scottish drug tariff: amendment sheets october...

32
Scottish Drug Tariff: Amendment Sheets October 2016 1 This document is prepared by the eVADIS Team, Healthcare Information Group, Information Services Division. Enquiries to: [email protected] The complete Scottish Drug Tariff is published on the ISD Scotland website: www.isdscotland.org The following amendments take effect from 1st October 2016. _______________________________________________________________________ Part 1 ADDITIONS The following additions apply to Part 1 Annex A (Zero Discount) Deferiprone 100mg/ml oral solution sugar free Deferiprone Tabs 1g Mycophenolate Mofetil 1g/5ml oral suspension sugar free Part 1 DELETIONS The following deletions apply to Part 1 Annex A (Zero Discount) Anapen Junior 150micrograms/3ml (1in 2000) solution for injection auto-injectors Caprilon powder Elemental 028 powder Eltroxin oral solution (ALL) Evotrox 100micrograms/5ml oral solution Evotrox 50micrograms/5ml oral solution GA gel oral powder 20g sachets Generaid Plus powder Glucosamine Gold Standard 500mg/Chrondroitin 400mg tablets Glucosamine Gold Standard 500mg capsules Glucosamine Gold Standard 500mg tablets Glucosamine PDP 500mg/Chrondoitin 400mg tablets Glucosamine 750mg tablets Milupa PKU 2 Prima powder Neocate powder Nepro Liquid Novasource GI Control liquid Ondemet 4mg/2ml solution for injection ampoules Optifast dessert oral powder 54g sachets vanilla Optifast soup oral powder 54g sachets vegetable PKU Start liquid Seroquel 150mg tablets Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.isdscotland.org SCOTTISH DRUG TARIFF MONTHLY NOTICE OF AMENDMENTS October 2016

Upload: ngoanh

Post on 19-Sep-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

Scottish Drug Tariff: Amendment Sheets – October 2016

1

This document is prepared by the eVADIS Team, Healthcare Information Group, Information Services Division. Enquiries to: [email protected] The complete Scottish Drug Tariff is published on the ISD Scotland website: www.isdscotland.org The following amendments take effect from 1st October 2016. _______________________________________________________________________ Part 1 ADDITIONS The following additions apply to Part 1 Annex A (Zero Discount) Deferiprone 100mg/ml oral solution sugar free Deferiprone Tabs 1g Mycophenolate Mofetil 1g/5ml oral suspension sugar free Part 1 DELETIONS The following deletions apply to Part 1 Annex A (Zero Discount) Anapen Junior 150micrograms/3ml (1in 2000) solution for injection auto-injectors Caprilon powder Elemental 028 powder Eltroxin oral solution (ALL) Evotrox 100micrograms/5ml oral solution Evotrox 50micrograms/5ml oral solution GA gel oral powder 20g sachets Generaid Plus powder Glucosamine Gold Standard 500mg/Chrondroitin 400mg tablets Glucosamine Gold Standard 500mg capsules Glucosamine Gold Standard 500mg tablets Glucosamine PDP 500mg/Chrondoitin 400mg tablets Glucosamine 750mg tablets Milupa PKU 2 Prima powder Neocate powder Nepro Liquid Novasource GI Control liquid Ondemet 4mg/2ml solution for injection ampoules Optifast dessert oral powder 54g sachets vanilla Optifast soup oral powder 54g sachets vegetable PKU Start liquid Seroquel 150mg tablets

Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.isdscotland.org

SCOTTISH DRUG TARIFF

MONTHLY NOTICE OF AMENDMENTS

October 2016

Scottish Drug Tariff: Amendment Sheets – October 2016

2

ADDITIONS The following additions apply to Part 2 (Dressings)

LYMPHOEDEMA GARMENTS Price (p) (each unless otherwise stated)

Lengths Sizes Per piece Mobiderm Autofit Armsleeve with Gauntlet (Right, Left) Normal, Long 1-6 18500

STOCKINETTE Price (p) (each unless otherwise stated)

Elasticated Viscose Stockinette - Bandage (Lightweight Elasticated Viscose Tubular Bandage) Flexifast Small Limb 1m 50 3.5cm (Red Line) Medium Limb 1m 52 5.0cm 3m 146 (Green Line) 5m 253 Large Limb 1m 69 7.5cm 3m 191 (Blue Line) 5m 337 Trunk (Child) 1m 108 10.75cm 3m 314 (Yellow Line) 5m 544 Trunk (Adult) 1m 165 17.5cm (Beige Line)

Scottish Drug Tariff: Amendment Sheets – October 2016

3

ADDITIONS continued The following additions apply to Part 2 (Dressings) WOUND MANAGEMENT DRESSINGS Price (p)

(each unless otherwise stated)

Protease Modulating Matrix – Sterile KerraMaxCare Rectangular 13.5cm x 15.5cm 154 Soft Silicone Wound Contact Dressing – Sterile Indications: Non-exuding to heavily exuding wounds should be covered with a simple absorbent secondary dressing

Precautions: Dressings should be used with care on heavily bleeding wounds. SilTact 5cm x 7.5cm 98 7.5cm x 10cm 192 12cm x 15cm 430 20cm x 30cm 1150 Topical Haemoglobin Size or Weight Each Granulox 12ml spray 12500

The following additions apply to Part 3 (Appliances) HYPODERMIC EQUIPMENT Price (p)

(each unless otherwise stated)

Needles for Pre-filled and Reusable Pen Injectors Pack of 100 PROFine 4mm / 32 gauge 495 5mm / 31 gauge 495 6mm / 31 gauge 495 8mm / 31 gauge 495 12mm / 29 gauge 495

The following addition applies to Part 9 (Chemical Reagents) DETECTION STRIPS FOR USE IN TESTING BLOOD FOR DETERMINATION OF INTERNATIONAL NORMALISED RATIO (INR)

Price (p)

CoaguChek PT Test 06688721 48 13567

Scottish Drug Tariff: Amendment Sheets – October 2016

4

DELETIONS The following deletions apply to Part 3 (Appliances)

CATHETERS Gauge (Ch) Price (see Note 1) (p)

(A)(i) Nelaton Catheter (“Ordinary” cylindrical catheter) Coloplast Ltd Self-Cath (Female) 208 8 3416 (Paediatric) 310 10 3416

The following deletions apply to Part 5 (Incontinence Appliances) INCONTINENCE SHEATHS Manufacturer Appliance Order No Qty Price

