Drug Tariff Watch – August 2021

The Preface lists additions, deletions and alterations to the Drug Tariff. Below is a quick summary of the changes coming into effect from 1st August 2021.

Note: Contractors should also be aware that the Single Activity Fee is set to increase to £1.29 from 1st August.

Key
g Special container – This product is a special container and should be dispensed in its complete original pack size.
§ Selected List Scheme (SLS)
* This pack only (others already/still available)
BB Product is eligible for Broken Bulk claims where payment is made for a complete pack if a part-pack has been dispensed to match the prescribed quantity and it is unlikely that you will be able to dispense the balance within the following six months.
OOP Product eligible for Out Of Pocket expense claims (over £0.50) where in exceptional circumstances, contractors incur expenses in obtaining this product (which is not required to be frequently supplied by the contractor).
DND Product is not subject to discount deduction or ‘clawback’ as it meets either group or individual item criteria for DND (Discount Not Deducted) as set out in Part II of the Drug Tariff.

Part VIIIA Additions
Category A Additions:

  • Co-codamol 30mg/500mg/5ml oral solution sugar free (150ml) – BB
  • Solifenacin 5mg/5ml oral solution sugar free (150ml) – BB

Category C Additions:

  • Amoxicillin 1g dispersible tablets sugar free (6) – Almus Pharmaceuticals Ltd – BB & OOP
  • Clozapine 100mg orodispersible tablets sugar free (28) – Zaponex BB & OOP
  • Clozapine 12.5mg orodispersible tablets sugar free (28) – Zaponex BB & OOP
  • Clozapine 25mg orodispersible tablets sugar free (28) – Zaponex BB & OOP
  • Clozapine 50mg orodispersible tablets sugar free (28) – Zaponex BB & OOP
  • Dulaglutide 3mg/0.5ml solution for injection pre-filled disposable devices (4) – Trulicity – BB, DND & OOP
  • Dulaglutide 4.5mg/0.5ml solution for injection pre-filled disposable devices (4) – Trulicity – BB, DND & OOP
  • Enzalutamide 40mg tablets (112) – Xtandi – BB, DND & OOP
  • Furosemide 50mg/5ml solution for injection ampoules (10) – Accord Healthcare Ltd BB & OOP
  • Granisetron 3mg/3ml solution for injection ampoules (10) – hameln pharma Ltd BB & OOP
  • Sodium dihydrogen phosphate dihydrate 542mg/ml / Disodium hydrogen phosphate dodecahydrate 240mg/ml oral solution sugar free (90ml (2xg45ml)) – Phospho-soda – OOP

Part XVI Additions

  • Gygel 2% contraceptive jelly
  • Nonoxinol-9 2% gel

Part VIIIA Amendments

  • Alpha tocopheryl acetate 500mg/5ml oral suspension (100ml) Category A has moved to Category C – Alliance Pharmaceuticals Ltd BB & OOP
    Price increase £64.74 to £69.67
  • Amantadine 50mg/5ml oral solution sugar free 150ml Category A has moved to Category C – Northumbria Pharma Ltd BB & OOP
    Price increase £126.26 to £140.00
  • Bimatoprost 300micrograms/ml eye drops 0.4ml unit dose preservative free (30) Category C Lumigan has moved to Category A – BB
    Price increase £13.75 to £15.13
  • Buprenorphine 8mg / Naloxone 2mg sublingual tablets sugar free (28) Category A has moved to Category C – Suboxone BB, DND & OOP
    Price increase £64.90 to £76.19
  • Eprosartan 600mg tablets (28) Category A has moved to Category C – Teveten BB
    Price decrease £18.16 to £14.31
  • Isocarboxazid 10mg tablets (56) Category A has moved to Category C – Alliance Pharmaceuticals Ltd BB, DND & OOP
    Price increase £217.75 to £249.10
  • Procarbazine 50mg capsules (50) Category A has moved to Category C – Alliance Pharmaceuticals Ltd BB, DND & OOP
    Price increase £411.35 to £479.63
  • Testosterone enantate 250mg/1ml solution for injection ampoules (3) Category A has moved to Category C – Alliance Pharmaceuticals Ltd BB, DND & OOP
    Price increase £83.74 to £87.73

Please note all prices listed were correct at the time of publishing and are subject to change in line with the price change mechanism.

Part VIIIA Deletions
If all pack sizes of a drug have been removed from Part VIII of the Drug Tariff the drug can continue to be dispensed as long as it does NOT appear in Part XVIIIA (Drugs, Medicines and other substances not to be ordered under a General Medical Services Contract).
Category A Deletions:

  • Paracetamol 120mg/5ml oral suspension paediatric (500ml)

Category C Deletions:

  • Aminophylline hydrate 225mg modified-release tablets (56) – Phyllocontin Continus
  • Dexamethasone 40mg tablets (10) – Neofordex
  • Insulin isophane biphasic human 15/85 100units/ml suspension for injection 3ml cartridges (5) – Insuman Comb 15
  • Sodium aurothiomalate 10mg/0.5ml solution for injection ampoules (10) – Myocrisin
  • Sodium aurothiomalate 50mg/0.5ml solution for injection ampoules (10) – Myocrisin
  • Tinidazole 500mg tablets (16) – Fasigyn

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

  • Apraclonidine 1% eye drops 0.25ml unit dose preservative free
  • Etonogestrel 68mg implant
  • Glytactin Build 20/20 oral powder 30g sachets
  • Glytactin RTD 15 liquid
  • Iopidine 1% eye drops 0.25ml unit dose
  • KetoVie 4:1 liquid
  • Liothyronine 5microgram tablets
  • Nexplanon 68mg implant
  • Omeprazole oral suspension sugar free (ALL)
  • Rinvoq 15mg modified-release tablets

For a list of all the monthly changes to the DND status of products please see the following page Notice of changes to discount not deducted (DND) status of products.

Part IX Deletions
It is important to take careful note of removals from Part IX because if you dispense a deleted product, prescriptions will be returned as disallowed and therefore payment will not be made for dispensing the item.

The following appliances have been deleted from Part IX of the August 2021 Drug Tariff:

Product Additional information (size, product code etc)
APPLIANCES – BANDAGES – Elastomer and Viscose Bandage, Knitted – Clinilite All sizes
APPLIANCES – BANDAGES – Elastomer and Viscose Bandage, Knitted – Cliniplus 10cm x 8.7m
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Kendall Calcium Alginate Zn All sizes
APPLIANCES – DRESSINGS – WOUND MANAGEMENT DRESSINGS – Zorflex – Square  5cm x 5cm
APPLIANCES – LUBRICANT GELS – LINC Gel All sizes
APPLIANCES – LUBRICANT GELS – LINC Pure Gel All sizes

To view appliances due to be deleted from Part IX of the September, October and November 2021 Drug Tariffs visit our page Drug Tariff Appliance Watch: Notice of Deletion

To view the latest changes to special container status, visit our Notice of changes to special container status of products page.