Garment Type
Class 1 (18-21mmHg)
Armsleeve
Armsleeve and Gauntlet
Armsleeve and Shoulder Flap
Armsleeve, Gauntlet & Shoulder Flap
Detachable Gauntlet
Glove to Wrist
Glove to Axilla
FP0501-1
FP0502-1
FP0503-1
FP0504-1
FP0505-1
FP0535-1
FP0533-1
Price per piece
3130
5350
4450
6470
3120
5900
8430
Class 2 (23-32mmHg)
Armsleeve
Detachable Gauntlet
Glove to Wrist
Glove to Axilla
FP0501-2
FP0502-2
FP0503-2
FP0504-2
FP0505-2
FP0535-2
FP0533-2
3130
5350
4450
6470
3120
5900
8430
Class 3 (34-46mmHg)
Armsleeve
Detachable Gauntlet
Glove to Wrist
Glove to Axilla
FP0501-3
FP0502-3
FP0503-3
FP0504-3
FP0505-3
FP0535-3
FP0533-3
3130
5350
4450
6470
3120
5900
8430
Code
Lining Inside Elbow
FP1167
Lining Full Elbow
FP1168
Pockets
FP0027
Reinforced Palm
FP0021
ZIP Less Than 8"(20cm)
FP1164
ZIP 8"(20cm) and longer
FP1165
590
690
1130
1350
1120
2020
NB: Where Jobskin MTM Premium garments are prescribed including specifically prescribed additional
one prescription charge is payable if different base garments (Including different compression of the same
garment type) are ordered.
Part IXA-Appliances
334
08/2016
Part IXA
APPLIANCES
Jobskin MTM Premium - For Lower Extremities
Garment Type
Class 1 (18-21mmHg)
Below Knee
Foot Glove
Foot Glove to Knee
Thigh Length
Thigh with Waist Attachment One Leg
Thigh with Waist Attachment Two Legs
Waist Height One Leg Open Crotch
Waist Height Two Legs Open Crotch
Waist Height Two Legs Closed Crotch
Waist Height One Leg Panty Open
Waist Height One Leg Panty Closed
Panty Girdle Closed Crotch
Panty Girdle Below knee Open Crotch
Panty Girdle Below Knee Closed Crotch
FP0101-1
FP0538-1
FP0539-1
FP0201-1
FP0035-1
FP0036-1
FP1103-1
FP1102-1
FP1101-1
FP1112-1
FP1113-1
FP1119-1
FP1110-1
FP1111-1
Price per piece
3300
4200
7000
3800
5360
10070
11640
14000
14000
14000
14000
8040
10830
10830
Class 2 (23-32mmHg)
Below Knee
Foot Glove
Foot Glove to Knee
Thigh Length
Panty Girdle Below Knee Open Crotch
FP0101-2
FP0538-2
FP0539-2
FP0201-2
FP0035-2
FP0036-2
FP1103-2
FP1102-2
FP1101-2
FP1112-2
FP1113-2
FP1119-2
FP1110-2
FP1111-2
3300
4200
7000
3800
5360
10070
11640
14000
14000
14000
14000
8040
10830
10830
Class 3 (34-46mmHg)
Below Knee
Foot Glove
Foot Glove to Knee
Thigh Length
FP0101-3
FP0538-3
FP0539-3
FP0201-3
FP0035-3
FP0036-3
FP1103-3
FP1102-3
FP1101-3
FP1112-3
FP1113-3
FP1119-3
FP1110-3
FP1111-3
3300
4200
7000
3800
5360
10070
11640
14000
14000
14000
14000
8040
10830
10830
Code
335
08/2016
Part IXA
APPLIANCES
Class 4 (49-59mmHg)
Below Knee
Foot Glove
Foot Glove to Knee
Thigh Length
FP0101-4
FP0538-4
FP0539-4
FP0201-4
FP0035-4
FP0036-4
FP1103-4
FP1102-4
FP1101-4
FP1112-4
FP1113-4
FP1119-4
FP1110-4
FP1111-4
Price per piece
3300
4200
7000
3800
5360
10070
11640
14000
14000
14000
14000
8040
10830
10830
Reinforced Heels
FP1187
Extra Heel Reinforcement
FP0020
Reinforced Knee
FP1186
Behind Knee Lining
FP0040
Reduced Pressure Panel
FP1161
Double Abdominal Panel
FP1175
Uplift Panel for Abdomen
FP1176
Pockets
FP0027
Self Enclosed Toe
FP1159
Soft Enclosed Toe
FP1160
ZIP Less Than 8"(20cm)
FP1164
ZIP 8"(20cm) and longer
FP1165
1230
1070
1280
870
1960
5410
4350
1130
100
100
1120
2020
NB: Where Jobskin MTM Premium garments are prescribed including specifically prescribed additional
Part IXA-Appliances
336
08/2016
Part IXA
APPLIANCES
Jobst Bella Lite
Garment Type
Class 1(15-20mmHg)
Armsleeve with Knitted Band
Armsleeve with Silicone Band
Combined Armsleeve with Knitted Band
Combined Armsleeve with Silicone Band
Gauntlet with Thumb
Class 2 (20-30mmHg)
Armsleeve with Knitted Band
Armsleeve with Silicone Band
Combined Armsleeve with Knitted Band
Combined Armsleeve with Silicone Band
Gauntlet with Thumb
Length
Sizes
Regular, Long
Regular, Long
Regular, Long
Regular, Long
S, M, L
S, M, L
S, M, L
S, M, L
S, M, L
Price per piece
1415
1886
2656
2922
1310
Regular, Long
Regular, Long
Regular, Long
Regular, Long
S, M, L
S, M, L
S, M, L
S, M, L
S, M, L
1519
1991
2765
3023
1362
Part IXA-Appliances
Jobst Bellavar
Style
Class 2 (23-32mmHg)
Knee High, Open Toe
Thigh High, Open Toe, with Knitted Band
Thigh High, Open Toe, with Silicone Band
Tights, Open Toe
Lengths
Sizes
Petite, Regular
Standard
Standard
Petite, Regular
I, II, III, IV, V, VI
Price per pair
2692K
5114K
5114K
4687K
Class 3 (34-46mmHg)
Knee High, Open Toe
Thigh High, Open Toe with Knitted Band
Thigh high, Open Toe with Silicone Band
Tights, Open Toe
Petite, Regular
Standard
Standard
Petite, Regular
Price per pair
2955K
5593K
5593K
5067K
Part IXA-Appliances
337
08/2016
Part IXA
APPLIANCES
Jobst Elvarex Custom Fit - For lower extremities
Garment Type
Class 1(18-21mmHg)
Foot Cap with Toes
Knee High
Thigh High
Body Bandage
L1-01-02
L1-01-04
L1-01-06
L1-01-08
Price per piece
4375
3413
3973
7017
Class 2 (23-32mmHg)
Foot Cap with Toes
Knee High
Thigh High
Body Bandage
L2-02-02
L2-02-04
L2-02-06
L2-02-08
4555
3574
4388
7762
Class 3 (34-46mmHg)
Foot Cap with Toes
Knee High
Thigh High
Body Bandage
L3-03-02
L3-03-04
L3-03-06
L3-03-08
4747
3893
4728
8074
Class 3 forte (34-46mmHg)
Knee High
Thigh High
Body Bandage
L3-04-04
L3-04-06
L3-04-08
4005
4936
8125
Class 4 (49-70mmHg)
Knee High
Thigh High
Body Bandage
L4-05-04
L4-05-06
L4-05-08
4169
5333
8450
Class 4 Super (60-90mmHg)
Knee High
Thigh High
Body Bandage
L5-06-04
L5-06-06
L5-06-08
4363
5502
8723
Code
2 Ankle pads
L-A002
2144
Adjustable Waistband
L-A013
926
Closed Toe
L-A001
11
Fly for Men
L-A012
1143
Leg extension
L-A007
609
Non-standard colour
L-A008
318
Silicone band
L-A004
795
Slipform
L-A009
669
T-Heel
L-A010
669
Waist attachment with garter belt
L-A005
1701
Zipper
L-A003
2203
NB: Where Jobst Elvarex garments are prescribed including specifically prescribed additional options, the
dispenser must ensure that full details including order codes are clearly endorsed on the FP10. The
additional options for the base garments do not attract any additional prescription charges.
Part IXA-Appliances
338
08/2016
Part IXA
APPLIANCES
Jobst Elvarex Custom Fit - For upper extremities
Garment Type
Class 1(15-21mmHg)
Gauntlet to Wrist
Gauntlet to Elbow
Armsleeve to Axilla with Gauntlet
Armsleeve from Wrist to Axilla
Code
U1-01-01
U1-01-03
U1-01-05
U1-01-07
Price per piece
3591
4072
6977
3229
Class 2 (23-32mmHg)
Gauntlet to Wrist
U2-02-01
3760
Soft Gauntlet to Wrist see Jobst Elvarex Soft Custom Fit - For upper extremities, Soft Seamless Gauntlet to
Wrist
Gauntlet to Elbow
U2-02-03
4102
U2-02-05
7100
U2-02-07
3850
Class 2 forte (23-32mmHg)
Gauntlet to Wrist
Gauntlet to Elbow
U3-03-01
U3-03-03
U3-03-05
U3-03-07
3837
4203
7151
3889
Zipper
U-A001
2203
Silicone band
U-A002
471
Shoulder cap
U-A003
1357
Non-Standard colour
U-A007
318
1 finger (Class 1 15-21mmHg)
U1-A009
401
U2-A011
518
1 finger (Class 2 forte 23-32mmHg)
U3-A013
534
NB: Where Jobst Elvarex garments are prescribed including specifically prescribed additional options, the
Part IXA-Appliances
339
08/2016
Part IXA
APPLIANCES
Jobst Elvarex Plus Custom Fit - For lower extremities
Garment Type
Class 1(18-21mmHg)
Foot Cap with Toes
L1-12-02
Price per piece
4334
Class 2 (23-32mmHg)
Foot Cap with Toes
L2-13-02
4512
Code
Non-standard colour
L-A008P
315
NB: Where Jobst Elvarex Plus garments are prescribed including specifically prescribed additional options, the
Part IXA-Appliances
Jobst Elvarex Plus Custom Fit - For upper extremities
Garment Type
Class 1(15-21mmHg)
Gauntlet to Wrist
Gauntlet to Elbow
U1-12-01
U1-12-03
Price per piece
3557
4034
Class 2 (23-32mmHg)
Gauntlet to Wrist
Gauntlet to Elbow
U2-13-01
U2-13-03
3725
4064
Code
Non-Standard colour
U-A007P
315
U1-A016
397
U2-A017
513
NB: Where Jobst Elvarex Plus garments are prescribed including specifically prescribed additional options,
the dispenser must ensure that full details including order codes are clearly endorsed on the FP10. The
Part IXA-Appliances
340
08/2016
Part IXA
APPLIANCES
Jobst Elvarex Soft Custom Fit - For lower extremities
Garment Type
Code
Class 1 (18-21mmHg)
Price per piece
Soft Seamless Foot Cap with Toes
L1-11-02
4254K
Soft Knee High
L1-10-04
3334K
Soft Thigh High
L1-10-06
3882K
Soft Body Bandage
L1-10-08
6856K
Class 2 (23-32mmHg)
Price per piece
Soft Seamless Foot Cap with Toes
L2-07-02
4506K
Soft Knee High
L2-08-04
3542K
Soft Thigh High
L2-08-06
4349K
Soft Body Bandage
L2-08-08
7694K
Class 3 (34-46mmHg)
Price per piece
Soft Knee High
L3-09-04
3785K
Soft Thigh High
L3-09-06
4596K
Soft Body Bandage
L3-08-08
7849K
NB:The above garments are available with additional options. These are priced separately. See below
Adjustable Waistband
L-A013S
920K
Closed Toe Soft
L-A001S
11
Non-Standard colour
L-A008S
309K
Slipform Soft
L-A011S
663K
Silicone Band Soft
L-A004S
788K
Waist attachment with garter belt
L-A005S
1695K
T-Heel
L-A010S
648K
NB:
Where Jobst Elvarex Soft garments are prescribed including specifically prescribed additional
One prescription charge is payable where one or more of the same base garment is supplied. More
than one prescription charge is payable if different base garments (Including different compression of
the same garment type) are ordered.
Part IXA-Appliances
Jobst Elvarex Soft Custom Fit - For upper extremities
Garment Type
Class 1 (15-21mmHg)
Soft Armsleeve from Wrist to Axilla
Soft Seamless Gauntlet to Wrist
Soft Seamless Gauntlet to Elbow
Class 2 (23-32mmHg)
Soft Armsleeve from Wrist to Axilla
Soft Seamless Gauntlet to Wrist
Soft Seamless Gauntlet to Elbow
Code
U1-10-07
U1-11-01
U1-11-03
U2-08-07
AC1-WF-WT
U2-07-03
Price per piece
3200K
3491K
3958K
Price per piece
3816K
3720K
4058K
NB:The above garments are available with additional options. These are priced separately. See below
Non-Standard colour
U-A007S
309K
Silicone Band Soft
U-A002S
467K
1 Soft Seamless Finger (Class 1 15-21mmHg )
U1-A015
390K
1 Soft Seamless Finger (Class 2 23-32mmHg)
U2-A014
512K
NB:
Where Jobst Elvarex Soft garments are prescribed including specifically prescribed additional options,
the dispenser must ensure that full details including order codes are clearly endorsed on the FP10.
The additional options for the base garments do not attract any additional prescription charges.
One prescription charge is payable where one or more of the same base garment is supplied. More
than one prescription charge is payable if different base garments (Including different compression of
the same garment type) are ordered.
Part IXA-Appliances
341
08/2016
Part IXA
APPLIANCES
Jobst FarrowWrap (formerly Haddenham FarrowWrap)
Style
Length
Lite (20-30mmHg)
Armpiece (Right, Left)
Footpiece
Regular, Long
Legpiece
Regular, Long
Thighpiece
S, M, L
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
Price per piece
13500
3639
12996
12996
Classic (30-40mmHg)
Footpiece
Legpiece
Thighpiece
Regular, Long
Regular, Long
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
Price per piece
3639
12996
12996
Strong (30-40mmHg)
Footpiece
Legpiece
Thighpiece
Regular, Long
Regular, Long
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
Price per piece
3607
12882
12882
Sizes
Part IXA-Appliances
Jobst for Men Ambition
Style
Class 1 (18-21mmHg)
Knee High Closed Toe
Lengths
Sizes
Regular, Long
1, 2, 3, 4, 5, 6
Price per pair
2776
Class 2 (23-32mmHg)
Regular, Long
1, 2, 3, 4, 5, 6
Price per pair
2776
Part IXA-Appliances
Jobst for Men Explore
Style
Class 1 (18-21mmHg)
Lengths
Sizes
Regular, Long
1, 2, 3, 4, 5, 6
Price per pair
2776
Class 2 (23-32mmHg)
Regular, Long
1, 2, 3, 4, 5, 6
Price per pair
2776
Part IXA-Appliances
342
08/2016
Part IXA
APPLIANCES
Jobst Opaque
Style
Class 1 (18-21mmHg)
Knee High Open Toe
Thigh High Closed Toe Standard Width with Dotted Silicone
Band
Thigh High Closed Toe Standard Width with Lace Silicone
Band
Thigh High Closed Toe Standard Width with Soft Silicone Band
Thigh High Closed Toe Wide Width with Dotted Silicone Band
Thigh High Closed Toe Wide Width with Lace Silicone Band
Thigh High Closed Toe Wide Width with Soft Silicone Band
Thigh High Open Toe Standard Width with Dotted Silicone
Band
Thigh High Open Toe Standard Width with Lace Silicone Band
Thigh High Open Toe Standard Width with Silicone Band
Thigh High Open Toe Wide Width with Dotted Silicone Band
Thigh High Open Toe Wide Width with Lace Silicone Band
Thigh High Open Toe Wide Width with Silicone Band
Tights Closed Toe
Tights Open Toe
Class 2 (23-32mmHg)
Knee High Open Toe
Thigh High Closed Toe Standard Width with Soft Silicone Band
Band
Thigh High Closed Toe Standard Width with Dotted Silicone
Band
Thigh High Closed Toe Wide Width with Lace Silicone Band
Thigh High Closed Toe Wide Width with Dotted Silicone Band
Thigh High Open Toe Standard Width with Silicone Band
Thigh High Open Toe Standard Width with Lace Silicone Band
Thigh High Open Toe Wide Width with Silicone Band
Thigh High Open Toe Standard Width with Dotted Silicone
Band
Thigh High Open Toe Wide Width with Dotted Silicone Band
Tights Closed Toe
Tights Open Toe
Part IXA-Appliances
343
Lengths
Sizes
Petite, Regular I, II, III, IV, V, VI
Price per pair
2692K
2692K
5114K
5114K
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
5114K
5114K
5114K
5114K
5114K
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
5114K
5114K
5114K
5114K
5114K
4687K
4687K
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Price per pair
2692K
2692K
5114K
5114K
5114K
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
5114K
5114K
5114K
5114K
5114K
5114K
5114K
5114K
5114K
4687K
4687K
08/2016
Part IXA
APPLIANCES
Jobst UltraSheer
Style
Class 1 (18-21mmHg)
Band
Thigh High Closed Toe Standard Width with Soft Silicone
Band
Thigh High Closed Toe Wide Width with Lace Silicone
Band
Thigh High Open Toe Standard Width with Soft Silicone
Band
Thigh High Open Toe Wide Width with Soft Silicone Band
Tights Closed Toe
Class 2 (23-32mmHg)
Knee High Open Toe
Thigh High Closed Toe Standard Width with Decorative
Dotted Silicone Band
Band
Thigh High Closed Toe Standard Width with Soft Silicone
Band
Thigh High Closed Toe Wide Width with Decorative Dotted
Silicone Band
Thigh High Closed Toe Wide Width with Lace Silicone
Band
Thigh High Open Toe Standard Width with Decorative
Dotted Silicone Band
Thigh High Open Toe Standard Width with Lace Silicone
Band
Thigh High Open Toe Standard Width with Soft Silicone
Band
Thigh High Open Toe Wide Width with Decorative Dotted
Silicone Band
Thigh High Open Toe Wide Width with Soft Silicone Band
Tights Closed Toe
Tights Open Toe
Part IXA-Appliances
344
Lengths
Sizes
Petite, Regular
Petite, Regular
Price per pair
2658K
5105K
Petite, Regular
5105K
Petite, Regular
5105K
Petite, Regular
Petite, Regular
5105K
5105K
Petite, Regular
Petite, Regular
5105K
4627K
Petite, Regular
Petite, Regular
Petite, Regular
Price per pair
2658K
2658K
5105K
Petite, Regular
5105K
Petite, Regular
5105K
Petite, Regular
5105K
Petite, Regular
5105K
Petite, Regular
Petite, Regular
5105K
5105K
Petite, Regular
5105K
Petite, Regular
5105K
Petite, Regular
5105K
Petite, Regular
Petite, Regular
Petite, Regular
Petite, Regular
5105K
5105K
4627K
4627K
08/2016
Part IXA
APPLIANCES
Juxta-Fit
Style
Armsleeve (Right, Left)
Hand Wrap (Right, Left)
Lower Legging
Price per piece
Lengths
Standard, Long
28cm
36cm
28cm
36cm
Lower Legging Extra Wide Calf
Ankle Foot Wrap, Interlocking
Ankle Foot Wrap, Closed Heel
Sizes
1, 2, 3, 4, 5, 6
XS, S, M, L, XL
S, M, L, XL, XXL
S, M, L, XL, XXL
M, L, XL
M, L, XL
S, M, L
S, M, L
17481
2408
13491
13491
13074
13074
3777
3777
Part IXA-Appliances
Juxta-Fit Essentials
Style
Upper Leg with Knee Piece (Right, Left)
Price per piece
Lengths
45cm
55cm
Sizes
XS, S, M, L, XL
XS, S, M, L, XL
Full Leg Liner Sock
14277
14277
Price per pair
1746
Part IXA-Appliances
Juzo Adjustable Compression System
Style
Sleeve
Hand (Left or Right)
Foot (Left or right)
Toe (Left or Right)
Calf
Knee
Thigh
Extender Strap
LengthsSizes
Short, Normal, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Part IXA-Appliances
345
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
Price per piece
13500
2800
3500
8100
8500
4500
9500
1750
08/2016
Part IXA
APPLIANCES
Juzo Attractive
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Below Knee Open Toe with Silicone Border
Below Knee Closed Toe with Silicone Border
Thigh High Open Toe with Silicone Border
Thigh High Closed Toe with Silicone Border
Thigh High Open Toe Wide with Silicone Border
Thigh High Closed Toe Wide with Silicone Border
Tights Open Toe
Tights Closed Toe
Extra Short, Short, Standard
Price per pair
2542
2542
2650
2650
4693
4693
4693
4693
5000
5000
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Closed Toe Wide with Silicone Border
Tights Open Toe
Tights Closed Toe
Price per pair
2542
2542
2650
2650
4693
4693
4693
4693
5000
5000
LengthsSizes
Part IXA-Appliances
Juzo Attractive - Custom made for the lower limb
Garment Type
Class 1 (18-21mmHg)
Below Knee Open Toe
Below Knee Open Toe with Silicone Top Band
Below Knee Closed Toe with Silicone Top Band
Thigh High Open Toe
Thigh High Open Toe with Silicone Top Band
Thigh High Closed Toe with Silicone Top Band
Tights Open Toe
Tights Closed Toe
Price per piece
2650
2650
3025
3025
3625
3625
4000
4000
10600
10600
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2700
2700
3075
3075
3725
3725
4100
4100
10800
10800
Part IXA-Appliances
346
08/2016
Part IXA
APPLIANCES
Juzo Classic
Garment Type
Class 1(18-21mmHg)
Armsleeve wrist to axilla
Armsleeve wrist to axilla max
Armsleeve wrist to axilla with Silicone Border
Armsleeve wrist to axilla with Silicone Border max
Gauntlet
Glove
Class 2 (23-32mmHg)
Armsleeve wrist to axilla
Armsleeve wrist to axilla max
Armsleeve wrist to axilla with Silicone Border
Armsleeve wrist to axilla with Silicone Border max
Gauntlet
Sizes
Code
i,ii,iii,iv,v,vi
i,ii,iii,iv,v,vi
i,ii,iii,iv,v,vi
i,ii,iii,iv,v,vi
2, 3 ,4 ,5
ii, iii, iv, v
CG2301
CG2301-Max
CG2301-Sil
CG2301-Max-Sil
HDA2301
HFA2301
Price per piece
1500
1500
1850
1850
1250
4000
i,ii,iii,iv,v,vi
i,ii,iii,iv,v,vi
i,ii,iii,iv,v,vi
i,ii,iii,iv,v,vi
2, 3 ,4 ,5
CG2302
CG2302-Max
CG2302-Sil
CG2302-Max-Sil
HDA2302
1500
1500
1850
1850
1250
Part IXA-Appliances
Juzo Compression Wrap
Style
Sleeve
Foot
Knee
Calf
Calf Max
Thigh
LengthsSizes
Short, Normal, Long
Universal
Universal
Regular, Long
Regular, Long
Regular, Long
XS, S, M, L, XL
S, M, L
S, M, L
S, M, L, XL, XXL
S, M, L, XL, XXL
XS, S, M, L, XL
Price per piece
13500
3500
4500
8500
8500
9500
Part IXA-Appliances
Juzo Dynamic
Style
Class 1 (18-21mmHg)
Armsleeve
Armsleeve max
Armsleeve with Silicone Border
Armsleeve with Silicone Border max
Combined Armsleeve with Silicone Border
Combined Armsleeve with Silicone Border max
Armsleeve with Shoulder and Strap
Armsleeve with Shoulder and Strap max
Below Knee Open Toe
Thigh High Open Toe
Thigh High Open Toe with Wide Silicone
Border
Thigh High Closed Toe with Wide Silicone
Border
Tights Open Toe
Tights Closed Toe
Thigh High Open Toe with Waist Attachment
Right Leg
Thigh High Closed Toe with Waist Attachment
Right Leg
Left Leg
Left Leg
LengthsSizes
Price per piece
1574
1574
2062
2062
3256
3256
2250
2250
Price per pair
2451
2451
2650
2650
3616
3616
4534
4534
4534
Extra Short, Short, Standard I, II, III, IV, V, VI
4534
4900
4900
Price each
2800
2800
2800
2800
347
08/2016
Part IXA
APPLIANCES
Class 2 (23-32mmHg)
Armsleeve
Armsleeve max
Armsleeve with Silicone Border
Armsleeve with Silicone Border max
Combined Armsleeve with Silicone Border
Combined Armsleeve with Silicone Border max
Armsleeve with Shoulder and Strap
Armsleeve with Shoulder and Strap max
Below Knee Open Toe
Thigh High Open Toe
Border
Border
Tights Open Toe
Tights Closed Toe
Right Leg
Right Leg
Left Leg
Left Leg
Price per piece
1574
1574
2062
2062
3256
3256
2250
2250
Price per pair
2451
2451
2650
2650
3616
3616
4534
4534
4534
4534
4900
4900
Price each
2800
2800
2800
2800
Class 3 (34-46mmHg)
Below Knee Open Toe
Thigh High Open Toe
Thigh High Closed
Toe
Border
Border
Tights Open Toe
Tights Closed Toe
Short, Standard
Short, Standard
Short, Standard
Short, Standard
Short, Standard
Short, Standard
Right Leg
Right Leg
Left Leg
Left Leg
Part IXA-Appliances
348
Price per pair
2545
2545
2650
2650
3921
3921
Short, Standard I, II, III, IV, V, VI
4840
4840
4840
4840
Short, Standard
4900
4900
Price each
2800
2800
2800
2800
08/2016
Part IXA
APPLIANCES
Juzo Dynamic - Custom made for the lower limb
Garment Type
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
One-legged Panty Open Toe
One-legged Panty Closed Toe
Thigh High Open Toe with Waist Attachment Right Leg
Thigh High Closed Toe with Waist Attachment Right Leg
Thigh High Open Toe with Waist Attachment Left Leg
Thigh High Closed Toe with Waist Attachment Left Leg
Tights Open Toe
Tights Closed Toe
Price per piece
2650
2650
3025
3025
3625
3625
4000
4000
9600
9600
5320
5320
5320
5320
10600
10600
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2700
2700
3075
3075
3725
3725
4100
4100
9800
9800
5420
5420
5420
5420
10800
10800
Class 3 (34-46mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2800
2800
3175
3175
3825
3825
4200
4200
10000
10000
5620
5620
5620
5620
11000
11000
349
08/2016
Part IXA
APPLIANCES
Fly
1000
Open Crotch
600
NB: Where Juzo Dynamic custom made garments are prescribed including specifically prescribed additional
options, the dispenser must ensure that full details are clearly endorsed on the FP10. The additional
options for the base garments do not attract any additional prescription charges.
(See Part XVI sub-paragraph 12.13
Part IXA-Appliances
Juzo Dynamic - Custom made for the upper limb
Garment Type
Class 1 (18-21mmHg)
Armsleeve
Armsleeve with Shoulder Strap
Armsleeve with Bra Strap Attachment
Combined Armsleeve
Price per piece
3100
3500
4415
4615
4800
Class 2 (23-32mmHg)
Armsleeve
Combined Armsleeve
Price per piece
3200
3600
4515
4715
4900
Class 3 (34-46mmHg)
Armsleeve
Price per piece
3300
3600
4615
4815
Part IXA-Appliances
350
08/2016
Part IXA
APPLIANCES
Juzo Dynamic Cotton
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Thigh High Closed Toe Wide with Silicone
Border
Tights Open Toe
Tights Closed Toe
Right Leg
Right Leg
Left Leg
Left Leg
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Thigh High Closed Toe Wide with Silicone
Border
Tights Open Toe
Tights Closed Toe
Right Leg
Right Leg
Left Leg
Left Leg
LengthsSizes
Price per pair
2451
2451
2650
2650
3616
3616
4534
4534
4534
4534
4900
4900
Price per piece
2800
2800
2800
2800
Price per pair
2451
2451
2650
2650
3616
3616
4534
4534
4534
4534
4900
4900
Price per piece
2800
2800
2800
2800
Part IXA-Appliances
351
08/2016
Part IXA
APPLIANCES
Juzo Dynamic Cotton - Custom made for the lower limb
Garment Type
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2650
2650
3025
3025
3625
3625
4000
4000
9600
9600
5320
5320
5320
5320
10600
10600
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2700
2700
3075
3075
3725
3725
4100
4100
9800
9800
5420
5420
5420
5420
10800
10800
Fly
1000
Open Crotch
600
NB: Where Juzo Dynamic Cotton custom made garments are prescribed including specifically prescribed
additional options, the dispenser must ensure that full details are clearly endorsed on the FP10. The
Part IXA-Appliances
352
08/2016
Part IXA
APPLIANCES
Juzo Expert - Custom made for the upper limb
Garment Type
Class 1 (18-21mmHg)
Armsleeve
Armsleeve with Gauntlet
Armsleeve with Glove
Gauntlet with thumb stub
Glove with open Fingers
Glove with closed Fingers
Body Bandage
Class 2 (23-32mmHg)
Armsleeve
Body Bandage
Class 3 (34-46mmHg)
Armsleeve
Codes
JUE1CG
JUE1AG
JUE1AGL
JUE1G
JUE1G
JUE1GLO
JUE1GLC
JUE1GLO
JUE1GLC
JUE1BB
JUE2CG
JUE2AG
JUE2AGL
JUE2G
JUE2G
JUE2GLC
JUE2GLO
JUE2GLO
JUE2GLC
JUE2BB
JUE3CG
JUE3AG
JUE3AGL
JUE3G
JUE3GLO
JUE3GLC
short
long
short
short
long
long
short
Price per piece
3200
6400
8100
3350
3800
5200
5200
5300
5300
6500
short
long
short
short
long
long
short
3375
6500
8800
3400
3850
5750
5750
5850
5850
6700
short
short
short
3500
6600
9000
3500
6000
6000
Anatomically flexed middle of elbow
JUEA25
600
Border
JUEA24
400
Hook and Eye fastener
JUEA23
750
Internal sewn-in adhesive border (piece)
JUEA22
400
Knitted-in, seamless bra cup
JUEA26
750
Overheight
JUEA5
600
Pressure pads (piece)
JUEA4
1000
Shoulder Cap
JUEA21
1315
Shoulder Cap with silicone support
JUEA20
1715
Silicone stopper (piece)
JUEA19
400
Tricot lining
JUEA3
1500
Velcro fastener
JUEA2
1000
Zipper
JUEA1
2000
NB: Where Juzo Expert custom made garments are prescribed including specifically prescribed additional
Part IXA-Appliances
353
08/2016
Part IXA
APPLIANCES
Juzo Expert - Custom made for the lower limb
Garment Type
Class 1 (18-21mmHg)
Foot with open toe
Below Knee
Below Knee Footless
Thigh High
Thigh High Footless
Thigh High with Hip Attachment
Tights open toe
Capri pants
Bermuda pants
Class 2 (23-32mmHg)
Foot with open toe
Below Knee
Below Knee Footless
Thigh High
Thigh High Footless
Tights open toe
Capri pants
Bermuda pants
Class 3 (34-46mmHg)
Foot with open toe
Below Knee
Below Knee Footless
Thigh High
Thigh High Footless
Tights open toe
Capri pants
Bermuda pants
Class 4 (>46mmHg)
Below Knee
Thigh High
Tights open toe
Codes
354
JLE1TC
JLE1AD
JLE1ADF
JLE1AG
JLE1AGF
JLE1AGH
JLE1AT
JLE1CP
JLE1BP
Price per piece
4150
3150
2900
3750
3600
5650
13600
11700
9400
JLE2TC
JLE2AD
JLE2ADF
JLE2AG
JLE2AGF
JLE2AGH
JLE2AT
JLE2CP
JLE2BP
4350
3350
3100
4150
3800
5750
14000
11800
9500
JLE3TC
JLE3AD
JLE3ADF
JLE3AG
JLE3AGF
JLE3AGH
JLE3AT
JLE3CP
JLE3BP
4500
3700
3350
4450
4000
6000
16000
12390
9980
JLE4AD
JLE4AG
JLE4AGH
JLE4AT
3900
5000
6600
18000
08/2016
Part IXA
APPLIANCES
Adhesive border
JLEA18
375
Adhesive border at bottom of leg
JLEA17
750
Adjustable waist band
JLEA16
800
Anatomically Flexed Knee
JLEA27
750
Ball stub (diagonal foot)
JLEA15
600
Closed toe
JLEA14
50
Fly
JLEA13
1000
Garter Belt
9100
1550
9120
785
9130
1550
Hip fastening belt at ‘T’
JLEA12
750
Hip fastening belt at ‘T’ with velcro
JLEA11
1500
Incorporated scrotum
JLEA10
1500
Instep stitching
JLEA9
300
Internal sewn-in adhesive border
JLEA8
375
Open crotch
JLEA7
600
Overheight
JLEA5
600
JLEA4
1000
Silicone stopper
JLEA6
375
Tricot lining
JLEA3
1500
Velcro fastener
JLEA2
1000
Zipper
JLEA1
2000
NB: Where Juzo Expert custom made garments are prescribed including specifically prescribed additional
Part IXA-Appliances
355
08/2016
Part IXA
APPLIANCES
Juzo Expert Strong - Custom made for the upper limb
Garment Type
Class 1 (18-21mmHg)
Armsleeve
Class 2 (23-32mmHg)
Armsleeve
Class 3 (34-46mmHg)
Armsleeve
Codes
JUES1CG
JUES1AG
JUES1AGL
JUES1G
JUES1G
JUES1GLO
JUES1GLC
JUES1GLO
JUES1GLC
JUES2CG
JUES2AG
JUES2AGL
JUES2G
JUES2G
JUES2GLO
JUES2GLC
JUES2GLO
JUES2GLC
JUES3CG
JUES3AG
JUES3AGL
JUES3G
JUES3GLO
JUES3GLC
short
long
short
short
long
long
Price per piece
3400
6600
8300
3500
3900
5300
5300
5500
5500
short
long
short
short
long
long
3500
6700
9000
3650
3950
5950
5950
5950
5950
short
short
short
3700
6800
9200
3600
6050
6050
Anatomically flexed middle of elbow
JUESA25
600
Border
JUESA24
400
Hook and Eye fastener
JUESA23
750
Internal sewn-in adhesive border (piece)
JUESA22
400
Knitted-in, seamless bra cup
JUESA26
750
Overheight
JUESA5
600
JUESA4
1000
Shoulder Cap
JUESA21
1315
Shoulder Cap with silicone support
JUESA20
1715
Silicone stopper (piece)
JUESA19
400
Tricot lining
JUESA3
1500
Velcro fastener
JUESA2
1000
Zipper
JUESA1
2000
NB: Where Juzo Expert Strong custom made garments are prescribed including specifically prescribed
Part IXA-Appliances
356
08/2016
Part IXA
APPLIANCES
Juzo Expert Strong - Custom made for the lower limb
Garment Type
Class 1 (18-21mmHg)
Foot with open toe
Below Knee
Below Knee Footless
Thigh High
Thigh High Footless
Tights open toe
Capri pants
Bermuda pants
Class 2 (23-32mmHg)
Foot with open toe
Below Knee
Below Knee Footless
Thigh High
Thigh High Footless
Tights open toe
Capri pants
Bermuda pants
Class 3 (34-46mmHg)
Foot with open toe
Below Knee
Below Knee Footless
Thigh High
Thigh High Footless
Tights open toe
Capri pants
Bermuda pants
Class 4 (>46mmHg)
Below Knee
Thigh High
Tights open toe
JLES1TC
JLES1AD
JLES1ADF
JLES1AG
JLES1AGF
JLES1AGH
JLES1AT
JLES1CP
JLES1BP
Price per piece
4250
3200
2950
3800
3650
5700
13650
11800
9500
JLES2TC
JLES2AD
JLES2ADF
JLES2AG
JLES2AGF
JLES2AGH
JLES2AT
JLES2CP
JLES2BP
4400
3400
3150
4200
4000
5800
14500
11900
9600
JLES3TC
JLES3AD
JLES3ADF
JLES3AG
JLES3AGF
JLES3AGH
JLES3AT
JLES3CP
JLES3BP
4600
3750
3400
4500
4200
6100
16500
12500
10080
JLES4AD
JLES4AG
JLES4AGH
JLES4AT
4400
5100
6700
18500
Adhesive border
JLESA18
375
Adhesive border at bottom of leg
JLESA17
750
Adjustable waist band
JLESA16
800
Anatomically Flexed Knee
JLESA27
750
Ball stub (diagonal foot)
JLESA15
600
Closed toe
JLESA14
50
Fly
JLESA13
1000
Hip fastening belt at ‘T’
JLESA12
750
Hip fastening belt at ‘T’ with velcro
JLESA11
1500
Incorporated scrotum
JLESA10
1500
Instep stitching
JLESA9
300
Internal sewn-in adhesive border
JLESA8
375
Open crotch
JLESA7
600
Overheight
JLESA5
600
JLESA4
1000
Silicone stopper
JLESA6
375
Tricot lining
JLESA3
1500
Velcro fastener
JLESA2
1000
Zipper
JLESA1
2000
NB: Where Juzo Expert Strong custom made garments are prescribed including specifically prescribed
Part IXA-Appliances
357
08/2016
Part IXA
APPLIANCES
Juzo Hostess
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Thigh High Open Toe with Wide Silicone Border
Border
Tights Open Toe
Tights Closed Toe
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Thigh High Open Toe with Wide Silicone Border
Border
Tights Open Toe
Tights Closed Toe
Lengths
Sizes
Price per pair
2542
2542
2650
2650
3676
3676
4693
4693
4693
4693
5000
5000
2542
2542
2650
2650
3676
3676
4693
4693
4693
4693
5000
5000
Part IXA-Appliances
Juzo Hostess - Custom made for the lower limb
Garment Type
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2650
2650
3025
3025
3625
3625
4000
4000
10600
10600
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2700
2700
3075
3075
3725
3725
4100
4100
10800
10800
Part IXA-Appliances
358
08/2016
Part IXA
APPLIANCES
Juzo Soft
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Border
Border
Tights Open Toe
Tights Closed Toe
Right Leg
Thigh High Closed Toe with Waist
Attachment Right Leg
Left Leg
Attachment Left Leg
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Border
Border
Tights Open Toe
Tights Closed Toe
Right Leg
Attachment Right Leg
Left Leg
Attachment Left Leg
Lengths
Sizes
Price per pair
2542
2542
2650
2650
3676
3676
4693
4693
4693
4693
5000
5000
Price each
2850
2850
2850
2850
Price per pair
2542
2542
2650
2650
3676
3676
4693
4693
4693
4693
5000
5000
Price each
2850
2850
2850
2850
Part IXA-Appliances
359
08/2016
Part IXA
APPLIANCES
Juzo Soft - Custom made for the lower limb
Garment Type
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2650
2650
3025
3025
3625
3625
4000
4000
5320
5320
5320
5320
10600
10600
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Tights Open Toe
Tights Closed Toe
Price per piece
2700
2700
3075
3075
3725
3725
4100
4100
5420
5420
5420
5420
10800
10800
Fly
1000
Open Crotch
600
NB: Where Juzo Soft custom made garments are prescribed including specifically prescribed additional
Part IXA-Appliances
Juzo Soft - Custom made for the upper limb
Garment Type
Class 1 (18-21mmHg)
Armsleeve
Price per piece
3100
3500
4415
4615
Class 2 (23-32mmHg)
Armsleeve
Price per piece
3200
3600
4515
4715
Part IXA-Appliances
360
08/2016
Part IXA
APPLIANCES
Juzo Soft Rib
Style
Class 1 (18-21mmHg)
Lengths
Sizes
Standard, Short
Price per pair
2542
Class 2 (23-32mmHg)
Standard, Short
Price per pair
2542
Part IXA-Appliances
Mediven 95 Whitaker Pouch
Style
Whitaker Pouch
Sizes Price per piece
II, III, IV
3523
Part IXA-Appliances
Mediven active
Style
Class 1 (18-21mmHg)
Below Knee Closed Toe Petite
Price per pair
2833
2833
Class 2 (23-32mmHg)
2865
2865
Sizes
Part IXA-Appliances
Mediven Elegance
Style
Class 1(18-21mmHg)
Thigh Length with Top Band Closed Toe
Thigh Length Petite Top Band Closed Toe
Thigh Length Extra Wide Closed Toe Top Band
Thigh Length Extra Wide Petite Closed Toe Top Band
Tights Closed Toe
Tights Closed Toe Petite
Price per pair
2858
2858
5491
5121
5491
5121
5565
5565
Class 2 (23-32mmHg)
Thigh Length with Top Band Closed Toe
Thigh Length Petite Top Band Closed Toe
Thigh Length Extra Wide Closed Toe Top Band
Thigh Length Extra Wide Petite Closed Toe Top Band
Tights Closed Toe
Tights Closed Toe Petite
2858
2858