Salts Male Continence Sheaths Healthcare 22mm ZL0029 10 941 25mm ZL0030 10 941 32mm ZL0031 10 941 34mm ZL0032 10 941

URINAL SYSTEMS Manufacturer Appliance Order No Qty Price

Salts Male PP urinal Healthcare - rubber bag ZL0001 1 6170 - plastic bag (4) ZL0001 1 6170

Scottish Drug Tariff: Amendment Sheets – October 2016

5

OTHER CHANGES The following change applies to Part 2 (Dressings) LYMPHOEDEMA GARMENTS Price (p)

(each unless otherwise stated)

Mediven Harmony Class 1 (15-21mmHg) (per piece) Armsleeve I – VIII 1503 Armsleeve Extra Wide I – VIII 1503 Armsleeve with Grip Top I – VIII 2003 Armsleeve with Grip Top Extra Wide I – VIII 2003 Armsleeve with Shoulder Cap I – VIII 1965 Armsleeve with Shoulder Cap Extra Wide I – VIII 1965 Combined Armsleeve I – VIII 2726 Combined Armsleeve Extra Wide I – VIII 2726 Combined Armsleeve with Grip Top I – VIII 3227 Combined Armsleeve with Grip Top Extra Wide I – VIII 3227 Combined Armsleeve with Shoulder Cap I – VIII 3104 Combined Armsleeve with Shoulder Cap Extra Wide I – VIII 3104 Glove II - VII 4208

NOW READS Mediven Harmony Class 1 (15-21mmHg) (per piece) Armsleeve Regular I – VIII 1503 Armsleeve Extra Wide Regular I – VIII 1503 Armsleeve with Grip Top Short , Regular I – VIII 2003 Armsleeve with Grip Top Extra Wide Short , Regular I – VIII 2003 Armsleeve with Shoulder Cap Regular I – VIII 1965 Armsleeve with Shoulder Cap Extra Wide Regular I – VIII 1965 Combined Armsleeve Regular I – VIII 2726 Combined Armsleeve Extra Wide Regular I – VIII 2726 Combined Armsleeve with Grip Top Short , Regular I – VIII 3227 Combined Armsleeve with Grip Top Extra Wide Short , Regular I – VIII 3227 Combined Armsleeve with Shoulder Cap Regular I – VIII 3104 Combined Armsleeve with Shoulder Cap Extra Wide Regular I – VIII 3104 Glove II - VII 4208

Scottish Drug Tariff: Amendment Sheets – October 2016

6

OTHER CHANGES continued The following change applies to Part 2 (Dressings) LYMPHOEDEMA GARMENTS Price (p)

(each unless otherwise stated)

Mediven Harmony Class 2 (23-32mmHg) (per piece) Armsleeve I – VIII 1614 Armsleeve Extra Wide I – VIII 1614 Armsleeve with Grip Top I – VIII 2114 Armsleeve with Grip Top Extra Wide I – VIII 2114 Armsleeve with Shoulder Cap I – VIII 2140 Armsleeve with Shoulder Cap Extra Wide I – VIII 2140 Combined Armsleeve I – VIII 2838 Combined Armsleeve Extra Wide I – VIII 2838 Combined Armsleeve with Grip Top I – VIII 3339 Combined Armsleeve with Grip Top Extra Wide I – VIII 3339 Combined Armsleeve with Shoulder Cap I – VIII 3212 Combined Armsleeve with Shoulder Cap Extra Wide I – VIII 3212 Glove II-VII 4430

NOW READS Mediven Harmony Class 2 (23-32mmHg) (per piece) Armsleeve Regular I – VIII 1614 Armsleeve Extra Wide Regular I – VIII 1614 Armsleeve with Grip Top Short , Regular I – VIII 2114 Armsleeve with Grip Top Extra Wide Short , Regular I – VIII 2114 Armsleeve with Shoulder Cap Regular I – VIII 2140 Armsleeve with Shoulder Cap Extra Wide Regular I – VIII 2140 Combined Armsleeve Regular I – VIII 2838 Combined Armsleeve Extra Wide Regular I – VIII 2838 Combined Armsleeve with Grip Top Short , Regular I – VIII 3339 Combined Armsleeve with Grip Top Extra Wide Short , Regular I – VIII 3339 Combined Armsleeve with Shoulder Cap Regular I – VIII 3212 Combined Armsleeve with Shoulder Cap Extra Wide Regular I – VIII 3212 Glove II-VII 4430

Scottish Drug Tariff: Amendment Sheets – October 2016

7

OTHER CHANGES continued The following change applies to Part 2 (Dressings) Sigvaris Coton Instinct (15-20mmHg) (per pair) Below Knee Closed Toe Male Long, Normal S-XXL 2725 Below Knee Open Toe Male Long, Normal S-XXL 2725 Thigh High Grip Top Closed Toe Male Long, Normal S-XXL 5236 Thigh High Grip Top Open Toe Male Long, Normal S-XXL 5236

(20-36mmHg)

Below Knee Closed Toe Male Long, Normal S-XXL 2725 Thigh High Grip Top Closed Toe Male Long, Normal S-XXL 5236

NOW READS Sigvaris Instinct (15-20mmHg) (per pair) Below Knee Closed Toe Male Long, Normal S-XXL 2725 Below Knee Open Toe Male Long, Normal S-XXL 2725 Thigh High Grip Top Closed Toe Male Long, Normal S-XXL 5236 Thigh High Grip Top Open Toe Male Long, Normal S-XXL 5236

(20-36mmHg)

Below Knee Closed Toe Male Long, Normal S-XXL 2725 Thigh High Grip Top Closed Toe Male Long, Normal S-XXL 5236

Sigvaris Microfibre 3 Expert (20-36mmHg) (per pair) Below Knee Closed Toe Male Long, Normal S-XL 2725 Below Knee Closed Toe Female Long, Normal S-XL 2725 Thigh High Grip Top Closed Toe Male Long, Normal S-XL 5237 Thigh High Hold Up Closed Toe Female Long, Normal S-XL 5237

NOW READS Sigvaris Expert (20-36mmHg) (per pair) Below Knee Closed Toe Male Long, Normal S-XL 2725 Below Knee Closed Toe Female Long, Normal S-XL 2725 Thigh High Grip Top Closed Toe Male Long, Normal S-XL 5237 Thigh High Hold Up Closed Toe Female Long, Normal S-XL 5237

