1. Ingeniería

12222
Family Practitioner Services, Pharmaceutical Services, 2 Franklin Street, Belfast BT2 8DQ
Telephone No. 028 9053 5613, Fax No. 028 9053 2963
Northern Ireland
Prescription Code Book
February 2015
Code/Pack
Description
DT CD ZD N E D
Drugs
A
4144 / 1
AAA Sore Throat Spray 60 dose 1
Code No. of Sprays dispensed
E
6985 / 10
Abelcet Vial 5mg/ml 20ml 10
Code No. of Vials dispensed
E
3303 / 25
Abidec Drops 25ml
E
4043 / 28
Abilify Dispersible Tablets 10mg 28
E
4056 / 28
Abilify Dispersible Tablets 15mg 28
E
3971 / 150
Abilify Oral Solution 1mg/ml 150ml
E
3217 / 1
Abilify Solution for Injection 7.5mg/ml 1.3ml 1
Code No of Injections Dispensed
E
2991 / 28
Abilify Tablets 5mg 28
E
3006 / 28
Abilify Tablets 10mg 28
E
3015 / 28
Abilify Tablets 15mg 28
E
3023 / 28
Abilify Tablets 30mg 28
E
5841 / 10
Abstral Tablets 100mcg 10
CD ZD
E
5984 / 30
Abstral Tablets 100mcg 30
CD ZD
E
5854 / 10
Abstral Tablets 200mcg 10
CD ZD
E
5853 / 30
Abstral Tablets 200mcg 30
CD ZD
E
5850 / 10
Abstral Tablets 300mcg 10
CD ZD
E
5849 / 30
Abstral Tablets 300mcg 30
CD ZD
E
5848 / 10
Abstral Tablets 400mcg 10
CD ZD
E
5844 / 30
Abstral Tablets 400mcg 30
CD ZD
E
5856 / 30
Abstral Tablets 600mcg 30
CD ZD
E
5842 / 30
Abstral Tablets 800mcg 30
CD ZD
E
14163 / 250
Acacia spray dried powder 250 gram (DT)
DT
E
14144 / 168
Acamprosate 333mg gastro-resistant tablets 168 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 1 of 550
Code/Pack
Description
DT CD ZD N E D
13402 / 90
Acarbose 100mg tablets 90 tablet (DT)
DT
E
13401 / 90
Acarbose 50mg tablets 90 tablet (DT)
DT
E
8376 / 56
Accolate Tablets 20mg 56
E
3827 / 28
Accupro Tablets 5mg 28
E
3846 / 28
Accupro Tablets 10mg 28
E
3874 / 28
Accupro Tablets 20mg 28
E
7390 / 28
Accupro Tablets 40mg 28
E
7113 / 28
Accuretic Tablets 28
E
12715 / 84
Acebutolol 100mg capsules 84 capsule (DT)
DT
E
12716 / 56
Acebutolol 200mg capsules 56 capsule (DT)
DT
E
12717 / 28
Acebutolol 400mg tablets 28 tablet (DT)
DT
E
13714 / 60
Aceclofenac 100mg tablets 60 tablet (DT)
DT
E
13712 / 90
Acemetacin 60mg capsules 90 capsule (DT)
DT
E
12856 / 100
Acenocoumarol 1mg tablets 100 tablet (DT)
DT
E
12384 / 30
Acetazolamide 250mg modified-release capsules 30 capsule (DT)
DT
E
12385 / 112
Acetazolamide 250mg tablets 112 tablet (DT)
DT
E
13694 / 1
Acetic acid 2% ear spray 5 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13695 / 500
Acetic acid 33% liquid 500 ml (DT)
DT
13738 / 50
Acetone liquid 50 ml (DT)
DT
295 / 10
Acetylcysteine (Pliva) Injection 200mg/ml 10ml Amps 10
Code No. of Ampoules Dispensed
14661 / 10
Acetylcysteine 5% eye drops 10 ml (DT)
DT
E
678 / 25
Aciclovir 200mg dispersible tablets 25 tablet (DT)
DT
ED
239 / 25
Aciclovir 200mg tablets 25 tablet (DT)
DT
ED
12473 / 125
Aciclovir 200mg/5ml oral suspension sugar free 125 ml (DT)
DT
ED
12479 / 5
Aciclovir 3% eye ointment 4.5 gram (DT) [BSO Pack = 5]
Code each pack of 4.5 as 5
DT
E
681 / 56
Aciclovir 400mg dispersible tablets 56 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
E
Page 2 of 550
Code/Pack
Description
DT CD ZD N E D
241 / 56
Aciclovir 400mg tablets 56 tablet (DT)
DT
E
12482 / 100
Aciclovir 400mg/5ml oral suspension sugar free 100 ml (DT)
DT
E
5648 / 10
Aciclovir 5% cream 10 gram (DT)
DT
ED
601 / 2
Aciclovir 5% cream 2 gram (DT)
DT
ED
698 / 35
Aciclovir 800mg dispersible tablets 35 tablet (DT)
DT
ED
250 / 35
Aciclovir 800mg tablets 35 tablet (DT)
DT
ED
13576 / 90
Acipimox 250mg capsules 90 capsule (DT)
DT
E
14583 / 60
Acitretin 10mg capsules 60 capsule (DT)
DT
E
14584 / 60
Acitretin 25mg capsules 60 capsule (DT)
DT
E
3959 / 1
Aclasta Solution for Infusion (1 x 100ml bottle) 1
Code No. of 100ml bottles dispensed
9112 / 30
Acnecide Topical Aqueous Gel 5% 30g
E
6868 / 60
Acnecide Topical Aqueous Gel 5% 60g
E
6180 / 50
Acnecide Topical Wash 5% 50g
E
7276 / 177
Acnisal Medicated Cleanser 177ml
E
1518 / 30
Acriflex Cream 30g
E
14649 / 12
Acrivastine 8mg capsules 12 capsule (DT)
6792 / 1
Actilyse Injection 20mg
8435 / 3
Actiq Lozenges 200mcg 3
CD ZD
E
8437 / 30
Actiq Lozenges 200mcg 30
CD ZD
E
8443 / 3
Actiq Lozenges 400mcg 3
CD ZD
E
8447 / 30
Actiq Lozenges 400mcg 30
CD ZD
E
8450 / 3
Actiq Lozenges 600mcg 3
CD ZD
E
8454 / 30
Actiq Lozenges 600mcg 30
CD ZD
E
8456 / 3
Actiq Lozenges 800mcg 3
CD ZD
E
8458 / 30
Actiq Lozenges 800mcg 30
CD ZD
E
8463 / 3
Actiq Lozenges 1200mcg 3
CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
E
E
E
Page 3 of 550
Code/Pack
Description
DT CD ZD N E D
8465 / 30
Actiq Lozenges 1200mcg 30
CD ZD
E
8470 / 3
Actiq Lozenges 1600mcg 3
CD ZD
E
8481 / 30
Actiq Lozenges 1600mcg 30
CD ZD
E
1333 / 50
Active (Formerly Glucotrend Plus) 50
4619 / 1
Actonel Combi Tablets/Granules 4/24 1
Code Number of Combi Packs Dispensed
E
1532 / 4
Actonel Once A Week Tablets 35mg 4
E
1793 / 28
Actonel Tablets 5mg 28
E
2746 / 28
Actonel Tablets 30mg 28
E
8663 / 28
Actos Tablets 15mg 28
E
8670 / 28
Actos Tablets 30mg 28
E
2833 / 28
Actos Tablets 45mg 28
E
7889 / 5
Acular Ophthalmic Solution 5ml
E
1872 / 90
Acupan Tablets 30mg 90
E
3592 / 1
Acwy Vax + Pre-Filled Syringe of Diluent Vaccine 0.5ml 1
Code Number of Vials Dispensed
4332 / 90
Adalat Capsules 5mg 90
E
3903 / 90
Adalat Capsules 10mg 90
E
1826 / 28
Adalat LA Tablets 20mg 28
E
6011 / 28
Adalat LA Tablets 30mg 28
E
6030 / 28
Adalat LA Tablets 60mg 28
E
1516 / 56
Adalat Retard Tablets 10mg 56
E
7424 / 56
Adalat Retard Tablets 20mg 56
E
13371 / 45
Adapalene 0.1% cream 45 gram (DT)
DT
E
13370 / 45
Adapalene 0.1% gel 45 gram (DT)
DT
E
3409 / 12
Adartrel Tablets 0.25mg 12
E
3418 / 28
Adartrel Tablets 0.5mg 28
E
3426 / 28
Adartrel Tablets 2mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
ZD
Page 4 of 550
E
Code/Pack
Description
DT CD ZD N E D
8405 / 100
Adcal Chewable Tablets 1500mg 100
Calcium Carb 1500mg
E
6496 / 56
Adcal D3 Chewable Lemon Tablets 56
Calcium Carb 1500mg, Vitamin D 400iu
E
6397 / 112
Adcal D3 Chewable Lemon Tablets 112
Calcium Carb 1500mg, Vitamin D 400iu
E
2760 / 56
Adcal D3 Chewable Tablets 56
Calcium Carb 1500mg, Colecalciferol 400iu
E
2763 / 112
Adcal D3 Chewable Tablets 112
Calcium Carb 1500mg, Colecalciferol 400iu
E
4616 / 56
Adcal D3 Dissolve Tablets 56
E
17193 / 112
Adcal-D3 750mg/200unit caplets 112
E
6786 / 56
Adcirca 20mg tablets 56
6012 / 5
Adcortyl Intra-Articular/Intradermal Ampoules 1ml 5
E
4431 / 1
Adcortyl Intra-Articular/Intradermal Injection 50mg/5ml 1
Code each 5ml injection /1
E
8932 / 60
Add Ins Sachets 18.2g 60
Code no. of sachets dispensed
1737 / 6
Adenocor Solution Vials 6mg/2ml
E
1672 / 28
Adenuric Tablets 120mg 28
E
1565 / 28
Adenuric Tablets 80mg 28
E
3571 / 56
Adipine MR Tablets 10mg 56
E
3609 / 56
Adipine MR Tablets 20mg 56
E
3338 / 28
Adipine XL Tablets 30mg 28
E
3340 / 28
Adipine XL Tablets 60mg 28
E
6857 / 56
Adizem SR Capsules 90mg 56
E
6876 / 56
Adizem SR Capsules 120mg 56
E
6915 / 56
Adizem SR Capsules 180mg 56
E
1293 / 56
Adizem SR Tablets 120mg 56
E
7173 / 28
Adizem XL Capsules 120mg 28
E
7186 / 28
Adizem XL Capsules 180mg 28
E
6825 / 28
Adizem XL Capsules 200mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 5 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
7257 / 28
Adizem XL Capsules 240mg 28
E
7330 / 28
Adizem XL Capsules 300mg 28
E
7359 / 50
Adoport Hard Gelatin Capsules 0.5mg 50
ZD
E
7349 / 50
Adoport Hard Gelatin Capsules 1mg 50
ZD
E
7221 / 100
Adoport Hard Gelatin Capsules 1mg 100
ZD
E
7206 / 50
Adoport Hard Gelatin Capsules 5mg 50
ZD
E
637 / 10
Adrenaline acid tartrate 1mg/1ml (1 in 1,000) solution for injection ampoules 10 ampoule (DT)
DT
E
5762 / 10
Adrenaline acid tartrate 500micrograms/0.5ml (1 in 1,000) solution for injection ampoules 10
ampoule (DT)
DT
E
5993 / 50
Advagraf Prolonged Release Capsules 0.5mg 50
5999 / 50
Advagraf Prolonged Release Capsules 1mg 50
ZD
E
5840 / 100
Advagraf Prolonged Release Capsules 1mg 100
ZD
E
5839 / 50
Advagraf Prolonged Release Capsules 5mg 50
ZD
E
7839 / 50
Advagraf Prolonged Release Capsules 3mg 50
ZD
E
7649 / 50
Advantage Plus Reagent 50
4944 / 30
Afinitor Tablets 5mg 30
ZD
E
4956 / 30
Afinitor Tablets 10mg 30
ZD
E
14447 / 28
Agomelatine 25mg tablets 28 tablet (DT)
7125 / 1
Airomir Autohaler 100mcg 200 dose 1
E
7628 / 1
Airomir Inhaler 100mcg 200 dose 1
Code No. of Inhalers dispensed
E
6928 / 56
Aknemin Capsules 50mg 56
E
6946 / 28
Aknemin Capsules 100mg 28
E
2336 / 25
Aknemycin Plus Solution 25ml
E
4209 / 60
Alateris Tablets 625mg 60
E
924 / 50
Albustix Reagent 50 Albumen Test Diagnostic Strips 50
13488 / 50
Alclometasone 0.05% cream 50 gram (DT)
2092 / 100
Aldactide ‘25’ Tablets 100
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
NE
DT
E
NE
DT
E
E
Page 6 of 550
Code/Pack
Description
DT CD ZD N E D
1237 / 28
Aldactide ‘50’ Tablets 28
E
4081 / 100
Aldactide ‘50’ Tablets 100
E
1234 / 100
Aldactone Tablets 25mg 100
E
1266 / 100
Aldactone Tablets 50mg 100
E
2390 / 28
Aldactone Tablets 100mg 28
E
3322 / 100
Aldactone Tablets 100mg 100
E
2691 / 12
Aldara Cream Sachets 5% 12
E
7963 / 60
Aldomet Tablets 250mg 60
E
7989 / 30
Aldomet Tablets 500mg 30
E
2519 / 28
Alendronic acid 10mg tablets 28 tablet (DT)
DT
E
14175 / 4
Alendronic acid 70mg / Colecalciferol 70microgram tablets 4 tablet (DT)
DT
E
2523 / 4
Alendronic acid 70mg tablets 4 tablet (DT)
DT
E
14366 / 4
Alendronic acid 70mg/100ml oral solution unit dose sugar free 4 unit dose (DT)
DT
E
6070 / 12
Alere INRatio Test Strip Reagent 12
0100071
NE
6075 / 48
Alere INRatio Test Strip Reagent 48
0100139
NE
38 / 30
Alfacalcidol 1microgram capsules 30 capsule (DT)
DT
E
23 / 30
Alfacalcidol 250nanogram capsules 30 capsule (DT)
DT
E
14403 / 10
Alfacalcidol 2micrograms/ml oral drops sugar free 10 ml (DT)
DT
35 / 30
Alfacalcidol 500nanogram capsules 30 capsule (DT)
DT
1653 / 10
Alfentanil 5mg/1ml solution for injection ampoules (Hameln Pharmaceuticals Ltd) 10
CD ZD
E
1637 / 10
Alfentanil Injection 1mg/2ml 10
CD ZD
E
5203 / 30
Alfuzosin 10mg modified-release tablets 30 tablet (DT)
DT
E
204 / 60
Alfuzosin 2.5mg tablets 60 tablet (DT)
DT
E
3284 / 50
Algesal Cream 50g
E
4988 / 100
Algesal Cream 100g
E
14548 / 28
Alimemazine 10mg tablets 28 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
DT
Page 7 of 550
E
Code/Pack
Description
DT CD ZD N E D
12149 / 100
Alimemazine 30mg/5ml oral solution 100 ml (DT)
DT
12148 / 100
Alimemazine 7.5mg/5ml oral solution 100 ml (DT)
DT
E
14228 / 28
Aliskiren 150mg tablets 28 tablet (DT)
DT
E
14227 / 28
Aliskiren 300mg tablets 28 tablet (DT)
DT
E
7415 / 1
Alkeran Injection 50mg Vial 1
ZD
E
3324 / 25
Alkeran Tablets 2mg 25
ZD
E
1238 / 100
Allegron Tablets 10mg 100
E
7684 / 42
Alli Capsules 60mg 42
E
7682 / 84
Alli Capsules 60mg 84
E
8954 / 120
Alli Capsules 60mg 120
E
14 / 28
Allopurinol 100mg tablets 28 tablet (DT)
DT
E
25 / 28
Allopurinol 300mg tablets 28 tablet (DT)
DT
E
8602 / 3
Almogran Tablets 12.5mg 3
E
8625 / 6
Almogran Tablets 12.5mg 6
E
8639 / 9
Almogran Tablets 12.5mg 9
E
14242 / 50
Almond oil liquid 50 ml (DT)
DT
NE
13530 / 6
Almotriptan 12.5mg tablets 6 tablet (DT)
DT
E
2360 / 5
Alomide Allergy Eye Drops 5mls
E
2308 / 10
Alomide Eye Drops 0.1% 10mls
E
2302 / 30
Alphaderm Cream 30g
E
2303 / 100
Alphaderm Cream 100g
E
6874 / 5
Alphagan Drops 0.2% 5ml
E
7117 / 250
Alphosyl 2 in 1 Shampoo 250ml
E
1894 / 100
Alphosyl HC Cream 100g
E
13427 / 1
Alprostadil 10microgram powder and solvent for solution for injection vials 1 vial (DT) Schedule
11 by Prescriber
DT
14431 / 1
Alprostadil 1mg urethral sticks 1 applicator (DT) Schedule 11 by Prescriber
DT
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
Page 8 of 550
E
Code/Pack
Description
DT CD ZD N E D
13428 / 1
Alprostadil 20microgram powder and solvent for solution for injection vials 1 vial (DT) Schedule
11 by Prescriber
DT
ZD
E
14432 / 1
Alprostadil 250microgram urethral sticks 1 applicator (DT) Schedule 11 by Prescriber
DT
ZD
E
13429 / 1
Alprostadil 40microgram powder and solvent for solution for injection vials 1 vial (DT) Schedule
11 by Prescriber
DT
ZD
E
14433 / 1
Alprostadil 500microgram urethral sticks 1 applicator (DT) Schedule 11 by Prescriber
DT
ZD
E
13426 / 1
Alprostadil 5microgram powder and solvent for solution for injection vials 1 vial (DT) Schedule
11 by Prescriber
DT
7754 / 100
Altacite Plus Suspension 100ml
E
2937 / 500
Altacite Plus Suspension 500ml
E
4613 / 5
Altargo Ointment 1% 5g
E
14146 / 500
Alum powder 500 gram (DT)
DT
E
12860 / 120
Aluminium hydroxide 475mg capsules 120 capsule (DT)
DT
E
8340 / 10
Alvedon Suppositories 60mg 10
E
6871 / 10
Alvedon Suppositories 125mg 10
E
8415 / 10
Alvedon Suppositories 250mg 10
E
13782 / 60
Alverine 120mg capsules 60 capsule (DT)
DT
E
13783 / 100
Alverine 60mg capsules 100 capsule (DT)
DT
E
2298 / 1
Alvesco Inhaler 80mcg 120 Dose 1
Code Number of Inhalers Dispensed
E
2311 / 1
Alvesco Inhaler 160mcg 60 Dose 1
Code Number of Inhalers Dispensed
E
2331 / 1
Alvesco Inhaler 160mcg 120 Dose 1
Code Number of Inhalers Dispensed
E
12577 / 56
Amantadine 100mg capsules 56 capsule (DT)
DT
E
12576 / 150
Amantadine 50mg/5ml oral solution sugar free 150 ml (DT)
DT
E
8129 / 30
Amaryl Tablets 1mg 30
E
8151 / 30
Amaryl Tablets 2mg 30
E
8181 / 30
Amaryl Tablets 3mg 30
E
8214 / 30
Amaryl Tablets 4mg 30
E
4379 / 1
Ambirix Vacine 1ml pre-filled syringe single dose 1
7425 / 10
Ambisome Vial 50mg 10
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
E
E
Page 9 of 550
Code/Pack
Description
DT CD ZD N E D
1498 / 2
Ametop Gel 4% (1.5g) 2
Code each 1.5g as 2
8131 / 7
Amias Tablets 2mg 7
E
8145 / 7
Amias Tablets 4mg 7
E
8185 / 28
Amias Tablets 4mg 28
E
8136 / 28
Amias Tablets 8mg 28
E
8170 / 28
Amias Tablets 16mg 28
E
3479 / 28
Amias Tablets 32mg 28
E
14090 / 28
Amiloride 2.5mg / Cyclopenthiazide 250microgram tablets 28 tablet (DT)
DT
E
14154 / 28
Amiloride 5mg / Bumetanide 1mg tablets 28 tablet (DT)
DT
E
137 / 28
Amiloride 5mg tablets 28 tablet (DT)
DT
E
12642 / 10
Aminophylline 250mg/10ml solution for injection ampoules 10 ampoule (DT)
DT
E
486 / 28
Amiodarone 100mg tablets 28 tablet (DT)
DT
E
491 / 28
Amiodarone 200mg tablets 28 tablet (DT)
DT
E
2693 / 1
Amiodarone Pre-Filled Syringe 300mg 10ml 1
2525 / 60
Amisulpride 100mg tablets 60 tablet (DT)
DT
E
13605 / 60
Amisulpride 100mg/ml oral solution sugar free 60 ml (DT)
DT
E
2526 / 60
Amisulpride 200mg tablets 60 tablet (DT)
DT
E
2528 / 60
Amisulpride 400mg tablets 60 tablet (DT)
DT
E
2524 / 60
Amisulpride 50mg tablets 60 tablet (DT)
DT
E
546 / 28
Amitriptyline 10mg tablets 28 tablet (DT)
DT
E
29 / 28
Amitriptyline 25mg tablets 28 tablet (DT)
DT
E
12448 / 150
Amitriptyline 25mg/5ml oral solution sugar free 150 ml (DT)
DT
E
627 / 28
Amitriptyline 50mg tablets 28 tablet (DT)
DT
E
12449 / 150
Amitriptyline 50mg/5ml oral solution sugar free 150 ml (DT)
DT
E
14221 / 28
Amlodipine 10mg / Valsartan 160mg tablets 28 tablet (DT)
DT
E
298 / 28
Amlodipine 10mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
Page 10 of 550
Code/Pack
Description
DT CD ZD N E D
14222 / 28
Amlodipine 5mg / Valsartan 160mg tablets 28 tablet (DT)
DT
E
14223 / 28
Amlodipine 5mg / Valsartan 80mg tablets 28 tablet (DT)
DT
E
305 / 28
Amlodipine 5mg tablets 28 tablet (DT)
DT
E
2995 / 266
Ammonaps Granules 940mg/g 266g
ZD
E
3138 / 250
Ammonaps Tablets 500mg 250
ZD
E
14225 / 200
Ammonia and Ipecacuanha mixture 200 ml (DT)
DT
E
14186 / 500
Ammonia solution aromatic 500 ml (DT)
DT
E
921 / 500
Ammonia Strong Solution BP 500ml
14167 / 500
Ammonium bicarbonate powder 500 gram (DT)
DT
E
533 / 5
Amorolfine 5% paint 5 ml (DT)
DT
E
12297 / 20
Amoxicillin 125mg/1.25ml oral suspension paediatric 20 ml (DT)
DT
ED
820 / 100
Amoxicillin 125mg/5ml oral suspension 100 ml (DT)
DT
ED
834 / 100
Amoxicillin 125mg/5ml oral suspension sugar free 100 ml (DT)
DT
ED
12300 / 10
Amoxicillin 1g powder for solution for injection vials 10 vial (DT)
DT
E
14494 / 15
Amoxicillin 250mg capsules 15 capsule (DT)
DT
ED
299 / 21
Amoxicillin 250mg capsules 21 capsule (DT)
DT
ED
821 / 100
Amoxicillin 250mg/5ml oral suspension 100 ml (DT)
DT
ED
883 / 100
Amoxicillin 250mg/5ml oral suspension sugar free 100 ml (DT)
DT
ED
768 / 2
Amoxicillin 3g oral powder sachets sugar free 2 sachet (DT)
DT
ED
225 / 15
Amoxicillin 500mg capsules 15 capsule (DT)
DT
ED
370 / 21
Amoxicillin 500mg capsules 21 capsule (DT)
DT
ED
12299 / 10
Amoxicillin 500mg powder for solution for injection vials 10 vial (DT)
DT
E
1253 / 21
Amoxil Capsules 250mg 21
ED
1730 / 21
Amoxil Capsules 500mg 21
ED
3649 / 20
Amoxil Paediatric Suspension 125mg/1.25ml 20ml
ED
2120 / 2
Amoxil Sachets S/F 3g
ED
6056 / 10
Amoxil Vials 1g 10
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 11 of 550
E
Code/Pack
Description
DT CD ZD N E D
6048 / 10
Amoxil Vials 500mg 10
841 / 100
Ampicillin 125mg/5ml oral suspension 100 ml (DT)
DT
ED
5057 / 28
Ampicillin 250mg capsules 28 capsule (DT)
DT
ED
842 / 100
Ampicillin 250mg/5ml oral suspension 100 ml (DT)
DT
ED
5071 / 28
Ampicillin 500mg capsules 28 capsule (DT)
DT
ED
7855 / 15
Anabact Topical Gel 0.75% 15g
E
7880 / 30
Anabact Topical Gel 0.75% 30g
E
1569 / 30
Anacal Ointment 30g
E
3416 / 84
Anafranil Capsules 10mg 84
E
2895 / 84
Anafranil Capsules 25mg 84
E
3422 / 56
Anafranil Capsules 50mg 56
E
2963 / 28
Anafranil SR Tablets 75mg 28
E
5109 / 1
Anapen Autoinjector 0.3mg 1
1 pre-filled disposable injection
E
5111 / 1
Anapen Junior Autoinjector 0.15mg 1
1 pre-filled disposable injection
13357 / 28
Anastrozole 1mg tablets 28 tablet (DT)
6821 / 10
Anbesol Adult Strength Gel 10g
E
7720 / 5
Anbesol Oral Liquid (5ml) 5
E
7734 / 15
Anbesol Oral Liquid 15ml
E
7856 / 10
Anbesol Teething Gel 10g
E
1754 / 56
AndrocurTablets 50mg 56
E
2709 / 5
Anexate Ampoules 500mcg/5ml 5
E
3927 / 84
Angeliq HRT Tablets 84
E
2198 / 56
Angitil SR Capsules 90mg 56
E
2233 / 56
Angitil SR Capsules 120mg 56
E
2258 / 56
Angitil SR Capsules 180mg 56
E
7378 / 28
Angitil XL Capsules 240mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
DT
Page 12 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
7405 / 28
Angitil XL Capsules 300mg 28
E
2048 / 60
Anhydrol Forte Roll-On 60ml
E
14130 / 100
Anise oil liquid 100 ml (DT)
6025 / 25
Anodesyn Ointment 25g
E
6049 / 12
Anodesyn Suppositories 12
E
3915 / 112
Anquil Tablets 112
E
4700 / 50
Antabuse Tablets 200mg 50
E
14211 / 10
Antazoline 0.5% / Xylometazoline 0.05% eye drops 10 ml (DT)
6099 / 250
Antepsin Suspension 1g/5ml 250ml
E
1600 / 50
Antepsin Tablets 1g 50
E
2754 / 18
Antipeol Ointment 18g
E
4353 / 37
Antipeol Ointment 37g
E
4398 / 93
Antipeol Ointment 93g
E
1946 / 30
Anugesic-HC Cream 30g
E
1951 / 12
Anugesic-HC Suppositories 12
E
6215 / 43
Anusol Cream 43g
E
3423 / 23
Anusol Cream 23g
E
1796 / 30
Anusol HC Ointment 30g
E
3972 / 12
Anusol HC Suppositories 12
E
1645 / 25
Anusol Ointment 25g
E
3460 / 15
Anusol Plus HC Ointment 15g
E
3463 / 12
Anusol Plus HC Suppositories 12
E
1647 / 12
Anusol Suppositories 12
E
1301 / 24
Anusol Suppositories 24
E
6669 / 5
Apidra Opticlik Insulin 100iu/ml 3ml Cartridge 5
Code Number of Cartridges Dispensed
ZD
E
6675 / 5
Apidra Optiset Prefilled Pen 3ml 5
Code Number of Pens Dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
DT
E
Page 13 of 550
Code/Pack
Description
DT CD ZD N E D
3707 / 5
Apidra Rapid Acting Insulin 100iu/ml 3ml Cartridge 5
Code Number of Cartridges Dispensed
ZD
E
3400 / 1
Apidra Rapid Acting Insulin 100iu/ml 10ml Vial 1
Code Number of Vials Dispensed
ZD
E
4522 / 5
Apidra Solostar Insulin 100iu/ml 3ml Pre-filled Pen 5
Code Number of Pens Dispensed
ZD
E
14728 / 60
Apixaban 2.5mg tablets 60 tablet (DT)
DT
E
14729 / 56
Apixaban 5mg tablets 56 tablet (DT)
DT
E
8659 / 5
Apo-go Ampoules 10mg/ml 2ml 5
ZD
E
8672 / 5
Apo-go Ampoules 10mg/ml 5ml 5
ZD
E
7833 / 5
Apo-go Pen Injection System 30mg/3ml 5
ZD
E
3156 / 5
Apo-go Pre-filled Syringe 5mg/ml 10ml 5
ZD
E
14662 / 24
Apraclonidine 1% eye drops 0.25ml unit dose preservative free 24 unit dose (DT)
DT
E
13723 / 5
Apraclonidine 5mg/ml eye drops 5 ml (DT)
DT
E
3271 / 84
Apresoline Tablets 25mg 84
E
1325 / 500
Aprinox Tablets 2.5mg 500
E
1332 / 500
Aprinox Tablets 5mg 500
E
7956 / 28
Aprovel Tablets 75mg 28
E
7975 / 28
Aprovel Tablets 150mg 28
E
7986 / 28
Aprovel Tablets 300mg 28
E
3390 / 120
Aptivus Capsules 250mg 120
Code Number of Vials Dispensed
9897 / 95
Aptivus Oral Solution 100mg/ml 95ml
3733 / 100
Aquadrate Cream 10% 100g
14560 / 100
Aqueous calamine cream 100 gram (DT)
DT
E
5651 / 100
Aqueous cream 100 gram (DT)
DT
NE
460 / 500
Aqueous cream 500 gram (DT)
DT
NE
13739 / 200
Arachis oil liquid 200 ml (DT)
DT
NE
4215 / 4
Aranesp ANG Pre-Filled Syringe 20mcg/0.5ml 4
ZD
E
4231 / 4
Aranesp ANG Pre-Filled Syringe 15mcg/0.375ml 4
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
NE
Page 14 of 550
Code/Pack
Description
DT CD ZD N E D
4162 / 4
Aranesp ANG Pre-Filled Syringe 30mcg/0.3ml 4
ZD
E
4153 / 4
Aranesp ANG Pre-Filled Syringe 40mcg/0.4ml 4
ZD
E
4151 / 4
Aranesp ANG Pre-Filled Syringe 50mcg/0.5ml 4
ZD
E
4118 / 4
Aranesp ANG Pre-Filled Syringe 60mcg/0.3ml 4
ZD
E
4005 / 4
Aranesp ANG Pre-Filled Syringe 80mcg/0.4ml 4
ZD
E
4278 / 4
Aranesp ANG Pre-Filled Syringe 100mcg/0.5ml 4
ZD
E
4606 / 4
Aranesp ANG Pre-Filled Syringe 130mcg/0.65ml 4
ZD
E
4620 / 4
Aranesp ANG Pre-Filled Syringe 150mcg/0.3ml 4
ZD
E
4534 / 1
Aranesp ANG Pre-Filled Syringe 300mcg/0.6ml 1
ZD
E
4494 / 1
Aranesp ANG Pre-Filled Syringe 500mcg/1.0ml 1
ZD
E
8731 / 4
Aranesp Pre-Filled Syringe 10mcg/0.4ml 4
ZD
E
2039 / 1
Aranesp Sureclick Pre-Filled Pen 20mcg 1
Code Number of Pens Dispensed
ZD
E
2043 / 1
Aranesp Sureclick Pre-Filled Pen 40mcg 1
Code Number of Pens Dispensed
ZD
E
2045 / 1
Aranesp Sureclick Pre-Filled Pen 60mcg 1
Code Number of Pens Dispensed
ZD
E
2066 / 1
Aranesp Sureclick Pre-Filled Pen 80mcg 1
Code Number of Pens Dispensed
ZD
E
2069 / 1
Aranesp Sureclick Pre-Filled Pen 100mcg 1
Code Number of Pens Dispensed
ZD
E
2074 / 1
Aranesp Sureclick Pre-Filled Pen 150mcg 1
Code Number of Pens Dispensed
ZD
E
2090 / 1
Aranesp Sureclick Pre-Filled Pen 300mcg 1
Code Number of Pens Dispensed
ZD
E
2096 / 1
Aranesp Sureclick Pre-Filled Pen 500mcg 1
Code Number of Pens Dispensed
ZD
E
2901 / 30
Arava Tablets 10mg 30
E
3046 / 30
Arava Tablets 20mg 30
E
3323 / 3
Arava Tablets 100mg 3
E
4933 / 28
Arcoxia Tablets 30mg 28
E
8021 / 28
Arcoxia Tablets 60mg 28
E
8031 / 28
Arcoxia Tablets 90mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 15 of 550
Code/Pack
Description
DT CD ZD N E D
8141 / 7
Arcoxia Tablets 120mg 7
E
5401 / 28
Arcoxia Tablets 120mg 28
E
7659 / 4
Aredia Dry Powder Vials 15mg 4
E
7665 / 2
Aredia Dry Powder Vials 30mg 2
E
8578 / 1
Aredia Dry Powder Vials 90mg 1
E
6203 / 28
Aricept Evess Tablets 5mg 28
E
6207 / 28
Aricept Evess Tablets 10mg 28
E
4603 / 28
Aricept Tablets 5mg 28
E
6138 / 28
Aricept Tablets 10mg 28
E
8076 / 28
Arimidex Tablets 1mg 28
13961 / 28
Aripiprazole 10mg tablets 28 tablet (DT)
DT
E
13962 / 28
Aripiprazole 15mg tablets 28 tablet (DT)
DT
E
13963 / 28
Aripiprazole 30mg tablets 28 tablet (DT)
DT
E
13960 / 28
Aripiprazole 5mg tablets 28 tablet (DT)
DT
E
4180 / 10
Arixtra Pre-filled Syringe 1.5mg/0.3ml 10
ZD
E
4190 / 10
Arixtra Pre-filled Syringe 10mg/0.8ml 1
ZD
E
4184 / 10
Arixtra Pre-filled Syringe 2.5mg/0.5ml 1
ZD
E
4186 / 10
Arixtra Pre-filled Syringe 5mg/0.4ml 1
ZD
E
4187 / 10
Arixtra Pre-filled Syringe 7.5mg/0.6ml 1
ZD
E
4069 / 100
Arlevert Tablets 20/40mg 100
2981 / 30
Aromasin Tablets 25mg 30
8442 / 150
Arpicolin S/F Syrup 2.5mg/5ml 150ml
E
8517 / 150
Arpicolin S/F Syrup 5mg/5ml 150ml
E
4198 / 10
Artelac 0.32% Eye Drops 10ml
E
6302 / 30
Artelac SDU Eye Drops 0.32% 0.5ml 30
E
5303 / 60
Artelac SDU Eye Drops 0.32% 0.5ml 60
E
6854 / 60
Arthrotec 50 Tablets 60
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
Page 16 of 550
E
Code/Pack
Description
DT CD ZD N E D
4244 / 60
Arthrotec 75 Tablets 60
E
1780 / 90
Arythmol Tablets 150mg 90
E
1838 / 60
Arythmol Tablets 300mg 60
E
8295 / 30
AS Saliva Orthana Lozenges 45
7562 / 14
Asacol Foam Enema Applications 1g 14
2972 / 90
Asacol MR Tablets 400mg 90
"Pay full pack if claimed"
ZD
E
2821 / 120
Asacol MR Tablets 400mg 120
"Pay full pack if claimed"
ZD
E
4457 / 180
Asacol MR Tablets 800mg 180
"Pay full pack if claimed"
ZD
E
6026 / 20
Asacol Suppositories 250mg 20
E
6058 / 10
Asacol Suppositories 500mg 10
E
8281 / 60
Asasantin Retard Capsules 60
E
5655 / 28
Ascorbic acid 100mg tablets 28 tablet (DT)
DT
ED
5668 / 28
Ascorbic acid 200mg tablets 28 tablet (DT)
DT
ED
37 / 28
Ascorbic acid 500mg tablets 28 tablet (DT)
DT
E
12507 / 28
Ascorbic acid 50mg tablets 28 tablet (DT)
DT
ED
386 / 10
Ascorbic Acid Injection 500mg/5ml 10
12513 / 100
Ascorbic acid powder 100 gram (DT)
DT
E
14464 / 60
Asenapine 10mg sublingual tablets sugar free 60 tablet (DT)
DT
E
14465 / 60
Asenapine 5mg sublingual tablets sugar free 60 tablet (DT)
DT
E
3868 / 500
Asilone Suspension 500ml
E
8506 / 1
Asmabec Clickhaler 50mcg 1
E
8486 / 1
Asmabec Clickhaler 100mcg 1
E
8525 / 1
Asmabec Clickhaler 250mcg 1
E
6437 / 1
Asmanex Twisthaler 200mcg 30 dose 1
E
6438 / 1
Asmanex Twisthaler 200mcg 60 dose 1
E
6448 / 1
Asmanex Twisthaler 400mcg 30 dose 1
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NED
E
E
Page 17 of 550
Code/Pack
Description
DT CD ZD N E D
6457 / 1
Asmanex Twisthaler 400mcg 60 dose 1
E
8515 / 1
Asmasal Clickhaler 100mcg 1
Code No. of Clickhalers Dispensed
E
5070 / 100
Aspirin 300mg dispersible tablets 100 tablet (DT)
DT
NED
5529 / 32
Aspirin 300mg dispersible tablets 32 tablet (DT)
DT
NED
399 / 100
Aspirin 300mg gastro-resistant tablets 100 tablet (DT)
DT
E
3 / 32
Aspirin 300mg tablets 32 tablet (DT)
DT
E
12141 / 100
Aspirin 75mg dispersible tablets 100 tablet (DT)
DT
ED
5064 / 28
Aspirin 75mg dispersible tablets 28 tablet (DT)
DT
ED
326 / 28
Aspirin 75mg gastro-resistant tablets 28 tablet (DT)
DT
E
12142 / 28
Aspirin 75mg tablets 28 tablet (DT)
DT
E
13935 / 6
Aspirin 900mg / Metoclopramide 10mg oral powder sachets sugar free 6 sachet (DT)
DT
E
7449 / 56
Aspirin Nu-seals EC 75mg 56
E
4468 / 100
Aspirin Nu-seals EC 300mg 100
E
12027 / 250
Aspirin powder 250 gram (DT)
1415 / 84
Atarax Tablets 10mg 84
E
1339 / 28
Atarax Tablets 25mg 28
E
266 / 28
Atenolol 100mg tablets 28 tablet (DT)
DT
E
484 / 28
Atenolol 25mg tablets 28 tablet (DT)
DT
E
12947 / 300
Atenolol 25mg/5ml oral solution sugar free 300 ml (DT)
DT
E
223 / 28
Atenolol 50mg tablets 28 tablet (DT)
DT
E
3645 / 1
Atimos Modulite Inhaler 100 Dose 12mcg 1
Code Number of Inhalers Dispensed
14563 / 28
Atomoxetine 100mg capsules 28 capsule (DT)
13970 / 28
DT
E
ZD
E
DT
ZD
E
Atomoxetine 10mg capsules 28 capsule (DT)
DT
ZD
E
13971 / 28
Atomoxetine 18mg capsules 28 capsule (DT)
DT
ZD
E
13972 / 28
Atomoxetine 25mg capsules 28 capsule (DT)
DT
ZD
E
13973 / 28
Atomoxetine 40mg capsules 28 capsule (DT)
DT
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 18 of 550
Code/Pack
Description
DT CD ZD N E D
13974 / 28
Atomoxetine 60mg capsules 28 capsule (DT)
DT
ZD
E
14650 / 28
Atomoxetine 80mg capsules 28 capsule (DT)
DT
ZD
E
14457 / 30
Atorvastatin 10mg chewable tablets sugar free 30 tablet (DT)
DT
E
13300 / 28
Atorvastatin 10mg tablets 28 tablet (DT)
DT
E
14458 / 30
Atorvastatin 20mg chewable tablets sugar free 30 tablet (DT)
DT
E
13301 / 28
Atorvastatin 20mg tablets 28 tablet (DT)
DT
E
13302 / 28
Atorvastatin 40mg tablets 28 tablet (DT)
DT
E
13299 / 28
Atorvastatin 80mg tablets 28 tablet (DT)
DT
E
4176 / 6
Atriance Solution for Infusion 250mg/50ml Vial 6
14367 / 20
Atropine 1% eye drops 0.5ml unit dose preservative free 20 unit dose (DT)
DT
E
12814 / 10
Atropine 1% eye drops 10 ml (DT)
DT
E
12812 / 28
Atropine 600microgram tablets 28 tablet (DT)
DT
E
641 / 10
Atropine 600micrograms/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
2158 / 1
Atropine Sulphate BP (Aurum) Injection 1mg/5ml 5ml 1
Code Number of Syringes Dispensed
E
2011 / 1
Atropine Sulphate BP (Aurum) Injection 3mg/10ml 10ml 1
Code Number of Injections Dispensed
E
2116 / 10
Atropine Sulphate BP (Martindale) Injection 1mg/ml 1ml 10
Code Number of Injections Dispensed
E
2012 / 10
Atropine Sulphate BP (Martindale) Injection 400mcg/ml 1ml 10
Code Number of Ampoules Dispensed
E
2843 / 1
Atrovent Inhaler 200 dose (10ml) 1
Code No. of Inhalers dispensed
E
7259 / 20
Atrovent UDV 250mcg/ml 1ml 20
E
7265 / 60
Atrovent UDV 250mcg/ml 1ml 60
E
7272 / 20
Atrovent UDV 250mcg/ml 2ml 20
E
7281 / 60
Atrovent UDV 250mcg/ml 2ml 60
E
7860 / 35
Augmentin Duo Sugar Free Suspension 400/57 35ml
E
7891 / 70
Augmentin Duo Sugar Free Suspension 400/57 70ml
E
4025 / 100
Augmentin S/F Suspension 125mg/31mg 100ml
ED
4083 / 100
Augmentin S/F Suspension 250mg/62mg 100ml
ED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 19 of 550
E
Code/Pack
Description
DT CD ZD N E D
1834 / 21
Augmentin Tablets 375mg 21
ED
7022 / 21
Augmentin Tablets 625mg 21
E
4082 / 10
Augmentin Vials 600mg 10
E
4086 / 10
Augmentin Vials 1.2g 10
E
1243 / 15
Aureocort Ointment 15g
E
2051 / 25
AutoSense Reagent 25
NE
5579 / 1
Avamys Nasal Spray 120 dose 1
Code No. of Sprays Dispensed
7888 / 1
Avaxim Vaccine 0.5ml 1
ZD
E
7957 / 10
Avaxim Vaccine 0.5ml 10
ZD
E
7605 / 250
Aveeno Bath Oil 250ml
E
3356 / 500
Aveeno body wash 500ml
E
2953 / 10
Aveeno Colloidal Sachets 50g 10
E
6818 / 100
Aveeno Cream 100ml
E
5605 / 300
Aveeno Cream 300ml
E
3465 / 500
Aveeno Lotion 500ml
E
3362 / 200
Aveeno Skin Relief body lotion 200ml
E
6293 / 5
Avelox Tablets 400mg 5
E
6428 / 50
Aviva Reagent 50
2550 / 20
Avlocor Tablets 250mg 20
E
1699 / 1
Avoca Wart and Verruca Set 1
Code No. of Packs dispensed
E
6300 / 30
Avodart Capsules 0.5mg 30
E
1681 / 10
Avomine Tablets 25mg 10
E
1133 / 30
Axorid MR Capsules 100mg/20mg 30
E
1129 / 30
Axorid MR Capsules 200mg/20mg 30
E
6872 / 45
Axsain Cream 45g
E
7503 / 1
Azactam Injection 2g/100ml 1
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
NE
Page 20 of 550
Code/Pack
Description
DT CD ZD N E D
3516 / 5
Azarga Eye Drops 5ml
384 / 28
Azathioprine 25mg tablets 28 tablet (DT)
DT
E
135 / 56
Azathioprine 50mg tablets 56 tablet (DT)
DT
E
13373 / 30
Azelaic acid 15% gel 30 gram (DT)
DT
E
13372 / 30
Azelaic acid 20% cream 30 gram (DT)
DT
E
13333 / 1
Azelastine 140micrograms/dose nasal spray 22 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
3480 / 28
Azilect Tablets 1mg 28
14526 / 28
Azilsartan medoxomil 20mg tablets 28 tablet (DT)
DT
E
14527 / 28
Azilsartan medoxomil 40mg tablets 28 tablet (DT)
DT
E
14528 / 28
Azilsartan medoxomil 80mg tablets 28 tablet (DT)
DT
E
14414 / 6
Azithromycin 15mg/g eye drops 0.25g unit dose preservative free 6 unit dose (DT)
DT
E
13014 / 15
Azithromycin 200mg/5ml oral suspension 15 ml (DT)
DT
ED
13015 / 23
Azithromycin 200mg/5ml oral suspension 22.5 ml (DT) [BSO Pack = 23]
Code each pack of 22.5 as 23
DT
ED
13016 / 30
Azithromycin 200mg/5ml oral suspension 30 ml (DT)
DT
ED
13013 / 6
Azithromycin 250mg capsules 6 capsule (DT)
DT
E
13018 / 4
Azithromycin 250mg tablets 4 tablet (DT)
DT
E
328 / 3
Azithromycin 500mg tablets 3 tablet (DT)
DT
E
8683 / 5
Azopt Eye Drops 5ml
E
6383 / 6
Azyter 15mg/g 0.25g eye drops 6 dose
Code No. of Doses dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
Page 21 of 550
Code/Pack
Description
DT CD ZD N E D
B
32 / 84
Baclofen 10mg tablets 84 tablet (DT)
DT
E
291 / 300
Baclofen 5mg/5ml oral solution sugar free 300 ml (DT)
DT
E
3517 / 15
Bactroban Cream 15g
E
6060 / 3
Bactroban Nasal Ointment 3g
E
2747 / 15
Bactroban Ointment 15g
E
6080 / 40
Balmosa 40g
E
2531 / 200
Balneum Bath Additive 200ml
NE
2533 / 500
Balneum Bath Additive 500ml
NE
1540 / 1
Balneum Bath Additive 1000ml 1
Code No. of Packs dispensed
NE
6179 / 500
Balneum Plus (Pump Pack) Cream 500g
NE
4543 / 500
Balneum Plus Bath Oil 500ml
NE
6164 / 100
Balneum Plus Cream 100g
NE
14129 / 130
Balsalazide 750mg capsules 130 capsule (DT)
6952 / 28
Bambec Tablets 10mg 28
E
6979 / 28
Bambec Tablets 20mg 28
E
13798 / 28
Bambuterol 10mg tablets 28 tablet (DT)
DT
E
13799 / 28
Bambuterol 20mg tablets 28 tablet (DT)
DT
E
9625 / 210
Baraclude Oral Solution 50mcg/ml 210
3960 / 30
Baraclude Tablets 0.5mg 30
ZD
E
3961 / 30
Baraclude Tablets 1mg 30
ZD
E
17005 / 1
Barkat Gluten Free Cornflakes 250g 1
E
1355 / 1
Barkat Gluten Free Crackers 200g 1
Code no. of packs dispensed
E
9539 / 1
Barkat Gluten Free Digestive Biscuits 175g 1
Code no. of packs dispensed
E
9813 / 1
Barkat Gluten-Free Organic Porridge 500g 1
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 22 of 550
Code/Pack
Description
DT CD ZD N E D
8328 / 5
Bazuka Gel Extra Strength 5g
E
9605 / 6
Bazuka Verruca Gel 6g
E
7795 / 5
bazuka verruca gel 5g
E
14667 / 30
Beclometasone 0.025% ointment 30 gram (DT)
DT
14268 / 1
Beclometasone 100micrograms/dose / Formoterol 6micrograms/dose inhaler CFC free 120 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
12079 / 1
Beclometasone 100micrograms/dose breath actuated inhaler CFC free 200 dose (DT) [BSO
Pack = 1]
Code No. of Packs dispensed
DT
E
14368 / 100
Beclometasone 250micrograms/dose dry powder inhaler 100 dose (DT)
DT
E
12078 / 1
Beclometasone 50micrograms/dose breath actuated inhaler CFC free 200 dose (DT) [BSO Pack
= 1]
Code No. of Packs dispensed
DT
E
7747 / 1
Beclometasone 50micrograms/dose nasal spray 200 dose (DT) [BSO Pack = 1]
DT
E
2085 / 120
Becodisks Diskhaler 400mcg 120
E
2091 / 120
Becodisks Refill Pack Diskhaler 400mcg 120
E
7612 / 1
Beconase Allergy Nasal Spray 180 dose 1
Code No. of Sprays Dispensed
E
2137 / 1
Beconase Aqueous Nasal Spray (22G) 1
Code No. of Sprays Dispensed
E
3769 / 1
Beconase Hayfever Nasal Spray 100 Dose 1
Code No. of Sprays Dispensed
E
3430 / 84
Bedol Tablets 2mg 84
E
5698 / 28
Bedranol SR (Sandoz) Capsules 80mg 28
E
6541 / 28
Bedranol SR (Sandoz) Capsules 160mg 28
E
12028 / 500
Beeswax white solid 500 gram (DT)
3684 / 12
Benadryl Capsules 8mg 12
E
4336 / 24
Benadryl Capsules 8mg 24
E
4358 / 12
Benadryl Plus Capsules 8mg 12
E
140 / 28
Bendroflumethiazide 2.5mg tablets 28 tablet (DT)
DT
E
144 / 28
Bendroflumethiazide 5mg tablets 28 tablet (DT)
DT
E
13594 / 112
Benperidol 250microgram tablets 112 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
DT
Page 23 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
14173 / 500
Benzoin compound tincture 500 ml (DT)
DT
ZD
E
14224 / 500
Benzoin tincture 500 ml (DT)
DT
ZD
E
13850 / 40
Benzoyl peroxide 10% gel 40 gram (DT)
DT
E
13852 / 150
Benzoyl peroxide 10% wash 150 ml (DT)
DT
E
13851 / 40
Benzoyl peroxide 2.5% gel 40 gram (DT)
DT
E
14589 / 30
Benzoyl peroxide 3% / Clindamycin 1% gel 30 gram (DT)
DT
13848 / 50
Benzoyl peroxide 4% cream 50 gram (DT)
DT
14169 / 25
Benzoyl peroxide 5% / Clindamycin 1% gel 25 gram (DT)
DT
ZD
E
14170 / 50
Benzoyl peroxide 5% / Clindamycin 1% gel 50 gram (DT)
DT
ZD
E
13849 / 40
Benzoyl peroxide 5% cream 40 gram (DT)
DT
E
14681 / 30
Benzoyl peroxide 5% gel 30 gram (DT)
DT
E
14682 / 40
Benzoyl peroxide 5% gel 40 gram (DT)
DT
E
13812 / 300
Benzydamine 0.15% mouthwash sugar free 300 ml (DT)
DT
ED
13813 / 1
Benzydamine 0.15% oromucosal spray sugar free 30 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
ED
13811 / 100
Benzydamine 3% cream 100 gram (DT)
DT
E
13810 / 35
Benzydamine 3% cream 35 gram (DT)
DT
E
12546 / 500
Benzyl benzoate crystals 500 gram (DT)
DT
12845 / 25
Benzylpenicillin 1.2g powder for solution for injection vials 25 vial (DT)
DT
E
14745 / 2
Benzylpenicillin 600mg powder for solution for injection vials 2 vial (DT)
DT
E
7172 / 30
Bepanthen Nappy Rash Ointment 30g
E
7203 / 100
Bepanthen Nappy Rash Ointment 100g
E
1615 / 30
Besavar XL Tablets 10mg 30
E
703 / 28
Beta Prograne Capsules 160mg 28
E
1652 / 28
Beta-Adalat Capsules 28
E
7800 / 100
Betacap Scalp Application 100ml
E
3522 / 100
Beta-Cardone Tablets 40mg 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
Page 24 of 550
E
Code/Pack
Description
DT CD ZD N E D
8778 / 56
Beta-Cardone Tablets 80mg 56
E
3530 / 100
Beta-Cardone Tablets 80mg 100
E
2338 / 28
Beta-Cardone Tablets 200mg 28
E
3935 / 50
Betachek G5 Reagent 50
NE
5582 / 50
Betachek Visual Reagent 50
NE
1691 / 1
Betadine Dry Powder Spray 2.5% 1
7829 / 15
Betaferon Injection 3ml 15
2100 / 5
Betagan Ophthalmic Solution 0.5% 5ml
E
7756 / 30
Betagan Unit Dose Eye Drops 0.4ml 30
E
829 / 84
Betahistine 16mg tablets 84 tablet (DT)
DT
E
13829 / 84
Betahistine 8mg tablets 84 tablet (DT)
DT
E
1641 / 5
Betaloc IV Injection 5ml 5
Code no. of injections dispensed
12329 / 10
Betamethasone 0.1% ear/eye/nose drops 10 ml (DT)
DT
E
12323 / 3
Betamethasone 0.1% eye ointment 3 gram (DT)
DT
E
12339 / 100
Betamethasone 0.1% foam 100 gram (DT)
DT
E
12322 / 100
Betamethasone 500microgram soluble tablets sugar free 100 tablet (DT)
DT
ED
13747 / 100
Betamethasone dipropionate 0.05% / Salicylic acid 2% scalp application 100 ml (DT)
DT
E
13746 / 100
Betamethasone dipropionate 0.05% / Salicylic acid 3% ointment 100 gram (DT)
DT
E
13745 / 30
Betamethasone dipropionate 0.05% / Salicylic acid 3% ointment 30 gram (DT)
DT
E
12334 / 100
Betamethasone dipropionate 0.05% cream 100 gram (DT)
DT
E
12333 / 30
Betamethasone dipropionate 0.05% cream 30 gram (DT)
DT
E
12336 / 100
Betamethasone dipropionate 0.05% ointment 100 gram (DT)
DT
E
12335 / 30
Betamethasone dipropionate 0.05% ointment 30 gram (DT)
DT
E
12328 / 100
Betamethasone dipropionate 0.05% scalp lotion 100 ml (DT)
DT
E
12327 / 30
Betamethasone dipropionate 0.05% scalp lotion 30 ml (DT)
DT
E
13742 / 30
Betamethasone dipropionate 0.064% / Clotrimazole 1% cream 30 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
E
E
Page 25 of 550
Code/Pack
Description
DT CD ZD N E D
12324 / 100
Betamethasone valerate 0.025% cream 100 gram (DT)
DT
E
12325 / 100
Betamethasone valerate 0.025% ointment 100 gram (DT)
DT
E
13741 / 30
Betamethasone valerate 0.1% / Clioquinol 3% cream 30 gram (DT)
DT
E
13740 / 30
Betamethasone valerate 0.1% / Clioquinol 3% ointment 30 gram (DT)
DT
E
13743 / 30
Betamethasone valerate 0.1% / Fusidic acid 2% cream 30 gram (DT)
DT
E
13744 / 60
Betamethasone valerate 0.1% / Fusidic acid 2% cream 60 gram (DT)
DT
E
14061 / 100
Betamethasone valerate 0.1% / Neomycin 0.5% cream 100 gram (DT)
DT
E
14060 / 30
Betamethasone valerate 0.1% / Neomycin 0.5% cream 30 gram (DT)
DT
E
14059 / 100
Betamethasone valerate 0.1% / Neomycin 0.5% ointment 100 gram (DT)
DT
E
14058 / 30
Betamethasone valerate 0.1% / Neomycin 0.5% ointment 30 gram (DT)
DT
E
5205 / 100
Betamethasone valerate 0.1% cream 100 gram (DT)
DT
E
5204 / 30
Betamethasone valerate 0.1% cream 30 gram (DT)
DT
E
12330 / 100
Betamethasone valerate 0.1% lotion 100 ml (DT)
DT
E
5207 / 100
Betamethasone valerate 0.1% ointment 100 gram (DT)
DT
E
5206 / 30
Betamethasone valerate 0.1% ointment 30 gram (DT)
DT
E
12326 / 100
Betamethasone valerate 0.1% scalp application 100 ml (DT)
DT
E
13789 / 5
Betaxolol 0.25% eye drops 5 ml (DT)
DT
E
13790 / 5
Betaxolol 0.5% eye drops 5 ml (DT)
DT
E
5980 / 4
Betesil Medicated Plasters 2.25mg 4
E
3804 / 30
Betim Tablets 10mg 30
E
2071 / 30
Betmiga 25mg modified-release tablets 30
E
2082 / 30
Betmiga 50mg modified-release tablets 30
E
1984 / 3
Betnesol Eye Ointment 3g
E
3055 / 10
Betnesol Eye/Ear Drops 0.1% 10ml
E
6076 / 5
Betnesol Injection 1ml 5
E
3057 / 10
Betnesol N Drops 0.1% 10ml
E
3056 / 100
Betnesol Tablets 0.5mg 100
ED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 26 of 550
Code/Pack
Description
DT CD ZD N E D
1244 / 30
Betnovate Cream 0.1% 30g
E
3820 / 100
Betnovate Cream 0.1% 100g
E
3165 / 100
Betnovate Lotion 0.1% 100ml
E
1245 / 30
Betnovate Ointment 0.1% 30g
E
3771 / 100
Betnovate Ointment 0.1% 100g
E
4008 / 100
Betnovate RD Cream 100g
E
4009 / 100
Betnovate RD Ointment 100g
E
3602 / 100
Betnovate Scalp Application 100ml
E
2926 / 30
Betnovate-C Cream
30g
E
2930 / 30
Betnovate-C Ointment 30g
E
1257 / 30
Betnovate-N Cream 30g
E
3793 / 100
Betnovate-N Cream 100g
E
1258 / 30
Betnovate-N Ointment 30g
E
3762 / 100
Betnovate-N Ointment 100g
E
3661 / 5
Betoptic Solution Eye Drops 0.5% 5ml
E
6723 / 5
Betoptic Suspension Eye Drops 0.25% 5ml
E
3855 / 50
Betoptic Unit Dose Eye Drops 0.25% 0.25ml 50
E
1816 / 100
Bettamousse 100g
E
5685 / 100
Bezafibrate 200mg tablets 100 tablet (DT)
DT
E
13575 / 30
Bezafibrate 400mg modified-release tablets 30 tablet (DT)
DT
E
2389 / 30
Bezalip MR Tablets 400mg 30
E
1898 / 100
Bezalip Tablets 200mg 100
E
17323 / 50
BGStar Strips Reagent 50
NE
94 / 28
Bicalutamide 150mg tablets 28 tablet (DT)
DT
E
17 / 28
Bicalutamide 50mg tablets 28 tablet (DT)
DT
E
952 / 56
Bi-Carzem Capsules SR 90mg 56
E
951 / 56
Bi-Carzem Capsules SR 120mg 56
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 27 of 550
Code/Pack
Description
DT CD ZD N E D
14369 / 30
Bilastine 20mg tablets 30 tablet (DT)
DT
E
13900 / 3
Bimatoprost 100micrograms/ml eye drops 3 ml (DT)
DT
E
14202 / 3
Bimatoprost 300micrograms/ml / Timolol 5mg/ml eye drops 3 ml (DT)
DT
E
14568 / 30
Bimatoprost 300micrograms/ml eye drops 0.4ml unit dose preservative free 30 unit dose (DT)
DT
E
13899 / 3
Bimatoprost 300micrograms/ml eye drops 3 ml (DT)
DT
E
1178 / 6
Binocrit Pre Filled Syringe 1,000iu/0.5ml 6
ZD
E
1608 / 6
Binocrit Pre Filled Syringe 2,000iu/1ml 6
ZD
E
1623 / 6
Binocrit Pre Filled Syringe 3,000iu/0.3ml 6
ZD
E
1847 / 6
Binocrit Pre Filled Syringe 4,000iu/0.4ml 6
ZD
E
1999 / 6
Binocrit Pre Filled Syringe 5,000iu/0.5ml 6
ZD
E
2086 / 6
Binocrit Pre Filled Syringe 6,000iu/0.6ml 6
ZD
E
2145 / 6
Binocrit Pre Filled Syringe 8,000iu/0.8ml 6
ZD
E
2156 / 6
Binocrit Pre-Filled Syringe 10,000iu/1ml 6
ZD
E
4526 / 63
Binovum Tablets (3x21) 63
E
9859 / 60
Bio-Oil Liquid 60ml
E
9855 / 125
Bio-Oil Liquid 125ml
E
9852 / 200
Bio-Oil Liquid 200
E
3877 / 75
Biotene Dry Mouth Anti-Bacterial Toothpaste 75ml
E
8784 / 50
BioXtra Gel Mouthspray 50 ml
ED
8736 / 40
BioXtra Moisturising Gel 40 ml
ED
8771 / 250
BioXtra Mouth Rinse 250 ml
E
8792 / 50
BioXtra Toothpaste 50 ml
E
201 / 12
Bisacodyl 10mg suppositories 12 suppository (DT)
DT
NE
12199 / 60
Bisacodyl 5mg gastro-resistant tablets 60 tablet (DT)
DT
NE
200 / 5
Bisacodyl 5mg suppositories 5 suppository (DT)
DT
NE
162 / 28
Bisoprolol 1.25mg tablets 28 tablet (DT)
DT
E
5690 / 28
Bisoprolol 10mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 28 of 550
Code/Pack
Description
DT CD ZD N E D
72 / 28
Bisoprolol 2.5mg tablets 28 tablet (DT)
DT
E
57 / 28
Bisoprolol 3.75mg tablets 28 tablet (DT)
DT
E
5686 / 28
Bisoprolol 5mg tablets 28 tablet (DT)
DT
E
48 / 28
Bisoprolol 7.5mg tablets 28 tablet (DT)
DT
E
12031 / 500
Black currant syrup 500 ml (DT)
DT
E
2885 / 5
Blistex Relief Cream 5g
E
5804 / 28
Bolamyn SR Tablets 500mg 28
E
5843 / 56
Bolamyn SR Tablets 500mg 56
E
6331 / 1
Bondronat Ampoules 2mg/2ml 1
ZD
E
3158 / 1
Bondronat Ampoules 6mg/6ml 1
ZD
E
3042 / 28
Bondronat Tablets 50mg 28
E
7164 / 120
Bonefos Capsules 400mg 120
E
8023 / 60
Bonefos Tablets 800mg 60
E
2343 / 15
Bonjela Cool Mint Gel 15g
NED
2935 / 15
Bonjela Gel 15g
NED
2341 / 15
Bonjela Teething Gel 15g
NED
3277 / 1
Bonviva Pre-Filled Syringe 3mg/3ml 1
E
3185 / 1
Bonviva Tablets 150mg 1
E
3199 / 3
Bonviva Tablets 150mg 3
E
12026 / 500
Boric acid powder 500 gram (DT)
9749 / 56
Bramitob Nebuliser Solution 4ml Ampoules 300mg/4ml 56
56 ampoule ((14 x 4) x 4ml ampoules)
1846 / 75
Brasivol Fine Tube 75g
3932 / 50
Breeze 2 Reagent 50
4400 / 63
Brevinor Tablets 63
E
8474 / 50
Brevoxyl 4% cream 50 gram
E
8466 / 30
Brexidol Tablets 20mg 30
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
E
E
NE
Page 29 of 550
Code/Pack
Description
DT CD ZD N E D
2378 / 5
Bricanyl Ampoules 1ml 5
2619 / 10
Bricanyl Injection for Infusion 0.5mg/ml 5ml 10
3467 / 20
Bricanyl Respules 2.5mg/ml 2ml 20
E
4746 / 100
Bricanyl Syrup 1.5mg/5ml 100ml
E
1665 / 100
Bricanyl Tablets 5mg 100
E
1298 / 1
Bricanyl Turbohaler 100 dose
Code No. of Inhalers dispensed
E
6406 / 56
Brilique Tablets 90mg 56
E
374 / 5
Brimonidine 0.2% eye drops 5 ml (DT)
DT
E
14053 / 5
Brimonidine 2mg/ml / Timolol 5mg/ml eye drops 5 ml (DT)
DT
E
14716 / 5
Brinzolamide 10mg/ml / Brimonidine 2mg/ml eye drops 5 ml (DT)
DT
E
14301 / 5
Brinzolamide 10mg/ml / Timolol 5mg/ml eye drops 5 ml (DT)
DT
E
13362 / 5
Brinzolamide 10mg/ml eye drops 5 ml (DT)
DT
E
6516 / 60
Britloflex Tablets 0.2mg 60
E
3678 / 10
Brolene Eye Drops 0.1% 10ml
E
1506 / 5
Brolene Eye Ointment 0.15% 5g
E
13498 / 100
Bromocriptine 10mg capsules 100 capsule (DT)
DT
E
13499 / 100
Bromocriptine 1mg tablets 100 tablet (DT)
DT
E
402 / 30
Bromocriptine 2.5mg tablets 30 tablet (DT)
DT
13500 / 100
Bromocriptine 5mg capsules 100 capsule (DT)
DT
6068 / 20
Brufen Granules Sachets 600mg 20
E
2018 / 56
Brufen Retard Tablets 800mg 56
ED
3184 / 500
Brufen Syrup 100mg/5ml 500ml
ED
3702 / 60
Brufen Tablets 400mg 60
ED
4387 / 60
Brufen Tablets 600mg 60
ED
1327 / 25
Brulidine Cream 0.15% 25g
E
2076 / 50
Buccastem Tablets 3mg 50
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
ZD
Page 30 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
8597 / 4
Buccolam Oral Syringe 10mg/2ml 4
CD ZD
E
8382 / 4
Buccolam Oral Syringe 2.5mg/0.5ml 4
CD ZD
E
8462 / 4
Buccolam Oral Syringe 5mg/1ml 4
CD ZD
E
8524 / 4
Buccolam Oral Syringe 7.5mg/1.5ml 4
CD ZD
E
3560 / 1
Budelin Novolizer 200micrograms/dose inhalation powder 100 dose 1
Code no. of cartridges dispensed
E
3566 / 1
Budelin Novolizer 200micrograms/dose inhalation powder refill 100 dose 1
Code no. of refills dispensed
E
8786 / 100
Budenofalk Capsules 3mg 100
E
8917 / 14
Budenofalk Rectal Foam 2mg 14
Code Number of Applications Dispensed
E
14020 / 1
Budesonide 100micrograms/dose / Formoterol 6micrograms/dose dry powder inhaler 120 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13310 / 1
Budesonide 100micrograms/dose dry powder inhaler 200 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14434 / 20
Budesonide 1mg/2ml nebuliser liquid unit dose vials 20 unit dose (DT)
DT
14019 / 1
Budesonide 200micrograms/dose / Formoterol 6micrograms/dose dry powder inhaler 120 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13311 / 1
Budesonide 200micrograms/dose dry powder inhaler 100 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13309 / 100
Budesonide 3mg gastro-resistant capsules 100 capsule (DT)
DT
E
13308 / 100
Budesonide 3mg gastro-resistant modified-release capsules 100 capsule (DT)
DT
E
14021 / 1
Budesonide 400micrograms/dose / Formoterol 12micrograms/dose dry powder inhaler 60 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13312 / 1
Budesonide 400micrograms/dose dry powder inhaler 50 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14435 / 20
Budesonide 500micrograms/2ml nebuliser liquid unit dose vials 20 unit dose (DT)
DT
13313 / 1
Budesonide 64micrograms/dose nasal spray 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
889 / 28
Bumetanide 1mg tablets 28 tablet (DT)
DT
E
904 / 28
Bumetanide 5mg tablets 28 tablet (DT)
DT
E
12370 / 4
Buprenorphine 10micrograms/hour transdermal patches 4 patch (DT)
DT CD ZD
E
12364 / 50
Buprenorphine 200microgram sublingual tablets sugar free 50 tablet (DT)
DT CD ZD
E
12369 / 4
Buprenorphine 20micrograms/hour transdermal patches 4 patch (DT)
DT CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 31 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
14214 / 28
Buprenorphine 2mg / Naloxone 500microgram sublingual tablets sugar free 28 tablet (DT)
DT CD ZD
E
400 / 7
Buprenorphine 2mg sublingual tablets sugar free 7 tablet (DT)
DT CD ZD
E
12365 / 4
Buprenorphine 35micrograms/hour transdermal patches 4 patch (DT)
DT CD ZD
E
12361 / 50
Buprenorphine 400microgram sublingual tablets sugar free 50 tablet (DT)
DT CD ZD
E
12360 / 7
Buprenorphine 400microgram sublingual tablets sugar free 7 tablet (DT)
DT CD ZD
E
12366 / 4
Buprenorphine 52.5micrograms/hour transdermal patches 4 patch (DT)
DT CD ZD
E
12368 / 4
Buprenorphine 5micrograms/hour transdermal patches 4 patch (DT)
DT CD ZD
E
12367 / 4
Buprenorphine 70micrograms/hour transdermal patches 4 patch (DT)
DT CD ZD
E
14215 / 28
Buprenorphine 8mg / Naloxone 2mg sublingual tablets sugar free 28 tablet (DT)
DT CD ZD
E
422 / 7
Buprenorphine 8mg sublingual tablets sugar free 7 tablet (DT)
DT CD ZD
E
13060 / 60
Bupropion 150mg modified-release tablets 60 tablet (DT)
DT
E
7679 / 28
Burinex Tablets 1mg 28
E
3965 / 28
Burinex Tablets 5mg 28
E
4261 / 10
Buscopan Ampoules 20mg/ml 1ml 10
E
9237 / 20
Buscopan Cramps Tablets 10mg 20
E
6085 / 20
Buscopan IBS Relief Tablets 10mg 20
E
3558 / 56
Buscopan Tablets 10mg 56
E
43 / 30
Buspirone 10mg tablets 30 tablet (DT)
DT
E
42 / 30
Buspirone 5mg tablets 30 tablet (DT)
DT
E
3200 / 4
BuTrans Transdermal Patches 5mcg/Hour
4
CD ZD
E
3207 / 4
BuTrans Transdermal Patches 10mcg/Hour 4
CD ZD
E
3285 / 4
BuTrans Transdermal Patches 20mcg/Hour 4
CD ZD
E
1009 / 4
Bydureon powder and solvent for suspension for injection vials 2mg 4
ZD
E
3918 / 1
Byetta Injection 5mcg/ 0.02ml 60dose 1
Code each 60dose as /1
ZD
E
3919 / 1
Byetta Injection 10mcg/ 0.04ml 60dose 1
Code each 60dose as /1
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 32 of 550
Code/Pack
Description
DT CD ZD N E D
C
6310 / 20
Cabaser Tablets 1mg 20
ZD
E
6332 / 20
Cabaser Tablets 2mg 20
ZD
E
13447 / 20
Cabergoline 1mg tablets 20 tablet (DT)
DT
E
13448 / 20
Cabergoline 2mg tablets 20 tablet (DT)
DT
E
13449 / 8
Cabergoline 500microgram tablets 8 tablet (DT)
DT
E
8232 / 30
Cacit D3 Sachets 30
E
6873 / 76
Cacit Tablets 500mg 76
E
2414 / 1
Caelyx Vial 2mg/ml 10ml 1
Code No. of Vials dispensed
ZD
E
8502 / 1
Caelyx Vial 2mg/ml 25ml 1
Code No. of Vials dispensed
ZD
E
3354 / 30
Cafergot Tablets 30
860 / 500
Calamine and Coal Tar Ointment BPC 500
5530 / 200
Calamine lotion 200 ml (DT)
748 / 500
Calamine Oily Lotion BP 100g
8764 / 60
Calceos Tablets 60
E
1995 / 100
Calcichew Chewable Tablets 500mg 100
E
6157 / 100
Calcichew D3 Chewable Tablets 100
E
5042 / 60
Calcichew D3 Forte Chewable Tablets 60
E
2318 / 100
Calcichew D3 Forte Chewable Tablets 100
E
6813 / 60
Calcichew Forte Chewable Tablets 1g 60
E
13903 / 60
Calcipotriol 0.005% / Betamethasone dipropionate 0.05% gel 60 gram (DT)
DT
E
13901 / 30
Calcipotriol 0.005% / Betamethasone dipropionate 0.05% ointment 30 gram (DT)
DT
E
14486 / 30
Calcipotriol 50micrograms/g ointment 30 gram (DT)
DT
E
14497 / 120
Calcipotriol 50micrograms/ml scalp solution 120 ml (DT)
DT
E
13514 / 60
Calcipotriol 50micrograms/ml scalp solution 60 ml (DT)
DT
E
12718 / 100
Calcitriol 250nanogram capsules 100 capsule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
DT
E
E
NE
Page 33 of 550
Code/Pack
Description
DT CD ZD N E D
12720 / 100
Calcitriol 3micrograms/g ointment 100 gram (DT)
DT
E
12719 / 100
Calcitriol 500nanogram capsules 100 capsule (DT)
DT
E
13483 / 180
Calcium acetate 1g tablets 180 tablet (DT)
DT
E
13484 / 200
Calcium acetate 667mg capsules 200 capsule (DT)
DT
E
40 / 28
Calcium and Ergocalciferol tablets 28 tablet (DT)
DT
E
12633 / 100
Calcium carbonate 1.25g chewable tablets sugar free 100 tablet (DT)
DT
E
14349 / 76
Calcium carbonate 1.25g effervescent tablets sugar free 76 tablet (DT)
DT
E
12634 / 100
Calcium carbonate 1.5g chewable tablets sugar free 100 tablet (DT)
DT
E
12635 / 60
Calcium carbonate 2.5g chewable tablets sugar free 60 tablet (DT)
DT
E
12033 / 500
Calcium carbonate powder 500 gram (DT)
DT
E
567 / 10
Calcium folinate 15mg tablets 10 tablet (DT)
DT
14350 / 300
Calcium glubionate 1.09g/5ml / Calcium lactobionate 727mg/5ml oral solution 300 ml (DT)
DT
E
12611 / 28
Calcium gluconate 1g effervescent tablets 28 tablet (DT)
DT
E
36 / 84
Calcium lactate 300mg tablets 84 tablet (DT)
DT
E
14351 / 30
Calcium lactate gluconate 2.263g / Calcium carbonate 1.75g effervescent tablets sugar free 30
tablet (DT)
DT
E
6117 / 300
Calcium Resonium Powder 300g
E
3079 / 300
Calcium-Sandoz Syrup 300ml
E
1312 / 60
Calcort Tablets 6mg 60
E
6793 / 30
Calfovit D3 Sachets 30
E
6116 / 10
Calgel Teething Gel 10g
E
1740 / 100
Calmurid Cream 10% 100g
E
1670 / 500
Calmurid Cream 10% 500g
E
2756 / 100
Calmurid HC Cream 100g
E
6112 / 1
Calogen Dietary Supplement 200ml 1
Code No. of Packs dispensed
E
2466 / 1
Calogen Dietary Supplement 500ml 1
Code no. of Packs dispensed
E
8971 / 1
Calogen Extra Dietary Supplement 200ml 1
Code No. of Packs dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 34 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
8164 / 240
Calogen Extra Shots Dietary Supplement 240ml (6 x 40ml pots)
E
8616 / 1
Caloreen Powder 500g 1
Code No. of Packs dispensed
E
2799 / 12
Calpol Fastmelts Six Plus 250mg 12
NED
2816 / 24
Calpol Fastmelts Six Plus 250mg 24
NED
8689 / 7
Calshake Powder Sachets 87g 7
E
4688 / 100
Camcolit Tablets 250mg 100
E
3719 / 100
Camcolit Tablets 400mg 100
E
7872 / 168
Campral EC Tablets 333mg 168
E
13297 / 28
Candesartan 16mg tablets 28 tablet (DT)
DT
E
13293 / 7
Candesartan 2mg tablets 7 tablet (DT)
DT
E
13298 / 28
Candesartan 32mg tablets 28 tablet (DT)
DT
E
14529 / 7
Candesartan 4mg tablets 7 tablet (DT)
DT
E
13296 / 28
Candesartan 8mg tablets 28 tablet (DT)
DT
E
8927 / 30
Canesten AF Dual Action Cream 30g
E
8074 / 1
Canesten AF Spray 25ml 1
Code No. of Sprays dispensed
E
7753 / 1
Canesten Combi Pessary and Cream 500mg 2% 1
3251 / 20
Canesten Cream 1% 20g
NE
2942 / 50
Canesten Cream 1% 50g
NE
4096 / 1
Canesten Cream Combi 2%/10% Internal/External Cream 5/10g 1
Code no. of combi packs dispensed e.g 5/10g code /1
2029 / 15
Canesten Dual Action 1% cream 15 g
3534 / 1
Canesten Duo Oral and Cream 150mg/2% 1/10g 1
3242 / 20
Canesten Fungicidal Cream 1% 20g
2423 / 30
Canesten HC Cream 30g
E
3763 / 1
Canesten Internal Prefilled Applicator 10% 5g 1
Code No. of Packs dispensed
E
3083 / 6
Canesten Oasis Sachets 6
Code No. of Sachets Dispensed
E
3084 / 1
Canesten Oral Capsules 150mg 1
E
(2 Prescription Charges)
E
NE
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
NE
Page 35 of 550
Code/Pack
Description
DT CD ZD N E D
2789 / 1
Canesten Pessary (POM) 500mg 1
E
2316 / 20
Canesten Solution 20ml
E
1549 / 1
Canesten Spray 40ml 1
Code No. of Sprays dispensed
E
3143 / 20
Canesten Thrush Cream 2% 20g
E
3505 / 6
Canesten Vaginal Tablets 100mg 6
E
2411 / 3
Canesten Vaginal Tablets 200mg 3
E
3476 / 5
Canesten VC 10% 5g
E
6890 / 15
Canesten-Hydrocortisone Cream 15g
E
2037 / 250
Capasal Therapeutic Shampoo 250ml
E
9261 / 28
Capoten Tablets 50mg 28
E
5138 / 30
Capozide Tablets 30
E
1098 / 1
Capreomycin Injection Vials 1g 1
E
2938 / 28
Caprin Tablets 75mg 28
E
1937 / 56
Caprin Tablets 75mg 56
E
13934 / 45
Capsaicin 0.025% cream 45 gram (DT)
DT
E
13933 / 45
Capsaicin 0.075% cream 45 gram (DT)
DT
E
861 / 500
Capsicum Ointment BPC 500ml
766 / 56
Captopril 12.5mg tablets 56 tablet (DT)
DT
E
775 / 56
Captopril 25mg tablets 56 tablet (DT)
DT
E
14672 / 100
Captopril 25mg/5ml oral solution sugar free 100 ml (DT)
DT
E
792 / 56
Captopril 50mg tablets 56 tablet (DT)
DT
E
14673 / 100
Captopril 5mg/5ml oral solution sugar free 100 ml (DT)
DT
E
7395 / 28
Carace 20 Plus Tablets 28
12468 / 56
Carbamazepine 100mg chewable tablets sugar free 56 tablet (DT)
DT
ED
5062 / 28
Carbamazepine 100mg tablets 28 tablet (DT)
DT
ED
12469 / 300
Carbamazepine 100mg/5ml oral suspension sugar free 300 ml (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
Page 36 of 550
Code/Pack
Description
DT CD ZD N E D
12467 / 56
Carbamazepine 200mg chewable tablets sugar free 56 tablet (DT)
DT
ED
12465 / 56
Carbamazepine 200mg modified-release tablets 56 tablet (DT)
DT
ED
5607 / 28
Carbamazepine 200mg tablets 28 tablet (DT)
DT
ED
12466 / 56
Carbamazepine 400mg modified-release tablets 56 tablet (DT)
DT
ED
12464 / 56
Carbamazepine 400mg tablets 56 tablet (DT)
DT
ED
13687 / 100
Carbimazole 20mg tablets 100 tablet (DT)
DT
E
13688 / 100
Carbimazole 5mg tablets 100 tablet (DT)
DT
E
1719 / 100
Carbo Dome (Sandoz) Cream 100g
13584 / 300
Carbocisteine 125mg/5ml oral solution 300 ml (DT)
DT
E
13585 / 300
Carbocisteine 250mg/5ml oral solution 300 ml (DT)
DT
E
13583 / 120
Carbocisteine 375mg capsules 120 capsule (DT)
DT
E
14652 / 10
Carbomer 974P 0.25% eye gel 10 gram (DT)
DT
E
14132 / 10
Carbomer '980' 0.2% eye drops 10 gram (DT)
DT
NE
4414 / 56
Cardene Capsules 20mg 56
E
6133 / 56
Cardene Capsules 30mg 56
E
7057 / 56
Cardene SR Tablets 30mg 56
E
7074 / 56
Cardene SR Tablets 45mg 56
E
2913 / 28
Cardicor Tablets 1.25mg 28
E
3355 / 28
Cardicor Tablets 2.5mg 28
E
3510 / 28
Cardicor Tablets 3.75mg 28
E
3775 / 28
Cardicor Tablets 5mg 28
E
4031 / 28
Cardicor Tablets 7.5mg 28
E
4517 / 28
Cardicor Tablets 10mg 28
E
1640 / 28
Cardioplen XL Tablets 2.5mg 28
E
2218 / 28
Cardioplen XL Tablets 5mg 28
E
2223 / 28
Cardioplen XL Tablets 10mg 28
E
394 / 28
Cardozin XL Tablets 4mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 37 of 550
Code/Pack
Description
DT CD ZD N E D
2312 / 28
Cardura Tablets 1mg 28
E
2323 / 28
Cardura Tablets 2mg 28
E
8635 / 28
Cardura XL Tablets 4mg 28
E
8651 / 28
Cardura XL Tablets 8mg 28
E
7695 / 50
CareSens N Reagent 50
14746 / 30
Carmellose 0.5% eye drops 0.4ml unit dose preservative free 30 unit dose (DT)
DT
NE
14747 / 30
Carmellose 1% eye drops 0.4ml unit dose preservative free 30 unit dose (DT)
DT
NE
3246 / 10
Carnitor Chewable Tablet 1g 10
E
3843 / 10
Carnitor Oral Single Dose Solution 1g 10
E
3264 / 5
Carnitor Solution for Injection 1g/5ml 5 Ampoules
E
3437 / 90
Carnitor Tablets 330mg 90
E
3477 / 1
Carobel Instant 135g 1
Code No. of Packs dispensed
E
13244 / 5
Carteolol 1% eye drops 5 ml (DT)
DT
E
13245 / 5
Carteolol 2% eye drops 5 ml (DT)
DT
E
50 / 28
Carvedilol 12.5mg tablets 28 tablet (DT)
DT
E
54 / 28
Carvedilol 25mg tablets 28 tablet (DT)
DT
E
45 / 28
Carvedilol 3.125mg tablets 28 tablet (DT)
DT
E
47 / 28
Carvedilol 6.25mg tablets 28 tablet (DT)
DT
E
1920 / 1
Casilan ‘90’ Instant Milk Protein Powder 250g 1
Code No. of Packs dispensed
7687 / 28
Casodex Tablets 50mg 28
ZD
E
2866 / 28
Casodex Tablets 150mg 28
ZD
E
3776 / 5
Catapres Injection 0.15mg/ml 1ml 5
E
1708 / 100
Catapres Tablets 100mcg 100
E
1267 / 2
Caverject Dual Chamber Injection 10mcg 2 Schedule 11 by Prescriber
E
1436 / 2
Caverject Dual Chamber Injection 20mcg 2 Schedule 11 by Prescriber
E
1475 / 1
Caverject Injection 10mcg/ml 1 Schedule 11 by Prescriber
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
E
Page 38 of 550
Code/Pack
Description
DT CD ZD N E D
7321 / 1
Caverject Injection 20mcg/ml 1 Schedule 11 by Prescriber
3062 / 1
Caverject Injection Powder 5mcg/ml 1 Schedule 11 by Prescriber
8276 / 1
Caverject Injection Powder 40mcg/ml 1 Schedule 11 by Prescriber
3912 / 60
CCS Swedish Foot Cream Tube 60ml
E
3716 / 175
CCS Swedish Foot Cream Tube 175ml
E
2793 / 500
Ceanel Concentrate 50ml
E
1746 / 150
Ceanel Concentrate 150ml
E
12095 / 100
Cefaclor 125mg/5ml oral suspension sugar free 100 ml (DT)
DT
E
207 / 21
Cefaclor 250mg capsules 21 capsule (DT)
DT
E
12096 / 100
Cefaclor 250mg/5ml oral suspension sugar free 100 ml (DT)
DT
E
12097 / 14
Cefaclor 375mg modified-release tablets 14 tablet (DT)
DT
E
14538 / 21
Cefaclor 500mg capsules 21 capsule (DT)
DT
E
12191 / 20
Cefadroxil 500mg capsules 20 capsule (DT)
DT
E
743 / 100
Cefalexin 125mg/5ml oral suspension 100 ml (DT)
DT
ED
5609 / 28
Cefalexin 250mg capsules 28 capsule (DT)
DT
ED
5614 / 28
Cefalexin 250mg tablets 28 tablet (DT)
DT
ED
752 / 100
Cefalexin 250mg/5ml oral suspension 100 ml (DT)
DT
ED
5613 / 21
Cefalexin 500mg capsules 21 capsule (DT)
DT
ED
5623 / 21
Cefalexin 500mg tablets 21 tablet (DT)
DT
ED
13025 / 100
Cefixime 100mg/5ml oral suspension 100 ml (DT)
DT
E
13023 / 7
Cefixime 200mg tablets 7 tablet (DT)
DT
E
5050 / 20
Cefradine 250mg capsules 20 capsule (DT)
DT
ED
5051 / 20
Cefradine 500mg capsules 20 capsule (DT)
DT
ED
12263 / 1
Ceftriaxone 1g powder for solution for injection vials 1 vial (DT)
DT
E
12262 / 1
Ceftriaxone 250mg powder for solution for injection vials 1 vial (DT)
DT
E
12264 / 1
Ceftriaxone 2g powder for solution for injection vials 1 vial (DT)
DT
E
12815 / 14
Cefuroxime 125mg tablets 14 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
Page 39 of 550
E
Code/Pack
Description
DT CD ZD N E D
12816 / 14
Cefuroxime 250mg tablets 14 tablet (DT)
6054 / 60
Celebrex Capsules 100mg 60
E
6195 / 30
Celebrex Capsules 200mg 30
E
13866 / 60
Celecoxib 100mg capsules 60 capsule (DT)
DT
E
13865 / 30
Celecoxib 200mg capsules 30 capsule (DT)
DT
E
1931 / 28
Celectol Tablets 200mg 28
E
7277 / 28
Celectol Tablets 400mg 28
E
4503 / 112
Celevac Tablets 500mg 112
5662 / 28
Celiprolol 200mg tablets 28 tablet (DT)
DT
E
5663 / 28
Celiprolol 400mg tablets 28 tablet (DT)
DT
E
6909 / 100
Cellcept Capsules 250mg 100
ZD
E
6336 / 110
Cellcept Powder for Oral Suspension 1g/5ml 110g
Code 175ml reconstitution as 110g
ZD
E
7962 / 50
Cellcept Tablets 500mg 50
ZD
E
1597 / 4
Cellcept Vials 0.5g 4
E
7514 / 30
Celluvisc Dry Eye Preparation 0.5% 0.4ml 30
E
7500 / 90
Celluvisc Dry Eye Preparation 0.5% 0.4ml 90
E
7971 / 30
Celluvisc Dry Eye Preparation 1% 0.4ml 30
E
4621 / 60
Celluvisc Dry Eye Preparation 1% 0.4ml 60
E
8657 / 30
Centrum Advance 50+ Tablets 30
E
8981 / 60
Centrum Advance 50+ Tablets 60
E
8975 / 100
Centrum Advance 50+ Tablets 100
E
8978 / 30
Centrum Advance Tablets 30
E
8936 / 60
Centrum Advance Tablets 60
E
8986 / 100
Centrum Advance Tablets 100
E
4095 / 28
Ceporex Capsules 250mg 28
ED
4098 / 100
Ceporex Capsules 250mg 100
ED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
NE
Page 40 of 550
Code/Pack
Description
DT CD ZD N E D
4105 / 28
Ceporex Capsules 500mg 28
ED
4267 / 100
Ceporex Capsules 500mg 100
ED
1624 / 100
Ceporex Syrup 125mg/5ml 100ml
ED
4268 / 100
Ceporex Syrup 250mg/5ml 100ml
ED
1627 / 100
Ceporex Syrup 500mg/5ml 100ml
ED
4239 / 28
Ceporex Tablets 250mg 28
ED
4264 / 100
Ceporex Tablets 250mg 100
ED
4288 / 28
Ceporex Tablets 500mg 28
ED
4302 / 100
Ceporex Tablets 500mg 100
ED
3032 / 84
Cerazette Tablets 75mcg 84
E
3279 / 11
Cerumol Ear Drops 11ml
E
4156 / 1
Cervarix Vaccine 0.5ml Pre-filled Syringe 1
1827 / 50
Cetavlex Cream 50g
14653 / 7
Cetirizine 10mg capsules 7 capsule (DT)
DT
E
5767 / 30
Cetirizine 10mg tablets 30 tablet (DT)
DT
ED
109 / 200
Cetirizine 1mg/ml oral solution sugar free 200 ml (DT)
DT
E
12063 / 500
Cetomacrogol cream (Formula A) 500 gram (DT)
DT
E
5778 / 500
Cetraben Emollient Bath Additive 500ml
5291 / 1
Cetrotide vial 0.25mg 1
E
5296 / 7
Cetrotide vial 0.25mg 7
E
5305 / 1
Cetrotide vial 3mg 1
E
4334 / 28
Champix Continuation Pack 1mg 28
E
4330 / 25
Champix Initiation Pack 0.5mg/1mg 25
(11x 0.5mg, 14x1mg)
E
4342 / 56
Champix Maintenance Pack Tablets 1mg 56
E
4331 / 56
Champix Tablets 0.5mg 56
E
14731 / 150
Chloral hydrate 143.3mg/5ml oral solution BP 150 ml (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
NE
DT
Page 41 of 550
E
Code/Pack
Description
12316 / 100
Chloral hydrate crystals 100 gram (DT)
510 / 10
Chloramphenicol (AAH) Ear Drops 10% 10ml
14370 / 20
Chloramphenicol 0.5% eye drops 0.5ml unit dose preservative free 20 unit dose (DT)
1211 / 10
DT CD ZD N E D
ZD
E
ZD
E
DT
ZD
E
Chloramphenicol 0.5% eye drops 10 ml (DT)
DT
ZD
E
789 / 4
Chloramphenicol 1% eye ointment 4 gram (DT)
DT
12654 / 10
Chloramphenicol 5% ear drops 10 ml (DT)
DT
4001 / 1
Chloraseptic Ultra Throat Spray (15ml) 1
Code No. of Sprays dispensed
199 / 100
Chlordiazepoxide 10mg capsules 100 capsule (DT)
DT
E
206 / 100
Chlordiazepoxide 10mg tablets 100 tablet (DT)
DT
E
198 / 100
Chlordiazepoxide 5mg capsules 100 capsule (DT)
DT
E
13107 / 1
Chlorhexidine 0.2% oral spray sugar free 60 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
NED
13105 / 50
Chlorhexidine 1% dental gel sugar free 50 gram (DT)
DT
ED
13106 / 300
Chlorhexidine gluconate 0.2% mouthwash 300 ml (DT)
DT
NED
14198 / 500
Chloroform and Morphine tincture 500 ml (DT)
DT
1832 / 4
Chloromycetin Ophthalmic Ointment 1% 4g
3780 / 5
Chloromycetin Ophthalmic Redidrops 0.5% 5ml
ZD
E
3792 / 10
Chloromycetin Ophthalmic Redidrops 0.5% 10ml
ZD
E
14280 / 20
Chloroquine phosphate 250mg tablets 20 tablet (DT)
DT
E
12156 / 5
Chlorphenamine 10mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
12155 / 150
Chlorphenamine 2mg/5ml oral solution 150 ml (DT)
DT
ED
12154 / 150
Chlorphenamine 2mg/5ml oral solution sugar free 150 ml (DT)
DT
ED
5058 / 28
Chlorphenamine 4mg tablets 28 tablet (DT)
DT
ED
5014 / 28
Chlorpromazine 100mg tablets 28 tablet (DT)
DT
E
635 / 150
Chlorpromazine 100mg/5ml oral solution 150 ml (DT)
DT
E
345 / 28
Chlorpromazine 25mg tablets 28 tablet (DT)
DT
E
12529 / 150
Chlorpromazine 25mg/5ml oral solution 150 ml (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
E
E
ZD
E
E
Page 42 of 550
Code/Pack
Description
DT CD ZD N E D
5015 / 28
Chlorpromazine 50mg tablets 28 tablet (DT)
DT
E
14688 / 30
Chlortalidone 50mg tablets 30 tablet (DT)
DT
E
13864 / 15
Choline salicylate 8.7% oromucosal gel sugar free 15 gram (DT)
DT
NED
8448 / 3
Choragon Injection 5000iu 3
8316 / 28
Cialis Tablets 2.5mg 28 Schedule 11 by Prescriber
E
8197 / 28
Cialis Tablets 5mg 28 Schedule 11 by Prescriber
E
8310 / 4
Cialis Tablets 10mg 4 Schedule 11 by Prescriber
E
8343 / 4
Cialis Tablets 20mg 4 Schedule 11 by Prescriber
E
8364 / 8
Cialis Tablets 20mg 8 Schedule 11 by Prescriber
E
14051 / 1
Ciclesonide 160micrograms/dose inhaler CFC free 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14050 / 1
Ciclesonide 160micrograms/dose inhaler CFC free 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14052 / 1
Ciclesonide 80micrograms/dose inhaler CFC free 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
6141 / 5
Cidomycin Injection 2ml Ampoules 80mg/2ml 5
E
7782 / 5
Cidomycin Injection 2ml Vials 80mg/2ml 5
E
13563 / 28
Cilazapril 5mg tablets 28 tablet (DT)
1310 / 63
Cilest Tablets (3x21) 63
13885 / 56
Cilostazol 100mg tablets 56 tablet (DT)
DT
E
14674 / 56
Cilostazol 50mg tablets 56 tablet (DT)
DT
E
7327 / 5
Ciloxan Eye Drops 0.3% 5ml
E
8548 / 4
Ciloxan Eye Ointment 0.3% 3.5g
Code Each 3.5g as /4
E
297 / 60
Cimetidine 200mg tablets 60 tablet (DT)
DT
E
12888 / 600
Cimetidine 200mg/5ml oral solution 600 ml (DT)
DT
E
12889 / 300
Cimetidine 200mg/5ml oral solution sugar free 300 ml (DT)
DT
E
319 / 60
Cimetidine 400mg tablets 60 tablet (DT)
DT
E
320 / 30
Cimetidine 800mg tablets 30 tablet (DT)
DT
E
13991 / 28
Cinacalcet 30mg tablets 28 tablet (DT)
DT
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
ZD
Page 43 of 550
E
Code/Pack
Description
DT CD ZD N E D
14182 / 30
Cinchocaine 0.5% / Prednisolone 0.19% ointment 30 gram (DT)
DT
E
14183 / 12
Cinchocaine 1mg / Prednisolone hexanoate 1.3mg suppositories 12 suppository (DT)
DT
E
583 / 84
Cinnarizine 15mg tablets 84 tablet (DT)
DT
E
9978 / 15
Cipralex Drops 20mg/ml 15ml
Code No of Mls Dispensed
E
2576 / 28
Cipralex Tablets 5mg 28
E
7426 / 28
Cipralex Tablets 10mg 28
E
2328 / 28
Cipralex Tablets 20mg 28
E
1968 / 15
Cipramil Oral Drops 40mg/ml 5ml
E
2035 / 28
Cipramil Tablets 10mg 28
E
7689 / 28
Cipramil Tablets 20mg 28
E
8156 / 28
Cipramil Tablets 40mg 28
E
13577 / 28
Ciprofibrate 100mg tablets 28 tablet (DT)
DT
12139 / 5
Ciprofloxacin 0.3% eye drops 5 ml (DT)
DT
E
6091 / 6
Ciprofloxacin 100mg tablets 6 tablet (DT)
DT
E
6154 / 10
Ciprofloxacin 250mg tablets 10 tablet (DT)
DT
E
12133 / 100
Ciprofloxacin 250mg/5ml oral suspension 100 ml (DT)
DT
E
6224 / 10
Ciprofloxacin 500mg tablets 10 tablet (DT)
DT
E
6204 / 10
Ciprofloxacin 750mg tablets 10 tablet (DT)
DT
E
2132 / 1
Ciproxin Infusion 100mg/50ml (1 x 50ml bottle) 1
Code No. of 50ml bottles dispensed
E
6135 / 100
Ciproxin Suspension 250mg/5ml 100ml
Reconstituted
E
1657 / 10
Ciproxin Tablets 250mg 10
E
6201 / 10
Ciproxin Tablets 500mg 10
E
7058 / 10
Ciproxin Tablets 750mg 10
E
9045 / 30
Circadin Prolonged Release Tablets 2mg 30
E
309 / 28
Citalopram 10mg tablets 28 tablet (DT)
DT
E
323 / 28
Citalopram 20mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 44 of 550
E
Code/Pack
Description
DT CD ZD N E D
332 / 28
Citalopram 40mg tablets 28 tablet (DT)
DT
E
476 / 15
Citalopram 40mg/ml oral drops sugar free 15 ml (DT)
DT
E
12038 / 500
Citric acid monohydrate powder 500 gram (DT)
DT
4077 / 63
Clairette 2000/35 Tablets 63
27 / 70
Clarithromycin 125mg/5ml oral suspension 70 ml (DT)
DT
ED
2706 / 14
Clarithromycin 250mg tablets 14 tablet (DT)
DT
ED
26 / 70
Clarithromycin 250mg/5ml oral suspension 70 ml (DT)
DT
ED
12896 / 7
Clarithromycin 500mg modified-release tablets 7 tablet (DT)
DT
ED
12893 / 1
Clarithromycin 500mg powder for solution for infusion vials 1 vial (DT)
DT
2707 / 14
Clarithromycin 500mg tablets 14 tablet (DT)
DT
ED
12500 / 60
Clemastine 1mg tablets 60 tablet (DT)
DT
E
1124 / 1
Clenil Modulite CFC Free Inhaler 50mcg 1
Code No. of Inhalers dispensed
ED
1126 / 1
Clenil Modulite CFC Free Inhaler 100mcg 1
Code No. of Inhalers dispensed
E
1127 / 1
Clenil Modulite CFC Free Inhaler 200mcg 1
Code No. of Inhalers dispensed
E
1137 / 1
Clenil Modulite CFC Free Inhaler 250mcg 1
Code No. of Inhalers dispensed
E
1714 / 10
Clexane Injection 20mg 10
E
1891 / 10
Clexane Injection 40mg 10
ZD
E
1599 / 10
Clexane Injection 60mg 10
ZD
E
1551 / 10
Clexane Injection 80mg 10
ZD
E
1869 / 10
Clexane Injection 100mg 10
ZD
E
2274 / 10
Clexane Injection 120mg 10
ZD
E
2348 / 10
Clexane Injection 150mg 10
ZD
E
2031 / 1
Clexane Multi Dose Vial 300mg/3ml 1
Code no. of vials dispensed
ZD
E
6884 / 28
Climagest Tablets 1mg 28
6936 / 84
Climagest Tablets 1mg (3x28) 84
7254 / 28
Climagest Tablets 2mg 28
E
E
ZD
(2 Prescription Charges)
E
E
(2 Prescription Charges)
E
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
Page 45 of 550
Code/Pack
Description
DT CD ZD N E D
7264 / 84
Climagest Tablets 2mg (3x28) 84
3433 / 28
Climanor Tablets (2x14) 28
E
6146 / 28
Climaval Tablets 1mg 28
E
6143 / 84
Climaval Tablets 1mg (3x28) 84
E
6142 / 28
Climaval Tablets 2mg 28
E
6084 / 84
Climaval Tablets 2mg (3x28) 84
E
2512 / 28
Climesse Tablets 28
E
2314 / 84
Climesse Tablets 84
E
12672 / 30
Clindamycin 1% alcoholic solution 30 ml (DT)
DT
E
12670 / 30
Clindamycin 1% aqueous lotion 30 ml (DT)
DT
E
12673 / 30
Clindamycin 1% gel 30 gram (DT)
DT
E
112 / 24
Clindamycin 150mg capsules 24 capsule (DT)
DT
ED
12669 / 40
Clindamycin 2% vaginal cream 40 gram (DT)
DT
E
14585 / 30
Clindamycin 300mg capsules 30 capsule (DT)
DT
ED
12667 / 24
Clindamycin 75mg capsules 24 capsule (DT)
DT
ED
3434 / 84
Clinorette Tablets 3x28
229 / 30
Clobazam 10mg tablets 30 tablet (DT) Schedule 11 by Prescriber
DT
14569 / 150
Clobazam 10mg/5ml oral suspension sugar free 150 ml (DT) Schedule 11 by Prescriber
DT
ZD
E
14570 / 150
Clobazam 5mg/5ml oral suspension sugar free 150 ml (DT) Schedule 11 by Prescriber
DT
ZD
E
12559 / 100
Clobetasol 0.05% cream 100 gram (DT)
DT
E
12558 / 30
Clobetasol 0.05% cream 30 gram (DT)
DT
E
12561 / 100
Clobetasol 0.05% ointment 100 gram (DT)
DT
E
12560 / 30
Clobetasol 0.05% ointment 30 gram (DT)
DT
E
12563 / 100
Clobetasol 0.05% scalp application 100 ml (DT)
DT
E
12562 / 30
Clobetasol 0.05% scalp application 30 ml (DT)
DT
E
12564 / 125
Clobetasol 500micrograms/g shampoo 125 ml (DT)
DT
E
13492 / 100
Clobetasone 0.05% cream 100 gram (DT)
DT
E
(2 Prescription Charges)
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
E
Page 46 of 550
Code/Pack
Description
DT CD ZD N E D
13490 / 15
Clobetasone 0.05% cream 15 gram (DT)
DT
E
13491 / 30
Clobetasone 0.05% cream 30 gram (DT)
DT
E
13494 / 100
Clobetasone 0.05% ointment 100 gram (DT)
DT
E
13493 / 30
Clobetasone 0.05% ointment 30 gram (DT)
DT
E
13845 / 60
Clomethiazole 192mg capsules 60 capsule (DT)
DT
E
2200 / 30
Clomid Tablets 30
12351 / 30
Clomifene 50mg tablets 30 tablet (DT)
DT
E
734 / 28
Clomipramine 10mg capsules 28 capsule (DT)
DT
E
745 / 28
Clomipramine 25mg capsules 28 capsule (DT)
DT
E
763 / 28
Clomipramine 50mg capsules 28 capsule (DT)
DT
E
13066 / 28
Clomipramine 75mg modified-release tablets 28 tablet (DT)
DT
E
12729 / 100
Clonazepam 2mg tablets 100 tablet (DT)
DT
E
14487 / 150
Clonazepam 2mg/5ml oral solution sugar free 150 ml (DT)
DT
E
12728 / 100
Clonazepam 500microgram tablets 100 tablet (DT)
DT
E
14459 / 150
Clonazepam 500micrograms/5ml oral solution sugar free 150 ml (DT)
DT
E
12688 / 100
Clonidine 100microgram tablets 100 tablet (DT)
DT
E
196 / 112
Clonidine 25microgram tablets 112 tablet (DT)
DT
E
13382 / 30
Clopidogrel 300mg tablets 30 tablet (DT)
DT
E
1982 / 28
Clopidogrel 75mg tablets 28 tablet (DT)
DT
E
7104 / 5
Clopixol Acuphase 2ml Ampoules 100mg/ml 5
E
1242 / 10
Clopixol Ampoules 200mg/ml 1ml 10
E
6110 / 5
Clopixol Conc. Ampoules 500mg/ml 5
E
6123 / 100
Clopixol Tablets 2mg 100
E
2784 / 100
Clopixol Tablets 10mg 100
E
2785 / 100
Clopixol Tablets 25mg 100
E
14119 / 30
Cloral betaine 707mg tablets 30 tablet (DT)
2203 / 10
Clotam Rapid Tablets 200mg 10
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
E
E
Page 47 of 550
Code/Pack
Description
DT CD ZD N E D
1460 / 20
Clotrimazole 1% cream 20 gram (DT)
DT
NE
413 / 50
Clotrimazole 1% cream 50 gram (DT)
DT
NE
12106 / 20
Clotrimazole 1% solution 20 ml (DT)
DT
E
14404 / 1
Clotrimazole 10% cream and Clotrimazole 2% cream 1 pack (DT)
DT
E
12105 / 5
Clotrimazole 10% vaginal cream 5 gram (DT)
DT
E
12102 / 6
Clotrimazole 100mg pessaries 6 pessary (DT)
DT
E
12101 / 20
Clotrimazole 2% cream 20 gram (DT)
DT
E
12103 / 3
Clotrimazole 200mg pessaries 3 pessary (DT)
DT
E
1507 / 1
Clotrimazole 500mg pessaries 1 pessary (DT)
DT
E
12009 / 1
Clotrimazole 500mg pessary and Clotrimazole 2% cream 1 pack (DT)
DT
E
14675 / 10
Clove oil liquid 10 ml (DT)
DT
7716 / 28
Clozaril Tablets 25mg 28
7801 / 28
Clozaril Tablets 100mg 28
5034 / 24
Coaguchek XS PT Test Reagent 24
04625358
NE
5376 / 48
Coaguchek XS PT Test Reagent 48
04625315
NE
890 / 500
Coal Tar Ointment BPC ‘34 500g
12109 / 100
Coal tar solution 5% cutaneous emulsion 100 ml (DT)
DT
E
12110 / 250
Coal tar solution 5% cutaneous emulsion 250 ml (DT)
DT
E
13860 / 28
Co-amilofruse 10mg/80mg tablets 28 tablet (DT)
DT
E
894 / 28
Co-amilofruse 2.5mg/20mg tablets 28 tablet (DT)
DT
E
463 / 28
Co-amilofruse 5mg/40mg tablets 28 tablet (DT)
DT
E
456 / 28
Co-amilozide 2.5mg/25mg tablets 28 tablet (DT)
DT
E
535 / 28
Co-amilozide 5mg/50mg tablets 28 tablet (DT)
DT
E
5522 / 100
Co-amoxiclav 125mg/31mg/5ml oral suspension sugar free 100 ml (DT)
DT
ED
5664 / 21
Co-amoxiclav 250mg/125mg tablets 21 tablet (DT)
DT
ED
5523 / 100
Co-amoxiclav 250mg/62mg/5ml oral suspension sugar free 100 ml (DT)
DT
ED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
E
E
Page 48 of 550
Code/Pack
Description
DT CD ZD N E D
12958 / 35
Co-amoxiclav 400mg/57mg/5ml oral suspension sugar free 35 ml (DT)
DT
E
12959 / 70
Co-amoxiclav 400mg/57mg/5ml oral suspension sugar free 70 ml (DT)
DT
E
5665 / 21
Co-amoxiclav 500mg/125mg tablets 21 tablet (DT)
DT
E
8691 / 28
Coaprovel Tablets 150/12.5mg 28
E
8698 / 28
Coaprovel Tablets 300/12.5mg 28
E
4989 / 28
Coaprovel Tablets 300/25mg 28
E
14314 / 100
Co-beneldopa 12.5mg/50mg capsules 100 capsule (DT)
DT
E
14317 / 100
Co-beneldopa 12.5mg/50mg dispersible tablets sugar free 100 tablet (DT)
DT
E
14315 / 100
Co-beneldopa 25mg/100mg capsules 100 capsule (DT)
DT
E
14319 / 100
Co-beneldopa 25mg/100mg dispersible tablets sugar free 100 tablet (DT)
DT
E
14318 / 100
Co-beneldopa 25mg/100mg modified-release capsules 100 capsule (DT)
DT
E
14316 / 100
Co-beneldopa 50mg/200mg capsules 100 capsule (DT)
DT
E
231 / 100
Co-careldopa 10mg/100mg tablets 100 tablet (DT)
DT
E
13943 / 90
Co-careldopa 12.5mg/50mg tablets 90 tablet (DT)
DT
E
234 / 100
Co-careldopa 25mg/100mg tablets 100 tablet (DT)
DT
E
235 / 100
Co-careldopa 25mg/250mg tablets 100 tablet (DT)
DT
E
14395 / 100
Co-codamol 15mg/500mg capsules 100 capsule (DT)
DT
E
14396 / 100
Co-codamol 15mg/500mg effervescent tablets sugar free 100 tablet (DT)
DT
E
14016 / 100
Co-codamol 15mg/500mg tablets 100 tablet (DT)
DT
E
5 / 100
Co-codamol 30mg/500mg capsules 100 capsule (DT)
DT
E
193 / 100
Co-codamol 30mg/500mg effervescent tablets 100 tablet (DT)
DT
E
14499 / 32
Co-codamol 30mg/500mg effervescent tablets 32 tablet (DT)
DT
E
642 / 100
Co-codamol 30mg/500mg tablets 100 tablet (DT)
DT
E
597 / 30
Co-codamol 30mg/500mg tablets 30 tablet (DT)
DT
E
6 / 100
Co-codamol 8mg/500mg capsules 100 capsule (DT)
DT
E
14012 / 32
Co-codamol 8mg/500mg capsules 32 capsule (DT)
DT
E
246 / 100
Co-codamol 8mg/500mg effervescent tablets 100 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 49 of 550
Code/Pack
Description
DT CD ZD N E D
14501 / 32
Co-codamol 8mg/500mg effervescent tablets 32 tablet (DT)
DT
E
5066 / 100
Co-codamol 8mg/500mg tablets 100 tablet (DT)
DT
E
14007 / 30
Co-codamol 8mg/500mg tablets 30 tablet (DT)
DT
E
21 / 100
Co-codaprin 8mg/400mg dispersible tablets 100 tablet (DT)
DT
E
4974 / 40
Cocois Scalp Application 40g
E
7296 / 100
Cocois Scalp Application 100g
E
12061 / 500
Coconut oil 500 gram (DT)
DT
E
2529 / 63
Co-cyprindiol 2000microgram/35microgram tablets 63 tablet (DT)
DT
E
13748 / 60
Co-danthramer 25mg/200mg capsules 60 capsule (DT)
DT
NE
14448 / 300
Co-danthramer 25mg/200mg/5ml oral suspension sugar free 300 ml (DT)
DT
ZD N E
13749 / 60
Co-danthramer 37.5mg/500mg capsules 60 capsule (DT)
DT
NE
14449 / 300
Co-danthramer 75mg/1000mg/5ml oral suspension sugar free 300 ml (DT)
DT
NE
249 / 63
Co-danthrusate 50mg/60mg capsules 63 capsule (DT)
DT
NE
14322 / 200
Co-danthrusate 50mg/60mg/5ml oral suspension sugar free 200 ml (DT)
DT
NE
12928 / 100
Codeine 15mg tablets 100 tablet (DT)
DT
E
8 / 28
Codeine 15mg tablets 28 tablet (DT)
DT
E
360 / 200
Codeine 15mg/5ml linctus 200 ml (DT)
DT
E
12926 / 200
Codeine 15mg/5ml linctus sugar free 200 ml (DT)
DT
E
836 / 500
Codeine 25mg/5ml oral solution 500 ml (DT)
DT
E
14504 / 100
Codeine 30mg tablets 100 tablet (DT)
DT
E
75 / 28
Codeine 30mg tablets 28 tablet (DT)
DT
E
41 / 28
Codeine 60mg tablets 28 tablet (DT)
DT
E
2263 / 28
Co-Diovan Film Coated Tablets 80/12.5mg 28
E
2272 / 28
Co-Diovan Film Coated Tablets 160/12.5mg 28
E
2278 / 28
Co-Diovan Film Coated Tablets 160/25mg 28
E
1948 / 100
Codipar 15mg/500mg tablets 100 tablet 10 x 10 tablets
E
5671 / 100
Co-dydramol 10mg/500mg tablets 100 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 50 of 550
E
Code/Pack
Description
DT CD ZD N E D
66 / 30
Co-dydramol 10mg/500mg tablets 30 tablet (DT)
DT
E
14064 / 100
Co-fluampicil 125mg/125mg/5ml oral suspension 100 ml (DT)
DT
E
8397 / 28
Co-fluampicil 250mg/250mg capsules 28 capsule (DT)
DT
E
13854 / 100
Co-flumactone 25mg/25mg tablets 100 tablet (DT)
DT
E
13855 / 100
Co-flumactone 50mg/50mg tablets 100 tablet (DT)
DT
E
8112 / 130
Colazide Capsules 750mg 130
59 / 100
Colchicine 500microgram tablets 100 tablet (DT)
2181 / 30
Colecalciferol 20,000unit capsules 30 capsule (AAH)
14070 / 100
Colecalciferol 200unit / Calcium carbonate 1.25g chewable tablets 100 tablet (DT)
DT
E
14415 / 112
Colecalciferol 200unit / Calcium carbonate 750mg tablets 112 tablet (DT)
DT
E
14717 / 3
Colecalciferol 25,000units/ml oral solution sugar free 3 ampoule (DT)
DT
E
14748 / 30
Colecalciferol 3,200unit capsules 30 capsule (DT)
DT
E
14071 / 60
Colecalciferol 400unit / Calcium carbonate 1.25g chewable tablets 60 tablet (DT)
DT
E
14076 / 100
Colecalciferol 400unit / Calcium carbonate 1.25g tablets 100 tablet (DT)
DT
E
14074 / 56
Colecalciferol 400unit / Calcium carbonate 1.5g chewable tablets 56 tablet (DT)
DT
E
14749 / 56
Colecalciferol 400unit / Calcium carbonate 1.5g effervescent tablets 56 tablet (DT)
DT
E
14460 / 60
Colecalciferol 400unit / Calcium carbonate 1.5g tablets 60 tablet (DT)
DT
E
14073 / 30
Colecalciferol 440unit / Calcium carbonate 1.25g effervescent granules sachets 30 sachet (DT)
DT
E
14488 / 30
Colecalciferol 800unit / Calcium carbonate 1.25g chewable tablets 30 tablet (DT)
DT
E
14580 / 30
Colecalciferol 800unit / Calcium carbonate 1.25g tablets 30 tablet (DT)
DT
E
14079 / 30
Colecalciferol 800unit / Calcium phosphate 3.1g oral powder sachets 30 sachet (DT)
DT
E
14478 / 30
Colecalciferol 800unit capsules 30 capsule (DT)
DT
E
14416 / 180
Colesevelam 625mg tablets 180 tablet (DT)
DT
6107 / 30
Colestid Granules 5g 30
E
6999 / 30
Colestid Orange Sachets 5g 30
E
39 / 50
Colestyramine 4g oral powder sachets sugar free 50 sachet (DT)
1749 / 7
Colief Infant Drops 7
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
E
E
ZD
DT
E
E
E
Page 51 of 550
Code/Pack
Description
DT CD ZD N E D
2742 / 14
Colifoam Aerosol 20.8g (14 Applications) 14
Code No. of Applications dispensed
E
1554 / 60
Colofac MR Capsules 200mg 60
E
3759 / 100
Colofac Tablets 135mg 100
E
6114 / 10
Colomycin Injection 1,000,000iu 10
E
5957 / 10
Colomycin Injection 2,000,000iu 10
E
6121 / 50
Colomycin Tablets 1,500,000iu 50
E
7877 / 20
Colpermin Capsules 20
E
2444 / 100
Colpermin Capsules 100
E
4985 / 5
Combigan Ophthalmic Solution 5ml
E
7783 / 60
Combivent MDI Unit Dose Vials 2.5ml 60
E
8258 / 60
Combivir Tablets 60
6236 / 30
Combodart Capsules 0.5mg/0.4mg 30
E
8777 / 1
Comfort 1 First Infant Milk (900g) 1
Code No. of Packs dispensed
E
8793 / 1
Comfort 2 Follow-on Milk (900g) 1
Code No. of Packs dispensed
E
1686 / 51
Compact Reagent (3x17) 51
4075 / 56
Competact Tablets 56
E
9240 / 5
Complan Shake Assorted Flavoured Sachets 57g 5
Code No of Sachets Dispensed
E
7724 / 4
Complan Shake Sachets 57g 4
Code No of Sachets Dispensed. All flavours.
E
8386 / 30
Comtess Tablets 200mg 30
E
8390 / 100
Comtess Tablets 200mg 100
E
8796 / 30
Concerta XL Tablets 18mg 30
CD ZD
7184 / 30
Concerta XL Tablets 27mg 30
CD ZD
8799 / 30
Concerta XL Tablets 36mg 30
CD ZD
6041 / 4
Condyline Lotion 0.5% (3.5ml) 4
Code each 3.5ml as 4
12234 / 84
Conjugated oestrogens 1.25mg tablets 84 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
NE
E
DT
Page 52 of 550
E
Code/Pack
Description
DT CD ZD N E D
12016 / 120
Conjugated oestrogens 1.25mg tablets and Norgestrel 150microgram tablets 120 tablet (DT)
DT
E
14389 / 84
Conjugated oestrogens 300microgram / Medroxyprogesterone 1.5mg modified-release tablets 84 DT
tablet (DT)
E
12235 / 84
Conjugated oestrogens 300microgram tablets 84 tablet (DT)
DT
E
14001 / 84
Conjugated oestrogens 625microgram / Medroxyprogesterone 5mg tablets 84 tablet (DT)
DT
E
12233 / 84
Conjugated oestrogens 625microgram tablets 84 tablet (DT)
DT
E
12013 / 120
Conjugated oestrogens 625microgram tablets and Norgestrel 150microgram tablets 120 tablet
(DT)
DT
E
6149 / 100
Conotrane Cream 100g
NE
3869 / 500
Conotrane Cream 500g
NE
6040 / 18
Contac Dual Relief Tablets 500mg/30mg 18
E
4159 / 6
Contac Non-Drowsy Capsules 120mg 6
E
7029 / 30
Contiflo XL Capsules 400mcg 30
17162 / 50
Contour Next Reagent 50
NE
1897 / 50
Contour Reagent 50
NE
1825 / 50
Contour TS Reagent 50
NE
7597 / 100
Convulex Capsules 150mg 100
E
7603 / 100
Convulex Capsules 300mg 100
E
7627 / 100
Convulex Capsules 500mg 100
E
3664 / 42
Copegus Tablets 200mg 42
ZD
E
3698 / 112
Copegus Tablets 200mg 112
ZD
E
3699 / 168
Copegus Tablets 200mg 168
ZD
E
3835 / 56
Copegus Tablets 400mg 56
ZD
E
14323 / 100
Co-phenotrope 2.5mg/0.025mg tablets 100 tablet (DT)
DT
E
14325 / 100
Co-proxamol 32.5mg/325mg tablets 100 tablet (DT)
DT
E
6037 / 60
Coracten S R Capsules 10mg 60
E
1715 / 60
Coracten S R Capsules 20mg 60
E
2213 / 28
Coracten XL Capsules 30mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 53 of 550
E
Code/Pack
Description
DT CD ZD N E D
3845 / 28
Coracten XL Capsules 60mg 30
E
3169 / 28
Cordarone X 100 Tablets 100mg 28
E
6042 / 6
Cordarone X 150mg/3ml solution for injection ampoules 6 ampoule
E
1268 / 28
Cordarone X 200 Tablets 200mg 28
E
1658 / 28
Cordilox MR Tablets 240mg 28
E
1617 / 28
Corgard Tablets 80mg 28
E
3539 / 1
Coro-Nitro Pumpspray 200 dose 1
E
2968 / 50
Corsodyl Dental Gel 50g
ED
7076 / 1
Corsodyl Mouthspray 60ml 1
Code No. of Packs dispensed
ED
2966 / 300
Corsodyl Mouthwash 300ml
ED
2534 / 300
Corsodyl mouthwash alcohol free 300ml
ED
6105 / 300
Corsodyl Mouthwash Mint Flavour 300ml
ED
8090 / 600
Corsodyl Mouthwash Mint Flavour 600ml
ED
14089 / 500
Co-simalcite 125mg/500mg/5ml oral suspension sugar free 500 ml (DT)
1278 / 5
Cosmofer 100mg Ampoule 2ml 5
Code no. of amps dispensed
4439 / 2
Cosmofer Ampoule 500mg/10ml 2
Code no. of amps dispensed
8338 / 5
Cosopt Eye Drop Solution 5ml
886 / 28
Co-tenidone 100mg/25mg tablets 28 tablet (DT)
DT
E
719 / 28
Co-tenidone 50mg/12.5mg tablets 28 tablet (DT)
DT
E
14330 / 30
Co-triamterzide 50mg/25mg tablets 30 tablet (DT)
DT
E
14329 / 100
Co-trimoxazole 160mg/800mg tablets 100 tablet (DT)
DT
E
236 / 28
Co-trimoxazole 80mg/400mg tablets 28 tablet (DT)
DT
E
6886 / 25
Covermark Finishing Powder 25g
E
8019 / 1
Covermark Foundation 15ml 1
Code No. of Packs dispensed
E
5430 / 30
Coversyl Arginine Plus Tablets 5mg/1.25mg 30
Pay Full Pack If Claimed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
ZD
E
E
Page 54 of 550
Code/Pack
Description
DT CD ZD N E D
5432 / 30
Coversyl Arginine Tablets 2.5mg 30
Pay Full Pack If Claimed
E
5433 / 30
Coversyl Arginine Tablets 5mg 30
Pay Full Pack If Claimed
E
5435 / 30
Coversyl Arginine Tablets 10mg 30
Pay Full Pack If Claimed
E
7009 / 1
Cow and Gate Infasoy (900g) 1
Code No. of Packs dispensed
E
3594 / 28
Cozaar Comp. 50/12.5mg Tablets 28
E
4713 / 28
Cozaar Comp. 100/12.5mg Tablets 28
E
3777 / 28
Cozaar Comp. 100/25mg Tablets 28
E
9604 / 200
Cozaar Oral Suspension 2.5mg/ml 200
E
8395 / 28
Cozaar Tablets 12.5mg 28
E
7616 / 28
Cozaar Tablets 25mg 28
E
7638 / 28
Cozaar Tablets 50mg 28
E
8769 / 28
Cozaar Tablets 100mg 28
E
5588 / 50
CozyLab S7 Reagent 50
7977 / 100
Creon 10,000 Capsules 100
E
6148 / 100
Creon 25,000 Capsules 100
E
6809 / 100
Creon 40,000 Capsules 100
E
6335 / 20
Creon Micro Gastro Resistant Granules 20
E
3525 / 28
Crestor Tablets 5mg 28
E
4014 / 28
Crestor Tablets 10mg 28
E
4033 / 28
Crestor Tablets 20mg 28
E
4045 / 28
Crestor Tablets 40mg 28
E
3475 / 1
Crinone Vaginal Applicator Gel 8% (15 Applications) 1
Code No. of Packs Dispensed
E
1376 / 360
Crixivan Capsules 200mg 360
E
2503 / 180
Crixivan Capsules 400mg 180
E
12965 / 100
Crotamiton 10% cream 100 gram (DT)
DT
NE
12964 / 30
Crotamiton 10% cream 30 gram (DT)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 55 of 550
Code/Pack
Description
DT CD ZD N E D
12963 / 100
Crotamiton 10% lotion 100 ml (DT)
2155 / 25
Crystacide Cream 1% 25g
E
3893 / 40
Crystacide Cream 1% 40g
E
7351 / 2
Crystapen Injection 600mg 2
E
2894 / 25
Crystapen Injection 600mg 25
E
6808 / 25
Crystapen Injection 1200mg 25
E
2668 / 5
Cuplex Gel 5g
E
1587 / 3
Curanail Nail Lacquer 3ml
E
2078 / 30
Curatoderm Lotion 30ml
E
7821 / 30
Curatoderm Ointment 30g
E
7825 / 60
Curatoderm Ointment 60g
E
6805 / 100
Curatoderm Ointment 100g
E
7377 / 1
Curosurf Suspension Vial 120mg/1.5ml 1
E
7382 / 1
Curosurf Suspension Vial 240mg/3ml 1
E
7403 / 15
Cutivate Cream 15g
E
5981 / 30
Cutivate Cream 30g
E
7813 / 15
Cutivate Ointment 15g
E
5977 / 30
Cutivate Ointment 30g
E
12341 / 50
Cyanocobalamin (S11) 50microgram tablets 50 tablet (DT)
DT
E
537 / 5
Cyanocobalamin 1mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
4211 / 5
Cyclimorph 10 Ampoules 1ml 5
CD ZD
E
4212 / 5
Cyclimorph 15 Ampoules 1ml 5
CD ZD
E
12916 / 100
Cyclizine 50mg tablets 100 tablet (DT)
DT
E
12917 / 5
Cyclizine 50mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
1585 / 15
Cyclogest Suppositories 200mg 15
E
1586 / 15
Cyclogest Suppositories 400mg 15
E
14664 / 20
Cyclopentolate 0.5% eye drops 0.5ml unit dose preservative free 20 unit dose (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
NE
DT
Page 56 of 550
E
Code/Pack
Description
DT CD ZD N E D
12151 / 5
Cyclopentolate 0.5% eye drops 5 ml (DT)
DT
14665 / 20
Cyclopentolate 1% eye drops 0.5ml unit dose preservative free 20 unit dose (DT)
DT
12150 / 5
Cyclopentolate 1% eye drops 5 ml (DT)
DT
ZD
E
12820 / 100
Cyclophosphamide 50mg tablets 100 tablet (DT)
DT
ZD
E
2624 / 21
Cyclo-Progynova 2mg 21
14654 / 100
Cycloserine 250mg capsules 100 capsule (DT)
8025 / 10
Cyklokapron Injection 0.1g/ml 5ml 10
E
1393 / 60
Cyklokapron Tablets 0.5mg 60
E
3066 / 28
Cymbalta Capsules 30mg 28
E
3094 / 28
Cymbalta Capsules 60mg 28
E
6720 / 5
Cymevene Vials 500mg 5
E
6073 / 5
Cymex Cream 5g
E
9006 / 2
Cymex Ultra Cream 2g
ED
14479 / 30
Cyproheptadine 4mg tablets 30 tablet (DT)
2936 / 168
Cyprostat Tablets 50mg 168
E
7282 / 84
Cyprostat Tablets 100mg 84
E
13109 / 84
Cyproterone 100mg tablets 84 tablet (DT)
DT
E
13110 / 168
Cyproterone 50mg tablets 168 tablet (DT)
DT
E
1074 / 1
Cystadane Oral Powder 180g 1
ZD
E
8236 / 100
Cystagon Capsules 50mg 100
ZD
E
8277 / 100
Cystagon Capsules 150mg 100
ZD
E
3347 / 6
Cystopurin Granules 3g 6
Code No. of Sachets dispensed
E
3940 / 84
Cystrin Tablets 5mg 84
E
1701 / 60
Cytotec Tablets 200mcg 60
E
E
E
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
DT
E
DT
E
Page 57 of 550
Code/Pack
Description
DT CD ZD N E D
D
14571 / 60
Dabigatran etexilate 110mg capsules 60 capsule (DT)
DT
E
14572 / 60
Dabigatran etexilate 150mg capsules 60 capsule (DT)
DT
E
14573 / 60
Dabigatran etexilate 75mg capsules 60 capsule (DT)
DT
E
1786 / 30
Daktacort Cream 30g
2636 / 15
Daktacort HC Cream 15g
ED
1813 / 30
Daktacort Ointment 30g
ED
3397 / 1
Daktarin Aktiv Spray Powder 100g 1
Code No. of Sprays Dispensed
NE
3896 / 30
Daktarin Cream 30g
NED
2548 / 15
Daktarin Oral Gel 15g
NED
2445 / 80
Daktarin Oral Gel 80g
NED
4269 / 24
Dalacin C Capsules 75mg 24
ED
4272 / 24
Dalacin C Capsules 150mg 24
ED
4273 / 100
Dalacin C Capsules 150mg 100
ED
7100 / 40
Dalacin Cream 40g
E
6043 / 30
Dalacin T Lotion 1% 30ml
E
8015 / 60
Dalacin T Lotion 1% 60ml
E
3561 / 30
Dalacin T Solution 30ml
E
7635 / 50
Dalacin T Solution 50ml
E
3029 / 25
Dalivit Drops 25ml
E
7892 / 50
Dalivit Multi Vitamin Drops 50ml
E
12949 / 60
Danazol 100mg capsules 60 capsule (DT)
DT
E
12948 / 60
Danazol 200mg capsules 60 capsule (DT)
DT
E
8471 / 60
Danol Capsules 100mg 60
E
8449 / 60
Danol Capsules 200mg 60
E
1454 / 100
Dantrium Capsules 25mg 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E D
Page 58 of 550
Code/Pack
Description
DT CD ZD N E D
3565 / 100
Dantrium Capsules 100mg 100
12725 / 100
Dantrolene 100mg capsules 100 capsule (DT)
DT
E
12724 / 100
Dantrolene 25mg capsules 100 capsule (DT)
DT
E
14697 / 28
Dapagliflozin 10mg tablets 28 tablet (DT)
DT
E
14732 / 56
Dapagliflozin 5mg / Metformin 1g tablets 56 tablet (DT)
DT
E
14733 / 56
Dapagliflozin 5mg / Metformin 850mg tablets 56 tablet (DT)
DT
E
14698 / 28
Dapagliflozin 5mg tablets 28 tablet (DT)
DT
E
274 / 28
Dapsone 100mg tablets 28 tablet (DT)
DT
ZD
E
20 / 28
Dapsone 50mg tablets 28 tablet (DT)
DT
ZD
E
1973 / 30
Daraprim Tablets 25mg 30
14049 / 28
Darifenacin 7.5mg modified-release tablets 28 tablet (DT)
2928 / 50
Dario testing strips 50
8758 / 30
Daxas Tablets 500microgram 30
6078 / 10
DDAVP Ampoules 4mg/ml 1ml 10
2442 / 100
DDAVP Melt Tablets 60mcg 100
E
2446 / 100
DDAVP Melt Tablets 120mcg 100
E
1990 / 100
DDAVP Melt Tablets 240mcg 100
E
4500 / 1
DDAVP Nasal Solution 1
7083 / 90
DDAVP Tablets 0.1mg 90
E
7067 / 90
DDAVP Tablets 0.2mg 90
E
3021 / 1
Deca-Durabolin Ampoules 50mg/ml 1ml 1
7807 / 1
Decapeptyl SR Vial 3mg 1
ZD
E
6749 / 1
Decapeptyl SR Vial 11.25mg 1
ZD
E
3532 / 1
Decapeptyl SR Vial 22.5mg 1
ZD
E
4514 / 35
Deep Freeze Cold Gel 35g
E
4523 / 100
Deep Freeze Cold Gel 100g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
DT
E
NE
E
ZD
ZD
Page 59 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
6119 / 1
Deep Heat Spray 150g 1
Code No. of Sprays dispensed
E
4512 / 30
Deep Relief Gel 5% 30g
E
4285 / 50
Deep Relief Gel 5% 50g
E
6526 / 100
Deep Relief Gel 5% 100g
E
3779 / 30
Deltacortril E/C Tablets 2.5mg 30
E
1411 / 30
Deltacortril E/C Tablets 5mg 30
E
12098 / 28
Demeclocycline 150mg capsules 28 capsule (DT)
2679 / 112
De-Noltab Tablets 120mg 112
E
4417 / 100
Dentinox Colic drops 100ml
E
7142 / 125
Dentinox Cradle Cap Shampoo 125ml
E
4421 / 15
Dentinox Teething Gel 15g
E
5636 / 50
Denzapine Tablets 200mg 50
4012 / 84
Denzapine Tablets 25mg 84
E
5583 / 50
Denzapine Tablets 50mg 50
E
4034 / 84
Denzapine Tablets 100mg 84
8660 / 90
Depakote E/C Tablets 250mg 90
E
8665 / 90
Depakote E/C Tablets 500mg 90
E
1273 / 10
Depixol Ampoules 1ml 10
E
1406 / 10
Depixol Ampoules 2ml 10
E
6077 / 10
Depixol Conc. Injection 100mg/ml 0.5ml 10
E
1528 / 10
Depixol Conc. Injection 100mg/ml 1ml 10
E
6097 / 5
Depixol Low Volume Injection 200mg 1ml 5
E
1459 / 100
Depixol Tablets 3mg 100
E
4275 / 1
Depo-Medrone Injection 40mg/ml 1ml 1
E
4281 / 10
Depo-Medrone Injection 40mg/ml 1ml 10
E
4276 / 1
Depo-Medrone Injection 40mg/ml 2ml 1
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
ZD
ZD
ZD
Page 60 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
4286 / 10
Depo-Medrone Injection 40mg/ml 2ml 10
E
4277 / 1
Depo-Medrone Injection 40mg/ml 3ml 1
E
4289 / 10
Depo-Medrone Injection 40mg/ml 3ml 10
E
7927 / 1
Depo-Medrone with Lidocaine Injection 40mg/ml 1ml 1
E
3575 / 10
Depo-Medrone with Lidocaine Injection 40mg/ml 1ml 10
E
3569 / 1
Depo-Medrone with Lidocaine Injection 40mg/ml 2ml 1
E
7713 / 10
Depo-Medrone with Lidocaine Injection 40mg/ml 2ml 10
E
1424 / 28
Deponit 5 Patches 5mg 28
E
3581 / 28
Deponit 10 Patches 10mg 28
E
2881 / 1
Depo-Provera Pre-Filled Syringe 150mg/ml 1
E
6089 / 24
Dequacaine Lozenges 24
E
1446 / 20
Dequadin Lozenges 20
E
4389 / 40
Dequadin Lozenges 40
E
2300 / 50
Derbac M Liquid 50ml
NE
2332 / 200
Derbac M Liquid 200ml
NE
7556 / 25
Dermacolor Camouflage Cream 25ml
E
7573 / 60
Dermacolor Fixing Powder 60g
E
9870 / 500
Dermacool Aqueous Cream 0.5% 500g
E
9871 / 100
Dermacool Aqueous Cream 1% 100g
E
9873 / 500
Dermacool Aqueous Cream 1% 500g
E
9876 / 500
Dermacool Aqueous Cream 2% 500g
E
1189 / 500
Dermacool Aqueous Cream Pump Dispenser 0.5% 500g
E
1215 / 500
Dermacool Aqueous Cream Pump Dispenser 1.0% 500g
E
1279 / 500
Dermacool Aqueous Cream Pump Dispenser 2% 500g
E
3164 / 500
Dermalo Bath Emollient 500ml
NE
7900 / 1
Dermamist Emollient Spray 250ml 1
Code No. of Sprays dispensed
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 61 of 550
Code/Pack
Description
DT CD ZD N E D
1308 / 250
Dermax Shampoo 250ml
E
8468 / 200
Dermol 200 Shower Emollient 200ml
E
4545 / 500
Dermol 500 Lotion 500mls
E
8489 / 600
Dermol 600 Bath Emollient 600ml
E
3470 / 100
Dermol Cream 100g
E
3471 / 500
Dermol Cream 500g
E
7118 / 200
Dermol Wash Emollient 200ml
E
3982 / 30
Dermovate Cream 30g
E
3985 / 100
Dermovate Cream 100g
E
1330 / 30
Dermovate Ointment 30g
E
1331 / 100
Dermovate Ointment 100g
E
4391 / 30
Dermovate Scalp Application 30ml
E
4396 / 100
Dermovate Scalp Application 100ml
E
2959 / 60
Deseril Tablets 60
E
8270 / 10
Desferal Vials 500mg 10
8567 / 1
Desferal Vials 2g 1
13528 / 150
Desloratadine 2.5mg/5ml oral solution sugar free 150 ml (DT)
DT
E
13527 / 30
Desloratadine 5mg tablets 30 tablet (DT)
DT
E
2455 / 30
Desmomelt Sublingual Tablets 120mcg 30
E
3863 / 30
Desmomelt Sublingual Tablets 240mcg 30
E
12779 / 90
Desmopressin 100microgram tablets 90 tablet (DT)
DT
12782 / 3
Desmopressin 100micrograms/ml intranasal solution 2.5 ml (DT) [BSO Pack = 3]
Code each pack of 2.5 as 3
DT
407 / 1
Desmopressin 10micrograms/dose nasal spray 60 dose (DT) [BSO Pack = 1]
DT
E
100 / 30
Desmopressin 200microgram tablets 30 tablet (DT)
DT
E
6158 / 1
Desmospray for Enuresis (6ml) 1
Code No. of Sprays dispensed
E
7585 / 30
Desmotabs Tablets 200mcg 30
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
E
ZD
Page 62 of 550
E
Code/Pack
Description
DT CD ZD N E D
13467 / 84
Desogestrel 75microgram tablets 84 tablet (DT)
2581 / 60
Destolit Tablets 150mg 60
E
8427 / 56
Detrunorm Tablets 15mg 56
E
6055 / 28
Detrunorm XL Capsules 30mg 28
E
8177 / 56
Detrusitol Tablets 1mg 56
E
8226 / 56
Detrusitol Tablets 2mg 56
E
8661 / 28
Detrusitol XL Capsules 4mg 28
E
13534 / 5
Dexamethasone 0.1% / Tobramycin 0.3% eye drops 5 ml (DT)
DT
E
14676 / 20
Dexamethasone 0.1% eye drops 0.4ml unit dose preservative free 20 unit dose (DT)
DT
E
12130 / 10
Dexamethasone 0.1% eye drops 10 ml (DT)
DT
E
12129 / 5
Dexamethasone 0.1% eye drops 5 ml (DT)
DT
E
14699 / 150
Dexamethasone 10mg/5ml oral solution sugar free 150 ml (DT)
DT
E
3054 / 10
Dexamethasone 1ml Injection 4mg/ml 10
12125 / 50
Dexamethasone 2mg tablets 50 tablet (DT)
DT
E
12128 / 150
Dexamethasone 2mg/5ml oral solution sugar free 150 ml (DT)
DT
E
12124 / 28
Dexamethasone 500microgram tablets 28 tablet (DT)
DT
E
12131 / 20
Dexamethasone sodium phosphate 0.1% eye drops 0.5ml unit dose preservative free 20 unit
dose (DT)
DT
E
12571 / 28
Dexamfetamine 5mg tablets 28 tablet (DT)
DT CD ZD
E
14693 / 500
Dexamfetamine 5mg/5ml oral solution sugar free 500 ml (DT)
DT CD ZD
E
14056 / 60
Dexibuprofen 300mg tablets 60 tablet (DT)
DT
E
14057 / 60
Dexibuprofen 400mg tablets 60 tablet (DT)
DT
E
9916 / 30
Deximune Capsules 100mg 30
9920 / 30
Deximune Capsules 25mg 30
9917 / 30
Deximune Capsules 50mg 30
13716 / 50
Dexketoprofen 25mg tablets 50 tablet (DT)
1900 / 150
Dexsol Solution 150ml
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
ZD
E
E
ZD
DT
E
E
E
Page 63 of 550
Code/Pack
Description
DT CD ZD N E D
740 / 1
Dextrose Injection 50% (50ml) 1
Code No. of Injections dispensed
E
7582 / 100
DF 118 Forte Tablets 40mg 100
E
2811 / 56
DHC-Continus Tablets 60mg 56
E
2420 / 56
DHC-Continus Tablets 90mg 56
E
2541 / 56
DHC-Continus Tablets 120mg 56
E
9979 / 1
Diabact UBT 13C-Urea Tablet Kit 50mg 1
E
5791 / 60
Diacomit Capsules 250mg 60
ZD
E
5789 / 60
Diacomit Capsules 500mg 60
ZD
E
5788 / 60
Diacomit Powder For Oral Suspension Sachets 250mg 60
Code No of Sachets Dispensed
ZD
E
5777 / 60
Diacomit Powder For Oral Suspension Sachets 500mg 60
Code No of Sachets Dispensed
ZD
E
2353 / 28
Diagemet XL Prolonged Release Tablet 500mg 28
E
2354 / 56
Diagemet XL Prolonged Release Tablet 500mg 56
E
8558 / 28
Diamicron MR Tablets 30 mg 28
E
8563 / 56
Diamicron MR Tablets 30mg 56
E
1202 / 60
Diamicron Tablets 80mg 60
E
660 / 5
Diamorphine 100mg powder for solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
652 / 5
Diamorphine 10mg powder for solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
12682 / 100
Diamorphine 10mg tablets 100 tablet (DT)
DT CD ZD
E
656 / 5
Diamorphine 30mg powder for solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
672 / 5
Diamorphine 500mg powder for solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
14424 / 5
Diamorphine 500mg powder for solution for injection vials 5 vial (DT)
DT CD ZD
E
647 / 5
Diamorphine 5mg powder for solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
6088 / 30
Diamox SR Capsules 28
E
3449 / 112
Diamox Tablets 250mg 112
E
2310 / 63
Dianette Tablets (3x21) 63
E
945 / 50
Diastix Reagent 50
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 64 of 550
Code/Pack
Description
DT CD ZD N E D
4662 / 10
Diazemuls 10mg/2ml 10
931 / 28
Diazepam 10mg tablets 28 tablet (DT)
DT
ED
237 / 5
Diazepam 10mg/2.5ml rectal solution tube 5 tube (DT)
DT
E
651 / 10
Diazepam 10mg/2ml solution for injection ampoules 10 ampoule (DT)
DT
E
624 / 28
Diazepam 2mg tablets 28 tablet (DT)
DT
ED
342 / 100
Diazepam 2mg/5ml oral solution sugar free 100 ml (DT)
DT
ED
3414 / 5
Diazepam 5mg RecTubes 5 tube
862 / 28
Diazepam 5mg tablets 28 tablet (DT)
DT
ED
12552 / 5
Diazepam 5mg/2.5ml rectal solution tube 5 tube (DT)
DT
E
3646 / 30
Dibenyline Capsules 10mg 30
14668 / 5
Dibrompropamidine 0.15% eye ointment 5 gram (DT)
DT
E
14114 / 100
Diclofenac 1.16% gel 100 gram (DT)
DT
E
14106 / 10
Diclofenac 100mg suppositories 10 suppository (DT)
DT
E
14107 / 10
Diclofenac 12.5mg suppositories 10 suppository (DT)
DT
E
14115 / 60
Diclofenac 16mg/ml topical solution 60 ml (DT)
DT
E
14103 / 10
Diclofenac 25mg suppositories 10 suppository (DT)
DT
E
14111 / 21
Diclofenac 50mg dispersible tablets sugar free 21 tablet (DT)
DT
ED
14104 / 10
Diclofenac 50mg suppositories 10 suppository (DT)
DT
E
14101 / 10
Diclofenac 75mg/3ml solution for injection ampoules 10 ampoule (DT)
DT
E
14120 / 30
Diclofenac potassium 25mg tablets 30 tablet (DT)
DT
E
14121 / 30
Diclofenac potassium 50mg tablets 30 tablet (DT)
DT
E
9 / 28
Diclofenac Sodium (DT) MR Tablets 100mg 28
DT
ED
14112 / 28
Diclofenac sodium 100mg modified-release capsules 28 capsule (DT)
DT
E
5631 / 28
Diclofenac sodium 25mg gastro-resistant tablets 28 tablet (DT)
DT
ED
14100 / 50
Diclofenac sodium 3% gel 50 gram (DT)
DT
E
13750 / 60
Diclofenac sodium 50mg gastro-resistant / Misoprostol 200microgram tablets 60 tablet (DT)
DT
E
5656 / 28
Diclofenac sodium 50mg gastro-resistant tablets 28 tablet (DT)
DT
ED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
ZD
Page 65 of 550
E
Code/Pack
Description
DT CD ZD N E D
13751 / 60
Diclofenac sodium 75mg gastro-resistant / Misoprostol 200microgram tablets 60 tablet (DT)
DT
E
14105 / 56
Diclofenac sodium 75mg gastro-resistant modified-release capsules 56 capsule (DT)
DT
E
14102 / 56
Diclofenac sodium 75mg modified-release capsules 56 capsule (DT)
DT
E
7 / 56
Diclofenac sodium 75mg modified-release tablets 56 tablet (DT)
DT
ED
2677 / 28
Dicloflex EC (Dexcel) Tablets 50mg 28
ED
4103 / 84
Dicloflex EC (Dexcel) Tablets 50mg 84
ED
4104 / 100
Dicloflex EC (Dexcel) Tablets 50mg 100
ED
3461 / 28
Dicloflex Retard (Dexcel) Tablets 100mg 28
ED
7270 / 56
Dicloflex SR (Kent) Tablets 75mg 56
ED
6734 / 28
Diclomax Retard Capsules 100mg 28
E
7673 / 56
Diclomax SR Capsules 75mg 56
E
12484 / 100
Dicycloverine 10mg tablets 100 tablet (DT)
DT
E
12485 / 120
Dicycloverine 10mg/5ml oral solution 120 ml (DT)
DT
E
12483 / 84
Dicycloverine 20mg tablets 84 tablet (DT)
DT
E
2472 / 100
Dicynene Tablets 500mg 100
E
4189 / 60
Didronal Tablets 200mg 60
E
2989 / 1
Dietary Specials All Purpose Mix 500g 1
Code Number of Packs Dispensed
E
2918 / 1
Dietary Specials Gluten & Wheat Free White Cake Mix 750g 1
Code Number of Packs Dispensed
E
2919 / 1
Dietary Specials Gluten Free White Sliced Loaf 400g 1
Code Number of Loaves Dispensed
E
14194 / 50
Diethylamine salicylate 10% cream 50 gram (DT)
DT
12854 / 28
Diethylstilbestrol 1mg tablets 28 tablet (DT)
DT
63 / 28
Diethylstilbestrol 5mg tablets 28 tablet (DT)
DT
2214 / 45
Differin Cream 0.1% 45g
E
2166 / 45
Differin Gel 45g
E
3490 / 35
Difflam Cream 35g
E
1921 / 100
Difflam Cream 100g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
Page 66 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
4004 / 300
Difflam Oral Rinse 300ml
ED
8800 / 200
Difflam Sore Throat Rinse 200ml
ED
3034 / 1
Difflam Throat & Mouth Spray (30ml) 1
Code No. of Sprays dispensed
ED
1963 / 7
Diflucan 50 Capsules 50mg 7
ED
1988 / 1
Diflucan 150 Capsules 150mg 1
E
2826 / 7
Diflucan 200 Capsules 200mg 7
ZD
E
6877 / 1
Diflucan Infusion vials 200mg/100ml 1
Code each vial/1
ZD
E
6898 / 35
Diflucan Oral Suspension 50mg/5ml 35ml
6879 / 35
Diflucan Oral Suspension 200mg/5ml 35ml
13495 / 30
Diflucortolone 0.1% oily cream 30 gram (DT)
DT
E
13496 / 15
Diflucortolone 0.3% oily cream 15 gram (DT)
DT
E
227 / 28
Digoxin 125microgram tablets 28 tablet (DT)
DT
E
56 / 28
Digoxin 250microgram tablets 28 tablet (DT)
DT
E
12067 / 60
Digoxin 50micrograms/ml oral solution 60 ml (DT)
DT
E
226 / 28
Digoxin 62.5microgram tablets 28 tablet (DT)
DT
E
12664 / 56
Dihydrocodeine 120mg modified-release tablets 56 tablet (DT)
DT
E
8453 / 100
Dihydrocodeine 30mg tablets 100 tablet (DT)
DT
ED
12658 / 28
Dihydrocodeine 30mg tablets 28 tablet (DT)
DT
ED
12665 / 100
Dihydrocodeine 40mg tablets 100 tablet (DT)
DT
E
12661 / 10
Dihydrocodeine 50mg/1ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
12662 / 56
Dihydrocodeine 60mg modified-release tablets 56 tablet (DT)
DT
E
12663 / 56
Dihydrocodeine 90mg modified-release tablets 56 tablet (DT)
DT
E
12675 / 28
Diltiazem 200mg modified-release capsules 28 capsule (DT)
DT
E
14701 / 28
Diltiazem 240mg modified-release capsules 28 capsule (DT)
DT
E
14702 / 28
Diltiazem 300mg modified-release capsules 28 capsule (DT)
DT
E
12674 / 56
Diltiazem 60mg modified-release capsules 56 capsule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ED
ZD
Page 67 of 550
E
Code/Pack
Description
DT CD ZD N E D
5657 / 84
Diltiazem 60mg modified-release tablets 84 tablet (DT)
DT
E
14703 / 56
Diltiazem 90mg modified-release capsules 56 capsule (DT)
DT
E
7084 / 56
Dilzem SR Capsules 60mg 56
E
7120 / 56
Dilzem SR Capsules 90mg 56
E
7097 / 56
Dilzem SR Capsules 120mg 56
E
7198 / 28
Dilzem XL 120 Capsules 120mg 28
E
7261 / 28
Dilzem XL 180 Capsules 180mg 28
E
7269 / 28
Dilzem XL 240 Capsules 240mg 28
E
14190 / 100
Dimeticone 22% / Benzalkonium chloride 0.1% cream 100 gram (DT)
DT
NE
14148 / 150
Dimeticone 4% lotion 150 ml (DT)
DT
NE
14147 / 50
Dimeticone 4% lotion 50 ml (DT)
DT
NE
7258 / 30
Dioctyl Capsules 100mg 30
NE
7021 / 100
Dioctyl Capsules 100mg 100
NE
2923 / 30
Dioderm 0.1% Cream 30g
ED
8234 / 6
Dioralyte Relief S/F Sachets 6
E
8261 / 20
Dioralyte Relief S/F Sachets 20
E
7609 / 6
Dioralyte Sachets 6
E
2415 / 20
Dioralyte Sachets 20
E
2409 / 28
Diovan Capsules 40mg 28
E
2221 / 28
Diovan Capsules 80mg 28
E
2215 / 28
Diovan Capsules 160mg 28
E
2026 / 7
Diovan Divisible Tablets 40mg 7
E
5247 / 28
Diovan Film Coated Tablets 320mg 28
E
1492 / 112
Dipentum Capsules 250mg 112
E
4554 / 60
Dipentum Capsules 500mg 60
E
13939 / 50
Dipipanone 10mg / Cyclizine 30mg tablets 50 tablet (DT)
2232 / 5
Diprivan Infusion Vial 1% 20ml 5
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT CD ZD
E
E
Page 68 of 550
Code/Pack
Description
DT CD ZD N E D
7794 / 1
Diprivan Pre-Filled Syringe 1% 50ml 1
E
8207 / 1
Diprivan Pre-Filled Syringe 2% 50ml 1
E
1748 / 50
Diprobase Cream 50g
NE
3618 / 500
Diprobase Cream 500g
NE
5943 / 500
Diprobase Ointment 500g
NE
3212 / 50
Diprobase Ointment 50g
NE
4940 / 500
Diprobath Bath Additive 500ml
NE
4099 / 30
Diprosalic Ointment 30g
E
4224 / 100
Diprosalic Ointment 100g
E
4279 / 100
Diprosalic Scalp Application 100ml
E
4490 / 30
Diprosone Cream 30g
E
4495 / 100
Diprosone Cream 100g
E
4199 / 30
Diprosone Lotion 30ml
E
4227 / 100
Diprosone Lotion 100ml
E
4496 / 30
Diprosone Ointment 30g
E
4497 / 100
Diprosone Ointment 100g
E
1263 / 84
Dipyridamole 100mg tablets 84 tablet (DT)
DT
E
13572 / 60
Dipyridamole 200mg modified-release / Aspirin 25mg capsules 60 capsule (DT)
DT
E
12713 / 60
Dipyridamole 200mg modified-release capsules 60 capsule (DT)
DT
E
5075 / 84
Dipyridamole 25mg tablets 84 tablet (DT)
DT
E
12714 / 150
Dipyridamole 50mg/5ml oral suspension sugar free 150 ml (DT)
DT
E
1456 / 250
Disipal Tablets 50mg 250
483 / 84
Disopyramide 100mg capsules 84 capsule (DT)
DT
E
475 / 84
Disopyramide 150mg capsules 84 capsule (DT)
DT
E
12841 / 60
Disopyramide 250mg modified-release tablets 60 tablet (DT)
DT
E
3504 / 21
Distaclor Capsules 500mg 21
E
6883 / 14
Distaclor MR Tablets 375mg 14
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 69 of 550
Code/Pack
Description
DT CD ZD N E D
2728 / 100
Distaclor Suspension 125mg/5ml 100ml
E
2729 / 100
Distaclor Suspension 250mg/5ml 100ml
E
3139 / 100
Distamine Tablets 125mg 100
E
3140 / 100
Distamine Tablets 250mg 100
E
12436 / 50
Disulfiram 200mg tablets 50 tablet (DT)
4654 / 50
Dithrocream Cream 0.1% 50g
E
4655 / 50
Dithrocream Cream 0.25% 50g
E
2835 / 50
Dithrocream Forte Cream 0.5% 50g
E
4923 / 50
Dithrocream HP 1% 50g
E
4926 / 50
Dithrocream HP 2% 50g
E
2696 / 84
Ditropan Tablets 2.5mg 84
E
2735 / 84
Ditropan Tablets 5mg 84
E
4701 / 140
Diurexan Tablets 20mg 140
E
1588 / 112
Dixarit Tablets 0.25mg 112
E
14082 / 30
Docusate 100mg capsules 30 capsule (DT)
DT
NE
14080 / 300
Docusate 12.5mg/5ml oral solution sugar free 300 ml (DT)
DT
NE
14081 / 300
Docusate 50mg/5ml oral solution sugar free 300 ml (DT)
DT
NE
14084 / 10
Docusate sodium 0.5% ear drops 10 ml (DT)
DT
E
3388 / 300
Docusol Paediatric Solution 0.25% 300ml
NE
3611 / 300
Docusol Solution 1% 300ml
NE
1314 / 100
Dolmatil Tablets 200mg 100
E
1438 / 100
Dolmatil Tablets 400mg 100
E
12380 / 100
Domperidone 10mg tablets 100 tablet (DT)
DT
E
5052 / 30
Domperidone 10mg tablets 30 tablet (DT)
DT
E
12381 / 200
Domperidone 5mg/5ml oral suspension sugar free 200 ml (DT)
DT
E
14343 / 28
Donepezil 10mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
13224 / 28
Donepezil 10mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 70 of 550
E
Code/Pack
Description
DT CD ZD N E D
14718 / 150
Donepezil 1mg/ml oral solution sugar free 150 ml (DT)
DT
E
14344 / 28
Donepezil 5mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
13223 / 28
Donepezil 5mg tablets 28 tablet (DT)
DT
E
1341 / 60
Doralese Tiltab Tablets 20mg 60
13318 / 30
Dornase alfa 2.5mg/2.5ml nebuliser liquid ampoules 30 ampoule (DT)
DT
13718 / 60
Dorzolamide 2% / Timolol 0.5% eye drops 0.2ml unit dose preservative free 60 unit dose (DT)
DT
E
731 / 5
Dorzolamide 2% / Timolol 0.5% eye drops 5 ml (DT)
DT
E
14371 / 60
Dorzolamide 2% eye drops 0.2ml unit dose preservative free 60 unit dose (DT)
DT
E
13361 / 5
Dorzolamide 2% eye drops 5 ml (DT)
DT
E
7375 / 8
Dostinex Tablets 0.5mg 8
5076 / 28
Dosulepin 25mg capsules 28 capsule (DT)
DT
E
671 / 28
Dosulepin 75mg tablets 28 tablet (DT)
DT
E
17195 / 100
Doublebase Dayleve Gel 15% 100g
NE
17196 / 500
Doublebase Dayleve Gel 15% 500g
NE
4640 / 500
Doublebase Emolient Bath Additive 500ml
NE
6242 / 200
Doublebase Emollient Wash Gel 200g
NE
8765 / 100
Doublebase Gel 15% 100g
NE
8779 / 500
Doublebase Gel 15% 500g
NE
1644 / 200
Doublebase Shower Gel 200g
NE
4714 / 60
Dovobet Gel 60g
E
8742 / 120
Dovobet Gel 120g
E
6010 / 30
Dovobet Ointment 30g
Code No. gram dispensed
E
7552 / 30
Dovonex Ointment 30g
E
5749 / 28
Doxazosin 1mg tablets 28 tablet (DT)
DT
E
5750 / 28
Doxazosin 2mg tablets 28 tablet (DT)
DT
E
13256 / 28
Doxazosin 4mg modified-release tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
E
E
Page 71 of 550
Code/Pack
Description
DT CD ZD N E D
5751 / 28
Doxazosin 4mg tablets 28 tablet (DT)
DT
E
13257 / 28
Doxazosin 8mg modified-release tablets 28 tablet (DT)
DT
E
12175 / 28
Doxepin 25mg capsules 28 capsule (DT)
DT
E
12176 / 28
Doxepin 50mg capsules 28 capsule (DT)
DT
E
670 / 8
Doxycycline 100mg capsules 8 capsule (DT)
DT
ED
12165 / 8
Doxycycline 100mg dispersible tablets sugar free 8 tablet (DT)
DT
ED
12166 / 56
Doxycycline 20mg tablets 56 tablet (DT)
DT
ED
14541 / 14
Doxycycline 40mg modified-release capsules 14 capsule (DT)
DT
E
333 / 28
Doxycycline 50mg capsules 28 capsule (DT)
DT
E
8174 / 100
Drapolene Cream 100g
E
8215 / 200
Drapolene Cream 200g
E
7451 / 350
Drapolene Cream 350g
E
3606 / 20
Driclor Roll-On 20ml
E
3600 / 75
Driclor Roll-On 75ml
E
3020 / 30
Duac Once Daily Gel 3% and 1% 30g
ZD
E
3024 / 25
Duac Once Daily Gel 5% and 1% 25g
ZD
E
3182 / 50
Duac Once Daily Gel 5% and 1% 50g
ZD
E
2842 / 2
Dukoral Suspension & Granules 3ml Vial + 5.6g Sachets 2 Dose
Code No. of Doses dispensed
ZD
E
2925 / 10
Dulcobalance Laxative Powder 10g 30
NE
3254 / 20
Dulcolax Pico Perles 2.5mg 20
NE
3258 / 50
Dulcolax Pico Perles 2.5mg 50
NE
13968 / 28
Duloxetine 20mg gastro-resistant capsules 28 capsule (DT)
DT
E
13967 / 28
Duloxetine 30mg gastro-resistant capsules 28 capsule (DT)
DT
E
13969 / 56
Duloxetine 40mg gastro-resistant capsules 56 capsule (DT)
DT
E
13966 / 28
Duloxetine 60mg gastro-resistant capsules 28 capsule (DT)
DT
E
1343 / 1
Duocal Bottle 250ml 1
Code No. of Packs dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 72 of 550
E
Code/Pack
Description
DT CD ZD N E D
4111 / 1
Duocal MCT Super Soluble 400g 1
Code No. of Packs dispensed
E
1352 / 1
Duocal Powder 400g 1
Code No. of Packs dispensed
E
2958 / 15
Duofilm Wart Paint 15ml
E
3448 / 3
Duotrav Eye Drop Solution 2.5ml 3
Code each 2.5ml pack as 3
E
3450 / 9
Duotrav Eye Drop Solution 3 x 2.5ml 9
Code each pack as 9
E
2510 / 75
Duraphat 2800 Fluoride Toothpaste 75ml
ED
3866 / 51
Duraphat 5000 Fluoride Toothpaste 51g
ED
3454 / 5
Durogesic Dtrans Patch 12mcg/h 5
CD ZD
E
7506 / 5
Durogesic Dtrans Patch 25mcg/h 5
CD ZD
E
7510 / 5
Durogesic Dtrans Patch 50mcg/h 5
CD ZD
E
7539 / 5
Durogesic Dtrans Patch 75mcg/h 5
CD ZD
E
7578 / 5
Durogesic Dtrans Patch 100mcg/h 5
CD ZD
E
13873 / 30
Dutasteride 500microgram capsules 30 capsule (DT)
1726 / 30
Dyazide Tablets 50mg 30
4157 / 120
Dymista 137micrograms/50 micrograms dose nasal spray 120 dose
2927 / 10
Dynastat No Diluent Solution For Injection Vials 40mg 10
E
2832 / 5
Dynastat With Diluent Solution For Injection Vials 40mg 5
E
3235 / 30
Dytac Capsules 50mg 30
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
DT
Page 73 of 550
E
Code/Pack
Description
DT CD ZD N E D
E
4968 / 250
E45 Bath Oil 250ml
E
2034 / 500
E45 Bath Oil 500ml
E
1303 / 50
E45 Cream 50g
NE
1915 / 125
E45 Cream 125g
NE
8860 / 350
E45 Cream 350g
NE
8798 / 500
E45 Cream Pump Pack 500g
NE
1902 / 50
E45 Itch Relief Cream 50g
NE
1906 / 100
E45 Itch Relief Cream 100g
NE
4101 / 500
E45 Itch Relief Pump Cream 500g
NE
3309 / 5
E45 Lip Care Cream 5g
NE
8237 / 200
E45 Moisturising Lotion 200ml
E
8279 / 500
E45 Moisturising Lotion Pump Dispenser 500ml
E
2493 / 200
E45 Shower Cream 200ml
E
3910 / 250
E45 Wash Cream 250ml
E
4220 / 1
Earcalm Spray 5ml 1
Code No. of Sprays dispensed
E
8096 / 10
Earex Plus Drops 10ml
E
3462 / 1
Easiphen Dietary Supplement 250ml 1
Code no. of packs dispensed
4925 / 1
Easyhaler Beclometasone inhalation Powder 200 dose 200mcg 1
Code No. of Inhalers dispensed
E
2477 / 1
Easyhaler Budesonide Inhalation Powder 100 dose 400mcg 1
Code No. of Inhalers dispensed
E
2473 / 1
Easyhaler Budesonide Inhalation Powder 200 dose 100mcg 1
Code No. of Inhalers dispensed
E
1313 / 1
Easyhaler Fomoterol Inhalation Powder 120 dose 12mcg 1
Code No. of Inhalers dispensed
E
4505 / 1
Easyhaler Salbutamol Inhalation Powder 200 dose 100mcg 1
Code No. of Inhalers dispensed
E
4539 / 1
Easyhaler Salbutamol Inhalation Powder 200 dose 200mcg 1
Code No. of Inhalers dispensed
E
3947 / 50
Ebixa Oral Drops 10mg/g 50g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 74 of 550
E
Code/Pack
Description
DT CD ZD N E D
3978 / 100
Ebixa Oral Drops 10mg/g 100g
E
3911 / 28
Ebixa Tablets 10mg 28
E
3925 / 56
Ebixa Tablets 10mg 56
E
3939 / 112
Ebixa Tablets 10mg 112
E
9019 / 28
Ebixa Tablets 20mg 28
9020 / 28
Ebixa Treatment Initiation Pack Tablets 28
E
3031 / 60
Eccoxolac Capsules 300mg 60
E
17485 / 28
Edarbi Tablet 20mg 28
E
17476 / 28
Edarbi Tablet 40mg 28
E
17544 / 28
Edarbi Tablet 80mg 28
E
2513 / 60
Edronax Tablets 4mg 60
E
898 / 10
Edrophonium (Cambridge) Injection BP 10mg/ml 10
E
3881 / 60
Efalex Capsules 60
E
3882 / 240
Efalex Capsules 240
E
3634 / 150
Efalex Lemon and Lime Liquid 150ml
E
3722 / 300
Efalex Lemon and Lime Liquid 300ml
E
3628 / 5
Efcortesol Injection 100mg 1ml 5
E
3679 / 5
Efcortesol Injection 500mg 5ml 5
E
8238 / 28
Efexor XL Capsules 75mg 28
E
8287 / 28
Efexor XL Capsules 150mg 28
E
5381 / 4
Effentora Tablets 100mcg 4
CD ZD
E
2929 / 28
Effentora Tablets 100mcg 28
CD ZD
E
5385 / 4
Effentora Tablets 200mcg 4
CD ZD
E
2950 / 28
Effentora Tablets 200mcg 28
CD ZD
E
5386 / 4
Effentora Tablets 400mcg 4
CD ZD
E
2961 / 28
Effentora Tablets 400mcg 28
CD ZD
E
5387 / 4
Effentora Tablets 600mcg 4
CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 75 of 550
E
Code/Pack
Description
DT CD ZD N E D
2962 / 28
Effentora Tablets 600mcg 28
CD ZD
E
5388 / 4
Effentora Tablets 800mcg 4
CD ZD
E
2971 / 28
Effentora Tablets 800mcg 28
CD ZD
E
4549 / 12
Effercitrate Tablets 12
E
1905 / 28
Efient Tablets 10mg 28
E
1526 / 28
Efient Tablets 5mg 28
E
13354 / 60
Eflornithine 11.5% cream 60 gram (DT)
9470 / 56
Efracea modified-release capsules 40mg 56
E
1351 / 40
Efudix Cream 5% 40g
E
14245 / 28
Eicosapentaenoic acid 460mg / Docosahexaenoic acid 380mg capsules 28 capsule (DT)
5735 / 60
Eklira Genuair 322micrograms/dose inhaler 60 dose
E
6229 / 28
Elantan La 25 Capsules 25mg 28
E
3709 / 28
Elantan LA 50 Capsules 50mg 28
E
6172 / 100
Eldepryl 10mg tablets 100
E
1818 / 100
Eldepryl 5mg tablets 100
E
7726 / 200
Eldepryl Syrup 10mg/5ml 200ml
E
3687 / 6
Electrolade Powder Sachets 6
Code Number of Sachets Dispensed
E
1409 / 20
Electrolade Powder Sachets 20
Code Number of Sachets Dispensed
E
4899 / 50
Element Reagent 50
7593 / 1
Elemental 028 Extra liquid 250 ml
Code No. of Packs dispensed. All flavours.
