Notice of changes to special container status of products

Notice of changes to special container status of products

Where a product meets the special container criteria as set out in Part II Clause 10B of the Drug Tariff (see Background section below), a special container indicator for the relevant pack size (complete pack or sub-pack) is applied to the respective product entries in dictionary of medicines and devices (dm+d) and in the Drug Tariff, where listed.

Following a review of the special container status of certain products, the Department of Health of Social Care (DHSC) has re-determined the following products now meet the special container criteria as set out in the Drug Tariff.
Please note: the lists below only show existing products which have been re-classified as special containers; the lists do not include any new products added to dm+d and the Drug Tariff that are granted special container status each month.

The following products were re-classified as special containers as of December 2020:

Generic drug name (dm+d descriptor) Brand and/or Manufacturer Pack size Special container
Aconitum napellus 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Apis mellifica 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Arnica montana 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Arnica montana 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Arnica montana 6c homeopathic pillules Clikpak Nelsons 84 Complete pack
Arsenicum album 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Belladonna 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Cantharis vesicatoria 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Chamomilla 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Drosera rotundifolia 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Gelsemium sempervirens 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Hypericum perforatum 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Ignatia amara 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Ipecacuanha 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Kalium bichromicum 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Lachesis muta 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Ledum palustre 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Lycopodium clavatum 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Mercurius vivus 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Natrum muriaticum 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Nux vomica 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Nux vomica 6c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Nux vomica 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Oopherinum 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Oopherinum 6c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Phosphorus 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Pulsatilla pratensis 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Pulsatilla pratensis 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Rhus toxicodendron 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Rhus toxicodendron 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Ruta graveolens 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Sepia officinalis 30c homeopathic pillules Helios Homoeopathy Ltd 100 Complete pack
Sepia officinalis 30c homeopathic pillules Clikpak Nelsons 84 Complete pack
Sulfur 30c homeopathic pillules Clikpak Nelsons 84 Complete pack

The following products were re-classified as special containers as of November 2020:

There were no products re-classified as special containers in November 2020.

The following products were re-classified as special containers as of October 2020:

Generic drug name (dm+d descriptor) Brand and/or Manufacturer Pack size Special container
BioGaia ProTectis oral drops BioGaia 5ml Complete pack
Dolutegravir 50mg / Rilpivirine 25mg tablets Juluca (ViiV Healthcare UK Ltd) 30 Complete pack
Emulfin ointment Ennogen Healthcare Ltd 100g Complete pack
Hydrex 4% Surgical Scrub Ecolab Healthcare Division 250ml
500ml
Complete pack
Nicotine 2mg lozenges sugar free Nicorette Cools (McNeil Products Ltd) 20
80 (4×20)
20 (Complete pack)
80 (Sub-pack of 20)
Nicotine 4mg lozenges sugar free NiQuitin Minis Mint (Omega Pharma Ltd) 60 (3×20) Sub-pack of 20
Nicotine 4mg lozenges sugar free Nicorette Cools (McNeil Products Ltd) 80 (4×20) Sub-pack of 20
Dolutegravir 10mg tablets Tivicay (ViiV Healthcare UK Ltd) 30 Complete pack
Triumeq 50mg/600mg/300mg tablets ViiV Healthcare UK Ltd 30 Complete pack
Videne 7.5% surgical scrub solution Ecolab Healthcare Division 500ml Complete pack

The following products were re-classified as special containers as of September 2020:

Generic drug name (dm+d descriptor) Brand and/or Manufacturer Pack size Special container
Asenapine 5mg sublingual tablets sugar free Sycrest 60 (6 x 10) Sub-pack of 10
Asenapine 10mg sublingual tablets sugar free Sycrest 60 (6 x 10) Sub-pack of 10
Cetaphil Restoraderm skin restoring moisturiser Galderma (UK) Ltd 295ml Complete pack
Chlorhexidine gluconate 4% solution HiBiScrub 250ml
500ml
5000ml
Complete pack
Epimax original cream Aspire Pharma Ltd 500g Complete pack
Exorex hair and body shampoo Teva UK Ltd 250ml Complete pack
Octenisan Antimicrobial wash Schulke & Mayr UK Ltd 150ml
500ml
Complete pack
Stellisept med 1% skin cleanser BODE Chemie GmbH 100ml
500ml
Complete pack

The following products were re-classified as special containers as of August 2020:

Generic drug name (dm+d descriptor) Brand and/or Manufacturer Pack size Special container
Cetaphil gentle skin cleanser Galderma (UK) Ltd 236ml
473ml
Complete pack
Cetaphil moisturising lotion Galderma (UK) Ltd 236ml
473ml
Complete pack