Scottish Drug Tariff: Amendment Sheets – October 2016

8

OTHER CHANGES continued The following change applies to Part 2 (Dressings) Sigvaris Urban 2 (15-20mmHg) Per pair Below Knee Closed Toe Male Long, Normal S- XXL 2679 Thigh High Grip Top Closed Toe Male Long, Normal S- XXL 5237

NOW READS Sigvaris Urban (15-20mmHg) Per pair Below Knee Closed Toe Male Long, Normal S- XXL 2725 Thigh High Grip Top Closed Toe Male Long, Normal S- XXL 5237

Scottish Drug Tariff: Price Amendment Sheets – October 2016

1

Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606 www.show.scot.nhs.uk/nss

SCOTTISH DRUG TARIFF MONTHLY NOTICE OF PRICE AMENDMENTS

October 2016

This document is prepared by the eVADIS Team, Healthcare Information Group,

Information Services Division. Enquiries to: [email protected]

The complete Scottish Drug Tariff is published on the ISD Scotland website: www.isdscotland.org

The following price changes listed become effective from 1st October 2016

Prices in pence per item unless otherwise stated __________________________________________________________

The Following Price Changes Apply to Part 2 (DRESSINGS)

EMOLLIENT & BARRIER PREPARATIONS Price (p) (each unless otherwise stated)

AproDerm Gel 100g 225 199 500g 525 399

IRRIGATION SOLUTIONS Price (p) (each unless otherwise stated)

Irriclens Aerosol 240ml 350 354 (ConvaTec)

LYMPHOEDEMA GARMENTS Price (p) (each unless otherwise stated)

Solidea Relax Unisex Class 1 (18-21mmHg) Sizes Per Pair Below Knee Closed Toe S, M, L, XL, XXL 1060 1071 Below Knee Open Toe S, M, L, XL, XXL 1060 1071 Class 2 (25-32mmHg) Below Knee Closed Toe S, M, L, XL, XXL 1060 1071 Below Knee Closed Toe Plus Line S, M, L, XL, XXL 1060 1071 Below Knee Open Toe S, M, L, XL, XXL 1060 1071 Below Knee Open Toe Plus Line S, M, L, XL, XXL 1060 1071

Scottish Drug Tariff: Price Amendment Sheets – October 2016

2

The Following Price Changes Apply to Part 2 (DRESSINGS) - continued

WOUND MANAGEMENT DRESSINGS Price (p) (each unless otherwise stated)

Alginate Dressing Sterile Kaltostat 5cm x 5cm 95 96 7.5cm x 12cm 208 210

10cm x 20cm 408 412 15cm x 25cm 701 708 Cavity Dressings Aquacel Ribbon 2cm x 45cm 245 248 Kaltostat 2g (x3 pieces) 382 386 Hydrocolloid Dressing - Semi-Permeable - Sterile Granuflex Bordered Square 6cm x 6cm 176 178 10cm x 10cm 333 337 15cm x 15cm 636 643 Triangular 10cm x 13cm 393 397 15cm x 18cm 613 619 Granuflex (Modified) Square 10cm x 10cm 280 283 15cm x 15cm 530 536 20cm x 20cm 798 807 Rectangular 15cm x 20cm 575 581 Hydrocolloid Dressing - Thin Semi Permeable - Sterile DuoDERM Extra Thin Square 7.5cm x 7.5 cm 80 81 10cm x 10cm 132 133 15cm x 15cm 285 288 Rectangular 9cm x 15cm 177 178 9cm x 25cm 282 285 9cm x 35cm 394 398 Hydrogel Dressing - Sterile GranuGEL Hydrocolloid Gel 15g 233 235 Protease Modulating Matrix - Sterile Aquacel Square 5cm x5cm 102 103 10cm x10cm 242 245 15cm x15cm 455 460 Rectangular 4cm x 10cm 130 132 4cm x 20cm 192 194 4cm x 30cm 289 292

Scottish Drug Tariff: Price Amendment Sheets – October 2016

3

The Following Price Changes Apply to Part 2 (DRESSINGS) - continued

WOUND MANAGEMENT DRESSINGS (cont) Price (p) (each unless otherwise stated)

Protease Modulating Matrix - Sterile Aquacel Ag Rectangular 4cm x 10cm 285 288

4cm x 20cm 372 376 4cm x 30cm 557 563 Flivasorb Adhesive Rectangular 15cm x 25cm 655 661 Soft Polymer Wound Contact Dressing Impregnated with Silver Urgotul SSD 10cm x 12cm 314 317 15cm x 20cm 889 899 Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing - Sterile CE UrgoTul Absorb 6cm x 6cm 185 121 10cm x 10cm 268 238 15cm x 20cm 609 420 Soft Silicone Wound Contact Dressing - Sterile CE Mepitel 5cm x 7cm 159 140 8cm x 10cm 319 280 12cm x 15cm 645 560 20cm x 32cm 1757 1595 Mepitel One 6cm x 7cm 159 122 9cm x 10cm 319 241 13cm x 15cm 645 498 24cm x 27.5cm 1738 1425 Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing - Sterile CE Biatain Silicone Ag 7.5cm x 7.5cm 330 333 10cm x 10cm 520 525 12.5cm x 12.5cm 680 687 15cm x 15cm 1120 1132 17.5cm x 17.5cm 1240 1253 With Silicone Adhesive Border Mepilex Border 7cm x 7.5cm 139 135 15cm x 17.5cm 474 418 Mepilex Border Lite 7.5cm x 7.5cm 139 135 10cm x 10cm 253 187 15cm x 15cm 413 394

Scottish Drug Tariff: Price Amendment Sheets – October 2016

4

The Following Price Changes Apply to Part 3 (APPLIANCES)

CATHETERS Gauge (Ch) Price (see Note 1) (p)

(A)i Nelaton Catheter (“Ordinary” cylindrical catheter) Hunter Urology HunterCath non-coated ISC Pack of 30 Ltd. (Male) SCM10-16 10-16 4789 4840 (Female) SCF08-SCF14 8-14 4789 4840 (Paediatric) SCP06-SCP10 6-10 4789 4840 (A) ii Nelaton Catheter - (“Ordinary” cylindrical catheter) single use Wellspect Wellspect HealthCare LoFric HealthCare Non-PVC Per 30 (Tiemann Tip) 4051025-4051825 10-18 4110 4153 Wellspect Wellspect HealthCare LoFric Primo with integrated water pocket Per 30 HealthCare (Tiemann Tip) 4151025 – 4151825 10-18 4580 4628 (A)(v) Nelaton Catheter with Water Container & Urine Drainage Bag Wellspect Wellspect HealthCare LoFric Hydro-Kit (non PVC) Pack of 20 HealthCare Male 4200825-4201825 8-18 3748 3788 (Tiemann Tip) 4251025-4251825 10-18 3783 3823

HEAD LICE DEVICE Price (p)

Bug Buster Kit 483 488 (Kit contains 3 Bug Buster combs, 1 Nit Buster comb, 1 wide toothed

comb and a protective cape.) The Bug Buster Kit works in combination with ordinary shampoo and hair conditioner – no additional medication products are required.