5491
5121
5491
5121
5565
5565
Part IXA-Appliances
361
Sizes
08/2016
Part IXA
APPLIANCES
Mediven Esprit MTM
Style
Class 1 (18-21mmHg)
Armsleeve
Combined Armsleeve with Handpiece
Combined Armsleeve with Fingers
Handpiece
Glove
DTECG1
DTEAG1
DTEAF1
DTEHP1
DTEGV1
Price per piece
3716
6873
9367
3614
6109
Class 2 (23-32mmHg)
Armsleeve
Handpiece
Glove
DTECG2
DTEAG2
DTEAF2
DTEHP2
DTEGV2
3716
6873
9367
3614
6109
Class 3 (34-46mmHg)
Armsleeve
Handpiece
Glove
DTECG3
DTEAG3
DTEAF3
DTEHP3
DTEGV3
3716
6873
9367
3614
6109
Code
NB: The above garments are available in various colours with no additional charge. The above garments are
available with optional extras. These are priced separately. See below
Shoulder Cap
DTESC
1273
Silicone Topband
DTSTB
783
Zip
DTZIP
2169
Part IXA-Appliances
Mediven for men
Style
Class 1 (18-21mmHg)
Price per pair
2837
2837
Class 2 (23-32mmHg)
2869
2869
Sizes
Part IXA-Appliances
362
08/2016
Part IXA
APPLIANCES
Mediven harmony
Style
Class 1(15-21mmHg)
Armsleeve
Armsleeve with Shoulder Cap
Armsleeve with Shoulder Cap Extra Wide
Combined Armsleeve
Combined Armsleeve Extra Wide
Combined Armsleeve with Grip Top
Combined Armsleeve with Grip Top Extra Wide
Combined Armsleeve with Shoulder Cap
Combined Armsleeve with Shoulder Cap Extra Wide
Glove
I, II, III, IV, V, VI, VII, VIII
II, III, IV, V, VI, VII
Price per piece
1503
1503
2003
2003
1965
1965
2726
2726
3227
3227
3104
3104
4208
Class 2 (23-32mmHg)
Armsleeve
Armsleeve with Shoulder Cap
Armsleeve with Shoulder Cap Extra Wide
Combined Armsleeve
Combined Armsleeve Extra Wide
Combined Armsleeve with Grip Top
Combined Armsleeve with Grip Top Extra Wide
Combined Armsleeve with Shoulder Cap
Combined Armsleeve with Shoulder Cap Extra Wide
Glove
II, III, IV, V, VI, VII
1614
1614
2114
2114
2140
2140
2838
2838
3339
3339
3212
3212
4430
Sizes
Part IXA-Appliances
Mediven Mondi MTM
Style
Class 1 (18-21mmHg)
Below Knee
One Legged Panty
Thigh Length
Thigh Length with Waist Attachment
DTMK1
DTMOP1
DTMT1
DTMW1
Price per piece
3392
11508
3949
5572
Class 2 (23-32mmHg)
Below Knee
One Legged Panty
Tights
Thigh Length
DTMK2
DTMOP2
DTMTG2
DTMT2
DTMW2
3552
12518
16224
4361
5988
Class 3 (34-46mmHg)
Below Knee
One Legged Panty
Tights
Thigh Length
DTMK3
DTMOP3
DTMTG3
DTMT3
DTMW3
3980
13527
17245
4906
6144
Code
Closed Toe
DTTOE
104
Silicone Topband
DTTB
790
‘Y’ Knitting Mark
DTYKM
962
Zip
DTZIP
2190
Part IXA-Appliances
363
08/2016
Part IXA
APPLIANCES
Mediven Plus
Style
Class 1(18-21mmHg)
Below Knee Open Toe
Below Knee Open Toe Petite
Below Knee Open Toe Extra Wide
Below Knee Open Toe Petite Extra Wide
Thigh Length Petite Silicone Top Open Toe
Thigh Length Extra Wide Open Toe Silicone Top
Thigh Length Extra Wide Petite Open Toe Silicone Top
Sizes
Thigh Length Waist Attachment Right Open Toe
Thigh Length Petite Waist Attachment Right Open Toe
Thigh Length Waist Attachment Left Open Toe
Thigh Length Petite Waist Attachment Left Open Toe
Class 2 (23-32mmHg)
Below Knee Open Toe
Below Knee Open Toe Petite Extra Wide
Class 3 (34-46mmHg)
Below Knee Open Toe
Price per pair
2879
2879
3285
3285
5159
5532
5511
5140
Price each
2890
2890
2890
2890
Price per pair
2879
2879
3285
3285
5159
5532
5511
5140
Price each
2890
2890
2890
2890
Price per pair
3161
3161
3590
5758
5758
5737
5737
Price each
3181
3181
3181
3181
Part IXA-Appliances
ReadyWrap (including products formerly listed under ReadyWrap Quick-Fit)
Style
Lengths
Armsleeve
Calf
Gauntlet
Foot (Left or Right)
Knee
Thigh
30cm, 35cm
25cm, 30cm
Part IXA-Appliances
364
Sizes
S, M, L, XL
S, M, L, XL, XXL
S, M, L, XL
S, M, L, XL
S, M, L, XL, XXL
S, M, L, XL, XXL
Price per piece
16700
8500
2800
3544
4500
9500
08/2016
Part IXA
APPLIANCES
Sigvaris Traditional (formerly Sigvaris)
Arm Sleeves
(23-32mmHg)
with Grip Top/no Hand Piece
with Grip Top/with Hand Piece
with Shoulder Cap/no Hand Piece
with Shoulder Cap/with Hand Piece
Lengths
Sizes
Short, Long
Short, Long
Short, Long
Short, Long
S, M, L
S, M, L
S, M, L
S, M, L
Length
Sizes
Price per piece
2067
3263
1956
3089
Part IXA-Appliances
Sigvaris Traditional 500 (formerly Sigvaris 500)
Style
Class 2 (23-32mmHg)
Below Knee Open Toe
Below Knee Open Toe Plus
Thigh High Open Toe
Thigh High Open Toe
Thigh High Open Toe Plus
Thigh High Open Toe with Grip Top
Thigh High Open Toe with Grip Top Plus
Short, Long
Short, Long
Short
Long
Short
Long
Short, Long
Short, Long
Thigh High with Waist Attachment (Left or Right)
(Left or Right) Plus
Short, Long
Short, Long
Class 3 (34-46mm Hg)
Below Knee Open Toe
Thigh High Open Toe
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Thigh High with Waist Attachment (Left or Right) Plus
Short, Long
Price per pair
2725
2725
5236
5236
5236
5236
5236
5236
Price per piece
S, M, L
3522
S, M, L
3522
XS, S, M, L, XL
S, M, L, XL
S, M, L
XS, S, M, L, XL
S, M, L
S, M, L, XL
S, M, L
S, M, L
Price per pair
2992
2992
5344
5344
5344
5344
Price per piece
S, M, L
3778
S, M, L, XL
S, M, L, XL
S, M, L
S, M, L
S, M, L
S, M, L
Part IXA-Appliances
Sigvaris Advance
Arm Sleeves
Advance 1
with Hand Piece and Grip Top
with Hand Piece and Grip Top Plus Size
with Hand Piece without Grip Top
with Seamless Hand Piece and Grip Top
with Seamless Hand Piece and Grip Top Plus Size
with Seamless Hand Piece without Grip Top
without Hand Piece + Grip Top Plus Size
without Hand Piece without Grip Top
Lengths
Sizes
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
1799
2801
2801
2801
2801
2801
2801
1799
1799
Advance 2
Medium Compression (20-25mmHg)
with Hand Piece without Grip Top
with Seamless Hand Piece and Grip Top
with Seamless Hand Piece and Grip Top Plus Size
with Seamless Hand Piece without Grip Top
without Hand Piece + Grip Top Plus Size
without Hand Piece without Grip Top
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Long, Normal
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
1799
2801
2801
2801
2801
2801
2801
1799
1799
365
Price per piece
08/2016
Part IXA
APPLIANCES
Advance 3
High Compression (30-40mmHg)
with Grip Top/no Hand Piece Plus Size
Price per piece
Long, Normal
Long, Normal
Long, Normal
Long, Normal
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L, XL
1799
1799
2801
2801
Part IXA-Appliances
Sigvaris Comfort
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Below Knee Closed Toe Plus
Thigh High Open Toe
Thigh High Closed Toe Plus
Thigh High Plus Open Toe with Grip Top
Thigh High Closed Toe with Grip Top
Thigh High Closed Toe with Grip Top Plus
Panty Open Toe
Panty Open Toe Plus
Panty Closed Toe
Panty Closed Toe Plus
Panty Extra Open Toe
Panty Extra Open Toe Plus
Panty Extra Closed Toe
Panty Extra Closed Toe Plus
(Left or Right)
(Left or Right)
Length
Sizes
Price per pair
2713
2713
2713
2713
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
Price per piece
Short, Normal, Long XXS, XS, S, M, L, XL
3080
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
XXS, XS, S, M, L, XL
3080
3080
3080
366
08/2016
Part IXA
APPLIANCES
Below Knee Open Toe
Tights Bodyform Open Toe
Tights Bodyform Open Toe Plus
Tights Bodyform Closed Toe
Tights Bodyform Closed Toe Plus
Thigh High Open Toe
Thigh High Plus Open Toe with Grip Top
Panty Open Toe
Panty Open Toe Plus
Panty Closed Toe
Panty Extra Open Toe
Panty Extra Open Toe Plus
Panty Extra Closed Toe
Panty Extra Closed Toe Plus
(Left or Right)
(Left or Right)
Price per pair
2713
2713
2713
2713
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
5213
Price per piece
3080
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
3080
3080
3080
Part IXA-Appliances
367
08/2016
Part IXA
APPLIANCES
Sigvaris CompreBoot
Style
(20-30mmHg)
CompreBoot
Lengths
Sizes
Regular, Long
S, M/L, XL/XXL
Lengths
Sizes
Regular, Tall
S, M, L, XL, XXL
S, M, L, XL
Lengths
Sizes
Regular, Tall
Regular, Tall
S, M, L, XL, XXL
S, M, L, XL
Price per piece
3500
Part IXA-Appliances
Sigvaris CompreFit
Style
(30-40mmHg)
Below Knee
Thigh High
Price per piece
9000
9000
Part IXA-Appliances
Sigvaris CompreFLEX
Style
(30-40mmHg)
Below Knee
Thigh High (Left or Right)
Price per piece
11000
11000
Part IXA-Appliances
Sigvaris CompreKnee
Style
(20-30mmHg)
CompreKnee
Sizes
S, M, L/XL
Price per piece
3000
Part IXA-Appliances
Sigvaris Coton
Style
(15-20mmHg)
Below Knee Closed Toe Female
Thigh High Hold Up Closed Toe Female
Lengths
Sizes
Long, Normal
Long, Normal
S, M, L, XL
S, M, L, XL
Price per pair
2725
5237
Part IXA-Appliances
Sigvaris Coton Instinct
Style
(15-20mmHg)
Below Knee Closed Toe Male
Below Knee Open Toe Male
Thigh High Grip Top Closed Toe Male
Thigh High Grip Top Open Toe Male
Lengths
Sizes
Long, Normal
Long, Normal
Long, Normal
Long, Normal
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
Price per pair
2725
2725
5236
5236
(20-36mmHg)
Long, Normal
Long, Normal
S, M, L, XL, XXL
S, M, L, XL, XXL
2725
5236
Part IXA-Appliances
368
08/2016
Part IXA
APPLIANCES
Sigvaris Cotton
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Below Knee Closed Toe (formerly Below Knee
Xtra Closed Toe)
Below Knee Closed Toe Plus (formerly Below
Knee Xtra Closed Toe Plus)
Below Knee Xtra Maxi Closed Toe
Below Knee Xtra Maxi Closed Toe Plus
Thigh High Open Toe
Thigh High Open Toe with Sensinnov Grip Top
Plus
Thigh High Closed Toe with Sensinnov Grip
Top
Top Plus
Panty Open Toe
Panty Open Toe Plus
Panty Closed Toe
(Left or Right)
(Left or Right)
Class 2 (23-32mmHg)
Below Knee Open Toe
Below Knee Closed Toe (formerly Below Knee
Xtra Closed Toe)
Below Knee Closed Toe Plus (formerly Below
Knee Xtra Closed Toe Plus)
Below Knee Open Toe with Grip Top
Below Knee Open Toe Plus with Grip Top
Below Knee Closed Toe with Grip Top
Below Knee Closed Toe Plus with Grip Top
Length
Sizes
Normal, Long XXS, XS, S, M, L, XL
Price per pair
2725
2725
2725
2725
Normal, Long
Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
XS, S, M, L, XL
XS, S, M, L, XL
2725
2725
5236
5236
5236
5236
5236
5236
5236
5236
5236
5236
5236
5236
Normal, Long
Normal, Long
Normal, Long
Normal, Long
5236
5236
5236
5236
Price per piece
3094
3094
3094
3094
Price per pair
2725
2725
2725
2725
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Normal, Long
369
XS, S, M, L, XL
XS, S, M, L, XL
2725
2725
2725
2725
2725
2725
08/2016
Part IXA
APPLIANCES
Thigh High Open Toe
Plus
Top
Top Plus
Panty Open Toe
Panty Open Toe Plus
Panty Closed Toe
(Left or Right)
(Left or Right)
Class 3 (33-46mmHg)
Below Knee Xtra Open Toe (formerly Below
Knee Open Toe)
Below Knee Xtra Open Toe Plus (formerly
Bleow Knee Open Toe Plus)
Below Knee Xtra Closed Toe
Below Knee Xtra Closed Toe Plus
Panty Open Toe
Panty Open Toe Plus
Panty Closed Toe
(Left or Right)
(Left or Right)
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
5236
5236
5236
5236
5236
5236
5236
5236
5236
5236
5236
5236
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
5236
5236
5236
5236
Price per piece
3094
3094
3094
3094
Price per pair
2725
2725
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
XS, S, M, L
XS, S, M, L
2725
2725
2725
2725
5236
5236
5236
5236
5236
5236
5236
5236
Price per piece
3094
3094
3094
3094
Part IXA-Appliances
370
08/2016
Part IXA
APPLIANCES
Sigvaris Diaphane
Style
(10-15mmHg)
Thigh High Grip Top Closed Toe Female
Panty Closed Toe Female
Lengths
Sizes
Normal, Long
Normal, Long
Normal, Long
S, M, L, XL
S, M, L, XL
S, M, L, XL
(15-21mmHg)
Panty Female
Normal, Long XS, S, M, L, XL, XXL
Normal, Long
S, M, L, XL
2679
5146
5146
(22-32mmHg)
Panty Female
Normal, Long
S, M, L, XL
2679
5146
5146
Price per pair
2679
5146
5146
Part IXA-Appliances
Sigvaris Initial
Style
(10-15mmHg)
Length
Sizes
Normal, Long
S, M, L, XL, XXL
Length
Sizes
Price per pair
2725
Part IXA-Appliances
Sigvaris James
Style
Price per pair
2713
2713
Part IXA-Appliances
Sigvaris Lymphoedema Glove
Style
Class 1 (18-21mmHg)
Glove (Left or Right) with compressive fingers
Part IXA-Appliances
371
Length
Sizes
Standard
S, M, L
Price per piece
3143
08/2016
Part IXA
APPLIANCES
Sigvaris Magic
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Knobbed Grip Top Open Toe
Thigh High Knobbed Grip Top Open Toe Plus
Thigh High Knobbed Grip Top Closed Toe
Plus
Thigh High Lace Grip Top Open Toe (formerly
Thigh High Grip Top Open Toe Female)
Thigh High Lace Grip Top Open Toe Plus
(formerly Thigh High Grip Top Open Toe Plus
Female)
Thigh High Lace Grip Top Closed Toe
(formerly Thigh High Grip Top Closed Toe
Female)
Thigh High Lace Grip Top Closed Toe Plus
Plus Female)
Tights Open Toe
Tights Closed Toe
Tights Open Toe Plus
Tights Closed Toe Plus
Below Knee Open Toe
Thigh High Knobbed Grip Top Open Toe
Thigh High Knobbed Grip Top Open Toe Plus
Plus
Thigh High Lace Grip Top Open Toe (formerly
Thigh High Grip Top Open Toe Female)
Thigh High Lace Grip Top Open Toe Plus
(formerly Thigh High Grip Top Open Toe Plus
Female)
Thigh High Lace Grip Top Closed Toe
Female)
Thigh High Lace Grip Top Closed Toe Plus
Plus Female)
Tights Open Toe
Tights Closed Toe
Tights Open Toe Plus
Tights Closed Toe Plus
Length
Sizes
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Price per pair
2725
2725
2725
2725
5237
5237
5237
5237
Short, Normal, Long
5237
Short, Normal, Long
5237
Short, Normal, Long
5237
Short, Normal, Long
5237
Normal, Long
Normal, Long
Normal, Long
Normal, Long
5237
5237
5237
5237
Normal, Long
Normal, Long
Normal, Long
Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
Short, Normal, Long
2725
2725
2725
2725
5237
5237
5237
5237
Short, Normal, Long
5237
Short, Normal, Long
5237
Short, Normal, Long
5237
Short, Normal, Long
5237
Normal, Long
Normal, Long
Normal, Long
Normal, Long
5237
5237
5237
5237
372
08/2016
Part IXA
APPLIANCES
Part IXA-Appliances
Sigvaris Microfibre 3 Expert
Style
(20-36mmHg)
Thigh High Hold Up Closed Toe Female
Lengths
Sizes
Long, Normal
Long, Normal
Long, Normal
Long, Normal
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L, XL
Price per pair
2725
2725
5237
5237
Part IXA-Appliances
Sigvaris MTM Comfort
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Panty Bodyform Open Toe
Panty Bodyform Closed Toe
Panty Open Toe
Panty Closed Toe
Thigh High Open Toe with Waist Attachment (Left or Right)
Thigh High Closed Toe with Waist Attachment (Left or Right)
Price per piece
3264
3264
3978
3978
3820
3820
4488
4488
12000
12000
14281
14281
14281
14281
5407
5407
Below Knee Open Toe
Thigh High Open Toe
Panty Open Toe
Panty Closed Toe
3366
3366
4080
4080
4177
4177
4845
4845
12000
12000
15403
15403
15403
15403
5866
5866
Part IXA-Appliances
373
08/2016
Part IXA
APPLIANCES
Sigvaris MTM Cotton
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Panty Open Toe
Panty Closed Toe
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Panty Open Toe
Panty Closed Toe
Class 3 (34-46mmHg)
Below Knee Open Toe
Thigh High Open Toe
Panty Open Toe
Panty Closed Toe
Part IXA-Appliances
374
Price per piece
3264
3264
3978
3978
4483
4483
4488
4488
12000
12000
14281
14281
5407
5407
3366
3366
3978
3978
4859
4859
4866
4866
12000
12000
15403
15403
5866
5866
3366
3366
4080
4080
4859
4859
4866
4866
12000
12000
15403
15403
5866
5866
08/2016
Part IXA
APPLIANCES
Sigvaris MTM Magic
Style
Class 1 (18-21mmHg)
Below Knee Open Toe Female
Below Knee Open Toe with Grip Top Female
Below Knee Closed Toe with Grip Top Female
Thigh High Open Toe with Grip Top Female
Thigh High Closed Toe with Grip Top Female
Panty Open Toe Female
Below Knee Open Toe with Grip Top Female
Below Knee Closed Toe with Grip Top Female
Thigh High Open Toe with Grip Top Female
Thigh High Closed Toe with Grip Top Female
Panty Open Toe Female
Price per piece
3264
3264
3978
3978
4488
4488
14281
14281
3366
3366
4080
4080
4845
4845
15403
15403
Part IXA-Appliances
Sigvaris MTM Optiform Flex
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Body Bandage
Shorts
Capri Length
Leggings
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Body Bandage
Shorts
Capri Length
Leggings
Codes
OFC1
OFC1
OFT1
OFT1
OFW1
OFW1
OFB1
OFS1
OFCL1
OFL1
Price per piece
3450
3450
4100
4100
5800
5800
6800
9400
11700
13000
OFC2
OFC2
OFT2
OFT2
OFW2
OFW2
OFB2
OFS2
OFCL2
OFL2
3650
3650
4500
4500
6100
6100
7300
9500
11800
13200
Silicone band/strips
OA1S
600
Knee functional zone
OA1K
600
Adjustable waistband
OA2AW
1000
Ankle Pad - 1 piece
OA2AP
1000
Silk pocket
OA2SP
1000
Fly Opening (Horizontal or Vertical)
OA2FO
1000
Reinforced gusset
OA2RG
1000
Zip with lining
OA3Z
2150
Part IXA-Appliances
375
08/2016
Part IXA
APPLIANCES
Sigvaris MTM Optiform Hold
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
Thigh High Open Toe
Body Bandage
Shorts
Capri Length
Leggings
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh High Open Toe
Body Bandage
Shorts
Capri Length
Leggings
Class 3 (34-46mmHg)
Below Knee Open Toe
Thigh High Open Toe
Body Bandage
Shorts
Capri Length
Leggings
Codes
OHC1
OHC1
OHT1
OHT1
OHW1
OHW1
OHB1
OHS1
OHCL1
OHL1
Price per piece
3450
3450
4100
4100
5800
5800
6800
9400
11700
13000
OHC2
OHC2
OHT2
OHT2
OHW2
OHW2
OHB2
OHS2
OHCL2
OHL2
3650
3650
4500
4500
6100
6100
7300
9500
11800
13200
OHC3
OHC3
OHT3
OHT3
OHW3
OHW3
OHB3
OHS3
OHCL3
OHL3
3900
3900
4900
4900
6400
6400
7800
10000
12400
13600
Silicone band/strips
OA1S
600
Knee functional zone
OA1K
600
Adjustable waistband
OA2AW
1000
Ankle Pad - 1 piece
OA2AP
1000
Silk pocket
OA2SP
1000
Fly Opening (Horizontal or Vertical)
OA2FO
1000
Reinforced gusset
OA2RG
1000
Zip with lining
OA3Z
2150
Part IXA-Appliances
376
08/2016
Part IXA
APPLIANCES
Sigvaris MTM Traditional
Style
(23-32mmHg)
Below Knee Open Toe
One-legged Panty Open Toe Full Compression
One-legged Panty Closed Toe Full Compression
Thigh High Open Toe
Thigh High Open Toe Full Compression
Thigh High Closed Toe Full Compression
Thigh High Open Toe with Grip Top Full Compression
Thigh High Closed Toe with Grip Top Full Compression
Thigh High Open Toe with Waist Attachment Full Compression (Left or Right)
Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right)
Code
Panty Open Toe
Panty Open Toe Full Compression
Panty Closed Toe
Panty Closed Toe Full Compression
503
503
503
503
503
503
Price per piece
3366
3366
4080
4080
12000
12000
12000
12000
4152
4152
4152
4152
4866
4866
4866
4866
5866
5866
5866
5866
Price per pair
15403
15403
15403
15403
15403
15403
(34-46mmHg)
Below Knee Open Toe
Thigh High Open Toe
504
504
504
504
504
504
504
504
504
504
504
504
504
504
504
504
504
504
504
504
Price per piece
3366
3366
4080
4080
12000
12000
12000
12000
4152
4152
4152
4152
4866
4866
4866
4866
5866
5866
5866
5866
377
503
503
503
503
503
503
503
503
503
503
503
503
503
503
503
503
503
503
503
503
08/2016
Part IXA
APPLIANCES
Panty Open Toe
Panty Closed Toe
504
504
504
504
504
504
(49-59mmHg)
Below Knee Open Toe
Thigh High Open Toe
505
505
505
505
505
505
505
505
505
505
505
505
505
505
505
505
505
505
505
505
Panty Open Toe
Panty Closed Toe
505
505
505
505
505
505
Price per pair
15403
15403
15403
15403
15403
15403
Price per piece
3366
4080
3366
4080
12000
12000
12000
12000
4152
4152
4152
4152
4866
4866
4866
4866
5866
5866
5866
5866
Price per pair
15403
15403
15403
15403
15403
15403
Part IXA-Appliances
Sigvaris Opalis
Style
(15-21mmHg)
Thigh High Plus Grip Top Closed Toe Female
Thigh High Plus Grip Top Open Toe Female
Lengths
Sizes
Long, Normal
Long, Normal
Long, Normal
Long, Normal
Length
Sizes
Long, Normal
Long, Normal
S, M, L, XL, XXL
S, M, L, XL, XXL
Price per pair
2679
2679
5146
5146
Part IXA-Appliances
Sigvaris Urban 2
Style
(15-20mmHg)
Part IXA-Appliances
378
Price per pair
2725
5237
08/2016
Part IXA
APPLIANCES
Solidea Catherine
Style
Class 1 (18-21mmHg)
Thigh High Open Toe
S,M,ML,L,XL
S,M,ML,L,XL
Price per pair
2990
2990
Class 2 (25-32mmHg)
Thigh High Closed Toe Plus Line
Thigh High Open Toe
Thigh High Open Toe Plus Line
S,M,ML,L,XL
S,M,ML,L,XL
S,M,ML,L,XL
S,M,ML,L,XL
Price per pair
3290
3290
3290
3290
Sizes
Part IXA-Appliances
Solidea Dynamic
Style
Class 1 (18-21mmHg)
Tights Closed Toe
Tights Open Toe
Sizes
S,M,ML,L,XL
S,M,ML,L,XL
Price per pair
4320
4320
Part IXA-Appliances
Solidea Marilyn
Style
Class 1 (18-21mmHg)
Thigh High Closed Toe with Silicone Top
Thigh High Open Toe with Silicone Top
S,M,ML,L,XL
S,M,ML,L,XL
Price per pair
3290
3290
Class 2 (25-32mmHg)
Thigh High Closed Toe with Silicone Top
Thigh High Closed Toe Plus Line with Silicone Top
Thigh High Open Toe Plus Line with Silicone Top
S,M,ML,L,XL
S,M,ML,L,XL
S,M,ML,L,XL
S,M,ML,L,XL
Price per pair
3590
3590
3590
3590
Class 3 (34-46mmHg)
Thigh High Open Toe Plus Line with Silicone Top
S,M,ML,L,XL
S,M,ML,L,XL
Price per pair
4320
4320
Sizes
Part IXA-Appliances
Solidea Medical Gauntlet Arm Band
Style
Class 1 (15-21mmHg)
Armsleeve
Sizes
S, M, L, XL
Price per piece
2970
Part IXA-Appliances
Solidea Micromassage Arm Bands
Style
Class 1 (15-21mmHg)
Armsleeve
Sizes
S, M, L, XL
Part IXA-Appliances
379
Price per pair
2970
08/2016
Part IXA
APPLIANCES
Solidea Relax Unisex
Style
Class 1 (18-21mmHg)
Below Knee Open Toe
S,M,L,XL,XXL
S,M,L,XL,XXL
Price per pair
1060
1060
Class 2 (25-32mmHg)
Below Knee Closed Toe Plus Line
Below Knee Open Toe
Below Knee Open Toe Plus Line
S,M,L,XL,XXL
S,M,L,XL,XXL
S,M,L,XL,XXL
S,M,L,XL,XXL
Price per pair
1060
1060
1060
1060
Class 3 (34-46mmHg)
Below Knee Open Toe
Below Knee Open Toe Plus Line
S,M,L,XL,XXL
S,M,L,XL,XXL
Price per pair
2970
2970
Sizes
Part IXA-Appliances
Solidea Wonder Model
Style
Class 1 (18-21mmHg)
Tights Closed Toe
Tights Open Toe
S,M,ML,L,XL,XXL
S,M,ML,L,XL,XXL
Price per pair
3960
3960
Class 2 (25-32mmHg)
Tights Closed Toe
Tights Open Toe
S,M,ML,L,XL,XXL
S,M,ML,L,XL,XXL
Price per pair
4490
4490
Sizes
Part IXA-Appliances
varicase
Style
Class 1(18-21mmHg)
Below Knee Open Toe
Thigh Length Petite Silicone Top Closed Toe
Sizes
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
Price per pair
1777
1777
1777
1777
2465
2465
2465
2465
Class 2 (23-32mmHg)
Below Knee Open Toe
Thigh Length Petite Silicone Top Closed Toe
Compression Sock Below Knee Closed Toe Unisex
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
Price per pair
1914
1914
1914
1914
2654
2654
2654
2654
1900
Class 3 (34-46mmHg)
Below Knee Open Toe
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
S, M, L, XL, XXL
Price per pair
1966
1966
3062
3062
Part IXA-Appliances
380
08/2016
Part IXA
APPLIANCES
Venosan 5000
Style
Class 1 (5001) (18-21mmHg)
Below Knee
Thigh High with Self Supporting Silicone Top Band
Class 2 (5002) (23-32mmHg)
Below Knee
Thigh High with Self Supporting Silicone Top Band
Class 3 (5003) (34-46mmHg)
Below Knee
Sizes
Price per pair
2662
5089
Price per pair
2662
5089
Price per pair
2662
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L, XL
Part IXA-Appliances
Venosan 7000
Style
Class 2 (7002) (23-32mmHg)
Below Knee Open Toe
Thigh High with Self Supporting Plain Top Open Toe
Thigh High with Self Supporting Plain Top Closed Toe
Sizes
Length
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L, XL
Long/Short
Long/Short
Long/Short
Long/Short
Price per pair
2783
2783
3801
3801
Class 3 (7003) (34-46mmHg)
Below Knee Open Toe
Thigh High with Self Supporting Plain Top Open Toe
Thigh High with Self Supporting Plain Top Closed Toe
S, M, L, XL
S, M, L, XL
S, M, L, XL
S, M, L, XL
Long/Short
Long/Short
Long/Short
Long/Short
Price per pair
2783
2783
3801
3801
Part IXA-Appliances
Venotrain Micro
Style
Class 1(18-21mmHg)
Below Knee Open Toe
Below Knee Plus Closed Toe
Below Knee Plus Open Toe
Thigh High Closed Toe with Top Band
Thigh High Open Toe with Top Band
Thigh High Plus Closed Toe with Top Band
Thigh High Plus Open Toe with Top Band
Lengths
Sizes
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Tights Closed Toe
Tights Open Toe
Tights Plus Closed Toe
Tights Plus Open Toe
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Class 2 (23-32mmHg)
Below Knee Open Toe
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Tights Closed Toe
Tights Open Toe
Tights Plus Closed Toe
Tights Plus Open Toe
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Part IXA-Appliances
381
Price per pair
2124
2124
2124
2124
2574
2574
2574
2574
Price each
3564
3564
3564
3564
Price per pair
2169
2169
2169
2169
2736
2736
2736
2736
Price each
4014
4014
4014
4014
08/2016
Part IXA
APPLIANCES
Venotrain Soft
Style
Class 1(18-21mmHg)
Below Knee Open Toe
Lengths
Sizes
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Thigh High with Waist Attachment Right Closed Toe
Thigh High with Waist Attachment Right Open Toe
Thigh High with Waist Attachment Left Closed Toe
Thigh High with Waist Attachment Left Open Toe
Thigh High Plus with Waist Attachment Right Closed Toe
Thigh High Plus with Waist Attachment Right Open Toe
Thigh High Plus with Waist Attachment Left Closed Toe
Thigh High Plus with Waist Attachment Left Open Toe
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Class 2 (23-32mmHg)
Below Knee Open Toe
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Thigh High with Waist Attachment Right Closed Toe
Thigh High with Waist Attachment Right Open Toe
Thigh High with Waist Attachment Left Closed Toe
Thigh High with Waist Attachment Left Open Toe
Thigh High Plus with Waist Attachment Right Closed Toe
Thigh High Plus with Waist Attachment Right Open Toe
Thigh High Plus with Waist Attachment Left Closed Toe
Thigh High Plus with Waist Attachment Left Open Toe
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
Short, Long
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
S,M,L,XL
Part IXA-Appliances
382
Price per pair
2034
2034
2034
2034
2592
2592
2592
2592
Price each
1764
1764
1764
1764
1764
1764
1764
1764
Price per pair
2034
2034
2034
2034
2592
2592
2592
2592
Price each
1764
1764
1764
1764
1764
1764
1764
1764
08/2016
Part IXA
APPLIANCES
Appliance
MICRO-ENEMA - SODIUM CITRATE
Relaxit
Tube
NASAL PRODUCTS
Nasal Aspirator
NoseFrida hygiene filters
NoseFrida nasal aspirator
Snufflebabe nasal aspirator
12 x 5ml
each
521
20
71
348
432
Nasal Drops - Glucose in Glycerol
Glycerdex Nose Drops
Dropper Bottle
10ml
1508
Nasal Drops - Sodium Chloride 0.9%
Almus Pharmaceuticals
Mandanol
Orbis Consumer Products Ltd
RX Farma
Sandoz
Tubilux Pharma (Tubilux Brand)
Dropper Bottle
Dropper Bottle
Dropper Bottle
Dropper Bottle
Dropper Bottle
Dropper Bottle
10ml
10ml
10ml
10ml
10ml
10ml
99
99
95
99
99
99
Nasal Powder
Care Allergy Defence
Powder Spray
500mg (200 dose)
432
Spray
Spray
Spray
Drops
30ml
30ml
30ml
15ml
249
249
277
239
GeloSitin
Spray
15ml
525
Nozoil
Spray
10ml
399
Spray
Spray
50ml
50ml
249
289
Spray
50ml
249
Nasal Spray
Aqua Maris Daily
Aqua Maris Junior
Aqua Maris Strong
Aqua Maris Baby
Sterimar
Isotonic
Hypertonic
Sterimar Baby
Part IXA-Appliances
383
08/2016
Part IXA
APPLIANCES
Appliance
NIPPLE SHIELDS, PLASTICS
(Not to be confused with Breast Shields)
67
ORAL FILM FORMING AGENTS
Caphosol (1 dose = 1 x Caphosol A (15ml) + 1 x Caphosol B (15ml))
Episil
Gelclair
GeloRevoice
Gengigel
Oral Spray
Lozenges
Gel
Mouthrinse
MuGard
30 doses
120 doses
10ml
21 x 15ml Sachets
20 lozenges
20ml tube
150ml bottle
250ml bottle
OSCILLATING POSITIVE EXPIRATORY PRESSURE DEVICE
Acapella
Flutter
Lungflute
PARI O-PEP
3428
13070
4921
3361
500
370
455
2000
4050
4050
3750
2728
PEAK FLOW METERS
syn: P.F.M.
(Non-powered; hand-held)
Portable meters intended for single-patient use.
The standard range is suitable for use by both adults and children.
The low range model is for adults or children with severely restricted airflow.
The Peak Flow Meters standard range will conform to the ISO standard EN ISO 23747:2007.
The Peak Flow Meters low range will be CE marked and comply with EN ISO 23747:2007 in all aspects except
for a reduced measurement range.
Manufacturer
Standard Range EN ISO 23747:2007
Clement Clarke
Clement Clarke AirZone
Fyne Dynamics Pinnacle
Micro Medical
nSpire PiKo-1 Electronic Peak Flow/FEV1 Meter
nSpire Pocket Peak Flow Meter
Philips Respironics PersonalBest
Vitalograph
Vitalograph Child
Vitalograph myPEF
384
Order No
3103388
3130160
72000EU
60482
MPE8200EU
346005-EU
208(EU)/F
1022973
43602
43703
43950
708
469
650
450
650
950
653
686
483
483
708
08/2016
Part IXA
APPLIANCES
Appliance
PEAK FLOW METERS
each
Low Range CE marked (must comply with the EN ISO 23747:2007 except for scale range)
Clement Clarke
3104708
714
60536
650
nSpire Pocket Peak Flow Meter
209(EU)/F
653
NB: 1. "Low range" to be supplied only where specifically ordered.
2. Where the brand or manufacturer is not stated by the prescriber and has not been endorsed, the basic
price must not exceed 450p (Standard range) and 650p (Low Range).
3. Replacement recording charts (FP1010) are given by the prescribing doctor; they are also available
from pharmacists.
Replacement Mouthpiece (Plastics)
(Not interchangeable between brands or manufacturers)
Replacement mouthpiece - suitable for both standard and low range models for use by
adults or children
Clement Clarke
38
Micro Medical
38
nSpire
38
PELVIC TONING DEVICES
Aquaflex
Kegel8
PelvicToner
1395
1500
1500
PERINEAL MASSAGE APPLIANCES
Elastolabo gel
PESSARIES
Ring
Polythene
Specification 20(ii)
PVC
Specification 20(iii)
40ml
1458
7.5mm thick, 50-80mm (rising in 3mm)
7.5mm thick, 80-100mm (rising in 5mm)
209
209
1.25cm thick, 50-80mm (rising in 3mm)
1.25cm thick, 85-100mm (rising in 5mm)
1.25cm thick, 110mm
227
227
227
Size 0, 44mm (Outer Diameter)
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
Bioteque America (R&J Medical Ltd)
Ring
Silicone
With Support
Without Support
385
08/2016
Part IXA
APPLIANCES
Appliance
PESSARIES
Gellhorn
Silicone
each
Standard Stem
Short Stem
GBUK vaginal pessary (GBUK Healthcare)
Ring
Silicone
Without Support
Gellhorn
Silicone
Standard Stem
Short Stem
386
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
2150
1900
1900
1900
1900
1900
1900
1900
1900
1900
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
2049
08/2016
Part IXA
APPLIANCES
Appliance
PESSARIES
Milex (Mediplus Ltd)
Ring
Silicone
Without Support/Folding
Silicone
each
With Support/Folding
Gellhorn
Silicone
Flexible
Short Stem
Part IXA-Appliances
387
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
2113
38mm (Outer Diameter)
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
2276
08/2016
Part IXA
APPLIANCES
Appliance
PHYSICAL DEBRIDEMENT DEVICE
Physical Debridement Accessories
VersaJet Exact Handset 45/8mm
VersaJet Exact Handset 45/14mm
VersaJet II Exact Handset 45/8mm
VersaJet II Exact Handset 45/14mm
each
50637
50636
6680042
6680041
26066
26066
26066
26066
4cm round
5.5cm round
7.5cm x 7.5cm
10cm x 10cm
4cm round cavity
7.5cm x 7.5cm cavity
400
475
525
595
425
545
10cm x 10cm
645
579
325
Small, Medium, Large, Extra Large
Small, Medium, Large
One Size
1299
1299
1299
One Size
1699
1699
1699
Paediatric (size 25-30)
XS (size 31-34)
S (size 35-38)
M (size 39-41)
L (size 42-43)
XL (size 44-47)
1575
1575
1575
1575
1575
1575
Physical Debridement Dressing
HydroClean plus
Physical Debridement Pad
DebriSoft
Debrisoft Lolly
UCS Debridement
PLANTAR PRESSURE OFFLOADING DEVICE
BeneFoot Medical Shoe
Original Post Op
(male)
POMS - POMXL
(female)
POWS - POWL
(paediatric) POPD
High Top
(male)
POHTMS - POHTMXL
(female)
POHTWS - POHTWL
(paediatric) POHTPD
Cellona Shoe
Children
Adult
16471
16472
16473
16474
16475
16476
Kerraped
All Purpose Boot Small, Medium, Large, Extra Large
Kerraped Plantar Ulcer Shoe System
Single Boot + PegAssist Insole
PegAssist Insole (replacement)
Liqua Care
Diabetic
FlowGel
Orthotics
9-3536
9-3738
9-3940
9-4142
9-4344
9-4546
1792
KPUC002-KPUC005
5703
KPUI002-KPUI005
2623
Size 35-36
Size 37-38
Size 39-40
Size 41-42
Size 43-44
Size 45-46
PLASTERS
Belladonna Adhesive Plaster BP 1980
(Syn: Belladonna Self-Adhesive Plaster;
Belladonna Plaster)
Medium
19cm x 12.5cm
Large
28cm x 17.5cm
POTASSIUM HYDROXIDE SOLUTION
Molutrex (5%)
MolluDab (5%)
PROSTHETIC ADHESIVES
Edge Adhesive
388
per pair
1745
1745
1745
1745
1745
1745
148
258
10ml
2ml
999
1350
5g
25g
425
1625
08/2016
Part IXA
APPLIANCES
Appliance
PROTECTIVES
Hand
Microair Barrier Gloves
Small, Medium, Large, Extra Large, Extra
Extra Large
EMA Film Gloves-Disposable Specification
21
Dispos-A-Gloves (non-sterile)
per pair
3329
Small, Medium, Large pack of 30
243
pack of 100
331
Nitrile Gloves
Finite P Indigo AF
700
Nitrile-Pro
Small, Medium, Large, Extra Large pack of 200
850
Premier Prestige Nitrile Blue
Small, Medium, Large, Extra Large pack of 150
675
Vitrex
389
Gloves - Polythene, 100 gauge
(Polythene Occlusives, Disposable For use as occlusives with medicated creams.)