The following products were re-classified as special containers as of July 2020:

Generic drug name (dm+d descriptor) Brand and/or Manufacturer Pack size Special container
Alendronic acid 70mg / Colecalciferol 140microgram tablets Bentexo 4 Complete pack
Aqueous cream Pinewood Healthcare
Thornton & Ross Ltd
100g Complete pack
Hydroxycarbamide 500mg/5ml oral solution sugar free Xromi 150ml Complete pack

The following products were re-classified as special containers as of June 2020:

Generic drug name (dm+d descriptor) Brand and/or Manufacturer Pack size Special container
Clomethiazole 157.5mg/5ml oral solution sugar free

Heminevrin (Cheplapharm Arzneimittel GmbH)

All available generics

300ml Complete pack
Desmopressin 100 microgram tablets

DDAVP 0.1mg tablets (Ferring Pharmaceuticals Ltd)

All available generics

90 Complete pack
Desmopressin 200 microgram tablets

DDAVP 0.2mg tablets (Ferring Pharmaceuticals Ltd)

All available generics

30
90
Complete pack
Doravirine 100mg tablets Pifeltro (Merck Sharp & Dohme Ltd) 30 Complete pack
Emtricitabine 200mg / Tenofovir alafenamide 10mg tablets Descovy (Gilead Sciences International Ltd) 30 Complete pack
Emtricitabine 200mg / Tenofovir alafenamide 25mg tablets Descovy (Gilead Sciences International Ltd) 30 Complete pack
Lamivudine 300mg / Tenofovir disoproxil 245mg / Doravirine 100mg tablets Delstrigo (Merck Sharp & Dohme Ltd) 30 Complete pack
Levofloxacin 100mg/ml nebuliser liquid ampoules Quinsair (Chiesi Ltd) 56 Complete pack
Sodium valproate 100mg tablets Epilim 100mg crushable tablets (Sanofi)

100 (10 x 10)

30 (3 x 10)

Sub-pack of 10
Sodium valproate 200mg gastro-resistant tablets

Epilim 200 gastro-resistant tablets (Sanofi)

All available generics

100 (10 x 10)

30 (3 x 10)

Sub-pack of 10
Sodium valproate 200mg modified-release tablets Epilim Chrono 200 tablets (Sanofi)

100 (10 x 10)

30 (3 x 10)

Sub-pack of 10
Sodium valproate 300mg modified-release tablets Epilim Chrono 300 tablets (Sanofi)

100 (10 x 10)

30 (3 x 10)

Sub-pack of 10
Sodium valproate 500mg gastro-resistant tablets

Epilim 200mg gastro-resistant tablets (Sanofi)

All available generics

100 (10 x 10)

30 (3 x 10)

Sub-pack of 10
Sodium valproate 500mg modified-release tablets Epilim Chrono 500 (Sanofi)

100 (10 x 10)

30 (3 x 10)

Sub-pack of 10
Urea 10% lotion Eucerin Intensive 10% lotion (Beiersdorf UK Ltd) 250ml Complete pack

The following products were re-classified as special containers as of May 2020:

Generic drug name (dm+d descriptor) Brand and/or Manufacturer Pack size Special container
Ascorbic acid powder J M Loveridge Ltd 100g Complete pack
Aspirin powder J M Loveridge Ltd 250g Complete pack
Boric acid powder J M Loveridge Ltd 500g Complete pack
Sodium bicarbonate powder J M Loveridge Ltd 300g Complete pack
Tartaric acid powder J M Loveridge Ltd 500g Complete pack
Zinc oxide powder J M Loveridge Ltd 500g Complete pack

If you identify any particular product(s) which are not currently classed as special containers but you believe satisfy the criteria (as set out in Part II CLAUSE 10 B of the Drug Tariff), please notify PSNC’s Dispensing and Supply Team (0203 1220 810 or info@psnc.org.uk) who will investigate and assess if it meets the relevant criteria. Where appropriate, PSNC will make application to the NHSBSA and DHSC seeking for the special container status of the product(s) to be re-determined.


Background

Part II Clause 10 of the Drug Tariff sets out the rules for the quantity to be supplied of a prescribed product. Under the normal rules, pharmacy contractors are reimbursed for supplying the exact quantity ordered by the prescriber unless the preparation has been recognised as being packaged in a special container; for example, where the product is sterile or hygroscopic.

Part II CLAUSE 10 B of the Drug Tariff ‘Drugs and Chemical Reagents in Special Containers’ states the following:

“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.” 

For more information on special containers see our page Special containers and products requiring reconstitution



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