HYPODERMIC EQUIPMENT Price (p) (each unless otherwise stated)

LANCETS Sterile, Single-Use Pack FastClix 0.3mm/30gauge 204 992 590 (Roche Diabetes Care Ltd)

Scottish Drug Tariff: Price Amendment Sheets – October 2016

5

The Following Price Changes Apply to Part 9 (CHEMICAL REGEANTS)

DETECTION STRIPS FOR KETONES Price (p)

Freestyle Optium 70784-35 10 2114 2136 β-Ketone Test Strips BLOOD GLUCOSE TESTING STRIPS Price (p)

(ii) Biosensor strips to be read only with the appropriate meter Freestyle Lite 50 1580 1597

Information Services Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB Telephone : 0131 275 6972 Fax : 0131 275 7606

www.isdscotland.org

MONTHLY NOTICE OF AMENDMENTS TO

STOMA APPLIANCES

October 2016

This document is prepared by the eVADIS Team, Healthcare Information Group, Information Services Division. Enquiries to: [email protected] The following amendments to Stoma Appliances take effect from 1st October 2016. Please note that potential additions to Stoma Appliances – Reimbursement prices must be referred through National Procurement (NSS). The full list of Stoma Appliances – Reimbursement prices is available at: http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Stoma-Supplies

____________________________________________________________ ADDITIONS

ADHESIVE REMOVERS (SPRAYS,LIQUIDS, WIPES) Manufacturer Appliance Order No Qty Price (p) Medicareplus International Ltd

Medi Lifteez Non Sting Medical Adhesive Remover

aerosol spray 60833 50ml aerosol 675

BELTS Manufacturer Appliance Order No Qty Price (p) Kavendor Ltd Comfizz Stoma Support Wear (level 1 support) Boxer Junior XSmall Blue BOX-JXS-BL 1 1224 Junior Small Blue BOX-JS-BL 1 1224 Junior Medium Blue BOX-JM-BL 1 1224 Junior Large Blue BOX-JL-BL 1 1224 Comfizz Stoma Shallow Support Wear (level 1 support) Seamless Unisex Boxer Small/Medium White BOX-S/M-W-SH 1 1224 Medium/Large BOX-M/L-W-SH 1 1224 Large/Xlarge BOX-L/XL-W-SH 1 1224 Small/Medium Black BOX-S/M-B-SH 1 1224 Medium/Large BOX-M/L-B-SH 1 1224 Large/Xlarge BOX-L/XL-B-SH 1 1224 Briefs Small/Medium White BRF-S/M-W-SH 1 1224 Medium/Large BRF-M/L-W-SH 1 1224 Large/Xlarge BRF-L/XL-W-SH 1 1224 Small/Medium Black BRF-S/M-B-SH 1 1224 Medium/Large BRF-M/L-B-SH 1 1224 Large/Xlarge BRF-L/XL-B-SH 1 1224

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

2

ADDITIONS continued

BELTS Manufacturer Appliance Order No Qty Price (p) VANILLA BLUSH Vanilla Blush Hernia Support Vest Level 2/3 Support Ladies Black Small VBLVB1 1 3500 Medium VBLVB2 1 3500 Large VBLVB3 1 3500 X Large VBLVB4 1 3500 XX Large VBLVB5 1 3500 XXX Large VBLVB6 1 3500 XXXX Large VBLVB7 1 3500 XXXXX Large VBLVB8 1 3500 White Small VBLVW1 1 3500 Medium VBLVW2 1 3500 Large VBLVW3 1 3500 X Large VBLVW4 1 3500 XX Large VBLVW5 1 3500 XXX Large VBLVW6 1 3500 XXXX Large VBLVW7 1 3500 XXXXX Large VBLVW8 1 3500

SKIN FILLERS AND PROTECTIVES ( Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes )

Manufacturer Appliance Order No Qty Price (p) Medicareplus International Ltd Medi Derma-S Barrier Cream Tube 60628 28g 298 Medi Derma-S Non Sting Barrier Film Aerosol Spray 60819 50ml 895 Medi Derma-S Non Sting Barrier Film Pump Spray 60796 30ml 535 Medi Derma-S Non Sting Medical Barrier Film Applicators 1ml 61076 5 370 3ml 61090 5 595 Medi Derma Pro Skin Protectant Ointment Tube 63605 115g 835 Medi Derma Pro Foam & Spray Incontinence Cleanser Bottle 63582 250ml 585

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

3

DELETIONS

BELTS Manufacturer Appliance Order No Qty Price (p) Respond Healthcare Ltd

OstoMart Cool Comfort Unisex Light Control Support Garment

Belt Black Small/Medium CCWBB S/M 3 2094 Large/XLarge CCWBB L/XL 3 2094 XXLarge/XXXLarge CCWBB XXL/XXXL 3 2094 Nude Small/Medium CCWBN S/M 3 2094 Large/XLarge CCWBN L/XL 3 2094 XXLarge/XXXLarge CCWBN XXL/XXXL 3 2094 White Small/Medium CCWBWS/M 3 2094 Large/XLarge CCWBW L/XL 3 2094 XXLarge/XXXLarge CCWBW XXL/XXXL 3 2094 Brief Black Small/Medium CCPBB S/M 3 3561 Large/XLarge CCPBB L/XL 3 3561 XXLarge/XXXLarge CCPBB XXL/XXXL 3 3561 Nude Small/Medium CCPBN S/M 3 3561 Large/XLarge CCPBN L/XL 3 3561 XXLarge/XXXLarge CCPBN XXL/XXXL 3 3561 White Small/Medium CCPBW S/M 3 3561 Large/XLarge CCPBW L/XL 3 3561 XXLarge/XXXLarge CCPBW XXL/XXXL 3 3561 Boxer Black Small/Medium CCBXB S/M 3 3351 Large/XLarge CCBXB L/XL 3 3351 XXLarge/XXXLarge CCBXB XXL/XXXL 3 3351 Nude Small/Medium CCBXN S/M 3 3351 Large/XLarge CCBXN L/XL 3 3351 XXLarge/XXXLarge CCBXN XXL/XXXL 3 3351 White Small/Medium CCBXW S/M 3 3351 Large/XLarge CCBXW L/XL 3 3351 XXLarge/XXXLarge CCBXW XXL/XXXL 3 3351