ZD
E
6208 / 1
Elemental 028 Extra Special Diet Food 100g 1
Code No. of Packs dispensed
ZD
E
13889 / 6
Eletriptan 20mg tablets 6 tablet (DT)
DT
E
13890 / 6
Eletriptan 40mg tablets 6 tablet (DT)
DT
E
5028 / 63
Elevin Tablets 150/30MCG 63
(3x21)
E
3033 / 30
Elidel Cream 1% 30g
E
3041 / 60
Elidel Cream 1% 60g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
DT
E
NE
Page 76 of 550
Code/Pack
Description
DT CD ZD N E D
3075 / 100
Elidel Cream 1% 100g
E
9005 / 10
Eliquis tablets 2.5mg 10
E
9011 / 20
Eliquis tablets 2.5mg 20
E
9013 / 60
Eliquis tablets 2.5mg 60
E
9014 / 56
Eliquis tablets 5mg 56
E
8169 / 84
Elleste Duet Conti Tablets 84
E
6014 / 84
Elleste Duet Tablets 1mg 84
(2 Prescription Charges)
E
6144 / 84
Elleste Duet Tablets 2mg 84
(2 Prescription Charges)
E
7397 / 8
Elleste Solo MX 40 Patch 8
E
7485 / 8
Elleste Solo MX 80 Patch 8
E
6167 / 84
Elleste Solo Tablets 1mg 84
E
6108 / 84
Elleste Solo Tablets 2mg 84
E
6296 / 30
Elocon Cream 30g
E
3857 / 100
Elocon Cream 100g
E
6313 / 30
Elocon Ointment 30g
E
3307 / 100
Elocon Ointment 100g
E
6321 / 30
Elocon Scalp Lotion 30ml
E
3134 / 28
Eltroxin Tablets 25mcg 28
E
2006 / 28
Eltroxin Tablets 50mcg 28
E
2007 / 28
Eltroxin Tablets 100mcg 28
E
6175 / 90
Eludril Mouthwash 90ml
E
6181 / 250
Eludril Mouthwash 250ml
E
6248 / 500
Eludril Mouthwash 500ml
E
6113 / 1
Eludril Spray 55ml 1
Code No. of Sprays dispensed
E
8365 / 5
Emadine 0.5mg/ml eye drops 5 ml
E
3715 / 28
Emcor LS Tablets 5mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 77 of 550
Code/Pack
Description
DT CD ZD N E D
3710 / 28
Emcor Tablets 10mg 28
13365 / 5
Emedastine 0.5mg/ml eye drops 5 ml (DT)
1400 / 2
Emend Capsules 80mg 2
E
1419 / 5
Emend Capsules 125mg 5
E
7642 / 200
Emeside Syrup 200ml
E
2299 / 90
Emflex Capsules 90
E
6183 / 5
Emla Cream 5g
E
6192 / 30
Emla Cream with Spatula 30g
E
5105 / 28
Emozul Capsules 20mg 28
E
5571 / 28
Emozul Capsules 40mg 28
E
14719 / 28
Empagliflozin 10mg tablets 28 tablet (DT)
DT
E
14720 / 28
Empagliflozin 25mg tablets 28 tablet (DT)
DT
E
1306 / 28
Emselex Film Coated Tablets 7.5mg 28
E
1307 / 28
Emselex Film Coated Tablets 15mg 28
E
2867 / 300
Emulsiderm Lotion 300ml
E
3996 / 1000
Emulsiderm Lotion 1000ml
E
849 / 500
Emulsifying ointment 500 gram (DT)
DT
NE
12015 / 500
Emulsifying wax 500 gram (DT)
DT
E
5603 / 28
Enalapril 10mg tablets 28 tablet (DT)
DT
E
5601 / 28
Enalapril 2.5mg tablets 28 tablet (DT)
DT
E
14180 / 28
Enalapril 20mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
5604 / 28
Enalapril 20mg tablets 28 tablet (DT)
DT
E
5602 / 28
Enalapril 5mg tablets 28 tablet (DT)
DT
E
6046 / 4
Enbrel Injection 25mg 4
ZD
E
6153 / 4
Enbrel Injection Paediatric 25mg 4
ZD
E
6213 / 4
Enbrel Pre-Filled Syringe 25mg 4
ZD
E
6223 / 60
Endekay Fluodrops 60ml
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
E
ED
Page 78 of 550
Code/Pack
Description
DT CD ZD N E D
6234 / 100
Endekay Fluorinse 100ml
ED
7098 / 200
Endekay Fluotabs 2.2mg 200
ED
6194 / 200
Endekay Fluotabs 1.1mg 200
ED
4628 / 1
Ener-G Brown Rice Bread 474g 1
Code No. of Packs dispensed
E
6104 / 1
Ener-G Lasagne 454g 1
Code No. of Packs dispensed
E
6200 / 1
Ener-G Low Protein Rice Bread 600g 1
Code No. of Packs dispensed
E
6118 / 1
Ener-G Macaroni 454g 1
Code No. of Packs dispensed
E
6131 / 1
Ener-G Rice Pasta Shells 454g 1
Code No. of Packs dispensed
E
6134 / 1
Ener-G Spaghetti 454g 1
Code No. of Packs dispensed
E
4605 / 1
Ener-G White Rice Bread 456g 1
Code No. of Packs dispensed
E
6907 / 1
Enfamil AR Powder 400g 1
Code No Of Packs Dispensed
E
7165 / 1
Enfamil O-Lac with Lipil Powder 400g 1
Code No. of Packs dispensed
E
7314 / 1
Engerix B Hepatitis Adult Pre-filled Syringe Non Fixed Needle 20mcg/1ml 1
ZD
E
7322 / 10
Engerix B Hepatitis Adult Pre-filled Syringe Non Fixed Needle 20mcg/1ml 10
ZD
E
1229 / 1
Engerix B Hepatitis Adult Vial 20mcg/ml 1
ZD
E
7325 / 1
Engerix B Hepatitis Paediatric Non Fixed Needle 10mcg/0.5ml 1
ZD
E
1254 / 10
Engerix B Hepatitis Vials 20mcg/ml 10
ZD
E
13387 / 10
Enoxaparin sodium 100mg/1ml solution for injection pre-filled syringes 10 pre-filled disposable
injection (DT)
DT
ZD
E
13388 / 10
Enoxaparin sodium 120mg/0.8ml solution for injection pre-filled syringes 10 pre-filled disposable
injection (DT)
DT
ZD
E
13389 / 10
Enoxaparin sodium 150mg/1ml solution for injection pre-filled syringes 10 pre-filled disposable
injection (DT)
DT
ZD
E
13383 / 10
Enoxaparin sodium 20mg/0.2ml solution for injection pre-filled syringes 10 pre-filled disposable
injection (DT)
DT
13384 / 10
Enoxaparin sodium 40mg/0.4ml solution for injection pre-filled syringes 10 pre-filled disposable
injection (DT)
DT
ZD
E
13385 / 10
Enoxaparin sodium 60mg/0.6ml solution for injection pre-filled syringes 10 pre-filled disposable
injection (DT)
DT
ZD
E
13386 / 10
Enoxaparin sodium 80mg/0.8ml solution for injection pre-filled syringes 10 pre-filled disposable
injection (DT)
DT
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 79 of 550
Code/Pack
Description
DT CD ZD N E D
6139 / 6
Enshake Sachets 6
Code No. of Sachets dispensed
E
1787 / 1
Ensure Cans 250ml 1
Code No. of Packs dispensed
E
4393 / 1
Ensure Plus Bottle Yoghurt Style 220ml 1
Code No. of Packs dispensed. All flavours
E
8703 / 10
Ensure Plus Commence Bottle 2200ml (10x220ml)
Code No. 220ml bottles dispensed
3103 / 4
Ensure Plus Crème 125g 4
Code No. of 125g Packs dispensed
E
1381 / 1
Ensure Plus Fibre Bottle 200ml 1
Code No. of Packs dispensed
E
7777 / 1
Ensure Plus Juce Bottle 220ml 1
Code No. of Packs dispensed. All flavours.
E
2482 / 1
Ensure Plus Milkshake Style Bottle 220ml 1
Code No. of Packs dispensed. All flavours
E
3085 / 1
Ensure Plus Savoury Chicken/Mushroom Bottle 220ml 1
Code No. of Packs dispensed
E
5428 / 1
Ensure Twocal Bottle 200ml 1
Code No. of Packs dispensed. All flavours
13481 / 30
Entacapone 200mg tablets 30 tablet (DT)
8239 / 100
Entocort Capsules 3mg 100
8253 / 7
Entocort Enema 2mg/100ml 7
ZD
E
3189 / 1
Enzira Influenza Vaccine 0.5ml 1
ZD
E
3193 / 10
Enzira Influenza Vaccine 0.5ml 10
ZD
E
1423 / 28
Epanutin Capsules 25mg 28
E
2687 / 28
Epanutin Capsules 50mg 28
E
2251 / 84
Epanutin Capsules 100mg 84
ZD
E
3509 / 28
Epanutin Capsules 300mg 28
ZD
E
2695 / 200
Epanutin Infatabs 50mg 200
E
3348 / 10
Epanutin Ready Mixed Parenteral 50mg/ml 5ml 10
E
3647 / 500
Epanutin Suspension 30mg/5ml 500ml
E
772 / 10
Ephedrine 0.5% nasal drops 10 ml (DT)
DT
ED
12701 / 10
Ephedrine 1% nasal drops 10 ml (DT)
DT
ED
2373 / 1
Ephedrine Hydrochloride (Aurum) Injection 3mg/ml 10ml 1
Code Number of Injections Dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
DT
E
E
E
E
E
Page 80 of 550
Code/Pack
Description
DT CD ZD N E D
2394 / 10
Ephedrine Hydrochloride (Aurum) Injection 3mg/ml 10ml 10
Code Number of Injections Dispensed
E
2369 / 10
Ephedrine Hydrochloride (Martindale) Injection 30mg/ml 1ml 10
Code Number of Injections Dispensed
E
12698 / 28
Ephedrine hydrochloride 15mg tablets 28 tablet (DT)
DT
E
12699 / 28
Ephedrine hydrochloride 30mg tablets 28 tablet (DT)
DT
E
8826 / 45
Epiduo 0.1%/2.5% gel pump 45g
E
7285 / 100
Epilim Chrono Control Release Tablets 200mg 100
E
7288 / 100
Epilim Chrono Control Release Tablets 300mg 100
E
7292 / 100
Epilim Chrono Control Release Tablets 500mg 100
E
6254 / 30
Epilim Chronosphere Sachets 100mg 30
E
5973 / 30
Epilim Chronosphere Sachets 1G 30
E
6079 / 30
Epilim Chronosphere Sachets 250mg 30
E
6081 / 30
Epilim Chronosphere Sachets 500mg 30
E
6206 / 30
Epilim Chronosphere Sachets 50mg 30
E
5953 / 30
Epilim Chronosphere Sachets 750mg 30
E
2246 / 100
Epilim Crushable Tablets 100mg 100
E
7297 / 1
Epilim Intravenous Injection 400mg 1
E
1823 / 300
Epilim Liquid 200mg/5ml 300ml
E
1403 / 300
Epilim Syrup 300ml
E
4225 / 100
Epilim Tablets Enteric Coated 200mg 100
E
1283 / 100
Epilim Tablets Enteric Coated 500mg 100
E
13975 / 5
Epinastine 500micrograms/ml eye drops 5 ml (DT)
8213 / 1
Epipen Auto Adrenaline Injector 0.3mg 1
8158 / 1
Epipen JR Auto Adrenaline Injector 0.15mg 1
ZD
E
549 / 1
Epirubicin Hydrochloride (Actavis) Powder For Injection 50mg/25ml 1
ZD
E
330 / 1
Epirubicin Hydrochloride (Actavis) Solution For Injection 10mg/5ml 1
Code No Of Vials Dispensed
ZD
E
331 / 1
Epirubicin Hydrochloride (Actavis) Solution For Injection 50mg/25ml 1
Code No Of Vials Dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 81 of 550
Code/Pack
Description
DT CD ZD N E D
511 / 1
Epirubicin Hydrochloride (Actavis) Solution For Injection 100mg/50ml 1
Code No Of Vials Dispensed
1679 / 60
Epivir Tablets 150mg 60
8795 / 30
Epivir Tablets 300mg 30
13907 / 28
Eplerenone 25mg tablets 28 tablet (DT)
DT
E
13908 / 28
Eplerenone 50mg tablets 28 tablet (DT)
DT
E
2771 / 6
Eprex Pre-Filled Syringe 1,000iu 6
ZD
E
6173 / 6
Eprex Pre-Filled Syringe 2,000iu 6
ZD
E
7462 / 6
Eprex Pre-Filled Syringe 3,000iu 6
ZD
E
6191 / 6
Eprex Pre-Filled Syringe 4,000iu 6
ZD
E
3130 / 6
Eprex Pre-Filled Syringe 5,000iu 6
ZD
E
3153 / 6
Eprex Pre-Filled Syringe 6,000iu 6
ZD
E
3527 / 6
Eprex Pre-Filled Syringe 8,000iu 6
ZD
E
3676 / 6
Eprex Pre-Filled Syringe 10,000iu 6
ZD
E
3907 / 1
Eprex Pre-Filled Syringe 30,000iu 1
ZD
E
13564 / 28
Eprosartan 300mg tablets 28 tablet (DT)
DT
E
13565 / 56
Eprosartan 400mg tablets 56 tablet (DT)
DT
E
13566 / 28
Eprosartan 600mg tablets 28 tablet (DT)
DT
E
3267 / 30
Equasym XL Capsules 10mg 30
CD ZD
E
3269 / 30
Equasym XL Capsules 20mg 30
CD ZD
E
3276 / 30
Equasym XL Capsules 30mg 30
CD ZD
E
14226 / 20
Erdosteine 300mg capsules 20 capsule (DT)
1309 / 20
Erdotin Capsules 300mg 20
E
7162 / 28
Erymax Capsules 250mg 28
E
2698 / 112
Erymax Capsules 250mg 112
E
3831 / 100
Erythrocin Film Tablets 250mg 100
ED
2676 / 100
Erythrocin Film Tablets 500mg 100
ED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
DT
Page 82 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
12350 / 50
Erythromycin 2% solution 50 ml (DT)
DT
E
12348 / 28
Erythromycin 250mg gastro-resistant capsules 28 capsule (DT)
DT
E
64 / 28
Erythromycin 250mg gastro-resistant tablets 28 tablet (DT)
DT
ED
13921 / 30
Erythromycin 40mg/ml / Zinc acetate 12mg/ml lotion 30 ml (DT)
DT
E
13922 / 90
Erythromycin 40mg/ml / Zinc acetate 12mg/ml lotion 90 ml (DT)
DT
E
777 / 100
Erythromycin ethyl succinate 125mg/5ml oral suspension 100 ml (DT)
DT
ED
557 / 100
Erythromycin ethyl succinate 125mg/5ml oral suspension sugar free 100 ml (DT)
DT
ED
778 / 100
Erythromycin ethyl succinate 250mg/5ml oral suspension 100 ml (DT)
DT
ED
561 / 100
Erythromycin ethyl succinate 250mg/5ml oral suspension sugar free 100 ml (DT)
DT
ED
14093 / 28
Erythromycin ethyl succinate 500mg tablets 28 tablet (DT)
DT
ED
920 / 100
Erythromycin ethyl succinate 500mg/5ml oral suspension 100 ml (DT)
DT
ED
527 / 100
Erythromycin ethyl succinate 500mg/5ml oral suspension sugar free 100 ml (DT)
DT
ED
14134 / 100
Erythromycin stearate 250mg tablets 100 tablet (DT)
DT
ED
14135 / 100
Erythromycin stearate 500mg tablets 100 tablet (DT)
DT
ED
1604 / 28
Erythroped A Tablets 500mg 28
ED
4132 / 140
Erythroped Forte Sugar Free Suspension 500mg/5ml 140ml
ED
6257 / 140
Erythroped PI Sugar Free 125mg/5ml 140ml
ED
4171 / 140
Erythroped Sugar Free Suspension 250 mg/5ml 140ml
ED
13886 / 28
Escitalopram 10mg tablets 28 tablet (DT)
DT
E
13887 / 28
Escitalopram 20mg tablets 28 tablet (DT)
DT
E
13888 / 28
Escitalopram 5mg tablets 28 tablet (DT)
DT
E
7399 / 10
Esmeron Aqueous Solution Amps 50mg/5ml 10
ZD
E
7422 / 10
Esmeron Aqueous Solution Amps 100mg/10ml 10
ZD
E
13544 / 28
Esomeprazole 10mg gastro-resistant granules sachets 28 sachet (DT)
DT
E
14530 / 28
Esomeprazole 20mg gastro-resistant capsules 28 capsule (DT)
DT
E
13543 / 28
Esomeprazole 20mg gastro-resistant tablets 28 tablet (DT)
DT
E
14531 / 28
Esomeprazole 40mg gastro-resistant capsules 28 capsule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 83 of 550
Code/Pack
Description
DT CD ZD N E D
13542 / 28
Esomeprazole 40mg gastro-resistant tablets 28 tablet (DT)
4249 / 100
Estracyt Capsules 140mg 100
2187 / 8
Estraderm MX Patches 25 8
E
2119 / 24
Estraderm MX Patches 25 24
E
3159 / 8
Estraderm MX Patches 50 8
E
2226 / 24
Estraderm MX Patches 50 24
E
7387 / 8
Estraderm MX Patches 75 8
E
7818 / 24
Estraderm MX Patches 75 24
E
3181 / 8
Estraderm MX Patches 100 8
E
4205 / 24
Estraderm MX Patches 100 24
E
7740 / 24
Estraderm TTS Patches 100mcg/day 24
E
12186 / 80
Estradiol 0.06% gel 80 gram (DT)
DT
E
14590 / 84
Estradiol 1.5mg / Nomegestrol 2.5mg tablets 84 tablet (DT)
DT
E
14683 / 24
Estradiol 10microgram pessaries 24 pessary (DT)
DT
E
14234 / 84
Estradiol 1mg / Dydrogesterone 5mg tablets 84 tablet (DT)
DT
E
14023 / 84
Estradiol 1mg / Norethisterone acetate 500microgram tablets 84 tablet (DT)
DT
E
12188 / 28
Estradiol 1mg gel sachets 28 sachet (DT)
DT
E
12190 / 28
Estradiol 500microgram gel sachets 28 sachet (DT)
DT
E
14205 / 24
Estradiol 50micrograms/24hours / Norethisterone 170micrograms/24hours transdermal patches
24 patch (DT)
DT
E
14208 / 84
Estradiol valerate 1mg / Medroxyprogesterone 2.5mg tablets 84 tablet (DT)
DT
E
14210 / 84
Estradiol valerate 1mg / Medroxyprogesterone 5mg tablets 84 tablet (DT)
DT
E
14209 / 84
Estradiol valerate 2mg / Medroxyprogesterone 5mg tablets 84 tablet (DT)
DT
E
14372 / 84
Estradiol valerate 2mg / Norethisterone 700microgram tablets 84 tablet (DT)
DT
E
5728 / 8
Estradot TTS Patches 25mcg/day 8
E
5729 / 8
Estradot TTS Patches 37.5mcg/day 8
E
5730 / 8
Estradot TTS Patches 50mcg/day 8
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
Page 84 of 550
E
Code/Pack
Description
DT CD ZD N E D
6715 / 8
Estradot TTS Patches 75mcg 8
E
5736 / 8
Estradot TTS Patches 100mcg/day 8
E
1455 / 1
EString Vaginal Ring 1
E
12017 / 1
Estriol 0.01% cream with applicator 1 pack (DT)
DT
E
13847 / 15
Estriol 0.1% cream 15 gram (DT)
DT
E
12271 / 56
Ethambutol 100mg tablets 56 tablet (DT)
DT
E
12272 / 56
Ethambutol 400mg tablets 56 tablet (DT)
DT
E
12018 / 100
Ethanol 90% including duty 100 ml (DT)
DT
ZD
E
55 / 21
Ethinylestradiol 10microgram tablets 21 tablet (DT)
DT
ZD
E
12213 / 28
Ethinylestradiol 1mg tablets 28 tablet (DT)
DT
ZD
E
14591 / 63
Ethinylestradiol 30microgram / Levonorgestrel 150microgram tablets 63 tablet (DT)
DT
E
14390 / 9
Ethinylestradiol 33.9micrograms/24hours / Norelgestromin 203micrograms/24hours transdermal
patches 9 patch (DT)
DT
E
14734 / 63
Ethinylestradiol 35microgram / Norethisterone 1mg tablets 63 tablet (DT)
DT
E
68 / 21
Ethinylestradiol 50microgram tablets 21 tablet (DT)
DT
5268 / 100
Ethinyloestradiol (UCB) Tablets 2mcg 100
12495 / 56
Ethosuximide 250mg capsules 56 capsule (DT)
DT
12496 / 200
Ethosuximide 250mg/5ml oral solution 200 ml (DT)
DT
E
13231 / 60
Etodolac 300mg capsules 60 capsule (DT)
DT
E
13232 / 30
Etodolac 600mg modified-release tablets 30 tablet (DT)
DT
E
4068 / 30
Etopan XL Tablets 600mg 30
13897 / 28
Etoricoxib 120mg tablets 28 tablet (DT)
DT
E
13898 / 28
Etoricoxib 30mg tablets 28 tablet (DT)
DT
E
13894 / 28
Etoricoxib 60mg tablets 28 tablet (DT)
DT
E
13895 / 28
Etoricoxib 90mg tablets 28 tablet (DT)
DT
E
4527 / 125
Etrivex Medicated Shampoo 125ml
14232 / 500
Eucalyptus oil liquid 500 ml (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
E
E
E
DT
ZD
Page 85 of 550
E
Code/Pack
Description
DT CD ZD N E D
8286 / 28
Eucardic Tablets 3.125mg 28
E
8321 / 28
Eucardic Tablets 6.25mg 28
E
7420 / 28
Eucardic Tablets 12.5mg 28
E
7443 / 28
Eucardic Tablets 25mg 28
E
3363 / 400
Eucerin ATOControl Bath & Shower oil 400ml
E
2532 / 250
Eucerin DermoCapillaire Calming urea shampoo 5% 250ml
7741 / 75
Eucerin Dry Relief Hand Cream 5% 75g
E
3364 / 75
Eucerin Dry Skin Relief Cream with Urea 5% 75g
E
3367 / 50
Eucerin Dry Skin Relief Face Cream with Urea 5% 50g
E
7733 / 100
Eucerin Dry Skin Relief Foot Cream 10% 100g
E
2535 / 100
Eucerin Intensive Cream 10% with Urea 100ml
NE
8729 / 250
Eucerin Intensive Lotion 10% with Urea 250ml
NE
4919 / 60
Eucreas F/C Tablets 1000mg/50mg 60
E
4916 / 60
Eucreas F/C Tablets 850mg/50mg 60
E
3166 / 5
Eudemine Injection Ampoules 20ml 5
E
3167 / 100
Eudemine Tablets 50mg 100
E
2770 / 15
Eumovate Cream 15g
Eczema & Dermatitis Cream
E
4092 / 30
Eumovate Cream 30g
E
4094 / 100
Eumovate Cream 100g
E
4123 / 30
Eumovate Ointment 30g
E
4124 / 100
Eumovate Ointment 100g
E
2059 / 30
Eurax Cream 30g
NE
2060 / 100
Eurax Cream 100g
NE
1663 / 15
Eurax HC Cream 15g
E
1319 / 30
Eurax Hydrocortisone Cream 30g
E
3652 / 100
Eurax Lotion 100ml
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
NE
Page 86 of 550
Code/Pack
Description
DT CD ZD N E D
9489 / 90
Every x 3 Reagent 90
15 drums of 6 strips each
8383 / 28
Evista Tablets 60mg 28
E
8433 / 84
Evista Tablets 60mg 84
E
7610 / 8
Evorel 25 Patches 1.6 mg 8
E
6925 / 8
Evorel 50 Patches 3.2mg 8
E
6961 / 24
Evorel 50 Patches 3.2mg 24
E
7614 / 8
Evorel 75 Patches 4.8mg 8
E
7633 / 8
Evorel 100 Patches 6.4mg 8
E
4592 / 8
Evorel Conti - Patches 8
E
6239 / 24
Evorel Conti - Patches 24
E
3688 / 8
Evorel Sequi - Patches 8
4593 / 100
Evotrox Oral Solution 25mcg/5ml 100ml
ZD
E
4594 / 100
Evotrox Oral Solution 50mcg/5ml 100ml
ZD
E
3389 / 9
Evra Transdermal Patches 9
E
8189 / 28
Exelon Capsules 1.5mg 28
E
8227 / 56
Exelon Capsules 1.5mg 56
E
8230 / 28
Exelon Capsules 3mg 28
E
8245 / 56
Exelon Capsules 3mg 56
E
8259 / 28
Exelon Capsules 4.5mg 28
E
8266 / 56
Exelon Capsules 4.5mg 56
E
8282 / 28
Exelon Capsules 6mg 28
E
8297 / 56
Exelon Capsules 6mg 56
E
7897 / 120
Exelon Oral Solution 2mg/ml 120ml
E
4217 / 30
Exelon Transdermal Patch 4.6mg/24hr 30
E
4226 / 30
Exelon Transdermal Patch 9.5mg/24hr 30
E
13480 / 30
Exemestane 25mg tablets 30 tablet (DT)
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
E
DT
Page 87 of 550
E
Code/Pack
Description
DT CD ZD N E D
14054 / 1
Exenatide 10micrograms/0.04ml solution for injection 2.4ml pre-filled disposable devices 1 prefilled disposable injection (DT)
DT
ZD
E
14055 / 1
Exenatide 5micrograms/0.02ml solution for injection 1.2ml pre-filled disposable devices 1 prefilled disposable injection (DT)
DT
ZD
E
3838 / 28
Exforge F/C Tablets 5/ 80mg 28
E
3859 / 28
Exforge F/C Tablets 5/160mg 28
E
3860 / 28
Exforge F/C Tablets 10/160mg 28
E
5313 / 28
Exjade Dispersible Tablets 125mg 28
ZD
E
5317 / 28
Exjade Dispersible Tablets 250mg 28
ZD
E
5319 / 28
Exjade Dispersible Tablets 500mg 28
ZD
E
7176 / 5
Exocin Eye Drops 5ml
E
8304 / 100
Exorex Cream 100g
E
8333 / 250
Exorex Cream 250g
E
8355 / 100
Exorex Lotion 100ml
E
8419 / 250
Exorex Lotion 250ml
E
8326 / 250
Exorex Shampoo 250ml
E
2504 / 8
Exterol Ear Drops 8ml
E
13989 / 28
Ezetimibe 10mg tablets 28 tablet (DT)
2339 / 28
Ezetrol Tablets 10mg 28
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 88 of 550
Code/Pack
Description
DT CD ZD N E D
F
13047 / 10
Famciclovir 125mg tablets 10 tablet (DT)
DT
13045 / 21
Famciclovir 250mg tablets 21 tablet (DT)
DT
ZD
E
13049 / 14
Famciclovir 500mg tablets 14 tablet (DT)
DT
ZD
E
188 / 28
Famotidine 20mg tablets 28 tablet (DT)
DT
E
251 / 28
Famotidine 40mg tablets 28 tablet (DT)
DT
E
7287 / 21
Famvir Tablets “Once-A-Day” 250mg 21
ZD
E
4969 / 56
Famvir Tablets 250mg 56
ZD
E
7675 / 10
Famvir Tablets 125mg 10
7676 / 15
Famvir Tablets 250mg 15
ZD
E
8148 / 14
Famvir Tablets 500mg 14
ZD
E
8167 / 30
Famvir Tablets 500mg 30
ZD
E
4470 / 7
Famvir Tablets 750mg One-A-Day 7
E
7917 / 30
Fareston Tablets 60mg 30
E
6268 / 16
Fasigyn Tablets 500mg 16
E
7706 / 2
Faslodex Solution for Injection 250mg/5ml 2
1209 / 1
Fate L/P All-Purpose Mix 500g 1
Code no. of packs dispensed
E
1210 / 1
Fate L/P Cake Mix 2 x 250g 1
Code 2 x 250g as / 1
E
1212 / 1
Fate L/P Chocolate Flavour Cake Mix 2 x 250g 1
Code 2 x 250g as / 1
E
2077 / 60
Faverin Tablets 50mg 60
E
2640 / 30
Faverin Tablets 100mg 30
E
13816 / 100
Felbinac 3% gel 100 gram (DT)
DT
E
13815 / 30
Felbinac 3% gel 30 gram (DT)
DT
E
13814 / 100
Felbinac 3.17% foam 100 gram (DT)
DT
E
3494 / 30
Feldene Capsules 10mg 30
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
ZD
E
E
Page 89 of 550
Code/Pack
Description
DT CD ZD N E D
3162 / 30
Feldene Capsules 20mg 30
E
2430 / 60
Feldene Gel 60g
E
6822 / 112
Feldene Gel 112g
E
6896 / 30
Feldene Melt Tablets 20mg 30
E
421 / 28
Felodipine 10mg modified-release tablets 28 tablet (DT)
DT
E
5208 / 28
Felodipine 2.5mg modified-release tablets 28 tablet (DT)
DT
E
13555 / 28
Felodipine 5mg modified-release / Ramipril 5mg tablets 28 tablet (DT)
DT
E
344 / 28
Felodipine 5mg modified-release tablets 28 tablet (DT)
DT
E
6413 / 28
Felotens Tablets 2.5mg 28
3368 / 30
Femara 2.5mg tablets 30
2846 / 84
Femodene ED Tablets (3x28) 84
E
3486 / 63
Femodene Tablets (3x21) 63
E
8688 / 63
Femodette Tablets 63
E
7812 / 84
Femoston 1/10 Combi-Tablets 84
7785 / 84
Femoston 2/10 Tablets 84
7056 / 84
Femoston Conti Tablets 84
E
7085 / 4
Femseven 50 Matrix Patch 50mcg 4
E
6815 / 12
Femseven 50 Matrix Patch 50mcg 12
E
8124 / 4
Femseven 75 Matrix Patch 4 weeks 75mcg 4
Code each 4 week supply as /4
E
8209 / 4
Femseven 100 Matrix Patch 4 weeks 100mcg 4
Code each 4 week supply as /4
E
6775 / 4
Femseven Conti Patch 4
E
6778 / 12
Femseven Conti Patch 12
E
6782 / 4
Femseven Sequi Patch 4
(2 Prescription Charges)
E
6788 / 12
Femseven Sequi Patch 12
(2 Prescription Charges)
E
2632 / 84
Femulen Tablets 84
E
3370 / 30
Fenbid Gel 5% 30g
E
E
ZD
(2 Prescription Charges)
1 2015
E
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
E
E
Page 90 of 550
Code/Pack
Description
DT CD ZD N E D
3244 / 50
Fenbid Gel 5% 50g
E
2667 / 100
Fenbid Gel 5% 100g
E
8781 / 30
Fenbid Forte Gel 10% 30g
E
8404 / 100
Fenbid Forte Gel 10% 100g
E
4591 / 120
Fenbid Spansule Capsules 300mg 120
E
1770 / 1
Fendrix Pre-filled Syringe 20mcg/0.5ml 1
14005 / 28
Fenofibrate micronised 160mg tablets 28 tablet (DT)
DT
E
927 / 28
Fenofibrate micronised 200mg capsules 28 capsule (DT)
DT
E
565 / 28
Fenofibrate micronised 267mg capsules 28 capsule (DT)
DT
E
14003 / 90
Fenofibrate micronised 67mg capsules 90 capsule (DT)
DT
E
1509 / 100
Fenopron Tablets 300mg 100
2578 / 5
Fentalis Reservoir Transdermal Patch 25mcg 5
CD ZD
E
2579 / 5
Fentalis Reservoir Transdermal Patch 50mcg 5
CD ZD
E
2580 / 5
Fentalis Reservoir Transdermal Patch 75mcg 5
CD ZD
E
2573 / 5
Fentalis Reservoir Transdermal Patch 100mcg 5
CD ZD
E
14335 / 28
Fentanyl 100microgram buccal tablets sugar free 28 tablet (DT)
DT CD ZD
E
12453 / 5
Fentanyl 100micrograms/hour transdermal patches 5 patch (DT)
DT CD ZD
E
12454 / 5
Fentanyl 12micrograms/hour transdermal patches 5 patch (DT)
DT CD ZD
E
14336 / 28
Fentanyl 200microgram buccal tablets sugar free 28 tablet (DT)
DT CD ZD
E
12450 / 5
Fentanyl 25micrograms/hour transdermal patches 5 patch (DT)
DT CD ZD
E
14337 / 28
Fentanyl 400microgram buccal tablets sugar free 28 tablet (DT)
DT CD ZD
E
12451 / 5
Fentanyl 50micrograms/hour transdermal patches 5 patch (DT)
DT CD ZD
E
14338 / 28
Fentanyl 600microgram buccal tablets sugar free 28 tablet (DT)
DT CD ZD
E
12452 / 5
Fentanyl 75micrograms/hour transdermal patches 5 patch (DT)
DT CD ZD
E
14339 / 28
Fentanyl 800microgram buccal tablets sugar free 28 tablet (DT)
DT CD ZD
E
3936 / 100
Fentazin Tablets 2mg 100
E
3938 / 100
Fentazin Tablets 4mg 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
Page 91 of 550
Code/Pack
Description
DT CD ZD N E D
14181 / 500
Ferric chloride solution 500 ml (DT)
4071 / 100
Ferriprox F/C Tablets 100
E
4036 / 500
Ferriprox Oral Solution 100mg/ml 500ml
E
2440 / 30
Ferrograd Filmtabs 325mg 30
E
4672 / 30
Ferrograd-Film Folic Filmtabs 325mg 30
E
12594 / 200
Ferrous fumarate 140mg/5ml oral solution 200 ml (DT)
DT
E
12593 / 300
Ferrous fumarate 140mg/5ml oral solution sugar free 300 ml (DT)
DT
E
14546 / 84
Ferrous fumarate 210mg tablets 84 tablet (DT)
DT
E
14128 / 100
Ferrous fumarate 305mg / Folic acid 350microgram capsules 100 capsule (DT)
DT
E
12590 / 100
Ferrous fumarate 305mg capsules 100 capsule (DT)
DT
E
14127 / 28
Ferrous fumarate 322mg / Folic acid 350microgram tablets 28 tablet (DT)
DT
E
12591 / 28
Ferrous fumarate 322mg tablets 28 tablet (DT)
DT
E
12289 / 28
Ferrous gluconate 300mg tablets 28 tablet (DT)
DT
E
838 / 500
Ferrous Phosphate Syrup Compound BPC 500ml
84 / 28
Ferrous sulfate 200mg tablets 28 tablet (DT)
DT
E
14087 / 30
Ferrous sulfate 325mg / Folic acid 350microgram modified-release tablets 30 tablet (DT)
DT
E
12755 / 30
Ferrous sulfate 325mg modified-release tablets 30 tablet (DT)
DT
E
3424 / 28
Fersaday Tablets 100mg 28
E
2590 / 200
Fersamal Syrup 200ml
E
3784 / 100
Fersamal Tablets 200mg 100
E
14239 / 28
Fesoterodine 4mg modified-release tablets 28 tablet (DT)
DT
E
14240 / 28
Fesoterodine 8mg modified-release tablets 28 tablet (DT)
DT
E
389 / 30
Fexofenadine 120mg tablets 30 tablet (DT)
DT
E
390 / 30
Fexofenadine 180mg tablets 30 tablet (DT)
DT
E
13336 / 60
Fexofenadine 30mg tablets 60 tablet (DT)
DT
E
5794 / 30
Finacea Gel 30
5209 / 28
Finasteride 5mg tablets 28 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
ZD
E
E
E
DT
Page 92 of 550
E
Code/Pack
Description
DT CD ZD N E D
3662 / 50
FineTouch Testing Tips Reagent 50
17360 / 2
Firmagon Powder For Injection 120mg Vial 2
ZD
E
17359 / 1
Firmagon Powder For Injection 80mg Vial 1
ZD
E
4440 / 100
Flagyl S Suspension 200mg/5ml 100ml
ED
4246 / 10
Flagyl Suppositories 500mg 10
E
4299 / 10
Flagyl Suppositories 1g 10
E
1288 / 21
Flagyl Tablets 200mg 21
ED
4346 / 14
Flagyl Tablets 400mg 14
ED
2403 / 20
Flamazine Cream 20g
E
2720 / 50
Flamazine Cream 50g
E
2428 / 250
Flamazine Cream 250g
E
3695 / 500
Flamazine Cream 500g
E
4038 / 28
Flamrase SR (Berk) Tablets 75mg 28
ED
4479 / 56
Flamrase SR (Berk) Tablets 75mg 56
ED
12610 / 90
Flavoxate 200mg tablets 90 tablet (DT)
DT
E
73 / 60
Flecainide 100mg tablets 60 tablet (DT)
DT
E
65 / 60
Flecainide 50mg tablets 60 tablet (DT)
DT
E
7882 / 1
Fleet Enema (133ml) 1
Code No. of Enemas dispensed
14192 / 100
Flexible collodion methylated 100 ml (DT)
3785 / 1
Flixonase Allergy Nasal Spray 60 dose 1
Code No. of Sprays dispensed
E
4430 / 1
Flixonase Aqueous Nasal Spray 150 dose 1
Code No. of Sprays dispensed
E
7767 / 28
Flixonase Nasule Nasal Drops 400mcg/unit dose 0.4ml 28
E
7704 / 1
Flixotide Accuhaler 50mcg 60 dose
Code No. of Inhalers dispensed
E
7779 / 1
Flixotide Accuhaler 100mcg 60 dose
Code No. of Inhalers dispensed
E
8072 / 1
Flixotide Accuhaler 250mcg 60 dose
Code No. of Inhalers dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
NE
DT
ZD
Page 93 of 550
E
Code/Pack
Description
DT CD ZD N E D
7723 / 1
Flixotide Accuhaler 500mcg 60 dose
Code No. of Inhalers dispensed
E
2425 / 1
Flixotide Evohaler CFC Free 50mcg 120 dose 1
Code No. of Inhalers dispensed
E
2294 / 1
Flixotide Evohaler CFC Free 125mcg 120 dose 1
Code No. of Inhalers dispensed
E
2322 / 1
Flixotide Evohaler CFC Free 250mcg 120 dose 1
Code No. of Inhalers dispensed
E
1430 / 10
Flixotide Nebules 0.5mg/2ml 10
E
2381 / 10
Flixotide Nebules 2mg/2ml 10
8564 / 1
Flolan Vials 1.5mg 1
E
6701 / 1
Flolan with Vial Glycine 0.5mg 1
E
2023 / 30
Flomaxtra XL Film Coated Tablets 400mcg 30
E
4210 / 100
Florinef Tablets 0.1mg 100
9553 / 60
Flotros Tablets 20mg 20
E
3147 / 28
Floxapen Capsules 250mg 28
E
3872 / 28
Floxapen Capsules 500mg 28
E
2574 / 60
Fluanaxol Tablets 0.5mg 60
E
2441 / 60
Fluanaxol Tablets 1mg 60
E
7535 / 1
Fluarix (GSK) Influenza Vaccine 1
ZD
E
7547 / 10
Fluarix (GSK) Influenza Vaccine 10
ZD
E
13029 / 100
Flucloxacillin 125mg/5ml oral solution 100 ml (DT)
DT
E
586 / 100
Flucloxacillin 125mg/5ml oral solution sugar free 100 ml (DT)
DT
E
46 / 28
Flucloxacillin 250mg capsules 28 capsule (DT)
DT
E
13030 / 100
Flucloxacillin 250mg/5ml oral solution 100 ml (DT)
DT
E
5211 / 100
Flucloxacillin 250mg/5ml oral solution sugar free 100 ml (DT)
DT
E
375 / 28
Flucloxacillin 500mg capsules 28 capsule (DT)
DT
E
12014 / 1
Fluconazole 150mg capsule and Clotrimazole 2% cream 1 pack (DT)
DT
E
121 / 1
Fluconazole 150mg capsules 1 capsule (DT)
DT
E
133 / 7
Fluconazole 200mg capsules 7 capsule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 94 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
12375 / 35
Fluconazole 200mg/5ml oral suspension 35 ml (DT)
DT
119 / 7
Fluconazole 50mg capsules 7 capsule (DT)
DT
ED
12374 / 35
Fluconazole 50mg/5ml oral suspension 35 ml (DT)
DT
ED
6366 / 15
Fludara Tablets 10mg 15
ZD
E
6557 / 20
Fludara Tablets 10mg 20
ZD
E
7484 / 5
Fludara Vials 50mg 5
ZD
E
348 / 1
Fludarabine Lyophilisate (Actavis) Solution For Injection 50mg/ml 1
ZD
E
12953 / 100
Fludrocortisone 100microgram tablets 100 tablet (DT)
DT
ZD
E
12745 / 1
Fludroxycortide 4micrograms/square cm tape 7.5cm 200 cm (DT) [BSO Pack = 1]
Code each pack of 2m as 1
DT
E
12744 / 1
Fludroxycortide 4micrograms/square cm tape 7.5cm 50 cm (DT) [BSO Pack = 1]
Code each pack of 0.5 as 1
DT
E
17289 / 10
Fluenz Nasal Suspension flu vaccine 0.2ml 10 doses
1167 / 5
Flumazenil Solution 100mcg/ml Ampoules 5ml 5
Code No. of Ampoules Dispensed
14207 / 10
Flumetasone 0.02% / Clioquinol 1% ear drops 10 ml (DT)
DT
E
14206 / 8
Flumetasone 0.02% / Clioquinol 1% ear drops 7.5 ml (DT) [BSO Pack = 8]
Code each pack of 7.5 as 8
DT
E
12313 / 50
Fluocinolone 0.0025% cream 50 gram (DT)
DT
E
12312 / 50
Fluocinolone 0.00625% cream 50 gram (DT)
DT
E
12307 / 50
Fluocinolone 0.00625% ointment 50 gram (DT)
DT
E
12315 / 100
Fluocinolone 0.025% cream 100 gram (DT)
DT
E
12314 / 30
Fluocinolone 0.025% cream 30 gram (DT)
DT
E
12308 / 30
Fluocinolone 0.025% gel 30 gram (DT)
DT
E
12309 / 60
Fluocinolone 0.025% gel 60 gram (DT)
DT
E
12311 / 100
Fluocinolone 0.025% ointment 100 gram (DT)
DT
E
12310 / 30
Fluocinolone 0.025% ointment 30 gram (DT)
DT
E
12243 / 100
Fluocinonide 0.05% cream 100 gram (DT)
DT
E
12242 / 25
Fluocinonide 0.05% cream 25 gram (DT)
DT
E
12245 / 100
Fluocinonide 0.05% ointment 100 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
E
E
E
Page 95 of 550
Code/Pack
Description
DT CD ZD N E D
12244 / 25
Fluocinonide 0.05% ointment 25 gram (DT)
7071 / 200
Fluoraday Tablets 1.1mg 200
ED
7252 / 200
Fluoraday Tablets 2.2mg 200
ED
6190 / 400
Fluorigard Daily 400ml
ED
13367 / 10
Fluorometholone 0.1% eye drops 10 ml (DT)
DT
E
13366 / 5
Fluorometholone 0.1% eye drops 5 ml (DT)
DT
E
12088 / 40
Fluorouracil 5% cream 40 gram (DT)
DT
E
5600 / 30
Fluoxetine 20mg capsules 30 capsule (DT)
DT
E
14694 / 28
Fluoxetine 20mg dispersible tablets sugar free 28 tablet (DT)
DT
E
487 / 70
Fluoxetine 20mg/5ml oral solution 70 ml (DT)
DT
E
515 / 30
Fluoxetine 60mg capsules 30 capsule (DT)
DT
E
14271 / 60
Flupentixol 1mg tablets 60 tablet (DT)
DT
E
14269 / 100
Flupentixol 3mg tablets 100 tablet (DT)
DT
E
14270 / 60
Flupentixol 500microgram tablets 60 tablet (DT)
DT
E
13606 / 5
Fluphenazine decanoate 100mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
13607 / 10
Fluphenazine decanoate 25mg/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
891 / 100
Flurbiprofen 100mg tablets 100 tablet (DT)
DT
E
790 / 100
Flurbiprofen 50mg tablets 100 tablet (DT)
DT
E
12614 / 16
Flurbiprofen 8.75mg lozenges 16 lozenge (DT)
DT
E
13111 / 84
Flutamide 250mg tablets 84 tablet (DT)
DT
E
13330 / 15
Fluticasone 0.005% ointment 15 gram (DT)
DT
E
13331 / 30
Fluticasone 0.005% ointment 30 gram (DT)
DT
E
13328 / 15
Fluticasone 0.05% cream 15 gram (DT)
DT
E
13329 / 30
Fluticasone 0.05% cream 30 gram (DT)
DT
E
13995 / 1
Fluticasone 100micrograms/dose / Salmeterol 50micrograms/dose dry powder inhaler 60 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13320 / 1
Fluticasone 100micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 96 of 550
E
Code/Pack
Description
DT CD ZD N E D
14542 / 120
Fluticasone 125micrograms/dose / Formoterol 5micrograms/dose inhaler CFC free 120 dose (DT) DT
E
13993 / 1
Fluticasone 125micrograms/dose / Salmeterol 25micrograms/dose inhaler CFC free 120 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13323 / 1
Fluticasone 125micrograms/dose inhaler CFC free 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14543 / 120
Fluticasone 250micrograms/dose / Formoterol 10micrograms/dose inhaler CFC free 120 dose
(DT)
DT
13994 / 1
Fluticasone 250micrograms/dose / Salmeterol 25micrograms/dose inhaler CFC free 120 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13996 / 1
Fluticasone 250micrograms/dose / Salmeterol 50micrograms/dose dry powder inhaler 60 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13321 / 1
Fluticasone 250micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13324 / 1
Fluticasone 250micrograms/dose inhaler CFC free 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13327 / 28
Fluticasone 400microgram/unit dose nasal drops 28 unit dose (DT)
DT
E
13997 / 1
Fluticasone 500micrograms/dose / Salmeterol 50micrograms/dose dry powder inhaler 60 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13322 / 1
Fluticasone 500micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14544 / 120
Fluticasone 50micrograms/dose / Formoterol 5micrograms/dose inhaler CFC free 120 dose (DT)
DT
E
13992 / 1
Fluticasone 50micrograms/dose / Salmeterol 25micrograms/dose inhaler CFC free 120 dose
(DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13319 / 1
Fluticasone 50micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13325 / 1
Fluticasone 50micrograms/dose inhaler CFC free 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13332 / 1
Fluticasone furoate 27.5micrograms/dose nasal spray 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13326 / 1
Fluticasone propionate 50micrograms/dose nasal spray 150 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
9973 / 120
Flutiform 125micrograms/dose / 5micrograms/dose inhaler 120 dose
CODE EACH INHALER AS 120
9975 / 120
Flutiform 250micrograms/dose / 10micrograms/dose inhaler 120 dose
CODE EACH INHALER AS 120
9972 / 120
Flutiform 50micrograms/dose / 5micrograms/dose inhaler 120 dose
CODE EACH INHALER AS 120
176 / 28
Fluvastatin 20mg capsules 28 capsule (DT)
DT
E
290 / 28
Fluvastatin 40mg capsules 28 capsule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
E
E
Page 97 of 550
Code/Pack
Description
DT CD ZD N E D
13100 / 28
Fluvastatin 80mg modified-release tablets 28 tablet (DT)
DT
E
6256 / 30
Fluvoxamine 100mg tablets 30 tablet (DT)
DT
E
6253 / 60
Fluvoxamine 50mg tablets 60 tablet (DT)
DT
E
6177 / 5
FML Eye Drops 0.1% 5ml
E
6238 / 10
FML Eye Drops 0.1% 10ml
E
12115 / 150
Folic acid 2.5mg/5ml oral solution sugar free 150 ml (DT)
DT
E
12114 / 90
Folic acid 400microgram tablets 90 tablet (DT)
DT
NE
52 / 28
Folic acid 5mg tablets 28 tablet (DT)
DT
E
8085 / 60
Foradil Capsules 60
E
9565 / 15
Forceval Capsules 15
E
6244 / 30
Forceval Capsules 30
E
7062 / 90
Forceval Capsules 90
E
6274 / 30
Forceval Junior Capsules 30
E
7372 / 60
Forceval Junior Capsules 60
E
9822 / 10
Forceval Soluble tablets 10
E
9828 / 30
Forceval Soluble tablets 30
E
13729 / 500
Formaldehyde solution 500 ml (DT)
DT
13880 / 60
Formoterol 12microgram inhalation powder capsules with device 60 capsule (DT)
DT
E
14704 / 120
Formoterol 12micrograms/dose dry powder inhaler 120 dose (DT)
DT
E
13878 / 1
Formoterol 12micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13879 / 1
Formoterol 12micrograms/dose inhaler CFC free 100 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
13877 / 1
Formoterol 6micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
2772 / 4
Forticreme Complete Dessert 125g 4
Code No. of 125g Packs dispensed
E
7666 / 1
Fortijuice Bottle 200ml
Code No. of Bottles dispensed. All flavours.
E
7994 / 4
Fortijuice Starter Pack 200ml 4
Code No. of Bottles dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 98 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
6193 / 4
Fortimel Bottle 200ml
Code No. of Packs dispensed. All flavours.
7823 / 1
Fortini Multifibre Supplement Bottle 200ml 1
Code No. of Packs Dispensed. All flavours.
8926 / 1
Fortini Smoothie Bottle 200ml 1
Code No. of Packs dispensed
8658 / 1
Fortini Supplement Bottle 200ml 1
Code No. of Packs dispensed
5088 / 30
Fortipine LA Tablets 40mg 30
E
2435 / 1
Fortisip Bottle 200ml
Code No. of Packs dispensed
E
9502 / 4
Fortisip Compact Bottle 125ml x 4
Code Full Pack as 4, Single Bottle as 1
E
7806 / 1
Fortisip Compact Fibre 4 x 125ml 1
Code No. of Packs Dispensed. All flavours.
E
9499 / 1
Fortisip Compact Starter Pack 6 x 125ml 1
Code No. of Packs dispensed
2055 / 1
Fortisip Extra Bottle 200ml 1
Code No. of Packs dispensed
E
2133 / 1
Fortisip Extra Starter Pack 4 x 200ml 1
Code No.of Starter Packs dispensed.
E
8650 / 1
Fortisip Multi Fibre Bottle 200ml
Code No. of Packs dispensed
E
3443 / 1
Fortisip Range Starter Pack 1 (3 Prescription Charges)
(Pack contains 4 Fortisip Bottle, 4 Fortijuice, 2 Fortisip Yoghurt Style ) Code No. of
Packs dispensed
E
6473 / 1
Fortisip Yoghurt Supplement Dessert 200ml 1
Code No. of Packs dispensed
E
6278 / 1
Fortum Powder For Solution Injection Vials 1g 1
ZD
E
6284 / 1
Fortum Powder For Solution Injection Vials 2g 1
ZD
E
7389 / 1
Fortum Powder For Solution Injection Vials 3g 1
ZD
E
6249 / 1
Fortum Powder For Solution Injection Vials 500mg 1
ZD
E
1271 / 28
Forxiga Tablet 10mg 28
E
1269 / 28
Forxiga Tablet 5mg 28
E
8408 / 4
Fosamax Once Weekly Tablets 70mg 4
E
7737 / 28
Fosamax Tablets 10mg 28
E
2239 / 4
Fosavance Tablets 70mg 4
E
2543 / 28
Fosinopril 10mg tablets 28 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
E
E
ZD
ZD
DT
Page 99 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
2544 / 28
Fosinopril 20mg tablets 28 tablet (DT)
6109 / 90
Fosrenol Tablets 500mg 90
ZD
E
6145 / 90
Fosrenol Tablets 750mg 90
ZD
E
6150 / 90
Fosrenol Tablets 1000mg 90
ZD
E
5420 / 1
Fostair Inhaler 120 Dose 100mcg/6mcg 1
Code No. of Inhalers dispensed
ZD
E
4063 / 10
Fostimon Injection 150iu 10
ZD
E
4062 / 10
Fostimon Injection 75iu 10
ZD
E
2932 / 10
Fragmin Ampoules 10,000iu 1ml 10
ZD
E
3744 / 10
Fragmin Ampoules 10,000iu 4ml 10
ZD
E
8344 / 5
Fragmin Graduated Syringe 10,000iu/1ml 5
ZD
E
8388 / 1
Fragmin Multidose Vials 100,000iu/4ml 1
ZD
E
2905 / 10
Fragmin Pre-Filled Syringe 2,500iu/0.2ml 10
3301 / 10
Fragmin Pre-Filled Syringe 5,000iu/0.2ml 10
ZD
E
7834 / 10
Fragmin Pre-Filled Syringe 7,500iu/0.3ml 10
ZD
E
8162 / 5
Fragmin Pre-Filled Syringe 10,000iu/0.4ml 5
ZD
E
8195 / 5
Fragmin Pre-Filled Syringe 12,500iu/0.5ml 5
ZD
E
8211 / 5
Fragmin Pre-Filled Syringe 15,000iu/0.6ml 5
ZD
E
8225 / 5
Fragmin Pre-Filled Syringe 18,000iu/0.72ml 5
ZD
E
2804 / 1
Frebini Energy Bottle 200ml 1
Code No. of Packs dispensed
ZD
E
4542 / 1
Frebini Energy Easybag 500ml 1
Code No. of Packs dispensed
ZD
E
4548 / 1
Frebini Energy Fibre 200ml 1
Code No. of Packs dispensed
ZD
E
2812 / 1
Frebini Energy Fibre Bottle 200ml 1
Code No. of Packs dispensed
ZD
E
4550 / 1
Frebini Energy Fibre Easybag 500ml 1
Code No. of Packs dispensed
ZD
E
4552 / 1
Frebini Original Easybag 500ml 1
Code No. of Packs dispensed
ZD
E
4555 / 1
Frebini Original Fibre Easybag 500ml 1
Code No. of Packs dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 100 of 550
Code/Pack
Description
DT CD ZD N E D
1574 / 25
Freederm Treatment Gel 4% 25g
3931 / 50
Freestyle Lite Reagent 50
NE
5431 / 10
FreeStyle Optium B-Ketone Test Strip Reagent 10
70784-35
NE
5558 / 50
FreeStyle Optium Reagent 50
NE
3320 / 50
Freestyle Reagent 50
NE
6983 / 1
Fresubin 1000 Tube Feed Easybag 1000ml 1
Code No. of Packs dispensed
ZD
E
6035 / 1
Fresubin 1200 Complete liquid 1000ml 1
Code No. of Packs dispensed
ZD
E
6022 / 1
Fresubin 1500 Complete liquid 1500ml
Code No. of Packs dispensed
ZD
E
8022 / 1
Fresubin 1800 Complete liquid 1500ml 1
Code No. of Packs dispensed
ZD
E
2618 / 1
Fresubin 2Kcal Drink 200ml 1
Code No. of Packs dispensed
6095 / 1
Fresubin 2Kcal Fibre Drink 200ml 1
Code No. of Packs dispensed
ZD
E
14671 / 4
Fresubin 5Kcal Shot (Lemon) 120ml 4
Code No. of Packs dispensed.
ZD
E
8748 / 4
Fresubin 5Kcal Shot (Neutral) 120ml 4
Code No. of Packs dispensed.
E
9110 / 4
Fresubin Creme Dessert 4
Code No Of 125g Packs Dispensed
E
6039 / 1
Fresubin Energy 200ml 1
Code No. of Packs dispensed. All flavours.
ZD
E
6045 / 1
Fresubin Energy Easybag 500ml 1
Code No. of Packs dispensed
ZD
E
6050 / 1
Fresubin Energy Easybag 1000ml 1
Code No. of Packs dispensed
ZD
E
3803 / 1
Fresubin Energy Easybag 1500ml 1
Code No. of Packs dispensed
ZD
E
6051 / 1
Fresubin Energy Fibre 200ml 1
Code No. of Packs dispensed
ZD
E
3811 / 1
Fresubin Energy Fibre 2250 Complete 1500ml 1
Code No. of Packs dispensed
ZD
E
6053 / 1
Fresubin Energy Fibre Easybag 500ml 1
Code No. of Packs dispensed
ZD N E
6061 / 1
Fresubin Energy Fibre Easybag 1000ml 1
Code No. of Packs dispensed
ZD
E
6006 / 1
Fresubin HP Energy High Protein Feed Easybag 500ml 1
Code No. of Packs dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
Page 101 of 550
Code/Pack
Description
DT CD ZD N E D
6013 / 1
Fresubin HP Energy High Protein Feed Easybag 1000ml 1
Code No. of Packs dispensed
2436 / 1
Fresubin Original Bottle 200ml 1
Code No. of Packs dispensed. All flavours.
6016 / 1
Fresubin Original Easybag 500ml 1
Code No. of Packs dispensed
ZD
E
6017 / 1
Fresubin Original Easybag 1000ml 1
Code No. of Packs dispensed
ZD
E
6019 / 1
Fresubin Original Easybag 1500ml 1
Code No. of Packs dispensed
ZD
E
6027 / 1
Fresubin Original Fibre Easybag 1000ml 1
Code No. of Packs dispensed
ZD
E
6062 / 1
Fresubin Protein Energy Drink 200ml 1
Code No. of Packs dispensed
6065 / 1
Fresubin Soya Fibre Easybag 500ml 1
Code No. of Packs dispensed
3585 / 4
Fresubin Thickened Stage 1 200ml 4
Code No. of Packs dispensed
3584 / 4
Fresubin Thickened Stage 2 200ml 4
Code No. of Packs dispensed
8298 / 30
Frisium Tablets 10mg 30
Schedule 11 by Prescriber
2736 / 100
Froben Tablets 50mg 100
E
2738 / 100
Froben Tablets 100mg 100
E
13868 / 6
Frovatriptan 2.5mg tablets 6 tablet (DT)
2855 / 28
Frumil LS Tablets 28
E
2856 / 56
Frumil LS Tablets 56
E
2080 / 28
Frumil Tablets 28
E
3125 / 56
Frumil Tablets 56
E
6197 / 56
Frusene Tablets 40mg 56
E
1939 / 150
Frusol Solution 20mg/5ml 150ml
E
2606 / 150
Frusol Solution 40mg/5ml 150ml
E
3871 / 150
Frusol Solution 50mg/5ml 150ml
E
2461 / 30
Fucibet Cream 30g
E
7678 / 60
Fucibet Cream 60g
E
2601 / 30
Fucibet Lipid Cream 30g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
E
ZD
E
E
ZD
DT
Page 102 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
3886 / 30
Fucidin Cream 30g
E
3879 / 15
Fucidin Cream 15
E
3894 / 30
Fucidin H Cream 30g
E
8495 / 60
Fucidin H Cream 60g
E
4584 / 30
Fucidin Ointment 2% 30g
ED
4583 / 15
Fucidin Ointment 2% 15g
ED
4351 / 50
Fucidin Suspension 250mg/5ml 50ml
E
4320 / 10
Fucidin Tablets 250mg 10
E
4333 / 100
Fucidin Tablets 250mg 100
E
2072 / 5
Fucithalmic Viscous Drops 5g
E
2587 / 30
Fultium-D3 800unit capsules 30
E
2448 / 10
Furosemide (Antigen) Injection 20mg/2ml 10
Code Number of Ampoules Dispensed
E
2418 / 10
Furosemide (Antigen) Injection 50mg/5ml 10
Code Number of Ampoules Dispensed
E
548 / 28
Furosemide 20mg tablets 28 tablet (DT)
DT
E
12868 / 150
Furosemide 20mg/5ml oral solution sugar free 150 ml (DT)
DT
E
104 / 28
Furosemide 40mg tablets 28 tablet (DT)
DT
E
12869 / 150
Furosemide 40mg/5ml oral solution sugar free 150 ml (DT)
DT
E
14750 / 28
Furosemide 500mg tablets 28 tablet (DT)
DT
E
12870 / 150
Furosemide 50mg/5ml oral solution sugar free 150 ml (DT)
DT
E
13009 / 5
Fusidic acid 1% modified-release eye drops 5 gram (DT)
DT
E
13010 / 15
Fusidic acid 2% cream 15 gram (DT)
DT
E
13011 / 30
Fusidic acid 2% cream 30 gram (DT)
DT
E
2622 / 30
Fybogel Hi-Fibre Orange Sachets 30
NE
2623 / 10
Fybogel Hi-Fibre Sachets 10
All flavours.
NE
7952 / 30
Fybogel Lemon Sachets 3500mg 30
NE
7171 / 10
Fybogel Mebevarine Sachets 10
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 103 of 550
Code/Pack
Description
DT CD ZD N E D
2109 / 30
Fybogel Orange Sachets 3500mg 30
NE
1919 / 30
Fybogel Sachets 3500mg 30
NE
5068 / 28
Fycompa Tablets 10mg 28
E
5073 / 28
Fycompa Tablets 12mg 28
E
5046 / 7
Fycompa Tablets 2mg 7
E
5047 / 28
Fycompa Tablets 4mg 28
E
5055 / 28
Fycompa Tablets 6mg 28
E
5059 / 28
Fycompa Tablets 8mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 104 of 550
Code/Pack
Description
DT CD ZD N E D
G
9935 / 30
GA gel oral powder 24g sachets 30
467 / 100
Gabapentin 100mg capsules 100 capsule (DT)
DT
E
468 / 100
Gabapentin 300mg capsules 100 capsule (DT)
DT
E
470 / 100
Gabapentin 400mg capsules 100 capsule (DT)
DT
E
14547 / 150
Gabapentin 50mg/ml oral solution sugar free 150 ml (DT)
DT
5214 / 100
Gabapentin 600mg tablets 100 tablet (DT)
DT
E
474 / 100
Gabapentin 800mg tablets 100 tablet (DT)
DT
E
8307 / 100
Gabitril Tablets 5mg 100
E
8312 / 100
Gabitril Tablets 10mg 100
E
8329 / 100
Gabitril Tablets 15mg 100
E
6220 / 1
Galactomin No. 17 400g 1
Code No. of Packs dispensed
ZD
E
6064 / 1
Galactomin No. 19 400g 1
Code No. of Packs dispensed
ZD
E
13670 / 56
Galantamine 12mg tablets 56 tablet (DT)
DT
E
13671 / 28
Galantamine 16mg modified-release capsules 28 capsule (DT)
DT
E
13672 / 28
Galantamine 24mg modified-release capsules 28 capsule (DT)
DT
E
13673 / 28
Galantamine 8mg modified-release capsules 28 capsule (DT)
DT
E
13669 / 56
Galantamine 8mg tablets 56 tablet (DT)
DT
E
3873 / 2000
Galcodine Linctus 15mg/5ml 2000ml
4065 / 2000
Galenphol Linctus 2000ml
4076 / 2000
Galenphol Linctus Paediatric 2000ml
4078 / 2000
Galenphol Linctus Strong 2000ml
4912 / 100
Galfer Capsules 100
E
4913 / 250
Galfer Capsules 305mg 250
E
4914 / 100
Galfer FA Capsules 100
E
7253 / 300
Galfer Syrup 300ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
E
E
E
Page 105 of 550
Code/Pack
Description
DT CD ZD N E D
3292 / 2000
Galpseud Linctus 30mg/5ml 2000ml
E
6189 / 500
Galpseud Plus Linctus Sugar Free 500ml
E
3293 / 100
Galpseud Tablets 60mg 100
E
5043 / 56
Galvus Tablets 50mg 56
E
14598 / 120
Gamolenic Acid (DT) 80mg Capsules 120
DT
E
14597 / 240
Gamolenic Acid (DT) Capsule 40mg 240
DT
E
14655 / 5
Ganciclovir 0.15% eye gel 5 gram (DT)
DT
E
1575 / 3
Ganfort Eye Drops 3ml
Code No of mls Dispensed
E
1576 / 9
Ganfort Eye Drops (3x3ml) 9ml
Code No of mls Dispensed
E
4048 / 1
Gardasil Pre-Filled Syringe 1
2131 / 20
Gastrocote chewable tablets 20 tablet
E
2083 / 500
Gastrocote Liquid Sugar Free 500ml
E
4013 / 150
Gaviscon Advance oral suspension 200mg 150ml
E
2387 / 300
Gaviscon Advance oral suspension 200mg 300ml
E
2020 / 250
Gaviscon Advance Oral Suspension 250ml
E
3995 / 500
Gaviscon Advance Oral Suspension 500ml
E
1994 / 60
Gaviscon Advance Tablets 60
E
3721 / 300
Gaviscon Cool Liquid 300ml
E
3736 / 16
Gaviscon Cool Tablets 16
E
3742 / 32
Gaviscon Cool Tablets 32
E
3760 / 16
Gaviscon Cool Tablets Handy Pack 16
E
3109 / 150
Gaviscon Double Action Liquid Peppermint 150ml
E
3114 / 300
Gaviscon Double Action Peppermint Liquid 300ml
E
3533 / 16
Gaviscon Double Action Tablets 16
E
3723 / 32
Gaviscon Double Action Tablets 32
E
1992 / 30
Gaviscon Infant Pack Sachets 15 Dual Sachets 30
Code No. of Sachets dispensed ie 15 code as /30
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 106 of 550
E
Code/Pack
Description
DT CD ZD N E D
2340 / 150
Gaviscon Liquid 80mg/5ml 150ml
E
2357 / 300
Gaviscon Liquid 80mg/5ml 300ml
E
2364 / 600
Gaviscon Liquid 80mg/5ml 600ml
E
1798 / 12
Gaviscon Liquid Sachets 10ml 12
Code no. of sachets dispensed
E
3650 / 63
Gedarel F/C Tablets 150/20mcg 63
E
3623 / 63
Gedarel F/C Tablets 150/30mcg 63
E
2307 / 10
Geltears Ophthalmic Gel 10g
E
14532 / 100
Gemfibrozil 300mg capsules 100 capsule (DT)
DT
E
12391 / 56
Gemfibrozil 600mg tablets 56 tablet (DT)
DT
E
3589 / 1
Generaid Plus Protein Supplement 400g 1
Code No. of Packs dispensed
17003 / 1
Genius G/F Brown Bread Unsliced 400g 1
E
17004 / 1
Genius G/F White Bread Unsliced 400g 1
E
8938 / 1
Genotropin GoQuick Pre-filled Pen 12mg 1
ZD
E
8937 / 1
Genotropin GoQuick Pre-filled Pen 5.3mg 1
ZD
E
1606 / 7
Genotropin Miniquick Syringe 0.6iu 0.2mg 7
ZD
E
2036 / 7
Genotropin Miniquick Syringe 1.2iu 0.4mg 7
ZD
E
2402 / 7
Genotropin Miniquick Syringe 1.8iu 0.6mg 7
ZD
E
2597 / 7
Genotropin Miniquick Syringe 2.4iu 0.8mg 7
ZD
E
2775 / 7
Genotropin Miniquick Syringe 3.0iu 1.0mg 7
ZD
E
3605 / 7
Genotropin Miniquick Syringe 3.6iu 1.2mg 7
ZD
E
3861 / 7
Genotropin Miniquick Syringe 4.2iu 1.4mg 7
ZD
E
3973 / 7
Genotropin Miniquick Syringe 4.8iu 1.6mg 7
ZD
E
4018 / 7
Genotropin Miniquick Syringe 5.4iu 1.8mg 7
ZD
E
4304 / 7
Genotropin Miniquick Syringe 6.0iu 2.0mg 7
ZD
E
6992 / 1
Genotropin Refill Cartridge 16iu 5.3mg 1
ZD
E
8490 / 1
Genotropin Refill Cartridge 36iu 12mg 1
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 107 of 550
E
Code/Pack
Description
DT CD ZD N E D
13754 / 10
Gentamicin 0.3% / Hydrocortisone acetate 1% ear drops 10 ml (DT)
DT
E
12657 / 10
Gentamicin 0.3% ear/eye drops 10 ml (DT)
DT
E
8027 / 10
Genticin Ampoules 40mg/ml 2ml 10
E
3746 / 10
Genticin Eye and Ear Drops 10ml
E
4626 / 10
Gentisone HC Ear Drops 10ml
E
7858 / 25
Germoloids Ointment 25ml
E
7874 / 55
Germoloids Ointment 55ml
E
7867 / 12
Germoloids Suppositories 12
E
7903 / 24
Germoloids Suppositories 24
E
2465 / 10
Gestone Ampoules 50mg/1ml 10
E
6210 / 10
Gestone Ampoules 100mg/2ml 10
E
2463 / 1
Glandosane Artificial Saliva Spray 50ml 1
Code No. of Sprays dispensed
403 / 28
Glibenclamide 2.5mg tablets 28 tablet (DT)
DT
E
434 / 28
Glibenclamide 5mg tablets 28 tablet (DT)
DT
E
13682 / 28
Gliclazide 30mg modified-release tablets 28 tablet (DT)
DT
E
13686 / 28
Gliclazide 40mg tablets 28 tablet (DT)
DT
E
14705 / 28
Gliclazide 60mg modified-release tablets 28 tablet (DT)
DT
E
869 / 28
Gliclazide 80mg tablets 28 tablet (DT)
DT
E
128 / 30
Glimepiride 1mg tablets 30 tablet (DT)
DT
E
129 / 30
Glimepiride 2mg tablets 30 tablet (DT)
DT
E
130 / 30
Glimepiride 3mg tablets 30 tablet (DT)
DT
E
132 / 30
Glimepiride 4mg tablets 30 tablet (DT)
DT
E
12286 / 28
Glipizide 5mg tablets 28 tablet (DT)
DT
E
8396 / 60
Glivec Film Coated Tablets 100mg 60
ZD
E
8398 / 30
Glivec Tablets 400mg 30
ZD
E
2883 / 1
GlucaGen HypoKit 1mg
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NED
Page 108 of 550
Code/Pack
Description
DT CD ZD N E D
12167 / 1
Glucagon 1mg powder and solvent for solution for injection vials 1 vial (DT)
7019 / 90
Glucobay Tablets 50mg 90
E
7069 / 90
Glucobay Tablets 100mg 90
E
17163 / 50
GlucoDock Glucose Reagent 50
NE
1736 / 50
Glucoflex-R Reagent 50
NE
3208 / 80
Glucogel Dextrose Gel 80g
E
1978 / 75
Glucogel Dextrose Gel (3x25g) 75g
E
6445 / 50
Glucolab Reagent 50
NE
2557 / 50
Glucomen aero Sensor Reagent 50
NE
3979 / 50
Glucomen GM Reagent 50
NE
3528 / 10
Glucomen LX Ketone Test Strips Reagent 10
42216
NE
4113 / 50
Glucomen LX Sensor Reagent 50
NE
1471 / 50
Glucomen Sensor Reagent 50
NE
2347 / 50
Glucomen Visio Reagent 50
NE
6530 / 30
Glucophage Powder Sachets 1000mg 30
E
8366 / 60
Glucophage Powder Sachets 1000mg 60
E
6309 / 30
Glucophage Powder Sachets 500mg 30
E
8375 / 60
Glucophage Powder Sachets 500mg 60
E
8783 / 28
Glucophage SR Tablets 1000mg 28
E
6709 / 56
Glucophage SR Tablets 1000mg 56
E
3440 / 28
Glucophage SR Tablets 500mg 28
E
3441 / 56
Glucophage SR Tablets 500mg 56
E
1006 / 28
Glucophage SR Tablets 750mg 28
E
1065 / 56
Glucophage SR Tablets 750mg 56
E
3325 / 84
Glucophage Tablets 500mg 84
E
3438 / 56
Glucophage Tablets 850mg 56
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
ZD
Page 109 of 550
E
Code/Pack
Description
DT CD ZD N E D
9440 / 50
GlucoRx Nexus Strips Reagent 50
NE
3991 / 50
GlucoRx Original Strips Reagent 50
NE
3545 / 30
Glucosamax Tablets 1500mg 30
E
4369 / 30
Glucosamine & Chondroitin (Valupak) Tablets 400/100mg 30
E
4375 / 90
Glucosamine & Chondroitin (Valupak) Tablets 400/100mg 90
E
210 / 30
Glucosamine HCL (IXL) Chewable Tablets 1500mg 30
E
14348 / 60
Glucosamine hydrochloride 625mg tablets 60 tablet (DT)
DT
E
14246 / 30
Glucosamine sulfate 1.5g tablets 30 tablet (DT)
DT
E
4411 / 30
Glucosamine Sulphate (Valupak) Tablets 500mg 30
E
4478 / 90
Glucosamine Sulphate (Valupak) Tablets 500mg 90
E
13456 / 75
Glucose 40% oral gel 75 gram (DT)
DT
E
13458 / 1
Glucose 50% solution for infusion 50ml vials 1 vial (DT)
DT
E
13455 / 140
Glucose liquid BPC 1963 140 gram (DT)
DT
E
6950 / 50
GluNEO testing strips 50
2882 / 1
Glutafin Gluten & Wheat Free Bread Mix 500g 1
Code Number of Packs Dispensed
E
2819 / 1
Glutafin Gluten & Wheat Free High Fibre Crackers 200g 1
Code Number of Packs Dispensed
E
7260 / 1
Glutafin Gluten & Wheat Free Mini Crackers 175g 1
Code Number of Packs Dispensed
E
8132 / 1
Glutafin Gluten Free Biscuits 200g 1
Code No. of Packs dispensed
E
8024 / 1
Glutafin Gluten Free Lasagne 250g 1
Code No. of Packs dispensed
E
7159 / 1
Glutafin Gluten Free Part Baked Fibre Rolls (200g) 1
Code No. of Packs dispensed
E
8529 / 1
Glutafin Gluten Free Savoury Short Biscuits 130g 1
Code No. of Packs dispensed
E
7735 / 1
Glutafin Gluten Free Tagliatelle 250g 1
Code No. of Packs dispensed
E
7376 / 1
Glutafin Gluten Free Wheat Free Shortbread 100g 1
Code No. of Packs dispensed
E
4141 / 1
Glutafin Gluten/Wheat Free Crackers 200g 1
Code No. of Packs dispensed
E
4917 / 1
Glutafin Gluten/Wheat Free Digestive Biscuits 150g 1
Code No. of Packs dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 110 of 550
Code/Pack
Description
DT CD ZD N E D
6450 / 1
Glutafin Gluten/Wheat Free Fibre Bread Mix 500g 1
Code No. of Packs dispensed
E
2933 / 1
Glutafin Gluten/Wheat Free Fibre/White Sliced Loaf 400g 1
Code No. of Loaves dispensed
E
7454 / 1
Glutafin Gluten/Wheat Free Pasta Spirals/Macaroni Penne/Spaghetti/Shells 500g 1
Code No. of Packs dispensed
E
6320 / 1
Glutafin Gluten/Wheat Free Pizza Bases 2x150g 1
Code No. of Packs dispensed
E
4292 / 1
Glutafin Gluten/Wheat Free Savoury Biscuits 125g 1
Code No. of Packs dispensed
E
4609 / 1
Glutafin Gluten/Wheat Free Sweet Biscuits 150g 1
Code No. of Packs dispensed
E
4185 / 1
Glutafin Gluten/Wheat Free Tea Biscuits 150g 1
Code No. of Packs dispensed
E
3280 / 1
Glutafin Select Fibre Loaf 400 g
Code No. of Loaves dispensed
E
4673 / 1
Glutafin Select Fibre Mix 500g
Code No. of Packs dispensed
E
3013 / 1
Glutafin Select GF Sliced Brown Bread 400g 1
Code No. of Packs dispensed
E
8444 / 1
Glutafin Select Gluten Free Bread Mix 500g
Code No. of Packs dispensed
E
2872 / 1
Glutafin Select Gluten Free Fibre Rolls (4) 1
Code No. of Packs dispensed
E
2828 / 1
Glutafin Select Gluten Free Fresh White Loaf 400g 1
Code Number of Packs Dispensed
E
6399 / 1
Glutafin Select Gluten Free Part Baked White Rolls (4) 1
Code No. of Packs dispensed
E
2841 / 1
Glutafin Select Gluten Free Pastry Mix 500g 1
Code Number of Packs Dispensed
E
2849 / 1
Glutafin Select Gluten Free Seeded Loaf Sliced 400g 1
Code Number of Packs Dispensed
E
6436 / 1
Glutafin Select Gluten Free Sliced White Loaf 400g
Code No. of Loaves dispensed
E
6460 / 1
Glutafin Select Gluten Free White Mix 500g
Code No. of Packs dispensed
E
2880 / 1
Glutafin Select Gluten Free White Rolls (4) 1
Code No. of Packs dispensed
E
13731 / 10
Glutaraldehyde 10% solution 10 ml (DT)
1514 / 10
Glutarol Solution 10% 10ml
263 / 12
Glycerol 1g suppositories 12 suppository (DT)
DT
NE
264 / 12
Glycerol 2g suppositories 12 suppository (DT)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 111 of 550
Code/Pack
Description
DT CD ZD N E D
265 / 12
Glycerol 4g suppositories 12 suppository (DT)
DT
NE
13950 / 100
Glycerol liquid 100 ml (DT)
DT
E
12763 / 30
Glyceryl trinitrate 0.4% rectal ointment 30 gram (DT)
DT
E
12762 / 60
Glyceryl trinitrate 2% ointment 60 gram (DT)
DT
E
12756 / 100
Glyceryl trinitrate 300microgram sublingual tablets 100 tablet (DT)
DT
E
12766 / 1
Glyceryl trinitrate 400micrograms/dose pump sublingual spray 180 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
5688 / 1
Glyceryl trinitrate 400micrograms/dose pump sublingual spray 200 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
70 / 100
Glyceryl trinitrate 500microgram sublingual tablets 100 tablet (DT)
DT
E
14721 / 30
Glycopyrronium bromide 1mg tablets 30 tablet (DT)
DT
E
14722 / 30
Glycopyrronium bromide 2mg tablets 30 tablet (DT)
DT
E
9741 / 5
Glypressin powder and solvent for solution for injection vials 1mg 5
E
6222 / 1
Glytrin Subligual Spray CFC Free 200 doses 400mcg
Code No. of Sprays dispensed
E
7751 / 10
Golden Eye Drops 10ml
E
7765 / 5
Golden Eye Ointment 0.15% 5g
E
3061 / 4
Golden Eye Ointment 1% 4g
E
4660 / 1
Gonal-F Pens 300iu(22mcg) 1
Code No. of Pens Dispensed
ZD
E
4663 / 1
Gonal-F Pens 450iu(33mcg) 1
Code No. of Pens Dispensed
ZD
E
4664 / 1
Gonal-F Pens 900iu(66mcg) 1
Code No. of Pens Dispensed
ZD
E
4665 / 1
Gonal-F Vials 75iu(5.5mcg) 1
Code No. of Vials Dispensed
ZD
E
4671 / 5
Gonal-F Vials 75iu(5.5mcg) 5
Code No. of Vials Dispensed
ZD
E
4675 / 1
Gonal-F Vials 450iu(33mcg) 1
Code No. of Vials Dispensed
ZD
E
4677 / 1
Gonal-F Vials 1050iu(77mcg) 1
Code No. of Vials Dispensed
ZD
E
4072 / 1
Gonapeptyl Depot pre-filled syringe 3.75mg 1
ZD
E
6923 / 14
Gopten Capsules 0.5mg 14
E
6934 / 28
Gopten Capsules 1mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 112 of 550
Code/Pack
Description
DT CD ZD N E D
6944 / 28
Gopten Capsules 2mg 28
E
4057 / 28
Gopten Capsules 4mg 28
E
13510 / 1
Goserelin 10.8mg implant pre-filled syringes 1 pre-filled disposable injection (DT)
DT
ZD
E
13509 / 1
Goserelin 3.6mg implant pre-filled syringes 1 pre-filled disposable injection (DT)
DT
ZD
E
14552 / 10
Granisetron 1mg tablets 10 tablet (DT)
DT
8351 / 5
Granocyte 13 Pre-Filled Syringe 105mg 5
ZD
E
8472 / 5
Granocyte 34 Pre-Filled Syringe 263mg 5
ZD
E
9993 / 1
Granocyte 13 Vials 105mcg 1
Code no of vials dispensed
ZD
E
9983 / 1
Granocyte 34 Vials 263mcg 1
Code no of Vials dispensed
ZD
E
7418 / 30
Grazax Tablets 30
E
8014 / 30
Grepid Tablets 75mg 30
E
12695 / 100
Griseofulvin 125mg tablets 100 tablet (DT)
DT
E
12696 / 100
Griseofulvin 500mg tablets 100 tablet (DT)
DT
E
5200 / 30
Gygel Contraceptive Gel 30g
9985 / 80
Gynest Cream with applicator 0.01% 80g
Code each pack/80
E
4557 / 78
Gyno - Daktarin Cream with Applicator 2% 78g
ED
2371 / 1
Gyno - Daktarin Vaginal Capsule 1200mg 1
E
2990 / 1
Gyno - Pevaryl 1 Vaginal Pessary 1
E
3631 / 15
Gyno - Pevaryl Cream 1% 15g
NE
3639 / 30
Gyno - Pevaryl Cream 1% 30g
NE
1911 / 3
Gyno - Pevaryl Pessaries 3
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
NE
E
Page 113 of 550
Code/Pack
Description
DT CD ZD N E D
H
2892 / 60
Haelan Cream 60g
E
2609 / 60
Haelan Ointment 60g
E
3155 / 1
Haelan Tape 7.5cmx 50cm 1
E
3043 / 1
Haelan Tape 7.5cmx200cm 1
E
7343 / 5
Haldol Ampoules 5mg/ml 5
E
3187 / 5
Haldol Deconate Ampoules 50mg/ml 5
E
3226 / 5
Haldol Deconate Ampoules 100mg/ml 5
E
7362 / 100
Haldol Oral Liquid 2mg/ml 100ml
E
1720 / 100
Haldol Tablets 5mg 100
E
1721 / 100
Haldol Tablets 10mg 100
E
1769 / 28
Half - Inderal LA Capsules 80mg 28
E
694 / 28
Half Beta-Prograne Capsules 80mg 28
E
7268 / 28
Half Securon SR Tablets 120mg 28
E
7358 / 60
Half Sinemet CR Tablets 60
E
507 / 28
Haloperidol 1.5mg tablets 28 tablet (DT)
DT
E
5684 / 28
Haloperidol 10mg tablets 28 tablet (DT)
DT
E
14553 / 100
Haloperidol 10mg/5ml oral solution sugar free 100 ml (DT)
DT
E
425 / 28
Haloperidol 20mg tablets 28 tablet (DT)
DT
E
12173 / 30
Haloperidol 500microgram capsules 30 capsule (DT)
DT
E
674 / 28
Haloperidol 5mg tablets 28 tablet (DT)
DT
E
12174 / 5
Haloperidol 5mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
14554 / 100
Haloperidol 5mg/5ml oral solution sugar free 100 ml (DT)
DT
E
2315 / 1
Havrix Junior Monodose 0.5ml 1
ZD
E
4600 / 10
Havrix Junior Monodose 0.5ml 10
ZD
E
7396 / 1
Havrix Monodose Vaccine 1
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 114 of 550
Code/Pack
Description
DT CD ZD N E D
7398 / 10
Havrix Monodose Vaccine 10
2095 / 10
Haymine Tablets 10
3766 / 1
HB-Vax Pro Pre-Filled Syringe Adults and Adolescents 10mcg/1ml 1
ZD
E
3768 / 1
HB-Vax Pro Pre-Filled Syringe for Children and Adolescents 0.5mcg/0.5ml 1
ZD
E
3597 / 1
HB-Vax Pro Vial For Dialysis and Pre-Dialysis 40mcg/1ml 1
ZD
E
3564 / 1
HCU Cooler Supplement 130ml 1
Code No. of packs dispensed
ZD
E
6211 / 30
HCU Express 15 Low Volume Drink Sachets 25g 30
Code No. of Sachets dispensed
ZD
E
5933 / 30
HCU Express 20 Low Volume Drink Sachets 34g 30
Code No. of Sachets dispensed
2652 / 30
HCU Gel Oral Powder Sachet 24g 30
Code No. of Sachets dispensed
ZD
E
3466 / 30
HCU-LV Powder 27.8g 30
Code No. of Sachets dispensed
ZD
E
3622 / 50
Hedrin Lotion 4% 50ml
NE
3745 / 150
Hedrin Lotion 4% 150ml
NE
3553 / 1
Helicobacter Test For Adults and Adolescents Infai (001) 1
Code Number of Tests Dispensed
E
3604 / 1
Helicobacter Test For Children Infai (003) 1
Code Number of Tests Dispensed
E
6219 / 10
Hemabate Sterile Solution Ampoules 1ml 10
7859 / 25
Hemocane Cream 25g
E
7584 / 10
Heparin Sodium Ampoules 1,0000iu/10ml 10ml 10
E
7559 / 10
Heparin Sodium Ampoules 1,000iu/ ml 1ml 10
E
7613 / 10
Heparin Sodium Ampoules 20,000iu/20ml 20ml 10
E
7588 / 10
Heparin Sodium Ampoules 25,000iu/5ml 5ml 10
E
7575 / 10
Heparin Sodium Ampoules 5,000iu/ ml 1ml 10
E
7571 / 10
Heparin Sodium Ampoules 5,000iu/5ml 5ml 10
E
7591 / 10
Heparin Sodium Ampoules 25,000iu/ ml 1ml 10
E
7560 / 10
Heparin Sodium Ampoules 5000U/0.2ml 0.2ml 10
E
2646 / 10
Heparin Sodium Flush Ampoules 100iu/ml 2ml 10
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
E
ZD
Page 115 of 550
E
Code/Pack
Description
DT CD ZD N E D
2949 / 10
Heparin Sodium Flush Ampoules 10iu/ml 5ml 10
13821 / 50
Heparinoid 0.3% cream 50 gram (DT)
DT
E
13820 / 50
Heparinoid 0.3% gel 50 gram (DT)
DT
E
1952 / 1
Hepatyrix Pre-Filled Syringe 1ml 1
ZD
E
3176 / 10
Hepatyrix Pre-Filled Syringe 1ml 10
ZD
E
6379 / 30
Hepsera Tablets 10mg 30
ZD
E
4629 / 5
Herpid Solution 5% with Brush 5ml
12087 / 200
Hexetidine 0.1% mouthwash sugar free 200 ml (DT)
3228 / 112
Hexopal Forte Tablets 750mg 112
E
1804 / 100
Hexopal Tablets 500mg 100
E
6289 / 250
Hibiscrub Antiseptic Solution 250ml
ZD N E
6260 / 500
Hibiscrub Antiseptic Solution 500ml
ZD N E
8241 / 5000
Hibiscrub Antiseptic Solution 5000ml
ZD N E
8033 / 500
Hibisol Hand Disinfectant Rub 500ml
ZD N E
6339 / 250
Hibitane Obstetric Cream 250ml
3955 / 60
Hiprex Tablets 1g 60
E
3632 / 50
Hirudoid Cream 50g
E
6315 / 50
Hirudoid Gel 50g
E
6281 / 84
Hormonin Tablets 84
E
3150 / 200
Husk Powder 200g
2536 / 10
Hyalase Powder Ampoules 1500iu 10
E
8278 / 1
Hyalgan Pre-filled Syringe 20mg/2ml 1
E
9675 / 10
Hycamtin Capsules 0.25mg 10
ZD
E
9687 / 10
Hycamtin Capsules 1mg 10
ZD
E
8574 / 1
Hycamtin Vials 1mg 1
ZD
E
2748 / 1
Hyctamin Vials 4mg 1
ZD
E
406 / 56
Hydralazine 25mg tablets 56 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
DT
E
NE
NE
DT
Page 116 of 550
E
Code/Pack
Description
DT CD ZD N E D
506 / 56
Hydralazine 50mg tablets 56 tablet (DT)
3644 / 100
Hydrea Capsules 500mg 100
12219 / 15
Hydrocortisone 0.1% cream 15 gram (DT)
DT
E
12220 / 30
Hydrocortisone 0.1% cream 30 gram (DT)
DT
E
521 / 15
Hydrocortisone 0.5% cream 15 gram (DT)
DT
E
843 / 15
Hydrocortisone 0.5% ointment 15 gram (DT)
DT
E
13755 / 15
Hydrocortisone 1% / Clotrimazole 1% cream 15 gram (DT)
DT
E
13756 / 30
Hydrocortisone 1% / Clotrimazole 1% cream 30 gram (DT)
DT
E
13759 / 15
Hydrocortisone 1% / Miconazole 2% cream 15 gram (DT)
DT
ED
13760 / 30
Hydrocortisone 1% / Miconazole 2% cream 30 gram (DT)
DT
13758 / 30
Hydrocortisone 1% / Miconazole 2% ointment 30 gram (DT)
DT
ED
14353 / 40
Hydrocortisone 1% / Pramocaine 1% foam enema 40 dose (DT)
DT
E
13762 / 100
Hydrocortisone 1% / Urea 10% cream 100 gram (DT)
DT
E
13761 / 30
Hydrocortisone 1% / Urea 10% cream 30 gram (DT)
DT
E
522 / 15
Hydrocortisone 1% cream 15 gram (DT)
DT
ED
532 / 30
Hydrocortisone 1% cream 30 gram (DT)
DT
ED
12225 / 50
Hydrocortisone 1% cream 50 gram (DT)
DT
ED
858 / 15
Hydrocortisone 1% ointment 15 gram (DT)
DT
E
802 / 30
Hydrocortisone 1% ointment 30 gram (DT)
DT
E
12228 / 50
Hydrocortisone 1% ointment 50 gram (DT)
DT
E
14391 / 14
Hydrocortisone 10% foam aerosol enema 14 dose (DT)
DT
E
12214 / 30
Hydrocortisone 10mg tablets 30 tablet (DT)
DT
E
676 / 15
Hydrocortisone 2.5% cream 15 gram (DT)
DT
E
687 / 15
Hydrocortisone 2.5% ointment 15 gram (DT)
DT
E
12217 / 20
Hydrocortisone 2.5mg muco-adhesive buccal tablets sugar free 20 tablet (DT)
DT
ED
12215 / 30
Hydrocortisone 20mg tablets 30 tablet (DT)
DT
E
13752 / 30
Hydrocortisone acetate 1% / Fusidic acid 2% cream 30 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
ZD
Page 117 of 550
E
ED
Code/Pack
Description
DT CD ZD N E D
13753 / 60
Hydrocortisone acetate 1% / Fusidic acid 2% cream 60 gram (DT)
DT
E
12216 / 10
Hydrocortisone acetate 25mg/1ml suspension for injection ampoules 10 ampoule (DT)
DT
E
14294 / 100
Hydrocortisone butyrate 0.1% cream 100 gram (DT)
DT
E
14293 / 30
Hydrocortisone butyrate 0.1% cream 30 gram (DT)
DT
E
14296 / 100
Hydrocortisone butyrate 0.1% ointment 100 gram (DT)
DT
E
14295 / 30
Hydrocortisone butyrate 0.1% ointment 30 gram (DT)
DT
E
14297 / 100
Hydrocortisone butyrate 0.1% scalp lotion 100 ml (DT)
DT
E
12230 / 1
Hydrocortisone sodium succinate 100mg powder and solvent for solution for injection vials 1 vial
(DT)
DT
E
3379 / 10
Hydrocortistab Injection 25mg/ml 10
Code Number of Injections Dispensed
12357 / 25
Hydrogen peroxide 1% cream 25 gram (DT)
DT
12359 / 200
Hydrogen peroxide 6% solution 200 ml (AAH)
DT
2219 / 350
Hydromol Emollient Bath Additive 350ml
NE
6350 / 1000
Hydromol Emollient Bath Additive 1000ml
NE
5314 / 500
Hydromol Emollient Bath and Shower Additive 500ml
NE
2070 / 50
Hydromol Emollient Cream 50g
NE
2075 / 100
Hydromol Emollient Cream 100g
NE
2079 / 500
Hydromol Emollient Cream 500g
NE
5003 / 100
Hydromol HC Intensive Cream 1% 100g
NE
5085 / 30
Hydromol HC Intensive Cream 1% 30g
NE
9915 / 100
Hydromol Intensive Cream 10% 100g
NE
9930 / 30
Hydromol Intensive Cream 10% 30g
NE
12058 / 500
Hydrous ointment 500 gram (DT)
DT
NE
12060 / 500
Hydrous wool fat 500 gram (DT)
DT
E
393 / 5
Hydroxocobalamin 1mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
14405 / 60
Hydroxycarbamide 100mg tablets 60 tablet (DT)
DT
ZD
E
12650 / 100
Hydroxycarbamide 500mg capsules 100 capsule (DT)
DT
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
ZD
Page 118 of 550
ED
Code/Pack
Description
DT CD ZD N E D
12884 / 60
Hydroxychloroquine 200mg tablets 60 tablet (DT)
DT
E
12857 / 84
Hydroxyzine 10mg tablets 84 tablet (DT)
DT
E
12859 / 200
Hydroxyzine 10mg/5ml oral solution 200 ml (DT)
DT
E
12858 / 28
Hydroxyzine 25mg tablets 28 tablet (DT)
DT
E
4477 / 28
Hygroton Tablets 50mg 28
14735 / 2
Hyoscine 1mg/72hours transdermal patches 2 patch (DT)
DT
E
542 / 56
Hyoscine butylbromide 10mg tablets 56 tablet (DT)
DT
E
14286 / 10
Hyoscine butylbromide 20mg/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
14284 / 10
Hyoscine hydrobromide 400micrograms/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
1285 / 10
Hyoscine Hydrobromide Injection (Martindale) 600mcg/ml 1ml 10
6265 / 10
Hypnovel 10mg/2ml solution for injection ampoules 10
CD ZD
E
6314 / 10
Hypnovel 10mg/5ml solution for injection ampoules 10
CD ZD
E
2664 / 60
Hypovase Tablets 0.5mg 60
E
3562 / 60
Hypovase Tablets 1mg 60
E
991 / 10
Hypromellose 0.3% eye drops 10 ml (DT)
DT
NE
13721 / 10
Hypromellose 0.5% eye drops 10 ml (DT)
DT
E
13720 / 10
Hypromellose 1% eye drops 10 ml (DT)
DT
E
7328 / 28
Hytrin Bph Starter Pack Tablets 28
7 x 1mg, 14 x 2mg & 7 x 5mg
E
6263 / 28
Hytrin Starter Pack 28
7 x 1mg & 21 x 2mg
E
2492 / 28
Hytrin Tablets 2mg 28
E
2494 / 28
Hytrin Tablets 5mg 28
E
2496 / 28
Hytrin Tablets 10mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
Page 119 of 550
Code/Pack
Description
DT CD ZD N E D
I
13892 / 1
Ibandronic acid 150mg tablets 1 tablet (DT)
DT
E
13891 / 28
Ibandronic acid 50mg tablets 28 tablet (DT)
DT
E
3247 / 30
Ibucalm 5% Gel 30g
NE
3231 / 50
Ibucalm 5% Gel 50g
NE
3966 / 100
Ibugel 100 g
E
2740 / 100
Ibugel Forte Gel 10% 100g
E
4572 / 30
Ibuleve Gel 5% 30g
E
8001 / 50
Ibuleve Gel 5% 50g
E
9578 / 100
Ibuleve Gel 5% 100g
E
4282 / 30
Ibuleve Gel Maximum Strength 30g
E
4307 / 50
Ibuleve Gel Maximum Strength 50g
E
8717 / 125
Ibumousse Foam 125g
E
12428 / 100
Ibuprofen 10% gel 100 gram (DT)
DT
E
12424 / 500
Ibuprofen 100mg/5ml oral suspension 500 ml (DT)
DT
NED
13 / 100
Ibuprofen 100mg/5ml oral suspension sugar free 100 ml (DT)
DT
NED
14508 / 24
Ibuprofen 200mg tablets 24 tablet (DT)
DT
NED
615 / 84
Ibuprofen 200mg tablets 84 tablet (DT)
DT
NED
14509 / 24
Ibuprofen 400mg tablets 24 tablet (DT)
DT
NED
985 / 84
Ibuprofen 400mg tablets 84 tablet (DT)
DT
NED
278 / 100
Ibuprofen 5% gel 100 gram (DT)
DT
E
224 / 50
Ibuprofen 5% gel 50 gram (DT)
DT
E
12421 / 20
Ibuprofen 600mg effervescent granules sachets 20 sachet (DT)
DT
E
5642 / 84
Ibuprofen 600mg tablets 84 tablet (DT)
DT
ED
12420 / 56
Ibuprofen 800mg modified-release tablets 56 tablet (DT)
DT
ED
7861 / 1
Ibuspray Topical Spray (100mls) 1
Code No. of Sprays dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 120 of 550
Code/Pack
Description
DT CD ZD N E D
17194 / 30
ICaps One A Day Tablets 30
1974 / 50
iCare Advanced Solo Reagent 50
NE
17002 / 50
iCare Advanced Strips Reagent 50
NE
3577 / 10
I-Care Eye Drops 0.5% 10ml
E
3576 / 4
I-Care Eye Ointment 1% 4g
E
12276 / 100
Ichthammol liquid 100 gram (DT)
1080 / 1
Icthaband Bandage
7563 / 60
Ikorel Tablets 10mg 60
E
7586 / 60
Ikorel Tablets 20mg 60
E
3069 / 28
Imdur Durules 60mg 28
E
5072 / 50
IME-DC Biosensor Strips Reagent 50
14218 / 28
Imidapril 10mg tablets 28 tablet (DT)
DT
E
14216 / 28
Imidapril 20mg tablets 28 tablet (DT)
DT
E
14217 / 28
Imidapril 5mg tablets 28 tablet (DT)
DT
E
7705 / 6
Imigran 50 Tablets 50mg 6
E
3035 / 6
Imigran Blister Pack Nasal Spray 20mg 6
Code Number of Sprays Dispensed
E
3027 / 2
Imigran Nasal Spray 10mg 2
Code No of Sprays Dispensed
E
2565 / 2
Imigran Nasal Spray 20mg/dose 2
Code No of Sprays Dispensed
E
3171 / 6
Imigran Radis Tablets 50mg 6
E
3188 / 6
Imigran Radis Tablets 100mg 6
3329 / 2
Imigran Recovery Tablets 50mg 2
2244 / 2
Imigran Subject Syringe plus Autoinjector 6mg/0.5 ml 2
ZD
E
2837 / 2
Imigran Subject Syringe Refill pack 6mg/0.5 ml 2
ZD
E
3096 / 6
Imigran Tablets 100mg 6
ZD
E
1305 / 28
Imipramine 10mg tablets 28 tablet (DT)
DT
E
74 / 28
Imipramine 25mg tablets 28 tablet (DT)
DT
E
DT
ZD
Zinc Paste and Icthammol BP
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
NE
NE
ZD
E
E
Page 121 of 550
Code/Pack
Description
DT CD ZD N E D
13380 / 12
Imiquimod 5% cream 250mg sachets 12 sachet (DT)
8732 / 1
Immucyst Vial 1
ZD
E
3223 / 6
Immukin Vial 100mcg 6
ZD
E
6533 / 28
Imo La Capsules 50mg 28
E
2908 / 6
Imodium Capsules 2mg 6
E
1502 / 18
Imodium Classic Capsules 2mg 18
E
3980 / 6
Imodium Instants Oro-dispersible Tablets 2mg 6
E
3974 / 12
Imodium Instants Oro-dispersible Tablets 2mg 12
E
3191 / 12
Imodium Plus Caplets 2mg 12
E
3160 / 100
Imodium Syrup 1mg/5ml 100ml
E
9848 / 150
Impramine Hydrochloride Sugar Free Oral (Rosemont) Solution 25mg/5ml 150ml
E
7289 / 100
Imunovir Tablets 500mg 100
E
2996 / 1
Imuran Freeze Dried Vial 50mg 1
E
2507 / 100
Imuran Tablets 25mg 100
E
1357 / 100
Imuran Tablets 50mg 100
E
9145 / 1
Increlex Solution for Injection 4ml vial 1
Code no. of vials dispensed
14304 / 30
Indacaterol 150microgram inhalation powder capsules with device 30 capsule (DT)
DT
E
14305 / 30
Indacaterol 300microgram inhalation powder capsules with device 30 capsule (DT)
DT
E
12817 / 30
Indapamide 1.5mg modified-release tablets 30 tablet (DT)
DT
E
930 / 28
Indapamide 2.5mg tablets 28 tablet (DT)
DT
E
2065 / 28
Inderal LA Capsules 160mg 28
E
9716 / 30
Indipam SR Tablets 1.5mg 30
E
6440 / 84
Indivina Tablets 1mg/2.5mg 84
E
6662 / 84
Indivina Tablets 1mg/5mg 84
E
6731 / 84
Indivina Tablets 2mg/5mg 84
E
271 / 10
Indometacin 100mg suppositories 10 suppository (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
DT
Page 122 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
5019 / 28
Indometacin 25mg capsules 28 capsule (DT)
DT
E
296 / 28
Indometacin 50mg capsules 28 capsule (DT)
DT
E
14406 / 100
Indometacin 75mg modified-release capsules 100 capsule (DT)
DT
E
2666 / 60
Indoramin 20mg tablets 60 tablet (DT)
DT
E
13797 / 84
Indoramin 25mg tablets 84 tablet (DT)
DT
2228 / 28
Inegy Tablets 10/20mg 28
E
2230 / 28
Inegy Tablets 10/40mg 28
E
2237 / 28
Inegy Tablets 10/80mg 28
E
2868 / 50
Infacol Suspension 50 ml
E
8461 / 1
Infatrini Infant High Energy Milk 100ml 1
Code No. of Packs dispensed
ZD
E
4230 / 1
Infatrini Infant High Energy Milk 200ml 1
Code No. of Packs dispensed
ZD
E
5400 / 1
Infatrini Infant High Energy Milk 500ml 1
Code No. of Packs dispensed
ZD
E
4540 / 1
Influvac (Solvay Healthcare) Influenza Vaccine Disposable Syringe 0.5ml 1
ZD
E
8615 / 10
Innohep Syringe 10,000u/ml 0.25ml 10
E
4079 / 10
Innohep Syringe 10,000u/ml 0.35ml 10
E
4270 / 10
Innohep Syringe 10,000u/ml 0.45ml 10
ZD
E
8598 / 10
Innohep Syringe 10,000u/ml 2 ml
ZD
E
4415 / 2
Innohep Syringe 20,000u/ml 0.5ml 2
ZD
E
4587 / 6
Innohep Syringe 20,000u/ml 0.5ml 6
ZD
E
4698 / 2
Innohep Syringe 20,000u/ml 0.7ml 2
ZD
E
6074 / 6
Innohep Syringe 20,000u/ml 0.7ml 6
ZD
E
6126 / 2
Innohep Syringe 20,000u/ml 0.9ml 2
ZD
E
6653 / 6
Innohep Syringe 20,000u/ml 0.9ml 6
ZD
E
7929 / 1
Innohep Vials
ZD
E
2762 / 28
Innovace Tablets
2.5mg 28
E
3274 / 28
Innovace Tablets
5mg
E
10
20,000u/ml 2 ml 1
28
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 123 of 550
E
Code/Pack
Description
DT CD ZD N E D
4037 / 28
Innovace Tablets 10mg
28
E
4054 / 28
Innovace Tablets 20mg
28
E
6307 / 28
Innozide Tablets 28
13823 / 100
Inositol nicotinate 500mg tablets 100 tablet (DT)
DT
E
13824 / 112
Inositol nicotinate 750mg tablets 112 tablet (DT)
DT
E
4213 / 10
Inovelon Film-Coated Tablets 100mg 10
E
4214 / 60
Inovelon Film-Coated Tablets 200mg 60
E
4216 / 60
Inovelon Film-Coated Tablets 400mg 60
E
6015 / 460
Inovelon oral suspension 40mg/ml 460ml
E
4169 / 28
Inspra Film Coated Tablets 25mg 28
E
4172 / 28
Inspra Film Coated Tablets 50mg 28
E
1505 / 1
Instanyl Nasal (10 Doses) Spray 50mcg 1
Code No Of Sprays Dispensed
CD ZD
E
1567 / 1
Instanyl Nasal (10 Doses) Spray 100mcg 1
Code No Of Sprays Dispensed
CD ZD
E
1591 / 1
Instanyl Nasal (10 Doses) Spray 200mcg 1
Code No Of Sprays Dispensed
CD ZD
E
1547 / 1
Instanyl Nasal (20 Doses) Spray 50mcg 1
Code No Of Sprays Dispensed
CD ZD
E
1572 / 1
Instanyl Nasal (20 Doses) Spray 100mcg 1
Code No Of Sprays Dispensed
CD ZD
E
1533 / 1
Instanyl Nasal (20 Doses) Spray 200mcg 1
Code No Of Sprays Dispensed
CD ZD
E
17007 / 6
Instanyl Nasal (6 Doses) Spray 100mcg 6
CD ZD
E
17008 / 6
Instanyl Nasal (6 Doses) Spray 200mcg 6
CD ZD
E
17006 / 6
Instanyl Nasal (6 Doses) Spray 50mcg 6
CD ZD
E
6325 / 10
Instillagel Syringes 6 ml 10
NE
6273 / 10
Instillagel Syringes 11 ml 10
NE
4120 / 1
Insulin Actrapid 100iu/ml Vial 10ml 1
ZD
E
2615 / 5
Insulin Humalog Cartridge 100u/ml 3ml 5
ZD
E
8484 / 5
Insulin Humalog Mix 25 Cartridge 3ml 5
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 124 of 550
Code/Pack
Description
DT CD ZD N E D
8976 / 5
Insulin Humalog Mix 25 Kwik Pen 3ml 5
ZD
E
8929 / 1
Insulin Humalog Mix 25 Vials 100u/ml 10ml Vial 1
ZD
E
3444 / 5
Insulin Humalog Mix 50 Cartridge 3ml 5
ZD
E
8977 / 5
Insulin Humalog Mix 50 Kwik Pen 3ml 5
ZD
E
8996 / 5
Insulin Humalog Pen Kwik Pen 3ml 5
ZD
E
8283 / 1
Insulin Humalog Vial 100u/ ml 10ml Vial 1
ZD
E
8294 / 5
Insulin Human Insulatard Penfill Cartridges 100iu/ml 3ml 5
ZD
E
7817 / 5
Insulin Humulin I Cartridge 100u/ ml 3ml 5
ZD
E
1934 / 5
Insulin Humulin I KwikPen 100u/ ml 3ml 5
ZD
E
4163 / 1
Insulin Humulin I Vial 100u/ml 10ml 1
ZD
E
6333 / 1
Insulin Humulin M3 100u/ ml 10ml Vial 1
ZD
E
7838 / 5
Insulin Humulin M3 Cartridge 100u/ ml 3ml 5
ZD
E
2351 / 5
Insulin Humulin M3 kwikPen 100u/ ml 3ml 5
ZD
E
4142 / 1
Insulin Humulin S 100u/ml Vial 10ml 1
ZD
E
7847 / 5
Insulin Humulin S Cartridge 100u/ ml 3ml 5
ZD
E
2140 / 1
Insulin Hypurin Bovine (Xinc Suspension) Lente 100u/ ml 10ml Vial 1
ZD
E
3214 / 5
Insulin Hypurin Bovine Isophane 100u/ml 3ml Cartridge 5
ZD
E
3976 / 1
Insulin Hypurin Bovine Isophane 100u/ml 10ml Vial 1
ZD
E
3225 / 5
Insulin Hypurin Bovine Neutral 100u/ml 3ml Cartridge 5
ZD
E
2141 / 1
Insulin Hypurin Bovine Neutral 100u/ml 10ml Vial 1
ZD
E
2154 / 1
Insulin Hypurin Bovine Protamine Zinc 100u/ml 10ml Vial 1
ZD
E
3233 / 5
Insulin Hypurin Porcine Isophane 100u/ml 3ml Cartridge 5
ZD
E
7318 / 1
Insulin Hypurin Porcine Isophane 100u/ml 10ml Vial 1
ZD
E
3237 / 5
Insulin Hypurin Porcine Mix 100u/ml 3ml Cartridge 5
ZD
E
3249 / 1
Insulin Hypurin Porcine Mix 30/70 100u/ml 10ml Vial 1
ZD
E
3250 / 5
Insulin Hypurin Porcine Neutral 100u/ml 3ml Cartridge 5
ZD
E
1535 / 1
Insulin Hypurin Porcine Neutral 100u/ml 10ml Vial 1
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 125 of 550
Code/Pack
Description
DT CD ZD N E D
5771 / 5
Insulin Insulatard Innolet Pre-Filled Injection Device 100iu/ml 3ml 5
ZD
E
4200 / 1
Insulin Insulatard Vial 10ml 1
ZD
E
6002 / 5
Insulin Lantus Cartridges 3ml Insulin 100iu/ml 5
ZD
E
4493 / 5
Insulin Lantus Solostar Pre-filled Pen 3ml Insulin 100iu/ml 5
ZD
E
6072 / 1
Insulin Lantus Vial 10ml Insulin 100iu/ml 1
ZD
E
2375 / 5
Insulin Levemir Flexpen 100u/ml 3ml 5
ZD
E
2380 / 5
Insulin Levemir Innolet 100u/ml 3ml 5
ZD
E
2379 / 5
Insulin Levemir Penfill 100u/ml 3ml 5
ZD
E
5773 / 5
Insulin Novomix 30 FlexPen Pre-filled Pens 100iu/ml 3ml 5
ZD
E
5775 / 5
Insulin Novomix 30 Penfilled Cartridges 100iu/ml 3ml 5
ZD
E
8631 / 1
Insulin Novorapid 10ml Vial 1
ZD
E
7709 / 5
Insulin Novorapid Flexpen Prefilled Pen 3ml 5
ZD
E
4131 / 5
Insulin NovoRapid FlexTouch Prefilled Pen 3ml 5
ZD
E
8476 / 5
Insulin Novorapid Penfill Cartridges 3ml 5
ZD
E
7158 / 5
Insulin Tresiba FlexTouch 100units/ml Prefilled Pen 3ml 5
ZD
E
7446 / 3
Insulin Tresiba FlexTouch 200units/ml Prefilled Pen 3ml 3
ZD
E
7457 / 5
Insulin Tresiba Penfill 100units/ml cartridge 3ml 5
ZD
E
3234 / 5
Insuman Basal Insulin Cartridge 100u/ml 3ml Vial 5
ZD
E
3727 / 1
Insuman Basal Insulin Vial 100u/ml 5ml Vial 1
ZD
E
6693 / 5
Insuman Basal Solostar pen 300iu/3ml 5
ZD
E
8235 / 5
Insuman Comb 15 Cartridge 15/100u/ml 5
ZD
E
8544 / 5
Insuman Comb 15 Optiset Pen 15/100u/ml 5
ZD
E
3105 / 5
Insuman Comb 25 Insulin Cartridge 100u/ml 3ml Vial 5
ZD
E
3986 / 1
Insuman Comb 25 Insulin Vial 100u/ml 5ml Vial 1
ZD
E
9509 / 5
Insuman Comb 25 Solostar Pen 3ml/100u/ml 5
ZD
E
7305 / 5
Insuman Comb 50 Insulin Cartridge 100u/ml 3ml Vial 5
ZD
E
8554 / 5
Insuman Comb 50 Optiset Pens 50/100u/ml 5
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 126 of 550
Code/Pack
Description
DT CD ZD N E D
4419 / 5
Insuman Rapid Insulin Cartridge 100u/ml 3ml Vial 5
ZD
E
4617 / 5
Insuman Rapid Optiset Pens 100u/ml 5
ZD
E
9394 / 120
Intelence Tablets 100mg 120
4524 / 8
Intrinsa Transdermal Patch 300mcg 8
1581 / 1
Intron A Multidose Injection Pen 18miu 1
ZD
E
2734 / 1
Intron A Multidose Injection Pen 30miu 1
ZD
E
3458 / 1
Intron A Multidose Injection Pen 60miu 1
ZD
E
3419 / 1
Intron A Solution Multidose Vial 10miu/ml (2.5 ml) 1
ZD
E
2626 / 28
Invega Prolonged Release Tablets 3mg 28
E
2637 / 28
Invega Prolonged Release Tablets 6mg 28
E
2648 / 28
Invega Prolonged Release Tablets 9mg 28
E
1636 / 270
Invirase Capsules 200mg 270
E
6216 / 120
Invirase Tablets 500mg 120
E
14193 / 500
Iodine aqueous oral solution 500 ml (DT)
7810 / 5
Iopidine 5mg/ml eye drops 5 ml
E
7619 / 24
Iopidine Ampoules 1% 0.25 ml 24
E
7893 / 120
Ipocol E/C Tablets 400mg 120
13316 / 1
Ipratropium bromide 20micrograms/dose inhaler CFC free 200 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13315 / 1
Ipratropium bromide 21micrograms/dose nasal spray 180 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
2 / 20
Ipratropium bromide 250micrograms/1ml nebuliser liquid unit dose vials 20 unit dose (DT)
DT
E
4 / 20
Ipratropium bromide 500micrograms/2ml nebuliser liquid unit dose vials 20 unit dose (DT)
DT
E
13926 / 28
Irbesartan 150mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
13291 / 28
Irbesartan 150mg tablets 28 tablet (DT)
DT
E
13925 / 28
Irbesartan 300mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
13927 / 28
Irbesartan 300mg / Hydrochlorothiazide 25mg tablets 28 tablet (DT)
DT
E
13292 / 28
Irbesartan 300mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
ZD
ZD
Page 127 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
13290 / 28
Irbesartan 75mg tablets 28 tablet (DT)
7933 / 30
Iressa Tablets 250mg 30
4615 / 60
Isentress Tablets 400mg 60
E
543 / 28
Isib 60 XL Tablets 60mg 28
E
7140 / 60
Ismo 10 Tablets 10mg 60
E
2711 / 60
Ismo 20 Tablets 20mg 60
E
6282 / 30
Ismo Retard Tablets 40mg 30
E
918 / 56
Isocarboxazid Tablets 10mg 56
E
5078 / 28
Isodur XL Capsules 25mg 28
E
5093 / 28
Isodur XL Capsules 50mg 28
E
6269 / 200
Isogel Mint Granules 200g
3487 / 10
Isoket 0.1% Ampoules 10mg/10ml 10
E
3529 / 56
Isoket Retard Tablets 20mg 56
E
3546 / 56
Isoket Retard Tablets 40mg 56
E
804 / 10
Isoniazid (Cambridge) Injection 50mg/2ml 10
E
12864 / 28
Isoniazid 100mg tablets 28 tablet (DT)
DT
E
12863 / 56
Isoniazid 50mg tablets 56 tablet (DT)
DT
E
14159 / 100
Isopropyl myristate 15% / Liquid paraffin 15% gel 100 gram (DT)
DT
NE
14160 / 500
Isopropyl myristate 15% / Liquid paraffin 15% gel 500 gram (DT)
DT
NE
1408 / 10
Isopto Alkaline Eye Drops 1% 10ml
E
1429 / 10
Isopto Plain Eye Drops 0.5% 10ml
E
300 / 56
Isosorbide dinitrate 10mg tablets 56 tablet (DT)
DT
E
301 / 56
Isosorbide dinitrate 20mg tablets 56 tablet (DT)
DT
E
53 / 56
Isosorbide mononitrate 10mg tablets 56 tablet (DT)
DT
E
412 / 56
Isosorbide mononitrate 20mg tablets 56 tablet (DT)
DT
E
5224 / 28
Isosorbide mononitrate 25mg modified-release capsules 28 capsule (DT)
DT
E
13215 / 28
Isosorbide mononitrate 25mg modified-release tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
E
NE
Page 128 of 550
Code/Pack
Description
DT CD ZD N E D
14706 / 28
Isosorbide mononitrate 40mg modified-release capsules 28 capsule (DT)
DT
E
69 / 56
Isosorbide mononitrate 40mg tablets 56 tablet (DT)
DT
E
5226 / 28
Isosorbide mononitrate 50mg modified-release capsules 28 capsule (DT)
DT
E
13216 / 28
Isosorbide mononitrate 50mg modified-release tablets 28 tablet (DT)
DT
E
13214 / 28
Isosorbide mononitrate 60mg modified-release capsules 28 capsule (DT)
DT
E
10 / 28
Isosorbide mononitrate 60mg modified-release tablets 28 tablet (DT)
DT
E
5099 / 28
Isotard 60 XL Tablets 60mg 28
E
5080 / 28
Isotard XL Tablets 25mg 28
E
5084 / 28
Isotard XL Tablets 40mg 28
E
5092 / 28
Isotard XL Tablets 50mg 28
E
13914 / 30
Isotretinoin 0.05% / Erythromycin 2% gel 30 gram (DT)
DT
E
12429 / 30
Isotretinoin 0.05% gel 30 gram (DT)
DT
E
14689 / 30
Isotretinoin 10mg capsules 30 capsule (DT)
DT
E
14690 / 30
Isotretinoin 20mg capsules 30 capsule (DT)
DT
E
14691 / 30
Isotretinoin 40mg capsules 30 capsule (DT)
DT
E
6832 / 30
Isotrex Gel 0.05% 30g
E
8246 / 30
Isotrexin Gel 30g
E
8313 / 1
Isovorin Injection 25mg 1
ZD
E
8428 / 1
Isovorin Injection 175mg 1
ZD
E
14124 / 10
Ispaghula husk 3.5g / Mebeverine 135mg effervescent granules sachets sugar free 10 sachet
(DT)
DT
E
13832 / 30
Ispaghula husk 3.5g effervescent granules sachets gluten free sugar free 30 sachet (DT)
DT
NE
13238 / 56
Isradipine 2.5mg tablets 56 tablet (DT)
DT
E
1706 / 28
Istin Tablets 5mg 28
E
1755 / 28
Istin Tablets 10mg 28
E
2669 / 15
Itraconazole 100mg capsules 15 capsule (DT)
DT
E
14751 / 150
Itraconazole 50mg/5ml oral solution sugar free 150 ml (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 129 of 550
Code/Pack
Description
DT CD ZD N E D
14171 / 56
Ivabradine 5mg tablets 56 tablet (DT)
DT
E
14172 / 56
Ivabradine 7.5mg tablets 56 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 130 of 550
Code/Pack
Description
DT CD ZD N E D
J
8906 / 56
Janumet Tablets 1000mg/50mg 56
E
4378 / 28
Januvia Tablets 100mg 28
E
4221 / 1
Jevity 1.5Kcal Ready-to-Hang 500ml
Code No. of Packs dispensed
ZD
E
4222 / 1
Jevity 1.5Kcal Ready-to-Hang 1 Litre
Code No. of Packs dispensed
ZD
E
4229 / 1
Jevity 1.5Kcal Ready-to-Hang 1.5 Litre
Code No. of Packs dispensed
ZD
E
8587 / 1
Jevity Plus HP Ready to Hang Bottle 500ml 1
Code No. of Packs dispensed
ZD
E
4022 / 1
Jevity Plus Ready-To-Hang Bottle 500ml
Code No. of Packs dispensed
ZD
E
8123 / 1
Jevity Plus Ready-to-Hang Bottle 1 Litre
Code No. of Packs dispensed
ZD
E
8222 / 1
Jevity Plus Ready-to-Hang Bottle 1.5 Litre
Code No. of Packs dispensed
ZD
E
4995 / 1
Jevity Promote Ready-to-Hang Bottle 1 Litre
Code No. of Packs dispensed
ZD
E
6297 / 1
Jevity Ready-to-Hang Bottle 500ml
Code No. of Packs dispensed
ZD
E
8034 / 1
Jevity Ready-to-Hang Bottle 1 Litre
Code No. of Packs dispensed
ZD
E
3445 / 1
Jevity Ready-to-Hang Bottle 1.5 Litre
Code No. of Packs dispensed
ZD
E
17478 / 1
Jext 150micrograms/0.15ml (1 in 1,000) solution for injection 1
auto-injectors 1 pre-filled disposable injection
E
17479 / 1
Jext 300micrograms/0.3ml (1 in 1,000) solution for injection 1
auto-injectors 1 pre-filled disposable injection
E
4011 / 30
Joint-Flex Daily Tablets 500/400mg 30
E
4053 / 60
Joint-Flex Daily Tablets 500/400mg 60
E
6911 / 1
Juvela Gluten Free Bread Rolls 5 x 85g 1
Code No. of Packs dispensed
E
4242 / 1
Juvela Gluten Free Crispbread 200g 1
Code No. of Packs dispensed
E
7799 / 1
Juvela Gluten Free Digestive Biscuits 150g 1
Code No. of Packs dispensed
E
6542 / 1
Juvela Gluten Free Fibre Bread Rolls 5 x 85g 1
Code No. of Packs dispensed
E
1868 / 1
Juvela Gluten Free Fibre Mix 500g 1
Code No. of Packs dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 131 of 550
Code/Pack
Description
DT CD ZD N E D
5251 / 1
Juvela Gluten Free Fibre Penne Pasta 500g 1
Code Number of Packs Dispensed
E
6230 / 1
Juvela Gluten Free Fresh Bread Rolls 5 x 85g 1
Code No. of Packs dispensed
E
2778 / 1
Juvela Gluten Free Fresh White Loaf 400g 1
Code No. of Loaves dispensed
E
6196 / 1
Juvela Gluten Free Fusilli 500g 1
Code Number of Packs Dispensed
E
2862 / 1
Juvela Gluten Free High Fibre Loaf 400g 1
Code No. of Loaves dispensed
E
6198 / 1
Juvela Gluten Free Lasagne 250g 1
Code Number of Packs Dispensed
E
1971 / 1
Juvela Gluten Free Loaf 400g 1
Code No. of Loaves dispensed
E
6214 / 1
Juvela Gluten Free Macaroni 500g 1
Code Number of Packs Dispensed
E
6566 / 1
Juvela Gluten Free Mix 500g 1
Code No. of Packs dispensed
E
6580 / 1
Juvela Gluten Free Part Baked (Fibre) Rolls 5 x 75g 1
Code No. of Packs dispensed
E
6225 / 1
Juvela Gluten Free Part Baked Fibre Loaf 400g 1
Code Number of Packs Dispensed
E
4980 / 1
Juvela Gluten Free Part Baked Rolls 5 x 75g 1
Code No. of Packs dispensed
E
6217 / 1
Juvela Gluten Free Part-Baked Loaf 400g 1
Code Number of Packs Dispensed
E
6227 / 1
Juvela Gluten Free Pizza Bases 2 x 180g 1
Code Number of Packs Dispensed
E
6582 / 1
Juvela Gluten Free Savoury Biscuits 150g 1
Code No. of Packs dispensed
E
6237 / 1
Juvela Gluten Free Spaghetti 500g 1
Code Number of Packs Dispensed
E
8513 / 1
Juvela Gluten Free Sweet Biscuits 150g
Code No. of Packs dispensed
E
2362 / 1
Juvela Gluten Free Tagliatelle 250g 1
Code Number of Packs Dispensed
E
7784 / 1
Juvela Gluten Free Tea Biscuits 150g 1
Code No. of Packs dispensed
E
6605 / 1
Juvela Gluten Free Wheat & Milk Free Harvest Mix 500g 1
Code No. of Packs dispensed
E
1888 / 1
Juvela Low Protein Mix 500g 1
Code No. of Packs dispensed
E
6913 / 1
Juvela Low Protein Bread Rolls 5 x 70g 1
Code No. of Packs dispensed
E
8035 / 1
Juvela Low Protein Gluten Free Chocolate Chip Cookies 130g
Code No. of Packs dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 132 of 550
Code/Pack
Description
DT CD ZD N E D
1255 / 1
Juvela Low Protein Loaf 400g 1
Code No. of Loaves dispensed
E
6241 / 1
Juvela Low Protein Pizza Bases 2 X 180g 1
Code Number of Packs Dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 133 of 550
Code/Pack
Description
DT CD ZD N E D
K
1472 / 30
Kalcipos-D Chewable Tablets 500MG/800IU 30
9176 / 120
Kaletra Tablets 200mg/50mg 120
4429 / 28
Kalspare Tablets 28
E
1478 / 28
Kalten Capsules 50mg 28
E
8206 / 50
Kamillosan Ointment 50g
E
13764 / 200
Kaolin and Morphine mixture 200 ml (DT)
DT
E
13779 / 200
Kaolin mixture 200 ml (DT)
DT
E
13778 / 100
Kaolin mixture paediatric 100 ml (DT)
DT
E
512 / 200
Kaolin poultices 200 gram (DT)
DT
E
2628 / 100
Kapake Capsules 30/500mg 100
E
3929 / 100
Kapake Tablets 15/500mg 100
E
7141 / 100
Kapake Tablets 30/500mg 100
E
3473 / 500
Kay-Cee-L Syrup 500 ml
E
7912 / 1
Kefadim Infusion 2g 50ml 1
Code No. of Injections dispensed
E
7899 / 1
Kefadim Injection 1g 20ml 1
Code No. of Injections dispensed
4029 / 28
Keflex Capsules 250mg 28
ED
8155 / 21
Keflex Capsules 500mg 21
ED
4030 / 100
Keflex Suspension 125mg/ 5 ml 100 ml
ED
2974 / 100
Keflex Suspension 250mg/ 5 ml 100 ml
ED
2701 / 28
Keflex Tablets 250mg 28
ED
8179 / 21
Keflex Tablets 500mg 21
ED
4799 / 21
Keftid Capsules 250mg 21
E
4800 / 50
Keftid Capsules 500mg 50
E
4829 / 100
Keftid Suspension 125mg/5ml 100
E
4830 / 100
Keftid Suspension 250mg/5ml 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
ZD
Page 134 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
96 / 500
Keltrol Suspend Agent (Sangers) 500ml
E
3726 / 100
Kemadrin Tablets 5mg 100
E
2122 / 500
Kemadrin Tablets 5mg 500
E
6337 / 5
Kenalog Vial 1 ml 5
E
3526 / 8
Kentera Transdermal Patches 36mg 8
Code Number of Patches Dispensed
E
8046 / 10
Keppra Concentrate for Solution for Infusion Vials 100mg/ml 5ml 10
Code Number of Vials Dispensed
ZD
E
5301 / 60
Keppra Film-Coated Tablets 750mg 60
ZD
E
7787 / 150
Keppra Oral Solution 100mg/ml 150ml
ZD
E
5302 / 300
Keppra Oral Solution 100mg/ml 300ml
ZD
E
8676 / 60
Keppra Tablets 250mg 60
8685 / 60
Keppra Tablets 500mg 60
ZD
E
8690 / 60
Keppra Tablets 1000mg 60
ZD
E
2159 / 20
Keral Tablets 25mg 20
E
2212 / 50
Keral Tablets 25mg 50
E
6914 / 20
Keromask Finishing Powder 20g
E
6684 / 15
Keromask Premix Colours Cream 15ml
E
6978 / 15
Keromask Primary Colours Cream 15ml
E
8747 / 1
Ketalar Injection 10mg/ml 20ml 1
Code No. of Injections dispensed
8753 / 1
Ketalar Injection 50mg/ml 10ml 1
Code No. of Injections dispensed
8762 / 1
Ketalar Injection 100mg/ml 10ml 1
Code No. of Injections dispensed
8754 / 10
Ketek Tablets 400mg 10
E
7862 / 28
Ketocid CR Capsules 200mg 28
E
12442 / 30
Ketoconazole 2% cream 30 gram (DT)
DT
E
863 / 120
Ketoconazole 2% shampoo 120 ml (DT)
DT
E
14425 / 56
Ketoprofen 100mg modified-release capsules 56 capsule (DT)
DT
E
2674 / 100
Ketoprofen 2.5% gel 100 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 135 of 550
Code/Pack
Description
DT CD ZD N E D
12160 / 50
Ketoprofen 2.5% gel 50 gram (DT)
DT
E
12158 / 28
Ketoprofen 200mg modified-release capsules 28 capsule (DT)
DT
E
12157 / 112
Ketoprofen 50mg capsules 112 capsule (DT)
DT
E
13233 / 5
Ketorolac 0.5% eye drops 5 ml (DT)
DT
E
961 / 50
Ketostix Reagent 50
13844 / 300
Ketotifen 1mg/5ml oral solution sugar free 300 ml (DT)
DT
E
14426 / 5
Ketotifen 250micrograms/ml eye drops 5 ml (DT)
DT
E
7780 / 56
Ketovail MR Capsules 100mg 56
1524 / 150
Ketovite Liquid 150ml
ZD
E
1519 / 100
Ketovite Tablets 100
ZD
E
8106 / 1
Klaricid IV Vials 500mg 1
ZD
E
6916 / 70
Klaricid Paediatric Suspension 125mg 70ml
E
6945 / 100
Klaricid Paediatric Suspension 125mg 100ml
E
8522 / 70
Klaricid Paediatric Suspension 250mg 70ml
E
8192 / 14
Klaricid Sachets 250mg 14
E
1515 / 14
Klaricid Tablets 250mg 14
E
6602 / 14
Klaricid Tablets 500mg 14
E
6471 / 20
Klaricid Tablets 500mg 20
E
2222 / 7
Klaricid XL Tablets 500mg 7
E
2309 / 14
Klaricid XL Tablets 500mg 14
E
7119 / 4
Klean-Prep Sachets 4
3511 / 84
Kliofem Tablets 3x28 84
E
7026 / 84
Kliovance Tablets 84
E
3783 / 200
Kolanticon Gel 200ml
E
3920 / 500
Kolanticon Gel 500ml
E
6352 / 10
Konakion MM Ampoules 10mg 10
E
7928 / 5
Konakion MM Paediatric Ampoules 2mg/ 0.2 ml 5
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
E
NE
Page 136 of 550
Code/Pack
Description
DT CD ZD N E D
7869 / 30
Kuvan Soluble Tablets 100mg 30
E
3801 / 12
Kwells Tablets 12
E
7835 / 5
Kytril Ampoules 1mg/ml 1mg 5
E
1488 / 5
Kytril Ampoules 1mg/ml 3mg 5
E
8010 / 10
Kytril Tablets 1mg 10
E
1694 / 5
Kytril Tablets 2mg 5
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 137 of 550
Code/Pack
Description
DT CD ZD N E D
L
414 / 56
Labetalol 100mg tablets 56 tablet (DT)
DT
E
420 / 56
Labetalol 200mg tablets 56 tablet (DT)
DT
E
445 / 56
Labetalol 400mg tablets 56 tablet (DT)
DT
E
12517 / 56
Labetalol 50mg tablets 56 tablet (DT)
DT
E
13567 / 28
Lacidipine 2mg tablets 28 tablet (DT)
DT
E
13568 / 28
Lacidipine 4mg tablets 28 tablet (DT)
DT
E
14450 / 56
Lacosamide 100mg tablets 56 tablet (DT)
DT
E
14510 / 200
Lacosamide 10mg/ml oral solution sugar free 200 ml (DT)
DT
E
14451 / 56
Lacosamide 150mg tablets 56 tablet (DT)
DT
ZD
E
14453 / 56
Lacosamide 200mg tablets 56 tablet (DT)
DT
ZD
E
14454 / 14
Lacosamide 50mg tablets 14 tablet (DT)
DT
4610 / 5
Lacri-Lube Eye Ointment Preservative Free 5g
E
4450 / 4
Lacri-Lube Eye Ointment Preservative Free (3.5g) 4g
E
7003 / 500
Lactugal Solution 500ml
E
7124 / 2000
Lactugal Solution 2000ml
E
14752 / 10
Lactulose 10g/15ml oral solution 15ml sachets sugar free 10 sachet (DT)
DT
NE
5535 / 500
Lactulose 3.1-3.7g/5ml oral solution 500 ml (DT)
DT
NE
6673 / 30
Lamictal Chewable & Dispersible Tablets 2mg 30
E
7391 / 28
Lamictal Dispersible Tablets 5mg 28
E
7388 / 56
Lamictal Dispersible Tablets 25mg 56
E
7394 / 56
Lamictal Dispersible Tablets 100mg 56
6751 / 56
Lamictal Tablets 25mg 56
E
1745 / 56
Lamictal Tablets 50mg 56
E
1828 / 56
Lamictal Tablets 100mg 56
ZD
E
7611 / 56
Lamictal Tablets 200mg 56
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
Page 138 of 550
E
Code/Pack
Description
DT CD ZD N E D
6008 / 8
Lamisil AT Cream 1% ( 7.5g) 8
Code each 7.5g as 8
E
2540 / 15
Lamisil AT Cream 1% 15g
E
6063 / 1
Lamisil AT Spray 1% 15ml 1
Code No. of Sprays dispensed
E
6781 / 30
Lamisil Cream 1% 30g
E
8913 / 4
Lamisil Once Solution 1% 4g
E
1260 / 14
Lamisil Tablets 250mg 14
E
1344 / 28
Lamisil Tablets 250mg 28
E
14427 / 28
Lamivudine 100mg tablets 28 tablet (DT)
DT
2571 / 56
Lamotrigine 100mg dispersible tablets sugar free 56 tablet (DT)
DT
E
2553 / 56
Lamotrigine 100mg tablets 56 tablet (DT)
DT
E
2556 / 56
Lamotrigine 200mg tablets 56 tablet (DT)
DT
E
2562 / 56
Lamotrigine 25mg dispersible tablets sugar free 56 tablet (DT)
DT
E
2545 / 56
Lamotrigine 25mg tablets 56 tablet (DT)
DT
E
13052 / 30
Lamotrigine 2mg dispersible tablets sugar free 30 tablet (DT)
DT
E
2551 / 56
Lamotrigine 50mg tablets 56 tablet (DT)
DT
E
2558 / 28
Lamotrigine 5mg dispersible tablets sugar free 28 tablet (DT)
DT
E
3068 / 175
Lanacane Medicated Powder 175g
E
6754 / 5
Lanoxin Ampoules 250mcg/ml 2ml 5
E
1805 / 60
Lanoxin P G Elixir 0.05mg/ml 60ml
E
4918 / 500
Lanoxin P G Tablets 0.0625mg 500
E
1593 / 500
Lanoxin Tablets 0.125mg 500
E
3728 / 500
Lanoxin Tablets 0.25mg 500
E
1930 / 40
Lansinoh Lanolin 40g
E
13347 / 28
Lansoprazole (DT) Orodispersible Tablet 30mg 28
DT
E
2511 / 28
Lansoprazole 15mg gastro-resistant capsules 28 capsule (DT)
DT
ED
13345 / 28
Lansoprazole 15mg orodispersible tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 139 of 550
E
Code/Pack
Description
DT CD ZD N E D
2514 / 28
Lansoprazole 30mg gastro-resistant capsules 28 capsule (DT)
DT
14028 / 90
Lanthanum carbonate 1g chewable tablets sugar free 90 tablet (DT)
DT
ZD
E
14534 / 90
Lanthanum carbonate 1g oral powder sachets 90 sachet (DT)
DT
ZD
E
14027 / 90
Lanthanum carbonate 500mg chewable tablets sugar free 90 tablet (DT)
DT
ZD
E
14029 / 90
Lanthanum carbonate 750mg chewable tablets sugar free 90 tablet (DT)
DT
ZD
E
14535 / 90
Lanthanum carbonate 750mg oral powder sachets 90 sachet (DT)
DT
ZD
E
9319 / 25
Lanvis Tablets 40mg 25
ZD
E
811 / 60
Larapam SR (Sandoz) Tablets 100mg 60
CD ZD
E
2721 / 10
Largactil Injection 2.5 % 2mlx10
9939 / 100
L-Arginine powder 100g
1689 / 8
Lariam Tablets 250mg 8
E
1812 / 28
Lasilactone Capsules 28
E
13883 / 3
Latanoprost 50micrograms/ml / Timolol 5mg/ml eye drops 2.5 ml (DT) [BSO Pack = 3]
Code each pack of 2.5 as 3
DT
14707 / 30
Latanoprost 50micrograms/ml eye drops 0.2ml unit dose preservative free 30 unit dose (DT)
DT
E
14708 / 90
Latanoprost 50micrograms/ml eye drops 0.2ml unit dose preservative free 90 unit dose (DT)
DT
E
13363 / 3
Latanoprost 50micrograms/ml eye drops 2.5 ml (DT) [BSO Pack = 3]
Code each pack of 2.5 as 3
DT
9626 / 20
Laxagol Powder for Solution Sachets 20
NE
9498 / 30
Laxagol Powder for Solution Sachets 30
NE
2471 / 20
Laxido Orange Oral Powder Sachets 20
NE
4392 / 30
Laxido Orange Oral Powder Sachets 30
NE
7805 / 8
Laxido Orange Oral Powder Sachets S/F 8
NE
8348 / 20
Laxido Orange Oral Powder Sachets S/F 20
NE
8630 / 30
Laxido Orange Oral Powder Sachets S/F 30
NE
13451 / 30
Leflunomide 10mg tablets 30 tablet (DT)
DT
E
13452 / 30
Leflunomide 20mg tablets 30 tablet (DT)
DT
E
12037 / 100
Lemon spirit 100 ml (DT)
DT
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ED
E
ZD
ZD
ZD
ZD
Page 140 of 550
E
E
E
E
Code/Pack
Description
DT CD ZD N E D
994 / 28
Lercanidipine 10mg tablets 28 tablet (DT)
DT
E
953 / 28
Lercanidipine 20mg tablets 28 tablet (DT)
DT
E
7294 / 28
Lescol Capsules 20mg 28
E
7298 / 28
Lescol Capsules 40mg 28
E
7849 / 56
Lescol Capsules 40mg 56
E
6005 / 28
Lescol XL Tablets 80mg 28
E
13358 / 14
Letrozole 2.5mg tablets 14 tablet (DT)
1290 / 25
Leukeran Tabloid 2mg 25
14407 / 1
Leuprorelin 11.25mg powder and solvent for suspension for injection pre-filled syringes 1 prefilled disposable injection (DT)
DT
E
14408 / 1
Leuprorelin 3.75mg powder and solvent for suspension for injection pre-filled syringes 1 pre-filled
disposable injection (DT)
DT
E
7808 / 1
Leustat Injection Vial 10ml
9211 / 63
Levest Tablets 3 x 21
13472 / 300
Levetiracetam 100mg/ml oral solution sugar free 300 ml (DT)
DT
13468 / 60
Levetiracetam 1g tablets 60 tablet (DT)
DT
E
13470 / 60
Levetiracetam 250mg tablets 60 tablet (DT)
DT
E
13469 / 60
Levetiracetam 500mg tablets 60 tablet (DT)
DT
E
13471 / 60
Levetiracetam 750mg tablets 60 tablet (DT)
DT
E
5001 / 4
Levitra Orodispersible Tablets 10mg 4 Schedule 11 by Prescriber
E
6007 / 4
Levitra Tablets 5mg 4 Schedule 11 by Prescriber
E
6212 / 8
Levitra Tablets 5mg 8 Schedule 11 by Prescriber
E
6009 / 4
Levitra Tablets 10mg 4 Schedule 11 by Prescriber
E
6231 / 8
Levitra Tablets 10mg 8 Schedule 11 by Prescriber
E
6186 / 4
Levitra Tablets 20mg 4 Schedule 11 by Prescriber
E
6276 / 8
Levitra Tablets 20mg 8 Schedule 11 by Prescriber
E
859 / 5
Levobunolol 0.5% eye drops 5 ml (DT)
DT
E
13882 / 200
Levocetirizine 500micrograms/ml oral solution sugar free 200 ml (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
ZD
E
E
E
ZD
Page 141 of 550
E
Code/Pack
Description
DT CD ZD N E D
13881 / 30
Levocetirizine 5mg tablets 30 tablet (DT)
DT
E
13041 / 10
Levofloxacin 250mg tablets 10 tablet (DT)
DT
E
13043 / 10
Levofloxacin 500mg tablets 10 tablet (DT)
DT
E
12951 / 84
Levomepromazine 25mg tablets 84 tablet (DT)
DT
E
12950 / 10
Levomepromazine 25mg/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
3787 / 1
Levonelle 1500 Tablet 1500mcg 1
E
3797 / 1
Levonelle One-Step Tablet 1500mcg 1
E
13391 / 1
Levonorgestrel 1.5mg tablets 1 tablet (DT)
DT
E
14736 / 35
Levonorgestrel 30microgram tablets 35 tablet (DT)
DT
E
8508 / 28
Levothyroxine sodium 100microgram tablets 28 tablet (DT)
DT
E
14536 / 100
Levothyroxine sodium 100micrograms/5ml oral solution sugar free 100 ml (DT)
DT
5061 / 28
Levothyroxine sodium 25microgram tablets 28 tablet (DT)
DT
E
14261 / 100
Levothyroxine sodium 25micrograms/5ml oral solution sugar free 100 ml (DT)
DT
E
8518 / 28
Levothyroxine sodium 50microgram tablets 28 tablet (DT)
DT
E
14262 / 100
Levothyroxine sodium 50micrograms/5ml oral solution sugar free 100 ml (DT)
DT
E
6295 / 150
Lexpec Oral Solution S/F 2.5mg/5ml 150ml
12878 / 10
Lidocaine 100mg/10ml (1%) solution for injection ampoules 10 ampoule (DT)
DT
E
12877 / 10
Lidocaine 100mg/5ml (2%) solution for injection ampoules 10 ampoule (DT)
DT
E
13768 / 10
Lidocaine 2% and Chlorhexidine gel 110 ml (DT) [BSO Pack = 10]
DT
NE
13767 / 10
Lidocaine 2% and Chlorhexidine gel 60 ml (DT) [BSO Pack = 10]
DT
NE
13766 / 5
Lidocaine 200mg/20ml (1%) / Adrenaline 100micrograms/20ml (1 in 200,000) solution for
injection vials 5 vial (DT)
DT
12874 / 10
Lidocaine 200mg/20ml (1%) solution for injection ampoules 10 ampoule (DT)
DT
E
12872 / 10
Lidocaine 20mg/2ml (1%) solution for injection ampoules 10 ampoule (DT)
DT
E
13765 / 5
Lidocaine 400mg/20ml (2%) / Adrenaline 100micrograms/20ml (1 in 200,000) solution for
injection vials 5 vial (DT)
DT
12876 / 10
Lidocaine 400mg/20ml (2%) solution for injection ampoules 10 ampoule (DT)
DT
E
12875 / 10
Lidocaine 40mg/2ml (2%) solution for injection ampoules 10 ampoule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
ZD
Page 142 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
13757 / 20
Lidocaine 5% / Hydrocortisone acetate 0.275% ointment 20 gram (DT)
DT
12873 / 10
Lidocaine 50mg/5ml (1%) solution for injection ampoules 10 ampoule (DT)
DT
6623 / 1
Lifestyle Pizza Bases 100g
Code No. of Packs dispensed
E
7919 / 1
Lifestyle G/F Brown Bread 400g
Code No. of Loaves dispensed
E
7983 / 1
Lifestyle G/F High Fibre Rolls (5) 1
Code No. of Packs dispensed
E
7930 / 1
Lifestyle G/F Rolls (5) 1
Code No. of Packs dispensed
E
7916 / 1
Lifestyle G/F White Bread 400g
Code No. of Loaves dispensed
E
2965 / 1
Lifestyle Gluten Free Brown Bridge Rolls (8) 1
Code No. of Packs dispensed
E
7937 / 1
Lifestyle High Fibre Bread 400g
Code No. of Loaves dispensed
E
14428 / 28
Linagliptin 5mg tablets 28 tablet (DT)
1713 / 100
Lioresal 10mg tablets 100
E
2745 / 300
Lioresal Liquid 5mg/5ml 300ml
E
13818 / 28
Liothyronine 20microgram tablets 28 tablet (DT)
6990 / 90
Lipantil Micro Capsules 67mg 90
E
7278 / 28
Lipantil Micro Capsules 200mg 30
E
7036 / 28
Lipantil Micro Capsules 267mg 28
E
6616 / 30
Lipitor Chewable Tablets 10mg 30
E
6708 / 30
Lipitor Chewable Tablets 20mg 30
E
1361 / 28
Lipitor Tablets 10mg 28
E
6598 / 28
Lipitor Tablets 20mg 28
E
7224 / 28
Lipitor Tablets 40mg 28
E
8436 / 28
Lipitor Tablets 80mg 28
E
6346 / 50
Lipobase 50g
2641 / 28
Lipostat Tablets 10mg 28
E
2769 / 28
Lipostat Tablets 20mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
DT
DT
E
E
ZD
E
NE
Page 143 of 550
Code/Pack
Description
DT CD ZD N E D
3696 / 28
Lipostat Tablets 40mg 28
14085 / 150
Liquid paraffin / Magnesium hydroxide oral emulsion sugar free 150 ml (DT)
1272 / 500
Liquid Paraffin / Soft White Paraffin Equal Parts (Pure Health) (Lexon UK) 500g
13841 / 500
Liquid paraffin light liquid 500 ml (DT)
2450 / 15
Liquifilm Tears Preservative-Free Eye Drops 15ml
E
6755 / 30
Liquifilm Tears Preservative-Free single dose drops 0.4mlx30
E
7023 / 1
Liquigen Dietary Supplement (250ml) 1
Code No. of Packs dispensed
3612 / 10
Liquivisc Gel for Dry Eyes 10g
13539 / 500
Liquorice liquid extract 500 ml (DT)
DT
E
14574 / 28
Lisdexamfetamine 30mg capsules 28 capsule (DT)
DT CD ZD
E
14575 / 28
Lisdexamfetamine 50mg capsules 28 capsule (DT)
DT CD ZD
E
14581 / 28
Lisdexamfetamine 70mg capsules 28 capsule (DT)
DT CD ZD
E
62 / 28
Lisinopril 10mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
77 / 28
Lisinopril 10mg tablets 28 tablet (DT)
DT
E
44 / 28
Lisinopril 2.5mg tablets 28 tablet (DT)
DT
E
24 / 28
Lisinopril 20mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
81 / 28
Lisinopril 20mg tablets 28 tablet (DT)
DT
E
51 / 28
Lisinopril 5mg tablets 28 tablet (DT)
DT
E
3091 / 60
Liskonum Tablets 450mg 60
12237 / 100
Lithium carbonate 200mg modified-release tablets 100 tablet (DT)
DT
E
12238 / 100
Lithium carbonate 250mg tablets 100 tablet (DT)
DT
E
12239 / 60
Lithium carbonate 450mg modified-release tablets 60 tablet (DT)
DT
E
2638 / 28
Livial Tablets 2.5mg 28
E
2875 / 84
Livial Tablets 2.5mg 84
E
6829 / 1
Livwell GF part baked Square Dinner Rolls (2) 1
Code No. of Packs dispensed
E
1183 / 1
Livwell GF Sliced White Bread 200g 1
Code No. of Packs dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