Foot
Microair Barrier Ankle Socks
Microair Barrier Trainer Socks
Limb
buddy
Isolated wounds
Legs
4 - 5, 6 - 6 1/2, 7 - 7 1/2, 8 - 9 1/2,
10 1/2 - 12 1/2
4 - 5, 6 - 6 1/2, 7 - 7 1/2, 8 - 9 1/2,
10 1/2 - 12 1/2
pack of 25
61
per pair
3329
3329
each
CC/XS20/20
CC/S30/20
CC/M40/30
CC/L50/40
CC/XL60/50
SL/S30
SL/M40
SL/L50
ML/S30
ML/M40
ML/L50
LL/XXS/30
LL/XS/40
LL/S/50
LL/M/70
LL/L/90
20mm top and lower apertures
30mm top and 20mm lower apertures
950
950
950
950
950
Short leg small aperture size 30mm
Short leg medium aperture size 40mm
Short leg large aperture size 50mm
Medium leg small aperture size 30mm
Medium leg medium aperture size 40mm
Medium leg large aperture size 50mm
Long leg XX small aperture size 30mm
Long leg X small aperture size 40mm
Long leg small aperture size 50mm
Long leg medium aperture size 70mm
Long leg large aperture size 90mm
1040
1040
1040
1050
1050
1050
1195
1195
1195
1195
1195
Slim build
Slim build short leg
Normal build
Normal build, short leg
Large build
Large build, short leg
Slim to medium build
Medium to large build
1056
1056
1056
1056
1056
1056
1295
1295
Adult foot/ankle
Adult short leg
Adult wide short leg
1050
1050
1050
LimbO Waterproof Protector
Adult 1/2 leg
MP76
MP76S
MP80
MP80S
MP180
MP180S
Adult elbow
MP65
MP75
Seal-Tight wound care protector
CV27105
CV27103
CV27106
Part IXA-Appliances
389
08/2016
Part IXA
APPLIANCES
Appliance
SILK GARMENTS
DermaSilk
Infant Hat
Size
Basic Price p
each
0-3 months
3-12 months
12-24 months
1695
1695
1695
Eye Mask
One Size
1006
Facial Mask
Infant
Child
Teen size
Adult size
1640
1640
2091
2091
Soft Cup Bra
XS - S
M-L
XL - XXL
3795
3795
3795
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
18-24 months
24-36 months
3-4 years
3813
3821
3931
4032
4040
4141
4149
4259
Adult (Male) XS - S
M-L
XL - XXL
4163
4163
4163
Boy’s Briefs
3-6 years
7-10 years
2170
2170
Girl’s Briefs
3-6 years
7-10 years
2170
2170
Adult (Female) XS - S
M-L
XL - XXL
3097
3097
3097
XS - S
M-L
XL - XXL
3295
3295
3295
3-4 years
5-6 years
7-8 years
10-12 years
Adult Small - XXL
4709
5023
5233
5442
7740
Adult (Male) Small - XXL
Adult (Female) Small - XXL
7740
7740
Body Suit
Boxer Shorts
Ladies Briefs
Adult Female Mini Shorts
Shirt Roll Neck
Shirt Round Neck
390
08/2016
Part IXA
APPLIANCES
Appliance
SILK GARMENTS
Tubular Sleeves
Size
33cm long
50cm long
Graduated 70cm long
Leggings
Gloves
Fingerless Gloves
Basic Price p
per pair
2728
3367
4157
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
18-24 months
24-36 months
3-4 years
2722
2728
2837
2941
2947
3051
3056
3165
7831
7831
Small Child
Medium Child
Small Adult
Medium Adult
Large Adult
Extra Large Adult
1476
1476
2072
2072
2072
2068
Child 3-4 years
Child 5-9 years
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
3-4 years
5-6 years
7-8 years
10-12 years
1459
1459
2048
2048
2048
2048
2048
per set
7101
7539
7867
8195
Adult 5 - 6 1/2
Adult 7 - 8 1/2
Adult 9 - 10 1/2
Adult 11 - 13
per pair
1830
1830
1830
1830
Knee-length Undersocks
Standard Length
Longer Length
per 2 pairs
2423
2423
Thigh Length Undersock
Standard Length
Longer Length
3450
3450
Child 3 - 8
Child 9 - 1
Child 2 - 5
Adult 5 1/2 - 6 1/2
Adult 7 - 8 1/2
Adult 9 - 10 1/2
Adult 11 - 13
1842
1842
1842
1842
1842
1842
1842
Pyjamas
Comfort Socks
Undersocks
391
08/2016
Part IXA
APPLIANCES
Appliance
SILK GARMENTS
DreamSkin (formerly DreamSkin Silk)
Eye Mask
Size
Basic Price p
One Size
each
1016
Infant
Child
Teenager
Adult
1562
1562
2038
2038
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
18-24 months
24-36 months
3-4 years
3548
3599
3744
3799
3849
3901
3953
4057
Shirt Polo Neck
(Available in boys & girls sizes)
3-4 years
5-6 years
7-8 years
9-10 years
11-12 years
4589
4895
5099
5202
5304
7543
7543
Shirt Round Neck
3-4 years
5-6 years
7-8 years
9-10 years
11-12 years
4590
4794
4998
5100
5203
7543
7543
Briefs and Fitted Boxers
3-4 years
5-6 years
7-8 years
9-10 years
11-12 years
2139
2139
2139
2139
2139
3365
3160
Head Mask
Body Suit
Tubular Sleeves
33cm long
50cm long
392
per pair
2638
3281
08/2016
Part IXA
APPLIANCES
Appliance
SILK GARMENTS
Baby Leggings with foldaway feet
(formerly Leggings)
Size
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
18-24 months
24-36 months
3-4 years
Leggings (Footless)
3-4 years
5-6 years
7-8 years
9-10 years
11-12 years
Gloves
Small Child
Medium Child
Small Adult
Medium Adult
Large Adult
Extra Large Adult
Pyjamas
3-4 years
5-6 years
7-8 years
9-10 years
11-12 years
Liner Socks
Child 3 - 5 1/2
Child 6 - 8 1/2
Child 9 - 12
Child 12 1/2- 3 1/2
Child 4 - 5 1/2
Adult (Female) 4 - 5 1/2
Adult (Female) 6 - 8 1/2
Adult (Male) 6 - 8 1/2
Adult (Male) 9 - 11
One Size
Heel-Less Undersocks
Skinnies Silk
Clavas
Basic Price p
per pair
2519
2569
2703
2755
2807
2859
2911
3015
3015
3164
3215
3267
3318
7632
7632
1428
1428
2003
2003
2003
2003
per set
6765
7181
7494
7653
7806
per 2 pairs
1795
1795
1795
1795
1795
1795
1795
1795
1795
2361
6 months - 5 years
5-14 years
each
1480
1480
Leggings
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Adult Small
Adult Medium
Adult Large
2528
2839
2990
3270
3590
6999
7199
7372
Tops
6 - 24 months
2-5 years
5-8 years
8-11 years
11-14 years
Adult Small
Adult Medium
Adult Large
4446
4749
4951
5154
5254
6999
7199
7372
393
08/2016
Part IXA
APPLIANCES
Appliance
SILK GARMENTS
Baby Grow
Size
Shorts
Vests Sleeveless
Short Sleeve Vests
Premature
0-3 months
3-6 months
6-12 months
Basic Price p
each
3581
3581
3581
3787
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Adult Small
Adult Medium
Adult Large
1999
1999
1999
1999
2199
3799
3849
3899
Child 6-24 months
Child 2-5 years
Child 5-8 years
Child 8-11 years
Child 11-14 years
Adult Small
Adult Medium
Adult Large
4229
4279
4329
4379
4411
6749
6899
6999
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Adult Small
Adult Medium
Adult Large
Mittens
0-24 months
2-8 years
8-14 years
4339
4449
4499
4511
4549
6899
7099
7299
per pair
1349
1349
1349
Gloves
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
1322
1349
1399
1798
1819
1896
33cm long
50cm long
2490
2990
6 months - 8 years
8-14 years
1675
1675
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
2239
2239
2239
2239
2239
2239
2239
Tubular Sleeves
Socks
Knee Length Sock
Part IXA-Appliances
394
08/2016
Part IXA
APPLIANCES
Appliance
SODIUM HYALURONATE INJECTION
TendoVis
SportVis
Size Basic Price p
each
1 injection
6950
2 injections
13900
SPACER/HOLDING CHAMBER DEVICES
A2A Spacer
A2A Spacer with small or medium mask
each
415
668
Able Spacer
Able Spacer with either small (infant) or medium (child) mask
439
716
Aerochamber Plus
Aerochamber Plus with adult, child or infant face mask
486
811
Fisio Chamber Vision
Fisio Chamber Vision with infant mask (0-3 years)
Fisio Chamber Vision with paediatric mask (3-6 years)
Fisio Chamber Vision with large mask (6 years - adult)
447
747
747
747
pack of 2
290
290
each
450
720
Flo-Tone MDI (regular fit)
Flo-Tone MDI (circular fit)
Free Breath Spacer
Free Breath Spacer with removable adult, child or infant face mask
OptiChamber
428
OptiChamber Diamond
OptiChamber Diamond with small LiteTouch mask (0-18 months)
OptiChamber Diamond with medium LiteTouch mask (1-5 years)
OptiChamber Diamond with large LiteTouch mask (5 years - adult)
449
749
749
749
Pocket Chamber
Pocket Chamber with infant, child, teenager or adult mask
418
975
Space Chamber Plus
Space Chamber Plus with small, medium or large mask
Space Chamber Plus Compact
Space Chamber Plus Compact with small, medium or large mask
426
698
426
698
Volumatic
Volumatic paediatric with mask
385
677
Vortex
Vortex with child mask (age 0-2 years)
Vortex with child mask (age 2+ years)
628
799
799
SPINAL ALIGNMENT CUSHION
Rophi Cushion
18cm x 18cm x 9cm
each
1200
Part IXA-Appliances
STOCKINETTE
When Elasticated Stockinette is ordered or prescribed without qualification, the term is to be interpreted as
Elasticated Tubular Bandage.
Cotton Stockinette, Bleached BP 1988 Heavyweight
(Syn: Cotton Stockinette)
Part IXA-Appliances
395
2.5cm x 1m
5cm x 1m
7.5cm x 1m
10cm x 6m
39
61
72
496
08/2016
Part IXA
APPLIANCES
STOCKINETTE
Cotton Impregnated with Antimicrobial Agents - Garments
Appliance
skintoskin
Newborn Kit
Size
summer
winter
Babygrow
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
18-24 months
Body Suit (winter)
T-Shirt (long sleeve)
T-Shirt (short sleeve)
Leggings (footless)
Leggings (footless)(available as female and male)
Leggings with feet
Boxer (female)
Boxer (male)
Socks
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
18-24 months
2-3 years
4-5 years
6-7 years
8-10 years
11-13 years
Adult Small - XL
2-3 years
4-5 years
6-7 years
8-10 years
11-13 years
Adult Small - XL
2-3 years
4-5 years
6-7 years
8-10 years
11-13 years
Adult Small - XL
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
18-24 months
2-3 years
4-5 years
6-7 years
8-10 years
11-13 years
Adult Small - XL
2-3 years
4-5 years
6-7 years
8-10 years
11-13 years
Adult Small - XL
Child 22-24
Child 25-27
Child 28-30
Child 31-33
Child 34-36
Child 36-38
Child 37-39
Adult 39-41
Adult 42-45
Part IXA-Appliances
396
Basic Price p
pack of 1 set
3400
3900
pack of 1
1695
1695
1695
1695
1695
1695
pack of 2
3200
3200
3200
3200
3200
3200
3300
3300
3300
3800
3800
4400
3200
3200
3200
3700
3700
4300
3600
3600
3600
3900
3900
4800
2800
2800
2800
2800
2800
2800
2200
2200
2200
2600
2600
2600
2300
2300
2300
2700
2700
2700
pack of 3 pairs
1800
1800
1800
2200
2200
2200
2200
2200
2200
08/2016
Part IXA
APPLIANCES
STOCKINETTE
Elasticated Nylon/Elastane Stockinette - Garments
Appliance
Size
Skinnies WEB
Skull Cap
0-5 years
5-11 years
11-14 years
S, M, L
0-5 years
5-11 years
11-14 years
S, M, L
each
3500
3500
3500
4050
3500
3500
3500
4050
0-24 months
2-7 years
7-11 years
11-14 years
XS, S, M, L, XL
0-24 months
2-7 years
7-11 years
11-14 years
XS, S, M, L, XL
0-24 months
2-7 years
7-11 years
11-14 years
XS, S, M, L, XL
0-24 months
2-7 years
7-11 years
11-14 years
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
8500
8500
8500
8500
9900
7500
7500
7500
7500
9000
9000
9000
9000
9000
10575
8000
8000
8000
8000
9675
14850
13500
12150
7200
0-5 years
5-11 years
11-14 years
S, M, L
0-5 years
5-11 years
11-14 years
S, M, L
0-5 years
5-11 years
11-14 years
S, M, L
0-5 years
5-11 years
11-14 years
S, M, L
4500
4500
4500
5175
4500
4500
4500
5175
4500
4500
4500
5175
4500
4500
4500
5175
Clava
Round Top Long Sleeve
Round Top Short Sleeve
High Top Long Sleeve
High Top Short Sleeve
Wrap Top Long Sleeve
Wrap Top Short Sleeve
Wrap Top Sleeveless
Single Arm Top
Basic Price p
Arm Tube
Lower Leg Tube
Upper Leg Tube
Waist Tube
397
08/2016
Part IXA
APPLIANCES
Appliance
STOCKINETTE
Leggings
Size
Basic Price p
0-24 months
2-7 years
7-11 years
11-14 years
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
per pair
7500
7500
7500
7500
8325
8325
7200
0-24 months
2-7 years
7-11 years
11-14 years
XS, S, M, L, XL
XS, S, M, L, XL
XS, S, M, L, XL
5000
5000
5000
5000
5850
5850
5850
Socks
0-5 years
5-11 years
11-14 years
S, M, L
3500
3500
3500
4050
Gloves Full 5 Digit
0-5 years
5-11 years
11-14 years
S, M, L
0-5 years
5-11 years
11-14 years
S, M, L
S, M, L
S, M, L
4500
4500
4500
5175
4000
4000
4000
4500
4050
4050
Elasticated Surgical Tubular Stockinette Foam Padded
(Tubipad)
Specification 25
Heel, Elbow, Knee
small 'P4'
medium 'P4X'
large 'P5'
Sacral
medium 'P9'
large 'P9'
each
Crotchless Leggings
Single Leg Leggings
Shorts
Crotchless Shorts
Single Leg Shorts
Gloves Half 5 Digit
Gloves 2 Digit
Mitten
Part IXA-Appliances
Part IXA-Appliances
398
6.5cm x 60cm
7.5cm x 60cm
10cm x 60cm
28cm x 27cm
35cm x 27cm
304
328
351
1551
1551
08/2016
Part IXA
APPLIANCES
STOCKINETTE
Elasticated Tubular Bandage BP
(Elasticated Surgical Tubular Stockinette; ESTS; Elasticated Stockinette)
Basic Price p each
Size
Ref
Quantity
CLINIgrip
Comfigrip
easiGRIP
Eesiban
ESTS
Surgrip
Tubigrip
1.
2.
3.
4.5 cm
6.25 cm
6.75 cm
7.5 cm
8.75 cm
10.0 cm
12.0 cm
17.5 cm
A
B
C
D
E
F
G
J
0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m
61 110 61 110 65 117 66 119 74 126 74 126 77 147 92 159
61 110 65 117 66 119 74 126 74 126 77 147
62 112 66 119 68 121 75 128 75 128 78 150
87 157 95 166 95 166 105 180 105 180 109 209
-
-
58
99
105
178
62
107
112 63 114
188 107 188
71
118
120
204
71 120 74 142
118 204 123 235
-
-
Where the quantity is not stated by the prescriber the 0.5 metre length should be supplied.
Where the size is not stated by the prescriber, the size supplied should be endorsed.
Where the brand is not stated by the prescriber the basic price of this stockinette must not exceed:
Size and Quantity
each (p)
each (p)
each (p)
4.5cm x 0.5m
61
7.5cm x 0.5m
63
12.00cm x 0.5m
74
4.5cm x 1.0m
110
7.5cm x 1.0m
114
12.00cm x 1.0m
142
6.25cm x 0.5m
58
8.75cm x 0.5m
71
17.50cm x 0.5m
92
6.25cm x 1.0m
105
8.75cm x 1.0m
120
17.50cm x 1.0m
159
6.75cm x 0.5m
62
10.00cm x 0.5m
71
6.75cm x 1.0m
112
10.00cm x 1.0m
120
Part IXA-Appliances
Elasticated Viscose Stockinette - Bandage
(Lightweight Elasticated Viscose Tubular Bandage)
Size
ActiFast
2-way
stretch
Basic Price p each
CliniFast Comfifast Comfifast Coverflex Easifast Fortuna Tubifast
MultiStretch
Fast
2-way
2-way
stretch
stretch
(formerly
Comfifast
MultiStretch)
56
56
61
83
65
85
61
Small Limb
3.5cm
(Red Line)
1m
56
Medium Limb
5.0cm
(Green Line)
1m
3m
5m
58
162
281
58
162
281
58
162
281
63
175
303
86
253
436
69
196
342
89
213
305
63
175
303
Large Limb
7.5cm
(Blue Line)
1m
3m
5m
77
213
374
77
213
374
77
213
374
83
230
395
121
287
568
94
261
452
123
268
375
83
230
395
Trunk (Child)
10.75cm
(Yellow Line)
1m
3m
5m
120
349
604
120
349
604
120
349
604
130
377
645
189
545
959
151
427
723
175
375
604
130
377
645
Trunk (Adult)
17.5cm
(Beige Line)
1m
183
183
183
249
253
191
228
-
Trunk (Large
Adult) 20cm
(Purple Line)
1m
5m
320
1615
-
-
-
-
-
Part IXA-Appliances
399
342
1590
08/2016
Part IXA
APPLIANCES
STOCKINETTE
Elasticated Viscose Stockinette - Garments
Appliance
Size
CliniFast
Body Suit
Clava
Vest Long Sleeve
Vest Short Sleeve
Vest Sleeveless
Cycle Shorts
Gloves
Knee Length Shorts
Basic Price p
Comfifast
Skinnies
Easywrap
each
1618
1618
1618
1821
585
674
675
773
713
1048
950
1374
1069
1552
1188
1720
1188
1720
1275
2127
1454
2320
1658
2513
1038
1363
1536
1709
1709
2116
2310
2503
1038
1363
1542
1709
1709
2116
2310
2503
Tubifast 2way stretch
Premature
up to 3 months
3-6 months
6-12 months
6 months-5 years
5-14 years
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Small Adult
Medium Adult
Large Adult
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Small Adult
Medium Adult
Large Adult
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Small Adult
Medium Adult
Large Adult
585
675
713
950
1069
1188
1188
1275
1454
1658
1250
1425
1625
-
Small Adult
Medium Adult
Large Adult
1250
1425
1625
per pair
-
-
-
Extra Small Child
Small Child
Medium Child
Large Child
Large Child, Small Adult
Small Adult
Small/Medium Adult,
Medium/Large Child
Medium Adult
Medium/Large Adult
Large Adult
499
499
499
-
-
529
534
534
529
-
569
569
569
499
499
-
534
534
569
-
-
-
1038
1363
1542
1709
1709
2116
2310
2503
-
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Small Adult
Medium Adult
Large Adult
400
1136
1514
1704
1893
1893
-
08/2016
Part IXA
APPLIANCES
Appliance
STOCKINETTE
Knee Sock
Leggings
Size
CliniFast
Small Child 0-1
Medium Child 1-2
Large Child 2-4
Small Adult 4-6
Medium Adult 6-8
Large Adult 8-11
X Large Adult 11+
-
Basic Price p
Comfifast
Skinnies
Easywrap
per pair
1394
1394
1394
1394
1394
1394
1394
Tubifast 2way stretch
-
6-24 months
2-5 years
5-8 years
8-11 years
11-14 years
Small Adult
Medium Adult
Large Adult
950
1069
1188
1188
1275
1454
1658
950
1069
1188
1188
1275
1454
1658
1048
1374
1552
1720
1720
2127
2320
2513
1514
1704
1893
1893
-
Up to 24 months
2-8 years
8-14 years
297
297
297
297
297
297
387
387
387
-
Socks
One Size
Up to 8 years
6m - 8 years
8-14 years
297
297
297
297
427
427
479
-
Tights
6-24 months
713
713
-
1136
Mittens
Part IXA-Appliances
Appliance
Ribbed Cotton Surgical Tubular Stockinette
Eesiban
Arm/leg (child); arm (adult)
Arm (OS adult); leg (adult)
Leg (OS adult)
Trunk (child)
Trunk (adult)
Trunk (OS adult)
each
5cm x 5m
7.5cm x 5m
10cm x 5m
15cm x 5m
20cm x 5m
25cm x 5m
255
336
444
640
739
883
Ribbed Stockinette (Molnlycke)
Arm/leg (child); arm (adult)
Arm (OS adult); leg (adult)
Leg (OS adult)
Trunk (child)
Trunk (adult)
Trunk (OS adult)
5cm x 5m
7.5cm x 5m
10cm x 5m
15cm x 5m
20cm x 5m
25cm x 5m
249
330
438
630
722
871
NB:
One 5m length of the relevant width is sufficient to provide two sets of dressing for a pair of limbs or a trunk.
Two full suits for an OS adult are provided from one pack each of the 7.5cm, 10cm and 25cm widths.
Two full suits for a standard sized adult are provided from one pack each of the 5cm, 7.5cm and 20cm widths.
Two full suits for a young child are provided from one pack each of the 5cm and 15cm widths.
Part IXA-Appliances
401
08/2016
Part IXA
APPLIANCES
Appliance
SURGICAL ADHESIVE TAPES
Elastic Adhesive Tape BP 1988
(Syn: Elastic Surgical Adhesive Tape)
Size or Weight
2.5cm x 4.5m
stretched
5cm x 4.5m
(See Elastic Adhesive Bandage)
Impermeable Plastic Adhesive Tape BP 1988
(Syn: Impermeable Plastic Surgical Adhesive Tape)
Basic Price p
each
182
2.5cm x 3m
2.5cm x 5m
5cm x 5m
7.5cm x 5m
144
216
274
398
2.5cm x 5m
5cm x 5m
177
337
2.5cm x 5m
5cm x 5m
7.5cm x 5m
19
36
54
Permeable, Apertured Non-Woven Synthetic Adhesive Tape BP 1988
(Syn:Permeable Non-Woven Surgical Synthetic Adhesive Tape)
Blue Dot Plastic Perforated Medical Tape
1.25cm x 10m
2.5cm x 10m
15
30
Impermeable Plastic Synthetic Adhesive Tape BP 1988
(Syn: Impermeable Plastic Surgical Synthetic Adhesive Tape)
Blenderm
Blue Dot
Blue Dot Retention Soft Cloth Surgical Tape
5cm x 10m
10cm x 10m
96
190
Chemifix
2.5cm x 5m
5cm x 5m
10cm x 5m
2.5cm x 10m
5cm x 10m
10cm x 10m
90
125
210
100
140
210
Hygiofix
2.5cm x 10m
5cm x 10m
7.5cm x 10m
10cm x 10m
15cm x 10m
20cm x 10m
110
190
255
285
455
625
Hypafix
5cm x 5m
10cm x 5m
2.5cm x 10m
5cm x 10m
10cm x 10m
15cm x 10m
20cm x 10m
30cm x 10m
145
243
169
268
467
692
918
1327
Mefix
2.5cm x 5m
5cm x 5m
10cm x 5m
15cm x 5m
20cm x 5m
30cm x 5m
103
181
290
395
507
727
Omnifix
5cm x 10m
10cm x 10m
15cm x 10m
242
408
602
Primafix
5cm x 10m
10cm x 10m
15cm x 10m
20cm x 10m
159
233
345
424
402
08/2016
Part IXA
APPLIANCES
SURGICAL ADHESIVE TAPES
Permeable Non-Woven Synthetic Adhesive Tape BP 1988
(Syn: Permeable Non-Woven Surgical Synthetic adhesive Tape)
Size
Quantity
1.25 cm
5m
10m
(p)
(p)
-
5m
(p)
-
2.5 cm
10m
(p)
21
5 cm
5m
(p)
-
10m
(p)
-
5m
(p)
-
7.5 cm
10m
(p)
-
Blue Dot
Microporous
Blue Dot Silk
28
57
Chemipore
27
45
70
95
Clinipore
35
59
73
99
Leukofix
55
90
157
Leukopor
49
77
135
Mediplast
30
50
Micropore
62
92
162
Scanpor
42
55
68
92
118
175
Transpore
84
148
Where no brand is stated by the prescriber, the basic price of the tape supplied must not exceed
1.25cm x 5m
2.5cm x 5m
5cm x 5m
Soft Silicone Fixation Tape
3M Kind Removal Silicone Tape (no liner)
256
27
45
95
2.5cm x 5m
5cm x 5m
each
358
648
Insil
2cm x 3m
4cm x 1.5m
577
577
Mepitac
2cm x 3m
4cm x 1.5m
696
696
OpSite Flexifix Gentle
2.5cm x 5m
5cm x 5m
1030
1931
Siltape
2cm x 3m
4cm x 1.5m
560
560
2.5cm x 10m
48
1.25cm x 5m
2.5cm x 5m
5cm x 5m
7.5cm x 5m
82
119
199
299
2.5cm x 5m
5cm x 5m
7.5cm x 5m
139
234
353
1.25cm x 5m
2.5cm x 5m
5cm x 5m
7.5cm x 5m
103
149
253
380
Zinc Oxide Adhesive Tape
(Zinc Oxide Surgical Adhesive Tape)
Blue Dot Zinc Oxide Tape
Mediplast - Zinc Oxide Plaster
Strappal
Zinc Oxide Adhesive Tape BP 1988
(Syn: Zinc Oxide Surgical Adhesive Tape)
Part IXA-Appliances
403
08/2016
Part IXA
APPLIANCES
Code No.
Metric Gauge
Length
Needle
SURGICAL SUTURES
Absorbable Sutures
Sterile Synthetic
B Braun Medical Ltd
Poliglecaprone absorbable suture composed of a copolymer of glycolide and
caprolactone
Monosyn suture
C0023285
2.0
70cm
60mm straight cutting needle (undyed)
Polyglycolic acid absorbable suture coated with glyconate which gives rapid
strength loss and absorption profile
Safil suture
C1048150
1.5
70cm
18mm 3/8 curved round bodied needle
(violet)
Polyglycolic acid absorbable suture coated with glyconate which gives rapid
strength loss and absorption profile (and accelerated degradation)
Safil Quick suture
C1046610
1.0
45cm 11mm 3/8 curved reverse cutting needle
with micro point (undyed)
C1046420
1.5
(undyed)
C1046530
2.0
C1046651
3.0
90cm 37mm 1/2 circle tapercut needle (undyed)
C1046213
1.5
70cm
16mm 3/8 curved reverse cutting
needle(undyed)
C1046657
2.0
Ethicon
Ethicon Monocryl Poliglecaprone absorbable sutures composed of a copolymer of
glycolide T-caprolactone:
W3207
2.0
45cm 19mm P needle reverse cutting (undyed)
W3205
1.5
Basic Price p
pack of 36
7843
6700
12380
11232
10377
10528
9938
10445
pack of 12
4226
4360
Ethicon PDS ll-polyester polydioxanone absorbable sutures
W9873T
1.5
45cm
16mm P needle reverse cutting (clear)
pack of 24
9677
Ethicon Vicryl-polyglactin 910 absorbable sutures composed of copolymer of
glycolide and lactide
W9074
1.5
45cm
16mm curved round bodied
pack of 12
W9515T
W9516T
1.5
2.0
45cm
45cm
19mm P needle reverse cutting(undyed)
19mm P needle reverse cutting(undyed)
2521
pack of 24
7630
7447
Ethicon Vicryl Plus-polyglactin 910 absorbable sutures composed of copolymer of
glycolide and lactide which contain Irgacare MP (Triclosan)
VCP683H
2.0
VCP497H
2.0
pack of 36
Ethicon Vicryl Rapide-polyglactin 910 absorbable sutures composed of copolymer of
glycolide and lactide which have been specially treated to give rapid strength loss
and absorption profiles:
W9915
1.0
45cm
12mm P needle curved reverse cutting
W9922
1.5
75cm
W9918
1.5
75cm
16mm P needle curved cutting
W9932
2.0
75cm
W9923
2.0
75cm
pack of 12
Part IXA-Appliances
404
13500
14300
4631
4201
3718
3907
3882
08/2016
Part IXA
APPLIANCES
Code No.
Metric Gauge
SURGICAL SUTURES
Non Absorbable Sutures
Sterile Synthetic
B Braun Medical Ltd
Polyamide suture, monofilament
Dafilon suture
C0936227
1.0
C0936146
0.7
C0933201
1.5
C0932353
2.0
Length
pack of 36
45cm
19mm 3/8 curved reverse cutting needle
with micro point (blue)
45cm 16mm 3/8 curved reverse cutting needle with
micro point (blue)
45cm
(blue)
45cm
(blue)
Polypropylene suture, monofilament
Premilene suture
C0090655
1.5
45cm
Ethicon
Sterile Polyamide Synthetic Suture
W1618T
1.0
Needle Basic Price p
45cm
with micro point (blue)
Sterile Polyamide 6 Suture, Monofilament
5509
5387
3711
3836
6357
pack of 24
4122
pack of 12
1388
1435
pack of 24
4030
4576
W319
W320
1.5
2.0
45cm
45cm
(blue) 19mm curved reverse cutting
(blue) 26mm curved reverse
W1615T
W1621T
0.7
2.0
45cm
45cm
(black) 16mm P needle curved cutting
(blue) 19mm P needle reverse cutting
Sterile Polypropylene Suture, Monofilament
W8020T
1.5
45cm
(blue) 26mm P needle curved cutting
4756
0.5ml pen
0.5ml
0.2g
0.5g
0.2g
0.5g
0.5g
0.5g
0.5g
each
1926
536
641
650
620
672
650
550
550
Skin Adhesives, Sterile
Dermabond ProPen
Derma+Flex
Histoacryl
Histoacryl L
Indermil
LiquiBand
- Adhesive
- Flow Control Tissue Adhesive
Note:These items are specifically for personal administration by the prescriber.
Part IXA-Appliances
Skin Closure Strips, Sterile
365 Strips Code No. 36519065
6mm x 75mm 3 strips per env.
50 envelopes
518
6.4mm x 76mm 3 strips per env.
10 envelopes
631
Leukostrip
Code No. 2952
Omnistrip
Code No. 540683
50 envelopes
2434
Steri-strip
Code No.GP 41
12 envelopes
877
Note:These items are specifically for personal administration by the prescriber.
Part IXA-Appliances
405
08/2016
Part IXA
APPLIANCES
Appliance
SWABS (see note * below on sterile swabs)
pkt
N.B. The exact number of single swabs ordered by the prescriber is to be dispensed.(see also Note (ii) below)
Alcohol Impregnated Swabs
Medicareplus Skin Prep Wipes
3cm sq
160
100 sachets per pkt
Sterets Skin Cleansing Swab
Gauze Swabs
Gauze Swab Type 13 Light BP 1988, Sterile*
Sterile swabs of folded 8-ply undyed gauze
Gauze Swab Type 13 Light BP 1988, Non Sterile
Swabs of folded 8-ply undyed gauze
3cm sq
100 sachets per pkt
180
7.5cm sq
5 pads per pkt
42
10cm sq
100 pads per pkt
145
Non-Woven Fabric Swabs
The labelling of each pack shall include:
The Title
"Drug Tariff Specification" and number
Non-Woven Fabric Swab, Sterile*
7.5cm sq
27
Specification 28
5 pads per pkt
Sterile swabs of folded 4-ply non-woven fabric. These swabs are an alternative to gauze swabs, Type 13
Light BP 1988 sterile.
Non-Woven Fabric Swab, Non Sterile
10cm sq
84
Specification 28
100 pads per pkt
Swabs of folded 4-ply non woven fabric. These swabs are an alternative to gauze swabs, Type 13 Light
BP 1988, for general and cleansing purposes.
Filmated Non-Woven Fabric Swab Non-Sterile
Specification 29
10cm sq
384
100 pads per pkt
Swabs of folded 8-ply non-woven viscose fabric containing a film of viscose fibres to increase absorbency.
*Notes: Sterile Swabs
(i) These sterile dressings are to be supplied in packs of 5 swabs 7.5cm square in a sealed packs as
received from the manufacturer, supplier or wholesaler. They should not be confused with the non-sterile
10cm size in packets of 100 swabs used for general swabbing purposes.
(ii) The exact number of sterile swabs ordered are to be supplied except for orders not in multiples of 5
(See Note 2 page 206). A packet to be used for each sterile dressing operation; unused swabs to be
discarded as unsterile.
Part IXA-Appliances
406
08/2016
Part IXA
APPLIANCES
Appliance
SYNOVIAL FLUID
Arthrum H
Crespine Gel
Durolane
Euflexxa
Monovisc
Orthovisc
Orthovisc mini
Ostenil
Ostenil Plus
RenehaVis
Suplasyn
Synocrom
Synocrom Mini
Synolis
Synopsis
Synvisc (Hylan G-F20)
Synvisc ONE (Hylan G-F20)
SYRINGES
Bladder/Irrigating
Ear
Portia Rubber Ear Syringe
Enema Higginson's:
Spare Vaginal Pipes
Plastics or rubber, straight
TOPICAL SKIN COOLANTS
Magicool Plus itchy skin spray
Magicool Plus prickly heat spray
Magicool Plus sunburn spray
Size or Weight
Basic Price p
each
Box containing 3 pre-filled 2ml syringes
17500
Box containing 1 pre-filled 2ml syringe
13168
19917
Box containing 3 pre-filled 2ml syringes (1 treatment)
19500
16000
6500
Box containing 1 pre-filled 15mg/1ml syringe
3500
3396
8000
Box containing 1 pre-filled dual chambered 1.4ml
11200
syringe
3550
Box containing 1 vial 20mg/2ml
3550
3000
2250
7500
20500
8800
20500
20500
100ml
461
60ml
15cm
218
674
54
150ml
150ml
150ml
585
585
585
Part IXA-Appliances
Appliance
Order No. Basic Price p
TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES
Products marked with the symbol o in this category must be dispensed with a supply of wipes and
disposal bags.
AdvaBond silicone glue
AS3896
2396
Blom-Singer Hands-Free ATSV II System
o Blom-Singer ATSV II Cap & 7 Foam Filters
o Replacement Foam Filters for ATSV II
Silicone Adhesive (for use with baseplates)
o ATSV II replacement kit
o Diaphragm/faceplate for ATSV II
Blom-Singer HME System
o Blom-Singer HME Cartridge
o Blom-Singer HME Starter Kit
TruSeal Adhesive Housing
TruSeal Contour Adhesive
Round
Oval
Housing
Standard
TruSeal Contour Low Profile
Round
Oval
Adhesive Housing
Standard
407
BE1010
BE1020/1030
BE6067
BE8025H
BE8026H
BE1055
BE1055S
BE6054
BE6070
BE6071
BE6072
BE6074
BE6075
BE6076
1782
100
2471
17093
6796
180
2753
213
209
209
209
209
209
209
08/2016
Part IXA
APPLIANCES
Appliance
Blom-Singer HumidiFilter HME System
Blom-Singer HumidiFilter Holder
o Replacement Foam Filters (normal resistance)
o Tracheostoma Valve Housing
Standard
Large
Adhesive Tape Discs
Standard Regular
Large Regular
Standard Thin
Large Thin
Standard Heavy Duty
Large Heavy Duty
Adhesive Foam Discs
Standard Regular
Large Regular
oHumistom Stoma Button/Stud and HPC Filter (Nasal Restoration System)
HPC Filter Normal to low resistance
Humistom Stoma Button/Stud
size 10
Standard Length 20mm
size 12
size 14
Short Length 14mm
size 10
size 12
size 14
Kapi-Gel Spacers
Thin (3mm)
Thick (5mm)
8mm
12mm
8mm
12mm
each
BE1060
BE1070/1080
BE6038
BE6039
BE6041
BE6042
BE6043
BE6044
BE6034
BE6035
BE6045
BE6046
1363
100
618
618
41
44
55
59
55
59
82
103
HSF1
HS1-L10
HS1-L12
HS1-L14
HS1-S10
HS1-S12
HS1-S14
293
1011
1011
1011
1011
1011
1011
LATNG 2008
LATNG 2012
LATNG 4008
LATNG 4012
oLaryngotec System
Laryngotec Kombi Laryngectomy Tube (Non-Fenestrated)
44mm length
Size 7
Size 8
Size 9
Size 10
Size 11
62mm length
Size 7
Size 8
Size 9
Size 10
Size 11
70mm length
Size 8
75mm length
Size 9
85mm length
Size 10
Laryngotec Kombi Lingo Laryngectomy Tube (Fenestrated)
44mm length
Size 7
Size 8
Size 9
Size 10
Size 11
62mm length
Size 7
Size 8
Size 9
Size 10
Size 11
70mm length
Size 8
75mm length
Size 9
85mm length
Size 10
408
pack of 10
3437
3437
3759
3759
each
14920-0744
14920-0844
14920-0944
14920-1044
14920-1144
14920-0762
14920-0862
14920-0962
14920-1062
14920-1162
14920-0870
14920-0975
14920-1085
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
7000
14720-0744
14720-0844
14720-0944
14720-1044
14720-1144
14720-0762
14720-0862
14720-0962
14720-1062
14720-1162
14720-0870
14720-0975
14720-1085
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
7200
08/2016
Part IXA
APPLIANCES
Appliance
Laryvox HME System
o Laryvox HME Cassette
o Laryvox HME High Flow Cassette
o Laryvox O2 HME Cassette
Laryvox Tape Comfort
Laryvox Tape Extra Fine
Laryvox Tape Hydrosoft
Laryvox Tape Hypoallergen
Round
Oval
XL Oval
Round
Oval
XL Oval
Round
Oval
XL Oval
7742
ProTrach DualCare speaking valve (tinted)
ProTrach DualCare speaking valve (blue)
Provox FreeHands HME System
o Filter Cassette
o Provox FreeHands FlexiVoice
o
49800
49810
49802
48140
48240
48340
48400
48130
48230
48330
48050
48150
48250
ProTrach DualCare HME System
o ProTrach DualCare HME
o
pack of 30
Light
Medium
Strong
Replacement Kit
Light
(Device & Fitted Membrane)
Medium
Strong
Replacement Membrane
Light
Medium
Strong
Silicone Glue (for use with Flexiderm adhesive)
oProvox HME System ("Stomafilter")
Flexiderm adhesive round
Flexiderm adhesive oval
Optiderm adhesive round
7744
7755
7712
8161
8162
8163
7716
7717
7721
7713
7714
7715
7720
(Transparent with strong adhesive) 7253
7254
(Skin coloured, hydrocolloid for
7255
sensitive skin)
Optiderm adhesive oval
7256
Provox adhesive FlexiDerm Plus
7331
Provox adhesive OptiDerm Plus
7332
Provox adhesive Regular Plus
7330
Provox LaryClip
7669
Provox LaryTube (fenestrated)
(including 5 HME Cassette HiFlow and 1 Provox Brush)
36mm length
Diam 9.5mm inner, 12mm outer
7637
Diam 10.5mm inner, 13.5mm outer 7640
Diam 12mm inner, 15mm outer
7643
Diam 13.5mm inner, 17mm outer 7646
55 mm length
Diam 9.5mm inner, 12mm outer
7638
Diam 10.5mm inner, 13.5mm outer 7641
Diam 12mm inner, 15mm outer
7644
Diam 13.5mm inner, 17mm outer 7647
Provox StabiliBase (Convex, extra long lasting adhesive)
7289
Provox XtraBase (Convex, strong adhesive)
7265
Regular adhesive oval
7252
Regular adhesive round
(Transparent, normal adhesive)
7251
Provox XtraMoist HME Cassette
7290
Provox XtraFlow HME Cassette
7291
Provox TrachPhone HME
7707
409
5000
5200
6000
pack of 15
7000
7000
7000
8500
6800
6800
6800
7900
7900
7900
pack of 30
6915
each
7622
7622
each
217
15900
15900
15900
20750
20750
20750
4752
4752
4752
2410
279
279
459
459
305
501
197
9035
7381
7381
7381
7381
7381
7381
7381
7381
751
562
180
180
192
192
224
08/2016
Part IXA
APPLIANCES
Appliance
o Provox Micron HME (with microbiological filter)
Cassette
o Shiley Tracheostomy System
Shiley Uncuffed Paediatric Tracheostomy tube
39 mm length
Diam 3.0mm inner, 4.5mm outer
40mm length
41mm length
42mm length
44mm length
45mm length
Shiley Long Uncuffed Paediatric Tracheostomy tube
50mm length
52mm length
54mm length
56mm length
Shiley Cuffed Paediatric Tracheostomy tube
41mm length
42mm length
44mm length
46mm length
Shiley Long Cuffed Paediatric Tracheostomy tube
50mm length
52mm length
54mm length
56mm length
each
7248
3.0PED
3.5PED
4.0PED
4.5PED
5.0PED
5.5PED
2970
2970
2970
2970
2970
2970
5.0PDL
5.5PDL
6.0PDL
6.5PDL
3245
3455
3455
3455
4.0PDC
4.5PDC
5.0PDC
5.5PDC
3444
3444
3444
3444
5.0PLC
5.5PLC
6.0PLC
6.5PLC
3455
3455
3455
3455
Shiley Low Pressure Cuffed Tracheostomy tube with reusable inner cannula
65mm length
4LPC
76mm length
Diam 7.0mm inner, 10.8mm outer 6LPC
81mm length
81mm length
Shiley Low Pressure Cuffed Fenestrated Tracheostomy tube with reusable inner cannula
65mm length
4FEN
76mm length
Diam 6.4mm inner, 10.8mm outer 6FEN
81mm length
81mm length
Shiley Uncuffed Fenestrated Tracheostomy tube with reusable inner cannula
65mm length
4CFN
76mm length
Diam 6.4mm inner, 10.8mm outer 6CFN
81mm length
81mm length
Shiley Uncuffed Tracheostomy tube with reusable inner cannula
65mm length
4CFS
76mm length
Diam 6.4mm inner, 10.8mm outer 6CFS
81mm length
81mm length
410
518
5429
5429
5429
5429
5237
5237
5237
5237
5365
5365
5365
5365
5237
5237
5237
5237
08/2016
Part IXA
APPLIANCES
Appliance
each
Shiley Low Pressure Cuffed Tracheostomy tube with Disposable inner cannula
62mm length
4DCT
5237
74mm length
Diam 6.4mm inner, 10.8mm outer 6DCT
5237
79mm length
5237
79mm length
5237
Shiley Low Pressure Cuffed Fenestrated Tracheostomy tube with Disposable inner cannula
62mm length
4DFEN
5237
74mm length
Diam 6.4mm inner, 10.8mm outer 6DFEN
5237
79mm length
5237
79mm length
5237
Shiley Uncuffed Tracheostomy tube with Disposable inner cannula
62mm length
4DCFS
74mm length
Diam 6.4mm inner, 10.8mm outer 6DCFS
79mm length
79mm length
Shiley Uncuffed Fenestrated Tracheostomy tube with Disposable inner cannula
62mm length
4DCFN
74mm length
Diam 6.4mm inner, 10.8mm outer 6DCFN
79mm length
79mm length
5237
5237
5237
5237
Shiley Laryngectomy tube with low profile inner cannula
50mm length
Diam 6.4mm inner, 11.1mm outer 6LGT
5774
5774
5774
5237
5237
5237
5237
pack of 10
Shiley reusable spare inner cannula (short term use)
4SIC
6SIC
8SIC
10SIC
5022
5022
5022
5022
pack of 10
Shiley Disposable Non-Fenestrated inner cannula
Shiley Disposable Fenestrated inner cannula
for size 4 tubes
for size 6 tubes
for size 8 tubes
for size 10 tubes
SilBond silicone glue 30ml
411
4DIC
6DIC
8DIC
10DIC
1860
1860
1860
1860
4DICFEN
6DICFEN
8DICFEN
10DICFEN
1860
1860
1860
1860
SB1
each
1854
08/2016
Part IXA
APPLIANCES
Appliance
o SpiroTect HME System
SpiroTect Hands Free Valve
Normal Resistance
Low Resistance
SpiroTect Antibacterial Cassette
Hands Free
Touch2Speak (formerly Normal)
Push2Speak (formerly Lateral)
Wear2Protect (formerly Night)
SpiroTect Baseplate
Extra Sticky Round
Fabric Oval
Fabric Round
Fabric with Tube Connectors Oval
Fabric with Tube Connectors Round
Sensitive Oval (formerly Hydrocolloid Oval)
Sensitive Round (formerly Hydrocolloid Round)
Clear & Strong Oval
Clear & Strong Round
Secure Convex
SpiroTect Laryngectomy Tube (Perforated)
44mm length
Size 8 (outer diam 12mm)
Size 9 (outer diam 13.5mm)
62mm length
SpiroTect Laryngectomy Tube (Non-Perforated)
44mm length
62mm length
o TracheoFix Speaking Valve and O2 adapter
each
PTC1001
PTC1002
PTT2001
PTT2002
PTT2003
PTT2004
PTT2005
PTT2006
PTT2007
PTT2008
16544
16544
pack of 30
13719
7681
7609
7681
pack of 20
8976
8949
8949
13423
13423
9061
9061
5508
5508
14800
each
7278
7278
7278
7278
7278
7278
7278
7278
PTT2009
PTT2010
PTT2011
PTT2012
PTT2013
PTT2014
PTT2015
PTT2016
7278
7278
7278
7278
7278
7278
7278
7278
PTC1003
PTC1004
PTC1005
PTC1006
PTW501
PTW100
PTW101
PTW102
PTW103
PTW200
PTW201
PTW300
PTW301
PTW700
121450-000000
o Trachi-Naze Plus Laryngectomy Tube
Length 20mm, 30mm, 40mm, 50mm, 60mm
o Trachi-Naze Plus Nasal Restoration System
Trachi-Naze Plus Filters
Blue (Night Filter)
resistance level
Green (Day Filter)
resistance level
Orange (Active Filter)
resistance level
o Trachi-Naze Plus Stoma Stud
Short Length 14.5mm
size 8
size 10
size 12
size 14
size 16
Long Length 22.5mm
size 8
size 10
size 12
size 14
size 16
Part IXA-Appliances
412
Diam 8mm, 10mm, 12mm, 14mm
-2 to 3kPas 1-1
-1 to 2kPas 1-2
-1kPas 1-1
pack of 2
650
each
4068
LATNP 1001
LATNP 1002
LATNP 1003
176
176
176
LATNP 2001
LATNP 2002
LATNP 2003
LATNP 2004
LATNP 2005
LATNP 3001
LATNP 3002
LATNP 3003
LATNP 3004
LATNP 3005
1176
1176
1176
1176
1176
1176
1176
1176
1176
1176
08/2016
Part IXA
APPLIANCES
Appliance
Tracheostomy Cleaning Devices
disposal bags.