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

4

DELETIONS continued

BELTS Manufacturer Appliance Order No Qty Price (p) Coloplast Ltd. Ileo Belt 0402 1 880 Respond Healthcare Ltd OstoMart Cool Comfort Unisex Light Control Support Garment Mix of colours (Black, Nude and White) Belt Small/Medium CCWBMIXS 3 2099 Large/XLarge CCWBMIXL 3 2099 XXLarge/XXXLarge CCWMIX2XL 3 2099 Brief Small/Medium CCPBMIXS 3 3568 Large/XLarge CCPBMIXL 3 3568 XXLarge/XXXLarge CCPBMIX2XL 3 3568 Boxer Small/Medium CCBXMIXS 3 3358 Large/XLarge CCBXMIXL 3 3358 XXLarge/XXXLarge CCBXMIX2XL 3 3358 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 57-70mm Res 10al 1 5500 Flange Diameter 70-82mm Res 10bl 1 5500 Bespoke Res 10cl 1 6000 Right Side Stoma Flange Diameter 57-70mm Res 10ar 1 5500 Flange Diameter 70-82mm Res 10br 1 5500 Bespoke Res 10cr 1 6000 Salts 25mm Single Elastic Belt Healthcare with suspender ends 877007 1 473

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

5

DELETIONS continued

COLOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) B.Braun Medical Biotrol Elite bag with filter, skin protector adhesive and fabric backing Beige 70mm 36-870 30 8136 Transparent 45mm 30-845 30 7558 50mm 30-850 30 7558 60mm 30-860 30 7558 70mm 30-870 30 7558 Elite Petite bag with filter, skin protector, adhesive, fabric backing Beige 25mm 37-325 30 6916 45mm 37-345 30 6916 Integrale bag with skin protector and adhesive filter White Starter hole 32-415 30 8136 50mm 32-450 30 8136 60mm 32-460 30 8136 70mm 32-470 30 8136 Almarys Optima Closed Bag with filter & all over soft non-woven cover 60mm F008660E 30 6756 Coloplast Ltd. Assura Seal Integral Convexity Closed Bags with Filter and Soft Backing Midi Clear 31mm 12866 10 2447 Salts Healthcare Coloset Closed Bag Small Starter 713656 30 1181 Confidence Comfort Closed Pouches Opaque film/beige overlap comfort backing on both sides. Hypoallergenic

hydrocolloid, protected filter, anatomical shape. Large Starter hole 13mm CFLO13 30 8045 Confidence Comfort Closed Pouches Transparent film/beige overlap comfort backing on both sides,

hypoallergenic hydrocolloid, protected filter, anatomical shape.

Standard Pre-Cut 41mm CF41 30 8202 Confidence Gold with hypoallergenic hydrocolloid and soft beige comfort backing

on both sides, filter

Closed Pouches Transparent film/ beige overlap comfort backing Standard Pre-Cut 25mm CTNW25 30 6895 32mm CTNW32 30 6895 35mm CTNW35 30 6895

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

6

DELETIONS continued

DEODORANTS Manufacturer Appliance Order No Qty Price (p) Coloplast Ltd. Coloplast OAD 1523 37ml 472 Respond Healthcare Ltd OstoMart Ostomist Mint Drops Odour Neutraliser SPN6 25ml 297

FLANGES Salts Latex Foam Diaphragm with Rigid Face Piece Healthcare Flanges 38mm 811002 1 4838

ILEOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) B.Braun Medical Biotrol Elite Bag with skin protector adhesive and fabric backing Beige 45mm 38-845 30 8326 60mm 38-860 30 8326 70mm 38-870 30 8326 Transparent 20mm 31-820 30 7712 25mm 31-825 30 7712 30mm 31-830 30 7712 35mm 31-835 30 7712 40mm 31-840 30 7712 45mm 31-845 30 7712 50mm 31-850 30 7712 60mm 31-860 30 7712 70mm 31-870 30 7712 White 50mm 34-850 30 8326 60mm 34-860 30 8326 70mm 34-870 30 8326 Elite Petite bag with skin protector, adhesive and fabric backing Beige 40mm 37-740 30 7144 45mm 37-745 30 7144 Biotrol Preference Bags With skin protector, microporous adhesive and fabric backing Beige Starter hole 34-615 30 8326 20mm 34-620 30 8326 35mm 34-635 30 8326 40mm 34-640 30 8326 45mm 34-645 30 8326 50mm 34-650 30 8326 60mm 34-660 30 8326

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

7

DELETIONS continued

ILEOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p)

B.Braun Medical Almarys Optima Drainable Bag with all over soft non-woven cover Beige 45mm F008745E 30 7251 60mm F008760E 30 7251 Almarys Optima Drainable Bag with filter & soft cover Beige 60mm F009560E 30 7127 Coloplast Ltd Assura Inspire Integral Convexity Drainable Bags with soft backing Maxi-clear Starter Hole 15-33mm 12582 10 2612 Assura Seal Integral Convexity Drainable Bags with soft backing 21mm 12953 10 2612 25mm 12954 10 2612 28mm 12955 10 2612 31mm 12956 10 2612 35mm 12957 10 2612 38mm 12958 10 2612 40mm 12959 10 2612 PC3000 Clear 50mm 8550 30 7782

Salts Confidence Comfort Drainable Pouches Healthcare Drainable pouches with an easy clean integral closure, hypoallergenic

hydrocolloid, integral filter and soft beige cover

Pre-cut 25mm CFD25 30 8772 28mm CFD28 30 8772 32mm CFD32 30 8772 35mm CFD35 30 8772 38mm CFD38 30 8772 Confidence Gold Convex Soft & Secure drainable pouches with 1-piece integral convexity with an easy clean

soft and secure closure, hypoallergenic hydrocolloid, transparent overlap, soft beige comfort backing on both sides, filter

Standard Starter hole 13-25mm SSCT1325 10 4170 13-38mm SSCT1338 10 4170 13-52mm SSCT1352 10 4170 Pre-cut 21mm SSCT21 10 4170 25mm SSCT25 10 4170 28mm SSCT28 10 4170 32mm SSCT32 10 4170 35mm SSCT35 10 4170

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

8

DELETIONS continued

ILEOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p)

Salts Healthcare Confidence Gold Soft and Secure Drainable Pouches with an easy clean, soft and secure integral

closure, hypoallergenic hydrocolloid, transparent overlap, beige comfort backing on both sides, filter.