E
NE
DT
E
ZD
E
E
E
Page 144 of 550
Code/Pack
Description
DT CD ZD N E D
1199 / 1
Livwell GF White Baguette 140g 1
Code No. of Packs dispensed
E
1200 / 1
Livwell GF White Rolls (4) 1
Code No. of Packs dispensed
E
14709 / 1
Lixisenatide 10micrograms/0.2ml solution for injection 3ml pre-filled disposable devices 1 prefilled disposable injection (DT)
DT
ZD
E
14710 / 2
Lixisenatide 20micrograms/0.2ml solution for injection 3ml pre-filled disposable devices 2 prefilled disposable injection (DT)
DT
ZD
E
9580 / 5
LMX4 Cream 4% 5g
6765 / 1
Locasol (400g) 1
Code No. of Packs dispensed
2591 / 5
Loceryl Nail Lacquer 5ml
E
1731 / 30
Locoid Cream 0.1% 30g
E
1733 / 100
Locoid Cream 0.1% 100g
E
2924 / 100
Locoid Crelo Topical Emulsion 100g
E
3082 / 30
Locoid Lipocream 30g
E
1374 / 100
Locoid Lipocream 100g
E
1738 / 100
Locoid Lotion 0.1% 100ml
E
1756 / 30
Locoid Ointment 0.1% 30g
E
1822 / 100
Locoid Ointment 0.1% 100g
E
4630 / 10
Locorten-Vioform Ear Drops 10ml
E
4576 / 8
Locorten-Vioform Ear Drops (7.5ml) 8
E
7267 / 30
Lodine S/R Tablets 600mg 30
E
13369 / 10
Lodoxamide 0.1% eye drops 10 ml (DT)
2600 / 63
Loestrin 20 Tablets 3x21
E
3351 / 63
Loestrin 30 Tablets 3x21
E
689 / 56
Lofepramine 70mg tablets 56 tablet (DT)
4117 / 84
Logynon ED Tablets 84
E
4647 / 63
Logynon Tablets 63
E
4175 / 100
Lomotil Tablets
E
2497 / 56
Longtec Modified-Release Tablet 10mg 56
ZD
DT
E
E
DT
E
2.5mg 100
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
CD ZD
Page 145 of 550
E
Code/Pack
Description
DT CD ZD N E D
2733 / 56
Longtec Modified-Release Tablet 20mg 56
CD ZD
E
2858 / 56
Longtec Modified-Release Tablet 40mg 56
CD ZD
E
2886 / 28
Longtec Modified-Release Tablet 5mg 28
CD ZD
E
2831 / 56
Longtec Modified-Release Tablet 80mg 56
CD ZD
E
6317 / 60
Loniten Tablets
5mg 60
E
6298 / 60
Loniten Tablets 2.5mg 60
E
3556 / 60
Loniten Tablets 10mg 60
E
13503 / 100
Loperamide 1mg/5ml oral solution sugar free 100 ml (DT)
DT
E
464 / 30
Loperamide 2mg capsules 30 capsule (DT)
DT
E
14481 / 18
Loperamide 2mg oral lyophilisates sugar free 18 tablet (DT)
DT
E
544 / 30
Loperamide 2mg tablets 30 tablet (DT)
DT
E
1236 / 30
Lophlex Sachets 27.8g 30
Code no. of sachets dispensed
7811 / 100
Lopid 300mg capsules 100
E
6353 / 56
Lopid 600 Tablets 600mg 56
E
138 / 28
Loprazolam 1mg tablets 28 tablet (DT)
4240 / 28
Lopressor S R Tablets 200mg 28
E
1933 / 56
Lopressor Tablets 50mg 56
E
3531 / 56
Lopressor Tablets 100mg 56
E
7007 / 1
Loprifin PKU Drink 200ml 1
Code No. of Packs dispensed
E
3281 / 1
Loprofin Low Protein Breakfast Cereal Loops 375g 1
Code Number of Packs Dispensed
E
6410 / 1
Loprofin Low Protein Crackers (150g) 1
Code No. of Packs dispensed
E
6349 / 1
Loprofin Low Protein Cream Filled Wafers 100g
Code No. of Packs dispensed
E
2943 / 2
Loprofin Low Protein Egg Replacer 250g 2
Code Number of Sachets Dispensed
E
8152 / 1
Loprofin Low Protein Egg White Replacer 100g
Code No. of Packs dispensed
E
6343 / 1
Loprofin Low Protein Mix 500g
Code No. of Packs dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
Page 146 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
2947 / 1
Loprofin Low Protein Part-Baked Rolls 65g (4) 1
Code No. of Packs dispensed
E
7699 / 1
Loprofin Low Protein Pasta 250g
Code No. of Packs dispensed
E
6384 / 1
Loprofin Low Protein Pasta Fusilli,Penne,Spaghetti 500g
Code No. of Packs dispensed
E
116 / 30
Loratadine 10mg tablets 30 tablet (DT)
DT
ED
107 / 100
Loratadine 5mg/5ml oral solution 100 ml (DT)
DT
E
214 / 28
Lorazepam 1mg tablets 28 tablet (DT)
DT
E
215 / 28
Lorazepam 2.5mg tablets 28 tablet (DT)
DT
E
145 / 30
Lormetazepam 1mg tablets 30 tablet (DT)
DT
E
139 / 30
Lormetazepam 500microgram tablets 30 tablet (DT)
DT
E
7178 / 60
Loron Tablets 520mg 60
14265 / 28
Losartan 100mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
949 / 28
Losartan 100mg / Hydrochlorothiazide 25mg tablets 28 tablet (DT)
DT
E
559 / 28
Losartan 100mg tablets 28 tablet (DT)
DT
E
13104 / 28
Losartan 12.5mg tablets 28 tablet (DT)
DT
E
607 / 28
Losartan 25mg tablets 28 tablet (DT)
DT
E
477 / 28
Losartan 50mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
591 / 28
Losartan 50mg tablets 28 tablet (DT)
DT
E
7428 / 28
Losec Capsules 10mg 28
ED
1855 / 28
Losec Capsules 20mg 28
ED
7302 / 7
Losec Capsules 40mg 7
ED
8629 / 1
Losec IV Powder & Solvent for Solution for Injection 48.75g 1
E
2874 / 28
Losec MUPS Tablets 10mg 28
E
3245 / 28
Losec MUPS Tablets 20mg 28
E
3782 / 7
Losec MUPS Tablets 40mg 7
E
6672 / 5
Losec Powder For Solution For Infusion Vial 40mg 5
E
14417 / 5
Loteprednol 0.5% eye drops 5 ml (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
Page 147 of 550
E
Code/Pack
Description
DT CD ZD N E D
8114 / 30
Lotriderm Cream 30g
E
2879 / 3
Lumigan Eye Drops 0.1mg/ml 3ml
E
7193 / 3
Lumigan Eye Drops 0.3mg/ml 3ml
E
2741 / 28
Lustral Tablets 50mg 28
E
2657 / 28
Lustral Tablets 100mg 28
E
5461 / 1
Luveris Vial 75iu 1
E
8342 / 28
Luvinsta Pr Tablets 80mg 28
E
6292 / 59
Lyclear Cream Rinse 1% 59ml
NE
6344 / 118
Lyclear Cream Rinse Twin Pack 1% (2X59ml) 118ml
NE
6323 / 30
Lyclear Dermal Cream 5% 30g
NE
13033 / 28
Lymecycline 408mg capsules 28 capsule (DT)
4776 / 56
Lyrica Capsules 25mg 56
E
4777 / 84
Lyrica Capsules 25mg 84
E
4778 / 84
Lyrica Capsules 50mg 84
E
4779 / 56
Lyrica Capsules 75mg 56
E
4780 / 84
Lyrica Capsules 100 mg 84
E
4781 / 56
Lyrica Capsules 150mg 56
E
4782 / 84
Lyrica Capsules 200mg 84
E
4749 / 56
Lyrica Capsules 225mg 56
E
4783 / 56
Lyrica Capsules 300mg 56
E
7840 / 30
Lyrinel XL Tablets 5 mg 30
E
7871 / 30
Lyrinel XL Tablets 10 mg 30
E
9302 / 100
Lysodren Tablets 500mg 100
7681 / 14
Lysovir Capsules 100mg 14
2121 / 1
Lyxumia 10micrograms/0.2ml solution for injection 3ml pre-filled pen 1
ZD
E
2372 / 2
Lyxumia 20micrograms/0.2ml solution for injection 3ml pre-filled pen 2
ZD
E
2422 / 2
Lyxumia starter pack 10mcg+20mcg/0.2ml solution for injection 3ml pre-filled pen 2
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
E
E
Page 148 of 550
Code/Pack
Description
DT CD ZD N E D
M
6368 / 500
Maalox Plus Suspension 500ml
E
2585 / 500
Maalox Suspension 500ml
E
2681 / 60
Mabron SR (TEVA) Tablets 100mg 60
CD ZD
E
2684 / 60
Mabron SR (TEVA) Tablets 150mg 60
CD ZD
E
2704 / 60
Mabron SR (TEVA) Tablets 200mg 60
CD ZD
E
8229 / 2
Mabthera Vial 100mg/ 10ml 2
ZD
E
8243 / 1
Mabthera Vial 500mg/ 50ml
Code No. of Vials dispensed
ZD
E
6924 / 14
Macrobid Capsules 100mg 14
E
1649 / 30
Macrodantin Capsules 50mg 30
E
1626 / 30
Macrodantin Capsules 100mg 30
E
524 / 20
Macrogol Compound (Galen) Sugar Free Oral Powder Sachets 20
NE
735 / 30
Macrogol Compound (Galen) Sugar Free Oral Powder Sachets 30
NE
12020 / 30
Macrogol compound oral powder sachets NPF sugar free 30 sachet (DT)
1299 / 100
Madopar Capsules 62.5mg 100
E
2010 / 100
Madopar Capsules 125mg 100
E
2014 / 100
Madopar Capsules 250mg 100
E
6359 / 100
Madopar CR Capsules 125mg 100
E
6354 / 100
Madopar Dispersible Tablets 62.5mg 100
E
6380 / 100
Madopar Dispersible Tablets 125mg 100
E
2022 / 10
Magnapen Vials 500mg 10
E
5726 / 10
Magnaspartate Nutritional Supplement 6.5g 10
Code No. of Sachets dispensed
E
963 / 500
Magnesium Carbonate Heavy 500g
E
417 / 200
Magnesium hydroxide oral suspension 200 ml (DT)
DT
NE
12414 / 10
Magnesium sulfate 50% solution for injection 2ml ampoules 10 ampoule (DT)
DT
E
12056 / 50
Magnesium sulfate paste 50 gram (DT)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 149 of 550
NE
Code/Pack
Description
DT CD ZD N E D
12416 / 500
Magnesium sulfate powder 500 gram (DT)
2484 / 10
Magnesium Sulphate (Aurum) Injection 50% 10ml 10
Code Number of Injections Dispensed
E
2612 / 10
Magnesium Sulphate (Martindale) Injection 50% 5ml 10
Code Number of Injections Dispensed
E
163 / 100
Magnesium trisilicate compound tablets 100 tablet (DT)
DT
E
14166 / 200
Magnesium trisilicate oral suspension 200 ml (DT)
DT
E
2084 / 12
Malarone Paediatric Tablets 62.5mg/25mg 12
8175 / 12
Malarone Tablets 250mg/100mg 12
13735 / 200
Malathion 0.5% aqueous liquid 200 ml (DT)
DT
NE
13734 / 50
Malathion 0.5% aqueous liquid 50 ml (DT)
DT
NE
6954 / 30
Manerix Tablets 150mg 30
E
7530 / 30
Manerix Tablets 300mg 30
E
7039 / 400
Manevac Granules 400g
E
8043 / 5
Marcain Ampoules Heavy 0.5% 4ml 5
E
8039 / 5
Marcain Polyamps 0.25% 10ml 5
E
8041 / 5
Marcain Polyamps 0.5%
E
2549 / 28
Marevan Tablets 0.5mg 28
E
2383 / 28
Marevan Tablets 1mg 28
E
1391 / 28
Marevan Tablets 5mg 28
E
2555 / 63
Marvelon Tablets 3x21
E
1482 / 5
Matrifen Matrix Patches 12mcg 5
CD ZD
E
1555 / 5
Matrifen Matrix Patches 25mcg 5
CD ZD
E
1583 / 5
Matrifen Matrix Patches 50mcg 5
CD ZD
E
1594 / 5
Matrifen Matrix Patches 75mcg 5
CD ZD
E
1595 / 5
Matrifen Matrix Patches 100mcg 5
CD ZD
E
7108 / 3
Maxalt Melt Oral Wafers 10mg 3
E
7247 / 6
Maxalt Melt Oral Wafers 10mg 6
E
E
E
ZD
10ml 5
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 150 of 550
E
Code/Pack
Description
DT CD ZD N E D
8262 / 6
Maxalt Tablets 5mg 6
E
8284 / 3
Maxalt Tablets 10mg 3
E
8331 / 6
Maxalt Tablets 10mg 6
E
3902 / 200
Maxepa Capsules 200
E
3906 / 150
Maxepa Liquid 150ml
E
2053 / 5
Maxidex Eye Drops 5ml
E
2054 / 10
Maxidex Eye Drops 10ml
E
3383 / 1
Maxijul Dietary Supplement Liquid (200ml) 1
Code No. of Packs dispensed
E
6358 / 1
Maxijul Super Soluble Dietary Supplement (200g) 1
Code No. of Packs dispensed
E
3432 / 4
Maxijul Super Soluble Dietary Supplement Sachets (132g) 4
Code No. of packs dispensed
E
8273 / 60
Maxitram SR Capsules 50mg 60
CD ZD
E
8004 / 60
Maxitram SR Capsules 100mg 60
CD ZD
E
8330 / 60
Maxitram SR Capsules 150mg 60
CD ZD
E
8389 / 60
Maxitram SR Capsules 200mg 60
CD ZD
E
2765 / 5
Maxitrol Drops 5ml
E
8045 / 4
Maxitrol Eye Ointment (3.5g) 4
Code each 3.5g as 4
E
4695 / 10
Maxolon High Dose Ampoules 100mg 20mlx10
E
4669 / 12
Maxolon Injection 2ml 10mg/2ml 12
E
6430 / 56
Maxolon SR Capsules 15mg 56
E
6385 / 84
Maxolon Tablets 10mg 84
E
6373 / 100
Maxtrex Tablets
6411 / 100
Maxtrex Tablets 10mg
1601 / 1
MCT Oil (SHS) 500ml
Code No. of Packs dispensed
12643 / 6
Mebendazole 100mg chewable tablets sugar free 6 tablet (DT)
DT
NE
12644 / 30
Mebendazole 100mg/5ml oral suspension 30 ml (DT)
DT
NE
718 / 100
Mebeverine 135mg tablets 100 tablet (DT)
DT
E
2.5mg 100
100
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
ZD
E
E
Page 151 of 550
Code/Pack
Description
DT CD ZD N E D
13784 / 60
Mebeverine 200mg modified-release capsules 60 capsule (DT)
DT
E
13786 / 300
Mebeverine 50mg/5ml oral suspension sugar free 300 ml (DT)
DT
E
8095 / 15
Medijel Gel 15g
5225 / 30
Medikinet IR Tablets 10mg 30
CD ZD
5249 / 30
Medikinet IR Tablets 20mg 30
CD ZD
5179 / 30
Medikinet IR Tablets 5mg 30
CD ZD
5288 / 30
Medikinet XL Capsules 10mg 30
CD ZD
5297 / 30
Medikinet XL Capsules 20mg 30
CD ZD
5318 / 30
Medikinet XL Capsules 30mg 30
CD ZD
5326 / 30
Medikinet XL Capsules 40mg 30
CD ZD
6370 / 30
Medikinet XL Capsules 5mg 30
CD ZD
8094 / 100
Medinol Paediatric S/F Oral Suspension 120mg/5ml 100ml
NED
8101 / 150
Medinol Paediatric S/F Oral Suspension 120mg/5ml 150ml
NED
8098 / 200
Medinol Paediatric S/F Oral Suspension 120mg/5ml 200ml
NED
5554 / 50
Medisense Softsense Reagent 50
NE
7469 / 50
Medi-Test Glucose Reagent 50
NE
736 / 50
Medi-Test Protein 2 Detection Strips 50
NE
17164 / 50
MediTouch Reagent 50
NE
3107 / 30
Medrone Tablets 2mg 30
E
3772 / 30
Medrone Tablets 4mg 30
E
6408 / 30
Medrone Tablets 16mg 30
E
8637 / 20
Medrone Tablets 100mg 20
12409 / 100
Medroxyprogesterone 100mg tablets 100 tablet (DT)
DT
E
12405 / 90
Medroxyprogesterone 10mg tablets 90 tablet (DT)
DT
E
12408 / 1
Medroxyprogesterone 150mg/1ml suspension for injection pre-filled syringes 1 pre-filled
disposable injection (DT)
DT
E
12406 / 30
Medroxyprogesterone 2.5mg tablets 30 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
Page 152 of 550
E
Code/Pack
Description
DT CD ZD N E D
12410 / 30
Medroxyprogesterone 200mg tablets 30 tablet (DT)
DT
12411 / 30
Medroxyprogesterone 400mg tablets 30 tablet (DT)
DT
12407 / 10
Medroxyprogesterone 5mg tablets 10 tablet (DT)
DT
E
5090 / 100
Mefenamic acid 250mg capsules 100 capsule (DT)
DT
E
492 / 28
Mefenamic acid 500mg tablets 28 tablet (DT)
DT
E
2779 / 30
Megace Tablets 160mg 30
12430 / 30
Megestrol 160mg tablets 30 tablet (DT)
DT
E
14489 / 30
Melatonin 2mg modified-release tablets 30 tablet (DT)
DT
E
146 / 30
Meloxicam 15mg tablets 30 tablet (DT)
DT
E
142 / 30
Meloxicam 7.5mg tablets 30 tablet (DT)
DT
E
13956 / 28
Memantine 10mg tablets 28 tablet (DT)
DT
E
14669 / 50
Memantine 10mg/ml oral solution sugar free 50 ml (DT)
DT
E
13959 / 28
Memantine 20mg tablets 28 tablet (DT)
DT
13822 / 100
Menadiol 10mg tablets 100 tablet (DT)
DT
17078 / 50
Mendor Discreet Reagent 50
5482 / 10
Menopur Powder for Injection & Solvent 10x2ml/1ml Vial 10
12773 / 500
Menthol 0.5% in Aqueous cream 500 gram (DT)
DT
E
12774 / 100
Menthol 1% in Aqueous cream 100 gram (DT)
DT
E
12775 / 500
Menthol 1% in Aqueous cream 500 gram (DT)
DT
E
12777 / 500
Menthol 2% in Aqueous cream 500 gram (DT)
DT
E
923 / 100
Menthol and Eucalyptus inhalation 100 ml (DT)
DT
ED
5524 / 5
Menthol crystals 5 gram (DT)
DT
3830 / 1
Menveo Powder and Solution for Injection 0.5ml 1
12740 / 84
Meprobamate 400mg tablets 84 tablet (DT)
DT CD ZD
E
13853 / 112
Meptazinol 200mg tablets 112 tablet (DT)
DT
E
7683 / 10
Meptid Ampoules 10
E
4596 / 112
Meptid Tablets 200mg 112
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
E
E
ZD
E
E
NE
ZD
ZD
E
E
ZD
Page 153 of 550
Code/Pack
Description
DT CD ZD N E D
12068 / 25
Mercaptopurine 50mg tablets 25 tablet (DT)
3137 / 63
Mercilon Tablets 3x21
1139 / 10
Merional 75iu Vials & Solvent Ampoules 10
Code Pack of 10 Vials & 10 Amps as 10
ZD
E
1141 / 10
Merional 150iu Vials & Solvent Ampoules 10
Code Pack of 10 Vials & 10 Amps as 10
ZD
E
2604 / 24
Merocaine Lozenges 24
E
3290 / 24
Merocet Lozenges 24
E
7688 / 10
Meronem Vials 500mg 10
ZD
E
8008 / 10
Meronem Vials 1g 10
ZD
E
12940 / 60
Mesalazine 1.2g gastro-resistant modified-release tablets 60 tablet (DT)
"Pay full pack if claimed"
DT
E
14373 / 60
Mesalazine 1.5g gastro-resistant modified-release granules sachets sugar free 60 sachet (DT)
DT
E
14374 / 50
Mesalazine 1g gastro-resistant modified-release granules sachets sugar free 50 sachet (DT)
DT
E
14375 / 50
Mesalazine 1g modified-release granules sachets sugar free 50 sachet (DT)
DT
E
14438 / 60
Mesalazine 1g modified-release tablets 60 tablet (DT)
DT
E
12937 / 28
Mesalazine 1g suppositories 28 suppository (DT)
DT
E
14666 / 7
Mesalazine 1g/100ml enema 7 enema (DT)
DT
E
14376 / 60
Mesalazine 2g modified-release granules sachets sugar free 60 sachet (DT)
DT
E
14455 / 60
Mesalazine 3g gastro-resistant modified-release granules sachets sugar free 60 sachet (DT)
DT
E
12938 / 90
Mesalazine 400mg gastro-resistant tablets 90 tablet (DT)
"Pay full pack if claimed"
DT
12936 / 100
Mesalazine 500mg modified-release tablets 100 tablet (DT)
"Pay full pack if claimed"
DT
12941 / 180
Mesalazine 800mg gastro-resistant tablets 180 tablet (DT)
"Pay full pack if claimed"
DT
4502 / 90
Mesren MR Tablets 400mg 90
2098 / 200
Mestinon Tablets 60mg 200
14737 / 63
Mestranol 50microgram / Norethisterone 1mg tablets 63 tablet (DT)
3555 / 28
Metabet SR Tablets 500mg 28
E
3654 / 56
Metabet SR Tablets 500mg 56
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
ZD
E
E
ZD
E
E
ZD
E
ZD
E
E
DT
Page 154 of 550
E
Code/Pack
Description
DT CD ZD N E D
2105 / 30
Metanium Ointment 30g
NE
7175 / 120
Meted Shampoo 120ml
E
14233 / 56
Metformin 1g / Sitagliptin 50mg tablets 56 tablet (DT)
DT
E
13416 / 56
Metformin 1g modified-release tablets 56 tablet (DT)
DT
E
13412 / 56
Metformin 500mg modified-release tablets 56 tablet (DT)
DT
E
625 / 28
Metformin 500mg tablets 28 tablet (DT)
DT
E
13418 / 150
Metformin 500mg/5ml oral solution sugar free 150 ml (DT)
DT
13414 / 56
Metformin 750mg modified-release tablets 56 tablet (DT)
DT
E
5095 / 56
Metformin 850mg tablets 56 tablet (DT)
DT
E
12589 / 10
Methadone 10mg/1ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
12579 / 100
Methadone 1mg/ml oral solution 100 ml (DT)
DT CD ZD
E
605 / 500
Methadone 1mg/ml oral solution 500 ml (DT)
DT CD ZD
E
12583 / 100
Methadone 1mg/ml oral solution sugar free 100 ml (DT)
DT CD ZD
E
12582 / 50
Methadone 1mg/ml oral solution sugar free 50 ml (DT)
DT CD ZD
E
737 / 500
Methadone 1mg/ml oral solution sugar free 500 ml (DT)
DT CD ZD
E
12585 / 10
Methadone 20mg/2ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
12586 / 10
Methadone 35mg/3.5ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
12587 / 10
Methadone 50mg/5ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
12588 / 50
Methadone 5mg tablets 50 tablet (DT)
DT CD ZD
E
12645 / 60
Methenamine hippurate 1g tablets 60 tablet (DT)
DT
E
12890 / 100
Methocarbamol 750mg tablets 100 tablet (DT)
DT
E
12723 / 100
Methotrexate 10mg tablets 100 tablet (DT)
DT
ZD
E
12721 / 28
Methotrexate 2.5mg tablets 28 tablet (DT)
DT
ZD
E
5617 / 1
Methotrexate Vial (Teva) 25mg/ml 2ml
Code No. of Vials dispensed
ZD
E
13459 / 500
Methyl salicylate liquid 500 ml (DT)
DT
E
12273 / 112
Methylcellulose 500mg tablets 112 tablet (DT)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 155 of 550
E
Code/Pack
Description
DT CD ZD N E D
418 / 56
Methyldopa 125mg tablets 56 tablet (DT)
DT
447 / 56
Methyldopa 250mg tablets 56 tablet (DT)
DT
E
455 / 56
Methyldopa 500mg tablets 56 tablet (DT)
DT
E
12252 / 30
Methylphenidate 10mg modified-release capsules 30 capsule (DT)
DT CD ZD
E
12246 / 30
Methylphenidate 10mg tablets 30 tablet (DT)
DT CD ZD
E
12250 / 30
Methylphenidate 18mg modified-release tablets 30 tablet (DT)
DT CD ZD
E
12249 / 30
Methylphenidate 20mg modified-release capsules 30 capsule (DT)
DT CD ZD
E
12248 / 30
Methylphenidate 20mg tablets 30 tablet (DT)
DT CD ZD
E
12253 / 30
Methylphenidate 27mg modified-release tablets 30 tablet (DT)
DT CD ZD
E
12254 / 30
Methylphenidate 30mg modified-release capsules 30 capsule (DT)
DT CD ZD
E
12251 / 30
Methylphenidate 36mg modified-release tablets 30 tablet (DT)
DT CD ZD
E
14393 / 30
Methylphenidate 40mg modified-release capsules 30 capsule (DT)
DT CD ZD
E
14753 / 30
Methylphenidate 54mg modified-release tablets 30 tablet (DT)
DT CD ZD
E
12247 / 30
Methylphenidate 5mg tablets 30 tablet (DT)
DT CD ZD
E
13770 / 1
Methylprednisolone 40mg/1ml / Lidocaine 10mg/1ml (1%) suspension for injection vials 1 vial
(DT)
DT
E
13769 / 1
Methylprednisolone 80mg/2ml / Lidocaine 20mg/2ml (1%) suspension for injection vials 1 vial
(DT)
DT
E
14272 / 1
Methylprednisolone acetate 120mg/3ml suspension for injection vials 1 vial (DT)
DT
E
14273 / 1
Methylprednisolone acetate 40mg/1ml suspension for injection vials 1 vial (DT)
DT
E
14274 / 1
Methylprednisolone acetate 80mg/2ml suspension for injection vials 1 vial (DT)
DT
E
756 / 28
Metoclopramide 10mg tablets 28 tablet (DT)
DT
E
12647 / 10
Metoclopramide 10mg/2ml solution for injection ampoules 10 ampoule (DT)
DT
E
761 / 150
Metoclopramide 5mg/5ml oral solution sugar free 150 ml (DT)
DT
E
3659 / 1
Metoject Pre-Filled Syringe 7.5mg/0.15ml 1
Code No. of Syringes dispensed
ZD
E
3660 / 1
Metoject Pre-Filled Syringe 10mg/0.2ml 1
Code No. of Syringes dispensed
ZD
E
7566 / 1
Metoject Pre-Filled Syringe 12.5mg/0.25ml 1
Code No. of Syringes dispensed
ZD
E
3677 / 1
Metoject Pre-Filled Syringe 15mg/0.3ml 1
Code No. of Syringes dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 156 of 550
E
Code/Pack
Description
DT CD ZD N E D
7555 / 1
Metoject Pre-Filled Syringe 17.5mg/0.35ml 1
Code No. of Syringes dispensed
ZD
E
3689 / 1
Metoject Pre-Filled Syringe 20mg/0.4ml 1
Code No. of Syringes dispensed
ZD
E
6147 / 1
Metoject Pre-Filled Syringe 22.5mg/0.45ml 1
Code No. of Syringes dispensed
ZD
E
3697 / 1
Metoject Pre-Filled Syringe 25mg/0.5ml 1
Code No. of Syringes dispensed
ZD
E
8921 / 1
Metoject Pre-Filled Syringe 27.5mg/0.55ml 1
Code No. of Syringes dispensed
ZD
E
6129 / 1
Metoject Pre-Filled Syringe 30mg/0.6ml 1
Code No. of Syringes dispensed
ZD
E
433 / 28
Metoprolol 100mg tablets 28 tablet (DT)
DT
E
667 / 28
Metoprolol 50mg tablets 28 tablet (DT)
DT
E
1336 / 25
Metosyn Fapg Cream 25g
E
1375 / 100
Metosyn Fapg Cream 100g
E
7273 / 25
Metosyn Ointment 25g
E
7280 / 100
Metosyn Ointment 100g
E
6426 / 40
Metrogel 40g
E
12074 / 30
Metronidazole 0.75% cream 30 gram (DT)
DT
E
12075 / 40
Metronidazole 0.75% cream 40 gram (DT)
DT
E
5060 / 21
Metronidazole 200mg tablets 21 tablet (DT)
DT
ED
12071 / 100
Metronidazole 200mg/5ml oral suspension 100 ml (DT)
DT
ED
5069 / 21
Metronidazole 400mg tablets 21 tablet (DT)
DT
ED
5083 / 21
Metronidazole 500mg tablets 21 tablet (DT)
DT
ED
3994 / 100
Metsol Oral Solution 500mg/5ml 100ml
ZD
E
4337 / 150
Metsol Oral Solution 500mg/5ml 150ml
ZD
E
4343 / 60
Mezavant XL Tablets 1200mg 60
5262 / 5
Mezolar Matrix Transdermal Patch 12mcg 5
CD ZD
E
5263 / 5
Mezolar Matrix Transdermal Patch 25mcg 5
CD ZD
E
5265 / 5
Mezolar Matrix Transdermal Patch 75mcg 5
CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 157 of 550
Code/Pack
Description
DT CD ZD N E D
5266 / 5
Mezolar Matrix Transdermal Patch 100mcg 5
CD ZD
E
5035 / 5
Mezolar Matrix Transdermal Patch 37.5mcg 5
CD ZD
E
5264 / 5
Mezolar Matrix Transdermal Patch 50mcg 5
CD ZD
E
7643 / 5
Miacalcic Ampoules 100iu/ml 5
ZD
E
7646 / 5
Miacalcic Ampoules 50iu/ml 5
ZD
E
8726 / 1
Miacalcic Nasal Spray (2 ml) 1
Code No. of Sprays dispensed
ZD
E
446 / 28
Mianserin 10mg tablets 28 tablet (DT)
DT
E
758 / 28
Mianserin 30mg tablets 28 tablet (DT)
DT
E
2539 / 50
Micanol Cream 1% 50g
E
4114 / 50
Micanol Cream 3% 50g
E
2017 / 28
Micardis Plus Tablets 40/12.5mg 28
E
2019 / 28
Micardis Plus Tablets 80/12.5mg 28
E
5496 / 28
Micardis Plus Tablets 80/25mg 28
E
1803 / 28
Micardis Tablets 20mg 28
E
1819 / 28
Micardis Tablets 40mg 28
E
1904 / 28
Micardis Tablets 80mg 28
E
7600 / 12
Micolette Micro-enema 5ml 12
14377 / 100
Miconazole 0.16% dry powder spray 100 gram (DT)
DT
E
12489 / 1
Miconazole 1.2g vaginal capsules 1 capsule (DT)
DT
E
12488 / 30
Miconazole 2% cream 30 gram (DT)
DT
NED
12486 / 15
Miconazole 20mg/g oromucosal gel sugar free 15 gram (DT)
DT
NED
12487 / 80
Miconazole 20mg/g oromucosal gel sugar free 80 gram (DT)
DT
NED
2245 / 12
Micralax Micro-enema 12
NE
970 / 50
Microdot+ Reagent 50
NE
2592 / 63
Microgynon 30 Tablets (3x21) 63
E
6758 / 84
Microgynon ED Tablets 84
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 158 of 550
Code/Pack
Description
DT CD ZD N E D
2700 / 84
Micronor Tablets 350mg (3x28) 84
14439 / 4
Midazolam 10mg/2ml oromucosal solution pre-filled oral syringes 4 unit dose (DT)
DT CD ZD
E
14440 / 4
Midazolam 2.5mg/0.5ml oromucosal solution pre-filled oral syringes 4 unit dose (DT)
DT CD ZD
E
14441 / 4
Midazolam 5mg/1ml oromucosal solution pre-filled oral syringes 4 unit dose (DT)
DT CD ZD
E
14442 / 4
Midazolam 7.5mg/1.5ml oromucosal solution pre-filled oral syringes 4 unit dose (DT)
DT CD ZD
E
14679 / 10
Midazolam solution for injection 10mg/2ml 10 ampoule
Code number of ampoules
DT CD ZD
E
14680 / 10
Midazolam solution for injection 10mg/5ml 10 ampoule
Code number of ampoules
DT CD ZD
E
7850 / 15
Midrid Capsules 15
E
2073 / 30
Midrid Capsules 30
E
4546 / 3
Mifegyne Tablets 200mg 3
E
441 / 6
Migard Tablets 2.5mg 6
E
2205 / 12
Migraleve Tablets Complete 12
(2 Prescription Charges)
E
1426 / 24
Migraleve Tablets Complete 24
(2 Prescription Charges)
E
6468 / 48
Migraleve Tablets Complete 48
(2 Prescription Charges)
E
2262 / 12
Migraleve Tablets Pink Pack 12
E
2281 / 24
Migraleve Tablets Pink Pack 24
E
6454 / 48
Migraleve Tablets Pink Pack 48
E
2282 / 24
Migraleve Tablets Yellow Pack 24
E
7386 / 6
MigraMax Powder Sachets 6
E
2153 / 100
Migril Tablets 100
E
2860 / 30
Mildison Lipocream 1% 30g
E
9036 / 63
Millinette Tablets 20/75mcg 3 x 21
E
9081 / 63
Millinette Tablets 30/75mcg 3 x 21
E
3789 / 500
Milton 2 Sterilising Fluid 500ml
E
1458 / 1000
Milton 2 Sterilising Fluid 1000ml
E
5587 / 1
Milupa Advanta PKU 3 Powder 500g 1
Code No. of Packs dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
Page 159 of 550
E
Code/Pack
Description
DT CD ZD N E D
6364 / 1
Milupa Aptamil Pepti 1 Powder 400g 1
Code No. of Packs dispensed
E
6407 / 1
Milupa Aptamil Pepti 1 Powder 900g 1
Code No. of Packs dispensed
E
6767 / 1
Milupa Aptamil Pepti 2 Powder 900g 1
Code No. of Packs dispensed
E
6790 / 1
Milupa Low Protein Drink 400g
Code No. of Packs dispensed
E
5674 / 1
Milupa Prima PKU 2 Powder 500g 1
Code No. of Packs dispensed
ZD
E
6710 / 1
Milupa Secunda PKU 2 Powder 500g 1
Code No. of Packs dispensed
ZD
E
2024 / 28
Mimpara Tablets 30mg 28
ZD
E
2038 / 28
Mimpara Tablets 60mg 28
ZD
E
2042 / 28
Mimpara Tablets 90mg 28
ZD
E
6381 / 20
Minims Artificial Tears 20
E
6456 / 20
Minims Atropine Sulph 1% 20
E
6494 / 20
Minims Chloramphenicol 0.5% 20
6420 / 20
Minims Cyclopentolate 0.5% 20
E
6435 / 20
Minims Cyclopentolate 1% 20
E
7340 / 20
Minims Dexamethasone 0.1% 20
E
3826 / 20
Minims Fluorescein Sodium 1% 20
E
3828 / 20
Minims Fluorescein Sodium 2% 20
E
6476 / 20
Minims Phenylephedrine Hyd 10% 20
E
6427 / 20
Minims Phenylephidrine 2.5% 20
E
6414 / 20
Minims Pilocarpine Nitrate 2% 20
E
6386 / 20
Minims Presnisolone Phosphate 0.5% 20
E
3028 / 20
Minims Proxymetacaine HCL 0.5% 20
3844 / 20
Minims Sodium Chloride 0.9% 20
E
6490 / 20
Minims Tropicamide 0.5% 20
E
6523 / 20
Minims Tropicamide 1.0% 20
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 160 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
7049 / 30
Minitran Transdermal Patches 5mg 30
E
7051 / 30
Minitran Transdermal Patches 10mg 30
E
7105 / 30
Minitran Transdermal Patches 15mg 30
E
7592 / 56
Minocin MR Capsules 100mg 56
E
12196 / 28
Minocycline 100mg capsules 28 capsule (DT)
DT
E
12194 / 56
Minocycline 100mg modified-release capsules 56 capsule (DT)
DT
E
913 / 28
Minocycline 100mg tablets 28 tablet (DT)
DT
E
12195 / 56
Minocycline 50mg capsules 56 capsule (DT)
DT
E
5049 / 28
Minocycline 50mg tablets 28 tablet (DT)
DT
E
1220 / 28
Minodiab Tablets 5mg
12568 / 60
Minoxidil 10mg tablets 60 tablet (DT)
DT
E
12566 / 60
Minoxidil 2.5mg tablets 60 tablet (DT)
DT
E
12567 / 60
Minoxidil 5mg tablets 60 tablet (DT)
DT
E
1561 / 84
Mintec Capsules 84
14711 / 30
Mirabegron 25mg modified-release tablets 30 tablet (DT)
DT
E
14712 / 30
Mirabegron 50mg modified-release tablets 30 tablet (DT)
DT
E
9951 / 30
Mirapexin Prolonged Release Tablets 0.52mg 30
E
2291 / 30
Mirapexin Prolonged Release Tablets 1.57mg 30
E
9955 / 30
Mirapexin Prolonged Release Tablets 0.26mg 30
E
9938 / 30
Mirapexin Prolonged Release Tablets 1.05mg 30
E
9624 / 30
Mirapexin Prolonged Release Tablets 2.1mg 30
E
2710 / 30
Mirapexin Prolonged Release Tablets 2.62mg 30
E
9929 / 30
Mirapexin Prolonged Release Tablets 3.15mg 30
E
8384 / 30
Mirapexin Tablets 0.088mg 30
E
8412 / 30
Mirapexin Tablets 0.18mg 30
E
8460 / 100
Mirapexin Tablets 0.18mg 100
E
4708 / 30
Mirapexin Tablets 0.35mg 30
28
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
ZD
Page 161 of 550
E
Code/Pack
Description
DT CD ZD N E D
4711 / 100
Mirapexin Tablets 0.35mg 100
8467 / 30
Mirapexin Tablets 0.7mg 30
E
8521 / 100
Mirapexin Tablets 0.7mg 100
E
9348 / 1
Mircera Pre Filled Syringe 30mcg/0.3ml 1
ZD
E
9347 / 1
Mircera Pre Filled Syringe 50mcg/0.3ml 1
ZD
E
9435 / 1
Mircera Pre Filled Syringe 75mcg/0.3ml 1
ZD
E
9340 / 1
Mircera Pre Filled Syringe 100mcg/0.3ml 1
ZD
E
9297 / 1
Mircera Pre Filled Syringe 120mcg/0.3ml 1
ZD
E
9437 / 1
Mircera Pre Filled Syringe 150mcg/0.3ml 1
ZD
E
9293 / 1
Mircera Pre Filled Syringe 200mcg/0.3ml 1
ZD
E
9290 / 1
Mircera Pre Filled Syringe 250mcg/0.3ml 1
ZD
E
9284 / 1
Mircera Pre Filled Syringe 360mcg/0.6ml 1
ZD
E
7685 / 1
Mirena Intrauterine System 1
ZD
E
525 / 30
Mirtazapine 15mg orodispersible tablets 30 tablet (DT)
DT
E
147 / 28
Mirtazapine 15mg tablets 28 tablet (DT)
DT
E
14482 / 66
Mirtazapine 15mg/ml oral solution sugar free 66 ml (DT)
DT
E
585 / 30
Mirtazapine 30mg orodispersible tablets 30 tablet (DT)
DT
E
490 / 28
Mirtazapine 30mg tablets 28 tablet (DT)
DT
E
666 / 30
Mirtazapine 45mg orodispersible tablets 30 tablet (DT)
DT
E
169 / 28
Mirtazapine 45mg tablets 28 tablet (DT)
DT
E
12490 / 60
Misoprostol 200microgram tablets 60 tablet (DT)
DT
E
6067 / 50
Mission Glucose Reagent 50
1G
NE
6028 / 50
Mission Ketone Reagent 50
1K
NE
13578 / 30
Mizolastine 10mg modified-release tablets 30 tablet (DT)
8194 / 30
Mizollen Tablets 10mg 30
E
3491 / 30
Mobiflex Tablets 20mg 30
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
Page 162 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
8839 / 100
Mobile Reagent 100
49 / 30
Moclobemide 150mg tablets 30 tablet (DT)
DT
E
80 / 30
Moclobemide 300mg tablets 30 tablet (DT)
DT
E
13473 / 30
Modafinil 100mg tablets 30 tablet (DT)
DT
ZD
E
13474 / 30
Modafinil 200mg tablets 30 tablet (DT)
DT
ZD
E
3908 / 10
Modecate Concentrate Ampoules 100mg/ml 0.5ml x10
E
2876 / 5
Modecate Concentrate Injection 100mg/ml 1mlx5
E
3483 / 5
Modecate Injection 25mg/ml 0.5ml x5
E
2306 / 10
Modecate Injection 25mg/ml 1mlx10
E
2313 / 5
Modecate Injection 25mg/ml 2mlx5
E
8901 / 50
Modigraf Granules for Oral Suspension Sachets 0.2mg 50
ZD
E
8902 / 50
Modigraf Granules for Oral Suspension Sachets 1mg 50
ZD
E
3625 / 28
Modisal XL Tablets 40mg 28
E
4303 / 50
Modrasone Cream 50g
E
4305 / 50
Modrasone Ointment 50g
E
7337 / 1
Modulen IBD Powder 400g 1
4253 / 28
Moduret 25 Tablets 28
E
6935 / 28
Moduretic Tablets 28
E
9572 / 20
Molaxole Oral Solution Sachets 20
NE
9529 / 30
Molaxole Oral Solution Sachets 30
NE
1725 / 84
Molipaxin Capsules 50mg 84
E
1727 / 56
Molipaxin Capsules 100mg 56
E
3909 / 28
Molipaxin Tablets 150mg 28
E
12823 / 100
Mometasone 0.1% cream 100 gram (DT)
DT
E
12822 / 30
Mometasone 0.1% cream 30 gram (DT)
DT
E
12825 / 100
Mometasone 0.1% ointment 100 gram (DT)
DT
E
12824 / 30
Mometasone 0.1% ointment 30 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
ZD
Page 163 of 550
E
Code/Pack
Description
DT CD ZD N E D
12826 / 30
Mometasone 0.1% scalp lotion 30 ml (DT)
DT
E
12829 / 1
Mometasone 200micrograms/dose dry powder inhaler 30 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
12830 / 1
Mometasone 200micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
12827 / 1
Mometasone 400micrograms/dose dry powder inhaler 30 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
12828 / 1
Mometasone 400micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
12821 / 1
Mometasone 50micrograms/dose nasal spray 140 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
2179 / 28
Monomax SR Capsules 40mg 28
E
3989 / 28
Monomax SR Capsules 60mg 28
E
4003 / 28
Monomax XL Tablets 60mg 28
E
13580 / 28
Montelukast 10mg tablets 28 tablet (DT)
DT
E
13579 / 28
Montelukast 4mg chewable tablets sugar free 28 tablet (DT)
DT
E
13582 / 28
Montelukast 4mg granules sachets sugar free 28 sachet (DT)
DT
E
13581 / 28
Montelukast 5mg chewable tablets sugar free 28 tablet (DT)
DT
E
4143 / 50
Morhulin Ointment 50g
2670 / 60
Morphgesic SR Tablets 100mg 60
CD ZD
E
2685 / 60
Morphgesic SR Tablets 10mg 60
CD ZD
E
2686 / 60
Morphgesic SR Tablets 30mg 60
CD ZD
E
2692 / 60
Morphgesic SR Tablets 60mg 60
CD ZD
E
12795 / 60
Morphine 100mg modified-release tablets 60 tablet (DT)
DT CD ZD
E
12797 / 60
Morphine 10mg modified-release capsules 60 capsule (DT)
DT CD ZD
E
12791 / 60
Morphine 10mg modified-release tablets 60 tablet (DT)
DT CD ZD
E
12788 / 56
Morphine 10mg tablets 56 tablet (DT)
DT CD ZD
E
12792 / 60
Morphine 15mg modified-release tablets 60 tablet (DT)
DT CD ZD
E
12801 / 60
Morphine 200mg modified-release capsules 60 capsule (DT)
DT CD ZD
E
12796 / 60
Morphine 200mg modified-release tablets 60 tablet (DT)
DT CD ZD
E
12789 / 56
Morphine 20mg tablets 56 tablet (DT)
DT CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 164 of 550
Code/Pack
Description
DT CD ZD N E D
12798 / 60
Morphine 30mg modified-release capsules 60 capsule (DT)
DT CD ZD
E
12793 / 60
Morphine 30mg modified-release tablets 60 tablet (DT)
DT CD ZD
E
12800 / 56
Morphine 50mg tablets 56 tablet (DT)
DT CD ZD
E
12790 / 60
Morphine 5mg modified-release tablets 60 tablet (DT)
DT CD ZD
E
12799 / 60
Morphine 60mg modified-release capsules 60 capsule (DT)
DT CD ZD
E
12794 / 60
Morphine 60mg modified-release tablets 60 tablet (DT)
DT CD ZD
E
12805 / 10
Morphine sulfate 10mg/1ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
12785 / 300
Morphine sulfate 10mg/5ml oral solution 300 ml (DT)
DT
E
12783 / 12
Morphine sulfate 15mg suppositories 12 suppository (DT)
DT CD ZD
E
14397 / 10
Morphine sulfate 15mg/1ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
12803 / 120
Morphine sulfate 20mg/ml oral solution sugar free 120 ml (DT)
DT CD ZD
E
12787 / 12
Morphine sulfate 30mg suppositories 12 suppository (DT)
DT CD ZD
E
12804 / 5
Morphine sulfate 30mg/1ml solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
547 / 5
Morphine Sulphate Injection BP 60mg 2ml 5
CD ZD
E
7201 / 28
Motens Tablets 2mg 28
E
7214 / 28
Motens Tablets 4mg 28
E
7697 / 56
Motifene Capsules 75mg 56
E
4161 / 10
Motilium Suppositories 30mg 10
E
3268 / 30
Motilium Tablets 10mg 30
E
6433 / 100
Motilium Tablets 10mg 100
E
12041 / 100
Mouthwash solution tablets 100 tablet (DT)
7884 / 125
Movelat Cream 125g
E
7014 / 125
Movelat Gel 125g
E
6665 / 40
Movelat Relief Cream 40g
E
6855 / 80
Movelat Relief Cream 80g
E
6472 / 40
Movelat Relief Gel 40g
E
7432 / 80
Movelat Relief Gel 80g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 165 of 550
NED
Code/Pack
Description
DT CD ZD N E D
2333 / 30
Movicol Chocolate Sachets 30
6047 / 500
Movicol Liquid 500ml 1
7371 / 30
Movicol Plain Sachets 30
NE
6459 / 50
Movicol Plain Sachets 50
NE
3078 / 20
Movicol Powder Sachets 20
NE
8332 / 30
Movicol Powder Sachets 30
NE
4194 / 50
Movicol Powder Sachets 50
NE
3040 / 20
Movicol-Half Powder Sachets 20
NE
3047 / 30
Movicol-Half Powder Sachets 30
NE
3163 / 30
Movicol-Paediatric Plain Powder Sachets 30
NE
1358 / 4
Moviprep Sachets 4
NE
13869 / 5
Moxifloxacin 400mg tablets 5 tablet (DT)
DT
13571 / 112
Moxisylyte 40mg tablets 112 tablet (DT) Schedule 11 by Prescriber
DT
2712 / 28
Moxonidine 200microgram tablets 28 tablet (DT)
DT
E
2714 / 28
Moxonidine 300microgram tablets 28 tablet (DT)
DT
E
2722 / 28
Moxonidine 400microgram tablets 28 tablet (DT)
DT
E
6495 / 60
MST Continus Tablets 15mg 60
CD ZD
E
2268 / 60
MST Continus Tablets 10mg 60
CD ZD
E
2185 / 60
MST Continus Tablets 30mg 60
CD ZD
E
2853 / 60
MST Continus Tablets 60mg 60
CD ZD
E
2854 / 60
MST Continus Tablets 100mg 60
CD ZD
E
4987 / 60
MST Continus Tablets 200mg 60
CD ZD
E
6465 / 60
MST Continus Tablets 5mg 60
CD ZD
E
6849 / 30
MST Suspension Sachets 20mg 30
CD ZD
E
6929 / 30
MST Suspension Sachets 30mg 30
CD ZD
E
7479 / 30
MST Suspension Sachets 60mg 30
CD ZD
E
7493 / 30
MST Suspension Sachets 100mg 30
CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
E
E
ZD
Page 166 of 550
E
Code/Pack
Description
DT CD ZD N E D
7511 / 30
MST Suspension Sachets 200mg 30
CD ZD
E
3607 / 1
MSUD Aid III Powder 500g 1
Code No. Of Packs Dispensed
ZD
E
7369 / 1
MSUD Anamix Infant Food 400g 1
Code No. of Packs dispensed
ZD
E
8908 / 1
MSUD Anamix Junior LQ Liquid 125ml 1
Code No. of Packs dispensed
8550 / 30
MSUD Anamix Junior Powder 29g 30
Code No. of sachets dispensed
ZD
E
1284 / 30
MSUD Express 15 Sachet 25g 30
Code No. of sachets dispensed
ZD
E
1172 / 1
MSUD Express Cooler 130ml 1
Code No. of Packs dispensed
ZD
E
8610 / 1
MSUD Maxamaid Special Diet Food 500g 1
Code No. of Packs dispensed
ZD
E
2107 / 1
MSUD Maxamum Special Diet Food 500g 1
Code No. of Packs dispensed
ZD
E
3067 / 120
Mucodyne Capsules 375mg 120
E
3081 / 300
Mucodyne Paediatric Syrup 125mg/5ml 300ml
E
3074 / 300
Mucodyne Syrup 250mg/5ml 300ml
E
2015 / 500
Mucogel Suspension 500ml
E
1134 / 20
Multaq Tablets 400mg 20
E
1144 / 60
Multaq Tablets 400mg 60
E
12742 / 15
Mupirocin 2% cream 15 gram (DT)
DT
E
12741 / 3
Mupirocin 2% nasal ointment 3 gram (DT)
DT
E
12743 / 15
Mupirocin 2% ointment 15 gram (DT)
DT
E
3653 / 10
Murine Eye Drops 10mls
8159 / 1
Muse Urethral Pellets 250mcg 1 Schedule 11 by Prescriber
ZD
E
8217 / 6
Muse Urethral Pellets 250mcg 6 Schedule 11 by Prescriber
ZD
E
8161 / 1
Muse Urethral Pellets 500mcg 1 Schedule 11 by Prescriber
ZD
E
8203 / 6
Muse Urethral Pellets 500mcg 6 Schedule 11 by Prescriber
ZD
E
8180 / 1
Muse Urethral Pellets 1000mcg 1 Schedule 11 by Prescriber
ZD
E
8221 / 6
Muse Urethral Pellets 1000mcg 6 Schedule 11 by Prescriber
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
Page 167 of 550
Code/Pack
Description
DT CD ZD N E D
1831 / 28
MXL Capsules 30mg 28
CD ZD
E
2250 / 28
MXL Capsules 60mg 28
CD ZD
E
2777 / 28
MXL Capsules 90mg 28
CD ZD
E
3044 / 28
MXL Capsules 120mg 28
CD ZD
E
3216 / 28
MXL Capsules 150mg 28
CD ZD
E
3837 / 28
MXL Capsules 200mg 28
CD ZD
E
1666 / 1
Mycamine Powder for Solution Infusion 50mg 1
ZD
E
1729 / 1
Mycamine Powder for Solution Infusion 100mg 1
ZD
E
6506 / 1
Mycil Athletes Foot Spray 150g 1
Code Number of Sprays Dispensed
E
3663 / 25
Mycil Ointment 0.5% 25g
E
7146 / 30
Mycobutin Capsules 150mg 30
14692 / 100
Mycophenolate mofetil 250mg capsules 100 capsule (DT)
DT
E
13446 / 50
Mycophenolate mofetil 500mg tablets 50 tablet (DT)
DT
E
6932 / 25
Mycota Cream 25g
E
6774 / 70
Mycota Powder 70g
E
3497 / 5
Mydrilate Solution 0.5% 5ml
ZD
E
3538 / 5
Mydrilate Solution 1% 5ml
ZD
E
1027 / 120
Myfortic Film-coated Tablets 180mg 120
ZD
E
1050 / 120
Myfortic Film-coated Tablets 360mg 120
1152 / 50
Myglucohealth Reagent 50
1295 / 25
Myleran Tablets 2mg 25
8727 / 50
Mylife Pura Reagent 50
NE
14626 / 50
Mylife Unio Reagent Test Strip 50
NE
4049 / 10
Myocrisin Ampoules 10mg 10
E
3700 / 10
Myocrisin Ampoules 50mg 10
E
3240 / 100
Mysoline Tablets 0.25g 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
NE
ZD
Page 168 of 550
E
Code/Pack
Description
2350 / 100
Mysoline Tablets 50mg 100
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT CD ZD N E D
E
Page 169 of 550
Code/Pack
Description
DT CD ZD N E D
N
6136 / 20
Nabilone Capsules 1mg 20
CD ZD
E
17339 / 20
Nabilone Capsules 250mcg 20
CD ZD
E
5666 / 56
Nabumetone 500mg tablets 56 tablet (DT)
DT
E
12883 / 28
Nadolol 80mg tablets 28 tablet (DT)
DT
E
721 / 84
Naftidrofuryl 100mg capsules 84 capsule (DT)
DT
E
3917 / 100
Nalcrom Capsules 100mg 100
14592 / 14
Nalmefene 18mg tablets 14 tablet (DT)
2337 / 28
Nalorex Tablets 50mg 28
E
3394 / 1
Naloxone Pre-Filled Syringe (AAH) 2mg/2ml 2ml 1
Code Number of Syringes Dispensed
E
3849 / 1
Naloxone Pre-Filled Syringe (Martindale) 2mg/2ml 2ml 1
Code Number of Syringes Dispensed
E
12943 / 28
Naltrexone 50mg tablets 28 tablet (DT)
6531 / 112
Napratec Tablets (56 + 56) 112 (2 Prescription Charges)
Code Each Pack of 56 + 56 Tablets as /112
E
3864 / 56
Naprosyn EC Tablets 250mg 56
E
3914 / 56
Naprosyn EC Tablets 375mg 56
E
3951 / 56
Naprosyn EC Tablets 500mg 56
E
1638 / 56
Naprosyn Tablets 250mg 56
E
1771 / 56
Naprosyn Tablets 500mg 56
E
258 / 56
Naproxen 250mg gastro-resistant tablets 56 tablet (DT)
DT
E
937 / 28
Naproxen 250mg tablets 28 tablet (DT)
DT
E
14443 / 56
Naproxen 375mg gastro-resistant tablets 56 tablet (DT)
DT
E
339 / 56
Naproxen 500mg gastro-resistant tablets 56 tablet (DT)
DT
E
764 / 28
Naproxen 500mg tablets 28 tablet (DT)
DT
E
14378 / 112
Naproxen 500mg tablets and Misoprostol 200microgram tablets 112 tablet (DT)
DT
E
3492 / 6
Naramig Tablets 2.5mg 6
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
DT
E
E
E
Page 170 of 550
Code/Pack
Description
DT CD ZD N E D
13142 / 6
Naratriptan 2.5mg tablets 6 tablet (DT)
1398 / 100
Nardil Tablets 15mg 100
2805 / 1
Nasacort Nasal Spray 1
E
1250 / 15
Naseptin Cream 15g
E
4590 / 1
Nasobec Aqueous Nasal Spray 50mcg/dose 200 dose
E
3898 / 1
Nasonex 50mcg/dose Nasal Spray 140 dose 1
Code no. of sprays dispensed
E
3395 / 28
Nastrosa Tablets 1mg 28
E
6392 / 60
Natecal D3 Chewable Tablets 60
Calcium Carbonate 1500mg, Colecalciferol 400iu
E
13532 / 84
Nateglinide 120mg tablets 84 tablet (DT)
DT
E
13531 / 84
Nateglinide 180mg tablets 84 tablet (DT)
DT
E
13533 / 84
Nateglinide 60mg tablets 84 tablet (DT)
DT
E
2954 / 30
Natrilix SR Tablets 1.5mg 30
E
1360 / 30
Natrilix Tablets 2.5mg 30
E
3179 / 60
Natrilix Tablets 2.5mg 60
E
4125 / 28
Navidrex Tablets 0.5mg 28
E
2199 / 28
Navispare Tablets 28
E
5202 / 28
Nazdol MR Tablets 30mg 28
E
5201 / 56
Nazdol MR Tablets 30mg 56
E
3428 / 1
Nebido Solution for Injection Ampoules 1000mg/4ml 1
8352 / 28
Nebilet Tablets 5mg 28
14713 / 28
Nebivolol 10mg tablets 28 tablet (DT)
DT
14556 / 28
Nebivolol 2.5mg tablets 28 tablet (DT)
DT
501 / 28
Nebivolol 5mg tablets 28 tablet (DT)
DT
E
13317 / 5
Nedocromil 2% eye drops 5 ml (DT)
DT
E
13817 / 90
Nefopam 30mg tablets 90 tablet (DT)
DT
E
3853 / 15
Neocate Active Dietary Supplement Sachets 63g 15
Code No. of Sachets dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
ZD
E
E
E
E
ZD
ZD
Page 171 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
3206 / 15
Neocate Advance Special Diet Food 50g 15
Code No. of 50g packs dispensed
ZD
E
3052 / 10
Neocate Advance Special Diet Food 100g 10
Code No. of sachets dispensed
ZD
E
1186 / 1
Neocate LCP Special Diet Food 400g 1
Code No. of Packs dispensed
ZD
E
5027 / 15
Neocate Spoon Special Diet Food 15X37G
Code No. of Packs dispensed
ZD
E
1190 / 100
Neoclarityn Oral Solution 0.5mg/ml 100ml
E
1197 / 150
Neoclarityn Oral Solution 0.5mg/ml 150ml
E
8600 / 30
Neoclarityn Tablets 5mg 30
E
3393 / 100
Neo-Mercazole Tablets 5mg 100
E
2719 / 100
Neo-Mercazole Tablets 20mg 100
E
14229 / 15
Neomycin 0.5% / Chlorhexidine hydrochloride 0.1% cream 15 gram (DT)
2665 / 100
Neo-Naclex K Tablets 100
E
9981 / 28
Neo-Naclex Tablets 2.5mg 28
E
8196 / 60
Neoral Capsules 10mg 60
E
7693 / 30
Neoral Capsules 25mg 30
E
7696 / 30
Neoral Capsules 50mg 30
E
7690 / 30
Neoral Capsules 100mg 30
E
7692 / 50
Neoral Oral Solution 100mg/ml 50ml
E
7995 / 1
NeoRecormon Injection Multidose 50,000iu 1
ZD
E
6579 / 6
NeoRecormon Pre-Filled Injection 20,000iu 6
ZD
E
8305 / 6
NeoRecormon Pre-Filled Syringe 500iu 6
ZD
E
8336 / 6
NeoRecormon Pre-Filled Syringe 2,000iu 6
ZD
E
8361 / 6
NeoRecormon Pre-Filled Syringe 3,000iu 6
ZD
E
3778 / 6
NeoRecormon Pre-Filled Syringe 4,000iu 6
ZD
E
8381 / 6
NeoRecormon Pre-Filled Syringe 5,000iu 6
ZD
E
4486 / 6
NeoRecormon Pre-Filled Syringe 6,000iu 6
ZD
E
8429 / 6
NeoRecormon Pre-Filled Syringe 10,000iu 6
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
Page 172 of 550
Code/Pack
Description
DT CD ZD N E D
6591 / 4
NeoRecormon Pre-Filled Syringe 30,000iu 4
3377 / 140
Neostigmine Bromide (Cambridge) Tablets 15mg 140
E
4967 / 60
Neo-Tigason Capsules 10mg 60
E
4991 / 60
Neo-Tigason Capsules 25mg 60
E
5239 / 1
Neovent 120Dose Inhaler 25mcg 1
Code No. of Inhalers dispensed
E
4174 / 1
Nepro Complete Nutrition Liquid R-T-H 500ml 1
Code No. of Packs dispensed
ZD
E
7701 / 1
Nepro Tetrapak 200ml 1
Code No. of Packs dispensed
ZD
E
1941 / 30
Nerisone Cream 30g
E
1716 / 15
Nerisone Forte Oily Cream 15g
E
4091 / 15
Nerisone Forte Ointment 15g
E
4475 / 30
Nerisone Oily Cream 30g
E
4476 / 30
Nerisone Ointment 30g
E
4067 / 84
Neulactil Tablets 2.5mg 84
E
5983 / 1
Neulasta Syringe 6mg/0.6ml 1
ZD
E
4498 / 5
Neupogen 30 Singleject Syringe 1ml 5
Code No. of Syringes dispensed
ZD
E
6422 / 5
Neupogen 30 Vial 1ml 5
Code No. of Vials dispensed
ZD
E
4510 / 5
Neupogen 48 Singleject Syringe 1.6ml 5
Code No. of Syringes dispensed
ZD
E
5568 / 28
Neupro Transdermal Patch 1mg/24h 28
ZD
E
2481 / 28
Neupro Transdermal Patch 2mg/24h 28
ZD
E
5566 / 28
Neupro Transdermal Patch 3mg/24h 28
ZD
E
2483 / 28
Neupro Transdermal Patch 4mg/24h 28
ZD
E
2485 / 28
Neupro Transdermal Patch 6mg/24h 28
ZD
E
2486 / 28
Neupro Transdermal Patch 8mg/24h 28
ZD
E
2479 / 28
Neupro Transdermal Patch Starter Pack 28
ZD
E
6867 / 100
Neurontin Capsules 100mg 100
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
Page 173 of 550
Code/Pack
Description
DT CD ZD N E D
6917 / 100
Neurontin Capsules 300mg 100
ZD
E
6953 / 100
Neurontin Capsules 400mg 100
ZD
E
3126 / 100
Neurontin Tablets
600mg 100
ZD
E
3550 / 100
Neurontin Tablets
800mg 100
ZD
E
8962 / 2
Neuropad Reagent 2
NE
7181 / 100
Neutrogena Norwegian Dermatological Cream 100g
NE
9103 / 112
Nexavar Tablets 200mg 112
3396 / 1
Nexium I.V. Vial 40mg 1
Code Number of Vials Dispensed
E
8968 / 28
Nexium Sachets 10mg 28
E
8534 / 28
Nexium Tablets 20mg 28
E
8545 / 28
Nexium Tablets 40mg 28
E
9997 / 1
Nexplanon Contraceptive Implant 68mg 1
E
3048 / 60
Nicam Gel 4% 60g
E
232 / 56
Nicardipine 20mg capsules 56 capsule (DT)
DT
E
245 / 56
Nicardipine 30mg capsules 56 capsule (DT)
DT
E
13235 / 56
Nicardipine 30mg modified-release capsules 56 capsule (DT)
DT
E
13234 / 56
Nicardipine 45mg modified-release capsules 56 capsule (DT)
DT
E
1688 / 30
Nicassist Gum Minty Fresh 2mg 30
NE
1698 / 105
Nicassist Gum Minty Fresh 2mg 105
NE
1757 / 105
Nicassist Gum Minty Fresh 4mg 105
NE
1656 / 1
Nicassist Inhalator Refill Pack 10mg (42) 1
Code No. of Packs dispensed
NE
1662 / 1
Nicassist Inhalator Refill Pack 10mg (6) 1
Code No. of Packs dispensed
NE
1758 / 36
Nicassist Lozenge 1mg 36
NE
1759 / 96
Nicassist Lozenge 1mg 96
NE
1702 / 105
Nicassist Microtabs 2mg 105
NE
1669 / 7
Nicassist Patch 5mg 7
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 174 of 550
E
Code/Pack
Description
DT CD ZD N E D
17375 / 7
Nicassist Transdermal Patch 14mg/24Hour 7
NE
17376 / 7
Nicassist Transdermal Patch 21mg/24Hour 7
NE
17374 / 7
Nicassist Transdermal Patch 7mg/24Hour 7
NE
17371 / 7
Nicassist Translucent Patch 10mg 7
NE
17372 / 7
Nicassist Translucent Patch 15mg 7
NE
17373 / 7
Nicassist Translucent Patch 25mg 7
NE
4870 / 20
Nicef Capsules 250mg 20
ED
4876 / 100
Nicef Capsules 250mg 100
ED
4877 / 20
Nicef Capsules 500mg 20
ED
4879 / 100
Nicef Capsules 500mg 100
ED
6393 / 50
Nicogel cigarette replacement Gel 50ml
Code No. of mls dispensed
E
6387 / 8
Nicogel cigarette replacement Gel Sachets 8
Code No. of Sachets dispensed
E
6390 / 16
Nicogel cigarette replacement Gel Sachets 16
Code No. of Sachets dispensed
E
13569 / 60
Nicorandil 10mg tablets 60 tablet (DT)
DT
E
13570 / 60
Nicorandil 20mg tablets 60 tablet (DT)
DT
E
6604 / 20
Nicorette Cools Lozenge 2mg 20
NE
6686 / 80
Nicorette Cools Lozenge 2mg 80
NE
6690 / 80
Nicorette Cools Lozenge 4mg 80
NE
8320 / 210
Nicorette Gum 2mg 210
NE
8555 / 105
Nicorette Gum Freshmint Flavour 2mg 105
NE
8562 / 105
Nicorette Gum Freshmint Flavour 4mg 105
NE
8416 / 210
Nicorette Gum Freshmint Flavour 4mg 210
NE
8918 / 210
Nicorette Gum Original Flavour 4mg 210
NE
8543 / 105
Nicorette Gum Original Flavour 4mg 105
NE
8538 / 105
Nicorette Gum Original/Mint Flavour 2mg 105
NE
6303 / 105
Nicorette Icy White Chewing Gum 2mg 105
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 175 of 550
Code/Pack
Description
DT CD ZD N E D
8009 / 105
Nicorette Icy White Chewing Gum 4mg 105
NE
8291 / 42
Nicorette Inhalator Cartridges 10mg 42
NE
8231 / 6
Nicorette Inhalator Cartridges 10mg 6
NE
6059 / 20
Nicorette Inhalator Cartridges 15mg 20
NE
6071 / 36
Nicorette Inhalator Cartridges 15mg 36
NE
6031 / 4
Nicorette Inhalator Cartridges 15mg 4
NE
6859 / 7
Nicorette Invisi 10mg/16hours patches 7
NE
6887 / 7
Nicorette Invisi 15mg/16hours patches 7
NE
1470 / 7
Nicorette Invisi-Patch 10mg 7
NE
1598 / 7
Nicorette Invisi-Patch 15mg 7
NE
1654 / 7
Nicorette Invisi-Patch 25mg 7
NE
6151 / 100
Nicorette Microtabs 2mg 100
NE
8006 / 1
Nicorette Nasal Spray (10ml) 1
Code No. of Sprays dispensed
NE
6156 / 1
Nicorette QuickMist 1mg/dose mouthspray 13.2ml 1
Code No. of packs dispensed
NE
6169 / 1
Nicorette QuickMist 1mg/dose mouthspray 26.4ml (2x13.2ml sprays) 1
Code No. of packs dispensed
NE
13660 / 60
Nicotine 1.5mg lozenges sugar free 60 lozenge (DT)
DT
NE
13638 / 7
Nicotine 10mg/16hours transdermal patches 7 patch (DT)
DT
NE
14754 / 20
Nicotine 15mg inhalation cartridges with device 20 cartridge (DT)
DT
NE
14755 / 36
Nicotine 15mg inhalation cartridges with device 36 cartridge (DT)
DT
NE
14756 / 4
Nicotine 15mg inhalation cartridges with device 4 cartridge (DT)
DT
NE
13639 / 7
Nicotine 15mg/16hours transdermal patches 7 patch (DT)
DT
NE
14418 / 13
Nicotine 1mg/dose oromucosal spray sugar free 13.2 ml (DT) [BSO Pack = 13]
Code each pack of 13.2 as 13
DT
E
13636 / 7
Nicotine 21mg/24hours transdermal patches 7 patch (DT)
DT
NE
13661 / 7
Nicotine 25mg/16hours transdermal patches 7 patch (DT)
DT
NE
13645 / 72
Nicotine 2mg lozenges sugar free 72 lozenge (DT)
DT
NE
13651 / 96
Nicotine 2mg medicated chewing gum sugar free 96 piece (DT)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 176 of 550
Code/Pack
Description
DT CD ZD N E D
13641 / 100
Nicotine 2mg sublingual tablets sugar free 100 tablet (DT)
DT
NE
13648 / 72
Nicotine 4mg lozenges sugar free 72 lozenge (DT)
DT
NE
13655 / 96
Nicotine 4mg medicated chewing gum sugar free 96 piece (DT)
DT
NE
13640 / 1
Nicotine 500micrograms/dose nasal spray 10 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
NE
13649 / 96
Nicotine bitartrate 1mg lozenges sugar free 96 lozenge (DT)
DT
NE
6461 / 7
Nicotinell "10" TTS Patch 7
NE
6848 / 7
Nicotinell "20" TTS Patch 7
NE
6875 / 7
Nicotinell "30" TTS Patch 7
NE
6882 / 21
Nicotinell "30" TTS Patch 21
NE
6372 / 72
Nicotinell Chewing Gum 4mg 72
All flavours.
NE
8549 / 24
Nicotinell Chewing Gum 2mg 24
All flavours.
NE
6375 / 72
Nicotinell Chewing Gum 2mg 72
All flavours.
NE
8561 / 96
Nicotinell Chewing Gum 2mg 96
All flavours.
NE
4128 / 24
Nicotinell Chewing Gum 4mg 24
All flavours.
NE
4680 / 204
Nicotinell Chewing Gum 2mg 204
All flavours.
NE
8557 / 96
Nicotinell Chewing Gum 4mg 96
All flavours.
NE
8556 / 36
Nicotinell Lozenge 1mg 36
All flavours.
NE
4588 / 72
Nicotinell Lozenge 1mg 72
All flavours.
NE
6681 / 36
Nicotinell Lozenge 2mg 36
All flavours.
NE
4895 / 72
Nicotinell Lozenge 2mg 72
All flavours.
NE
6689 / 96
Nicotinell Lozenge 2mg 96
All flavours.
NE
4474 / 144
Nicotinell Lozenge 2mg 144
All flavours.
NE
9402 / 96
Nicotinell Lozenges 1mg 96
All flavours.
NE
4690 / 144
Nicotinell Lozenges 1mg 144
All flavours.
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 177 of 550
Code/Pack
Description
DT CD ZD N E D
866 / 84
Nifedipine 10mg capsules 84 capsule (DT)
DT
E
12906 / 60
Nifedipine 10mg modified-release capsules 60 capsule (DT)
DT
E
14714 / 56
Nifedipine 10mg modified-release tablets 56 tablet (DT)
DT
E
12907 / 60
Nifedipine 20mg modified-release capsules 60 capsule (DT)
DT
E
12904 / 28
Nifedipine 30mg modified-release capsules 28 capsule (DT)
DT
E
14715 / 28
Nifedipine 30mg modified-release tablets 28 tablet (DT)
DT
E
815 / 84
Nifedipine 5mg capsules 84 capsule (DT)
DT
E
12905 / 28
Nifedipine 60mg modified-release capsules 28 capsule (DT)
DT
E
12908 / 28
Nifedipine 60mg modified-release tablets 28 tablet (DT)
DT
E
5089 / 56
Nifedipress MR (Dexcel) Tablets 10mg 56
E
5615 / 56
Nifedipress MR (Dexcel) Tablets 20mg 56
E
1833 / 240
Niferex Elixir 240ml
E
1850 / 30
Niferex Paediatric Elixir 30ml Schedule 11 by Prescriber
E
3713 / 5
Nimotop Infusion 10mg/ 50ml 5
E
3667 / 100
Nimotop Tablets 30mg 100
E
5560 / 12
NiQuitin Gum 2mg 12
NE
5561 / 24
NiQuitin Gum 2mg 24
NE
5562 / 96
NiQuitin Gum 2mg 96
NE
5563 / 12
NiQuitin Gum 4mg 12
NE
5564 / 24
NiQuitin Gum 4mg 24
NE
5565 / 96
NiQuitin Gum 4mg 96
NE
8692 / 36
NiQuitin Lozenge 2mg 36
NE
8695 / 72
NiQuitin Lozenge 2mg 72
NE
8696 / 36
NiQuitin Lozenge 4mg 36
NE
8697 / 72
NiQuitin Lozenge 4mg 72
NE
9417 / 60
NiQuitin Minis Lozenges 1.5mg 60
NE
9531 / 20
NiQuitin Minis Lozenges 4mg 20
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 178 of 550
Code/Pack
Description
DT CD ZD N E D
9530 / 60
NiQuitin Minis Lozenges 4mg 60
NE
9223 / 20
NiQuitin Minis Lozenges 1.5mg 20
NE
3349 / 7
NiQuitin Patches 7mg 7
NE
3788 / 7
NiQuitin Patches 14mg 7
NE
4150 / 7
NiQuitin Patches 21mg 7
NE
4561 / 14
NiQuitin Patches 21mg 14
NE
1012 / 7
NiQuitin Pre-Quit Clear Patches 21mg 7
NE
1664 / 36
NiQuitin Pre-Quit Lozenges 4mg 36
NE
356 / 150
Nitrazepam 2.5mg/5ml oral suspension 150 ml (DT)
DT
E
989 / 28
Nitrazepam 5mg tablets 28 tablet (DT)
DT
ED
6447 / 28
Nitro-Dur Transdermal Patches 0.2mg/ hr 28
E
6483 / 28
Nitro-Dur Transdermal Patches 0.4mg/ hr 28
E
6501 / 28
Nitro-Dur Transdermal Patches 0.6mg/ hr 28
E
12915 / 30
Nitrofurantoin 100mg capsules 30 capsule (DT)
DT
E
12912 / 14
Nitrofurantoin 100mg modified-release capsules 14 capsule (DT)
DT
E
12910 / 28
Nitrofurantoin 100mg tablets 28 tablet (DT)
DT
E
12913 / 300
Nitrofurantoin 25mg/5ml oral suspension sugar free 300 ml (DT)
DT
12914 / 30
Nitrofurantoin 50mg capsules 30 capsule (DT)
DT
E
14582 / 28
Nitrofurantoin 50mg tablets 28 tablet (DT)
DT
E
7851 / 1
Nitrolingual Pumpspray 200 dose 1
E
4203 / 1
Nitromin Spray 400mcg 200 dose 1
E
6425 / 100
Nivemycin Tablets 500mg 100
E
67 / 30
Nizatidine 150mg capsules 30 capsule (DT)
DT
E
78 / 30
Nizatidine 300mg capsules 30 capsule (DT)
DT
E
7845 / 60
Nizoral Anti-Dandruff Shampoo 2% 60ml
E
1871 / 30
Nizoral Cream 2% 30g Schedule 11 by Prescriber
E
3671 / 100
Nizoral Shampoo 2% 100ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 179 of 550
E
Code/Pack
Description
DT CD ZD N E D
1766 / 120
Nizoral Shampoo 2% 120ml
E
1451 / 30
Nizoral Tablets 200mg 30
E
6995 / 300
Nootropil Solution 33% 300ml
E
7004 / 90
Nootropil Tablets 800mg 90
E
7011 / 60
Nootropil Tablets 1200mg 60
E
7809 / 1
Norditropin Nordiflex Solution 15mg/1.5ml
ZD
E
2934 / 1
Norditropin Simplexx Cartridge 3.3mg 5mg 1
ZD
E
3829 / 1
Norditropin Simplexx Cartridge 6.7mg 10mg 1
ZD
E
4445 / 1
Norditropin Simplexx Cartridge 10mg 15mg 1
ZD
E
14738 / 84
Norethisterone 350microgram tablets 84 tablet (DT)
DT
E
659 / 30
Norethisterone 5mg tablets 30 tablet (DT)
DT
E
7191 / 6
Norgalax Enemas 10g 6
3825 / 35
Norgeston Tablets 35
E
2647 / 84
Noriday Tablets 84
E
4508 / 63
Norimin Tablets 3x21
E
2342 / 63
Norinyl 1 Tablets 63
E
8048 / 1
Noristerat Ampoules 200mg/ml 1ml
E
3711 / 500
Normacol 500g
NE
1886 / 500
Normacol Plus 500g
NE
1890 / 60
Normacol Plus Sachets 7gx60
NE
3690 / 60
Normacol Sachets 7gx60
NE
5010 / 1
Norprolac Starter Pack (1 x 6 tablets) 1
Code No. of starter packs dispensed
E
7474 / 30
Norprolac Tablets 75mcg 30
E
12192 / 100
Nortriptyline 10mg tablets 100 tablet (DT)
DT
E
12193 / 100
Nortriptyline 25mg tablets 100 tablet (DT)
DT
E
2979 / 90
Norvir Liquid 80mg/ ml 90ml
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
E
Page 180 of 550
Code/Pack
Description
DT CD ZD N E D
6443 / 30
Norvir Tablets 100mg 30
9495 / 1
Novgos Syringe 3.6mg 1
2786 / 84
Novofem Tablets 3x28 84
2462 / 105
Noxafil Suspension 40mg/ml 105ml
6492 / 10
Nozinan Ampoules 25mg/ml 10
E
2326 / 60
Nuelin SA Tablets 175mg 60
E
2327 / 60
Nuelin SA Tablets 250mg 60
E
4010 / 30
Nupercainal Ointment 30g
E
6418 / 10
Nurofen Express Liquid Capsules 200mg 10
E
6431 / 16
Nurofen Express Liquid Capsules 200mg 16
E
6434 / 30
Nurofen Express Liquid Capsules 200mg 30
E
6455 / 10
Nurofen Express Liquid Capsules 400mg 10
E
2178 / 20
Nurofen Express Liquid Capsules 400mg 20
E
1863 / 100
Nurofen for Children S/F Suspension 100mg/5ml (Orange) 100ml
NED
15003 / 100
Nurofen for Children S/F Suspension 100mg/5ml (Strawberry) 100ml
NED
8299 / 200
Nurofen for Children S/F Suspension with Syringe 100mg/5ml 200ml
NED
4883 / 10
Nurofen Liquid Capsules 200mg 10
E
2204 / 12
Nurofen Meltlets Compressed Tablets 200mg 12
E
2429 / 12
Nurofen Plus Tablets 12
E
2433 / 24
Nurofen Plus Tablets 24
E
2437 / 32
Nurofen Plus Tablets 32
E
1981 / 4
Nutilis Complete Stage 1 Food Thickener Bottle 125ml x 4
Code No. of Packs dispensed
3641 / 1
Nutilis Fruit Stage 3 Dessert 450g 1
450 gram (3 x 150g pots)
E
3457 / 20
Nutilis Sachets 12g 20
Code No. of Sachets dispensed
E
5136 / 1
Nutilis Thickening Powder (300g) 1
Code No. of Packs dispensed
E
2945 / 1
Nutramigen AA Powder (400g) 1
Code No. of Packs dispensed
E
ZD
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
ZD
ZD
ZD
Page 181 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
4326 / 1
Nutramigen Lipil 1 Powder (400g) 1
Code No. of Packs dispensed
ZD
E
4329 / 1
Nutramigen Lipil 2 Powder (400g) 1
Code No. of Packs dispensed
ZD
E
8379 / 1
Nutrini 200ml
Code No. of Packs dispensed
ZD
E
8457 / 1
Nutrini 500ml
Code No. of Packs dispensed
ZD
E
8478 / 1
Nutrini Energy Liquid 200ml
Code No. of Packs dispensed
ZD
E
8520 / 1
Nutrini Energy Liquid 500ml
Code No. of Packs dispensed
ZD
E
2000 / 1
Nutrini Multifibre 200ml
Code No. of Packs dispensed
ZD
E
2030 / 1
Nutrini Multifibre 500ml
Code No. of Packs dispensed
ZD
E
1402 / 1
Nutrini Multifibre Energy 200ml 1
Code No. of Packs dispensed
ZD
E
1405 / 1
Nutrini Multifibre Energy 500ml 1
Code No. of Packs dispensed
ZD
E
1412 / 1
Nutrini Multifibre Low Energy 200ml 1
Code No. of Packs dispensed
ZD
E
1416 / 1
Nutrini Multifibre Low Energy 500ml 1
Code No. of Packs dispensed
ZD
E
4481 / 1
Nutrini Peptsorb Liquid 500ml 1
Code No. of Packs dispensed
ZD
E
2399 / 1
Nutriprem 2 (900g) 1
Code No. of Packs dispensed
3503 / 1
Nutriprem 2 Liquid Milk Tetra Pack (200ml) 1
Code No. of Tetra Packs dispensed
ZD
E
5103 / 1
Nutrison 1000 Complete Multifibre Pack 1 Litre
Code No. of Packs dispensed
ZD
E
5107 / 1
Nutrison 1200 Complete Multifibre Pack 1.5 Litre
Code No. of Packs dispensed
ZD
E
5106 / 1
Nutrison 1200 Complete Multifibre Pack 1 Litre
Code No. of Packs dispensed
ZD
E
5011 / 1
Nutrison Concentrated Glass 500ml 1
Code No. of Packs dispensed
ZD
E
5012 / 1
Nutrison Concentrated Pack 500ml 1
Code No. of Packs dispensed
ZD
E
6421 / 1
Nutrison Energy (500ml "glass") 1
Code No. of Packs dispensed
ZD
E
8662 / 1
Nutrison Energy Multifibre 500ml "glass"
Code No. of Packs dispensed
ZD
E
4196 / 1
Nutrison Energy Multifibre Pack 500ml 1
Code No. of Packs dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 182 of 550
Code/Pack
Description
DT CD ZD N E D
8674 / 1
Nutrison Energy Multifibre Pack 1 Litre
Code No. of Packs dispensed
ZD
E
7826 / 1
Nutrison Energy Multifibre Pack 1.5 Litre
Code No. of Packs dispensed
ZD
E
1265 / 1
Nutrison Energy Pack 500ml
Code No. of Packs dispensed
ZD
E
6451 / 1
Nutrison Energy Pack 1 Litre
Code No. of Packs dispensed
ZD
E
1513 / 1
Nutrison Energy Pack 1.5 Litre
Code No. of Packs dispensed
ZD
E
6578 / 1
Nutrison Low Sodium Glass 500ml 1
Code No. of Packs dispensed
ZD
E
7284 / 1
Nutrison Low Sodium Pack 1 Litre 1
Code No. of Packs dispensed
ZD
E
8184 / 1
Nutrison MCT 1 Litre
Code No. of Packs dispensed
ZD
E
1837 / 1
Nutrison Multifibre (500ml "glass") 1
Code No. of Packs dispensed
ZD
E
6497 / 1
Nutrison Multifibre 500ml
Code No. of Packs dispensed
ZD
E
6536 / 1
Nutrison Multifibre Pack 1 Litre 1
Code No. of Packs dispensed
ZD
E
1693 / 1
Nutrison Multifibre Pack 1.5 Litre 1
Code No. of Packs dispensed
ZD
E
3358 / 1
Nutrison Protein Plus Multifibre Pack 1 Litre 1
Code No. of Packs dispensed
ZD
E
3335 / 1
Nutrison Protein Plus Pack 1 Litre 1
Code No. of Packs dispensed
ZD
E
6666 / 1
Nutrison Soya 500ml "glass"
Code No. of Packs dispensed
ZD
E
6991 / 1
Nutrison Soya 1 Litre
Code No. of Packs dispensed
ZD
E
3412 / 1
Nutrison Soya Multifibre Pack 1.5 Litre 1
Code No. of Packs dispensed
ZD
E
6692 / 1
Nutrison Standard 500ml "glass"
Code No. of Packs dispensed
ZD
E
6466 / 1
Nutrison Standard 500ml "pack"
Code No. of Packs dispensed
ZD
E
6814 / 1
Nutrison Standard 1.5 Litre "pack"
Code No. of Packs dispensed
ZD
E
6713 / 1
Nutrison Standard Pack 1 Litre 1
Code No. of Packs dispensed
ZD
E
4058 / 1
Nutrison Sterile Water
Code No. of Packs dispensed
E
6994 / 100
Nutrizym 10 Capsules 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 183 of 550
Code/Pack
Description
DT CD ZD N E D
7504 / 100
Nutrizym 22 Capsules 100
3260 / 1
Nutropin AQ Injection 10mg 2ml 1
Code Number of Injections Dispensed
ZD
E
9655 / 3
Nuvaring Contraceptive Ring 3
ZD
E
6000 / 84
Nuvelle Continous Tablets 3x28 84
E
6003 / 5
Nyogel Eye Gel 0.1% 5
E
2975 / 30
Nystaform Cream 30g
E
2663 / 30
Nystaform H.C. Cream 30g
E
3357 / 30
Nystaform H.C. Ointment 30g
E
3110 / 30
Nystan Oral Suspension 30ml
NED
14379 / 30
Nystatin 100,000units/g / Chlorhexidine hydrochloride 1% cream 30 gram (DT)
DT
E
5701 / 30
Nystatin 100,000units/ml oral suspension 30 ml (DT)
DT
NED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 184 of 550
Code/Pack
Description
DT CD ZD N E D
O
7507 / 10
Occlusal Solution 10ml
5879 / 180
Octasa M/R Tablets 800mg 180
ZD
E
5865 / 90
Octasa M/R Tablets 800mg 90
ZD
E
14684 / 5
Octreotide 500micrograms/1ml solution for injection ampoules 5 ampoule (DT)
ZD
E
2827 / 40
Ocufen Eye Drops 0.4ml 40ml
E
1274 / 20
Oculotect 5% Dry Eye Drops 0.4ml unit dose 20
E
8941 / 30
Ocuvite Lutein Capsules 30
E
7749 / 80
Oestrogel Gel Pump Pack 64 dose 0.06% 80g
E
13039 / 5
Ofloxacin 0.3% eye drops 5 ml (DT)
DT
E
82 / 10
Ofloxacin 200mg tablets 10 tablet (DT)
DT
E
91 / 5
Ofloxacin 400mg tablets 5 tablet (DT)
DT
E
6444 / 150
Oilatum Bath Formula 150ml
E
6453 / 300
Oilatum Bath Formula 300ml
E
1916 / 50
Oilatum Cream 50g
NE
2474 / 500
Oilatum Cream 500ml
Code Number of mls Dispensed
NE
3833 / 1050
Oilatum Cream 1050ml
Code Number of mls Dispensed
NE
8785 / 150
Oilatum Cream 150g
NE
3174 / 250
Oilatum Emollient 250ml
NE
6779 / 500
Oilatum Emollient 500ml
NE
6001 / 150
Oilatum Gel 150g
NE
3648 / 1050
Oilatum Junior Cream 1050ml
Code Number of mls Dispensed
NE
6036 / 150
Oilatum Junior Cream 150ml
NE
6102 / 350
Oilatum Junior Cream 350ml
NE
4294 / 500
Oilatum Junior Cream 500ml
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
Page 185 of 550
Code/Pack
Description
DT CD ZD N E D
6184 / 150
Oilatum Junior Emollient Bath Additive 150ml
NE
6124 / 250
Oilatum Junior Emollient Bath Additive 250ml
NE
4653 / 300
Oilatum Junior Emollient Bath Additive 300ml
NE
5553 / 600
Oilatum Junior Emollient Bath Additive 600ml
NE
7341 / 500
Oilatum Plus Emollient Bath Additive 500ml
E
4426 / 100
Oilatum Scalp Intensive Shampoo 100ml
E
4390 / 50
Oilatum Scalp Treatment Shampoo 50ml
E
4407 / 100
Oilatum Scalp Treatment Shampoo 100ml
E
4412 / 150
Oilatum Scalp Treatment Shampoo 150ml
E
8953 / 150
Oilatum Shower Gel 150g
13170 / 28
Olanzapine 10mg oral lyophilisates sugar free 28 tablet (DT)
DT
14466 / 28
Olanzapine 10mg orodispersible tablets 28 tablet (DT)
DT
E
14467 / 28
Olanzapine 10mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
13167 / 28
Olanzapine 10mg tablets 28 tablet (DT)
DT
E
13174 / 28
Olanzapine 15mg oral lyophilisates sugar free 28 tablet (DT)
DT
14468 / 28
Olanzapine 15mg orodispersible tablets 28 tablet (DT)
DT
E
14469 / 28
Olanzapine 15mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
13172 / 28
Olanzapine 15mg tablets 28 tablet (DT)
DT
E
13168 / 28
Olanzapine 2.5mg tablets 28 tablet (DT)
DT
E
13173 / 28
Olanzapine 20mg oral lyophilisates sugar free 28 tablet (DT)
DT
14470 / 28
Olanzapine 20mg orodispersible tablets 28 tablet (DT)
DT
E
14471 / 28
Olanzapine 20mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
13171 / 28
Olanzapine 20mg tablets 28 tablet (DT)
DT
E
13169 / 28
Olanzapine 5mg oral lyophilisates sugar free 28 tablet (DT)
DT
14472 / 28
Olanzapine 5mg orodispersible tablets 28 tablet (DT)
DT
E
14473 / 28
Olanzapine 5mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
13165 / 28
Olanzapine 5mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
ZD
ZD
ZD
ZD
Page 186 of 550
E
E
E
E
Code/Pack
Description
DT CD ZD N E D
13166 / 28
Olanzapine 7.5mg tablets 28 tablet (DT)
3975 / 90
Olbetam Capsules 250mg 90
7601 / 60
Oldaram Tablets 100mg 60
CD ZD
E
7557 / 60
Oldaram Tablets 150mg 60
CD ZD
E
7702 / 60
Oldaram Tablets Modified Release 200mg 60
CD ZD
E
13872 / 28
Olmesartan medoxomil 10mg tablets 28 tablet (DT)
DT
E
14195 / 28
Olmesartan medoxomil 20mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
14197 / 28
Olmesartan medoxomil 20mg / Hydrochlorothiazide 25mg tablets 28 tablet (DT)
DT
E
13870 / 28
Olmesartan medoxomil 20mg tablets 28 tablet (DT)
DT
E
14196 / 28
Olmesartan medoxomil 40mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
13871 / 28
Olmesartan medoxomil 40mg tablets 28 tablet (DT)
DT
E
2795 / 28
Olmetec Plus Tablets 20/12.5mg 28
E
2794 / 28
Olmetec Plus Tablets 20/25mg 28
E
6482 / 28
Olmetec Plus Tablets 40/12.5mg 28
E
2169 / 28
Olmetec Tablets 10mg 28
E
2256 / 28
Olmetec Tablets 20mg 28
E
2264 / 28
Olmetec Tablets 40mg 28
E
14723 / 60
Olodaterol 2.5micrograms/dose solution for inhalation cartridge with device CFC free 60 dose
(DT)
DT
E
13364 / 5
Olopatadine 1mg/ml eye drops 5 ml (DT)
DT
E
13352 / 112
Olsalazine 250mg capsules 112 capsule (DT)
DT
E
13353 / 60
Olsalazine 500mg tablets 60 tablet (DT)
DT
E
2041 / 28
Omacor Capsules 1g 28
12282 / 28
Omeprazole 10mg dispersible gastro-resistant tablets 28 tablet (DT)
DT
E
5755 / 28
Omeprazole 10mg gastro-resistant capsules 28 capsule (DT)
DT
ED
5758 / 28
Omeprazole 10mg gastro-resistant tablets 28 tablet (DT)
DT
E
12281 / 28
Omeprazole 20mg dispersible gastro-resistant tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
E
Page 187 of 550
Code/Pack
Description
DT CD ZD N E D
5756 / 28
Omeprazole 20mg gastro-resistant capsules 28 capsule (DT)
DT
ED
5759 / 28
Omeprazole 20mg gastro-resistant tablets 28 tablet (DT)
DT
E
12280 / 7
Omeprazole 40mg dispersible gastro-resistant tablets 7 tablet (DT)
DT
E
5757 / 7
Omeprazole 40mg gastro-resistant capsules 7 capsule (DT)
DT
ED
5760 / 7
Omeprazole 40mg gastro-resistant tablets 7 tablet (DT)
DT
E
3621 / 50
Omnitest 3 Reagent 50
8573 / 5
Omnitrope Cartridge 5mg/1.5ml 5
ZD
E
8577 / 5
Omnitrope Cartridge 10mg/1.5ml 5
ZD
E
9837 / 30
Onbrez Breezhaler 150microgram inhalation powder capsules with device 30
E
9847 / 30
Onbrez Breezhaler 300microgram inhalation powder capsules with device 30
E
6209 / 50
On-Call Advanced Reagent 50
13151 / 10
Ondansetron 4mg oral lyophilisates sugar free 10 tablet (DT)
DT
ZD
E
13149 / 10
Ondansetron 4mg orodispersible tablets 10 tablet (DT)
DT
ZD
E
14670 / 50
Ondansetron 4mg/5ml oral solution sugar free 50 ml (DT)
DT
13152 / 10
Ondansetron 8mg oral lyophilisates sugar free 10 tablet (DT)
DT
13150 / 10
Ondansetron 8mg orodispersible tablets 10 tablet (DT)
DT
179 / 10
Ondansetron 8mg tablets 10 tablet (DT)
DT
177 / 10
Ondansetron Tablet 4mg 10
DT
5763 / 50
One Touch Ultra Reagent Strip 50
NE
9444 / 50
One Touch Verio Reagent Strip 50
NE
7081 / 50
One Touch Vita Reagent 50
NE
3515 / 10
One-Alpha Ampoules 2mcg/ml 0.5ml 10
Code No. of Ampoules Dispensed
ZD
E
3518 / 10
One-Alpha Ampoules 2mcg/ml 1.0ml 10
Code No. of Ampoules Dispensed
ZD
E
2376 / 30
One-Alpha Capsules 0.25mcg 30
E
3266 / 30
One-Alpha Capsules 0.5mcg 30
E
2377 / 30
One-Alpha Capsules 1mcg 30
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
NE
E
ZD
E
E
ZD
E
E
Page 188 of 550
Code/Pack
Description
DT CD ZD N E D
4666 / 10
One-Alpha Drops 10ml
9367 / 28
Onglyza Tablets 5mg 28
E
4087 / 5
Opatanol Eye Drops 1mg/ml 5ml
E
4155 / 112
Opilon Tablets 40mg 112 Schedule 11 by Prescriber
1568 / 28
Opizone Tablets 50mg 28
E
7505 / 5
Opticrom Allergy Eye Drops 2% 5ml
E
4960 / 10
Opticrom Allergy Eye Drops 2% 10ml
E
3836 / 14
Opticrom Aqueous Eye Drops (13.5ml) 14
E
8186 / 8
Optilast Eye Drops 0.05% 8ml
E
2138 / 84
Optimax Tablets 500mg 84
E
3404 / 10
Optrex Allergy Eye Drops 10ml
Code Number of Packs Dispensed
E
8049 / 10
Optrex Sore Eyes Eye Drops 10ml
E
3651 / 100
Oraldene Mouthwash 100ml
E
4052 / 200
Oraldene Mouthwash 200ml
E
4569 / 30
Oramorph Concentrated Solution 30ml
CD ZD
E
4667 / 120
Oramorph Concentrated Solution 120ml
CD ZD
E
4720 / 100
Oramorph Liquid Oral Solution 100ml
E
4971 / 300
Oramorph Liquid Oral Solution 300ml
E
4990 / 500
Oramorph Liquid Oral Solution 500ml
E
12042 / 500
Orange syrup 500 ml (DT)
DT
12043 / 100
Orange tincture BP 2001 100 ml (DT)
DT
2764 / 100
Orap Tablets 4mg 100
E
7761 / 100
Orelox Paediatric Granules for Suspension 100ml
E
6996 / 10
Orelox Tablets 100mg 10
E
4073 / 1
Orencia 250mg powder for concentrate for solution for infusion vials (1 x 15ml) 1
Code No. of 15ml vials dispensed
ZD
E
5485 / 1
Orgalutron Pre Filled Syringe 0.25mg 1
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
E
E
E
ZD
Page 189 of 550
E
Code/Pack
Description
DT CD ZD N E D
7898 / 100
Orlept Tablets 500mg 100
13475 / 84
Orlistat 120mg capsules 84 capsule (DT)
DT
E
87 / 250
Orphenadrine 50mg tablets 250
DT
E
1964 / 15
Ortho-Gynest Pessaries 15
E
1944 / 112
Orudis Capsules 50mg 112
E
1659 / 56
Orudis Capsules 100mg 56
E
6504 / 10
Orudis Suppositories 100mg 10
E
4301 / 56
Oruvail Controlled Release Capsules 100mg 56
E
7275 / 28
Oruvail Controlled Release Capsules 150mg 28
E
1646 / 28
Oruvail Controlled Release Capsules 200mg 28
E
2757 / 100
Oruvail Gel 100g
E
5453 / 5
Osmanil Matrix Patch 100mcg 5
CD ZD
E
5450 / 5
Osmanil Matrix Patch 25mcg 5
CD ZD
E
5451 / 5
Osmanil Matrix Patch 50mcg 5
CD ZD
E
5452 / 5
Osmanil Matrix Patch 75mcg 5
CD ZD
E
9633 / 1
Osmolite 1.5KCAL Tube Feed Ready To Hang Bottle 1.5Litre
Code No. of Packs dispensed
ZD
E
9631 / 1
Osmolite 1.5KCAL Tube Feed Ready To Hang Bottle 1Litre
Code No. of Packs dispensed
ZD
E
9632 / 1
Osmolite 1.5KCAL Tube Feed Ready To Hang Bottle 500ml
Code No. of Packs dispensed
ZD
E
3089 / 1
Osmolite Plus Ready to Hang 500ml
Code No. of Packs dispensed
ZD
E
4108 / 1
Osmolite Plus Ready to Hang 1 Litre
Code No. of Packs dispensed
ZD
E
4322 / 1
Osmolite Plus Ready to Hang 1.5 Litre
Code No. of Packs dispensed
ZD
E
4359 / 1
Osmolite Ready to Hang 500ml
Code No. of Packs dispensed
ZD
E
3392 / 1
Osmolite Ready to Hang (1.5 Litre) 1
Code No. of Packs dispensed
ZD
E
7745 / 1
Osmolite Ready to Hang 1 Litre
Code No. of Packs dispensed
ZD
E
7565 / 8
Otex Ear Drops 5% 8ml
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
Page 190 of 550
Code/Pack
Description
DT CD ZD N E D
6505 / 1
Otomize Ear Spray (5ml) 1
Code No. of Sprays dispensed
E
3215 / 10
Otrivine - Antistin Eye Drops 10ml
E
6515 / 15
Ovestin Cream 15g
E
5746 / 30
Ovex Suspension 100mg/5ml 30ml
E
7210 / 1
Ovex Tablets 100mg 1
NE
7814 / 4
Ovex Tablets 100mg 4
NE
5412 / 1
Ovitrelle Syringe 0.5ml 250mcg 1
2596 / 63
Ovranette Tablets 3 x 21
E
2392 / 63
Ovysmen Tablets 3x21
E
151 / 1
Oxaliplatin (Actavis) Solution For Infusion 100mg /ml 1
ZD
E
334 / 1
Oxaliplatin (Generics (UK) Ltd) powder for solution for infusion vial 50mg 1
ZD
E
8523 / 28
Oxazepam 10mg tablets 28 tablet (DT)
DT
E
8512 / 28
Oxazepam 15mg tablets 28 tablet (DT)
DT
E
13485 / 50
Oxcarbazepine 150mg tablets 50 tablet (DT)
DT
E
13486 / 50
Oxcarbazepine 300mg tablets 50 tablet (DT)
DT
E
13487 / 50
Oxcarbazepine 600mg tablets 50 tablet (DT)
DT
13951 / 120
Oxerutins 250mg capsules 120 capsule (DT)
DT
8113 / 1
Oxis Turbohaler 6mcg
E
8137 / 1
Oxis Turbohaler 12mcg
E
13078 / 56
Oxprenolol 20mg tablets 56 tablet (DT)
DT
E
13079 / 56
Oxprenolol 40mg tablets 56 tablet (DT)
DT
E
12400 / 30
Oxybutynin 10mg modified-release tablets 30 tablet (DT)
DT
E
2572 / 56
Oxybutynin 2.5mg tablets 56 tablet (DT)
DT
E
12398 / 150
Oxybutynin 2.5mg/5ml oral solution 150 ml (DT)
DT
E
12401 / 8
Oxybutynin 3.9mg/24hours transdermal patches 8 patch (DT)
DT
E
12397 / 56
Oxybutynin 3mg tablets 56 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 191 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
12399 / 30
Oxybutynin 5mg modified-release tablets 30 tablet (DT)
DT
E
12395 / 56
Oxybutynin 5mg tablets 56 tablet (DT)
DT
E
14298 / 56
Oxycodone 10mg / Naloxone 5mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14033 / 56
Oxycodone 10mg capsules 56 capsule (DT)
DT CD ZD
E
14355 / 56
Oxycodone 10mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14038 / 5
Oxycodone 10mg/1ml solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
14031 / 120
Oxycodone 10mg/ml oral solution sugar free 120 ml (DT)
DT CD ZD
E
14356 / 56
Oxycodone 120mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14357 / 56
Oxycodone 15mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14299 / 56
Oxycodone 20mg / Naloxone 10mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14034 / 56
Oxycodone 20mg capsules 56 capsule (DT)
DT CD ZD
E
14358 / 56
Oxycodone 20mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14037 / 5
Oxycodone 20mg/2ml solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
14359 / 56
Oxycodone 30mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14035 / 56
Oxycodone 40mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14039 / 5
Oxycodone 50mg/1ml solution for injection ampoules 5 ampoule (DT)
DT CD ZD
E
14300 / 28
Oxycodone 5mg / Naloxone 2.5mg modified-release tablets 28 tablet (DT)
DT CD ZD
E
14032 / 56
Oxycodone 5mg capsules 56 capsule (DT)
DT CD ZD
E
14360 / 28
Oxycodone 5mg modified-release tablets 28 tablet (DT)
DT CD ZD
E
14030 / 250
Oxycodone 5mg/5ml oral solution sugar free 250 ml (DT)
DT CD ZD
E
14361 / 56
Oxycodone 60mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14036 / 56
Oxycodone 80mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
1667 / 28
Oxycontin Tablets 5mg 28
CD ZD
E
1563 / 56
Oxycontin Tablets 10mg 56
CD ZD
E
3770 / 56
Oxycontin Tablets 120mg 56
CD ZD
E
3805 / 56
Oxycontin Tablets 15mg 56
CD ZD
E
1687 / 56
Oxycontin Tablets 20mg 56
CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 192 of 550
Code/Pack
Description
DT CD ZD N E D
3821 / 56
Oxycontin Tablets 30mg 56
CD ZD
E
2142 / 56
Oxycontin Tablets 40mg 56
CD ZD
E
3839 / 56
Oxycontin Tablets 60mg 56
CD ZD
E
3098 / 56
Oxycontin Tablets 80mg 56
CD ZD
E
1639 / 56
Oxynorm Capsules 5mg 56
CD ZD
E
1775 / 56
Oxynorm Capsules 10mg 56
CD ZD
E
3928 / 56
Oxynorm Capsules 20mg 56
CD ZD
E
2229 / 250
Oxynorm Liquid 5mg/5ml 250ml
CD ZD
E
4208 / 120
Oxynorm Liquid 10mg/ml 120ml
CD ZD
E
4218 / 5
Oxynorm Solution for Injection Ampoule 10mg/ml 1ml 5
CD ZD
E
4219 / 5
Oxynorm Solution for Injection Ampoule 10mg/ml 2ml 5
CD ZD
E
6294 / 5
Oxynorm Solution for Injection Ampoule 50mg/ml 1ml 5
CD ZD
E
983 / 28
Oxytetracycline 250mg tablets 28 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 193 of 550
ED
Code/Pack
Description
DT CD ZD N E D
P
9912 / 1
Paediasure Fibre Liquid Bottle 200ml 1
Code No. of Packs dispensed
ZD
E
9538 / 1
Paediasure Liquid Bottle 200ml 1
Code No. of Packs dispensed
ZD
E
4290 / 1
Paediasure Peptide Liquid 200ml 1
Code No. of Packs dispensed
ZD
E
4274 / 1
Paediasure Peptide Liquid 500ml 1
Code No. of Packs dispensed
ZD
E
9676 / 1
Paediasure Plus Bottle 200ml 1
Code No. of Packs dispensed
ZD
E
9904 / 1
Paediasure Plus Fibre Liquid Bottle 200ml 1
Code No. of Packs dispensed
ZD
E
7167 / 1
Paediasure Plus Juce (200ml) 1
Code No. of Packs dispensed
ZD
E
9901 / 1
Paediasure Plus Liquid Bottle (flavoured) 200ml 1
Code No. of Packs dispensed
ZD
E
4467 / 1
Paediasure Plus Ready To Hang Liquid (500m) 1l
Code No. of Packs dispensed
ZD
E
6606 / 1
Paediasure Plus Ready To Hang with Fibre Liquid 500ml
Code No. of Packs dispensed
ZD
E
3735 / 1
Paediasure Ready to Hang 500ml
Code No. of Packs dispensed
ZD
E
7652 / 1
Paediasure with Fibre Ready to Hang (500ml) 1
Code No. of Packs dispensed
ZD
E
17179 / 56
Palexia SR Tablets 100mg 56
CD ZD
E
17180 / 56
Palexia SR Tablets 150mg 56
CD ZD
E
17181 / 56
Palexia SR Tablets 200mg 56
CD ZD
E
17182 / 56
Palexia SR Tablets 250mg 56
CD ZD
E
17177 / 28
Palexia SR Tablets 50mg 28
CD ZD
E
17178 / 56
Palexia SR Tablets 50mg 56
CD ZD
E
17173 / 28
Palexia Tablets 50mg 28
CD ZD
E
17174 / 56
Palexia Tablets 50mg 56
CD ZD
E
17175 / 28
Palexia Tablets 75mg 28
CD ZD
E
17176 / 56
Palexia Tablets 75mg 56
CD ZD
E
1546 / 56
Palladone Capsules 1.3mg 56
CD ZD
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 194 of 550
Code/Pack
Description
DT CD ZD N E D
2081 / 56
Palladone Capsules 2.6mg 56
CD ZD
1695 / 56
Palladone SR Capsules 2mg 56
CD ZD
1790 / 56
Palladone SR Capsules 4mg 56
CD ZD
2115 / 56
Palladone SR Capsules 8mg 56
CD ZD
2559 / 56
Palladone SR Capsules 16mg 56
CD ZD
3420 / 56
Palladone SR Capsules 24mg 56
CD ZD
4949 / 98
Paludrine Tablets 98
E
4992 / 112
Paludrine Travel Pack Tablets 7x16
E
1531 / 1
Pamidronate disodium 9mg/ml 10ml vial 1
E
6796 / 100
Pancrease HL Capsules 100
E
6429 / 300
Pancrex Granules 300g
ZD
E
7414 / 300
Pancrex V ‘125’ Capsules 300
ZD
E
6537 / 300
Pancrex V Capsules 300
ZD
E
2189 / 300
Pancrex V Forte Tablets 300
ZD
E
6470 / 300
Pancrex V Powder 300g
ZD
E
2644 / 300
Pancrex V Tablets 300
ZD
E
2884 / 40
Panoxyl 5 Acne Gel 5% 40g
E
2914 / 40
Panoxyl 10 Acne Gel 10% 40g
E
2003 / 40
Panoxyl Aquagel 10% 40g
E
1993 / 40
Panoxyl Aquagel 2.5% 40g
E
2013 / 150
Panoxyl Wash 150ml
E
771 / 28
Pantoprazole 20mg gastro-resistant tablets 28 tablet (DT)
DT
E
773 / 28
Pantoprazole 40mg gastro-resistant tablets 28 tablet (DT)
DT
E
12973 / 10
Paracetamol 120mg suppositories 10 suppository (DT)
DT
E
12979 / 500
Paracetamol 120mg/5ml oral solution paediatric sugar free 500 ml (DT)
DT
NED
12976 / 500
Paracetamol 120mg/5ml oral suspension paediatric 500 ml (DT)
DT
NED
14539 / 100
Paracetamol 120mg/5ml oral suspension paediatric sugar free 100 ml (DT)
DT
NED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 195 of 550
Code/Pack
Description
DT CD ZD N E D
12977 / 10
Paracetamol 125mg suppositories 10 suppository (DT)
DT
E
12972 / 10
Paracetamol 240mg suppositories 10 suppository (DT)
DT
E
12974 / 10
Paracetamol 250mg suppositories 10 suppository (DT)
DT
E
1407 / 100
Paracetamol 250mg/5ml oral suspension 100 ml (DT)
DT
NED
134 / 200
Paracetamol 250mg/5ml oral suspension sugar free 200 ml (DT)
DT
NED
14308 / 112
Paracetamol 500mg / Dihydrocodeine 20mg tablets 112 tablet (DT)
DT
E
14309 / 56
Paracetamol 500mg / Dihydrocodeine 30mg tablets 56 tablet (DT)
DT
E
14362 / 42
Paracetamol 500mg / Metoclopramide 5mg effervescent powder sachets sugar free 42 sachet
(DT)
DT
E
13938 / 42
Paracetamol 500mg / Metoclopramide 5mg tablets 42 tablet (DT)
DT
E
14515 / 100
Paracetamol 500mg capsules 100 capsule (DT)
DT
E
450 / 32
Paracetamol 500mg capsules 32 capsule (DT)
DT
E
280 / 100
Paracetamol 500mg soluble tablets 100 tablet (DT)
DT
NED
14516 / 24
Paracetamol 500mg soluble tablets 24 tablet (DT)
DT
NED
12971 / 10
Paracetamol 500mg suppositories 10 suppository (DT)
DT
E
5077 / 100
Paracetamol 500mg tablets 100 tablet (DT)
DT
NED
12967 / 32
Paracetamol 500mg tablets 32 tablet (DT)
DT
NED
14545 / 150
Paracetamol 500mg/5ml oral suspension sugar free 150 ml (DT)
DT
E
12975 / 10
Paracetamol 60mg suppositories 10 suppository (DT)
DT
E
14185 / 500
Paraffin hard MP 43-46C solid 500 gram (DT)
DT
E
14184 / 500
Paraffin hard solid 500 gram (DT)
DT
E
1761 / 42
Paramax Sachets 42
E
3496 / 42
Paramax Tablets 42
E
4090 / 100
Pardelprin MR Capsules 75mg 100
E
8347 / 28
Pariet Tablets 10mg 28
E
8370 / 28
Pariet Tablets 20mg 28
E
4953 / 100
Parlodel Capsules 5mg 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 196 of 550
Code/Pack
Description
DT CD ZD N E D
4318 / 100
Parlodel Capsules 10mg 100
E
4996 / 100
Parlodel Tablets 1mg 100
E
4317 / 30
Parlodel Tablets 2.5mg 30
ZD
E
3019 / 100
Parlodel Tablets 2.5mg 100
ZD
E
4608 / 120
Paroven Capsules 250mg 120
13618 / 28
Paroxetine 10mg tablets 28 tablet (DT)
DT
E
13617 / 150
Paroxetine 10mg/5ml oral suspension sugar free 150 ml (DT)
DT
E
85 / 30
Paroxetine 20mg tablets 30 tablet (DT)
DT
E
88 / 30
Paroxetine 30mg tablets 30 tablet (DT)
DT
E
2546 / 150
Pavacol D Cough Liquid 150ml
E
2552 / 300
Pavacol D Cough Liquid 300ml
E
5023 / 1
PecFent Nasal (32 doses) Spray 100mcg 1
Code Number of Sprays Dispensed
CD ZD
E
5026 / 1
PecFent Nasal (32 doses) Spray 400mcg 1
Code Number of Sprays Dispensed
CD ZD
E
5022 / 1
PecFent Nasal (8 doses) Spray 100mcg 1
Code Number of Sprays Dispensed
CD ZD
E
5024 / 1
PecFent Nasal (8 doses) Spray 400mcg 1
Code Number of Sprays Dispensed
CD ZD
E
7427 / 1
Pegasys Injection 135mcg/0.5ml 1
ZD
E
7445 / 4
Pegasys Injection 180mcg/0.5ml 4
ZD
E
6797 / 28
Penbritin Capsules 250mg 28
13374 / 2
Penciclovir 1% cream 2 gram (DT)
DT
ED
899 / 56
Penicillamine 125mg tablets 56 tablet (DT)
DT
E
888 / 56
Penicillamine 250mg tablets 56 tablet (DT)
DT
E
7968 / 60
Pennsaid Topical Solution 1.5% 60ml
E
7013 / 7
Pentasa Enema 1g 7
E
6597 / 50
Pentasa Prolonged Release Granules Sachets 1g 50
E
4909 / 60
Pentasa Prolonged Release Granules Sachets 2g 60
E
6290 / 60
Pentasa SR Tablets 1g 60
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ED
Page 197 of 550
Code/Pack
Description
DT CD ZD N E D
7331 / 100
Pentasa SR Tablets 500mg 100
E
7489 / 28
Pentasa Suppositories 1g 28
Pay Full Pack If Claimed
E
5673 / 28
Pentazocine 25mg tablets 28 tablet (DT)
DT CD ZD
E
12439 / 10
Pentazocine 60mg/2ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
13004 / 90
Pentoxifylline 400mg modified-release tablets 90 tablet (DT)
DT
E
3202 / 28
Pepcid Tablets 20mg 28
E
3204 / 28
Pepcid Tablets 40mg 28
E
13538 / 84
Peppermint oil 0.2ml gastro-resistant capsules 84 capsule (DT)
DT
E
13537 / 100
Peppermint oil 0.2ml gastro-resistant modified-release capsules 100 capsule (DT)
DT
E
13535 / 100
Peppermint oil liquid 100 ml (DT)
DT
E
12044 / 100
Peppermint water concentrated 100 ml (DT)
DT
8422 / 500
Peptac Liquid 500ml
8984 / 1
Peptamen AF Liquid Diet 1
Code No. of Packs dispensed
ZD
E
7152 / 1
Peptamen HN Liquid Diet 1
Code No. of Packs dispensed
ZD
E
3613 / 1
Peptamen Junior Advance Gluten Free Liquid Ready to Hang Liquid 500ml 1
Code No. of Packs dispensed
ZD
E
2325 / 1
Peptamen Junior Gluten Free Liquid Ready to Hang 500ml 1
Code No. of Packs dispensed
2412 / 1
Peptamen Junior Powder 400g 1
Code no. of 400g packs dispensed
ZD
E
7483 / 1
Peptamen Liquid 1000ml 1
Code No. of Packs dispensed
ZD
E
7717 / 1
Peptamen Liquid 500ml 1
Code No. of Packs dispensed
ZD
E
6595 / 4
Peptamen Multipack Liquid (Vanilla) 200ml 4
Code No. of 200ml Packs dispensed
ZD
E
6798 / 1
Pepti Junior 450g
Code No. of Packs dispensed
ZD
E
6594 / 1
Peptisorb 500ml "glass"
Code No. of Packs dispensed
ZD
E
6596 / 1
Peptisorb 500ml "pack"
Code No. of Packs dispensed
ZD
E
7144 / 1
Peptisorb 1 Litre "pack"
Code No. of Packs dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
E
Page 198 of 550
Code/Pack
Description
DT CD ZD N E D
7786 / 1
Perative Liquid (1 Litre) 1
Code No. of Packs dispensed
ZD
E
3795 / 1
Perative Ready to Hang (500ml) 1
Code No. of Packs dispensed
ZD
E
7827 / 28
Perdix Tablets 7.5mg 28
E
7830 / 28
Perdix Tablets 15mg
E
95 / 100
Pergolide 1mg tablets 100 tablet (DT)
DT
E
92 / 100
Pergolide 250microgram tablets 100 tablet (DT)
DT
E
90 / 100
Pergolide 50microgram tablets 100 tablet (DT)
DT
E
4206 / 1
Pergoveris Injection 150iu/75iu 1
E
4207 / 10
Pergoveris Injection 150iu/75iu 10
E
3572 / 30
Periactin Tablets 4mg 30
E
14419 / 100
Pericyazine 10mg/5ml oral solution 100 ml (DT)
7061 / 1
Perinal Spray (30ml) 1
Code No. of Packs dispensed
13521 / 30
Perindopril arginine 10mg tablets 30 tablet (DT)
DT
E
13522 / 30
Perindopril arginine 2.5mg tablets 30 tablet (DT)
DT
E
13905 / 30
Perindopril arginine 5mg / Indapamide 1.25mg tablets 30 tablet (DT)
DT
E
13523 / 30
Perindopril arginine 5mg tablets 30 tablet (DT)
DT
E
5227 / 30
Perindopril erbumine 2mg tablets 30 tablet (DT)
DT
E
14724 / 30
Perindopril erbumine 4mg / Amlodipine 10mg tablets 30 tablet (DT)
DT
E
14725 / 30
Perindopril erbumine 4mg / Amlodipine 5mg tablets 30 tablet (DT)
DT
E
5228 / 30
Perindopril erbumine 4mg tablets 30 tablet (DT)
DT
E
14726 / 30
Perindopril erbumine 8mg / Amlodipine 10mg tablets 30 tablet (DT)
DT
E
14727 / 30
Perindopril erbumine 8mg / Amlodipine 5mg tablets 30 tablet (DT)
DT
E
5229 / 30
Perindopril erbumine 8mg tablets 30 tablet (DT)
DT
E
12081 / 118
Permethrin 1% scalp application 118 ml (DT)
DT
E
12080 / 59
Permethrin 1% scalp application 59 ml (DT)
DT
E
12082 / 30
Permethrin 5% cream 30 gram (DT)
DT
NE
28
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 199 of 550
Code/Pack
Description
DT CD ZD N E D
6467 / 30
Permitabs Tablets 400mg 30
E
4456 / 1000
Pernaton Gel 1000ml
E
4435 / 125
Pernaton Gel 125ml
E
6199 / 60
Persantin Retard Capsules 200mg 60
E
3983 / 84
Persantin Tablets 100mg 84
E
2634 / 10
Pethidine 100mg/2ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
2639 / 50
Pethidine 50mg tablets 50 tablet (DT)
DT CD ZD
E
2633 / 10
Pethidine 50mg/1ml solution for injection ampoules 10 ampoule (DT)
DT CD ZD
E
2847 / 30
Pevaryl Cream 30g
12152 / 100
Phenelzine 15mg tablets 100 tablet (DT)
6469 / 10
Phenergan Ampoules 25mg 1ml 10
E
2655 / 100
Phenergan Elixir 100ml
ED
2651 / 56
Phenergan Tablets 10mg 56
ED
2653 / 56
Phenergan Tablets 25mg 56
ED
12531 / 28
Phenindione 10mg tablets 28 tablet (DT)
DT
ZD
E
14420 / 28
Phenindione 25mg tablets 28 tablet (DT)
DT
ZD
E
934 / 28
Phenobarbital 15mg tablets 28 tablet (DT)
DT CD ZD
E
566 / 500
Phenobarbital 15mg/5ml elixir 500 ml (DT)
DT CD ZD
E
988 / 28
Phenobarbital 30mg tablets 28 tablet (DT)
DT CD ZD
E
986 / 28
Phenobarbital 60mg tablets 28 tablet (DT)
DT CD ZD
E
14677 / 30
Phenoxybenzamine 10mg capsules 30 capsule (DT)
DT
E
571 / 100
Phenoxymethylpenicillin 125mg/5ml oral solution 100 ml (DT)
DT
ED
388 / 100
Phenoxymethylpenicillin 125mg/5ml oral solution sugar free 100 ml (DT)
DT
ED
765 / 28
Phenoxymethylpenicillin 250mg tablets 28 tablet (DT)
DT
ED
572 / 100
Phenoxymethylpenicillin 250mg/5ml oral solution 100 ml (DT)
DT
ED
391 / 100
Phenoxymethylpenicillin 250mg/5ml oral solution sugar free 100 ml (DT)
DT
ED
12444 / 500
Phenytoin 30mg/5ml oral suspension 500 ml (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
DT
ZD
ZD
Page 200 of 550
E
Code/Pack
Description
DT CD ZD N E D
12811 / 84
Phenytoin sodium 100mg capsules 84 capsule (DT)
DT
97 / 28
Phenytoin sodium 100mg tablets 28 tablet (DT)
DT
E
12809 / 28
Phenytoin sodium 25mg capsules 28 capsule (DT)
DT
E
12808 / 28
Phenytoin sodium 300mg capsules 28 capsule (DT)
DT
12810 / 28
Phenytoin sodium 50mg capsules 28 capsule (DT)
DT
6975 / 200
Phillips Milk of Magnesia - Peppermint 200ml
8193 / 200
Phlexy 10 Capsules 0.5mg 200
ZD
E
8054 / 30
Phlexy 10 Sachets 30
Code No. of Sachets dispensed
ZD
E
9092 / 75
Phlexy 10 Tablets 1g 75
ZD
E
5706 / 2000
Pholcodine 10mg/5ml linctus strong sugar free 2000 ml (DT)
DT
E
13588 / 2000
Pholcodine 2mg/5ml oral solution sugar free 2000 ml (DT)
DT
E
5526 / 200
Pholcodine 5mg/5ml linctus 200 ml (DT)
DT
E
310 / 200
Pholcodine 5mg/5ml linctus sugar free 200 ml (DT)
DT
E
3203 / 180
Phosex Tablets 1000mg 180
Pay full pack if claimed
E
2173 / 100
Phosphate Sandoz Effervescent Tablets 100
E
17287 / 1
Phosphates enema (Formula B) 128ml long tube 1 (DT)
DT
NE
17197 / 1
Phosphates enema (Formula B) 128ml standard tube 1 (DT)
DT
NE
1499 / 56
Phyllocontin Forte Continus Tablets 350mg 56
E
3095 / 56
Phyllocontin Tablets 225mg 56
E
2658 / 10
Physeptone Injection 10mg/ml 1ml 10
CD ZD
2839 / 10
Physeptone Injection 10mg/ml 2ml 10
CD ZD
3112 / 10
Physeptone Injection 10mg/ml 3.5ml 10
CD ZD
4399 / 10
Physeptone Injection 10mg/ml 5ml 10
CD ZD
2660 / 50
Physeptone Tablets 5mg 50
CD ZD
7926 / 28
Physiotens Tablets 200mcg 28
E
6464 / 28
Physiotens Tablets 300mcg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
E
E
E
E
Page 201 of 550
Code/Pack
Description
DT CD ZD N E D
7990 / 28
Physiotens Tablets 400mcg 28
E
3812 / 25
Phytex Paint 25ml
E
12691 / 10
Phytomenadione 10mg/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
12692 / 12
Phytomenadione 1mg capsules 12 capsule (DT)
DT
E
6475 / 2
Picolax Powder Sachets 16g 2
Code No. of Sachets dispensed
12988 / 84
Pilocarpine 5mg tablets 84 tablet (DT)
DT
E
1203 / 10
Pilocarpine hydrochloride 1% eye drops 10 ml (DT)
DT
E
1214 / 10
Pilocarpine hydrochloride 2% eye drops 10 ml (DT)
DT
E
1218 / 10
Pilocarpine hydrochloride 4% eye drops 10 ml (DT)
DT
E
13876 / 100
Pimecrolimus 1% cream 100 gram (DT)
DT
E
13874 / 30
Pimecrolimus 1% cream 30 gram (DT)
DT
E
13875 / 60
Pimecrolimus 1% cream 60 gram (DT)
DT
E
13164 / 100
Pimozide 4mg tablets 100 tablet (DT)
DT
E
13919 / 28
Pindolol 10mg / Clopamide 5mg tablets 28 tablet (DT)
DT
E
14444 / 100
Pindolol 5mg tablets 100 tablet (DT)
DT
E
14091 / 56
Pioglitazone 15mg / Metformin 850mg tablets 56 tablet (DT)
DT
E
13692 / 28
Pioglitazone 15mg tablets 28 tablet (DT)
DT
E
13691 / 28
Pioglitazone 30mg tablets 28 tablet (DT)
DT
E
13693 / 28
Pioglitazone 45mg tablets 28 tablet (DT)
DT
E
14394 / 1
Piperacillin 2g / Tazobactam 250mg powder for solution for injection vials 1 vial (DT)
DT
E
6478 / 10
Piportil Depot Injection
50mg/1ml 10
E
6540 / 10
Piportil Depot Injection 100mg/ 2ml 10
E
2283 / 150
Piriton Syrup 4mg/ 10ml 150ml
ED
2286 / 500
Piriton Tablets 4mg 500
ED
444 / 112
Piroxicam 0.5% gel 112 gram (DT)
DT
E
440 / 60
Piroxicam 0.5% gel 60 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
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Page 202 of 550
Code/Pack
Description
DT CD ZD N E D
288 / 56
Piroxicam 10mg capsules 56 capsule (DT)
DT
E
289 / 28
Piroxicam 20mg capsules 28 capsule (DT)
DT
E
14334 / 30
Piroxicam 20mg orodispersible tablets sugar free 30 tablet (DT)
DT
E
13026 / 10
Pivmecillinam 200mg tablets 10 tablet (DT)
DT
E
5667 / 28
Pizotifen 1.5mg tablets 28 tablet (DT)
DT
E
6262 / 28
Pizotifen 500microgram tablets 28 tablet (DT)
DT
E
8679 / 1
PKU Anamix Infant Food 400g 1
Code No. of Packs dispensed
9576 / 1
PKU Anamix Junior LQ Liquid 125ml 1
Code No. of Packs dispensed
ZD
E
8571 / 30
PKU Anamix Junior Powder 29g 30
Code No. of Packs dispensed
ZD
E
4607 / 30
PKU Express 15 Dietary Supplement Powder (25g) 30
Code No. of Sachets dispensed
ZD
E
1239 / 1
PKU Lophlex LQ 20 Liquid R/T/D 125ml 1
Code no. of bottles dispensed
ZD
E
1421 / 1
PKU Lophlex LQ10 R/T/D 62.5ml 1
Code no. of bottles dispensed
ZD
E
7148 / 1
PKU Start Dietary Supplement Liquid 500ml 1
Code No. of Packs dispensed
ZD
E
1321 / 1
PKU-Cooler 10 Ready to Drink Dietary Supplement Liquid 87ml 1
Code No. of Packs dispensed
ZD
E
2021 / 1
PKU-Cooler 15 Dietary Supplement Liquid 130ml 1
Code No. of Packs dispensed
ZD
E
7149 / 1
PKU-Cooler 20 Dietary Supplement Liquid 174ml 1
Code No. of Packs dispensed
ZD
E
5985 / 30
PKU-Gel Sachets (24g) 30
Code No. of Sachets dispensed
ZD
E
3799 / 60
Plaquenil Tablets 60
E
8301 / 30
Plavix Tablets 75mg 30
E
2365 / 30
Plavix Tablets 300mg 30
E
7944 / 50
Plenadren 20mg modified-release tablets 50
E
7828 / 50
Plenadren 5mg modified-release tablets 50
E
4962 / 28
Plendil MR Tablets 2.5mg 28
E
2236 / 28
Plendil MR Tablets 5mg 28
E
2869 / 28
Plendil MR Tablets 10mg 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 203 of 550
Code/Pack
Description
DT CD ZD N E D
7915 / 56
Pletal Tablets 50mg 56
E
7966 / 56
Pletal Tablets 100mg 56
E
7356 / 1
Pneumovax II 0.5ml Vial
14040 / 5
Podophyllotoxin 0.15% cream 5 gram (DT)
5391 / 28
Politid SR Capsules 150mg 28
E
5390 / 28
Politid SR Capsules 75mg 28
E
6485 / 1
Polycal (400g) 1
Code No. of Packs dispensed
E
6228 / 1
Polycal Liquid Tetra (200ml) 1
Code No. of Packs dispensed
E
2487 / 4
Polyfax Dermal Ointment 4g
E
2287 / 20
Polyfax Dermal Ointment 20g
E
2288 / 4
Polyfax Ophthalmic Ointment 4g
E
14399 / 20
Polymyxin B 10,000units/g / Bacitracin 500units/g ointment 20 gram (DT)
2516 / 500
Polytar Emollient 500ml
E
3583 / 150
Polytar Liquid 150ml
E
6803 / 250
Polytar Liquid 250ml
E
3692 / 500
Polytar Plus Liquid 500ml
E
1487 / 100
Ponstan Capsules 250mg 100
E
2458 / 100
Ponstan Forte Tablets 500mg 100
E
6439 / 240
Potaba Capsules 500mg 240
E
6572 / 40
Potaba Envules 3g 40
E
439 / 56
Potassium (potassium 6.5mmol) effervescent tablets BPC 1968 56 tablet (DT)
DT
E
14065 / 100
Potassium chloride (potassium 12mmol) effervescent tablets 100 tablet (DT)
DT
E
14126 / 500
Potassium chloride powder 500 gram (DT)
DT
E
12059 / 200
Potassium citrate mixture 200 ml (DT)
DT
E
12046 / 500
Potassium citrate powder 500 gram (DT)
DT
E
12047 / 500
Potassium iodide powder 500 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
DT
Page 204 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
13737 / 30
Potassium permanganate 400mg tablets for cutaneous solution 30 tablet (DT)
DT
E
13460 / 1
Povidone-Iodine 1.14% dry powder spray 50 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13461 / 1
Povidone-Iodine 2.5% dry powder spray 100 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
7863 / 50
Powergel Gel 2.5g/100g 50g
E
7905 / 100
Powergel Gel 2.5g/100g 100g
E
4149 / 10
Pradaxa Capsules 75mg 10
E
4165 / 60
Pradaxa Capsules 75mg 60
E
4181 / 10
Pradaxa Capsules 110mg 60
E
4191 / 60
Pradaxa Capsules 110mg 60
E
1500 / 60
Pradaxa Capsules 150mg 60
E
13199 / 30
Pramipexole 1.05mg modified-release tablets 30 tablet (DT)
DT
E
13204 / 30
Pramipexole 1.57mg modified-release tablets 30 tablet (DT)
DT
E
13193 / 30
Pramipexole 180microgram tablets 30 tablet (DT)
DT
E
13200 / 30
Pramipexole 2.1mg modified-release tablets 30 tablet (DT)
DT
E
13205 / 30
Pramipexole 2.62mg modified-release tablets 30 tablet (DT)
DT
E
13201 / 30
Pramipexole 260microgram modified-release tablets 30 tablet (DT)
DT
E
13202 / 30
Pramipexole 3.15mg modified-release tablets 30 tablet (DT)
DT
E
13197 / 30
Pramipexole 350microgram tablets 30 tablet (DT)
DT
13203 / 30
Pramipexole 520microgram modified-release tablets 30 tablet (DT)
DT
E
13195 / 30
Pramipexole 700microgram tablets 30 tablet (DT)
DT
E
13192 / 30
Pramipexole 88microgram tablets 30 tablet (DT)
DT
E
6233 / 30
Prandin Tablets 0.5mg 30
E
6251 / 90
Prandin Tablets 0.5mg 90
E
6252 / 30
Prandin Tablets 1mg 30
E
6258 / 90
Prandin Tablets 1mg 90
E
6259 / 90
Prandin Tablets 2mg 90
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 205 of 550
E
Code/Pack
Description
DT CD ZD N E D
14422 / 28
Prasugrel 10mg tablets 28 tablet (DT)
DT
E
14423 / 28
Prasugrel 5mg tablets 28 tablet (DT)
DT
E
101 / 28
Pravastatin 10mg tablets 28 tablet (DT)
DT
E
102 / 28
Pravastatin 20mg tablets 28 tablet (DT)
DT
E
148 / 28
Pravastatin 40mg tablets 28 tablet (DT)
DT
E
2863 / 84
Praxilene Capsules 100mg 84
12835 / 60
Prazosin 1mg tablets 60 tablet (DT)
DT
E
12834 / 60
Prazosin 500microgram tablets 60 tablet (DT)
DT
E
7691 / 90
Preconceive Folic Acid Tablets 400mcg 90
4020 / 5
Pred-Forte Ocular Suspension 5ml
E
6489 / 10
Pred-Forte Ocular Suspension 10ml
E
1808 / 28
Prednisolone 1mg tablets 28 tablet (DT)
DT
E
435 / 28
Prednisolone 2.5mg gastro-resistant tablets 28 tablet (DT)
DT
E
12595 / 7
Prednisolone 20mg/100ml enema standard tube 7 enema (DT)
DT
E
14474 / 14
Prednisolone 20mg/application foam enema 14 dose (DT)
DT
E
12601 / 56
Prednisolone 25mg tablets 56 tablet (DT)
DT
E
436 / 28
Prednisolone 5mg gastro-resistant tablets 28 tablet (DT)
DT
E
12600 / 30
Prednisolone 5mg soluble tablets 30 tablet (DT)
DT
E
1809 / 28
Prednisolone 5mg tablets 28 tablet (DT)
DT
E
12604 / 10
Prednisolone acetate 1% eye drops 10 ml (DT)
DT
E
12603 / 5
Prednisolone acetate 1% eye drops 5 ml (DT)
DT
E
12606 / 10
Prednisolone sodium phosphate 0.5% ear/eye drops 10 ml (DT)
DT
E
12602 / 20
Prednisolone sodium phosphate 0.5% eye drops 0.5ml unit dose preservative free 20 unit dose
(DT)
DT
E
14586 / 10
Prednisolone sodium phosphate 5mg suppositories 10 suppository (DT)
DT
E
2814 / 10
Predsol Eye/Ear Drops 10ml
E
3227 / 7
Predsol Retention Enema 20mg 100mlx7
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
NE
Page 206 of 550
Code/Pack
Description
DT CD ZD N E D
14041 / 84
Pregabalin 100mg capsules 84 capsule (DT)
DT
E
14042 / 56
Pregabalin 150mg capsules 56 capsule (DT)
DT
E
14043 / 84
Pregabalin 200mg capsules 84 capsule (DT)
DT
E
14048 / 56
Pregabalin 225mg capsules 56 capsule (DT)
DT
E
14044 / 56
Pregabalin 25mg capsules 56 capsule (DT)
DT
E
14045 / 56
Pregabalin 300mg capsules 56 capsule (DT)
DT
E
14046 / 84
Pregabalin 50mg capsules 84 capsule (DT)
DT
E
14047 / 56
Pregabalin 75mg capsules 56 capsule (DT)
DT
E
3586 / 28
Pregaday Tablets 28
E
4519 / 1
Pregestimil With MCT Oil (400g) 1
Code No. of Packs dispensed
E
3186 / 30
Pregnacare tablets 30
E
3224 / 90
Pregnacare tablets 90
E
7655 / 1
Pregnyl Ampoules 1,500iu 1
ZD
7661 / 1
Pregnyl Ampoules 5,000iu 1
ZD
7194 / 84
Premarin HRT Tablets 0.3mg 84
E
6969 / 84
Premarin Tablets 0.625mg 84
E
7017 / 84
Premarin Tablets 1.25mg 84
E
3365 / 84
Premique Low Dose Tablets 84
E
7798 / 84
Premique Tablets 84
E
4039 / 120
Prempak-C Triple Pack 0.625mg 120
(2 Prescription Charges)
E
4356 / 120
Prempak-C Triple Pack 1.25mg 120
(2 Prescription Charges)
E
1323 / 2
Preotact Powder for Reconstitution Plus Diluent Cartridge 1.61mg (28Doses) 2
Code No. of Cartridges Dispensed
E
4882 / 25
Preparation H Gel 25g
E
4910 / 50
Preparation H Gel 50g
E
2231 / 25
Preparation H Ointment 25g
E
4085 / 56
Prescal Tablets 2.5mg 56
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 207 of 550
Code/Pack
Description
DT CD ZD N E D
8083 / 60
Preservex Tablets 100mg 60
E
3890 / 30
Prestim Tablets 30
E
7223 / 150
Priadel Liquid 520mg/ 5ml 150ml
E
3407 / 100
Priadel Tablets 200mg 100
E
1857 / 100
Priadel Tablets 400mg 100
E
1704 / 10
Primacor Injection Ampoules 10ml 10
E
1674 / 1
Primaxin Vials 500mg 20ml 1
Code No. of Vials dispensed
E
12525 / 100
Primidone 250mg tablets 100 tablet (DT)
DT
E
14340 / 100
Primidone 50mg tablets 100 tablet (DT)
DT
E
2822 / 30
Primolut N Tablets 5mg 30
E
8071 / 2
Pripsen Chewable Tablets 100mg 2
E
3673 / 8
Pripsen Chewable Tablets 100mg 8
E
2726 / 112
Pro-Banthine Tablets 15mg 112
E
1224 / 1
ProCal Powder 510g
Code No. of Packs dispensed
E
1225 / 1
ProCal Powder 1.5kg
Code No. of Packs dispensed
E
1222 / 25
ProCal Powder Sachets 15g 25
Code No. of Sachets dispensed
E
4482 / 1
ProCal Shot Liquid 250ml 1
Code No. of Packs dispensed
E
12851 / 10
Prochlorperazine 12.5mg/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
573 / 50
Prochlorperazine 3mg buccal tablets 50 tablet (DT)
DT
E
960 / 28
Prochlorperazine 5mg tablets 28 tablet (DT)
DT
E
12850 / 100
Prochlorperazine 5mg/5ml oral solution 100 ml (DT)
DT
E
2456 / 56
Procoralan Tablets 5mg 56
E
2459 / 56
Procoralan Tablets 7.5mg 56
E
3408 / 1
Proctofoam HC Aerosol 21.2g 40 Applications 1
Code No. of Aerosols Dispensed
E
1387 / 30
Proctosedyl Ointment 30g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 208 of 550
Code/Pack
Description
DT CD ZD N E D
3741 / 12
Proctosedyl Suppositories 12
12497 / 150
Procyclidine 2.5mg/5ml oral solution sugar free 150 ml (DT)
DT
E
8475 / 28
Procyclidine 5mg tablets 28 tablet (DT)
DT
E
12498 / 150
Procyclidine 5mg/5ml oral solution sugar free 150 ml (DT)
DT
E
2844 / 10
Pro-Epanutin Vials 75mg/ml 10ml 10
12569 / 15
Progesterone 200mg pessaries 15 pessary (DT)
DT
E
12570 / 15
Progesterone 400mg pessaries 15 pessary (DT)
DT
E
7577 / 10
Prograf Ampoules 5mg/ ml 10
2478 / 50
Prograf Capsules 0.5mg 50
ZD
E
7542 / 50
Prograf Capsules 1mg 50
ZD
E
7550 / 100
Prograf Capsules 1mg 100
ZD
E
7564 / 50
Prograf Capsules 5mg 50
ZD
E
14400 / 12
Proguanil 100mg / Atovaquone 250mg tablets 12 tablet (DT)
DT
ZD
E
12236 / 98
Proguanil 100mg tablets 98 tablet (DT)
DT
3456 / 84
Progynova Tablets 1mg 84
E
4167 / 84
Progynova Tablets 2mg 84
E
6539 / 12
Progynova TS 100 Patches 100mcg/ 24hrs 12
E
3635 / 12
Progynova TS 50 Patches 50mcg/ 24hrs 12
E
6816 / 1
Proleukin Powder in Vials 1mg 1
ZD
E
6861 / 10
Proleukin Powder in Vials 1mg 10
ZD
E
7368 / 1
Prolia 60mg/1ml solution for injection pre-filled syringe 1
ZD
E
12493 / 150
Promazine 25mg/5ml oral solution 150 ml (DT)
DT
E
12494 / 150
Promazine 50mg/5ml oral solution 150 ml (DT)
DT
E
14289 / 100
Promethazine 5mg/5ml oral solution sugar free 100 ml (DT)
DT
ED
14287 / 56
Promethazine hydrochloride 10mg tablets 56 tablet (DT)
DT
ED
14288 / 56
Promethazine hydrochloride 25mg tablets 56 tablet (DT)
DT
ED
14290 / 28
Promethazine teoclate 25mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
E
E
E
E
Page 209 of 550
Code/Pack
Description
DT CD ZD N E D
1223 / 1
Promin Lasagne 200g 1
Code no. of packs dispensed
E
1217 / 1
Promin Tricolour / Plain Pasta 500g 1
Code no. of packs dispensed
E
13081 / 90
Propafenone 150mg tablets 90 tablet (DT)
DT
E
13082 / 60
Propafenone 300mg tablets 60 tablet (DT)
DT
E
12412 / 112
Propantheline bromide 15mg tablets 112 tablet (DT)
DT
E
14168 / 56
Propiverine 15mg tablets 56 tablet (DT)
DT
E
14409 / 28
Propiverine 30mg modified-release capsules 28 capsule (DT)
DT
E
14757 / 28
Propiverine 45mg modified-release capsules 28 capsule (DT)
DT
E
711 / 28
Propranolol 10mg tablets 28 tablet (DT)
DT
E
18 / 28
Propranolol 160mg modified-release capsules 28 capsule (DT)
DT
E
987 / 56
Propranolol 160mg tablets 56 tablet (DT)
DT
E
984 / 28
Propranolol 40mg tablets 28 tablet (DT)
DT
E
15 / 28
Propranolol 80mg modified-release capsules 28 capsule (DT)
DT
E
14587 / 56
Propranolol 80mg tablets 56 tablet (DT)
DT
E
13998 / 500
Propylene glycol liquid 500 ml (DT)
DT
E
5661 / 56
Propylthiouracil 50mg tablets 56 tablet (DT)
DT
2922 / 28
Proscar Tablets 5mg 28
E
8267 / 1
Prostap 3 DCS Pre-Filled Disposable Injection 11.25mg 1
E
6522 / 1
Prostap SR DCS Pre-Filled Disposable Injection 3.75mg 1
E
2434 / 1
Prosure Tetrapack (240ml) 1
Code No. of Packs dispensed
4097 / 28
Protelos Sachets 2g 28
Code No. of Sachets Dispensed
E
2125 / 28
Prothiaden Capsules 25mg 28
E
2993 / 28
Prothiaden Tablets 75mg 28
E
6524 / 1
Protifar Conc. Milk Protein (225g) 1
Code No. of Packs dispensed
E
971 / 6
Protime 3 Curvettes Reagent 6
49006000
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
ED
E
NE
Page 210 of 550
Code/Pack
Description
DT CD ZD N E D
975 / 25
Protime 3 Curvettes Reagent 25
49005000
7972 / 30
Protopic Ointment 0.03% 30g
E
7974 / 60
Protopic Ointment 0.03% 60g
E
7976 / 30
Protopic Ointment 0.1% 30g
E
7978 / 60
Protopic Ointment 0.1% 60g
E
7335 / 30
Provera Tablets
2.5mg 30
E
2128 / 10
Provera Tablets
5mg 10
E
2295 / 100
Provera Tablets
5mg 100
E
6549 / 10
Provera Tablets 10mg 10
E
6817 / 90
Provera Tablets 10mg 90
E
3875 / 100
Provera Tablets 10mg 100
E
3116 / 60
Provera Tablets 100mg 60
E
2129 / 100
Provera Tablets 100mg 100
E
3387 / 30
Provera Tablets 200mg 30
E
2270 / 30
Provera Tablets 400mg 30
9134 / 4
Provide Xtra Liquid Supplement Bottle 200ml
code full pack as 4, single bottle as 1
8172 / 30
Provigil Tablets 100mg 30
ZD
E
7797 / 30
Provigil Tablets 200mg 30
ZD
E
7890 / 30
Pro-viron Tablets 25mg 30
1382 / 30
Prozac Capsules 20mg 30
E
6973 / 70
Prozac Liquid 20mg/5ml 70ml
E
14739 / 28
Prucalopride 1mg tablets 28 tablet (DT)
DT
E
14740 / 28
Prucalopride 2mg tablets 28 tablet (DT)
DT
E
14150 / 500
Pseudoephedrine 30mg/5ml / Chlorphenamine 2mg/5ml oral solution sugar free 500 ml (DT)
DT
E
13006 / 100
Pseudoephedrine 30mg/5ml oral solution sugar free 100 ml (DT)
DT
E
13005 / 100
Pseudoephedrine hydrochloride 60mg tablets 100 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
ZD
E
E
Page 211 of 550
Code/Pack
Description
DT CD ZD N E D
2449 / 200
Psoriderm Bath Emulsion 200ml
E
2454 / 225
Psoriderm Cream 225ml
E
2825 / 250
Psoriderm Scalp Lotion 250ml
E
6528 / 50
Psorin Ointment 50g
E
6624 / 100
Psorin Ointment 100g
E
4044 / 50
Psorin Scalp Gel 50g
E
6529 / 20
Pulmicort Respules 0.5mg/2ml 20
ZD
E
6625 / 20
Pulmicort Respules 1mg/2ml 20
ZD
E
1843 / 1
Pulmicort Turbohaler 100 200 dose
Code No. of Inhalers dispensed
E
1986 / 1
Pulmicort Turbohaler 200 100 dose
Code No. of Inhalers dispensed
E
2476 / 1
Pulmicort Turbohaler 200 200 dose 200mcg 1
Code No. of Inhalers dispensed
E
2490 / 1
Pulmicort Turbohaler 400 50 dose
Code No. of Inhalers dispensed
E
7381 / 30
Pulmozyme Ampoules 2.5mg 30
6488 / 1
Pulvinal Beclomethasone Inhaler 100mcg
Code No. of Inhalers dispensed
E
6538 / 1
Pulvinal Beclomethasone Inhaler 200mcg
Code No. of Inhalers dispensed
E
6462 / 1
Pulvinal Beclomethasone Inhaler 400mcg
Code No. of Inhalers dispensed
E
8857 / 1
Pulvinal Salbutamol Inhaler 200mcg
Code No. of Inhalers dispensed
E
794 / 450
Pure Cod Liver Oil Liquid 450ml
Code no. ml dispensed.