o Blue Line Ultra Inner Cannula Cleaning Brush
pack of 40
(Smiths Medical International Ltd)
100/855/000
2136
Hei-Clean
Hei-Clean Soft
Size XXS
Size XS
Size S
Size M
Size L
Size XS
Size S
Size M
SpiroTect Baseplate Adhesive Remover Wipe
SpiroTect Baseplate Barrier Wipe
(ProSys International Ltd)
o SpiroTect Tube Cleaning Swabs
(Prosys International Ltd)
o Tracheostomy Cannula Cleaning Swabs
(Insight Medical Products Ltd)
Small
Large
Tracheo Cleaning Brush
(Kapitex Healthcare Ltd)
o Trachi-Swab
71-0010-01
71-0010-00
71-0011-00
71-0012-00
71-0013-00
71-0010-00W
71-0011-00W
71-0012-00W
pack of 5
849
849
849
849
849
849
849
849
PTA600
PTA500
pack of 30
1532
2523
PTA300
pack of 50
884
pack of 10
TCS/950
TCS/900
175
175
8mm
10mm
12mm
14mm
TR ACC 0001
TR ACC 0002
TR ACC 0003
TR ACC 0004
pack of 2
386
386
386
386
Small (for tubes up to 5mm ID)
Large (for tubes 6 to 8mm ID)
Extra Large (for tubes over 8mm ID)
TR SWB 0150
TR SWB 0250
TR SWB 3050
pack of 50
899
909
909
LA NNZ 3001
pack of 30
2553
Trachi-Wipe (Skin Wipe)
Part IXA-Appliances
413
08/2016
Part IXA
APPLIANCES
Appliance
Tracheostomy Dressings - Sterile
each
Advazorb (T) Lite
8cm x 8cm
CR4212
105
Advazorb Plus (T)
8cm x 8cm
CR3900
116
Excilon AMD IV Sponges
5cm x 5cm
10cm x 10cm
Note: This dressing is in 2 pieces but is a single dressing
Metalline
Trachi-Dress
7089
7088
8cm x 9cm
Small
Large
60mm x 82mm
80mm x100mm
Trachi-Dress F
9
24
55
TR DRE 0001
TR DRE 0002
74
74
80mm x 100mm TR DRF 1002
146
Tracheostomy Tube Holders
Breeze Adjustable Tracheostomy Tube Holder with Elasticated Cough
Strip (formerly EMS Adjustable Tracheostomy Tube Holder with
Elasticated Cough Strip)
T550
235
Insight 2 Piece Adjustable Latex Free Tracheostomy Tube Holder
Adult
Child
TH100
TH150
252
252
Marpac Tracheostomy Collar - latex free
Marpac Tube Holder
Neo-natal with twill ties
Paediatric with twill ties
Marpac Collar
Adult - with twill ties
Neo-natal/Paediatric
106
107
201
203
296
296
290
290
Nex Tracheostomy Tube Holder
HNTTHA
240
Portex Tracheostomy Tube Holder with Velcro Fastening
25mm wide
Adult
Paediatric
Infant
100/503/200
520000
520001
520002
235
126
126
126
Primus-Plain
Primus-Silk
71-0029-00
71-0029-02S
242
293
4”-7” neck
6”-12” neck
one size
one size
Rusch Neckband
Paediatric
Adult
507800-000000
507900-000000
225
225
SpiroTect Tube Holder
1 piece
2 piece adult
2 piece child/small adult
PTA200
PTA201
PTA301
240
321
323
Trachi-Hold
Adult
Child
Mini
TR ACC 0012
TR ACC 0014
TR ACC 0030
330
330
330
Part IXA-Appliances
414
08/2016
Part IXA
APPLIANCES
Appliance
Tracheostomy and Laryngectomy Protectors
Breeze Wet Protect (formerly Wet Protect)
TWP2
pack of 2
775
Buchanan Lite
(Laryngectomy - Permanent tracheostomy)
Small
White
Blue
Beige
Large
White
Blue
Beige
LA BLT 2001
LA BLT 2002
LA BLT 2003
LA BLT 1001
LA BLT 1002
LA BLT 1003
pack of 10
3248
3248
3248
3510
3510
3510
Buchanan Protector
Small
Large
LA BUP 0002
LA BUP 0001
3638
3946
Buchanan DeltaNex Protector
Small
LA DNX 0001
Cascade Shower Protector
AS/3835
3676
pack of 2
778
pack of 10
3001
Hirst Protector
Laryngofoam
flesh or white
flesh
pack of 30
1302
1302
each
43
5.1cm x 6.2cm 4mm thick
6.3cm x 6.5cm
Nex Foam Collar Filter
HNFC
pack of 10
2250
Nex Laryngectomy T Collar
Black
Grey
White
HNLTB
HNLTG
HNLTW
pack of 2
700
700
700
Nex Mac Showering Aid
HNM
each
1500
Protect (Shower Protector)
71-0070-00
1470
Purifoam Laryngectomy Filters
CR3853
Sofnex Laryngectomy Shield
(contains 2 neckbands)
Beige
Blue
White
38
pack of 10
CR3860
CR3859
CR3856
415
3173
3173
3047
08/2016
Part IXA
APPLIANCES
Appliance
Sofshield Laryngectomy Protectors
White
Small
Large
Beige
Small
Large
Blue
Small
Large
Black
Medium
pack of 10
AS3698
AS3669
AS3778
AS3765
AS3777
AS3764
AS4051
3037
3363
3169
3573
3169
3573
3130
PTA700
PTA702
pack of 10
3603
3908
PTA100
pack of 2
974
Stoma-Quick laryngectomy protector
5cm x 7cm
7cm x 7cm
71-0045-15N
71-0045-17N
pack of 30
1192
1192
TracFlex Plus Shower Cap
121911-000000
pack of 4
560
SpiroTect Protector, Antibacterial
Small
Large
SpiroTect Shower Protector (only for use with SpiroTect HME System)
Wet Protect see Breeze Wet Protect
Voice Prosthesis Cleaning Brush
Blom-Singer 16Fr
Blom-Singer 16/20Fr
pack of 3
IN4059
1600
Small 4mm-8mm
IN4064
Medium 10mm-16mm IN4065
Large 18mm & above IN4066
1615
1615
1615
PB/50
pack of 10
757
29110-06
29110-08
29110-10
29110-12
29110-18
pack of 6
1600
1600
1600
1600
1600
Phonax Plus
71-0996-00
pack of 6
1125
Provox
Provox XL
7204
7225
Voiceline
LA PCB 0003
Insight
Laryvox Duo
4mm-6mm
7mm-8mm
9mm-10mm
11mm-13mm
14mm-18mm
Part IXA-Appliances
416
each
206
206
pack of 10
859
08/2016
Part IXA
APPLIANCES
Appliance
Size or Weight
Basic Price p
TRUSSES
(See Part 1, Clause 2 page 3)
Before the prescription can be dispensed three details must be given by the prescriber:
(i) Single, or double, and the side, if single
(ii) Position, eg. Inguinal; Scrotal
(iii) Type, eg. truss; Elastic band truss
In the event of a dispute between the patient and the pharmacy or the appliance contractor about whether
the truss supplied is satisfactory, the doctor's decision shall be binding.
Spring Truss
Specification 31(a)
Spring Trusses shall conform to the British Standard 2930: 1970 for Surgical Spring Trusses
Inguinal
Single
Double
Inguinal Rat-tail
Single
Double
Femoral
Single
Double
Scrotal
Single
Double
Double Inguinal/Scrotal
Back Pad, fixed or sliding (if ordered)
extra
Slotted, polished Spring Ends (if ordered)
Single Extra
Double Extra
"Special" Trusses
Single Extra
- conforming to the requirements in Specification 31b
Double Extra
NB:Requirement for a "Special" Truss should normally be confirmed by the prescriber.
Replacements and repairs:Understrap for Inguinal or Femoral Trusses
each
3424
4778
4216
6301
3782
5851
4216
6301
6059
972
494
995
1091
2153
300
Elastic Band Truss
Specification 31b
Elastic Band Trusses shall conform to the British Standard 3271: 1970 for Surgical Elastic Band Trusses
Inguinal
Single
2325
Double
3874
Scrotal
Single
Double
2421
3942
Single
Double
2640
3595
"Special" Trusses
Single Extra
- conforming to the requirements in Specification 31b
Double Extra
NB:Requirement for a "Special" Truss should normally be confirmed by the prescriber
685
990
Umbilical,
Single Belt
Double Belt where specified by prescriber
Part IXA-Appliances
417
08/2016
Part IXA
APPLIANCES
Appliance
Order No.
Basic Price p
VACUUM PUMPS AND CONSTRICTOR RINGS FOR ERECTILE DYSFUNCTION
The following products may be ordered on a prescription form (ie prescribed "on the NHS") only if the patient is
a person of a description mentioned in column 1 of the prescribing restrictions note below, and for the purpose
specified in column 2 of that note, and if the prescriber endorses the face of the prescription form with the
reference "SLS".
Vacuum Pumps
each
Euro Surgical Ltd
Pos-T-Vac
AVP1000 Battery Operated
12700
MVP 700 Manual
9800
Farnhurst Medical Ltd
Elite
Elite Plus with gauge
Elite Plus 2 with limiter
FTP Medical
VED Axis
Genesis Medical Ltd
Accord
Impulse with limiter
Revive with limiter
ES101
EG105
EL108
13500
16000
16000
FTP-VED-AXIS
15900
0103 Manual
0102 Manual
0101 Battery Operated
11900
11900
14900
Healthcare 2000 Ltd
E.I.D. Erection Inducer Device
14900
iMEDicare Ltd
SomaCorrect
SomaCorrect Xtra
SomaErect Response II
SomaErect Response II - XL
SomaErect Touch II
15080
15111
15019
15888
15013
15900
17900
16081
16081
16900
Mediplus Ltd
Osbon ErecAid Classic
Osbon ErecAid Esteem
XX-02
XX-50
10766
19466
Mediwatch UK Ltd
ErectEase
S0001
9400
Owen Mumford Ltd
Rapport Classic
Rapport Premier
SM2000
SM2200
11676
17808
VaxAid Ltd
VaxAid Hydropump V30
VX30PR
8950
001 Manual
9500
Vetco UK
Vetex Pump System
418
08/2016
Part IXA
APPLIANCES
Appliance
Order No.
Constrictor Rings - to maintain an erection
Euro Surgical Ltd
Constrictor Ring
Farnhurst Medical Ltd
Constriction Rings (pack of 5 rings) Sizes 1-5
Size 1
Size 2
Size 3
Size 4
Size 5
Applicator and cone set with 5 different sized rings
FTP Medical
VED Axis
Constriction Ring
Firma Band
Sensation Seal
Size 4
Size 6
Size 2
Size 3
each
968
ECR01
ECR01/1
ECR01/2
ECR01/3
ECR01/4
ECR01/5
ECA02
2000
2000
2000
2000
2000
2000
2400
FTP-44003-4-001
FTP-44003-6-001
FTP-001-0-FB
FTP-001-2-SS
FTP-001-3-SS
1042
1042
1333
1000
1000
Genesis Medical Ltd
Asset
Set of 5 different rings, loading cone, and holding cylinder
0105
for maintaining an erection
Genesis constriction ring
Single ring for use with erection assistance devices 0110B,
Sizes B,C,D,E,F
0110C, 0110D, 0110E, 0110F,
Genesis 3H
Single ring for use with erection assistance devices
Sizes 3,4,5,6,7,8,9
013H-3, 013H-4, 013H-5, 013H-6, 013H-7, 013H-8, 013H9
Healthcare 2000 Ltd
Confidence Rings
Starter pack of 2 Rings (1x Regular, 1x Firm)
Firm x 2 Rings (Pink)
Regular x 2 Rings (Natural)
iMEDicare Ltd
Assist Maintenance System
Select Maintenance Ring Set (Set of 3 rings)
SureEase Maintenance Ring Set
Ultimate (Surefit) Maintenance Ring Set
Ultra Maintenance Ring Set
419
Basic Price p
2400
700
700
2400
2900
2900
15109
15230
15085
15222
15444
2700
2900
3200
3400
3400
08/2016
Part IXA
APPLIANCES
Appliance
Order No.
Mediwatch UK Ltd
ErectAssist
Set of 3 retention rings, loading cone, transfer collar and
lubricating gel
Retention Rings
Set of 3 retention rings
25mm
32mm
40mm
1 of each of the above sizes
Mediplus Ltd
Osbon ErecAid (pack of 2 rings)
MaxElasticity tension
Standard tension
High tension
Grey
Beige
Pink
Owen Mumford Ltd
Rapport Ring Loading System
Set of 5 different sized rings, loading cone and transfer
sleeves for maintaining an erection
VaxAid Ltd
VaxAid Erection Rings
Single Rings
20mm
24mm
28mm
32mm
36mm
40mm
Pack of six rings in sizes 20mm, 24mm, 28mm, 32mm,
36mm, 40mm
Pack of three rings in sizes 20mm, 24mm, 28mm
Pack of three rings in sizes 32mm, 36mm, 40mm
Vetco UK Constriction Rings
White C-Flex
Mentor
Comfort
(small, medium, large)
(medium, large)
(one size fits all)
420
Basic Price p
each
S0007
2300
S0101A
S0101B
S0101C
S0101
2100
2100
2100
2100
1676
1672
1674
3563
3563
3563
SM2220
2333
VSER20
VSER24
VSER28
VSER32
VSER36
VSER40
VPER1
500
500
500
500
500
500
3000
VPER2
VPER3
1500
1500
VA005
VA006
VA007
650
1000
1000
08/2016
Part IXA
APPLIANCES
Appliance
PRESCRIBING RESTRICTIONS APPLYING TO VACUUM PUMPS AND CONSTRICTOR RINGS FOR
ERECTILE DYSFUNCTION
The products listed may be ordered on a prescription form (ie prescribed "on the NHS") only if the patient is a
person of a description mentioned in column 1 below, and for the purpose specified in column 2, and if the
prescriber endorses the face of the prescription form with the reference "SLS".
Patient
Purpose
(a) a man who is suffering from any of the
Treatment of
following erectile
diabetes
dysfunction.
multiple sclerosis
Parkinson's disease
poliomyelitis
prostate cancer
severe pelvic injury
single gene neurological disease
spina bifida
spinal cord injury; or
(b) a man who is receiving treatment for renal failure by dialysis; or
(c) a man who has had the following surgery prostatectomy
radical pelvic surgery
renal failure treated by transplant.
(d) In Wales
a man who has been diagnosed as suffering severe distress resulting from erectile
dysfunction where the assessment has been made by a specialist service or GP
under arrangements made with a Local Health Board to provide such assessments
VAGINAL DILATORS
Amielle Care
(Owen Mumford Ltd)
Amielle Comfort
(Owen Mumford Ltd)
Femmax
(Medical Devices Technology International Ltd)
SM2100
3529
15ml tube
50ml tube
30g tube
3 pre-filled applicators
10 x 2g ovules
3 dose pack
6 dose pack
12 dose pack
35g tube
40g tube
75ml tube
Hyalofemme
Regelle
Repadina
ReplensMD
Sylk
Yes water-based Intimate Lubricant
Yes water-based Intimate Lubricant
R
per kit
2647
1526
VAGINAL MOISTURISERS
Gynomunal
R
SM2150
per pack
369
799
460
329
541
832
814
365
606
1164
606
516
514
700
Please note: For reimbursement purposes ReplensMD should not be confused with the product Replens
listed in Drug Tariff Part XVIIIA - Drugs, Medicines and other substances not to be ordered under a
General Medical Services Contract.
VAGINAL PH CORRECTION PRODUCTS
Gels
Balance Activ BV
Multi-Gyn ActiGel
Relactagel
per pack
Lactic Acid Pessary BP
Balance Activ
Part IXA-Appliances
421
7 x 5ml tubes
50ml tube
7 x 5ml tubes
525
525
525
7 pessaries
525
08/2016
Part IXA
APPLIANCES
Appliance
VENOUS ULCER COMPRESSION SYSTEM
ActiLymph Hosiery Kit Medical Stocking & Compression Liner
(pack contains 1 stocking and 2 liners)
(Activa Healthcare)
Medium, Large, Extra Large, Extra Extra Large
Activa Leg Ulcer
Hosiery Kit (Activa
Healthcare)
per pack
2988
Medical Stocking & Compression Liner
(pack contains 1 stocking and 2 liners - 40mmHg)
Small, Medium, Large, Extra Large, Extra Extra Large
2266
Compression Liner Pack Closed Toe
(pack contains 3 liners - 10mmHg)
1699
Compression Liner Pack Open Toe
(pack contains 3 liners - 10mmHg)
1666
Altipress 40 Ulcer Kit
(Altimed Ltd)
Medical Stocking and Compression Liner
Available in Short, Regular and Long lengths
1450 K
Altipress
(Altimed Ltd)
Compression Liner Pack
(pack contains 3 liners)
Available in Short, Regular and Long lengths
1146 K
Altipress 40 Made to
Measure Ulcer Kit
(Altimed Ltd)
(pack contains 1 Made to Measure stocking and 2 Made to
Measure liners)
4205 K
Altipress Made to
Measure
(Altimed Ltd)
Compression Liner Pack
(pack contains 2 Made to Measure liners)
2382 K
Carolon Compression Understocking Pack
(H&R Healthcare Ltd) (pack contains 3 understockings)
Available in Short and regular length
Size
Ankle Circ
A
17.5-20cm
B
20-22.5cm
C
22.5-25.5cm
D
25.5-28cm
E
28-30.5cm
F
30.5-33cm
G
33-35.5cm
Calf Circ
25.5-33cm
30.5-38cm
35.5-43cm
40.5-48.5cm
45.5-53cm
51-58.5cm
56-66cm
2200
2200
2200
2200
2200
2200
2200
Carolon Graduated Compression System
(H&R Healthcare Ltd) (pack contains 1 stocking and 2
understockings)
Available in Short and regular length
Size
Ankle Circ
A
17.5-20cm
B
20-22.5cm
C
22.5-25.5cm
D
25.5-28cm
E
28-30.5cm
F
30.5-33cm
G
33-35.5cm
Calf Circ
25.5-33cm
30.5-38cm
35.5-43cm
40.5-48.5cm
45.5-53cm
51-58.5cm
56-66cm
2650
2650
2650
2650
2650
2650
2650
422
08/2016
Part IXA
APPLIANCES
Appliance
Clini Duo40
(CliniSupplies Ltd)
Clini Duo40
(CliniSupplies Ltd)
Comfipression
(Synergy Healthcare
(UK) Ltd)
per pack
1307
Compression
Liner
Pack
1034
Hosiery Kit
Small, Medium, Large, X Large, XX Large
1245
Liner Kit
985
Jobskin Alleviant
(Jobskin Ltd)
(pack contains 1 over stocking and 2 liners)
Jobst UlcerCARE
(BSN medical Ltd)
(with or without zip)
Compression Liner pack
i, ii, iii, iv, v, vi, vii
Small
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
Small
Medium
Large
Extra Large
XX Large
XXX Large
XXXX Large
Jobst UlcerCARE
Custom
(BSN medical Ltd)
Medical Stocking
Compression Liner pack
Juxta CURES
(Medi UK Ltd)
Compression System
(pack contains Juxta CURES, 2 standard anklets and 2 liners)
Short, Standard, Long
3000
3155
3155
3155
3155
3155
3155
3155
1905
1905
1905
1905
1905
1905
1905
K
K
K
K
K
K
K
K
K
K
K
K
K
K
6394 K
3197 K
15393
Comfort Leg Liner
1340
Comfort Compression Anklet
(pack contains 2 anklets)
Standard, Large
1134
423
08/2016
Part IXA
APPLIANCES
Appliance
JuxtaLite
Compression System
(Medi UK Ltd)
(pack contains JuxtaLite, 2 compression anklets and 2 liners)
Available as Short and Long
per pack
9630
Available as Short Extra Wide and Long Extra Wide
Medium, Large, Extra Large
Mediven Ulcer Kit
(Medi UK Ltd)
(pack contains 1 over stocking and 2 liners)
Standard Length Kit
Petite Length Kit
Liner Pack (Pack contains 2 liners)
SurePress Comfort Pro Graduated Compression System
(ConvaTec Ltd)
(pack contains 1 stocking and 1 liner)
Size
Ankle Circ
B
20-22.5cm
Ulcertec
(Bauerfeind UK)
Ulcer X
(Sigvaris Britain Ltd)
Calf Circ
30.5-38cm
(pack contains 1 stocking & 2 liners)
Short (Small, Medium, Large)
Short (Extra Small, Extra Large)
Long (Small, Medium, Large)
Long (Extra Small, Extra Large)
3226
3226
1729
2913
2710
2710
2710
2710
Medical Stocking & Compression Liner Pack Open Toe
(pack contains 1 stocking and 2 liners - 23-32mmHg)
Available in Short and Long lengths
2434
Medical Stocking & Compression Liner Pack Open Toe Plus
(pack contains 1 stocking and 2 liners - 23-32mmHg)
2434
(pack contains 4 liners - 18-21mmHg)
2072
Venosan 8000 Ulcerfit Medical Stocking & Compression Liner
(Credenhill Limited)
Available in One length, 35-42cm
424
2163
1287
08/2016
Part IXB
INCONTINENCE APPLIANCES
Part IXB - Incontinence Appliances
1.
Prescribers and suppliers should note that products not included in the list are not prescribable (See Part 1
Clause 2). Attention is drawn particularly to the information on the average life-in-use of each type of product
which, together with the pack size, should enable prescribers to calculate their patients' requirements with
reasonable accuracy.
2.
Only basic information on each product has been provided and prescribers may on occasions wish to seek
further information about certain products eg when assessing a patient for the first time. If so, this is always
available from the manufacturers (addresses and telephone numbers are given at the end of the entry).
Information may also be sought from community nurses and community pharmacists. Where possible
manufacturers/’suppliers' order code numbers have been shown but prescribers should note that the order
numbers shown are not necessarily the full codes for the appliances they wish to order. This is particularly
true of urinal systems where additional code numbers are usually necessary to denote variations from the
basic design and individual sizes.
3.
Prescribers are reminded that incontinence pads (including products not necessarily described as such but
using the absorption principle), incontinence garments, skin wipes and occlusive devices such as female
vaginal devices and male penile clamps are not prescribable under the Drug Tariff provisions.
All products in Part IXB receive a home delivery fee of 340p.
Page
List of components and accessories
Anal Plugs
426
Catheter Valves
426
Drainable Dribbling Appliances
427
Faecal Collectors
427
Incontinence Belts
427
Incontinence Sheaths
428
Incontinence Sheath Fixing Strips and Adhesives
437
Insert for Female Stress Incontinence
438
Leg Bags
439
Night Drainage Bags
448
Suspensory Systems
453
Tubing and Accessories
454
Urinal Systems
458
Manufacturers’ Addresses and Telephone Numbers
471
425
08/2016
Part IXB
ANAL PLUGS
Warning: This product should not be used without assessment by an appropriate medical professional.
Manufacturer
Coloplast Ltd
Appliance
Peristeen Anal Plug
Small
Large
Renew Medical Inc
Order No.
Quantity
1450
1451
20
20
4626
4531
702
706
707
10
30
30
2170
6511
6511
Renew Insert
Starter Pack
Regular
Large
List Price p
CATHETER VALVES
Warning: This product should not be used without assessment of bladder function by an appropriate
medical professional.
Indications: For use with an indwelling urethral catheter.
Contraindications:
Reduced bladder capacity
No bladder sensation
Cognitive impairment
Insufficient manual dexterity to operate the Catheter Valve
Note: It is recommended that the Catheter Valve is changed every 5 - 7 days.
The following symbols are used in this section
S
Manufacturer
Bard Ltd
Coloplast Ltd
CliniSupplies Ltd
Great Bear Healthcare
Ltd
Jade- Euro-Med Ltd
L.IN.C Medical Systems
Ltd
MacGregor Healthcare
Ltd
Optimum Medical
Solutions
Teleflex
Unomedical Ltd
Sterile
Appliance
S Flip-Flo Catheter Valve
S Coloplast Catheter Valve
S Prosys Catheter Valve
S E-Z Flow Catheter Valve
S Libra Lever Catheter Valve
S
S
Euro Catheter Valve
Care-Flo Catheter Valve
S
Qufora Catheter Valve
S
S
Smartflow Catheter Valve
Ugo Catheter Valve
S
S
S
Teleflex Catheter Valve
Careline Lever Catheter Valve
Careline T Tap Catheter Valve
Catheter Valve with Integral Bag
Jade-Euro-Med Ltd
S Euro Bag with dual tap
426
Order No.
BFF5
CV3808
PCV3942
00-0060
10540A
Quantity
5
10
5
5
5
List Price p
1312
2636
950
1101
1266
JECV
CF1
5
5
1293
753
21104204
5
850
CVS
3000
5
5
1174
1080
850560-000000
90 821 1S-20
90 805 1S-20
1
5
5
200
1010
1010
JEDT
10
3116
08/2016
Part IXB
DRAINABLE DRIBBLING APPLIANCES
Bags or pouches which use absorptive material to soak up urine are not prescribable.
Note: The appliances listed below may be re-used, on average, for at least a month.
disposal bags.
Manufacturer
Jade-Euro-Med
Ltd
Appliance
o Dribbling bag with loops and tapes
Drip Male Urinal with tap
Replacement belt for M100
Ward Surgical
Appliance Co
o Male Dribbling bag with diaphragm and belt
Order no Quantity
Fig 18
1
M 100
1
JB 100
1
WM60
List Price p
2003
5380
1327
1
2792
FAECAL COLLECTORS
Manufacturer
B. Braun Medical
Appliance
Flow Collector
Order No.
039900E
Quantity
15
List Price p
4119
Coloplast Ltd
Fistula Bed Drainage Bag
14010
10
1711
Hollister Ltd
Hollister Faecal Collector
500ml
1000ml
9822
9821
10
10
4555
4555
ProSys
International Ltd
SECCO hydrocolloid adhesive faecal collection pouch
with connector tube/cap
SEC600-CT
with fold up tail
SEC600-FT
10
10
4515
4514
INCONTINENCE BELTS
Note: Average Life-in-Use - 6 Months
Manufacturer
DBT Medical Ltd
Jade-Euro-Med Ltd
Ward Surgical
Appliance Co
Appliance
Waist and support for Kipper bag
Waist belt for Kipper bags
37mm webbing/elastic waistbelt for
use with Jade-Euro-Med appliances
Web belt
86cm
91cm
97cm
107cm
112cm
86cm
91cm
97cm
107cm
91cm
Waist belt for black Kipper bag
Rubber belt for PP Urinal
427
Order No.
LM886103
Quantity
1
List Price p
741
KBWB
WB
1
1
640
640
WS105-91-34
WS105-91-36
WS105-91-38
WS105-91-42
WS105-91-44
WS106-01-34
WS106-01-36
WS106-01-38
WS106-01-42
WS107-01-G
1
1
1
1
1
1
1
1
1
1
1324
1324
1324
1324
1324
1324
1324
1324
1324
1324
WM62
WM63
1
1
513
444
08/2016
Part IXB
INCONTINENCE SHEATHS
The incontinence sheaths (also known as penile sheaths and external catheters) listed below, are, except where
indicated, of the soft, flexible, latex type. Sheaths are available with and without fixing devices which may be
applied externally (around the outside of the sheath) or internally (around the penis between the skin and the
sheath). A list of fixing devices and other adhesion products is included in 'Incontinence Sheath Fixing Strips &
Adhesives'.
Note: Each Sheath may be left in place for 1 to 3 days between changes.
D
Z
F
E
Non-adhesive sheath without liner
Sheath with self-adhesive liner
Sheath with separate double-sided adhesive strip
Sheath with separate single-sided adhesive strip
Manufacturer
Bard Ltd
Appliance
Encompass
Latex free self-adhesive penile sheath
24mm
28mm
30mm
32mm
35mm
Order No.
Quantity
BLFS24
BLFS28
BLFS30
BLFS32
BLFS35
30
30
30
30
30
4819
4819
4819
4819
4819
30
30
30
30
30
4719
4719
4719
4719
4719
30
30
30
30
30
2903
2903
2903
2903
2903
6-S24
6-S28
6-S31
6-S35
6-S40
30
30
30
30
30
5090
5090
5090
5090
5090
6-65(20mm)
6-65(25mm)
6-65(30mm)
6-65(35mm)
30
30
30
30
4892
4892
4892
4892
20026/10
10
8349
Reliasheath latex free penile sheath (including adhesive strip)
24mm
D523LF
28mm
D524LF
30mm
D525LF
32mm
D526LF
35mm
D527LF
Latex free penile sheath
Beambridge Medical
Z
F
CliniMed Ltd
24mm
28mm
30mm
32mm
35mm
U523LF
U524LF
U525LF
U526LF
U527LF
Beambridge Non Latex Self Adhesive Sheath
24mm
28mm
31mm
35mm
40mm
Beambridge Urinary Sheath
Small
Medium
Large
Extra Large
BioDerm XLS (Oval)
Incontinence sheaths
428
List Price p
08/2016
Part IXB
Manufacturer
Coloplast Ltd
Appliance
Order No.
Conveen Optima (non-latex) self-sealing Urisheath
(Shorter Length)
21mm
22121
25mm
22125
30mm
22130
35mm
22135
(Standard Length)
25mm
22025
28mm
22028
30mm
22030
35mm
22035
40mm
22040
Quantity
List Price p
30
30
30
30
5168
5168
5168
5168
30
30
30
30
30
5168
5119
5168
5168
5168
Z
Conveen Security + self-sealing Urisheath (non-latex) with Anti-kink Design
extra small
5221
30
5202
small
5225
30
5202
medium
5230
30
5202
large
5235
30
5202
extra large
5240
30
5202
Z
Conveen Security + Easifit Shorter length self sealing
Urisheath (non-latex) with Anti-kink Design
extra small (dia 21mm)
22011
small (dia 25mm)
22012
medium (dia 30mm)
22013
large (dia 35mm)
22014
30
30
30
30
5143
5143
5143
5143
Conveen Security + Sheath (non-latex) with Anti-kink Design
(including Uriliner adhesive strip)
extra small
5021
small
5025
medium
5030
large
5035
extra large
5040
30
30
30
30
30
5257
5257
5257
5257
5257
Z
Conveen self-sealing Urisheath
extra small
small
medium
large
extra large
5212
5200
5205
5210
5215
30
30
30
30
30
5205
5205
5205
5205
5205
F
Conveen Urisheath/Uriliner
very small
small
medium
large
ex- large
5120
5125
5130
5135
5140
30
30
30
30
30
5263
5263
5263
5263
5263
Covidien UK
Commercial Ltd
F
Texas Catheter
(including adhesive strip)
8884731300
12
881
DBT Medical Ltd
D
Dry Aid Penile Sheath (without adhesive strip)
small
AL861021
medium
AL861022
large
AL861023
ex-large
AL861024
20
20
20
20
1797
1797
1797
1797
E
Warne Secure external catheter kit (including adhesive strip)
(formerly Rusch Secure external catheter kit (including adhesive strip))
25mm diameter
4000025
10
981
30mm diameter
4000030
10
981
35mm diameter
4000035
10
981
F
429
Part IXB
08/2016
Manufacturer
Appliance
Great Bear Healthcare Z
Ltd
GB Libra Sheath
Latex free self-adhesive penile sheath
Standard
24mm
28mm
31mm
35mm
40mm
Pop On
24mm
28mm
31mm
35mm
40mm
Wide Band
24mm
28mm
31mm
35mm
40mm
Order No.
Quantity
List Price p
GBLSS24
GBLSS28
GBLSS31
GBLSS35
GBLSS40
30
30
30
30
30
4680
4680
4680
4680
4680
GBLSP24
GBLSP28
GBLSP31
GBLSP35
GBLSP40
30
30
30
30
30
4680
4680
4680
4680
4680
GBLSW24
GBLSW28
GBLSW31
GBLSW35
GBLSW40
30
30
30
30
30
4680
4680
4680
4680
4680
Hollister Ltd
Z
InView Silicone Self-Adhesive Sheath (non-latex with anti-kinking funnel)
Special
25mm
97125
30
4661
29mm
97129
30
4661
32mm
97132
30
4661
36mm
97136
30
4661
41mm
97141
30
4661
Standard
25mm
97225
30
4661
29mm
97229
30
4661
32mm
97232
30
4661
36mm
97236
30
4661
41mm
97241
30
4661
Extra
25mm
97325
30
4661
29mm
97329
30
4661
32mm
97332
30
4661
36mm
97336
30
4661
41mm
97341
30
4661
Hospital Management
and Supplies Ltd
E
Macrodom (including adhesive strip)
with O 51mm tube
with O 127mm tube
430
GS7654
GS7655
30
25
2185
2286
08/2016
Part IXB
Manufacturer
Jade-Euro-Med Ltd
Appliance
D
D
Z
MacGregor Healthcare
Ltd
Incontinence Sheath
Small
Medium
Large
Ex-large
Order No.
Quantity
List Price p
WS165-01-F
WS165-03-K
WS165-05-P
WS165-07-T
1
1
1
1
177
177
177
177
Jade Naturaflex Clear Non-Adhesive sheath
25mm (small)
29mm (medium)
32mm (intermediate)
36mm (large)
M410
M420
M430
M440
30
30
30
30
4790
4790
4790
4790
Jade Ultra Flex Clear Sheath (Self-adhesive))
small
medium
intermediate
large
ex-large
M510
M520
M530
M540
M550
30
30
30
30
30
4790
4790
4790
4790
4790
Z
Jade Ultra Flex Extra Clear Sheath (Self-adhesive extra wide application of
adhesive)
25mm (small)
M610
30
4682
29mm (medium)
M620
30
4682
32mm (intermediate)
M630
30
4682
36mm (large)
M640
30
4682
41mm (ex-large)
M650
30
4682
Z
Jade Ultra Flex Short Clear Sheath (Self-adhesive)
25mm (small)
M310
29mm (medium)
M320
32mm (intermediate)
M330
36mm (large)
M340
41mm (ex-large)
M350
Qufora
Self Adhering Silicone Urisheath
Standard
24mm
28mm
31mm
35mm
40mm
Short
24mm
28mm
31mm
35mm
40mm
431
30
30
30
30
30
4682
4682
4682
4682
4682
20111101
20111201
20111301
20111401
20111501
30
30
30
30
30
3838
3838
3838
3838
3838
20111103
20111203
20111303
20111403
20111503
30
30
30
30
30
3838
3838
3838
3838
3838
Part IXB
08/2016
Manufacturer
Manfred Sauer UK Ltd Z
Appliance
Order No.
Quantity
List Price p
b.sure Quickfit shorter length self-adhering non latex urinary sheath with strong
adhesive
18mm
B18
30
5045
20mm
B20
30
5045
22mm
B22
30
5045
24mm
B24
30
5045
26mm
B26
30
5045
28mm
B28
30
5045
30mm
B30
30
5045
32mm
B32
30
5045
35mm
B35
30
5045
Z
Comfort Plus Latex Free Urinary Sheath with hydrocolloid double sided
adhesive liner
Dia 18
56.18
30
4952
Dia 20
56.20
30
4952
Dia 22
56.22
30
4952
Dia 24
56.24
30
4952
Dia 26
56.26
30
4952
Dia 28
56.28
30
4952
Dia 30
56.30
30
4952
Dia 32
56.32
30
4952
Dia 35
56.35
30
4952
Dia 37
56.37
30
4952
Dia 40
56.40
30
4952
D
Comfort Sheath (in 11 sizes) + Residual Free removal and
Anti-Blow-Back system
Paediatric (dia 18mm)
53.18
Small - (dia 20mm)
53.20
Small (dia 22mm)
53.22
Small + (dia 24mm)
53.24
Medium - (dia 26mm)
53.26
Medium (dia 28mm)
53.28
Medium + (dia 30mm)
53.30
Large - (dia 32mm)
53.32
Large (dia 35mm)
53.35
Large + (dia 37mm)
53.37
Extra Large (dia 40mm)
53.40
30
30
30
30
30
30
30
30
30
30
30
2504
2504
2504
2504
2504
2504
2504
2504
2504
2504
2504
D
Comfort Sheath Extra Thin for male retraction + Residual Free removal and
Anti-Blow-Back system.
Medium - (dia 26mm)
53.26D
30
2504
Medium + (dia 30mm)
53.30D
30
2504
Large (dia 35mm)
53.35D
30
2504
D
K+ICS Sheath (plus 5 Sheath tip connectors) have special removable tips which
enable the sheath to be expanded over the penis with a special sheath expander
tool, to allow for clean intermittent self catheterisation (see Tubing and
Accessories section of this publication for Manfred Sauer Sheath Expander order
no. 100.01).
18mm
103.18
30
5038
20mm
103.20
30
5038
22mm
103.22
30
5038
24mm
103.24
30
5038
26mm
103.26
30
5038
28mm
103.28
30
5038
30mm
103.30
30
5038
32mm
103.32
30
5038
35mm
103.35
30
5038
37mm
103.37
30
5038
40mm
103.40
30
5038
432
08/2016
Part IXB
Manufacturer
Appliance
P-SURE Latex Free self-adhesive with Residual Free removal and
Anti-Blow-Back system. Includes 1 free pubic hair protective cloth.
Paediatric (dia 18mm)
97.18
30
Small - (dia 20mm)
97.20
30
Small (dia 22mm)
97.22
30
Small + (dia 24mm)
97.24
30
Medium - (dia 26mm)
97.26
30
Medium (dia 28mm)
97.28
30
Medium + (dia 30mm)
97.30
30
Large - (dia 32mm)
97.32
30
Large (dia 35mm)
97.35
30
Large + (dia 37mm)
97.37
30
Extra Large (dia 40mm)
97.40
30
4707
4707
4707
4707
4707
4707
4707
4707
4707
4707
4707
Incontiaid Penile Sheath
20mm
25mm
30mm
35mm
40mm
1111
1112
1113
1114
1115
10
10
10
10
10
1041
1041
1041
1041
1041
with adhesive strip
20mm
25mm
30mm
35mm
40mm
1116
1117
1118
1119
1120
10
10
10
10
10
1652
1652
1652
1652
1652
PRTSTD 24
PRTSTD 28
PRTSTD 32
PRTSTD 36
30
30
30
30
5075
5075
5075
5075
PRTSHO 24
PRTSHO 28
PRTSHO 32
PRTSHO 36
30
30
30
30
5075
5075
5075
5075
S G & P Payne
D
F
ProSys International Ltd Z
Order No.
ProTRAC
All Silicone Self Adhering Sheath
Standard
24mm (small)
28mm (medium)
32mm (intermediate)
36mm (large)
Short
24mm (small)
28mm (medium)
32mm (intermediate)
36mm (large)
433
Quantity
List Price p
Part IXB
08/2016
Manufacturer
Appliance
Rochester Medical Ltd Z
Clear Advantage with Aloe silicone sheath, style 1
Standard
24mm
1243
28mm
1283
32mm
1323
36mm
1363
40mm
1403
Pop-On
24mm
2243
28mm
2283
32mm
2323
36mm
2363
40mm
2403
Wideband
24mm
3243
28mm
3283
32mm
3323
36mm
3363
40mm
3403
Clear Advantage Spirit, Style 1
Standard
24mm
5243
28mm
5283
32mm
5323
36mm
5363
40mm
5403
Pop-On
24mm
7243
28mm
7283
32mm
7323
36mm
7363
40mm
7403
Wideband
24mm
9243
28mm
9283
32mm
9323
36mm
9363
40mm
9403
Z
Z
Z
Z
Z
Z
Order No.
Quantity
List Price p
30
30
30
30
30
5092
5092
5092
5092
5092
30
30
30
30
30
5092
5092
5092
5092
5092
30
30
30
30
30
5092
5092
5092
5092
5092
30
30
30
30
30
5052
5052
5052
5052
5052
30
30
30
30
30
5052
5052
5052
5052
5052
30
30
30
30
30
5052
5052
5052
5052
5052
Freedom Transfix Silicone Sheath, Style 1 self adhering, standard sheath
25mm
TF12530
30
4919
29mm
TF12930
30
4919
32mm
TF13230
30
4919
36mm
TF13630
30
4919
41mm
TF14130
30
4919
434
Part IXB
08/2016
Manufacturer
Rochester Medical Ltd Z
Z
Appliance
Order No.