Standard Starter hole 13mm SST13 30 8654 Pre-Cut 25mm SST25 30 8654 32mm SST32 30 8654 Koenig Rutzen with Metal Bridge & Screw Outlet Large 32mm 165132 1 4984 44mm 165144 1 4984 With Reinforced Rubber Plate, Black Spout Outlet Large 25mm 173125 1 3734 Small 32mm 173232 1 3734

IRRIGATION/WASH-OUT APPLIANCES (REPLACEMENT PARTS) Manufacturer Appliance Order No Qty Price (p) B. Braun Medical Irrimatic Pump Accessories Cone 25062 1 386 Iryflex Flow Regulator F05063E 1 536

PRESSURE PLATES/SHIELDS Manufacturer Appliance Order No Qty Price (p) Salts Healthcare SS Wire Retaining Ring Medium 833011 1 359 Second Nature Convex Inserts (for use with Second Nature adhesive flanges) 38mm (19mm Internal Diameter) CI3819 5 147 38mm (22mm Internal Diameter) CI3822 5 147 45mm (35mm Internal Diameter) CI4535 5 147 57mm (38mm Internal Diameter) CI5738 5 147 57mm (41mm Internal Diameter) CI5741 5 147

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

9

DELETIONS continued

SKIN PROTECTORS (Wafers, Blankets, Foam Pads, Washers) Manufacturer Appliance Order No Qty Price (p) B. Braun Medical Biotrol Skin Protectors 10cm diam 32-076 10 1993

SKIN FILLERS AND PROTECTIVES ( Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes )

Manufacturer Appliance Order No Qty Price (p)

3M HealthCare Ltd

Cavilon Durable Barrier Cream + Honey 3392HS 20x 2g sachet 654 3391H 28g 353 3392H 92g 718 Coloplast Ltd. Comfeel Barrier Cream 4720 60g 463

STOMA CAPS/DRESSINGS Salts Confidence Stomacap with filter Healthcare Starter hole 13mm SC13 30 3599

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

10

DELETIONS continued

TWO PIECE OSTOMY SYSTEMS B. Braun Medical Biotrol LockRing 2 Urostomy Bag Transparent Child 35mm 23-935 10 2754 Urostomy Bag Transparent 75mm 22-775 10 2802 Softima Key Mini Roll’Up Beige 50mm 631253E 30 5099 Coloplast Ltd. Easiflex Soft Seal Baseplates 35mm flange 18mm Pre-Cut 14641 5 1811 50mm flange 38mm Pre-Cut 14647 5 1811 50mm flange 41mm Pre-Cut 14648 5 1811 Salts Healthcare Black Rubber Bag (for use with flange) Screw Outlet Small 362229 1 3673

UROSTOMY BAGS Coloplast Ltd. SenSura Mio Flex 2 piece urostomy with adhesive coupling Maxi Neutral Grey Coupling size 50mm 12297 30 11206 Maxi Transparent Coupling size 35mm 12292 30 11206 Salts Healthcare Confidence Urostomy Pouch, transparent/overlap film (includes 2 drain tube connectors per pack) Starter hole 13mm U13 10 4468 Pre-Cut 25mm U25 10 4468 32mm U32 10 4468 Koenig Rutzen All Rubber Black with tap outlet and non-return valve Medium 38mm 181338 1 4796

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

11

OTHER CHANGES

BELTS Manufacturer Appliance Order No Qty Price (p) Respond Healthcare Ltd HiLINE Breathable Stretch Unisex Ostomy Belt 21cm deep. Sizes small, medium, large, x large, xx large and xxx large with hole over stoma if required Res 6 1 3096 NOW READS HiLINE Breathable Stretch Unisex Ostomy Belt 21cm deep. Sizes small, medium, large, x large and xx large with hole over stoma if required Res 6 1 3096 HiLINE Breathable Stretch Unisex Ostomy Belt 18cm deep. Sizes x small, small, medium, large, x large, xx large and xxx large with hole over stoma if required Res 6a 1 2788 NOW READS HiLINE Breathable Stretch Unisex Ostomy Belt 18cm deep. Sizes small, medium, large, x large and xx large with hole over stoma if required Res 6a 1 2788 HiLINE Breathable Stretch Unisex Ostomy Belt 13.5cm deep. Sizes Small, Medium, Large, X Large, XX Large and XXX Large with hole over stoma if required Res 6b 1 2509 NOW READS HiLINE Breathable Stretch Unisex Ostomy Belt 13.5cm deep. Sizes Small, Medium, Large, X Large and XX Large with hole over stoma if required Res 6b 1 2509 HiLINE Lightweight Support Belt 13cm wide. Small, medium, large, X Large, XX Large, XXX Large. Hook & Eye or Velcro fastening with Hole over stoma Res 3 1 2814 NOW READS HiLINE Lightweight Support Belt 13cm wide. Small, medium, large, X Large, XX Large Hook & Eye or Velcro fastening with Hole over stoma Res 3 1 2814 HiLINE Lightweight Support Belt (long) 21cm wide. Small, medium, large, X Large, XX Large, XXX Large Hook & Eye or Velcro fastening with Hole over stoma Res 4 1 3265 NOW READS HiLINE Lightweight Support Belt (long) 21cm wide. Small, medium, large, X Large, XX Large, Hook & Eye or Velcro fastening with Hole over stoma Res 4 1 3265

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

12

OTHER CHANGES continued

BELTS Manufacturer Appliance Order No Qty Price (p) Respond Healthcare Ltd HiLINE Seamless Two Way Stretch Unisex

Colostomy Belt 26cm deep.