E
1896 / 1
Puregon Cartridges 300iu 1
E
2068 / 1
Puregon Cartridges 600iu 1
ZD
E
1445 / 1
Puregon Vials 50iu 1
ZD
E
1643 / 1
Puregon Vials 100iu 1
ZD
E
13776 / 5000
Purified water 5000 ml (DT)
6535 / 25
Puri-Nethol Tablets 50mg 25
8308 / 1
Pylobactell Soluble Tablets 100mg 1
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
E
E
ZD
E
E
Page 212 of 550
Code/Pack
Description
DT CD ZD N E D
8055 / 10
Pyralvex Solution 10ml
12678 / 200
Pyridostigmine bromide 60mg tablets 200 tablet (DT)
DT
E
873 / 28
Pyridoxine 50mg tablets 28 tablet (DT)
DT
E
125 / 500
Pyridoxine Hydrochloride Tablets 10mg 500
E
126 / 500
Pyridoxine Hydrochloride Tablets 20mg 500
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 213 of 550
Code/Pack
Description
DT CD ZD N E D
Q
9339 / 84
Qlaira Tablets 3x28
E
6636 / 50
Questran Light Sachets 60
E
3507 / 50
Questran Sachets 50
E
13176 / 60
Quetiapine 100mg tablets 60 tablet (DT)
DT
13184 / 60
Quetiapine 150mg modified-release tablets 60 tablet (DT)
DT
13178 / 60
Quetiapine 150mg tablets 60 tablet (DT)
DT
E
13180 / 60
Quetiapine 200mg modified-release tablets 60 tablet (DT)
DT
E
13177 / 60
Quetiapine 200mg tablets 60 tablet (DT)
DT
E
13175 / 60
Quetiapine 25mg tablets 60 tablet (DT)
DT
E
13179 / 60
Quetiapine 300mg modified-release tablets 60 tablet (DT)
DT
13182 / 60
Quetiapine 300mg tablets 60 tablet (DT)
DT
13181 / 60
Quetiapine 400mg modified-release tablets 60 tablet (DT)
DT
13183 / 60
Quetiapine 50mg modified-release tablets 60 tablet (DT)
DT
E
14174 / 28
Quinapril 10mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
181 / 28
Quinapril 10mg tablets 28 tablet (DT)
DT
E
186 / 28
Quinapril 20mg tablets 28 tablet (DT)
DT
E
189 / 28
Quinapril 40mg tablets 28 tablet (DT)
DT
E
161 / 28
Quinapril 5mg tablets 28 tablet (DT)
DT
E
938 / 28
Quinine bisulfate 300mg tablets 28 tablet (DT)
DT
E
954 / 28
Quinine sulfate 200mg tablets 28 tablet (DT)
DT
E
783 / 28
Quinine sulfate 300mg tablets 28 tablet (DT)
DT
E
3236 / 25
Quinoderm Cream 25g
E
2330 / 50
Quinoderm Cream 50g
E
2335 / 50
Quinoderm Cream 5 50g
E
3413 / 150
Quinoderm Facial Wash 150ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
ZD
E
E
E
ZD
Page 214 of 550
E
Code/Pack
Description
DT CD ZD N E D
7768 / 1
Qutenza Patches 179mg (8%) 1
E
6283 / 1
Qvar Autohaler 50mcg 1
Code No. of Autohalers dispensed
E
6267 / 1
Qvar Autohaler 100mcg 1
Code No. of Autohalers dispensed
E
6305 / 1
Qvar Easi-Breathe Inhaler 200 Dose 50mcg 1
Code No. of Inhalers dispensed
E
6308 / 1
Qvar Easi-Breathe Inhaler 200 Dose 100mcg 1
Code No. of Inhalers dispensed
E
8268 / 1
Qvar Press & Breathe Inhaler 50mcg 1
Code No. of Inhalers dispensed
E
8335 / 1
Qvar Press & Breathe Inhaler 100mcg 1
Code No. of Inhalers dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 215 of 550
Code/Pack
Description
DT CD ZD N E D
R
14157 / 28
Rabeprazole 10mg gastro-resistant tablets 28 tablet (DT)
DT
E
14158 / 28
Rabeprazole 20mg gastro-resistant tablets 28 tablet (DT)
DT
E
3099 / 1
Rabipur Rabies Vaccine Injection
6819 / 1
Radian B Spray (100ml) 1
Code No. of Sprays dispensed
E
7567 / 1
Ralgex Freeze Spray (125ml) 1
Code No. of Sprays dispensed
E
3508 / 1
Ralgex Heat Spray (125ml) 1
Code No. of Sprays dispensed
E
14122 / 28
Raloxifene 60mg tablets 28 tablet (DT)
DT
E
14593 / 60
Raltegravir 100mg chewable tablets 60 tablet (DT)
DT
E
14594 / 60
Raltegravir 25mg chewable tablets 60 tablet (DT)
DT
E
244 / 28
Ramipril 1.25mg capsules 28 capsule (DT)
DT
E
281 / 28
Ramipril 1.25mg tablets 28 tablet (DT)
DT
E
273 / 28
Ramipril 10mg capsules 28 capsule (DT)
DT
E
286 / 28
Ramipril 10mg tablets 28 tablet (DT)
DT
E
252 / 28
Ramipril 2.5mg capsules 28 capsule (DT)
DT
E
282 / 28
Ramipril 2.5mg tablets 28 tablet (DT)
DT
E
14461 / 150
Ramipril 2.5mg/5ml oral solution sugar free 150 ml (DT)
DT
261 / 28
Ramipril 5mg capsules 28 capsule (DT)
DT
E
283 / 28
Ramipril 5mg tablets 28 tablet (DT)
DT
E
9507 / 60
Ranexa Tablets 375mg 60
E
9508 / 60
Ranexa Tablets 500mg 60
E
9353 / 60
Ranexa Tablets 750mg 60
E
893 / 60
Ranitidine 150mg effervescent tablets 60 tablet (DT)
DT
E
875 / 60
Ranitidine 150mg tablets 60 tablet (DT)
DT
E
831 / 30
Ranitidine 300mg effervescent tablets 30 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 216 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
880 / 30
Ranitidine 300mg tablets 30 tablet (DT)
DT
E
12543 / 300
Ranitidine 75mg/5ml oral solution sugar free 300 ml (DT)
DT
E
14741 / 60
Ranolazine 375mg modified-release tablets 60 tablet (DT)
DT
E
14742 / 60
Ranolazine 500mg modified-release tablets 60 tablet (DT)
DT
E
14743 / 60
Ranolazine 750mg modified-release tablets 60 tablet (DT)
DT
E
8606 / 60
Rapamune Oral Solution 1mg/ml 60 ml
ZD
E
2468 / 30
Rapamune Tablets 1mg 30
ZD
E
2598 / 30
Rapamune Tablets 2mg 30
ZD
E
1474 / 3
Rapilose Gel 40% 25g 3
E
8399 / 2
Rapilysan 10iu Injection Vials 2
E
7670 / 5
Rapitil Aqueous Eye Drops 5ml
E
7572 / 28
Raporsin XL Tablets 4mg 28
E
14092 / 28
Rasagiline 1mg tablets 28 tablet (DT)
5327 / 28
Rasilez Film Coated Tablets 150mg 28
E
5340 / 28
Rasilez Film Coated Tablets 300mg 28
E
2321 / 84
Rebetol Capsules 200mg 84
ZD
E
3045 / 140
Rebetol Capsules 200mg 140
ZD
E
3729 / 168
Rebetol Capsules 200mg 168
ZD
E
8254 / 12
Rebif Syringe 22mcg12
ZD
E
1844 / 12
Rebif Initiation Pack 8.8 mcg/22mcg 12
Pack of 12 contains 6x8.8 mcg & 6x22mcg pen.
ZD
E
1884 / 2
Rebif Initiation Pack Multidose cartridge 8.8mcg/22mcg 2
ZD
E
4589 / 12
Rebif Initiation Pack Pre-filled Syringes 8.8 mcg/22mcg 12
Pack of 12 contains 6x8.8 mcg & 6x22mcg syringes.
ZD
E
1176 / 4
Rebif Multidose Cartridge 22mcg 4
ZD
E
1198 / 4
Rebif Multidose Cartridge 44mcg 4
ZD
E
6547 / 12
Rebif Pre-Filled Syringe 44mcg 12
ZD
E
1015 / 12
Rebif Pre-Filled Pen 22mcg 12
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
Page 217 of 550
Code/Pack
Description
DT CD ZD N E D
1042 / 12
Rebif Pre-Filled Pen 44mcg 12
13623 / 60
Reboxetine 4mg tablets 60 tablet (DT)
2285 / 30
Rectogesic Ointment 0.4% 30g
E
3135 / 5
RecTubes Rectal Tubes 2.5mg 5
E
3737 / 5
RecTubes Rectal Tubes 10mg 5
E
1842 / 1
Refacto AF Injection 250IU 1
ZD
E
2112 / 1
Refacto AF Injection 500IU 1
ZD
E
2787 / 1
Refacto AF Injection 1,000IU 1
ZD
E
2790 / 1
Refacto AF Injection 2,000IU 1
ZD
E
4084 / 30
Regulan Sachets 30
8648 / 60
Regurin Tablets 20mg 60
E
8566 / 28
Regurin XL Capsules 60mg 28
E
6367 / 20
Relenza Diskhaler with Disks 5mg 20 Schedule 11 by Prescriber
E
4070 / 5
Relestat Eye Drops 0.05% 5ml
E
6551 / 300
Relifex Suspension 500mg/ 5ml 300ml
E
3557 / 56
Relifex Tablets 500mg 56
E
3219 / 1
Relistor Solution For Injection 12mg 1
Code No of Injections Dispensed
E
3230 / 7
Relistor Solution For Injection 12mg 7
Code No of Injections Dispensed
E
6412 / 6
Relpax Tablets 20mg 6
E
6423 / 6
Relpax Tablets 40mg 6
E
1443 / 30
Relvar Ellipta 184micrograms/dose / 22micrograms/dose dry powder inhaler 30 dose
Code No. of doses
E
1625 / 30
Relvar Ellipta 92micrograms/dose / 22micrograms/dose dry powder inhaler 30 dose
Code No. of doses
E
6554 / 56
Remedeine Forte Tablets 56
E
8417 / 56
Remedeine Tablets 56
E
6628 / 112
Remedeine Tablets 112
E
1830 / 1
Remicade Powder Vial 100mg 1
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
E
E
NE
ZD
Page 218 of 550
E
Code/Pack
Description
DT CD ZD N E D
3834 / 100
Reminyl Oral Solution 4mg/ml 100ml
E
3988 / 56
Reminyl Tablets 8mg 56
E
3222 / 56
Reminyl Tablets 12mg 56
E
4650 / 28
Reminyl XL Capsules 8mg 28
E
4651 / 28
Reminyl XL Capsules 16mg 28
E
4659 / 28
Reminyl XL Capsules 24mg 28
E
8791 / 180
Renagel Tablets 180
ZD
E
4556 / 30
Renapro Nutritional Supplement 20g 30
Code No. of Sachets dispensed
ZD
E
5578 / 10
Renastart Sachets 100g 10
Code No of Sachets Dispensed
13399 / 90
Repaglinide 1mg tablets 90 tablet (DT)
DT
E
13400 / 90
Repaglinide 2mg tablets 90 tablet (DT)
DT
E
13397 / 90
Repaglinide 500microgram tablets 90 tablet (DT)
DT
E
7948 / 84
Requip Tablets 1mg 84
ZD
E
7965 / 84
Requip Tablets 2mg 84
ZD
E
7993 / 84
Requip Tablets 5mg 84
ZD
E
8016 / 105
Requip Tablets Starter Pack 105
E
2349 / 28
Requip XL Tablets 2mg 28
E
2352 / 28
Requip XL Tablets 4mg 28
E
2361 / 28
Requip XL Tablets 8mg 28
2447 / 28
Resolor Tablets 1mg 28
E
2508 / 28
Resolor Tablets 2mg 28
E
4563 / 1
Resource Dessert Energy 125g 1
Code No. of Packs dispensed
E
4560 / 1
Resource Optifibre 250g 1
Code No. of Packs dispensed
E
4558 / 16
Resource Optifibre Sachet 10g 16
Code No. of Sachets dispensed
E
4577 / 1
Resource Protein High Protein Sip Feed 200ml 1
Code No. of 200ml Packs dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
Page 219 of 550
E
Code/Pack
Description
DT CD ZD N E D
3887 / 1
Resource Thickened Custard Drink 114ml 1
Code No. of Packs dispensed
E
3888 / 1
Resource Thickened Syrup Drink 114ml 1
Code No. of Packs dispensed
E
8680 / 20
Respontin Nebules 1ml 20
E
8699 / 20
Respontin Nebules 2ml 20
E
4133 / 30
Restandol Testocaps Capsules 40mg 30
4135 / 60
Restandol Testocaps Capsules 40mg 60
1879 / 60
Retin-A Forte Gel 60g
E
1873 / 60
Retin-A Gel 60g
E
4257 / 100
Retrovir Capsules 100mg 100
ZD
E
6629 / 40
Retrovir Capsules 250mg 40
ZD
E
7481 / 5
Retrovir IV Infusion 20ml 5
E
6555 / 200
Retrovir Syrup 50mg/5ml 200ml
E
6845 / 112
Revatio 10mg/ml oral suspension 112ml
E
5932 / 90
Revatio Tablets 20mg 90
ZD
E
6170 / 1
Revaxis Pre-filled Syringe Vaccine 0.5ml 1
ZD
E
4580 / 1
Rhinocort Aqua Nasal Spray 120 dose
Code No. of Sprays dispensed
E
3854 / 1
Rhinolast Nasal Spray (22ml) 1
Code No. of Sprays dispensed
E
8505 / 56
Rhumalgan CR (Sandoz) Tablets 75mg 56
ED
739 / 56
Rhumalgan SR (Sandoz) Capsules 75mg 56
E
762 / 28
Rhumalgan XL (Sandoz) Capsules 100mg 28
E
6885 / 24
Riamet Tablets 24
E
3601 / 100
Rifadin Capsules 150mg 100
E
3619 / 100
Rifadin Capsules 300mg 100
E
4975 / 120
Rifadin Syrup 120ml
E
364 / 100
Rifampicin 150mg capsules 100 capsule (DT)
DT
E
482 / 100
Rifampicin 300mg capsules 100 capsule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 220 of 550
Code/Pack
Description
DT CD ZD N E D
6634 / 100
Rifater Tablets 100
14462 / 9
Rifaximin 200mg tablets 9 tablet (DT)
DT
E
14576 / 56
Rifaximin 550mg tablets 56 tablet (DT)
DT
E
4934 / 84
Rifinah 150 Tablets 84
E
4963 / 56
Rifinah 300 Tablets 56
E
9035 / 63
Rigevidon Tablets 30/150mcg 3 x 21
E
7922 / 56
Rilutek Tablets 50mg 56
13450 / 56
Riluzole 50mg tablets 56 tablet (DT)
4931 / 60
Rimactane (Sandoz) Capsules 150mg 60
E
4932 / 60
Rimactane (Sandoz) Capsules 300mg 60
E
13368 / 5
Rimexolone 10mg/ml eye drops 5 ml (DT)
3429 / 1
Rinatec Aqueous Nasal Spray (180 dose/ 15ml) 1
13507 / 28
Risedronate sodium 30mg tablets 28 tablet (DT)
DT
E
13508 / 4
Risedronate sodium 35mg tablets 4 tablet (DT)
DT
E
13506 / 28
Risedronate sodium 5mg tablets 28 tablet (DT)
DT
E
5769 / 1
Risperdal Consta Injection 25mg 1
ZD
E
5772 / 1
Risperdal Consta Injection 37.5mg 1
ZD
E
5774 / 1
Risperdal Consta Injection 50mg 1
ZD
E
8089 / 100
Risperdal Liquid 1mg/ ml 100ml
ZD
E
3352 / 28
Risperdal Quicklet Tablets 0.5mg 28
E
7115 / 28
Risperdal Quicklet Tablets 1mg 28
E
7121 / 28
Risperdal Quicklet Tablets 2mg 28
E
7342 / 28
Risperdal Quicklet Tablets 3mg 28
E
7353 / 28
Risperdal Quicklet Tablets 4mg 28
E
1802 / 20
Risperdal Tablets 0.5mg 20
E
7093 / 20
Risperdal Tablets 1mg 20
E
8477 / 60
Risperdal Tablets 1mg 60
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
DT
E
E
DT
E
E
Page 221 of 550
Code/Pack
Description
DT CD ZD N E D
7112 / 60
Risperdal Tablets 2mg 60
E
7131 / 60
Risperdal Tablets 3mg 60
E
7166 / 60
Risperdal Tablets 4mg 60
E
8117 / 28
Risperdal Tablets 6mg 28
E
13120 / 28
Risperidone 1mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
16 / 20
Risperidone 1mg tablets 20 tablet (DT)
DT
E
5223 / 100
Risperidone 1mg/ml oral solution sugar free 100 ml (DT)
DT
13121 / 28
Risperidone 2mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
5218 / 60
Risperidone 2mg tablets 60 tablet (DT)
DT
E
13123 / 28
Risperidone 3mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
5219 / 60
Risperidone 3mg tablets 60 tablet (DT)
DT
E
13124 / 28
Risperidone 4mg orodispersible tablets sugar free 28 tablet (DT)
DT
E
5220 / 60
Risperidone 4mg tablets 60 tablet (DT)
DT
E
13122 / 28
Risperidone 500microgram orodispersible tablets sugar free 28 tablet (DT)
DT
E
5215 / 20
Risperidone 500microgram tablets 20 tablet (DT)
DT
E
5221 / 28
Risperidone 6mg tablets 28 tablet (DT)
DT
E
7122 / 30
Ritalin Tablets 10mg 30
14475 / 30
Rivaroxaban 10mg tablets 30 tablet (DT)
DT
E
14476 / 28
Rivaroxaban 15mg tablets 28 tablet (DT)
DT
E
14758 / 56
Rivaroxaban 2.5mg tablets 56 tablet (DT)
DT
E
14477 / 28
Rivaroxaban 20mg tablets 28 tablet (DT)
DT
E
13662 / 28
Rivastigmine 1.5mg capsules 28 capsule (DT)
DT
E
14595 / 30
Rivastigmine 13.3mg/24hours transdermal patches 30 patch (DT)
DT
E
13666 / 120
Rivastigmine 2mg/ml oral solution sugar free 120 ml (DT)
DT
E
13663 / 28
Rivastigmine 3mg capsules 28 capsule (DT)
DT
E
13664 / 28
Rivastigmine 4.5mg capsules 28 capsule (DT)
DT
E
13667 / 30
Rivastigmine 4.6mg/24hours transdermal patches 30 patch (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
CD ZD
Page 222 of 550
Code/Pack
Description
DT CD ZD N E D
13665 / 28
Rivastigmine 6mg capsules 28 capsule (DT)
DT
E
13668 / 30
Rivastigmine 9.5mg/24hours transdermal patches 30 patch (DT)
DT
E
3952 / 5
Rivotril Injection 1mg/ml 5
3658 / 100
Rivotril Tablets 0.5mg 100
3669 / 100
Rivotril Tablets 2mg 100
13145 / 3
Rizatriptan 10mg oral lyophilisates sugar free 3 tablet (DT)
DT
E
13146 / 6
Rizatriptan 10mg oral lyophilisates sugar free 6 tablet (DT)
DT
E
14657 / 3
Rizatriptan 10mg orodispersible tablets sugar free 3 tablet (DT)
DT
E
13144 / 3
Rizatriptan 10mg tablets 3 tablet (DT)
DT
E
13143 / 6
Rizatriptan 5mg tablets 6 tablet (DT)
DT
E
5004 / 30
Roaccutane Capsules 20mg 30
5739 / 30
Roaccutane Capsules 10mg 30
7909 / 1
Roactemra 200mg Vials 10ml 1
ZD
E
7883 / 1
Roactemra 400mg Vials 20ml 1
ZD
E
7906 / 1
Roactemra 80mg Vials 4ml 1
ZD
E
1345 / 100
Robaxin Tablets 750mg 100
4920 / 1
Robinul Spray Powder 3g 1
Code No. of Sprays Dispensed
2916 / 100
Rocaltrol Capsules 0.25mcg 100
E
2917 / 100
Rocaltrol Capsules 0.5mcg 100
E
6977 / 1
Rocephin Vials 250mg 1
E
6938 / 1
Rocephin Vials 1g 1
E
6970 / 1
Rocephin Vials 2g 1
E
576 / 28
Rodomel XL Capsules 75mg 28
E
588 / 28
Rodomel XL Capsules 150mg 28
E
2987 / 1
Roferon A Pen Cartridge 18miu/0.6ml 1
ZD
E
2398 / 1
Roferon A Pre-Filled Syringe 3miu 1
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
E
ZD
Page 223 of 550
E
Code/Pack
Description
DT CD ZD N E D
1270 / 1
Roferon A Pre-Filled Syringe 4.5miu 1
ZD
E
1425 / 1
Roferon A Pre-Filled Syringe 6miu 1
ZD
E
1611 / 1
Roferon A Pre-Filled Syringe 9miu 1
ZD
E
14306 / 30
Roflumilast 500microgram tablets 30 tablet (DT)
6553 / 5
Rogitine Ampoules 10mg/ ml 5
645 / 84
Ropinirole 1mg tablets 84 tablet (DT)
DT
E
600 / 12
Ropinirole 250microgram tablets 12 tablet (DT)
DT
E
13211 / 28
Ropinirole 2mg modified-release tablets 28 tablet (DT)
DT
E
744 / 28
Ropinirole 2mg tablets 28 tablet (DT)
DT
E
13212 / 28
Ropinirole 4mg modified-release tablets 28 tablet (DT)
DT
E
823 / 28
Ropinirole 500microgram tablets 28 tablet (DT)
DT
E
926 / 84
Ropinirole 5mg tablets 84 tablet (DT)
DT
E
13213 / 28
Ropinirole 8mg modified-release tablets 28 tablet (DT)
DT
E
8973 / 30
Rosiced Cream 0.75% 30g
13953 / 28
Rosuvastatin 10mg tablets 28 tablet (DT)
DT
E
13954 / 28
Rosuvastatin 20mg tablets 28 tablet (DT)
DT
E
13952 / 28
Rosuvastatin 40mg tablets 28 tablet (DT)
DT
E
13955 / 28
Rosuvastatin 5mg tablets 28 tablet (DT)
DT
E
14178 / 28
Rotigotine 2mg/24hours transdermal patches 28 patch (DT)
DT
ZD
E
14176 / 28
Rotigotine 4mg/24hours transdermal patches 28 patch (DT)
DT
ZD
E
14177 / 28
Rotigotine 6mg/24hours transdermal patches 28 patch (DT)
DT
ZD
E
14179 / 28
Rotigotine 8mg/24hours transdermal patches 28 patch (DT)
DT
ZD
E
8385 / 30
Rozex Cream 30g
E
7725 / 40
Rozex Cream 40g
E
7657 / 30
Rozex Gel
30g
E
7680 / 40
Rozex Gel
40g
E
14456 / 30
Rupatadine 10mg tablets 30 tablet (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
ZD
E
E
DT
Page 224 of 550
E
Code/Pack
Description
DT CD ZD N E D
3714 / 1
Rynacrom Nasal Spray 4% (22ml) 1
Code No. of Sprays dispensed
E
3071 / 84
Rythmodan Capsules 100mg 84
E
3072 / 84
Rythmodan Capsules 150mg 84
E
3954 / 60
Rythmodan Retard Tablets 250mg 60
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 225 of 550
Code/Pack
Description
DT CD ZD N E D
S
6942 / 50
Sabril Sachets 500mg 50
E
3050 / 100
Sabril Tablets 500mg 100
E
2397 / 30
Saflutan Eye Drops 15mcg/ml 0.3ml unit dose 30 unit dose
ZD
E
8622 / 1
Saizen Click Easy II 8mg 1
Injection Device
ZD
E
6633 / 1
Saizen Multi-dose Vial 3.33mg 1
ZD
E
2506 / 1
Saizen Single Vial 1.33mg 1
ZD
E
9816 / 1
Saizen Solution for Injection Cartridge 12mg/1.5ml 1
ZD
E
9821 / 1
Saizen Solution for Injection Cartridge 20mg/2.5ml 1
ZD
E
6221 / 1
Saizen Solution for Injection Cartridge 6mg/1.03ml 1
ZD
E
4364 / 10
Salactol 10ml
E
7622 / 84
Salagen Tablets 5mg 84
E
2781 / 1
Salamol CFC Free Inhaler 100mcg 200 dose 1
Code No. of Inhalers dispensed
E
7853 / 1
Salamol Easi Breathe CFC Free Inhaler 100mcg 200 dose 1
Code No. of Inhalers dispensed
E
6901 / 20
Salamol Steri-Neb Ampoules 2.5mg 20
Code No. of Ampoules dispensed
E
7032 / 20
Salamol Steri-Neb Ampoules 5mg 20
Code No. of Ampoules dispensed
E
3025 / 8
Salatac Wart Gel 8g
E
4566 / 112
Salazopyrin EN Tablets 500mg 112
E
6556 / 10
Salazopyrin Suppositories 500mg 10
E
4564 / 112
Salazopyrin Tablets 500mg 112
E
14564 / 200
Salbutamol 100micrograms/dose breath actuated inhaler CFC free 200 dose (DT)
DT
E
13003 / 1
Salbutamol 100micrograms/dose dry powder inhaler 200 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
1252 / 1
Salbutamol 100micrograms/dose inhaler CFC free 200 dose (DT) [BSO Pack = 1]
DT
E
13002 / 20
Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose vials 20 unit dose (DT)
DT
E
12999 / 1
Salbutamol 200micrograms/dose dry powder inhaler 100 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
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1 2015
Page 226 of 550
Code/Pack
Description
DT CD ZD N E D
12998 / 1
Salbutamol 200micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
365 / 28
Salbutamol 2mg tablets 28 tablet (DT)
DT
141 / 150
Salbutamol 2mg/5ml oral solution sugar free 150 ml (DT)
DT
E
14410 / 56
Salbutamol 4mg modified-release capsules 56 capsule (DT)
DT
E
1246 / 28
Salbutamol 4mg tablets 28 tablet (DT)
DT
13001 / 20
Salbutamol 5mg/2.5ml nebuliser liquid unit dose vials 20 unit dose (DT)
DT
E
14429 / 20
Salbutamol 5mg/ml nebuliser liquid 20 ml (DT)
DT
E
14411 / 56
Salbutamol 8mg modified-release capsules 56 capsule (DT)
DT
E
13000 / 1
Salbutamol 95micrograms/dose dry powder inhaler 200 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14220 / 5
Salicylic acid 11% / Lactic acid 4% gel 5 gram (DT)
DT
E
14219 / 8
Salicylic acid 12% / Lactic acid 4% gel 8 gram (DT)
DT
E
14658 / 125
Salicylic acid 2% / Mucopolysaccharide polysulfate 0.2% cream 125 gram (DT)
DT
E
14659 / 125
Salicylic acid 2% / Mucopolysaccharide polysulfate 0.2% gel 125 gram (DT)
DT
E
12520 / 177
Salicylic acid 2% solution 177 ml (DT)
DT
E
12523 / 5
Salicylic acid 26% gel 5 gram (DT)
DT
E
12521 / 10
Salicylic acid 26% solution 10 ml (DT)
DT
E
7227 / 20
Saline Steri-Neb Ampoules 20
3536 / 1
Saliveze Spray 50ml 1
Code no. of sprays dispensed
13306 / 1
Salmeterol 25micrograms/dose inhaler CFC free 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13305 / 1
Salmeterol 50micrograms/dose dry powder inhaler 60 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
9588 / 7
Salofalk Enemas 2g 7
Code no. of Enemas Dispensed
E
9736 / 14
Salofalk Enemas Foam 1g 14
Code No.of Enemas Dispensed
E
9592 / 60
Salofalk Granules 1.5g 60
E
9652 / 50
Salofalk Granules 1000mg 50
E
9595 / 100
Salofalk Granules 500mg 100
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
ZD
E
E
ZD N E
ED
Page 227 of 550
Code/Pack
Description
DT CD ZD N E D
6697 / 30
Salofalk Suppositories 1g 30
E
9666 / 30
Salofalk Suppositories 500mg 30
E
7776 / 100
Salofalk Tablets 250mg 100
E
9377 / 100
Salofalk Tablets 500mg 100
E
1485 / 10
Samsca Tablets 15mg 10
1496 / 10
Samsca Tablets 30mg 10
1534 / 30
Sandimmun Capsules 25mg 30
ZD
E
1607 / 30
Sandimmun Capsules 50mg 30
ZD
E
1612 / 30
Sandimmun Capsules 100mg 30
ZD
E
2067 / 10
Sandimmun Concentrate for Infusion Ampoules 250mg/5ml 5ml 10
Code Number of Ampoules Dispensed
E
2718 / 10
Sandimmun Concentrate for Solution for Infusion Ampoules 50mg/1ml 1ml 10
Code Number of Ampoules Dispensed
E
1614 / 50
Sandimmun Oral Solution 100mg/ml 50ml
9183 / 30
Sandocal +D Tablets 1200mg 30
E
9186 / 100
Sandocal +D Tablets 600mg 100
E
4657 / 30
Sandocal Effervescent Tablets 1000mg 30
E
3197 / 100
Sando-K Effervescent Tablets 100
E
2136 / 5
Sandostatin Ampoules 50mcg/ ml 5
ZD
E
2143 / 5
Sandostatin Ampoules 100mcg/ ml 5
ZD
E
2152 / 5
Sandostatin Ampoules 500mcg/ ml 5
ZD
E
8201 / 1
Sandostatin LAR Vial 10mg
ZD
E
8244 / 1
Sandostatin LAR Vial 20mg
ZD
E
8293 / 1
Sandostatin LAR Vial 30mg
ZD
E
6563 / 1
Sandostatin Multidose Vial 1mg 5ml
Code No. of Vials dispensed
ZD
E
6340 / 28
Sandrena Gel Sachets 0.5mg 28
Code No. of Sachets dispensed
E
6348 / 28
Sandrena Gel Sachets 1mg 28
Code No. of Sachets dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
Page 228 of 550
E
Code/Pack
Description
DT CD ZD N E D
6355 / 91
Sandrena Gel Sachets 1mg 91
Code No. of Sachets dispensed
E
2611 / 300
Sanomigran Elixir 0.25mg/ 5ml 300ml
E
4401 / 60
Sanomigran Tablets 0.5mg 60
E
3764 / 28
Sanomigran Tablets 1.5mg 28
E
8899 / 3
Sativex Spray 10ml 3
Code no of Canisters Dispensed
4681 / 15
Savlon Antiseptic Cream 15g
E
2324 / 30
Savlon Antiseptic Cream 30g
E
4682 / 60
Savlon Antiseptic Cream 60g
E
8314 / 100
Savlon Antiseptic Cream 100g
E
4685 / 250
Savlon Blue Liquid 250 ml
E
2509 / 500
Savlon Blue Liquid 500 ml
E
3425 / 1
Savlon Dry Antiseptic Spray 50ml 1
Code Number of Sprays Dispensed
E
8627 / 500
Savlon Orange Liquid 500 ml
E
14565 / 56
Saxagliptin 2.5mg / Metformin 1g tablets 56 tablet (DT)
DT
E
14566 / 56
Saxagliptin 2.5mg / Metformin 850mg tablets 56 tablet (DT)
DT
E
14363 / 28
Saxagliptin 2.5mg tablets 28 tablet (DT)
DT
E
14347 / 28
Saxagliptin 5mg tablets 28 tablet (DT)
DT
E
7934 / 6
Scandishake Mix Sachets (85g) 6
Code No. of Sachets Dispensed. All flavours.
E
3958 / 30
Scheriproct Ointment 30g
E
3956 / 12
Scheriproct Suppositories 12
E
6564 / 5
Scopoderm TTS Patches 5
E
4145 / 50
SD Codefree Reagent 50
17199 / 100
Sebco Ointment 100g
E
17198 / 40
Sebco Ointment 40g
E
9887 / 28
Sebivo F/C Tablets 600mg 28
E
3816 / 84
Sectral Capsules 100mg 84
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
NE
Page 229 of 550
Code/Pack
Description
DT CD ZD N E D
1747 / 56
Sectral Capsules 200mg 56
E
3626 / 28
Sectral Tablets 400mg 28
E
1538 / 28
Securon SR Tablets 240mg 28
E
9807 / 6
Seebri Breezhaler 44microgram inhalation powder capsules with device 6
E
9818 / 30
Seebri Breezhaler 44microgram inhalation powder capsules with device 30
E
876 / 30
Selegiline 10mg tablets 30 tablet (DT)
DT
E
729 / 60
Selegiline 5mg tablets 60 tablet (DT)
DT
E
13807 / 100
Selenium sulfide 2.5% shampoo 100 ml (DT)
DT
E
13808 / 150
Selenium sulfide 2.5% shampoo 150 ml (DT)
DT
E
13806 / 50
Selenium sulfide 2.5% shampoo 50 ml (DT)
DT
E
7969 / 10
Selexid Tablets 200mg 10
E
2813 / 100
Selsun 2.5% shampoo 100 ml
E
3113 / 150
Selsun 2.5% shampoo 150 ml
E
3108 / 50
Selsun 2.5% shampoo 50 ml
E
5761 / 60
Senna 7.5mg tablets 60 tablet (DT)
DT
NE
12344 / 500
Senna 7.5mg/5ml oral solution sugar free 500 ml (DT)
DT
NE
13940 / 400
Senna fruit 12.4% / Ispaghula 54.2% granules 400 gram (DT)
DT
NE
4158 / 500
Senokot SF Syrup
7.5mg/5ml
NE
7195 / 50
Sensocard Reagent 50
NE
2407 / 100
Septrin Adult Suspension 400mg/5 ml 100ml
E
3321 / 100
Septrin Forte Tablets 100
E
3774 / 10
Septrin Infusion 5ml 10
E
3738 / 100
Septrin Paediatric Suspension 100ml
E
2567 / 100
Septrin Tablets 100
E
2495 / 60
Seractil Tablets 300mg 60
E
2499 / 60
Seractil Tablets 400mg 60
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 230 of 550
Code/Pack
Description
DT CD ZD N E D
3731 / 1
Seravit Paediatric Dietary Supplement Flavoured 200g
Code No. of Packs dispensed
E
6828 / 1
Seravit Paediatric Dietary Supplement Unflavoured (200g) 1
Code No. of Packs dispensed
E
4327 / 84
Serc-16 Tablets 16mg 84
E
4016 / 120
Serc-8 Tablets 8mg 120
E
4428 / 30
Serenace Capsules 500mcg 30
E
6619 / 500
Serenace Liquid 2mg/1ml 500ml
E
8377 / 1
Seretide Accuhaler 100mcg 60 dose
E
8393 / 1
Seretide Accuhaler 250mcg 60 dose
E
8421 / 1
Seretide Accuhaler 500mcg 60 dose
E
1903 / 1
Seretide Evohaler with counter 50mcg/25mcg 120 dose 1
E
2520 / 1
Seretide Evohaler with counter 125mcg/25mcg 120 dose 1
E
2752 / 1
Seretide Evohaler with counter 250mcg/25mcg 120 dose 1
E
7707 / 1
Serevent Accuhaler 50mcg 60 dose
Code No. of Inhalers dispensed
E
5108 / 1
Serevent Evohaler 25mcg 120 dose
Code No. of Inhalers dispensed
E
2164 / 60
Serevent Refill Pack Inhaler 50mcg 60
E
2149 / 60
Serevent with Diskhaler Inhaler 50mcg 60
E
7954 / 60
Seroquel Tablets 25mg 60
E
7960 / 60
Seroquel Tablets 100mg 60
ZD
E
2269 / 60
Seroquel Tablets 150mg 60
ZD
E
7970 / 60
Seroquel Tablets 200mg 60
ZD
E
5960 / 60
Seroquel Tablets 300mg 60
ZD
E
7732 / 60
Seroquel XL Tablets 50mg 60
6394 / 60
Seroquel XL Tablets 150mg 60
7790 / 60
Seroquel XL Tablets 200mg 60
7886 / 60
Seroquel XL Tablets 300mg 60
ZD
E
8075 / 60
Seroquel XL Tablets 400mg 60
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
E
E
Page 231 of 550
Code/Pack
Description
DT CD ZD N E D
3627 / 150
Seroxat Liquid 20mg/ 10ml 150ml
E
1564 / 28
Seroxat Tablets 10mg 28
E
3410 / 30
Seroxat Tablets 20mg 30
E
3786 / 30
Seroxat Tablets 30mg 30
E
2731 / 28
Sertraline 100mg tablets 28 tablet (DT)
DT
E
2730 / 28
Sertraline 50mg tablets 28 tablet (DT)
DT
E
13698 / 180
Sevelamer 800mg tablets 180 tablet (DT)
DT
6286 / 28
Sevikar Film Coated Tablets 10mg/40mg 28
E
6285 / 28
Sevikar Film Coated Tablets 5mg/20mg 28
E
6255 / 28
Sevikar Film Coated Tablets 5mg/40mg 28
E
4464 / 56
Sevredol Tablets 10mg 56
CD ZD
E
4520 / 56
Sevredol Tablets 20mg 56
CD ZD
E
8088 / 56
Sevredol Tablets 50mg 56
CD ZD
E
13434 / 4
Sildenafil 100mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
13430 / 4
Sildenafil 25mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
13432 / 4
Sildenafil 50mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
2940 / 100
Silkis Ointment 3mcg/g 100g
12393 / 1
Silver nitrate 95% caustic pencils 1 applicator (DT)
DT
E
12842 / 50
Simeticone 40mg/ml oral suspension sugar free 50 ml (DT)
DT
E
14141 / 4
Simple eye ointment 4 gram (DT)
DT
E
5528 / 200
Simple linctus 200 ml (DT)
DT
E
704 / 200
Simple linctus paediatric 200 ml (DT)
DT
E
14559 / 200
Simple linctus paediatric sugar free 200 ml (DT)
DT
E
12003 / 200
Simple linctus sugar free 200 ml (DT)
DT
E
8378 / 1
Simulect Vial 20mg 1
649 / 28
Simvastatin 10mg tablets 28 tablet (DT)
DT
E
14024 / 28
Simvastatin 20mg / Ezetimibe 10mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
Page 232 of 550
E
Code/Pack
Description
DT CD ZD N E D
654 / 28
Simvastatin 20mg Tablet 28 (DT)
DT
E
13093 / 150
Simvastatin 20mg/5ml oral suspension sugar free 150 ml (DT)
DT
E
14025 / 28
Simvastatin 40mg / Ezetimibe 10mg tablets 28 tablet (DT)
DT
E
658 / 28
Simvastatin 40mg tablets 28 (DT)
DT
E
13094 / 150
Simvastatin 40mg/5ml oral suspension sugar free 150 ml (DT)
DT
E
14026 / 28
Simvastatin 80mg / Ezetimibe 10mg tablets 28 tablet (DT)
DT
E
431 / 28
Simvastatin 80mg tablets 28 (DT)
DT
E
6329 / 90
Sinemet 62.5 Tablets 90
E
2255 / 100
Sinemet 110 Tablets 100
E
3840 / 100
Sinemet 25mg/250mg tablets 100
E
6573 / 60
Sinemet CR Tablets 60
E
3640 / 100
Sinemet Plus Tablets 100
E
4021 / 28
Sinepin Capsules 25mg 28
E
4046 / 28
Sinepin Capsules 50mg 28
E
6740 / 28
Singulair Paediatric Chewable Tablets 4mg 28
E
8183 / 28
Singulair Paediatric Chewable Tablets 5mg 28
E
5338 / 28
Singulair Paediatric Granules 4mg 28
Code No. of Sachets Dispensed
E
8247 / 28
Singulair Tablets 10mg 28
E
8063 / 100
Sinthrome Tablets 1mg 100
E
1494 / 50
Siopel Cream 50g
13478 / 30
Sirolimus 1mg tablets 30 tablet (DT)
DT
ZD
E
13479 / 30
Sirolimus 2mg tablets 30 tablet (DT)
DT
ZD
E
14346 / 30
Sirolimus 500microgram tablets 30 tablet (DT)
DT
ZD
E
14199 / 28
Sitagliptin 100mg tablets 28 tablet (DT)
DT
E
14490 / 28
Sitagliptin 25mg tablets 28 tablet (DT)
DT
E
14491 / 28
Sitagliptin 50mg tablets 28 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 233 of 550
Code/Pack
Description
DT CD ZD N E D
6160 / 30
Skinoren Cream 30g
E
1328 / 1
Slo Drinks Pre-thickened cold drink Stage 1 fluid 25x115ml 1
Code no. of packs dispensed
E
1329 / 1
Slo Drinks Pre-thickened cold drink Stage 2 fluid 115ml 1
Code no. of packs dispensed
E
1334 / 1
Slo Drinks Pre-thickened cold drink Stage 3 fluid 115ml 1
Code no. of packs dispensed
E
4703 / 56
Slo-Phyllin Capsules 60mg 56
E
4704 / 56
Slo-Phyllin Capsules 125mg 56
E
4726 / 56
Slo-Phyllin Capsules 250mg 56
E
6571 / 100
Slow Sodium Tablets 100
E
2500 / 28
Slow Trasicor Tablets 160mg 28
E
2823 / 100
Slow-K Tablets 100
E
7631 / 28
Slozem Capsules 120mg 28
E
7636 / 28
Slozem Capsules 180mg 28
E
7641 / 28
Slozem Capsules 240mg 28
E
1479 / 28
Slozem Capsules 300mg 28
E
9866 / 1
SMA Gold Prem 2 Powder 400g
Code No. of Packs dispensed
E
4420 / 1
SMA High Energy Liquid (250ml) 1
Code No. of Packs dispensed
3344 / 1
SMA LF Powder (430g) 1
Code No. of Packs dispensed
E
2792 / 1
SMA Staydown Powder (900g) 1
Code No. of Packs dispensed
E
1862 / 1
Sma Wysoy Powder 430g 1
Code No. of Packs dispensed
E
1942 / 1
Sma Wysoy Powder 860g 1
Code No. of Packs dispensed
E
7225 / 1
Sno-Pro Drink (200ml) 1
Code No. of Packs dispensed
E
3810 / 10
Sno-Tears 10ml
E
14213 / 500
Soap spirit methylated 500 ml (DT)
DT
E
14078 / 500
Sodium alginate 500mg/5ml / Potassium bicarbonate 100mg/5ml oral suspension sugar free 500
ml (DT)
DT
E
617 / 56
Sodium bicarbonate 500mg capsules 56 capsule (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 234 of 550
E
Code/Pack
Description
DT CD ZD N E D
14540 / 300
Sodium bicarbonate powder 300 gram (DT)
DT
E
12733 / 20
Sodium chloride 0.9% eye drops 0.5ml unit dose preservative free 20 unit dose (DT)
DT
E
12736 / 10
Sodium chloride 0.9% solution for injection 10ml ampoules 10 ampoule (DT)
DT
E
398 / 10
Sodium chloride 0.9% solution for injection 2ml ampoules 10 ampoule (DT)
DT
E
12734 / 1
Sodium chloride 0.9% solution for injection 50ml vials 1 vial (DT)
DT
E
452 / 10
Sodium chloride 0.9% solution for injection 5ml ampoules 10 ampoule (DT)
DT
E
12732 / 100
Sodium chloride 600mg modified-release tablets 100 tablet (DT)
DT
E
14006 / 500
Sodium citrate powder 500 gram (DT)
DT
E
13074 / 120
Sodium clodronate 400mg capsules 120 capsule (DT)
DT
E
13075 / 60
Sodium clodronate 520mg tablets 60 tablet (DT)
DT
E
13076 / 60
Sodium clodronate 800mg tablets 60 tablet (DT)
DT
E
12455 / 100
Sodium cromoglicate 100mg capsules 100 capsule (DT)
DT
E
14660 / 30
Sodium cromoglicate 2% eye drops 0.3ml unit dose preservative free 30 unit dose (DT)
DT
E
787 / 14
Sodium cromoglicate 2% eye drops 13.5 ml (DT) [BSO Pack = 14]
DT
E
12458 / 1
Sodium cromoglicate 4% nasal spray 22 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
13696 / 500
Sodium feredetate 190mg/5ml oral solution sugar free 500 ml (DT)
DT
E
13703 / 60
Sodium fluoride 0.37% oral drops sugar free 60 ml (DT)
DT
ED
13701 / 75
Sodium fluoride 0.619% dental paste sugar free 75 ml (DT)
DT
ED
13706 / 51
Sodium fluoride 1.1% dental paste sugar free 51 gram (DT)
DT
ED
13704 / 200
Sodium fluoride 1.1mg chewable tablets sugar free 200 tablet (DT)
DT
ED
13699 / 200
Sodium fluoride 1.1mg tablets 200 tablet (DT)
DT
ED
13705 / 200
Sodium fluoride 2.2mg chewable tablets sugar free 200 tablet (DT)
DT
ED
13700 / 200
Sodium fluoride 2.2mg tablets 200 tablet (DT)
DT
ED
13676 / 15
Sodium fusidate 2% ointment 15 gram (DT)
DT
ED
13677 / 30
Sodium fusidate 2% ointment 30 gram (DT)
DT
ED
13674 / 10
Sodium fusidate 250mg tablets 10 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 235 of 550
Code/Pack
Description
DT CD ZD N E D
13549 / 300
Sodium picosulfate 5mg/5ml oral solution sugar free 300 ml (DT)
DT
NE
14251 / 100
Sodium valproate 100mg tablets 100 tablet (DT)
DT
E
481 / 100
Sodium valproate 200mg gastro-resistant tablets 100 tablet (DT)
DT
E
14253 / 300
Sodium valproate 200mg/5ml oral solution 300 ml (DT)
DT
E
560 / 300
Sodium valproate 200mg/5ml oral solution sugar free 300 ml (DT)
DT
E
488 / 100
Sodium valproate 500mg gastro-resistant tablets 100 tablet (DT)
DT
E
3451 / 10
Sofradex Eye and Ear Drops 1% 10ml
E
2568 / 50
Solaraze Gel 3% 50g
E
7482 / 100
Solaraze Topical Gel 3% 100g
E
8669 / 60
Solian Solution 100mg/ml 60ml
E
8121 / 60
Solian Tablets 50mg 60
E
7763 / 60
Solian Tablets 100mg 60
E
8147 / 60
Solian Tablets 200mg 60
E
8501 / 60
Solian Tablets 400mg 60
E
13964 / 30
Solifenacin 10mg tablets 30 tablet (DT)
DT
E
13965 / 30
Solifenacin 5mg tablets 30 tablet (DT)
DT
E
8380 / 30
Solpadol Caplets 30/500mg 30
E
7028 / 100
Solpadol Caplets 30/500mg 100
E
3218 / 100
Solpadol Capsules 30/500mg 100
E
6395 / 32
Solpadol Effervescent Tablets 30/500mg 32
E
2505 / 100
Solpadol Effervescent Tablets 30/500mg 100
E
8058 / 1
Solu-Cortef Vial (with 2ml Sterile Water) 100mg
E
8059 / 10
Solu-Cortef Vials (without Diluent) 100mg 10
E
9921 / 1
Solu-Medrone powder and solvent for solution for injection vials 125mg 1
E
9976 / 1
Solu-Medrone powder and solvent for solution for injection vials 1g 1
E
9980 / 1
Solu-Medrone powder and solvent for solution for injection vials 2g 1
E
9907 / 1
Solu-Medrone powder and solvent for solution for injection vials 40mg 1
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 236 of 550
Code/Pack
Description
DT CD ZD N E D
9932 / 1
Solu-Medrone powder and solvent for solution for injection vials 500mg 1
E
7219 / 90
Solvazinc Tablets 125mg 3x30 90
E
5764 / 1
Somatuline Autogel Pre-Filled Syringe 60mg 1
ZD
E
5766 / 1
Somatuline Autogel Pre-Filled Syringe 90mg 1
ZD
E
5768 / 1
Somatuline Autogel Pre-Filled Syringe 120mg 1
ZD
E
8205 / 1
Somatuline L A Vial 1
ZD
E
9177 / 30
Somavert Vials 10mg 30
ZD
E
9136 / 30
Somavert Vials 15mg 30
ZD
E
9135 / 30
Somavert Vials 20mg 30
ZD
E
8438 / 14
Sonata Capsules 5mg 14
E
8452 / 14
Sonata Capsules 10mg 14
E
8423 / 2
Soothelip Cold Sore Cream 5% 2g
ED
1559 / 30
Sotacor Tablets 80mg 30
E
5065 / 28
Sotalol 160mg tablets 28 tablet (DT)
DT
E
13087 / 28
Sotalol 200mg tablets 28 tablet (DT)
DT
E
14485 / 28
Sotalol 40mg tablets 28 tablet (DT)
DT
E
14537 / 28
Sotalol 80mg tablets 28 tablet (DT)
DT
E
6574 / 100
Sotol Tablets 100
E
6614 / 500
Sotol Tablets 500
E
4241 / 100
Spasmonal Capsules 100
E
8157 / 60
Spasmonal Forte Capsules 120mg 60
E
3104 / 14
Spatone 100% Natural Iron Supplement Sachets 14 Day Pack
Code each 14 day Pack as /14
E
4093 / 28
Spatone 100% Natural Iron Supplement Sachets 28 day Pack
Code each 28 day Pack as /28
E
7964 / 30
Spiriva Combopack 30
E
7967 / 30
Spiriva Refill Capsules 18mcg 30
E
4102 / 1
Spiriva Respimat Inhaler 60 dose 1
Code no. of inhalers dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 237 of 550
Code/Pack
Description
DT CD ZD N E D
827 / 28
Spironolactone 100mg tablets 28 tablet (DT)
DT
E
784 / 28
Spironolactone 25mg tablets 28 tablet (DT)
DT
E
817 / 28
Spironolactone 50mg tablets 28 tablet (DT)
DT
E
3030 / 4
Sporanox Capsules 100mg 4
E
3014 / 15
Sporanox Capsules 100mg 15
E
7894 / 60
Sporanox Capsules 100mg 60
E
8400 / 1
Sporanox IV Solution for Infusion 10mg/ml 1
E
8007 / 150
Sporanox Liquid 150ml
E
4041 / 28
Sporanox Pulse Capsules 100mg 28
E
3256 / 1
Sprilon Spray (115g) 1
14231 / 2000
Squill oxymel 2000 ml (DT)
2253 / 30
Stalevo Tablets 100/25/200mg 30
E
2254 / 100
Stalevo Tablets 100/25/200mg 100
E
5965 / 30
Stalevo Tablets 125/31.25/200mg 30
E
5979 / 100
Stalevo Tablets 125/31.25/200mg 100
E
2259 / 30
Stalevo Tablets 150/37.5/200mg 30
E
2261 / 100
Stalevo Tablets 150/37.5/200mg 100
E
2247 / 30
Stalevo Tablets 50/12.5/200mg 30
E
2249 / 100
Stalevo Tablets 50/12.5/200mg 100
E
5752 / 30
Stalevo Tablets 50/200/200mg 30
E
5753 / 100
Stalevo Tablets 50/200/200mg 100
E
5967 / 30
Stalevo Tablets 75/18.75/200mg 30
E
5966 / 100
Stalevo Tablets 75/18.75/200mg 100
E
8614 / 84
Starlix Tablets 60mg 84
E
8621 / 84
Starlix Tablets 120mg 84
E
8634 / 84
Starlix Tablets 180mg 84
E
3453 / 200
Stelazine Syrup 200ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
DT
Page 238 of 550
E
Code/Pack
Description
DT CD ZD N E D
8439 / 112
Stelazine Tablets 1mg 112
E
8409 / 112
Stelazine Tablets 5mg 112
E
6644 / 10
Stemetil Ampoules 1.25% 1ml 10
E
2889 / 100
Stemetil Syrup 100ml
E
3624 / 28
Stemetil Tablets 5mg 28
E
3614 / 84
Stemetil Tablets 5mg 84
E
13942 / 60
Sterculia 62% / Frangula 8% granules 7g sachets gluten free 60 sachet (DT)
DT
NE
13941 / 500
Sterculia 62% / Frangula 8% granules gluten free 500 gram (DT)
DT
NE
13839 / 60
Sterculia 62% granules 7g sachets gluten free 60 sachet (DT)
DT
NE
13838 / 500
Sterculia 62% granules gluten free 500 gram (DT)
DT
NE
7237 / 25
Sterets Tisept Solution Sachets 25ml 25
E
7238 / 10
Sterets Tisept Solution Sachets 100ml 10
E
9461 / 1
Steripaste Bandage 15% Zinc Paste 1
5037 / 20
Steripoules Ipratropium Ampoules 250mcg/1ml 20 Doses
Code Number of Doses Dispensed
E
5038 / 20
Steripoules Ipratropium Ampoules 500mcg/2ml 20 Doses
Code Number of Doses Dispensed
E
5040 / 20
Steripoules Salbutamol Ampoules 5mg/1.5ml 20
Code No. of Ampoules dispensed
E
5039 / 20
Steripoules Salbutamol Ampoules 2.5mg/ml 20
Code No. of Ampoules dispensed
E
5045 / 20
Steripoules Sodium Chloride Ampoules 2.5mg 20
Code No. of Ampoules dispensed
E
3304 / 5
Stesolid (Actavis) Rectal Tubes 5mg 5
E
3318 / 5
Stesolid (Actavis) Rectal Tubes 10mg 5
E
1797 / 50
Stiemycin Acne Solution 50ml
E
7475 / 28
Stilnoct Tablets 5mg 28
3791 / 28
Stilnoct Tablets 10mg 28
14685 / 60
Stiripentol 250mg capsules 60 capsule (DT)
3051 / 7
2896 / 28
ZD
E
Strattera Capsules 10mg 7
ZD
E
Strattera Capsules 10mg 28
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
DT
Page 239 of 550
Code/Pack
Description
DT CD ZD N E D
3059 / 7
Strattera Capsules 18mg 7
ZD
E
2978 / 28
Strattera Capsules 18mg 28
ZD
E
3063 / 7
Strattera Capsules 25mg 7
ZD
E
2986 / 28
Strattera Capsules 25mg 28
ZD
E
3065 / 7
Strattera Capsules 40mg 7
ZD
E
3093 / 28
Strattera Capsules 40mg 28
ZD
E
3097 / 28
Strattera Capsules 60mg 28
ZD
E
7589 / 28
Strattera Hard Capsules 80mg 28
ZD
E
7844 / 16
Strefen Lozenges 8.75mg 16
E
3291 / 24
Strepsils Extra Lozenges 2.4mg 24
E
3311 / 24
Strepsils Lozenges 0.6mg 24
E
3336 / 16
Strepsils Lozenges Sugar Free 0.6mg 16
E
2662 / 30
Stronazon (Actavis) Capsules 400mcg 30
E
14241 / 28
Strontium ranelate 2g granules sachets sugar free 28 sachet (DT)
1282 / 100
Stugeron Tablets 15mg 100
1346 / 28
Suboxone Tablets 2mg 28
CD ZD
E
1348 / 28
Suboxone Tablets 8mg 28
CD ZD
E
7363 / 7
Subutex Tablets
0.4mg 7
CD ZD
E
7367 / 7
Subutex Tablets
2mg
7
CD ZD
E
7574 / 7
Subutex Tablets
8mg
7
CD ZD
E
12731 / 50
Sucralfate 1g tablets 50 tablet (DT)
DT
E
12730 / 250
Sucralfate 1g/5ml oral suspension sugar free 250 ml (DT)
DT
E
2266 / 12
Sudafed Tablets 60mg 12
E
1510 / 60
Sudocrem Antiseptic Cream 60g
E
1511 / 125
Sudocrem Antiseptic Cream 125g
E
3482 / 250
Sudocrem Antiseptic Cream 250g
E
4047 / 400
Sudocrem Antiseptic Cream 400g
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 240 of 550
Code/Pack
Description
DT CD ZD N E D
12260 / 250
Sulfadiazine silver 1% cream 250 gram (DT)
DT
E
12259 / 50
Sulfadiazine silver 1% cream 50 gram (DT)
DT
E
12261 / 500
Sulfadiazine silver 1% cream 500 gram (DT)
DT
E
14445 / 500
Sulfasalazine 250mg/5ml oral suspension sugar free 500 ml (DT)
DT
E
378 / 112
Sulfasalazine 500mg gastro-resistant tablets 112 tablet (DT)
DT
E
5086 / 112
Sulfasalazine 500mg tablets 112 tablet (DT)
DT
E
12257 / 84
Sulfinpyrazone 100mg tablets 84 tablet (DT)
DT
E
12258 / 84
Sulfinpyrazone 200mg tablets 84 tablet (DT)
DT
13728 / 500
Sulfur sublimed powder 500 gram (DT)
DT
E
12048 / 500
Sulfuric acid dilute liquid 500 ml (DT)
DT
E
352 / 56
Sulindac 100mg tablets 56 tablet (DT)
DT
E
818 / 56
Sulindac 200mg tablets 56 tablet (DT)
DT
E
3286 / 56
Sulphadiazine Tablets (AAH) 500mg 56
379 / 30
Sulpiride 200mg tablets 30 tablet (DT)
DT
E
13597 / 150
Sulpiride 200mg/5ml oral solution sugar free 150 ml (DT)
DT
E
13595 / 30
Sulpiride 400mg tablets 30 tablet (DT)
DT
E
191 / 6
Sumatriptan 100mg tablets 6 tablet (DT)
DT
E
13630 / 2
Sumatriptan 10mg/0.1ml nasal spray unit dose 2 unit dose (DT)
DT
E
13629 / 6
Sumatriptan 20mg/0.1ml nasal spray unit dose 6 unit dose (DT)
DT
E
187 / 6
Sumatriptan 50mg tablets 6 tablet (DT)
DT
E
14401 / 2
Sumatriptan 6mg/0.5ml solution for injection pre-filled disposable devices 2 pre-filled disposable
injection (DT)
DT
ZD
E
13631 / 2
Sumatriptan 6mg/0.5ml solution for injection pre-filled syringes with device 2 pre-filled disposable
injection (DT)
DT
ZD
E
13632 / 2
Sumatriptan 6mg/0.5ml solution for injection syringe refill 2 pre-filled disposable injection (DT)
DT
ZD
E
7658 / 500
Sunsense Ultra SPF 50+ 500ml
E
4148 / 50
Sunsense Ultra SPF 50+ 50ml
E
4152 / 125
Sunsense Ultra SPF 50+ 125ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
Page 241 of 550
Code/Pack
Description
DT CD ZD N E D
9501 / 50
SuperCheck 2 Biosensor Strips Reagent 50
NE
1011 / 50
SuperCheck Plus Biosensor Strips Reagent 50
NE
7981 / 28
Supralip Tablets 160mg 28
E
4627 / 7
Suprax Tablets 200mg 7
E
3998 / 2
Suprecur Injection 1mg/ml 5.5ml 2
E
6831 / 2
Suprecur Nasal Spray 10g
Code No. of Sprays dispensed
E
3154 / 2
Suprefact Injection Vials (5.5ml) 2
Code No. of Vials dispensed
E
3001 / 4
Suprefact Nasal Spray (10g) 4
Code No. of Sprays dispensed
E
172 / 50
SURESIGN Resure reagent 50
3823 / 56
Surgam Tablets 300mg 56
973 / 200
Surgical spirit 200 ml (DT)
2744 / 28
NE
E
ZD
E
Surmontil Capsules 50mg 28
ZD
E
2955 / 28
Surmontil Tablets 10mg 28
ZD
E
3595 / 84
Surmontil Tablets 10mg 84
ZD
E
3177 / 28
Surmontil Tablets 25mg 28
ZD
E
3897 / 84
Surmontil Tablets 25mg 84
ZD
E
4568 / 100
Suscard Buccal Tablets 2mg 100
E
4582 / 100
Suscard Buccal Tablets 3mg 100
E
4978 / 100
Suscard Buccal Tablets 5mg 100
E
3666 / 1
Sustanon 250 Injection 1ml 250mg/ml 1
Code No. of Amps dispensed
2182 / 30
Sustiva 600 Tablets 600mg 30
1668 / 30
Sustiva Capsules 50mg 30
E
9220 / 30
Sustiva Capsules 100mg 30
E
2175 / 90
Sustiva Capsules 200mg 90
E
2186 / 180
Sustiva Oral Solution 30mg/ml 180ml
E
9178 / 28
Sutent Capsules 12.5mg 28
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
ZD
ZD
Page 242 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
9251 / 28
Sutent Capsules 25mg 28
ZD
E
9299 / 28
Sutent Capsules 50mg 28
ZD
E
8686 / 1
Symbicort Turbohaler 100/6 1
Code Number of Inhalers Dispensed
E
8693 / 1
Symbicort Turbohaler 200/6 1
Code Number of Inhalers Dispensed
E
8000 / 1
Symbicort Turbohaler 400/12 1
Code Number of Inhalers Dispensed
E
4298 / 56
Symmetrel Capsules 100mg 56
E
7228 / 150
Symmetrel Syrup 150ml
E
4283 / 5
Synacthen Ampoules 0.25mg/ ml 5
ZD
E
4284 / 10
Synacthen Depot Ampoules 1mg/ ml 10
ZD
E
3018 / 30
Synalar Cream 30g
E
1553 / 100
Synalar Cream 100g
E
2517 / 50
Synalar Dilute 1- 4 Cream
50g
E
6799 / 50
Synalar Dilute 1- 4 Ointment 50g
E
2002 / 50
Synalar Dilute 1-10 Cream
E
3643 / 30
Synalar Gel 30g
E
1452 / 60
Synalar Gel with applicator 60g
E
3993 / 30
Synalar Ointment 30g
E
1557 / 100
Synalar Ointment 100g
E
1697 / 15
Synalar-C Cream 15g
E
4006 / 15
Synalar-C Ointment 15g
E
1810 / 30
Synalar-N Cream
30g
E
4121 / 30
Synalar-N Ointment 30g
E
3261 / 1
Synarel Nasal Spray 200mcg/ dose 60 dose (8ml) 1
Code No. of Sprays dispensed
2796 / 60
Synflex Tablets 60
E
3672 / 21
Synphase Tablets 21
E
1709 / 1
Syntaris Nasal Spray (24ml) 1
Code No. of Sprays dispensed
E
50g
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 243 of 550
E
Code/Pack
Description
6654 / 5
Syntometrine Ampoules 1ml 5
3962 / 500
Sytron Syrup 500ml
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT CD ZD N E D
ZD
E
E
Page 244 of 550
Code/Pack
Description
DT CD ZD N E D
T
3923 / 30
Tabphyn MR Capsules 400mcg 30
13726 / 100
Tacalcitol 4micrograms/g ointment 100 gram (DT)
DT
E
13724 / 30
Tacalcitol 4micrograms/g ointment 30 gram (DT)
DT
E
13725 / 60
Tacalcitol 4micrograms/g ointment 60 gram (DT)
DT
E
13440 / 30
Tacrolimus 0.03% ointment 30 gram (DT)
DT
E
13441 / 60
Tacrolimus 0.03% ointment 60 gram (DT)
DT
E
13442 / 30
Tacrolimus 0.1% ointment 30 gram (DT)
DT
E
13443 / 60
Tacrolimus 0.1% ointment 60 gram (DT)
DT
E
13437 / 50
Tacrolimus 1mg capsules 50 capsule (DT)
DT
E
13445 / 50
Tacrolimus 1mg granules sachets sugar free 50 sachet (DT)
DT
ZD
E
13444 / 50
Tacrolimus 200microgram granules sachets sugar free 50 sachet (DT)
DT
ZD
E
13439 / 50
Tacrolimus 500microgram capsules 50 capsule (DT)
DT
E
13438 / 50
Tacrolimus 5mg capsules 50 capsule (DT)
DT
E
13978 / 4
Tadalafil 10mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
13982 / 28
Tadalafil 2.5mg tablets 28 tablet (DT) Schedule 11 by Prescriber
DT
E
13979 / 4
Tadalafil 20mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
13981 / 28
Tadalafil 5mg tablets 28 tablet (DT) Schedule 11 by Prescriber
DT
E
14302 / 30
Tafluprost 15micrograms/ml eye drops 0.3ml unit dose preservative free 30 unit dose (DT)
DT
2210 / 600
Tagamet Syrup 600ml
E
2206 / 120
Tagamet Tablets 200mg 120
E
3901 / 60
Tagamet Tablets 400mg 60
E
3852 / 30
Tagamet Tablets 800mg 30
E
3501 / 5
Tambocor Ampoules 150mg/15ml 5
E
7229 / 60
Tambocor Tablets 50mg 60
E
1453 / 60
Tambocor Tablets 100mg 60
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
Page 245 of 550
E
Code/Pack
Description
DT CD ZD N E D
1566 / 30
Tambocor XL Capsules 200mg 30
E
2457 / 10
Tamiflu Capsules 30mg 10 Schedule 11 by Prescriber
E
2689 / 10
Tamiflu Capsules 45mg 10 Schedule 11 by Prescriber
E
3512 / 10
Tamiflu Capsules 75mg 10 Schedule 11 by Prescriber
E
3513 / 75
Tamiflu Powder for Oral Suspension 12mg/ml 75 Schedule 11 by Prescriber
E
164 / 30
Tamoxifen 10mg tablets 30 tablet (DT)
DT
E
166 / 30
Tamoxifen 20mg tablets 30 tablet (DT)
DT
E
167 / 30
Tamoxifen 40mg tablets 30 tablet (DT)
DT
E
14303 / 30
Tamsulosin 400microgram / Dutasteride 500microgram capsules 30 capsule (DT)
DT
E
108 / 30
Tamsulosin 400microgram modified-release capsules 30 capsule (DT)
DT
E
13262 / 30
Tamsulosin 400microgram modified-release tablets 30 tablet (DT)
DT
E
1678 / 28
Tanatril Tablets 5mg 28
E
2135 / 28
Tanatril Tablets 10mg 28
E
2737 / 28
Tanatril Tablets 20mg 28
E
14381 / 56
Tapentadol 100mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14382 / 56
Tapentadol 150mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14383 / 56
Tapentadol 200mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14695 / 100
Tapentadol 20mg/ml oral solution sugar free 100 ml (DT)
DT CD ZD
E
14384 / 56
Tapentadol 250mg modified-release tablets 56 tablet (DT)
DT CD ZD
E
14385 / 28
Tapentadol 50mg modified-release tablets 28 tablet (DT)
DT CD ZD
E
14386 / 28
Tapentadol 50mg tablets 28 tablet (DT)
DT CD ZD
E
14387 / 28
Tapentadol 75mg tablets 28 tablet (DT)
DT CD ZD
E
1650 / 30
Tarceva Tablets 25mg 30
ZD
E
1154 / 30
Tarceva Tablets 100mg 30
ZD
E
1156 / 30
Tarceva Tablets 150mg 30
ZD
E
8848 / 56
Targaxan 550mg tablets 56
9533 / 28
Targinact Tablets 7.5mg 28
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
CD ZD
Page 246 of 550
E
Code/Pack
Description
DT CD ZD N E D
7310 / 56
Targinact Tablets 15mg 56
CD ZD
E
7324 / 56
Targinact Tablets 30mg 56
CD ZD
E
9534 / 56
Targinact Tablets 60mg 56
CD ZD
E
6725 / 1
Targocid Injection 200mg
E
2488 / 1
Targocid Injection 400mg
E
9582 / 100
Targretin Capsules 75mg 100
2964 / 10
Tarivid Tablets 200mg 10
E
3022 / 20
Tarivid Tablets 200mg 20
E
7048 / 5
Tarivid Tablets 400mg 5
E
7091 / 10
Tarivid Tablets 400mg 10
E
7102 / 50
Tarivid Tablets 400mg 50
E
8140 / 28
Tarka Capsules 2mg 28
E
14162 / 500
Tartaric acid powder 500 gram (DT)
9137 / 112
Tasigna Capsules 200mg 112
6246 / 100
Tasmar film coated Tablets 100mg 100
E
8224 / 1
Tavanic Intravenous Infusion 500mg Vial
E
8198 / 5
Tavanic Tablets 250mg 5
E
8220 / 10
Tavanic Tablets 250mg 10
E
8252 / 5
Tavanic Tablets 500mg 5
E
8288 / 10
Tavanic Tablets 500mg 10
E
1366 / 60
Tavegil Tablets 1mg 60
E
1399 / 1
Taxotere Vial 20mg 1
ZD
E
7031 / 1
Tazocin Powder in Vial (2.25g) 1
Code No. of Vials dispensed
ZD
E
2489 / 1
Tazocin Powder in Vial (4.5g) 1
Code No. of Vials dispensed
ZD
E
6648 / 50
TCP Antiseptic Liquid 50ml
E
6500 / 100
TCP Antiseptic Liquid 100ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
E
E
ZD
Page 247 of 550
E
Code/Pack
Description
DT CD ZD N E D
6514 / 200
TCP Antiseptic Liquid 200ml
E
3680 / 15
Tears Naturale 15ml
E
2395 / 28
Tears Nautrale Eye Drops Solution 0.4ml 28
E
155 / 50
TEE2 Reagent 50
6585 / 56
Tegretol Chewtab Tablets 100mg 56
E
6615 / 56
Tegretol Chewtab Tablets 200mg 56
E
1486 / 300
Tegretol Liquid 100mg/5ml 300ml
E
4529 / 56
Tegretol Retard Tablets 200mg 56
ED
4530 / 56
Tegretol Retard Tablets 400mg 56
ED
7492 / 5
Tegretol Suppositories 125mg 5
E
7516 / 5
Tegretol Suppositories 250mg 5
E
2296 / 84
Tegretol Tablets 100mg 84
ED
8119 / 84
Tegretol Tablets 200mg 84
ED
1959 / 56
Tegretol Tablets 400mg 56
ED
2859 / 60
Telfast Paediatric Tablets 30mg 60
ED
2782 / 30
Telfast Tablets 120mg 30
E
2808 / 30
Telfast Tablets 180mg 30
E
6618 / 100
Tellodont Mouthwash Tablets 100
E
13524 / 28
Telmisartan 20mg tablets 28 tablet (DT)
DT
E
13912 / 28
Telmisartan 40mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
13525 / 28
Telmisartan 40mg tablets 28 tablet (DT)
DT
E
13913 / 28
Telmisartan 80mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
14696 / 28
Telmisartan 80mg / Hydrochlorothiazide 25mg tablets 28 tablet (DT)
DT
E
13526 / 28
Telmisartan 80mg tablets 28 tablet (DT)
DT
E
5635 / 28
Temazepam 10mg tablets 28 tablet (DT)
DT CD ZD
ED
216 / 300
Temazepam 10mg/5ml oral solution sugar free 300 ml (DT)
DT CD ZD
ED
5649 / 28
Temazepam 20mg tablets 28 tablet (DT)
DT CD ZD
ED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 248 of 550
Code/Pack
Description
DT CD ZD N E D
1841 / 5
Temgesic Ampoules 1mlX5
CD ZD
E
2566 / 50
Temgesic Tablets Sublingual 0.2mg 50
CD ZD
E
6587 / 50
Temgesic Tablets Sublingual 0.4mg 50
CD ZD
E
9541 / 5
Temodal Sachets 100mg 5
ZD
E
9544 / 5
Temodal Sachets 140mg 5
ZD
E
9581 / 5
Temodal Sachets 180mg 5
ZD
E
9550 / 5
Temodal Sachets 20mg 5
ZD
E
9442 / 5
Temodal Sachets 250mg 5
ZD
E
9911 / 5
Temodal Sachets 5mg 5
ZD
E
598 / 5
Temozolomide (Teva) Capsules 5mg 5
ZD
E
630 / 5
Temozolomide (Teva) Capsules 20mg 5
ZD
E
648 / 5
Temozolomide (Teva) Capsules 100mg 5
ZD
E
668 / 5
Temozolomide (Teva) Capsules 180mg 5
ZD
E
686 / 5
Temozolomide (Teva) Capsules 250mg 5
ZD
E
3686 / 28
Tenif Capsules 28
E
4381 / 28
Tenoret ‘50’ Tablets 28
E
2184 / 28
Tenoretic Tablets 28
E
2257 / 28
Tenormin ‘25’ Tablets 28
E
2542 / 28
Tenormin LS Tablets 50mg 28
E
3701 / 300
Tenormin Syrup 300ml
E
3205 / 28
Tenormin Tablets 100mg 28
E
93 / 28
Tenoxicam 20mg tablets 28 tablet (DT)
5608 / 56
Tensipine MR Tablets 10mg (Genus) 56
E
5625 / 56
Tensipine MR Tablets 20mg (Genus) 56
E
2480 / 1
Tentrini Energy Multifibre Pack Liquid 500ml
Code No. of Packs dispensed
ZD
E
2460 / 1
Tentrini Energy Pack Liquid 500ml
Code No. of Packs dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
Page 249 of 550
Code/Pack
Description
DT CD ZD N E D
2522 / 1
Tentrini Multifibre Pack (500ml) 1
Code No. of Packs dispensed
ZD
E
2588 / 1
Tentrini Original Pack 500ml
Code No. of Packs dispensed
ZD
E
3712 / 5
Teoptic Eye Drops 1% 5ml
E
3749 / 5
Teoptic Eye Drops 2% 5ml
E
279 / 28
Terazosin 10mg tablets 28 tablet (DT)
DT
E
248 / 28
Terazosin 2mg tablets 28 tablet (DT)
DT
E
253 / 28
Terazosin 5mg tablets 28 tablet (DT)
DT
E
664 / 15
Terbinafine 1% cream 15 gram (DT)
DT
E
618 / 30
Terbinafine 1% cream 30 gram (DT)
DT
E
13379 / 1
Terbinafine 1% spray 15 ml (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
2751 / 14
Terbinafine 250mg tablets 14 tablet (DT)
DT
E
12503 / 100
Terbutaline 1.5mg/5ml oral solution sugar free 100 ml (DT)
DT
E
12501 / 1
Terbutaline 500micrograms/dose dry powder inhaler 100 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
12502 / 100
Terbutaline 5mg tablets 100 tablet (DT)
DT
E
14446 / 20
Terbutaline 5mg/2ml nebuliser liquid unit dose vials 20 unit dose (DT)
DT
E
3317 / 30
Testim Gel Tubes 50mg/5g 30
Code Number of Tubes Dispensed
4129 / 30
Testogel Gel Sachets 50mg/5g 30
Code Number of Packs of 30 Dispensed
13392 / 60
Testosterone 30mg modified-release muco-adhesive buccal tablets 60 tablet (DT)
DT
E
14278 / 60
Testosterone 40mg capsules 60 capsule (DT)
DT
E
13393 / 30
Testosterone 50mg gel sachets 30 sachet (DT)
DT
E
14686 / 3
Testosterone enantate 250mg/1ml solution for injection ampoules 3 ampoule (DT)
DT
E
14279 / 1
Testosterone undecanoate 1g/4ml solution for injection ampoules 1 ampoule (DT)
DT
13635 / 112
Tetrabenazine 25mg tablets 112 tablet (DT)
DT
E
978 / 28
Tetracycline 250mg tablets 28 tablet (DT)
DT
ED
7216 / 28
Tetralysal 300 Capsules 300mg 28
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
Page 250 of 550
Code/Pack
Description
DT CD ZD N E D
2852 / 56
Tetralysal 300 Capsules 300mg 56
E
2774 / 28
Teveten Tablets 300mg 28
E
2836 / 56
Teveten Tablets 400mg 56
E
3070 / 28
Teveten Tablets 600mg 28
E
2374 / 125
T-Gel Dry Hair Shampoo 125ml
E
2382 / 250
T-Gel Dry Hair Shampoo 250ml
E
2391 / 125
T-Gel Oily Hair Shampoo 125ml
E
3210 / 125
T-Gel Shampoo 125ml
E
6592 / 250
T-Gel Shampoo 250ml
E
12708 / 56
Theophylline 125mg modified-release capsules 56 capsule (DT)
DT
E
12705 / 60
Theophylline 175mg modified-release tablets 60 tablet (DT)
DT
E
12709 / 56
Theophylline 250mg modified-release capsules 56 capsule (DT)
DT
E
12706 / 60
Theophylline 250mg modified-release tablets 60 tablet (DT)
DT
E
12710 / 56
Theophylline 400mg modified-release tablets 56 tablet (DT)
DT
E
12707 / 56
Theophylline 60mg modified-release capsules 56 capsule (DT)
DT
E
242 / 100
Thiamine 100mg tablets 100 tablet (DT)
DT
E
22 / 100
Thiamine 50mg tablets 100 tablet (DT)
DT
E
7231 / 1
Thick ‘&’ Easy Rapid Thickener Can (225g) 1
Code No. of Packs dispensed
E
8149 / 1
Thick ‘&’ Easy Rapid Thickener Can (4.5kg) 1
Code No. of Cans dispensed
E
8018 / 100
Thick ‘&’ Easy Rapid Thickener Sachets (9g) 100
Code No. of Sachets dispensed
E
7232 / 1
Thixo D (375g) 1
Code No. of Packs dispensed
E
8275 / 1
Thixo D Cal-Free (30g) 1
Code No. of Packs dispensed
E
13711 / 56
Tiaprofenic acid 300mg tablets 56 tablet (DT)
DT
E
13690 / 28
Tibolone 2.5mg tablets 28 tablet (DT)
DT
E
14333 / 56
Ticagrelor 90mg tablets 56 tablet (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 251 of 550
Code/Pack
Description
DT CD ZD N E D
5041 / 1
Tilade CFC Free 2mg Inhaler + Spare Device (112 dose) 1
Code No. of Inhalers dispensed
E
8173 / 28
Tildiem LA 200 Capsules 28
E
7234 / 28
Tildiem LA 300 Capsules 28
E
2830 / 56
Tildiem Retard ‘90’ Tablets 56
E
2845 / 56
Tildiem Retard ‘120’ Tablets 56
E
8122 / 90
Tildiem Tablets 60mg 90
E
812 / 60
Tilodol SR 150mg tablets 60
CD ZD
E
814 / 60
Tilodol SR 200mg tablets 60
CD ZD
E
4880 / 30
Tiloryth Capsules 250mg 30
E
4881 / 100
Tiloryth Capsules 250mg 100
E
2088 / 30
Timodine Cream 30g
788 / 5
Timolol 0.25% eye drops 5 ml (DT)
DT
E
12919 / 3
Timolol 0.25% eye gel 2.5 ml (DT) [BSO Pack = 3]
Code each pack of 2.5 as 3
DT
E
12924 / 30
Timolol 0.5% eye drops 0.2ml unit dose preservative free 30 unit dose (DT)
DT
E
882 / 5
Timolol 0.5% eye drops 5 ml (DT)
DT
E
12920 / 3
Timolol 0.5% eye gel 2.5 ml (DT) [BSO Pack = 3]
Code each pack of 2.5 as 3
DT
E
12918 / 30
Timolol 10mg tablets 30 tablet (DT)
DT
E
14463 / 30
Timolol 1mg/g gel eye drops 0.4g unit dose preservative free 30 unit dose (DT)
DT
E
3752 / 3
Timoptol LA Sterile Ophthalmic Solution 0.25% (2.5ml) 3
E
3850 / 3
Timoptol LA Sterile Ophthalmic Solution 0.5% (2.5ml) 3
E
2865 / 30
Timoptol Ocumeter Dispenser Drops 0.25% 30 dose
Code No. of Doses dispensed
E
6546 / 30
Timoptol Ocumeter Dispenser Drops 0.5% 30 dose
Code No. of Doses dispensed
E
3591 / 5
Timoptol Ophthalmic Solution 0.25% 5ml
E
3596 / 5
Timoptol Ophthalmic Solution 0.5% 5ml
E
13678 / 16
Tinidazole 500mg tablets 16 tablet (DT)
DT
E
13732 / 12
Tioconazole 283mg/ml nail solution 12 ml (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 252 of 550
E
Code/Pack
Description
DT CD ZD N E D
13976 / 30
Tiotropium bromide 18microgram inhalation powder capsules 30 capsule (DT)
DT
E
13977 / 30
Tiotropium bromide 18microgram inhalation powder capsules with device 30 capsule (DT)
DT
E
14744 / 60
Tiotropium bromide 2.5micrograms/dose solution for inhalation cartridge with device CFC free 60 DT
dose (DT)
E
451 / 120
Tizanidine 2mg tablets 120 tablet (DT)
DT
E
453 / 120
Tizanidine 4mg tablets 120 tablet (DT)
DT
E
9004 / 56
Tobi Nebuliser Solution 5ml Ampoule 300mg/5ml 56
56 ampoule ((14 x 4) x 5ml ampoules)
8029 / 5
Tobradex Eye Drops 5ml
E
5324 / 10
Tobramycin (Actavis) Sulphate Injection 40mg/1ml 10
E
5329 / 10
Tobramycin (Actavis) Sulphate Injection 80mg/2ml 10
E
8604 / 5
Tobramycin (Mayne) Vial 80mg 2ml 5
E
14687 / 56
Tobramycin 300mg/5ml nebuliser liquid ampoules 56 ampoule (DT)
9021 / 30
Toctino Capsules 10mg 30
E
9024 / 30
Toctino Capsules 30mg 30
E
828 / 28
Tolbutamide 500mg tablets 28 tablet (DT)
DT
13624 / 10
Tolfenamic acid 200mg tablets 10 tablet (DT)
DT
E
13423 / 56
Tolterodine 1mg tablets 56 tablet (DT)
DT
E
13424 / 56
Tolterodine 2mg tablets 56 tablet (DT)
DT
E
13425 / 28
Tolterodine 4mg modified-release capsules 28 capsule (DT)
DT
E
8084 / 1
Tomudex Vials 2mg
8827 / 28
Tonpular XL Capsules 75mg 28
E
8828 / 28
Tonpular XL Capsules 150mg 28
E
2089 / 42
Topal Antacid Tablets 42
E
2967 / 60
Topamax Sprinkle Capsules 15mg 60
E
2984 / 60
Topamax Sprinkle Capsules 25mg 60
E
6356 / 60
Topamax Sprinkle Capsules 50mg 60
7939 / 60
Topamax Tablets 25mg 60
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
DT
ZD
ZD
ZD
ZD
E
E
E
E
E
E
Page 253 of 550
Code/Pack
Description
DT CD ZD N E D
8077 / 60
Topamax Tablets 50mg 60
E
8079 / 60
Topamax Tablets 100mg 60
E
8081 / 60
Topamax Tablets 200mg 60
E
943 / 60
Topiramate 100mg tablets 60 tablet (DT)
DT
E
13130 / 60
Topiramate 15mg capsules 60 capsule (DT)
DT
E
917 / 60
Topiramate 200mg tablets 60 tablet (DT)
DT
E
13131 / 60
Topiramate 25mg capsules 60 capsule (DT)
DT
E
12 / 60
Topiramate 25mg tablets 60 tablet (DT)
DT
E
13125 / 60
Topiramate 50mg capsules 60 capsule (DT)
DT
340 / 60
Topiramate 50mg tablets 60 tablet (DT)
DT
7240 / 5
Toradol Solution Ampoules 10mg/ ml 5
E
3999 / 5
Toradol Solution Ampoules 30mg/ ml 5
E
7674 / 20
Toradol Tablets 10mg 20
E
13554 / 28
Torasemide 10mg tablets 28 tablet (DT)
DT
E
13552 / 28
Torasemide 2.5mg tablets 28 tablet (DT)
DT
E
13553 / 28
Torasemide 5mg tablets 28 tablet (DT)
DT
E
7400 / 28
Torem Tablets 2.5mg 28
E
7416 / 28
Torem Tablets 5mg 28
E
7429 / 28
Torem Tablets 10mg 28
E
2501 / 60
Tostran Gel 2% 60g
E
3142 / 28
Toviaz Tablets 4mg 28
E
3157 / 28
Toviaz Tablets 8mg 28
E
5253 / 56
Tracleer Tablets 62.5mg 56
ZD
E
5254 / 56
Tracleer Tablets 125mg 56
ZD
E
4533 / 30
Tradorec XL Tablets 100mg 30
CD ZD
E
4562 / 30
Tradorec XL Tablets 200mg 30
CD ZD
E
4567 / 30
Tradorec XL Tablets 300mg 30
CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
Page 254 of 550
Code/Pack
Description
DT CD ZD N E D
14156 / 500
Tragacanth powder 500 gram (DT)
4458 / 28
Trajenta Tablet 5mg 28
3090 / 60
Tramacet Tablets 60
CD ZD
E
8882 / 60
Tramacet Effervescent Tablets 60
CD ZD
E
14402 / 10
Tramadol 100mg/ml oral drops 10 ml (DT)
DT CD ZD
E
14018 / 60
Tramadol 37.5mg / Paracetamol 325mg effervescent tablets sugar free 60 tablet (DT)
DT CD ZD
E
14017 / 60
Tramadol 37.5mg / Paracetamol 325mg tablets 60 tablet (DT)
DT CD ZD
E
272 / 100
Tramadol 50mg capsules 100 capsule (DT)
DT CD ZD
E
13225 / 30
Tramadol 50mg capsules 30 capsule (DT)
DT CD ZD
E
13228 / 100
Tramadol 50mg soluble tablets sugar free 100 tablet (DT)
DT CD ZD
E
589 / 60
Tramquel SR Capsules 150mg 60
CD ZD
E
587 / 60
Tramquel SR Capsules 200mg 60
CD ZD
E
1633 / 60
Tramquel SR Capsules 100mg 60
CD ZD
E
7355 / 5
Trandate 20ml Ampoules 5mg/ml 5
E
1503 / 56
Trandate Tablets 50mg 56
E
3312 / 56
Trandate Tablets 100mg 56
E
3313 / 250
Trandate Tablets 100mg 250
E
3314 / 56
Trandate Tablets 200mg 56
E
3315 / 250
Trandate Tablets 200mg 250
E
1504 / 56
Trandate Tablets 400mg 56
E
158 / 28
Trandolapril 1mg capsules 28 capsule (DT)
DT
E
554 / 28
Trandolapril 2mg capsules 28 capsule (DT)
DT
E
695 / 28
Trandolapril 4mg capsules 28 capsule (DT)
DT
E
499 / 14
Trandolapril 500microgram capsules 14 capsule (DT)
DT
E
457 / 60
Tranexamic acid 500mg tablets 60 tablet (DT)
DT
E
3924 / 28
Transiderm Nitro ‘5’ Patches 28
E
1820 / 28
Transiderm Nitro ‘10’ Patches 28
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
E
Page 255 of 550
Code/Pack
Description
DT CD ZD N E D
8867 / 4
Transtec Transdermal Patches 35mcg/Hour 4
CD ZD
E
8872 / 4
Transtec Transdermal Patches 52.5mcg/Hour 4
CD ZD
E
8879 / 4
Transtec Transdermal Patches 70mcg/Hour 4
CD ZD
E
3283 / 40
Transvasin Heat Rub Cream 40g
E
7242 / 80
Transvasin Heat Rub Cream 80g
E
8065 / 1
Transvasin Heat Spray (125ml) 1
Code No. of Sprays dispensed
E
12952 / 28
Tranylcypromine 10mg tablets 28 tablet (DT)
1943 / 56
Trasicor Tablets 20mg 56
E
2356 / 56
Trasicor Tablets 40mg 56
E
6599 / 56
Trasicor Tablets 80mg 56
E
3100 / 28
Trasidrex Tablets 28
E
8768 / 3
Travatan Eye Drops 40mcg/ml 2.5ml
E
14200 / 3
Travoprost 40micrograms/ml / Timolol 5mg/ml eye drops 2.5 ml (DT) [BSO Pack = 3]
Code each pack of 2.5 as 3
DT
E
13884 / 3
Travoprost 40micrograms/ml eye drops 2.5 ml (DT) [BSO Pack = 3]
Code each pack of 2.5 as 3
DT
E
6601 / 100
Traxam Foam 3.17% 100g
E
1860 / 100
Traxam Gel 3% 100g
E
2759 / 8
Traxam Pain Relief Gel 3% 7.5g
Code 7.5g as / 8
E
7896 / 30
Traxam Pain Relief Gel 3% 30g
E
5704 / 56
Trazodone 100mg capsules 56 capsule (DT)
DT
E
5708 / 28
Trazodone 150mg tablets 28 tablet (DT)
DT
E
5692 / 84
Trazodone 50mg capsules 84 capsule (DT)
DT
E
12123 / 120
Trazodone 50mg/5ml oral solution sugar free 120 ml (DT)
DT
4634 / 28
Tredaptive MR Tablets (nicotinic acid 1g / laropiprant 20mg) 28
E
4635 / 56
Tredaptive MR Tablets (nicotinic acid 1g / laropiprant 20mg) 56
E
2025 / 90
Trental Tablets 400mg 90
E
13918 / 25
Tretinoin 0.025% / Erythromycin 4% solution 25 ml (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
ZD
ZD
DT
Page 256 of 550
E
E
E
Code/Pack
Description
DT CD ZD N E D
6609 / 63
Triadene Tablets 3x21
14291 / 1
Triamcinolone 55micrograms/dose nasal spray 120 dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
14364 / 5
Triamcinolone acetonide 10mg/1ml suspension for injection ampoules 5 ampoule (DT)
DT
E
14292 / 5
Triamcinolone acetonide 40mg/1ml suspension for injection vials 5 vial (DT)
DT
E
13928 / 56
Triamterene 50mg / Furosemide 40mg tablets 56 tablet (DT)
DT
E
12183 / 30
Triamterene 50mg capsules 30 capsule (DT)
DT
E
3248 / 28
Triapin Tablets 28
E
4335 / 28
Triapin Mite Tablets 28
E
7744 / 91
Tridestra Tablets 91
12751 / 112
Trifluoperazine 1mg tablets 112 tablet (DT)
DT
E
12753 / 200
Trifluoperazine 1mg/5ml oral solution sugar free 200 ml (DT)
DT
E
14678 / 112
Trifluoperazine 5mg tablets 112 tablet (DT)
DT
E
12750 / 150
Trifluoperazine 5mg/5ml oral solution sugar free 150 ml (DT)
DT
E
564 / 84
Trihexyphenidyl 2mg tablets 84 tablet (DT)
DT
E
1377 / 84
Trihexyphenidyl 5mg tablets 84 tablet (DT)
DT
E
12085 / 200
Trihexyphenidyl 5mg/5ml oral solution 200 ml (DT)
DT
E
3127 / 50
Trileptal Tablets 150mg 50
E
4028 / 50
Trileptal Tablets 300mg 50
E
6023 / 50
Trileptal Tablets 600mg 50
86 / 28
Trimethoprim 100mg tablets 28 tablet (DT)
DT
E
89 / 14
Trimethoprim 200mg tablets 14 tablet (DT)
DT
E
14567 / 6
Trimethoprim 200mg tablets 6 tablet (DT)
DT
E
1367 / 100
Trimethoprim 50mg/5ml oral suspension sugar free 100 ml (DT)
DT
E
14561 / 28
Trimipramine 10mg tablets 28 tablet (DT)
DT
ZD
E
14562 / 28
Trimipramine 25mg tablets 28 tablet (DT)
DT
ZD
E
12989 / 28
Trimipramine 50mg capsules 28 capsule (DT)
DT
ZD
E
E
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
Page 257 of 550
E
Code/Pack
Description
DT CD ZD N E D
3306 / 30
Trimovate Cream 30g
E
4032 / 63
Trinovum Tablets 3x21
E
4521 / 100
Triptafen Tablets 100
E
9152 / 63
TriRegol Tablets 3 x 21
E
6656 / 84
Trisequens Tablets 3x28
1707 / 28
Tritace Tablets 1.25mg 28
E
1724 / 28
Tritace Tablets 2.5mg 28
E
1735 / 28
Tritace Tablets 5mg 28
E
1741 / 28
Tritace Tablets 10mg 28
E
2451 / 35
Tritace Tablets (2.5mg, 5mg, 10mg) 35
E
9712 / 63
Trobalt Starter Pack Tablets (50mgx21 100mgx42) 63
E
9742 / 21
Trobalt Tablets 100mg 21
E
9759 / 84
Trobalt Tablets 100mg 84
E
9774 / 84
Trobalt Tablets 200mg 84
ZD
E
8737 / 84
Trobalt Tablets 300mg 84
ZD
E
7677 / 84
Trobalt Tablets 400mg 84
ZD
E
9722 / 21
Trobalt Tablets 50mg 21
E
9734 / 84
Trobalt Tablets 50mg 84
E
13863 / 60
Trospium chloride 20mg tablets 60 tablet (DT)
3981 / 12
Trosyl Nail Solution 12ml
8951 / 50
Trueone Reagent 50
NE
5074 / 50
TRUEresult Reagent 50
NE
1744 / 50
TrueTrack System Reagent 50
NE
2625 / 50
TRUEyou Reagent 50
NE
9469 / 60
Trusopt Preservative Free Solution 0.2ml 2% 60
(4 x 15 x 0.2ml unit doses)
E
7739 / 5
Trusopt Solution 2% 5ml
E
(2 Prescription Charges)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
E
E
Page 258 of 550
Code/Pack
Description
DT CD ZD N E D
1372 / 1
Twinrix Adult Pre-Filled Syringe 1ml 1
ZD
E
1480 / 1
Twinrix Adult Vial Vaccine 1ml 1
ZD
E
2939 / 1
Twinrix Paediatric Pre-Filled Syringe 0.5ml 1
ZD
E
8833 / 10
Tygacil Powder For Infusion Vials 50mg 10
E
2087 / 100
Tylex Capsules 30/500mg 100
E
7672 / 100
Tylex Effervescent Tablets 30/500mg 100
E
8324 / 1
Typherix Syringe 0.5ml 1
ZD
E
8394 / 10
Typherix Syringe 0.5ml 10
ZD
E
6657 / 1
Typhim VI Syringe 25mcg 1
ZD
E
6763 / 10
Typhim VI Syringe 25mcg 10
ZD
E
5449 / 30
TYR Express 15 dietary supplement powder sachets 25g 30
Code no. of sachets dispensed
ZD
E
2982 / 24
Tyrozets Lozenges 2x12 24
17641 / 105
Tyverb Tablets 250mg 105
ZD
E
6508 / 84
Tyverb Tablets 250mg 84
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
Page 259 of 550
Code/Pack
Description
DT CD ZD N E D
U
6704 / 30
Ubretid Tablets 5mg 30
E
2678 / 200
Ucerax Syrup 200ml
E
8584 / 36
Uftoral Capsules 100mg 36
ZD
E
8596 / 120
Uftoral Capsules 100mg 120
ZD
E
6800 / 1
Ultra Gluten Free Baguette 400g
Code No. of Loaves dispensed
E
1703 / 1
Ultra Gluten Free Bread Rolls 1
Code No. of Packs dispensed
E
2970 / 1
Ultra Gluten Free Crackers 130g 1
Code Number of Packs Dispensed
E
7463 / 1
Ultra PKU Bread 400g
Code No. of Loaves dispensed
E
7490 / 1
Ultra PKU Pizzabase (80gx5)
Code No. of Packs dispensed
E
2216 / 50
Ultrabase Cream 50g
NE
3997 / 500
Ultrabase Cream 500g
NE
1922 / 50
Ultralanum Cream Plain 50g
E
2960 / 50
Ultralanum Ointment Plain 50g
E
4939 / 30
Ultraproct Ointment 30g
E
2969 / 12
Ultraproct Suppositories 12
E
2093 / 50
Unguentum M 50g
NE
2097 / 100
Unguentum M 100g
NE
4410 / 500
Unguentum M 500g
NE
4115 / 200
Unguentum M Dispenser 200ml
NE
3720 / 56
Uniphyllin Continus Tablets 200mg 56
E
3842 / 56
Uniphyllin Continus Tablets 300mg 56
E
4386 / 56
Uniphyllin Continus Tablets 400mg 56
E
6838 / 30
Uniroid HC Ointment 30g
E
6664 / 12
Uniroid HC Suppositories 12
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 260 of 550
Code/Pack
Description
DT CD ZD N E D
4002 / 28
Univer Capsules 120mg 28
E
4007 / 56
Univer Capsules 180mg 56
E
4017 / 28
Univer Capsules 240mg 28
E
14152 / 100
Urea 10% / Lactic acid 5% cream 100 gram (DT)
DT
E
14153 / 500
Urea 10% / Lactic acid 5% cream 500 gram (DT)
DT
E
6841 / 90
Urispas Tablets 200mg 90
3406 / 1
Uro-Tainer Chlorhexidine 100ml 1
Code No. of Bottles dispensed
13350 / 60
Ursodeoxycholic acid 150mg tablets 60 tablet (DT)
DT
E
13351 / 60
Ursodeoxycholic acid 250mg capsules 60 capsule (DT)
DT
E
13349 / 250
Ursodeoxycholic acid 250mg/5ml oral suspension sugar free 250 ml (DT)
DT
E
13348 / 60
Ursodeoxycholic acid 300mg tablets 60 tablet (DT)
DT
7243 / 60
Ursofalk Capsules 250mg 60
E
2631 / 100
Ursofalk Capsules 250mg 100
E
2773 / 250
Ursofalk Suspension 250mg/5ml 250ml
E
1910 / 7
Utinor Tablets 400mg 7
E
1918 / 14
Utinor Tablets 400mg 14
E
8067 / 30
Utovlan Tablets 30
E
8066 / 90
Utovlan Tablets 90
E
2783 / 30
Utrogestan Capsules 100mg 30
E
2904 / 15
Utrogestan Capsules 200mg 15
E
1207 / 125
Uvistat Sun Cream SPF30 125ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
NE
ZD
Page 261 of 550
E
Code/Pack
Description
DT CD ZD N E D
V
4345 / 24
Vagifem Tablets 10mcg 24
E
4531 / 15
Vagifem Tablets 25mcg 15
E
13681 / 60
Valaciclovir 250mg tablets 60 tablet (DT)
DT
13679 / 10
Valaciclovir 500mg tablets 10 tablet (DT)
DT
7339 / 100
Valcyte Powder For Oral Solution 250mg/5ml 100ml
ZD
E
6864 / 60
Valcyte Tablets 450mg 60
ZD
E
6744 / 28
Valdoxan Tablets 25mg 28
E
4489 / 5
Valoid Injection 50mg 1ml 5
E
4492 / 100
Valoid Tablets 50mg 100
E
12206 / 90
Valproic acid 250mg gastro-resistant tablets 90 tablet (DT)
DT
E
12205 / 90
Valproic acid 500mg gastro-resistant tablets 90 tablet (DT)
DT
E
13910 / 28
Valsartan 160mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
13911 / 28
Valsartan 160mg / Hydrochlorothiazide 25mg tablets 28 tablet (DT)
DT
E
13288 / 28
Valsartan 160mg capsules 28 capsule (DT)
DT
E
13289 / 28
Valsartan 320mg tablets 28 tablet (DT)
DT
E
13285 / 28
Valsartan 40mg capsules 28 capsule (DT)
DT
E
14345 / 7
Valsartan 40mg tablets 7 tablet (DT)
DT
E
13909 / 28
Valsartan 80mg / Hydrochlorothiazide 12.5mg tablets 28 tablet (DT)
DT
E
13286 / 28
Valsartan 80mg capsules 28 capsule (DT)
DT
E
7114 / 60
Valtrex Tablets 250mg 60
ZD
E
7914 / 10
Valtrex Tablets 500mg 10
ZD
E
7621 / 42
Valtrex Tablets 500mg 42
ZD
E
3913 / 60
Valupak Cod Liver Oil Capsules 400mg 60
E
3987 / 180
Valupak Cod Liver Oil Capsules 400mg 180
E
3949 / 365
Valupak Cod Liver Oil Capsules 400mg 365
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
Page 262 of 550
Code/Pack
Description
DT CD ZD N E D
3818 / 30
Valupak Cod Liver Oil Capsules 1000mg 30
E
3636 / 30
Valupak Cod Liver Oil High Strength Capsules 550mg 30
E
3717 / 90
Valupak Cod Liver Oil High Strength Capsules 550mg 90
E
2220 / 1
Vancocin Ampoules 500mg
E
7873 / 28
Vancocin Matrigel Capsules 125mg 28
6342 / 1
Vancocin Vials 1g
14412 / 28
Vancomycin 125mg capsules 28 capsule (DT)
DT
ZD
E
14413 / 28
Vancomycin 250mg capsules 28 capsule (DT)
DT
ZD
E
5389 / 60
Vaniqa Cream 11.5% 60
E
7089 / 30
Varbim XL 1.5mg 30
E
14388 / 4
Vardenafil 10mg orodispersible tablets sugar free 4 tablet (DT) Schedule 11 by Prescriber
DT
E
13983 / 4
Vardenafil 10mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
13987 / 4
Vardenafil 20mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
13985 / 4
Vardenafil 5mg tablets 4 tablet (DT) Schedule 11 by Prescriber
DT
E
14138 / 28
Varenicline 1mg tablets 28 tablet (DT)
DT
E
14137 / 56
Varenicline 500microgram tablets 56 tablet (DT)
DT
E
9867 / 5
Variquel powder and solvent for solution for injection vials 1mg 5
E
3944 / 30
Vascace Tablets 0.5mg 30
E
3703 / 30
Vascace Tablets 1mg 30
E
3807 / 28
Vascace Tablets 2.5mg 28
E
6842 / 28
Vascace Tablets 5mg 28
E
4195 / 100
Vasogen Cream 100g
7902 / 2
Vectavir Cold Sore Cream 1% 2g
ED
8068 / 19
Veil Cover Cream 19g
E
3984 / 44
Veil Cover Cream 44g
E
4652 / 70
Veil Cover Cream 70g
E
159 / 28
Venlafaxine 150mg modified-release capsules 28 capsule (DT)
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
NE
DT
Page 263 of 550
E
Code/Pack
Description
DT CD ZD N E D
14577 / 30
Venlafaxine 150mg modified-release tablets 30 tablet (DT)
DT
E
13163 / 30
Venlafaxine 225mg modified-release tablets 30 tablet (DT)
DT
E
14578 / 30
Venlafaxine 37.5mg modified-release tablets 30 tablet (DT)
DT
E
958 / 56
Venlafaxine 37.5mg tablets 56 tablet (DT)
DT
E
785 / 28
Venlafaxine 75mg modified-release capsules 28 capsule (DT)
DT
E
14579 / 30
Venlafaxine 75mg modified-release tablets 30 tablet (DT)
DT
E
173 / 56
Venlafaxine 75mg tablets 56 tablet (DT)
DT
E
1420 / 30
Venlalic XLTablets 37.5mg 30
E
2902 / 30
Venlalic XLTablets 75mg 30
E
2907 / 30
Venlalic XLTablets 150mg 30
E
2910 / 30
Venlalic XLTablets 225mg 30
E
8322 / 5
Venofer Solution For Injection 100mg/5ml Vials 5
E
4850 / 28
Vensir XL Capsules 75mg 28
ZD
E
4869 / 28
Vensir XL Capsules 150mg 28
ZD
E
6312 / 30
Ventavis Nebuliser Solution 1ml Ampoules 10mcg 30
6316 / 168
Ventavis Nebuliser Solution 1ml Ampoules 10mcg 168
8776 / 56
Ventmax Capsules 4mg 56
E
8789 / 56
Ventmax Capsules 8mg 56
E
2252 / 1
Ventolin Accuhaler 200mcg/ 60 dose 1
Code No. of Inhalers dispensed
E
8255 / 1
Ventolin Evohaler CFC Free Inhaler 200 dose 1
Code No. of Inhalers dispensed
E
6674 / 5
Ventolin Injection 500mcg/ ml 1ml 5
E
8204 / 10
Ventolin Intravenous Infusion 1mg/ml 5ml 10
3926 / 20
Ventolin Nebules 2.5mg 20
E
3948 / 20
Ventolin Nebules 5mg 20
E
8424 / 20
Ventolin Respirator Solution 5mg/ml 20ml
E
2871 / 150
Ventolin Syrup 150ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 264 of 550
E
Code/Pack
Description
DT CD ZD N E D
9093 / 10
Vepesid Capsules 100mg 10
ZD
E
8728 / 20
Vepesid Capsules 50mg 20
ZD
E
3431 / 1
Veracur Gel Kit 1
Code Number of Kits Dispensed
12537 / 28
Verapamil 120mg modified-release capsules 28 capsule (DT)
DT
E
12536 / 28
Verapamil 120mg modified-release tablets 28 tablet (DT)
DT
E
832 / 28
Verapamil 120mg tablets 28 tablet (DT)
DT
E
697 / 56
Verapamil 160mg tablets 56 tablet (DT)
DT
E
12540 / 56
Verapamil 180mg modified-release capsules 56 capsule (DT)
DT
E
12539 / 28
Verapamil 240mg modified-release capsules 28 capsule (DT)
DT
E
12535 / 28
Verapamil 240mg modified-release tablets 28 tablet (DT)
DT
E
8480 / 84
Verapamil 40mg tablets 84 tablet (DT)
DT
E
260 / 84
Verapamil 80mg tablets 84 tablet (DT)
DT
E
9922 / 28
Vera-Til SR Tablets 240mg 28
4110 / 30
Vermox Suspension 30ml
NE
1700 / 6
Vermox Tablets 100mg 6
NE
3891 / 30
Versatis Medicated Plasters 30
E
2453 / 28
Vertab SR Tablets 240 mg 28
E
8126 / 100
Vesanoid Capsules 10mg 100
3521 / 30
Vesicare Film Coated Tablets 5mg 30
E
3523 / 30
Vesicare Film Coated Tablets 10mg 30
E
3753 / 5
Vexol 10mg/ml eye drops 5 ml
E
1571 / 1
Vfend 30ml Vial 200mg 1
E
1592 / 1
Vfend Powder for Oral Solution 40mg/ml 1
ZD
E
1556 / 28
Vfend Tablets 50mg 28
ZD
E
1560 / 28
Vfend Tablets 200mg 28
ZD
E
8303 / 4
Viagra Tablets 25mg 4 Schedule 11 by Prescriber
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
ZD
E
E
Page 265 of 550
Code/Pack
Description
DT CD ZD N E D
8401 / 8
Viagra Tablets 25mg 8 Schedule 11 by Prescriber
E
8318 / 4
Viagra Tablets 50mg 4 Schedule 11 by Prescriber
E
8420 / 8
Viagra Tablets 50mg 8 Schedule 11 by Prescriber
E
8339 / 4
Viagra Tablets 100mg 4 Schedule 11 by Prescriber
E
8426 / 8
Viagra Tablets 100mg 8 Schedule 11 by Prescriber
E
8734 / 1
Viatim Pre-Filled Syringe 1ml 1
Code each syringe /1
1363 / 28
Viazem XL Capsules 120mg 28
E
1401 / 28
Viazem XL Capsules 180mg 28
E
1854 / 28
Viazem XL Capsules 240mg 28
E
2739 / 28
Viazem XL Capsules 300mg 28
E
3685 / 28
Viazem XL Capsules 360mg 28
E
2788 / 8
Vibramycin D Dispersible Tablets 100mg 8
E
692 / 5
Victanyl Transdermal Patches 25mcgh 5
CD ZD
E
701 / 5
Victanyl Transdermal Patches 50mcgh 5
CD ZD
E
742 / 5
Victanyl Transdermal Patches 75mcgh 5
CD ZD
E
833 / 5
Victanyl Transdermal Patches 100mcgh 5
CD ZD
E
9644 / 2
Victoza Pre-Filled Injection Pen 3ml 2
ZD
E
9646 / 3
Victoza Pre-Filled Injection Pen 3ml 3
ZD
E
7417 / 60
Videx Tablets 25mg 60
E
5018 / 28
Viepax Tablets 75mg 28
E
5017 / 56
Viepax Tablets 37.5mg 56
E
5021 / 56
Viepax Tablets 75mg 56
E
5079 / 28
Viepax XL Tablets 150mg 28
E
13634 / 50
Vigabatrin 500mg oral powder sachets sugar free 50 sachet (DT)
DT
E
13633 / 100
Vigabatrin 500mg tablets 100 tablet (DT)
DT
E
8590 / 1
Vigam Solution in Vial 2.5g 50 ml 1
Code No. of Vials dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
ZD
Page 266 of 550
E
E
Code/Pack
Description
DT CD ZD N E D
8594 / 1
Vigam Solution in Vial 5g 100ml 1
Code No. of Vials dispensed
ZD
E
8601 / 1
Vigam Solution in Vial 10g 200ml 1
Code No. of Vials dispensed
ZD
E
14275 / 60
Vildagliptin 50mg / Metformin 1g tablets 60 tablet (DT)
DT
E
14276 / 60
Vildagliptin 50mg / Metformin 850mg tablets 60 tablet (DT)
DT
E
14235 / 56
Vildagliptin 50mg tablets 56 tablet (DT)
DT
E
6400 / 60
Vimovo Tablets 500mg/20mg 60
E
7527 / 1
Vimpat IV solution for infusion 200mg/20ml 1 vial
E
7711 / 200
Vimpat Syrup 15mg/ml 200ml
E
7095 / 14
Vimpat Tablets 50mg 14
E
7103 / 14
Vimpat Tablets 100mg 14
E
7111 / 56
Vimpat Tablets 100mg 56
E
7123 / 14
Vimpat Tablets 150mg 14
ZD
E
7306 / 56
Vimpat Tablets 150mg 56
ZD
E
7512 / 56
Vimpat Tablets 200mg 56
ZD
E
8302 / 300
Viracept Tablets 250mg 300
6161 / 1
Viraferonpeg Pre-Filled Pen 50mcg
ZD
E
6162 / 1
Viraferonpeg Pre-Filled Pen 80mcg
ZD
E
6163 / 1
Viraferonpeg Pre-Filled Pen 100mcg
ZD
E
6166 / 1
Viraferonpeg Pre-Filled Pen 120mcg
ZD
E
6168 / 1
Viraferonpeg Pre-Filled Pen 150mcg
ZD
E
4134 / 14
Viramune Tablets 200mg 14
ZD
E
8228 / 60
Viramune Tablets 200mg 60
ZD
E
8349 / 2
Virasorb Cream 2g
ED
8607 / 3
Virazole Vial 6g 3
E
9888 / 30
Viread Tablets 245mg 30
8488 / 2
Viridal 10 Duo Continuation Pack 10mcg/ml 2 Schedule 11 by Prescriber
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ZD
E
E
Page 267 of 550
Code/Pack
Description
DT CD ZD N E D
8503 / 2
Viridal 20 Duo Continuation Pack 20mcg/ml 2 Schedule 11 by Prescriber
ZD
E
8551 / 2
Viridal 40 Duo Continuation Pack 40mcg/ml 2 Schedule 11 by Prescriber
ZD
E
4810 / 100
Visclair Tablets 100
E
6889 / 30
Viscotears Gel for Dry Eye Treatment Single Dose Units 0.2% 30
E
7494 / 10
Viscotears Liquid Gel 10g
E
3587 / 28
Viskaldix Tablets 28
E
3080 / 56
Visken Tablets 5mg 56
E
4182 / 28
Visken Tablets 15mg 28
E
4928 / 5
Vista-Methasone Ear, Eye & Nose Drops 5ml
E
4930 / 10
Vista-Methasone Ear, Eye & Nose Drops 10ml
E
2538 / 100
Vita-E Gels 75iu 100
E
6677 / 30
Vita-E Gels 200iu 30
E
3073 / 100
Vita-E Gels 200iu 100
E
6728 / 30
Vita-E Gels 400iu 30
E
3590 / 100
Vita-E Gels 400iu 100
E
5610 / 28
Vitamin B compound strong tablets 28 tablet (DT)
DT
E
14588 / 28
Vitamin B compound tablets 28 tablet (DT)
DT
E
2028 / 100
Vitamin E (Cambridge) Suspension 500mg/5ml 100ml
14139 / 84
Vitamins A and D capsules 84 capsule (DT)
DT
12052 / 20
Vitamins B and C high potency intramuscular solution for injection 5ml and 2ml ampoules 20
ampoule (DT)
DT
12053 / 20
Vitamins B and C high potency intravenous solution for injection 5ml and 5ml ampoules 20
ampoule (DT)
DT
E
182 / 1000
Vitamins capsules 1000 capsule (DT)
DT
E
2985 / 24
VitaSavoury Nutritional Supplement Cup 33g 24
Code Number of Packs Dispensed
E
2988 / 10
VitaSavoury Nutritional Supplement Sachets 50g 10
Code Number of Sachets Dispensed
E
7498 / 14
Vividrin Eye Drops 13.5ml 14
E
7513 / 1
Vividrin Nasal Spray 15ml 1
Code No. of Sprays dispensed
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
ZD
Page 268 of 550
E
Code/Pack
Description
DT CD ZD N E D
8044 / 30
Vivioptal Active Capsules 30
E
8109 / 250
Vivioptal Junior Liquid 250ml
E
8144 / 30
Vivioptal Multivitamin and Mineral Capsules 30
E
5472 / 30
Volibris Tablets 5mg 30
ZD
E
5473 / 30
Volibris Tablets 10mg 30
ZD
E
3144 / 56
Volsaid Retard Tablets 75mg 56
ED
4348 / 28
Volsaid Retard Tablets 100mg 28
ED
4170 / 21
Voltarol Dispersible Tablets 50mg 21
ED
1219 / 100
Voltarol Emulgel Aqueous Gel 100g
E
1596 / 30
Voltarol Emulgel P Aqueous Gel 1.16% 30g
E
1609 / 50
Voltarol Emulgel P Aqueous Gel 1.16% 50g
E
4911 / 10
Voltarol Gel Patch 1% 10
Code No. of Patches Dispensed
E
4425 / 10
Voltarol Injection 75mg/3ml 10
E
7053 / 5
Voltarol Optha Sterile Eye Drops 5
E
7101 / 40
Voltarol Optha Sterile Eye Drops 40
E
4924 / 30
Voltarol Paineze Emulgel 1.16% 30
E
1621 / 50
Voltarol Paineze Emulgel 1.16% 50
E
9688 / 18
Voltarol Pain-eze Tablets 12.5mg 18
E
2589 / 30
Voltarol Rapid Tablets 25mg 30
E
2642 / 30
Voltarol Rapid Tablets 50mg 30
E
2385 / 28
Voltarol Retard Tablets 100mg 28
ED
7522 / 28
Voltarol SR Tablets 75mg 28
ED
2999 / 56
Voltarol SR Tablets 75mg 56
ED
4173 / 10
Voltarol Suppositories 12.5mg 10
E
7471 / 10
Voltarol Suppositories 25mg 10
E
7496 / 10
Voltarol Suppositories 50mg 10
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 269 of 550
Code/Pack
Description
DT CD ZD N E D
3330 / 10
Voltarol Suppositories 100mg 10
E
2661 / 84
Voltarol Tablets 25mg 84
ED
3328 / 84
Voltarol Tablets 50mg 84
ED
3616 / 30
Votrient Tablets 200mg 30
ZD
E
3815 / 30
Votrient Tablets 400mg 30
ZD
E
9865 / 10
VSL#3 Probiotic Food Supplement oral powder 4.4g sachets 10
ZD
E
9869 / 30
VSL#3 Probiotic Food Supplement oral powder 4.4g sachets 30
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 270 of 550
Code/Pack
Description
DT CD ZD N E D
W
835 / 28
Warfarin 1mg tablets 28 tablet (DT)
DT
E
14525 / 150
Warfarin 1mg/ml oral suspension sugar free 150 ml (DT)
DT
E
936 / 28
Warfarin 3mg tablets 28 tablet (DT)
DT
E
99 / 28
Warfarin 500microgram tablets 28 tablet (DT)
DT
E
982 / 28
Warfarin 5mg tablets 28 tablet (DT)
DT
E
6311 / 5
Warticon Cream 0.15% 5g
E
6680 / 3
Warticon Paint 3ml
E
13775 / 1
Water for injection 100ml vials 1 vial (DT)
DT
NE
691 / 10
Water for injection 10ml ampoules 10 ampoule (DT)
DT
NE
798 / 10
Water for injection 2ml ampoules 10 ampoule (DT)
DT
NE
690 / 10
Water for injection 5ml ampoules 10 ampoule (DT)
DT
NE
1417 / 50
WaveSense Jazz Duo Reagent 50
NE
1404 / 50
WaveSense Jazz Reagent 50
NE
4725 / 10
Waxsol Ear Drops 0.5% 10ml
E
2952 / 150
Welldorm Elixir 150ml
E
3967 / 30
Welldorm Tablets 707mg 30
E
14140 / 500
White soft paraffin 50% / Liquid paraffin 50% ointment 500 gram (DT)
DT
NE
575 / 500
White soft paraffin solid 500 gram (DT)
DT
NE
12051 / 2000
Wild cherry syrup 2000 ml (DT)
DT
E
14133 / 500
Wool fat solid 500 gram (DT)
DT
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 271 of 550
Code/Pack
Description
DT CD ZD N E D
X
5422 / 100
Xagrid Capsules 0.5mg 100
ZD
E
8735 / 3
Xalacom Eye Drops 2.5 ml 3
ZD
E
1335 / 3
Xalatan Eye Drops 2.5ml 3
ZD
E
1764 / 10
Xarelto Tablets 10mg 10
E
1765 / 30
Xarelto Tablets 10mg 30
E
1791 / 100
Xarelto Tablets 10mg 100
E
7145 / 60
Xatral Tablets 2.5mg 60
E
2946 / 30
Xatral XL Tablets 10mg 30
E
2850 / 60
Xeloda Tablets 150mg
ZD
E
2851 / 120
Xeloda Tablets 500mg
ZD
E
3548 / 112
Xenazine Tablets 25mg 112
E
8363 / 84
Xenical Capsules 120mg 84
E
1989 / 30
Xepin Cream 5% 30g
E
7472 / 1
Xeplion 100mg/1ml suspension for injection pre-filled syringe
ZD
E
7266 / 1
Xeplion 150mg/1.5ml suspension for injection pre-filled syringe
ZD
E
7410 / 1
Xeplion 50mg/0.5ml suspension for injection pre-filled syringe
ZD
E
7458 / 1
Xeplion 75mg/0.75ml suspension for injection pre-filled syringe
ZD
E
13551 / 140
Xipamide 20mg tablets 140 tablet (DT)
8715 / 28
Xismox XL Tablets 60mg 28
E
1483 / 1
XLEU Maxamaid Dietary Supplement 500g
Code No. of Packs dispensed
E
1739 / 1
XLYS Maxamaid Special Diet Food 500g
Code No. of Packs dispensed
E
2224 / 1
XLYS TRY Glutaridon powder 500
Code No. of Packs dispensed
E
2124 / 1
XLYS Try Low Maxamaid Special Diet Food 500g
Code No. of Packs dispensed
ZD
E
1824 / 1
XMET Maxamaid Special Diet Food 500g
Code No. of Packs dispensed
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
E
Page 272 of 550
Code/Pack
Description
DT CD ZD N E D
1954 / 1
XMET Maxamum Special Diet Food 500g
Code No. of Packs dispensed
ZD
E
2616 / 1
XMTVI Maxamaid Special Diet Food 500g
Code No. of Packs dispensed
ZD
E
2761 / 1
XMTVI Maxamum Special Diet Food 500g
Code No. of Packs dispensed
ZD
E
4116 / 1
XP Maxamaid Special Diet Food Orange 500g
Code No. of Packs dispensed
ZD
E
6360 / 30
XP Maxamum Flavoured Special Diet Food 50g 30
ZD
E
6357 / 1
XP Maxamum Special Diet Food Unflavoured 500g 1
Code No. of Packs dispensed
ZD
E
2732 / 30
XP Maxamum Unflavoured Special Diet Food 50g 30
ZD
E
3145 / 1
XPHEN Tyr Maxamaid Special Diet Food 500g
Code No. of Packs dispensed
ZD
E
6741 / 100
Xylocaine Cartridge Red with Adrenaline 1 - 80,000 2% 2mlx100
6810 / 5
Xylocaine Multidose Vial with Adrenaline 1 - 200,000 1% 20ml 5
ZD
E
6696 / 5
Xylocaine Multidose Vial with Adrenaline 1 - 200,000 2% 20ml 5
ZD
E
6761 / 1
Xylocaine Pump Spray 10% (50ml) 1
Code No. of Sprays dispensed
160 / 10
Xylometazoline 0.05% nasal drops 10 ml (DT)
DT
E
168 / 10
Xylometazoline 0.1% nasal drops 10 ml (DT)
DT
E
157 / 1
Xylometazoline 0.1% nasal spray 10 ml (DT) [BSO Pack = 1]
DT
E
3257 / 20
Xyloproct Ointment 20g
ZD
2469 / 180
Xyrem Oral Solution 500mg/ml 180ml
ZD
3905 / 200
Xyzal Oral Solution 0.5mg/ml 200ml
E
8668 / 30
Xyzal Tablets 5mg 30
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
ED
Page 273 of 550
E
Code/Pack
Description
DT CD ZD N E D
Y
8585 / 63
Yasmin Tablets 63
580 / 500
Yellow soft paraffin solid 500 gram (DT)
1442 / 28
Yentreve Capsules 20mg 28
E
1447 / 56
Yentreve Capsules 40mg 56
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
DT
Page 274 of 550
NE
Code/Pack
Description
DT CD ZD N E D
Z
2329 / 45
Zacin Cream 0.025% 45g
E
2941 / 300
Zaditen Elixir 1mg/5ml 300ml
E
8797 / 5
Zaditen Eye Drops 0.025% 5ml
E
2563 / 60
Zaditen Tablets 1mg 60
E
13307 / 56
Zafirlukast 20mg tablets 56 tablet (DT)
DT
E
13477 / 14
Zaleplon 10mg capsules 14 capsule (DT)
DT
E
13476 / 14
Zaleplon 5mg capsules 14 capsule (DT)
DT
E
3350 / 28
Zamadol 24HR Tablets 150mg 28
CD ZD
E
3405 / 28
Zamadol 24HR Tablets 200mg 28
CD ZD
E
3415 / 28
Zamadol 24HR Tablets 300mg 28
CD ZD
E
3478 / 28
Zamadol 24HR Tablets 400mg 28
CD ZD
E
3549 / 100
Zamadol Capsules 50mg 100
CD ZD
E
3372 / 60
Zamadol Melt Tablets 50mg 60
CD ZD
E
7961 / 60
Zamadol SR Capsules 50mg 60
CD ZD
E
7979 / 60
Zamadol SR Capsules 100mg 60
CD ZD
E
7987 / 60
Zamadol SR Capsules 150mg 60
CD ZD
E
7997 / 60
Zamadol SR Capsules 200mg 60
CD ZD
E
8111 / 120
Zanaflex Tablets 2mg 120
E
8139 / 120
Zanaflex Tablets 4mg 120
E
8166 / 28
Zanidip Tablets 10mg 28
E
6261 / 28
Zanidip Tablets 20mg 28
E
7411 / 24
Zantac 75 Tablets 75mg 24
E
2108 / 48
Zantac 75 Tablets 75mg 48
E
3942 / 5
Zantac Injection 2ml x5
E
4178 / 300
Zantac Syrup 300ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 275 of 550
Code/Pack
Description
DT CD ZD N E D
3941 / 60
Zantac Tablets 150mg 60
E
4061 / 30
Zantac Tablets 300mg 30
E
3119 / 100
Zapain 30mg/500mg tablets 100 tablet
E
3111 / 100
Zapain Capsules 100
E
6087 / 84
Zaponex Tablets 25mg 84
E
5747 / 500
Zaponex Tablets 25mg 500
E
6092 / 84
Zaponex Tablets 100mg 84
E
5748 / 500
Zaponex Tablets 100mg 500
E
4487 / 200
Zarontin Syrup 250mg/ 5ml 200ml
E
7086 / 1
Zavedos Capsules 5mg 1
ZD
E
7110 / 1
Zavedos Capsules 10mg 1
ZD
E
7126 / 1
Zavedos Powder in Vials 5mg 1
ZD
E
7136 / 1
Zavedos Powder in Vials 10mg 1
ZD
E
4197 / 50
Zeasorb Powder 50g
E
9448 / 30
Zebinix Tablets 800mg 30
E
1680 / 28
Zeffix film coated Tablets 100mg 28
8526 / 30
Zelapar Tablets 1.25mg 30
E
9204 / 28
Zemret Capsules 300mg 28
E
9207 / 28
Zemret XL Capsules 180mg 28
E
9206 / 28
Zemret XL Capsules 240mg 28
E
2716 / 28
Zemtard XL Capsules 120mg
E
2723 / 28
Zemtard XL Capsules 180mg
E
2749 / 28
Zemtard XL Capsules 240mg
E
2755 / 28
Zemtard XL Capsules 300mg
E
4308 / 60
Zeridame SR Tablets 100mg 60
CD ZD
E
4310 / 60
Zeridame SR Tablets 150mg 60
CD ZD
E
4313 / 60
Zeridame SR Tablets 200mg 60
CD ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 276 of 550
E
Code/Pack
Description
DT CD ZD N E D
1753 / 500
Zerolatum Plus Bath Additive 500ml
7352 / 28
Zestoretic 10 Tablets 28
E
6688 / 28
Zestoretic 20 Tablets 28
E
1671 / 28
Zestril Tablets 2.5mg 28
E
2111 / 28
Zestril Tablets 5mg 28
E
2157 / 28
Zestril Tablets 10mg 28
E
3017 / 28
Zestril Tablets 20mg 28
E
3118 / 240
Ziagen Oral Solution 20mg/ml 240ml
ZD
E
3681 / 60
Ziagen Tablets 300mg 60
ZD
E
9998 / 28
Zicron Tablets 40mg 28
E
8861 / 40
Zidoval Vaginal Gel 0.75% 40g
E
6480 / 28
Zimovane LS Tablets 3.75mg 28
E
1467 / 28
Zimovane Tablets 7.5mg 28
E
3514 / 1
Zinacef Injection 1.5g 1
E
3603 / 5
Zinacef Injection 250mg 5
E
3767 / 5
Zinacef Injection 750mg 5
E
903 / 500
Zinc and Castor oil ointment 500 gram (DT)
DT
NE
14066 / 1
Zinc oxide 12.5% / Dimeticone 1.04% spray 115 gram (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
NE
13931 / 500
Zinc oxide powder 500 gram (DT)
DT
E
14365 / 90
Zinc sulfate monohydrate 125mg effervescent tablets sugar free 90 tablet (DT)
DT
E
4553 / 30
Zincomed Capsules 30
E
4565 / 250
Zincomed Capsules 250
E
1849 / 50
Zincosol Effervescent Tablets 220mg 50
E
3781 / 30
Zindaclin Gel 30g
E
3319 / 30
Zineryt Lotion 30ml
E
7384 / 90
Zineryt Lotion 90ml
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 277 of 550
Code/Pack
Description
DT CD ZD N E D
6691 / 70
Zinnat Suspension 125mg 70ml
E
3337 / 14
Zinnat Tablets 125mg 14
E
4409 / 14
Zinnat Tablets 250mg 14
E
7130 / 4
Zipzoc Stockings 20% 4
NE
7878 / 10
Zipzoc Stockings 20% 10
NE
7901 / 70
Zirtek Allergy S/F Solution 1mg/ml 70ml
E
7908 / 150
Zirtek Allergy S/F Solution 1mg/ml 150ml
E
7729 / 200
Zirtek Allergy S/F Solution 1mg/ml 200ml
E
2401 / 30
Zirtek Allergy Tablets 10mg 30
ED
5970 / 30
Zispin Soltab Tablets 15mg 30
E
5971 / 30
Zispin Soltab Tablets 30mg 30
E
5972 / 30
Zispin Soltab Tablets 45mg 30
E
1728 / 4
Zithromax Capsules 250mg 4
E
1734 / 6
Zithromax Capsules 250mg 6
E
2498 / 15
Zithromax Suspension 200mg/5ml 15ml
ED
2671 / 23
Zithromax Suspension 200mg/5ml 23 (22.5ml)
ED
2951 / 30
Zithromax Suspension 200mg/5ml 30ml
ED
2515 / 28
Zocor Tablets 10mg 28
E
2521 / 28
Zocor Tablets 20mg 28
E
7938 / 28
Zocor Tablets 40mg 28
E
4051 / 28
Zocor Tablets 80mg 28
E
7700 / 5
Zofran Flexiamp 2mg/1ml 2ml 5
ZD
E
7742 / 5
Zofran Flexiamp 2mg/1ml 4ml 5
ZD
E
8479 / 10
Zofran Melt Tablets 4mg 10
ZD
E
8498 / 10
Zofran Melt Tablets 8mg 10
ZD
E
2554 / 1
Zofran Suppository 16mg 1
ZD
E
3009 / 50
Zofran Syrup 4mg/ 5ml 50ml
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 278 of 550
Code/Pack
Description
DT CD ZD N E D
6717 / 30
Zofran Tablets 4mg 30
ZD
E
6694 / 10
Zofran Tablets 8mg 10
ZD
E
6695 / 1
Zoladex Implant Safesystem Syringe 3.6mg 1
ZD
E
7781 / 1
Zoladex LA Implant Safesystem Syringe 10.8mg 1
ZD
E
13140 / 6
Zolmitriptan 2.5mg orodispersible tablets sugar free 6 tablet (DT)
DT
E
13137 / 6
Zolmitriptan 2.5mg tablets 6 tablet (DT)
DT
E
13141 / 6
Zolmitriptan 5mg orodispersible tablets sugar free 6 tablet (DT)
DT
E
13139 / 1
Zolmitriptan 5mg/0.1ml nasal spray unit dose 6 unit dose (DT) [BSO Pack = 1]
Code No. of Packs dispensed
DT
E
110 / 28
Zolpidem 10mg tablets 28 tablet (DT)
DT
E
98 / 28
Zolpidem 5mg tablets 28 tablet (DT)
DT
E
8682 / 150
Zolvera Oral Solution 40mg/5ml 150ml
8445 / 1
Zomacton Powder in Vial plus Diluent 4mg/ml (3.5ml) 1
ZD
E
5599 / 1
Zomacton Powder in Vial plus Diluent 10mg/ml 1
ZD
E
8612 / 1
Zometa Powder in Vial 1
ZD
E
1792 / 1
Zomig 6 Dose Nasal Spray 5mg 1
Code 6 Dose Spray Pack as /1
E
8666 / 6
Zomig Rapimelt Tablets 2.5mg 6
E
3141 / 6
Zomig Rapimelt Tablets 5mg 6
E
2527 / 6
Zomig Tablets 2.5mg 6
E
8655 / 60
Zomorph Capsules 10mg 60
CD ZD
E
8664 / 60
Zomorph Capsules 30mg 60
CD ZD
E
8671 / 60
Zomorph Capsules 60mg 60
CD ZD
E
8681 / 60
Zomorph Capsules 100mg 60
CD ZD
E
8709 / 60
Zomorph Capsules 200mg 60
CD ZD
E
3629 / 14
Zonegran Capsules 25mg 14
3682 / 56
Zonegran Capsules 50mg 56
ZD
E
3751 / 56
Zonegran Capsules 100mg 56
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
E
E
Page 279 of 550
Code/Pack
Description
DT CD ZD N E D
13915 / 56
Zonisamide 100mg capsules 56 capsule (DT)
DT
13916 / 14
Zonisamide 25mg capsules 14 capsule (DT)
DT
13917 / 56
Zonisamide 50mg capsules 56 capsule (DT)
DT
5056 / 28
Zopiclone 3.75mg tablets 28 tablet (DT)
DT
E
5063 / 28
Zopiclone 7.5mg tablets 28 tablet (DT)
DT
E
7959 / 30
Zorac Topical Gel 0.05% 30g
E
7992 / 30
Zorac Topical Gel 0.1% 30g
E
7639 / 28
Zoton Fastab 15mg 28
E
7731 / 28
Zoton Fastab 30mg 28
E
7365 / 2
Zovirax Cold Sore Cream 5% 2g
ED
6962 / 2
Zovirax Cold Sore Cream Pump 5% 2g
ED
3750 / 2
Zovirax Cream 2g
ED
3642 / 10
Zovirax Cream 10g
ED
3674 / 25
Zovirax Dispersible Tablets 200mg 25
E
3657 / 5
Zovirax Eye Ointment 3% (4.5g) 5
E
3608 / 5
Zovirax IV Infusion Vials 250mg 5
3610 / 5
Zovirax IV Infusion Vials 500mg 5
E
4192 / 125
Zovirax Suspension 200mg/5ml 125ml
ED
7434 / 100
Zovirax Suspension 400mg/5ml 100ml
1762 / 35
Zovirax Tablets 800mg 35
14237 / 100
Zuclopenthixol 10mg tablets 100 tablet (DT)
DT
E
14238 / 100
Zuclopenthixol 25mg tablets 100 tablet (DT)
DT
E
14236 / 100
Zuclopenthixol 2mg tablets 100 tablet (DT)
DT
E
13599 / 5
Zuclopenthixol acetate 50mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
13608 / 10
Zuclopenthixol decanoate 200mg/1ml solution for injection ampoules 10 ampoule (DT)
DT
E
13609 / 5
Zuclopenthixol decanoate 500mg/1ml solution for injection ampoules 5 ampoule (DT)
DT
E
6784 / 84
Zumenon Tablets 1mg 84
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
E
E
ZD
ZD
ZD
E
E
E
E
E
Page 280 of 550
Code/Pack
Description
DT CD ZD N E D
7248 / 84
Zumenon Tablets 2mg 84
E
3343 / 60
Zyban Tablets 150mg 60
E
7402 / 5
Zydol Ampoules 100mg/2ml 5
CD ZD
E
2370 / 30
Zydol Capsules 50mg 30
CD ZD
E
7406 / 100
Zydol Capsules 50mg 100
CD ZD
E
4168 / 20
Zydol Soluble Tablets 50mg 20
CD ZD
E
4112 / 100
Zydol Soluble Tablets 50mg 100
CD ZD
E
3552 / 60
Zydol SR Tablets 100mg 60
CD ZD
E
3675 / 60
Zydol SR Tablets 150mg 60
CD ZD
E
3693 / 60
Zydol SR Tablets 200mg 60
CD ZD
E
4599 / 60
Zydol SR Tablets 50mg 60
CD ZD
E
3201 / 30
Zydol XL Tablets 150mg 30
CD ZD
E
3705 / 30
Zydol XL Tablets 200mg 30
CD ZD
E
4119 / 30
Zydol XL Tablets 300mg 30
CD ZD
E
4625 / 30
Zydol XL Tablets 400mg 30
CD ZD
E
4559 / 100
Zyloric Tablets 100mg 100
E
1877 / 28
Zyloric Tablets 300mg 28
E
2645 / 1
Zyprexa Injection 10mg 1
E
8249 / 28
Zyprexa Tablets 2.5mg 28
E
2168 / 28
Zyprexa Tablets 5mg 28
ZD
E
1784 / 56
Zyprexa Tablets 7.5mg 56
ZD
E
2004 / 28
Zyprexa Tablets 10mg 28
ZD
E
2564 / 28
Zyprexa Tablets 15mg 28
ZD
E
1320 / 28
Zyprexa Tablets 20mg 28
ZD
E
8496 / 28
Zyprexa Velotab Tablets 5mg 28
ZD
E
2400 / 28
Zyprexa Velotab Tablets 20mg 28
ZD
E
8507 / 28
Zyprexa Velotab Tablets 10mg 28
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 281 of 550
Code/Pack
Description
DT CD ZD N E D
2577 / 28
Zyprexa Velotab Tablets 15mg 28
ZD
E
3026 / 10
Zyvox Injection 600mg/300ml 10
ZD
E
3002 / 150
Zyvox Suspension 100mg/5ml 150ml
ZD
E
8743 / 10
Zyvox Tablets 600mg 10
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 282 of 550
Code/Pack
Description
DT CD ZD N E D
Wound Management
A
5544 / 1
Actiform Cool Rectangular Wound Management Dressing 5cmx6.5cm
ZD N E
5569 / 1
Actiform Cool Rectangular Wound Management Dressing 10cmx15cm
ZD N E
5570 / 1
Actiform Cool Square Wound Management Dressing 10cmx10cm
ZD N E
5660 / 1
Actiform Cool Square Wound Management Dressing 20cmx20cm
ZD N E
1150 / 1
Actilite Wound Management Dressing 10cm x 10cm 1
ZD N E
1043 / 1
Actilite Wound Management Dressing 10cm x 20cm 1
ZD N E
1370 / 1
Actilite Wound Management Dressing 5cm x 5cm 1
ZD N E
1913 / 1
ACTIV.A.C Canister with Gel Wound Management Dressing 300ml 1
Code No. of Dressings Dispensed
ZD N E
1047 / 1
Activheal Foam Heel Wound Management Dressing 18cmx12cm
ZD N E
5555 / 1
Activheal Foam Island Polyurethane Square with adhesive border 10cmx10cm
Wound Contact Pad 5cmx5cm+border 2.5cm
ZD N E
5606 / 1
Activheal Foam Island Polyurethane Square with adhesive border 12.5cmx12.5cm
Wound Contact Pad 7.5cmx7.5cm+border 2.5cm
ZD N E
5556 / 1
Activheal Foam Island Polyurethane Square with adhesive border 15cmx15cm
Wound Contact Pad 11cmx11cm+border 2.5cm
ZD N E
7852 / 1
Activheal Foam Island Polyurethane Square with adhesive border 20cmx20cm
Wound Contact Pad 13.5cmx13.5cm+border 3cm
ZD N E
3798 / 1
Activheal Foam Island Polyurethane Square with adhesive border 7.5cmx7.5cm
ZD N E
5616 / 1
Activheal Foam NA Polyurethane Rectangular 10cmx20cm
Without adhesive border
ZD N E
7843 / 1
Activheal Foam NA Polyurethane Square 5cmx5cm
Without adhesive border
ZD N E
5790 / 1
Activheal Foam NA Polyurethane Square 10cmx10cm
Without adhesive border
ZD N E
7848 / 1
Activheal Foam NA Polyurethane Square 20cmx20cm
Without adhesive border
ZD N E
5545 / 1
Activheal Hydrogel Wound Management Dressing 15g
ZD N E
1800 / 1
Activon Tulle Honey Impregnated Wound Management Dressing 5cmx5cm 1
ZD N E
1801 / 1
Activon Tulle Honey Impregnated Wound Management Dressing 10cmx10cm 1
ZD N E
1788 / 1
Activon Tulle Tube Wound Management Dressing 25g 1
Code no. of tubes dispensed
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 283 of 550
Code/Pack
Description
DT CD ZD N E D
5550 / 1
Advadraw Capillary Action Absorbent Wound Management Dressing 5cmx7.5cm 1
ZD N E
5551 / 1
Advadraw Capillary Action Absorbent Wound Management Dressing 10cmx10cm 1
ZD N E
5552 / 1
Advadraw Capillary Action Absorbent Wound Management Dressing 10cmx15cm 1
ZD N E
3391 / 1
Advadraw Capillary Action Absorbent Wound Management Dressing 15cmx20cm 1
ZD N E
7529 / 1
Advadraw Spiral Capillary Action Absorbent Wound Management Dressing 0.5cmx40cm 1
ZD N E
2174 / 1
Algivon Honey Impregnated Wound Management Dressing 10cm x 10cm
ZD N E
2171 / 1
Algivon Honey Impregnated Wound Management Management Dressing 5cm x 5cm
ZD N E
6577 / 1
Aquacel Ag Extra Wound Management Dressing 10cmx10cm 1
ZD N E
6561 / 1
Aquacel Ag Extra Wound Management Dressing 15cmx15cm 1
ZD N E
6562 / 1
Aquacel Ag Extra Wound Management Dressing 20cmx30cm 1
ZD N E
6525 / 1
Aquacel Ag Extra Wound Management Dressing 5cmx5cm 1
ZD N E
6719 / 1
Aquacel Ag Ribbon Cavity Wound Management Dressing 1cmx45cm
ZD N E
9948 / 1
Aquacel Ag Ribbon Cavity Wound Management Dressing 2cmx45cm
ZD N E
6389 / 1
Aquacel Extra Wound Management Dressing 10cmx10cm 1
ZD N E
6404 / 1
Aquacel Extra Wound Management Dressing 15cmx15cm 1
ZD N E
6498 / 1
Aquacel Extra Wound Management Dressing 4cmx10cm 1
ZD N E
6510 / 1
Aquacel Extra Wound Management Dressing 4cmx20cm 1
ZD N E
6519 / 1
Aquacel Extra Wound Management Dressing 4cmx30cm 1
ZD N E
6378 / 1
Aquacel Extra Wound Management Dressing 5cmx5cm 1
ZD N E
6617 / 1
Aquacel Ribbon Cavity Wound Management Dressing 1cmx45cm
ZD N E
9218 / 1
Aquacel Ribbon Cavity Wound Management Dressing 2cmx45cm
ZD N E
5171 / 1
Askina Calgitrol Wound Management Dressing with Silver 10cmx10cm
ZD N E
5170 / 1
Askina Calgitrol Wound Management Dressing with Silver 15cmx15cm
ZD N E
5169 / 1
Askina Calgitrol Wound Management Dressing with Silver 20cmx20cm
ZD N E
6878 / 1
Askina Carbosorb Odour Controlling Secondary Wound Management Dressing 10cmx10cm
ZD N E
6894 / 1
Askina Carbosorb Odour Controlling Secondary Wound Management Dressing 10cmx20cm
ZD N E
5172 / 1
Askina Hydro Hydrocolloid Wound Management Dressing 10cmx10cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 284 of 550
Code/Pack
Description
DT CD ZD N E D
5162 / 1
Askina Hydro Hydrocolloid Wound Management Dressing 15cmx15cm
ZD N E
5161 / 1
Askina Hydro Hydrocolloid Wound Management Dressing 20cmx20cm
ZD N E
6895 / 1
Askina Hydrogel Amorphous Gel Wound Management Dressing 15g 1
ZD N E
8708 / 1
Atrauman Wound Management Dressing 5cmx5cm
ZD N E
8721 / 1
Atrauman Wound Management Dressing 7.5cmx10cm
ZD N E
8724 / 1
Atrauman Wound Management Dressing 10cmx20cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 285 of 550
Code/Pack
Description
DT CD ZD N E D
C
9188 / 1
Carboflex Wound Management Dressing 8cmx15cm
ZD N E
9179 / 1
Carboflex Wound Management Dressing 10cmx10cm
ZD N E
9600 / 1
Carboflex Wound Management Dressing 15cmx20cm
ZD N E
7913 / 1
Cavilon Barrier Cream (3391G) Wound Management Dressing 28g 1
Code No. of Packs dispensed
ZD N E
7910 / 1
Cavilon Barrier Cream (3392G) Wound Management Dressing 92g 1
Code No. of Packs dispensed
ZD N E
7904 / 20
Cavilon Barrier Cream (3392GS) 2g Sachets Wound Management Dressing 20
Code No. of Sachets dispensed
ZD N E
7982 / 5
Cavilon No Sting Barrier Film Foam Applicator (3343P) Wound Management Dressing 1ml 5
Code No. of Applicators Dispensed
ZD N E
7985 / 5
Cavilon No Sting Barrier Film Foam Applicator (3345P) Wound Management Dressing 3ml 5
Code No. of Applicators Dispensed
ZD N E
7991 / 1
Cavilon Spray (3346P) Wound Management Dressing 28ml 1
Code No. of Packs dispensed
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 286 of 550
Code/Pack
Description
DT CD ZD N E D
D
3452 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 10cmx10cm
ZD N E
3498 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 15cmx15cm
ZD N E
3656 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 3.8cmx4.4cm
ZD N E
3761 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 5cmx10cm
ZD N E
3790 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 5cmx20cm
ZD N E
3708 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 7.5cmx7.5cm
ZD N E
3794 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 9cmx25cm
ZD N E
3796 / 1
DuoDERM Extra Thin Hydrocolloid Wound Management Dressing 9cmx35cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 287 of 550
Code/Pack
Description
DT CD ZD N E D
F
17534 / 1
Foam Wound Filler Wound Management Dressing 10cm x 12.5cm 1
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 288 of 550
Code/Pack
Description
DT CD ZD N E D
G
17611 / 1
Gauze Rolls (Kerlix AMD) Wound Management Dressing 11.4cm x 3.7m 1
ZD N E
17546 / 1
Gauze Wound Filler Wound Management Dressing 15cm x 17cm 1
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 289 of 550
Code/Pack
Description
DT CD ZD N E D
I
1120 / 1
Inadine Wound Management Dressing 5cmx5cm
ZD N E
1125 / 1
Inadine Wound Management Dressing 9.5cmx9.5cm
ZD N E
17587 / 1
InfoV.A.C Canister with Gel Wound Management Dressing 500ml 1
ZD N E
8979 / 1
Intrasite Conformable Wound Management Dressing 10cmx10cm 7.5g
Code No. of Dressings dispensed
ZD N E
8992 / 1
Intrasite Conformable Wound Management Dressing 10cmx20cm 15g
Code No. of Dressings dispensed
ZD N E
8995 / 1
Intrasite Conformable Wound Management Dressing 10cmx40cm 30g
Code No. of Dressings dispensed
ZD N E
7379 / 1
Iodoflex Paste Sachets Wound Management Dressing 5g 1
Pack of 5. Code no of 5g Dispensed
ZD N E
7465 / 1
Iodoflex Paste Sachets Wound Management Dressing 10g 1
Pack of 3. Code no of 10g Dispensed
ZD N E
7766 / 1
Iodoflex Paste Sachets Wound Management Dressing 17g 1
Pack of 2. Code no of 17g Dispensed
ZD N E
6266 / 1
Iodosorb Powder Wound Man Dressing 3g
ZD N E
6319 / 1
Iodosorb Ointment Wound Man Dressing 10g
ZD N E
6328 / 1
Iodosorb Ointment Wound Man Dressing 20g
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 290 of 550
Code/Pack
Description
DT CD ZD N E D
K
9281 / 1
Kaltostat Wound Management Dressing 10cmx20cm
ZD N E
9286 / 1
Kaltostat Wound Management Dressing 15cmx25cm
ZD N E
9214 / 1
Kaltostat Wound Management Dressing Cavity 2g
Code No. of Dressings dispensed
ZD N E
1123 / 1
Kaltostat Wound Management Dressing Sterile 5cmx5cm
ZD N E
1000 / 1
Kaltostat Wound Management Dressing Sterile 7.5cmx12cm
ZD N E
1907 / 60
Kelo-cote Gel Wound Management Dressing 60g
ZD N E
1248 / 15
Kelo-cote Gel Wound Management Dressing 15g
ZD N E
1292 / 1
Kelo-cote Spray Wound Management Dressing 100ml 1
Code no. of sprays dispensed
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 291 of 550
Code/Pack
Description
DT CD ZD N E D
L
17532 / 1
Larvae 30cm x 30cm Flat Net Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17409 / 1
Larvae Additional 100 larvae Wound Management Dressing 1
LV100 - Delivery Cost included with this code
ZD N E
17410 / 1
Larvae Additional 200 larvae Wound Management Dressing 1
LV200 - Delivery Cost included with this code
ZD N E
17401 / 1
Larvae and 30cm x 30cm Retention Net Kit Pack with 100 larvae Wound Management Dressing
1
STKIT100 - Delivery Cost included with this code
ZD N E
17402 / 1
Larvae and 30cm x 30cm Retention Net Kit Pack with 200 larvae Wound Management Dressing
1
STKIT200 - Delivery Cost included with this code
ZD N E
17405 / 1
Larvae and 30cm x 30cm Retention Net with 100 larvae Wound Management Dressing 1
STVIAL100 - Delivery Cost included with this code
ZD N E
17406 / 1
Larvae and 30cm x 30cm Retention Net with 200 larvae Wound Management Dressing 1
STVIAL200 - Delivery Cost included with this code
ZD N E
17403 / 1
Larvae and 40cm x 60cm Boot Retention Net Kit Pack with 100 larvae Wound Management
Dressing 1
BTKIT100 - Delivery Cost included with this code
ZD N E
17404 / 1
Larvae and 40cm x 60cm Boot Retention Net Kit Pack with 200 larvae Wound Management
Dressing 1
BTKIT200 - Delivery Cost included with this code
ZD N E
17407 / 1
Larvae and 40cm x 60cm Boot Retention Net with 100 larvae Wound Management Dressing 1
BTVIAL100 - Delivery Cost included with this code
ZD N E
17408 / 1
Larvae and 40cm x 60cm Boot Retention Net with 200 larvae Wound Management Dressing 1
BTVIAL200 - Delivery Cost included with this code
ZD N E
17508 / 1
Larvae BioBag BB100 4cm x 5cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17509 / 1
Larvae BioBag BB100IND 4cm x 5cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17510 / 1
Larvae BioBag BB100NONKIT 4cm x 5cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17511 / 1
Larvae BioBag BB200 5cm x 6cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17512 / 1
Larvae BioBag BB200IND 5cm x 6cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17513 / 1
Larvae BioBag BB200NONKIT 5cm x 6cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17514 / 1
Larvae BioBag BB300 6cm x 12cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17515 / 1
Larvae BioBag BB300IND 6cm x 12cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17516 / 1
Larvae BioBag BB300NONKIT 6cm x 12cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 292 of 550
Code/Pack
Description
DT CD ZD N E D
17517 / 1
Larvae BioBag BB400 10cm x 10cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17518 / 1
Larvae BioBag BB400IND 10cm x 10cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17519 / 1
Larvae BioBag BB400NONKIT 10cm x 10cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17505 / 1
Larvae BioBag BB50 2.5cmx4cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17506 / 1
Larvae BioBag BB50IND 2.5cmx4cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17507 / 1
Larvae BioBag BB50NONKIT 2.5cmx4cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
17533 / 1
Larvae Full Boot Retention Net Dressing 40cm x 60cm Wound Management Dressing 1
Delivery Cost included with this code
ZD N E
5160 / 1
L-Mesitran Border Square Wound Contact Pad 5.8cm x 5.8cm + Border 2.1cm
ZD N E
5175 / 1
L-Mesitran Hydro Dressing 10cm x 10cm
ZD N E
5905 / 1
L-Mesitran Hydro Dressing 15cm x 20cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 293 of 550
Code/Pack
Description
DT CD ZD N E D
M
8998 / 1
Mepiform Silicone Gel 4cmx31cm Wound Management Dressing 1
ZD N E
8989 / 1
Mepiform Silicone Gel 5cmx7cm Wound Management Dressing 1
ZD N E
8994 / 1
Mepiform Silicone Gel 9cmx18cm Wound Management Dressing 1
ZD N E
5962 / 1
Mepitel Soft Silicone Wound Management Dressing 5cmx7cm