Quantity
List Price p
Freedom Transfix Silicone Sheath, Style 2 self adhering, short sheath
25mm
TF22530
30
4919
29mm
TF22930
30
4919
32mm
TF23230
30
4919
36mm
TF23630
30
4919
41mm
TF24130
30
4919
Freedom Transfix Silicone Sheath, Style 3 self adhering - extra wide adhesive
band
25mm
TF32530
30
4919
29mm
TF32930
30
4919
32mm
TF33230
30
4919
36mm
TF33630
30
4919
41mm
TF34130
30
4919
Z
Freedom Sheath (Self-adhesive)
small (dia 23mm)
medium (dia 28mm)
standard (dia 31mm)
large (dia 35mm)
extra large (dia 40mm)
Z
30
30
30
30
30
5118
5118
5118
5118
5118
Freedom Plus Sheath (Self-adhesive) (Shorter length)
small (dia 23mm)
786292
medium (dia 28mm)
786306
standard (dia 31mm)
786310
large (dia 35mm)
786314
786318
30
30
30
30
30
5118
5118
5118
5118
5118
Z
Clear Advantage Silicone Sheath (Self-adhesive)
small (dia 23mm)
786187
medium (dia 28mm)
786195
standard (dia 31mm)
786225
large (dia 35mm)
786233
786241
30
30
30
30
30
5093
5093
5093
5093
5093
D
Natural Clear Non-Adhesive Sheath
25mm (small)
29mm (medium)
32mm (intermediate)
36mm (large)
38301
38302
38303
38304
30
30
30
30
4822
4822
4822
4822
Z
Pop-On Silicone Sheath (self-adhesive)
25mm
29mm
32mm
36mm
41mm
32301
32302
32303
32304
32305
30
30
30
30
30
4821
4821
4821
4821
4821
Z
UltraFlex Clear Silicone Sheath (Self-adhesive)
small
33301
medium
33302
intermediate
33303
large
33304
ex-large
33305
30
30
30
30
30
4822
4822
4822
4822
4822
Z
Wide Band Silicone Sheath (self-adhesive)
25mm
29mm
32mm
36mm
41mm
30
30
30
30
30
4821
4821
4821
4821
4821
435
786268
786276
786280
786284
786288
36301
36302
36303
36304
36305
Part IXB
08/2016
Manufacturer
PSalts Healthcare
SurgiSense Ltd
D
D
F
Appliance
Male Continence Sheath
22mm
25mm
32mm
34mm
Uridrop Incontinence Sheath
Size 1 (70mm)
Size 2 (80mm)
Size 3 (100mm)
Size 4 (107mm)
Size Paed 42mm
Size Paed 55mm
Order No.
Quantity
ZL0029
ZL0030
ZL0031
ZL0032
10
10
10
10
941
941
941
941
30/80
30/81
30/82
30/83
30/60
30/61
30
30
30
30
30
30
1245
1245
1245
1245
1245
1245
30
30
30
30
30
30
2489
2489
2489
2489
2489
2489
Uridrop Incontinence Sheath and Uristrip Adhesive Strip
Size 1 (70mm)
8480
Size 2 (80mm)
8481
Size 3 (100mm)
8482
Size 4 (107mm)
8483
Size Paed 42mm
8460
Size Paed 55mm
8461
436
List Price p
08/2016
Part IXB
INCONTINENCE SHEATH FIXING STRIPS & ADHESIVES
(Available separately from sheaths)
F
G
H
*
Double-sided adhesive strip
Foam and Velcro
For use with urinal systems
Safe for direct application on the skin
Manufacturer
Appliance
Order
No.
Quantity
List Price p
Bio Diagnostics
F
Urifix Tape 5m
SU1
1
519
Coloplast Ltd
F
Conveen Sheath Liners
5100
20
982
ConvaTec Ltd
F
Urihesive Strips
S120
15
770
DBT Medical Ltd
F
Dry Aid Double Sided Hydrocolloid
Sheath Liner
Dry Aid Single Sided Foam Strip
Dry Aid Thick Double Sided Foam
Strip
AL835100
30
1549
AL831004
AL831002
10
10
465
620
M450
10
1271
T115
1
634
50.01
2
932
50.00
2
916
50.03
2
916
50.05
2
916
50.14
30
1503
H
F
Jade-Euro-Med Ltd
H
Jade Velcro Foam Strap
JLJ Healthcare Ltd
F
Urifix Tape 5m
*
Original Latex Skin Adhesive in a 28g
tube with a long pipette/nozzle
applicator
Pure Latex Skin Adhesive without any
skin care components giving a
stronger bond, in a 28g tube with a
long pipette/nozzle applicator.
Lanolin Free Latex Skin Adhesive for
people allergic to lanolin, in a 28g
applicator.
50% reduction in skin care
components, in a 28g tube with a long
pipette/nozzle applicator.
Comfort Plus hydrocolloid adhesive
tape
*
*
*
F
437
08/2016
Part IXB
INCONTINENCE SHEATH FIXING STRIPS & ADHESIVES (Available separately from
sheaths)
Manufacturer
*
*
*
*
S G & P Payne
Appliance
Order
No.
Quantity
2% Resin giving a stronger bond than
the original adhesive 50.01, in a 28g
applicator. Should only be tried after
50.01 is found to be too weak.
12% Resin giving a stronger bond
than the 2% resin adhesive 50.20, in
a 28g tube with a long pipette/nozzle
applicator. Should only be tried after
50.20 is found to be too weak.
Synthetic Skin Adhesive in a 28g tube
with a long pipette/nozzle applicator
Synthetic Skin Adhesive in a 45ml
bottle with brush in the lid
50.20
2
916
50.22
2
916
50.36-2
2
1635
50.36
1
1635
1123
1004
10
10
1208
486
1002
10
537
ZL0022
30
472
30/84
30
1245
F
Incontiaid Sheath Holder
Incontiaid Single Sided Adhesive
Strips
Adhesive Strips
Salts Healthcare
G
Heritage Sheath Collar Pack
SurgiSense Ltd
F
Uristrip Adhesive Strip
G
List Price p
INSERT FOR FEMALE STRESS INCONTINENCE
Manufacturer
Vaginal
Pioneer Medical
Europe Ltd
Appliance
Contiform
Starter Pack
Replacement Pack
Small
Medium
Large
438
Order No.
Quantity
List Price p
SKU184
1
4900
SKU16134
SKU16227
SKU16270
1
1
1
2531
2531
2531
08/2016
Part IXB
LEG BAGS
The leg bags listed are suitable for collection of urine from indwelling catheters or incontinence sheaths. They
are intended for daytime use although the larger bags may have adequate capacity for overnight use by some
patients. The bags may be worn in different positions on the leg and the intended position (eg thigh, knee or
calf) will determine the length of the inlet tube. The bags are attached to the leg by means of straps (included
with each pack) which are generally either latex or foam with velcro fasteners.
Note: Plastic leg bags identified in the list with an asterisk* may on average be used for 5-7 days. With proper
care and cleansing rubber leg bags are re-usable for 4-6 months.
Symbols used in this section
S These leg bags are supplied sterile. This does not affect the guidance given in the note at the beginning.
*
Plastics
W Due to the size and weight of these bags when full, this capacity of bag should be prescribed only for
wheelchair-bound patients.
Manufacturer
Bard Ltd
S *
*
*
*
*
*
*
*
*
*
S *
*
*
*
*
*
*
Appliance
Order No. Quantity List Price p
Uriplan Range: Shaped Leg Bags with tap outlet, overnight connector and elastic velcro
straps
350ml, direct inlet
D3S
10
2884
350ml, 30cm inlet tube
D3L
10
2859
500ml, direct inlet
D5S
10
2907
D5M
10
2918
D5L
10
2918
750ml, direct inlet
D7S
10
2927
D7M
10
2927
D7L
10
2927
750ml, 38cm adjustable inlet tube
D7LX
10
2927
Urisac Range: Leg Bags with push/pull outlet and foam velcro straps
350ml, long tube
7660
350ml, short tube
7661
500ml, long tube
7662
500ml, short tube
7663
750ml, long tube
7664
750ml, short tube
7665
10
10
10
10
10
10
1521
1477
1653
1608
1768
1695
Beambridge Leg Bags with 1 pair of Flexible leg bag straps
500ml short tube (10cm)
500ml long tube (30cm)
750ml short tube
750ml long tube
10
10
10
10
2914
2914
2940
2940
Leg Bags
Beambridge
Medical
6-70
6-75
6-90
6-95
Leg Bags
CliniSupplies
Ltd
S Prosys Sterile Leg Bags with lever tap. Containing 1 pair of non-latex gloves and soft
elasticated cotton velcro straps per box of 10
500ml short tube Lever Tap
P500S-LT
10
2548
500ml long tube Lever Tap
P500L-LT
10
2548
S Prosys Sterile Leg Bags with slide action tap. Containing 1 pair of non latex gloves and soft
elasticated cotton Velcro straps per box of 10
350ml short tube
P350S
10
2548
350ml long tube
P350L
10
2548
500ml short tube
P500S
10
2548
500ml long tube
P500L
10
2548
750ml short tube
P750S
10
2548
750ml long tube
P750L
10
2548
Leg Bags
439
08/2016
Part IXB
LEG BAGS
Manufacturer
Coloplast Ltd
Appliance
Conveen Active 250ml leg bag
7cm adjustable inlet tube
Order No.
Quantity
25501
10
2772
Conveen Security+ leg bag 350ml
30cm tube
50cm tube
5164
5165
10
10
2511
2511
30cm tube
50cm tube
S
30cm tube
S
50cm tube
5160
5161
5162
5163
10
10
10
10
2511
2511
2669
2669
5166
5167
10
10
2511
2511
Conveen Contour 600ml leg bag
(adjustable tube)
S
5cm inlet tube
S
30cm inlet tube
5170
5172
5173
10
10
10
3048
3048
3048
* Conveen Contour 800ml leg bag
S
45cm tube
5175
10
3048
Simpla Plus leg bags with two-step safety lock tap and anti-kink tubing
350ml 6cm tube
21561
350ml 25cm tube
21562
500ml 6cm tube
21571
500ml 25cm tube
21572
500ml 50cm tube
21583
S
750ml 6cm tube
21591
S
750ml 25cm tube
21592
10
10
10
10
10
10
10
2997
2997
2997
2997
2932
2997
2997
S Simpla Plus Syphon Bags
750ml, 6cm tube
750ml, 25cm tube
21566
21567
10
10
3049
3049
Simpla Profile Leg Bag with lever lock tap and anti kink tubing
350ml 6cm tube
21563
350ml 25cm tube
21564
500ml 6cm tube
21573
500ml 25cm tube
21574
500ml 50cm tube
21584
S
750ml 6cm tube
21593
S
750ml 25cm tube
21594
10
10
10
10
10
10
10
2954
2954
3004
3004
3004
3049
3049
*
List Price p
*
*
30cm tube
50cm tube
*
S
S
S
S
S
S
S
S
Leg Bags
440
Part IXB
08/2016
LEG BAGS
Manufacturer
Coloplast Ltd
Appliance
S Simpla Trident T1 with slide action tap
*
350ml short tube
*
500ml long tube
*
500ml short tube
*
750ml long tube
*
750ml short tube
*
750ml adjustable long tube
S Simpla Trident T2 with lever action tap
*
350ml bag short tube
*
*
500ml bag long tube
*
*
750ml bag long tube
DBT Medical Ltd
Flexicare
Medical
Ltd
S
S
S
S
S
S
S
Kipper bag
Trans/white without strap and buckle
Trans/white
All black rubber
*
*
*
*
*
*
*
*
Order No. Quantity
List Price p
370802
370817
370807
370819
370809
370904
10
10
10
10
10
10
2976
2999
2999
3013
3013
3013
376137
376138
376139
376140
376142
10
10
10
10
10
3012
3044
3044
3059
3059
LM886000
LM886001
LM886002
1
1
1
2539
3097
3097
Flexicare leg bag with lever tap outlet, night drainage connector and velcro anti slip straps
350ml short tube
00-1352
10
2260
500ml short tube
00-1502
10
2260
750ml short tube
00-1752
10
2260
350ml long tube
00-2352
10
2260
500ml long tube
00-2502
10
2260
750ml, long tube
00-2752
10
2260
500ml (60cm adjustable tube)
00-3502
10
2300
500ml (60cm adjustable tube)
00-3501
10
2188
S
S
S
S
S
S
S
Flexicare Discreet leg bag with lever tap outlet
350ml short tube
500ml short tube
750ml short tube
350ml long tube
500ml long tube
750ml, long tube
500ml adjustable tube
S *
S *
Flexicare leg bag with lever tap outlet, night drainage connector, velcro anti slip straps and
non-latex gloves
500ml short tube
00-1502G
10
2410
500ml long tube
00-2502G
10
2410
S
S
Flexicare Discreet leg bag with lever tap outlet, night drainage connector, velcro anti slip
straps and non-latex gloves
500ml short tube
00-5502G
10
2548
500ml long tube
00-6502G
10
2548
Leg Bags
441
00-5352
00-5502
00-5752
00-6352
00-6502
00-6752
00-6504
10
10
10
10
10
10
10
2460
2460
2460
2460
2460
2460
2500
08/2016
Part IXB
LEG BAGS
Manufacturer
Great Bear S *
Healthcare
Ltd
Appliance
Order No. Quantity
Baby Bear paediatric leg bag with soft fabric backing, lever tap and one
elastic non-slip paw print velcro strap
150ml direct inlet
10101B
10
10125B
10
S *
Mummy Bear paediatric leg bag with soft fabric backing, lever tap and one
elastic non-slip paw print velcro strap
250ml direct inlet
10111M
10
10135M
10
2928
2928
2923
2923
S
S
S
S
*
*
*
*
Libra Conform 3 chambered leg bag with soft backing and lever action tap
500ml short tube
10114Q
10
500ml long tube
10115R
10
750ml short tube
10116S
10
750ml long tube
10117T
10
2862
2862
2894
2894
S
S
S
WS
*
*
*
*
Libra leg bag with direct inlet and lever tap
350ml direct inlet
500ml direct inlet
750ml direct inlet
1000ml direct inlet
2773
2815
2846
2872
S
S
S
S
S
S
S
*
*
*
*
*
*
*
Libra leg bag with lever tap, overnight connector and elastic non-slip velcro straps
350ml short tube
10100A
10
2793
500ml short tube
10102C
10
2835
500ml long tube
10104E
10
2835
10105F
10
2835
750ml short tube
10106G
10
2867
750ml long tube
10108J
10
2867
10110L
10
2867
S *
S *
Hollister Ltd
List Price p
S
S
S
S
S *
S
Libra Leg Bag with non-return valve and lever tap
1000ml long tube
10130G
10131H
10132J
10133K
10120W
10122Y
10
10
10
10
10
10
Leg Bag 500ml/10cm inlet (Regular)
9621
10
9624
10
9631
10
Leg Bag 800ml/50cm variable inlet (Regular)
9632
10
Urinary Leg Bag 540ml with direct inlet connector
9814
10
Urinary Leg Bag System containing sterile leg bag, extension tubing and a pair
straps
Leg Bag 540ml
9348
12
Leg Bags
442
2899
2899
2935
2935
2946
2946
2913
of leg bag
3033
Part IXB
08/2016
LEG BAGS
Manufacturer
Jade-Euro-Med
Ltd
S
S
S
S
S
S
S
S
S
Appliance
* Catheter drainage bag Large
Small
Kipper bag, black
* Leg Drainage bag/Direct Inlet
350ml S
* Leg Drainage bag/30cm Inlet tube
350ml L
500ml S
500ml M
500ml L
750ml S
750ml M
750ml L
750ml XL
Rubber bag with leg strap
Order No. Quantity
List Price p
WP205-01-S
WP205-05-B
KB
1
1
1
466
466
3047
LBWT/350
10
2614
LBWT/350
10
2614
LBWT/500
10
2614
LBWT/500
10
2614
LBWT/500
10
2614
LBWT/750
10
2728
LBWT/750
10
2728
LBWT/750
10
2728
LBWT/750
WS111-05-U
10
1
2728
4488
S * Jade Close Fit Multi Chamber Leg Drainage Bag with anti kink tubing and soft backing
Leg Drainage bag/Direct Inlet 500ml
JECB500S
10
2766
Leg Drainage bag/10cm Inlet Tube 500ml
JECB500M
10
2766
JECB500L
10
2766
JECB500XL
10
2766
L.IN.C Medical
Systems Ltd
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
LINC-Flo sterile leg drainage bag with tap outlet, overnight connector and elastic velcro
straps. Containing 10 pairs of straps per box of 10 leg bags
350ml direct inlet tube, T-tap
LM350SD-T
10
2055
350ml 10cm inlet tube, T-tap
LM350MD-T
10
2055
500ml direct inlet tube, Lever Tap
LM500SD-L
10
2209
500ml 10cm inlet tube, Lever Tap
LM500MD-L
10
2209
500ml 30cm inlet tube, Lever Tap
LM500LD-L
10
2209
LM500SD-T
10
2213
LM500MD-T
10
2213
LM500LD-T
10
2213
500ml adjustable inlet tube, Lever Tap
LM500AD-L
10
2184
500ml adjustable inlet tube, T-tap
LM500AD-T
10
2213
LM750SD-T
10
2210
LM750MD-T
10
2210
LM750LD-T
10
2210
750ml adjustable inlet tube, Lever Tap
LM750AD-L
10
2210
750ml adjustable inlet tube, T-tap
LM750AD-T
10
2210
MacGregor
S
Healthcare Ltd
Qufora Sterile Leg Bags, containing 1 pair of non-latex gloves and soft elasticated cotton
velcro straps per box of 10
X 350ml, direct inlet Q Flow Lever Tap
12061704
10
2240
X 350ml, long tube Q Flow Lever Tap
12061504
10
2240
500ml, direct inlet Q Flow Lever Tap
12161704
10
2240
500ml, long tube Q Flow Lever Tap
12161504
10
2240
750ml, direct inlet Q Flow Lever Tap
12361704
10
2240
750ml, long tube Q Flow Lever Tap
12361504
10
2240
X 350ml, direct inlet T-tap
12051704
10
2240
X 350ml, long tube T-tap
12051504
10
2240
500ml, direct inlet T-tap
12151704
10
2240
500ml, long tube T-tap
12151504
10
2240
750ml, direct inlet T-tap
12351704
10
2240
750ml, long tube T-tap
12351504
10
2240
Leg Bags
443
08/2016
Part IXB
LEG BAGS
Manufacturer
MacGregor S
Healthcare
Ltd
Appliance
Qufora Sterile Leg Bags, containing 1 pair of non-latex gloves and soft elasticated cotton
velcro straps per box of 10
X 350ml, short tube Q Flow Lever Tap
12061804
10
2240
X 350ml, short tube T-tap
12051804
10
2240
500ml, short tube Q Flow Lever Tap
12161804
10
2240
500ml, short tube T-tap
12151804
10
2240
750ml, short tube Q Flow Lever Tap
12361804
10
2240
750ml, short tube T-tap
12351804
10
2240
Manfred
Sauer UK
Ltd
S
*
S
*
Discreet Thigh Bag, overnight connector tube and fabric/velcro leg straps
(1 pair per box of 10)
450ml diagonal direct inlet tube suitable for
70.04S
10
suprapubic catheter connection
400ml straight direct inlet tube
70.06S
10
*
*
Discreet Thigh Bag, overnight connector tube, latex free system, soft wide and narrow
straps (1 pair per box of 10)
500ml straight direct inlet tube, twist tap
720.3200S
10
2963
500ml diagonal direct inlet tube, twist tap
721.3200S
10
2963
*
*
*
*
*
*
*
*
*
W
W
W
W
W
W
W
W
W
Bendi Bag leg bag with tap outlet, overnight connector tube and fabric/velcro leg straps
700ml Direct inlet tube, swing tap
70.33-04
10
2320
700ml 12cm inlet tube, swing tap
70.33-12
10
2320
70.33-20
10
2320
700ml 35cm adjustable inlet tube, swing tap
70.33-35adj
10
2320
700ml 35cm adjustable inlet tube, slide tap
70.33-35Padj
10
2320
70.33-04S
10
2679
70.33-12S
10
2679
70.33-20S
10
2679
70.33-35Sadj
10
2679
70.47-04
10
2320
70.47-12
10
2320
70.47-20
10
2320
70.47-35adj
10
2320
1300ml 35cm adjustable inlet tube, slide tap
70.47-35Padj
10
2320
70.47-04S
10
2679
70.47-12S
10
2680
70.47-20S
10
2679
70.47-35Sadj
10
2679
S
S
S
S
S
S
*
*
*
*
*
*S
*S
*S
S
WS*
S*
2491
2491
Bendi Bag leg bag, 10 overnight connector tubes, latex free system, soft wide and narrow
straps (1 pair per box of 10) and needle free sample port
1300ml 12cm inlet tube, twist tap
TBB13S
10
2938
700ml 12 cm inlet tube, twist tap
TBB07S
10
2938
Comfort Leg Bag 600ml with universal adapter, 2 straps and 1 latex connector
Direct inlet glued adapter, swing tap
710.1104
10
15cm inlet adjustable, swing tap
710.1315adj
10
710.1345adj
10
Direct inlet glued adapter, push valve/sliding tap
710.2104
10
15cm inlet adjustable, push valve/sliding tap
710.2315adj
10
710.2345adj
10
Leg Bags
444
2500
2500
2500
2500
2500
2500
Part IXB
08/2016
LEG BAGS
Manufacturer
Manfred
Sauer UK
Ltd
S
S
S
S
S
S
*
*
*
*
*
*
List Price p
2697
2697
2697
2697
2697
2697
S *
Comfort Leg Bag 600ml, twist tap with connecting tube attached, needle free sample port
and universal adapter, latex free system, soft wide and narrow straps (1 pair per box of 10)
49cm inlet tube twist tap
T710S
10
2883
S *
Comfort Leg Bag 1000ml, twist tap with connecting tube attached, needle free sample port
and universal adapter, latex free system, soft wide and narrow straps (1 pair per box of 10)
49cm inlet tube twist tap
T711S
10
2938
S *
S *
S
Optimum
Medical
Solutions
Appliance
Order No. Quantity
Comfort Leg Bag 600ml with universal adapter, 1x 4cm wide top strap &
1 x 2cm wide bottom strap and 3 latex connectors.
Direct inlet glued adapter, swing tap
710.1204S
10
710.1415Sadj
10
710.1445Sadj
10
Direct inlet glued adapter, push valve/sliding tap
710.2204S
10
710.2415Sadj
10
710.2445Sadj
10
S *
Comfort Leg Bag "R" 600ml with universal adapter, 2 straps and 10 latex adapters
45cm inlet adjustable, reverse swing tap, attached night bag adapter
R710.1445SOadj
10
2907
Comfort Leg Bag "XR" 1000ml with universal adapter, 2 straps and 10 latex adapters
45cm inlet adjustable, reverse swing tap, attached night bag adapter.
R711.1445SOadj
10
2963
Smartflow Children’s leg bag
210ml, direct inlet
CBDirectS
10
2947
210ml, 30cm adjustable inlet
CB30S
10
2947
Ugo leg bags with non-return valve, needle free sample port, outlet connector, soft fabric
backing and a pair of non-latex Ugo fix leg bag straps
Ugo 5C 350ml, direct inlet, Lever Tap
5C/350/DI/L
10
2377
Ugo 6C 350ml, short tube, Lever Tap
6C/350/ST/L
10
2377
1C/500/ST/L
10
2377
Ugo 2C 500ml, long tube, Lever Tap
2C/500/LT/L
10
2377
Ugo 3C 500ml, short tube, T-tap
3C/500/ST/T
10
2377
Ugo 4C 500ml, long tube, T-tap
4C/500/LT/T
10
2377
7C/750/ST/L
10
2377
Ugo 8C 750ml, long tube, Lever Tap
8C/750/LT/L
10
2377
445
Part IXB
08/2016
LEG BAGS
Manufacturer
S G & P Payne *
Appliance
Incontiaid leg bag
500ml
750ml
Order No.
Quantity
0830
0831
10
10
3082
3053
1
1
4887
5578
1
1
6024
4887
1
6580
SP/1
1
3350
SP/5
SP/5a
1
1
3179
3749
S Uriflo sterile leg bags with lever tap and needle free sample port.
Containing 1 pair of elasticated cotton Velcro straps per box of 10
500ml short tube Lever Tap
F500S-LT
500ml long tube Lever Tap
F500L-LT
10
10
2513
2513
S Uriflo sterile leg bags with slide T tap and needle free sample port.
Containing 1 pair of elasticated cotton Velcro straps per box of 10
500ml short tube
F500S
500ml long tube
F500L
750ml short tube
F750S
750ml long tube
F750L
10
10
10
10
2513
2513
2513
2513
720350
730350
720500
730500
720750
730750
10
10
10
10
10
10
2250
2250
2250
2250
2250
2250
850361-000350
850363-000350
850362-000350
850364-000350
850361-000500
850363-000500
850362-000500
850364-000500
850363-000750
850364-000750
10
10
10
10
10
10
10
10
10
10
2175
2175
2175
2175
2377
2377
2377
2377
2377
2377
Teleflex 3-chamber leg bag with elastic non-slip velcro straps
500ml, 10cm tubing lever tap
850356-000000
850355-000000
10
10
2800
2800
GU Black Butyl (or Latex) Rubber Kipper (SP, St. Peter's) Bags
Standard single chambered bag 568ml
0922/GU532
Ross type. As above, but with reinforced
0926/GU532/R
patches
Standard 568ml bag with box outlet tap
0924/GU532/LT
Standard 568ml bag with short neck for
0925/GU532/F
females
Standard 1136ml bag for night use
0923/GU532/40
Rubber bag for catheter drainage, short
neck leg strap
Female rubber drainage bag with conical mount
As above with web belt and looped support strap
Red Fox
Medical Ltd
Richardson S *
Healthcare
*
Ltd
*
*
*
*
*
Silca Leg Bags
350ml short tube
350ml long tube
500ml short tube
500ml long tube
750ml short tube
750ml long tube
Teleflex
Rusch Leg bag
350ml, 10cm tubing slide tap
S
446
List Price p
08/2016
Part IXB
LEG BAGS
Manufacturer
Appliance
Order No.
Quantity
UN222V
UN333V
UN333VL
UN444V
UN444VL
10
10
10
10
10
List Price p
Universal
Hospital
Supplies
S Unicorn leg bag
*
350ml short tube
*
500ml short tube
*
500ml long tube
*
750ml short tube
*
750ml long tube
Unomedical
Ltd
S Careline Leg Bag with tap outlet, overnight connection tube and elasticated velcro straps
*
350ml short tube
45-01 SVC
10
2611
*
350ml long tube
45-02 LVC
10
2611
*
500ml short tube
45-05 SVC
10
2589
*
500ml long tube
45-06 LVC
10
2589
*
750ml short tube
45-09 SVC
10
2589
*
750ml long tube
45-10 LVC
10
2589
S Careline Leg Bag with lever tap
*
500ml short tube
46-05-SVC
10
2589
*
500ml long tube
46-06-LVC
10
2589
*
750ml short tube
46-09-SVC
10
2736
*
750ml long tube
46-10-LVC
10
2736
1725
1744
1744
1764
1764
S Careline+ Leg Bag with tap outlet, overnight connection tube, 1 pair of non-latex gloves and
elasticated velcro straps (1 pair per box of 10)
*
350ml short tube (with gloves)
45-01-SVCG
10
2569
*
350ml long tube (with gloves)
45-02-LVCG
10
2569
*
45-05-SVCG
10
2548
*
45-06-LVCG
10
2548
*
45-09-SVCG
10
2548
*
45-10-LVCG
10
2548
S Careline+ Leg Bag with lever tap and 1 pair of non-latex gloves
*
46-05-SVCG
10
2548
*
46-06-LVCG
10
2548
*
46-09-SVCG
10
2693
*
46-10-LVCG
10
2693
Ward
Surgical
Appliance
Co
*
*
Kipper bag, black trans or white rubber
Leg drainage bag
350ml
500ml
750ml
WM64
10
2332
WM65
WM66
WM67
10
10
10
1126
1161
1230
Ward's Comfort Range
Leg drainage bag
350ml
500ml
750ml
WM68
WM69
WM70
10
10
10
1131
1163
1223
447
08/2016
Part IXB
NIGHT DRAINAGE BAGS
These bags are suitable for night-time use for the collection of urine from indwelling catheters or incontinence
sheaths. They are generally used in conjunction with a bag hanger which, being a nursing aid, is not
prescribable. Supply arrangements for bag hangers tend to vary throughout the country but they are normally
supplied through the community nursing service.
Note: The drainage bags listed below except non-drainable bags, have a life-in-use of, on average 5-7 days.
V Non-drainable bags
S These Night Drainage Bags are supplied sterile
U Single Use Only
*
Plastics
Manufacturer
Appliance
A1 Pharmaceuticals V
V
Uriline Non sterile 2 litre bag
Uriline Non sterile 2 litre bag with non-return
valve
Uriline 2 litre bag with non-return valve and
tap
S
B Braun Medical Ltd
Bard Ltd
#
S
U
Beambridge Medical
CliniSupplies Ltd
S
S
U
V
Order Quantity List Price p
No.
A1
10
205
A2
10
220
A4
10
1100
Urimed drainable night drainage bag, 2 litre
28300A
10
1715
Uriplan collection bag, 2 litre with 90cm inlet
tube and non-return valve
Uriplan drainage bag, 2 litre with 98cm inlet
tube, non-return valve and tap outlet
Uriplan One MT 2 litre bag with drainage tap
D8420
10
260
D813131
10
1323
D1MT
D1MT30
10
30
334
1003
2 litre drainage bag with wide bore tube &
lever tap with long inlet tube (formerly 2 litre
Drainage bag with wide bore tube & lever tap)
2 litre drainage bag with wide bore short 10cm
inlet tube and Lever tap outlet
2 litre drainage bag with wide bore short 10cm
inlet tube and T tap outlet
6-56
10
1539
6-57
10
1515
6-58
10
1515
Prosys Sterile 2 litre night bag with 90cm inlet
tube, non-return valve, sample port connector,
slide outlet tap and 1 pair of non latex gloves
Prosys Sterile 2 litre night bag with 90cm inlet
tube, non-return valve, sample port connector,
lever outlet tap and pair of non latex gloves
Prosys Non-sterile 2 litre night bag with single
use drainable tap
Prosys Non Sterile 2 litre night bag with 90cm
inlet tube and non-return valve
P2000
10
1196
P2000-LT
10
1196
PSU2
10
304
P2
10
205
448
Part IXB
08/2016
NIGHT DRAINAGE BAGS
Manufacturer
Appliance
Coloplast Ltd
Coloplast 2 litre night bag with 120cm antikink tubing
Conveen standard urine collection bag 1.5
litre
Simpla 2 litre S5 Urine drainage bag
Simpla 2 litre S4 Urine drainage bag long tube
Simpla 2 litre S2 Urine drainage bag with nonreturn valve with standard size connector
Simpla Plus 2 litre night bag with 120cm antikink tubing
Simpla Profile 2 litre Night Bag with lever lock
tap and 120cm anti-kink tubing
S
S
S
#
S
S
ConvaTec Ltd
Night drainage bag
Dansac Ltd
Dansac night drainage bag 2 litre
Flexicare Medical
Ltd
S
S
#
U
U
Great Bear
Healthcare Ltd
V
U
SU
S*
S*
Hollister Ltd
V
S
Flexicare F4, sterile 2 litre drainage bag with
100cm inlet tube, non-return valve and tap
outlet
Flexicare F4L, sterile 2 litre drainage bag with
100cm inlet tube, non-return valve and lever
tap outlet
Flexicare F2, 2 litre drainage bag with 100cm
Flexicare F2 EZ 2 litre drainage bag with
single use snap twist-off tap
Flexicare F2 EZB 2 litre drainage bag with
single use snap twist-off tap at bottom of bag
GB2 2 litre non-sterile night bag with nonreturn valve and anti-kink tubing
GB3 2 litre non-sterile night bag with nonreturn valve and single use T-tap
GB3S sterile single use 2 litre night bag with
single use T-tap
GB4 2 litre sterile night bag with tap, nonreturn valve, sample port and anti-kink tubing
GB4 FOLD UP 2 litre sterile drainable night
bag with a foldable lever action tap, nonreturn valve, sample port and star formed antikink tubing
Night drainage bag
2000ml (Non-Drainable)
Night drainage bag
2000ml (Drainable)
Hollister urostomy night drainage bag
449
No.
21365
10
1739
5063
10
1519
346145
10
1290
340805
320902
10
10
1428
288
21576
10
1776
21578
10
1743
S320
5
909
420-00
10
1283
00-1200
10
967
00-1201
10
987
00-2202C
10
214
00-2203C
10
327
00-2208C
10
300
10300S
10
266
10303V
10
330
10GB3S
10
573
10400W
10
1349
10402Y
10
1413
9651
10
260
9650
10
1316
5550
10
1220
08/2016
Part IXB
NIGHT DRAINAGE BAGS
Manufacturer
Appliance
No.
Jade-Euro-Med Ltd S
U
2 litre drainage bag with tap outlet
Jade J2S 2 litre drainage bag with tap outlet
2LNB
J2S
1
10
171
351
L.IN.C Medical
Systems Ltd
LINC-Flo non-sterile 2 litre overnight drainage
bag with 100cm inlet tube and non-return
valve
LINC-Flo sterile 2 litre overnight drainage bag
with 100cm inlet tube and non-return valve
LINC-Flo 2 litre drainage bag with T-tap,
120cm tube, non-return valve, antibacterial
filter, Pasteur drip chamber and integral
handle
LINC-Flo 2 litre drainage bag with Lever Tap,
filter, Pasteur drip chamber and integral
handle
LINC-Flo 2 litre drainage bag with T-tap,
filter and integral handle
LINC-Flo 2 litre drainage bag with Lever Tap,
filter and integral handle
LINC-Flo 3 litre drainage bag with non-return
valve
LINC-Flo Urinary Drainage Bag
LINC-Flo Urinary Drainage Bag with Lever
Tap
LM2LNS
10
211
LM2LS
10
263
TZ01
10
1607
TZ01-L
10
1607
TZ02
10
1205
TZ02-L
10
1205
LM3LS
10
520
SLC13
SLC13-L
10
10
944
944
Qufora Q4 2 litre drainable night bag with
120cm inlet tube, non-return valve, needle
free sample port connector, tube clamp T
valve tap and pair of non latex gloves
Qufora U4 2 litre drainable night bag with
120cm inlet tube, non-return valve, sample
port connector, tube clamp lever valve tap and
pair of non latex gloves
Qufora 2 litre drainable night bag, 120cm tube,
sample port, lever tap and pair of non-latex
gloves
Qufora 2 litre non-sterile night bag with 90cm
inlet tube
14853204
10
957
14823204
10
957
14851204
10
957
13803104
30
492
3 litre drainable night bag, lever tap, 130cm
inlet tube
3 litre night bag with 130cm inlet tube
Smartflow 2 litre drainable night bag, swing
tap, 120cm inlet tube and non return valve
Smartflow 2.6L drainage bag non sterile with
90cm kink resistant inlet tube
NB3D
10
1723
NB3ND
NB2
10
10
520
1672
NB26
10
526
U
SU
S
S
S
S
SU
S
S
MacGregor
Healthcare Ltd
S
S
S
NV
Manfred Sauer UK
Ltd
V
V
450
Part IXB
08/2016
NIGHT DRAINAGE BAGS
Manufacturer
Appliance
No.
Neovac 2000ml urine drainage bag with 90cm
Neomedic Ltd
S
NVB2
10
220
Optimum Medical
Solutions
UV Ugo 9 (non sterile 2 litre bag with tear top 9/NS/SU/DO
drainage)
U
Ugo 10 (non sterile 2 litre bag with single use 10/NS/SU/DO
T tap drainage)
SU Ugo 11 (sterile 2 litre bag with single use T tap
11/S/SU/DO
drainage)
S
Ugo 12 (sterile 2 litre bag with needle free
12/S/D/L
sample port and lever tap drainage)
S
Ugo 13 (sterile 2 litre bag with needle free
13/S/D/T
sample port and T tap drainage)
10
204
10
304
10
486
10
1196
10
1196
Pelican Healthcare V
Ltd
U
Red Fox Medical Ltd S
U
V
Richardson
Healthcare Ltd
S
Salts Healthcare
Teleflex
U
S
Pelican 2 litre night drainage bag with nonreturn valve
Pelican 2 litre night drainage bag with nonreturn valve and lever tap outlet
133100
10
280
133200
10
1402
Uriflo sterile 2 litre night drainage bag with
90cm inlet tube, non-return valve,
needle-free sample port connector and slide T
tap drain
Uriflo non sterile 2 litre night drainage bag with
90cm inlet tube, non return valve and single
use slide T tap drain
Uriflo non sterile 2 litre night drainage bag with
90cm inlet tube, non-return valve and tear top
drainage
F2000
10
1180
FSU2
10
300
F2
10
205
Silca Night Bags
710200
10
995
2 litre urine drainage bags
ZL0400
10
1444
2 litre non-sterile night bag with single use
drainable tap
Rusch Night Drainage Bag
2 litre slide tap
2 litre lever tap
850422
30
941
850420
850421
10
10
1062
1062
451
08/2016
Part IXB
NIGHT DRAINAGE BAGS
Manufacturer
Unomedical Ltd
Appliance
#
No.
45-30-LBC
10
230
45-40-LBC
10
245
45-20-IDC
10
1203
45-20-IDCG
10
1184
46-20-IDCG
10
1165
46-20-IDC
47-60-LBH
10
10
1184
335
Unomedical A4 2 litre sterile closed system 38 162 1S-20
bag with 120cm inlet tube and T tap outlet
30
3240
Ward Surgical
Appliance Co
2 litre drainage bag with outlet and non- outlet
WM71
10
1224
Welland Medical Ltd
Welland Night Drainage Bag with Easiflo 2
litre
ND700
5
725
#
S
S
S
S
U
S
Careline E1, 2 litre urine drainage bag with
90cm inlet tube
90cm inlet tube and non-return valve
90cm inlet tube and non-return valve and tap
outlet
Careline+ E4, 2 litre Night Bag with 103cm
inlet tube, non-return valve, T-tap outlet and
gloves
Careline+ E4, 2 litre Night Bag with 103cm
inlet tube, non-return valve, lever tap and
gloves
Careline E4 Night Bag, 2 litre with lever tap
Careline Easi MT 2 litre drainage bag with
90cm inlet tube, non-return valve and single
use twist off drainage outlet
452
08/2016
Part IXB
SUSPENSORY SYSTEMS
These appliances should not be confused with leg bag garments which are not prescribable. Each system
comprises a drainage bag with its means of support.
Note: The bags may be used for 5-7 days, sometimes longer, but the support systems will have a much longer
life.
disposal bags.
* Plastics
Manufacturer
Jade-Euro-Med Ltd
Appliance
o Portabag Left Hand Inlet
o Portabag Right Hand Inlet
Portabelt
o
o
o
o
Pioneer Medical Europe
Ltd
Teleflex
Quantity
JEPB/L
JEPB/R
JEPB/B
10
10
1
List Price p
1902
1902
968
NephSys: Nephrostomy drainage system
Contains 4x 500ml sterile drainage bags, 2x bag suspenders, 1x waist belt
Small belt (20cm inlet)
NephSys.01S
1
3648
Small belt (30cm inlet)
NephSys.01L
1
3648
Adult Belt (20cm inlet)
NephSys.02S
1
3648
Adult Belt (30cm inlet)
NephSys.02L
1
3648
NephSys: Replacement belts
Small
Adult
o
o
o
o
Order
No.
NephSys: 500ml sterile drainage bag
20cm inlet
30cm inlet
20cm inlet, twist tap
30cm inlet, twist tap
Hi N Dry Collection System
o Pouches
Support Brief
(S, M, L, XL, XXL)
o Rusch Belly Bag (includes belt)
(Each bag may be used for up to 28
days)
o Rusch Belly Bag with extended
drainage tubing
o Rusch Belly Bag with sample port
Rusch Belly Bag replacement belt
453
NSBelt.01
NSBelt.02
1
1
1968
1968
NS721.1720S
NS721.1730S
NS721.3720S
NS721.3730S
10
10
10
10
4199
4199
4159
4159
SCSP05
5
3446
SCSSB01
1
909
B1000
1
1062
B1000CT
1
1062
B1000P
P0337
1
1
1062
238
08/2016
Part IXB
TUBING AND ACCESSORIES
Manufacturer
Bard Ltd
Beambridge Medical
CliniSupplies Ltd
Coloplast Ltd
Appliance
Leg bag straps (washable)
Leg bag straps, Latex
Leg bag straps, foam/velcro
Urisleeve leg bag holder
Small (24-39cm)
Medium (36-55cm)
Large (40-70cm)
Extra Large (65-95cm)
Beambridge Adult Funnel Short
Beambridge Male Funnel
Beambridge Lady Funnel
Female Urinal Director/Positioner
Beambridge Mini Funnel Male Urinal
Director/Positioner
Beambridge Youth Funnel
Beambridge Extension Tube
Prosys Leg Bag Sleeve
Small (24-40cm)
Medium (36-50cm)
Large (40-65cm)
Soft elasticated cotton leg bag support
straps with silicone leg grip
Velcrobands (washable)
Aquasleeve
Small (leg circum. 24-33cm)
Standard (leg circum. 34-39cm)
Medium (leg circum. 40-46cm)
Large (leg circum. 47-64cm)
Extra Large (leg circum. 65cm+)
Elasticated leg bag straps (washable)
Simpla G-Strap
adult
abdominal
Covidien UK
Commercial Ltd
Argyle Penrose Tubing
6mm ID, length 44cm
8mm ID, length 44cm
10mm ID, length 44cm
DBT Medical Ltd
35.5cm connecting tube for drip urinal
Flexicare Medical
Ltd
Leg bag straps (pairs); washable, anti
slip with velcro fastening
454
Order No.
15LS
8440
8441
Quantity
10
20
20
List Price p
1460
295
561
150111
150121
150131
150141
4
4
4
4
814
814
814
805
6-37
6-35
6-40
1
1
1
1319
1319
1373
6-35M
1
1319
6-38
6-39
1
1
1319
270
PLS3881
PLS3904
PLS3928
P10LS
4
4
4
10
750
750
750
1269
5050
20
4296
783678
783680
783686
783694
783708
380812
4
4
4
4
4
10
841
841
841
841
824
1560
383001
383003
5
5
1429
1577
8888514604
8888514802
8888515007
8888515205
8888515403
8888515601
8888515809
50
50
50
50
50
50
50
3075
3075
3075
3075
3075
3075
3075
LM754136
1
309
00-0032C
10
1170
Part IXB
08/2016
Manufacturer
Forte Medical Ltd
G F Products
Great Bear
Healthcare Ltd
Hollister Ltd
Appliance
Peezy Midstream Universal standard
(urine collection kit for midstream
sample with 30ml bottle)
Peezy Midstream Universal with boric
acid (urine collection kit for midstream
Peezy Midstream Primary with boric
acid (urine collection kit for midstream
Peezy Midstream Primary standard
(urine collection kit for midstream
Safehold Straps
Pack of 2 Body straps with tube
holders
Pack of 2 longer life G Straps
Order No.