Small, Medium, Large, X Large, XX Large, XXX Large Res 7 1 2324 NOW READS HiLINE Seamless Two Way Stretch Unisex

Colostomy Belt 26cm deep.

Small, Medium, Large, X Large, XX Large Res 7 1 2324 HiLINE Seamless Two Way Stretch Unisex

Colostomy Belt 27cm and above.

Small, Medium, Large, X Large, XX Large, XXX Large Res 8 1 2601 NOW READS HiLINE Seamless Two Way Stretch Unisex

Colostomy Belt 27cm and above.

Small, Medium, Large, X Large, XX Large Res 8 1 2601 HiLINE EZ-Wrap Unisex Hernia Support Belt X Small, Small, Medium, Large, X Large, XX Large, XXX Large 15cm depth Res 11b 1 4500 20cm depth Res 11a 1 4800 26cm depth Res 11 1 5100 With Customised Hole 15cm depth Res 11bh 1 5000 20cm depth Res 11ah 1 5300 26cm depth Res 11h 1 5600 NOW READS HiLINE EZ-Wrap Unisex Hernia Support Belt Small, Medium, Large, X Large, XX Large 15cm depth Res 11b 1 4500 20cm depth Res 11a 1 4800 26cm depth Res 11 1 5100 With Customised Hole 15cm depth Res 11bh 1 5048 20cm depth Res 11ah 1 5300 26cm depth Res 11h 1 5600

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

13

OTHER CHANGES continued

BELTS Manufacturer Appliance Order No Qty Price (p) Respond Healthcare Ltd

HiLINE Activ - medium level hernia support belt

x small, small, medium, large, x large, xx large, xxx large Left Side Stoma Flange Diameter 57-70mm Res 9al 1 5500 Flange Diameter 70-82mm Res 9bl 1 5500 Bespoke Res 9cl 1 6000 Right Side Stoma Flange Diameter 57-70mm Res 9ar 1 5500 Flange Diameter 70-82mm Res 9br 1 5500 Bespoke Res 9cr 1 6000 NOW READS HiLINE Activ - medium level hernia

support belt

small, medium, large, x large, xx large Left Side Stoma Flange Diameter 57-70mm Res 9al 1 5500 Flange Diameter 70-82mm Res 9bl 1 5500 Bespoke Res 9cl 1 6000 Right Side Stoma Flange Diameter 57-70mm Res 9ar 1 5500 Flange Diameter 70-82mm Res 9br 1 5500 Bespoke Res 9cr 1 6000

COLOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) Peak Medical Colomate 1 piece closed soft convex pouch with beige needle-pin split cover, 4-point belt

lugs and high capacity bar filter Pre-cut 22mm CMLTC122 10 3205

NOW READS

Colomate 1 piece closed soft convex pouch with beige needle-pin split cover, 4-point belt

lugs and high capacity bar filter Pre-cut 22mm CMLTC122 10 3115

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

14

OTHER CHANGES continued

COLOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) Welland Medical Ltd

Welland Curvex closed pouches with soft flexible flange, all over soft cover & filter.

Beige 25mm plateau 13mm starter hole CCS 513 10 2499 32mm plateau 13mm starter hole CCM 513 10 2499 32mm plateau 25mm pre-Cut CCM 525 10 2499 32mm plateau 32mm pre-Cut CCM 532 10 2499 43mm plateau 13mm starter hole CCL 513 10 2499 43mm plateau 32mm pre-Cut CCL 532 10 2499 43mm plateau 38mm pre-Cut CCL 538 10 2499 Clear 25mm plateau 13mm starter hole CCS 713 10 2499 32mm plateau 13mm starter hole CCM 713 10 2499 43mm plateau 13mm starter hole CCL 713 10 2499 NOW READS closed pouch with soft mouldable flange, all over soft cover & Dual-Carb filter Beige 25mm plateau 13mm starter hole CCS 513 10 2499 32mm plateau 13mm starter hole CCM 513 10 2499 32mm plateau 25mm pre-Cut CCM 525 10 2499 32mm plateau 32mm pre-Cut CCM 532 10 2499 43mm plateau 13mm starter hole CCL 513 10 2499 43mm plateau 32mm pre-Cut CCL 532 10 2499 43mm plateau 38mm pre-Cut CCL 538 10 2499 Clear 25mm plateau 13mm starter hole CCS 713 10 2499 32mm plateau 13mm starter hole CCM 713 10 2499 43mm plateau 13mm starter hole CCL 713 10 2499

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

15

OTHER CHANGES continued

COLOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) Welland Medical Ltd

Welland FreeStyle Vie Curvex Closed pouch with integral convexity, Dual-carb filter and integral belt loops

Beige double-sided softback Small Plateau Cut to fit 13-25mm PCCS513 10 2978 Medium Plateau Cut to fit 13-32mm PCCM513 10 2978 Pre-cut 25mm PCCM525 10 2978 32mm PCCM532 10 2978 Large Plateau Cut to fit 13-43mm PCCL513 10 2978 Pre-cut 32mm PCCL532 10 2978 38mm PCCL538 10 2978 Clear with beige soft backing on body side Small Plateau Cut to fit 13-25mm PCCS713 10 2978 Medium Plateau Cut to fit 13-32mm PCCM713 10 2978 Large Plateau Cut to fit 13-43mm PCCL713 10 2978 NOW READS closed pouch with soft, mouldable flange, Dual-Carb filter and integral belt loops Beige double-sided softback Small Plateau Cut to fit 13-25mm PCCS513 10 2978 Medium Plateau Cut to fit 13-32mm PCCM513 10 2978 Pre-cut 25mm PCCM525 10 2978 32mm PCCM532 10 2978 Large Plateau Cut to fit 13-43mm PCCL513 10 2978 Pre-cut 32mm PCCL532 10 2978 38mm PCCL538 10 2978 Clear with beige soft backing on body side Small Plateau Cut to fit 13-25mm PCCS713 10 2978 Medium Plateau Cut to fit 13-32mm PCCM713 10 2978 Large Plateau Cut to fit 13-43mm PCCL713 10 2978

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

16

OTHER CHANGES continued

ILEOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) Welland Medical Ltd

Welland Curvex drainable pouches with soft flexible flange, all over soft cover, integral closure and Dual-Carb & filter