ZD N E
5963 / 1
Mepitel Soft Silicone Wound Management Dressing 8cmx10cm
ZD N E
5964 / 1
Mepitel Soft Silicone Wound Management Dressing 12cmx15cm
ZD N E
8967 / 1
Mepitel Soft Silicone Wound Management Dressing 20cmx32cm
ZD N E
8911 / 1
Mesorb Absorbent Cellulose Wound Dressing 10cmx10cm
ZD N E
8915 / 1
Mesorb Absorbent Cellulose Wound Dressing 10cmx15cm
ZD N E
8931 / 1
Mesorb Absorbent Cellulose Wound Dressing 10cmx20cm
ZD N E
8942 / 1
Mesorb Absorbent Cellulose Wound Dressing 15cmx20cm
ZD N E
8956 / 1
Mesorb Absorbent Cellulose Wound Dressing 20cmx25cm
ZD N E
8972 / 1
Mesorb Absorbent Cellulose Wound Dressing 20cmx30cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 294 of 550
Code/Pack
Description
DT CD ZD N E D
N
9543 / 1
NA Ultra Dressing 9.5cmx9.5cm
ZD N E
9236 / 1
NA Ultra Dressing 19cmx9.5cm
ZD N E
7453 / 1
NA Ultra Wound Management Dressing 19cmx19cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 295 of 550
Code/Pack
Description
DT CD ZD N E D
O
7495 / 1
Opsite Transparent Film Spray Dressing 100ml 1
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 296 of 550
Code/Pack
Description
DT CD ZD N E D
P
5159 / 1
Pharmapad Absorbent Preforated Dressing 10cmx10cm 1
(Box of 100)
ZD N E
5176 / 1
Pharmapad Absorbent Preforated Dressing 10cmx20cm 1
(Box of 40)
ZD N E
5177 / 1
Pharmapad Absorbent Preforated Dressing 5cmx5cm 1
(Box of 150)
ZD N E
9991 / 1
PremierPore VP Wound Man Dressing 10cm x 10cm 1
ZD N E
9994 / 1
PremierPore VP Wound Man Dressing 10cm x 15cm 1
ZD N E
5129 / 1
PremierPore VP Wound Man Dressing 10cm x 20cm 1
ZD N E
9995 / 1
PremierPore VP Wound Man Dressing 10cm x 25cm 1
ZD N E
5130 / 1
PremierPore VP Wound Man Dressing 10cm x 30cm 1
ZD N E
5131 / 1
PremierPore VP Wound Man Dressing 10cm x 35cm 1
ZD N E
5128 / 1
PremierPore VP Wound Man Dressing 5cm x 7cm 1
ZD N E
5811 / 1
PremierPore Wound Man Dressing 10cm x 15cm 1
wound contact pad 5cm x 10cm + border 2.5cm
ZD N E
5810 / 1
PremierPore Wound Man Dressing 10cm x 20cm 1
wound contact pad 5cm x 15cm + border 2.5cm
ZD N E
5809 / 1
PremierPore Wound Man Dressing 10cm x 25cm 1
wound contact pad 5cm x 20cm + border 2.5cm
ZD N E
5808 / 1
PremierPore Wound Man Dressing 10cm x 30cm 1
wound contact pad 5cm x 25cm + border 2.5cm
ZD N E
7299 / 1
PremierPore Wound Man Dressing 10cm x 35cm 1
wound contact pad 5cm x 30cm + border 2.5cm
ZD N E
5802 / 1
PremierPore Wound Man Dressing 5cm x 7cm 1
wound contact pad 3cm x 4cm + border 1cm-1.5cm
ZD N E
6683 / 1
PremierPore Wound Man Dressing 10cm x 10cm 1
wound contact pad 6cm x 5cm + border 2cm-2.5cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 297 of 550
Code/Pack
Description
DT CD ZD N E D
R
17627 / 1
Renasys Adhesive Gel Patch Wound Management Dressing 10cm x 7cm 1
ZD N E
17610 / 1
Renasys G High Output Fistula Drain Wound Management Dressing Kit 1
ZD N E
8260 / 1
Renasys Go Canister Kit for Soft Port Wound Management Dressing Large 750ml 1
ZD N E
8233 / 1
Renasys Go Canister Kit for Soft Port Wound Management Dressing Small 300ml 1
ZD N E
17615 / 1
Renasys Large Drapes 20cm x 30cm film drapes Wound Management Dressing 1
Film Drapes Individually Wrapped and Sterile
ZD N E
8269 / 1
Renasys Soft Port Individual Port Wound Management Dressing Kit 1
ZD N E
8263 / 1
Renasys Y Connector for use with Soft Port Wound Management Kit 1
ZD N E
8143 / 1
Renasys-F Foam with Soft Port Wound Management Dressing Kit Large 1
ZD N E
8142 / 1
Renasys-F Foam with Soft Port Wound Management Dressing Kit Medium 1
ZD N E
8118 / 1
Renasys-F Foam with Soft Port Wound Management Dressing Kit Small 1
ZD N E
8146 / 1
Renasys-G Flat Drain Wound Management Dressing Kit 10mm 1
ZD N E
8154 / 1
Renasys-G Round Drain Wound Management Dressing Kit 10fr 1
ZD N E
8171 / 1
Renasys-G Round Drain Wound Management Dressing Kit 19fr 1
ZD N E
8153 / 1
Renasys-G Channel Drain Wound Management Dressing Kit 15fr 1
ZD N E
8210 / 1
Renasys-G Gauze with Soft Port Wound Management Dressing Kit Large 1
ZD N E
8199 / 1
Renasys-G Gauze with Soft Port Wound Management Dressing Kit Medium 1
ZD N E
8187 / 1
Renasys-G Gauze with Soft Port Wound Management Dressing Kit Small 1
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 298 of 550
Code/Pack
Description
DT CD ZD N E D
S
4765 / 1
SENSAT.R.A.C Pad Wound Management Dressing 1
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 299 of 550
Code/Pack
Description
DT CD ZD N E D
T
4787 / 1
T.R.A.C. Y Connector Wound Management Dressing 1
ZD N E
9187 / 1
Tegaderm Film Semi-Permeable Adhesive Film Wound Management Dressing 6cmx7cm
(Box of 10)
ZD N E
7656 / 1
Tegaderm Film Semi-Permeable Adhesive Film Wound Management Dressing 10cmx12cm
(Box of 50)
ZD N E
9219 / 1
Tegaderm Film Semi-Permeable Adhesive Film Wound Management Dressing 15cmx20cm
(Box of 10)
ZD N E
5454 / 1
Tegaderm Film Semi-Permeable Adhesive Film Wound Management Dressing 20cmx30cm
(Box of 10)
ZD N E
5455 / 1
Tegaderm Film Semi-Permeable Adhesive Film Wound Management Dressing 4.4cmx4.4cm
(Box of 100)
ZD N E
8761 / 1
Tegaderm Hydrocolloid Wound Management Dressing 10cmx12cm
(Box of 5)
ZD N E
5546 / 1
Tegaderm Hydrocolloid Wound Management Dressing 13cmx15cm
(Box of 5)
ZD N E
6748 / 1
Tegaderm Hydrocolloid Wound Management Dressing 16.1cmx17.1cm
(Box of 6)
ZD N E
6668 / 1
Tegaderm Polyurethane Foam-Film Wound Management Dressing 13.9cmx13.9cm
(Box of 5)
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 300 of 550
Code/Pack
Description
DT CD ZD N E D
U
347 / 1
Urgotul SSD Wound Management Dressing 10cmx12cm
ZD N E
349 / 1
Urgotul SSD Wound Management Dressing 15cmx20cm
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 301 of 550
Code/Pack
Description
DT CD ZD N E D
V
4752 / 1
V.A.C Drape Wound Management Dressing 1
ZD N E
5335 / 1
V.A.C Freedom Canister with Gel Wound Management Dressing 300ml 1
Code No. of Dressings Dispensed
ZD N E
4759 / 1
V.A.C Gel Strip Wound Management Dressing 1
ZD N E
519 / 1
V.A.C Via 7-Day Wound Management Dressing Kit 1
Code No. of Kits Dispensed
ZD N E
2931 / 1
V.A.C Via Canister with Isolyser Wound Management Dressing Kit 250ml 1
ZD N E
2427 / 1
V.A.C Via Starter Wound Management Dressing Kit 1
ZD N E
2899 / 1
V.A.C Via Wound Management Dressing Kit Medium 1
ZD N E
2659 / 1
V.A.C Via Wound Management Dressing Kit Small 1
ZD N E
4797 / 1
V.A.C Whitefoam with SensaT.R..A.C Wound Management Dressing Kit Small 1
Code No. of Dressings Dispensed
ZD N E
4798 / 1
V.A.C Whitefoam with SensaT.R.A.C Wound Management Dressing Kit Large 1
Code No. of Dressings Dispensed
ZD N E
4795 / 1
V.A.C Whitefoam Wound Management Dressing Large 1
Code No. of Dressings Dispensed
ZD N E
4794 / 1
V.A.C Whitefoam Wound Management Dressing Small 1
Code No. of Dressings Dispensed
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 302 of 550
Code/Pack
Description
DT CD ZD N E D
Appliances as defined by Northern Ireland Drug Tariff
3
5234 / 1
3M Kind Removal Silicone (DT) Tape (no liner) 2.5cm x 5m 1
DT
NE
5238 / 1
3M Kind Removal Silicone (DT) Tape (no liner) 5cm x 5m 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 303 of 550
Code/Pack
Description
DT CD ZD N E D
4
5718 / 1
4UlcerCare 28cm-61cm+ 1
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 304 of 550
NE
Code/Pack
Description
DT CD ZD N E D
A
3446 / 1
A2A Spacer - Spacer/Holding Chamber Device 1
DT
NE
3630 / 1
A2A Spacer with Small or Medium Mask - Spacer/Holding Chamber Device 1
DT
NE
1071 / 1
Absorbent Cotton BP 25g
Code No. of Packs dispensed
DT
NE
1073 / 1
Absorbent Cotton BP 100g
Code No. of Packs dispensed
DT
NE
1075 / 1
Absorbent Cotton BP 500g
Code No. of Packs dispensed
DT
NE
1086 / 1
Absorbent Cotton Hospital Quality 100g
Code No. of Packs dispensed
DT
NE
1082 / 1
Absorbent Cotton Hospital Quality 500g
Code No. of Packs dispensed
DT
NE
9898 / 1
Acapella Oscillating Positive Expiratory Pressure Device 1
DT
NE
1940 / 1
Actico 2c - two component leg ulcer kit 18-25cm
DT
NE
1976 / 1
Actico 2c - two component leg ulcer kit 25-32cm
DT
NE
2117 / 1
Actico 2c Comfort Layer 1 Bandage 10cm x 3.5m 1
DT
NE
2163 / 1
Actico 2c Compression Layer 2 Bandage 10cm x 6m 1
DT
NE
6866 / 1
Actico Cohesive Bandage 4cmx6m
DT
NE
6869 / 1
Actico Cohesive Bandage 6cmx6m
DT
NE
6870 / 1
Actico Cohesive Bandage 8cmx6m
DT
NE
8903 / 1
Actico Cohesive Bandage 10cmx6m
DT
NE
6881 / 1
Actico Cohesive Bandage 12cmx6m
DT
NE
9111 / 1
Acti-Fast 2-way stretch Beige Line Trunk Adult Stockinette 17.5cmx1m
DT
NE
9088 / 1
Acti-Fast 2-way stretch Blue Line Large Limb Stockinette 7.5cmx1m
DT
NE
9089 / 1
Acti-Fast 2-way stretch Blue Line Large Limb Stockinette 7.5cmx3m
DT
NE
9090 / 1
Acti-Fast 2-way stretch Blue Line Large Limb Stockinette 7.5cmx5m
DT
NE
9083 / 1
Acti-Fast 2-way stretch Green Line Medium Limb Stockinette 5cmx1m
DT
NE
9084 / 1
Acti-Fast 2-way stretch Green Line Medium Limb Stockinette 5cmx3m
DT
NE
9085 / 1
Acti-Fast 2-way stretch Green Line Medium Limb Stockinette 5cmx5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 305 of 550
Code/Pack
Description
DT CD ZD N E D
17602 / 1
Acti-Fast 2-way stretch Purple Line Trunk Large Adult Stockinette 20cmx1m 1
DT
NE
17603 / 1
Acti-Fast 2-way stretch Purple Line Trunk Large Adult Stockinette 20cmx5cm 1
DT
NE
9080 / 1
Acti-Fast 2-way stretch Red Line Small Limb Stockinette 3.5cmx1m
DT
NE
9091 / 1
Acti-Fast 2-way stretch Yellow Line Trunk Child Stockinette 10.75cmx1m
DT
NE
9098 / 1
Acti-Fast 2-way stretch Yellow Line Trunk Child Stockinette 10.75cmx3m
DT
NE
9102 / 1
Acti-Fast 2-way stretch Yellow Line Trunk Child Stockinette 10.75cmx5m
DT
NE
1131 / 1
Acti-Glide Compression Hosiery Application System 1
DT
NE
5682 / 1
Actilymph Class1 (18-21mmHg) Armsleeve No Top Band 1
Standard (S,M,L,XL)
DT
NE
7718 / 1
Actilymph Class1 (18-21mmHg) Armsleeve With Top Band 1
Long (S,M,L,XL)
DT
NE
5678 / 1
Actilymph Class1 (18-21mmHg) Armsleeve With Top Band 1
Standard (S,M,L,XL)
DT
NE
5711 / 2
Actilymph Class1 (18-21mmHg) Below Knee Closed Toe 2
Petite (S,M,L,XL) Code each Pair /2
DT
NE
9686 / 2
Actilymph Class1 (18-21mmHg) Below Knee Closed Toe 2
Standard (S,M,L,XL,XXL) Code Each Pair/2
DT
NE
5713 / 2
Actilymph Class1 (18-21mmHg) Below Knee Open Toe 2
Standard S, M, L, XL, XXL Code each Pair /2
DT
NE
5676 / 1
Actilymph Class1 (18-21mmHg) Combined Armsleeve No Top Band 1
Standard S,M,L
DT
NE
6018 / 1
Actilymph Class1 (18-21mmHg) Combined Armsleeve With Top Band 1
Long (S,M,L)
DT
NE
5675 / 1
Actilymph Class1 (18-21mmHg) Combined Armsleeve With Top Band 1
Standard (S,M,L)
DT
NE
9462 / 2
Actilymph Class1 (18-21mmHg) Thigh Closed Toe With Regular Top Band 2
Standard S,M,L,XL Code Each Pair /2
DT
NE
5697 / 2
Actilymph Class1 (18-21mmHg) Thigh Closed Toe With Wide Top Band 2
Standard (S,M,L,XL) Code each Pair /2
DT
NE
5714 / 2
Actilymph Class1 (18-21mmHg) Thigh High Open Toe With Regular Top Band 2
Standard (S,M,L,XL,XXL) Code each Pair /2
DT
NE
5641 / 1
Actilymph Class2 (23-32mmHg) Armsleeve No Top Band 1
Standard (S,M,L,XL)
DT
NE
6106 / 1
Actilymph Class2 (23-32mmHg) Armsleeve With Top Band 1
Long (S,M,L,XL)
DT
NE
5639 / 1
Actilymph Class2 (23-32mmHg) Armsleeve With Top Band 1
Standard (S,M,L,XL)
DT
NE
5654 / 2
Actilymph Class2 (23-32mmHg) Below Knee Closed Toe 2
Petite (S,M,L,XL) Code each Pair /2
DT
NE
9635 / 2
Actilymph Class2 (23-32mmHg) Below Knee Closed Toe 2
Standard (S,M,L,XL) Code each Pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 306 of 550
Code/Pack
Description
DT CD ZD N E D
5647 / 2
Actilymph Class2 (23-32mmHg) Below Knee Open Toe 2
Petite (S,M,L,XL) Code each Pair /2
DT
NE
9725 / 2
Actilymph Class2 (23-32mmHg) Below Knee Open Toe 2
Standard (S,M,L,XL, XXL) Code each Pair /2
DT
NE
5637 / 1
Actilymph Class2 (23-32mmHg) Combined Armsleeve No Top Band 1
Standard (S,M,L)
DT
NE
6152 / 1
Actilymph Class2 (23-32mmHg) Combined Armsleeve With Top Band 1
Long (S,M,L)
DT
NE
5633 / 1
Actilymph Class2 (23-32mmHg) Combined Armsleeve With Top Band 1
Standard (S,M,L)
DT
NE
9458 / 2
Actilymph Class2 (23-32mmHg) Thigh Closed Toe With Regular Top Band 2
Standard S,M,L,XL Code each pair /2
DT
NE
5652 / 2
Actilymph Class2 (23-32mmHg) Thigh Closed Toe With Wide Top Band 2
Standard (S,M,L,XL) Code each Pair /2
DT
NE
5645 / 2
Actilymph Class2 (23-32mmHg) Thigh High Open Toe With Wide Top Band 2
Standard (S,M,L,XL) Code each Pair /2
DT
NE
9839 / 2
Actilymph Class2 (23-32mmHg) Thigh Open Toe with Regular Top Band 2
Standard (S,M,L,XL,XXL) Code each Pair/2
DT
NE
5630 / 2
Actilymph Class3 (34-46mmHg) Below Knee Open Toe No Top Band 2
Standard (S,M,L,XL) Code each Pair /2
DT
NE
5543 / 2
Actilymph Class3 (34-46mmHg) Thigh Open Toe With Wide Top Band 2
Standard (S,M,L,XL) Code each Pair /2
DT
NE
5053 / 1
Actilymph MTM Dura Stiffer Class 2(23-32mmHg) For Lower Extremities Below Knee A-D 1
AL-DURAC2-AD
DT
NE
5243 / 1
Actilymph MTM Dura Stiffer Class 2(23-32mmHg) For Lower Extremities Thigh With Waist
Attachment A-GT 1
AL-DURAC2-AGT
DT
NE
5240 / 1
Actilymph MTM Dura Stiffer Class2(23-32mmHg) For Lower Extremities Thigh Length A-G 1
AL-DURAC2-AG
DT
NE
5244 / 1
Actilymph MTM Dura Stiffer For Lower Extremities Class2(23-32mmHg) 2 Legged Panty A-T
(includes cycle style pants) 1
AL-DURAC2-AT
DT
NE
5258 / 1
Actilymph MTM Dura Stiffer For Lower Extremities Class3 (34-46mmHg) 2 Legged Panty A-T
(includes cycle style pants) 1
AL-DURAC3-AT
DT
NE
5245 / 1
Actilymph MTM Dura Stiffer For Lower Extremities Class3 (34-46mmHg) Below Knee A-D 1
AL-DURAC3-AD
DT
NE
5213 / 1
Actilymph MTM Dura Stiffer For Lower Extremities Class3 (34-46mmHg) Thigh Length A-G 1
AL-DURAC3-AG
DT
NE
5248 / 1
Actilymph MTM Dura Stiffer For Lower Extremities Class3 (34-46mmHg) Thigh With Waist
Attachment A-GT 1
AL-DURAC3-AGT
DT
NE
5002 / 2
Actilymph MTM Dura Stiffer Options For Lower Extremities Ankle Pads 2
Code 2 Pads as 2
DT
NE
5474 / 1
Actilymph MTM Dura Stiffer Options For Lower Extremities Closed Toe 1
ALO-CT
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 307 of 550
Code/Pack
Description
DT CD ZD N E D
5150 / 1
Actilymph MTM Dura Stiffer Options For Lower Extremities Full Compression Body Part (In AT)
1
ALO-FCBODY
DT
NE
5576 / 1
Actilymph MTM Dura Stiffer Options For Lower Extremities Oblique Toe 1
ALO-OBT
DT
NE
5133 / 1
Actilymph MTM Dura Stiffer Options For Lower Extremities Silicone Band 1
ALO-BAND
DT
NE
5132 / 1
Actilymph MTM Dura Stiffer Options For Lower Extremities Slip Form 1
ALO-FORM
DT
NE
5235 / 1
Actilymph MTM Dura Stiffer Options For Lower Extremities T Heel Ankle Seam 1
ALO-SEAM
DT
NE
5210 / 1
Actilymph MTM Ease Soft For Lower Extremities Class 1 (18-21mmHg) Thigh With Waist
Attachment A-GT 1
AL-EASEC1-AGT
DT
NE
5991 / 1
Actilymph MTM Ease Soft For Lower Extremities Class 2(23-32mmHg) Below Knee A-D 1
AL-EASEC2-AD
DT
NE
5992 / 1
Actilymph MTM Ease Soft For Lower Extremities Class 2(23-32mmHg) Thigh With Waist
Attachment A-GT 1
AL-EASEC2-AGT
DT
NE
5990 / 1
Actilymph MTM Ease Soft For Lower Extremities Class1 (18-21mmHg) 2 Legged Panty A-T
(includes cycle style pants) 1
AL-EASEC1-AT
DT
NE
5163 / 1
Actilymph MTM Ease Soft For Lower Extremities Class1 (18-21mmHg) Below Knee A-D 1
AL-EASEC1-AD
DT
NE
5164 / 1
Actilymph MTM Ease Soft For Lower Extremities Class1 (18-21mmHg)Thigh Length A-G 1
AL-EASEC1-AG
DT
NE
5969 / 1
Actilymph MTM Ease Soft For Lower Extremities Class2(23-32mmHg) 2 Legged Panty A-T
(includes cycle style pants) 1
AL-EASEC2-AT
DT
NE
5507 / 1
Actilymph MTM Ease Soft For Lower Extremities Class2(23-32mmHg) Thigh Length A-G 1
AL-EASEC2-AG
DT
NE
5513 / 1
Actilymph MTM Ease Soft For Lower Extremities Class3 (34-46mmHg) 2 Legged Panty A-T
(includes cycle style pants) 1
AL-EASEC3-AT
DT
NE
5539 / 1
Actilymph MTM Ease Soft For Lower Extremities Class3 (34-46mmHg) Below Knee A-D 1
AL-EASEC3-AD
DT
NE
5510 / 1
Actilymph MTM Ease Soft For Lower Extremities Class3 (34-46mmHg) Thigh Length A-G 1
AL-EASEC3-AG
DT
NE
5511 / 1
Actilymph MTM Ease Soft For Lower Extremities Class3 (34-46mmHg) Thigh With Waist
Attachment A-GT 1
AL-EASEC3-AGT
DT
NE
5536 / 1
Actilymph MTM Ease Soft Options For Lower Extremities Closed Toe 1
ALO-CT
DT
NE
5822 / 1
Actilymph MTM Ease Soft Options For Lower Extremities Full Compression Body Part (In AT) 1
ALO-FCBODY
DT
NE
5577 / 1
Actilymph MTM Ease Soft Options For Lower Extremities Oblique Toe 1
ALO-OBT
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 308 of 550
Code/Pack
Description
DT CD ZD N E D
5538 / 1
Actilymph MTM Ease Soft Options For Lower Extremities Silicone Band 1
ALO-BAND
DT
NE
5659 / 1
Actilymph MTM Ease Soft Options For Lower Extremities Slip Form 1
ALO-FORM
DT
NE
5681 / 1
Actilymph MTM Ease Soft Options For Lower Extremities T Heel Ankle Seam 1
ALO-SEAM
DT
NE
2920 / 1
ActiLymph Ulcer Compression System Hosiery Kit 1
Pack contains 1 stocking and 2 liners, Medium, Large, X Large, XX Large
DT
NE
7008 / 1
Activa Leg Ulcer Compression System Compression Liner Pack Closed Toe(3 Liners) 1
Small, Medium, Large, Extra Large or Extra Extra Large Pack of 3 - 10mmHg Code as
/1
DT
NE
5016 / 1
Activa Leg Ulcer Compression System Compression Liner Pack Open Toe (3 Liners) 1
Small, Medium, Large, Extra Large or Extra Extra Large Pack of 3 - 10mmHg
DT
NE
6956 / 1
Activa Leg Ulcer Compression System Liner & Stocking Hoisery Kit 1
Small, Medium, Large, Extra Large or Extra Extra Large Pack of 1 Stocking and 2
Liners-40mmHg
DT
NE
1629 / 1
Acti-wrap Cohesive/Latex Free Bandage 6cmx4m
DT
NE
1651 / 1
Acti-wrap Cohesive/Latex Free Bandage 8cmx4m
DT
NE
1655 / 1
Acti-wrap Cohesive/Latex Free Bandage 10cmx4m
DT
NE
8599 / 30
AcuBond 30
SB2
DT
NE
17487 / 1
Additional Price for Fitted Suspender 1
DT
NE
3747 / 1
Aderma Dermal Pad Heel Extra Large 1
DT
NE
3361 / 1
Aderma Dermal Pad Heel Standard 1
DT
NE
3360 / 1
Aderma Dermal Pad Sacrum/Ankle Wrap
DT
NE
3858 / 1
Aderma Dermal Pad Sheet 10x10x0.3cm
DT
NE
3865 / 1
Aderma Dermal Pad Sheet 10x10x1.2cm
DT
NE
4433 / 1
Aderma Dermal Pad Sheet 20x20x0.3cm
DT
NE
4441 / 1
Aderma Dermal Pad Sheet 50x2.5x0.3cm
DT
NE
4471 / 1
Aderma Dermal Pad Strip 30x5.0x0.3cm
DT
NE
9432 / 1
Adhesive Felt (Chiropody) 10.5cmx8.3cmx5mm
DT
NE
8788 / 1
Adhesive Felt (Chiropody) 10cmx22.5cmx5mm
DT
NE
7127 / 4
Adhesive Latex Foam (for Cervical Collars) 22.5cm x 45cm x 7mm thick 4
DT
NE
6739 / 1
AdvaBond Silicone Glue 1
AS3896
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 309 of 550
Code/Pack
Description
DT CD ZD N E D
17604 / 1
Advazorb (T) Lite Sterile Dressing 8cmx8cm 1
CR4212
DT
NE
7433 / 1
Aequasyal (DT) Saliva Replacement Spray 40ml 1
Code no. of Sprays dispensed
DT
NE
4586 / 200
AgaMatrix Ultra-Thin Lancet 0.20mm/33gauge 200
DT
NE
4574 / 200
AgaMatrix Ultra-Thin Lancet 0.35mm/28gauge 200
DT
NE
9893 / 50
Aknicare Cream 50ml
DT
NE
9892 / 25
Aknicare Lotion 25ml
DT
NE
9891 / 5
Aknicare SR (Skin Roller) Lotion 5ml
DT
NE
8042 / 25
Alissa Sodium Chloride 0.9% Irrigation Solution Pod 20ml x 25
Code No. of Pods dispensed
DT
NE
4718 / 1
Altipress 40 Compression Liner Pack 1
Short, Regular and Long lengths. Small, Medium, Large, Extra Large or Extra Extra
Large
DT
NE
4724 / 1
Altipress 40 Made to Measure Compression Liner Pack 1
Pack contains 2 made to measure liners
DT
NE
4719 / 1
Altipress 40 Made to Measure Medical Stocking and Compression Liner 1
Pack contains 1 made to measure stocking and 2 made to measure liners
DT
NE
4717 / 1
Altipress 40 Medical Stocking and Compression Liner 1
Short, Regular and Long lengths. Small, Medium, Large, Extra Large or Extra Extra
Large
DT
NE
1776 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Mitten 1
I-V, Regular
DT
NE
2240 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Mitten With Elbow Pouch 1
I-V, Regular
DT
NE
2317 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Mitten With Grip Top 1
I-V, Regular
DT
NE
2217 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Mitten With Grip Top And Elbow Pouch 1
I-V, Regular
DT
NE
2992 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Wrist 1
I-V, Regular
DT
NE
1864 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Wrist With Elbow Pouch 1
I-V, Regular
DT
NE
1300 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Wrist With Grip Top 1
I-V, Regular
DT
NE
1350 / 1
Altiven Armsleeve Class 1 (18-21mmHg) Axilla - Wrist With Grip Top And Elbow Pouch 1
I-V, Regular
DT
NE
2183 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Mitten 1
I-V, Regular
DT
NE
9516 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Mitten with Elbow Pouch 1
I-V, Regular
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 310 of 550
Code/Pack
Description
DT CD ZD N E D
1914 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Mitten With Grip Top 1
I-V, Regular
DT
NE
1975 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Mitten With Grip Top And Elbow Pouch 1
I-V, Regular
DT
NE
1302 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Wrist 1
I-V, Regular
DT
NE
1929 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Wrist With Elbow Pouch 1
I-V, Regular
DT
NE
2196 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Wrist With Grip Top 1
I-V, Regular
DT
NE
1956 / 1
Altiven Armsleeve Class 2 (23-32mmHg) Axilla - Wrist With Grip Top And Elbow Pouch 1
I-V, Regular
DT
NE
9259 / 2
Altiven Class 1 (18-21mmHg ) Below Knee Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9224 / 2
Altiven Class 1 (18-21mmHg ) Below Knee Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9272 / 2
Altiven Class 1 (18-21mmHg ) Hold Up Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9268 / 2
Altiven Class 1 (18-21mmHg ) Hold Up Extra Wide Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9269 / 2
Altiven Class 1 (18-21mmHg ) Hold Up Extra Wide Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9274 / 2
Altiven Class 1 (18-21mmHg ) Hold Up Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9257 / 1
Altiven Class 1 (18-21mmHg ) Thigh With Waist Attachment Closed Toe 1
I-VII, Short/Regular
DT
NE
9263 / 1
Altiven Class 1 (18-21mmHg ) Thigh With Waist Attachment Open Toe 1
I-VII, Short/Regular
DT
NE
9238 / 1
Altiven Class 1 (18-21mmHg ) Tights Closed Toe 1
I-VII, Short/Regular, Code Each Pair /1
DT
NE
9266 / 1
Altiven Class 1 (18-21mmHg ) Tights Open Toe 1
I-VII, Short/Regular, Code Each Pair /1
DT
NE
9250 / 2
Altiven Class 2 (23-32mmHg ) Below Knee Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9256 / 2
Altiven Class 2 (23-32mmHg ) Below Knee Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9244 / 2
Altiven Class 2 (23-32mmHg ) Hold Up Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9264 / 2
Altiven Class 2 (23-32mmHg ) Hold Up Extra Wide Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9243 / 2
Altiven Class 2 (23-32mmHg ) Hold Up Extra Wide Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9246 / 2
Altiven Class 2 (23-32mmHg ) Hold Up Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9800 / 1
Altiven Class 2 (23-32mmHg ) Thigh With Waist Attachment Closed Toe 1
I-VII, Short/Regular
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 311 of 550
Code/Pack
Description
DT CD ZD N E D
9851 / 1
Altiven Class 2 (23-32mmHg ) Thigh With Waist Attachment Open Toe 1
I-VII, Short/Regular
DT
NE
9199 / 1
Altiven Class 2 (23-32mmHg ) Tights Closed Toe 1
I-VII, Short/Regular, Code Each Pair /1
DT
NE
9114 / 1
Altiven Class 2 (23-32mmHg ) Tights Open Toe 1
I-VII, Short/Regular, Code Each Pair /1
DT
NE
9810 / 2
Altiven Class 3 (34-46mmHg ) Below Knee Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9835 / 2
Altiven Class 3 (34-46mmHg ) Below Knee Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9868 / 2
Altiven Class 3 (34-46mmHg ) Hold Up Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9843 / 2
Altiven Class 3 (34-46mmHg ) Hold Up Extra Wide Closed Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9858 / 2
Altiven Class 3 (34-46mmHg ) Hold Up Extra Wide Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9849 / 2
Altiven Class 3 (34-46mmHg ) Hold Up Open Toe 2
I-VII, Short/Regular, Code Each Pair / 2
DT
NE
9058 / 1
Altiven Class 3 (34-46mmHg ) Thigh With Waist Attachment Closed Toe 1
I-VII, Short/Regular
DT
NE
9523 / 1
Altiven Class 3 (34-46mmHg ) Thigh With Waist Attachment Open Toe 1
I-VII, Short/Regular
DT
NE
9830 / 1
Altiven Class 3 (34-46mmHg ) Tights Closed Toe 1
I-VII, Short/Regular, Code Each Pair /1
DT
NE
9863 / 1
Altiven Class 3 (34-46mmHg ) Tights Open Toe 1
I-VII, Short/Regular, Code Each Pair /1
DT
NE
6987 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Mitten 1
DT
NE
6986 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Mitten With Elbow Pocket 1
DT
NE
6807 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Mitten With Top Band 1
DT
NE
6988 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Mitten With Top Band And
Elbow Pocket 1
DT
NE
6976 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Wrist 1
DT
NE
6972 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Wrist With Elbow Pocket 1
DT
NE
6984 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Wrist With Top Band 1
DT
NE
6980 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Armsleeve Axilla-Wrist With Top Band And
Elbow Pocket 1
DT
NE
6570 / 2
Altiven Made To Measure Class 1 (18-21mmHg) Below Knee Closed Toe 2
Code Each Pair /2
DT
NE
6416 / 2
Altiven Made To Measure Class 1 (18-21mmHg) Below Knee Open Toe 2
Code Each Pair /2
DT
NE
6565 / 2
Altiven Made To Measure Class 1 (18-21mmHg) Thigh High Hold-up Closed Toe 2
Code Each Pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 312 of 550
Code/Pack
Description
DT CD ZD N E D
6552 / 2
Altiven Made To Measure Class 1 (18-21mmHg) Thigh High Hold-Up Open Toe 2
Code Each Pair 2
DT
NE
6745 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Thigh With Waist Attachment Closed Toe 1
DT
NE
6560 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Thigh With Waist Attachment Open Toe 1
DT
NE
6568 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Tights Closed Toe 1
Code Each Pair /1
DT
NE
6567 / 1
Altiven Made To Measure Class 1 (18-21mmHg) Tights Open Toe 1
Code Each Pair /1
DT
NE
6678 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Mitten 1
DT
NE
6660 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Mitten With Elbow Pocket 1
DT
NE
6997 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Mitten With Top Band 1
DT
NE
6682 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Mitten With Top Band And
Elbow Pocket 1
DT
NE
6641 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Wrist 1
DT
NE
6639 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Wrist With Elbow Pocket 1
DT
NE
6647 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Wrist With Top Band 1
DT
NE
6642 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Armsleeve Axilla-Wrist With Top Band And
Elbow Pocket 1
DT
NE
7024 / 2
Altiven Made To Measure Class 2 (23-32mmHg) Below Knee Closed Toe 2
Code Each Pair /2
DT
NE
7594 / 2
Altiven Made To Measure Class 2 (23-32mmHg) Below Knee Open Toe 2
Code Each Pair /2
DT
NE
7632 / 2
Altiven Made To Measure Class 2 (23-32mmHg) Thigh High Hold-Up Closed Toe 2
Code Each Pair /2
DT
NE
7651 / 2
Altiven Made To Measure Class 2 (23-32mmHg) Thigh High Hold-Up Open Toe 2
Code Each Pair /2
DT
NE
7012 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Thigh With Waist Attachment Closed Toe 1
DT
NE
7018 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Thigh With Waist Attachment open Toe 1
DT
NE
7615 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Tights Closed Toe 1
Code Each Pair /1
DT
NE
7617 / 1
Altiven Made To Measure Class 2 (23-32mmHg) Tights Open Toe 1
Code Each Pair /1
DT
NE
6743 / 2
Altiven Made To Measure Class 3 (33-46mmHg) Thigh High Hold-Up Closed Toe 2
Code Each Pair /2
DT
NE
6794 / 2
Altiven Made To Measure Class 3 (34-46mmHg) Below Knee Closed Toe 2
Code Each Pair /2
DT
NE
6750 / 2
Altiven Made To Measure Class 3 (34-46mmHg) Below Knee Open Toe 2
Code Each Pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 313 of 550
Code/Pack
Description
DT CD ZD N E D
6802 / 2
Altiven Made To Measure Class 3 (34-46mmHg) Thigh High Hold-Up Open Toe 2
Code Each Pair /2
DT
NE
6971 / 1
Altiven Made To Measure Class 3 (34-46mmHg) Thigh With Waist Attachment Closed Toe 1
DT
NE
6967 / 1
Altiven Made To Measure Class 3 (34-46mmHg) Thigh With Waist Attachment Open Toe 1
DT
NE
6840 / 1
Altiven Made To Measure Class 3 (34-46mmHg) Tights Closed Toe 1
Code Each Pair /1
DT
NE
6736 / 1
Altiven Made To Measure Class 3 (34-46mmHg) Tights Open Toe 1
Code Each Pair /1
DT
NE
7598 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Mitten 1
DT
NE
7604 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Mitten With Elbow
Pocket 1
DT
NE
7698 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Mitten With Top
Band 1
DT
NE
7710 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Mitten With Top
Band And Elbow Pocket 1
DT
NE
7596 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Wrist 1
DT
NE
7006 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Wrist With Elbow
Pocket 1
DT
NE
7653 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Wrist With Top
Band 1
DT
NE
7590 / 1
Altiven Made To Measure Low Compression (12-16mmHg) Armsleeve Axilla-Wrist With Top
Band And Elbow Pocket 1
DT
NE
7467 / 2
Altiven Made To Measure Low Compression (14-18mmHg) Below Knee Closed Toe 2
Code Each Pair /2
DT
NE
7473 / 2
Altiven Made To Measure Low Compression (14-18mmHg) Below Knee Open Toe 2
Code Each Pair /2
DT
NE
7538 / 2
Altiven Made To Measure Low Compression (14-18mmHg) Thigh High Hold-Up Closed Toe 2
Code Each Pair /2
DT
NE
7464 / 2
Altiven Made To Measure Low Compression (14-18mmHg) Thigh High Hold-Up Open Toe 2
Code Each Pair /2
DT
NE
7608 / 1
Altiven Made To Measure Low Compression (14-18mmHg) Thigh With Waist Attachment Closed
Toe 1
DT
NE
7476 / 1
Altiven Made To Measure Low Compression (14-18mmHg) Thigh With Waist Attachment Open
Toe 1
DT
NE
7546 / 1
Altiven Made To Measure Low Compression (14-18mmHg) Tights Closed Toe 1
Code Each Pair /1
DT
NE
7540 / 1
Altiven Made To Measure Low Compression (14-18mmHg) Tights Open Toe 1
Code Each Pair /1
DT
NE
4040 / 1
Amielle Care Vaginal Dilator Kit SM2150 1
Code No. of Kits Dispensed
DT
NE
5949 / 1
Amielle Comfort Vaginal Dilator Kit SM2100 1
Code No. of Kits Dispensed
DT
NE
17080 / 1
Ancora 375 Cu Intrauterine Device 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 314 of 550
Code/Pack
Description
DT CD ZD N E D
7161 / 1
Animal Wool BP (Chiropody) 25g Carton 1
DT
NE
604 / 100
Apollo Pressure-Activated Safety Lancet 1.8mm/26 Gauge 100
DT
NE
606 / 100
Apollo Pressure-Activated Safety Lancet 1.8mm/28 Gauge 100
DT
NE
608 / 100
Apollo Pressure-Activated Safety Lancet 2.4mm/21 Gauge 100
DT
NE
609 / 100
Apollo Pressure-Activated Safety Lancet 2.4mm/23 Gauge 100
DT
NE
662 / 200
Apollo Twist Lancet 0.36mm/28 Gauge 200
DT
NE
7041 / 1
Appeel Sterile Adhesive Dressing Remover 5ml Sachets 1
DT
NE
7460 / 5
Appeel Sterile Adhesive Dressing Remover Foam Applicator 5
DT
NE
6033 / 30
Appeel Sterile Adhesive Dressing Remover Single Use Wipes 30
DT
NE
7728 / 100
Appeel Sterile medical adhesive remover spray 100
DT
NE
9233 / 450
Aproderm Cream (DT) 450g
DT
NE
8373 / 45
Aproderm Cream (DT) 45g
DT
NE
4595 / 15
Aqua Maris Baby Nasal Drops 30ml
DT
NE
4796 / 30
Aqua Maris Daily Nasal Spray 30ml
DT
NE
4687 / 30
Aqua Maris Junior Nasal Spray 30ml
DT
NE
4642 / 30
Aqua Maris Strong Nasal Spray 30ml
DT
NE
8883 / 1
Aquaflex Pelvic Toning Device 1
DT
NE
9182 / 1
Aquaflush Actif Irrigation Cone Monthly Set AFAM 1
Contains 1 water bag, 1 pump, 1 hook for water bag, 15 cones wrapped in
glove/disposal bag
DT
NE
9180 / 1
Aquaflush Actif Irrigation Cone Starter Set AFAS 1
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
DT
NE
14605 / 2
Aquaflush anal irrigation system extension tubes AFExtn 2
DT
NE
14606 / 2
Aquaflush anal irrigation system straps AFStrap 2
DT
NE
14607 / 1
Aquaflush Compact System Monthly Set AFCM 1
Contains 1 pump, 15 cones, 15 glove/disposable bags
DT
NE
14608 / 1
Aquaflush Compact System Starter Set AFCS 1
Contains 1 pump, 5 cones, 5 glove/disposable bags, 1 wash bag
DT
NE
14609 / 1
Aquaflush Quick System Monthly Set AFQM 1
Contains 1 water bag, 1 pump, 15 cones, 15 glove/disposable bags
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 315 of 550
Code/Pack
Description
DT CD ZD N E D
14610 / 1
Aquaflush Quick System Starter Set AFQS 1
Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones, 5
glove/disposable bags, 1 strap, 1 washbag
DT
NE
5632 / 1
Aquagel Lubricating Jelly Sterile Sachet 5g 1
Code Number of Sachets Dispensed
DT
NE
5501 / 42
Aquagel Lubricating Jelly Sterile Tube 42g
DT
NE
5515 / 82
Aquagel Lubricating Jelly Sterile Tube 82g
DT
NE
17362 / 100
Aquamax Cream (DT) 100g
DT
NE
17340 / 500
Aquamax Cream (DT) 500g
DT
NE
17370 / 250
Aquamax Wash (DT) 250g
DT
NE
2575 / 50
Aquamol Emollient Cream 50g
DT
NE
2297 / 500
Aquamol Emollient Cream Pump 500g
DT
NE
17183 / 100
AquaSoothe (DT) Cream 1% 100g
DT
NE
17184 / 500
AquaSoothe (DT) Cream 1% 500g
DT
NE
17186 / 500
AquaSoothe (DT) Cream 2% 500g
DT
NE
17185 / 50
AquaSoothe (DT) Cream 2% 50g
DT
NE
4462 / 1
AriPro Aerosol (DT) Emollient 250ml 1
DT
NE
17010 / 500
Arjun (DT) Cream 0.5% 500g
DT
NE
17011 / 100
Arjun (DT) Cream 1% 100g
DT
NE
17013 / 500
Arjun (DT) Cream 1% 500g
DT
NE
17012 / 500
Arjun (DT) Cream 2% 500g
DT
NE
17558 / 1
Arm Butler Elastic Hoisery Accessories 1
DT
NE
5330 / 1
Arm Sling Web Adjustable 1
DT
NE
9819 / 10
Artelac Nighttime (DT) Eye Gel
10g Tube
DT
NE
4901 / 1
Artelac Rebalance (DT) Eye Drops 10ml bottle
DT
NE
9472 / 30
Artelac Splash (DT) Eye Drops 0.5ml
30 x 0.5ml single dose unit
DT
NE
9473 / 60
Artelac Splash (DT) Eye Drops 0.5ml
60 x 0.5ml single dose unit
DT
NE
2998 / 3
Arthrum H Synovial Fluid Pre-filled Syringes 2ml 3
Code No. of Syringes dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 316 of 550
Code/Pack
Description
DT CD ZD N E D
8274 / 50
AS Saliva Orthana (DT) spray 50ml
DT
NED
6827 / 500
AS Saliva Orthana (DT) spray refill 500ml
DT
NED
3900 / 40
Atopiclair Cream 40ml
DT
NE
3904 / 100
Atopiclair Cream 100ml
DT
NE
4706 / 120
Atopiclair Lotion 120ml
DT
NE
5466 / 1
Autopen 24 Re-useable Pen 3.0ml 1unit (1-21 units)
DT
NE
5467 / 1
Autopen 24 Re-useable Pen 3.0ml 2unit (2-42 units)
DT
NE
8966 / 1
Autopen Classic Re-useable Pen 3.0ml 1unit (1-21 units)
DT
NE
9148 / 1
Autopen Classic Re-useable Pen 3.0ml 2unit (2-42 units)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 317 of 550
Code/Pack
Description
DT CD ZD N E D
B
6702 / 7
Balance Activ BV Gel 5ml 7
Code each 5ml tube as /1
DT
NE
1216 / 7
Balance Activ Pessary 7
DT
NE
9960 / 500
Balneum Cream Pump 500g
DT
NE
9925 / 50
Balneum Cream Pump 50g
DT
NE
17296 / 100
BD Autoshield Duo Needles for Prefilled and Re-useable Pen injectors 5mm/30 gauge 100
DT
NE
6783 / 100
BD Micro-Fine + Lancets 0.20mm/33 gauge
DT
NE
9456 / 200
BD Micro-Fine + Lancets 0.30mm/30 gauge
DT
NE
6548 / 100
BD Micro-fine Ultra Screw Needles for Prefilled and Re-useable Pens 4mm/32gauge 100
DT
NE
9164 / 100
BD Micro-fine+ Screw On Needles for Re-useable Pens 5mm/31Gauge 100
DT
NE
9172 / 100
BD Micro-fine+ Screw On Needles for Re-useable Pens 8mm/31Gauge 100
DT
NE
6363 / 100
BD SafetyGlide Insulin Syringe U100 / 0.3ml with 8mm safety needle 0.25mm/31G 100
DT
NE
6132 / 100
BD SafetyGlide Insulin Syringe U100 / 0.5ml with 12mm safety needle 0.33mm/29G 100
DT
NE
6365 / 100
BD SafetyGlide Insulin Syringe U100 / 0.5ml with 8mm safety needle 0.3mm/30G 100
DT
NE
6322 / 100
BD SafetyGlide Insulin Syringe U100 / 1.0ml with 12mm safety needle 0.33mm/29G 100
DT
NE
1147 / 1
Belladonna Adhesive BP 19cmx12.5cm
DT
NE
1148 / 1
Belladonna Adhesive BP 28cmx17.5cm
DT
NE
1582 / 1
BeneFoot Medical Shoe High Top Female Plantar Pressure Offloading Device 1
POHTWS-POHTWL S, M, L
DT
NE
1527 / 1
BeneFoot Medical Shoe High Top Male Plantar Pressure Offloading Device 1
POHTMS-POHTMXL S, M, L, XL
DT
NE
1251 / 1
BeneFoot Medical Shoe High Top Paediatric Plantar Pressure Offloading Device 1
POHTPD One Size
DT
NE
1364 / 1
BeneFoot Medical Shoe Original Post Op Female Plantar Pressure Offloading Device 1
POWS-POWL S, M, L
DT
NE
1782 / 1
BeneFoot Medical Shoe Original Post Op Male Plantar Pressure Offloading Device 1
POMS-POMXL S, M, L, XL
DT
NE
1371 / 1
BeneFoot Medical Shoe Original Post Op Paediatric Plantar Pressure Offloading Device 1
POPD One Size
DT
NE
1182 / 100
BGStar Ultra-Thin Lancet 0.20mm/33gauge 100
DT
NE
2235 / 500
Biotene Moisturising Mouthwash 500ml
DT
NED
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 318 of 550
Code/Pack
Description
DT CD ZD N E D
2293 / 50
Biotene Oralbalance Saliva Replacement Gel 50g
DT
NED
17749 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 0, 38mm (Outer Diameter) 1
DT
NE
17750 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 1, 45mm (Outer Diameter) 1
DT
NE
17751 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 2, 51mm (Outer Diameter) 1
DT
NE
17752 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 3, 57mm (Outer Diameter) 1
DT
NE
17753 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 4, 64mm (Outer Diameter) 1
DT
NE
17754 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 5, 70mm (Outer Diameter) 1
DT
NE
17755 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 6, 76mm (Outer Diameter) 1
DT
NE
17756 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 7, 83mm (Outer Diameter) 1
DT
NE
17757 / 1
Bioteque Gellhorn Silicone Short Stem Pessary - Size 8, 89mm (Outer Diameter) 1
DT
NE
17793 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 0, 38mm (Outer Diameter) 1
DT
NE
17794 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 1, 45mm (Outer Diameter) 1
DT
NE
17795 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 2, 51mm (Outer Diameter) 1
DT
NE
17796 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 3, 57mm (Outer Diameter) 1
DT
NE
17636 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 4, 64mm (Outer Diameter) 1
DT
NE
17784 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 5, 70mm (Outer Diameter) 1
DT
NE
17760 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 6, 76mm (Outer Diameter) 1
DT
NE
17747 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 7, 83mm (Outer Diameter) 1
DT
NE
17748 / 1
Bioteque Gellhorn Silicone Standard Stem Pessary - Size 8, 89mm (Outer Diameter) 1
DT
NE
17773 / 1
Bioteque Ring Silicone Pessary with support - Size 0, 44mm (Outer Diameter) 1
DT
NE
17774 / 1
Bioteque Ring Silicone Pessary with support - Size 1, 51mm (Outer Diameter) 1
DT
NE
17775 / 1
Bioteque Ring Silicone Pessary with support - Size 2, 57mm (Outer Diameter) 1
DT
NE
17776 / 1
Bioteque Ring Silicone Pessary with support - Size 3, 64mm (Outer Diameter) 1
DT
NE
17777 / 1
Bioteque Ring Silicone Pessary with support - Size 4, 70mm (Outer Diameter) 1
DT
NE
17778 / 1
Bioteque Ring Silicone Pessary with support - Size 5, 76mm (Outer Diameter) 1
DT
NE
17779 / 1
Bioteque Ring Silicone Pessary with support - Size 6, 83mm (Outer Diameter) 1
DT
NE
17780 / 1
Bioteque Ring Silicone Pessary with support - Size 7, 89mm (Outer Diameter) 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 319 of 550
Code/Pack
Description
DT CD ZD N E D
17781 / 1
Bioteque Ring Silicone Pessary with support - Size 8, 95mm (Outer Diameter) 1
DT
NE
17782 / 1
Bioteque Ring Silicone Pessary with support - Size 9, 102mm (Outer Diameter) 1
DT
NE
17783 / 1
Bioteque Ring Silicone Pessary without support - Size 0, 44mm (Outer Diameter) 1
DT
NE
17798 / 1
Bioteque Ring Silicone Pessary without support - Size 1, 51mm (Outer Diameter) 1
DT
NE
17785 / 1
Bioteque Ring Silicone Pessary without support - Size 2, 57mm (Outer Diameter) 1
DT
NE
17771 / 1
Bioteque Ring Silicone Pessary without support - Size 3, 64mm (Outer Diameter) 1
DT
NE
17787 / 1
Bioteque Ring Silicone Pessary without support - Size 4, 70mm (Outer Diameter) 1
DT
NE
17788 / 1
Bioteque Ring Silicone Pessary without support - Size 5, 76mm (Outer Diameter) 1
DT
NE
17789 / 1
Bioteque Ring Silicone Pessary without support - Size 6, 83mm (Outer Diameter) 1
DT
NE
17790 / 1
Bioteque Ring Silicone Pessary without support - Size 7, 89mm (Outer Diameter) 1
DT
NE
17791 / 1
Bioteque Ring Silicone Pessary without support - Size 8, 95mm (Outer Diameter) 1
DT
NE
17792 / 1
Bioteque Ring Silicone Pessary without support - Size 9, 102mm (Outer Diameter) 1
DT
NE
6966 / 20
Biotrol Draina S Fistula Wound Drainage Pouch Large 500ml Capacity 20
H28556E
DT
NE
6959 / 20
Biotrol Draina S Fistula Wound Drainage Pouch Medium 350ml Capacity 20
H28555E
DT
NE
9504 / 30
Biotrol Draina S Fistula Wound Drainage Pouch Mini 150ml Capacity 30
H08560E
DT
NE
17454 / 1
Bladder/Irrigating Syringe 100ml 1
DT
NE
1013 / 1
Blenderm Surgical Tape BP 2.5cmx5m
DT
NE
1030 / 1
Blenderm Surgical Tape BP 5cmx5m
DT
NE
1059 / 20
Blink Intensive Tears Eye Drops 0.4ml single dose unit 20
DT
NE
1058 / 10
Blink Intensive Tears Eye Drops 10ml
DT
NE
5594 / 3
Blom-Singer 16/20FR Voice Prosthesis Cleaning Brush Large 18mm & Above 3
IN4066
DT
NE
5595 / 3
Blom-Singer 16/20FR Voice Prosthesis Cleaning Brush Medium 10mm-16mm 3
IN4065
DT
NE
5596 / 3
Blom-Singer 16/20FR Voice Prosthesis Cleaning Brush Small 4mm-8mm 3
IN4064
DT
NE
3969 / 3
Blom-Singer 16fFr Voice Prosthesis Cleaning Brush 3
IN4059
DT
NE
7177 / 1
Blom-Singer Adhesive Foam Discs Large Regular 1
BE6046
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 320 of 550
Code/Pack
Description
DT CD ZD N E D
7188 / 1
Blom-Singer Adhesive Foam Discs Large Thin 1
BE6049
DT
NE
7160 / 1
Blom-Singer Adhesive Foam Discs Standard Regular 1
BE6045
DT
NE
7180 / 1
Blom-Singer Adhesive Foam Discs Standard Thin 1
BE6047
DT
NE
7246 / 1
Blom-Singer Adhesive Tape Discs Large Heavy Duty 1
BE6035
DT
NE
7208 / 1
Blom-Singer Adhesive Tape Discs Large Regular 1
BE6042
DT
NE
7222 / 1
Blom-Singer Adhesive Tape Discs Large Thin 1
BE6044
DT
NE
7239 / 1
Blom-Singer Adhesive Tape Discs Standard Heavy Duty 1
BE6034
DT
NE
7190 / 1
Blom-Singer Adhesive Tape Discs Standard Regular 1
BE6041
DT
NE
7213 / 1
Blom-Singer Adhesive Tape Discs Standard Thin 1
BE6043
DT
NE
7038 / 1
Blom-Singer ATSV II Cap and 7 foam filters 1
BE1010
DT
NE
7135 / 1
Blom-Singer ATSV II Replacement Kit 1
BE8025H
DT
NE
7139 / 1
Blom-Singer Diaphragm/faceplate for ATSV II 1
BE8026H
DT
NE
6272 / 1
Blom-Singer HME Cartridge 1
BE1055
DT
NE
6264 / 1
Blom-Singer HME Starter Pack 1
BE1055S
DT
NE
7002 / 1
Blom-Singer Humidifilter Holder 1
BE1060
DT
NE
7625 / 1
Blom-Singer Humidifilter Starter Kit 1
BE1050
DT
NE
7016 / 1
Blom-Singer Replacement Foam Filters 1
BE1070/1080
DT
NE
7052 / 1
Blom-Singer Replacement Foam Filters for ATSV II 1
BE1020/1030
DT
NE
7274 / 1
Blom-Singer Silicone Adhesive 1
BE6067
DT
NE
7320 / 1
Blom-Singer Tracheostoma Valve Housing Large 1
BE6039
DT
NE
7315 / 1
Blom-Singer Tracheostoma Valve Housing Standard 1
BE6038
DT
NE
7033 / 1
Blom-Singer TruSeal Adhesive Housing (Baseplates) 1
BE6054
DT
NE
8896 / 1
Blom-Singer TruSeal Contour Adhesive Housing Oval 1
BE6071
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 321 of 550
Code/Pack
Description
DT CD ZD N E D
8855 / 1
Blom-Singer TruSeal Contour Adhesive Housing Round 1
BE6070
DT
NE
5593 / 1
Blom-Singer TruSeal Contour Adhesive Housing Standard 1
BE6072
DT
NE
4448 / 1
Blom-Singer TruSeal Contour Low Profile Adhesive Housing Oval 1
BE6075
DT
NE
4442 / 1
Blom-Singer TruSeal Contour Low Profile Adhesive Housing Round 1
BE6074
DT
NE
4449 / 1
Blom-Singer TruSeal Contour Low Profile Adhesive Housing Standard 1
BE6076
DT
NE
8910 / 40
Blue Line Ultra Inner Cannula Cleaning Brush 40
100/855/000
DT
NE
1076 / 1
Breast Reliever 60ml 1
DT
NE
9386 / 2
Breast Shields Circular Plastic (Pair) 2
DT
NE
7629 / 1
Breeze Adjustable Tracheostomy Tube Holder with Elasticated Cough Strip T550 1
DT
NE
9856 / 2
Breeze Wet Protect TWP2 2
DT
NE
9484 / 10
Buchanan Deltanex Tracheostomy Protector Small 10
DT
NE
5465 / 1
Bug Buster Kit Head Lice Device 1
DT
NE
9372 / 1
Bunion Rings Thick (Pack of 4) 1
Code No. of Packs dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 322 of 550
Code/Pack
Description
DT CD ZD N E D
C
5951 / 1
Caphosol Oral Rinse 30 Doses 1
Code Each 30 Doses / 1
DT
NE
5866 / 1
Caphosol Oral Rinse 120 Doses 1
Code Each 120 Doses / 1
DT
NE
6187 / 10
Carbomer (Blumont) (DT) Eye Gel 10g
DT
NE
17725 / 10
Carbomer (Medicom) (DT) Eye Gel 10g
DT
NE
2161 / 1
Care Allergy Defence Nasal Powder Spray 500mg (200 dose) 1
DT
NE
8805 / 50
Care ViraSoothe Gel 50g
DT
NE
8772 / 75
Care ViraSoothe Gel 75g
DT
NE
9874 / 100
CareSens Lancets 0.31mm/30 gauge 100
DT
NE
9505 / 100
CareSens Lancets 0.36mm/28 gauge 100
DT
NE
3832 / 10
Carmellose Eye Drops (Alissa) 0.5% 10ml bottle
DT
NE
7251 / 30
Carmize Eye Drops 0.5% 0.4ml 30
DT
NE
7256 / 90
Carmize Eye Drops 0.5% 0.4ml 90
DT
NE
8940 / 10
Carmize Eye Drops 0.5% bottle 10ml
DT
NE
7279 / 30
Carmize Eye Drops 1% 0.4ml 30
DT
NE
7748 / 60
Carmize Eye Drops 1% 0.4ml 60
DT
NE
7836 / 10
Carmize Eye Drops 1% bottle 10ml
DT
NE
3990 / 2
Carolon Class 1 (14-17mmHg) Below Knee
A-G, Short, Regular Code each pair /2
DT
NE
3953 / 2
Carolon Class 1 (14-17mmHg) Cushion Sock
A-E, Regular Code each pair /2
DT
NE
4903 / 2
Carolon Class 2 (18-24mmHg) Below Knee
A-G, Short, Regular Code each pair /2
DT
NE
3930 / 2
Carolon Class 2 (18-24mmHg) Thigh with Silicone Band Closed Toe
A-C, Short, Regular Code each pair /2
DT
NE
3916 / 2
Carolon Class 2 (18-24mmHg) Thigh with Silicone Band Closed Toe
D-E, Regular Code each pair /2
DT
NE
3892 / 2
Carolon Class 2 (18-24mmHg) Thigh with Silicone Band Open Toe
A-E, Regular Code each pair /2
DT
NE
3670 / 1
Carolon Compression Understocking Pack, Size A,B,C,D,E,F,G 1
Pack contains 3 understockings
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 323 of 550
Code/Pack
Description
DT CD ZD N E D
5117 / 1
Carolon Graduated Compression System Size A,B,C,D,E,F,G 1
Pack contains 1 stocking and 2 understockings
DT
NE
5119 / 9
Cathejell Lidocaine C lubricant gel CJL 08501 (8.5g) 9
Code each 8.5g Dispensed as 9
DT
NE
5120 / 13
Cathejell Lidocaine C lubricant gel CJL 12501 (12.5g) 13
Code each 12.5g Dispensed as 13
DT
NE
1778 / 9
Cathejell Mono Lubricant Gel CJM 08501 (8.5g) 9
Code each 8.5g Dispensed as 9
DT
NE
1779 / 13
Cathejell Mono Lubricant Gel CJM 12501 (12.5g) 13
Code each 12.5g Dispensed as 13
DT
NE
1512 / 1
Cellona Sub-Compression Wadding Bandage 5cmx2.75cm
DT
NE
1449 / 1
Cellona Sub-Compression Wadding Bandage 7.5cmx2.75cm
DT
NE
1457 / 1
Cellona Sub-Compression Wadding Bandage 10cmx2.75cm
DT
NE
1501 / 1
Cellona Sub-Compression Wadding Bandage 15cmx2.75cm
DT
NE
1661 / 1
Cellosene Cellulose Wadding 500g
Code No. of Packs dispensed
DT
NE
9389 / 30
Cellusan 1% Eye Drops (30 x 0.4ml preservative free single dose unit)
DT
NE
9546 / 30
Cellusan Light 0.5% Eye Drops (30 x 0.4ml preservative free single dose unit)
DT
NE
8821 / 1
Central Gard Line 16cmx7cm
DT
NE
8825 / 1
Central Gard Line 16cmx8.8cm
DT
NE
5915 / 1
Cervical Clini Collar Large 53cm
OA8023
DT
NE
5914 / 1
Cervical Clini Collar Medium 48cm
OA8016
DT
NE
5913 / 1
Cervical Clini Collar Small 44cm
OA8009
DT
NE
5910 / 1
Cervical Eesiness Soft Cervical Foam Collar Small
23562000
DT
NE
5912 / 1
Cervical Eesiness Soft Foam Collar Large
23562200
DT
NE
5911 / 1
Cervical Eesiness Soft Foam Collar Medium
23562100l
DT
NE
5959 / 200
Cetraben (DT) Lotion 200ml
DT
NE
5958 / 500
Cetraben (DT) Lotion 500ml
DT
NE
9989 / 125
Cetraben (DT) ointment 125g
DT
NE
9986 / 450
Cetraben (DT) ointment 450g
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 324 of 550
Code/Pack
Description
DT CD ZD N E D
8766 / 50
Cetraben Emollient (DT) Cream 50g
DT
NE
5252 / 1050
Cetraben Emollient (DT) Cream 1050g
DT
NE
8774 / 150
Cetraben Emollient (DT) Cream 150g
DT
NE
8780 / 500
Cetraben Emollient (DT) Cream 500g
DT
NE
1085 / 1
Chemifix Synthetic Adhesive Tape 10cm x 10m 1
DT
NE
1418 / 1
Chemifix Synthetic Adhesive Tape 10cm x 5m 1
DT
NE
1128 / 1
Chemifix Synthetic Adhesive Tape 2.5cm x 10m 1
DT
NE
1206 / 1
Chemifix Synthetic Adhesive Tape 2.5cm x 5m 1
DT
NE
1083 / 1
Chemifix Synthetic Adhesive Tape 5cm x 10m 1
DT
NE
1249 / 1
Chemifix Synthetic Adhesive Tape 5cm x 5m 1
DT
NE
2047 / 1
Chemipore Permeable Synthetic Adhesive Tape 1.25cmx5m 1
DT
NE
2708 / 1
Chemipore Permeable Synthetic Adhesive Tape 2.5cmx10m 1
DT
NE
2050 / 1
Chemipore Permeable Synthetic Adhesive Tape 2.5cmx5m 1
DT
NE
2717 / 1
Chemipore Permeable Synthetic Adhesive Tape 5cmx5m 1
DT
NE
6396 / 100
ClearZal Hard Skin Remover Cream 100g
DT
NE
902 / 1
Clement Clarke Airzone Standard Range Peak Flow Meter 1
3130160
DT
NE
840 / 1
Clement Clarke Low Range Peak Flow Meter
3104708
DT
NE
613 / 1
Clement Clarke Replacement Peak Flow Meter Mouthpiece
DT
NE
901 / 1
Clement Clarke Standard Range Peak Flow Meter
3103388
DT
NE
6226 / 1
ClikSTAR (Blue) Resueable Pen 3.0ml 1unit (1-80 units)
DT
NE
6185 / 1
ClikSTAR (Silver) Resueable Pen 3.0ml 1unit (1-80 units)
DT
NE
9564 / 1
Clini Duo40 Ulcer Compression System Liner Pack 1
Pack contains 3 Liners Small, medium, large,X large,XX large
DT
NE
9561 / 1
Clini Duo40 Ulcer Compression System Medical Stocking / Liner Kit 1
Pack contains 1 stocking and 2 liners, Small, medium, large,X large,XX large
DT
NE
7300 / 1
Clinifast Beige Line Trunk Adult Stockinette 17.5cmx1m 1
DT
NE
7200 / 1
Clinifast Blue Line Large Limb Stockinette 7.5cmx1m 1
DT
NE
7204 / 1
Clinifast Blue Line Large Limb Stockinette 7.5cmx3m 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 325 of 550
Code/Pack
Description
DT CD ZD N E D
7205 / 1
Clinifast Blue Line Large Limb Stockinette 7.5cmx5m 1
DT
NE
1795 / 1
Clinifast Clava Stockinette Garments 5-14years 1
DT
NE
1794 / 1
Clinifast Clava Stockinette Garments 6months - 5years 1
DT
NE
5255 / 1
Clinifast Cycle Shorts Stockinette Garments Large Adult 1
DT
NE
5236 / 1
Clinifast Cycle Shorts Stockinette Garments Medium Adult 1
DT
NE
5181 / 1
Clinifast Cycle Shorts Stockinette Garments Small Adult 1
DT
NE
9346 / 2
Clinifast Gloves Stockinette Garments Large Adult 2
Code no. of gloves dispensed
DT
NE
9423 / 2
Clinifast Gloves Stockinette Garments Large Child,Small Adult 2
Code no. of gloves dispensed
DT
NE
9418 / 2
Clinifast Gloves Stockinette Garments Medium Adult 2
Code no. of gloves dispensed
DT
NE
9428 / 2
Clinifast Gloves Stockinette Garments Medium Child 2
Code no. of gloves dispensed
DT
NE
9451 / 2
Clinifast Gloves Stockinette Garments Small Child 2
Code no. of gloves dispensed
DT
NE
7157 / 1
Clinifast Green Line Medium Limb Stockinette 5cmx1m 1
DT
NE
7182 / 1
Clinifast Green Line Medium Limb Stockinette 5cmx3m 1
DT
NE
7183 / 1
Clinifast Green Line Medium Limb Stockinette 5cmx5m 1
DT
NE
1875 / 1
Clinifast Leggings Stockinette Garments 2-5years 1
Code no. of Pairs Dispensed
DT
NE
1876 / 1
Clinifast Leggings Stockinette Garments 5-8years 1
Code no. of Pairs Dispensed
DT
NE
1880 / 1
Clinifast Leggings Stockinette Garments 8-11years 1
Code no. of Pairs Dispensed
DT
NE
1882 / 1
Clinifast Leggings Stockinette Garments 11-14years 1
Code no. of Pairs Dispensed
DT
NE
5156 / 1
Clinifast Leggings Stockinette Garments Large Adult 1
DT
NE
5124 / 1
Clinifast Leggings Stockinette Garments Medium Adult 1
DT
NE
5101 / 1
Clinifast Leggings Stockinette Garments Small Adult 1
DT
NE
1893 / 1
Clinifast Mittens Stockinette Garments 2-8years 1
Code no. of Pairs Dispensed
DT
NE
1899 / 1
Clinifast Mittens Stockinette Garments 8-14years 1
Code no. of Pairs Dispensed
DT
NE
1892 / 1
Clinifast Mittens Stockinette Garments Up To 24months 1
Code no. of Pairs Dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 326 of 550
Code/Pack
Description
DT CD ZD N E D
7156 / 1
Clinifast Red Line Small Limb Stockinette 3.5cmx1m 1
DT
NE
1889 / 1
Clinifast Socks Stockinette Garments 8-14years 1
Code no. of Pairs Dispensed
DT
NE
1883 / 1
Clinifast Socks Stockinette Garments Up To 8years 1
Code no. of Pairs Dispensed
DT
NE
1874 / 1
Clinifast Tights Stockinette Garments 6 - 24months 1
Code no. of Pairs Dispensed
DT
NE
1806 / 1
Clinifast Vest Long Sleeve Stockinette Garments 2-5years 1
DT
NE
1861 / 1
Clinifast Vest Long Sleeve Stockinette Garments 5-8years 1
DT
NE
1799 / 1
Clinifast Vest Long Sleeve Stockinette Garments 6 - 24months 1
DT
NE
1867 / 1
Clinifast Vest Long Sleeve Stockinette Garments 8-11years 1
DT
NE
1870 / 1
Clinifast Vest Long Sleeve Stockinette Garments 11-14years 1
DT
NE
5081 / 1
Clinifast Vest Long Sleeve Stockinette Garments Large Adult 1
DT
NE
5044 / 1
Clinifast Vest Long Sleeve Stockinette Garments Medium Adult 1
DT
NE
4965 / 1
Clinifast Vest Long Sleeve Stockinette Garments Small Adult 1
DT
NE
5098 / 1
Clinifast Vest Short Sleeve Stockinette Garments Large Adult 1
DT
NE
5091 / 1
Clinifast Vest Short Sleeve Stockinette Garments Medium Adult 1
DT
NE
5087 / 1
Clinifast Vest Short Sleeve Stockinette Garments Small Adult 1
DT
NE
7215 / 1
Clinifast Yellow Line Trunk Child Stockinette 10.75cmx1m 1
DT
NE
7226 / 1
Clinifast Yellow Line Trunk Child Stockinette 10.75cmx3m 1
DT
NE
7255 / 1
Clinifast Yellow Line Trunk Child Stockinette 10.75cmx5m 1
DT
NE
5732 / 10
Clinifix Tube Holder 110mm x 25mm 10
40-310
DT
NE
5733 / 10
Clinifix Tube Holder 140mm x 40mm 10
40-410
DT
NE
1878 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 10cm F
DT
NE
1851 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 12cm G
DT
NE
1785 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 17.5cm J
DT
NE
2241 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 4.5cm A
DT
NE
2146 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 6.25cm B
DT
NE
2049 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 6.75cm C
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 327 of 550
Code/Pack
Description
DT CD ZD N E D
1949 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 7.5cm D
DT
NE
1932 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 0.5m x 8.75cm E
DT
NE
1866 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 10cm F
DT
NE
1836 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 12cm G
DT
NE
1781 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 17.5cm J
DT
NE
2150 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 4.5cm A
DT
NE
2101 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 6.25cm B
DT
NE
2016 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 6.75cm C
DT
NE
1935 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 7.5cm D
DT
NE
1901 / 1
Clinigrip Stockinette Elasticated Surgical Tubular 1m x 8.75cm E
DT
NE
5121 / 1
CliniLite Bandage 5cm 1
DT
NE
5122 / 1
CliniLite Bandage 7.5cm 1
DT
NE
5123 / 1
CliniLite Bandage 10cm 1
DT
NE
5125 / 1
CliniLite Bandage 15cm 1
DT
NE
5126 / 1
CliniPlus Bandage 10cm x 8.7m 1
DT
NE
17310 / 25
Clinipod Sodium Chloride 0.9% Irrigation Solution Pod 20ml x 25
Code No. of Pods dispensed
DT
NE
6520 / 1
Clinipore Surgical Adhesive Tape 1.25cmx5m 1
DT
NE
4981 / 1
Clinipore Surgical Adhesive Tape 2.5cmx10m 1
DT
NE
6534 / 1
Clinipore Surgical Adhesive Tape 2.5cmx5m 1
DT
NE
6550 / 1
Clinipore Surgical Adhesive Tape 5cmx5m 1
DT
NE
808 / 10
Clinitas Carbomer (DT) Eye Gel 10g
DT
NE
5491 / 30
Clinitas Eye Drops 0.5ml single dose unit 30
DT
NE
1497 / 1
Coban 2 Comfort Foam Layer (layer#1) Bandage 10cm x 3.5m
DT
NE
1548 / 1
Coban 2 Comfort Foam Layer (layer#1) Bandage 15cm x 3.5m
DT
NE
1584 / 1
Coban 2 Comfort Foam Layer (layer#1) Bandage 20cm x 3.5m
DT
NE
1281 / 1
Coban 2 Comfort Foam Layer (layer#1) Bandage 5cm x 1.2m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 328 of 550
Code/Pack
Description
DT CD ZD N E D
6330 / 1
Coban 2 Compression Layer (layer#2) Bandage 10cm x 4.5m
DT
NE
6351 / 1
Coban 2 Compression Layer (layer#2) Bandage 15cm x 4.5m
DT
NE
6584 / 1
Coban 2 Compression Layer (layer#2) Bandage 5cm x 2.7m
DT
NE
1926 / 1
Coban 2 Lite Comfort Foam Layer (layer#1) Bandage 10cm x 2.7m
DT
NE
1966 / 1
Coban 2 Lite Comfort Foam Layer (layer#1) Bandage 15cm x 2.7m
DT
NE
1858 / 1
Coban 2 Lite Comfort Foam Layer (layer#1) Bandage 7.5cm 2.7m
DT
NE
2396 / 1
Coban 2 Lite Compression Layer (layer#2) Bandage 10cm x 3.5m
DT
NE
2424 / 1
Coban 2 Lite Compression Layer (layer#2) Bandage 15cm x 3.5m
DT
NE
2044 / 1
Coban 2 Lite Compression Layer (layer#2) Bandage 2.5cm x 3.5m
DT
NE
2064 / 1
Coban 2 Lite Compression Layer (layer#2) Bandage7.5cm x 3.5m
DT
NE
3180 / 1
Coban 2 Lite Multi-Layer Compression Bandage Kit One Size 1
DT
NE
9996 / 1
Coban 2 multi-layer compression bandage kit one size 1
DT
NE
9278 / 1
Coban Self-Adherent Bandage 10cmx6m 1
DT
NE
1845 / 1
CoFlex NL Cohesive Self-Adherent Bandage (latex free) 10cmx4.5m
DT
NE
1848 / 1
CoFlex NL Cohesive Self-Adherent Bandage (latex free) 10cmx5.9m
DT
NE
1722 / 1
CoFlex TLC 2 Layer Compression Bandage Kit with Malodour Control (latex free)
DT
NE
1616 / 1
CoFlex TLC Lite 2 Layer Compression Bandage Kit with Malodour Control (latex free)
DT
NE
1620 / 1
CoFlex TLC-XL 2 Layer Compression Bandage Kit with Malodour Control (latex free)
DT
NE
1603 / 1
CoFlex UBZ 2 Layer Compression Bandage Kit with Zinc (latex free) 10cm
DT
NE
1602 / 1
CoFlex UBZ 2 Layer Compression Bandage Kit with Zinc (latex free) 7.5cm
DT
NE
9235 / 1
Comfifast Beige Line Trunks Adult Stockinette 17.5cmx1m
DT
NE
9162 / 1
Comfifast Blue Line Large Limb Stockinette 7.5cmx1m
DT
NE
9171 / 1
Comfifast Blue Line Large Limb Stockinette 7.5cmx3m
DT
NE
9198 / 1
Comfifast Blue Line Large Limb Stockinette 7.5cmx5m
DT
NE
8654 / 1
Comfifast Easy Wrap Clava Stockinette Garments 6 Months-5 Years
DT
NE
8656 / 1
Comfifast Easy Wrap Clava Stockinette Garments 5-14 Years
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 329 of 550
Code/Pack
Description
DT CD ZD N E D
8593 / 1
Comfifast Easy Wrap Leggings Stockinette Garments 2-5 Years
Code No of Pairs Dispensed
DT
NE
8605 / 1
Comfifast Easy Wrap Leggings Stockinette Garments 5-8 Years
Code No of Pairs Dispensed
DT
NE
8617 / 1
Comfifast Easy Wrap Leggings Stockinette Garments 8-11 Years
Code No of Pairs Dispensed
DT
NE
9099 / 1
Comfifast Easy Wrap Leggings Stockinette Garments Small Adult
Code No of Pairs Dispensed
DT
NE
8618 / 1
Comfifast Easy Wrap Leggings Stockinette Garments 11-14 Years
Code No of Pairs Dispensed
DT
NE
9100 / 1
Comfifast Easy Wrap Leggings Stockinette Garments Medium Adult
Code No of Pairs Dispensed
DT
NE
9104 / 1
Comfifast Easy Wrap Leggings Stockinette Garments Large Adult
Code No of Pairs Dispensed
DT
NE
8694 / 1
Comfifast Easy Wrap Mittens Stockinette Garments Up to 24 Months
Code No of Pairs Dispensed
DT
NE
8704 / 1
Comfifast Easy Wrap Mittens Stockinette Garments 2-8 Years
Code No of Pairs Dispensed
DT
NE
8714 / 1
Comfifast Easy Wrap Mittens Stockinette Garments 8-14 Years
Code No of Pairs Dispensed
DT
NE
8667 / 1
Comfifast Easy Wrap Socks Stockinette Garments Up to 8 Years
Code No of Pairs Dispensed
DT
NE
8684 / 1
Comfifast Easy Wrap Socks Stockinette Garments 8-14 Years
Code No of Pairs Dispensed
DT
NE
8646 / 1
Comfifast Easy Wrap Tights Stockinette Garments 6-24 Months
Code No of Pairs Dispensed
DT
NE
8633 / 1
Comfifast Easy Wrap Vest Stockinette Garments 6-24 Months
DT
NE
8619 / 1
Comfifast Easy Wrap Vest Stockinette Garments 2-5 Years
DT
NE
8624 / 1
Comfifast Easy Wrap Vest Stockinette Garments 5-8 Years
DT
NE
8642 / 1
Comfifast Easy Wrap Vest Stockinette Garments 8-11 Years
DT
NE
9075 / 1
Comfifast Easy Wrap Vest Stockinette Garments Small Adult
DT
NE
8645 / 1
Comfifast Easy Wrap Vest Stockinette Garments 11-14 Years
DT
NE
9076 / 1
Comfifast Easy Wrap Vest Stockinette Garments Medium Adult
DT
NE
9095 / 1
Comfifast Easy Wrap Vest Stockinette Garments Large Adult
DT
NE
9128 / 1
Comfifast Green Line Medium Limb Stockinette 5cmx1m
DT
NE
9149 / 1
Comfifast Green Line Medium Limb Stockinette 5cmx3m
DT
NE
9159 / 1
Comfifast Green Line Medium Limb Stockinette 5cmx5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 330 of 550
Code/Pack
Description
DT CD ZD N E D
8829 / 1
Comfifast MultiStretch Beige Line Trunks Adult Stockinette 17.5cmx1m
DT
NE
8856 / 1
Comfifast MultiStretch Blue Line Large Limb Stockinette 7.5cmx1m
DT
NE
8844 / 1
Comfifast MultiStretch Blue Line Large Limb Stockinette 7.5cmx3m
DT
NE
8846 / 1
Comfifast MultiStretch Blue Line Large Limb Stockinette 7.5cmx5m
DT
NE
8893 / 1
Comfifast Multistretch Green Line Medium Limb Stockinette 5.0cmx1m
DT
NE
8885 / 1
Comfifast MultiStretch Green Line Medium Limb Stockinette 5.0cmx3m
DT
NE
8841 / 1
Comfifast MultiStretch Green Line Medium Limb Stockinette 5.0cmx5m
DT
NE
8897 / 1
Comfifast MultiStretch Red Line Small Limb Stockinette 3.5cmx1m
DT
NE
8854 / 1
Comfifast MultiStretch Yellow Line Trunks Child Stockinette 10.75cmx1m
DT
NE
8868 / 1
Comfifast MultiStretch Yellow Line Trunks Child Stockinette 10.75cmx3m
DT
NE
8852 / 1
Comfifast MultiStretch Yellow Line Trunks Child Stockinette 10.75cmx5m
DT
NE
9118 / 1
Comfifast Red Line Small Limb Stockinette 3.5cmx1m
DT
NE
9212 / 1
Comfifast Yellow Line Trunks Child Stockinette 10.75cmx1m
DT
NE
9225 / 1
Comfifast Yellow Line Trunks Child Stockinette 10.75cmx3m
DT
NE
9234 / 1
Comfifast Yellow Line Trunks Child Stockinette 10.75cmx5m
DT
NE
9253 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 6.25cmx0.5m
DT
NE
9288 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 6.25cmx1m
DT
NE
9254 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 6.75cmx0.5m
DT
NE
9295 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 6.75cmx1m
DT
NE
9260 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 7.5cmx0.5m
DT
NE
9334 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 7.5cmx1m
DT
NE
9262 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 8.75cmx0.5m
DT
NE
9359 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 8.75cmx1m
DT
NE
9271 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 10cmx0.5m
DT
NE
9364 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 10cmx1m
DT
NE
9279 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 12cmx0.5m
DT
NE
9375 / 1
Comfigrip Stockinette Elasticated Surgical Tubular 12cmx1m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 331 of 550
Code/Pack
Description
DT CD ZD N E D
8870 / 1
Comfipression Ulcer Compression System Hosiery Kit 1
Pack contains 1 stocking and 2 liners, Small, Medium, Large, X Large, XX Large
DT
NE
8905 / 1
Comfipression Ulcer Compression System Liner Kit 1
Pack contains 3 liners, Small, Medium, Large, X Large, XX Large
DT
NE
5356 / 100
Comfort Point Screw On Needles for Re-useable Pens 6mm/31Gauge 100
DT
NE
5357 / 100
Comfort Point Screw On Needles for Re-useable Pens 8mm/31Gauge 100
DT
NE
5358 / 100
Comfort Point Screw On Needles for Re-useable Pens 12mm/29Gauge 100
DT
NE
17316 / 100
Comfort Point Screw On Needles for Re-useable Pens 4mm/31Gauge 100
DT
NE
4670 / 2
Comfy Care Class1 (18-21mmHg) Below Knee Closed Toe 2
S, M, L, XL 38-44cm, 45-50cm Code each Pair /2
DT
NE
4741 / 2
Comfy Care Class1 (18-21mmHg) Below Knee Open Toe 2
S, M, L, XL 38-44cm, 45-50cm Code each Pair /2
DT
NE
6716 / 2
Comfy Care Class1 (18-21mmHg) Thigh High, Closed Toe 2
S, M, L, XL 65-73cm, 74-82cm Code each Pair /2
DT
NE
5246 / 2
Comfy Care Class2 (23-32mmHg) Below Knee, Closed Toe 2
S, M, L, XL 38-44cm, 45-50cm Code each Pair /2
DT
NE
5256 / 2
Comfy Care Class2 (23-32mmHg) Below Knee, Open Toe 2
S, M, L, XL 38-44cm, 45-50cm Code each Pair /2
DT
NE
6130 / 2
Comfy Care Class2 (23-32mmHg) Thigh High, Closed Toe 2
S, M, L, XL 65-73cm, 74-82cm Code each Pair /2
DT
NE
6174 / 2
Comfy Care Class2 (23-32mmHg) Thigh High, Open Toe 2
S, M, L, XL 65-73cm, 74-82cm Code each Pair /2
DT
NE
7669 / 1
ComplEye Eye Drops Dispenser 1
Code No. of Dispensers
DT
NE
8987 / 1
Comprilan Compression Bandage 6cmx5m
DT
NE
8907 / 1
Comprilan Compression Bandage 8cmx5m
DT
NE
8924 / 1
Comprilan Compression Bandage 10cmx5m
DT
NE
8955 / 1
Comprilan Compression Bandage 12cmx5m
DT
NE
7209 / 1
Contraceptive Cap FemCap Soft Silicone 1
22mm, 26mm & 30mm
DT
NE
9387 / 1
Contraceptive Device Reflections Flat Spring Diaphragm 1
55-95 mm
DT
NE
17081 / 1
Copper T380 A Intrauterine Device 1
DT
NE
1069 / 1
Corn Rings (Wallet of 9) 1
Code No. of Wallets dispensed
DT
NE
1004 / 1
Cotton Crepe Bandage BP 1988 10cm
DT
NE
1003 / 1
Cotton Crepe Bandage BP 1988 7.5cm
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 332 of 550
Code/Pack
Description
DT CD ZD N E D
9378 / 1
Cotton, Stockinette Bleached BP Stockinette 2.5cmx1m
DT
NE
9384 / 1
Cotton, Stockinette Bleached BP Stockinette 5cmx1m
DT
NE
9395 / 1
Cotton, Stockinette Bleached BP Stockinette 7.5cmx1m
DT
NE
9399 / 1
Cotton, Stockinette Bleached BP Stockinette 10cmx6m
DT
NE
9945 / 1
Coverflex Beige Line Trunks Adult Stockinette 17.5cmx1m
DT
NE
9923 / 1
Coverflex Blue Line Large Limb Stockinette 7.5cmx1m
DT
NE
9927 / 1
Coverflex Blue Line Large Limb Stockinette 7.5cmx3m
DT
NE
9931 / 1
Coverflex Blue Line Large Limb Stockinette 7.5cmx5m
DT
NE
9895 / 1
Coverflex Green Line Medium Limb Stockinette 5cmx1m
DT
NE
9903 / 1
Coverflex Green Line Medium Limb Stockinette 5cmx3m
DT
NE
9919 / 1
Coverflex Green Line Medium Limb Stockinette 5cmx5m
DT
NE
9889 / 1
Coverflex Red Line Small Limb Stockinette 3.5cmx1m
DT
NE
9934 / 1
Coverflex Yellow Line Trunks Child Stockinette 10.75cmx1m
DT
NE
9936 / 1
Coverflex Yellow Line Trunks Child Stockinette 10.75cmx3m
DT
NE
9940 / 1
Coverflex Yellow Line Trunks Child Stockinette 10.75cmx5m
DT
NE
1017 / 1
Crepe Bandage BP 5cm
DT
NE
1019 / 1
Crepe Bandage BP 7.5cm
DT
NE
1021 / 1
Crepe Bandage BP 10cm
DT
NE
1022 / 1
Crepe Bandage BP 15cm
DT
NE
2058 / 1
Crespine Gel Synovial Fluid Pre-Filled Syringe (1 x 2ml) 1
Code No. of Treatment Packs dispensed
DT
NE
381 / 25
Crest Medical Ltd Sodium Chloride 0.9% Irrigation Solution Pod 20ml x 25
Code No. of Pods dispensed
DT
NE
5820 / 1
Cuticell Classic Paraffin Gauze Dressing BP Sterile 10cm x 10cm 1
DT
NE
5393 / 1
Cutimed Sorbact Swab 4cmx6cm 1
DT
NE
5392 / 1
Cutimed Sorbact Swab 7cmx9cm 1
DT
NE
8176 / 1
Cyclohaler Insufflator 1
DT
NE
8838 / 1
Cystistat Bladder Instillation Device 50ml
(contains 40mg of sodium hyaluronate)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 333 of 550
Code/Pack
Description
DT CD ZD N E D
D
4060 / 1
Dafilon Suture C0932353 45cm/24mm
Box of 36 Sutures should be coded /1
Stock Orders Only
DT
NE
3964 / 1
Dafilon Suture C0933201 45cm/19mm
Box of 36 Sutures should be coded /1
Stock Orders Only
DT
NE
3841 / 1
Dafilon Suture C0936146 45cm/16mm
Box of 36 Sutures should be coded /1
Stock Orders Only
DT
NE
3706 / 1
Dafilon Suture C0936227 45cm/19mm
Box of 36 Sutures should be coded /1
Stock Orders Only
DT
NE
6847 / 100
Dario lancets 0.31mm/30gauge 100
DT
NE
7553 / 1
Debrisoft Physical Debridement Pad 10cmx10cm 1
DT
NE
1130 / 1
Derma + Flex Sterile Skin Adhesive 0.5ml 1
Code each 0.5ml as /1
DT
NE
5720 / 1
Dermabond Propen Sterile Skin Adhesive 0.5ml 1
DT
NE
1925 / 1
DermaSilk Body Suit Silk Garment 12-18 months 1
DT
NE
1927 / 1
DermaSilk Body Suit Silk Garment 24-36 months 1
DT
NE
1928 / 1
DermaSilk Body Suit Silk Garment 3-4 years 1
DT
NE
1924 / 1
DermaSilk Body Suit Silk Garment 6-9 months 1
DT
NE
3822 / 1
DermaSilk Body Suit Silk Garment 0-3 months 1
DT
NE
3724 / 1
DermaSilk Body Suit Silk Garment 18-24 months 1
DT
NE
1923 / 1
DermaSilk Body Suit Silk Garment 3-6 months 1
DT
NE
2202 / 1
DermaSilk Body Suit Silk Garment 9-12 months 1
DT
NE
826 / 1
DermaSilk Boxer Shorts Adult Male Silk Garment Extra Large - Extra Extra Large 1
DT
NE
805 / 1
DermaSilk Boxer Shorts Adult Male Silk Garment Extra Small - Small 1
DT
NE
887 / 1
DermaSilk Boxer Shorts Adult Male Silk Garment Medium - Large 1
DT
NE
6820 / 1
DermaSilk Boys Briefs Silk Garment 3-6 Years 1
DT
NE
7129 / 1
DermaSilk Boys Briefs Silk Garment 7-10 Years 1
DT
NE
18004 / 1
DermaSilk briefs female adult extra large-XX large 1
DT
NE
3806 / 1
DermaSilk briefs female adult extra small-small 1
DT
NE
18003 / 1
DermaSilk briefs female adult medium-large 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 334 of 550
Code/Pack
Description
DT CD ZD N E D
17239 / 2
DermaSilk Comfort Socks Silk Garment Adult 11-13 2
DT
NE
17216 / 2
DermaSilk Comfort Socks Silk Garment Adult 5 - 6 1/2 2
DT
NE
17217 / 2
DermaSilk Comfort Socks Silk Garment Adult 7 - 8 1/2 2
DT
NE
17238 / 2
DermaSilk Comfort Socks Silk Garment Adult 9 - 10 1/2 2
DT
NE
17996 / 1
DermaSilk Eye Mask Silk Garment one size months 1
DT
NE
9449 / 1
Dermasilk Facial Mask Silk Garment Adult 1
DT
NE
1917 / 1
DermaSilk Facial Mask Silk Garment Child 1
DT
NE
1912 / 1
DermaSilk Facial Mask Silk Garment Infant 1
DT
NE
5793 / 1
Dermasilk Facial Mask Silk Garment Teen 1
DT
NE
2806 / 2
DermaSilk Fingerless Gloves Silk Garment Adult Large 2
DT
NE
2099 / 2
DermaSilk Fingerless Gloves Silk Garment Adult Med 2
DT
NE
2040 / 2
DermaSilk Fingerless Gloves Silk Garment Adult Small 2
DT
NE
2807 / 2
DermaSilk Fingerless Gloves Silk Garment Adult X Large 2
DT
NE
2809 / 2
DermaSilk Fingerless Gloves Silk Garment Adult XX Large 2
DT
NE
2151 / 2
DermaSilk Fingerless Gloves Silk Garment Child 3-4 Years 2
DT
NE
2165 / 2
DermaSilk Fingerless Gloves Silk Garment Child 5-9 Years 2
DT
NE
7708 / 1
DermaSilk Girls Briefs Silk Garment 3-6 Years 1
DT
NE
8603 / 1
DermaSilk Girls Briefs Silk Garment 7-10 Years 1
DT
NE
2888 / 2
DermaSilk Gloves Silk Garment Extra Large Adult 2
Code each pair / 2
DT
NE
1961 / 2
DermaSilk Gloves Silk Garment Large Adult 2
Code each pair / 2
DT
NE
1960 / 2
DermaSilk Gloves Silk Garment Medium Adult 2
Code each pair / 2
DT
NE
1957 / 2
DermaSilk Gloves Silk Garment Medium Child 2
Code each pair / 2
DT
NE
1958 / 2
DermaSilk Gloves Silk Garment Small Adult 2
Code each pair / 2
DT
NE
1955 / 2
DermaSilk Gloves Silk Garment Small Child 2
Code each pair / 2
DT
NE
17993 / 1
DermaSilk Infant Hat Silk Garment 0-3 months 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 335 of 550
Code/Pack
Description
DT CD ZD N E D
17995 / 1
DermaSilk Infant Hat Silk Garment 12-24 months 1
DT
NE
17994 / 1
DermaSilk Infant Hat Silk Garment 3-12 months 1
DT
NE
4388 / 4
DermaSilk Knee Length Undersocks Longer Length 4
Code each pair / 2
DT
NE
4382 / 4
DermaSilk Knee Length Undersocks Standard Length 4
Code each pair / 2
DT
NE
3547 / 1
DermaSilk Leggings Silk Garment 0-3 months 1
Code no. of Pairs Dispensed
DT
NE
1947 / 1
DermaSilk Leggings Silk Garment 12-18 months 1
Code no. of Pairs Dispensed
DT
NE
3474 / 1
DermaSilk Leggings Silk Garment 18-24 months 1
Code no. of Pairs Dispensed
DT
NE
1950 / 1
DermaSilk Leggings Silk Garment 24-36 months 1
Code no. of Pairs Dispensed
DT
NE
1953 / 1
DermaSilk Leggings Silk Garment 3-4 years 1
Code no. of Pairs Dispensed
DT
NE
1938 / 1
DermaSilk Leggings Silk Garment 3-6 months 1
Code no. of Pairs Dispensed
DT
NE
1945 / 1
DermaSilk Leggings Silk Garment 6-9 months 1
Code no. of Pairs Dispensed
DT
NE
3485 / 1
DermaSilk Leggings Silk Garment 9-12 months 1
Code no. of Pairs Dispensed
DT
NE
5585 / 1
Dermasilk Leggings Silk Garment Adult (Female) Small-XXL 1
Code no. of Pairs Dispensed
DT
NE
5590 / 1
Dermasilk Leggings Silk Garment Adult (Male) Small-XXL 1
Code no. of Pairs Dispensed
DT
NE
17369 / 1
DermaSilk Mini Shorts Adult Female Silk Garment M-L 1
DT
NE
17285 / 1
DermaSilk Mini Shorts Adult Female Silk Garment XL-XXL 1
DT
NE
17363 / 1
DermaSilk Mini Shorts Adult Female Silk Garment XS-S 1
DT
NE
1972 / 1
DermaSilk Pyjamas Silk Garment 10-12 years 1
Code each set / 1
DT
NE
1965 / 1
DermaSilk Pyjamas Silk Garment 3-4 years 1
Code each set / 1
DT
NE
1967 / 1
DermaSilk Pyjamas Silk Garment 5-6 years 1
Code each set / 1
DT
NE
1970 / 1
DermaSilk Pyjamas Silk Garment 7-8 years 1
Code each set / 1
DT
NE
5795 / 1
Dermasilk Shirt Roll Neck Silk Garment 10-12 years 1
DT
NE
5815 / 1
Dermasilk Shirt Roll Neck Silk Garment 3-4 years 1
DT
NE
5814 / 1
Dermasilk Shirt Roll Neck Silk Garment 5-6 years 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 336 of 550
Code/Pack
Description
DT CD ZD N E D
5584 / 1
Dermasilk Shirt Roll Neck Silk Garment 7-8 years 1
DT
NE
5598 / 1
Dermasilk Shirt Roll Neck Silk Garment Adult Small-XXL 1
DT
NE
5592 / 1
Dermasilk Shirt Round Neck Silk Garment Adult (Female) Small-XXL 1
DT
NE
5597 / 1
Dermasilk Shirt Round Neck Silk Garment Adult (Male) Small-XXL 1
DT
NE
17998 / 1
DermaSilk Soft Cup Bra Silk Garment M-L 1
DT
NE
17999 / 1
DermaSilk Soft Cup Bra Silk Garment XL-XXL 1
DT
NE
17997 / 1
DermaSilk Soft Cup Bra Silk Garment XS-S 1
DT
NE
18001 / 4
DermaSilk thigh length undersocks longer length 4
DT
NE
18000 / 4
DermaSilk thigh length undersocks standard length 4
DT
NE
1936 / 2
DermaSilk Tubular Sleeves Silk Garment 33cm Long 2
Code each pair / 2
DT
NE
5591 / 2
Dermasilk Tubular Sleeves Silk Garment 50cm long 2
Code each pair / 2
DT
NE
2271 / 2
DermaSilk Tubular Sleeves Silk Garment Graduated 70cm Long 2
DT
NE
4957 / 4
DermaSilk Undersocks Silk Garment Adult 11 - 13 4
Code each pair / 2
DT
NE
4649 / 4
DermaSilk Undersocks Silk Garment Adult 5 1/2 - 6 1/2 4
Code each pair / 2
DT
NE
4656 / 4
DermaSilk Undersocks Silk Garment Adult 7 - 8 1/2 4
Code each pair / 2
DT
NE
4705 / 4
DermaSilk Undersocks Silk Garment Adult 9 - 10 1/2 4
Code each pair / 2
DT
NE
4645 / 4
DermaSilk Undersocks Silk Garment Child 2-5 4
Code each pair / 2
DT
NE
4436 / 4
DermaSilk Undersocks Silk Garment Child 3-8 4
Code each pair / 2
DT
NE
4618 / 4
DermaSilk Undersocks Silk Garment Child 9-1 4
Code each pair / 2
DT
NE
7526 / 75
Dermatonics Once (DT) Heel Balm Emollient 75ml
DT
NE
7528 / 200
Dermatonics Once (DT) Heel Balm Emollient 200ml
DT
NE
17987 / 2
Devon foot and heel protector low friction product 2
DT
NE
17988 / 2
Devon utility pad low friction product 51x30x5cm 2
DT
NE
3870 / 500
Dexeryl Cream (DT) 500g
DT
NE
5499 / 250
Dexeryl Cream 250g
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 337 of 550
Code/Pack
Description
DT CD ZD N E D
1635 / 300
Diprobase (DT) Lotion 300ml
DT
NE
1605 / 50
Diprobase (DT) Lotion 50ml
DT
NE
1175 / 1
Disposable Polythene Gloves 25 1
Code No. of Packs dispensed
DT
NE
9393 / 1
Dispos-A-Glove Small, Medium and Large 30 1
Code No. of Packs dispensed
DT
NE
5325 / 1
Dispos-A-Glove Small, Medium and Large 100 1
Code No. of Packs dispensed
DT
NE
4775 / 1
Douche Vaginal fittings Set 1 Litre approx
Code No. of Sets dispensed
DT
NE
8572 / 10
Draina S Vision 100 Wound Drainage Pouch (300ml cut to 100mm) 10
H28567E
DT
NE
8678 / 10
Draina S Vision 50 Wound Drainage Pouch (150ml cut to 50mm) 10
H28565E
DT
NE
8632 / 10
Draina S Vision 75 Wound Drainage Pouch (250ml cut to 88mm) 10
H28566E
DT
NE
2620 / 1
Dreamskin Baby Leggings with foldaway feet Silk Garment 0- 6 Months 1
Code each pair / 1
DT
NE
17600 / 1
DreamSkin Baby Leggings with Foldaway Feet Silk Garment 0-3 Months 1
DT
NE
1660 / 1
Dreamskin Baby Leggings with foldaway feet Silk Garment 12-18 Months 1
Code each pair / 1
DT
NE
1983 / 1
DreamSkin Baby Leggings with foldaway feet Silk Garment 18-24 Months 1
Code each pair / 1
DT
NE
1648 / 1
Dreamskin Baby Leggings with foldaway feet Silk Garment 24-36 Months 1
Code each pair / 1
DT
NE
1773 / 1
Dreamskin Baby Leggings with foldaway feet Silk Garment 3-4 Years 1
Code each pair / 1
DT
NE
17613 / 1
DreamSkin Baby Leggings with Foldaway Feet Silk Garment 3-6 Months 1
DT
NE
2621 / 1
Dreamskin Baby Leggings with foldaway feet Silk Garment 6-9 Months 1
Code each pair / 1
DT
NE
2211 / 1
Dreamskin Baby Leggings with foldaway feet Silk Garment 9-12 Months 1
Code each pair / 1
DT
NE
17598 / 1
DreamSkin Body Suit Silk Garment 0-3 Months 1
DT
NE
1987 / 1
DreamSkin Body Suit Silk Garment 0-6 Months 1
DT
NE
2683 / 1
DreamSkin Body Suit Silk Garment 12-18 Months 1
DT
NE
2207 / 1
DreamSkin Body Suit Silk Garment 18-24 Months 1
DT
NE
2690 / 1
DreamSkin Body Suit Silk Garment 24-36 Months 1
DT
NE
2725 / 1
DreamSkin Body Suit Silk Garment 3-4 Years 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 338 of 550
Code/Pack
Description
DT CD ZD N E D
17614 / 1
DreamSkin Body Suit Silk Garment 3-6 Months 1
DT
NE
1696 / 1
DreamSkin Body Suit Silk Garment 6-9 Months 1
DT
NE
2672 / 1
DreamSkin Body Suit Silk Garment 9-12 Months 1
DT
NE
8770 / 1
DreamSkin Briefs and Fitted Boxers Silk Garment 9-10 years 1
DT
NE
7773 / 1
DreamSkin Briefs and Fitted Boxers Silk Garment 11-12 years 1
DT
NE
8264 / 1
DreamSkin Briefs and Fitted Boxers Silk Garment 3-4 years 1
DT
NE
6544 / 1
DreamSkin Briefs and Fitted Boxers Silk Garment 5-6 years 1
DT
NE
8251 / 1
DreamSkin Briefs and Fitted Boxers Silk Garment 7-8 years 1
DT
NE
7796 / 1
DreamSkin Briefs and Fitted Boxers Silk Garment Adult Female 1
Small - XXL
DT
NE
8202 / 1
DreamSkin Briefs and Fitted Boxers Silk Garment Adult Male 1
Small - XXL
DT
NE
7736 / 1
DreamSkin Eye Mask One Size 1
DT
NE
8005 / 1
Dreamskin Footless Leggings Silk Garment 11-12 years 1
Available in boys & girls sizes - Code each pair / 1
DT
NE
7885 / 1
Dreamskin Footless Leggings Silk Garment 3-4 years 1
Available in boys & girls sizes - Code each pair / 1
DT
NE
7918 / 1
Dreamskin Footless Leggings Silk Garment 5-6 years 1
Available in boys & girls sizes - Code each pair / 1
DT
NE
7921 / 1
Dreamskin Footless Leggings Silk Garment 7-8 years 1
Available in boys & girls sizes - Code each pair / 1
DT
NE
7932 / 1
Dreamskin Footless Leggings Silk Garment 9-10 years 1
Available in boys & girls sizes - Code each pair / 1
DT
NE
8057 / 1
Dreamskin Footless Leggings Silk Garment Adult Female 1
Small - XXL Code each pair / 1
DT
NE
8026 / 1
Dreamskin Footless Leggings Silk Garment Adult Male 1
Small - XXL Code each pair / 1
DT
NE
6635 / 2
Dreamskin Gloves Silk Garment Extra Large Adult 2
Code each pair / 2
DT
NE
7241 / 2
Dreamskin Gloves Silk Garment Large Adult 2
Code each pair / 2
DT
NE
6527 / 2
Dreamskin Gloves Silk Garment Medium Adult 2
Code each pair / 2
DT
NE
6361 / 2
Dreamskin Gloves Silk Garment Medium Child 2
Code each pair / 2
DT
NE
6417 / 2
Dreamskin Gloves Silk Garment Small Adult 2
Code each pair / 2
DT
NE
7668 / 2
Dreamskin Gloves Silk Garment Small Child 2
Code each pair / 2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 339 of 550
Code/Pack
Description
DT CD ZD N E D
8741 / 1
DreamSkin Head Mask Silk Garment Adult 1
DT
NE
2118 / 1
DreamSkin Head Mask Silk Garment Child 1
DT
NE
2094 / 1
DreamSkin Head Mask Silk Garment Infant 1
DT
NE
7607 / 1
DreamSkin Head Mask Silk Garment Teenager 1
DT
NE
7518 / 4
Dreamskin Heel-less Undersocks Silk Garment One Size 4
Code each pair / 2
DT
NE
7010 / 4
Dreamskin Liner Socks Silk Garment Adult Female 4-5½ 4
Code each pair / 2
DT
NE
8750 / 4
Dreamskin Liner Socks Silk Garment Adult Female 6-8½ 4
Code each pair / 2
DT
NE
6347 / 4
Dreamskin Liner Socks Silk Garment Adult Male 6-8½ 4
Code each pair / 2
DT
NE
7523 / 4
Dreamskin Liner Socks Silk Garment Adult Male 9-11 4
Code each pair / 2
DT
NE
6926 / 4
Dreamskin Liner Socks Silk Garment Child 12½-3½ 4
Code each pair / 2
DT
NE
8116 / 4
Dreamskin Liner Socks Silk Garment Child 3-5½ 4
Code each pair / 2
DT
NE
6964 / 4
Dreamskin Liner Socks Silk Garment Child 4-5½ 4
Code each pair / 2
DT
NE
6791 / 4
Dreamskin Liner Socks Silk Garment Child 6-8½ 4
Code each pair / 2
DT
NE
6865 / 4
Dreamskin Liner Socks Silk Garment Child 9-12 4
Code each pair / 2
DT
NE
1723 / 1
Dreamskin Pyjamas Silk Garment 3-4 years 1
Code each set / 1
DT
NE
1495 / 1
Dreamskin Pyjamas Silk Garment 5-6 years 1
Code each set / 1
DT
NE
1489 / 1
Dreamskin Pyjamas Silk Garment 7-8 years 1
Code each set / 1
DT
NE
1466 / 1
Dreamskin Pyjamas Silk Garment 9-10 years 1
Code each set / 1
DT
NE
1760 / 1
Dreamskin Pyjamas Silk Garment 11-12 Years 1
Code each set / 1
DT
NE
8623 / 1
DreamSkin Shirt Polo Neck Silk Garment 11-12 Years 1
Available in boys & girls sizes
DT
NE
7637 / 1
DreamSkin Shirt Polo Neck Silk Garment 3-4 Years 1
Available in boys & girls sizes
DT
NE
8640 / 1
DreamSkin Shirt Polo Neck Silk Garment 5-6 Years 1
Available in boys & girls sizes
DT
NE
7640 / 1
DreamSkin Shirt Polo Neck Silk Garment 7-8 Years 1
Available in boys & girls sizes
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 340 of 550
Code/Pack
Description
DT CD ZD N E D
8636 / 1
DreamSkin Shirt Polo Neck Silk Garment 9-10 Years 1
Available in boys & girls sizes
DT
NE
8586 / 1
DreamSkin Shirt Polo Neck Silk Garment Adult Female 1
Small - XXL
DT
NE
8592 / 1
DreamSkin Shirt Polo Neck Silk Garment Adult Male 1
Small - XXL
DT
NE
2629 / 1
DreamSkin Shirt Round Neck Silk Garment 11-12 Years 1
DT
NE
2560 / 1
DreamSkin Shirt Round Neck Silk Garment 3-4 Years 1
DT
NE
2840 / 1
DreamSkin Shirt Round Neck Silk Garment 5-6 Years 1
DT
NE
2803 / 1
DreamSkin Shirt Round Neck Silk Garment 7-8 Years 1
DT
NE
2791 / 1
DreamSkin Shirt Round Neck Silk Garment 9-10 Years 1
DT
NE
8510 / 1
DreamSkin Shirt Round Neck Silk Garment Adult Female 1
Small - XXL
DT
NE
7645 / 1
DreamSkin Shirt Round Neck Silk Garment Adult Male 1
Small - XXL
DT
NE
7842 / 2
DreamSkin Tubular Sleeves Silk Garment 33cm Long 1
Code each pair /2
DT
NE
7857 / 2
DreamSkin Tubular Sleeves Silk Garment 50cm Long 1
Code each pair /2
DT
NE
1078 / 1
Dressing Pack (with Sterile Field) No.1
DT
NE
5828 / 1
Dress-It Sterile Dressing Pack 1
Code No. of Dressing Packs Dispensed
DT
NE
8993 / 1
Drisorb Dressing Pad 10cmx20cm
DT
NE
1094 / 1
Dropper, Glass 1
DT
NE
6432 / 1
Durolane Synovial Fluid Pre-Filled Syringe 20mg/ml 3ml 1
Code No. of Syringes dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 341 of 550
Code/Pack
Description
DT CD ZD N E D
E
8315 / 5
Eakin Access Window 5
839280
DT
NE
8212 / 5
Eakin Wound Pouches Extra Large (horizontal 245x160mm) 5
Bung Closure 839263
DT
NE
8272 / 5
Eakin Wound Pouches Extra Large (horizontal 245x160mm) 5
Bung Closure 839264
DT
NE
8134 / 5
Eakin Wound Pouches Extra Large (horizontal 245x160mm) 5
Fold/Tuck Closure 839253
DT
NE
8240 / 5
Eakin Wound Pouches Extra Large (vertical 245x160mm) 5
Bung Closure 839265
DT
NE
8250 / 5
Eakin Wound Pouches Extra Large (vertical incision 290x130mm) 5
Bung Closure 839266
DT
NE
8190 / 10
Eakin Wound Pouches Large (175x110mm) 10
Bung Closure 839262
DT
NE
8073 / 10
Eakin Wound Pouches Large (175x110mm) 10
Fold/Tuck Closure 839252
DT
NE
8188 / 10
Eakin Wound Pouches Medium (110x75mm) 10
Bung Closure 839261
DT
NE
8062 / 10
Eakin Wound Pouches Medium (110x75mm) 10
Fold/Tuck Closure 839251
DT
NE
8165 / 10
Eakin Wound Pouches Small (45x30mm) 10
Bung Closure 839260
DT
NE
8060 / 10
Eakin Wound Pouches Small (45x30mm) 10
Fold/Tuck Closure 839250
DT
NE
5351 / 10
Eakin Wound Pouches Small Plus (86x60mm) 10
Bung Closure 839267
DT
NE
5352 / 5
Eakin Wound Pouches Xtra Large (Vertical Wounds up to 245x160mm) 5
Bung Closure 839268
DT
NE
2102 / 1
Easifast Small Limb Red Line Stockinette 3.5cm x 1m
DT
NE
2103 / 1
Easifast Medium Limb Green Line Stockinette 5cm x 1m
DT
NE
2104 / 1
Easifast Medium Limb Green Line Stockinette 5cm x 3m
DT
NE
2114 / 1
Easifast Medium Limb Green Line Stockinette 5cm x 5m
DT
NE
2123 / 1
Easifast Large Limb Blue Line Stockinette 7.5cm x 1m
DT
NE
2126 / 1
Easifast Large Limb Blue Line Stockinette 7.5cm x 3m
DT
NE
2127 / 1
Easifast Large Limb Blue Line Stockinette 7.5cm x 5m
DT
NE
2160 / 1
Easifast Trunks Adult Beige Line Stockinette 17.5cm x 1m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 342 of 550
Code/Pack
Description
DT CD ZD N E D
2130 / 1
Easifast Trunks Child Yellow Line Stockinette 10.75cm x 1m
DT
NE
2144 / 1
Easifast Trunks Child Yellow Line Stockinette 10.75cm x 3m
DT
NE
2148 / 1
Easifast Trunks Child Yellow Line Stockinette 10.75cm x 5m
DT
NE
1088 / 1
Easifix (Polyamide and Cellulose Contour) Bandage 5cmx4m
DT
NE
1173 / 1
Easifix (Polyamide and Cellulose Contour) Bandage 7.5cmx4m
DT
NE
1187 / 1
Easifix (Polyamide and Cellulose Contour) Bandage 10cmx4m
DT
NE
1188 / 1
Easifix (Polyamide and Cellulose Contour) Bandage 15cmx4m
DT
NE
1024 / 1
Easifix Crinx (Cotton Conforming Bandage) Type A 5cmx3.5m
DT
NE
1032 / 1
Easifix Crinx (Cotton Conforming Bandage) Type A 7.5cmx3.5m
DT
NE
1046 / 1
Easifix Crinx (Cotton Conforming Bandage) Type A 10cmx3.5m
DT
NE
1051 / 1
Easifix Crinx (Cotton Conforming Bandage) Type A 15cmx3.5m
DT
NE
9621 / 1
Easifix K Bandage 10cmx4m
DT
NE
9620 / 1
Easifix K Bandage 15cmx4m 1
DT
NE
9160 / 1
Easifix K Bandage 2.5cmx4m 1
DT
NE
9623 / 1
Easifix K Bandage 5cmx4m 1
DT
NE
9622 / 1
Easifix K Bandage 7.5cmx4m 1
DT
NE
9403 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 6.25cmx0.5m
DT
NE
9450 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 6.25cmx1m
DT
NE
9408 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 6.75cmx0.5m
DT
NE
9455 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 6.75cmx1m
DT
NE
9415 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 7.5cmx0.5m
DT
NE
9475 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 7.5cmx1m
DT
NE
9420 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 8.75cmx0.5m
DT
NE
9476 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 8.75cmx1m
DT
NE
9422 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 10cmx0.5m
DT
NE
9480 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 10cmx1m
DT
NE
9434 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 12cmx0.5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 343 of 550
Code/Pack
Description
DT CD ZD N E D
9481 / 1
EasiGrip Stockinette Elasticated Surgical Tubular 12cmx1m
DT
NE
9682 / 1
EasI-V Securement Device for IV Peripheral Lines Dressing 7cmx7.5cm 1
DT
NE
5723 / 1
Easy-Slide Hosiery Application Aid S,M,L,XL 1
DT
NE
1522 / 5
Edge Prosthetic Adhesive 5g
DT
NE
1194 / 25
Edge Prosthetic Adhesive 25g
DT
NE
9335 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 6.25cmx0.5m
DT
NE
9354 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 6.25cmx1m
DT
NE
9324 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 6.75cmx0.5m
DT
NE
9349 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 6.75cmx1m
DT
NE
9679 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 7.5cmx0.5m
DT
NE
9329 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 7.5cmx1m
DT
NE
9479 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 8.75cmx0.5m
DT
NE
9342 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 8.75cmx1m
DT
NE
9358 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 10cmx0.5m
DT
NE
9391 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 10cmx1m
DT
NE
9477 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 12cmx0.5m
DT
NE
9478 / 1
Eesiban ESTS Stockinette Elasticated Surgical Tubular 12cmx1m
DT
NE
9341 / 1
Eesiban Ribbed Cotton And Viscose Surgical Tubular Type B Stockinette 25cm x 5m 1
DT
NE
9356 / 1
Eesiban Ribbed Cotton And Viscose Surgical Tubular Type B Stockinette 10cm x 5m 1
DT
NE
9366 / 1
Eesiban Ribbed Cotton And Viscose Surgical Tubular Type B Stockinette 15cm x 5m 1
DT
NE
9337 / 1
Eesiban Ribbed Cotton And Viscose Surgical Tubular Type B Stockinette 20cm x 5m 1
DT
NE
9336 / 1
Eesiban Ribbed Cotton And Viscose Surgical Tubular Type B Stockinette 5cm x 5m 1
DT
NE
9351 / 1
Eesiban Ribbed Cotton And Viscose Surgical Tubular Type B Stockinette 7.5cm x 5m 1
DT
NE
1023 / 1
Elastic Adhesive Bandage BP 1993 5cm
DT
NE
1025 / 1
Elastic Adhesive Bandage BP 1993 7.5cm
DT
NE
1026 / 1
Elastic Adhesive Bandage BP 1993 10cm
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 344 of 550
Code/Pack
Description
DT CD ZD N E D
7134 / 2
Elastic Hosiery Class 1 Circular Knit Below Knee Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
7137 / 2
Elastic Hosiery Class 1 Circular Knit Below Knee Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4886 / 2
Elastic Hosiery Class 1 Circular Knit Below Knee Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4816 / 2
Elastic Hosiery Class 1 Circular Knit Below Knee Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
7143 / 2
Elastic Hosiery Class 1 Circular Knit Thigh Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
7155 / 2
Elastic Hosiery Class 1 Circular Knit Thigh Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4893 / 2
Elastic Hosiery Class 1 Circular Knit Thigh Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4823 / 2
Elastic Hosiery Class 1 Circular Knit Thigh Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4896 / 2
Elastic Hosiery Class 1 Elastic Net Below Knee Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4826 / 2
Elastic Hosiery Class 1 Elastic Net Below Knee Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4894 / 2
Elastic Hosiery Class 1 Light Weight Thigh Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4824 / 2
Elastic Hosiery Class 1 Light Weight Thigh Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4818 / 2
Elastic Hosiery Class 2 Circular Below Knee Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4857 / 2
Elastic Hosiery Class 2 Circular Knit Anklet Made To Measure 2
DT
NE
4837 / 2
Elastic Hosiery Class 2 Circular Knit Anklet Made To Measure 2
Measured and Fitted
DT
NE
4863 / 2
Elastic Hosiery Class 2 Circular Knit Anklets 2
DT
NE
4843 / 2
Elastic Hosiery Class 2 Circular Knit Anklets 2
Measured and Fitted
DT
NE
4888 / 2
Elastic Hosiery Class 2 Circular Knit Below Knee Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4889 / 2
Elastic Hosiery Class 2 Circular Knit Below Knee Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4819 / 2
Elastic Hosiery Class 2 Circular Knit Below Knee Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4864 / 2
Elastic Hosiery Class 2 Circular Knit Kneecaps 2
DT
NE
4844 / 2
Elastic Hosiery Class 2 Circular Knit Kneecaps 2
Measured and Fitted
DT
NE
4885 / 2
Elastic Hosiery Class 2 Circular Knit Thigh Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 345 of 550
Code/Pack
Description
DT CD ZD N E D
4815 / 2
Elastic Hosiery Class 2 Circular Knit Thigh Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4884 / 2
Elastic Hosiery Class 2 Circular Knit Thigh Stockings Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4814 / 2
Elastic Hosiery Class 2 Circular Knit Thigh Stockings Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4859 / 2
Elastic Hosiery Class 2 Flat Bed Anklet Made To Measure 2
DT
NE
4839 / 2
Elastic Hosiery Class 2 Flat Bed Anklet Made To Measure 2
Measured and Fitted
DT
NE
4827 / 2
Elastic Hosiery Class 2 Flat Bed Below Knee Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4840 / 2
Elastic Hosiery Class 2 Flat Bed Kneecap Made To Measure 2
Measured and Fitted
DT
NE
4867 / 2
Elastic Hosiery Class 2 Flat Bed Knit Anklets 2
DT
NE
4847 / 2
Elastic Hosiery Class 2 Flat Bed Knit Anklets 2
Measured and Fitted
DT
NE
4898 / 2
Elastic Hosiery Class 2 Flat Bed Thigh Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4828 / 2
Elastic Hosiery Class 2 Flat Bed Thigh Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4897 / 2
Elastic Hosiery Class 2 Flatbed Below Knee Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4860 / 2
Elastic Hosiery Class 2 Flatbed Knit Kneecap Made To Measure 2
DT
NE
4868 / 2
Elastic Hosiery Class 2 Flatbed Knit Kneecaps 2
DT
NE
4848 / 2
Elastic Hosiery Class 2 Flatbed Knit Kneecaps 2
Measured and Fitted
DT
NE
4892 / 2
Elastic Hosiery Class 2 Net Below Knee Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4822 / 2
Elastic Hosiery Class 2 Net Below Knee Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4865 / 2
Elastic Hosiery Class 2 Net Knit Anklet Made To Measure 2
DT
NE
4845 / 2
Elastic Hosiery Class 2 Net Knit Anklet Made To Measure 2
Measured and Fitted
DT
NE
4866 / 2
Elastic Hosiery Class 2 Net Knit Kneecap Made To Measure 2
DT
NE
4846 / 2
Elastic Hosiery Class 2 Net Knit Kneecap Made To Measure 2
Measured and Fitted
DT
NE
4890 / 2
Elastic Hosiery Class 2 Net Thigh Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4820 / 2
Elastic Hosiery Class 2 Net Thigh Stocking Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4856 / 2
Elastic Hosiery Class 3 1 Way Stretch Kneecap Made To Measure 2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 346 of 550
Code/Pack
Description
DT CD ZD N E D
4836 / 2
Elastic Hosiery Class 3 1 Way Stretch Kneecap Made To Measure 2
Measured and Fitted
DT
NE
4803 / 2
Elastic Hosiery Class 3 Circular Below Knee Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4833 / 2
Elastic Hosiery Class 3 Circular Kneecap Made To Measure 2
Measured and Fitted
DT
NE
4861 / 2
Elastic Hosiery Class 3 Circular Knit Anklet Made To Measure 2
DT
NE
4841 / 2
Elastic Hosiery Class 3 Circular Knit Anklet Made To Measure 2
Measured and Fitted
DT
NE
4851 / 2
Elastic Hosiery Class 3 Circular Knit Anklets 2
DT
NE
4831 / 2
Elastic Hosiery Class 3 Circular Knit Anklets 2
Measured and Fitted
DT
NE
4873 / 2
Elastic Hosiery Class 3 Circular Knit Below Knee Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4874 / 2
Elastic Hosiery Class 3 Circular Knit Below Knee Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4804 / 2
Elastic Hosiery Class 3 Circular Knit Below Knee Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4853 / 2
Elastic Hosiery Class 3 Circular Knit Kneecap Made To Measure 2
DT
NE
4852 / 2
Elastic Hosiery Class 3 Circular Knit Kneecaps 2
DT
NE
4832 / 2
Elastic Hosiery Class 3 Circular Knit Kneecaps 2
Measured and Fitted
DT
NE
4872 / 2
Elastic Hosiery Class 3 Circular Knit Thigh Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4801 / 2
Elastic Hosiery Class 3 Circular Knit Thigh Stockings Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4871 / 2
Elastic Hosiery Class 3 Circular Knit Thigh Stockings Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4802 / 2
Elastic Hosiery Class 3 Circular Thigh Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4862 / 2
Elastic Hosiery Class 3 Flat Bed Anklet Made To Measure 2
DT
NE
4842 / 2
Elastic Hosiery Class 3 Flat Bed Anklet Made To Measure 2
Measured and Fitted
DT
NE
4854 / 2
Elastic Hosiery Class 3 Flat Bed Anklets 2
DT
NE
4834 / 2
Elastic Hosiery Class 3 Flat Bed Anklets 2
Measured and Fitted
DT
NE
4878 / 2
Elastic Hosiery Class 3 Flat Bed Below Knee Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4808 / 2
Elastic Hosiery Class 3 Flat Bed Below Knee Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 347 of 550
Code/Pack
Description
DT CD ZD N E D
4875 / 2
Elastic Hosiery Class 3 Flat Bed Thigh Length Made To Measure Stockings 2
(1 Prescription Charge per Stocking)
DT
NE
4805 / 2
Elastic Hosiery Class 3 Flat Bed Thigh Length Made To Measure Stockings 2
Measured and Fitted (1 Prescription Charge per Stocking)
DT
NE
4855 / 2
Elastic Hosiery Class 3 One Way Stretch Kneecaps 2
DT
NE
4835 / 2
Elastic Hosiery Class 3 One Way Stretch Kneecaps 2
Measured and Fitted
DT
NE
1174 / 1
Elastic Surgical Adhesive Tape 2.5cmx4.5m 1
Code each pack of 4.5 as 1
DT
NE
2243 / 40
Elastolabo Gel Perineal Massage App 40ml
DT
NE
1997 / 50
Elite Lubricating Jelly Pump 50ml
Code Number of mls Dispensed
DT
NE
9203 / 1
Elset Bandage 10cmx6m 1
DT
NE
9248 / 1
Elset Bandage 15cmx6m
DT
NE
9273 / 1
Elset Bandage System 4 # 3 10cmx8m
DT
NE
9277 / 1
Elset S Bandage 15cm x12m
DT
NE
9404 / 1
Emollin Aerosol Emollient 150ml 1
Code no. of aerosols dispensed
DT
NE
3950 / 1
Emollin Aerosol Emollient (DT) 240ml 1
Code no. of aerosols dispensed
DT
NE
3209 / 20
Emustil Soybean Oil Eye Drops(0.3ml dose) 20
20 x 0.3ml single dose unit
DT
NE
9728 / 500
Enopen Cream (DT) 500g
DT
NE
2319 / 500
Epaderm (DT) Cream Pump 500g
DT
NE
2305 / 50
Epaderm (DT) Cream Pump 50g
DT
NE
5532 / 1000
Epaderm Ointment Emollient (DT) 1kg
DT
NE
8242 / 125
Epaderm Ointment Emollient (DT) 125g
DT
NE
8265 / 500
Epaderm Ointment Emollient (DT) 500g
DT
NE
9229 / 100
Epimax cream (DT) 100g
DT
NE
9230 / 500
Epimax cream (DT) 500g
DT
NE
9433 / 10
Episil Oral Spray 10ml
Code Number of Sprays Dispensed
DT
NE
5830 / 1
Ethicon Monocryl Suture Sterile Synthetic 1.5gauge 45cm 16mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
5829 / 1
Ethicon Monocryl Suture Sterile Synthetic 2.0gauge 45cm 19mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 348 of 550
Code/Pack
Description
5831 / 1
Ethicon PDS II Suture Sterile Synthetic 1.5gauge 45cm 16mm
Box of 24 Sutures should be coded /1
3934 / 1
DT CD ZD N E D
Stock Orders Only
DT
NE
Euflexxa Synovial Fluid Pre-filled Syringe (3 x 2ml) 1
Code No. of Treatment Packs dispensed
DT
NE
17377 / 1
Euro Surgical Pos-T-Vac Battery Operated Vacuum Pump 1
AVP 1000
DT
NE
17378 / 1
Euro Surgical Pos-T-Vac Manual Vacuum Pump 1
MVP 700
DT
NE
17383 / 1
Eurosugical Ltd Constrictor Rings 1
DT
NE
5379 / 1
Excilon AMD IV Sponges (2 Piece Single Tracheostomy Dressing) 5cmx5cm 1
7089 Code each dressing as /1
DT
NE
5378 / 1
Excilon AMD IV Sponges (2 Piece Single Tracheostomy Dressing) 10cmx10cm 1
7088 Code each dressing as /1
DT
NE
1095 / 1
Eye Bath, Plastic 1
DT
NE
1097 / 1
Eye Shade 1
DT
NE
7408 / 10
EyeGel 0.2% eye gel 10g
DT
NE
17724 / 10
Eyezin eye drops 10ml preservative free bottle 10ml
DT
NE
8346 / 1
EZY-As Compression Hosiery Applicator 1
DT
NE
8350 / 1
EZY-As Compression Hosiery Applicator Handles 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 349 of 550
Code/Pack
Description
DT CD ZD N E D
F
17390 / 5
Farnhurst Applicator and Cone Constrictor Ring 5
ECA02
DT
NE
17381 / 1
Farnhurst Elite Plus 2 With Limiter Vacuum Pump 1
EL108
DT
NE
17380 / 1
Farnhurst Elite Plus With Gauge Vacuum Pump 1
EG105
DT
NE
17379 / 1
Farnhurst Elite Vacuum Pump 1
ES101
DT
NE
17385 / 5
Farnhurst Size 1 Constrictor Rings 5
ECR01/1
DT
NE
17384 / 5
Farnhurst Size 1-5 Constrictor Rings 5
ECR01
DT
NE
17386 / 5
Farnhurst Size 2 Constrictor Rings 5
ECR01/2
DT
NE
17387 / 5
Farnhurst Size 3 Constrictor Rings 5
ECR01/3
DT
NE
17388 / 5
Farnhurst Size 4 Constrictor Rings 5
ECR01/4
DT
NE
17389 / 5
Farnhurst Size 5 Constrictor Rings 5
ECR01/5
DT
NE
9127 / 204
FastClix Lancets 0.3mm/30 gauge 204
DT
NE
8053 / 1
Femmax Vaginal Dilator Kit 1
Code No. of Kits Dispensed
DT
NE
6491 / 1
Fermathron Synovial Fluid Pre-Filled Syringe 20mg/2ml 1
Code No. of Syringes dispensed
DT
NE
725 / 250
Fifty:50 Ointment 250g
DT
NE
726 / 500
Fifty:50 Ointment 500g
DT
NE
9363 / 1
Filmated Non-Woven, Non-Sterile Gauze Swabs 8-Ply 10cmx10cm (Pack of 100)
Code No. of Packs dispensed
DT
NE
9392 / 1
Finger Cots (Box of 10) 1
Code No. of Boxes dispensed
DT
NE
1149 / 1
Finite P Indigo AF Gloves Pack of 100 1
Code No. of Packs dispensed. Small, Medium, Large
DT
NE
2359 / 1
Fisio Chamber Vision Spacer/Holding Chamber Device 1
DT
NE
2363 / 1
Fisio Chamber Vision With Infant Mask (0-3 years) Spacer/Holding Chamber Device 1
DT
NE
2594 / 1
Fisio Chamber Vision With Large Mask (6 years-adult) Spacer/Holding Chamber Device 1
DT
NE
2276 / 1
Fisio Chamber Vision With Paediatric Mask (3-6 years) Spacer/Holding Chamber Device 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 350 of 550
Code/Pack
Description
DT CD ZD N E D
8914 / 1
Flexi-Ban Bandage Sub Compression Wadding 10cmx3.5m
DT
NE
1481 / 150
Flexitol 10% Urea Cream (DT) 150g
DT
NE
2602 / 500
Flexitol 10% Urea Cream (DT) 500g
DT
NE
3008 / 75
Flexitol Hand Balm (DT) 75g
DT
NE
1287 / 40
Flexitol Heel Balm Emollient (DT) 40g
DT
NE
4786 / 500
Flexitol Heel Balm Emollient (DT) 500g
DT
NE
5280 / 75
Flexitol Heel Balm Emollient (DT) 75g
DT
NE
5284 / 200
Flexitol Heel Balm Emollient (DT) 200g
DT
NE
5158 / 100
Flexitol Skin Balm Emollient (DT) 100g
DT
NE
5178 / 200
Flexitol Skin Balm Emollient (DT) 200g
DT
NE
368 / 2
Flo-Tone MDI Circular Fit Device 2
DT
NE
14611 / 2
Flo-Tone MDI Regular Fit Device 2
DT
NE
1835 / 1
Flowfusor Saline Irrigation Fluid Bellows Pack 120ml 1
Code No. of Packs dispensed
DT
NE
17557 / 1
Foot Butler Elastic Hoisery Accessories 1
DT
NE
14621 / 1
Fortuna Fast stockinette Large Limb (Blue Line) 7.5cmx1m 1
DT
NE
14620 / 1
Fortuna Fast stockinette Large Limb (Blue Line) 7.5cmx3m 1
DT
NE
14622 / 1
Fortuna Fast stockinette Large Limb (Blue Line) 7.5cmx5m 1
DT
NE
14617 / 1
Fortuna Fast stockinette Medium Limb (Green Line) 5cmx1m 1
DT
NE
14618 / 1
Fortuna Fast stockinette Medium Limb (Green Line) 5cmx3m 1
DT
NE
14619 / 1
Fortuna Fast stockinette Medium Limb (Green Line) 5cmx5m 1
DT
NE
14616 / 1
Fortuna Fast stockinette Small Limb (Red Line) 3.5cmx1m 1
DT
NE
14615 / 1
Fortuna Fast stockinette Trunk Adult (Beige Line) 17.5cmx1m 1
DT
NE
14612 / 1
Fortuna Fast stockinette Trunk Child (Yellow Line) 10.75cmx1m 1
DT
NE
14613 / 1
Fortuna Fast stockinette Trunk Child (Yellow Line) 10.75cmx3m 1
DT
NE
14614 / 1
Fortuna Fast stockinette Trunk Child (Yellow Line) 10.75cmx5m 1
DT
NE
9613 / 1
Free Breath Spacer/Holding Chamber Device 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 351 of 550
Code/Pack
Description
DT CD ZD N E D
9616 / 1
Free Breath Spacer/Holding Chamber Device 1
with removable adult, child or infant face mask
DT
NE
3196 / 200
FreeStyle Lancets 0.5mm/28 gauge 200
DT
NE
1865 / 1
Fresenius Sodium Chloride Pour Bottle 1000ml 1
Code No. of Bottles dispensed
DT
NE
1895 / 1
Fresenius Water For Irrigation Pour Bottle 1000ml 1
Code No. of Bottles dispensed
DT
NE
17664 / 1
FTP Medical VED Axis constrictor ring size 4 1
FTP-44003-4-001
DT
NE
17665 / 1
FTP Medical VED Axis constrictor ring size 6 1
FTP-44003-6-001
DT
NE
17666 / 1
FTP Medical VED Axis Firma Band 1
FTP-001-0-FB
DT
NE
17667 / 1
FTP Medical VED Axis Sensation Seal size 2 1
FTP-001-2-SS
DT
NE
17668 / 1
FTP Medical VED Axis Sensation Seal size 3 1
FTP-001-3-SS
DT
NE
17663 / 1
FTP Medical VED Axis vacuum pump FTP-VED-AXIS 1
FTP-VED-AXIS
DT
NE
9424 / 100
Full Marks Solution 100ml
DT
NE
9426 / 200
Full Marks Solution 200ml
DT
NE
9430 / 300
Full Marks Solution 300ml
DT
NE
5572 / 1
Fyne Dynamics Pinnacle Peak Flow Meter 1
72000EU
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 352 of 550
Code/Pack
Description
DT CD ZD N E D
G
1121 / 1
Gamgee Tissue (BP Quality) 500g
Code No. of Packs dispensed
DT
NE
1132 / 1
Gamgee Tissue (Drug Tariff Quality) 500g
Code No. of Packs dispensed
DT
NE
1108 / 1
Gauze Absorbent Cotton and Viscose Ribbon BP Sterile 1.25cmx5m
DT
NE
1109 / 1
Gauze Absorbent Cotton and Viscose Ribbon BP Sterile 2.5cmx5m
DT
NE
1105 / 1
Gauze Absorbent Cotton BP Type 13 Non-Sterile 25m Roll
DT
NE
9429 / 1
Gauze Absorbent Cotton BP Type 13 Sterile 90cmx10m
DT
NE
1102 / 1
Gauze Absorbent Cotton BP Type 13 Sterile 90cmx1m
DT
NE
1103 / 1
Gauze Absorbent Cotton BP Type 13 Sterile 90cmx3m
DT
NE
1104 / 1
Gauze Absorbent Cotton BP Type 13 Sterile 90cmx5m
DT
NE
1181 / 1
Gauze Swabs BP Type 13 Light Non-Sterile 10cmx10cm 8 ply (Pack of 100) 1
Code No. of Packs dispensed
DT
NE
1179 / 1
Gauze Swabs BP Type 13 Light Sterile 8ply 7.5cmx7.5cm (Pack of 5) 1
Code No. of Packs dispensed
DT
NE
9357 / 1
Gauze Swabs Filmated BP Non-Sterile 8Ply 10cmx10cm (Pack of 100) 1
Code No. of Packs dispensed
DT
NE
4581 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 0, 38mm (Outer Diameter) 1
DT
NE
4597 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 1, 45mm (Outer Diameter) 1
DT
NE
4622 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 2, 51mm (Outer Diameter) 1
DT
NE
4631 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 3, 57mm (Outer Diameter) 1
DT
NE
4632 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 4, 64mm (Outer Diameter) 1
DT
NE
4661 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 5, 70mm (Outer Diameter) 1
DT
NE
4891 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 6, 76mm (Outer Diameter) 1
DT
NE
4902 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 7, 83mm (Outer Diameter) 1
DT
NE
4906 / 1
GBUK Gellhorn Silicone Short Stem Pessary - Size 8, 89mm (Outer Diameter) 1
DT
NE
4413 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 0, 38mm (Outer Diameter) 1
DT
NE
4416 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 1, 45mm (Outer Diameter) 1
DT
NE
4418 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 2, 51mm (Outer Diameter) 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 353 of 550
Code/Pack
Description
DT CD ZD N E D
4469 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 3, 57mm (Outer Diameter) 1
DT
NE
4537 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 4, 64mm (Outer Diameter) 1
DT
NE
4570 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 5, 70mm (Outer Diameter) 1
DT
NE
4571 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 6, 76mm (Outer Diameter) 1
DT
NE
4575 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 7, 83mm (Outer Diameter) 1
DT
NE
4579 / 1
GBUK Gellhorn Silicone Standard Stem Pessary - Size 8, 89mm (Outer Diameter) 1
DT
NE
4042 / 1
GBUK Ring Silicone Pessary without support - Size 0, 44mm (Outer Diameter) 1
DT
NE
4074 / 1
GBUK Ring Silicone Pessary without support - Size 1, 51mm (Outer Diameter) 1
DT
NE
4193 / 1
GBUK Ring Silicone Pessary without support - Size 2, 57mm (Outer Diameter) 1
DT
NE
4315 / 1
GBUK Ring Silicone Pessary without support - Size 3, 64mm (Outer Diameter) 1
DT
NE
4339 / 1
GBUK Ring Silicone Pessary without support - Size 4, 70mm (Outer Diameter) 1
DT
NE
4347 / 1
GBUK Ring Silicone Pessary without support - Size 5, 76mm (Outer Diameter) 1
DT
NE
4350 / 1
GBUK Ring Silicone Pessary without support - Size 6, 83mm (Outer Diameter) 1
DT
NE
4404 / 1
GBUK Ring Silicone Pessary without support - Size 7, 89mm (Outer Diameter) 1
DT
NE
4408 / 1
GBUK Ring Silicone Pessary without support - Size 8, 95mm (Outer Diameter) 1
DT
NE
3375 / 21
Gelclair Sachets 15ml 21
Code Number of Sachets Dispensed
DT
NE
3106 / 20
GeloRevoice Lozenges 20
DT
NE
1444 / 15
GeloSitin nasal spray 15ml
DT
NE
1768 / 25
Generics UK Sodium Chloride 0.9% Irrigation Solution Pod 25ml x 25
Code No. of Pods dispensed
DT
NE
17192 / 1
Genesis 3H Constrictor Ring 1
013H-3, 013H-4, 013H-5, 013H-6, 013H-7, 013H-8, 013H-9 sizes 3,4,5,6,7,8,9
DT
NE
17486 / 1
Genesis Accord Vacuum Pump 0103 Manual 1 device
DT
NE
17466 / 5
Genesis Asset Constrictor Rings 5
0105
DT
NE
17462 / 1
Genesis Impulse with Limiter Vacuum Pump 1
0102
DT
NE
17464 / 1
Genesis Revive With Limiter Battery Operated Vacuum Pump 1
0101
DT
NE
17477 / 1
Genesis Single Constrictor Rings 1
0110B, 0110C, 0110D, 0110E, 0110F sizes B, C, D, E, F
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 354 of 550
Code/Pack
Description
DT CD ZD N E D
1028 / 20
Gengigel Gel Tube 20ml
DT
NE
1029 / 150
Gengigel Mouthrinse 150ml
DT
NE
541 / 100
GlucoDock Lancet 0.35mm/28gauge 100
DT
NE
4166 / 100
Glucoject Lancets Plus 0.20mm/33gauge 100
DT
NE
4760 / 200
Glucoject Lancets Plus 0.20mm/33gauge 200
DT
NE
3472 / 100
Glucoject No-dol Lancets 0.315mm/30gauge 100
DT
NE
3500 / 200
Glucoject No-dol Lancets 0.315mm/30gauge 200
DT
NE
14623 / 100
GlucoRx FinePoint screw on needles for pre-filled / reusable pen injectors 4mm/31gauge 100
DT
NE
14638 / 100
GlucoRx FinePoint screw on needles for pre-filled / reusable pen injectors 5mm/31gauge 100
DT
NE
14639 / 100
GlucoRx FinePoint screw on needles for pre-filled / reusable pen injectors 6mm/31gauge 100
DT
NE
14640 / 100
GlucoRx FinePoint screw on needles for pre-filled / reusable pen injectors 8mm/31gauge 100
DT
NE
14641 / 100