D950
Quantity
1
PE 41
1
99
PE 51
1
99
PE 50
1
99
B
1
127
LGS/2
1
196
GB Fix It strap
Short
10646C
5
Adult
10644A
5
Abdominal
10645B
5
Adjustable 150cm (Cut to fit)
10647D
5
Libra Leg Bag Holder
Small (30-45cm)
10660S
4
Medium (45-65cm)
10655M
4
Large (55-80cm)
10654L
4
X-Large (65-90cm)
10665X
4
Libra leg bag strap with non-slip silicone backing
Calf
10622C
10
Thigh
10637T
10
Mummy and Baby Bear Leg Bag Straps with non-slip silicone backing
30cm x 5cm
10633P
5
50cm x 5cm
10657P
5
Deluxe Leg bag straps
35cm (extra small)
38cm (small)
49cm (medium)
56cm (large)
Leg bag holsters
Small
Medium
Large
Leg bag straps, Elasticated and
washable
Leg bag straps
35.5cm (calf)
58.5cm (thigh)
455
List Price p
99
1410
1410
1543
1778
847
847
847
847
1394
1394
1400
1500
9663
9660
9661
9662
2
2
2
2
328
328
328
328
9612
9613
9614
9625
4
4
4
10
826
826
826
1401
9342
9343
2
2
333
333
Part IXB
08/2016
Manufacturer
Appliance
Jade-Euro-Med Ltd
Euro J-strap
Eurosleeve
Small (24-33cm)
Standard (34-39cm)
Medium (40-46cm)
Large (47-64cm)
Eurosleeve All in One
Small (24-39cm Yellow)
Medium (36-55cm Blue)
Large (40-70cm Brown)
Leg bag connecting tube with mount
Leg bag connecting tube
Velcro leg straps
Female connector for Mitcham bag
Rubber extension tube (with mounts)
Night bag connector
Spare "O" rings for pp urinal
Order No.
Quantity
JEJS
5
List Price p
1382
JES1
JES2
JES3
JES4
4
4
4
4
823
823
823
823
JES6
JES7
JES8
LBCTM
LBCT
VLS
WH566-01-G
WS152-01-M
WH533-01-C
WR045-01-R
4
4
4
1
1
2
1
1
1
5
825
825
825
286
166
214
256
572
155
146
JBOL Ltd
Whiz Cleancatch Midstream (Urine collection device for midstream sample)
with boric acid
C8B30
30ml
96
no boric acid
C830
30ml
94
Whiz Urine Director
ATD2002.1
1
872
Whiz Urine Director (with 10cm
ATD2004.10
1
1054
connecting tube)
MacGregor
Healthcare Ltd
Qufora Leg bag straps, latex free with
velcro fastening
Manfred Sauer UK
Ltd
K+ICS Sheath Expander
100.01
1
7152
(can only be used to expand Manfred Sauer K+ICS Sheaths over the penis to allow
for clean intermittant self catheterisation - see Incontinence Sheaths section this
publication for Manfred Sauer K+ICS Sheaths, order no. 103.nn).
K+ICS Sheath Tips
100.05
10
1785
(can only be used with Manfred Sauer K+ICS Sheaths - see Incontinence Sheaths
section of this publication for Manfred Sauer K+ICS Sheaths, order no. 103.nn.)
Leg Bag to Night Bag Latex Connectors
55.38-10
10
295
Leg Bag to Night Bag Latex Free
55.40-10
10
293
Connectors
Leg bag straps latex free
bottom (20mm x 400mm)
LB.BLF
1
123
narrow (20mm x 500mm)
LB.NLF
1
123
wide (38mm x 595mm)
LB.WLF
1
207
wide P (38mm x 595mm)
LB.P-5
5
1035
p.hold Penis Director/Positioner & Holder/Stretcher
Normal 2cm thick (blue)
PHN
1
370
Wide 4cm thick (green)
PHW
1
370
456
21100301
10
2050
08/2016
Part IXB
Manufacturer
Optimum Medical
Solutions
Appliance
Ugo fix Catheter Straps
Extra Short 35cm
Short 45cm
Medium 80cm
Long 130cm
Extra Long 180cm
Order No.
Quantity
3001
3002
3003
3009
3010
5
5
5
5
5
1250
1250
1380
1680
1880
Ugo fix leg bag straps
(45cm and 75cm pairs)
3011
10
1310
Ugo fix Sleeve Leg Bag Holder
Small (24-39cm)
Medium (36-55cm)
Large (40-70cm)
3005
3006
3007
3008
4
4
4
4
728
728
728
728
S G & P Payne
152mm Rubber extension tube
Non-Spill Adaptor
Velcro leg strap
Rubber leg strap
1201
1351
1001
1003
1
1
2
1
414
721
227
144
Red Fox Medical Ltd
Uriflo soft elasticated cotton leg bag
support straps with silicone leg grip
F10LS
10
1252
Uriflo Catheter Retaining Strap
Rochester Medical
Ltd
Loc-Strap catheter retaining strap
Shewee Ltd
Shewee Urine Director
Teleflex
Teleflex velcro straps (pair)
U-drain Ltd
U-drain consumable pack
(contains connecting tubes (with
straight connectors), syringes, bed
clips and emergency night drainage
bags)
U-drain consumable pack
(contains connecting tubes,
syringes, bed clips and emergency
night drainage bags)
Unomedical Ltd
Careline CareSleeve
Small (30-45cm)
Medium (45-65cm)
Large (55-80cm)
Careline leg bag straps
457
List Price p
FCS-05
5
1397
49999
5
1410
SW01
1
275
850360-420025
1
270
U/D-CTN-002
1
6500
U/D-CTN-003
1
6500
46-LS-01
46-LS-03
46-LS-05
46-LS-07
45-85-EX
4
4
4
4
10
827
827
827
827
1435
08/2016
Part IXB
URINAL SYSTEMS
The devices listed below are specialist appliances which comprise several components and need to be correctly
fitted by someone competent to do so. Generally patients should have 2 appliances, one to wear and one to
wash.
Note: In general the individual components can be prescribed separately for replacement purposes. With proper
care and cleansing, each appliance should last for 6 months.
Products marked with the following symbol o in this category must be dispensed with a supply of wipes
and disposal bags.
Manufacturer
Bard Ltd
Beambridge
Medical
Appliance
Maguire urinal and adaptor
waist sizes
66-81 cm
81-96 cm
96-112 cm
Maguire adaptor & tubing
Bridge Saddle urinal
Bridge urinal
Bridge urinal with tap
o Beambridge Bottle Bag
o Beambridge Bottle Bag without tap
o Beambridge Drainage Bags for use with
Beambridge Urinals
Beambridge Lady Jug
Beambridge Pod with tap
Beambridge Pod without tap
Male Draining Jug
Male Draining Jug with tap
Male Urine Bottle (closed end)
Order No.
Quantity
List Price p
050802
050803
050804
600532
1
1
1
7061
7061
7061
942
6-26
6-18
6-18T
6-80
6-85
6-55
1
1
1
10
10
10
1428
1428
1428
2940
2940
1539
6-45
6-60T
6-60
6-50
6-50T
6-51
1
1
1
1
1
1
1537
1428
1428
1428
1428
1388
C S Bullen Ltd
o Acti-Brief Plus Male Urine Collection System with 10 pouches
Sizes S, M, L, XL, XXL
Flange size
20mm
ABPlus/18/20
1
4033
25mm
ABPlus/18/25
1
4033
27.5mm
ABPlus/18/27.5
1
4033
30mm
ABPlus/18/30
1
4033
32.5mm
ABPlus/18/32.5
1
4033
35mm
ABPlus/18/35
1
4033
40mm
ABPlus/18/40
1
4033
o Replacement pouches for ABPlus18
SPlus18
15
3256
o Original acti brief uri-drain system with 10 pouches (formerly Acti-Brief Uri-Drain System
with 10 pouches)
Sizes S, M, L, XL
Flange size
20mm
AB/18/20
1
2477
25mm
AB/18/25
1
2477
27.5mm
AB/18/27.5
1
2477
30mm
AB/18/30
1
2477
32.5mm
AB/18/32.5
1
2477
35mm
AB/18/35
1
2477
40mm
AB/18/40
1
2477
o Uri-Drain System with 10 pouches
Flange Size
20mm
LU18/20
1
2477
25mm
LU18/25
1
2477
27.5mm
LU18/27.5
1
2477
30mm
LU18/30
1
2477
32.5mm
LU18/32.5
1
2477
35mm
LU18/35
1
2477
40mm
LU18/40
1
2477
o Replacement pouches for LU18
SP18
15
2582
C&G Medicare Ltd
Urox Starting Kit
Urox Cup (S,M,L,XL)
o Urox Gaiter (S,M,L,XL)
Urox Fixation Pants (S,M,L,XL)
Urinal Systems
458
5011
1011-1014
2011-2014
3011-3014
1
1
1
1
5000
2950
1500
1250
08/2016
Part IXB
URINAL SYSTEMS
Manufacturer
DBT Medical Ltd
Appliance
Thames urinal with standard bag and
connecting tube
Thames urinal with long bag and
connecting tube
Severn urinal with standard bag and
connecting tube
Severn urinal with 5 plastic bags and
connecting tube
Mersey urinal with 5 plastic bags and
connecting tube
'55' male urinal
Spare sheaths for' 55' urinal
Stoke Mandeville Pattern
Male urinal
20mm sheath
24mm sheath
25mm sheath
28mm sheath
32mm sheath
35mm sheath
38mm sheath
42mm sheath
45mm sheath
48mm sheath
51mm sheath
54mm sheath
57mm sheath
60mm sheath
63mm sheath
Spare sheaths on request
Sahara one-piece top PP urinal
with small rubber collection bag
Paed
with 5 small plastic collection bags
Paed
with standard collection bag and
connection tube
Standard
with long collection bag and
connection tube
Standard
with five medium collection bags
and connection tube
Standard
with standard rubber bag and
connection tube
Large
with long rubber bag and
connection tube
Large
with five medium plastic bags and
connection tube
Large
459
Order No.
LM751100
Quantity
1
List Price p
8999
LM751102
1
8998
LM752120
1
8999
LM752124
1
8999
LM753224
1
8999
LM756200
LM756212
1
6
8863
4019
LM754001
LM754002
LM754003
LM754004
LM754005
LM754006
LM754007
LM754008
LM754009
LM754010
LM754011
LM754012
LM754013
LM754014
LM754015
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
8999
8999
8999
8999
8999
8999
8999
8999
8999
8999
8999
8999
8999
8999
8999
1
768
LM755109
1
8578
LM755110
1
8578
LM755120
1
8578
LM755130
1
8578
LM755140
1
8578
LM755150
1
8578
LM755160
1
8578
LM755170
1
8578
Part IXB
08/2016
URINAL SYSTEMS
Manufacturer
DBT Medical Ltd
Appliance
Peoplecare PP Male urinal:
PP flange 25mm child
Sheath size
13mm
16mm
19mm
Sheath size
22mm
25mm
Sheath size
19mm
22mm
25mm
PP flange 38mm adult
Sheath size
19mm
22mm
25mm
29mm
32mm
PP flange 44mm adult
Sheath size
35mm
38mm
41mm
PP Standard bag
Medium
Large
PP Curved Top
Small
Meduim
Large
PP Straight Top
Small
Meduim
Large
Ex-large
o Transverse rubber bag with tap for
above urinal
Double based PP Flange for above urinal
Rubber pubic flange, adult, for above urinal
Ellis, Son &
Paramore Ltd
Hallam Modular Urinals
o Spare bag
Spare belt
Hollister Ltd
o Retracted Penis Pouch
o Retracted Penis Pouch with Flextend Skin
Barrier
Urinal Systems
460
Order No.
Quantity
List Price p
LM844113
LM844116
LM844119
1
1
1
2786
2786
2786
LM845122
LM845125
1
1
2786
2786
LM845219
LM845222
LM845225
1
1
1
2786
2786
2738
LM846319
LM846322
LM846325
LM846329
LM846332
1
1
1
1
1
2786
2786
2786
2786
2786
LM847435
LM847438
LM847441
1
1
1
2786
2786
2786
LM881002
LM881003
1
1
1438
1782
LM874101
LM874102
LM874103
1
1
1
1085
1085
1085
LM875211
LM875212
LM875213
LM875214
LM881001
1
1
1
1
1
1085
1085
1085
1085
2944
LM846350
LM854229
1
1
2786
3212
NS200
NS200(a)
NS200(b)
1
1
1
3100
165
368
9811
9873
10
10
2941
2890
08/2016
Part IXB
URINAL SYSTEMS
Manufacturer
iMEDicare Ltd
Appliance
Afex Active
Afex Mobility
Assisted
Afex Sedentary
S, M, L, XL, 2X, 3X
S, M, L, XL, 2X, 3X
S, M, L, XL, 2X, 3X
Order No.
A100-S-08 A100-3X-08
A120-S-08 A120-3X-08
A110-S-08 A110-3X-08
Quantity
1
The above kits contain a combination of the following components:
Brief
Extra Small
A200-XS-08
Small
A200-S-08
Medium
A200-M-08
Large
A200-L-08
XL
A200-XL-08
2X
A200-2X-08
3X
A200-3X-08
Low Receptacle
A300-L-08
Low Supersoft Receptacle
A300-S-08
High Receptacle
A300-F-08
Urine Collection Bag
o 500ml
A400-B-08
o 500ml (vented)
A400-V-08
o 1200ml
A400-L-08
o 1500ml
A400-E-08
o 2000ml
A400-X-08
Tube Assembly Complete
A700-A-08
Tube Stabilizer
A700-S-07
Collection Bag Stabilizer (high grip)
A710-S-09
Leg Bag Holder Black
A800-B-07
White
A800-W-07
Afex Noctura Bed Bag Configuration Supplemental Kit
A140-N
Afex Noctura Leg Bag Configuration Supplemental Kit
A130-N
Jade-Euro-Med
Ltd
List Price p
5628
1
7535
1
5628
1
1
1
1
1
1
1
1
1
1
890
890
890
890
890
890
890
2999
2999
2999
1
1
1
1
1
1
1
1
1
1
1739
1739
1899
1899
1899
1099
399
399
1299
1299
1
1300
1
1099
Aquadry cones for use with pubic pressure flanges
Straight
Small
787140
1
1398
Medium
787159
1
1398
Large
787167
1
1398
Curved
Small
787175
1
1398
Medium
787183
1
1398
Large
787191
1
1398
Aquadry pubic pressure flange with rubber understraps
Child
12mm
787000
1
3234
15mm
787019
1
3234
18mm
787027
1
3234
22mm
787035
1
3234
25mm
787043
1
3234
Adult
25mm
787078
1
3332
29mm
787086
1
3332
32mm
787094
1
3332
35mm
787108
1
3332
38mm
787116
1
3332
41mm
787124
1
3332
44mm
787132
1
3332
Aquadry pubic pressure urinal 1 all-in-one appliance with pressure ring, tapered inner
sleeve trimmed to fit and rubber understraps
470856
1
6764
Aquadry pubic pressure urinal 2 all-in-one appliance with pressure ring, diaphragm and
rubber straps
25mm
785709
1
6764
32mm
785717
1
6764
38mm
785725
1
6764
461
Part IXB
08/2016
URINAL SYSTEMS
Manufacturer
Jade-Euro-Med
Ltd
Appliance
Order No.
Quantity List Price p
Aquadry pubic pressure urinal 3 all-in-one appliance with pressure ring, diaphragm and
scrotal support
25mm
785733
1
6764
32mm
785741
1
6764
38mm
785768
1
6764
Aquadry urinal all-in-one appliance with inner sheath and rubber understraps
29mm
784001
1
6764
32mm
784028
1
6764
35mm
784036
1
6764
38mm
784044
1
6764
41mm
784052
1
6764
Rubber leg bag connecting tube with female attachment for urinal
785776
1
340
Male urinals - all fitted with taps
Day and night use urinal with diaphragm,
Fig 4A
1
6314
Scrotal support and bag.
STATE SIZE OF DIAPHRAGM
Urinal with waistband,
Fig 5
1
7684
Scrotal support complete with
inner sheath and bag
Adult male urinal with pressure ring,
Fig 101
1
6832
diaphragm, rubber understraps.
STATE SIZE OF DIAPHRAGM
Day and night urinal with pressure
Fig 104
1
7500
ring, inner sheath, waistband
and understraps.
STATE SIZE OF SHEATH
Day and night urinal with sheath,
Fig 105
1
7275
waistbelt, understraps and
plastic bag
Urinal with inner sheath, rubber
Fig 106
1
6742
understraps and plastic bag.
STATE SIZE OF SHEATH
Day and night urinal, scrotal support
Fig 107
1
6478
and plastic bag
Day and night urinal to contain penis and
Fig 111A
1
6346
scrotum, fitted with inner sheath and
diaphragm complete with bag
Male jockey appliance with bag.
M200
1
6757
STATE WAIST SIZE
Replacement belt for above.
JB/200
1
1327
STATE WAIST SIZE
o Plastic bags
o Rubber bag
Stoke Mandeville replacement
sheath (state size of sheath)
Male PP urinal with 5 plastic
bags (state size of sheath)
Spare parts for PP Urinals:
Flange with sheaths, state size
Cone - small straight
Cone - small curved
Cone - medium straight
Cone - medium curved
Cone - large straight
Cone - large curved
Cone - ex-large straight
462
OLBWT(L)
RB/M200
SMS
5
1
1
1702
2838
708
PP2
1
7219
PP3
PP4
PP5
PP6
PP7
PP8
PP9
PP10
1
1
1
1
1
1
1
1
3584
1421
1421
1421
1421
1421
1421
1421
08/2016
Part IXB
URINAL SYSTEMS
Manufacturer
Jade-Euro-Med
Ltd
Appliance
o Plastic bag small
Order No.
OLBWT(S)
Quantity
5
o Plastic bag large
o Rubber bag with air vent for use with all
Jade-Euro-Med urinals
OLBWT(L)
PP13
5
1
1702
2782
Progress long life plastic urinal bags
pk 10
Progress long life plastic scrotal urinal bags
pk 10
M700
1
3030
M800
1
3030
Fridjohn urinal
M600
1
9060
1-piece belt, incorporating double based
flange and bag
1-piece belt, with flange and 5 plastic bags
KM28
1
6143
KM29
1
6143
Male PP urinal, child, with integral flange
Plastic bag:
Curved cone
Medium
WR013-01-R
1
7399
Replacement PP flange with integral
sheath for child pp urinals:
Sheath 22mm Flange 25mm
Sheath 25mm Flange 32mm
WS025-22-L
WS032-25-K
1
1
4166
4166
Replacement curved rubber cone top for above urinals
Small
WS130-01-S
Medium
WS130-03-W
Large
WS130-05-B
1
1
1
1761
1761
1761
Replacement straight rubber cone top for above urinals
Medium
WS135-03-T
Large
WS135-05-X
Ex-large
WS135-07-C
1
1
1
1761
1761
1761
Replacement double-based PP flange
child 32mm opening
adult 38mm opening
adult 44mm opening
WS160-32-V
WS160-38-J
WS160-44-D
1
1
1
3723
3723
3723
Chailey male urinal, adolescent/adult with
rubber bag
plastic bag
WP100-01-P
WP105-01-L
1
1
6982
8845
463
List Price p
1702
Part IXB
08/2016
URINAL SYSTEMS
Manufacturer
Jade-Euro-Med
Ltd
Appliance
Order No.
Quantity
Spares for Chailey urinals 1 piece curved top with integral sheath and
under-straps
child 22mm sheath
WS200-22-R
1
adult 22mm sheath
WS202-22-A
1
adult 25mm sheath
WS202-25-G
1
adult 29mm sheath
WS202-29-Q
1
adult 32mm sheath
WS202-32-D
1
adult 35mm sheath
WS202-35-K
1
adult 38mm sheath
WS202-38-R
1
adult 44mm sheath
WS202-44-L
1
- rubber belt
61cm
66cm
71cm
76cm
81cm
86cm
91cm
97cm
102cm
107cm
112cm
117cm
List Price p
4659
4659
4659
4659
4659
4659
4659
4659
WS101-61-A
WS101-91-26
WS101-91-28
WS101-91-30
WS101-91-32
WS101-91-34
WS101-91-36
WS101-91-38
WS101-91-40
WS101-91-42
WS101-91-44
WS101-91-46
1
1
1
1
1
1
1
1
1
1
1
1
687
687
687
687
687
687
687
687
687
687
687
687
o - rubber bags (suitable also for PP and
WS110-01-G
o Chiron urinals)
WS110-05-Q
- plastic bags (suitable also for PP urinals & Chiron urinals)
o
wide neck
WS120-10-N
o
adult
WS120-05-V
o
child
WS120-01-M
1
1
2216
3036
1
1
1
457
457
457
WP001-01-M
WP003-01-V
WP005-01-E
WP011-01-S
WP013-01-B
WP015-01-K
1
1
1
1
1
1
8646
8646
8646
8170
8170
8170
WS038-19-R
WS038-22-E
WS038-25-L
WS038-29-U
WS038-32-H
WS038-35-P
WS038-38-V
WS038-41-J
1
1
1
1
1
1
1
1
4166
4166
4166
4166
4166
4166
4166
4166
Male PP urinal, adult, with double-based flange
- rubber bag
WP031-01-D
- plastic bag - various sizes
WP035-01-V
WP041-01-J
1
1
1
8769
8170
8170
Male PP urinal, adult, with integral flange
rubber bag - various sizes
plastic bag - various sizes
Replacement PP flange for above
464
19mm
22mm
25mm
29mm
32mm
35mm
38mm
41mm
08/2016
Part IXB
URINAL SYSTEMS
Manufacturer
Jade-Euro-Med
Ltd
Appliance
Rubber bag with vent tube for PP urinals
o
adult
o Rubber double bag, adult,
for PP urinals
Stoke Mandeville sheath type urinal
Stoke Mandeville double
rubber bag urinal
Replacement sheaths
o Replacement bag for WP113
Order No.
Quantity
List Price p
WS140-05-G
WS140-08-N
1
1
3635
3893
WP110-01-U
WP113-01-H
1
1
7988
10381
WS160-02-L
WS140-07-L
10
1
479
3893
WS162-22-B
WS162-25-H
WS162-29-R
WS162-32-E
WP124-01-S
1
1
1
1
1
1089
1089
1089
1089
7189
WP130-25-V
WP130-38-F
WP133-25-J
WP133-32-F
WP133-38-T
1
1
1
1
1
6503
6503
6503
6503
6503
WP145-01-H
1
3721
WP148-01-V
1
5402
WS168-25-J
WS168-29-S
WS107-08-W
1
1
1
687
687
1615
WS145-01-U
1
4107
URIbag
1
1419
URIbagF
1
1419
Replacement sheath for WP113
22mm
25mm
29mm
32mm
Chiron male rubber urinal with
webbing belt
*
Surrey model L/weight urinal
L- MK I
25mm
38mm
L - MK II
25mm
32mm
38mm
* Replacement bags for the Surrey Urinal can be found on page 673
Chiron male plastic urinal
(rubber sheaths)
Chiron geriatric urinal
(film type sheaths)
Replacement sheaths for WP145 & WP151
25mm
29mm
Replacement net suspensory
for WP107, WP129 & WP145
o Transverse rubber bag &
stopcock (child)
Manfred Sauer UK
Ltd
URIbag pocket sized (when not in use)
reusable urinal for men & urinary/ostomy
appliance users, 1.1 Litre capacity
URIbag F pocket sized
(when not in use) reusable urinal for
females, 1.2 Litre capacity
Urinal Systems
465
Part IXB
08/2016
URINAL SYSTEMS
Manufacturer
Appliance
S G & P Payne
Male Incontinence Appliance with rubber belt
MK 1
- with combined rubber flange &
understraps
MK 2
- with rubber flange & fabric
facepiece
MK 3
- with combined rubber flange
understraps and coned top
Lightweight male Incontinence Appliance
MK 4
- with fabric facepiece & separate
long flanged plastic bag with foam
pad
MK 5
- with fabric facepiece separate
flange & long flanged plastic bag
with material facepiece and belt
MK 6
- with combined flange &
understraps& long flanged plastic
bag & rubber belt
MK 7
- with flange material flange support
reinforced coned top and plastic or
rubber bag
MK 8
- with flange material flange support
long plastic bag
MK 9
- with rubber flange & wide belt with
scrotal support
MK 10 - with flange support with wide belt
& scrotal support separate flange &
long flanged plastic bag
MK 11 - with flange
soft replaceable diaphragm material
facepiece with belt and adjustable
rubber understraps soft coned top
plastic or rubber bag
MK 12 - with flange
soft replaceable diaphragm material
facepiece with belt and adjustable
rubber understraps long plastic bag
Order No.
Quantity
0001
1
7647
0002
1
8222
0003
1
6786
0004
1
4847
0005
1
6809
0006
1
5971
0007
1
8568
0008
1
7157
0009
1
8568
0010
1
7156
0011
1
8568
0012
1
7157
Replacements for above appliances
Rubber flange with - feathered diaphragm (MK2,MK5,MK9,MK10)
Medium 32mm
0511
1
Large 38mm
0512
1
Ex-large 45mm
0513
1
and understrap (MK1,MK6)
Small 25mm
0501
1
Medium 32mm
0502
1
Large 38mm
0503
1
Ex-large 45mm
0504
1
Feathered diaphragm &
0560
1
combined reinforced top
466
List Price p
2215
2215
2215
3428
3428
3428
3428
3888
08/2016
Part IXB
URINAL SYSTEMS
Manufacturer
S G & P Payne
Appliance
Order No.
Quantity
0516
0517
1
1
2215
2215
0519
3
552
0430
1
2567
Reinforced cone top (MK1,MK2,MK9)
Small - to fit 25mm flange
Medium - to fit any size flange
Large - to fit any size flange
0601
0602
0603
1
1
1
1489
1489
1489
Soft coned top (MK11)
0619
1
1490
0801
5
1870
0901
1
2253
0101
0102
1
1
483
966
0201
0202
0203
0204
0205
0206
1
1
1
1
1
1
1022
1022
1022
1022
1022
1022
0301
1
715
Flange support with wide belt & scrotal support (MK9,MK10)
Small - Waist size 70/80cm
0420
Medium - Waist size 80/90cm
0421
Large - Waist size 90/100cm
0422
1
1
1
2913
2913
2913
Material flange support (MK7, MK8)
70cm
75cm
80cm
85cm
90cm
95cm
100cm
105cm
110cm
1
1
1
1
1
1
1
1
1
2912
2912
2912
2912
2912
2912
2912
2912
2912
Rubber flange 38mm (MK11 MK12)
Rubber flange 45mm (MK11,
MK12)
Soft replaceable rubber diaphragms
(MK11, MK12)
Material facepiece with belt & loop
(MK2,MK4,MK5)
o Plastic bag
(MK1,MK2,MK3,MK7,MK9,MK11)
o Rubber bag
Rubber belt (MK1, MK3, MK6)
o Rubber belt (MK1, MK3, MK6) Extra Large
Elastic belt (MK1,MK3,MK6)
Waist size 70cm
Waist size 75cm
Waist size 80cm
Waist size 85cm
Waist size 90cm
Waist size 95cm
Web belt (MK1,MK3,MK6)
467
0401
0402
0403
0404
0405
0406
0407
0408
0409
List Price p
Part IXB
08/2016
URINAL SYSTEMS
Manufacturer
S G & P Payne
Appliance
Night connector
Long flanged plastic bag
(MK5,MK6,MK8,MK10,MK12)
o
38mm - to fit 32/38mm flange
o
45mm - to fit 45mm flange
Order No.
0701
Quantity
1
0811
0812
5
5
2532
2532
0821
1
574
0822
1
574
Material facepiece with belt and adjustable rubber understraps
(MK11, MK12)
Small
0414
Medium
0415
Large
0416
1
1
1
2912
2912
2912
with foam pad (MK4)
o 38mm - to fit 32/38mm
flange
o 45mm - to fit 45mm
flange
List Price p
483
Material facepiece with support belt, loop
and scrotal (MK2,MK4,MK5)
0441
1
2913
Incontiaid Reuseable Urinal Bottle
Payne's Male Urine Director
Payne’s Female Urine Director
PP Urinal Complete with rubber
bag/plastic bag
1350
0630
0631
0019
1
1
1
1
945
2736
2737
7647
0520
0521
0522
0523
1
1
1
1
3428
3428
3428
3428
0524
0525
1
1
3428
3428
0526
0527
1
1
3428
3428
0528
0529
0530
1
1
1
3428
3428
3428
0620
0621
0622
1
1
1
1489
1489
1489
0623
0624
0625
1
1
1
1489
1489
1489
Pubic Pressure Flange
25mm with 13mm sheath
17mm sheath
19mm sheath
22mm sheath
32mm with
22mm sheath
25mm sheath
38mm with
29mm sheath
32mm sheath
45mm with
35mm sheath
38mm sheath
42mm sheath
Coned Top
Straight
Small for 25mm flange
Medium for any size flange
Large for any size flange
Curved
Small for 25mm flange
Medium for any size flange
Large for any size flange
468
08/2016
Part IXB
URINAL SYSTEMS
Manufacturer
S G & P Payne
Appliance
o Rubber bag with vent tube
Order No.
0910
Quantity
1
Reinforced cone top with vent tube
Small
Medium
Large
0610
0611
0612
1
1
1
1959
1959
1959
Stoke Mandeville condom urinal complete
0020
1
6311
Spares for above:
o
Kipper bags
Rubber tube & connector
0920
0712
1
1
3550
275
Rubber tubing 1m length
8mm Latex
Red
10mm Latex
Red
1203
1204
1205
1206
1
1
1
1
1271
1271
1271
1271
Dry incontinence sheaths
plain end
teated end
1101
1106
100
100
1836
1819
Nylon connectors
GU
SM
0711
0710
1
1
161
161
0021
0022
1
1
6580
8163
0711
0710
0712
1
1
1
161
161
275
0304
0305
0306
1
1
1
753
753
753
Male urinal with long narrow bag, web belt
and cotton suspensory bag
IU/365
1
6443
Male urinal for day use, the receiver to
contain the penis and scrotum, web waist
band and tape understraps
IU/11
1
5912
Male urinal for night use, similar to IU/11 but
the receiver designed for use in bed
IU/12
1
5912
Male urinal for day and night use, short
rubber bag, detachable bag and night tube,
web belt and cotton suspensory bag
IU/43
1
4928
IU/1458
1
622
80-3360934-134
1
1000
GU Pattern Stoke Mandeville Condom Set
As above with 1136ml bag
Replacement parts for above urinals
Kipper bags - see Leg Bags
Nylon studs - GU
- SM
Nylon stud with latex tube
Adjustable web belt
Waist size up to 95cm
o Replacement suspension
medium & large
Rubicon
Healthcare
bag
Uriwell
469
-
small,
List Price p
2704
Part IXB
08/2016
URINAL SYSTEMS
Manufacturer
Salts Healthcare
Ward Surgical
Appliance Co
Appliance
Male PP urinal
P- rubber bag
P- plastic bag (4)
Spare parts for above urinal
25mm flange
18mm sheath
32mm flange
25mm sheath
38mm flange
18mm sheath
22mm sheath
25mm sheath
29mm sheath
32mm sheath
44mm flange
35mm sheath
38mm sheath
Cone - small straight
small curved
medium straight
medium curved
large curved
ex-large straight
Pubic Pressure Flange Belt
- plastic bags
o
adult
- rubber bag
o
adult
o
child
o
transverse
- belt
Jockey Male Urinal
Day use, covered bag complete with belt
suspensory and thigh strap
Male urinal Day and night use with long bag
and belt
Paraplegic male urinal
Stoke Mandeville Pattern
Male PP urinal plastic bag (4)
Replacement for above
PP flange
PP cone
o
Rubber bag
o
Plastic bag
Day and night use, long tube rubber bag with
air vent, complete with belt and thigh strap
o Male dribbling bag and tapes
Day and night use, short covered bag
Day and night use, short bag & belt
Male urinal - sheath and suspensory with
short covered bag
Male urinal - sheath and suspensory with
long covered bag
Night urinal with long tube
Webbing Belt
Elastic leg strap
470
Order No.
Quantity
List Price p
ZL0001
ZL0001
1
1
6170
6170
ZL0053
1
2933
ZL0059
1
2933
ZL0060
ZL0061
ZL0062
ZL0063
ZL0064
1
1
1
1
1
2933
2933
2933
2933
2933
ZL0065
ZL0066
ZL0100
ZL0101
ZL0102
ZL0103
ZL0105
ZL0106
ZL0034
1
1
1
1
1
1
1
1
1
2933
2933
1305
1305
1305
1305
1305
1305
2575
ZL0152
4
1435
ZL0155
ZL0154
ZL0153
ZL0010
1
1
1
1
1435
1435
1435
437
WM27
Fig 4
1
1
7314
4671
Fig 105
1
5004
Fig 110
1
6839
WM18
WM21
1
1
6571
5425
WM22
WM23
WM24
WM26
Fig 6
1
1
1
1
1
2809
1110
1521
304
5333
Fig 9
Fig 101
Fig 106
WM56
1
1
1
1
2170
5004
5004
5457
WM57
1
5457
WM59
WM102
WM103
1
1
10
2637
924
528
08/2016
Part IXB
MANUFACTURERS' ADDRESSES AND TELEPHONE NUMBERS
(INCONTINENCE APPLIANCES)
A1 Pharmaceuticals PLC, Unit 20 and 21 Easter Park, Beam Reach, Ferry Lane South, Rainham, Essex,
RM13 9MP (01708 528900)
B. Braun Medical Ltd, Thorncliffe Park, Sheffield, S35 2PW (0114 225 9000)
Bard Ltd, Forest House, Brighton Road, Crawley, West Sussex, RH11 9BP (01293 527888)
Beambridge Medical, 46 Merrow Lane, Burpham, Guildford, Surrey, GU4 7LQ (01483 827696)
Bio Diagnostics, Upton Industrial Estate, Rectory Road, Upton-upon-Severn, Worcestershire, WR8 0LX
(01684 592262)
Charles S Bullen (Stomacare) Ltd, Glacier Buildings, Brunswick Business Park, Harrington Road, Liverpool,
L3 4BH (0800 888 501)
C&G Medicare Ltd, WR King accountants, 44 Victoria Gardens, Neath, SA11 3BH (0871 2181233)
CliniMed Ltd, Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks, HP10 9QY
(01628 850100)
CliniSupplies Ltd, Qualitas House, 100 Elmgrove Road, Harrow, Middlesex, HA1 2RW (0208 8634168)
Coloplast Ltd, Peterborough Business Park, Peterborough, PE2 6FX (01733 392000)
ConvaTec Ltd, GDC First Avenue, Deeside Industrial Park, Deeside, Flintshire, CH5 2NU (01244 584000)
Covidien UK Commercial Ltd, 154 Fareham Road, Gosport, Hampshire, PO13 0AS (01329 224000)
Dansac Ltd, James Hall, St Ives Business Park, Parsons Green, St Ives, Cambridgeshire, PE27 4AA
(01480 484300)
DBT Medical Ltd, 14 Eagle Industrial Estate, The Crofts, Witney, OX28 4DJ (01993 773673)
Ellis, Son & Paramore Ltd, Spring Street Works, Sheffield, S3 8PD (0114 2738921/221269)
Flexicare Medical Ltd, Cynon Valley Business Park, Mountain Ash, Mid-Glamorgan, CF45 4ER (01443 474647)
Forte Medical Ltd, 12 Tabernacle Court, 16-28 Tabernacle Street, London, EC2A 4DD (020 7683 1964)
GF Products, 3 Newnham Lane, Burwell, Cambridgeshire, CB5 0EA
GP Supplies Ltd, Unit 1 behind AMC House, 12 Cumberland Avenue, Park Royal, London, NW10 7QL
(0845 458 4040)
Great Bear Healthcare Ltd, Cardiff Business Park, Cardiff, CF14 5GF (029 2074 7770)
GTA (UK) Ltd, 34 Nottingham South Industrial Estate, Ruddington Lane, Wilford, Nottingham, NG11 7EP
(0115 9815703)
Hollister Ltd, Rectory Court, 42 Broad Street, Wokingham, Berkshire, RG40 1AB (0118 989 5000)
(Retail Pharmacy Order Line 0800 521392)
Hospital Management & Supplies Ltd, Salthouse Road, Brackmills, Northampton, NN4 OU4 (01604 704600)
Hunter Urology Ltd, 1 The Stable Yard, Woodhayes, Honiton, Devon, EX14 4TP (01404 44088)
iMEDicare Ltd, Unit 11, Shakespeare Industrial Estate, Shakespeare Street, Watford, WD24 5RR
(01923 237795)
Jade-Euro-Med Ltd, Unit 14, East Hanningfield Industrial Estate, Old Church Road, East Hanningfield,
Chelmsford, Essex, CM3 8BG (01245 400413)
JBOL Ltd, 1 Folly Bridge, Oxford, OX1 4LB (01865 240572)
JLJ Healthcare Ltd, Number One 61 Whitehall Road, Halesowen, West Midlands, B63 3JS (0121 6023943)
471
Part IXB
08/2016
MANUFACTURERS' ADDRESSES AND TELEPHONE NUMBERS (INCONTINENCE APPLIANCES)
L.IN.C Medical Systems Ltd, 7 Kingsley Street, Leicester, LE2 6DY (01572 717515)
MacGregor Healthcare Ltd, Elvingston Science Centre, By Gladsmuir, East Lothian, EH33 1EH (0845 5192040)
Malvern Medical Developments Ltd, Unit 10, Northbrook Close, Worcester, WR3 8BP (01905 731343)
Manfred Sauer UK Ltd, Unit 3 io Centre, Lodge Farm, Northampton, NN5 7UW (01604 588090)
Medasil (Surgical) Ltd, Medasil House, Hunslet Road, Leeds, LS10 1AU (0113 2433491)
Mediplus Ltd, Unit 7 The Gateway Centre, Coronation Road, Cressex Business Park, High Wycombe,
Buckinghamshire, HP12 3SU (01494 551200)
Mediwatch UK Ltd, Swift House, Cosford Lane, Rugby, CV21 1QN (01788 547888)
Neomedic Ltd: distributed by GP Supplies Ltd
Optimum Medical Solutions, 47 Park Square East, Leeds, LS1 2NL (08456 435479)
S G & P Payne, Glacier Buildings, Brunswick Business Park, Harrington Road, Liverpool, L3 4BH (0800 888 501)
Peak Medical Ltd, Unit 4 Manor Farm Barns, Cornbury Park, Finstock, Oxfordshire, OX7 3DG (01608 811690)
Pelican Healthcare Ltd, Cardiff Business Park, Cardiff, CF14 5WF (02920 747000)
Pennine Healthcare Ltd, City Gate, London Road, Derby, DE24 8WY (01332 794880)
Pioneer Medical Europe Ltd, 28 Green Sward Lane, Redditch, Worcestershire, B98 0EN
(0845 3035868)
ProSys International Ltd, 60 Cottenham Park Road, Wimbledon, London, SW20 0TB (0208 9447585)
Red Fox Medical Ltd, Robert Denholm House, Bletchingley Road, Nutfield, Surrey, RH1 4HW (0203 642 1430)
Renew Medical Ltd, 850 Oxford Road, Reading, RG30 1EL (0118 9420895)
Richardson Healthcare Ltd, Devonshire House, Manor Way, Borehamwood, Hertfordshire, WD6 1QQ
(0800 1701126)
Rochester Medical Ltd, 10 Commerce Way, Lancing, West Sussex, BN15 8TA (01903 875055)
Rubicon Healthcare, 35 Matson Lodge, Drogheda, Co. Louth, Ireland, (00353 41 9837258)
Salts Healthcare Ltd, Richard Street, Aston, Birmingham, B7 4AA (0121 3332000)
Shewee Ltd, 18 Walton Street, Walton on the Hill, Surrey, KT20 7RT (0844 8008270)
SurgiSense Ltd, 4 West Street, Oundle, Peterborough, PE8 4EF (01832 274187)
Teleflex, Grosvenor House, Horseshoe Crescent, Old Town Beaconsfield, Buckinghamshire, HP9 1LJ
(01494 532761)
U-drain Ltd, 6 Barry Rise, Bowdon, Cheshire, WA14 3JS (0161 9411969)
Universal Hospital Supplies, 313 Chase Road, London, N14 6JA (0208 9206207)
Unomedical Ltd (A ConvaTec Company), GDC Building, First Avenue, Deeside Industrial Park, Deeside,
Flintshire, CH5 2NU (01244 584333)
Vesica Urology Ltd, PO Box 4145, Slough, Berkshire, SL1 0QA (01753 445087)
Ward Surgical Appliance Company Ltd, 57A Brightwell Avenue, Westcliffe-on-Sea, Essex, SS0 9EB
(01702 354064)
Wellspect HealthCare, Stroud Water Business Park, Brunel Way, Stonehouse, Gloucester, GL10 3SW
(01453 791763)
WyMedical Ltd, 7 Rookery Road, Wyboston, Bedfordshire, MK44 3AX (01480 211505)
472
08/2016
Part IXC
STOMA APPLIANCES
Part IXC - Stoma Appliances
STOMA APPLIANCES
(Colostomy, Ileostomy, Urostomy)
1.
Prescribers and suppliers should note that products not included in the list are not prescribable
(See Part I Clause 2).
2.
Where the information is available, the "Reference Capacity" of a stoma bag will be given. This is
intended to give a guide of comparison between different bag sizes, but should not be taken to indicate
actual usable capacity. "Reference Capacity" shall be measured according to BS 7127:Part 101:1991,
Appendix M, with the level of water set at the lower edge of the opening of wafer or flange.
3.
Only basic information has been provided and prescribers may on occasions wish to seek further
information about certain products eg when assessing a patient for the first time. If so this is always
available from the manufacturers (addresses and telephone numbers are given at the end of the entry).
Information may also be sought from stoma nurses and community pharmacists.
4.
Where the prescriber has not specified the type of appliance or part thereof or accessory, the pharmacy
or appliance contractor must endorse the prescription form stating the type supplied and submit the
invoice if requested by the NHSBSA, NHS Prescription Services.
All products in IXC receive a home delivery fee of 340p.
All products with convexity should only be used after prior assessment of suitability by an appropriate medical
professional.
