Drug Tariff Watch – September 2021
The Drug Tariff Preface published monthly lists additions, deletions and other changes to products listed in the Drug Tariff. Below is a quick summary of the changes coming into effect from 1 September 2021.
| 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 C Additions:
- Carbocisteine 750mg capsules (60) – Brown & Burk UK Ltd – BB & OOP
- Colecalciferol 10,000unit capsules (20) – Alissa Healthcare Research Ltd – BB & OOP
- Desmopressin 15micrograms/1ml solution for injection ampoules (10) – Octim – BB, DND & OOP
- Fluconazole 50mg/25ml solution for infusion vials g (1) – Advanz Pharma – OOP
- Metformin 1g tablets (28) – RX Farma – BB & OOP
- Sodium cromoglicate 100mg/5ml oral solution 5ml unit dose ampoules sugar free (96) – Brown & Burk UK Ltd – BB & OOP
Part VIIIC Additions
From September 2021, the Drug Tariff includes a new section, Part VIIIC, which sets out arrangements of payment for products with a nominal price (i.e where the purchase price of the product is significantly lower than its NHS list price). Products listed in Part VIIIC are available at nominal prices because of commercial deals in place between the manufacturer or supplier and the NHS England and NHS Improvement (NHSE&I) which allows manufacturers to supply a drug to the NHS at a reduced cost compared to its published NHS list prices as authored in the NHS Dictionary of Medicines and Devices (dm+d).
At present the only product listed in Part VIIIC is:
- Inclisiran 284mg/1.5ml solution for injection pre-filled syringes (1) – Leqvio – DND
More information on the addition of Inclisiran to Part VIIIC can be found here.
Part VIIIA Amendments
- Buprenorphine 2mg / Naloxone 500microgram sublingual tablets sugar free (28) Category A has moved to Category C – Suboxone – BB, DND & OOP
Price decrease £25.60 to £25.40
- Cabergoline 500microgram tablets g (8) Category A has moved to Category C – Teva UK Ltd – OOP
Price decrease £38.13 to £34.99
- Fluvoxamine 100mg tablets (30) Category A has moved to Category C – Wockhardt UK Ltd – BB & OOP
Price increase £17.70 to £20.98 - Liothyronine 5microgram tablets (28) Category C Morningside Healthcare Ltd has moved to Category A – BB & DND
Price remains at £98.00 - Pregabalin 20mg/ml oral solution sugar free g (473ml) Category C – Lyrica has moved to Category A – BB & DND
Price decrease £99.48 to £92.15
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:
- Cloral betaine 707mg tablets (30)
Category C Deletions:
- Aminophylline hydrate 350mg modified-release tablets (56) – Phyllocontin Forte Continus
- Fluticasone 125micrograms/dose / Formoterol 5micrograms/dose breath actuated inhaler CFC free (120 dose) – Flutiform K-haler
- Indometacin 75mg modified-release capsules (100) – Berlind 75 Retard
Part II (Drugs for which discount is not deducted (DND)) Additions
- Inclisiran 284mg/1.5ml solution for injection pre-filled syringes
- Jyseleca tablets (ALL)
- Ocaliva tablets (ALL)
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 September 2021 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – BANDAGES – Plaster of Paris Bandage BP 1988 – Gypsona | All sizes |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Foley Catheter – 2 Way (indwelling Nelaton catheter with Balloon) For Short/medium Term Use – Adult – Bard Ltd – Bard PTFE Coated Latex – (Male) | D1266LV, 30, 16-26 |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Foley Catheter – 2 Way For Long Term Use – Adult – Bard Ltd – Bard Silicone Elastomer Coated Latex – (Male) | D1667, 30, 16-22 |
| APPLIANCES – CATHETERS, URINARY, URETHRAL – Foley Catheter – 2 Way For Long Term Use – Adult – Bard Ltd – Bard Silicone Elastomer Coated Latex – (Female) | D1647, 30, 18-22 |
| APPLIANCES – HYPODERMIC EQUIPMENT – Spirit Healthcare Ltd – Sterilance Lite II Safety Lancets | All sizes |
| APPLIANCES – TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES – Tracheostomy Breathing Aids – Blom-Singer HME System – TruSeal Contour Adhesive Housing – Oval | BE6071 |
| INCONTINENCE APPLIANCES – INCONTINENCE SHEATHS – Manfred Sauer UK Ltd – Comfort Plus Latex Free Urinary Sheath with hydrocolloid double sided adhesive liner | Dia 18, 56.18, 30 Dia 20, 56.20, 30 Dia 22, 56.22, 30 Dia 37, 56.37, 30 |
| INCONTINENCE APPLIANCES – LEG BAGS – Manfred Sauer UK Ltd – Comfort Leg Bag 600ml with universal adapter, 2 straps and 1 latex connector – 15cm inlet adjustable, swing tap | 710.1315adj, 10 |
| INCONTINENCE APPLIANCES – LEG BAGS – Manfred Sauer UK Ltd – Comfort Leg Bag 600ml with universal adapter, 2 straps and 1 latex connector – Direct inlet glued adapter, push valve/sliding tap | 710.2104, 10 |
| INCONTINENCE APPLIANCES – LEG BAGS – Manfred Sauer UK Ltd – Comfort Leg Bag 600ml with universal adapter, 2 straps and 1 latex connector – 15cm inlet adjustable, push valve/sliding tap | 710.2315adj, 10 |
| STOMA APPLIANCES – BELTS – CUI International – Fulcionel AR Ostomy/Hernia Support Belt – 20cm depth with Hole Cutting | Extra Small (upto 75cm), F556, 1 Small (75-90cm), F557 , 1 Medium (90-105cm), F558, 1 Large (105-120cm), F559, 1 Extra Large (120-135cm), F560, 1 |
| STOMA APPLIANCES – BELTS – CUI International – Fulcionel AR Ostomy/Hernia Support Belt – 26cm depth with Hole Cutting | Extra Small (upto 75cm), F568, 1 Small (75-90cm), F569, 1 Medium (90-105cm), F570, 1 Large (105-120cm), F571, 1 Extra Large (120-135cm), F572, 1 |
| CHEMICAL REAGENTS – DETECTION STRIPS, BLOOD FOR GLUCOSE – GlucoMen LX Sensor | 50 |
| CHEMICAL REAGENTS – DETECTION STRIPS, BLOOD FOR KETONES (Beta-Hydroxybuterate) – GlucoMen LX Ketone Test Strips | 42216, 10 |
To view appliances due to be deleted from Part IX of the October, November and December 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.