GlucoRx FinePoint screw on needles for pre-filled / reusable pen injectors 10mm/29gauge 100
DT
NE
14642 / 100
GlucoRx FinePoint screw on needles for pre-filled / reusable pen injectors 12mm/29gauge 100
DT
NE
6844 / 200
GlucoRx Lancets 0.31mm/30 gauge 200
DT
NE
9133 / 1
Glycerdex Nasal Drops Glucose in Glycerol Dropper Bottle 10ml 1
Code No. of Bottles dispensed
DT
NE
551 / 100
Greenlan Lancet 0.35mm/28gauge 100
DT
NE
555 / 200
Greenlan Lancet 0.35mm/28gauge 200
DT
NE
2829 / 1
GUS Comfort compression hosiery applicator 1
DT
NE
8707 / 15
Gynomunal Vaginal Moisturiser 15ml tube
DT
NE
7459 / 50
Gynomunal Vaginal Moisturiser 50ml tube
DT
NE
9303 / 1
Gypsona Bandage (Plaster of Paris BPC) 7.5cmx2.70m
DT
NE
9320 / 1
Gypsona Bandage (Plaster of Paris BPC) 10cmx2.70m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 355 of 550
Code/Pack
Description
DT CD ZD N E D
H
17540 / 2
Haddenham Custom Goldpunkt Additional Options Lower Malleolus Pads 2
CM-91
DT
NE
17541 / 1
Haddenham Custom Goldpunkt Additional Options Lower Silicone Grip Top 1
CM-90 Code each piece as 1
DT
NE
17538 / 1
Haddenham Custom Goldpunkt Additional Options Lower Velcro Fastening 1
CM-93 Code each piece as 1
DT
NE
17537 / 1
Haddenham Custom Goldpunkt Additional Options Lower Velcro Strap 1
CM-94 Code each piece as 1
DT
NE
17539 / 1
Haddenham Custom Goldpunkt Additional Options Lower Zip 1
CM-92 Code each piece as 1
DT
NE
17536 / 1
Haddenham Custom Goldpunkt Additional Options Upper Shoulder Cap 1
CM-83 Code each piece as 1
DT
NE
17548 / 1
Haddenham Custom Goldpunkt Additional Options Upper Silicone Grip Top 1
CM-80 Code each piece as 1
DT
NE
17535 / 1
Haddenham Custom Goldpunkt Additional Options Upper Zip 1
CM-81 Code each piece as 1
DT
NE
17561 / 1
Haddenham Custom Goldpunkt Lower Limb Class 2 (23-32mmHg) Below Knee 1
GP-22 Code each piece as 1
DT
NE
17549 / 1
Haddenham Custom Goldpunkt Lower Limb Class 2 (23-32mmHg) Pantyhose 1
GP-52 Code each piece as 1
DT
NE
17547 / 1
Haddenham Custom Goldpunkt Lower Limb Class 2 (23-32mmHg) Thigh High 1
GP-32 Code each piece as 1
DT
NE
17560 / 1
Haddenham Custom Goldpunkt Lower Limb Class 2 (23-32mmHg) Thigh High with Waist
Attachment 1
GP-42 Code each piece as 1
DT
NE
17545 / 1
Haddenham Custom Goldpunkt Lower Limb Class 2 (23-32mmHg) Toe Cap 1
GP-12 Code each piece as 1
DT
NE
17551 / 1
Haddenham Custom Goldpunkt Lower Limb Class 3 (34-46mmHg) Below Knee 1
GP-23 Code each piece as 1
DT
NE
17554 / 1
Haddenham Custom Goldpunkt Lower Limb Class 3 (34-46mmHg) Pantyhose 1
GP-53 Code each piece as 1
DT
NE
17552 / 1
Haddenham Custom Goldpunkt Lower Limb Class 3 (34-46mmHg) Thigh High 1
GP-33 Code each piece as 1
DT
NE
17553 / 1
Haddenham Custom Goldpunkt Lower Limb Class 3 (34-46mmHg) Thigh High with Waist
Attachment 1
GP-43 Code each piece as 1
DT
NE
17550 / 1
Haddenham Custom Goldpunkt Lower Limb Class 3 (34-46mmHg) Toe Cap 1
GP-13 Code each piece as 1
DT
NE
17555 / 1
Haddenham Custom Goldpunkt Lower Limb Class 4 (49-70mmHg) Below Knee 1
GP-24 Code each piece as 1
DT
NE
17542 / 1
Haddenham Custom Goldpunkt Lower Limb Class 4 (49-70mmHg) Pantyhose 1
GP-54 Code each piece as 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 356 of 550
Code/Pack
Description
DT CD ZD N E D
17556 / 1
Haddenham Custom Goldpunkt Lower Limb Class 4 (49-70mmHg) Thigh High 1
GP-34 Code each piece as 1
DT
NE
17543 / 1
Haddenham Custom Goldpunkt Lower Limb Class 4 (49-70mmHg) Thigh High with Waist
Attachment 1
GP-44 Code each piece as 1
DT
NE
17581 / 1
Haddenham Custom Goldpunkt Upper Limb Class 2 (23-32mmHg) Armsleeve - with Glove and
Fingers 1
GP-78 Code each piece as 1
DT
NE
17580 / 1
Haddenham Custom Goldpunkt Upper Limb Class 2 (23-32mmHg) Armsleeve - with Glove no
Fingers 1
GP-75 Code each piece as 1
DT
NE
17579 / 1
Haddenham Custom Goldpunkt Upper Limb Class 2 (23-32mmHg) Armsleeve - Wrist to Axilla 1 DT
GP-72 Code each piece as 1
NE
17577 / 1
Haddenham Custom Goldpunkt Upper Limb Class 2 (23-32mmHg) Glove no Fingers (gauntlet) 1
GP-62 Code each piece as 1
DT
NE
17578 / 1
Haddenham Custom Goldpunkt Upper Limb Class 2 (23-32mmHg) Glove with Fingers 1
GP-65 Code each piece as 1
DT
NE
17572 / 1
Haddenham Custom Goldpunkt Upper Limb Class 3 (34-46mmHg) Armsleeve - with Glove and
Fingers 1
GP-79 Code each piece as 1
DT
NE
17639 / 1
Haddenham Custom Goldpunkt Upper Limb Class 3 (34-46mmHg) Armsleeve - with Glove no
Fingers 1
GP-76 Code each piece as 1
DT
NE
17584 / 1
Haddenham Custom Goldpunkt Upper Limb Class 3 (34-46mmHg) Armsleeve - Wrist to Axilla 1 DT
GP-73 Code each piece as 1
NE
17582 / 1
Haddenham Custom Goldpunkt Upper Limb Class 3 (34-46mmHg) Glove no Fingers (gauntlet)
1
GP-63 Code each piece as 1
DT
NE
17583 / 1
Haddenham Custom Goldpunkt Upper Limb Class 3 (34-46mmHg) Glove with Fingers 1
GP-66 Code each piece as 1
DT
NE
17574 / 2
Haddenham Custom Pertex Additional Options Lower Malleolus Pads 2
CM-91
DT
NE
17562 / 1
Haddenham Custom Pertex Additional Options Lower Silicone Grip Top 1
CM-90 Code each piece as 1
DT
NE
17797 / 1
Haddenham Custom Pertex Additional Options Lower Velcro Fastening 1
CM-93 Code each piece as 1
DT
NE
17799 / 1
Haddenham Custom Pertex Additional Options Lower Velcro Strap 1
CM-94 Code each piece as 1
DT
NE
17801 / 1
Haddenham Custom Pertex Additional Options Lower Zip 1
CM-92 Code each piece as 1
DT
NE
17832 / 1
Haddenham Custom Pertex Additional Options Upper Shoulder Cap 1
CM-83 Code each piece as 1
DT
NE
17830 / 1
Haddenham Custom Pertex Additional Options Upper Silicone Grip Top 1
CM-80 Code each piece as 1
DT
NE
17831 / 1
Haddenham Custom Pertex Additional Options Upper Zip 1
CM-81 Code each piece as 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 357 of 550
Code/Pack
Description
DT CD ZD N E D
17566 / 1
Haddenham Custom Pertex Lower Limb Class 1 (18-21mmHg) Below Knee 1
PX-21 Code each piece as 1
DT
NE
17569 / 1
Haddenham Custom Pertex Lower Limb Class 1 (18-21mmHg) Pantyhose 1
PX-51 Code each piece as 1
DT
NE
17567 / 1
Haddenham Custom Pertex Lower Limb Class 1 (18-21mmHg) Thigh High 1
PX-31 Code each piece as 1
DT
NE
17568 / 1
Haddenham Custom Pertex Lower Limb Class 1 (18-21mmHg) Thigh High with Waist
Attachment 1
PX-41 Code each piece as 1
DT
NE
17565 / 1
Haddenham Custom Pertex Lower Limb Class 1 (18-21mmHg) Toe Cap 1
PX-11 Code each piece as 1
DT
NE
17571 / 1
Haddenham Custom Pertex Lower Limb Class 2 (23-32mmHg) Below Knee 1
PX-22 Code each piece as 1
DT
NE
17559 / 1
Haddenham Custom Pertex Lower Limb Class 2 (23-32mmHg) Pantyhose
PX-52 Code each piece as 1
1
DT
NE
17586 / 1
Haddenham Custom Pertex Lower Limb Class 2 (23-32mmHg) Thigh High 1
PX-32 Code each piece as 1
DT
NE
17573 / 1
Haddenham Custom Pertex Lower Limb Class 2 (23-32mmHg) Thigh High with Waist
Attachment 1
PX-42 Code each piece as 1
DT
NE
17570 / 1
Haddenham Custom Pertex Lower Limb Class 2 (23-32mmHg) Toe Cap 1
PX-12 Code each piece as 1
DT
NE
17576 / 1
Haddenham Custom Pertex Lower Limb Class 3 (34-46mmHg) Below Knee
PX-23 Code each piece as 1
DT
NE
17453 / 1
Haddenham Custom Pertex Lower Limb Class 3 (34-46mmHg) Pantyhose 1
PX-53 Code each piece as 1
DT
NE
17564 / 1
Haddenham Custom Pertex Lower Limb Class 3 (34-46mmHg) Thigh High 1
PX-33 Code each piece as 1
DT
NE
17563 / 1
Haddenham Custom Pertex Lower Limb Class 3 (34-46mmHg) Thigh High with Waist
Attachment 1
PX-43 Code each piece as 1
DT
NE
17575 / 1
Haddenham Custom Pertex Lower Limb Class 3 (34-46mmHg) Toe Cap 1
PX-13 Code each piece as 1
DT
NE
17764 / 1
Haddenham Custom Pertex Upper Limb Class 1 (18-21mmHg) Armsleeve - with Glove and
Fingers 1
PX-77 Code each piece as 1
DT
NE
17762 / 1
Haddenham Custom Pertex Upper Limb Class 1 (18-21mmHg) Armsleeve - with Glove no
Fingers 1
PX-74 Code each piece as 1
DT
NE
17759 / 1
Haddenham Custom Pertex Upper Limb Class 1 (18-21mmHg) Armsleeve - Wrist to Axilla 1
PX-71 Code each piece as 1
DT
NE
17763 / 1
Haddenham Custom Pertex Upper Limb Class 1 (18-21mmHg) Gloves no fingers (gauntlet) 1
PX-61 Code each piece as 1
DT
NE
17758 / 1
Haddenham Custom Pertex Upper Limb Class 1 (18-21mmHg) Gloves with fingers 1
PX-64 Code each piece as 1
DT
NE
1
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 358 of 550
Code/Pack
Description
DT CD ZD N E D
17769 / 1
Haddenham Custom Pertex Upper Limb Class 2 (23-32mmHg) Armsleeve - with Glove and
Fingers 1
PX-78 Code each piece as 1
DT
NE
17768 / 1
Haddenham Custom Pertex Upper Limb Class 2 (23-32mmHg) Armsleeve - with Glove no
Fingers 1
PX-75 Code each piece as 1
DT
NE
17767 / 1
Haddenham Custom Pertex Upper Limb Class 2 (23-32mmHg) Armsleeve - Wrist to Axilla 1
PX-72 Code each piece as 1
DT
NE
17765 / 1
Haddenham Custom Pertex Upper Limb Class 2 (23-32mmHg) Glove no Fingers (gauntlet) 1
PX-62 Code each piece as 1
DT
NE
17766 / 1
Haddenham Custom Pertex Upper Limb Class 2 (23-32mmHg) Glove with Fingers 1
PX-65 Code each piece as 1
DT
NE
17842 / 1
Haddenham Custom Pertex Upper Limb Class 3 (34-46mmHg) Armsleeve - with Glove and
Fingers 1
PX-79 Code each piece as 1
DT
NE
17761 / 1
Haddenham Custom Pertex Upper Limb Class 3 (34-46mmHg) Armsleeve - with Glove no
Fingers 1
PX-76 Code each piece as 1
DT
NE
17802 / 1
Haddenham Custom Pertex Upper Limb Class 3 (34-46mmHg) Armsleeve - Wrist to Axilla 1
PX-73 Code each piece as 1
DT
NE
17770 / 1
Haddenham Custom Pertex Upper Limb Class 3 (34-46mmHg) Glove no Fingers (gauntlet) 1
PX-63 Code each piece as 1
DT
NE
17772 / 1
Haddenham Custom Pertex Upper Limb Class 3 (34-46mmHg) Glove with Fingers 1
PX-66 Code each piece as 1
DT
NE
5260 / 1
Haddenham Doktus Armsleeve Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5471 / 1
Haddenham Doktus Armsleeve Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5267 / 1
Haddenham Doktus Armsleeve Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5480 / 1
Haddenham Doktus Armsleeve Extra Wide Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5445 / 1
Haddenham Doktus Armsleeve with Grip Top Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5689 / 1
Haddenham Doktus Armsleeve with Grip Top Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5468 / 1
Haddenham Doktus Armsleeve with Grip Top Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5695 / 1
Haddenham Doktus Armsleeve with Grip Top Extra Wide Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5469 / 1
Haddenham Doktus Armsleeve with Grip Top with Mitten Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5845 / 1
Haddenham Doktus Armsleeve with Grip Top with Mitten Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5470 / 1
Haddenham Doktus Armsleeve with Grip Top with Mitten Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 359 of 550
Code/Pack
Description
DT CD ZD N E D
5846 / 1
Haddenham Doktus Armsleeve with Grip Top with Mitten Extra Wide Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5370 / 1
Haddenham Doktus Armsleeve with Mitten Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5505 / 1
Haddenham Doktus Armsleeve with Mitten Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5371 / 1
Haddenham Doktus Armsleeve with Mitten Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
5527 / 1
Haddenham Doktus Armsleeve with Mitten Extra Wide Class 3 (34-46mmHg) 1
XS, S, M, L Regular, Long
DT
NE
17264 / 1
Haddenham FarrowWrap Classic Footpiece (30-40mmHg)
XS, S, M, L, XL Regular, Long
DT
NE
17255 / 1
Haddenham FarrowWrap Classic Legpiece (30-40mmHg)
XS, S, M, L, XL Regular, Long
DT
NE
17266 / 1
Haddenham FarrowWrap Classic Thighpiece (30-40mmHg)
XS, S, M, L, XL Short, Regular, Long
DT
NE
17261 / 1
Haddenham FarrowWrap Lite Footpiece (20-30mmHg)
XS, S, M, L, XL Regular, Long
DT
NE
17262 / 1
Haddenham FarrowWrap Lite Legpiece (20-30mmHg)
XS, S, M, L, XL Regular, Long
DT
NE
17272 / 1
Haddenham FarrowWrap Lite Thighpiece (20-30mmHg)
XS, S, M, L, XL Short, Regular, Long
DT
NE
5672 / 1
Haddenham FarrowWrap Strong Footpiece (30-40mmHg)
XS, S, M, L, XL Regular, Long
DT
NE
5961 / 1
Haddenham FarrowWrap Strong Legpiece (30-40mmHg)
XS, S, M, L, XL Regular, Long
DT
NE
6837 / 1
Haddenham FarrowWrap Strong Thighpiece (30-40mmHg)
XS, S, M, L, XL Short, Regular, Long
DT
NE
9113 / 1
Haddenham Microfine Glove with compressive fingers (20-36mmHg)
XS, S, M, L
DT
NE
9195 / 1
Haddenham Microfine Toe Cap with compressive toes (20-36mmHg)
XS, S, M, L
DT
NE
17451 / 1
Haddenham Star Cotton Armsleeve XS,S,M,L Class 1 (18-21mmHg) 1
Regular, Long
DT
NE
17447 / 1
Haddenham Star Cotton Armsleeve XS,S,M,L Class 2 (23-32mmHg) 1
Regular, Long
DT
NE
17440 / 1
Haddenham Star Cotton Armsleeve Extra Wide XS,S,M,L Class 1 (18-21mmHg) 1
Regular, Long
DT
NE
17448 / 1
Haddenham Star Cotton Armsleeve Extra Wide XS,S,M,L Class 2 (23-32mmHg) 1
Regular, Long
DT
NE
17443 / 1
Haddenham Star Cotton Armsleeve with Grip Top XS,S,M,L Class 1 (18-21mmHg) 1
Regular, Long
DT
NE
17503 / 1
Haddenham Star Cotton Armsleeve with Grip Top XS,S,M,L Class 2 (23-32mmHg) 1
Regular, Long
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 360 of 550
Code/Pack
Description
DT CD ZD N E D
17444 / 1
Haddenham Star Cotton Armsleeve with Grip Top Extra Wide XS,S,M,L Class 1 (1821mmHg) 1
Regular, Long
DT
NE
17501 / 1
Haddenham Star Cotton Armsleeve with Grip Top Extra Wide XS,S,M,L Class 2 (2332mmHg) 1
Regular, Long
DT
NE
17445 / 1
Haddenham Star Cotton Armsleeve with Grip Top with Mitten XS,S,M,L Class 1 (1821mmHg) 1
Regular, Long
DT
NE
17502 / 1
Haddenham Star Cotton Armsleeve with Grip Top with Mitten XS,S,M,L Class 2 (2332mmHg) 1
Regular, Long
DT
NE
17446 / 1
Haddenham Star Cotton Armsleeve with Grip Top with Mitten Extra Wide XS,S,M,L Class 1 (18- DT
21mmHg) 1
Regular, Long
NE
17638 / 1
Haddenham Star Cotton Armsleeve with Grip Top with Mitten Extra Wide XS,S,M,L Class 2 (23- DT
32mmHg) 1
Regular, Long
NE
17441 / 1
Haddenham Star Cotton Armsleeve with Mitten XS,S,M,L Class 1 (18-21mmHg) 1
Regular, Long
DT
NE
17449 / 1
Haddenham Star Cotton Armsleeve with Mitten XS,S,M,L Class 2 (23-32mmHg) 1
Regular, Long
DT
NE
17442 / 1
Haddenham Star Cotton Armsleeve with Mitten Extra Wide XS,S,M,L Class 1 (18-21mmHg) 1
Regular, Long
DT
NE
17437 / 1
Haddenham Star Cotton Armsleeve with Mitten Extra Wide XS,S,M,L Class 2 (23-32mmHg) 1 DT
Regular, Long
NE
17472 / 2
Haddenham Star Cotton Below Knee Closed Toe I-VIII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17430 / 2
Haddenham Star Cotton Below Knee Closed Toe I-VIII Class 2 (23-32mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17474 / 2
Haddenham Star Cotton Below Knee Extra Wide Closed Toe I-VIII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17432 / 2
Haddenham Star Cotton Below Knee Extra Wide Closed Toe I-VIII Class 2 (23-32mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17473 / 2
Haddenham Star Cotton Below Knee Extra Wide Open Toe I-VIII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17431 / 2
Haddenham Star Cotton Below Knee Extra Wide Open Toe I-VIII Class 2 (23-32mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17412 / 2
Haddenham Star Cotton Below Knee Open Toe I-VIII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17429 / 2
Haddenham Star Cotton Below Knee Open Toe I-VIII Class 2 (23-32mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17463 / 2
Haddenham Star Cotton Thigh High with Grip Top Closed Toe I-VII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17434 / 2
Haddenham Star Cotton Thigh High with Grip Top Closed Toe I-VII Class 2 (23-32mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 361 of 550
Code/Pack
Description
DT CD ZD N E D
17851 / 2
Haddenham Star Cotton Thigh High with Grip Top Extra Wide Closed Toe I-VII Class 1 (1821mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17436 / 2
Haddenham Star Cotton Thigh High with Grip Top Extra Wide Closed Toe I-VII Class 2 (2332mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17439 / 2
Haddenham Star Cotton Thigh High with Grip Top Extra Wide Open Toe I-VII Class 1 (1821mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17435 / 2
Haddenham Star Cotton Thigh High with Grip Top Extra Wide Open Toe I-VII Class 2 (2332mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17475 / 2
Haddenham Star Cotton Thigh High with Grip Top Open Toe I-VII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17433 / 2
Haddenham Star Cotton Thigh High with Grip Top Open Toe I-VII Class 2 (23-32mmHg) 2
Short, Regular, Long Code each pair as 2
DT
NE
17428 / 1
Haddenham Star Cotton Tights Extra Wide Open/Closed Toe I-VII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 1
DT
NE
17438 / 1
Haddenham Star Cotton Tights Extra Wide Open/Closed Toe I-VII Class 2 (23-32mmHg) 1
Short, Regular, Long Code each pair as 1
DT
NE
17427 / 1
Haddenham Star Cotton Tights Open/Closed Toe I-VII Class 1 (18-21mmHg) 2
Short, Regular, Long Code each pair as 1
DT
NE
17452 / 1
Haddenham Star Cotton Tights Open/Closed Toe I-VII Class 2 (23-32mmHg) 1
Short, Regular, Long Code each pair as 1
DT
NE
5847 / 1
Haddenham Venex Armsleeve Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6727 / 1
Haddenham Venex Armsleeve Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6232 / 1
Haddenham Venex Armsleeve Extra Wide Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6880 / 1
Haddenham Venex Armsleeve Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6588 / 1
Haddenham Venex Armsleeve with Grip Top Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
7045 / 1
Haddenham Venex Armsleeve with Grip Top Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6627 / 1
Haddenham Venex Armsleeve with Grip Top Extra Wide Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
7059 / 1
Haddenham Venex Armsleeve with Grip Top Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6650 / 1
Haddenham Venex Armsleeve with Grip Top with Mitten Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
7064 / 1
Haddenham Venex Armsleeve with Grip Top with Mitten Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6661 / 1
Haddenham Venex Armsleeve with Grip Top with Mitten Extra Wide Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 362 of 550
Code/Pack
Description
DT CD ZD N E D
7072 / 1
Haddenham Venex Armsleeve with Grip Top with Mitten Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6341 / 1
Haddenham Venex Armsleeve with Mitten Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
7034 / 1
Haddenham Venex Armsleeve with Mitten Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
6575 / 1
Haddenham Venex Armsleeve with Mitten Extra Wide Class 1 (18-21mmHg) 1
XS, S, M, L Regular, Long
DT
NE
7040 / 1
Haddenham Venex Armsleeve with Mitten Extra Wide Class 2 (23-32mmHg) 1
XS, S, M, L Regular, Long
DT
NE
1084 / 1
Haddenham Veni Class 1 (18-21mmHg ) Tights Extra Wide Open/Closed Toe 1
I,II,III,IV,V,VI,VII,VIII Short, Regular, Long. Code no. of pairs dispensed
DT
NE
1081 / 1
Haddenham Veni Class 1 (18-21mmHg ) Tights Open/Closed Toe 1
I,II,III,IV,V,VI,VII,VIII Short, Regular, Long. Code no. of pairs dispensed
DT
NE
4402 / 2
Haddenham Veni Class 1 (18-21mmHg) Below Knee Open Toe 2
I-VIII Short, Regular, Long
DT
NE
4405 / 2
Haddenham Veni Class 1 (18-21mmHg) Below Knee Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
5740 / 2
Haddenham Veni Class 1 (18-21mmHg) Below Knee Extra Wide Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
4515 / 2
Haddenham Veni Class 1 (18-21mmHg) Thigh High with Grip Top Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
4532 / 2
Haddenham Veni Class 1 (18-21mmHg) Thigh High with Grip Top Extra Wide Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
4341 / 2
Haddenham Veni Class 1 (18-21mmHg) Thigh High with Grip Top Extra Wide Open Toe 2
I-VIII Short, Regular, Long
DT
NE
4485 / 2
Haddenham Veni Class 1 (18-21mmHg) Thigh High with Grip Top Open Toe 2
I-VIII Short, Regular, Long
DT
NE
4424 / 2
Haddenham Veni Class 1 (18-21mmHg)Below Knee Extra Wide Open Toe 2
I-VIII Short, Regular, Long
DT
NE
1092 / 1
Haddenham Veni Class 2 (23-32mmHg ) Tights Extra Wide Open/Closed Toe 1
I,II,III,IV,V,VI,VII,VIII Short, Regular, Long. Code no. of pairs dispensed
DT
NE
1087 / 1
Haddenham Veni Class 2 (23-32mmHg ) Tights Open/Closed Toe 1
I,II,III,IV,V,VI,VII,VIII Short, Regular, Long. Code no. of pairs dispensed
DT
NE
4573 / 2
Haddenham Veni Class 2 (23-32mmHg Below Knee Extra Wide Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
3374 / 2
Haddenham Veni Class 2 (23-32mmHg) Below Knee Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
4544 / 2
Haddenham Veni Class 2 (23-32mmHg) Below Knee Extra Wide Open Toe 2
I-VIII Short, Regular, Long
DT
NE
5741 / 2
Haddenham Veni Class 2 (23-32mmHg) Below Knee Open Toe 2
I-VIII Short, Regular, Long
DT
NE
4585 / 2
Haddenham Veni Class 2 (23-32mmHg) Thigh High with Grip Top Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
4525 / 2
Haddenham Veni Class 2 (23-32mmHg) Thigh High with Grip Top Extra Wide Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 363 of 550
Code/Pack
Description
DT CD ZD N E D
4598 / 2
Haddenham Veni Class 2 (23-32mmHg) Thigh High with Grip Top Extra Wide Open Toe 2
I-VIII Short, Regular, Long
DT
NE
3373 / 2
Haddenham Veni Class 2 (23-32mmHg) Thigh High with Grip Top Open Toe 2
I-VIII Short, Regular, Long
DT
NE
1145 / 1
Haddenham Veni Class 3 (34-46mmHg ) Tights Extra Wide Open/Closed Toe 1
I,II,III,IV,V,VI,VII,VIII Short, Regular, Long. Code no. of pairs dispensed
DT
NE
1114 / 1
Haddenham Veni Class 3 (34-46mmHg ) Tights Open/Closed Toe 1
I,II,III,IV,V,VI,VII,VIII Short, Regular, Long. Code no. of pairs dispensed
DT
NE
4136 / 2
Haddenham Veni Class 3 (34-46mmHg) Below Knee Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
4371 / 2
Haddenham Veni Class 3 (34-46mmHg) Below Knee Open Toe 2
I-VIII Short, Regular, Long
DT
NE
3399 / 2
Haddenham Veni Class 3 (34-46mmHg) Thigh High with Grip Top Extra Wide Open Toe 2
I-VIII Short, Regular, Long
DT
NE
4344 / 2
Haddenham Veni Class 3 (34-46mmHg) Thigh High with Grip Top Open Toe 2
I-VIII Short, Regular, Long
DT
NE
5787 / 2
Haddenham Veni Class 3 (34-46mmHg) Below Knee Extra Wide Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
5805 / 2
Haddenham Veni Class 3 (34-46mmHg) Below Knee Extra Wide Open Toe 2
I-VIII Short, Regular, Long
DT
NE
5806 / 2
Haddenham Veni Class 3 (34-46mmHg) Thigh High with Grip Top Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
3376 / 2
Haddenham Veni Class 3 (34-46mmHg) Thigh High with Grip Top Extra Wide Closed Toe 2
I-VIII Short, Regular, Long
DT
NE
17279 / 2
Healthcare 2000 Confidence Ring Firm (Pink) 2
DT
NE
17280 / 2
Healthcare 2000 Confidence Ring Regular (Natural) 2
DT
NE
17278 / 2
Healthcare 2000 Confidence Ring Starter Pack 2
DT
NE
17273 / 1
Healthcare 2000 E.I.D. Erection Inducer Device 1
DT
NE
7366 / 5
Hei-Clean Soft Tracheostomy Cleaning Device 5
Size XS 71-0010-00W, Size S 71-0011-00W, Size M 71-0012-00W
DT
NE
7354 / 5
Hei-Clean Tracheostomy Cleaning Device 5
DT
Size XXS 71-0010-01, Size XS 71-0010-00, Size S 71-0011-00, Size M 71-0012-00, Size L
71-0013-00
NE
5495 / 1
Hero H-2 layer 1 Bandage 10cm x 3m 1
DT
NE
6479 / 1
Hero H-2 layer 2 Bandage 10cm x 5m 1
DT
NE
6502 / 1
Hero H-2 Lite layer 2 Bandage 10cm x 5m 1
DT
NE
5900 / 1
Hero H-2 Lite Multi-layer Compression Bandage Kit 18-25cm 1
DT
NE
5899 / 1
Hero H-2 Multi-layer Compression Bandage Kit 18-25cm 1
DT
NE
6772 / 1
Hero H-2 XL layer 1 Bandage 10cm x 5m 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 364 of 550
Code/Pack
Description
DT CD ZD N E D
6773 / 1
Hero H-2 XL layer 2 Bandage 10cm x 6m 1
DT
NE
5360 / 1
Hero H-2 XL Multi-layer Compression Bandage Kit 25-32cm 1
DT
NE
9409 / 1
Higginsons Syringe Enema 1
DT
NE
7517 / 1
Histoacryl L Sterile Skin Adhesive 0.2g 1
DT
NE
7520 / 1
Histoacryl L Sterile Skin Adhesive 0.5g 1
DT
NE
7502 / 1
Histoacryl Sterile Skin Adhesive 0.2g 1
DT
NE
7509 / 1
Histoacryl Sterile Skin Adhesive 0.5g 1
DT
NE
1347 / 3
Hollister Wound Drainage Collector Wound Drainage Pouch 100mm x 200mm 10
9703
DT
NE
1385 / 10
Hollister Wound Drainage Collector Wound Drainage Pouch 76mm 10
9701
DT
NE
1388 / 10
Hollister Wound Drainage Collector Wound Drainage Pouch 95mm 10
9702
DT
NE
1368 / 1
Hospicrepe 229 Cotton Crepe Bandage 10cmx4.5m 1
DT
NE
1369 / 1
Hospicrepe 229 Cotton Crepe Bandage 15cmx4.5m 1
DT
NE
1362 / 1
Hospicrepe 229 Cotton Crepe Bandage 5cmx4.5m 1
DT
NE
1365 / 1
Hospicrepe 229 Cotton Crepe Bandage 7.5cmx4.5m 1
DT
NE
1184 / 1
Hospicrepe 233 Cotton Stretch Bandage 5cmx4.5m
DT
NE
1227 / 1
Hospicrepe 233 Cotton Stretch Bandage 7.5cmx4.5m
DT
NE
1235 / 1
Hospicrepe 233 Cotton Stretch Bandage 10cmx4.5m
DT
NE
1247 / 1
Hospicrepe 233 Cotton Stretch Bandage 15cmx4.5m
DT
NE
1146 / 1
Hospicrepe 239 Bandage 10cmx4.5m
DT
NE
1122 / 1
Hospicrepe 239 Cotton Crepe Bandage 5cmx4.5m
DT
NE
1142 / 1
Hospicrepe 239 Cotton Crepe Bandage 7.5cmx4.5m
DT
NE
1151 / 1
Hospicrepe 239 Cotton Crepe Bandage 15cmx4.5m
DT
NE
8948 / 1
Hospiform Conforming Bandage 8cmx4m
DT
NE
8946 / 1
Hospiform Conforming Bandage 10cmx4m
DT
NE
8944 / 1
Hospiform Conforming Bandage 12cmx4m
DT
NE
8950 / 1
Hospiform Cotton Conforming Bandage 6cmx4m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 365 of 550
Code/Pack
Description
DT CD ZD N E D
7757 / 1
Hospilite Bandage 10cm 1
DT
NE
7750 / 1
Hospilite Bandage 15cm 1
DT
NE
7760 / 1
Hospilite Bandage 5cm 1
DT
NE
7759 / 1
Hospilite Bandage 7.5cm 1
DT
NE
7066 / 1
HPC Filter (normal to low resistance) HSF1
DT
NE
4740 / 1
Humapen Luxura HD Re-useable Pen 3.0ml 0.5unit (1-30 units) 1
DT
NE
6711 / 1
Humapen Memoir Re-Useable Pen 3.0ml 1unit (1-60 units)
DT
NE
3455 / 1
Humapen Savvio Re-useable Pen (Blue) 3.0ml 1unit (1-60 units)
DT
NE
3567 / 1
Humapen Savvio Re-useable Pen (Graphite) 3.0ml 1unit (1-60 units)
DT
NE
3120 / 1
Humapen Savvio Re-useable Pen (Green) 3.0ml 1unit (1-60 units)
DT
NE
3123 / 1
Humapen Savvio Re-useable Pen (Pink) 3.0ml 1unit (1-60 units)
DT
NE
3813 / 1
Humapen Savvio Re-useable Pen (Red) 3.0ml 1unit (1-60 units)
DT
NE
1221 / 1
Humapen Savvio Re-useable Pen (Silver) 3.0ml 1unit (1-60 units)
DT
NE
7116 / 1
Humistom Stoma Button/Stud Short Length HS1 - S10
DT
NE
7128 / 1
Humistom Stoma Button/Stud Short Length HS1 - S12
DT
NE
7169 / 1
Humistom Stoma Button/Stud Short Length HS1 - S14
DT
NE
7068 / 1
Humistom Stoma Button/Stud Standard Length HS1 - L10
DT
NE
7080 / 1
Humistom Stoma Button/Stud Standard Length HS1 - L12
DT
NE
7094 / 1
Humistom Stoma Button/Stud Standard Length HS1 - L14
DT
NE
1072 / 10
Hyabak Eye Drops 10ml
DT
NE
6122 / 30
Hyalofemme Vaginal Moisturiser 30g Tube 1
DT
NE
17723 / 30
HydraMed eye drops 0.5ml preservative free single dose unit 30
DT
NE
17722 / 10
HydraMed eye drops 10ml preservative free bottle 10ml
DT
NE
17306 / 1
Hydro-Caine Lubricant Gel 11ml Syringe (DT) HYD-011 1
DT
NE
17305 / 1
Hydro-Caine Lubricant Gel 6ml Syringe (DT) HYD-006 1
DT
NE
5384 / 1
Hydrofilm IV Control Dressing 7cm x 9cm 1
DT
NE
5315 / 125
Hydromol (DT) Ointment 125g
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 366 of 550
Code/Pack
Description
DT CD ZD N E D
7841 / 1000
Hydromol (DT) Ointment 1kg
DT
NE
5316 / 500
Hydromol (DT) Ointment 500g
DT
NE
9959 / 30
Hydromoor Eye Drops 0.4ml single dose unit 30
DT
NE
6622 / 1
Hygiofix Surgical Adhesive Tape 10CMX10M 1
DT
NE
6137 / 1
Hygiofix Surgical Adhesive Tape 15CMX10M 1
DT
NE
5745 / 1
Hygiofix Surgical Adhesive Tape 2.5CMX10M 1
DT
NE
6558 / 1
Hygiofix Surgical Adhesive Tape 20cmx10m 1
DT
NE
5952 / 1
Hygiofix Surgical Adhesive Tape 5CMX10M 1
DT
NE
5954 / 1
Hygiofix Surgical Adhesive Tape 7.5cmx10m 1
DT
NE
4668 / 10
Hylo-Care (10ml preservative free bottle) Eye Drops 10ml
DT
NE
9431 / 10
Hylo-Forte (10ml preservative free bottle) Eye Drops 10ml
DT
NE
4066 / 10
Hylo-Tear (10ml preservative free bottle) Eye Drops 10ml
DT
NE
1356 / 10
Hy-Opti 0.1% eye drops preservative free bottle 10ml
DT
NE
1359 / 10
Hy-Opti 0.2% eye drops preservative free bottle 10ml
DT
NE
8843 / 1
Hypafix Surgical Adhesive Tape 2.5cmx10m
DT
NE
8850 / 1
Hypafix Surgical Adhesive Tape 5cmx10m
DT
NE
4727 / 1
Hypafix Surgical Adhesive Tape 5cmx5m 1
DT
NE
8865 / 1
Hypafix Surgical Adhesive Tape 10cmx10m
DT
NE
4728 / 1
Hypafix Surgical Adhesive Tape 10cmx5m 1
DT
NE
8871 / 1
Hypafix Surgical Adhesive Tape 15cmx10m
DT
NE
8876 / 1
Hypafix Surgical Adhesive Tape 20cmx10m
DT
NE
8881 / 1
Hypafix Surgical Adhesive Tape 30cmx10m
DT
NE
3588 / 1
Hypafix Transparent Dressing 10cm x 2m 1
DT
NE
5116 / 10
Hypersal 5% eye drops 10ml
DT
NE
847 / 100
Hypodermic Sterile Single Use Needle 0.4 mm 27g
DT
NE
793 / 100
Hypodermic Sterile Single Use Needle 0.45mm 26g
DT
NE
760 / 100
Hypodermic Sterile Single Use Needle 0.5 mm 25g
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 367 of 550
Code/Pack
Description
DT CD ZD N E D
5082 / 10
Hypromellose 0.3% eye drops preservative free (Alissa) 10ml
DT
NE
17721 / 10
Hypromol 0.3% eye drops preservative free 10ml
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 368 of 550
Code/Pack
Description
DT CD ZD N E D
i
2994 / 1
iAluRil Bladder Instillation Device 50ml 1
(contains 800mg of sodium hyaluronate and 1g sodium chondroitin sulfate)
DT
NE
2110 / 100
iCare Advanced Lancet 0.38mm/30gauge 100
DT
NE
2113 / 200
iCare Advanced Lancet 0.38mm/30gauge 200
DT
NE
1068 / 1
Icthopaste Zinc Paste (6%) and Ichthammol (2%) Bandage 7.5cmX6M 1
DT
NE
5765 / 100
IME-DC Lancets 0.3mm/30 gauge 100
DT
NE
17465 / 3
iMEDicare Assist Maintenance System 3
15109
DT
NE
17467 / 3
iMEDicare Select Maintenance Ring Set 3
15230
DT
NE
17397 / 1
iMEDicare SomaCorrect Response II - XL Vacuum Pump 1
15888
DT
NE
17396 / 1
iMEDicare SomaCorrect Response II Vacuum Pump 1
15019
DT
NE
17398 / 1
iMEDicare SomaCorrect Touch II Vacuum Pump 1
15013
DT
NE
17394 / 1
iMEDicare SomaCorrect Vacuum Pump 1
15080
DT
NE
17395 / 1
iMEDicare SomaCorrect Xtra Vacuum Pump 1
15111
DT
NE
17468 / 4
iMEDicare SureEase Maintenance Ring Set Constrictor Rings 4
15085
DT
NE
17469 / 3
iMEDicare Ultimate (Surefit) Maintenance Ring Set 3
15222
DT
NE
17470 / 3
iMEDicare Ultra Maintenance Ring Set 3
15444
DT
NE
7044 / 100
IME-FINE Needles for Pre-filled / Re-useable Pens 6mm/31Gauge 100
DT
NE
7099 / 100
IME-FINE Needles for Pre-filled / Re-useable Pens 8mm/31Gauge 100
DT
NE
3288 / 500
imuDERM emollient 500g
DT
NE
1384 / 10
Independence Easy Access Pouch Wound Drainage Pouch 10
EA1
DT
NE
3535 / 10
Independence Wound Protection/Collection Wound Drainage Pouch 10
VAP1
DT
NE
2878 / 10
Independence Xtra Large Wound Protection/Collection Wound Drainage Pouch 10
VAP2
DT
NE
7486 / 1
Indermil Sterile Skin Adhesive 0.5g 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 369 of 550
Code/Pack
Description
DT CD ZD N E D
1462 / 1
Injex 10ml Vial Adaptor Pack Needle-Free Insulin Delivery System
60502
DT
NE
1463 / 1
Injex 4-Monthly Refill Pack Needle-Free Insulin Delivery System
60504
DT
NE
1461 / 1
Injex Ampoule Pack Needle-Free Insulin Delivery System
60501
DT
NE
1450 / 1
Injex Starter Kit Needle-Free Insulin Delivery System
60500
DT
NE
7647 / 1
Insight 2 piece Tracheostomy Tube Holder Adult TH100
DT
NE
7650 / 1
Insight 2 piece Tracheostomy Tube Holder Child TH150
DT
NE
5377 / 10
Insight Voice Prosthesis Cleaning Brush 10
PB/50
DT
NE
5257 / 1
Insil Soft Silicone Fixation Tape 2cm x 3m 1
DT
NE
5259 / 1
Insil Soft Silicone Fixation Tape 4cm x 1.5m 1
DT
NE
517 / 1
InsuJet 10ml Vial Adaptor Pack Needle-Free Insulin Delivery System
01207GB1510
DT
NE
513 / 1
InsuJet 3ml Cartridge Adaptor Pack Needle-Free Insulin Delivery System
012071GB1503
DT
NE
508 / 1
InsuJet Nozzle Pack Needle-Free Insulin Delivery System
012070GB15
DT
NE
504 / 1
InsuJet Starter Set Needle-Free Insulin Delivery System
012003GBSP-012007GBSP
DT
NE
9287 / 10
Insulin Syringe 0.3ml with 8mm needle 10
DT
NE
1161 / 10
Insulin Syringe 0.5ml with 12mm needle 10
DT
NE
9296 / 10
Insulin Syringe 0.5ml with 8mm needle 10
DT
NE
7803 / 10
Insulin Syringe 1.0ml with 8mm needle 10
DT
NE
1164 / 10
Insulin Syringe 1ml with 12mm needle 10
DT
NE
3121 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 12mm/29gauge 100
DT
NE
3519 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 4mm/32gauge 100
DT
NE
9924 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 4mm/33gauge 100
DT
NE
3172 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 5mm/31gauge 100
DT
NE
3817 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 6mm/31gauge 100
DT
NE
3578 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 6mm/32gauge 100
DT
NE
3739 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 8mm/31gauge 100
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 370 of 550
Code/Pack
Description
DT CD ZD N E D
3128 / 100
Insupen Needles for Prefilled and Re-useable Pen Injectors 8mm/32gauge 100
DT
NE
7250 / 1
Intrauterine Device Flexi-T 300 1
DT
NE
6729 / 1
Intrauterine Device Flexi-T+380 1
DT
NE
7262 / 1
Intrauterine Device GynFix Intruterine Contraceptive Implant 1
DT
NE
5709 / 1
Intrauterine Device Load 375 1
DT
NE
9398 / 1
Intrauterine Device Multiload CU 375 1
DT
NE
7283 / 1
Intrauterine Device Multi-Safe 375 1
DT
NE
9992 / 1
Intrauterine Device NeoSafe T380 IUD 1
DT
NE
9401 / 1
Intrauterine Device Nova-T 380 1
DT
NE
4484 / 1
Intrauterine Device Optima TCu380A 1
DT
NE
7286 / 1
Intrauterine Device T-Safe 380A QL 1
DT
NE
5710 / 1
Intrauterine Device TT380 Slimline 1
DT
NE
5696 / 1
Intrauterine Device UT380 Short 1
DT
NE
5712 / 1
Intrauterine Device UT380 Standard 1
DT
NE
7587 / 1
Irriclens Saline Irrigation Fluid Aerosol (240ml) 1
Code No. of Sprays dispensed
DT
NE
7347 / 25
Irripod Saline Irrigation Fluid Pod 20ml 25
Code No. of Pods dispensed
DT
NE
7925 / 1
IryCone+ Anal irrigation 1
29220E
DT
NE
8494 / 1
IryPump Container Anal irrigation 1
29240E
DT
NE
7802 / 1
IryPump S Set Anal irrigation 1
29120E
DT
NE
5557 / 25
ISO-POD Sodium chloride 0.9% irrigation solution 20ml unit dose 25 pods
Code No. of Pods dispensed
DT
NE
8988 / 1
IV3000 Central Line Dressing 10cmx12cm
DT
NE
7943 / 1
IV3000 Intravenous/Sub-Cutaneous Therapy Dressing 5cmx6cm
1-Hand
DT
NE
8980 / 1
IV3000 Non-winged Peripheral Dressing 6cmx7cm
DT
NE
9614 / 1
IV3000 PICC Line Dressing 9cmx12cm
DT
NE
8983 / 1
IV3000 Ported Peripheral Dressing 7cmx9cm
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 371 of 550
Code/Pack
Description
DT CD ZD N E D
J
9360 / 1
Jelonet Paraffin Gauze Dressing BP 10cmx10cm
DT
NE
17848 / 1
Jobskin Alleviant Armsleeve Class 1 (18-21mmHg) with Hand, Short, Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17849 / 1
Jobskin Alleviant Armsleeve Class 1 (18-21mmHg) without Hand, Short, Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17850 / 1
Jobskin Alleviant Armsleeve Class 2 (23-32mmHg) with Hand, Short, Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17853 / 1
Jobskin Alleviant Armsleeve Class 2 (23-32mmHg) with Hand/Shouldercap/Belt, Short, Normal 1 DT
i,ii,iii,iv,v,vi,vii Code each piece /1
NE
17816 / 1
Jobskin Alleviant Armsleeve Class 2 (23-32mmHg) with Hand/Silicone Topband, Short, Normal 1 DT
i,ii,iii,iv,v,vi,vii Code each piece /1
NE
17852 / 1
Jobskin Alleviant Armsleeve Class 2 (23-32mmHg) without Hand, Short, Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17840 / 1
Jobskin Alleviant Armsleeve Class 2 (23-32mmHg) without Hand/Shouldercap/Belt, Short,
Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17803 / 1
Jobskin Alleviant Armsleeve Class 2 (23-32mmHg) without Hand/Silicone Topband, Short,
Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17804 / 1
Jobskin Alleviant Armsleeve Class 3 (34-46mmHg) with Hand, Short, Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17806 / 1
Jobskin Alleviant Armsleeve Class 3 (34-46mmHg) with Hand/Shouldercap/Belt, Short, Normal 1 DT
i,ii,iii,iv,v,vi,vii Code each piece /1
NE
17808 / 1
Jobskin Alleviant Armsleeve Class 3 (34-46mmHg) with Hand/Silicone Topband, Short, Normal 1 DT
i,ii,iii,iv,v,vi,vii Code each piece /1
NE
17805 / 1
Jobskin Alleviant Armsleeve Class 3 (34-46mmHg) without Hand, Short, Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17807 / 1
Jobskin Alleviant Armsleeve Class 3 (34-46mmHg) without Hand/Shouldercap/Belt, Short,
Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17809 / 1
Jobskin Alleviant Armsleeve Class 3 (34-46mmHg) without Hand/Silicone Topband, Short,
Normal 1
i,ii,iii,iv,v,vi,vii Code each piece /1
DT
NE
17834 / 2
Jobskin Alleviant Class 1 (18-21mmHg) Below Knee Closed Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17838 / 1
Jobskin Alleviant Class 1 (18-21mmHg) Panty Hose Closed Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17837 / 1
Jobskin Alleviant Class 1 (18-21mmHg) Panty Hose Open Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17836 / 2
Jobskin Alleviant Class 1 (18-21mmHg) Thigh Length Silicone Top Closed Toe Short, Normal
1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 372 of 550
Code/Pack
Description
DT CD ZD N E D
17835 / 2
Jobskin Alleviant Class 1 (18-21mmHg) Thigh Length Silicone Top Open Toe Short, Normal
1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17833 / 2
Jobskin Alleviant Class 1(18-21mmHg) Below Knee Open Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17839 / 2
Jobskin Alleviant Class 2 (23-32mmHg) Below Knee Open Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17800 / 2
Jobskin Alleviant Class 2 (23-32mmHg) Below Knee Closed Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17844 / 1
Jobskin Alleviant Class 2 (23-32mmHg) Panty Hose Closed Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17843 / 1
Jobskin Alleviant Class 2 (23-32mmHg) Panty Hose Open Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17827 / 2
Jobskin Alleviant Class 2 (23-32mmHg) Thigh Length Silicone Top Closed Toe Short, Normal
1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17841 / 2
Jobskin Alleviant Class 2 (23-32mmHg) Thigh Length Silicone Top Open Toe Short, Normal
1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17845 / 2
Jobskin Alleviant Class 3 (34-46mmHg) Below Knee Open Toe Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17847 / 1
Jobskin Alleviant Class 3 (34-46mmHg) Panty Hose Open Toe, Short, Normal 1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
17846 / 2
Jobskin Alleviant Class 3 (34-46mmHg) Thigh Length Silicone Top Open Toe Short, Normal
1pair
i,ii,iii,iv,v,vi,vii Code each pair /1
DT
NE
4921 / 1
Jobskin Alleviant Compression System contains 1 over stocking and 2 liners
i, ii, iii, iv, v, vi, vii
DT
NE
124 / 1
Jobskin MTM Premium Behind Knee Lining 1
FP0040
DT
NE
303 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Armsleeve 1
FP0501-1
DT
NE
307 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Armsleeve and Gauntlet 1
FP0502-1
DT
NE
308 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Armsleeve and Shoulder Flap 1
FP0503-1
DT
NE
317 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Armsleeve, Gauntlet & Shoulder Flap 1
FP0504-1
DT
NE
612 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Below Knee 1
FP0101-1
DT
NE
324 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Detachable Gauntlet 1
FP0505-1
DT
NE
616 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Foot Glove 1
FP0538-1
DT
NE
619 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Foot Glove to Knee 1
FP0539-1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 373 of 550
Code/Pack
Description
DT CD ZD N E D
350 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Glove to Axilla 1
FP0533-1
DT
NE
346 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Glove to Wrist 1
FP0535-1
DT
NE
753 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Panty Girdle Below Knee Closed Crotch 1
FP1111-1
DT
NE
732 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Panty Girdle Below Knee Open Crotch 1
FP1110-1
DT
NE
9607 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Panty Girdle Closed Crotch 1
FP1119-1
DT
NE
621 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Thigh Length 1
FP0201-1
DT
NE
640 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Thigh with Waist Attachment One Leg 1
FP0035-1
DT
NE
709 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Thigh with Waist Attachment Two Legs 1
FP0036-1
DT
NE
712 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Waist Height One Leg Open Crotch 1
FP1103-1
DT
NE
723 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Waist Height One Leg Panty Closed 1
FP1113-1
DT
NE
722 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Waist Height One Leg Panty Open 1
FP1112-1
DT
NE
720 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Waist Height Two Legs Closed Crotch 1
FP1101-1
DT
NE
715 / 1
Jobskin MTM Premium Class1 (18-21mmHg) Waist Height Two Legs Open Crotch 1
FP1102-1
DT
NE
354 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Armsleeve 1
FP0501-2
DT
NE
362 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Armsleeve and Gauntlet 1
FP0502-2
DT
NE
392 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Armsleeve and Shoulder Flap 1
FP0503-2
DT
NE
410 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Armsleeve, Gauntlet and Shoulder Flap 1
FP0504-2
DT
NE
757 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Below Knee 1
FP0101-2
DT
NE
415 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Detachable Gauntlet 1
FP0505-2
DT
NE
807 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Foot Glove 1
FP0538-2
DT
NE
830 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Foot Glove to Knee 1
FP0539-2
DT
NE
426 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Glove to Axilla 1
FP0533-2
DT
NE
419 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Glove to Wrist 1
FP0535-2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 374 of 550
Code/Pack
Description
DT CD ZD N E D
962 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Panty Girdle Below Knee Closed Crotch 1
FP1111-2
DT
NE
948 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Panty Girdle Below Knee Open Crotch 1
FP1110-2
DT
NE
925 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Panty Girdle Closed Crotch 1
FP1119-2
DT
NE
837 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Thigh Length 1
FP0201-2
DT
NE
845 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Thigh with Waist Attachment One Leg 1
FP0035-2
DT
NE
852 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Thigh with Waist Attachment Two Legs 1
FP0036-2
DT
NE
855 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Waist Height One Leg Open Crotch 1
FP1103-2
DT
NE
910 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Waist Height One Leg Panty Closed 1
FP1113-2
DT
NE
905 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Waist Height One Leg Panty Open 1
FP1112-2
DT
NE
881 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Waist Height Two Legs Closed Crotch 1
FP1101-2
DT
NE
871 / 1
Jobskin MTM Premium Class2 (23-32mmHg) Waist Height Two Legs Open Crotch 1
FP1102-2
DT
NE
120 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Panty Girdle Below Knee Closed Crotch 1
FP1111-3
DT
NE
117 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Panty Girdle Below Knee Open Crotch 1
FP1110-3
DT
NE
4535 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Panty Girdle Closed Crotch 1
FP1119-3
DT
NE
427 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Armsleeve 1
FP0501-3
DT
NE
462 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Armsleeve and Gauntlet 1
FP0502-3
DT
NE
503 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Armsleeve and Shoulder Flap 1
FP0503-3
DT
NE
520 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Armsleeve Gauntlet and Shoulder Flap 1
FP0504-3
DT
NE
969 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Below Knee 1
FP0101-3
DT
NE
526 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Detachable Gauntlet 1
FP0505-3
DT
NE
974 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Foot Glove 1
FP0538-3
DT
NE
1001 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Foot Glove To Knee 1
FP0539-3
DT
NE
553 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Glove to Axilla 1
FP0533-3
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 375 of 550
Code/Pack
Description
DT CD ZD N E D
539 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Glove to Wrist 1
FP0535-3
DT
NE
1008 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Thigh Length 1
FP0201-3
DT
NE
1044 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Thigh with Waist Attachment One Leg 1
FP0035-3
DT
NE
103 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Thigh with Waist Attachment Two Legs 1
FP0036-3
DT
NE
105 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Waist Height One Leg Open Crotch 1
FP1103-3
DT
NE
2650 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Waist Height One Leg Panty Closed 1
FP1113-3
DT
NE
1118 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Waist Height One Leg Panty Open 1
FP1112-3
DT
NE
1057 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Waist Height Two Legs Closed Crotch 1
FP1101-3
DT
NE
115 / 1
Jobskin MTM Premium Class3 (34-46mmHg) Waist Height Two Legs Open Crotch 1
FP1102-3
DT
NE
5785 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Below Knee 1
FP0101-4
DT
NE
8773 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Foot Glove 1
FP0538-4
DT
NE
8787 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Foot Glove to Knee 1
FP0539-4
DT
NE
9371 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Panty Girdle Below Knee Closed Crotch 1
FP1111-4
DT
NE
122 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Panty Girdle Below Knee Open Crotch 1
FP1110-4
DT
NE
9239 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Panty Girdle Closed Crotch 1
FP1119-4
DT
NE
8835 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Thigh Length 1
FP0201-4
DT
NE
8836 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Thigh with Waist Attachment One Leg 1
FP0035-4
DT
NE
8887 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Thigh with Waist Attachment Two Legs 1
FP0036-4
DT
NE
8912 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Waist Height One Leg Open Crotch 1
FP1103-4
DT
NE
9000 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Waist Height One Leg Panty Closed 1
FP1113-4
DT
NE
8961 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Waist Height One Leg Panty Open 1
FP1112-4
DT
NE
8959 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Waist Height Two Legs Closed Crotch 1
FP1101-4
DT
NE
8952 / 1
Jobskin MTM Premium Class4 (49-59mmHg) Waist Height Two Legs Open Crotch 1
FP1102-4
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 376 of 550
Code/Pack
Description
DT CD ZD N E D
9488 / 1
Jobskin MTM Premium Double Abdominal Panel 1
FP1175
DT
NE
9383 / 1
Jobskin MTM Premium Extra Heel Reinforced 1
FP0020
DT
NE
9503 / 1
Jobskin MTM Premium for Lower Extremities Pockets 1
FP0027
DT
NE
9603 / 1
Jobskin MTM Premium for Lower Extremities ZIP 8"(20cm) and Longer 1
FP1165
DT
NE
9594 / 1
Jobskin MTM Premium for Lower Extremities ZIP Less Than 8"(20cm) 1
FP1164
DT
NE
577 / 1
Jobskin MTM Premium for Upper Extremities Pockets 1
FP0027
DT
NE
596 / 1
Jobskin MTM Premium for Upper Extremities ZIP 8"(20cm) and Longer 1
FP1165
DT
NE
593 / 1
Jobskin MTM Premium for Upper Extremities ZIP Less Than 8"(20cm) 1
FP1164
DT
NE
570 / 1
Jobskin MTM Premium Lining Full Elbow 1
FP1168
DT
NE
558 / 1
Jobskin MTM Premium Lining Inside Elbow 1
FP1167
DT
NE
9438 / 1
Jobskin MTM Premium Reduced Pressure Panel 1
FP1161
DT
NE
9379 / 1
Jobskin MTM Premium Reinforced Heels 1
FP1187
DT
NE
9385 / 1
Jobskin MTM Premium Reinforced Knee 1
FP1186
DT
NE
592 / 1
Jobskin MTM Premium Reinforced Palm 1
FP0021
DT
NE
9535 / 1
Jobskin MTM Premium Self Enclosed Toe 1
FP1159
DT
NE
9591 / 1
Jobskin MTM Premium Soft Enclosed Toe 1
FP1160
DT
NE
9492 / 1
Jobskin MTM Premium Uplift Panel for Abdominal 1
FP1176
DT
NE
7000 / 1
Jobst Bella Lite Class 1 Armsleeve with Knitted Band Small,Medium,Large
DT
NE
7035 / 1
Jobst Bella Lite Class 1 Armsleeve with Silicone Band Small,Medium,Large
DT
NE
7063 / 1
Jobst Bella Lite Class 1 Gauntlet with Thumb Small,Medium,Large
DT
NE
7020 / 1
Jobst Bella Lite Class 2 Armsleeve with Knitted Band Small,Medium,Large
DT
NE
7047 / 1
Jobst Bella Lite Class 2 Armsleeve with Silicone Band Small,Medium,Large
DT
NE
7073 / 1
Jobst Bella Lite Class 2 Gauntlet with Thumb Small,Medium,Large
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 377 of 550
Code/Pack
Description
DT CD ZD N E D
1517 / 2
Jobst Bellavar Class 2 Knee High, Open Toe Short, Long 1Pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1523 / 2
Jobst Bellavar Class 2 Thigh High, Open Toe, With Knitted Band Standard 1Pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1536 / 2
Jobst Bellavar Class 2 Thigh High, Open Toe, With Silicone Band Standard Sahara 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1537 / 2
Jobst Bellavar Class 3 Knee High, Open Toe, Short, Long Sahara 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1579 / 1
Jobst Bellavar Class2 (23-32mmHg) Tights, Open Toe Short, Long 1pair
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
1811 / 2
Jobst Bellavar Class3 (34-46mmHg) Thigh High Open Toe With Knitted Band Standard Sahara
1Pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1817 / 2
Jobst Bellavar Class3 (34-46mmHg) Thigh High Open Toe With Silicone Band Standard Sahara
1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1777 / 1
Jobst Bellavar Class3 (34-46mmHg)Tights Open Toe Short, Long 1Pair
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
796 / 1
Jobst Comprifore #1 Bandage 10cm x 3.5m (unstretched) 1
DT
NE
781 / 1
Jobst Comprifore #1 Latex-Free Bandage 10cm x 3.5m (unstretched) 1
DT
NE
791 / 1
Jobst Comprifore #2 Bandage 10cm x 4.5m (stretched) 1
DT
NE
779 / 1
Jobst Comprifore #2 Latex-Free Bandage 10cm x 4.5m (stretched) 1
DT
NE
786 / 1
Jobst Comprifore #3 Bandage 10cm x 8.7m (stretched) 1
DT
NE
770 / 1
Jobst Comprifore #3 Latex-Free Bandage 10cm x 8.7m (stretched) 1
DT
NE
782 / 1
Jobst Comprifore #4 Bandage 10cm x 2.5m (unstretched) 1
DT
NE
769 / 1
Jobst Comprifore #4 Latex-Free Bandage 10cm x 2.5m (unstretched) 1
DT
NE
17366 / 1
Jobst Comprifore Latex-Free Multi-layer Compression Bandage Kit 18-25cm 1
DT
NE
17368 / 1
Jobst Comprifore Lite Latex-Free Multi-layer Compression Bandage Kit 18-25cm 1
DT
NE
17367 / 1
Jobst Comprifore Lite Multi-layer Compression Bandage Kit 18-25cm 1
DT
NE
17365 / 1
Jobst Comprifore Multi-layer Compression Bandage Kit 18-25cm 1
DT
NE
9298 / 1
Jobst Elvarex 1 Soft Seamless Finger (Class 2 23-32mmHg) Options For Upper Extremities
U2-A014
DT
NE
5519 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class1 (18-21mmHg) Body Bandage 1
L1-01-08
DT
NE
5440 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class1 (18-21mmHg) Foot-Cap with Toes 1
L1-01-02
DT
NE
5444 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class1 (18-21mmHg) Knee High 1
L1-01-04
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 378 of 550
Code/Pack
Description
DT CD ZD N E D
5509 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class1 (18-21mmHg) Thigh High 1
L1-01-06
DT
NE
5520 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class2 (23-32mmHg) Body Bandage 1
L2-02-08
DT
NE
5441 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class2 (23-32mmHg) Foot-Cap with Toes 1
L2-02-02
DT
NE
5502 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class2 (23-32mmHg) Knee High 1
L2-02-04
DT
NE
5512 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class2 (23-32mmHg) Thigh High 1
L2-02-06
DT
NE
5521 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class3 (34-46mmHg) Body Bandage 1
L3-03-08
DT
NE
5443 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class3 (34-46mmHg) Foot-Cap with Toes 1
L3-03-02
DT
NE
5503 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class3 (34-46mmHg) Knee High 1
L3-03-04
DT
NE
5514 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class3 (34-46mmHg) Thigh High 1
L3-03-06
DT
NE
5540 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class3 Forte (34-46mmHg) Body Bandage 1
L3-04-08
DT
NE
5504 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class3 Forte (34-46mmHg) Knee High 1
L3-04-04
DT
NE
5516 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class3 Forte (34-46mmHg) Thigh High 1
L3-04-06
DT
NE
5541 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class4 (49-70mmHg) Body Bandage 1
L4-05-08
DT
NE
5506 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class4 (49-70mmHg) Knee High 1
L4-05-04
DT
NE
5517 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class4 (49-70mmHg) Thigh High 1
L4-05-06
DT
NE
5542 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class4 Super (60-90mmHg) Body Bandage 1
L5-06-08
DT
NE
5508 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class4 Super (60-90mmHg) Knee High 1
L5-06-04
DT
NE
5518 / 1
Jobst Elvarex Custom Fit-For Lower Extremities Class4 Super (60-90mmHg) Thigh High 1
L5-06-06
DT
NE
5439 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class 2 forte (23-32mmHg) Armsleeve from
Wrist to Axilla 1
U3-03-07
DT
NE
5436 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class 2 forte (23-32mmHg) Armsleeve to Axilla
+ Gauntlet 1
U3-03-05
DT
NE
5426 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class 2 forte (23-32mmHg) Gauntlet to Elbow 1 DT
U3-03-03
NE
5423 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class 2 forte (23-32mmHg) Gauntlet to Wrist 1
U3-03-01
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 379 of 550
Code/Pack
Description
DT CD ZD N E D
5437 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class1 (15-21mmHg) Armsleeve from Wrist to
Axilla 1
U1-01-07
DT
NE
5427 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class1 (15-21mmHg) Armsleeve to Axilla +
Gauntlet 1
U1-01-05
DT
NE
5424 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class1 (15-21mmHg) Gauntlet to Elbow 1
U1-01-03
DT
NE
5417 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class1 (15-21mmHg) Gauntlet to Wrist 1
U1-01-01
DT
NE
5438 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class2 (23-32mmHg) Armsleeve from Wrist to
Axilla 1
U2-02-07
DT
NE
5434 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class2 (23-32mmHg) Armsleeve to Axilla +
Gauntlet 1
U2-02-05
DT
NE
5425 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class2 (23-32mmHg) Gauntlet to Elbow 1
U2-02-03
DT
NE
5418 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class2 (23-32mmHg) Gauntlet to Wrist 1
U2-02-01
DT
NE
9698 / 1
Jobst Elvarex Custom Fit-For Upper Extremities Class2 (23-32mmHg) Soft Seamless Gauntlet to DT
Wrist 1
AC1-WF-WT
NE
9549 / 1
Jobst Elvarex For Lower Extremeties T-Heel 1
L-A010
DT
NE
17601 / 1
Jobst Elvarex Options for Lower Extremities Adjustable Waistband 1
L-A013
DT
NE
5395 / 2
Jobst Elvarex Options For Lower Extremities Ankle Pads 2
L-A002 Code 2 Pads as 2
DT
NE
5394 / 1
Jobst Elvarex Options For Lower Extremities Closed Toe 1
L-A001
DT
NE
17588 / 1
Jobst Elvarex Options for Lower Extremities Fly for Men 1
L-A012
DT
NE
5402 / 1
Jobst Elvarex Options For Lower Extremities Leg Extension 1
L-A007
DT
NE
5403 / 1
Jobst Elvarex Options For Lower Extremities Non-Standard Colour 1
L-A008
DT
NE
5398 / 1
Jobst Elvarex Options For Lower Extremities Silicone Band 1
L-A004
DT
NE
9454 / 1
Jobst Elvarex Options For Lower Extremities Slipform 1
L-A009
DT
NE
5399 / 1
Jobst Elvarex Options For Lower Extremities Waist Attachment + Garter Belt 1
L-A005
DT
NE
5397 / 1
Jobst Elvarex Options For Lower Extremities Zipper 1
L-A003
DT
NE
5411 / 1
Jobst Elvarex Options For Upper Extremities 1 Finger (Class 1 15-21mmHg) 1
U1-A009
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 380 of 550
Code/Pack
Description
DT CD ZD N E D
5413 / 1
Jobst Elvarex Options For Upper Extremities 1 Finger (Class 2 23-32 mmHg) 1
U2-A011
DT
NE
5414 / 1
Jobst Elvarex Options For Upper Extremities 1 Finger (Class 2 forte 23-32 mmHg) 1
U3-A013
DT
NE
5407 / 1
Jobst Elvarex Options For Upper Extremities Non-Standard Colour 1
U-A007
DT
NE
5406 / 1
Jobst Elvarex Options For Upper Extremities Shoulder Cap 1
U-A003
DT
NE
5405 / 1
Jobst Elvarex Options For Upper Extremities Silicone Band 1
U-A002
DT
NE
5404 / 1
Jobst Elvarex Options For Upper Extremities Zipper 1
U-A001
DT
NE
17592 / 1
Jobst Elvarex Soft Custom Fit- Options For Lower Extremities Adjustable Waistband 1
L-A013S
DT
NE
17591 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class1 (18-21mmHg) Soft Body Bandage 1 DT
L1-10-08
NE
17589 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class1 (18-21mmHg) Soft Knee High 1
L1-10-04
DT
NE
202 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class1 (18-21mmHg) Soft Seamless Foot
Cap With Toes 1
L1-11-02
DT
NE
17590 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class1 (18-21mmHg) Soft Thigh High 1
L1-10-06
DT
NE
2610 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class2 (23-32mmHg) Soft Body Bandage
1
L2-08-08
DT
NE
2582 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class2 (23-32mmHg) Soft Knee High 1
L2-08-04
DT
NE
2413 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class2 (23-32mmHg) Soft Seamless Foot
Cap with Toes 1
L2-07-02
DT
NE
2605 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class2 (23-32mmHg) Soft Thigh High 1
L2-08-06
DT
NE
259 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class3 (34-46mmHg) Soft Body Bandage
1
L3-08-08
DT
NE
211 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class3 (34-46mmHg) Soft Knee High 1
L3-09-04
DT
NE
254 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Class3 (34-46mmHg) Soft Thigh High 1
L3-09-06
DT
NE
489 / 1
Jobst Elvarex Soft Custom Fit-For Lower Extremities Non-Standard Colour 1
L-A008S
DT
NE
636 / 1
Jobst Elvarex Soft Custom Fit-For Upper Extremities (Class1 15-21mmHg) 1 Soft Seamless
Finger 1
U1-A015
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 381 of 550
Code/Pack
Description
DT CD ZD N E D
634 / 1
Jobst Elvarex Soft Custom Fit-For Upper Extremities Class1 (14-18mmHg) Non Standard
Colour 1
U-A007S
DT
NE
1772 / 1
Jobst Elvarex Soft Custom Fit-For Upper Extremities Class1 (15-21mmHg) Soft Armsleeve from
Wrist to Axilla 1
U1-10-07
DT
NE
632 / 1
Jobst Elvarex Soft Custom Fit-For Upper Extremities Class1 (15-21mmHg) Soft Seamless
Gauntlet To Elbow 1
U1-11-03
DT
NE
500 / 1
Jobst Elvarex Soft Custom Fit-For Upper Extremities Class1 (15-21mmHg) Soft Seamless
Gauntlet To Wrist 1
U1-11-01
DT
NE
2368 / 1
Jobst Elvarex Soft Custom Fit-For Upper Extremities Class2 (23-32mmHg) Soft Armsleeve from
Wrist to Axilla 1
U2-08-07
DT
NE
2470 / 1
Jobst Elvarex Soft Custom Fit-For Upper Extremities Class2 (23-32mmHg) Soft Seamless
Gauntlet to Elbow 1
U2-07-03
DT
NE
17593 / 1
Jobst Elvarex Soft Custom Fit-Options For Lower Extremities T-Heel 1
L-A010S
DT
NE
2617 / 1
Jobst Elvarex Soft Options For Lower Extremeties Silicone Band 1
L-A004S
DT
NE
2613 / 1
Jobst Elvarex Soft Options For Lower Extremities Closed Toe 1
L-A001S
DT
NE
2614 / 1
Jobst Elvarex Soft Options For Lower Extremities Slipform Soft 1
L-A011S
DT
NE
1774 / 1
Jobst Elvarex Soft Options For Lower Extremities Waist Attachment + Garter Belt 1
L-A005S
DT
NE
1692 / 1
Jobst Elvarex Soft Options For Upper Extremeties Silicone Band 1
U-A002S
DT
NE
17989 / 2
Jobst for Men Ambition class 1 knee high closed toe 2
Regular, Long 1,2,3,4,5,6 Code each pair /2
DT
NE
17990 / 2
Jobst for Men Ambition class 2 knee high closed toe 2
Regular, Long 1,2,3,4,5,6 Code each pair /2
DT
NE
17991 / 2
Jobst for Men Explore class 1 knee high closed toe 2
Regular, Long 1,2,3,4,5,6 Code each pair /2
DT
NE
17992 / 2
Jobst for Men Explore class 2 knee high closed toe 2
Regular, Long 1,2,3,4,5,6 Code each pair /2
DT
NE
1539 / 2
Jobst Opaque Class 1 Knee High, Closed Toe, Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1541 / 2
Jobst Opaque Class 1 Knee High, Open Toe, Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
4905 / 2
Jobst Opaque Class 1 Thigh High, Closed Toe, with Dotted Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
4950 / 2
Jobst Opaque Class 1 Thigh High, Closed Toe, with Dotted Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 382 of 550
Code/Pack
Description
DT CD ZD N E D
1544 / 2
Jobst Opaque Class 1 Thigh High, Closed Toe, with Lace Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1135 / 2
Jobst Opaque Class 1 Thigh High, Closed Toe, with Lace Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1619 / 2
Jobst Opaque Class 1 Thigh High, Closed Toe, with Soft Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1590 / 2
Jobst Opaque Class 1 Thigh High, Closed Toe, with Soft Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
4951 / 2
Jobst Opaque Class 1 Thigh High, Open Toe, with Dotted Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
4954 / 2
Jobst Opaque Class 1 Thigh High, Open Toe, with Dotted Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1392 / 2
Jobst Opaque Class 1 Thigh High, Open Toe, with Lace Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1289 / 2
Jobst Opaque Class 1 Thigh High, Open Toe, with Lace Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1542 / 2
Jobst Opaque Class 1 Thigh High, Open Toe, with Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1543 / 2
Jobst Opaque Class 1 Thigh High, Open Toe, with Silicone Band Wide Width Petite/Regular
1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1322 / 1
Jobst Opaque Class 1 Tights Closed Toe Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
1589 / 1
Jobst Opaque Class 1 Tights Open Toe Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
1545 / 2
Jobst Opaque Class 2 Knee High, Closed Toe, Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1550 / 2
Jobst Opaque Class 2 Knee High, Open Toe, Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1432 / 2
Jobst Opaque Class 2 Thigh High, Closed Toe, with Dotted Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1718 / 2
Jobst Opaque Class 2 Thigh High, Closed Toe, with Dotted Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1613 / 2
Jobst Opaque Class 2 Thigh High, Closed Toe, with Lace Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
E
1394 / 2
Jobst Opaque Class 2 Thigh High, Closed Toe, with Lace Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 383 of 550
Code/Pack
Description
DT CD ZD N E D
1337 / 2
Jobst Opaque Class 2 Thigh High, Closed Toe, with Soft Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1570 / 2
Jobst Opaque Class 2 Thigh High, Closed Toe, with Soft Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
5580 / 2
Jobst Opaque Class 2 Thigh High, Open Toe, with Dotted Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi - Code each pair /2
DT
NE
5612 / 2
Jobst Opaque Class 2 Thigh High, Open Toe, with Dotted Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi - Code each pair /2
DT
NE
1433 / 2
Jobst Opaque Class 2 Thigh High, Open Toe, with Lace Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1473 / 2
jobst Opaque Class 2 Thigh High, Open Toe, with Lace Silicone Band Wide Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1552 / 2
Jobst Opaque Class 2 Thigh High, Open Toe, with Silicone Band Standard Width
Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1558 / 2
Jobst Opaque Class 2 Thigh High, Open Toe, with Silicone Band Wide Width Petite/Regular
1pair
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
1326 / 1
Jobst Opaque Class 2 Tights Closed Toe Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
1859 / 1
Jobst Opaque Class 2 Tights Open Toe Petite/Regular 1pair
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
5500 / 1
Jobst Ulcercare Compression Liner Pack (2liners) 1
Code Number of Packs Dispensed
DT
NE
6318 / 1
Jobst UlcerCARE Compression System (With or Without Zip)
Contains 1 Stocking and 2 Liners SML - XXXXL
DT
NE
6951 / 1
Jobst Ulcercare Compression System Liner Pack (3 Liners) 1
Small, Medium, Large - XXXX Large
DT
NE
5559 / 1
Jobst Ulcercare Medical Stocking 1
DT
NE
17290 / 2
Jobst UltraSheer Class 1 Knee High, Closed Toe, Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17291 / 2
Jobst UltraSheer Class 1 Thigh High, Closed Toe, with Lace Silicone Band Standard Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17293 / 2
Jobst UltraSheer Class 1 Thigh High, Closed Toe, with Lace Silicone Band Wide Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17292 / 2
Jobst UltraSheer Class 1 Thigh High, Closed Toe, with Soft Silicone Band Standard Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 384 of 550
Code/Pack
Description
DT CD ZD N E D
17297 / 2
Jobst UltraSheer Class 1 Thigh High, Closed Toe, with Soft Silicone Band Wide Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17399 / 2
Jobst UltraSheer Class 1 Thigh High, Open Toe, with Soft Silicone Band Standard Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17400 / 2
Jobst UltraSheer Class 1 Thigh High, Open Toe, with Soft Silicone Band Wide Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17411 / 1
Jobst UltraSheer Class 1 Tights Closed Toe Petite/Regular 1
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
17413 / 2
Jobst UltraSheer Class 2 Knee High, Closed Toe, Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17414 / 2
Jobst UltraSheer Class 2 Knee High, Open Toe, Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17415 / 2
Jobst UltraSheer Class 2 Thigh High, Closed Toe, with Decorative Dotted Silicone Band
Standard Width Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17418 / 2
Jobst UltraSheer Class 2 Thigh High, Closed Toe, with Decorative Dotted Silicone Band Wide
Width Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17416 / 2
Jobst UltraSheer Class 2 Thigh High, Closed Toe, with Lace Silicone Band Standard Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17419 / 2
Jobst UltraSheer Class 2 Thigh High, Closed Toe, with Lace Silicone Band Wide Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17417 / 2
Jobst UltraSheer Class 2 Thigh High, Closed Toe, with Soft Silicone Band Standard Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17420 / 2
Jobst UltraSheer Class 2 Thigh High, Closed Toe, with Soft Silicone Band Wide Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17421 / 2
Jobst UltraSheer Class 2 Thigh High, Open Toe, with Decorative Dotted Silicone Band Standard
Width Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17425 / 2
Jobst UltraSheer Class 2 Thigh High, Open Toe, with Decorative Dotted Silicone Band Wide
Width Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17422 / 2
Jobst UltraSheer Class 2 Thigh High, Open Toe, with Lace Silicone Band Standard Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17426 / 2
Jobst UltraSheer Class 2 Thigh High, Open Toe, with Lace Silicone Band Wide Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17423 / 2
Jobst UltraSheer Class 2 Thigh High, Open Toe, with Soft Silicone Band Standard Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 385 of 550
Code/Pack
Description
DT CD ZD N E D
17658 / 2
Jobst UltraSheer Class 2 Thigh High, Open Toe, with Soft Silicone Band Wide Width
Petite/Regular 2
i,ii,iii,iv,v,vi Code each pair /2
DT
NE
17659 / 1
Jobst UltraSheer Class 2 Tights Closed Toe Petite/Regular 1
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
17660 / 1
Jobst UltraSheer Class 2 Tights Open Toe Petite/Regular 1
i,ii,iii,iv,v,vi Code each pair /1
DT
NE
2267 / 1
Juxta CURES Comfort Compression Anklet (pack contains 2 anklets) 1
Standard, Large
DT
NE
2209 / 1
Juxta CURES Comfort Leg Liner (pack contains 2 Liners)
DT
NE
2201 / 1
Juxta CURES Compression System 2 Standard Anklets and 2 Liners
Short, Standard, Long
DT
NE
1491 / 1
Juxta-Fit Ankle Foot Wrap, Closed Heel 1
S, M, L
DT
NE
2921 / 1
Juxta-Fit Ankle Foot Wrap, Interlocking 1
S, M, L
DT
NE
17190 / 1
Juxta-Fit Armsleeve (Right, Left) 1
Standard/Long, 1,2,3,4,5,6
DT
NE
2304 / 2
Juxta-Fit Essentials Full Leg Liner Sock 2
Code No Of Socks Dispensed
DT
NE
2344 / 1
Juxta-Fit Essentials Upper Leg with Knee Piece (Right, Left) 45cm 1
XS, S, M, L, XL
DT
NE
2320 / 1
Juxta-Fit Essentials Upper Leg with Knee Piece (Right, Left) 55cm 1
XS, S, M, L, XL
DT
NE
17191 / 1
Juxta-Fit Hand Wrap (Right, Left) 1
XS-XL
DT
NE
2768 / 1
Juxta-Fit Lower Legging 28cm 1
DT
NE
1632 / 1
Juxta-Fit Lower Legging 36cm 1
S-XXL
DT
NE
17594 / 1
Juxta-Fit Lower Legging Extra Wide Calf 28cm 1
M,L,XL
DT
NE
17595 / 1
Juxta-Fit Lower Legging Extra Wide Calf 36cm 1
M,L,XL
DT
NE
17703 / 2
Juzo Attractive class 1 (18-21mmHg) below knee closed toe I - VI 2
Standard/ Short Code each pair/2
DT
NE
17705 / 2
Juzo Attractive class 1 (18-21mmHg) thigh length closed toe wide with silicone border I-VI 2
Standard/ Short Code each pair/2
DT
NE
17704 / 2
Juzo Attractive class 1 (18-21mmHg) thigh length closed toe with silicone border I-VI 2
Standard/ Short Code each pair/2
DT
NE
17706 / 1
Juzo Attractive class 1 (18-21mmHg) tights closed toe I-VI 1
Standard/ Short Code each pair/1
DT
NE
17707 / 2
Juzo Attractive class 2 (23-32mmHg) below knee closed toe I - VI 2
Standard/ Short Code each pair/2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 386 of 550
Code/Pack
Description
DT CD ZD N E D
17709 / 2
Juzo Attractive class 2 (23-32mmHg) thigh length closed toe wide with silicone border I-VI 2
Standard/ Short Code each pair/2
DT
NE
17708 / 2
Juzo Attractive class 2 (23-32mmHg) thigh length closed toe with silicone border I-VI 2
Standard/ Short Code each pair/2
DT
NE
17710 / 1
Juzo Attractive class 2 (23-32mmHg) tights closed toe I-VI 1
Standard/ Short Code each pair/1
DT
NE
17727 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) below knee closed toe 1
DT
NE
17729 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) below knee closed with silicone top
band toe 1
DT
NE
17726 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) below knee open toe 1
DT
NE
17728 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) below knee open with silicone top band
toe 1
DT
NE
17731 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) thigh high closed toe 1
DT
NE
17734 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) thigh high closed toe with silicone top
band 1
DT
NE
17730 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) thigh high open toe 1
DT
NE
17733 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) thigh high open toe with silicone top
band 1
DT
NE
17736 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) tights closed toe 1
DT
NE
17735 / 1
Juzo Attractive Custom lower limb class 1 (18-21mmHg) tights open toe 1
DT
NE
17738 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) below knee closed toe 1
DT
NE
17740 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) below knee closed with silicone top
band toe 1
DT
NE
17737 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) below knee open toe 1
DT
NE
17739 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) below knee open with silicone top band
toe 1
DT
NE
17742 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) thigh high closed toe 1
DT
NE
17744 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) thigh high closed toe with silicone top
band 1
DT
NE
17741 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) thigh high open toe 1
DT
NE
17743 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) thigh high open toe with silicone top
band 1
DT
NE
17746 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) tights closed toe 1
DT
NE
17745 / 1
Juzo Attractive Custom lower limb class 2 (23-32mmHg) tights open toe 1
DT
NE
7583 / 1
Juzo Classic Class 1 (18-21mmHg) Gauntlet 1
2-5, HDA2301
DT
NE
7236 / 1
Juzo Classic Class 1 (18-21mmHg) Glove 1
II, III, IV, V HFA2301
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 387 of 550
Code/Pack
Description
DT CD ZD N E D
7772 / 1
Juzo Classic Class 1 (18-21mmHg) Armsleeve Wrist to Axilla 1
I-VI, CG2301
DT
NE
7746 / 1
Juzo Classic Class 1 (18-21mmHg) Armsleeve Wrist to Axilla 1
I-VI, CG2301-Max
DT
NE
7644 / 1
Juzo Classic Class 1 (18-21mmHg) Armsleeve Wrist to Axilla with Silicone Border 1
I-VI, CG2301-Sil
DT
NE
7599 / 1
Juzo Classic Class 1 (18-21mmHg) Armsleeve Wrist to Axilla with Silicone Border Max 1
I-VI, CG2301-Max-Sil
DT
NE
7771 / 1
Juzo Classic Class 2 (23-32mmHg) Gauntlet 1
2-5, HDA2302
DT
NE
7541 / 1
Juzo Classic Class 2 (23-32mmHg) Armsleeve Wrist to Axilla with Silicone Border Max 1
I-VI, CG2302-Max-Sil
DT
NE
7580 / 1
Juzo Classic Class 2 (23-32mmHg) Armsleeve Wrist to Axilla 1
I-VI, CG2302
DT
NE
7568 / 1
Juzo Classic Class 2 (23-32mmHg) Armsleeve Wrist to Axilla 1
I-VI, CG2302-Max
DT
NE
7558 / 1
Juzo Classic Class 2 (23-32mmHg) Armsleeve Wrist to Axilla with Silicone Border 1
I-VI, CG2302-Sil
DT
NE
5803 / 2
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Open Toe, I-VI 2
Standard , Short Code each pair/2
DT
NE
5621 / 1
Juzo Dynamic Class 1 (18-21mmHg) Armsleeve I-VI 1
DT
NE
5620 / 1
Juzo Dynamic Class 1 (18-21mmHg) Armsleeve Max I-VI 1
DT
NE
5716 / 1
Juzo Dynamic Class 1 (18-21mmHg) Armsleeve With Shoulder and Strap I-VI 1
DT
NE
5669 / 1
Juzo Dynamic Class 1 (18-21mmHg) Armsleeve With Shoulder and Strap Max I-VI 1
DT
NE
5619 / 1
Juzo Dynamic Class 1 (18-21mmHg) Armsleeve With Silicone Border I-VI 1
DT
NE
5611 / 1
Juzo Dynamic Class 1 (18-21mmHg) Armsleeve With Silicone Border Max I-VI 1
DT
NE
5270 / 2
Juzo Dynamic Class 1 (18-21mmHg) Below Knee Closed Toe I-VI 2
Standard, Short Code each pair/2
DT
NE
5272 / 2
Juzo Dynamic Class 1 (18-21mmHg) Below Knee Closed Toe with Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5812 / 2
Juzo Dynamic Class 1 (18-21mmHg) Below Knee Open Toe I-VI 2
Standard, Short Code each pair/2
DT
NE
5271 / 2
Juzo Dynamic Class 1 (18-21mmHg) Below Knee Open Toe with Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5250 / 1
Juzo Dynamic Class 1 (18-21mmHg) Combined Armsleeve With Silicone Border I-VI 1
DT
NE
5715 / 1
Juzo Dynamic Class 1 (18-21mmHg) Combined Armsleeve With Silicone Border Max I-VI 1
DT
NE
5273 / 2
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Closed Toe I-VI 2
Standard, Short Code each pair/2
DT
NE
5274 / 2
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Closed Toe with Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 388 of 550
Code/Pack
Description
DT CD ZD N E D
5283 / 1
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Closed Toe with Waist Attachment Left Leg IVI 1
Standard, Short
DT
NE
5281 / 1
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Closed Toe with Waist Attachment Right Leg IVI 1
Standard, Short
DT
NE
5276 / 2
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Closed Toe with Wide Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5813 / 2
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Open Toe with Silicone Border, I-VI 2
Standard, Short Code each pair/2
DT
NE
5282 / 1
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Open Toe with Waist Attachment Left Leg I-VI
1
Standard, Short
DT
NE
5279 / 1
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Open Toe with Waist Attachment Right Leg IVI 1
Standard, Short
DT
NE
5275 / 2
Juzo Dynamic Class 1 (18-21mmHg) Thigh High Open Toe with Wide Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5278 / 1
Juzo Dynamic Class 1 (18-21mmHg) Tights Closed Toe I-VI 1
Standard, Short Code each pair /1
DT
NE
5277 / 1
Juzo Dynamic Class 1 (18-21mmHg) Tights Open Toe I-VI 1
Standard, Short Code each pair/1
DT
NE
5800 / 2
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Open Toe, I-VI 2
Standard , Short Code each pair/2
DT
NE
5680 / 1
Juzo Dynamic Class 2 (23-32mmHg) Armsleeve I-VI 1
DT
NE
5677 / 1
Juzo Dynamic Class 2 (23-32mmHg) Armsleeve Max I-VI 1
DT
NE
5717 / 1
Juzo Dynamic Class 2 (23-32mmHg) Armsleeve With Shoulder And Strap I-VI 1
DT
NE
5687 / 1
Juzo Dynamic Class 2 (23-32mmHg) Armsleeve With Shoulder And Strap Max I-VI 1
DT
NE
5700 / 1
Juzo Dynamic Class 2 (23-32mmHg) Armsleeve With Silicone Border I-VI 1
DT
NE
5702 / 1
Juzo Dynamic Class 2 (23-32mmHg) Armsleeve With Silicone Border Max I-VI 1
DT
NE
5289 / 2
Juzo Dynamic Class 2 (23-32mmHg) Below Knee Closed Toe I-VI 2
Standard, Short Code each pair/2
DT
NE
5310 / 2
Juzo Dynamic Class 2 (23-32mmHg) Below Knee Closed Toe with Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5801 / 2
Juzo Dynamic Class 2 (23-32mmHg) Below Knee Open Toe I-VI 2
Standard, Short Code each pair/2
DT
NE
5309 / 2
Juzo Dynamic Class 2 (23-32mmHg) Below Knee Open Toe with Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5703 / 1
Juzo Dynamic Class 2 (23-32mmHg) Combined Armsleeve With Silicone Border I-VI 1
DT
NE
5705 / 1
Juzo Dynamic Class 2 (23-32mmHg) Combined Armsleeve With Silicone Border Max I-VI 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 389 of 550
Code/Pack
Description
DT CD ZD N E D
5311 / 2
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Closed Toe I-VI 2
Standard, Short Code each pair/2
DT
NE
5312 / 2
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Closed Toe with Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5367 / 1
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Closed Toe with Waist Attachment Left Leg IVI 1
Standard, Short
DT
NE
5332 / 1
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Closed Toe with Waist Attachment Right Leg IVI 1
Standard, Short
DT
NE
5321 / 2
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Closed Toe with Wide Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5799 / 2
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Open Toe with Silicone Border, I-VI 2
Standard, Short Code each pair/2
DT
NE
5350 / 1
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment Left Leg I-VI
1
Standard, Short
DT
NE
5339 / 1
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment Right Leg IVI 1
Standard, Short
DT
NE
5320 / 2
Juzo Dynamic Class 2 (23-32mmHg) Thigh High Open Toe with Wide Silicone Border I-VI 2
Standard, Short Code each pair/2
DT
NE
5323 / 1
Juzo Dynamic Class 2 (23-32mmHg) Tights Closed Toe I-VI 1
Standard, Short Code each pair/1
DT
NE
5322 / 1
Juzo Dynamic Class 2 (23-32mmHg) Tights Open Toe I-VI 1
Standard, Short Code each pair/1
DT
NE
5797 / 2
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Open Toe, I-VI 2
Standard , Short Code each pair/2
DT
NE
5408 / 2
Juzo Dynamic Class 3 (34-46mmHg) Below Knee Closed Toe I-VI 2
Standard, Short Code each Pair /2
DT
NE
5479 / 2
Juzo Dynamic Class 3 (34-46mmHg) Below Knee Closed Toe with Silicone Border I-VI 2
Standard, Short Code each Pair /2
DT
NE
5798 / 2
Juzo Dynamic Class 3 (34-46mmHg) Below Knee Open Toe I-VI 2
Standard, Short Code each pair/2
DT
NE
5419 / 2
Juzo Dynamic Class 3 (34-46mmHg) Below Knee Open Toe with Silicone Border I-VI 2
Standard, Short Code each Pair /2
DT
NE
5475 / 2
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Closed Toe I-VI 2
Standard, Short Code each Pair /2
DT
NE
5476 / 2
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Closed Toe with Silicone Border I-VI 2
Standard, Short Code each Pair /2
DT
NE
5184 / 1
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Closed Toe with Waist Attachment Left Leg IVI 1
Standard, Short
DT
NE
5180 / 1
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Closed Toe with Waist Attachment Right Leg IVI 1
Standard, Short
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 390 of 550
Code/Pack
Description
DT CD ZD N E D
5478 / 2
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Closed Toe with Wide Silicone Border I-VI 2
Standard, Short Code each Pair /2
DT
NE
5796 / 2
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Open Toe with Silicone Border, I-VI 2
Standard, Short Code each pair/2
DT
NE
5183 / 1
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Open Toe with Waist Attachment Left Leg I-VI
1
Standard, Short
DT
NE
5531 / 1
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Open Toe with Waist Attachment Right Leg IVI 1
Standard, Short
DT
NE
5477 / 2
Juzo Dynamic Class 3 (34-46mmHg) Thigh High Open Toe with Wide Silicone Border I-VI 2
Standard, Short Code each Pair /2
DT
NE
5222 / 1
Juzo Dynamic Class 3 (34-46mmHg) Tights Closed Toe I-VI 1
Standard, Short Code each Pair /1
DT
NE
5670 / 1
Juzo Dynamic Class 3 (34-46mmHg) Tights Open Toe I-VI 1
Standard, Short Code each Pair /1
DT
NE
17670 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) below knee closed toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17672 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) below knee closed toe with silicone top band I-VI 2
Standard, Short Code each pair/2
DT
NE
17669 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) below knee open toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17671 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) below knee open toe with silicone top band I-VI 2
Standard, Short Code each pair/2
DT
NE
17674 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length closed toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17678 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length closed toe wide with silicone top band I- DT
VI 2
Standard, Short Code each pair/2
NE
17676 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length closed toe with silicone top band I-VI 2 DT
Standard, Short Code each pair/2
NE
17685 / 1
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length closed toe with waist attachment left IVI 1
Standard, Short
DT
NE
17683 / 1
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length closed toe with waist attachment right IVI 1
Standard, Short
DT
NE
17673 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length open toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17677 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length open toe wide with silicone top band IVI 2
Standard, Short Code each pair/2
DT
NE
17675 / 2
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length open toe with silicone top band I-VI 2
Standard, Short Code each pair/2
DT
NE
17684 / 1
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length open toe with waist attachment left IVI 1
Standard, Short
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 391 of 550
Code/Pack
Description
DT CD ZD N E D
17682 / 1
Juzo Dynamic Cotton Class 1 (18-21mmHg) thigh length open toe with waist attachment right IVI 1
Standard, Short
DT
NE
17680 / 1
Juzo Dynamic Cotton Class 1 (18-21mmHg) tights closed toe I-VI 1
Standard, Short Code each pair/1
DT
NE
17679 / 1
Juzo Dynamic Cotton Class 1 (18-21mmHg) tights open toe I-VI 1
Standard, Short Code each pair/1
DT
NE
17687 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) below knee closed toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17689 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) below knee closed toe with silicone top band I-VI 2
Standard, Short Code each pair/2
DT
NE
17686 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) below knee open toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17688 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) below knee open toe with silicone top band I-VI 2
Standard, Short Code each pair/2
DT
NE
17691 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length closed toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17695 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length closed toe wide with silicone top band I- DT
VI 2
Standard, Short Code each pair/2
NE
17693 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length closed toe with silicone top band I-VI 2 DT
Standard, Short Code each pair/2
NE
17702 / 1
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length closed toe with waist attachment left IVI 1
Standard, Short
DT
NE
17700 / 1
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length closed toe with waist attachment right IVI 1
Standard, Short
DT
NE
17690 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length open toe I-VI 2
Standard, Short Code each pair/2
DT
NE
17694 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length open toe wide with silicone top band IVI 2
Standard, Short Code each pair/2
DT
NE
17692 / 2
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length open toe with silicone top band I-VI 2
Standard, Short Code each pair/2
DT
NE
17701 / 1
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length open toe with waist attachment left IVI 1
Standard, Short
DT
NE
17699 / 1
Juzo Dynamic Cotton Class 2 (23-32mmHg) thigh length open toe with waist attachment right IVI 1
Standard, Short
DT
NE
17697 / 1
Juzo Dynamic Cotton Class 2 (23-32mmHg) tights closed toe I-VI 1
Standard, Short Code each pair/1
DT
NE
17696 / 1
Juzo Dynamic Cotton Class 2 (23-32mmHg) tights open toe I-VI 1
Standard, Short Code each pair/1
DT
NE
17888 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) below knee closed toe 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 392 of 550
Code/Pack
Description
DT CD ZD N E D
17890 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) below knee closed toe with
silicone top band 1
DT
NE
17887 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) below knee open toe 1
DT
NE
17889 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) below knee open toe with
silicone top band 1
DT
NE
17896 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) one-legged panty closed toe 1
DT
NE
17895 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) one-legged panty open toe 1
DT
NE
17892 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high closed toe 1
DT
NE
17894 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high closed toe with
silicone top band 1
DT
NE
17900 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high closed toe with waist
attachment left leg 1
DT
NE
17898 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high closed toe with waist
attachment right leg 1
DT
NE
17891 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high open toe 1
DT
NE
17893 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high open toe with silicone
top band 1
DT
NE
17899 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high open toe with waist
attachment left leg 1
DT
NE
17897 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) thigh high open toe with waist
attachment right leg 1
DT
NE
17902 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) tights closed toe 1
DT
NE
17901 / 1
Juzo Dynamic Cotton Custom lower limb Class 1 (18-21mmHg) tights open toe 1
DT
NE
17904 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) below knee closed toe 1
DT
NE
17906 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) below knee closed toe with
silicone top band 1
DT
NE
17903 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) below knee open toe 1
DT
NE
17905 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) below knee open toe with
silicone top band 1
DT
NE
17912 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) one-legged panty closed toe 1
DT
NE
17911 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) one-legged panty open toe 1
DT
NE
17908 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high closed toe 1
DT
NE
17910 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high closed toe with
silicone top band 1
DT
NE
17916 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high closed toe with waist
attachment left leg 1
DT
NE
17914 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high closed toe with waist
attachment right leg 1
DT
NE
17907 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high open toe 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 393 of 550
Code/Pack
Description
DT CD ZD N E D
17909 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high open toe with silicone
top band 1
DT
NE
17915 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high open toe with waist
attachment left leg 1
DT
NE
17913 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) thigh high open toe with waist
attachment right leg 1
DT
NE
17918 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) tights closed toe 1
DT
NE
17917 / 1
Juzo Dynamic Cotton Custom lower limb Class 2 (23-32mmHg) tights open toe 1
DT
NE
17919 / 1
Juzo Dynamic Cotton Custom lower limb options fly 1
DT
NE
17920 / 1
Juzo Dynamic Cotton Custom lower limb options open crotch 1
DT
NE
17811 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) below knee closed toe 1
DT
NE
17813 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) below knee closed toe with silicone top
band 1
DT
NE
17810 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) below knee open toe 1
DT
NE
17812 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) below knee open toe with silicone top
band 1
DT
NE
17820 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) one-legged panty closed toe 1
DT
NE
17819 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) one-legged panty open toe 1
DT
NE
17815 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high closed toe 1
DT
NE
17818 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high closed toe with silicone top
band 1
DT
NE
17824 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high closed toe with waist
attachment left leg 1
DT
NE
17822 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high closed toe with waist
attachment right leg 1
DT
NE
17814 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high open toe 1
DT
NE
17817 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high open toe with silicone top
band 1
DT
NE
17823 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high open toe with waist
attachment left leg 1
DT
NE
17821 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) thigh high open toe with waist
attachment right leg 1
DT
NE
17826 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) tights closed toe 1
DT
NE
17825 / 1
Juzo Dynamic Custom lower limb Class 1 (18-21mmHg) tights open toe 1
DT
NE
17829 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) below knee closed toe 1
DT
NE
17856 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) below knee closed toe with silicone top
band 1
DT
NE
17828 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) below knee open toe 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 394 of 550
Code/Pack
Description
DT CD ZD N E D
17855 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) below knee open toe with silicone top
band 1
DT
NE
17862 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) one-legged panty closed toe 1
DT
NE
17861 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) one-legged panty open toe 1
DT
NE
17858 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high closed toe 1
DT
NE
17860 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high closed toe with silicone top
band 1
DT
NE
17866 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high closed toe with waist
attachment left leg 1
DT
NE
17864 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high closed toe with waist
attachment right leg 1
DT
NE
17857 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high open toe 1
DT
NE
17859 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high open toe with silicone top
band 1
DT
NE
17865 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high open toe with waist
attachment left leg 1
DT
NE
17863 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) thigh high open toe with waist
attachment right leg 1
DT
NE
17868 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) tights closed toe 1
DT
NE
17867 / 1
Juzo Dynamic Custom lower limb Class 2 (23-32mmHg) tights open toe 1
DT
NE
17870 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) below knee closed toe 1
DT
NE
17872 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) below knee closed toe with silicone top
band 1
DT
NE
17869 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) below knee open toe 1
DT
NE
17871 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) below knee open toe with silicone top
band 1
DT
NE
17878 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) one-legged panty closed toe 1
DT
NE
17877 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) one-legged panty open toe 1
DT
NE
17874 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high closed toe 1
DT
NE
17876 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high closed toe with silicone top
band 1
DT
NE
17882 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high closed toe with waist
attachment left leg 1
DT
NE
17880 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high closed toe with waist
attachment right leg 1
DT
NE
17873 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high open toe 1
DT
NE
17875 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high open toe with silicone top
band 1
DT
NE
17881 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high open toe with waist
attachment left leg 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 395 of 550
Code/Pack
Description
DT CD ZD N E D
17879 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) thigh high open toe with waist
attachment right leg 1
DT
NE
17884 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) tights closed toe 1
DT
NE
17883 / 1
Juzo Dynamic Custom lower limb Class 3 (34-46mmHg) tights open toe 1
DT
NE
17885 / 1
Juzo Dynamic Custom lower limb options fly 1
DT
NE
17886 / 1
Juzo Dynamic Custom lower limb options open crotch 1
DT
NE
3435 / 1
Juzo Easy Fit compression hosiery applicator 1
DT
NE
3439 / 1
Juzo Easy Fit XL compression hosiery applicator 1
DT
NE
6714 / 1
Juzo Expert lower limb Class 1 (18-21mmHg) Below Knee 1
DT
NE
6804 / 1
Juzo Expert lower limb Class 1 (18-21mmHg) Bermuda pants 1
DT
NE
6768 / 1
Juzo Expert lower limb Class 1 (18-21mmHg) Capri pants 1
DT
NE
6707 / 1
Juzo Expert lower limb Class 1 (18-21mmHg) Foot with open toe 1
DT
NE
6746 / 1
Juzo Expert lower limb Class 1 (18-21mmHg) Thigh High 1
DT
NE
6752 / 1
Juzo Expert lower limb Class 1 (18-21mmHg) Thigh High with Hip Attachment 1
DT
NE
6766 / 1
Juzo Expert lower limb Class 1 (18-21mmHg) Tights open toe 1
DT
NE
6812 / 1
Juzo Expert lower limb Class 2 (23-32mmHg) Below Knee 1
DT
NE
6906 / 1
Juzo Expert lower limb Class 2 (23-32mmHg) Bermuda pants 1
DT
NE
6897 / 1
Juzo Expert lower limb Class 2 (23-32mmHg) Capri pants 1
DT
NE
6811 / 1
Juzo Expert lower limb Class 2 (23-32mmHg) Foot with open toe 1
DT
NE
6846 / 1
Juzo Expert lower limb Class 2 (23-32mmHg) Thigh High 1
DT
NE
6851 / 1
Juzo Expert lower limb Class 2 (23-32mmHg) Thigh High with Hip Attachment 1
DT
NE
6863 / 1
Juzo Expert lower limb Class 2 (23-32mmHg) Tights open toe 1
DT
NE
6957 / 1
Juzo Expert lower limb Class 3 (34-46mmHg) Below Knee 1
DT
NE
7025 / 1
Juzo Expert lower limb Class 3 (34-46mmHg) Bermuda pants 1
DT
NE
7001 / 1
Juzo Expert lower limb Class 3 (34-46mmHg) Capri pants 1
DT
NE
6955 / 1
Juzo Expert lower limb Class 3 (34-46mmHg) Foot with open toe 1
DT
NE
6963 / 1
Juzo Expert lower limb Class 3 (34-46mmHg) Thigh High 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 396 of 550
Code/Pack
Description
DT CD ZD N E D
6965 / 1
Juzo Expert lower limb Class 3 (34-46mmHg) Thigh High with Hip Attachment 1
DT
NE
6989 / 1
Juzo Expert lower limb Class 3 (34-46mmHg) Tights open toe 1
DT
NE
7037 / 1
Juzo Expert lower limb Class 4 (>46mmHg) Below Knee 1
DT
NE
7042 / 1
Juzo Expert lower limb Class 4 (>46mmHg) Thigh High 1
DT
NE
7060 / 1
Juzo Expert lower limb Class 4 (>46mmHg) Thigh High with Hip Attachment 1
DT
NE
7070 / 1
Juzo Expert lower limb Class 4 (>46mmHg) Tights open toe 1
DT
NE
7078 / 1
Juzo Expert lower limb options Adhesive border 1
DT
NE
7087 / 1
Juzo Expert lower limb options Adhesive border at bottom of leg 1
DT
NE
7092 / 1
Juzo Expert lower limb options Adjustable waist band 1
DT
NE
7106 / 1
Juzo Expert lower limb options Ball stub (diagonal foot) 1
DT
NE
7133 / 1
Juzo Expert lower limb options Closed toe 1
DT
NE
7147 / 1
Juzo Expert lower limb options Fly 1
DT
NE
7163 / 1
Juzo Expert lower limb options Hip fastening belt at 'T' 1
DT
NE
7170 / 1
Juzo Expert lower limb options Hip fastening belt at 'T' with velcro 1
DT
NE
7174 / 1
Juzo Expert lower limb options Incorporated scrotum 1
DT
NE
7187 / 1
Juzo Expert lower limb options Instep Stitching 1
DT
NE
7197 / 1
Juzo Expert lower limb options Internal sewn-in adhesive border 1
DT
NE
7199 / 1
Juzo Expert lower limb options Open crotch 1
DT
NE
7202 / 1
Juzo Expert lower limb options Overheight 1
DT
NE
7207 / 1
Juzo Expert lower limb options Pressure pads (piece) 1
DT
NE
7212 / 1
Juzo Expert lower limb options Silicone stopper 1
DT
NE
7244 / 1
Juzo Expert lower limb options Tricot lining 1
DT
NE
7245 / 1
Juzo Expert lower limb options Velcro fastener 1
DT
NE
7249 / 1
Juzo Expert lower limb options Zipper 1
DT
NE
7955 / 1
Juzo Expert Strong lower limb Class 1 (18-21mmHg) Below Knee 1
DT
NE
8003 / 1
Juzo Expert Strong lower limb Class 1 (18-21mmHg) Bermuda pants 1
DT
NE
8002 / 1
Juzo Expert Strong lower limb Class 1 (18-21mmHg) Capri pants 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 397 of 550
Code/Pack
Description
DT CD ZD N E D
7947 / 1
Juzo Expert Strong lower limb Class 1 (18-21mmHg) Foot with open toe 1
DT
NE
7958 / 1
Juzo Expert Strong lower limb Class 1 (18-21mmHg) Thigh High 1
DT
NE
7988 / 1
Juzo Expert Strong lower limb Class 1 (18-21mmHg) Thigh High with Hip Attachment 1
DT
NE
7998 / 1
Juzo Expert Strong lower limb Class 1 (18-21mmHg) Tights open toe 1
DT
NE
8050 / 1
Juzo Expert Strong lower limb Class 2 (23-32mmHg) Below Knee 1
DT
NE
8097 / 1
Juzo Expert Strong lower limb Class 2 (23-32mmHg) Bermuda pants 1
DT
NE
8087 / 1
Juzo Expert Strong lower limb Class 2 (23-32mmHg) Capri pants 1
DT
NE
8032 / 1
Juzo Expert Strong lower limb Class 2 (23-32mmHg) Foot with open toe 1
DT
NE
8052 / 1
Juzo Expert Strong lower limb Class 2 (23-32mmHg) Thigh High 1
DT
NE
8069 / 1
Juzo Expert Strong lower limb Class 2 (23-32mmHg) Thigh High with Hip Attachment 1
DT
NE
8086 / 1
Juzo Expert Strong lower limb Class 2 (23-32mmHg) Tights open toe 1
DT
NE
8290 / 1
Juzo Expert Strong lower limb Class 3 (34-46mmHg) Below Knee 1
DT
NE
8357 / 1
Juzo Expert Strong lower limb Class 3 (34-46mmHg) Bermuda pants 1
DT
NE
8356 / 1
Juzo Expert Strong lower limb Class 3 (34-46mmHg) Capri pants 1
DT
NE
8285 / 1
Juzo Expert Strong lower limb Class 3 (34-46mmHg) Foot with open toe 1
DT
NE
8292 / 1
Juzo Expert Strong lower limb Class 3 (34-46mmHg) Thigh High 1
DT
NE
8327 / 1
Juzo Expert Strong lower limb Class 3 (34-46mmHg) Thigh High with Hip Attachment 1
DT
NE
8341 / 1
Juzo Expert Strong lower limb Class 3 (34-46mmHg) Tights open toe 1
DT
NE
8367 / 1
Juzo Expert Strong lower limb Class 4 (>46mmHg) Below Knee 1
DT
NE
8403 / 1
Juzo Expert Strong lower limb Class 4 (>46mmHg) Thigh High 1
DT
NE
8413 / 1
Juzo Expert Strong lower limb Class 4 (>46mmHg) Thigh High with Hip Attachment 1
DT
NE
8414 / 1
Juzo Expert Strong lower limb Class 4 (>46mmHg) Tights open toe 1
DT
NE
8418 / 1
Juzo Expert Strong lower limb options Adhesive border 1
DT
NE
8425 / 1
Juzo Expert Strong lower limb options Adhesive border at bottom of leg 1
DT
NE
8434 / 1
Juzo Expert Strong lower limb options Adjustable waist band
DT
NE
8459 / 1
Juzo Expert Strong lower limb options Ball stub (diagonal foot) 1
DT
NE
8473 / 1
Juzo Expert Strong lower limb options Closed toe 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 398 of 550
Code/Pack
Description
DT CD ZD N E D
8491 / 1
Juzo Expert Strong lower limb options Fly 1
DT
NE
8493 / 1
Juzo Expert Strong lower limb options Hip fastening belt at 'T' 1
DT
NE
8504 / 1
Juzo Expert Strong lower limb options Hip fastening belt at 'T' with velcro 1
DT
NE
8540 / 1
Juzo Expert Strong lower limb options Incorporated scrotum 1
DT
NE
8579 / 1
Juzo Expert Strong lower limb options Instep Stitching 1
DT
NE
8608 / 1
Juzo Expert Strong lower limb options Internal sewn-in adhesive border 1
DT
NE
8628 / 1
Juzo Expert Strong lower limb options Open crotch 1
DT
NE
8647 / 1
Juzo Expert Strong lower limb options Overheight 1
DT
NE
8740 / 1
Juzo Expert Strong lower limb options Pressure pad 1
DT
NE
8759 / 1
Juzo Expert Strong lower limb options Silicone stopper 1
DT
NE
8760 / 1
Juzo Expert Strong lower limb options Tricot lining 1
DT
NE
8763 / 1
Juzo Expert Strong lower limb options Velcro fastener 1
DT
NE
8767 / 1
Juzo Expert Strong lower limb options Zipper 1
DT
NE
7293 / 1
Juzo Expert Strong Upper Limb Class 1 (18-21mmHg) Armsleeve 1
DT
NE
7295 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Armsleeve with Gauntlet 1
DT
NE
7312 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Armsleeve with Glove 1
DT
NE
7344 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Gauntlet with thumb stub 1
Long
DT
NE
7316 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Gauntlet with thumb stub 1
Short
DT
NE
7392 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Glove with closed fingers 1
Long
DT
NE
7373 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Glove with closed fingers 1
Short
DT
NE
7385 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Glove with open fingers 1
Long
DT
NE
7361 / 1
Juzo Expert Strong upper limb Class 1 (18-21mmHg) Glove with open fingers 1
Short
DT
NE
7401 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Armsleeve 1
DT
NE
7413 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Armsleeve with Gauntlet 1
DT
NE
7549 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Armsleeve with Glove 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 399 of 550
Code/Pack
Description
DT CD ZD N E D
7570 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Gauntlet with thumb stub 1
Long
DT
NE
7561 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Gauntlet with thumb stub 1
Short
DT
NE
7626 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Glove with closed fingers 1
Long
DT
NE
7581 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Glove with closed fingers 1
Short
DT
NE
7595 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Glove with open fingers 1
Long
DT
NE
7579 / 1
Juzo Expert Strong upper limb Class 2 (23-32mmHg) Glove with Open fingers 1
Short
DT
NE
7630 / 1
Juzo Expert Strong upper limb Class 3 (34-46mmHg) Armsleeve 1
DT
NE
7648 / 1
Juzo Expert Strong upper limb Class 3 (34-46mmHg) Armsleeve with Gauntlet 1
DT
NE
7660 / 1
Juzo Expert Strong upper limb Class 3 (34-46mmHg) Armsleeve with Glove 1
DT
NE
7703 / 1
Juzo Expert Strong upper limb Class 3 (34-46mmHg) Gauntlet with thumb stub 1
Short
DT
NE
7738 / 1
Juzo Expert Strong upper limb Class 3 (34-46mmHg) Glove with closed fingers 1
Short
DT
NE
7722 / 1
Juzo Expert Strong upper limb Class 3 (34-46mmHg) Glove with open fingers 1
Short
DT
NE
7755 / 1
Juzo Expert Strong upper limb option Anatomically flexed middle of elbow 1
DT
NE
7774 / 1
Juzo Expert Strong upper limb option Border 1
DT
NE
7788 / 1
Juzo Expert Strong upper limb option Hook and Eye fastener 1
DT
NE
7822 / 1
Juzo Expert Strong upper limb option Internal sewn-in adhesive border 1
DT
NE
7837 / 1
Juzo Expert Strong upper limb option Knitted-in, seamless bra cup 1
DT
NE
7846 / 1
Juzo Expert Strong upper limb option Overheight 1
DT
NE
7868 / 1
Juzo Expert Strong upper limb option Pressure pad 1
DT
NE
7879 / 1
Juzo Expert Strong upper limb option Shoulder Cap 1
DT
NE
7887 / 1
Juzo Expert Strong upper limb option Shoulder Cap with Silicone support 1
DT
NE
7911 / 1
Juzo Expert Strong upper limb option Silicone stopper 1
DT
NE
7940 / 1
Juzo Expert Strong upper limb option Tricot lining 1
DT
NE
7941 / 1
Juzo Expert Strong upper limb option Velcro fastener 1
DT
NE
7946 / 1
Juzo Expert Strong upper limb option Zipper 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 400 of 550
Code/Pack
Description
DT CD ZD N E D
6004 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Armsleeve 1
DT
NE
6020 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Armsleeve with Gauntlet 1
DT
NE
6024 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Armsleeve with Glove 1
DT
NE
6096 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Body Bandage 1
Short
DT
NE
6034 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Gauntlet with thumb stub 1
Long
DT
NE
6032 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Gauntlet with thumb stub 1
Short
DT
NE
6090 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Glove with closed fingers 1
Long
DT
NE
6066 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Glove with closed fingers 1
Short
DT
NE
6086 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Glove with open fingers 1
Long
DT
NE
6044 / 1
Juzo Expert upper limb Class 1 (18-21mmHg) Glove with open fingers 1
Short
DT
NE
6100 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Armsleeve 1
DT
NE
6101 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Armsleeve with Gauntlet 1
DT
NE
6103 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Armsleeve with Glove 1
DT
NE
6205 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Body Bandage 1
Short
DT
NE
6140 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Gauntlet with thumb stub 1
Long
DT
NE
6115 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Gauntlet with thumb stub 1
Short
DT
NE
6202 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Glove with closed fingers 1
Long
DT
NE
6155 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Glove with closed fingers 1
Short
DT
NE
6171 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Glove with open fingers 1
Long
DT
NE
6165 / 1
Juzo Expert upper limb Class 2 (23-32mmHg) Glove with open fingers 1
Short
DT
NE
6247 / 1
Juzo Expert upper limb Class 3 (34-46mmHg) Armsleeve 1
DT
NE
6250 / 1
Juzo Expert upper limb Class 3 (34-46mmHg) Armsleeve with Gauntlet 1
DT
NE
6376 / 1
Juzo Expert upper limb Class 3 (34-46mmHg) Armsleeve with Glove 1
DT
NE
6401 / 1
Juzo Expert upper limb Class 3 (34-46mmHg) Gauntlet with thumb stub 1
Short
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 401 of 550
Code/Pack
Description
DT CD ZD N E D
6442 / 1
Juzo Expert upper limb Class 3 (34-46mmHg) Glove with closed fingers 1
Short
DT
NE
6402 / 1
Juzo Expert upper limb Class 3 (34-46mmHg) Glove with open fingers 1
Short
DT
NE
6487 / 1
Juzo Expert upper limb option Anatomically flexed middle of elbow 1
DT
NE
6509 / 1
Juzo Expert upper limb option Border 1
DT
NE
6521 / 1
Juzo Expert upper limb option Hook and Eye fastener 1
DT
NE
6581 / 1