Page
List of components and accessories
Adhesive Discs/Rings/Pads/Plasters
474
Adhesives (Pastes, sprays, solutions)
476
Adhesive Removers (Sprays, Liquids, Wipes)
477
Bag Closures
479
Bag Covers
480
Belts
483
Colostomy Bags - see also Two Piece Ostomy Systems
508
Colostomy Sets
551
Deodorants
552
Discharge Solidifying Agents
554
Filters/Bridges
554
Flanges
555
Ileostomy (Drainable) Bags - see also Two Piece Ostomy Systems
558
Ileostomy Sets
607
Irrigation/Wash-Out Appliances
608
Pressure Plates/Shield
609
Skin Fillers and Protectives (Barrier creams, pastes, aerosols, lotions, gels, wipes)
610
Skin Protectors (Wafers, blankets, foam pads, washers)
615
Stoma Caps/Dressings
619
Tubing and Accessories
621
Two Piece Ostomy Systems
622
Urostomy Bags - see also Two Piece Ostomy Systems
666
Manufacturers’ Addresses and Telephone Numbers
685
473
08/2016
Part IXC
STOMA APPLIANCES
ADHESIVE DISCS/RINGS/PADS/PLASTERS
Manufacturer
Appliance
Order No.
For a list of adhesive tapes prescribable under Drug Tariff see Part IXA
C S Bullen Ltd
Double-sided Adhesive
Plaster Zinc Oxide
89mm x 89mm
UF 33
102mm x 102mm
UF 34
127mm x 127mm
UF 35
Double Sided Adhesive
Plastic Acrylic Base
89mm x 89mm
UF 62
102mm x 102mm
UF 63
127mm x 127mm
UF 64
Flange Retention Strips
102mm x 25mm
UF 440
102mm x 51mm
UF 441
Shelter Safe-Seal
UF7000
CliniMed Ltd
HydroFrame flange extenders
HydroFrame mini flange extenders
HydroFrame flange extenders with
Manuka honey
HydroFrame mini flange extenders
with Manuka honey
Quantity
List Price p
10
10
10
435
536
905
10
10
10
390
500
842
100
100
40
397
538
2243
WAF H33
WAF M33
MHWAF H33
20 (strips)
30 (strips)
20 (strips)
1338
1020
1336
MHWAF M33
30 (strips)
1020
CliniSupplies Ltd
ZenSetiv Half Moon Strips
Hydrocolloid
Microporous
A2015
A2016
20
20
2200
2200
Coloplast Ltd
Brava Elastic Tape
Brava Elastic Tape Belt
Brava Elastic Tape Straight
12070
12072
12074
20
20
20
1310
1327
1301
Jade-Euro-Med Ltd
Kidney Seals - Adhesive Flange Retaining Strips
Small
WJ250-51-T
Large
WJ250-75-J
Double Sided - Adhesive Discs
76mm diam 19mm opening
WJ002-19-R
25mm opening
WJ002-25-L
90mm diam 32mm opening
WJ005-32-V
38mm opening
WJ005-38-J
Chiron Double-Sided Plasters
90mm square 19mm opening
WJ010-19-N
35mm opening
WJ010-35-L
WJ011-19-S
35mm opening
WJ011-35-Q
WJ012-19-W
35mm opening
WJ012-35-U
WJ013-19-B
102mm x 76mm 19mm opening
WJ014-19-F
WJ016-25-J
WJ018-01-C
10
10
596
596
10
10
562
562
10
10
562
562
10
10
763
763
10
10
876
876
10
10
966
966
10
1079
10
1079
10
1079
10
1184
474
08/2016
Part IXC
STOMA APPLIANCES
ADHESIVE DISCS/RINGS/PADS/PLASTERS
Manufacturer
Oakmed Ltd
Appliance
Curvies flange extenders
Order No.
CUR001
Quantity
30
List Price p
1865
Varimate Extra Thin Hydrocolloid
Curved Retention Strips
Varimate Retention Strips
VMT CURVE
60
2413
VMT 0311
60
3924
Pelican Healthcare Ltd
Pelican Contour Flange Extender
130860
30
1995
ProSys International
Ltd
AcuBond
SB2
30
1808
Respond Healthcare
Ltd (formerly OstoMart
Ltd)
OstoMart Astoa Adhesive Flange Extender (formerly Astoa Adhesive Flange
Extender)
Small
AFES30
30
1183
Large
AFEL30
30
1893
Wide
AFEW30
30
1666
OstoMart OstoFix Eighty Security Frames (formerly OstoFix Eighty Security
Frames)
DFW80
80
1938
OstoMart OstoFix Flange Security Tape (formerly OstoFix Flange Security Tape)
2.5cm x 10cm
DGW1
100
422
5cm x 10cm
DGW2
100
732
OstoMart OstoFix Forty Security Frames (formerly OstoFix Forty Security
Frames)
DFW3
40
1972
OstoMart OstoFIX40 HydroAV Security Frames (formerly OstoFIX40 HydroAV
Security Frames)
DWK40
40
2574
Salts Healthcare
Transacryl Double Sided Plaster
25mm
32mm
38mm
SecuPlast Circular Plasters
32mm
38mm
45mm
57mm
70mm
SecuPlast Hydro
SecuPlast Hydro Aloe
OstoMart Ltd see Respond Healthcare Ltd
Peak Medical Ltd
Strips
T J Shannon Ltd
Easychange spare plasters with rings
Trio Healthcare Ltd
Silex Silicone Flange Extender
Ward Surgical
Appliance Co
Double-Sided Plasters with opening
Single-Sided Waterproof Plaster Strips
100mm x 25mm
100mm x 50mm
Welland Medical Ltd
See CliniMed Ltd
475
833018
833019
833020
10
10
10
683
683
683
SP32
SP38
SP45
SP57
SP70
SPH1
SPHA2
10
10
10
10
10
30
30
1158
1158
1158
1158
1139
1215
1317
5
642
TR1060
20
1301
WM17
10
454
WM17a
WM17b
10
10
124
187
08/2016
Part IXC
STOMA APPLIANCES
ADHESIVE PASTES, SPRAYS, SOLUTIONS
Manufacturer
Appliance
Hollister Ltd
Medical Adhesive Aerosol
Order No. Quantity
List Price p
7730
90g
1701
Manfred Sauer UK * Original Skin Latex Adhesive in a 28g tube with
Ltd
a long pipette/nozzle applicator.
50.01
2
932
* Pure Latex Skin Adhesive without any skin
care components giving a stronger bond, in a
28g tube with a long pipette/nozzle applicator.
50.00
2
916
* Lanolin Free Latex Skin Adhesive for people
allergic to lanolin, in a 28g tube with a long
pipette/nozzle applicator.
50.03
2
916
* 50% reduction in skin care components, in a
28g tube with a long pipette/nozzle applicator.
50.05
2
916
* 2% Resin giving a stronger bond than the
original adhesive 50.01, in a 28g tube with a
long pipette/nozzle applicator. Should only be
tried after 50.01 is found to be too weak.
50.20
2
916
* 12% Resin giving a stronger bond than the 2%
resin adhesive 50.20, in a 28g tube with a long
pipette/nozzle applicator. Should only be tried
after 50.20 is found to be too weak.
50.22
2
916
* Synthetic Skin Adhesive in a 28g tube with a
long pipette/nozzle applicator.
50.36-2
2
1635
* Synthetic Skin Adhesive in a 45ml bottle with
brush in the lid
50.36
1
1635
Prosthetic Solutions
Ltd
Zeflosil Silicone Adhesive
0001-11
30ml
1495
Salts Healthcare
Latex Adhesive Solution
833005
28ml
238
* Safe for direct application on the skin
476
08/2016
Part IXC
STOMA APPLIANCES
ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES)
Manufacturer
C D Medical Ltd
Appliance
Peel-Easy
Peel-Easy No Sting
Order No.
300714
300715
CliniMed Ltd
Appeel Advance No Sting Medical
Adhesive Remover
Appeel Hydrosolve Flushable Medical
Appeel No Sting Medical Adhesive
Remover
50ml spray
710
30 wipes
1166
3501 50ml aerosol
3506
937
30 wipes
1554
3505
30 wipes
3500 50ml aerosol
1554
937
12010 50ml spray
12011
30 wipes
4710 180ml bottle
4715 30 sachets
911
1510
1779
918
1831
878
1456
2540
Coloplast Ltd
Brava Adhesive remover spray
Brava Adhesive remover wipe
Comfeel Cleanser
ConvaTec Ltd
ConvaCare Adhesive Remover Wipes
ConvaTec Niltac Sting Free Medical
Adhesive Remover
Sensi-Care Sting Free Adhesive
Releaser Spray
S208
100 wipes
TR101 50ml aerosol
TR102
30 wipes
420798
150ml
aerosol
Dansac Ltd
Dansac EasiSpray adhesive remover
083-01
50ml spray
650
Dansac Non Sting adhesive remover
082-01 50ml spray
940
082-30 30 sachets
1524
R Dansac Skin Lotion Cleanser
70005-0001 50ml bottle
547
70000-0000 200ml bottle
1783
R Dansac Skin Lotion Tissue
71000-0000
50 tissues
1527
R Please note: For reimbursement purposes Dansac Skin Lotion Cleanser and Dansac Skin Lotion Tissue
should not be confused with the product Dansac Skin Lotion listed in Part XVIIIA - Drugs, medicines and
other substances not to be ordered under a General Medical Services Contract.
Fontus Health Ltd see Rhodes Pharma Ltd
Great Bear Healthcare
Ltd
H&R Healthcare Ltd
GB SOFT SKIN No Sting Medical
Adhesive Remover
GB Soft Skin No Sting Medical Adhesive
Remover Wipes
finoderm Release Non Sting Medical
Adhesive Remover Wipe (Sterile)
finoderm Release Non Sting Medical
Adhesive Remover Spray (Sterile)
Hollister Ltd
Adapt No-Sting Medical Adhesive
Remover
Universal Remover Wipes
Medicareplus
International Ltd
Medi Lifteez non sting medical adhesive
remover
Oakmed Ltd
EasyLease No Sting Medical Adhesive
Remover
477
10380A 50ml aerosol
919
10382C
30 wipes
1500
FD150-30
30 wipes
1460
FD152-50
50ml spray
850
7731
7737
7760
76g
50ml spray
50
60833 50ml aerosol
60321 30 sachets
1450
702 K
1380
675
1105
1408
50ml spray
929
1206
30 wipes
1499
08/2016
Part IXC
STOMA APPLIANCES
ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES)
Manufacturer
Opus Healthcare
Appliance
Lift medical Adhesive Remover
Lift Plus 360 Citrus Medical Adhesive
Remover
Lift Plus 360 Medical Adhesive
Remover
Lift Plus Citrus Medical Adhesive
Remover
Lift Plus Medical Adhesive Remover
Order No.
5500 30 sachets
911
5501 100ml bottle
642
5507 50ml spray
640
5506
50ml spray
640
5504
5505
5502
5503
30 sachets
50ml spray
30 sachets
50ml spray
1445
888
1445
888
OM 50
OM 30
50ml spray
30 wipes
711
900
130360
30 wipes
1577
130460 50ml aerosol
951
0001-09 100ml bottle
995
709
1515
Peak Medical Ltd
Offmate Stoma Adhesive Remover
Pelican Healthcare
Pelican Release non-sting Adhesive
Remover
Prosthetic Solutions Ltd
Zeflosil Cleaner and Remover
ProSys International Ltd
Independence Adhesive Remover
Independence No Sting Adhesive
Remover Wipes
RS1 50ml aerosol
ARW1 30 sachets
Respond Healthcare Ltd
(formerly OstoMart Ltd)
OstoMart OstoCLEAR (formerly
OstoCLEAR)
MRW1
30 sachets
913
MRW2 100ml bottle
1000
OstoMart OstoPEEL No Sting Medical Adhesive Remover Spray (formerly
OstoPEEL No Sting Medical Adhesive Remover Spray)
Apple
OPA50 50ml aerosol
655
Blackberry
OPB50 50ml aerosol
655
Mint
OPM50 50ml aerosol
655
No Fragrance
OPN50 50ml aerosol
655
OstoMart OstoPEEL Blackberry No Sting Medical Adhesive Remover Wipes
(formerly OstoPEEL Blackberry No Sting Medical Adhesive Remover Wipes)
OPBW30
30 wipes
1070
Rhodes Pharma Ltd
(formerly Fontus Health
Ltd)
Remover Spray
Salts Healthcare
WipeAway Adhesive Remover
WipeAway Plus No-Sting Adhesive
Remover Spray
WipeAway Plus No-Sting Adhesive
Remover
Trio Healthcare Ltd
Elite Sting Free Adhesive Remover
478
STC 100
50ml spray
600
STC 200
30 wipes
870
WA1
WAP
30 sachets
50ml spray
916
656
WAP2
30 wipes
865
TR201
TR202
50ml spray
30 wipes
698
1222
08/2016
Part IXC
STOMA APPLIANCES
BAG CLOSURES
(Available separately from the bags)
Manufacturer
Appliance
C S Bullen Ltd
Plastic Bag Clamp
Soft Wire Ties
Order No.
Quantity
400
410
10
50
CliniMed Ltd
663
561
Closure Clamps (Drainable Bags)
3750
1
124
Coloplast Ltd
Coloplast Clamp
9503
20
2182
ConvaTec Ltd
Clips (Beige) (1-pce pouch)
Soft Wire Ties
Curved Clip for Drainable Pouches
S207
S205
S202
10
50
10
350
607
621
Dansac Ltd
Opaque Soft Wire Ties
Opaque Longer Soft Wire Ties
095-01
095-02
50
50
606
693
Hollister Ltd
Drainable Pouch Clamp Beige
8770
1
10
125
1076
Peak Medical Ltd
Curved Beige Clip for Drainable
Pouches
CLS 10
10
592
Pelican Healthcare Ltd
Drainable Pouch Clips
130406
20
741
Salts Healthcare
Closure Clips
Drainable Pouch Clips
833044
CL1
5
10
228
796
479
List Price p
08/2016
Part IXC
STOMA APPLIANCES
BAG COVERS
Note:
These stoma bag covers can be washed and reused many times. Cloth fabric I types are more durable than
those made of non-woven fabric J. Refer to the manufacturer's instructions.
Manufacturer
AMI Medical Ltd
Appliance
Order No.
Quantity
I Suportx Ostomy Support with built in pouch cover and night drainage
Mens Shorts
Black
AM11-AM15
1
Small, Medium, Large, X Large,
XX Large
Bespoke size
AM16
1
Dark Grey Marl
AM21-AM25
1
XX Large
Bespoke size
AM26
1
White
AM01-AM05
1
XX Large
Bespoke size
AM06
1
Mens Fitted Trunks
Black
XX Large
Bespoke size
Dark Grey Marl
XX Large
Bespoke size
White
XX Large
Bespoke size
BagBag Quality
Ostomy Covers
I BagBag Ostomy Bag Cover
C S Bullen Ltd
I Night Bag Cover
I Day Bag Cover
Cover Care
I Cover Care Pouch Covers
Mini 32/38mm pouches
45/57mm pouches
Large Urostomy pouches
Standard Drainable pouches
& urostomy pouches
Small 38/45 mm closed pouches small
drainable pouches, combihesive closed
pouches
Medium 57 & 70mm closed pouches
480
List Price p
981
981
981
981
981
981
AM61-AM65
1
981
AM66
1
981
AM71-AM75
1
981
AM76
1
981
AM51-AM55
1
981
AM56
1
981
0001-0003
1
899
UF57
UF58
1
1
894
894
L198
L199
L200
L201
3
3
3
3
781
781
826
826
L203
3
826
L204
3
826
08/2016
Part IXC
STOMA APPLIANCES
BAG COVERS
Manufacturer
CUI International
Appliance
I Cuiwear Ostomy support trunks with in built pouch cover with night drainage
Mens
Denim
LT16-LT30
1
1022
Navy
LT01-LT15
1
1022
I Cuiwear Ostomy Support Underwear with in built pouch cover
Ladies
CF01-CF27
1
1022
CF31-CF57
1
1022
Mens
CW01-CW15
1
1022
CN01-CN15
1
1022
I Cuiwear Urostomy bag support device with in built pouch cover and night drainage
Ladies
Full Brief
Black
Sizes 8 -24
CF68 - CF76
1
966
Bespoke
CF77
1
1288
White
Sizes 8 -24
CF58 - CF66
1
966
Bespoke
CF67
1
1288
Shortie
Black
Sizes 8 -24
BS68 - BS76
1
966
Bespoke
BS77
1
1288
White
Sizes 8 -24
BS58 - BS66
1
966
Bespoke
BS67
1
1288
Mens
Trunks
Navy
S, M, L, XL, XXL
LT31 - LT35
1
966
Bespoke
LT36
1
1288
Denim
S, M, L, XL, XXL
LT37 - LT41
1
966
Bespoke
LT42
1
1288
Boxers
Navy
S, M, L, XL, XXL
CN31 - CN35
1
966
Bespoke
CN36
1
1288
White
S, M, L, XL, XXL
CW31 - CW35
1
966
Bespoke
CW36
1
1288
I Cuiwear Urostomy Support Underwear with in built pouch cover with night drainage
Ladies
Black
BS31-BS57
1
1022
White
BS01-BS27
1
1022
481
Part IXC
08/2016
STOMA APPLIANCES
BAG COVERS
Manufacturer
Jade-Euro-Med Ltd
Appliance
I Cotton Bag Cover
Day Size
Night Size
Order No.
Quantity
List Price p
WN124-01-C
WN125-04-N
1
1
1317
1317
839030
839031
839033
839034
839035
1
1
1
1
1
515
515
515
515
515
1
1
1
965
965
965
Pelican Healthcare
Ltd
I Eakin Cotton Bag Covers
Size of opening
Small
Large
Respond Healthcare I HiLINE CoverSURE Custom Made Pouch Covers
Appliance to be stated
Ltd (formerly
White
Res C1
OstoMart Ltd)
Stone
Res C2
White/Lace Front
Res C3
I HiLINE CoverSURE LIGHT Custom Made Pouch Covers
Beige
ResC7
Black
ResC8
White
ResC6
I HiLINE CoverSURE PLUS Custom Made Pouch Covers
Beige
ResC5
White
ResC4
3
3
3
2341
2341
2341
3
3
2392
2392
Salts Healthcare
I Salts Cotton Bag Cover
(appliance to be stated)
833029
1
444
Vanilla Blush
I Vanilla Blush
Boxer
White
Small - XXX Large
Black
Small - XXX Large
Navy
Small - XXX Large
Mixed (1White, 1Black, 1Navy)
Small - XXX Large
Ladies Brief
White
Sizes 6-22
Black
Sizes 6-22
Navy
Sizes 6-22
Mixed (1 White, 1 Black, 1 Navy)
Sizes 6-22
VBSSW1-VBSSW6
3
2700
Ward Surgical
Appliance Co
I White Linen Cover
482
VBSSB1-VBSSB6
3
2700
VBSSN1-VBSSN6
3
2700
VBSSM1-VBSSM6
3
2700
VBVW1-VBVW9
3
2700
VBVB1-VBVB9
3
2700
VBVN1-VBVN9
3
2700
VBVM1-VBVM9
3
2700
15
1
652
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
AMI Medical Ltd
Appliance
Corsinel Suportx Abdominal Belt
Low (20-28cm)
White
X Small (74-82cm)
Small (78-90cm)
Medium (86-98cm)
Large (94-106cm)
X Large (102-116cm)
Order No. Quantity
List Price p
CRL213W
CRL214W
CRL215W
CRL216W
CRL217W
1
1
1
1
1
6980
6980
6980
6980
6980
CRL223W
CRL224W
CRL225W
CRL226W
CRL227W
CRL228W
CRL229W
1
1
1
1
1
1
1
6980
6980
6980
6980
6980
6980
6980
Corsinel Suportx Abdominal Tube
White
X Small (74-82cm)
Small (78-90cm)
Medium (86-98cm)
Large (94-106cm)
X Large (102-116cm)
CRL243W
CRL244W
CRL245W
CRL246W
CRL247W
1
1
1
1
1
5698
5698
5698
5698
5698
Corsinel Suportx Easy Panel Belt
White
Small (78-90cm)
Medium (86-98cm)
Large (94-106cm)
X Large (102-116cm)
2X Large (112-130cm)
CRL234W
CRL235W
CRL236W
CRL237W
CRL238W
CRL239W
1
1
1
1
1
1
7904
7904
7904
7904
7904
7904
Corsinel Suportx Made to measure support garments
Female
160030-160040
160070-160080
160110-160120
160150-160160
160190-160200
160230-160240
160270-160280
160310-160320
162030-162040
162070-162080
Male
170010-170160
172010-172040
1
1
1
1
1
1
1
1
1
1
1
1
7904
7904
7904
7904
7904
7904
7904
7904
7904
7904
7904
7904
Corsinel Suportx StomaSafe Plus
White
Small/Medium (80-110cm)
Medium/Large (105-125cm)
Large/Extra Large (120-140cm)
SS0112
SS0113
SS0114
1
1
1
1782
1782
1782
High (27-47cm)
White
X Small (74-82cm)
Small (78-90cm)
Medium (86-98cm)
Large (94-106cm)
X Large (102-116cm)
Black
SS0212
SS0213
SS0214
1
1
1
1782
1782
1782
Beige
SS0312
SS0313
SS0314
1
1
1
1782
1782
1782
483
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
AMI Medical Ltd
Appliance
Suportx Hernia Support Girdles
Female High Waist
Female Low Waist
Male High Waist
Male Low Waist
Order No. Quantity
List Price p
SPX301-SPX340
1
6844
SPX341-SPX380
1
6844
SPX101-SPX120
1
6844
SPX121-SPX140
1
6844
Suportx Ostomy & Abdominal Support with built in pouch cover and night drainage
Ladies Briefs
Black
Sizes 10-24
AL11-AL18
1
Bespoke size
AL19
1
Skin
Sizes 10-24
AL21-AL28
1
Bespoke size
AL29
1
White
Sizes 10-24
AL01-AL08
1
Bespoke size
AL09
1
Ladies Shorts
Black
Sizes 10-24
AL61-AL68
1
Bespoke size
AL69
1
Skin
Sizes 10-24
AL71-AL78
1
Bespoke size
AL79
1
White
Sizes 10-24
AL51-AL58
1
Bespoke size
AL59
1
Suportx Ostomy/Hernia Easy Peel Support Belt
20cm
Small (75-90cm)
Medium (90-105cm)
Large (105-120cms)
X Large (120-135cm)
XX Large (135-148cm)
Bespoke size
985
985
985
985
985
985
985
985
985
985
985
985
SPX 711
SPX 712
SPX 713
SPX 714
SPX 715
SPX 716
1
1
1
1
1
1
4783
4783
4783
4783
4783
5501
SPX 811
SPX 812
SPX 813
SPX 814
SPX 815
SPX 816
1
1
1
1
1
1
5728
5728
5728
5728
5728
6587
Small (75-90cm)
Medium (90-105cm)
Large (105-120cms)
X Large (120-135cm)
Bespoke size
SPX 721
SPX 722
SPX 723
SPX 724
SPX 725
SPX 726
1
1
1
1
1
1
5259
5259
5259
5259
5259
6047
26cm with hole
Small (75-90cm)
Medium (90-105cm)
Large (105-120cms)
X Large (120-135cm)
Bespoke size
SPX 821
SPX 822
SPX 823
SPX 824
SPX 825
SPX 826
1
1
1
1
1
1
6234
6234
6234
6234
6234
7169
20cm with hole
Small (75-90cm)
Medium (90-105cm)
Large (105-120cms)
X Large (120-135cm)
Bespoke size
26cm
484
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
AMI Medical Ltd
B. Braun
Medical
Appliance
Suportx Ostomy/Hernia Support Belt
15cm depth
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Extra Extra Large (135-148cm)
Bespoke size
Order No.
Quantity
SPX 501
SPX 502
SPX 503
SPX 504
SPX 505
SPX 506
1
1
1
1
1
1
4511
4511
4511
4511
4511
5188
15cm depth with Hole Cutting
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Bespoke size
SPX 601
SPX 602
SPX 603
SPX 604
SPX 605
SPX 606
1
1
1
1
1
1
5459
5459
5459
5459
5459
6278
20cm depth
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Bespoke size
SPX 511
SPX 512
SPX 513
SPX 514
SPX 515
SPX 516
1
1
1
1
1
1
4783
4783
4783
4783
4783
5501
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Bespoke size
SPX 611
SPX 612
SPX 613
SPX 614
SPX 615
SPX 616
1
1
1
1
1
1
5728
5728
5728
5728
5728
6587
26cm depth
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Bespoke size
SPX 521
SPX 522
SPX 523
SPX 524
SPX 525
SPX 526
1
1
1
1
1
1
5259
5259
5259
5259
5259
6047
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Bespoke size
SPX 621
SPX 622
SPX 623
SPX 624
SPX 625
SPX 626
1
1
1
1
1
1
6234
6234
6234
6234
6234
7169
5028E
F00780E
1
1
774
506
B. Braun Stoma Care Belt
Biotrol Waist Belt
Belts
485
List Price p
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
C S Bullen Ltd
Coloplast Ltd
Appliance
25mm Elastic Belt with plastic retainer ring shield
Order No. Quantity
UF 47
1
List Price p
1143
38mm Elastic Belt with wire ring retainer
Small
Medium
Large
UF 44
UF 45
UF 46
1
1
1
1080
1080
1080
Camilla Panty Girdle
BS210
1
1962
CareFix StomaSafe
Small
Medium
Large
Extra Large
CF-S
CF-M
CF-L
CF-XL
1
1
1
1
1170
1170
1170
1170
Cloe Roll-on Girdle
BS225
1
1667
Constance Panty Girdle
BS200
1
2644
Fitting windows in Stoma belt for use with Ileostomy
bags or colostomy cups
UF 561
1
511
St Mark's Belt
UF551
1
4334
Waterproof Canvas retaining shield
Small
Medium
Large
UF 48
UF 49
UF 50
1
1
1
1619
1619
1619
0421
0422
1
1
684
682
0423
0424
S210
1
1
1
684
684
350
Brava Belt, Standard Size
Brava Belt XL
Brava Belt (for SenSura Mio)
Standard
XXL
ConvaTec Ltd
System 2 Belt
CoverCare
Male Support Belt
Waist Size
Small 65-75cm
L100
1
2990
Medium 77.5-87.5cm
L101
1
2990
Large 90-100cm
L102
1
2990
Ex- Large 102.5-112.5cm
L103
1
2990
Provision for hole aperture
HOLE
1
573
(Patients who require a hole in belt should ensure belt fits correctly and with it on, ask stoma
care nurse to mark central position of stoma with a cross (X); and return belt to supplier with
sample of pouch used so that hole in belt can be customised to fit individual requirements).
Belts
486
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
CUI International
Appliance
Cuiwear
Briefs
White
Order No. Quantity
List Price p
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
FG31
FG32
FG33
FG34
FG35
FG36
FG37
FG38
FG39
FG40
FG41
FG42
FG43
FG44
FG45
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1215
1215
1215
1215
1215
1215
1215
1215
1215
1215
1215
1215
1215
1215
1215
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
CG31
CG32
CG33
CG34
CG35
1
1
1
1
1
1215
1215
1215
1215
1215
Skin
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
CG36
CG37
CG38
CG39
CG40
1
1
1
1
1
1215
1215
1215
1215
1215
Black
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
CG41
CG42
CG43
CG44
CG45
1
1
1
1
1
1215
1215
1215
1215
1215
Size 8
Size 10
Size 12
Size 14
Size 16
Size 18
Size 20
Size 22
Size 24
FG01
FG02
FG03
FG04
FG05
FG06
FG07
FG08
FG09
1
1
1
1
1
1
1
1
1
2688
2688
2688
2688
2688
2688
2688
2688
2688
Skin
Black
Unisex Boxer
White
Fulciolite
Left (White)
487
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
CUI International
Appliance
Right (White)
Fulcionel
Order No. Quantity
FG10
1
FG11
1
FG12
1
FG13
1
FG14
1
FG15
1
FG16
1
FG17
1
FG18
1
Size 8
Size 10
Size 12
Size 14
Size 16
Size 18
Size 20
Size 22
Size 24
Female
Male
Fulcionel AR Ostomy/Hernia Support Belt
20cm depth
Extra Small (upto 75cm)
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Special Order any size
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
26cm depth
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
Fulcionel Bespoke Girdle
Female
Male
488
List Price p
2688
2688
2688
2688
2688
2688
2688
2688
2688
F301-F380
M101-M140
1
1
7476
7476
F550
F551
F552
F553
F554
F555
1
1
1
1
1
1
5002
5002
5002
5002
5002
5753
F556
F557
F558
F559
F560
F561
1
1
1
1
1
1
5981
5981
5981
5981
5981
6878
F562
F563
F564
F565
F566
F567
1
1
1
1
1
1
5567
5567
5567
5567
5567
6402
F568
F569
F570
F571
F572
F573
1
1
1
1
1
1
6545
6545
6545
6545
6545
7527
F381
M141
1
1
8785
8785
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
CUI International
Appliance
Fulcionel Medium Support Hernia Belt
White, Black
15cm depth
Small
Medium
Large
X Large
XX Large
15cm depth with customised hole cut
Small
Medium
Large
X Large
XX Large
20cm depth
Small
Medium
Large
X Large
XX Large
Small
Medium
Large
X Large
XX Large
26cm depth
Small
Medium
Large
X Large
XX Large
Small
Medium
Large
X Large
XX Large
Fulcionel Ostomy/Hernia Support Belt
20cm depth
Extra Small
Small
Medium
Large
Extra Large
489
Order No. Quantity
List Price p
F715
F716
F717
F718
F719
1
1
1
1
1
4044
4044
4044
4044
4044
F720
F721
F722
F723
F724
1
1
1
1
1
4935
4935
4935
4935
4935
F725
F726
F727
F728
F729
1
1
1
1
1
4314
4314
4314
4314
4314
F730
F731
F732
F733
F734
1
1
1
1
1
5201
5201
5201
5201
5201
F735
F736
F737
F738
F739
1
1
1
1
1
4796
4796
4796
4796
4796
F740
F741
F742
F743
F744
1
1
1
1
1
5711
5711
5711
5711
5711
F501
F503
F505
F507
F509
1
1
1
1
1
4796
4796
4796
4796
4796
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
CUI International
Appliance
20cm with hole cutting and bespoke fitting
Extra Small
Small
Medium
Large
Extra Large
Order No.
Quantity
F502
F504
F506
F508
F510
1
1
1
1
1
5775
5775
5775
5775
5775
F511
F513
F515
F517
F519
1
1
1
1
1
5334
5334
5334
5334
5334
26cm with hole cutting and bespoke fitting
Extra Small
Small
Medium
Large
Extra Large
F512
F514
F516
F518
F520
1
1
1
1
1
6302
6302
6302
6302
6302
Fulcionel Square Stretch Support Belt
26cm and below depth
Small (75-90cm)
Medium (90-105cm)
Large (120-135cm)
F701
F702
F703
F704
F705
1
1
1
1
1
2259
2259
2259
2259
2259
27cm and above depth
Small (75-90cm)
Medium (90-105cm)
Large (120-135cm)
F706
F707
F708
F709
F710
1
1
1
1
1
2429
2429
2429
2429
2429
26cm depth
Extra Small
Small
Medium
Large
Extra Large
Fulcionel Unisex Prolapse Hernia Bespoke Support Belt
White, Black and Skin
List Price p
F580
1
8189
Ultralite
Left (White) Size 8
Size 10
Size 12
Size 14
Size 16
Size 18
Size 20
Size 22
Size 24
CG01
CG02
CG03
CG04
CG05
CG06
CG07
CG08
CG09
1
1
1
1
1
1
1
1
1
1549
1549
1549
1549
1549
1549
1549
1549
1549
Right (White) Size 8
Size 10
Size 12
Size 14
Size 16
Size 18
Size 20
Size 22
Size 24
CG10
CG11
CG12
CG13
CG14
CG15
CG16
CG17
CG18
1
1
1
1
1
1
1
1
1
1549
1549
1549
1549
1549
1549
1549
1549
1549
Belts
490
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Dansac Ltd
Appliance
Dansac Belt & Plate Pack
1 adjustable elasticated belt with 5 plates
suitable for one and two piece appliances
50-63mm
Dansac Belt Pack
5 adjustable elasticated belts
50-63mm
Order No.
Quantity
09075-0000
1
4321
09000-0000
5
4321
09076-0000
1
4321
090-01
090-02
090-03
1
1
1
770
770
770
Birkbeck Elastic Waistband & Shield
19mm
38mm
54mm
LM725219
LM725238
LM725254
5
5
5
5255
5255
5255
Birkbeck Retaining ring - for use with above
19mm
38mm
54mm
LM725319
LM725338
LM725354
5
5
5
996
979
979
Birkbeck Elastic Waist band
LM725100
5
3994
White Sausage Belt
LM810004 per metre
898
Dansac high output ostomy belt pack
1 adjustable elasticated belt with 5 plates
Dansac Long Ostomy Belt
White 150cm
Beige 100cm
Beige 150cm
DBT Medical Ltd
Hollister Ltd
Adapt Belt
58-109cm
86-165cm
Jade-Euro-Med
Ltd
Belt/double cotton face piece for St. Marks flange.
STATE HOLE SIZE
List Price p
7300
7299
1
1
791
791
KM 22
1
1771
Belt/double cotton face piece with elastic fixing for St. Marks flange.
STATE HOLE SIZE
KM 23
1
2310
Belt/double cotton face piece with tapes fixing for St. Marks flange.
STATE HOLE SIZE
KM 24
1
2335
St Mark's Pattern Col. Belt
Male
Female
KM 30
KM 31
1
1
6768
6768
Ostomy Web and Elastic Belt with Button & Buckle
Fastening 25mm
Fastening 51mm
Fastening 76mm
KM 25
KM 26
KM 27
1
1
1
982
1163
1340
KM 21
1
5733
Ostomy Girdle or Panti Brief, Hole over Stoma with
or without Suspenders
(Range=KM2101 - KM2126)
491
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Jade-Euro-Med
Ltd
Appliance
Web & Elastic Belt
25mm wide
Small
Medium
Large
Order No.