Maxi size, beige double sided softback 25mm plateau starter hole CDS 513 10 4128 32mm plateau starter hole CDM 513 10 4128 32mm plateau 25mm pre-cut CDM 525 10 4128 32mm plateau 32mm pre-cut CDM 532 10 4128

43mm plateau starter hole CDL 513 10 4128

43mm plateau 32mm pre-cut CDL 532 10 4128

43mm plateau 38mm pre-cut CDL 538 10 4128 Maxi size, clear front 25mm plateau starter hole CDS 713 10 4128 32mm plateau starter hole CDM 713 10 4128 43mm plateau starter hole CDM 725 10 3942 43mm plateau starter hole CDL 713 10 4128

drainable pouches with soft flexible flange, all over soft cover & filter. Beige 25mm plateau starter hole CFS 513 10 2612 32mm plateau starter hole CFM 513 10 2612 43mm plateau starter hole CFL 513 10 2612 Clear 25mm plateau starter hole CFS 713 10 2612 32mm plateau starter hole CFM 713 10 2612 43mm plateau starter hole CFL 713 10 2612 NOW READS drainable pouch with soft, mouldable flange, all over soft cover and Dual-Carb & filter Maxi size, beige double sided softback 25mm plateau starter hole CDS 513 10 4128 32mm plateau starter hole CDM 513 10 4128 32mm plateau 25mm pre-cut CDM 525 10 4128 32mm plateau 32mm pre-cut CDM 532 10 4128

43mm plateau starter hole CDL 513 10 4128

43mm plateau 32mm pre-cut CDL 532 10 4128

43mm plateau 38mm pre-cut CDL 538 10 4128 Maxi size, clear front 25mm plateau starter hole CDS 713 10 4128 32mm plateau starter hole CDM 713 10 4128 43mm plateau starter hole CDL 713 10 4128 drainable pouch with soft, mouldable flange, all over soft cover and Dual-Carb & filter Beige 25mm plateau starter hole CFS 513 10 2612 32mm plateau starter hole CFM 513 10 2612 43mm plateau starter hole CFL 513 10 2612 drainable pouch with soft, mouldable flange, soft cover and Dual-Carb & filter Clear 25mm plateau starter hole CFS 713 10 2612 32mm plateau starter hole CFM 713 10 2612 43mm plateau starter hole CFL 713 10 2612

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

17

OTHER CHANGES continued

ILEOSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) Welland Medical Ltd

Welland FreeStyle Vie Curvex Drainable pouch with integral convexity, Dual-Carb Filter, integral belt loops and integral closure

Beige double-sided softback Small Plateau

Cut to fit 13-25mm PCDS513 10 4345 Medium Plateau

Cut to fit 13-32mm PCDM513 10 4345 Pre-cut 25mm PCDM525 10 4345 32mm PCDM532 10 4345 Large Plateau

Cut to fit 13-43mm PCDL513 10 4345 Pre-cut 32mm PCDL532 10 4345 38mm PCDL538 10 4345 Clear with beige soft backing on body side Small Plateau Cut to fit 13-25mm PCDS713 10 4345 Medium Plateau Cut to fit 13-32mm PCDM713 10 4345 Large Plateau Cut to fit 13-43mm PCDL713 10 4345 NOW READS drainable pouch with soft, mouldable flange, Dual-Carb & filter, integral belt loops and integral closure

Beige double-sided softback Small Plateau

Cut to fit 13-25mm PCDS513 10 4345 Medium Plateau

Cut to fit 13-32mm PCDM513 10 4345

Pre-cut 25mm PCDM525 10 4345

32mm PCDM532 10 4345

Large Plateau

Cut to fit 13-43mm PCDL513 10 4345

Pre-cut 32mm PCDL532 10 4345

38mm PCDL538 10 4345 Clear with beige soft backing on body side Small Plateau Cut to fit 13-25mm PCDS713 10 4345 Medium Plateau Cut to fit 13-32mm PCDM713 10 4345 Large Plateau

Cut to fit 13-43mm PCDL713 10 4345

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

18

OTHER CHANGES continued

UROSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) Welland Medical Ltd

Welland Curvex URO Urostomy Pouch with flexible convex flange & soft backing

Clear 25mm plateau, cut to fit CUS713 10 4908 32mm plateau, cut to fit CUM713 10 4908 43mm plateau, cut to fit CUL713 10 4908 Beige 25mm plateau, cut to fit CUS913 10 4908 32mm plateau, cut to fit CUM913 10 4908 43mm plateau, cut to fit CUL913 10 4908 NOW READS Urostomy Pouch with soft, mouldable flange, all over soft cover and soft outlet Clear 25mm plateau, cut to fit CUS713 10 4908 32mm plateau, cut to fit CUM713 10 4908 43mm plateau, cut to fit CUL713 10 4908 Beige 25mm plateau, cut to fit CUS913 10 4908 32mm plateau, cut to fit CUM913 10 4908 43mm plateau, cut to fit CUL913 10 4908

Stoma Appliances- Reimbursement Prices: Amendment sheets for October2016

19

OTHER CHANGES continued

UROSTOMY BAGS Manufacturer Appliance Order No Qty Price (p) Welland Medical Ltd

Welland FreeStyle Vie Curvex Urostomy pouch with integral convexity, integral belt loops and integral closure

Beige double-sided softback Small Plateau

Cut to fit 13-25mm PCUS513 10 5736 Medium Plateau

Cut to fit 13-35mm PCUM513 10 5736

Large Plateau

Cut to fit 13-48mm PCUL513 10 5736

Clear with beige soft backing on body side Small Plateau Cut to fit 13-25mm PCUS713 10 5736 Medium Plateau

Cut to fit 13-35mm PCUM713 10 5736

Large Plateau

Cut to fit 13-48mm PCUL713 10 5736 NOW READS urostomy pouch with soft, mouldable flange, integral belt loops and soft outlet Beige double-sided softback Small Plateau

Cut to fit 13-25mm PCUS513 10 5736 Medium Plateau

Cut to fit 13-35mm PCUM513 10 5736

Large Plateau

Cut to fit 13-48mm PCUL513 10 5736 Clear with beige soft backing on body side Small Plateau Cut to fit 13-25mm PCUS713 10 5736 Medium Plateau Cut to fit 13-35mm PCUM713 10 5736

Large Plateau

Cut to fit 13-48mm PCUL713 10 5736