Juzo Expert upper limb option Internal sewn-in adhesive border (piece) 1
DT
NE
6593 / 1
Juzo Expert upper limb option Knitted-in, seamless bra cup 1
DT
NE
6607 / 1
Juzo Expert upper limb option Overheight 1
DT
NE
6621 / 1
Juzo Expert upper limb option Pressure pad (piece) 1
DT
NE
6626 / 1
Juzo Expert upper limb option Shoulder Cap 1
DT
NE
6638 / 1
Juzo Expert upper limb option Shoulder Cap with Silicone support 1
DT
NE
6651 / 1
Juzo Expert upper limb option Silicone stopper (piece) 1
DT
NE
6659 / 1
Juzo Expert upper limb option Tricot lining 1
DT
NE
6679 / 1
Juzo Expert upper limb option Velcro fastener 1
DT
NE
6705 / 1
Juzo Expert upper limb option Zipper 1
DT
NE
7079 / 2
Juzo Hostess Class 1 (18-21mmHg) Below Knee-Closed Toe I - VI 2
Standard/ Short Code each pair/2
DT
NE
7090 / 2
Juzo Hostess Class 1 (18-21mmHg) Thigh High-Closed Toe I-VI 2
Standard/ Short Code each pair/2
DT
NE
7096 / 2
Juzo Hostess Class 1 (18-21mmHg) Thigh High-Closed Toe with Silicone Border I-VI 2
Standard/ Short Code each pair/2
DT
NE
5941 / 2
Juzo Hostess Class 1 (18-21mmHg) Thigh High-Closed Toe with Wide Silicone Border I-VI 2
Standard/ Short Code each pair/2
DT
NE
7150 / 2
Juzo Hostess Class 2 (23-32mmHg) Below Knee-Closed Toe I-VI 2
Standard/ Short Code each pair/2
DT
NE
7151 / 2
Juzo Hostess Class 2 (23-32mmHg) Thigh High-Closed Toe I-VI 2
Standard/ Short Code each pair/2
DT
NE
7154 / 2
Juzo Hostess Class 2 (23-32mmHg) Thigh High-Closed Toe with Silicone Border I-VI 2
Standard/ Short Code each pair/2
DT
NE
5942 / 2
Juzo Hostess Class 2 (23-32mmHg) Thigh High-Closed Toe with Wide Silicone Border I-VI 2
Standard/ Short Code each pair/2
DT
NE
17922 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) below knee closed toe 1
DT
NE
17924 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) below knee closed toe with silicone top
band 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 402 of 550
Code/Pack
Description
DT CD ZD N E D
17921 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) below knee open toe 1
DT
NE
17923 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) below knee open toe with silicone top
band 1
DT
NE
17926 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) thigh high closed toe 1
DT
NE
17928 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) thigh high closed toe with silicone top
band 1
DT
NE
17925 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) thigh high open toe 1
DT
NE
17927 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) thigh high open toe with silicone top
band 1
DT
NE
17930 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) tights closed toe 1
DT
NE
17929 / 1
Juzo Hostess Custom lower limb class 1 (18-21mmHg) tights open toe 1
DT
NE
17932 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) below knee closed toe 1
DT
NE
17934 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) below knee closed toe with silicone top
band 1
DT
NE
17931 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) below knee open toe 1
DT
NE
17933 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) below knee open toe with silicone top
band 1
DT
NE
17936 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) thigh high closed toe 1
DT
NE
17938 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) thigh high closed toe with silicone top
band 1
DT
NE
17935 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) thigh high open toe 1
DT
NE
17937 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) thigh high open toe with silicone top
band 1
DT
NE
17940 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) tights closed toe 1
DT
NE
17939 / 1
Juzo Hostess Custom lower limb class 2 (23-32mmHg) tights open toe 1
DT
NE
9486 / 2
Juzo Soft Class 1 (18-21mmHg) Below Knee Closed Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9525 / 2
Juzo Soft Class 1 (18-21mmHg) Below Knee Open Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9882 / 2
Juzo Soft Class 1 (18-21mmHg) Below Knee Open Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9167 / 2
Juzo Soft Class 1 (18-21mmHg) Thigh High Closed Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9834 / 1
Juzo Soft Class 1 (18-21mmHg) Thigh High Closed Toe with Waist Attachment Left Leg, I-VI 1
Standard, Short
DT
NE
9587 / 1
Juzo Soft Class 1 (18-21mmHg) Thigh High Closed Toe with Waist Attachment Right Leg, I-VI 1 DT
Standard, Short
NE
9577 / 2
Juzo Soft Class 1 (18-21mmHg) Thigh High Closed Toe with Wide Silicone Border, I-VI 2
Standard,Short Code each pair/2
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 403 of 550
Code/Pack
Description
DT CD ZD N E D
9173 / 2
Juzo Soft Class 1 (18-21mmHg) Thigh High Closed Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9170 / 2
Juzo Soft Class 1 (18-21mmHg) Thigh High Open Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9601 / 1
Juzo Soft Class 1 (18-21mmHg) Thigh High Open Toe with Waist Attachment Left Leg, I-VI 1
Standard, Short
DT
NE
9585 / 1
Juzo Soft Class 1 (18-21mmHg) Thigh High Open Toe with Waist Attachment Right Leg, I-VI 1
Standard, Short
DT
NE
9556 / 2
Juzo Soft Class 1 (18-21mmHg) Thigh High Open Toe with Wide Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9175 / 2
Juzo Soft Class 1 (18-21mmHg) Thigh High Open Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9584 / 1
Juzo Soft Class 1 (18-21mmHg) Tights Closed Toe, I-VI 1
Standard, Short Code each pair/1
DT
NE
9583 / 1
Juzo Soft Class 1 (18-21mmHg) Tights Open Toe, I-VI 1
Standard, Short Code each pair/1
DT
NE
9896 / 2
Juzo Soft Class 1 18-21mmHg) Below Knee Closed Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9165 / 2
Juzo Soft Class 2 (23-32mmHg) Below Knee Closed Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9166 / 2
Juzo Soft Class 2 (23-32mmHg) Below Knee Open Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9147 / 2
Juzo Soft Class 2 (23-32mmHg) Thigh High Closed Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9157 / 2
Juzo Soft Class 2 (23-32mmHg) Thigh High Closed Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9155 / 2
Juzo Soft Class 2 (23-32mmHg) Thigh High Open Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9163 / 2
Juzo Soft Class 2 (23-32mmHg) Thigh High Open Toe, I-VI 2
Standard,Short Code each pair/2
DT
NE
9674 / 2
Juzo Soft Class 2 (23-32mmHg) Below Knee Closed Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9642 / 2
Juzo Soft Class 2 (23-32mmHg) Below Knee Open Toe with Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9845 / 1
Juzo Soft Class 2 (23-32mmHg) Thigh High Closed Toe with Waist Attachment Left Leg, I-VI 1
Standard, Short
DT
NE
9752 / 1
Juzo Soft Class 2 (23-32mmHg) Thigh High Closed Toe with Waist Attachment Right Leg, I-VI 1 DT
Standard, Short
NE
9689 / 2
Juzo Soft Class 2 (23-32mmHg) Thigh High Closed Toe with Wide Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
9811 / 1
Juzo Soft Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment Left Leg, I-VI 1
Standard, Short
DT
NE
9746 / 1
Juzo Soft Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment Right Leg, I-VI 1
Standard, Short
DT
NE
9680 / 2
Juzo Soft Class 2 (23-32mmHg) Thigh High Open Toe with Wide Silicone Border, I-VI 2
Standard,Short Code each pair/2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 404 of 550
Code/Pack
Description
DT CD ZD N E D
9740 / 1
Juzo Soft Class 2 (23-32mmHg) Tights Closed Toe, I-VI 1
Standard, Short Code each pair/1
DT
NE
9685 / 1
Juzo Soft Class 2 (23-32mmHg) Tights Open Toe, I-VI 1
Standard, Short Code each pair/1
DT
NE
17942 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) below knee closed toe 1
DT
NE
17944 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) below knee closed toe with silicone top
band 1
DT
NE
17941 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) below knee open toe 1
DT
NE
17943 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) below knee open toe with silicone top band
1
DT
NE
17946 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high closed toe 1
DT
NE
17948 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high closed toe with silicone top band 1 DT
NE
17952 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high closed toe with waist attachment
left leg 1
DT
NE
17950 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high closed toe with waist attachment
right leg 1
DT
NE
17945 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high open toe 1
DT
NE
17947 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high open toe with silicone top band 1
DT
NE
17951 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high open toe with waist attachment left
leg 1
DT
NE
17949 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) thigh high open toe with waist attachment
right leg 1
DT
NE
17954 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) tights closed toe 1
DT
NE
17953 / 1
Juzo Soft Custom lower limb class 1 (18-21mmHg) tights open toe 1
DT
NE
17956 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) below knee closed toe 1
DT
NE
17958 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) below knee closed toe with silicone top
band 1
DT
NE
17955 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) below knee open toe 1
DT
NE
17957 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) below knee open toe with silicone top band
1
DT
NE
17960 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high closed toe 1
DT
NE
17962 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high closed toe with silicone top band 1 DT
NE
17966 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high closed toe with waist attachment
left leg 1
DT
NE
17964 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high closed toe with waist attachment
right leg 1
DT
NE
17959 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high open toe 1
DT
NE
17961 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high open toe with silicone top band 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 405 of 550
Code/Pack
Description
DT CD ZD N E D
17965 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high open toe with waist attachment left
leg 1
DT
NE
17963 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) thigh high open toe with waist attachment
right leg 1
DT
NE
17968 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) tights closed toe 1
DT
NE
17967 / 1
Juzo Soft Custom lower limb class 2 (23-32mmHg) tights open toe 1
DT
NE
17969 / 1
Juzo Soft Custom lower limb options fly 1
DT
NE
17970 / 1
Juzo Soft Custom lower limb options open crotch 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 406 of 550
Code/Pack
Description
DT CD ZD N E D
K
6958 / 1
K Press (Layer #2) 0 (Short) Bandage 10cm x 6.5m 1
DT
NE
8359 / 1
K Press (Layer #2) 18-25cm Bandage 8cm x 7.5m 1
DT
NE
6947 / 1
K Press (Layer #2) 18-25cm Bandage 10cm x 7.5m 1
DT
NE
8354 / 1
K Press (Layer #2) 18-25cm Bandage 12cm x 7.5m 1
DT
NE
8527 / 1
K Press (Layer #2) Bandage size 25-32cm 8cm x 10.5m 1
DT
NE
5285 / 1
K Press (Layer #2) Bandage size 25-32cm 10cm x 10.5m 1
DT
NE
8960 / 1
K Press (Layer #2) Bandage size 25-32cm 12cm x 10.5m 1
DT
NE
6943 / 1
K Tech (Layer #1) Bandage size 0 (short) 10cm x 5m 1
DT
NE
8391 / 1
K Tech (Layer #1) Bandage size 25-32cm 8cm x 7.3m 1
DT
NE
5286 / 1
K Tech (Layer #1) Bandage size 25-32cm 10cm x 7.3m 1
DT
NE
8368 / 1
K Tech (Layer #1) Bandage size 25-32cm 12cm x 7.3m 1
DT
NE
8440 / 1
K Tech (Layer #1) Bandage size 18-25cm 8cm x 6m 1
DT
NE
6839 / 1
K Tech (Layer #1) Bandage size 18-25cm 10cm x 6m 1
DT
NE
8431 / 1
K Tech (Layer #1) Bandage size 18-25cm 12cm x 6m 1
DT
NE
1578 / 1
K Tech Reduced (Layer #1) Bandage size 18-25cm 10cm x 6m 1
DT
NE
1675 / 1
K Tech Reduced (Layer #1) Bandage size 25-32cm 10cm x 7.3m 1
DT
NE
8056 / 1
K Two - multi-layer compression 18-25cm bandaging kit 12cm 1
DT
NE
8064 / 1
K Two - multi-layer compression 18-25cm bandaging kit 8cm 1
DT
NE
8939 / 1
K Two - multi-layer compression 18-25cm bandaging kit 10cm 1
DT
NE
8514 / 1
K Two - multi-layer compression 25-32cm bandaging kit 8cm 1
DT
NE
5287 / 1
K Two - multi-layer compression 25-32cm bandaging kit 10cm 1
DT
NE
8492 / 1
K Two - multi-layer compression 25-32cm bandaging kit 12cm 1
DT
NE
8999 / 1
K Two - multi-layer compression bandaging kit 0(short) 1
DT
NE
4291 / 1
K Two Latex Free - multi-layer compression bandaging kit 18-25cm (10cm) 1
DT
NE
4323 / 1
K Two Latex Free - multi-layer compression bandaging kit 25-32cm (10cm) 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 407 of 550
Code/Pack
Description
DT CD ZD N E D
4324 / 1
K Two Reduced Latex Free - multi-layer compression bandaging kit 18-25cm (10cm) 1
DT
NE
4349 / 1
K Two Reduced Latex Free - multi-layer compression bandaging kit 25-32cm (10cm) 1
DT
NE
3259 / 1
K Two Reduced Multi-layer Compression Bandage Kit 18cm-25cm 1
DT
NE
3847 / 1
K Two Reduced Multi-layer Compression Bandage Kit 25cm-32cm 1
DT
NE
2713 / 82
K Y Jelly Tube 82g
DT
NE
9864 / 10
Kapi-Gel Spacers 8mm (3mm Thick) 10
LATNG 2008
DT
NE
9872 / 10
Kapi-Gel Spacers 8mm (5mm Thick) 10
LATNG 4008
DT
NE
9132 / 10
Kapi-Gel Spacers 12mm (3mm Thick) 10
LATNG 2012
DT
NE
9123 / 10
Kapi-Gel Spacers 12mm (5mm Thick) 10
LATNG 4012
DT
NE
7461 / 2
Kapitex Tracheo Cleaning Brush 8mm TRACC0001
DT
NE
7466 / 2
Kapitex Tracheo Cleaning Brush 10mm TRACC0002
DT
NE
7478 / 2
Kapitex Tracheo Cleaning Brush 12mm TRACC0003
DT
NE
7525 / 2
Kapitex Tracheo Cleaning Brush 14mm TRACC0004
DT
NE
9545 / 1
K-Band Bandage 5cm
DT
NE
9568 / 1
K-Band Bandage 7cm
DT
NE
9596 / 1
K-Band Bandage 10cm
DT
NE
9598 / 1
K-Band Bandage 15cm
DT
NE
6038 / 1
Kegel8 pelvic toning device 1
DT
NE
2973 / 50
Kendall Magellan Insulin Syringe U100/0.3ml with 12mm needle (0.33mm/29G) 50
DT
NE
2776 / 50
Kendall Magellan Insulin Syringe U100/0.3ml with 8mm needle (0.3mm/30G) 50
DT
NE
2977 / 50
Kendall Magellan Insulin Syringe U100/0.5ml with 12mm needle (0.33mm/29G) 50
DT
NE
2911 / 50
Kendall Magellan Insulin Syringe U100/0.5ml with 8mm needle (0.3mm/30G) 50
DT
NE
3087 / 50
Kendall Magellan Insulin Syringe U100/1.0ml with 12mm needle (0.33mm/29G) 50
DT
NE
2893 / 50
Kendall Magellan Insulin Syringe U100/1.0ml with 8mm needle (0.3mm/30G) 50
DT
NE
1985 / 1
Kerraped All Purpose Boot Plantar Pressure Offloading Device 1
Small, Medium, Large, Extra Large
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 408 of 550
Code/Pack
Description
DT CD ZD N E D
1014 / 1
Kerraped Plantar Ulcer Shoe System PegAssist Insole Replacement Offloading Device 1
KPUI002-KPUI005 S, M, L, XL
DT
NE
1018 / 1
Kerraped Plantar Ulcer Shoe System Single Boot + PegAssist Insole Offloading Device 1
KPUC002-KPUC005 S, M, L, XL
DT
NE
2009 / 1
KerraPro Heel Low Friction Product 1
DT
NE
2062 / 1
KerraPro Sacrum/Ankle Low Friction Product 1
DT
NE
2134 / 1
KerraPro Sheet Low Friction Product 10x10x0.3cm 1
DT
NE
2191 / 1
KerraPro Sheet Low Friction Product 10x10x1.2cm 1
DT
NE
2197 / 1
KerraPro Strip Low Friction Product 30x5x0.3cm 1
DT
NE
2192 / 1
KerraPro Strip Low Friction Product 50x2.5x0.3cm 1
DT
NE
9184 / 1
K-Four # 1 K-Soft Bandage 10cmx3.5m
DT
NE
4887 / 1
K-Four # 2 K-Lite Bandage 10cmx4.5m
DT
NE
9589 / 1
K-Four # 3 K-Plus Bandage 10cmx8.7m
DT
NE
9190 / 1
K-Four # 4 Ko-Flex Bandage 10cmx6m
DT
NE
9987 / 1
K-Four 4 Layer System Bandage Kits 18 - 25cm ankle circumference
DT
NE
8323 / 1
K-Four Multi-Layer Compression Bandage Kit 25cm - 30cm 1
DT
NE
8107 / 1
K-Four Multi-Layer Compression Bandage Kit <18cm 1
DT
NE
8649 / 1
K-Four Multi-Layer Compression Bandage Kit >30cm 1
DT
NE
8710 / 1
K-Four Reduced Compression Bandage 18cm+ 1
DT
NE
1193 / 1
K-Lite Bandage 5 cmx4.5 m
DT
NE
1228 / 1
K-Lite Bandage 7.5cmx4.5m
DT
NE
1297 / 1
K-Lite Bandage 15 cmx4.5 m
DT
NE
1311 / 1
K-Lite Long (Layer # 2) Bandage 10cmx5.25m (Streched) 1
DT
NE
1276 / 1
Knit Fix Bandage 5cm
DT
NE
1291 / 1
Knit Fix Bandage 7cm
DT
NE
1296 / 1
Knit Fix Bandage 10cm
DT
NE
1304 / 1
Knit Fix Bandage 15cm
DT
NE
5118 / 1
Knit-Band Bandage 5cm
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 409 of 550
Code/Pack
Description
DT CD ZD N E D
5168 / 1
Knit-Band Bandage 7cm
DT
NE
5295 / 1
Knit-Band Bandage 10cm
DT
NE
5298 / 1
Knit-Band Bandage 15cm
DT
NE
8705 / 1
Knit-Firm Bandage 5cm
DT
NE
8712 / 1
Knit-Firm Bandage 7cm
DT
NE
8719 / 1
Knit-Firm Bandage 10cm
DT
NE
8725 / 1
Knit-Firm Bandage 15cm
DT
NE
7712 / 1
Ko-Flex Long (Layer # 4 ) Bandage 10cmx7m (Streched) 1
DT
NE
8722 / 1
Kontour (Polyamide and Cellulose Contour) Bandage 5cmx4m
DT
NE
8804 / 1
Kontour (Polyamide and Cellulose Contour) Bandage 7.5cmx4m
DT
NE
8806 / 1
Kontour (Polyamide and Cellulose Contour) Bandage 10cmx4m
DT
NE
8817 / 1
Kontour (Polyamide and Cellulose Contour) Bandage 15cmx4m
DT
NE
7714 / 1
K-Plus Long (Layer # 3) Bandage 10cmx10.25m (Streched) 1
DT
NE
7792 / 1
K-Soft Long (Layer # 1) Bandage 10cmx4.5m (Unstreched) 1
DT
NE
4256 / 1
K-ThreeC Bandage 10cmx3m 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 410 of 550
Code/Pack
Description
DT CD ZD N E D
L
4432 / 1
L.3 Bandage 8.6m Stretched 10cm x 8.6m 1
DT
NE
3007 / 10
L.IN.C Bladder Infusion Kit MCI/701 10
DT
NE
9485 / 30
Laryngofoam Laryngectomy Protector 5.1cmx6.2cm 4mm thick (Flesh/ White)
DT
NE
9877 / 1
Laryngofoam Laryngectomy Protector 6.3cmx6.5cm (Flesh)
DT
NE
9883 / 30
Laryngofoam Laryngectomy Protector 6.3cmx6.5cm (Flesh)
DT
NE
7326 / 1
Leukofix Surgical Adhesive Tape 1.25cmx5m
DT
NE
7332 / 1
Leukofix Surgical Adhesive Tape 2.5cmx5m
DT
NE
7338 / 1
Leukofix Surgical Adhesive Tape 5cmx5m
DT
NE
9374 / 1
Leukopor Surgical Adhesive Tape 2.5cmx5m
DT
NE
9370 / 1
Leukopore Surgical Adhesive Tape 1.25cmx5m
DT
NE
9381 / 1
Leukopore Surgical Adhesive Tape 5cmx5m
DT
NE
9407 / 1
Leukostrip No.2952 Skin Closure Strips 6mmx76mm (3x10 Envelopes) 1
Only
Code No. of Packs dispensed
DT
NE
5032 / 1
Limbo Waterproof Protector Adult 1/2 Leg Large Build 1
MP180
DT
NE
5033 / 1
Limbo Waterproof Protector Adult 1/2 Leg Large Build Short Leg 1
MP180S
DT
NE
5029 / 1
Limbo Waterproof Protector Adult 1/2 Leg Normal Build 1
MP80
DT
NE
5031 / 1
Limbo Waterproof Protector Adult 1/2 Leg Normal Build Short Leg 1
MP80S
DT
NE
4729 / 1
Limbo Waterproof Protector Adult 1/2 Leg Slim Build 1
MP76
DT
NE
4730 / 1
Limbo Waterproof Protector Adult 1/2 Leg Slim Build Short Leg 1
MP76S
DT
NE
9612 / 1
Limbo Waterproof Protector Adult Eblow Medium to Large Build 1
MP75
DT
NE
5945 / 1
Limbo Waterproof Protector Adult Eblow Slim to Medium Build 1
MP65
DT
NE
9471 / 100
Linicin Lotion 15 Mins 100ml
DT
NE
1136 / 1
Lint Absorbent BPC 25g
Code No. of Packs dispensed
DT
NE
1138 / 1
Lint Absorbent BPC 100g
Code No. of Packs dispensed
DT
NE
Stock Orders
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 411 of 550
Code/Pack
Description
DT CD ZD N E D
1140 / 1
Lint Absorbent BPC 500g
Code No. of Packs dispensed
DT
NE
6590 / 2
Liqua Care FlowGel diabetic orthotic insoles size 35-36 2
9-3536
DT
NE
6600 / 2
Liqua Care FlowGel diabetic orthotic insoles size 37-38 2
9-3738
DT
NE
7370 / 2
Liqua Care FlowGel diabetic orthotic insoles size 39-40 2
9-3940
DT
NE
7393 / 2
Liqua Care FlowGel diabetic orthotic insoles size 41-42 2
9-4142
DT
NE
7727 / 2
Liqua Care FlowGel diabetic orthotic insoles size 43-44 2
9-4344
DT
NE
7820 / 2
Liqua Care FlowGel diabetic orthotic insoles size 45-46 2
9-4546
DT
NE
7488 / 1
Liquiband Flow Control Tissue Sterile Skin Adhesive 0.5g 1
DT
NE
7497 / 1
Liquiband Tissue Sterile Skin Adhesive 0.5g 1
DT
NE
2260 / 500
LPL 63.4 Bath Additive and Emollient 500ml
DT
NE
4900 / 20
Lubristil (DT) Eye Drops 0.3ml
20 x 0.3ml preservative free single dose unit
DT
NE
8945 / 20
Lubristil Gel (DT) Eye Drops 0.4ml
20 x 0.4ml preservative free single dose unit
DT
NE
17720 / 10
Lumecare Advance Carmellose 0.5% eye drops 10ml
DT
NE
6630 / 10
Lumecare Carbomer 0.2% Eye Gel 10g
DT
NE
3178 / 10
Lumecare Hypromellose 0.3% Eye Drops 10ml Bottle
DT
NE
6756 / 30
Lumecare Hypromellose 0.3% Eye Drops Preservative Free 0.5ml single dose unit 30
DT
NE
1373 / 30
Lumecare Singles Carmellose 0.5% eye drops 0.4ml single dose unit 30
DT
NE
5157 / 10
Lumecare Sodium Hyaluronate Eye Drops 0.15ml single dose unit 10
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 412 of 550
Code/Pack
Description
DT CD ZD N E D
M
493 / 150
Magicool Plus Itchy Skin Spray 150ml
DT
NE
494 / 150
Magicool Plus Prickly Heat Spray 150ml
DT
NE
495 / 150
Magicool Plus Sunburn Spray 150ml
DT
NE
7664 / 1
Magnide Elastic Hosiery Accessories (M,L) 1
DT
NE
5007 / 10
Mandanol (DT) Eye Drops 10ml
DT
NE
1673 / 1
Marpac Collar Adult - with Twill Ties One Size 201 1
DT
NE
1622 / 1
Marpac Collar Neo-natal/Paediatric One Size 203 1
DT
NE
1712 / 1
Marpac Tube Holder Neo-natal with Twill Ties 4"-7" Neck 106 1
DT
NE
1711 / 1
Marpac Tube Holder Paediatric with Twill Ties 6"-12" Neck 107 1
DT
NE
9202 / 1
Meban Self Adherent Bandage 10cmx6m 1
DT
NE
17480 / 1
MeCoBo Sterile Dressing Pack
DT
NE
7054 / 1
Medicare Plus Low Range Peak Flow Meter 1
60536
DT
NE
7050 / 1
Medicare Plus Standard Range Peak Flow Meter 1
60482
DT
NE
9782 / 100
Medicareplus skin prep wipes 3cm x 3cm 100
DT
NE
8469 / 1
Mediplast Surgical Synthetic Adhesive Tape 1.25cmx5m
DT
NE
8487 / 1
Mediplast Surgical Synthetic Adhesive Tape 2.5cmx5m
DT
NE
17274 / 1
Mediplus Ltd Osbon ErecAid Classic vacuum pump 1
XX-02
DT
NE
17275 / 1
Mediplus Ltd Osbon ErecAid Esteem vacuum pump 1
XX-50
DT
NE
17283 / 2
Mediplus Ltd Osbon ErecAid High tension ring Pink 2
1674
DT
NE
17281 / 2
Mediplus Ltd Osbon ErecAid MaxElasticity tension ring Grey 2
1676
DT
NE
17282 / 2
Mediplus Ltd Osbon ErecAid Standard tension ring Beige 2
1672
DT
NE
5233 / 200
MediSafe Solo Lancet (DT) 0.50mm/29 gauge 200
DT
NE
17086 / 100
Meditouch Lancet 0.34mm/28 gauge 100
DT
NE
3133 / 1
Mediven 2 in 1 Hosiery 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 413 of 550
Code/Pack
Description
DT CD ZD N E D
17267 / 1
Mediven 95 Whitaker Pouch
(II,III, IV)
DT
NE
3856 / 2
Mediven Active Class 2 (23-32mmHg) Below Knee Closed Toe 2
(I,II,III,IV,V,VI,VII)
DT
NE
3808 / 2
Mediven Active Class 2 (23-32mmHg) Below Knee Closed Toe Petite 2
(I,II,III,IV,V,VI,VII)
DT
NE
3765 / 2
Mediven Active Class1 (18-21mmHg) Below Knee Closed Toe 2
(I,II,III,IV,V,VI,VII)
DT
NE
3883 / 2
Mediven Active Class1 (18-21mmHg) Below Knee Closed Toe Petite 2
(I,II,III,IV,V,VI,VII)
DT
NE
8739 / 2
Mediven Elegance Class 2 (23-32mmHg) Below Knee Closed Toe 2
I-VII
DT
NE
8756 / 2
Mediven Elegance Class 2 (23-32mmHg) Below Knee Closed Toe Petite 2
I-VII
DT
NE
8818 / 2
Mediven Elegance Class 2 (23-32mmHg) Thigh Length Extra Wide Closed Toe Top Band 2
I-VII
DT
NE
8830 / 2
Mediven Elegance Class 2 (23-32mmHg) Thigh Length Extra Wide Petite Closed Toe Top Band
2
I-VII
DT
NE
8812 / 2
Mediven Elegance Class 2 (23-32mmHg) Thigh Length Petite Top Band Closed Toe 2
I-VII
DT
NE
8801 / 2
Mediven Elegance Class 2 (23-32mmHg) Thigh Length with Top Band Closed Toe 2
I-VII
DT
NE
6338 / 1
Mediven Elegance Class 2 (23-32mmHg) Tights Closed Toe 1
I-VII Code No of Pairs Dispensed
DT
NE
7715 / 1
Mediven Elegance Class 2 (23-32mmHg) Tights Closed Toe Petite 1
I-VII Code No of Pairs Dispensed
DT
NE
5776 / 2
Mediven Elegance Class1 (18-21mmHg) Below Knee Closed Toe 2
I-VII
DT
NE
3380 / 2
Mediven Elegance Class1 (18-21mmHg) Below Knee Closed Toe Petite 2
I-VII
DT
NE
3382 / 2
Mediven Elegance Class1 (18-21mmHg) Thigh Length Extra Wide Closed Toe Top Band 2
I-VII
DT
NE
5743 / 2
Mediven Elegance Class1 (18-21mmHg) Thigh Length Extra Wide Petite Closed Toe Top Band
2
I-VII
DT
NE
5770 / 2
Mediven Elegance Class1 (18-21mmHg) Thigh Length Petite Top Band Closed Toe 2
I-VII
DT
NE
5807 / 2
Mediven Elegance Class1 (18-21mmHg) Thigh Length with Top Band Closed Toe 2
I-VII
DT
NE
7804 / 1
Mediven Elegance Class1 (18-21mmHg) Tights Closed Toe 1
I-VII Code No of Pairs Dispensed
DT
NE
6270 / 1
Mediven Elegance Class1 (18-21mmHg) Tights Closed Toe Petite 1
I-VII Code No of Pairs Dispensed
DT
NE
9282 / 2
Mediven For Men Class1 (18-21mmHg) Below Knee Closed Toe 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 414 of 550
Code/Pack
Description
9283 / 2
Mediven For Men Class1 (18-21mmHg) Below Knee Closed Toe Petite
(I,II,III,IV,V,VI,VII) Code each pair/2
1530 / 2
DT CD ZD N E D
2
DT
NE
Mediven For Men Class2 (23-32mmHg) Below Knee Closed Toe 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
1070 / 2
Mediven For Men Class2 (23-32mmHg) Below Knee Closed Toe Petite 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
17711 / 1
Mediven Harmony class 1 (15-21mmHg) armsleeve with shoulder cap 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
17712 / 1
Mediven Harmony class 1 (15-21mmHg) armsleeve with shoulder cap extra wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
17713 / 1
Mediven Harmony class 1 (15-21mmHg) combined armsleeve with shoulder cap 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
17714 / 1
Mediven Harmony class 1 (15-21mmHg) combined armsleeve with shoulder cap extra wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
17715 / 1
Mediven Harmony class 2 (23-32mmHg) armsleeve with shoulder cap 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
17716 / 1
Mediven Harmony class 2 (23-32mmHg) armsleeve with shoulder cap extra wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
17717 / 1
Mediven Harmony class 2 (23-32mmHg) combined armsleeve with shoulder cap 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
17718 / 1
Mediven Harmony class 2 (23-32mmHg) combined armsleeve with shoulder cap extra wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1208 / 1
Mediven Harmony Class1 (15-21mmHg) Armsleeve 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1226 / 1
Mediven Harmony Class1 (15-21mmHg) Armsleeve Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1241 / 1
Mediven Harmony Class1 (15-21mmHg) Armsleeve with Grip Top 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1317 / 1
Mediven Harmony Class1 (15-21mmHg) Armsleeve with Grip Top Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1353 / 1
Mediven Harmony Class1 (15-21mmHg) Combined Armsleeve 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
2001 / 1
Mediven Harmony Class1 (15-21mmHg) Combined Armsleeve Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1378 / 1
Mediven Harmony Class1 (15-21mmHg) Combined Armsleeve with Grip Top 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1379 / 1
Mediven Harmony Class1 (15-21mmHg) Combined Armsleeve with Grip Top Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1383 / 1
Mediven Harmony Class1 (15-21mmHg) Glove 1
(II,III,IV,V,VI,VII)
DT
NE
1386 / 1
Mediven Harmony Class2 (23-32mmHg) Armsleeve 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1395 / 1
Mediven Harmony Class2 (23-32mmHg) Armsleeve Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1396 / 1
Mediven Harmony Class2 (23-32mmHg) Armsleeve with Grip Top 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 415 of 550
Code/Pack
Description
DT CD ZD N E D
1476 / 1
Mediven Harmony Class2 (23-32mmHg) Armsleeve with Grip Top Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1484 / 1
Mediven Harmony Class2 (23-32mmHg) Combined Armsleeve 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1750 / 1
Mediven Harmony Class2 (23-32mmHg) Combined Armsleeve Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1885 / 1
Mediven Harmony Class2 (23-32mmHg) Combined Armsleeve with Grip Top 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1887 / 1
Mediven Harmony Class2 (23-32mmHg) Combined Armsleeve with Grip Top Extra Wide 1
(I,II,III,IV,V,VI,VII,VIII)
DT
NE
1996 / 1
Mediven Harmony Class2 (23-32mmHg) Glove 1
(II,III,IV,V,VI,VII)
DT
NE
17489 / 1
Mediven Mondi MTM Class 1 (18-21mmHg) Below Knee 1
DTMK1
DT
NE
17490 / 1
Mediven Mondi MTM Class 1 (18-21mmHg) Thigh Length 1
DTMT1
DT
NE
17491 / 1
Mediven Mondi MTM Class 1 (18-21mmHg) Thigh Length with Waist Attachment 1
DTMW1
DT
NE
17492 / 1
Mediven Mondi MTM Class 2 (23-32mmHg) Below Knee 1
DTMK2
DT
NE
17493 / 1
Mediven Mondi MTM Class 2 (23-32mmHg) Thigh Length 1
DTMT2
DT
NE
17494 / 1
Mediven Mondi MTM Class 2 (23-32mmHg) Thigh Length with Waist Attachment 1
DTMW2
DT
NE
17495 / 1
Mediven Mondi MTM Class 3 (34-46mmHg) Below Knee 1
DTMK3
DT
NE
17496 / 1
Mediven Mondi MTM Class 3 (34-46mmHg) Thigh Length 1
DTMT3
DT
NE
17497 / 1
Mediven Mondi MTM Class 3 (34-46mmHg) Thigh Length with Waist Attachment 1
DTMW3
DT
NE
17498 / 1
Mediven Mondi MTM Closed Toe Optional Extra 1
DTTOE
DT
NE
17599 / 1
Mediven Mondi MTM Silicone Top Band Optional Extra 1
DTTB
DT
NE
17500 / 1
Mediven Mondi MTM Zip Optional Extra 1
DTZIP
DT
NE
8411 / 2
Mediven Plus Class1 (18-21mmHg) Below Knee Open Toe Extra Wide 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8406 / 2
Mediven Plus Class1 (18-21mmHg) Below Knee Open Toe Petite 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8432 / 2
Mediven Plus Class1 (18-21mmHg) Below Knee Open Toe Petite Extra Wide 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8392 / 2
Mediven Plus Class1 (18-21mmHg) Below Knee Open Toe Standard 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
5421 / 2
Mediven Plus Class1 (18-21mmHg) Thigh Length Extra Wide Open Toe Silicone Top 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 416 of 550
Code/Pack
Description
DT CD ZD N E D
5494 / 2
Mediven Plus Class1 (18-21mmHg) Thigh Length Extra Wide Petite Open Toe Silicone Top
Beige 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
8441 / 2
Mediven Plus Class1 (18-21mmHg) Thigh Length Petite Silicone Top Open Toe 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
7551 / 1
Mediven Plus Class1 (18-21mmHg) Thigh Length Petite Waist Attachment Left Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
7569 / 1
Mediven Plus Class1 (18-21mmHg) Thigh Length Petite Waist Attachment Right Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
8464 / 2
Mediven Plus Class1 (18-21mmHg) Thigh Length Silicone Top Open Toe 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
7554 / 1
Mediven Plus Class1 (18-21mmHg) Thigh Length Waist Attachment Left Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
7602 / 1
Mediven Plus Class1 (18-21mmHg) Thigh Length Waist Attachment Right Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
8535 / 2
Mediven Plus Class2 (23-32mmHg) Below Knee Open Toe Extra Wide 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8531 / 2
Mediven Plus Class2 (23-32mmHg) Below Knee Open Toe Petite 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8536 / 2
Mediven Plus Class2 (23-32mmHg) Below Knee Open Toe Petite Extra Wide 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8530 / 2
Mediven Plus Class2 (23-32mmHg) Below Knee Open Toe Standard 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
5497 / 2
Mediven Plus Class2 (23-32mmHg) Thigh Length Extra Wide Open Toe Silicone Top 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
5498 / 2
Mediven Plus Class2 (23-32mmHg) Thigh Length Extra Wide Petite Open Toe Silicone Top
Beige 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
8541 / 2
Mediven Plus Class2 (23-32mmHg) Thigh Length Petite Silicone Top Open Toe 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
7487 / 1
Mediven Plus Class2 (23-32mmHg) Thigh Length Petite Waist Attachment Left Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
7501 / 1
Mediven Plus Class2 (23-32mmHg) Thigh Length Petite Waist Attachment Right Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
8546 / 2
Mediven Plus Class2 (23-32mmHg) Thigh Length Silicone Top Open Toe 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
7499 / 1
Mediven Plus Class2 (23-32mmHg) Thigh Length Waist Attachment Left Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
7534 / 1
Mediven Plus Class2 (23-32mmHg) Thigh Length Waist Attachment Right Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
8653 / 2
Mediven Plus Class3 (34-46mmHg) Below Knee Open Toe Extra Wide 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8638 / 2
Mediven Plus Class3 (34-46mmHg) Below Knee Open Toe Petite 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
8553 / 2
Mediven Plus Class3 (34-46mmHg) Below Knee Open Toe Standard 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 417 of 550
Code/Pack
Description
DT CD ZD N E D
5409 / 2
Mediven Plus Class3 (34-46mmHg) Thigh Length Extra Wide Open Toe Silicone Top 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
5396 / 2
Mediven Plus Class3 (34-46mmHg) Thigh Length Extra Wide Petite Open Toe Silicone Top
Beige 2
(I,II,III,IV,V,VI,VII) Code each pair/2
DT
NE
8673 / 2
Mediven Plus Class3 (34-46mmHg) Thigh Length Petite Silicone Top Open Toe 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
7430 / 1
Mediven Plus Class3 (34-46mmHg) Thigh Length Petite Waist Attachment Left Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
7452 / 1
Mediven Plus Class3 (34-46mmHg) Thigh Length Petite Waist Attachment Right Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
8675 / 2
Mediven Plus Class3 (34-46mmHg) Thigh Length Silicone Top Open Toe 2
(I,II,III,IV,V,VI,VII) Code each pair /2
DT
NE
7447 / 1
Mediven Plus Class3 (34-46mmHg) Thigh Length Waist Attachment Left Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
7480 / 1
Mediven Plus Class3 (34-46mmHg) Thigh Length Waist Attachment Right Open Toe
(I,II,III,IV,V,VI,VII)
DT
NE
4946 / 1
Mediven Ulcer Kit (1Stocking/2Liners) Petite Length Kit 1
i,ii,iii,iv,v,vi,vii Code Number of Packs Dispensed
DT
NE
4945 / 1
Mediven Ulcer Kit (1Stocking/2Liners) Standard Length Kit 1
i,ii,iii,iv,v,vi,vii Code Number of Packs Dispensed
DT
NE
4948 / 1
Mediven Ulcer Kit Liner Pack (Pack contains 2 Liners) 1
i,ii,iii,iv,v,vi,vii Code Number of Packs Dispensed
DT
NE
17460 / 3
Mediwatch ErectAssist Constrictor Ring Set 3
S0007
DT
NE
17461 / 1
Mediwatch ErectEase Vacuum Pump 1
S0001
DT
NE
17459 / 3
Mediwatch Retention Ring 25mm, 32mm, 40mm Constrictor Rings 3
S0101
DT
NE
17458 / 3
Mediwatch Retention Rings 25mm Constrictor Rings 3
S0101A
DT
NE
17456 / 3
Mediwatch Retention Rings 32mm Constrictor Rings
S0101B
DT
NE
17457 / 3
Mediwatch Retention Rings 40mm Constrictor Rings 3
S0101C
DT
NE
9139 / 1
Mefix Surgical Adhesive Tape 2.5cmx5m
DT
NE
9140 / 1
Mefix Surgical Adhesive Tape 5cmx5m
DT
NE
9142 / 1
Mefix Surgical Adhesive Tape 10cmx5m
DT
NE
9143 / 1
Mefix Surgical Adhesive Tape 15cmx5m
DT
NE
9144 / 1
Mefix Surgical Adhesive Tape 20cmx5m
DT
NE
9146 / 1
Mefix Surgical Adhesive Tape 30cmx5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 418 of 550
Code/Pack
Description
DT CD ZD N E D
9441 / 1
Melladerm Plus Tulle Guaze Dressing 10cmx10cm 1
impregnated with melladerm plus honey gel
DT
NE
17481 / 30
Melophthal 0.5% Eye Drops (30 x 0.4ml single dose unit)
DT
NE
17482 / 30
Melophthal 1% Eye Drops (30 x 0.4ml single dose unit)
DT
NE
17260 / 100
Mendor Discreet Lancet 0.32mm/28 gauge 100
DT
NE
6998 / 1
Mepitac Soft Silicone Fixation Tape 2cmx3m
DT
NE
7005 / 1
Mepitac Soft Silicone Fixation Tape 4cmx1.5m
DT
NE
8751 / 1
Mepore IV Dressing 10cm x 11cm 1
DT
NE
8733 / 1
Mepore IV Dressing 5cm x 5.5cm 1
DT
NE
8745 / 1
Mepore IV Dressing 8cm x 9cm 1
DT
NE
7620 / 1
Metalline Sterile Tracheostomy Dressing 8cmx9cm
DT
NE
653 / 1
Micro Medical Replacement Peak Flow Meter Mouthpiece
DT
NE
872 / 1
Micro Medical Standard Range Peak Flow Meter
MPE8200EU
DT
NE
5987 / 100
Microdot Droplet Needles for Pre-filled / Re-useable Pens 4mm/32Gauge 100
DT
NE
5337 / 100
Microdot Droplet Needles for Pre-filled / Re-useable Pens 6mm/31Gauge 100
DT
NE
5342 / 100
Microdot Droplet Needles for Pre-filled / Re-useable Pens 8mm/31Gauge 100
DT
NE
7271 / 100
Microdot Lancets 0.31mm/30 gauge 100
DT
NE
7345 / 200
Microdot Lancets 0.31mm/30 gauge 200
DT
NE
8884 / 100
Microlet Lancets 0.5mm/28 gauge 100
DT
NE
8889 / 200
Microlet Lancets 0.5mm/28 gauge 200
DT
NE
1036 / 1
Micropore Surgical Synthetic Adhesive Tape 1.25cmx5m
DT
NE
1038 / 1
Micropore Surgical Synthetic Adhesive Tape 2.5cmx5m
DT
NE
1049 / 1
Micropore Surgical Synthetic Adhesive Tape 5cmx5m
DT
NE
17343 / 1
Milex Gellhorn Silicone Flexible Pessary 38mm (Outer Diameter) 1
DT
NE
17353 / 1
Milex Gellhorn Silicone Flexible Pessary 44mm (Outer Diameter) 1
DT
NE
17354 / 1
Milex Gellhorn Silicone Flexible Pessary 51mm (Outer Diameter) 1
DT
NE
17355 / 1
Milex Gellhorn Silicone Flexible Pessary 57mm (Outer Diameter) 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 419 of 550
Code/Pack
Description
DT CD ZD N E D
17356 / 1
Milex Gellhorn Silicone Flexible Pessary 64mm (Outer Diameter) 1
DT
NE
17357 / 1
Milex Gellhorn Silicone Flexible Pessary 70mm (Outer Diameter) 1
DT
NE
17350 / 1
Milex Gellhorn Silicone Flexible Pessary 76mm (Outer Diameter) 1
DT
NE
17336 / 1
Milex Gellhorn Silicone Flexible Pessary 83mm (Outer Diameter) 1
DT
NE
17329 / 1
Milex Gellhorn Silicone Flexible Pessary 89mm (Outer Diameter) 1
DT
NE
17330 / 1
Milex Gellhorn Silicone Flexible Pessary 95mm (Outer Diameter) 1
DT
NE
17358 / 1
Milex Gellhorn Silicone Short Stem Pessary 38mm (Outer Diameter) 1
DT
NE
17327 / 1
Milex Gellhorn Silicone Short Stem Pessary 44mm (Outer Diameter) 1
DT
NE
17331 / 1
Milex Gellhorn Silicone Short Stem Pessary 51mm (Outer Diameter) 1
DT
NE
17332 / 1
Milex Gellhorn Silicone Short Stem Pessary 57mm (Outer Diameter) 1
DT
NE
17333 / 1
Milex Gellhorn Silicone Short Stem Pessary 64mm (Outer Diameter) 1
DT
NE
17345 / 1
Milex Gellhorn Silicone Short Stem Pessary 70mm (Outer Diameter) 1
DT
NE
17335 / 1
Milex Gellhorn Silicone Short Stem Pessary 76mm (Outer Diameter) 1
DT
NE
17295 / 1
Milex Gellhorn Silicone Short Stem Pessary 83mm (Outer Diameter) 1
DT
NE
17337 / 1
Milex Gellhorn Silicone Short Stem Pessary 89mm (Outer Diameter) 1
DT
NE
17338 / 1
Milex Gellhorn Silicone Short Stem Pessary 95mm (Outer Diameter) 1
DT
NE
17307 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 0, 44mm (Outer Diameter) 1
DT
NE
17308 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 1, 51mm (Outer Diameter) 1
DT
NE
5818 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 10, 108mm (Outer Diameter) 1
DT
NE
5819 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 11, 114mm (Outer Diameter) 1
DT
NE
5821 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 12, 121mm (Outer Diameter) 1
DT
NE
5855 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 13, 127mm (Outer Diameter) 1
DT
NE
17352 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 2, 57mm (Outer Diameter) 1
DT
NE
17326 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 3, 64mm (Outer Diameter) 1
DT
NE
17346 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 4, 70mm (Outer Diameter) 1
DT
NE
17347 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 5, 76mm (Outer Diameter) 1
DT
NE
17348 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 6, 83mm (Outer Diameter) 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 420 of 550
Code/Pack
Description
DT CD ZD N E D
17349 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 7, 89mm (Outer Diameter) 1
DT
NE
17344 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 8, 95mm (Outer Diameter) 1
DT
NE
17351 / 1
Milex Ring Silicone Pessary Without Support/Folding Size 9, 102mm (Outer Diameter) 1
DT
NE
7015 / 1
Milex Ring Silicone With Support/Folding Pessary Size 0, 44mm (Outer Diameter) 1
DT
NE
7082 / 1
Milex Ring Silicone With Support/Folding Pessary Size 1, 51mm (Outer Diameter) 1
DT
NE
7694 / 1
Milex Ring Silicone With Support/Folding Pessary Size 10, 108mm (Outer Diameter) 1
DT
NE
7662 / 1
Milex Ring Silicone With Support/Folding Pessary Size 11, 114mm (Outer Diameter) 1
DT
NE
7730 / 1
Milex Ring Silicone With Support/Folding Pessary Size 12, 121mm (Outer Diameter) 1
DT
NE
7791 / 1
Milex Ring Silicone With Support/Folding Pessary Size 13, 127mm (Outer Diameter) 1
DT
NE
7138 / 1
Milex Ring Silicone With Support/Folding Pessary Size 2, 57mm (Outer Diameter) 1
DT
NE
7217 / 1
Milex Ring Silicone With Support/Folding Pessary Size 3, 64mm (Outer Diameter) 1
DT
NE
7220 / 1
Milex Ring Silicone With Support/Folding Pessary Size 4, 70mm (Outer Diameter) 1
DT
NE
7508 / 1
Milex Ring Silicone With Support/Folding Pessary Size 5, 76mm (Outer Diameter) 1
DT
NE
7515 / 1
Milex Ring Silicone With Support/Folding Pessary Size 6, 83mm (Outer Diameter) 1
DT
NE
7364 / 1
Milex Ring Silicone With Support/Folding Pessary Size 7, 89mm (Outer Diameter) 1
DT
NE
7519 / 1
Milex Ring Silicone With Support/Folding Pessary Size 8, 95mm (Outer Diameter) 1
DT
NE
7667 / 1
Milex Ring Silicone With Support/Folding Pessary Size 9, 102mm (Outer Diameter) 1
DT
NE
5382 / 1
Milex Silicone Diaphragm Arcing-Arcing Spring (Type C) 60-90mm 1
(Rising in 5mm)
DT
NE
5383 / 1
Milex Silicone Diaphragm Omniflex-Coil Spring (Type B) 60-90mm 1
(Rising in 5mm)
DT
NE
9226 / 100
Milward Sterilet Lancets 0.66mm/23 gauge
DT
NE
9270 / 200
Milward Sterilet Lancets 0.66mm/23 gauge
DT
NE
6304 / 1
Mini TT380 Slimline Intrauterine Contraceptive Device 1
DT
NE
1067 / 1
Mist Ultrasound Therapy System Accessories Single Use Applicator Kit 1
DT
NE
8702 / 1
Mollelast Bandage 4cmx4m 1
DT
NE
7793 / 1
MolluDab 5% Potassium Hydroxide Solution 2ml 1
DT
NE
14648 / 1
Molnlycke Ribbed cotton surgical tubular stockinette 7.5cmx5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 421 of 550
Code/Pack
Description
DT CD ZD N E D
14643 / 1
Molnlycke Ribbed cotton surgical tubular stockinette 10cmx5m
DT
NE
14644 / 1
Molnlycke Ribbed cotton surgical tubular stockinette 15cmx5m
DT
NE
14645 / 1
Molnlycke Ribbed cotton surgical tubular stockinette 20cmx5m
DT
NE
14646 / 1
Molnlycke Ribbed cotton surgical tubular stockinette 25cmx5m
DT
NE
14647 / 1
Molnlycke Ribbed cotton surgical tubular stockinette 5cmx5m
DT
NE
5722 / 10
Molutrex 5% Potassium Hydroxide Solution 10ml 1
DT
NE
3295 / 1
Monosyn Suture C0023285 70cm/60mm
Box of 36 Sutures should be coded /1
DT
NE
18002 / 1
Monovisc synovial fluid 88mg/4ml injection pre-filled syringe 1
Code No. of Syringes dispensed
DT
NE
2033 / 20
Mucoclear 3% Inhalation Solution 4ml 20
DT
NE
2052 / 60
Mucoclear 3% Inhalation Solution 4ml 60
DT
NE
4280 / 20
Mucoclear 6% Inhalation Solution 4ml 20
DT
NE
4363 / 60
Mucoclear 6% Inhalation Solution 4ml 60
DT
NE
5742 / 250
MuGard Oral Rinse 250ml
DT
NE
6371 / 204
Multiclix Lancets 0.3mm/30 gauge 204
DT
NE
14625 / 50
Multi-Gyn ActiGel Vaginal PH Correction Gel 50ml
DT
NE
1093 / 1
Multiple Pack Dressing No. 1
DT
NE
7537 / 100
Mylife Clickfine AutoProtect Needles 8mm/29 guage 100
DT
NE
17633 / 100
Mylife Clickfine Needles for Pre-filled and Reusable Pen Injectors 10mm/29 gauge 100
DT
NE
17632 / 100
Mylife Clickfine Needles for Pre-filled and Reusable Pen Injectors 12mm/29 gauge 100
DT
NE
5938 / 100
Mylife Clickfine Needles for Pre-filled and Reusable Pen Injectors 4mm/32 gauge 100
DT
NE
17635 / 100
Mylife Clickfine Needles for Pre-filled and Reusable Pen Injectors 6mm/31 gauge 100
DT
NE
17634 / 100
Mylife Clickfine Needles for Pre-filled and Reusable Pen Injectors 8mm/31 gauge 100
DT
NE
4488 / 200
Mylife Lancet 0.3mm/30 Gauge 200
DT
NE
4747 / 200
Mylife Multicolour Lancets 0.3mm/30 Gauge 200
DT
NE
5140 / 100
Mylife Penfine Classic Needles for pre-filled / reusable pen injectors screw on 4mm/32gauge 100 DT
NE
5141 / 100
Mylife Penfine Classic Needles for pre-filled / reusable pen injectors screw on 6mm/32gauge 100 DT
NE
Stock orders only
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 422 of 550
Code/Pack
Description
DT CD ZD N E D
5142 / 100
Mylife Penfine Classic Needles for pre-filled / reusable pen injectors screw on 8mm/31gauge 100 DT
NE
17488 / 200
Mylife Safety Lancets 0.3mm/28 Gauge 200
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 423 of 550
Code/Pack
Description
DT CD ZD N E D
N
7980 / 20
NaCl 5% Sodium Chloride Eye Drops 0.45ml
(20 x 0.45ml preservative free single dose unit)
DT
NE
2654 / 100
Nanopass Needles for Pre-filled and Re-useable Pen 4mm/32.5Gauge 100
DT
NE
2627 / 100
Nanopass Needles for Pre-filled and Re-useable Pen 8mm/32.5Gauge 100
DT
NE
6178 / 60
Nebusal 7% Inhalation Solution 4ml 60
DT
NE
9397 / 1
Needle Clipping Device
DT
NE
17983 / 100
NeedleBay Fine Pen needles for pre-filled and re-useable pen 4mm/32 Gauge 100
DT
NE
17984 / 100
NeedleBay Fine Pen needles for pre-filled and re-useable pen 5mm/31 Gauge 100
DT
NE
17985 / 100
NeedleBay Fine Pen needles for pre-filled and re-useable pen 8mm/31 Gauge 100
DT
NE
9977 / 1
Neosport Cotton Bandage Polyamide and Elastane 5cm
DT
NE
9984 / 1
Neosport Cotton Bandage Polyamide and Elastane 7.5cm
DT
NE
9988 / 1
Neosport Cotton Bandage Polyamide and Elastane 10cm
DT
NE
7996 / 1
Neosport Cotton Bandage Polyamide and Elastane 15cm
DT
NE
5100 / 1
Neotulle Paraffin Gauze Dressing BP 10cmx10cm
DT
NE
5416 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 2 x 10mm/27 Gauge 1
721060-2731
DT
NE
5462 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 2 x 12mm/27 Gauge 1
721060-3737
DT
NE
5415 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 2 x 8mm/27 Gauge 1
721060-2738
DT
NE
5460 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 3 x 10mm/27 Gauge 1
721060-3731
DT
NE
5459 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 3 x 8mm/27 Gauge 1
721060-3738
DT
NE
5547 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 4 x 10mm/27 Gauge 1
721060-4731
DT
NE
5575 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 4 x 12mm/27 Gauge 1
721060-4737
DT
NE
5537 / 10
Neria Multi Subcutaneous Drug Delivery Accessories 100cm Tubing 4 x 8mm/27 Gauge 1
721060-4738
DT
NE
4937 / 1
Neria Soft 90 Subcutaneous Drug Delivery Accessories 60cm Tubing 6mm/22 Gauge 1
722060-5226
DT
NE
4938 / 1
Neria Soft 90 Subcutaneous Drug Delivery Accessories 60cm Tubing 9mm/22 Gauge 1
722060-5229
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 424 of 550
Code/Pack
Description
DT CD ZD N E D
4941 / 1
Neria Soft 90 Subcutaneous Drug Delivery Accessories 110cm Tubing 6mm/22 Gauge 1
722110-5226
DT
NE
4922 / 1
Neria Soft 90 Subcutaneous Drug Delivery Accessories 110cm Tubing 9mm/22 Gauge 1
722110-5229
DT
NE
17312 / 1
Neria Soft Subcutaneous Drug Delivery Accessories 60cm Connecting Tube 1
79-060-2652
DT
NE
17315 / 1
Neria Soft Subcutaneous Drug Delivery Accessories 110cm Connecting Tube 1
79-110-2652
DT
NE
17313 / 1
Neria Soft Subcutaneous Drug Delivery Accessories 110cm Tubing 13mm/24 gauge 1
79-110-2522
DT
NE
17314 / 1
Neria Soft Subcutaneous Drug Delivery Accessories 110cm Tubing 17mm/24 gauge 1
79-110-2622
DT
NE
17318 / 1
Neria Soft Subcutaneous Drug Delivery Accessories 60cm Tubing 13mm/24 Gauge 1
79-060-2522
DT
NE
17325 / 1
Neria Soft Subcutaneous Drug Delivery Accessories 60cm Tubing 17mm/24 Gauge 1
79-060-2622
DT
NE
17471 / 10
Neria Subcutaneous Drug Delivery Accessories 110cm tubing 6mm/27 gauge 10
78-110-2736
DT
NE
17450 / 10
Neria Subcutaneous Drug Delivery Accessories 110cm tubing 6mm/29 gauge 10
78-110-2936
DT
NE
5707 / 10
Neria Subcutaneous Drug Delivery Accessories 110cm Tubing 10mm/27 Gauge 10
78-110-2731
DT
NE
5094 / 10
Neria Subcutaneous Drug Delivery Accessories 110cm Tubing 10mm/29 Gauge 10
78-110-2931
DT
NE
5650 / 10
Neria Subcutaneous Drug Delivery Accessories 110cm Tubing 8mm/29 Gauge 10
78-110-2938
DT
NE
5699 / 10
Neria Subcutaneous Drug Delivery Accessories 60cm Tubing 8mm/29 Gauge 10
78-060-2938
DT
NE
5644 / 10
Neria Subcutaneous Drug Delivery Accessories 110cm Tubing 8mm/27 Gauge 10
78-110-2738
DT
NE
5693 / 10
Neria Subcutaneous Drug Delivery Accessories 60cm Tubing 10mm/29 Gauge 10
78-060-2931
DT
NE
6277 / 10
Nex Foam Collar Filter 1
HNFC
DT
NE
1143 / 2
Nex Laryngectomy 'T' Collar Black 2
HNLTB
DT
NE
1316 / 2
Nex Laryngectomy 'T' Collar Grey 2
HNLTG
DT
NE
1349 / 2
Nex Laryngectomy 'T' Collar White 2
HNLTW
DT
NE
1380 / 1
Nex Mac Showering Aid 1
HNM
DT
NE
7374 / 1
Nex Tracheostomy Tube Holder 1
HNTTHA
DT
NE
5838 / 1
Niko Fix securement device for ported IV cannula Dressing 7cmx8.5cm 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 425 of 550
Code/Pack
Description
DT CD ZD N E D
7132 / 1
Nipple Shields Plastic 1
Code No. of Packs Dispensed
DT
NE
1767 / 1
Nitcomb-M2 Head Lice Device 1
DT
NE
3943 / 1
Nitcomb-S1 Head Lice Device 1
DT
NE
3945 / 1
Nitlotion Head Lice Device 1
DT
NE
17597 / 1
Nitrile-Pro Gloves Pack of 200 1
Code No. of Packs dispensed Small, Medium, Large, Extra Large
DT
NE
5483 / 1
Nitty Gritty NitFree Head Lice Comb
DT
NE
9373 / 1
Non-Woven Fabric Swab Non-Sterile(Specification 28) 4-Ply 10cmx10cm (Pack of 100) 1
Code No. of Packs dispensed
DT
NE
9380 / 1
Non-Woven Fabric Swab Sterile(Specification 28) 4-Ply 7.5cmx7.5cm (Pack of 5) 1
Code No. of Packs dispensed
DT
NE
1909 / 10
Normasol Saline Irrigation Fluid Sachets 10 x 100ml
Code No. of Sachets dispensed
DT
NE
4509 / 25
Normasol Saline Irrigation Fluid Sachets 25 x 25ml
Code No. of Sachets dispensed
DT
NE
1751 / 20
NoseFrida Hygiene Filters for Nasal Aspirator 1
DT
NE
1742 / 1
NoseFrida Nasal Aspirator 1
DT
NE
17082 / 1
Novaplus T 380 Ag Intrauterine Device 1
Normal, Mini
DT
NE
17083 / 1
Novaplus T 380 Cu Intrauterine Device 1
Normal, Mini
DT
NE
2443 / 100
Novo Twist Needle For Pre-filled and Reusable Pens 5mm/32gauge 100
DT
NE
5368 / 100
NovoFine Autocover Screw On Needles for Re-useable Pens 8mm/30Gauge 100
DT
NE
5359 / 100
NovoFine Screw On Needles for Re-useable Pens 6mm/31Gauge 100
DT
NE
5361 / 100
NovoFine Screw On Needles for Re-useable Pens 8mm/30Gauge 100
DT
NE
5362 / 100
NovoFine Screw On Needles for Re-useable Pens 12mm/28Gauge 100
DT
NE
9174 / 1
Novopen 3 Demi Re-useable Pen 3.0ml 0.5unit (1-35 units)
DT
NE
4127 / 1
Novopen 4 Blue Re-useable Pen 3.0ml 1 unit (1-60 units)
DT
NE
4130 / 1
Novopen 4 Silver Re-useable Pen 3.0ml 1 unit (1-60 units)
DT
NE
17298 / 1
Novopen Echo (Blue) Re-useable Pen 3.0ml 0.5unit (0.5-30 Units)
DT
NE
17299 / 1
Novopen Echo (Red) Re-useable Pen 3.0ml 0.5unit (0.5-30 Units)
DT
NE
9150 / 1
Novopen Junior (Green) Cartridge (3ml) 1
Code No. of Cartridges dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 426 of 550
Code/Pack
Description
DT CD ZD N E D
9200 / 1
Novopen Junior (Yellow) Cartridge (3ml ) 1
Code No. of Cartridges dispensed
DT
NE
6362 / 1
Nozoil Nasal Spray 10ml 1
Code No. of Sprays dispensed
DT
NE
633 / 1
nSpire Medical Replacement Peak Flow Meter Mouthpiece
DT
NE
514 / 1
nSpire PiKo-1 Standard Range Peak Flow Meter
346005-EU
DT
NE
870 / 1
nSpire Pocket Peak Low Range Peak Flow Meter
209EUF
DT
NE
908 / 1
nSpire Pocket Peak Standard Range Peak Flow Meter
208(EU)/F
DT
NE
5826 / 1
Nurse It Sterile Dressing Pack 1
DT
NE
5353 / 50
NYDA Spray Head Lice Device 50ml
DT
NE
6484 / 100
NYDA Spray Head Lice Device 100ml (2 x 50ml)
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 427 of 550
Code/Pack
Description
DT CD ZD N E D
O
9528 / 30
Oakmed Option Cut to Fit Wound Drainage Pouch Large 10mm-50mm 30
OM-L
DT
NE
9527 / 30
Oakmed Option Cut to Fit Wound Drainage Pouch Medium 10mm-50mm 30
OM-M
DT
NE
9524 / 30
Oakmed Option Cut to Fit Wound Drainage Pouch Small 10mm-30mm 30
OM-S
DT
NE
6852 / 10
Oakmed Option Wound Drainage Pouch Extra Small 90mm x 180mm 10
WWM-XS
DT
NE
6787 / 10
Oakmed Option Wound Drainage Pouch Extra Small with Access Port 90mm x 180mm 10
WWM-XSA
DT
NE
6830 / 10
Oakmed Option Wound Drainage Pouch Large 160mm x 260mm 10
WWM-L
DT
NE
6780 / 10
Oakmed Option Wound Drainage Pouch Large with Access Port 160mm x 260mm 10
WWM-LA
DT
NE
9536 / 10
Oakmed Option Wound Drainage Pouch Medium 90mm-260mm 10
WWMM
DT
NE
9552 / 10
Oakmed Option Wound Drainage Pouch Medium with Access Port 90mm-260mm 10
WWMMA
DT
NE
4784 / 10
Oakmed Option Wound Drainage Pouch Oblong 60mm x 190mm 10
WWM-O
DT
NE
4785 / 10
Oakmed Option Wound Drainage Pouch Oblong with Access Port 60mm x 190mm 10
WWM-OA
DT
NE
9532 / 10
Oakmed Option Wound Drainage Pouch Small 245mm-160mm 10
WWMS
DT
NE
9547 / 10
Oakmed Option Wound Drainage Pouch Small with Access Port 245mm-160mm 10
WWMSA
DT
NE
9540 / 10
Oakmed Option Wound Drainage Pouch Square 160mm-200mm 10
WWMSQ
DT
NE
9555 / 10
Oakmed Option Wound Drainage Pouch Square with Access Port 160mm-200mm 10
WWMSQA
DT
NE
8036 / 1
Octenilin Irrigation Solution Bottle 350ml 1
Code No. of bottles dispensed
DT
NE
9421 / 20
Ocusan Eye Drops 0.5ml Single Dose Unit 20
DT
NE
1684 / 10
Olive Oil (Alissa) (DT) Ear Drops 10
DT
NE
9129 / 10
Olive Oil (Arjun) (DT) Ear Drops 10
DT
NE
9575 / 10
Olive Oil (Care) (DT) Ear Drops 10
DT
NE
212 / 10
Olive Oil (St Georges Medical Ltd) Ear Drops (DT) 10
DT
NE
257 / 20
Olive Oil (St Georges Medical Ltd) Ear Drops (DT) 20
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 428 of 550
Code/Pack
Description
DT CD ZD N E D
17303 / 100
Omnican Fine Screw On Needles for Re-useable Pens 10mm/30Gauge 100
DT
NE
17304 / 100
Omnican Fine Screw On Needles for Re-useable Pens 12mm/29Gauge 100
DT
NE
3378 / 100
Omnican Fine Screw On Needles for Re-useable Pens 4mm/31Gauge 100
DT
NE
17301 / 100
Omnican Fine Screw On Needles for Re-useable Pens 6mm/31Gauge 100
DT
NE
17302 / 100
Omnican Fine Screw On Needles for Re-useable Pens 8mm/31Gauge 100
DT
NE
3468 / 200
Omnican Lance Soft Lancet 0.30mm/30 gauge 200
DT
NE
9878 / 1
Omnifix Sugical Adhesive Tape 5cmx10m
DT
NE
9881 / 1
Omnifix Sugical Adhesive Tape 10cmx10m
DT
NE
9885 / 1
Omnifix Sugical Adhesive Tape 15cmx10m
DT
NE
9515 / 1
Omnistrip No 540683 Skin Closure Strips 6mm x 76mm (3 x 50 envelopes) 1 Stock Orders
Only
Code No. of Packs dispensed
DT
NE
7531 / 200
One Touch Comfort Lancet 0.20mm/33gauge 200
DT
NE
2818 / 200
One Touch Delica Lancet 0.32mm/30gauge 200
DT
NE
1630 / 100
One Touch Ultrasoft Lancets 0.4mm/28 gauge
DT
NE
1035 / 1
Open Wove Type Bandage BP 2.5cmx5m
DT
NE
1037 / 1
Open Wove Type Bandage BP 5cmx5m
DT
NE
1039 / 1
Open Wove Type Bandage BP 7.5cmx5m
DT
NE
1040 / 1
Open Wove Type Bandage BP 10cmx5m
DT
NE
1414 / 15
Opsil Artificial Eye Lubricant Standard 15ml
DT
NE
1464 / 15
Opsil Artificial Eye Lubricant Thick 15ml
DT
NE
1091 / 1
Opsite Flexifix Gentle Soft Silicone Fixation Tape 2.5cmx5m 1
DT
NE
1233 / 1
Opsite Flexifix Gentle Soft Silicone Fixation Tape 5cm x 5m 1
DT
NE
3401 / 1
Opticare Arthro 5 Eye Drop Dispenser (For 2.5ml & 5ml Bottles) 1
Code No. of Dispensers
DT
NE
3402 / 1
Opticare Arthro 10 Eye Drop Dispenser (For 10ml 15ml & 20ml Bottles) 1
Code No. of Dispensers
DT
NE
3403 / 1
Opticare Eye Drop Dispenser (for 2.5ml, 5ml 10ml & 20ml Bottles) 1
Code No. of Dispensers
DT
NE
2170 / 1
OptiChamber Diamond - Spacer/Holding Chamber Device
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 429 of 550
Code/Pack
Description
DT CD ZD N E D
2172 / 1
OptiChamber Diamond - Spacer/Holding Chamber Device (0-18 Months)
with small LiteTouch mask
DT
NE
2280 / 1
OptiChamber Diamond - Spacer/Holding Chamber Device (1-5 Years)
with medium LiteTouch mask
DT
NE
2284 / 1
OptiChamber Diamond - Spacer/Holding Chamber Device (5 Years - Adult)
with large LiteTouch mask
DT
NE
4646 / 1
Optilube Active (DT) Lubricant Gels 11ml Syringe 1
1161
DT
NE
4614 / 1
Optilube Active (DT) Lubricant Gels 6ml Syringe 1
1160
DT
NE
1324 / 1
Optilube (DT) Lubricant Gel 11ml Syringe 1
1126
DT
NE
1318 / 1
Optilube (DT) Lubricant Gel 6ml Syringe 1
1125
DT
NE
6640 / 1
Optilube (DT) Lubricant Gel Sachet 5g 1
1120
DT
NE
6930 / 42
Optilube (DT) Lubricant Gel Tube 42g
1121
DT
NE
6452 / 82
Optilube (DT) Lubricant Gel Tube 82g
1122
DT
NE
9412 / 10
Optive 0.5% Eye Drops 10ml
DT
NE
5939 / 10
Optive Fusion Eye Drops 10ml
DT
NE
17187 / 10
Optive Plus 0.5% Eye Drops 10ml
DT
NE
9860 / 50
Oralieve Moisturising mouth gel 50ml
DT
NE
5534 / 1
Orione hernia brief size 10 116cm-120cm 1
DT
NE
4504 / 1
Orione hernia brief size 2 76cm-80cm 1
DT
NE
4513 / 1
Orione hernia brief size 3 81cm-85cm 1
DT
NE
4982 / 1
Orione hernia brief size 4 86cm-90cm 1
DT
NE
5013 / 1
Orione hernia brief size 5 91cm-95cm 1
DT
NE
5020 / 1
Orione hernia brief size 6 96cm-100cm 1
DT
NE
5025 / 1
Orione hernia brief size 7 101cm-105cm 1
DT
NE
5217 / 1
Orione hernia brief size 8 106cm-110cm 1
DT
NE
5533 / 1
Orione hernia brief size 9 111cm-115cm 1
DT
NE
9494 / 1
Ortho All-Flex Diaphragm Arcing - Arcing Spring (Type C)
65-80mm (rising in 5mm)
DT
NE
9192 / 1
Ortho-Band Plus Bandage 10cmx3.5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 430 of 550
Code/Pack
Description
DT CD ZD N E D
6493 / 1
Orthovisc Synovial Fluid Pre-Filled Syringe 2ml 1
Code No. of Syringes dispensed
DT
NE
17786 / 1
Oscillating Positive Expiratory Pressure Device (Flutter) 1
DT
NE
6513 / 1
Ostenill PFS Synovial Fluid Pre-Filled Syringe 20mg/2ml 1
Code No. of Syringes dispensed
DT
NE
5724 / 1
Ostenill Plus Synovial Fluid Pre-Filled Syringe 40mg/2ml 1
Code No. of Syringes dispensed
DT
NE
5481 / 1
Otovent Auto Inflation Device
DT
NE
17276 / 1
Owen Mumford Rapport Classic vacuum pump 1
SM2000
DT
NE
17277 / 1
Owen Mumford Rapport Premier vacuum pump 1
SM2200
DT
NE
17284 / 5
Owen Mumford Rapport Ring Loading System 1
SM2220
DT
NE
4692 / 10
Oxyal Eye Drops 10ml
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 431 of 550
Code/Pack
Description
DT CD ZD N E D
P
2694 / 1
Parafricta Bootee Slip On Low Friction Garments 1
XS,S,M,L,XL
DT
NE
2680 / 1
Parafricta Bootee Velcro Closure Low Friction Garments 1
XS,S,M,L,XL
DT
NE
2595 / 1
Parafricta Undergarment Boxer Slip On Low Friction Garments 1
XS,S,M,L,XL
DT
NE
2656 / 1
Parafricta Undergarment Brief Slip On Low Friction Garments 1
XS,S,M,L,XL
DT
NE
2675 / 1
Parafricta Undergarment Velcro Closure Low Friction Garments 1
XS,S,M,L,XL
DT
NE
6398 / 1
Paragauze Dressing 10cm x 10cm 1
DT
NE
9836 / 1
Paranet Dressing Paraffin Gauze BP 10cmx10cm
DT
NE
6735 / 1
Peha-haft (Cohesive/Latex Free) Polyamide and Cellulose Contour Bandage 10cm x 4m 1
DT
NE
6795 / 1
Peha-haft (Cohesive/Latex Free) Polyamide and Cellulose Contour Bandage 12cm x 4m 1
DT
NE
6759 / 1
Peha-haft (Cohesive/Latex Free) Polyamide and Cellulose Contour Bandage 2.5cm x 4m 1
DT
NE
6764 / 1
Peha-haft (Cohesive/Latex Free) Polyamide and Cellulose Contour Bandage 4cm x 4m 1
DT
NE
6737 / 1
Peha-haft (Cohesive/Latex Free) Polyamide and Cellulose Contour Bandage 6cm x 4m 1
DT
NE
6747 / 1
Peha-haft (Cohesive/Latex Free) Polyamide and Cellulose Contour Bandage 8cm x 4m 1
DT
NE
8916 / 1
PelvicToner Device 1
DT
NE
8711 / 1
Peristeen Acessory Unit Small Anal Irrigation 1
29127
DT
NE
8706 / 10
Peristeen Rectal Catheters Small Anal Irrigation 10
29128
DT
NE
9522 / 1
Peristeen System Anal Irrigation Accessory Unit 1
29122
DT
NE
9590 / 10
Peristeen System Anal Irrigation Rectal Catheters 10
29123
DT
NE
9706 / 2
Peristeen System Anal Irrigation Straps 2
29124
DT
NE
9400 / 1
Peristeen System Anal Irrigation System 1
29121
DT
NE
9718 / 2
Peristeen System Anal Irrigation Tubes 2
29125
DT
NE
8713 / 1
Peristeen System Small Anal Irrigation 1
29126
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 432 of 550
Code/Pack
Description
DT CD ZD N E D
7030 / 1
Pessaries - Ring Polythene 7.5mm Thick 1
50mm-80mm or 85mm-100mm or 110mm
DT
NE
9406 / 1
Pessaries - Ring PVC 1.25cm Thick 50mm-80mm
DT
NE
9411 / 1
Pessaries - Ring PVC 1.25cm Thick 85mm-100mm
DT
NE
9419 / 1
Pessaries - Ring PVC 1.25cm Thick 110mm
DT
NE
9571 / 10
PF Drops Carmellose 0.5% Eye Drops preservative free 10ml
DT
NE
9879 / 10
PF Drops Carmellose 1% Eye Drops preservative free 10ml
DT
NE
8528 / 10
PF Drops Hypromellose 0.3% eye drops preservative free 10ml
DT
NE
8511 / 10
PF Drops Sodium Chloride 5% eye drops preservative free 10ml
DT
NE
6823 / 1
Pharmapore-PU.I.V Dressing 6cmx7cm Ported Cannula
DT
NE
6824 / 1
Pharmapore-PU.I.V Dressing 7cmx9cm One hand Application
DT
NE
6826 / 1
Pharmapore-PU.I.V Dressing 8.5cmx7cm for Cannula
DT
NE
8017 / 1
Phillips Respironics PersonalBest Peak Flow Meter 1
1022973
DT
NE
8738 / 6
Phonax Plus Voice Prosthesis Cleaning Brush 6
71-0996-00
DT
NE
194 / 1
Pico dressing kit 10cm x 20cm 1 kit
DT
NE
195 / 1
Pico dressing kit 10cm x 30cm 1 kit
DT
NE
197 / 1
Pico dressing kit 10cm x 40cm 1 kit
DT
NE
203 / 1
Pico dressing kit 15cm x 15cm 1 kit
DT
NE
217 / 1
Pico dressing kit 15cm x 20cm 1 kit
DT
NE
219 / 1
Pico dressing kit 15cm x 30cm 1 kit
DT
NE
220 / 1
Pico dressing kit 20cm x 20cm 1 kit
DT
NE
221 / 1
Pico dressing kit 25cm x 25cm 1 kit
DT
NE
6299 / 1
Polyfield Nitrile Patient Sterile Dressing Pack 1
Code no. of packs dispensed
DT
NE
8919 / 1
Portex Tracheostomy Tube Holder with Velcro Fastening 25mm wide 1
100/503/200
DT
NE
8925 / 1
Portex Tracheostomy Tube Holder with Velcro Fastening Adult 1
520000
DT
NE
8982 / 1
Portex Tracheostomy Tube Holder with Velcro Fastening Infant 1
520002
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 433 of 550
Code/Pack
Description
DT CD ZD N E D
8964 / 1
Portex Tracheostomy Tube Holder with Velcro Fastening Paediatric 1
520001
DT
NE
17189 / 1
Portia Blue Plastic Finger Stalls, with wrist tie 1
Medium & Large
DT
NE
17188 / 1
Portia Clear Plastic Finger Stalls, with adjustable elastic wristband 1
Medium & Large
DT
NE
5336 / 1
Portia Head Lice Comb 1
DT
NE
17455 / 1
Portia Rubber Ear Syringe 60ml 1
DT
NE
5721 / 1
Powerbreathe Medic Device 1
DT
NE
5827 / 150
Premier Prestige Nitrile Blue Gloves 150
Small, Medium, Large, Extra Large
DT
NE
4757 / 1
PremierBand Cotton Stretch Bandage BP 1988 15cm 1
DT
NE
4743 / 1
PremierBand Cotton Stretch Bandage BP 1988 5cm 1
DT
NE
4744 / 1
PremierBand Cotton Stretch Bandage BP 1988 7.5cm 1
DT
NE
4745 / 1
PremierBand Cotton StretchBandage BP 1988 10cm 1
DT
NE
7752 / 1
PremierBand Polyamide and Cellulose Contour Bandage 5cm X 4m 1
DT
NE
7789 / 1
PremierBand Polyamide and Cellulose Contour Bandage 7.5cm X 4m 1
DT
NE
7775 / 1
PremierBand Polyamide and Cellulose Contour Bandage 10cm X 4m 1
DT
NE
7762 / 1
PremierBand Polyamide and Cellulose Contour Bandage 15cm x 4m 1
DT
NE
7576 / 1
PremierPad Dressing 10cm x 20cm 1
DT
NE
7548 / 1
PremierPad Dressing 20cm x 20cm 1
DT
NE
4674 / 1
Premilene Suture C0090655 45cm/24mm
Box of 36 Sutures should be coded /1
DT
NE
3117 / 1
Primafix Surgical Adhesive Tape 10CMX10M 1
DT
NE
3122 / 1
Primafix Surgical Adhesive Tape 15CMX10M 1
DT
NE
3568 / 1
Primafix Surgical Adhesive Tape 20CMX10M 1
DT
NE
3102 / 1
Primafix Surgical Adhesive Tape 5CMX10M 1
DT
NE
8047 / 50
Prim-Air Kass II (Tinted, for night time use) 50
71-0952-24 H
DT
NE
8677 / 50
Prim-Air Phon I (Tinted, for normal breathing) 50
71-0952-29 H
DT
NE
8644 / 50
Prim-Air Phon I High Flow (Tinted, for sport and first time users) 50
71-0952-29 HL
DT
NE
Stock Orders Only
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 434 of 550
Code/Pack
Description
DT CD ZD N E D
8104 / 50
Prim-Air Strip Fine Oval (Flesh tone, for sensitive skin) 50
71-0970-00 O
DT
NE
8160 / 50
Prim-Air Strip Fine Round (Flesh tone, for sensitive skin) 50
71-0970-00 R
DT
NE
8093 / 50
Prim-Air Strip Firm Oval (Transparent with strong adhesive) 50
71-0974-00 O
DT
NE
8576 / 50
Prim-Air Strip Firm Round (Transparent with strong adhesive) 50
71-0974-00 R
DT
NE
8720 / 50
Prim-Air Strip Special Oval (Skin tone with shower resistant adhesive) 50
71-0978-00 O
DT
NE
8716 / 50
Prim-Air Strip Special Round (Skin tone with shower resistant adhesive) 50
71-0978-00 R
DT
NE
2864 / 1
Prima-Low-Resist Hands Free Voice Prosthesis Valve 1
71-0952-20H
DT
NE
2438 / 50
Prima-Resist Air II HME for Prima-Resist/Low-Resist 50
71-0952-212H
DT
NE
2388 / 1
Prima-Resist Hands Free Voice Prosthesis Valve 1
71-0952-18H
DT
NE
2900 / 1
Primus-Plain Tracheostomy Tube Holder 1
71-0029-00
DT
NE
7832 / 1
Primus-Silk Tracheostomy Tube Holder 1
71-0029-02S
DT
NE
9249 / 1
Profore #1 10cmx3.5m
DT
NE
5344 / 1
Profore #1 Latex-Free 10cmx3.5m (unstretched)
DT
NE
9943 / 1
Profore #2 Bandage 10cmx4.5m
DT
NE
5345 / 1
Profore #2 Latex-Free 10cmx4.5m (stretched)
DT
NE
9276 / 1
Profore #3 Bandage 10cmx8.7m
DT
NE
5346 / 1
Profore #3 Latex-Free 10cmx8.7m (stretched)
DT
NE
9289 / 1
Profore #4 Bandage 10cmx2.5m
DT
NE
5347 / 1
Profore #4 Latex-Free 10cmx2.5m (unstretched)
DT
NE
5955 / 1
Profore + Bandage 10cmx3m
DT
NE
5348 / 1
Profore + Latex-Free 10cmx3m (unstretched)
DT
NE
9937 / 1
Profore 4 Layer System Bandage Kits 18-25cm
DT
NE
9941 / 1
Profore 4 Layer System Bandage Kits 25-30cm
DT
NE
9946 / 1
Profore 4 Layer System Bandage Kits Above 30cm
DT
NE
9928 / 1
Profore 4 Layer System Bandage Kits Lite
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 435 of 550
Code/Pack
Description
DT CD ZD N E D
9933 / 1
Profore 4 Layer System Bandage Kits Up to 18cm
DT
NE
5375 / 1
Profore Latex Free Layer System Bandage Kit 18-25cm 1
DT
NE
5374 / 1
Profore Lite Latex Free Layer System Bandage Kit Above 18cm 1
DT
NE
9926 / 1
Profore Wound Contact Layer 14cm x 20cm 1
DT
NE
8575 / 200
Prontoderm foam bottle 200ml
DT
NE
8831 / 30
Prontoderm nasal gel tube 30ml
DT
NE
8609 / 1
Prontosan Irrigation Solution Bottle 350ml 1
Code No. of bottles dispensed
DT
NE
17637 / 24
Prontosan Irrigation Solution Pod 40ml 24
Code No. of Pods dispensed
DT
NE
2569 / 1
Protect (Shower Protector) 1
71007000
DT
NE
17971 / 30
ProTrach DualCare HME filter cassette 30
7742
DT
NE
17973 / 1
ProTrach DualCare HME speaking valve blue 1
7755
DT
NE
17972 / 1
ProTrach DualCare HME speaking valve tinted 1
7744
DT
NE
7192 / 1
Provox Flexiderm Adhesive Stomafilter Oval
7254
DT
NE
7189 / 1
Provox Flexiderm Adhesive Stomafilter Round
7253
DT
NE
17974 / 1
Provox FreeHands FlexiVoice light 1
8161
DT
NE
17975 / 1
Provox FreeHands FlexiVoice medium 1
8162
DT
NE
17976 / 1
Provox FreeHands FlexiVoice strong 1
8163
DT
NE
6891 / 1
Provox Freehands HME System Filter Cassette
7712
DT
NE
6892 / 1
Provox Freehands HME System Replacement Kit Light
7716 (Device & Fitted Membrane)
DT
NE
6893 / 1
Provox Freehands HME System Replacement Kit Medium
7717 (Device & Fitted Membrane)
DT
NE
6900 / 1
Provox Freehands HME System Replacement Kit Strong
7721 (Device & Fitted Membrane)
DT
NE
6853 / 1
Provox Freehands HME System Replacement Membrane Light
7713
DT
NE
6860 / 1
Provox Freehands HME System Replacement Membrane Medium
7714
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 436 of 550
Code/Pack
Description
DT CD ZD N E D
6888 / 1
Provox Freehands HME System Replacement Membrane Strong
7715
DT
NE
6902 / 1
Provox Freehands HME System Silicone Glue
7720
DT
NE
17977 / 1
Provox HME stomafilter with FlexiDerm Plus adhesive 1
7331
DT
NE
17978 / 1
Provox HME stomafilter with OptiDerm Plus adhesive 1
7332
DT
NE
17979 / 1
Provox HME stomafilter with Regular Plus adhesive 1
7330
DT
NE
5008 / 1
Provox HME System Filter Cassette HiFlow 1
7243
DT
NE
5009 / 1
Provox HME System Filter Cassette HiFlow Tinted 1
7243C
DT
NE
5005 / 1
Provox HME System Filter Cassette Normal 1
7242
DT
NE
5006 / 1
Provox HME System Filter Cassette Normal Tinted 1
7242C
DT
NE
17981 / 1
Provox LaryClip 1
7669
DT
NE
3263 / 1
Provox LaryTube (fenestrated) 36mm length Diam 10.5mm inner, 13.5mm outer 1
7640 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
3265 / 1
Provox LaryTube (fenestrated) 36mm length Diam 12mm inner, 15mm outer 1
7643 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
3316 / 1
Provox LaryTube (fenestrated) 36mm length Diam 13.5mm inner, 17mm outer 1
7646 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
3262 / 1
Provox LaryTube (fenestrated) 36mm length Diam 9.5mm inner, 12mm outer 1
7637 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
3371 / 1
Provox LaryTube (fenestrated) 55mm length Diam 10.5mm inner, 13.5mm outer 1
7641 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
3255 / 1
Provox LaryTube (fenestrated) 55mm length Diam 12mm inner, 15mm outer 1
7644 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
3299 / 1
Provox LaryTube (fenestrated) 55mm length Diam 13.5mm inner, 17mm outer 1
7647 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
3366 / 1
Provox LaryTube (fenestrated) 55mm length Diam 9.5mm inner, 12mm outer 1
7638 (includes 5 HME Cassette Hiflow and 1 Provox Brush)
DT
NE
5725 / 1
Provox Micron HME (with microbiological filter) Cassette 1
7248
DT
NE
7218 / 1
Provox Optiderm Adhesive Stomafilter Oval
7256
DT
NE
7211 / 1
Provox Optiderm Adhesive Stomafilter Round
7255
DT
NE
7235 / 1
Provox Regular Adhesive Stomafilter Oval
7252
DT
NE
7230 / 1
Provox Regular Adhesive Stomafilter Round
7251
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 437 of 550
Code/Pack
Description
DT CD ZD N E D
17169 / 1
Provox StabiliBase Stomafilter (Convex, extra long lasting adhesive)
7289
DT
NE
5882 / 1
Provox TrachPhone HME 1
7707
DT
NE
5341 / 1
Provox Voice Prosthesis Cleaning Brush 1
7204
DT
NE
5269 / 1
Provox XL Voice Prosthesis Cleaning Brush 1
7225
DT
NE
5349 / 1
Provox XtraBase (Convex, strong adhesive) 1
7265
DT
NE
5627 / 1
Provox XtraFlow HME Cassette 1
7291
DT
NE
5622 / 1
Provox XtraMoist HME Cassette 1
7290
DT
NE
1153 / 1
Purifoam Laryngectomy Filter 1
CR3853
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 438 of 550
Code/Pack
Description
DT CD ZD N E D
Q
2743 / 1
Qufora Irrigation System Balloon System - Accessory Set 58201-015 1
Contains 1 water bag, 15 rectal balloon catheters medium
DT
NE
2046 / 1
Qufora Irrigation System Balloon System - Accessory Set 58202-015 1
Contains 1 water bag, 15 rectal balloon catheters small
DT
NE
2167 / 1
Qufora Irrigation System Balloon System - Base Set 58101-002 1
Contains 1 control with velcro strap, 1 water bag, 2 rectal balloon catheters medium
DT
NE
2056 / 1
Qufora Irrigation System Balloon System - Base Set 58102-002 1
Contains 1 control with velcro strap, 1 water bag, 2 rectal balloon catheters small
DT
NE
2238 / 1
Qufora Irrigation System Balloon System - Catheter Set 58301-010 1
Contains 10 rectal balloon catheters medium
DT
NE
2057 / 1
Qufora Irrigation System Balloon System - Catheter Set 58302-010 1
Contains 10 rectal balloon catheters small
DT
NE
2570 / 1
Qufora Irrigation System Bed System 53001-005 1
Contains 1 water bag, 1 water pump, 5 rectal catheters 21mm, 5 collection bags
DT
NE
2861 / 1
Qufora Irrigation System Bed System 53101-005 1
Contains 1 water bag, 1 water pump, 5 rectal catheters 30mm, 5 collection bags
DT
NE
2702 / 1
Qufora Irrigation System Bed System 53201-055 1
Contains 1 water bag, 1 water pump, 5 rectal catheters 12mm, 5 collection bags
DT
NE
2355 / 1
Qufora Irrigation System Mini Set 53601-015 1
Contains 1 hand pump, 15 cones
DT
NE
9886 / 1
Qufora Toilet System Monthly Set 1
Contains 1 pump, 1 water bag, 15 cones 15 waste bags
DT
NE
9862 / 1
Qufora Toilet System Starter Set 1
Contains 1 pump, 1 water bag, 5 cones 5 waste bags 1 toilet bag
DT
NE
4376 / 250
QV Bath Oil 250ml
DT
NE
4377 / 500
QV Bath Oil 500ml
DT
NE
4370 / 100
QV Cream 100g
DT
NE
8853 / 1050
QV Cream 1050g
DT
NE
4372 / 500
QV Cream 500g
DT
NE
4374 / 250
QV Gentle Wash 250ml
DT
NE
4311 / 500
QV Gentle Wash 500ml
DT
NE
4248 / 450
QV Intensive Ointment 450g
DT
NE
4373 / 250
QV Skin Lotion 250g
DT
NE
4340 / 500
QV Skin Lotion 500g
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 439 of 550
Code/Pack
Description
DT CD ZD N E D
R
3862 / 30
R1 gel 6g sachets 30
DT
NE
4126 / 168
R2 lotion 1g sachets 168
DT
NE
3211 / 1
ReadyWrap Armsleeve Small, Average, Tall 1
S, M, L
DT
NE
5343 / 1
ReadyWrap Calf 30cm, 35cm 1
S, M, L, XL
DT
NE
5030 / 1
ReadyWrap Gauntlet 1
S, M, L, XL
DT
NE
9304 / 1
ReadyWrap Quick-Fit Foot (Left or Right)
S, M, L, XL
DT
NE
1815 / 1
ReadyWrap Quick-Fit Knee
S, M, L, XL
DT
NE
1839 / 1
ReadyWrap Quick-Fit Thigh 25cm, 30cm
S, M, L, XL
DT
NE
5145 / 12
Regelle vaginal moisturiser 12
DT
NE
5143 / 3
Regelle vaginal moisturiser 3
DT
NE
5144 / 6
Regelle vaginal moisturiser 6
DT
NE
9551 / 7
Relactagel Gel 5ml Tubes 7
Code each 5ml tube as /1
DT
NE
4748 / 12
Relaxit Tube (DT) Enema 5ml 12
DT
NE
17161 / 1
RenehaVis Synovial Fluid Pre-Filled dual chambered 1.4ml Syringe 1
DT
NE
8935 / 10
Repadina Vaginal Moisturiser 10 Dose Pack 2g
Code No. of Packs
DT
NE
17001 / 12
ReplensMD Vaginal Moisturiser 12 Dose Pack 12
Code No. of Applications
DT
NE
14627 / 3
ReplensMD Vaginal Moisturiser 3 Dose Pack 3
Code No. of Applications
DT
NE
6770 / 6
ReplensMD Vaginal Moisturiser 6 Dose Pack 6
Code No. of Applications
DT
NE
6771 / 35
ReplensMD Vaginal Moisturiser Tube 35g
Code no. grams
DT
NE
17334 / 1
RESPeRATE Device 1
DT
NE
4137 / 1
Rocket IPC Dressing Pack and Bottle 1
R54400
DT
NE
4271 / 1
Rocket IPC Pre-Evacuated Bottle 1
R54410
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 440 of 550
Code/Pack
Description
DT CD ZD N E D
17483 / 10
Rohto Dry Eye Relief Eye Drops 10ml
DT
NE
17484 / 20
Rohto Dry Eye Relief Eye Drops (20 x 0.5ml single dose unit)
DT
NE
7824 / 1
Rosidal K Compression Bandage 6cmx5m
DT
NE
8909 / 1
Rosidal K Compression Bandage 8cmx5m
DT
NE
7831 / 1
Rosidal K Compression Bandage 10cmx10m
DT
NE
8949 / 1
Rosidal K Compression Bandage 10cmx5m
DT
NE
8957 / 1
Rosidal K Compression Bandage 12cmx5m
DT
NE
111 / 1
Rosidal Soft Compression Bandage 10cmx2.5m 1
DT
NE
113 / 1
Rosidal Soft Compression Bandage 12cmx2.5m 1
DT
NE
114 / 1
Rosidal Soft Compression Bandage 15cmx2.5m 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 441 of 550
Code/Pack
Description
DT CD ZD N E D
S
3655 / 1
Safil Quick Suture C1046213 70cm/16mm
Box of 36 Sutures should be coded /1
Stock Orders only
DT
NE
3346 / 1
Safil Quick Suture C1046420 70cm/19mm
Box of 36 Sutures should be coded /1
Stock Orders only
DT
NE
3353 / 1
Safil Quick Suture C1046530 70cm/19mm
Box of 36 Sutures should be coded /1
Stock Orders only
DT
NE
3339 / 1
Safil Quick Suture C1046610 45cm/11mm
Box of 36 Sutures should be coded /1
Stock Orders only
DT
NE
3506 / 1
Safil Quick Suture C1046651 90cm/37mm
Box of 36 Sutures should be coded /1
Stock Orders only
DT
NE
3694 / 1
Safil Quick Suture C1046657 70cm/24mm
Box of 36 Sutures should be coded /1
Stock Orders only
DT
NE
3333 / 1
Safil Suture C1048150 70cm/18mm
Box of 36 Sutures should be coded /1
Stock Orders Only
DT
NE
4019 / 25
Sal-e Pods Sodium Chloride 0.9% Irrigation Solution Pod 20ml x 25
Code No. of Pods dispensed
DT
NE
3819 / 50
Salivix Pastille Salivia Replacement (DT) 50
DT
NED
4942 / 10
Salts Confidence wound drainage bag for horizontal wounds small 60mm x 40mm 10
CWM01
DT
NE
4972 / 10
Salts Confidence wound drainage bag for vertical wounds medium 53mm x 150mm 10
CWM03
DT
NE
4970 / 10
Salts Confidence wound drainage bag for vertical wounds small 40mm x 60mm 10
CWM02
DT
NE
5331 / 200
Sarstedt Safety Lancets 1.6mm/28gauge 200
DT
NE
5334 / 200
Sarstedt Safety Lancets 1.8mm/18gauge 200
DT
NE
5333 / 200
Sarstedt Safety Lancets 1.8mm/21gauge 200
DT
NE
7865 / 1
Scanpor Tape 1.25cmx10m
DT
NE
9365 / 1
Scanpor Tape 1.25cmx5m
DT
NE
7875 / 1
Scanpor Tape 2.5cmx10m
DT
NE
9368 / 1
Scanpor Tape 2.5cmx5m
DT
NE
7876 / 1
Scanpor Tape 5cmx10m
DT
NE
9376 / 1
Scanpor Tape 5cmx5m
DT
NE
7881 / 1
Scanpor Tape 7.5cmx10m
DT
NE
7439 / 1
Seal-Tight Wound Care Limb Protector Adult foot/ankle 1
CV27105
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 442 of 550
Code/Pack
Description
DT CD ZD N E D
7440 / 1
Seal-Tight Wound Care Limb Protector Adult short leg 1
CV27103
DT
NE
7441 / 1
Seal-Tight Wound Care Limb Protector Adult wide short leg 1
CV27106
DT
NE
9328 / 1
Setopress PEC High Compression Bandage 10cmx3.5m
DT
NE
1490 / 1
Sharpsafe Container (1 Litre) 1
Code No. of Containers dispensed
DT
NE
9949 / 1
Sharpsguard Container (1 Litre) 1
Code No. of Containers dispensed
DT
NE
5146 / 2
Sigvaris 500 Class 2 (23-32mmHg) Below Knee Open Toe Plus S, M, L, XL 2
Short, Long Code each pair /2
DT
NE
5148 / 2
Sigvaris 500 Class 2 (23-32mmHg) Below Knee Open Toe XS, S, M, L, XL 2
Short, Long Code each pair /2
DT
NE
9958 / 2
Sigvaris 500 Class 2 (23-32mmHg) Thigh High Open Toe 2
Short S,M,L Code each pair/2
DT
NE
9956 / 2
Sigvaris 500 Class 2 (23-32mmHg) Thigh High Open Toe Plus 2
Short S,M,L Code each pair/2
DT
NE
5166 / 2
Sigvaris 500 Class 2 (23-32mmHg) Thigh High Open Toe Plus S, M, L, XL 2
Long Code each pair /2
DT
NE
5173 / 2
Sigvaris 500 Class 2 (23-32mmHg) Thigh High Open Toe with Grip Top Plus S, M, L 2
Short, Long Code each pair /2
DT
NE
5151 / 2
Sigvaris 500 Class 2 (23-32mmHg) Thigh High Open Toe with Grip Top S, M, L 2
Short, Long Code each pair /2
DT
NE
5174 / 1
Sigvaris 500 Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment (Left or Right)
Plus S, M, L 1
Short, Long
DT
NE
5149 / 2
Sigvaris 500 Class 2 (23-32mmHg) Thigh High Open Toe XS, S, M, L, XL 2
Long Code each pair /2
DT
NE
5152 / 1
Sigvaris 500 Class 2 (23-32mmHg) Thigh High with Waist Attachment (left or right) S, M, L 1
Short, Long
DT
NE
5153 / 2
Sigvaris 500 Class 3 (34-46mmHg) Below Knee Open Toe S, M, L, XL 2
Short, Long Code each pair /2
DT
NE
5198 / 2
Sigvaris 500 Class 3 (34-46mmHg) Below Knee Open Toe Plus S, M, L 2
Short, Long Code each pair /2
DT
NE
5154 / 2
Sigvaris 500 Class 3 (34-46mmHg) Thigh High Open Toe S, M, L 2
Short, Long Code each pair /2
DT
NE
5199 / 2
Sigvaris 500 Class 3 (34-46mmHg) Thigh High Open Toe Plus S, M, L 2
Short, Long Code each pair /2
DT
NE
5212 / 2
Sigvaris 500 Class 3 (34-46mmHg) Thigh High Open Toe with Grip Top Plus S, M, L 2
Short, Long Code each pair /2
DT
NE
5155 / 1
Sigvaris 500 Class 3 (34-46mmHg) Thigh High with Waist Attachment (left or right) Plus S,M,L 1 DT
Short, Long
NE
5197 / 2
Sigvaris 500 Class 3(34-46mmHg) Thigh High Open Toe with Grip Top S, M, L 2
Short, Long
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 443 of 550
Code/Pack
Description
DT CD ZD N E D
9216 / 1
Sigvaris Advance 1 Low Compression Armsleeve (14-18mmHg) with Grip Top/no Hand Piece
XS-XL 1
Normal, Long
DT
NE
5261 / 1
Sigvaris Advance 1 Low Compression Armsleeve (14-18mmHg) with Hand Piece and Grip Top
XS-XL 1
Normal, Long
DT
NE
5679 / 1
Sigvaris Advance 1 Low Compression Armsleeve (14-18mmHg) with Hand Piece and Grip Top
Plus Size XS-XL 1
Normal, Long
DT
NE
165 / 1
Sigvaris Advance 1 Low Compression Armsleeve (14-18mmHg) with Hand Piece without Grip
Top XS-XL 1
Normal, Long
DT
NE
741 / 1
Sigvaris Advance 1 Low Compression Armsleeve (14-18mmHg) without Hand Piece without
Grip Top XS-XL 1
Normal, Long
DT
NE
799 / 1
Sigvaris Advance 1 Low Compression Armsleeve (14-18mmHg) without Hand Piece + Grip Top
Plus Size XS-XL 1
Normal, Long
DT
NE
538 / 1
Sigvaris Advance 2 Medium Compression (20-25mmHg) Armsleeve without Hand Piece + Grip
Top Plus Size XS-XL 1
Normal, Long
DT
NE
9280 / 1
Sigvaris Advance 2 Medium Compression Armsleeve (20-25mmHg) with Grip Top/no Hand
Piece XS-XL 1
Normal, Long
DT
NE
5683 / 1
Sigvaris Advance 2 Medium Compression Armsleeve (20-25mmHg) with Hand Piece and Grip
Top XS-XL 1
Normal, Long
DT
NE
5734 / 1
Sigvaris Advance 2 Medium Compression Armsleeve (20-25mmHg) with Hand Piece and Grip
Top Plus Size XS-XL 1
Normal, Long
DT
NE
123 / 1
Sigvaris Advance 2 Medium Compression Armsleeve (20-25mmHg) without Hand Piece without
Grip Top XS-XL 1
Normal, Long
DT
NE
684 / 1
Sigvaris Advance 2 Medium Compression Armsleeve (20-25mmHg) with Hand Piece without
Grip Top XS-XL 1
Normal, Long
DT
NE
17171 / 1
Sigvaris Arm Sleeve (23-32mmHg) with Grip Top/no Hand Piece 1
503 Short,Long S,M,L
DT
NE
17172 / 1
Sigvaris Arm Sleeve (23-32mmHg) with Grip Top/with Hand Piece 1
503 Short,Long S,M,L
DT
NE
5624 / 1
Sigvaris Arm Sleeve (23-32mmHg) with Shoulder Cap/no Hand Piece 1
503
DT
NE
5628 / 1
Sigvaris Arm Sleeve (23-32mmHg) with Shoulder Cap/with Hand Piece 1
503
DT
NE
2688 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Below Knee Closed Toe 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
2798 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Below Knee Closed Toe Plus 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 444 of 550
Code/Pack
Description
DT CD ZD N E D
2766 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Below Knee Open Toe 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
2780 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Below Knee Open Toe Plus 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
2800 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Closed Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2404 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Closed Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2005 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Extra Closed Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2909 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Extra Closed Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2431 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Extra Open Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2797 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Extra Open Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2802 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Open Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2801 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Panty Open Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2537 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Closed Toe 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2898 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Closed Toe Plus 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2897 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Closed Toe With Grip Top 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2877 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Closed Toe With Grip Top Plus 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2277 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Closed Toe With Waist Attachment (Left or
Right) 1
XS,S,M,L Short, Normal/Long
DT
NE
2188 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Closed Toe With Waist Attachment (Left or
Right) Plus 1
XS,S,M,L Short, Normal/Long
DT
NE
2518 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Open Toe 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2467 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Open Toe Plus 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2957 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Open Toe With Grip Top 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2416 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Open Toe With Waist Attachment (Left or
Right) 1
XS,S,M,L Short, Normal/Long
DT
NE
2334 / 1
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Open Toe With Waist Attachment (Left or
Right) Plus 1
XS,S,M,L Short, Normal/Long
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 445 of 550
Code/Pack
Description
DT CD ZD N E D
2906 / 2
Sigvaris Comfort Class 1 (18-21mmHg) Thigh High Plus Open Toe With Grip Top 2
XS,S,M,L Short,Normal/Long Code Each Pair /2
DT
NE
2384 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Below Knee Closed Toe 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
2106 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Below Knee Closed Toe Plus 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
2180 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Below Knee Open Toe 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
2225 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Below Knee Open Toe Plus 2
XS,S,M,L Normal/Long Code Each Pair /2
DT
NE
1980 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Closed Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
3992 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Closed Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
3889 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Extra Closed Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
3599 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Extra Closed Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
3977 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Extra Open Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
3957 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Extra Open Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
2767 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Open Toe 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
1979 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Panty Open Toe Plus 1
XS,S,M,L Normal/Long Code Each Pair /1
DT
NE
1440 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Closed Toe 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
1493 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Closed Toe Plus 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
1962 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Closed Toe With Grip Top 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
1998 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Closed Toe With Grip Top Plus 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
3436 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Closed Toe With Waist Attachment(Left or
Right) 1
XS,S,M,L Short/Normal/Long
DT
NE
3334 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Closed Toe With Waist Attachment(Left or
Right) Plus 1
XS,S,M,L Short/Normal/Long
DT
NE
1315 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Open Toe 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
1354 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Open Toe Plus 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
1277 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Open Toe With Grip Top 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 446 of 550
Code/Pack
Description
DT CD ZD N E D
3541 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Open Toe With Waist Attachment(Left or
Right) 1
XS,S,M,L Short/Normal/Long
DT
NE
3442 / 1
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Open Toe With Waist Attachment(Left or
Right) Plus 1
XS,S,M,L Short/Normal/Long
DT
NE
2032 / 2
Sigvaris Comfort Class 2 (23-32mmHg) Thigh High Plus Open Toe With Grip Top 2
XS,S,M,L Short, Normal/Long Code Each Pair /2
DT
NE
5182 / 2
Sigvaris Coton (15-20mmHg) Below Knee Closed Toe Female S, M, L, XL 2
Long, Normal Code each pair /2
DT
NE
5185 / 2
Sigvaris Coton (15-20mmHg) Thigh High Hold Up Closed Toe Female S, M, L, XL 2
Long, Normal Code each pair /2
DT
NE
5187 / 2
Sigvaris Coton (20-36mmHg) Below Knee Closed Toe Female S, M, L, XL 2
Long, Normal Code each pair /2
DT
NE
5189 / 2
Sigvaris Coton (20-36mmHg) Thigh High Hold Up Closed Toe Female S, M, L, XL 2
Long, Normal Code each pair /2
DT
NE
17317 / 2
Sigvaris Coton Instinct (15-20mmHg) Below Knee Closed Toe Male S, M, L, XL, XXL 2
Long, Normal Code each pair /2
DT
NE
17309 / 2
Sigvaris Coton Instinct (15-20mmHg) Below Knee Open Toe Male S, M, L, XL, XXL 2
Long, Normal Code each pair /2
DT
NE
17319 / 2
Sigvaris Coton Instinct (15-20mmHg) Thigh High Grip Top Closed Toe Male S, M, L, XL, XXL 2
Long, Normal Code each pair /2
DT
NE
17320 / 2
Sigvaris Coton Instinct (15-20mmHg) Thigh High Grip Top Open Toe Male S, M, L, XL, XXL 2
Long, Normal Code each pair /2
DT
NE
17321 / 2
Sigvaris Coton Instinct (20-36mmHg) Below Knee Closed Toe Male S, M, L, XL, XXL 2
Long, Normal Code each pair /2
DT
NE
17322 / 2
Sigvaris Coton Instinct (20-36mmHg) Thigh High Grip Top Closed Toe Male S, M, L, XL, XXL 2
Long, Normal Code each pair /2
DT
NE
3310 / 2
Sigvaris Cotton Class 1(18-21mmHg) Below Knee Open Toe 2
Normal,Long XXS,XS,S,M,L, XL Code each pair /2
DT
NE
3302 / 2
Sigvaris Cotton Class 1(18-21mmHg) Below Knee Open Toe Plus 2
Normal,Long XS,S,M,L,XL Code each pair /2
DT
NE
3300 / 2
Sigvaris Cotton Class 1(18-21mmHg) Below Knee Xtra Closed Toe 2
Normal,Long XXS,XS,S,M,L,XL Code each pair /2
DT
NE
3289 / 2
Sigvaris Cotton Class 1(18-21mmHg) Below Knee Xtra Closed Toe Plus 2
Normal,Long XS,S,M,L,XL Code each pair /2
DT
NE
3884 / 2
Sigvaris Cotton Class 1(18-21mmHg) Below Knee Xtra Maxi Closed Toe 2
Normal,Long XS,S,M,L,XL Code each pair /2
DT
NE
3732 / 2
Sigvaris Cotton Class 1(18-21mmHg) Below Knee Xtra Maxi Closed Toe Plus 2
Normal,Long XS,S,M,L,XL Code each pair /2
DT
NE
3239 / 2
Sigvaris Cotton Class 1(18-21mmHg) Thigh High Open Toe With Grip Top 2
Short,Normal,Long XXS,XS,S,M,L,XL Code each pair /2
DT
NE
3077 / 2
Sigvaris Cotton Class 1(18-21mmHg) Thigh High Open Toe With Grip Top Plus 2
Short,Normal,Long XS,S,M,L,XL Code each pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 447 of 550
Code/Pack
Description
DT CD ZD N E D
3170 / 1
Sigvaris Cotton Class 1(18-21mmHg) Thigh High Open Toe With Waist Attachment (left or
right) 1
Short,Normal,Long XS,S,M,L
DT
NE
3173 / 1
Sigvaris Cotton Class 1(18-21mmHg) Thigh High Open Toe With Waist Attachment (left or right)
Plus 1
Short,Normal,Long XS,S,M,L
DT
NE
4233 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Closed Toe Plus With Grip Top 2
Normal,Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4236 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Closed Toe With Grip Top 2
Normal,Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
3213 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Open Toe 2
Short,Normal,Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
3229 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Open Toe Plus 2
Short,Normal,Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4976 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Open Toe Plus With Grip Top 2
Normal,Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4055 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Open Toe With Grip Top 2
Normal,Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
3278 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Xtra Closed Toe 2
Normal,Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
4035 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Xtra Closed Toe Plus 2
Normal,Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4015 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Xtra Maxi Closed Toe 2
Normal,Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4000 / 2
Sigvaris Cotton Class 2(23-32mmHg) Below Knee Xtra Maxi Closed Toe Plus 2
Normal,Long XS,S,M,L,XL Code Each Pair /2
DT
NE
1061 / 1
Sigvaris Cotton Class 2(23-32mmHg) Panty Closed Toe
Normal, Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
1180 / 1
Sigvaris Cotton Class 2(23-32mmHg) Panty Closed Toe+
Normal, Long XS,S,M,L,XL Code Each Pair /2
DT
NE
1002 / 1
Sigvaris Cotton Class 2(23-32mmHg) Panty Open Toe
Normal, Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
1005 / 1
Sigvaris Cotton Class 2(23-32mmHg) Panty Open Toe+
Normal, Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4296 / 2
Sigvaris Cotton Class 2(23-32mmHg) Thigh High Open Toe With Grip Top 2
Short, Normal,Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
4109 / 2
Sigvaris Cotton Class 2(23-32mmHg) Thigh High Open Toe With Grip Top Plus 2
Short, Normal,Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4139 / 1
Sigvaris Cotton Class 2(23-32mmHg) Thigh High Open Toe With Waist Attachment (left or
right) 1
Short, Normal,Long XS,S,M,L
DT
NE
4140 / 1
Sigvaris Cotton Class 2(23-32mmHg) Thigh High Open Toe With Waist Attachment (left or right)
Plus 1
Short, Normal,Long XS,S,M,L
DT
NE
6218 / 2
Sigvaris Cotton Class 2(23-32mmHg) Thigh High, Closed Toe with Grip Top 2
Short Normal Long XXS,XS,S,M,L,XL Code Each Pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 448 of 550
Code/Pack
Description
DT CD ZD N E D
6345 / 2
Sigvaris Cotton Class 2(23-32mmHg) Thigh High, Closed Toe with Grip Top Plus 2
Short Normal Long XS,S,M,L,XL Code Each Pair /2
DT
NE
4088 / 2
Sigvaris Cotton Class 3(33-46mmHg) Below Knee Open Toe 2
Long XS,S,M,L Code Each Pair /2
DT
NE
4122 / 2
Sigvaris Cotton Class 3(33-46mmHg) Below Knee Open Toe Plus 2
Normal,Long XS,S,M,L Code Each Pair /2
DT
NE
4160 / 2
Sigvaris Cotton Class 3(33-46mmHg) Below Knee Xtra Closed Toe 2
Normal,Long XS,S,M,L Code Each Pair /2
DT
NE
4059 / 2
Sigvaris Cotton Class 3(33-46mmHg) Below Knee Xtra Closed Toe Plus 2
Normal,Long XS,S,M,L Code Each Pair /2
DT
NE
4491 / 2
Sigvaris Cotton Class 3(33-46mmHg) Below Knee Xtra Maxi Closed Toe 2
Normal,Long XS,S,M,L Code Each Pair /2
DT
NE
4551 / 2
Sigvaris Cotton Class 3(33-46mmHg) Below Knee Xtra Maxi Closed Toe Plus 2
Normal,Long XS,S,M,L Code Each Pair /2
DT
NE
4915 / 1
Sigvaris Cotton Class 3(33-46mmHg) Thigh High Open Toe With Waist Attachment (left or
right) 1
Short, Normal,Long XS,S,M,L
DT
NE
4516 / 1
Sigvaris Cotton Class 3(33-46mmHg) Thigh High Open Toe With Waist Attachment (left or right)
Plus 1
Short, Normal,Long XS,S,M,L
DT
NE
9850 / 1
Sigvaris Lymphoedema Glove Class1 (18-21mmhg) Left or Right with Compressive Fingers 1
Standard S,M,L
DT
NE
5995 / 2
Sigvaris Magic Class 1 (18-21mmHg) Below Knee Closed Toe 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5948 / 2
Sigvaris Magic Class 1 (18-21mmHg) Below Knee Closed Toe Plus 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5944 / 2
Sigvaris Magic Class 1 (18-21mmHg) Below Knee Open Toe 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5928 / 2
Sigvaris Magic Class 1 (18-21mmHg) Below Knee Open Toe Plus 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5997 / 2
Sigvaris Magic Class 1 (18-21mmHg) Thigh High Grip Top Closed Toe Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
5996 / 2
Sigvaris Magic Class 1 (18-21mmHg) Thigh High Grip Top Closed Toe Plus Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
5994 / 2
Sigvaris Magic Class 1 (18-21mmHg) Thigh High Grip Top Open Toe Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
5998 / 2
Sigvaris Magic Class 1 (18-21mmHg) Thigh High Grip Top Open Toe Plus Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
9519 / 1
Sigvaris Magic Class 1 (18-21mmHg) Tights Closed Toe 1
XXS,XS,S,M,L,XL Normal,Long Code Each Pair /1
DT
NE
9517 / 1
Sigvaris Magic Class 1 (18-21mmHg) Tights Closed Toe Plus 1
XXS,XS,S,M,L,XL Normal,Long Code Each Pair /1
DT
NE
9521 / 1
Sigvaris Magic Class 1 (18-21mmHg) Tights Open Toe 1
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /1
DT
NE
9518 / 1
Sigvaris Magic Class 1 (18-21mmHg) Tights Open Toe Plus 1
XXS,XS,S,M,L,XL Normal,Long Code Each Pair /1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 449 of 550
Code/Pack
Description
DT CD ZD N E D
5922 / 2
Sigvaris Magic Class 2 (23-32mmHg) Below Knee Closed Toe 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5968 / 2
Sigvaris Magic Class 2 (23-32mmHg) Below Knee Closed Toe Plus 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5929 / 2
Sigvaris Magic Class 2 (23-32mmHg) Below Knee Open Toe 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5982 / 2
Sigvaris Magic Class 2 (23-32mmHg) Below Knee Open Toe Plus 2
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /2
DT
NE
5975 / 2
Sigvaris Magic Class 2 (23-32mmHg) Thigh High Grip Top Closed Toe Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
5974 / 2
Sigvaris Magic Class 2 (23-32mmHg) Thigh High Grip Top Closed Toe Plus Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
5976 / 2
Sigvaris Magic Class 2 (23-32mmHg) Thigh High Grip Top Open Toe Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
5978 / 2
Sigvaris Magic Class 2 (23-32mmHg) Thigh High Grip Top Open Toe Plus Female 2
XXS,XS,S,M,L,XL Short, Normal,Long Code Each Pair /2
DT
NE
9511 / 1
Sigvaris Magic Class 2 (23-32mmHg) Tights Closed Toe 1
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /1
DT
NE
9506 / 1
Sigvaris Magic Class 2 (23-32mmHg) Tights Closed Toe Plus 1
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /1
DT
NE
9512 / 1
Sigvaris Magic Class 2 (23-32mmHg) Tights Open Toe 1
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /1
DT
NE
9510 / 1
Sigvaris Magic Class 2 (23-32mmHg) Tights Open Toe Plus 1
XXS,XS,S,M,L,XL Normal/Long Code Each Pair /1
DT
NE
5194 / 2
Sigvaris Microfibre 3 Expert (20-36mmHg) Below Knee Closed Toe Female S, M, L, XL 2
Long, Normal Code each pair /2
DT
NE
5193 / 2
Sigvaris Microfibre 3 Expert (20-36mmHg) Below Knee Closed Toe Male S, M, L, XL 2
Long, Normal Code each pair /2
DT
NE
5195 / 2
Sigvaris Microfibre 3 Expert (20-36mmHg) Thigh High Grip Top Closed Toe Male S, M, L, XL 2
Long, Normal Code each pair /2
DT
NE
5196 / 2
Sigvaris Microfibre 3 Expert (20-36mmHg) Thigh High Hold Up Closed Toe Female S, M, L, XL
2
Long, Normal Code each pair /2
DT
NE
17201 / 1
Sigvaris MTM (23-32mmHg) Below Knee Closed Toe 1
503
DT
NE
17203 / 1
Sigvaris MTM (23-32mmHg) Below Knee Closed Toe with Grip Top 1
503
DT
NE
17200 / 1
Sigvaris MTM (23-32mmHg) Below Knee Open Toe 1
503
DT
NE
17202 / 1
Sigvaris MTM (23-32mmHg) Below Knee Open Toe with Grip Top 1
503
DT
NE
17220 / 1
Sigvaris MTM (23-32mmHg) Panty Closed Toe 1
503
DT
NE
17221 / 1
Sigvaris MTM (23-32mmHg) Panty Closed Toe Full Compression 1
503
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 450 of 550
Code/Pack
Description
DT CD ZD N E D
17218 / 1
Sigvaris MTM (23-32mmHg) Panty Open Toe 1
503
DT
NE
17219 / 1
Sigvaris MTM (23-32mmHg) Panty Open Toe Full Compression 1
503
DT
NE
17205 / 1
Sigvaris MTM (23-32mmHg) Thigh High Closed Toe 1
503
DT
NE
17207 / 1
Sigvaris MTM (23-32mmHg) Thigh High Closed Toe Full Compression 1
503
DT
NE
17209 / 1
Sigvaris MTM (23-32mmHg) Thigh High Closed Toe with Grip Top 1
503
DT
NE
17211 / 1
Sigvaris MTM (23-32mmHg) Thigh High Closed Toe with Grip Top Full Compression 1
503
DT
NE
17213 / 1
Sigvaris MTM (23-32mmHg) Thigh High Closed Toe with Waist Attachment (Left or Right) 1
503
DT
NE
17215 / 1
Sigvaris MTM (23-32mmHg) Thigh High Closed Toe with Waist Attachment Full Compression
(Left or Right) 1
503
DT
NE
17204 / 1
Sigvaris MTM (23-32mmHg) Thigh High Open Toe 1
503
DT
NE
17206 / 1
Sigvaris MTM (23-32mmHg) Thigh High Open Toe Full Compression 1
503
DT
NE
17208 / 1
Sigvaris MTM (23-32mmHg) Thigh High Open Toe with Grip Top 1
503
DT
NE
17210 / 1
Sigvaris MTM (23-32mmHg) Thigh High Open Toe with Grip Top Full Compression 1
503
DT
NE
17212 / 1
Sigvaris MTM (23-32mmHg) Thigh High Open Toe with Waist Attachment (Left or Right) 1
503
DT
NE
17214 / 1
Sigvaris MTM (23-32mmHg) Thigh High Open Toe with Waist Attachment Full Attachment (Left
or Right) 1
503
DT
NE
17223 / 1
Sigvaris MTM (34-46mmHg) Below Knee Closed Toe 1
504
DT
NE
17225 / 1
Sigvaris MTM (34-46mmHg) Below Knee Closed Toe with Grip Top 1
504
DT
NE
17222 / 1
Sigvaris MTM (34-46mmHg) Below Knee Open Toe 1
504
DT
NE
17224 / 1
Sigvaris MTM (34-46mmHg) Below Knee Open Toe with Grip Top 1
504
DT
NE
17242 / 1
Sigvaris MTM (34-46mmHg) Panty Closed Toe 1
504
DT
NE
17243 / 1
Sigvaris MTM (34-46mmHg) Panty Closed Toe Full Compression 1
504
DT
NE
17240 / 1
Sigvaris MTM (34-46mmHg) Panty Open Toe 1
504
DT
NE
17241 / 1
Sigvaris MTM (34-46mmHg) Panty Open Toe Full Compression 1
504
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 451 of 550
Code/Pack
Description
DT CD ZD N E D
17227 / 1
Sigvaris MTM (34-46mmHg) Thigh High Closed Toe 1
504
DT
NE
17229 / 1
Sigvaris MTM (34-46mmHg) Thigh High Closed Toe Full Compression 1
504
DT
NE
17231 / 1
Sigvaris MTM (34-46mmHg) Thigh High Closed Toe with Grip Top 1
504
DT
NE
17233 / 1
Sigvaris MTM (34-46mmHg) Thigh High Closed Toe with Grip Top Full Compression 1
504
DT
NE
17235 / 1
Sigvaris MTM (34-46mmHg) Thigh High Closed Toe with Waist Attachment (Left or Right) 1
504
DT
NE
17237 / 1
Sigvaris MTM (34-46mmHg) Thigh High Closed Toe with Waist Attachment Full Compression
(Left or Right) 1
504
DT
NE
17226 / 1
Sigvaris MTM (34-46mmHg) Thigh High Open Toe 1
504
DT
NE
17228 / 1
Sigvaris MTM (34-46mmHg) Thigh High Open Toe Full Compression 1
504
DT
NE
17230 / 1
Sigvaris MTM (34-46mmHg) Thigh High Open Toe with Grip Top 1
504
DT
NE
17232 / 1
Sigvaris MTM (34-46mmHg) Thigh High Open Toe with Grip Top Full Compression 1
504
DT
NE
17234 / 1
Sigvaris MTM (34-46mmHg) Thigh High Open Toe with Waist Attachment (Left or Right) 1
504
DT
NE
17236 / 1
Sigvaris MTM (34-46mmHg) Thigh High Open Toe with Waist Attachment Full Compression (Left DT
or Right) 1
504
NE
17245 / 1
Sigvaris MTM (49-59mmHg) Below Knee Closed Toe with Grip Top 1
505
DT
NE
17244 / 1
Sigvaris MTM (49-59mmHg) Below Knee Open Toe with Grip Top 1
505
DT
NE
17270 / 1
Sigvaris MTM (49-59mmHg) Panty Closed Toe 1
505
DT
NE
17271 / 1
Sigvaris MTM (49-59mmHg) Panty Closed Toe Full Compression 1
505
DT
NE
17268 / 1
Sigvaris MTM (49-59mmHg) Panty Open Toe 1
505
DT
NE
17269 / 1
Sigvaris MTM (49-59mmHg) Panty Open Toe Full Compression 1
505
DT
NE
17247 / 1
Sigvaris MTM (49-59mmHg) Thigh High Closed Toe 1
505
DT
NE
17249 / 1
Sigvaris MTM (49-59mmHg) Thigh High Closed Toe Full Compression 1
505
DT
NE
17251 / 1
Sigvaris MTM (49-59mmHg) Thigh High Closed Toe with Grip Top 1
505
DT
NE
17253 / 1
Sigvaris MTM (49-59mmHg) Thigh High Closed Toe with Grip Top Full Compression 1
505
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 452 of 550
Code/Pack
Description
DT CD ZD N E D
17256 / 1
Sigvaris MTM (49-59mmHg) Thigh High Closed Toe with Waist Attachment (Left or Right) 1
505
DT
NE
17263 / 1
Sigvaris MTM (49-59mmHg) Thigh High Closed Toe with Waist Attachment Full Compression
(Left or Right) 1
505
DT
NE
17246 / 1
Sigvaris MTM (49-59mmHg) Thigh High Open Toe 1
505
DT
NE
17248 / 1
Sigvaris MTM (49-59mmHg) Thigh High Open Toe Full Compression 1
505
DT
NE
17250 / 1
Sigvaris MTM (49-59mmHg) Thigh High Open Toe with Grip Top 1
505
DT
NE
17252 / 1
Sigvaris MTM (49-59mmHg) Thigh High Open Toe with Grip Top Full Compression 1
505
DT
NE
17254 / 1
Sigvaris MTM (49-59mmHg) Thigh High Open Toe with Waist Attachment (Left or Right) 1
505
DT
NE
17257 / 1
Sigvaris MTM (49-59mmHg) Thigh High Open Toe with Waist Attachment Full Compression (Left DT
or Right) 1
505
NE
17090 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Below Knee Closed Toe 1
DT
NE
17092 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Below Knee Closed Toe with Grip Top 1
DT
NE
17089 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Below Knee Open Toe 1
DT
NE
17091 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Below Knee Open Toe with Grip Top 1
DT
NE
17098 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Panty Closed Toe 1
DT
NE
17097 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Panty Open Toe 1
DT
NE
17094 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Thigh High Closed Toe 1
DT
NE
17096 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Thigh High Closed Toe with Grip Top 1
DT
NE
17100 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Thigh High Closed Toe with Waist Attachment
(Left or Right) 1
DT
NE
17093 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Thigh High Open Toe 1
DT
NE
17095 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Thigh High Open Toe with Grip Top 1
DT
NE
17099 / 1
Sigvaris MTM Comfort Class 1 (18-21mmHg) Thigh High Open Toe with Waist Attachment (Left
or Right) 1
DT
NE
17102 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Below Knee Closed Toe 1
DT
NE
17104 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Below Knee Closed Toe with Grip Top 1
DT
NE
17101 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Below Knee Open Toe 1
DT
NE
17103 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Below Knee Open Toe with Grip Top 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 453 of 550
Code/Pack
Description
DT CD ZD N E D
17110 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Panty Closed Toe 1
DT
NE
17109 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Panty Open Toe 1
DT
NE
17106 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Thigh High Closed Toe 1
DT
NE
17108 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Thigh High Closed Toe with Grip Top 1
DT
NE
17112 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Thigh High Closed Toe with Waist Attachment
(Left or Right) 1
DT
NE
17105 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Thigh High Open Toe 1
DT
NE
17107 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Thigh High Open Toe with Grip Top 1
DT
NE
17111 / 1
Sigvaris MTM Comfort Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment (Left
or Right) 1
DT
NE
17114 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Below Knee Closed Toe 1
DT
NE
17116 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Below Knee Closed Toe with Grip Top 1
DT
NE
17113 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Below Knee Open Toe 1
DT
NE
17115 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Below Knee Open Toe with Grip Top 1
DT
NE
17120 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Panty Closed Toe 1
DT
NE
17119 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Panty Open Toe 1
DT
NE
9010 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Thigh High Closed Toe 1
DT
NE
17118 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Thigh High Closed Toe with Grip Top 1
DT
NE
17122 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Thigh High Closed Toe with Waist Attachment (Left
or Right) 1
DT
NE
9007 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Thigh High Open Toe 1
DT
NE
17117 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Thigh High Open Toe with Grip Top 1
DT
NE
17121 / 1
Sigvaris MTM Cotton Class 1 (18-21mmHg) Thigh High Open Toe with Waist Attachment (Left or DT
Right) 1
NE
17124 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Below Knee Closed Toe 1
DT
NE
17126 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Below Knee Closed Toe with Grip Top 1
DT
NE
17123 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Below Knee Open Toe 1
DT
NE
17125 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Below Knee Open Toe with Grip Top 1
DT
NE
17130 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Panty Closed Toe 1
DT
NE
17129 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Panty Open Toe 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 454 of 550
Code/Pack
Description
DT CD ZD N E D
9040 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Thigh High Closed Toe 1
DT
NE
17128 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Thigh High Closed Toe with Grip Top 1
DT
NE
17132 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Thigh High Closed Toe with Waist Attachment (Left
or Right) 1
DT
NE
9012 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Thigh High Open Toe 1
DT
NE
17127 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Thigh High Open Toe with Grip Top 1
DT
NE
17131 / 1
Sigvaris MTM Cotton Class 2 (23-32mmHg) Thigh High Open Toe with Waist Attachment (Left or DT
Right) 1
NE
17134 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Below Knee Closed Toe 1
DT
NE
17136 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Below Knee Closed Toe with Grip Top 1
DT
NE
17133 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Below Knee Open Toe 1
DT
NE
17135 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Below Knee Open Toe with Grip Top 1
DT
NE
17140 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Panty Closed Toe 1
DT
NE