Quantity
WL002-25-01-S
WL002-25-02-U
WL002-25-03-W
1
1
1
1284
1284
1284
51mm wide
Lengths:
81cm
86cm
91cm
97cm
102cm
107cm
112cm
WL002-51-32-D
WL002-51-34-H
WL002-51-36-M
WL002-51-38-R
WL002-51-40-C
WL002-51-42-G
WL002-51-44-L
1
1
1
1
1
1
1
1497
1497
1497
1497
1497
1497
1497
WL005-25-P
1
866
Web & Elastic Belt (25mm wide)
61cm
76cm
81cm
91cm
WL008-25-24-U
WL008-25-30-P
WL008-25-32-T
WL008-25-36-C
1
1
1
1
1354
1354
1354
1354
Narrow Belt
Flange diam (38mm)
91cm
97cm
102cm
WL111-38-36-R
WL111-38-38-V
WL111-38-40-G
1
1
1
2670
2670
2670
Web & Elastic Belt Child
25mm wide
71cm
WL129-25-28-J
1
1079
WL129-38-26-X
WL129-38-28-C
WL129-38-30-N
WL129-38-36-B
1
1
1
1
1503
1503
1503
1503
Elastic Non-Slip Belt
81cm
86cm
97cm
112cm
WL132-25-32-L
WL132-25-34-Q
WL132-25-38-Y
WL132-25-44-T
1
1
1
1
1503
1503
1503
1503
Non-slip belt
81cm
86cm
91cm
97cm
102cm
WL133-01-32-P
WL133-01-34-T
WL133-01-36-X
WL133-01-38-C
WL133-01-40-N
1
1
1
1
1
2201
2201
2201
2201
2201
Short Web End and Buckle
38mm wide
66cm
71cm
76cm
91cm
Belts
492
List Price p
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Kavendor Ltd
Appliance
Comfizz Stoma Protector
Order No. Quantity
SP1
1
Comfizz Stoma Shallow Waistband
Neutral
Small/Medium
Neutral
Medium/Large
Neutral
Large/X Large
Comfizz Stoma Support Wear
Level I Support
Boxer
Black
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Neutral
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Pink
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Teal
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
White
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Brief
Black
Neutral
Pink
Teal
White
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Small/Medium
Medium/Large
Large/Extra Large
X Large/XX Large
XX Large/XXX Large
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Small/Medium
Medium/Large
Large/Extra Large
X Large/XX Large
XX Large/XXX Large
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
493
List Price p
1020
WNS/M-SH
WNM/L-SH
WNL/XL-SH
1
1
1
714
714
714
BOX-S/M-B
BOX-M/L-B
BOX-L/XL-B
BOX-XL/2XL-B
BOX-2XL/3XL-B
BOX-S/M-N
BOX-M/L-N
BOX-L/XL-N
BOX-XL/2XL-N
BOX-2XL/3XL-N
BOX-S/M-P
BOX-M/L-P
BOX-L/XL-P
BOX-XL/2XL-P
BOX-2XL/3XL-P
BOX-S/M-T
BOX-M/L-T
BOX-L/XL-T
BOX-XL/2XL-T
BOX-2XL/3XL-T
BOX-S/M-W
BOX-M/L-W
BOX-L/XL-W
BOX-XL/2XL-W
BOX-2XL/3XL-W
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
BRF-S/M-B
BRF-M/L-B
BRF-L/XL-B
BRF-XL/2XL-B
BRF-2XL/3XL-B
BRF-S/M-N
BRF-M/L-N
BRF-L/XL-N
BRF-XL/2XL-N
BRF-2XL/3XL-N
BRF-S/M-P
BRF-M/L-P
BRF-L/XL-P
BRF-XL/2XL-P
BRF-2XL/3XL-P
BRF-S/M-T
BRF-M/L-T
BRF-L/XL-T
BRF-XL/2XL-T
BRF-2XL/3XL-T
BRF-S/M-W
BRF-M/L-W
BRF-L/XL-W
BRF-XL/2XL-W
BRF-2XL/3XL-W
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Kavendor Ltd
Appliance
Junior Boxer
Black
Blue
White
Junior Brief
Black
Pink
White
Shallow Boxer
Black
White
Shallow Brief
Black
White
Order No. Quantity
List Price p
X Small
Small
Medium
Large
X Small
Small
Medium
Large
X Small
Small
Medium
Large
BOX-JXS-B
BOX-JS-B
BOX-JM-B
BOX-JL-B
BOX-JXS-BL
BOX-JS-BL
BOX-JM-BL
BOX-JL-BL
BOX-JXS-W
BOX-JS-W
BOX-JM-W
BOX-JL-W
1
1
1
1
1
1
1
1
1
1
1
1
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
X Small
Small
Medium
Large
X Small
Small
Medium
Large
X Small
Small
Medium
Large
BRF-JXS-B
BRF-JS-B
BRF-JM-B
BRF-JL-B
BRF-JXS-P
BRF-JS-P
BRF-JM-P
BRF-JL-P
BRF-JXS-W
BRFJS-W
BRF-JM-W
BRF-JL-W
1
1
1
1
1
1
1
1
1
1
1
1
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
1224
Small/Medium
Medium/Large
Large/X Large
Small/Medium
Medium/Large
Large/X Large
BOX-S/M-B-sh
BOX-M/L-B-sh
BOX-L/XL-B-sh
BOX-S/M-W-sh
BOX-M/L-W-sh
BOX-L/XL-W-sh
1
1
1
1
1
1
1224
1224
1224
1224
1224
1224
Small/Medium
Medium/Large
Large/X Large
Small/Medium
Medium/Large
Large/X Large
BRF-S/M-B-sh
BRF-M/L-B-sh
BRF-L/XL-B-sh
BRF-S/M-W-sh
BRF-M/L-W-sh
BRF-L/XL-W-sh
1
1
1
1
1
1
1224
1224
1224
1224
1224
1224
VB-S/M(F)
VB-M/L(F)
VB-L/XL(F)
VB-XL/2XL(F)
VB-S/M(M)
VB-M/L(M)
VB-L/XL(M)
VB-XL/2XL(M)
VP-S/M(F)
VP-M/L(F)
VP-L/XL(F)
VP-XL/2XL(F)
VT-S/M(F)
VT-M/L(F)
VT-L/XL(F)
VT-XL/2XL(F)
VW-S/M(F)
VW-M/L(F)
VW-L/XL(F)
VW-XL/2XL(F)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
2550
Light Support Garment Vest Style
Black - Female Small/Medium
Medium/Large
Large/X Large
X Large/ XX Large
Black - Male
Small/Medium
Medium/Large
Large/X Large
X Large/ XX Large
Pink - Female
Small/Medium
Medium/Large
Large/X Large
X Large/ XX Large
Teal - Female
Small/Medium
Medium/Large
Large/X Large
X Large/ XX Large
White - Female Small/Medium
Medium/Large
Large/X Large
X Large/ XX Large
494
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Kavendor Ltd
Appliance
White - Male
Junior Vest
Blue - Boys
Small/Medium
Medium/Large
Large/X Large
X Large/ XX Large
Order No. Quantity
VW-S/M(M)
1
VW-M/L(M)
1
VW-L/XL(M)
1
VW-XL/2XL(M)
1
List Price p
2550
2550
2550
2550
X Small
Small
Medium
Large
VB-JXS-(M)
VB-JS-(M)
VB-JM-(M)
VB-JL-(M)
1
1
1
1
2550
2550
2550
2550
Pink - Girls
X Small
Small
Medium
Large
VP-JXS-(F)
VP-JS-(F)
VP-JM-(F)
VP-JL-(F)
1
1
1
1
2550
2550
2550
2550
White - Boys
X Small
Small
Medium
Large
X Small
Small
Medium
Large
VW-JXS-(M)
VW-JS-(M)
VW-JM-(M)
VW-JL-(M)
VW-JXS-(F)
VW-JS-(F)
VW-JM-(F)
VW-JL-(F)
1
1
1
1
1
1
1
1
2550
2550
2550
2550
2550
2550
2550
2550
WNS/M-SH-si
WNM/L-SH-si
WNL/XL-SH-si
1
1
1
918
918
918
WNS/M-si
WNM/L-si
WNL/XL-si
WNXL/2XL-si
WN2XL/3XL-si
1
1
1
1
1
918
918
918
918
918
2BOX-S/M-B
2BOX-M/L-B
2BOX-L/XL-B
2BOX-XL/2XL-B
2BOX-2XL/3XL-B
2BOX-S/M-W
2BOX-M/L-W
2BOX-L/XL-W
2BOX-XL/2XL-W
2BOX-2XL/3XL-W
1
1
1
1
1
1
1
1
1
1
1720
1720
1720
1720
1720
1734
1734
1734
1734
1734
2BRF-S/M-B
2BRF-M/L-B
2BRF-L/XL-B
2BRF-XL/2XL-B
2BRF-2XL/3XL-B
2BRF-S/M-W
2BRF-M/L-W
2BRF-L/XL-W
2BRF-XL/2XL-W
2BRF-2XL/3XL-W
1
1
1
1
1
1
1
1
1
1
1720
1720
1720
1720
1720
1734
1734
1734
1734
1734
White - Girls
Shallow Waistband with Silicone Grip
Neutral
Small/Medium
Medium/Large
Large/X Large
Waistband with Silicone Grip
Neutral
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Level II Support
Unisex Boxer
Black
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
White
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
Ladies Brief
Black
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
White
Small/Medium
Medium/Large
Large/X Large
X Large/XX Large
XX Large/XXX Large
495
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Appliance
Kavendor Ltd
Comfizz Stoma Waistband
Level I Support
Black
Small/Medium
Neutral
White
Black
Medium/Large
Neutral
White
Black
Large/X Large
Neutral
White
Black
X Large/XX Large
Neutral
White
Black
XX Large/XXX Large
Neutral
White
Junior
Black
Neutral
White
Black
Neutral
White
Black
Neutral
White
Black
Neutral
White
Order No. Quantity
X Small
Small
Medium
Large
Comfizz Support Belt Level III
60mm
Neutral
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
72mm
Neutral
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
496
List Price p
WBS/M
WNS/M
WWS/M
WBM/L
WNM/L
WWM/L
WBL/XL
WNL/XL
WWL/XL
WBXL/2XL
WNXL/2XL
WWXL/2XL
WB2XL/3XL
WN2XL/3XL
WW2XL/3XL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
714
714
714
714
714
714
714
714
714
714
714
714
714
714
714
WBJXS
WNJXS
WWJXS
WBJS
WNJS
WWJS
WBJM
WNJM
WWJM
WBJL
WNJL
WWJL
1
1
1
1
1
1
1
1
1
1
1
1
714
714
714
714
714
714
714
714
714
714
714
714
WNM-L3-60/15
WNL-L3-60/15
WNXL-L3-60/15
WN2XL-L3-60/15
WN3XL-L3-60/15
WN4XL-L3-60/15
1
1
1
1
1
1
5611
5611
5611
5611
5611
5611
WNM-L3-72/15
WNL-L3-72/15
WNXL-L3-72/15
WN2XL-L3-72/15
WN3XL-L3-72/15
WN4XL-L3-72/15
1
1
1
1
1
1
5611
5611
5611
5611
5611
5611
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Kavendor Ltd
Appliance
85mm
Neutral
Order No. Quantity
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
WNM-L3-85/15
WNL-L3-85/15
WNXL-L3-85/15
WN2XL-L3-85/15
WN3XL-L3-85/15
WN4XL-L3-85/15
1
1
1
1
1
1
5611
5611
5611
5611
5611
5611
WWM-L3-60/10
WWL-L3-60/10
WWXL-L3-60/10
WW2XL-L3-60/10
WW3XL-L3-60/10
WW4XL-L3-60/10
1
1
1
1
1
1
5563
5563
5563
5563
5563
5563
WWM-L3-72/10
WWL-L3-72/10
WWXL-L3-72/10
WW2XL-L3-72/10
WW3XL-L3-72/10
WW4XL-L3-72/10
1
1
1
1
1
1
5563
5563
5563
5563
5563
5563
WWM-L3-0/15
WWL-L3-0/15
WWXL-L3-0/15
WW2XL-L3-0/15
WW3XL-L3-0/15
WW4XL-L3-0/15
1
1
1
1
1
1
5563
5563
5563
5563
5563
5563
Adjustable Elastic Waist Belt
5004
1
270
UltraMax SkinTone Ostomy Belt
5005
1
649
Comfizz Shallow Support Belt Level III
60mm
White
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
72mm
White
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
Comfizz Multisupport Belt
Level III Support
15cm depth
White
Medium (80-89cm)
Large (90-99cm)
X Large (100-109cm)
XXX Large (121-130cm)
XXXX Large (131-140cm)
Marlen
Healthcare Ltd
List Price p
Belts
497
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Nu-Hope
Laboratories
Appliance
Nu-Hope Support Belts
(The standard opening is 60mm; the following alternative size and shape openings are
available by adding the appropriate suffix to the order code 50mm-E, 56mm-F, 63mm-G,
68mm-A, 72mm-DC, 75mm-B, 80mm-C, Med Oval-H, Large Oval-J, Ex Large Oval-K)
75mm wide
Small (70-78cm)
6400
1
3411
Medium (80-88cm)
6401
1
3411
Large (90-100cm)
6402
1
3411
X-Large (103-115cm)
6403
1
3550
XX-Large (118-130cm)
6404
1
3550
100mm wide
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6410
6411
6412
6413
6414
1
1
1
1
1
4250
4250
4250
4423
4423
125mm wide
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6420
6421
6422
6423
6424
1
1
1
1
1
5055
5055
5055
5259
5259
150mm wide
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6430
6431
6432
6433
6434
1
1
1
1
1
5856
5856
5856
6093
6093
175mm wide (left)
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6440
6441
6442
6443
6444
1
1
1
1
1
6755
6755
6755
7023
7023
175mm wide (right)
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6445
6446
6447
6448
6449
1
1
1
1
1
6755
6755
6755
7023
7023
498
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Nu-Hope
Laboratories
Appliance
200mm wide (left)
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6450
6451
6452
6453
6454
1
1
1
1
1
7665
7665
7665
7976
7976
200mm wide (right)
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6455
6456
6457
6458
6459
1
1
1
1
1
7665
7665
7665
7976
7976
225mm wide (left)
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6460
6461
6462
6463
6464
1
1
1
1
1
7836
7836
7836
7989
7989
225mm wide (right)
Small (70-78cm)
Medium (80-88cm)
Large (90-100cm)
X-Large (103-115cm)
6465
6466
6467
6468
6469
1
1
1
1
1
7836
7836
7836
7989
7989
P
1
Adjustable Ostomy Belt
100cm
Made to Measure Ostomy Belt
Made to Measure Pantie Girdle
Made to Measure Ostomy Girdle
OCB02
B100
P200
G300
1
1
1
1
769
7679
4981
4981
Omex Medical Ltd
Schacht Belt 91.5cm
780251
1
525
Orthotic Services
Ltd
Made to Measure Ostomy Girdle in white hole or panel over stoma as required;
zips and suspenders as standard
(A measuring chart is available on application)
OSL-012
1
3131
Prolapse Overbelt
Oakmed Ltd
Belts
499
1222
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Appliance
Peak Medical Ltd
Combimate Adjustable Elastic Ostomy Belt
25mm wide
50mm wide with 2-point belt lug
connection
SB25
SB52
1
1
814
1213
SB 50 S
SB 50 M
SB 50 L
SB 50 XL
SB 50 XXL
1
1
1
1
1
1215
1215
1215
1215
1215
839051
839052
839053
839054
1
1
1
1
4935
4935
4935
4935
839061
839062
839063
839064
1
1
1
1
5483
5483
5483
5483
839029
839036
1
1
405
405
Pelican Adjustable Ostomy Belt
133006
1
777
Pelican Support Stoma Waistband
White
Large/X Large (120-140cm)
Beige
Black
130560
130562
130564
130561
130563
130565
130566
130567
130568
1
1
1
1
1
1
1
1
1
1807
1807
1807
1807
1807
1807
1787
1787
1787
EuroTec Adjustable Elastic Ostomy Belt
50mm wide
Small (60-75cm)
Medium (75-90cm)
Large (90-110cm)
X Large (110-130cm)
XX Large (130cm and above)
Pelican
Healthcare Ltd
Eakin Stoma Support Belt with IsoFlex
20cm depth
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
X Large (120-135cm)
26cm depth
Small (75-90cm)
Medium (90-105cm)
Large (105-120cm)
X Large (120-135cm)
Eakin Elasticated Belt
Small
Large
Belts
500
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Respond
Healthcare Ltd
(formerly
OstoMart Ltd)
Appliance
OstoMart Cool Comfort Unisex Light Control
Unisex Light Control Support Garment)
Belt
Black
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Nude
Small/Medium
Large/XLarge
XXLarge/XXXLarge
White
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Brief
Black
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Nude
Small/Medium
Large/XLarge
XXLarge/XXXLarge
White
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Boxer
Black
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Nude
Small/Medium
Large/XLarge
XXLarge/XXXLarge
White
Small/Medium
Large/XLarge
XXLarge/XXXLarge
P Belt
Black
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Nude
Small/Medium
Large/XLarge
XXLarge/XXXLarge
White
Small/Medium
Large/XLarge
XXLarge/XXXLarge
P Brief
Black
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Nude
Small/Medium
Large/XLarge
XXLarge/XXXLarge
White
Small/Medium
Large/XLarge
XXLarge/XXXLarge
501
Support Garment (formerly Cool Comfort
CCWBB1S
CCWBB1L
CCWBB12X
CCWBN1S
CCWBN1L
CCWBN12X
CCWBW1S
CCWBW1L
CCWBW12X
1
1
1
1
1
1
1
1
1
707
707
707
707
707
707
707
707
707
CCPBB1S
CCPBB1L
CCPBB12X
CCPBN1S
CCPBN1L
CCPBN12X
CCPBW1S
CCPBW1L
CCPBW12X
1
1
1
1
1
1
1
1
1
1201
1201
1201
1201
1201
1201
1201
1201
1201
CCBXB1S
CCBXB1L
CCBXB12X
CCBXN1S
CCBXN1L
CCBXN12X
CCBXW1S
CCBXW1L
CCBXW12X
1
1
1
1
1
1
1
1
1
1131
1131
1131
1131
1131
1131
1131
1131
1131
CCWBBS/M
CCWBBL/XL
CCWBBXXL/XXXL
CCWBNS/M
CCWBNL/XL
CCWBNXXL/XXXL
CCWBWS/M
CCWBWL/XL
CCWBWXXL/XXXL
3
3
3
3
3
3
3
3
3
2132
2132
2132
2132
2132
2132
2132
2132
2132
CCPBBS/M
CCPBBL/XL
CCPBBXXL/XXXL
CCPBNS/M
CCPBNL/XL
CCPBNXXL/XXXL
CCPBWS/M
CCPBWL/XL
CCPBWXXL/XXXL
3
3
3
3
3
3
3
3
3
3625
3625
3625
3625
3625
3625
3625
3625
3625
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Respond
Healthcare Ltd
(formerly
OstoMart Ltd)
Appliance
P Boxer
Black
Nude
White
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Small/Medium
Large/XLarge
XXLarge/XXXLarge
Small/Medium
Large/XLarge
XXLarge/XXXLarge
CCBXBS/M
CCBXBL/XL
CCBXBXXL/XXXL
CCBXNS/M
CCBXNL/XL
CCBXNXXL/XXXL
CCBXWS/M
CCBXWL/XL
CCBXWXXL/XXXL
3
3
3
3
3
3
3
3
3
P OstoMart Cool Comfort Unisex Light Control Support Garment (formerly Cool
Unisex Light Control Support Garment)
Mix of Colours (Black, Nude & White)
Belt
Small/Medium
CCWBMIXS
3
Large/XLarge
CCWBMIXL
3
XXLarge/XXXLarge
CCWBMIX2X
3
Brief
Small/Medium
CCPBMIXS
3
Large/XLarge
CCPBMIXL
3
XXLarge/XXXLarge
CCPBMIX2X
3
Boxer
Small/Medium
CCBXMIXS
3
Large/XLarge
CCBXMIXL
3
XXLarge/XXXLarge
CCBXMIX2X
3
HiLINE Activ Medium Level Hernia Support Belt
P X Small, XXX Large
Left Side Stoma
Flange Diameter
57mm-70mm
70mm-82mm
Bespoke
Right Side Stoma
Flange Diameter
57mm-70mm
70mm-82mm
Bespoke
2119
2119
2119
3601
3601
3601
3390
3390
3390
1
1
1
5599
5599
6108
Res 9ar
Res 9br
Res 9cr
1
1
1
5599
5599
6108
1
1
1
5599
5599
6108
1
1
1
5599
5599
6108
1
3152
HiLINE Breathable Stretch Unisex Ostomy Belt 21cm deep
P X Small, XXX Large.
Small, Medium, Large,
Res 6
X Large, XX Large
With hole over stoma if required
502
Comfort
Res 9al
Res 9bl
Res 9cl
P HiLINE Activ Medium Level Hernia Support Belt With Lace Front
X Small, Small, Medium, Large, X Large, XX Large, XXX Large
Left Side Stoma
Flange Diameter
57mm-70mm
Res 10al
70mm-82mm
Res 10bl
Bespoke
Res 10cl
Right Side Stoma
Flange Diameter
57mm-70mm
Res 10ar
70mm-82mm
Res 10br
Bespoke
Res 10cr
3412
3412
3412
3412
3412
3412
3412
3412
3412
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Respond
Healthcare Ltd
(formerly
OstoMart Ltd)
Appliance
HiLINE Breathable Stretch Unisex Ostomy Belt 18cm deep
Res 6a
1
2806
HiLINE Breathable Stretch Unisex Ostomy Belt 13.5cm deep
Res 6b
1
2555
Res 11b
Res 11a
Res 11
1
1
1
4543
4846
5148
Res 11bh
Res 11ah
Res 11h
1
1
1
5048
5350
5653
HiLINE Lightweight Support Belt 13cm wide
XX Large Hook & Eye or Velcro Fastening
With hole over stoma
Res 3
1
2865
HiLINE Lightweight Support Belt (long) 21cm wide
XX Large Hook & Eye or Velcro Fastening
With hole over stoma
Res 4
1
3324
HiLINE EZ-Wrap Unisex Hernia Support Belt
15cm depth
20cm depth
26cm depth
with customised hole
15cm depth
20cm depth
26cm depth
HiLINE Medium control Ostomy Girdle/Pantie Brief including hole over stoma
Res 2
1
4468
HiLINE Ostomy Girdle/Pantie Brief including hole over stoma
Res 1
1
4546
HiLINE Seamless Two Way Stretch Unisex Colostomy Belt 26cm Deep
Res 7
1
2366
HiLINE Seamless Two Way Stretch Unisex Colostomy Belt 27cm and above
Res 8
1
2648
OstoMart Ostoshield (formerly OstoShield)
(belt required)
Res50
1
711
OstoMart Ostoshield Belt Small/Medium (formerly OstoShield Belt Small/Medium)
only for use with Res 50 - Ostoshield
Res40
1
367
OstoMart Ostoshield Belt Large/Extra Large (formerly OstoShield Belt Large/Extra Large)
only for use with Res 50 - Ostoshield
Res45
1
367
E Sallis Ltd
Colostomy Belt for
Night use
Day use
Ostomy Girdle/Pantie Brief including hole over
stoma, with suspenders as required
Made in elastane
503
14b
14c
15a
1
1
1
1178
614
3244
Fit 15c
1
4109
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
Salts
Healthcare
Appliance
Standard Adjustable Ostomy Belt
Beige 100cm
Order No.
Quantity
ABO1
1
779
877002
877024
877007
1
1
1
411
411
482
102mm Elastic Belt with waterproof panel
With 4 loops & retaining ring
877008
877009
1
1
1686
2216
Button & Loop Belt
877012
1
411
Baby Lycra Belt With Velcro Fastening
Standard 89cm long
Ex-large 107cm long
877022
877023
1
1
418
418
150mm Elastic Belt with Waterproof Panel
Colostomy Belt
877017
877018
1
1
2053
8443
BRFBXS
BRFBSM
BRFBML
BRFBLXL
BRFBXXL
BRFNXS
BRFNSM
BRFNML
BRFNLXL
BRFNXXL
BRFWXS
BRFWSM
BRFWML
BRFWLXL
BRFWXXL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
BOXBXS
BOXBSM
BOXBML
BOXBLXL
BOXBXXL
BOXNXS
BOXNSM
BOXNML
BOXNLXL
BOXNXXL
BOXWXS
BOXWSM
BOXWML
BOXWLXL
BOXWXXL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
1269
25mm Single Elastic Belt with 2 loops:
Standard 89cm long
Ex-large 107cm long
P 25mm Single Elastic Belt with suspender
ends
Simplicity Stoma Support Wear
Ladies Brief
Black
Extra Small
Small/Medium
Medium/Large
Large/X Large
XX Large
Nude
Extra Small
Small/Medium
Medium/Large
Large/X Large
XX Large
White
Extra Small
Small/Medium
Medium/Large
Large/X Large
XX Large
Unisex Boxer
Black
Extra Small
Small/Medium
Medium/Large
Large/X Large
XX Large
Nude
Extra Small
Small/Medium
Medium/Large
Large/X Large
XX Large
White
Extra Small
Small/Medium
Medium/Large
Large/X Large
XX Large
Belts
504
List Price p
08/2016
Part IXC
STOMA APPLIANCES
BELTS
Manufacturer
SASH
Appliance
Made to Measure 50mm polyester webbing Stoma Hernia Support Belt attached to plastic
flange with hole over stoma
Sash Ostomy Hernia Belt
HB102
1
5272 K
Security and Leakage Belt
SR103
1
2484 K
(For items above, patients are required to complete an Order Form obtainable from Stoma
Care Nurses or SASH (Address: Woodhouse, Woodside Road, Hockley, Essex, SS5 4RU Tel
01702 206 502) detailing waist size and enclosing a sample of pouch used so that the hole
within the belt flange can be customised to fit individual requirements)
T J Shannon Ltd Elastic Belt (with button & buckle fastening)
Vanilla Blush
Vanilla Blush Hernia Support Girdle
Level 2/3 Support
Ladies Briefs
Black
Medium (52cm)
Large (56cm)
X Large (60cm)
XX Large (64cm)
XXX Large (68cm)
XXXX Large (72cm)
XXXXX Large (76cm)
White
Medium (52cm)
Large (56cm)
X Large (60cm)
XX Large (64cm)
XXX Large (68cm)
XXXX Large (72cm)
XXXXX Large (76cm)
Ladies Briefs with Legs
Black
Medium (52cm)
Large (56cm)
X Large (60cm)
XX Large (64cm)
XXX Large (68cm)
XXXX Large (72cm)
XXXXX Large (76cm)
White
Medium (52cm)
Large (56cm)
X Large (60cm)
XX Large (64cm)
XXX Large (68cm)
XXXX Large (72cm)
XXXXX Large (76cm)
Male Briefs
Black
Medium (66cm)
Large (70cm)
X Large (74cm)
XX Large (78cm)
XXX Large (82cm)
XXXX Large (86cm)
XXXXX Large (90cm)
White
Medium (66cm)
Large (70cm)
X Large (74cm)
XX Large (78cm)
XXX Large (82cm)
XXXX Large (86cm)
XXXXX Large (90cm)
505
TJS 962d
1
484
VBSLB2
VBSLB3
VBSLB4
VBSLB5
VBSLB6
VBSLB7
VBSLB8
VBSLW2
VBSLW3
VBSLW4
VBSLW5
VBSLW6
VBSLW7
VBSLW8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
VBSKB2
VBSKB3
VBSKB4
VBSKB5
VBSKB6
VBSKB7
VBSKB8
VBSKW2
VBSKW3
VBSKW4
VBSKW5
VBSKW6
VBSKW7
VBSKW8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
VBSPB2
VBSPB3
VBSPB4
VBSPB5
VBSPB6
VBSPB7
VBSPB8
VBSPW2
VBSPW3
VBSPW4
VBSPW5
VBSPW6
VBSPW7
VBSPW8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Vanilla Blush
Appliance
Male Briefs with Legs
Black
Medium (66cm)
Large (70cm)
X Large (74cm)
XX Large (78cm)
XXX Large (82cm)
XXXX Large (86cm)
XXXXX Large (90cm)
White
Medium (66cm)
Large (70cm)
X Large (74cm)
XX Large (78cm)
XXX Large (82cm)
XXXX Large (86cm)
XXXXX Large (90cm)
Vanilla Blush Hernia Support Girdle
Ladies Pantie Girdle
Black
Small (44cm)
Medium (48cm)
Large (52cm)
X Large (56cm)
XX Large (60cm)
XXX Large (64cm)
XXXX Large (68cm)
XXXXX Large (72cm)
White
Small (44cm)
Medium (48cm)
Large (52cm)
X Large (56cm)
XX Large (60cm)
XXX Large (64cm)
XXXX Large (68cm)
XXXXX Large (72cm)
Vanilla Blush Hernia Support Vest
Level 2/3 Support
Unisex
Black
Small
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
XXXXX Large
White
Small
Medium
Large
X Large
XX Large
XXX Large
XXXX Large
XXXXX Large
506
Order No.
Quantity
List Price p
VBSBB2
VBSBB3
VBSBB4
VBSBB5
VBSBB6
VBSBB7
VBSBB8
VBSBW2
VBSBW3
VBSBW4
VBSBW5
VBSBW6
VBSBW7
VBSBW8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
VBLPGB1
VBLPGB2
VBLPGB3
VBLPGB4
VBLPGB5
VBLPGB6
VBLPGB7
VBLPGB8
VBLPGW1
VBLPGW2
VBLPGW3
VBLPGW4
VBLPGW5
VBLPGW6
VBLPGW7
VBLPGW8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
4000
VBMVB1
VBMVB2
VBMVB3
VBMVB4
VBMVB5
VBMVB6
VBMVB7
VBMVB8
VBMVW1
VBMVW2
VBMVW3
VBMVW4
VBMVW5
VBMVW6
VBMVW7
VBMVW8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3500
3500
3500
3500
3500
3500
3500
3500
3500
3500
3500
3500
3500
3500
3500
3500
Part IXC
08/2016
STOMA APPLIANCES
BELTS
Manufacturer
Ward Surgical
Appliance Co
Welland
Medical Ltd
Order No.
Quantity
Day Colostomy Belt made to measure All sizes
Appliance
23
1
4116
Wide second stage rubberised ileostomy belt with
2 straps, and buttonholed ends for use with
ileostomy boxes, or with celluloid hook ends for
use with ileostomy bags
19
1
2415
As above - with under-straps or suspenders
20
1
2715
Fitting "windows" in belt for use with ileostomy
bags or colostomy cups, or 4 stitched holes for
studs of colostomy cups or shields
35
1
438
Web and Elastic Belt with button and buckle
fastening
25mm wide
51mm wide
76mm wide
WM 25
WM 51
WM 75
1
1
1
783
1010
1147
Hookend Elastic Belt
Woven understraps with buttonhold ends
WM 86
21
1
1 pair
1093
304
BLTS01
BLTL01
1
1
750
750
Welland FreeStyle Vie Belt
White Standard
White Large
List Price p
Welland Universal Belt System. 5 Universal belt rings with 1 adjustable elasticated belt
67mm belt ring
BLT067
1
3717
73mm belt ring
BLT073
1
3655
77mm belt ring
BLT077
1
3717
82mm belt ring
BLT082
1
3717
92mm belt ring
BLT092
1
3717
98mm belt ring
BLT098
1
3655
Universal Belt System Large (5 belt rings with 1 adjustable elasticated belt)
67mm belt rings
BLT167
1
73mm belt ring
BLT173
1
77mm belt rings
BLT177
1
82mm belt rings
BLT182
1
92mm belt rings
BLT192
1
98mm belt ring
BLT198
1
507
3717
3655
3717
3717
3717
3655
08/2016
Part IXC
STOMA APPLIANCES
COLOSTOMY BAGS
All products in this category qualify for the stoma customisation fee.
Manufacturer
B. Braun Medical
Appliance
Order No.
Biotrol
Elite bag with filter, skin protector adhesive, fabric backing
Beige
36-810
Xstarter hole
25mm
36-825
30mm
36-830
35mm
36-835
40mm
36-840
36-845
X 45mm
36-850
X 50mm
70mm
36-870
Quantity
List Price p
30
30
30
30
30
30
30
30
8283
8283
8283
8283
8283
8283
8283
8283
25mm
45mm
50mm
60mm
70mm
30-825
30-845
30-850
30-860
30-870
30
30
30
30
30
7695
7695
7695
7695
7695
25mm
30mm
35mm
40mm
45mm
70mm
32-825
32-830
32-835
32-840
32-845
32-870
30
30
30
30
30
30
8283
8283
8283
8283
8283
8283
Elite Petite bag with filter, skin protector adhesive, fabric backing
Beige
25mm
37-325
30
45mm
37-345
30
7041
7041
Integrale bag with filter & skin protector adhesive
White
starter hole
32-415
25mm
32-425
32-435
X 35mm
50mm
32-450
60mm
32-460
70mm
32-470
8283
8283
8283
8283
8283
8283
Transparent
White
Colostomy Bags
508
30
30
30
30
30
30
08/2016
Part IXC
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
B. Braun Medical
Appliance
Order No.
Quantity
Biotrol
Preference bag with filter, skin protector adhesive, fabric backing
Beige
starter hole
36-615
30
25mm
36-625
30
30mm
36-630
30
35mm
36-635
30
40mm
36-640
30
45mm
36-645
30
50mm
36-650
30
60mm
36-660
30
White
starter hole
32-610
30
25mm
32-625
30
35mm
32-635
30
40mm
32-640
30
45mm
32-645
30
50mm
32-650
30
60mm
32-660
30
List Price p
7878
7878
7878
7878
7878
7878
7878
7878
7742
7742
7742
7742
7742
7742
7742
Almarys Optima Closed bag with filter and all over soft non-woven cover
Transparent starter hole 10mm
F018610E
30
6878
starter hole 10mm
F008610E
30
Beige
6878
25mm
F008625E
30
6878
30mm
F008630E
30
6878
35mm
F008635E
30
6878
40mm
F008640E
30
6878
45mm
F008645E
30
6878
F008650E
30
X 50mm
6878
60mm
F008660E
30
6878
Almarys Preference Closed bag with filter, skin protector
adhesive and all over soft non-woven cover
F018310E
Beige
starter hole 10mm
F008310E
25mm
F008325E
30mm
F008330E
40mm
F008340E
45mm
F008345E
50mm
F008350E
and microporous
30
30
30
30
30
30
30
Almarys Quiet Closed bag with filter and all over soft non-woven cover
F018110E
30
Beige
starter hole 10mm
F008110E
30
25mm
F008125E
30
30mm
F008130E
30
35mm
F008135E
30
40mm
F008140E
30
50mm
F008150E
30
Colostomy Bags
509
6878
6878
6878
6878
6878
6878
6878
6878
6878
6878
6878
6878
6878
6878
Part IXC
08/2016
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
Appliance
B. Braun Medical
Biotrol
Softima closed pouch with filter, skin protector and protective cover
Beige
Cut-to-fit
16-50mm
043016E
30
16-70mm
043070E
30
pre-cut
24mm
043024E
30
28mm
043028E
30
32mm
043032E
30
36mm
043036E
30
40mm
043040E
30
45mm
043045E
30
Transparent
cut-to-fit
16-50mm
043616E
30
16-70mm
043670E
30
Order No.
8056
8056
8056
8056
8056
8056
8056
8056
Iryfix
15
3795
30
7917
F00014E
Softima Active closed pouch with filter and soft cover
Mini Beige
Cut-to-fit
15-45mm
4610215E
Midi Beige
Cut-to-fit
pre-cut
Quantity
List Price p
8056
8056
15-50mm
25mm
30mm
35mm
40mm
45mm
4610115E
4610125E
4610130E
4610135E
4610140E
4610145E
30
30
30
30
30
30
7917
7917
7917
7917
7917
7917
Midi Transparent
Cut-to-fit
15-50mm
4611115E
30
7917
4610380E
30
7917
4611380E
30
7917
Maxi Beige
Cut-to-fit
15-65mm
Maxi Transparent
Cut-to-fit
15-65mm
Softima Convex Closed closed pouch with filter and soft cover
Beige
cut-to-fit
15-35mm
43017E
10
15-45mm
43018E
10
pre-cut
25mm
43026E
10
30mm
43031E
10
35mm
43037E
10
40mm
43041E
10
Transparent
cut-to-fit
15-35mm
43117E
10
15-45mm
43118E
10
510
2858
2858
2858
2858
2858
2858
2858
2858
08/2016
Part IXC
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
C S Bullen Ltd
Appliance
Order No.
Shelter Closed Pouch Bio dressing resin
Beige
cut-to-fit
13mm-80mm
2450/00
Clear
cut-to-fit
13mm-64mm
2250/00
pre-cut
19mm
2250/19
25mm
2250/25
32mm
2250/32
38mm
2250/38
44mm
2250/44
51mm
2250/51
58mm
2250/58
64mm
2250/64
List Price p
20
3813
20
20
20
20
20
20
20
20
20
3813
3813
3813
3813
3813
3813
3813
3813
3813
20
20
20
20
20
20
20
20
20
2936
2936
2936
2936
2936
2936
2936
2936
2936
Shelter Closed Pouch microporous adhesive, bio dressing resin
Clear
cut-to-fit
13mm-64mm
2245/00
20
pre-cut
19mm
2245/19
20
25mm
2245/25
20
32mm
2245/32
20
38mm
2245/38
20
44mm
2245/44
20
51mm
2245/51
20
58mm
2245/58
20
64mm
2245/64
20
4002
4002
4002
4002
4002
4002
4002
4002
4002
ZenSiv 1-piece closed bag with window, vent and filter
Beige
cut-to-fit
10-60mm
C1NB10V
pre-cut
25mm
C1NB25V
32mm
C1NB32V
38mm
C1NB38V
20
20
20
20
5600
5600
5600
5600
ZenSiv 1-piece closed bag with window and filter
Mini Beige
cut-to-fit
10-50mm
N1NB10
20
4900
Shelter Closed Pouch microporous adhesive
Beige
cut-to-fit
13mm-64mm
2240/00
pre-cut
19mm
2240/19
25mm
2240/25
32mm
2240/32
38mm
2240/38
44mm
2240/44
51mm
2240/51
58mm
2240/58
64mm
2240/64
CliniSupplies Ltd
Quantity
Colostomy Bags
511
Part IXC
08/2016
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
Coloplast Ltd
Appliance
Order No.
Assura Closed Bag with Integral Filter and Soft Backing
Mini Opaque
starter hole
20mm
2421
ready-cut
25mm
2424
30mm
2425
35mm
2426
Midi Clear
starter hole
ready-cut
Midi Opaque
starter hole
ready-cut
Maxi Clear
starter hole
ready-cut
Maxi Opaque
starter hole
ready-cut
Quantity
List Price p
30
30
30
30
6331
6331
6331
6331
20mm
25mm
30mm
35mm
40mm
2471
2474
2475
2476
2477
30
30
30
30
30
7900
7900
7900
7900
7900
20mm
25mm
30mm
35mm
40mm
45mm
2461
2464
2465
2466
2467
2468
30
30
30
30
30
30
7900
7900
7900
7900
7900
7900
20mm
25mm
30mm
35mm
40mm
45mm
50mm
2481
2484
2485
2486
2487
2488
2489
30
30
30
30
30
30
30
7900
7900
7900
7900
7900
7900
7900
20mm
25mm
30mm
35mm
40mm
2511
2514
2515
2516
2517
30
30
30
30
30
7900
7900
7900
7900
7900
1435
1485
1445
1495
10
10
10
10
2586
2586
2586
2586
Assura Conseal 1 Piece Plug
Length Size
35mm
stoma size 20-35mm
stoma size 35-45mm
45mm
stoma size 20-35mm
stoma size 35-45mm
Assura Inspire Closed Bag with Integral Filter, Oval Adhesive and Soft Backing.
Midi Transparent
starter hole
20-65mm
12130
30
7900
ready-cut
25mm
12134
30
7900
30mm
12135
30
7900
35mm
12136
30
7900
Maxi Transparent
starter hole
20-75mm
pre-cut
25mm
30mm
35mm
Colostomy Bags
512
12160
12164
12165
12166
30
30
30
30
7900
7765
7765
7765
08/2016
Part IXC
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
Coloplast Ltd
Appliance
Order No.
Assura Inspire Closed Bag with Integral Filter, Oval Adhesive and Opaque Soft
Cover Front and Back.
Midi Soft Cover
starter hole
20-65mm
12140
30
7900
ready-cut
25mm
12144
30
7900
30mm
12145
30
7900
35mm
12146
30
7900
40mm
12147
30
7900
45mm
12148
30
7900
50mm
12149
30
7900
Maxi Soft Cover
starter hole
20-75mm
pre-cut
25mm
30mm
35mm
12170
12174
12175
12176
30
30
30
30
7900
7765
7765
7765
Assura Inspire Closed Bag with Integral Filter, Oval Adhesive and Soft Cover
Front and Back.
Midi Design
starter hole
20-65mm
12150
30
7900
ready-cut
25mm
12154
30
7900
30mm
12155
30
7900
35mm
12156
30
7900
40mm
12157
30
7900
45mm
12158
30
7900
Maxi Design
starter hole
pre-cut
20-75mm
35mm
30
30
7900
7765
Closed Bag with Integral Filter and Soft Cover front and back
Mini Soft Cover
starter hole
20-65mm
12110
30
6296
Mini Design
starter hole
12120
30
6296
Assura Inspire 1 Piece Closed Bags with Dual Filter
Midi Design - starter hole 20-65mm
14505
Soft cover - starter hole 20-65mm
14504
Maxi Design - starter hole 20-75mm
14508
Soft cover - starter hole 20-75mm
14507
Transparent - starter hole 20-75mm
14506
30
30
30
30
30
8512
8512
8512
8512
8512
20-65mm
12180
12186
Assura Inspire Seal 1 Piece Integral Convexity Closed Bags with Integral Filter
and Soft Backing
Midi Transparent
starter hole
15-33mm
14092
10
2844
15-43mm
14093
10
2844
Maxi Transparent
starter hole
15-33mm
15-43mm
513
14002
14003
10
10
2844
2844
Part IXC
08/2016
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
Coloplast Ltd
Appliance
Order No.
Assura Inspire Seal 1 Piece Integral Convexity Closed Bags with Integral Filter
and Opaque Soft Cover Front and Back
Midi Soft Cover
starter hole
15-33mm
14095
10
2844
15-43mm
14096
10
2844
Maxi Soft Cover
starter hole
15-33mm
14005
10
2844
15-43mm
14006
10
2844
Assura Inspire Soft Seal 1 piece Closed Bags with Shallow convexity
Midi Soft Cover
starter hole
15-33mm
14434
10
starter hole
15-43mm
14435
10
Midi Soft Cover
21mm
14451
10
25mm
14452
10
28mm
14453
10
31mm
14454
10
Maxi Soft Cover
starter hole
15-33mm
14444
10
starter hole
15-43mm
14445
10
Midi Transparent
starter hole
15-33mm
14431
10
starter hole
15-43mm
14432
10
Maxi Transparent
starter hole
15-33mm
14441
10
starter hole
15-43mm
14442
10
2903
2903
2903
2903
2903
2903
2903
2903
2903
2903
2903
2903
Assura Seal Integral Convexity Closed Bags with Filter and Soft Backing
Midi Clear
25mm
12864
10
2586
Midi Opaque
starter hole
15-43mm
12563
10
2586
Maxi Clear
25mm
12884
10
2586
28mm
12885
10
2586
Maxi Opaque
starter hole
15-43mm
12573
10
2586
SenSura 1-piece Closed Bags
Mini Soft Cover
cut-to-fit
10-55/66mm
Midi Soft Cover
cut-to-fit
10-55/66mm
pre-cut
25mm
30mm
35mm
40mm
45mm
50mm
Midi Transparent
cut-to-fit
10-55/66mm
Maxi Soft Cover
cut-to-fit
10-65/76mm
pre-cut
25mm
30mm
35mm
Maxi Transparent
cut-to-fit
10-65/76mm
Colostomy Bags
514
15620
30
8783
15650
15652
15653
15654
15655
15656
15657
30
30
30
30
30
30
30
8783
8783
8783
8783
8783
8783
8783
15640
30
8783
15680
15682
15683
15684
30
30
30
30
8783
8783
8783
8783
15670
30
8783
08/2016
Part IXC
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
Appliance
Coloplast Ltd
SenSura Mio 1-piece Closed Bags with full-circle filter
Mini Neutral Grey with window
cut-to-fit
15-45mm
10670
Midi Neutral Grey with window
cut-to-fit
15-45mm
10671
pre-cut
25mm
10672
30mm
10673
35mm
10674
Maxi Neutral Grey with window
cut-to-fit
15-45mm
10681
pre-cut
30mm
10683
35mm
10684
40mm
10685
Maxi Transparent
cut-to-fit
15-55mm
10691
Order No.
Quantity
List Price p
30
8783
30
30
30
30
8783
8783
8783
8783
30
30
30
30
8783
8783
8783
8783
30
8783
SenSura Mio 1-piece closed bags with integral soft convexity, BodyFit Technology
and full-circle filter
starter hole
15-33mm
16501
10
3276
starter hole
15-33mm
16505
10
3276
10-50mm
16506
10
3276
pre-cut
25mm (cuts to 33mm)
16510
10
3276
28mm (cuts to 33mm)
16511
10
3276
31mm (cuts to 50mm)
16512
10
3276
35mm (cuts to 50mm)
16513
10
3276
SenSura Mio 1-piece closed bags with integral light convexity, BodyFit Technology
and full-circle filter
starter hole
10-23mm
16521
10
3276
15-33mm
16522
10
3276
31-43mm
16523
10
3276
starter hole
10-23mm
16525
10
3276
15-33mm
16526
10
3276
31-43mm
16527
10
3276
pre-cut
25mm (cuts to 33mm)
16530
10
3276
28mm (cuts to 33mm)
16531
10
3276
515
Part IXC
08/2016
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
Coloplast Ltd
Appliance
Order No.
SenSura Mio 1-piece closed bags with integral deep convexity, BodyFit
Technology and full-circle filter
starter hole 10-23mm
16541
10
3276
15-33mm
16542
10
3276
31-43mm
16543
10
3276
starter hole 10-23mm
16545
10
3276
15-33mm
16546
10
3276
31-43mm
16547
10
3276
SenSura Mio Original 1-piece Closed Bags
Mini Split Soft Cover
starter hole
15-45mm
Midi Split Soft Cover
starter hole
15-45mm
pre-cut
25mm
30mm
35mm
Maxi Clear
starter hole
15-45mm
Maxi Split Soft Cover
starter hole
15-45mm
40-55mm
pre-cut
30mm
35mm
10611
30
8757
10621
10622
10623
10624
30
30
30
30
8757
8757
8757
8757
10661
30
8757
10631
10635
10633
10634
30
30
30
30
8757
8649
8757
8757
30
30
30
30
8783
8783
8783
8783
30
30
30
8783
8783
8783
SenSura One Piece Closed Split Film bag with Dual Filter
Midi Soft Cover
cut-to-fit
10-66mm
15000
pre-cut
25mm
15001
30mm
15002
35mm
15003
Maxi Soft Cover
cut-to-fit
10-76mm
15010
pre-cut
30mm
15011
35mm
15012
SenSura Soft Seal 1-piece closed bags with integral light convexity
Midi Soft Cover
cut-to-fit
15-33mm
15303
10
15-43mm
15304
10
pre-cut
25mm
15313
10
28mm
15314
10
31mm
15315
10
Maxi Soft Cover
cut-to-fit
15-33mm
15307
10
15-43mm
15308
10
Maxi Transparent
cut-to-fit
15-33mm
15305
10
15-43mm
15306
10
SenSura Soft Seal One Piece Closed Split Film bag with Dual Filter
Midi Soft Cover
cut-to-fit
15-33mm
15040
10
15-43mm
15041
10
pre-cut
25mm
15042
10
31mm
15043
10
Maxi Soft Cover
cut-to-fit
15-43mm
15051
10
516
3276
3276
3276
3276
3276
3276
3276
3276
3276
3276
3276
3276
3276
3276
08/2016
Part IXC
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
ConvaTec Ltd
Appliance
Order No.
Colodress Plus (Stomahesive Wafer) Closed Pouches
Opaque starter hole
19mm
S861
pre-cut
25mm
S862
32mm
S863
38mm
S864
45mm
S865
50mm
S866
64mm
S867
Clear starter hole
19mm
S871
pre-cut
25mm
S872
32mm
S873
38mm
S874
45mm
S875
50mm
S876
Mini
19mm
S901
25mm
S902
32mm
S903
38mm
S904
Esteem Closed Pouches with Integral filter
Small - opaque
starter hole
20mm-60mm
pre-cut
25mm
30mm
35mm
40mm
Medium - clear
starter hole
20mm-80mm
pre-cut
25mm
30mm
35mm
40mm
Medium - opaque
starter hole
20mm-80mm
pre-cut
25mm
30mm
35mm
40mm
50mm
Large - clear
starter hole
20mm-80mm
Large - opaque
starter hole
20mm-80mm
pre-cut
25mm
30mm
35mm
40mm
50mm
60mm
70mm
Esteem+ Closed End Pouch
Standard - Clear
mould-to-fit
20mm-30mm
30mm-40mm
Standard - Opaque
mould-to-fit
40-50mm
Colostomy Bags
517
Quantity
List Price p
30
30
30
30
30
30
30
7706
7706
7706
7706
7706
7706
7706
30
30
30
30
30
30
30
30
30
30
7706
7706
7706
7706
7706
7706
6951
6951
6951
6951
S5001
S5002
S5003
S5011
S5004
30
30
30
30
30
6423
6423
6423
6308
6423
S5006
S5007
S5008
S5012
S5009
30
30
30
30
30
7226
7226
7226
7096
7226
S5013
S5014
S5015
S5018
S5016
S5017
30
30
30
30
30
30
7226
7226
7226
7096
7226
7226
S5020
30
7226
S5027
S5028
S5029
S5034
S5030
S5031
S5032
S5033
30
30
30
30
30
30
30
30
7226
7226
7226
7096
7226
7226
7226
7226
413509
413510
30
30
8631
8631
413511
30
8631
Part IXC
08/2016
STOMA APPLIANCES
COLOSTOMY BAGS
Manufacturer
ConvaTec Ltd
Dansac Ltd
Appliance
Order No.
Esteem+ Closed Pouches with Integral filter
Small - o

PREFACE AMENDMENTS TO THE DRUG TARIFF August 2016

Transcription

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