17139 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Panty Open Toe 1
DT
NE
9046 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Thigh High Closed Toe 1
DT
NE
17138 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Thigh High Closed Toe with Grip Top 1
DT
NE
17142 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Thigh High Closed Toe with Waist Attachment (Left
or Right) 1
DT
NE
9042 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Thigh High Open Toe 1
DT
NE
17137 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Thigh High Open Toe with Grip Top 1
DT
NE
17141 / 1
Sigvaris MTM Cotton Class 3 (34-46mmHg) Thigh High Open Toe with Waist Attachment (Left or DT
Right) 1
NE
17144 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Below Knee Closed Toe Female 1
DT
NE
17146 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Below Knee Closed Toe with Grip Top Female 1
DT
NE
17143 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Below Knee Open Toe Female 1
DT
NE
17145 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Below Knee Open Toe with Grip Top Female 1
DT
NE
17150 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Panty Closed Toe Female 1
DT
NE
17149 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Panty Open Toe Female 1
DT
NE
17148 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Thigh High Closed Toe with Grip Top Female 1
DT
NE
17147 / 1
Sigvaris MTM Magic Class 1 (18-21mmHg) Thigh High Open Toe with Grip Top Female 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 455 of 550
Code/Pack
Description
DT CD ZD N E D
17152 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Below Knee Closed Toe Female 1
DT
NE
17154 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Below Knee Closed Toe with Grip Top Female 1
DT
NE
17151 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Below Knee Open Toe Female 1
DT
NE
17153 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Below Knee Open Toe with Grip Top Female 1
DT
NE
17158 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Panty Closed Toe Female 1
DT
NE
17157 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Panty Open Toe Female 1
DT
NE
17156 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Thigh High Closed Toe with Grip Top Female 1
DT
NE
17155 / 1
Sigvaris MTM Magic Class 2 (23-32mmHg) Thigh High Open Toe with Grip Top Female 1
DT
NE
5191 / 2
Sigvaris Opalis (15-21mmHg) Below Knee Closed Toe Female XS, S, M, L, XL, XXL 2
Long, Normal Code each pair /2
DT
NE
5817 / 2
Sigvaris Opalis (15-21mmHg) Below Knee Open Toe Female XS,S, M, L, XL, XXL 2
Long, Normal - Code each pair /2
DT
NE
5192 / 2
Sigvaris Opalis (15-21mmHg) Thigh High Plus Grip Top Closed Toe Female XS, S, M, L,
XL,XXL 2
Long, Normal Code each pair /2
DT
NE
5825 / 2
Sigvaris Opalis (15-21mmHg) Thigh High Plus Grip Top Open Toe Female XS,S, M, L, XL, XXL
2
Long, Normal - Code each pair /2
DT
NE
5447 / 2
Sigvaris Urban 2 (15-20mmHg) Below Knee Closed Toe Male 2
Long/Normal S-XXL Code Each Pair /2
DT
NE
5446 / 2
Sigvaris Urban 2 (15-20mmHg) Thigh High Grip Top Closed Toe Male 2
Long/Normal S-XXL Code Each Pair /2
DT
NE
3691 / 1
SilBond Silicone Glue 1
SB1
DT
NE
7263 / 1
Siltape Surgical Adhesive Tape 2cm x 3m 1
DT
NE
7470 / 1
Siltape Surgical Adhesive Tape 4cm x 1.5m 1
DT
NE
2703 / 1
Skinnies Body Suit Stockinette Garments 3-6 months 1
DT
NE
3384 / 1
Skinnies Body Suit Stockinette Garments 6-12 Months 1
DT
NE
3381 / 1
Skinnies Body Suit Stockinette Garments Premature 1
DT
NE
2697 / 1
Skinnies Body Suit Stockinette Garments Up to 3 Months 1
DT
NE
2346 / 1
Skinnies Clava Stockinette Garments 5-14 years 1
DT
NE
2345 / 1
Skinnies Clava Stockinette Garments 6 months-5years 1
DT
NE
3287 / 2
Skinnies Gloves Stockinette Garments Large Adult 2
Code no. of gloves dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 456 of 550
Code/Pack
Description
DT CD ZD N E D
3272 / 2
Skinnies Gloves Stockinette Garments Large Child 2
Code no. of gloves dispensed
DT
NE
3282 / 2
Skinnies Gloves Stockinette Garments Medium Adult 2
Code no. of gloves dispensed
DT
NE
3241 / 2
Skinnies Gloves Stockinette Garments Medium Child 2
Code no. of gloves dispensed
DT
NE
3275 / 2
Skinnies Gloves Stockinette Garments Small Adult 2
Code no. of gloves dispensed
DT
NE
3183 / 2
Skinnies Gloves Stockinette Garments Small Child 2
Code no. of gloves dispensed
DT
NE
7468 / 1
Skinnies Knee Length Shorts Stockinette Garments 11-14 years 1
Code no. of Pairs Dispensed
DT
NE
3092 / 1
Skinnies Knee Length Shorts Stockinette Garments 2-5 years 1
Code no. of Pairs Dispensed
DT
NE
4050 / 1
Skinnies Knee Length Shorts Stockinette Garments 5-8 years 1
Code no. of Pairs Dispensed
DT
NE
7532 / 1
Skinnies Knee Length Shorts Stockinette Garments 6-24 months 1
Code no. of Pairs Dispensed
DT
NE
3620 / 1
Skinnies Knee Length Shorts Stockinette Garments 8-11 years 1
Code no. of Pairs Dispensed
DT
NE
7334 / 1
Skinnies Knee Length Shorts Stockinette Garments Large Adult 1
Code no. of Pairs Dispensed
DT
NE
7088 / 1
Skinnies Knee Length Shorts Stockinette Garments Medium Adult 1
Code no. of Pairs Dispensed
DT
NE
7109 / 1
Skinnies Knee Length Shorts Stockinette Garments Small Adult 1
Code no. of Pairs Dispensed
DT
NE
9971 / 1
Skinnies Knee Sock Stockinette Garments Large Adult 8-11 1
Code no. of Pairs Dispensed
DT
NE
9968 / 1
Skinnies Knee Sock Stockinette Garments Large Child 2-4 1
Code no. of Pairs Dispensed
DT
NE
9970 / 1
Skinnies Knee Sock Stockinette Garments Medium Adult 6-8 1
Code no. of Pairs Dispensed
DT
NE
9967 / 1
Skinnies Knee Sock Stockinette Garments Medium Child 1-2 1
Code no. of Pairs Dispensed
DT
NE
9969 / 1
Skinnies Knee Sock Stockinette Garments Small Adult 4-6 1
Code no. of Pairs Dispensed
DT
NE
9982 / 1
Skinnies Knee Sock Stockinette Garments Small Child 0-1 1
Code no. of Pairs Dispensed
DT
NE
9964 / 1
Skinnies Knee Sock Stockinette Garments X Large Adult 11+ 1
Code no. of Pairs Dispensed
DT
NE
2915 / 1
Skinnies Leggings Stockinette Garments 11-14 years 1
Code no. of Pairs Dispensed
DT
NE
2824 / 1
Skinnies Leggings Stockinette Garments 2-5 years 1
Code no. of Pairs Dispensed
DT
NE
2834 / 1
Skinnies Leggings Stockinette Garments 5-8 years 1
Code no. of Pairs Dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 457 of 550
Code/Pack
Description
DT CD ZD N E D
2820 / 1
Skinnies Leggings Stockinette Garments 6-24 months 1
Code no. of Pairs Dispensed
DT
NE
2903 / 1
Skinnies Leggings Stockinette Garments 8-11 years 1
Code no. of Pairs Dispensed
DT
NE
3053 / 1
Skinnies Leggings Stockinette Garments Large Adult 1
Code no. of Pairs Dispensed
DT
NE
3039 / 1
Skinnies Leggings Stockinette Garments Medium Adult 1
Code no. of Pairs Dispensed
DT
NE
3016 / 1
Skinnies Leggings Stockinette Garments Small Adult 1
Code no. of Pairs Dispensed
DT
NE
3115 / 1
Skinnies Mittens Stockinette Garments 2-8 years 1
Code no. of Pairs Dispensed
DT
NE
3175 / 1
Skinnies Mittens Stockinette Garments 8-14 years 1
Code no. of Pairs Dispensed
DT
NE
3101 / 1
Skinnies Mittens Stockinette Garments Up To 24 months 1
Code no. of Pairs Dispensed
DT
NE
17038 / 1
Skinnies Silk Baby Grow Silk Garment 0-3 Months 1
DT
NE
17039 / 1
Skinnies Silk Baby Grow Silk Garment 3-6 Months 1
DT
NE
17040 / 1
Skinnies Silk Baby Grow Silk Garment 6-12 Months 1
DT
NE
17037 / 1
Skinnies Silk Baby Grow Silk Garment Premature 1
DT
NE
17015 / 1
Skinnies Silk Clavas Silk Garment 5-14 Years 1
DT
NE
17014 / 1
Skinnies Silk Clavas Silk Garment 6 Months-5Years 1
DT
NE
17046 / 2
Skinnies Silk Gloves Silk Garment Adult-Large 2
Code each pair / 2
DT
NE
17045 / 2
Skinnies Silk Gloves Silk Garment Adult-Medium 2
Code each pair / 2
DT
NE
17044 / 2
Skinnies Silk Gloves Silk Garment Adult-Small 2
Code each pair / 2
DT
NE
17043 / 2
Skinnies Silk Gloves Silk Garment Child-Large 2
Code each pair / 2
DT
NE
17042 / 2
Skinnies Silk Gloves Silk Garment Child-Medium 2
Code each pair / 2
DT
NE
17041 / 2
Skinnies Silk Gloves Silk Garment Child-Small 2
Code each pair / 2
DT
NE
17052 / 2
Skinnies Silk Knee Length Sock Silk Garment Adult Large 2
Code each pair / 2
DT
NE
17051 / 2
Skinnies Silk Knee Length Sock Silk Garment Adult Medium 2
Code each pair / 2
DT
NE
17050 / 2
Skinnies Silk Knee Length Sock Silk Garment Adult Small 2
Code each pair / 2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 458 of 550
Code/Pack
Description
DT CD ZD N E D
17053 / 2
Skinnies Silk Knee Length Sock Silk Garment Adult XL 2
Code each pair / 2
DT
NE
17049 / 2
Skinnies Silk Knee Length Sock Silk Garment Child Large 2
Code each pair / 2
DT
NE
17048 / 2
Skinnies Silk Knee Length Sock Silk Garment Child Medium 2
Code each pair / 2
DT
NE
17047 / 2
Skinnies Silk Knee Length Sock Silk Garment Child Small 2
Code each pair / 2
DT
NE
17025 / 1
Skinnies Silk Leggings Silk Garment 11-14 Years 1
DT
NE
17022 / 1
Skinnies Silk Leggings Silk Garment 2-5 Years 1
DT
NE
17023 / 1
Skinnies Silk Leggings Silk Garment 5-8 Years 1
DT
NE
17021 / 1
Skinnies Silk Leggings Silk Garment 6-24 Months 1
DT
NE
17024 / 1
Skinnies Silk Leggings Silk Garment 8-11 Years 1
DT
NE
17028 / 1
Skinnies Silk Leggings Silk Garment Adult-Large 1
DT
NE
17027 / 1
Skinnies Silk Leggings Silk Garment Adult-Medium 1
DT
NE
17026 / 1
Skinnies Silk Leggings Silk Garment Adult-Small 1
DT
NE
17016 / 2
Skinnies Silk Mittens Silk Garment 0-24 Months 2
Code each pair / 2
DT
NE
17017 / 2
Skinnies Silk Mittens Silk Garment 2-8 Years 2
Code each pair / 2
DT
NE
17018 / 2
Skinnies Silk Mittens Silk Garment 8-14 Years 2
Code each pair / 2
DT
NE
17074 / 1
Skinnies Silk Short Sleeve Vests Silk Garment 11-14 Years 1
DT
NE
17071 / 1
Skinnies Silk Short Sleeve Vests Silk Garment 2-5 Years 1
DT
NE
17072 / 1
Skinnies Silk Short Sleeve Vests Silk Garment 5-8 Years 1
DT
NE
17070 / 1
Skinnies Silk Short Sleeve Vests Silk Garment 6-24 Months 1
DT
NE
17073 / 1
Skinnies Silk Short Sleeve Vests Silk Garment 8-11 Years 1
DT
NE
17077 / 1
Skinnies Silk Short Sleeve Vests Silk Garment Adult Large 1
DT
NE
17076 / 1
Skinnies Silk Short Sleeve Vests Silk Garment Adult Medium 1
DT
NE
17075 / 1
Skinnies Silk Short Sleeve Vests Silk Garment Adult Small 1
DT
NE
17058 / 1
Skinnies Silk Shorts Silk Garment 11-14 Years 1
DT
NE
17055 / 1
Skinnies Silk Shorts Silk Garment 2-5 Years 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 459 of 550
Code/Pack
Description
DT CD ZD N E D
17056 / 1
Skinnies Silk Shorts Silk Garment 5-8 Years 1
DT
NE
17054 / 1
Skinnies Silk Shorts Silk Garment 6-24 Months 1
DT
NE
17057 / 1
Skinnies Silk Shorts Silk Garment 8-11 Years 1
DT
NE
17061 / 1
Skinnies Silk Shorts Silk Garment Adult Large 1
DT
NE
17060 / 1
Skinnies Silk Shorts Silk Garment Adult Medium 1
DT
NE
17059 / 1
Skinnies Silk Shorts Silk Garment Adult Small 1
DT
NE
17019 / 2
Skinnies Silk Socks Silk Garment 6Months-8Years 2
Code each pair / 2
DT
NE
17020 / 2
Skinnies Silk Socks Silk Garment 8-14 Years 2
Code each pair / 2
DT
NE
17033 / 1
Skinnies Silk Tops Silk Garment 11-14 Years 1
DT
NE
17030 / 1
Skinnies Silk Tops Silk Garment 2-5 Years 1
DT
NE
17031 / 1
Skinnies Silk Tops Silk Garment 5-8 Years 1
DT
NE
17029 / 1
Skinnies Silk Tops Silk Garment 6-24 Months 1
DT
NE
17032 / 1
Skinnies Silk Tops Silk Garment 8-11 Years 1
DT
NE
17036 / 1
Skinnies Silk Tops Silk Garment Adult-Large 1
DT
NE
17035 / 1
Skinnies Silk Tops Silk Garment Adult-Medium 1
DT
NE
17034 / 1
Skinnies Silk Tops Silk Garment Adult-Small 1
DT
NE
17069 / 1
Skinnies Silk Vests Sleeveless Silk Garment Adult Large 1
DT
NE
17068 / 1
Skinnies Silk Vests Sleeveless Silk Garment Adult Medium 1
DT
NE
17067 / 1
Skinnies Silk Vests Sleeveless Silk Garment Adult Small 1
DT
NE
17066 / 1
Skinnies Silk Vests Sleeveless Silk Garment Child 11-14 Years 1
DT
NE
17063 / 1
Skinnies Silk Vests Sleeveless Silk Garment Child 2-5 Years 1
DT
NE
17064 / 1
Skinnies Silk Vests Sleeveless Silk Garment Child 5-8 Years 1
DT
NE
17062 / 1
Skinnies Silk Vests Sleeveless Silk Garment Child 6-24 Months 1
DT
NE
17065 / 1
Skinnies Silk Vests Sleeveless Silk Garment Child 8-11 Years 1
DT
NE
3064 / 1
Skinnies Socks Stockinette Garments 6 months- 8 years 1
Code no. of Pairs Dispensed
DT
NE
3076 / 1
Skinnies Socks Stockinette Garments 8-14 years 1
Code no. of Pairs Dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 460 of 550
Code/Pack
Description
DT CD ZD N E D
4314 / 1
Skinnies Vest Long Sleeve Stockinette Garments 11-14 Years 1
DT
NE
4321 / 1
Skinnies Vest Long Sleeve Stockinette Garments 2-5 Years 1
DT
NE
4319 / 1
Skinnies Vest Long Sleeve Stockinette Garments 5-8 Years 1
DT
NE
4234 / 1
Skinnies Vest Long Sleeve Stockinette Garments 6-24 Months 1
DT
NE
4316 / 1
Skinnies Vest Long Sleeve Stockinette Garments 8-11 Years 1
DT
NE
4297 / 1
Skinnies Vest Long Sleeve Stockinette Garments Large Adult 1
DT
NE
4300 / 1
Skinnies Vest Long Sleeve Stockinette Garments Medium Adult 1
DT
NE
4306 / 1
Skinnies Vest Long Sleeve Stockinette Garments Small Adult 1
DT
NE
3542 / 1
Skinnies Vest Short Sleeve Stockinette Garments 11-14 Years 1
DT
NE
3149 / 1
Skinnies Vest Short Sleeve Stockinette Garments 2-5 Years 1
DT
NE
3537 / 1
Skinnies Vest Short Sleeve Stockinette Garments 5-8 Years 1
DT
NE
3132 / 1
Skinnies Vest Short Sleeve Stockinette Garments 6-24 Months 1
DT
NE
3540 / 1
Skinnies Vest Short Sleeve Stockinette Garments 8-11 Years 1
DT
NE
3580 / 1
Skinnies Vest Short Sleeve Stockinette Garments Large Adult 1
DT
NE
3544 / 1
Skinnies Vest Short Sleeve Stockinette Garments Medium Adult 1
DT
NE
3543 / 1
Skinnies Vest Short Sleeve Stockinette Garments Small Adult 1
DT
NE
7491 / 1
Skinnies Vest Sleeveless Stockinette Garments 11-14 years 1
DT
NE
7436 / 1
Skinnies Vest Sleeveless Stockinette Garments 2-5 years 1
DT
NE
7437 / 1
Skinnies Vest Sleeveless Stockinette Garments 5-8 years 1
DT
NE
8687 / 1
Skinnies Vest Sleeveless Stockinette Garments 6-24 months 1
DT
NE
3124 / 1
Skinnies Vest Sleeveless Stockinette Garments 8-11 years 1
DT
NE
4080 / 1
Skinnies Vest Sleeveless Stockinette Garments Large Adult 1
DT
NE
4106 / 1
Skinnies Vest Sleeveless Stockinette Garments Medium Adult 1
DT
NE
4107 / 1
Skinnies Vest Sleeveless Stockinette Garments Small Adult 1
DT
NE
6306 / 1
Skinnies Web Arm Tube Stockinette Garments 0-5 years 1
DT
NE
9690 / 1
Skinnies Web Arm Tube Stockinette Garments 11-14 years 1
DT
NE
8611 / 1
Skinnies Web Arm Tube Stockinette Garments 5-11 years 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 461 of 550
Code/Pack
Description
DT CD ZD N E D
2289 / 1
Skinnies Web Arm Tube Stockinette Garments S,M,L 1
DT
NE
9748 / 1
Skinnies Web Clava Stockinette Garments 0-5 years 1
DT
NE
1390 / 1
Skinnies Web Clava Stockinette Garments 11-14 years 1
DT
NE
9780 / 1
Skinnies Web Clava Stockinette Garments 5-11 years 1
DT
NE
9158 / 1
Skinnies Web Clava Stockinette Garments S,M,L 1
DT
NE
9318 / 1
Skinnies Web Crotchless Leggings Stockinette Garments XS,S,M,L,XL 1
Code no. of Pairs Dispensed
DT
NE
8963 / 1
Skinnies Web Crotchless Shorts Stockinette Garments XS,S,M,L,XL 1
Code no. of Pairs Dispensed
DT
NE
9597 / 2
Skinnies Web Gloves 2 Digit Stockinette Garments S,M,L 2
Code no. of gloves dispensed
DT
NE
730 / 2
Skinnies Web Gloves Full 5 Digit Stockinette Garments 0-5 years 2
Code no. of gloves dispensed
DT
NE
747 / 2
Skinnies Web Gloves Full 5 Digit Stockinette Garments 11-14 years 2
Code no. of gloves dispensed
DT
NE
733 / 2
Skinnies Web Gloves Full 5 Digit Stockinette Garments 5-11 years 2
Code no. of gloves dispensed
DT
NE
8991 / 2
Skinnies Web Gloves Full 5 Digit Stockinette Garments S,M,L 2
Code no. of gloves dispensed
DT
NE
749 / 2
Skinnies Web Gloves Half 5 Digit Stockinette Garments 0-5 years 2
Code no. of gloves dispensed
DT
NE
8794 / 2
Skinnies Web Gloves Half 5 Digit Stockinette Garments 11-14 years 2
Code no. of gloves dispensed
DT
NE
8782 / 2
Skinnies Web Gloves Half 5 Digit Stockinette Garments 5-11 years 2
Code no. of gloves dispensed
DT
NE
9672 / 2
Skinnies Web Gloves Half 5 Digit Stockinette Garments S,M,L 2
Code no. of gloves dispensed
DT
NE
9853 / 1
Skinnies Web High Top Long Sleeve Stockinette Garments 0-24 months 1
DT
NE
9953 / 1
Skinnies Web High Top Long Sleeve Stockinette Garments 11-14 years 1
DT
NE
8837 / 1
Skinnies Web High Top Long Sleeve Stockinette Garments 2-7 years 1
DT
NE
8875 / 1
Skinnies Web High Top Long Sleeve Stockinette Garments 7-11 years 1
DT
NE
8997 / 1
Skinnies Web High Top Long Sleeve Stockinette Garments XS, S, M, L, XL 1
DT
NE
2301 / 1
Skinnies Web High Top Short Sleeve Stockinette Garments 0-24 months 1
DT
NE
5906 / 1
Skinnies Web High Top Short Sleeve Stockinette Garments 11-14 years 1
DT
NE
5694 / 1
Skinnies Web High Top Short Sleeve Stockinette Garments 2-7 years 1
DT
NE
5904 / 1
Skinnies Web High Top Short Sleeve Stockinette Garments 7-11 years 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 462 of 550
Code/Pack
Description
DT CD ZD N E D
8958 / 1
Skinnies Web High Top Short Sleeve Stockinette Garments XS, S, M, L, XL 1
DT
NE
6974 / 1
Skinnies Web Leggings Stockinette Garments 0-24 months 1
Code no. of Pairs Dispensed
DT
NE
7924 / 1
Skinnies Web Leggings Stockinette Garments 11-14 years 1
Code no. of Pairs Dispensed
DT
NE
7455 / 1
Skinnies Web Leggings Stockinette Garments 2-7 years 1
Code no. of Pairs Dispensed
DT
NE
7686 / 1
Skinnies Web Leggings Stockinette Garments 7-11 years 1
Code no. of Pairs Dispensed
DT
NE
9323 / 1
Skinnies Web Leggings Stockinette Garments XS,S,M,L,XL 1
Code no. of Pairs Dispensed
DT
NE
9692 / 1
Skinnies Web Lower Leg Tube Stockinette Garments 0-5 years 1
DT
NE
1063 / 1
Skinnies Web Lower Leg Tube Stockinette Garments 11-14 years 1
DT
NE
1062 / 1
Skinnies Web Lower Leg Tube Stockinette Garments 5-11 years 1
DT
NE
9205 / 1
Skinnies Web Lower Leg Tube Stockinette Garments S,M,L 1
DT
NE
9724 / 2
Skinnies Web Mitten Stockinette Garments S,M,L 2
Code no. of mittens dispensed
DT
NE
2410 / 1
Skinnies Web Round Top Long Sleeve Stockinette Garments 0-24 Months 1
DT
NE
9753 / 1
Skinnies Web Round Top Long Sleeve Stockinette Garments 11-14 years 1
DT
NE
9705 / 1
Skinnies Web Round Top Long Sleeve Stockinette Garments 2-7 years 1
DT
NE
9703 / 1
Skinnies Web Round Top Long Sleeve Stockinette Garments 7-11 years 1
DT
NE
9209 / 1
Skinnies Web Round Top Long Sleeve Stockinette Garments XS, S, M, L, XL 1
DT
NE
9784 / 1
Skinnies Web Round Top Short Sleeve Stockinette Garments 0-24 months 1
DT
NE
9841 / 1
Skinnies Web Round Top Short Sleeve Stockinette Garments 11-14 years 1
DT
NE
9809 / 1
Skinnies Web Round Top Short Sleeve Stockinette Garments 2-7 years 1
DT
NE
9815 / 1
Skinnies Web Round Top Short Sleeve Stockinette Garments 7-11 years 1
DT
NE
9723 / 1
Skinnies Web Round Top Short Sleeve Stockinette Garments XS, S, M, L, XL 1
DT
NE
7950 / 1
Skinnies Web Shorts Stockinette Garments 0-24 months 1
Code no. of Pairs Dispensed
DT
NE
6441 / 1
Skinnies Web Shorts Stockinette Garments 11-14 years 1
Code no. of Pairs Dispensed
DT
NE
9942 / 1
Skinnies Web Shorts Stockinette Garments 2-7 years 1
Code no. of Pairs Dispensed
DT
NE
6405 / 1
Skinnies Web Shorts Stockinette Garments 7-11 years 1
Code no. of Pairs Dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 463 of 550
Code/Pack
Description
DT CD ZD N E D
9321 / 1
Skinnies Web Shorts Stockinette Garments XS,S,M,L,XL 1
Code no. of Pairs Dispensed
DT
NE
8990 / 1
Skinnies Web Single Arm Top Stockinette Garments XS,S,M,L,XL 1
DT
NE
9443 / 1
Skinnies Web Single Leg Leggings Stockinette Garments XS,S,M,L,XL 1
Code no. of Pairs Dispensed
DT
NE
9355 / 1
Skinnies Web Single Leg Shorts Stockinette Garments XS,S,M,L,XL 1
Code no. of Pairs Dispensed
DT
NE
9618 / 1
Skinnies Web Skull Cap Stockinette Garments 0-5 years 1
DT
NE
9691 / 1
Skinnies Web Skull Cap Stockinette Garments 11-14 years 1
DT
NE
9670 / 1
Skinnies Web Skull Cap Stockinette Garments 5-11 years 1
DT
NE
9196 / 1
Skinnies Web Skull Cap Stockinette Garments S,M,L 1
DT
NE
990 / 2
Skinnies Web Socks Stockinette Garments 0-5 years 2
Code no. of socks dispensed
DT
NE
727 / 2
Skinnies Web Socks Stockinette Garments 11-14 years 2
Code no. of socks dispensed
DT
NE
716 / 2
Skinnies Web Socks Stockinette Garments 5-11 years 2
Code no. of socks dispensed
DT
NE
9193 / 2
Skinnies Web Socks Stockinette Garments S,M,L 2
Code no. of socks dispensed
DT
NE
1610 / 1
Skinnies Web Upper Leg Tube Stockinette Garments 0-5 years 1
DT
NE
5783 / 1
Skinnies Web Upper Leg Tube Stockinette Garments 11-14 years 1
DT
NE
1807 / 1
Skinnies Web Upper Leg Tube Stockinette Garments 5-11 years 1
DT
NE
9217 / 1
Skinnies Web Upper Leg Tube Stockinette Garments S,M,L 1
DT
NE
5784 / 1
Skinnies Web Waist Tube Stockinette Garments 0-5 years 1
DT
NE
6899 / 1
Skinnies Web Waist Tube Stockinette Garments 11-14 years 1
DT
NE
6446 / 1
Skinnies Web Waist Tube Stockinette Garments 5-11 years 1
DT
NE
9445 / 1
Skinnies Web Waist Tube Stockinette Garments S,M,L 1
DT
NE
8965 / 1
Skinnies Web Wrap Top Long Sleeve Stockinette Garments XS, S, M, L, XL 1
DT
NE
9265 / 1
Skinnies Web Wrap Top Short Sleeve Stockinette Garments XS, S, M, L, XL 1
DT
NE
9153 / 1
Skinnies Web Wrap Top Sleeveless Stockinette Garments XS, S, M, L, XL 1
DT
NE
1240 / 1
Skintoskin Babygrow Stockinette Garment 0-3 Months 1
DT
NE
1201 / 1
Skintoskin Babygrow Stockinette Garment 12-18 Months 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 464 of 550
Code/Pack
Description
DT CD ZD N E D
1275 / 1
Skintoskin Babygrow Stockinette Garment 18-24Months 1
DT
NE
1521 / 1
Skintoskin Babygrow Stockinette Garment 3-6 Months 1
DT
NE
1259 / 1
Skintoskin Babygrow Stockinette Garment 6-9 Months 1
DT
NE
1041 / 1
Skintoskin Babygrow Stockinette Garment 9-12 Months 1
DT
NE
2643 / 2
Skintoskin Body Suit (Winter) Stockinette Garment 0-3 Months 2
DT
NE
2673 / 2
Skintoskin Body Suit (Winter) Stockinette Garment 12-18 Months 2
DT
NE
2464 / 2
Skintoskin Body Suit (Winter) Stockinette Garment 18-24 Months 2
DT
NE
2750 / 2
Skintoskin Body Suit (Winter) Stockinette Garment 3-6 Months 2
DT
NE
2948 / 2
Skintoskin Body Suit (Winter) Stockinette Garment 6-9 Months 2
DT
NE
2608 / 2
Skintoskin Body Suit (Winter) Stockinette Garment 9-12 Months 2
DT
NE
3704 / 2
Skintoskin Boxer Female Stockinette Garment 11-13 Years 2
DT
NE
3754 / 2
Skintoskin Boxer Female Stockinette Garment 2-3 Years 2
DT
NE
3743 / 2
Skintoskin Boxer Female Stockinette Garment 4-5 Years 2
DT
NE
3725 / 2
Skintoskin Boxer Female Stockinette Garment 6-7 Years 2
DT
NE
3718 / 2
Skintoskin Boxer Female Stockinette Garment 8-10 Years 2
DT
NE
3633 / 2
Skintoskin Boxer Female Stockinette Garment Adult Small - XL 2
DT
NE
3369 / 2
Skintoskin Boxer Male Stockinette Garment 11-13 Years 2
DT
NE
3617 / 2
Skintoskin Boxer Male Stockinette Garment 2-3 Years 2
DT
NE
3582 / 2
Skintoskin Boxer Male Stockinette Garment 4-5 Years 2
DT
NE
3484 / 2
Skintoskin Boxer Male Stockinette Garment 6-7 Years 2
DT
NE
3481 / 2
Skintoskin Boxer Male Stockinette Garment 8-10 Years 2
DT
NE
3273 / 2
Skintoskin Boxer Male Stockinette Garment Adult Small - XL 2
DT
NE
3520 / 2
Skintoskin Leggings Footless Stockinette Garment 11-13 Years 2
DT
NE
3499 / 2
Skintoskin Leggings Footless Stockinette Garment 2-3 Years 2
DT
NE
3922 / 2
Skintoskin Leggings Footless Stockinette Garment 4-5 Years 2
DT
NE
3593 / 2
Skintoskin Leggings Footless Stockinette Garment 6-7 Years 2
DT
NE
3757 / 2
Skintoskin Leggings Footless Stockinette Garment 8-10 Years 2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 465 of 550
Code/Pack
Description
DT CD ZD N E D
3493 / 2
Skintoskin Leggings Footless Stockinette Garment Female and Male Adult Small - XL 2
DT
NE
3970 / 2
Skintoskin Leggings with Feet Stockinette Garment 0-3 Months 2
DT
NE
3809 / 2
Skintoskin Leggings with Feet Stockinette Garment 12-18 Months 2
DT
NE
3773 / 2
Skintoskin Leggings with Feet Stockinette Garment 18-24 Months 2
DT
NE
3885 / 2
Skintoskin Leggings with Feet Stockinette Garment 3-6 Months 2
DT
NE
3880 / 2
Skintoskin Leggings with Feet Stockinette Garment 6-9 Months 2
DT
NE
3876 / 2
Skintoskin Leggings with Feet Stockinette Garment 9-12 Months 2
DT
NE
1508 / 1
Skintoskin Newborn Kit Stockinette Garment Summer 1 set
DT
NE
1157 / 1
Skintoskin Newborn Kit Stockinette Garment Winter 1 set
DT
NE
3088 / 6
Skintoskin Socks Stockinette Garment Adult 39-41 6
DT
NE
3037 / 6
Skintoskin Socks Stockinette Garment Adult 42-45 6
DT
NE
3270 / 6
Skintoskin Socks Stockinette Garment Child 22-24 6
DT
NE
3252 / 6
Skintoskin Socks Stockinette Garment Child 25-27 6
DT
NE
3232 / 6
Skintoskin Socks Stockinette Garment Child 28-30 6
DT
NE
3221 / 6
Skintoskin Socks Stockinette Garment Child 31-33 6
DT
NE
3195 / 6
Skintoskin Socks Stockinette Garment Child 34-36 6
DT
NE
3194 / 6
Skintoskin Socks Stockinette Garment Child 36-38 6
DT
NE
3192 / 6
Skintoskin Socks Stockinette Garment Child 37-39 6
DT
NE
3136 / 2
Skintoskin T-Shirt (Long Sleeve) Stockinette Garment 11-13 Years 2
DT
NE
3151 / 2
Skintoskin T-Shirt (Long Sleeve) Stockinette Garment 2-3 Years 2
DT
NE
3152 / 2
Skintoskin T-Shirt (Long Sleeve) Stockinette Garment 4-5 Years 2
DT
NE
3253 / 2
Skintoskin T-Shirt (Long Sleeve) Stockinette Garment 6-7 Years 2
DT
NE
3012 / 2
Skintoskin T-Shirt (Long Sleeve) Stockinette Garment 8-10 Years 2
DT
NE
3459 / 2
Skintoskin T-Shirt (Long Sleeve) Stockinette Garment Adult Small - XL 2
DT
NE
3814 / 2
Skintoskin T-Shirt (Short Sleeve) Stockinette Garment 11-13 Years 2
DT
NE
3058 / 2
Skintoskin T-Shirt (Short Sleeve) Stockinette Garment 2-3 Years 2
DT
NE
3615 / 2
Skintoskin T-Shirt (Short Sleeve) Stockinette Garment 4-5 Years 2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 466 of 550
Code/Pack
Description
DT CD ZD N E D
3638 / 2
Skintoskin T-Shirt (Short Sleeve) Stockinette Garment 6-7 Years 2
DT
NE
3385 / 2
Skintoskin T-Shirt (Short Sleeve) Stockinette Garment 8-10 Years 2
DT
NE
3878 / 2
Skintoskin T-Shirt (Short Sleeve) Stockinette Garment Adult Small - XL 2
DT
NE
9310 / 1
Slinky Bandage 7.5cmx4m
DT
NE
9316 / 1
Slinky Bandage 10cmx4m
DT
NE
9327 / 1
Slinky Bandage 15cmx4m
DT
NE
156 / 1
SNaP cartridge device 100mmHg 1
DT
NE
262 / 1
SNaP cartridge device 125mmHg 1
DT
NE
171 / 1
SNaP cartridge device 75mmHg 1
DT
NE
222 / 1
SNaP foam dressing kit 10cm x 10cm 1 kit
DT
NE
228 / 1
SNaP foam dressing kit 15cm x 15cm 1 kit
DT
NE
230 / 1
SNaP foam dressing kit 20cm x 20cm 1 kit
DT
NE
240 / 1
SNaP gauze dressing kit 10cm x 10cm 1 kit
DT
NE
238 / 1
SNaP gauze dressing kit 15cm x 15cm 1 kit
DT
NE
190 / 1
SNaP straps large 1
DT
NE
185 / 1
SNaP straps medium 1
DT
NE
183 / 1
SNaP straps small 1
DT
NE
9189 / 1
Snufflebabe nasal aspirator 1
Code no. of packs dispensed
DT
NE
8718 / 1
Sockaid 1
DT
NE
9952 / 10
Sodium Bicarbonate (DT) Ear Drops Device 10ml
DT
NE
6369 / 1
Sodium Chloride 0.9% Almus Pharmaceuticals Nasal Drops Dropper Bottle 10ml 1
Code No. of Bottles dispensed
DT
NE
17300 / 1
Sodium Chloride 0.9% Mandanol Nasal Drops Dropper Bottle 10ml 1
Code No. of Bottles dispensed
DT
NE
6474 / 1
Sodium Chloride 0.9% Orbis Consumer Products Nasal Drops Dropper Bottle 10ml 1
Code No. of Bottles dispensed
DT
NE
6486 / 1
Sodium Chloride 0.9% RX Farma Nasal Drops Dropper Bottle 10ml 1
Code No. of Bottles dispensed
DT
NE
8895 / 1
Sodium Chloride 0.9% Sandoz Nasal Drops Dropper Bottle 10ml 1
Code No. of Bottles dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 467 of 550
Code/Pack
Description
DT CD ZD N E D
1856 / 1
Sodium Chloride 0.9% Tubilux Pharma Nasal Drops Dropper Bottle 10ml 1
Code No. of Bottles dispensed
DT
NE
3359 / 10
Sodium Chloride 5% eye drops 10ml
DT
NE
4762 / 5
Sodium Chloride 5% eye ointment 5g preservative free tube
DT
NE
9496 / 1
Soffcrepe Cotton Bandage Polyamide and Elastane 5cmx4.5m
DT
NE
9513 / 1
Soffcrepe Cotton Bandage Polyamide and Elastane 7.5cmx4.5m
DT
NE
9493 / 1
Soffcrepe Cotton Bandage Polyamide and Elastane 10cmx 4.5m
DT
NE
9500 / 1
Soffcrepe Cotton Bandage Polyamide and Elastane 15cmx4.5m
DT
NE
1158 / 10
Sofnex Laryngectomy Shield Beige 10
CR3860
DT
NE
1160 / 10
Sofnex Laryngectomy Shield Blue 10
CR3859
DT
NE
1163 / 10
Sofnex Laryngectomy Shield White 10
CR3856
DT
NE
9579 / 10
Sofshield Laryngectomy Protector Beige Large
AS3765
DT
NE
9574 / 10
Sofshield Laryngectomy Protector Beige Small
AS3778
DT
NE
3086 / 10
Sofshield Laryngectomy Protector Black Medium 10
AS4051
DT
NE
9593 / 10
Sofshield Laryngectomy Protector Blue Large
AS3764
DT
NE
9586 / 10
Sofshield Laryngectomy Protector Blue Small
AS3777
DT
NE
9890 / 10
Sofshield Laryngectomy Protector White Large 10
AS3669
DT
NE
9894 / 10
Sofshield Laryngectomy Protector White Small 10
AS3698
DT
NE
9548 / 200
Softclix Lancets 0.4mm/28 gauge 200
DT
NE
7778 / 50
Softclix XL Lancets 0.8mm/21 gauge 50
DT
NE
9880 / 10
SoftDrops 0.3% Eye Drops 10ml
DT
NE
9902 / 30
SoftDrops 0.3% Eye Drops Preservative Free 0.5ml single dose unit 30
DT
NE
2061 / 2
Solidea Catherine Class 1 (18-21mmHg) Thigh High Closed Toe 2
S,M,ML,L,XL
DT
NE
2063 / 2
Solidea Catherine Class 1 (18-21mmHg) Thigh High Open Toe 2
S,M,ML,L,XL
DT
NE
2421 / 2
Solidea Catherine Class 2 (25-32mmHg) Thigh High Closed Toe 2
S,M,ML,L,XL
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 468 of 550
Code/Pack
Description
DT CD ZD N E D
2432 / 2
Solidea Catherine Class 2 (25-32mmHg) Thigh High Closed Toe Plus Line 2
S,M,ML,L,XL
DT
NE
2593 / 2
Solidea Catherine Class 2 (25-32mmHg) Thigh High Open Toe 2
S,M,ML,L,XL
DT
NE
2603 / 2
Solidea Catherine Class 2 (25-32mmHg) Thigh High Open Toe Plus Line 2
S,M,ML,L,XL
DT
NE
2607 / 1
Solidea Dynamic Class1 (18-21mmHg) Tights Closed Toe 1
S,M,ML,L,XL - Code each pair/1
DT
NE
2848 / 1
Solidea Dynamic Class1 (18-21mmHg) Tights Open Toe 1
S,M,ML,L,XL - Code each pair/1
DT
NE
2870 / 2
Solidea Marilyn Class1 (18-21mmHg) Thigh High Closed Toe with Silicone Top 2
S,M,ML,L,XL
DT
NE
3038 / 2
Solidea Marilyn Class1 (18-21mmHg) Thigh High Open Toe with Silicone Top 2
S,M,ML,L,XL
DT
NE
3161 / 2
Solidea Marilyn Class2 (25-32mmHg) Thigh High Closed Toe Plus Line with Silicone Top 2
S,M,ML,L,XL
DT
NE
3129 / 2
Solidea Marilyn Class2 (25-32mmHg) Thigh High Closed Toe with Silicone Top 2
S,M,ML,L,XL
DT
NE
3963 / 2
Solidea Marilyn Class2 (25-32mmHg) Thigh High Open Toe Plus Line with Silicone Top 2
S,M,ML,L,XL
DT
NE
3899 / 2
Solidea Marilyn Class2 (25-32mmHg) Thigh High Open Toe with Silicone Top 2
S,M,ML,L,XL
DT
NE
4455 / 2
Solidea Marilyn Class3 (34-46mmHg) Thigh High Open Toe Plus Line with Silicone Top 2
S,M,ML,L,XL
DT
NE
4452 / 2
Solidea Marilyn Class3 (34-46mmHg) Thigh High Open Toe with Silicone Top 2
S,M,ML,L,XL
DT
NE
4460 / 2
Solidea Relax Unisex Class1 (18-21mmHg) Below Knee Closed Toe 2
S,M,L,XL,XXL
DT
NE
4461 / 2
Solidea Relax Unisex Class1 (18-21mmHg) Below Knee Open Toe 2
S,M,L,XL,XXL
DT
NE
4463 / 2
Solidea Relax Unisex Class2 (25-32mmHg) Below Knee Closed Toe 2
S,M,L,XL,XXL
DT
NE
4466 / 2
Solidea Relax Unisex Class2 (25-32mmHg) Below Knee Closed Toe Plus Line 2
S,M,L,XL,XXL
DT
NE
4472 / 2
Solidea Relax Unisex Class2 (25-32mmHg) Below Knee Open Toe 2
S,M,L,XL,XXL
DT
NE
4480 / 2
Solidea Relax Unisex Class2 (25-32mmHg) Below Knee Open Toe Plus Line 2
S,M,L,XL,XXL
DT
NE
4499 / 2
Solidea Relax Unisex Class3 (34-46mmHg) Below Knee Open Toe 2
S,M,L,XL,XXL
DT
NE
4578 / 2
Solidea Relax Unisex Class3 (34-46mmHg) Below Knee Open Toe Plus Line 2
S,M,L,XL,XXL
DT
NE
1814 / 1
Solidea Wonder Model Class1 (18-21mmHg) Tights Closed Toe 1
S,M,ML,L,XL,XXL - Code each pair/1
DT
NE
1821 / 1
Solidea Wonder Model Class1 (18-21mmHg) Tights Open Toe 1
S,M,ML,L,XL,XXL - Code each pair/1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 469 of 550
Code/Pack
Description
DT CD ZD N E D
4959 / 1
Solidea Wonder Model Class2 (25-32mmHg) Tights Closed Toe 1
S,M,ML,L,XL,XXL - Code each pair/1
DT
NE
4994 / 1
Solidea Wonder Model Class2 (25-32mmHg) Tights Open Toe 1
S,M,ML,L,XL,XXL - Code each pair/1
DT
NE
2944 / 1
Space Chamber Plus - Spacer/Holding Chamber Device 1
DT
NE
2547 / 1
Space Chamber Plus Compact - Spacer/Holding Chamber Device 1
DT
NE
131 / 1
Space Chamber Plus Compact with Small, Medium or Large Mask - Spacer/Holding Chamber
Device 1
DT
NE
127 / 1
Space Chamber Plus with Small, Medium or Large Mask - Spacer/Holding Chamber Device 1
DT
NE
1196 / 1
Spacer/Holding Chamber Device - Able Spacer
DT
NE
8757 / 1
Spacer/Holding Chamber Device - Able Spacer
with Mask, Small (Infant) or Medium (Child)
DT
NE
7179 / 1
Spacer/Holding Chamber Device - Aerochamber Plus
DT
NE
7764 / 1
Spacer/Holding Chamber Device - Aerochamber Plus
with Adult, Child or Infant face mask
DT
NE
7442 / 1
Spacer/Holding Chamber Device - Optichamber
DT
NE
1064 / 1
Spacer/Holding Chamber Device - Pocket Chamber
DT
NE
1256 / 1
Spacer/Holding Chamber Device - Pocket Chamber
with Adult, Teenager, Child or Infant mask
DT
NE
1191 / 1
Spacer/Holding Chamber Device - Volumatic
DT
NE
1448 / 1
Spacer/Holding Chamber Device - Volumatic
with Paediatric Face Mask
DT
NE
9390 / 1
Spacer/Holding Chamber Device - Vortex
DT
NE
3559 / 1
Spacer/Holding Chamber Device - Vortex (age 0-2 years)
with child mask
DT
NE
3563 / 1
Spacer/Holding Chamber Device - Vortex (age 2+ years)
with child mask
DT
NE
17170 / 1
Spare vaginal pipe for syringe 15cm 1
DT
NE
2366 / 1
Spinal Alignment Rophi Cushion 18cmx18xcmx9cm 1
DT
NE
5216 / 30
SpiroTect Antibacterial Cassette Duo 30
PTC1007
DT
NE
5147 / 30
SpiroTect Antibacterial Cassette Hands Free 30
PTC1003
DT
NE
5188 / 30
SpiroTect Antibacterial Cassette Night 30
PTC1006
DT
NE
5186 / 30
SpiroTect Antibacterial Cassette Normal 30
PTC1004
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 470 of 550
Code/Pack
Description
DT CD ZD N E D
17661 / 30
SpiroTect Baseplate adhesive remover wipes 30
PTA600
DT
NE
17662 / 30
SpiroTect Baseplate barrier wipes 30
PTA500
DT
NE
5731 / 20
SpiroTect Baseplate Clear & Strong Oval
PTW300
DT
NE
5754 / 20
SpiroTect Baseplate Clear & Strong Round 20
PTW301
DT
NE
5780 / 20
SpiroTect Baseplate Duo Oval 20
PTW600
DT
NE
5816 / 20
SpiroTect Baseplate Duo Round 20
PTW601
DT
NE
5230 / 20
SpiroTect Baseplate Fabric Oval 20
PTW100
DT
NE
5231 / 20
SpiroTect Baseplate Fabric Round 20
PTW101
DT
NE
5232 / 20
SpiroTect Baseplate Fabric with Tube Connectors Oval 20
PTW102
DT
NE
5237 / 20
SpiroTect Baseplate Fabric with Tube Connectors Round 20
PTW103
DT
NE
5355 / 20
SpiroTect Baseplate Hydrocolloid Oval 20
PTW200
DT
NE
5727 / 20
SpiroTect Baseplate Hydrocolloid Round 20
PTW201
DT
NE
5135 / 1
SpiroTect Hands Free Valve Low Resistance 1
PTC1002
DT
NE
5134 / 1
SpiroTect Hands Free Valve Normal Resistance 1
PTC1001
DT
NE
17652 / 1
SpiroTect laryngectomy tube 44mm length (non-perforated) Size 10 (outer diameter 15mm) 1
PTT2011
DT
NE
17653 / 1
SpiroTect laryngectomy tube 44mm length (non-perforated) Size 12 (outer diameter 17mm) 1
PTT2012
DT
NE
17650 / 1
SpiroTect laryngectomy tube 44mm length (non-perforated) Size 8 (outer diameter 12mm) 1
PTT2009
DT
NE
17651 / 1
SpiroTect laryngectomy tube 44mm length (non-perforated) Size 9 (outer diameter 13.5mm) 1
PTT2010
DT
NE
17644 / 1
SpiroTect laryngectomy tube 44mm length (perforated) Size 10 (outer diameter 15mm) 1
PTT2003
DT
NE
17645 / 1
SpiroTect laryngectomy tube 44mm length (perforated) Size 12 (outer diameter 17mm) 1
PTT2004
DT
NE
17642 / 1
SpiroTect laryngectomy tube 44mm length (perforated) Size 8 (outer diameter 12mm) 1
PTT2001
DT
NE
17643 / 1
SpiroTect laryngectomy tube 44mm length (perforated) Size 9 (outer diameter 13.5mm) 1
PTT2002
DT
NE
17656 / 1
SpiroTect laryngectomy tube 62mm length (non-perforated) Size 10 (outer diameter 15mm) 1
PTT2015
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 471 of 550
Code/Pack
Description
DT CD ZD N E D
17657 / 1
SpiroTect laryngectomy tube 62mm length (non-perforated) Size 12 (outer diameter 17mm) 1
PTT2016
DT
NE
17654 / 1
SpiroTect laryngectomy tube 62mm length (non-perforated) Size 8 (outer diameter 12mm) 1
PTT2013
DT
NE
17655 / 1
SpiroTect laryngectomy tube 62mm length (non-perforated) Size 9 (outer diameter 13.5mm) 1
PTT2014
DT
NE
17648 / 1
SpiroTect laryngectomy tube 62mm length (perforated) Size 10 (outer diameter 15mm) 1
PTT2007
DT
NE
17649 / 1
SpiroTect laryngectomy tube 62mm length (perforated) Size 12 (outer diameter 17mm) 1
PTT2008
DT
NE
17646 / 1
SpiroTect laryngectomy tube 62mm length (perforated) Size 8 (outer diameter 12mm) 1
PTT2005
DT
NE
17647 / 1
SpiroTect laryngectomy tube 62mm length (perforated) Size 9 (outer diameter 13.5mm) 1
PTT2006
DT
NE
9215 / 2
SpiroTect Shower Protector (only for use with SpiroTect HME System) 2
PTA100
DT
NE
8485 / 1
SpiroTect tracheostomy 1 piece tube holder 1
PTA200
DT
NE
2857 / 1
SpiroTect tracheostomy 2 piece tube holder adult 1
PTA201
DT
NE
2912 / 1
SpiroTect tracheostomy 2 piece tube holder child 1
PTA301
DT
NE
8499 / 50
SpiroTect tube cleaning swab 50
PTA300
DT
NE
17159 / 1
SportVis Injection 1
DT
NE
17160 / 2
SportVis Injection 2
DT
NE
1422 / 100
SST Saliva Stimulating Tablets 100
DT
NED
1060 / 1
Standard Dressing No.16 Eye Pad with Bandage
DT
NE
9305 / 1
Stayform Bandage 5cmx4m
DT
NE
9322 / 1
Stayform Bandage 7.5cmx4m
DT
NE
9330 / 1
Stayform Bandage 10cmx4m
DT
NE
9343 / 1
Stayform Bandage 15cmx4m
DT
NE
17854 / 1
Sterac Sodium Chloride Irrigation Solution Bottle 150ml 1
Code No. of bottles dispensed
DT
NE
17625 / 1
Sterac Water For Irrigation Pour Bottle 150ml 1
Code No. of Bottles dispensed
DT
NE
5837 / 100
Sterets Skin Cleansing Swab, Alcohol Impregnated 3cm x 3cm 100
DT
NE
1852 / 1
Stericlens Saline Irrigation Fluid Aerosol 100ml 1
Code No. of Aerosols dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 472 of 550
Code/Pack
Description
DT CD ZD N E D
1853 / 1
Stericlens Saline Irrigation Fluid Aerosol 240ml 1
Code No. of Aerosols dispensed
DT
NE
5110 / 100
Sterilance Lite II Safety Lancet 1.8mm/18 gauge 100
DT
NE
5112 / 100
Sterilance Lite II Safety Lancet 1.8mm/21 gauge 100
DT
NE
5113 / 100
Sterilance Lite II Safety Lancet 1.8mm/26 gauge 100
DT
NE
5114 / 100
Sterilance Lite II Safety Lancet 1.8mm/28 gauge 100
DT
NE
5115 / 100
Sterilance Lite II Safety Lancet 2.4mm/21 gauge 100
DT
NE
5096 / 100
Sterilance Lite II Safety Lancet 2.4mm/26 gauge 100
DT
NE
9526 / 1
Sterile Dressing Pack with Non-Woven Pads Specification 35 1
DT
NE
8851 / 1
Sterile Polyamide 6 Suture W1615T 45cm/16mm
Box of 24 Sutures should be coded /1
Stock Orders Only
DT
NE
9439 / 1
Sterile Polyamide 6 Suture W319 45cm/19mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
9436 / 1
Sterile Polyamide 6 Suture W320 45cm/26mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
5836 / 1
Sterile Polyamide 6 Suture, monofilament W1621T 45cm/(blue)19mm
Box of 24 Sutures should be coded /1
DT
NE
9554 / 1
Steriload Intrauterine Device 1
DT
NE
17596 / 1
Sterimar Baby Nasal Spray 50ml 1
DT
NE
5626 / 1
Sterimar Hypertonic Nasal Spray 50ml 1
DT
NE
7769 / 1
Sterimar Isotonic Nasal Spray 50ml 1
DT
NE
6586 / 25
Steripods Saline Irrigation Fluid 20ml 25
Code No. of Sachets dispensed
DT
NE
9414 / 1
Steri-strip No.GP41 Skin Closure Strips 6mmx75mm (3x12 Envelopes) 1
Only
Code No. of Packs dispensed
DT
NE
8040 / 25
Sterowash Sodium Chloride 0.9% Irrigation Solution Pod 20ml x 25
Code No. of Pods dispensed
DT
NE
6732 / 30
Stoma-Quick Laryngectomy Protector 5x7cm 30
71-0045-15N
DT
NE
6721 / 30
Stoma-Quick Laryngectomy Protector 7x7cm 30
71-0045-17N
DT
NE
8894 / 1
Strappal Zinc Oxide Adhesive Tape 2.5cmx5m
DT
NE
8863 / 1
Strappal Zinc Oxide Adhesive Tape 5cmx5 m
DT
NE
8878 / 1
Strappal Zinc Oxide Adhesive Tape 7.5cmx5m
DT
NE
Stock Orders Only
Stock Orders
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 473 of 550
Code/Pack
Description
DT CD ZD N E D
6518 / 1
Suplasyn Synovial Fluid Pre-filled Syringe 20mg/2ml 1
Code No. of Syringes dispensed
DT
NE
6517 / 1
Suplasyn Synovial Vial 20mg/2ml 1
DT
NE
8790 / 1
Surepress Absorbent Padding 10cmx3m
DT
NE
9497 / 1
Surepress Bandage 10cmx3m
DT
NE
1165 / 1
Surgical Adhesive Tape BP (Impermeable Plastic Adhesive Tape BP) 2.5cmx3m
DT
NE
1168 / 1
Surgical Adhesive Tape BP (Impermeable Plastic Adhesive Tape BP) 2.5cmx5m
DT
NE
1169 / 1
Surgical Adhesive Tape BP (Impermeable Plastic Adhesive Tape BP) 5cmx5m
DT
NE
1170 / 1
Surgical Adhesive Tape BP (Impermeable Plastic Adhesive Tape BP) 7.5cmx5m
DT
NE
4908 / 1
Suspender Belt For Hosiery
DT
NE
4904 / 1
Suspender Spare For Thigh Stocking
DT
NE
1045 / 1
Suspensory Cotton Bandage
Type 1 (Extra Large)
DT
NE
1048 / 1
Suspensory Cotton Bandage
Type 1 (Large)
DT
NE
1020 / 1
Suspensory Cotton Bandage
Type 1 (Medium)
DT
NE
1033 / 1
Suspensory Cotton Bandage
Type 1 (Small)
DT
NE
9333 / 1
Suspensory Cotton Bandage
Type 2 (Extra Large)
DT
NE
9326 / 1
Suspensory Cotton Bandage
Type 2 (Large)
DT
NE
9315 / 1
Suspensory Cotton Bandage
Type 2 (Medium)
DT
NE
9307 / 1
Suspensory Cotton Bandage
Type 2 (Small)
DT
NE
9369 / 1
Suspensory Cotton Bandage
Type 3 (Extra Large)
DT
NE
9362 / 1
Suspensory Cotton Bandage
Type 3 (Large)
DT
NE
9350 / 1
Suspensory Cotton Bandage
Type 3 (Medium)
DT
NE
9344 / 1
Suspensory Cotton Bandage
Type 3 (Small)
DT
NE
9194 / 1
Sutherland Lubricating Sterile Jelly Sachet 5g 1
Code Number of Sachets Dispensed
DT
NE
9312 / 42
Sutherland Lubricating Sterile Jelly Tube 42g
DT
NE
9514 / 82
Sutherland Lubricating Sterile Jelly Tube 82g
DT
NE
5835 / 1
Suture Ethicon Vicryl Plus VCP497H 2.0gauge 45cm 19mm
Box of 36 Sutures should be coded /1
DT
NE
Stock Orders Only
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 474 of 550
Code/Pack
Description
DT CD ZD N E D
5834 / 1
Suture Ethicon Vicryl Plus VCP683H 2.0gauge 45cm 24mm
Box of 36 Sutures should be coded /1
9962 / 1
Suture Ethicon Vicryl Rapide W9915 45cm 12mm
Box of 12 Sutures should be coded /1
8859 / 1
Stock Orders Only
DT
NE
Stock Orders Only
DT
NE
Suture Ethicon Vicryl Rapide W9918 75cm 16mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
9974 / 1
Suture Ethicon Vicryl Rapide W9922 75cm 16mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
8880 / 1
Suture Ethicon Vicryl Rapide W9923 75cm 19mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
8866 / 1
Suture Ethicon Vicryl Rapide W9932 75cm 26mm
Box of 12 Sutures should be coded /1
Stock Orders Only
DT
NE
8891 / 1
Suture Ethicon Vicryl W9074 45cm 16mm
Box of 12 Sutures should be coded /1
DT
NE
5832 / 1
Suture Ethicon Vicryl W9515T 1.5gauge 45cm 19mm
Box of 24 Sutures should be coded /1
Stock Orders Only
DT
NE
5833 / 1
Suture Ethicon Vicryl W9516T 2.0gauge 45cm 19mm
Box of 24 Sutures should be coded /1
Stock Orders Only
DT
NE
9957 / 1
Suture Sterile Polyamide Synthetic W1618T 45cm 19mm
Box of 24 Sutures should be coded /1
Stock Orders Only
DT
NE
8858 / 1
Suture Sterile Polypropylene W8020T 45cm/26mm
Box of 24 Sutures should be coded /1
Stock Orders Only
DT
NE
4979 / 40
Sylk Vaginal Moisturiser Tube 40g
DT
NE
275 / 100
SylkFeel Ultra-Thin Lancet 0.20mm/33 gauge 100
DT
NE
6532 / 1
Synocrom Mini Synovial Fluid Pre-Filled Syringe 10mg/1ml 1
Code No. of Syringes dispensed
DT
NE
6512 / 1
Synocrom Synovial Fluid Pre-Filled Syringe 20mg/2ml 1
Code No. of Syringes dispensed
DT
NE
3895 / 1
Synolis Synovial Fluid Pre-Filled Syringe (1 x 2ml) 1
Code No. of Treatment Packs dispensed
DT
NE
3417 / 1
Synolis Synovial Fluid Pre-Filled Syringe (3 x 2ml) 1
Code No. of Treatment Packs dispensed
DT
NE
8874 / 1
Synopsis Synovial Fluid Pre-filled Syringe (40mg/2ml) 1
Code No. of Syringes dispensed
DT
NE
6409 / 1
Synvisc ONE Synovial Fluid Pre-filled Syringe (1 x 6ml) 1
Code No. of Treatment Packs dispensed
DT
NE
6424 / 1
Synvisc Synovial Fluid Pre-filled Syringe (3 x 2ml) 1
Code No. of Treatment Packs dispensed
DT
NE
1573 / 10
Systane Balance Eye Drops 10ml
DT
NE
6835 / 28
Systane Eye Drops 0.8ml single dose unit 28
DT
NE
6706 / 10
Systane Eye Drops 10ml
DT
NE
Stock Orders Only
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 475 of 550
Code/Pack
Description
DT CD ZD N E D
2727 / 10
Systane Gel Drops Eye Drop 10ml
DT
NE
8864 / 30
Systane Ultra Eye Drops 0.7ml Single Dose Unit 30
DT
NE
9990 / 10
Systane Ultra Eye Drops 10ml
DT
NE
9267 / 1
System 4 # 1 Softexe Bandage 10cmx3.5m
DT
NE
9275 / 1
System 4 # 2 Setocrepe Bandage 10cmx4.5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 476 of 550
Code/Pack
Description
DT CD ZD N E D
T
17294 / 10
Tear-Lac (DT) (10ml preservative free bottle) Eye Drops 10ml
DT
NE
5852 / 1
Tegaderm IV Central Line Dressing 8.5x10.5
(Box of 50)
DT
NE
5851 / 1
Tegaderm IV Peripheral Line Dressing 7cmx8.5cm
(Box of 5)
DT
NE
6127 / 1
Tegaderm IV PICC Line Dressing 10cmx15.5cm
(Box of 25)
DT
NE
9413 / 1
Tensopress VEC High Compression Bandage 7.5cmx3m
DT
NE
9427 / 1
Tensopress VEC High Compression Bandage 10cmx3m
DT
NE
458 / 1
TheraBite Jaw Rehabilitation Device Adult, Paediatric 1
DT
NE
459 / 4
TheraBite Jaw Rehabilitation Device Bite Pads Adult, Edentulous,Paediatric 4
DT
NE
3968 / 200
Thin Lancets 0.36/28 gauge 200
DT
NE
17311 / 125
Thirty:30 Ointment 125g
DT
NE
17324 / 250
Thirty:30 Ointment 250g
DT
NE
17328 / 500
Thirty:30 Ointment 500g
DT
NE
6415 / 1
Threshold IMT Device 1
DT
NE
17980 / 2
TracheoFix speaking valve 2
121450-000000
DT
NE
7864 / 10
Tracheostomy Cannula Cleaning Swabs Large TCS/900 10
DT
NE
7854 / 10
Tracheostomy Cannula Cleaning Swabs Small TCS/950 10
DT
NE
2838 / 10
Tracheostomy Lite Protector Large Beige 10
LA BLT 1003
DT
NE
2976 / 10
Tracheostomy Lite Protector Large Blue 10
LA BLT 1002
DT
NE
2367 / 10
Tracheostomy Lite Protector Large White 10
LA BLT 1001
DT
NE
2195 / 10
Tracheostomy Lite Protector Small Beige 10
LA BLT 2003
DT
NE
2208 / 10
Tracheostomy Lite Protector Small Blue 10
LA BLT 2002
DT
NE
2234 / 10
Tracheostomy Lite Protector Small White 10
LA BLT 2001
DT
NE
7524 / 2
Tracheostomy Protectors Cascade Shower 2
AS/3835
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 477 of 550
Code/Pack
Description
DT CD ZD N E D
9405 / 10
Tracheostomy Protectors Type 1 Buchannan Large 10
DT
NE
9410 / 10
Tracheostomy Protectors Type 1 Buchannan Small 10
DT
NE
9425 / 10
Tracheostomy Protectors Type 3 Hirst 10
DT
NE
6920 / 1
Trachi-Dress F tracheostomy dressing 80mm x 100mm 1
TR DRF 1002
DT
NE
7606 / 1
Trachi-Dress Sterile Dressing Large 80mmx100mm 1
TR DRE 0002
DT
NE
7543 / 1
Trachi-Dress Sterile Dressing Small 60mmx82mm 1
TR DRE 0001
DT
NE
7663 / 1
Trachi-Hold Tracheostomy Tube Holder Adult 1
TR ACC 0012
DT
NE
7721 / 1
Trachi-Hold Tracheostomy Tube Holder Child 1
TR ACC 0014
DT
NE
5940 / 1
Trachi-Hold Tracheostomy Tube Holder Mini 1
TR ACC 0030
DT
NE
7350 / 1
Trachi-Naze Baseplate Clear Adhesive Waterproof Film
LANNZ 0007
DT
NE
7333 / 1
Trachi-Naze Baseplate Hydrocolloid Large
LANNZ 0005
DT
NE
7329 / 1
Trachi-Naze Baseplate Hydrocolloid Standard
LANNZ 0004A
DT
NE
7336 / 1
Trachi-Naze Baseplate Non-Woven Large
LANNZ 0006
DT
NE
7308 / 1
Trachi-Naze Blue Filter System
LANNZ 0001A
DT
NE
7313 / 1
Trachi-Naze Green Filter System
LANNZ 0002A
DT
NE
5950 / 1
Trachi-Naze Hands Free Valve 'Type A' (For Replacement Only) 1
LATNV 1001
DT
NE
5380 / 1
Trachi-Naze Nasal Restoration System 1 Hands Free Valve Type B 1
LATNV 2001 (for replacement only)
DT
NE
7923 / 1
Trachi-Naze Nasal Restoration System Occlusion Cap (Pack of 3) 1
LATNV 3001
DT
NE
7317 / 1
Trachi-Naze Orange Filter System
LANNZ 0003A
DT
NE
7380 / 1
Trachi-Naze Plus Blue Filters
LATNP 1001
DT
NE
7383 / 1
Trachi-Naze Plus Green Filters
LATNP 1002
DT
NE
7866 / 1
Trachi-Naze Plus Laryngectomy Tube
Length 20mm, 30mm, 40mm, 50mm, 60mm Diameter 8mm, 10mm, 12mm ,14mm
DT
NE
7404 / 1
Trachi-Naze Plus Orange Filters
LATNP 1003
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 478 of 550
Code/Pack
Description
DT CD ZD N E D
7448 / 1
Trachi-Naze Plus Stoma Stud Long Length size 2
LATNP 3003
DT
NE
7450 / 1
Trachi-Naze Plus Stoma Stud Long Length size 4
LATNP 3004
DT
NE
7456 / 1
Trachi-Naze Plus Stoma Stud Long Length size 6
LATNP 3005
DT
NE
7435 / 1
Trachi-Naze Plus Stoma Stud Long Length size 8
LATNP 3001
DT
NE
7444 / 1
Trachi-Naze Plus Stoma Stud Long Length size 10
LATNP 3002
DT
NE
7412 / 1
Trachi-Naze Plus Stoma Stud Short Length size 2
LATNP 2003
DT
NE
7419 / 1
Trachi-Naze Plus Stoma Stud Short Length size 4
LATNP 2004
DT
NE
7431 / 1
Trachi-Naze Plus Stoma Stud Short Length size 6
LATNP 2005
DT
NE
7407 / 1
Trachi-Naze Plus Stoma Stud Short Length size 8
LATNP 2001
DT
NE
7409 / 1
Trachi-Naze Plus Stoma Stud Short Length size 10
LATNP 2002
DT
NE
9210 / 50
Trachi-Swab Extra Large (for tubes over 8mm ID ) 50
TR SWB 3050
DT
NE
6632 / 50
Trachi-Swab Large (for tubes 6 to 8mm ID ) 50
TR SWB 0250
DT
NE
6687 / 50
Trachi-Swab Small (for tubes up to 5mm ID ) 50
TR SWB 0150
DT
NE
4952 / 30
Trachi-Wipe (Skin Wipe) 10
LANNZ 3001
DT
NE
2705 / 1
Transpore (DT) Tape 1.25cmx5m 1
DT
NE
2699 / 1
Transpore (DT) Tape 2.5cmx5m 1
DT
NE
2406 / 1
Transpore (DT) Tape 5cmx5m 1
DT
NE
1034 / 1
Triangular Calico Bandage BP 90cm sides 127cm base
DT
NE
9231 / 100
TriCare needles for pre-filled / reusable pen injectors screw on 4mm/32gauge 100
DT
NE
9232 / 100
TriCare needles for pre-filled / reusable pen injectors screw on 5mm/31gauge 100
DT
NE
9382 / 100
TriCare needles for pre-filled / reusable pen injectors screw on 6mm/31gauge 100
DT
NE
9474 / 100
TriCare needles for pre-filled / reusable pen injectors screw on 8mm/31gauge 100
DT
NE
2386 / 100
TRUEplus Lancets 0.195mm/33 gauge 100
DT
NE
2439 / 100
TRUEplus Lancets 0.32mm/30 gauge 100
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 479 of 550
Code/Pack
Description
DT CD ZD N E D
4806 / 1
Truss Double Inguinal/Scrotal Back Pad (Fixed or Sliding) Extra 1
DT
NE
4754 / 1
Truss Elastic Band Inguinal Double
DT
NE
4789 / 1
Truss Elastic Band Inguinal Double Measured and Fitted
DT
NE
4753 / 1
Truss Elastic Band Inguinal Single
DT
NE
4788 / 1
Truss Elastic Band Inguinal Single Measured and Fitted
DT
NE
4756 / 1
Truss Elastic Band Scrotal Double
DT
NE
4791 / 1
Truss Elastic Band Scrotal Double Measured and Fitted
DT
NE
4755 / 1
Truss Elastic Band Scrotal Single
DT
NE
4790 / 1
Truss Elastic Band Scrotal Single Measured and Fitted
DT
NE
4821 / 1
Truss Elastic Band Special Double Extra 1
DT
NE
4825 / 1
Truss Elastic Band Special Single Extra 1
DT
NE
4793 / 1
Truss Elastic Band Umbilical Belt Double Measured and Fitted
DT
NE
4792 / 1
Truss Elastic Band Umbilical Belt Single Measured and Fitted
DT
NE
4758 / 1
Truss Elastic Band Umbilical Double
DT
NE
4761 / 1
Truss Elastic Band Umbilical Single
DT
NE
4849 / 1
Truss Replacement Understrap for Inguinal or Femoral Trusses 1
DT
NE
4736 / 1
Truss Spring Femoral Double
DT
NE
4771 / 1
Truss Spring Femoral Double Measured & Fitted
DT
NE
4735 / 1
Truss Spring Femoral Single
DT
NE
4770 / 1
Truss Spring Femoral Single Measured & Fitted
DT
NE
4732 / 1
Truss Spring Inguinal Double
DT
NE
4767 / 1
Truss Spring Inguinal Double Measured and Fitted
DT
NE
4734 / 1
Truss Spring Inguinal Rat-Tail Double
DT
NE
4769 / 1
Truss Spring Inguinal Rat-Tail Double Measured & Fitted
DT
NE
4733 / 1
Truss Spring Inguinal Rat-Tail Single
DT
NE
4768 / 1
Truss Spring Inguinal Rat-Tail Single Measured & Fitted
DT
NE
4731 / 1
Truss Spring Inguinal Single
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 480 of 550
Code/Pack
Description
DT CD ZD N E D
4766 / 1
Truss Spring Inguinal Single Measured and Fitted
DT
NE
4739 / 1
Truss Spring Inguinal/Scrotal Double
DT
NE
4774 / 1
Truss Spring Inguinal/Scrotal Double Measured & Fitted
DT
NE
4738 / 1
Truss Spring Scrotal Double
DT
NE
4773 / 1
Truss Spring Scrotal Double Measured & Fitted
DT
NE
4737 / 1
Truss Spring Scrotal Single
DT
NE
4772 / 1
Truss Spring Scrotal Single Measured & Fitted
DT
NE
4811 / 1
Truss Spring Slotted, Polished Spring Ends Double Extra 1
DT
NE
4812 / 1
Truss Spring Slotted, Polished Spring Ends Single Extra 1
DT
NE
4807 / 1
Truss Spring Special Double Extra 1
DT
NE
4809 / 1
Truss Spring Special Single Extra 1
DT
NE
1079 / 10
TS-A Safety Insulin Syringe 1ml (29G/0.33mm) 10
DT
NE
1052 / 1
Tubegauz 01 Tubular Gauze Stockinette 1.5cmx20m
Stock Orders Only
DT
NE
1053 / 1
Tubegauz 12 Tubular Gauze Stockinette 2.6-2.8cmx20m
Stock Orders Only
DT
NE
1054 / 1
Tubegauz 34 Tubular Gauze Stockinette 3.6cmx20m
Stock Orders Only
DT
NE
1055 / 1
Tubegauz 56 Tubular Gauze Stockinette 6.7cmx20m
Stock Orders Only
DT
NE
1056 / 1
Tubegauz 78 Tubular Gauze Stockinette 7.7cmx20m
Stock Orders Only
DT
NE
9308 / 1
Tubegauz T1 Tubular Gauze Stockinette 9.8cmx20m
Stock Orders Only
DT
NE
9332 / 1
Tubegauz T2 Tubular Gauze Stockinette 15.8cmx20m
Stock Orders Only
DT
NE
9345 / 1
Tubifast 2-way stretch Blue Line Large Limb Stockinette 7.5cmx1m
DT
NE
9228 / 1
Tubifast 2-way stretch Blue Line Large Limb Stockinette 7.5cmx3m
DT
NE
9258 / 1
Tubifast 2-way stretch Blue Line Large Limb Stockinette 7.5cmx5m
DT
NE
5937 / 2
Tubifast 2-way Stretch Gloves Extra Small Child Stockinette Garments 2
Code no. of gloves dispensed
DT
NE
5935 / 2
Tubifast 2-way Stretch Gloves Medium/Large Adult Stockinette Garments 2
Code no. of gloves dispensed
DT
NE
5936 / 2
Tubifast 2-way Stretch Gloves Small Child Stockinette Garments 2
Code no. of gloves dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 481 of 550
Code/Pack
Description
DT CD ZD N E D
5190 / 2
Tubifast 2-way Stretch Gloves Small/Medium Adult Stockinette Garments 2
Code no. of gloves dispensed
DT
NE
9338 / 1
Tubifast 2-way stretch Green Line Medium Limb Stockinette 5cmx1m
DT
NE
9201 / 1
Tubifast 2-way stretch Green Line Medium Limb Stockinette 5cmx3m
DT
NE
9213 / 1
Tubifast 2-way stretch Green Line Medium Limb Stockinette 5cmx5m
DT
NE
3867 / 1
Tubifast 2-way stretch Purple Line Trunk Large Adult Stockinette 20cm x 1m 1
DT
NE
3921 / 1
Tubifast 2-way stretch Purple Line Trunk Large Adult Stockinette 20cm x 5m 1
DT
NE
9599 / 1
Tubifast 2-way stretch Red Line Small Limb Stockinette 3.5cmx1m
DT
NE
9352 / 1
Tubifast 2-way stretch Yellow Line Trunks Child Stockinette 10.75cmx1m
DT
NE
9242 / 1
Tubifast 2-way stretch Yellow Line Trunks Child Stockinette 10.75cmx3m
DT
NE
9291 / 1
Tubifast 2-way stretch Yellow Line Trunks Child Stockinette 10.75cmx5m
DT
NE
9009 / 1
Tubifast Leggings Stockinette Garments 2-5 Years
Code No of Pairs Dispensed
DT
NE
9022 / 1
Tubifast Leggings Stockinette Garments 5-8 Years
Code No of Pairs Dispensed
DT
NE
9050 / 1
Tubifast Leggings Stockinette Garments 8-11 Years
Code No of Pairs Dispensed
DT
NE
9052 / 1
Tubifast Leggings Stockinette Garments 11-14 Years
Code No of Pairs Dispensed
DT
NE
9059 / 1
Tubifast Socks Stockinette Garments One Size
Code No of Pairs Dispensed
DT
NE
9079 / 1
Tubifast Tights Stockinette Garments 6-24 Months
Code No of Pairs Dispensed
DT
NE
9060 / 1
Tubifast Vest Stockinette Garments 2-5 Years
DT
NE
9061 / 1
Tubifast Vest Stockinette Garments 5-8 Years
DT
NE
9063 / 1
Tubifast Vest Stockinette Garments 6-24 Months
DT
NE
9077 / 1
Tubifast Vest Stockinette Garments 8-11 Years
DT
NE
9078 / 1
Tubifast Vest Stockinette Garments 11-14 Years
DT
NE
1089 / 1
Tubigrip Stockinette Elasticated Surgical Tubular B 6.25cmx0.5m
DT
NE
1110 / 1
Tubigrip Stockinette Elasticated Surgical Tubular B 6.25cmx1m
DT
NE
1090 / 1
Tubigrip Stockinette Elasticated Surgical Tubular C 6.75cmx0.5m
DT
NE
1111 / 1
Tubigrip Stockinette Elasticated Surgical Tubular C 6.75cmx1m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 482 of 550
Code/Pack
Description
DT CD ZD N E D
1096 / 1
Tubigrip Stockinette Elasticated Surgical Tubular D 7.5cmx0.5m
DT
NE
1113 / 1
Tubigrip Stockinette Elasticated Surgical Tubular D 7.5cmx1m
DT
NE
1100 / 1
Tubigrip Stockinette Elasticated Surgical Tubular E 8.75cmx0.5m
DT
NE
1115 / 1
Tubigrip Stockinette Elasticated Surgical Tubular E 8.75cmx1m
DT
NE
1101 / 1
Tubigrip Stockinette Elasticated Surgical Tubular F 10cmx0.5m
DT
NE
1116 / 1
Tubigrip Stockinette Elasticated Surgical Tubular F 10cmx1m
DT
NE
1107 / 1
Tubigrip Stockinette Elasticated Surgical Tubular G 12cmx0.5m
DT
NE
1117 / 1
Tubigrip Stockinette Elasticated Surgical Tubular G 12cmx1m
DT
NE
9416 / 15
Tubilux Eye Drops 1.4% 15ml
DT
NE
9325 / 1
Tubipad Stockinette Elasticated Surgical Tubular Sacral 28cmx27cm
‘P9’ Medium
DT
NE
9331 / 1
Tubipad Stockinette Elasticated Surgical Tubular Sacral 35cmx27cm
‘P9’ Large
DT
NE
9309 / 1
Tubipad Stockinette Elasticated Surgical Tubular 6.5cmx60cm
'P4' Small Heel/ Elbow/Knee
DT
NE
9314 / 1
Tubipad Stockinette Elasticated Surgical Tubular 7.5cmx60cm
'P4X' MediumHeel/ Elbow/Knee
DT
NE
9361 / 1
Tubipad Stockinette Elasticated Surgical Tubular 10cmx60cm
'P5' Large Heel/ Elbow/Knee
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 483 of 550
Code/Pack
Description
DT CD ZD N E D
U
9630 / 1
UCS Debridement Pad 1
DT
NE
8730 / 1
Ulcer X Stocking & Compression Liner Pack Open Toe Plus 1
Short,Long S,M,L (pack contains 1 stocking and 2 liners)
DT
NE
8591 / 1
Ulcer X Venous Stocking & Compression Liner Pack Open Toe 1
Short,Long S,M,L (pack contains 1 stocking and 2 liners)
DT
NE
8815 / 1
Ulcer X Compression Liner Pack Closed Toe 1
Short,Long S,M,L (pack contains 4 liners - 18-21mmHg)
DT
NE
6939 / 1
Ulcertec Leg Ulcer Compression System Liner & Stocking Long 1
DT
NE
6927 / 1
Ulcertec Leg Ulcer Compression System Liner & Stocking Short 1
DT
NE
9247 / 1
Ultra Four # 1 Ultra Soft Wadding Bandage 10cmx3.5m
DT
NE
1264 / 1
Ultra Four # 2 Ultra Lite Bandage 10cmx4.5m
DT
NE
8923 / 1
Ultra Four # 3 Ultra Plus Bandage 10cmx8.7m
DT
NE
9252 / 1
Ultra Four # 4 Ultra Fast Cohesive Bandage 10cmx6.3m
DT
NE
9947 / 1
Ultra Four 4 Layer System Bandage Kits 18 - 25cm ankle circumference
DT
NE
4817 / 1
Ultra Four 4 Layer System Bandage Kits Reduced Compression ankle circumference
DT
NE
4813 / 1
Ultra Four 4 Layer System Bandage Kits Up to 18cm ankle circumference
DT
NE
3740 / 1
Ultrabreathe muscle training device 1 device
DT
NE
2586 / 100
Unifine Pentips Needles for Pre-filled and Re-useable Pen 4mm/32Gauge 100
DT
NE
17259 / 100
Unifine Pentips Plus Screw On Needles for Re-useable Pens 12mm/29Gauge 100
DT
NE
17986 / 100
Unifine Pentips Plus Screw On Needles for Re-useable Pens 4mm/32Gauge 100
DT
NE
17342 / 100
Unifine Pentips Plus Screw On Needles for Re-useable Pens 5mm/31Gauge 100
DT
NE
17265 / 100
Unifine Pentips Plus Screw On Needles for Re-useable Pens 6mm/31Gauge 100
DT
NE
17258 / 100
Unifine Pentips Plus Screw On Needles for Re-useable Pens 8mm/31Gauge 100
DT
NE
17341 / 100
Unifine Pentips Screw On Needles for Re-useable Pens 5mm/31Gauge 100
DT
NE
5363 / 100
Unifine Pentips Screw On Needles for Re-useable Pens 6mm/31Gauge 100
DT
NE
5364 / 100
Unifine Pentips Screw On Needles for Re-useable Pens 8mm/31Gauge 100
DT
NE
5365 / 100
Unifine Pentips Screw On Needles for Re-useable Pens 12mm/29Gauge 100
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 484 of 550
Code/Pack
Description
DT CD ZD N E D
8862 / 100
Unilet Comfortouch Lancets 0.375/28gauge 100
DT
NE
8847 / 200
Unilet Comfortouch Lancets 0.375/28gauge 200
DT
NE
2599 / 100
Unilet Eco Lancets 0.375mm/28 gauge 100
DT
NE
2635 / 200
Unilet Eco Lancets 0.375mm/28 gauge 200
DT
NE
1192 / 100
Unilet General Purpose Superlite Lancets 0.66mm/23gauge 100
DT
NE
1195 / 200
Unilet General Purpose Superlite Lancets 0.66mm/23gauge 200
DT
NE
8811 / 50
Unistik 3 Comfort Lancets 1.8mm/28gauge 50
DT
NE
1434 / 100
Unistik 3 Comfort Lancets 1.8mm/28gauge 100
DT
NE
1435 / 200
Unistik 3 Comfort Lancets 1.8mm/28gauge 200
DT
NE
1468 / 100
Unistik 3 Extra Lancets 2.0mm/21gauge 100
DT
NE
1469 / 200
Unistik 3 Extra Lancets 2.0mm/21gauge 200
DT
NE
1119 / 50
Unistik 3 Gentle Lancets 1.5mm/30gauge 50
DT
NE
1099 / 100
Unistik 3 Gentle Lancets 1.5mm/30gauge 100
DT
NE
1389 / 200
Unistik 3 Gentle Lancets 1.5mm/30gauge 200
DT
NE
8823 / 50
Unistik 3 Normal Lancets 1.8mm/23gauge 50
DT
NE
1437 / 100
Unistik 3 Normal Lancets 1.8mm/23gauge 100
DT
NE
1439 / 200
Unistik 3 Normal Lancets 1.8mm/23gauge 200
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 485 of 550
Code/Pack
Description
DT CD ZD N E D
V
1204 / 1
Vaginal Applicator Type 1 Gynest 1
DT
NE
4026 / 2
Varicase Class 1 (18-21mmHg) Below Knee Closed Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4027 / 2
Varicase Class 1 (18-21mmHg) Below Knee Closed Toe Petite 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4023 / 2
Varicase Class 1 (18-21mmHg) Below Knee Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4024 / 2
Varicase Class 1 (18-21mmHg) Below Knee Open Toe Petite 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4147 / 2
Varicase Class 1 (18-21mmHg) Thigh Length Petite Silicone Top Closed Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4089 / 2
Varicase Class 1 (18-21mmHg) Thigh Length Petite Silicone Top Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4164 / 2
Varicase Class 1 (18-21mmHg) Thigh Length Silicone Top Closed Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
6699 / 2
Varicase Class 1 (18-21mmHg) Thigh Length Silicone Top Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4204 / 2
Varicase Class 2 (23-32mmHg) Below Knee Closed Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4235 / 2
Varicase Class 2 (23-32mmHg) Below Knee Closed Toe Petite 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4177 / 2
Varicase Class 2 (23-32mmHg) Below Knee Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4202 / 2
Varicase Class 2 (23-32mmHg) Below Knee Open Toe Petite 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4295 / 2
Varicase Class 2 (23-32mmHg) Compression Sock Below Knee Closed Toe Unisex 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4266 / 2
Varicase Class 2 (23-32mmHg) Thigh Length Petite Silicone Top Closed Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4243 / 2
Varicase Class 2 (23-32mmHg) Thigh Length Petite Silicone Top Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4287 / 2
Varicase Class 2 (23-32mmHg) Thigh Length Silicone Top Closed Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4265 / 2
Varicase Class 2 (23-32mmHg) Thigh Length Silicone Top Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4383 / 2
Varicase Class 3 (34-46mmHg) Below Knee Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4397 / 2
Varicase Class 3 (34-46mmHg) Below Knee Open Toe Petite 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
4406 / 2
Varicase Class 3 (34-46mmHg) Thigh Length Petite Silicone Top Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 486 of 550
Code/Pack
Description
DT CD ZD N E D
4422 / 2
Varicase Class 3 (34-46mmHg) Thigh Length Silicone Top Open Toe 2
S, M, L, XL, XXL Code Each Pair /2
DT
NE
3243 / 1
VaxAid Erection Pack Of Six Constrictor Rings 20mm, 24mm, 28mm, 32mm, 36mm, 40mm 1
VPER1
DT
NE
3049 / 1
VaxAid Erection Pack Of Three Constrictor Rings 20mm, 24mm, 28mm 1
VPER2
DT
NE
3000 / 1
VaxAid Erection Pack Of Three Constrictor Rings 32mm, 36mm, 40mm 1
VPER3
DT
NE
3036 / 1
VaxAid Erection Single Constrictor Rings 20mm 1
VSER20
DT
NE
3327 / 1
VaxAid Erection Single Constrictor Rings 24mm 1
VSER24
DT
NE
3345 / 1
VaxAid Erection Single Constrictor Rings 28mm 1
VSER28
DT
NE
3332 / 1
VaxAid Erection Single Constrictor Rings 32mm 1
VSER32
DT
NE
3238 / 1
VaxAid Erection Single Constrictor Rings 36mm 1
VSER36
DT
NE
3297 / 1
VaxAid Erection Single Constrictor Rings 40mm 1
VSER40
DT
NE
1908 / 1
VaxAid Hydropump V30 Vacuum Pump 1
VX30PR
DT
NE
8900 / 1
Velband Absorbent Padding Bandage 10cmx4.5m
DT
NE
4258 / 2
Venosan 5000 Class1 (5001)(18-21mmHg) Below Knee 2
S,M,L,XL Code each pair /2
DT
NE
4259 / 2
Venosan 5000 Class1 (5001)(18-21mmHg) Thigh High with Self Supporting Silicone Top Band 2 DT
S,M,L,XL Code each pair /2
NE
4260 / 2
Venosan 5000 Class2 (5002)(23-32mmHg) Below Knee 2
S,M,L,XL Code each pair /2
DT
NE
4262 / 2
Venosan 5000 Class2 (5002)(23-32mmHg) Thigh High with Self Supporting Silicone Top Band 2 DT
S,M,L,XL Code each pair /2
NE
4263 / 2
Venosan 5000 Class3 (5003)(34-46mmHg) Below Knee 2
S,M,L,XL Code each pair /2
DT
NE
6777 / 2
Venosan 7000 Class2 (7002)(23-32mmHg) Below Knee Closed Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
6776 / 2
Venosan 7000 Class2 (7002)(23-32mmHg) Below Knee Open Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
6968 / 2
Venosan 7000 Class2 (7002)(23-32mmHg) Thigh High with Self Supporting Plain Top Closed
Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
6801 / 2
Venosan 7000 Class2 (7002)(23-32mmHg) Thigh High with Self Supporting Plain Top Open
Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
6948 / 2
Venosan 7000 Class3 (7003)(34-46mmHg) Below Knee Closed Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 487 of 550
Code/Pack
Description
DT CD ZD N E D
6327 / 2
Venosan 7000 Class3 (7003)(34-46mmHg) Below Knee Open Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
6769 / 2
Venosan 7000 Class3 (7003)(34-46mmHg) Thigh High with Self Supporting Plain Top Open
Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
6738 / 2
Venosan 7000 Class3(7003)(34-46mmHg) Thigh High with Self Supporting Plain Top Closed
Toe 2
S,M,L,XL, Long/Short Code each pair /1
DT
NE
5858 / 1
Venosan 8000 Ulcerfit Compression Liner Pack Closed Toe 1
One length 35-42cm S,M,L,XL (pack contains 2 liners)
DT
NE
5857 / 1
Venosan 8000 Ulcerfit Medical Stocking & Compression Liner Pack 1
Short,Long S,M,L,XL (pack contains 1 stocking and 2 liners)
DT
NE
7423 / 2
Venotrain Micro Class1 (18-21mmHg) Below Knee Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
8410 / 2
Venotrain Micro Class1 (18-21mmHg) Below Knee Open Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
7421 / 2
Venotrain Micro Class1 (18-21mmHg) Below Knee Plus Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
8362 / 2
Venotrain Micro Class1 (18-21mmHg) Below Knee Plus Open Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6762 / 2
Venotrain Micro Class1 (18-21mmHg) Thigh High Closed Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
7942 / 2
Venotrain Micro Class1 (18-21mmHg) Thigh High Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6760 / 2
Venotrain Micro Class1 (18-21mmHg) Thigh High Plus Closed Toe with Top Band Short, Long 2 DT
S,M,L,XL Code each pair /2
NE
7953 / 2
Venotrain Micro Class1 (18-21mmHg) Thigh High Plus Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6757 / 1
Venotrain Micro Class1 (18-21mmHg) Tights Closed Toe 1
S,M,L,XL
DT
NE
7027 / 1
Venotrain Micro Class1 (18-21mmHg) Tights Open Toe 1
S,M,L,XL
DT
NE
6730 / 1
Venotrain Micro Class1 (18-21mmHg) Tights Plus Closed Toe 1
S,M,L,XL
DT
NE
8309 / 1
Venotrain Micro Class1 (18-21mmHg) Tights Plus Open Toe 1
S,M,L,XL
DT
NE
6724 / 2
Venotrain Micro Class2 (23-32mmHg) Below Knee Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
8051 / 2
Venotrain Micro Class2 (23-32mmHg) Below Knee Open Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6722 / 2
Venotrain Micro Class2 (23-32mmHg) Below Knee Plus Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
4943 / 2
Venotrain Micro Class2 (23-32mmHg) Below Knee Plus Open Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6718 / 2
Venotrain Micro Class2 (23-32mmHg) Thigh High Closed Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 488 of 550
Code/Pack
Description
DT CD ZD N E D
7920 / 2
Venotrain Micro Class2 (23-32mmHg) Thigh High Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6703 / 2
Venotrain Micro Class2 (23-32mmHg) Thigh High Plus Closed Toe with Top Band Short, Long 2 DT
S,M,L,XL Code each pair /2
NE
6856 / 2
Venotrain Micro Class2 (23-32mmHg) Thigh High Plus Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6700 / 1
Venotrain Micro Class2 (23-32mmHg) Tights Closed Toe Short, Long 1
S,M,L,XL
DT
NE
8200 / 1
Venotrain Micro Class2 (23-32mmHg) Tights Open Toe Short, Long 1
S,M,L,XL
DT
NE
6698 / 1
Venotrain Micro Class2 (23-32mmHg) Tights Plus Closed Toe Short, Long 1
S,M,L,XL
DT
NE
8020 / 1
Venotrain Micro Class2 (23-32mmHg) Tights Plus Open Toe Short, Long 1
S,M,L,XL
DT
NE
6649 / 2
Venotrain Soft Class1 (18-21mmHg) Below Knee Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6671 / 2
Venotrain Soft Class1 (18-21mmHg) Below Knee Open Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
8744 / 2
Venotrain Soft Class1 (18-21mmHg) Below Knee Plus Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6667 / 2
Venotrain Soft Class1 (18-21mmHg) Below Knee Plus Open Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
3637 / 2
Venotrain Soft Class1 (18-21mmHg) Thigh High Closed Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6663 / 2
Venotrain Soft Class1 (18-21mmHg) Thigh High Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6610 / 2
Venotrain Soft Class1 (18-21mmHg) Thigh High Plus Closed Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6658 / 2
Venotrain Soft Class1 (18-21mmHg) Thigh High Plus Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6559 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High Plus with Waist Attachment Left Closed Toe 1
S,M,L,XL
DT
NE
6645 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High Plus with Waist Attachment Left Open Toe 1
S,M,L,XL
DT
NE
6569 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High Plus with Waist Attachment Right Closed Toe 1 DT
S,M,L,XL
NE
6646 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High Plus with Waist Attachment Right Open Toe 1
S,M,L,XL
DT
NE
6589 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High with Waist Attachment Left Closed Toe 1
S,M,L,XL
DT
NE
6652 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High with Waist Attachment Left Open Toe 1
S,M,L,XL
DT
NE
6608 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High with Waist Attachment Right Closed Toe 1
S,M,L,XL
DT
NE
6655 / 1
Venotrain Soft Class1 (18-21mmHg) Thigh High with Waist Attachment Right Open Toe 1
S,M,L,XL
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 489 of 550
Code/Pack
Description
DT CD ZD N E D
6620 / 2
Venotrain Soft Class2 (23-32mmHg) Below Knee Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6643 / 2
Venotrain Soft Class2 (23-32mmHg) Below Knee Open Toe Short, Long
S,M,L,XL Code each pair /2
DT
NE
2139 / 2
Venotrain Soft Class2 (23-32mmHg) Below Knee Plus Closed Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6613 / 2
Venotrain Soft Class2 (23-32mmHg) Below Knee Plus Open Toe Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
8446 / 2
Venotrain Soft Class2 (23-32mmHg) Thigh High Closed Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6611 / 2
Venotrain Soft Class2 (23-32mmHg) Thigh High Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
5067 / 2
Venotrain Soft Class2 (23-32mmHg) Thigh High Plus Closed Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6603 / 2
Venotrain Soft Class2 (23-32mmHg) Thigh High Plus Open Toe with Top Band Short, Long 2
S,M,L,XL Code each pair /2
DT
NE
6685 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High Plus with Waist Attachment Left Closed Toe 1
S,M,L,XL
DT
NE
6507 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High Plus with Waist Attachment Left Open Toe 1
S,M,L,XL
DT
NE
8589 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High Plus with Waist Attachment Right Closed Toe 1 DT
S,M,L,XL
NE
6511 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High Plus with Waist Attachment Right Open Toe 1
S,M,L,XL
DT
NE
6726 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High with Waist Attachment Left Closed Toe 1
S,M,L,XL
DT
NE
6576 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High with Waist Attachment Left Open Toe 1
S,M,L,XL
DT
NE
8539 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High with Waist Attachment Right Closed Toe 1
S,M,L,XL
DT
NE
6583 / 1
Venotrain Soft Class2 (23-32mmHg) Thigh High with Waist Attachment Right Open Toe 1
S,M,L,XL
DT
NE
17166 / 1
VersaJet Exact Physical Debridement Handset 45/14mm 1
50636
DT
NE
17165 / 1
VersaJet Exact Physical Debridement Handset 45/8mm 1
50637
DT
NE
17168 / 1
VersaJet II Exact Physical Debridement Handset 45/14mm 1
6680041
DT
NE
17167 / 1
VersaJet II Exact Physical Debridement Handset 45/8mm 1
6680042
DT
NE
17393 / 1
Vetco Comfort Constrictor Rings 1
VA 007 One Size Fits All
DT
NE
17392 / 1
Vetco Mentor Constrictor Rings 1
VA 006 Medium, Large
DT
NE
17382 / 1
Vetco Vetex Pump System Vacuum Pump 1
001 Manual
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 490 of 550
Code/Pack
Description
DT CD ZD N E D
17391 / 1
Vetco White C-Flex Constrictor Rings 1
VA 005 Small,Medium, Large
DT
NE
1465 / 3
Vibro-Pulse Cycloidal Vibration Accessory 3
DT
NE
1010 / 1
Viscopaste PB7 (10%) Bandage 7.5CMx 6M 1
DT
NE
4693 / 20
Vismed Eye Drops 0.3ml preservative free single dose unit 20
DT
NE
5139 / 20
Vismed Eye Gel 0.45ml single dose unit 20
DT
NE
3495 / 10
Vismed Gel Multi Eye Drops preservative free bottle 10ml
DT
NE
4699 / 10
Vismed Multi Eye Drops Preservative Free 10ml
DT
NE
509 / 1
Vitalograph Child Standard Range Peak Flow Meter
43703
DT
NE
9764 / 1
Vitalograph myPEF peak flow meter standard range 1
43950
DT
NE
915 / 1
Vitalograph Standard Range Peak Flow Meter
43602
DT
NE
9141 / 5
VitA-POS (5g preservative free tube) Eye Ointment 5g
DT
NE
9117 / 1
Vitrex Nitrile Gloves, Small, Medium or Large 50 1
Code No. of Packs dispensed
DT
NE
8509 / 100
Vitrex Soft Lancets 0.36mm/28 gauge
DT
NE
8542 / 200
Vitrex Soft Lancets 0.36mm/28 gauge
DT
NE
8537 / 100
Vitrex Soft Lancets 0.65mm/23 gauge
DT
NE
8580 / 200
Vitrex Soft Lancets 0.65mm/23 gauge
DT
NE
7545 / 10
Voiceline Prosthesis Cleaning Brush LA PCB 0003
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 491 of 550
Code/Pack
Description
DT CD ZD N E D
W
1413 / 30
Welland Fistula Bag Wound Drainage Pouch 40mm x 70mm 30
PFV700
DT
NE
8746 / 10
Welland Wound Manager bag Small 30mm x 40mm Clear
NOP700
DT
NE
8755 / 5
Welland Wound Manager bag with inspection window Large 90mm x 90mm Clear
WOP713
DT
NE
8752 / 5
Welland Wound Manager bag with split softcover Large 90mm x 90mm Beige
POP513
DT
NE
8749 / 10
Welland Wound Manager bag with split softcover Medium 50mm x 70mm Beige
SOP500
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 492 of 550
Code/Pack
Description
DT CD ZD N E D
X
8892 / 30
Xailin Fresh 0.5% Eye Drop (30 x 0.4ml preservative free single dose unit)
DT
NE
9861 / 10
Xailin Gel 10g
DT
NE
247 / 5
Xailin Night eye Ointment (5g preservative free tube) 5g
DT
NE
5719 / 50
Xclair Cream 50g
DT
NE
1338 / 30
Xerostom (DT) Pastilles Saliva Stimulating 30
DT
NE
1205 / 250
Xerostom (DT) Saliva Stimulating Bottle 250ml 1
Code no. of Bottles dispensed
DT
NE
1562 / 40
Xerostom (DT) Saliva Stimulating Substitute Chewable Capsules 40
DT
NE
1520 / 50
Xerostom (DT) Saliva Stimulating Toothpaste 50ml
DT
NE
7544 / 1
Xerostom (DT) Saliva Substitute Gel 25ml 1
DT
NE
6836 / 1
Xerotin Saliva Replacement Spray 100ml 1
Code no. of Sprays dispensed
DT
NED
6240 / 1
Xupad Dressing Pad 10cmx12cm 1
DT
NE
1427 / 1
Xupad Dressing Pad 10cmx20cm 1
DT
NE
1428 / 1
Xupad Dressing Pad 20cmx20cm 1
DT
NE
1431 / 1
Xupad Dressing Pad 20cmx40cm 1
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 493 of 550
Code/Pack
Description
DT CD ZD N E D
Y
154 / 75
Yes Vaginal Moisturiser 75ml tube
DT
NE
5873 / 6
Yes Vaginal Moisturiser pre-filled applicators 6
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 494 of 550
Code/Pack
Description
DT CD ZD N E D
Z
5947 / 500
ZeroAQS Cream 500g
DT
NE
17009 / 500
Zerobase Cream 500g
DT
NE
2724 / 50
Zerobase Cream 50g
DT
NE
1752 / 500
Zerocream Cream 500g
DT
NE
6733 / 50
Zerocream Cream 50g
DT
NE
17084 / 125
Zeroderm (DT) Ointment 125g
DT
NE
17085 / 500
Zeroderm (DT) Ointment 500g
DT
NE
7907 / 100
Zerodouble Gel 100g
DT
NE
7931 / 475
Zerodouble Gel 475g
DT
NE
2405 / 100
Zeroguent Cream 100g
DT
NE
2715 / 500
Zeroguent Cream 500g
DT
NE
17640 / 500
Zerolatum Bath Additive Emollient 500ml
DT
NE
2419 / 500
Zeroneum Bath Additive 500ml
DT
NE
5290 / 1
Zinc Oxide Adhesive Tape Mediplast 1.25cmx5m
DT
NE
5292 / 1
Zinc Oxide Adhesive Tape Mediplast 2.5cmx5m
DT
NE
5293 / 1
Zinc Oxide Adhesive Tape Mediplast 5cmx5m
DT
NE
5294 / 1
Zinc Oxide Adhesive Tape Mediplast 7.5cmx5m
DT
NE
1155 / 1
Zinc Oxide Surgical Adhesive Tape BP 1.25cmx5m
DT
NE
1159 / 1
Zinc Oxide Surgical Adhesive Tape BP 2.5cmx5m
DT
NE
1162 / 1
Zinc Oxide Surgical Adhesive Tape BP 5cmx5m
DT
NE
1166 / 1
Zinc Oxide Surgical Adhesive Tape BP 7.5cmx5m
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 495 of 550
Code/Pack
Description
DT CD ZD N E D
Ostomy Preparations including Catheters
A
7815 / 30
Actreen Glys Cath Female Catheter
225306E, 225308E, 225310E, 225312E, 225314E & 225316E
DT
NE
7816 / 30
Actreen Glys Cath Male Catheter
225208E, 225210E, 225212E, 225214E, 225216E & 225218E
DT
NE
7819 / 30
Actreen Glys Cath Male Tiemann Tip Catheter
225108E, 225110E, 225112E, 225114E, 225116E & 225118E
DT
NE
6377 / 10
Actreen Glys Luer Lock Female Catheter
227308E, 227310E, 227312E, 227314E & 227316E
DT
NE
6382 / 10
Actreen Glys Luer Lock Male Catheter
227208E, 227210E, 227212E, 227214E & 227216E
DT
NE
6388 / 10
Actreen Glys Luer Lock Tiemann Tip Catheter
227408E, 227410E, 227412E, 227414E & 227416E
DT
NE
7357 / 30
Actreen Glys Set Female Catheter
226306E, 226308E, 226310E, 226312E, 226314E & 226316E
DT
NE
7348 / 30
Actreen Glys Set Male Catheter
226208E, 226210E, 226212E, 226214E, 226216E & 226218E
DT
NE
7360 / 30
Actreen Glys Set Male Tiemann Catheter
226108E, 226110E, 226112E, 226114E & 226116E
DT
NE
8565 / 30
Actreen Hi-Lite Female Catheter 30
238306E - 238316E
DT
NE
8568 / 30
Actreen Hi-Lite Male Catheter 30
238208E - 238216E
DT
NE
8552 / 30
Actreen Hi-Lite Tiemann Catheter 30
238108E - 238116E
DT
NE
9704 / 30
Actreen Lite Cath Female/Paediatric 20cm 30
228306E - 228316E
9908 / 30
Actreen Lite Cath Male Catheter 30
228208E - 228218E
DT
NE
9906 / 30
Actreen Lite Cath Male Olive Tip Tiemann Catheter 30
228108E - 228118E
DT
NE
6279 / 30
Actreen Mini Female Catheter 30
228010E - 228014E
DT
NE
6245 / 30
Actreen Mini Set Female Catheter 30
239010E - 239014E
DT
NE
19149 / 30
Assura Paediatric Clear Cut To Fit Urostomy Bag 30
10-35mm 2135
ZD N E
19061 / 1
Assura Seal Belt 1
0421
ZD N E
4507 / 1
Atmocol Pocket Spray (785911) 25ml 1
Code No. of Packs dispensed
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 496 of 550
Code/Pack
Description
DT CD ZD N E D
B
9606 / 30
B Braun Biotrol Elite Beige Bag 30
36-810, 36-825, 36-830, 36-835, 36-840, 36-845, 36-850, 36-860 & 36-870
ZD N E
9609 / 30
B Braun Biotrol Elite Drainable Ileostomy Bags Beige 30
388-10, 388-20, 388-25, 388-30, 388-35, 388-40, 388-45, 388-50, 388-60 & 388-70
ZD N E
4483 / 30
B Braun Biotrol Elite White Bag 30
32-815, 32-825, 32-835, 32-840, 32-845, 32-850, 32-860 & 32-870
ZD N E
9640 / 50
B Braun Biotrol Flatus Filter 50
35-500
ZD N E
4473 / 30
B Braun Biotrol Integrale Bag with Filter and Skin Protector 30
32415, 32425, 32430, 32435, 32440, 32445, 32450, 32460 & 32470
ZD N E
9771 / 30
B Braun Biotrol Lockring 2 Closed Bags 30
22335, 22350 & 22375
ZD N E
9745 / 5
B Braun Biotrol Lockring 2 Flange 5
22135, 22150 & 22175
ZD N E
4459 / 30
B Braun Biotrol Preference Drainable Stoma Bags 30
34615, 34620, 34625, 34630, 34635, 34640, 34645, 34650 & 34660
ZD N E
9094 / 1
Bard All Silicone Female Catheter
D1661
DT
NE
9030 / 1
Bard All Silicone Male/Standard Catheter
D1658
DT
NE
9031 / 1
Bard All Silicone Male/Standard Catheter
D1668
DT
NE
8092 / 1
Bard Bardex I.C. Comprehensive Care Foley Tray Catheter Female 1
D23695L12-16
DT
NE
8091 / 1
Bard Bardex I.C. Comprehensive Care Foley Tray Catheter Female 1
D23695M12-16
DT
NE
8080 / 1
Bard Bardex I.C. Comprehensive Care Foley Tray Catheter Female 1
D23695S12-16
DT
NE
7999 / 1
Bard Bardex I.C. Comprehensive Care Foley Tray Catheter Male 1
D23655L12-16
DT
NE
7984 / 1
Bard Bardex I.C. Comprehensive Care Foley Tray Catheter Male 1
D23655M12-16
DT
NE
7973 / 1
Bard Bardex I.C. Comprehensive Care Foley Tray Catheter Male 1
D23655S12-16
DT
NE
1112 / 1
Bard Bardex I.C. Foley Female Catheter with Silver Alloy Coating 1
D236912S, D236914S, D236916S, D236918S, D236920S & D236922S
DT
NE
1106 / 1
Bard Bardex I.C. Foley Standard Catheter with Silver Alloy Coating 1
D236512S, D236514S, D236516S, D236518S, D236520S & D236522S
DT
NE
9069 / 1
Bard Biocath Aquamatic Hydrogel Coated Catheter
D2264
DT
NE
9070 / 1
Bard Biocath Aquamatic Hydrogel Coated Catheter
D2268
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 497 of 550
Code/Pack
Description
DT CD ZD N E D
2177 / 1
Bard Biocath Comprehensive Care Foley Tray Female Catheter 1
D22695L12-16
DT
NE
2176 / 1
Bard Biocath Comprehensive Care Foley Tray Female Catheter 1
D22695M12-16
DT
NE
2162 / 1
Bard Biocath Comprehensive Care Foley Tray Female Catheter 1
D22695S12-16
DT
NE
2008 / 1
Bard Biocath Comprehensive Care Foley Tray Male Catheter 1
D22655L12-16
DT
NE
1977 / 1
Bard Biocath Comprehensive Care Foley Tray Male Catheter 1
D22655M12-16
DT
NE
1969 / 1
Bard Biocath Comprehensive Care Foley Tray Male Catheter 1
D22655S12-16
DT
NE
9086 / 1
Bard Biocath Hydrogel Coated Catheter
D2263
DT
NE
9066 / 1
Bard Biocath Hydrogel Coated Catheter
D2265
DT
NE
9067 / 1
Bard Biocath Hydrogel Coated Catheter
D2266
DT
NE
9068 / 1
Bard Biocath Hydrogel Coated Catheter
D2269
DT
NE
9064 / 5
Bard Comfasure Catheter Retainer Strap Abdominal 5
AB3405
DT
NE
9062 / 5
Bard Comfasure Catheter Retainer Strap Adult 5
AD3403
DT
NE
9065 / 5
Bard Comfasure Catheter Retainer Strap Small 5
SM3404
DT
NE
4958 / 5
Bard Flip-Flo Catheter Valve 5
BFF5
DT
NE
8834 / 25
Bard Interglide Coated Intermittent Female Catheter 25
D6031
DT
NE
8819 / 25
Bard Interglide Coated Intermittent Male Catheter 25
D6030
DT
NE
8849 / 25
Bard Interglide Coated Intermittent Paediatric Catheter 25
D6032
DT
NE
8814 / 1
Bard Lubri-Sil Aquafil Hydrogel Coated Female Catheter
D1761
DT
NE
8802 / 1
Bard Lubri-Sil Aquafil Hydrogel Coated Male Catheter
D1758
DT
NE
2275 / 1
Bard Lubri-Sil Comprehensive Care Foley Tray Female Catheter 1
D17615L12-16
DT
NE
2265 / 1
Bard Lubri-Sil Comprehensive Care Foley Tray Female Catheter 1
D17615M12-16
DT
NE
2242 / 1
Bard Lubri-Sil Comprehensive Care Foley Tray Female Catheter 1
D17615S12-16
DT
NE
2194 / 1
Bard Lubri-Sil Comprehensive Care Foley Tray Male Catheter 1
D17585L12-16
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 498 of 550
Code/Pack
Description
DT CD ZD N E D
2193 / 1
Bard Lubri-Sil Comprehensive Care Foley Tray Male Catheter 1
D17585M12-16
DT
NE
2190 / 1
Bard Lubri-Sil Comprehensive Care Foley Tray Male Catheter 1
D17585S12-16
DT
NE
8807 / 1
Bard Lubri-Sil Hydrogel Male Catheter
D1768
DT
NE
8820 / 1
Bard Lubri-Sil Hydrogel Paediatric Catheter
D1758
DT
NE
9018 / 1
Bard PTFE Aquamatic Coated Latex Catheter
D1265AL
DT
NE
9023 / 1
Bard PTFE Coated Latex Catheter
D0165PV
DT
NE
9017 / 1
Bard PTFE Coated Latex Female Catheter
D0169LV
DT
NE
9015 / 1
Bard PTFE Coated Latex Male Catheter
D1265LV
DT
NE
9016 / 1
Bard PTFE Coated Latex Male Catheter
D1266LV
DT
NE
9002 / 5
Bard Reliacath Plastic Nelaton Female Catheter 5
D5031
DT
NE
9001 / 5
Bard Reliacath Plastic Nelaton Male Catheter 5
D5030 Gauge 12 - 16
DT
NE
9003 / 5
Bard Reliacath Plastic Nelaton Paediatric Catheter 5
D5032
DT
NE
9033 / 1
Bard Silastic Silicone-Coated Catheter
334
DT
NE
9032 / 1
Bard Silastic Silicone-Coated Catheter
336
DT
NE
9027 / 1
Bard Silicone Elastomer-Coated Latex Female Catheter
D1647
DT
NE
9029 / 1
Bard Silicone Elastomer-Coated Latex Female Catheter pre-filled with Sterile Water
D1637AL
DT
NE
9025 / 1
Bard Silicone Elastomer-Coated Latex Male Catheter
D1657
DT
NE
9026 / 1
Bard Silicone Elastomer-Coated Latex Male Catheter
D1667
DT
NE
9028 / 1
Bard Silicone Elastomer-Coated Latex Male Catheter pre-filled with Sterile Water
D1657AL
DT
NE
6334 / 5
Bard StatLock Foley Catheter Stabilisation Device 5
FOL0102DT
DT
NE
9656 / 10
Bard Uriplan 2 Litre Collection Bag 10
D8420
ZD N E
9760 / 10
Bard Uriplan 2 Litre Night Drainage Bag 10
D81-3131
ZD N E
9638 / 10
Bard Uriplan 350ml Direct Inlet Leg Bag 10
D3S
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 499 of 550
Code/Pack
Description
DT CD ZD N E D
9647 / 10
Bard Uriplan 350ml with 30cm Inlet Tube Leg Bag 10
D3L
NE
9650 / 10
Bard Uriplan 500ml Direct Inlet Leg Bag 10
D5S
NE
9653 / 10
Bard Uriplan 500ml with 10cm Inlet Tube Leg Bag 10
D5M
NE
9657 / 10
Bard Uriplan 500ml with 30cm Inlet Tube Leg Bag 10
D5L
NE
9661 / 10
Bard Uriplan 750ml Direct Inlet Leg Bag 10
D7S
NE
9665 / 10
Bard Uriplan 750ml with 10cm Inlet Tube Leg Bag 10
D7M
NE
9678 / 10
Bard Uriplan 750ml with 30cm Inlet Tube Leg Bag 10
D7L
NE
9684 / 10
Bard Uriplan 750ml with 38cm Adjustable Inlet Tube Leg Bag 10
D7LX
NE
8319 / 10
Bard Urisac 350ml Long Tube Leg Bag 10
7660
NE
8325 / 10
Bard Urisac 350ml Short Tube Leg Bag 10
7661
NE
8345 / 10
Bard Urisac 500ml Long Tube Leg Bag 10
7662
NE
8353 / 10
Bard Urisac 500ml Short Tube Leg Bag 10
7663
NE
8358 / 10
Bard Urisac 750ml Long Tube Leg Bag 10
7664
NE
8360 / 10
Bard Urisac 750ml Short Tube Leg Bag 10
7665
NE
19090 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Cut-to-Fit 1650mm 30
043016E
ZD N E
19091 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Cut-to-Fit 1670mm 30
043070E
ZD N E
19092 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Pre-Cut
24mm 30
043024E
ZD N E
19093 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Pre-Cut
28mm 30
043028E
ZD N E
19094 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Pre-Cut
32mm 30
043032E
ZD N E
19095 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Pre-Cut
36mm 30
043036E
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 500 of 550
Code/Pack
Description
DT CD ZD N E D
19096 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Pre-Cut
40mm 30
043040E
ZD N E
19097 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Beige Pre-Cut
45mm 30
043045E
ZD N E
19098 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Transparent Pre-Cut
16-50mm 30
043616E
ZD N E
19099 / 30
Biotrol Softima Closed Pouch with Filter, Skin Protector & Protective Cover Transparent Pre-Cut
16-70mm 30
043670E
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 501 of 550
Code/Pack
Description
DT CD ZD N E D
C
5048 / 1
Cath-It Catheter Insertion/Removal Pack large/extra large 1
908430
DT
NE
5860 / 1
Cath-It Catheter Insertion/Removal Pack medium/large 1
908420
DT
NE
5859 / 1
Cath-It Catheter Insertion/Removal Pack small/medium 1
908410
DT
NE
9636 / 1
Chiron Rubber Flange
WK102-38-K, WK104-32-F, WK104-38-T, WK108-38-L
ZD N E
19165 / 1
Clinimed Appeel No Sting Medical Adhesive Remover 50ml Aerosol 1
3500 Code no. of aerosols dispensed.
ZD N E
19170 / 30
Clinimed Appeel No Sting Medical Adhesive Wipes 30
3505
ZD N E
1077 / 30
Clinimed Curan Lady Female 10-14 Catheter 30
CL10-CL14
DT
NE
1710 / 30
Clinimed Cure Female 8-16 Catheter 30
HF8-HF16
DT
NE
19053 / 20
Clinimed Hydro-Frame Flange Extenders (Strips) 20
WAF H33
ZD N E
9754 / 30
Clinimed Soft End Ties White 30
9760
ZD N E
4501 / 50
Clinishield Barrier Wipes 50
3800
9750 / 30
Coloplast Aquadry Advantage Silicone Sheath 30
786187, 786195, 786225, 786233 & 786241
NE
9768 / 30
Coloplast Aquadry Freedom Plus Sheaths Extra Large 30
786318
NE
9627 / 30
Coloplast Aquadry Freedom Plus Sheaths Large 30
786314
NE
9619 / 30
Coloplast Aquadry Freedom Plus Sheaths Medium 30
786306
NE
9617 / 30
Coloplast Aquadry Freedom Plus Sheaths Small 30
786292
NE
9743 / 30
Coloplast Aquadry Freedom Plus Sheaths Standard 30
786310
NE
9729 / 30
Coloplast Aquadry Freedom Sheaths Extra Large 30
786288
NE
9737 / 30
Coloplast Aquadry Freedom Sheaths Large 30
786284
NE
9719 / 30
Coloplast Aquadry Freedom Sheaths Medium 30
786276
NE
4536 / 30
Coloplast Aquadry Freedom Sheaths Small 30
786268
NE
Code No. of Wipes dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 502 of 550
Code/Pack
Description
DT CD ZD N E D
9663 / 30
Coloplast Aquadry Freedom Sheaths Standard 30
786280
9756 / 4
Coloplast Aquasleeves 4
783678, 783680, 783686 & 783694
ZD N E
8588 / 4
Coloplast Aquasleeves 4
783708
ZD N E
9731 / 5
Coloplast Assura Base Plates 10mm Starter Hole 5
13141, 13151 & 13161
ZD N E
4964 / 5
Coloplast Assura Base Plates 40mm for paediatric bags 5
2180
ZD N E
9732 / 30
Coloplast Assura Drainable Maxi Clear Bag 30
2490, 2494, 2495, 2496 & 2497
ZD N E
9695 / 30
Coloplast Assura Drainable Maxi Opaque Bag 30
2520, 2524, 2525, 2526 & 2527
ZD N E
9726 / 30
Coloplast Assura Drainable Midi Clear Bag 30
2450, 2454, 2455, 2456 & 2457
ZD N E
9667 / 30
Coloplast Assura Inspire + Hide-Away Outlet Maxi Soft Cover Drainable Bag 30
13984, 13985 & 13986
ZD N E
9713 / 30
Coloplast Assura Inspire + Hide-Away Outlet Maxi Transparent Drainable Bag 30
13974, 13975 & 13976
ZD N E
9664 / 30
Coloplast Assura Inspire + Hide-Away Outlet Midi Opaque Design Drainable Bag 30
13964, 13965 & 13966
ZD N E
9697 / 30
Coloplast Assura Inspire + Hide-Away Outlet Midi Soft Cover Drainable Bag 30
13954, 13955 & 13956
ZD N E
9717 / 30
Coloplast Assura Inspire + Hide-Away Outlet Midi Transparent Drainable Bag 30
13944, 13945 & 13946
ZD N E
9711 / 30
Coloplast Assura Inspire + Hide-Away Outlet Mini Soft Cover Drainable Bag 30
13924, 13925 & 13926
ZD N E
19017 / 30
Coloplast Assura Inspire 1 Piece Closed Bag Dual Filter Maxi Design 30
14508
ZD N E
19016 / 30
Coloplast Assura Inspire 1 Piece Closed Bag Dual Filter Soft Cover 30
14504
ZD N E
19018 / 30
Coloplast Assura Inspire 1 Piece Closed Bag Dual Filter Soft Cover 30
14507
ZD N E
19019 / 30
Coloplast Assura Inspire 1 Piece Closed Bag Dual Filter Transparent 30
14506
ZD N E
9805 / 30
Coloplast Assura Inspire Maxi Design Starter Hole Closed Bag 30
12180
ZD N E
9733 / 30
Coloplast Assura Inspire Maxi Opaque Design Drainable Starter Hole Bag 30
13880
ZD N E
9781 / 30
Coloplast Assura Inspire Maxi Opaque Drainable Bag Range 30
13870, 13874, 13875 & 13876
ZD N E
9801 / 30
Coloplast Assura Inspire Maxi Soft Cover Closed Bag 30
12384, 12385 & 12386
ZD N E
9799 / 30
Coloplast Assura Inspire Maxi Soft Cover Starter Hole Closed Bag 30
12170
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 503 of 550
Code/Pack
Description
DT CD ZD N E D
9767 / 30
Coloplast Assura Inspire Maxi Transparent Drainable Starter Hole Bag 30
13860
ZD N E
8582 / 30
Coloplast Assura Inspire Maxi Transparent Pre-Cut Closed Bag 30
121664-12166
ZD N E
9779 / 30
Coloplast Assura Inspire Maxi Transparent Starter Hole Closed Bag 30
12160
ZD N E
9803 / 30
Coloplast Assura Inspire Midi Design Closed Bag 30
12150, 12154, 12155, 12156, 12157, 12158 & 12159
ZD N E
9804 / 30
Coloplast Assura Inspire Midi Design Closed Bag 30
12364, 12365 & 12366
ZD N E
9758 / 30
Coloplast Assura Inspire Midi Opaque Design Drainable Starter Hole Bag 30
13850
ZD N E
9791 / 30
Coloplast Assura Inspire Midi Opaque Drainable Bag Range 30
13840, 13844, 13845 & 13846
ZD N E
9787 / 30
Coloplast Assura Inspire Midi Soft Cover Closed Bag 30
12140, 12144, 12145, 12146, 12147, 12148 & 12149
ZD N E
9794 / 30
Coloplast Assura Inspire Midi Soft Cover Closed Bag 30
12354, 12355 & 12356
ZD N E
9775 / 30
Coloplast Assura Inspire Midi Transparent Closed Bag 30
12130, 12134, 12135 & 12136
ZD N E
9773 / 30
Coloplast Assura Inspire Midi Transparent Drainable Starter Hole Bag 30
13830
ZD N E
19154 / 30
Coloplast Assura Inspire Mini Design Starter Hole Colostomy Bag 30
12120
ZD N E
9798 / 30
Coloplast Assura Inspire Mini Opaque Drainable Starter Hole Bag 30
13810
ZD N E
19135 / 10
Coloplast Assura Inspire Seal Maxi Design Starter Hole 15-43mm Drainable Bag 10
14109
ZD N E
19133 / 10
Coloplast Assura Inspire Seal Maxi Soft Cover Pre-cut Drainable Bag 10
14173, 14174, 14175, 14176
ZD N E
19132 / 10
Coloplast Assura Inspire Seal Maxi Soft Cover Starter Hole Drainable Bag 10
14105, 14106
ZD N E
19130 / 10
Coloplast Assura Inspire Seal Maxi Transparent Pre-cut Drainable Bag 10
14163, 14164, 14165, 14166
ZD N E
19129 / 10
Coloplast Assura Inspire Seal Maxi Transparent Starter Hole Drainable Bag 10
14102, 14103
ZD N E
19131 / 10
Coloplast Assura Inspire Seal Midi Soft Cover Starter Hole Drainable Bag 10
14195, 14196
ZD N E
19002 / 10
Coloplast Assura Inspire Soft Seal Maxi Soft Cover Pre-cut Drainable Bag 10
14421, 14422, 14423, 14424
ZD N E
19001 / 10
Coloplast Assura Inspire Soft Seal Maxi Soft Cover Starter Hole Drainable Bag 10
14414, 14415
ZD N E
19004 / 10
Coloplast Assura Inspire Soft Seal Maxi Transparent Starter Hole Drainable Bag 10
14411, 14412
ZD N E
19000 / 10
Coloplast Assura Inspire Soft Seal Midi Soft Cover Starter Hole Drainable Bag 10
14404, 14405
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 504 of 550
Code/Pack
Description
DT CD ZD N E D
9696 / 30
Coloplast Assura Maxi Clear 2 Piece Closed Bag 30
2784, 2785 & 2786
ZD N E
9699 / 30
Coloplast Assura Maxi Clear 2 Piece Drainable Bag 30
2794, 2795 & 2796
ZD N E
9708 / 30
Coloplast Assura Maxi Clear Ready Cut Bag 30
2481, 2484, 2485, 2486, 2487, 2488 & 2489
ZD N E
9785 / 30
Coloplast Assura Maxi Clear Urostomy Bag 30
2874, 2875 & 2876
ZD N E
9693 / 30
Coloplast Assura Maxi Opaque 2 Piece Closed Bag 30
2814, 2815 & 2816
ZD N E
9701 / 30
Coloplast Assura Maxi Opaque 2 Piece Drainable Bag 30
2824, 2825 & 2826
ZD N E
9714 / 30
Coloplast Assura Maxi Opaque Ready Cut Bag 30
2511, 2514, 2515, 2516 & 2517
ZD N E
9654 / 30
Coloplast Assura Midi Clear 2 Piece Closed Bag 30
2774, 2775 & 2776
ZD N E
9648 / 30
Coloplast Assura Midi Clear Ready Cut Bag 30
2471, 2474, 2475, 2476, 2477, 2478 & 2479
ZD N E
9662 / 30
Coloplast Assura Midi Opaque 2 Piece Closed Bag 30
2764, 2765 & 2766
ZD N E
9651 / 30
Coloplast Assura Midi Opaque Drainable 2 Piece Bag 30
2744, 2745
ZD N E
9658 / 30
Coloplast Assura Midi Opaque Ready Cut Bag 30
2461, 2464, 2465, 2466, 2467, 2468 & 2469
ZD N E
7291 / 30
Coloplast Assura Paediatric Clear Urostomy Bag 30
2175
ZD N E
19159 / 10
Coloplast Assura Soft Seal Maxi Transparent Urostomy Bag 10
14717
ZD N E
4966 / 30
Coloplast Assura Urostomy Bag Midi Clear 30
2854 & 2855
ZD N E
9151 / 1
Coloplast Brava adhesive remover spray 50ml 1
12010 Code No Of Sprays Dispensed
ZD N E
4325 / 10
Coloplast Conveen Contour 600ml Leg Bags (Adjustable Tube) 10
5170, 5172 & 5173
NE
4328 / 10
Coloplast Conveen Contour Leg Bags 800ml 10
5175
NE
19038 / 30
Coloplast Conveen Optima Shorter Length Urisheath 30
22121, 22125, 22130, 22135
NE
19039 / 30
Coloplast Conveen Optima Standard Length Urisheath 30
22025, 22030, 22035, 22040
NE
9317 / 30
Coloplast Conveen Security + Easifit UriSheath Extra Small 21mm Diameter 30
22011
NE
9285 / 30
Coloplast Conveen Security + Easifit UriSheath Large 35mm Diameter 30
22014
NE
9255 / 30
Coloplast Conveen Security + Easifit UriSheath Medium 30mm Diameter 30
22013
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 505 of 550
Code/Pack
Description
DT CD ZD N E D
9313 / 30
Coloplast Conveen Security + Easifit UriSheath Small 25mm Diameter 30
22012
NE
9820 / 30
Coloplast Conveen Security + Self-sealing Urisheath 30
5221, 5225, 5230, 5235 & 5240
NE
4709 / 10
Coloplast Conveen Security Leg Bag 500ml 10
5160 & 5161
NE
9744 / 10
Coloplast Conveen Security Leg Bags 500ml 10
5162 & 5163
NE
8371 / 10
Coloplast Conveen Security+ Leg Bags 350ml 10
5164 & 5165
NE
8407 / 10
Coloplast Conveen Security+ Leg Bags 750ml 10
5166 & 5167
NE
8430 / 30
Coloplast Conveen Security+Sheath 30
5021, 5025, 5030, 5035 & 5040
NE
4338 / 30
Coloplast Conveen Self-Sealing Urisheath 30
5200, 5205, 5210, 5212 & 5215
NE
4707 / 30
Coloplast Conveen Urisheath/Uriliner 30
5120, 5125, 5130, 5135 & 5140
NE
9668 / 20
Coloplast Conveen Velcrobands 20
5050
ZD N E
19040 / 10
Coloplast Easiflex Baseplate 35mm flange, Starter Hole 10-33mm 2 Piece System 10
14301
ZD N E
19041 / 10
Coloplast Easiflex Baseplate 50mm flange, Starter Hole 10-48mm 2 Piece System 10
14302
ZD N E
19042 / 10
Coloplast Easiflex Baseplate 70mm flange, Starter Hole 10-68mm 2 Piece System 10
14303
ZD N E
19043 / 5
Coloplast Easiflex Baseplate 90mm flange, Starter Hole 15-88mm 2 Piece System 5
14309
ZD N E
19044 / 10
Coloplast Easiflex Baseplate Extra 35mm flange, Starter Hole 10-33mm 2 Piece System 10
14304
ZD N E
19045 / 10
Coloplast Easiflex Baseplate Extra 50mm flange, Starter Hole 10-48mm 2 Piece System 10
14305
ZD N E
19046 / 10
Coloplast Easiflex Baseplate Extra 70mm flange, Starter Hole 10-68mm 2 Piece System 10
14306
ZD N E
19051 / 10
Coloplast Easiflex Baseplate Paediatric 17mm flange, Starter Hole 0-15mm 2 Piece System 10
14307
ZD N E
19052 / 10
Coloplast Easiflex Baseplate Paediatric 27mm flange, Starter Hole 0-25mm 2 Piece System 10
14308
ZD N E
19125 / 30
Coloplast Easiflex Maxi Soft Cover Closed Bag 10
14479
ZD N E
19124 / 30
Coloplast Easiflex Maxi Soft Cover Closed Bag 10
14484, 14485, 14486
ZD N E
19120 / 30
Coloplast Easiflex Midi Soft Cover Closed Bag 10
14464, 14465, 14466
ZD N E
8306 / 10
Coloplast Elasticated Leg Bag Straps 10
380812
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
Page 506 of 550
Code/Pack
Description
DT CD ZD N E D
9694 / 50
Coloplast Filtrodor Activated Carbon Filter 50
0509
5354 / 1
Coloplast Folatex Silicone Coated Latex Catheter Paediatric 1
AP1408-AP1410
8102 / 20
Coloplast Peristeen Large Anal Plugs 20 (formerly Conveen)
1451
NE
8103 / 20
Coloplast Peristeen Small Anal Plugs 20 (formerly Conveen)
1450
NE
4465 / 10
Coloplast Protective Sheets 10cmx10cm
3210
ZD N E
4427 / 5
Coloplast Protective Sheets 15cmx15cm
3215
ZD N E
4434 / 5
Coloplast Protective Sheets 20cmx20cm
3220
ZD N E
9311 / 25
Coloplast Self Cath Plus Female Catheter
USCC8F, USCC10F, USCC12F, USCC14F & USCC16F
DT
NE
9197 / 25
Coloplast Self Cath Plus Male Catheter
USCC10M, USCC12M, USCC14M & USCC16M
DT
NE
8105 / 10
Coloplast Simpla 2 Litre S5 Drainage Bags 10
346145
9769 / 5
Coloplast Simpla G-Strap Abdominal 80cm
383003
ZD N E
9762 / 5
Coloplast Simpla G-Strap Adult 45cm
383001
ZD N E
19005 / 10
Coloplast Simpla Plus Leg Bags 350ml 6cm Tube 10
21561
NE
19006 / 10
Coloplast Simpla Plus Leg Bags 350ml 25cm Tube 10
21562
NE
19007 / 10
Coloplast Simpla Plus Leg Bags 500ml 6cm Tube 10
21571
NE
19008 / 10
Coloplast Simpla Plus Leg Bags 500ml 25cm Tube 10
21572
NE
19009 / 10
Coloplast Simpla Plus Leg Bags 500ml 50cm Tube 10
21583
NE
19035 / 10
Coloplast Simpla Plus Leg Bags 750ml 6cm Tube 10
21591
NE
19036 / 10
Coloplast Simpla Plus Leg Bags 750ml 25cm Tube 10
21592
NE
4446 / 10
Coloplast Simpla S2 Non-Drainable Urine Drainage Bags with Non-Return Valve
320902
NE
4723 / 10
Coloplast Simpla S4 Night Drainage Bags with Long Tube
340805
NE
4451 / 10
Coloplast Simpla S4 Night Drainage Bags with Short Tube
340801
NE
4443 / 10
Coloplast Simpla Trident T1 Leg Bags 350ml with Short Tube 10
370802
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
DT
NE
NE
Page 507 of 550
Code/Pack
Description
DT CD ZD N E D
4447 / 10
Coloplast Simpla Trident T1 Leg Bags 500ml Long Tube 10
370817
NE
9720 / 10
Coloplast Simpla Trident T1 Leg Bags 500ml Short Tube 10
370807
NE
9766 / 10
Coloplast Simpla Trident T1 Leg Bags 750ml Adjustable Tube 10
370904
NE
4444 / 10
Coloplast Simpla Trident T1 Leg Bags 750ml Long Tube 10
370819
NE
9730 / 10
Coloplast Simpla Trident T1 Leg Bags 750ml Short Tube 10
370809
NE
9008 / 10
Coloplast Simpla Trident T2 Leg Bags 350ml with Short Tube
376137
NE
8873 / 10
Coloplast Simpla Trident T2 Leg Bags 500ml Long Tube 10
376139
NE
9482 / 10
Coloplast Simpla Trident T2 Leg Bags 500ml Short Tube
376138
NE
9483 / 10
Coloplast Simpla Trident T2 Leg Bags 750ml Long Tube
376142
NE
8985 / 10
Coloplast Simpla Trident T2 Leg Bags 750ml Short Tube
376140
NE
4955 / 30
Coloplast Speedicath 30cm Catheter 30
28606
DT
NE
4973 / 30
Coloplast Speedicath 30cm Catheter 30
28608-12
DT
NE
6374 / 30
Coloplast Speedicath Compact Female 6ch Catheter 30
28576
DT
NE
4977 / 30
Coloplast Speedicath Compact Female Catheter 30
28578, 28580, 28582 & 28584
DT
NE
6301 / 30
Coloplast Speedicath Compact Male Catheter 30
28692 - 12/18 (one size)
DT
NE
6128 / 30
Coloplast Speedicath Compact Plus Female Catheter 30
28810-28814
DT
NE
2983 / 20
Coloplast SpeediCath Compact Set Female Catheter (ch-10) 20
28520
DT
NE
14628 / 20
Coloplast SpeediCath Compact Set Female Catheter (ch-12) 20
28522
DT
NE
2426 / 20
Coloplast SpeediCath Compact Set Female Catheter (ch-14) 20
28524
DT
NE
14629 / 20
Coloplast SpeediCath Compact Set Male Catheter (ch12/18) 20
28422
DT
NE
5328 / 20
Coloplast Speedicath Complete Female Catheter 20
28430, 28432, 28434
DT
NE
5946 / 20
Coloplast Speedicath Complete Male Catheter 20
28460, 28462 & 28464
DT
NE
6806 / 30
Coloplast Speedicath Control Catheter Male 30
28212
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 508 of 550
Code/Pack
Description
DT CD ZD N E D
9292 / 30
Coloplast Speedicath Female (Pre-hydrated Polyurethane) 30
28510,28511,28512,28513 & 28514
4983 / 30
Coloplast Speedicath Female Catheter 30
28506
DT
NE
4984 / 30
Coloplast Speedicath Female Catheter 30
28508
DT
NE
4986 / 30
Coloplast Speedicath Female Catheter 30
28516
DT
NE
9208 / 30
Coloplast Speedicath Male
(Pre-hydrated Polyurethane) 30
28410,28411,28412,28413 & 28414
4993 / 30
Coloplast Speedicath Male Catheter 30
28408
DT
NE
4997 / 30
Coloplast Speedicath Male Catheter 30
28416 & 28418
DT
NE
4998 / 30
Coloplast Speedicath Paediatric Catheter 30
28706
DT
NE
4999 / 30
Coloplast Speedicath Paediatric Catheter 30
28708 & 28710
DT
NE
5867 / 30
Coloplast Speedicath Tiemann Catheter 30
28490-28496
DT
NE
4454 / 1
Comfeel Barrier Cream (4720)
Code No. of Packs dispensed
ZD N E
19054 / 180
Comfeel Cleanser Bottle 180ml
4710
ZD N E
19055 / 30
Comfeel Cleanser Sachets 30
4715
ZD N E
19147 / 30
Confidence Comfort Closed Pouch Transparent Film/Beige Overlap Comfort Backing 30
Standard Starter Hole 13mm CF13
ZD N E
19146 / 30
Confidence Gold Closed Pouch Transparent Film/Beige Overlap Comfort Backing 30
Pre-Cut 25mm-52mm CTNW25, CTNW32. CTNW35, CTNW38, CTNW45, CTNW52
ZD N E
19145 / 30
Confidence Gold Closed Pouch Transparent Film/Beige Overlap Comfort Backing 30
Standard Starter Hole 13mm CTNW13
ZD N E
19160 / 10
Confidence Gold Convex Soft and Secure Bag 10
Standard Starter Hole 13-25mm SSCT1325
ZD N E
9641 / 30
Convatec Colodress Plus Clear Closed Pouch 30
S871, S872, S873, S874, S875, S876 & S877
ZD N E
9634 / 30
Convatec Colodress Plus Opaque Closed Pouch 30
S861, S862, S863, S864, S865, S866 & S867
ZD N E
9838 / 30
Convatec Combihesive Natura Closed Opaque Pouch 30
S7215, S7216, S7217, S7218 & S7219
ZD N E
9806 / 20
Convatec Combihesive Natura Closed Pouch with Filter Mini Size 20
S7290, S7291, S7292 & S7293
ZD N E
9789 / 30
Convatec Combihesive Natura Closed Pouch with Filter Standard Size 30
S7254, S7255, S7256, S7257 & S7258
ZD N E
19158 / 10
Convatec Combihesive Natura Convex Flange 10
S7305
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
NE
Page 509 of 550
Code/Pack
Description
DT CD ZD N E D
9875 / 10
Convatec Combihesive Natura Drainable Pouch 10
S7400, S7401, S7402, S7403 & S7404
ZD N E
9802 / 10
Convatec Combihesive Natura Drainable Pouch Small Opaque 10
S7279, S7280, S7281, S7282 & S7283
ZD N E
7290 / 10
Convatec Combihesive Natura Drainable Pouch Standard Clear 10
S7233
ZD N E
9793 / 10
Convatec Combihesive Natura Drainable Pouch Standard Opaque 10
S7269, S7270, S7271, S7272 & S7273
ZD N E
9770 / 5
Convatec Combihesive Natura Flexible Flange 5
S7244, S7245, S7246, S7247 & S7248
ZD N E
9812 / 10
Convatec Combihesive Natura Small Clear Urostomy Pouch 10
S7360, S7361, S7362 & S7363
ZD N E
9778 / 10
Convatec Combihesive Natura Standard Clear Urostomy Pouch 10
S7350, S7351, S7352 & S7353
ZD N E
9795 / 10
Convatec Combihesive Natura Standard Clear Urostomy Pouch 10
S7354
ZD N E
9832 / 10
Convatec Combihesive Natura Stomahesive Flange 10
S7294
ZD N E
14596 / 10
Convatec Combihesive Natura Stomahesive Flange 10
S7295, S7296, S7297, S7298
ZD N E
9824 / 10
Convatec Combihesive Natura Stomahesive Flexible Flange 10
S7340, S7341, S7342, S7343 & S7344
ZD N E
9814 / 10
Convatec Combihesive Natura Urosomy Standard Pouch 10
S7380, S7381, S7382, S7383 & S7384
ZD N E
9827 / 30
Convatec Consecura Low Profile Closed Opaque Pouch 30
S616LP, S617LP, S618LP & S619LP
ZD N E
9842 / 30
Convatec Esteem Closed Pouch (Opaque) 30
S5013, S5014, S5015, S5016 & S5017
ZD N E
19168 / 30
Convatec Esteem Closed Pouch (Opaque) 30
S5018
ZD N E
9857 / 30
Convatec Esteem Closed Pouch (Opaque) 30
S5020
ZD N E
19155 / 30
Convatec Esteem Closed Pouch (Opaque) Pre-Cut 30
S5027, S5028, S5029, S5030, S5031, S5032, S5033
ZD N E
19169 / 30
Convatec Esteem Closed Pouch (Opaque) Pre-Cut 30
S5034
ZD N E
19029 / 30
Convatec Esteem Drainable Pouch Medium Opaque Cut to Fit 30
S5079
ZD N E
19033 / 30
Convatec Esteem Drainable Pouch Medium Transparent Cut to Fit 30
S5078
ZD N E
19032 / 30
Convatec Esteem Drainable Pouch Small Opaque Pre Cut 30
S5076
ZD N E
5634 / 30
Convatec Esteem Synergy Closed Opaque Standard Urostomy Pouch 30
S1053F, S1054F & S1055F
ZD N E
4961 / 30
Convatec Esteem Synergy Closed Transparent Small Urostomy Pouch 30
S1056F, S1057F & S1058F
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 510 of 550
Code/Pack
Description
DT CD ZD N E D
9747 / 10
Convatec Illeodress Drainable Plus Small Size Opaque Pouch 10
S430, S431, S432, S433, S434
ZD N E
9645 / 10
Convatec Illeodress Drainable Plus Standard Size Opaque Pouch 10
S411, S412, S413, S414, S415, S416
ZD N E
4395 / 10
Convatec Illeodress Drainable Small Size Opaque Pouch 10
S851, S852, S853, S855, S857
ZD N E
4394 / 10
Convatec Illeodress Drainable Standard Size Clear Pouch 10
S841, S845, S846, S847
ZD N E
4384 / 10
Convatec Illeodress Drainable Standard Size Opaque Pouch 10
S831, S832, S833, S835, S836, S837
ZD N E
9629 / 5
Convatec Night Drainage Bag 5
S320
9721 / 50
Convatec Soft Wire Ties 50
S205
4547 / 1
Convatec Stomahesive Paste
S105
4633 / 5
Convatec Stomahesive Wafers, 100mmx100mm 5
S100
ZD N E
4403 / 3
Convatec Stomahesive Wafers, 200mmx200mm 3
S101
ZD N E
4528 / 1
Convatec System 2 Belt
S210
ZD N E
9710 / 10
Convatec Urodress Urostomy Bag 10
S896, S897, S898, S899 & S900
ZD N E
9130 / 25
Conveen Easi Cath Female Catheter 25
5368, 5370, 5372, 5374 & 5376
DT
NE
9121 / 25
Conveen Easi Cath Male Nelaton Catheter 25
5348, 5350, 5352, 5354, 5356, 5358, 5360 & 5362
DT
NE
9107 / 25
Conveen Easi Cath Paediatric Catheter 25
5008 & 5010
DT
NE
9138 / 25
Conveen Easi Cath Tiemann Tip Catheter 25
5382, 5384 & 5386
DT
NE
9119 / 25
Conveen EasiCath 30cm Catheter 25
5088, 5090 Gauge 8-10
DT
NE
9825 / 3
Cover Care Large Urostomy Pouch Covers 3
L200
ZD N E
9854 / 3
Cover Care Medium Closed Pouch Covers 3
L204
ZD N E
9817 / 3
Cover Care Mini 32/38mm Pouch Covers 3
L198
ZD N E
9829 / 3
Cover Care Mini 45/57mm Pouch Covers 3
L199
ZD N E
9840 / 3
Cover Care Small 38/45mm Closed, Small Drainable or Combihesive Closed Pouch Covers 3
L203
ZD N E
9833 / 3
Cover Care Standard Drainable or Urostomy Pouch Covers 3
L201
ZD N E
NE
ZD N E
Code No. of Packs dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 511 of 550
Code/Pack
Description
DT CD ZD N E D
19069 / 1
Coversure custom-made Cover Stone 1
RES C2
ZD N E
19068 / 1
Coversure custom-made Cover White 1
RES C1
ZD N E
19070 / 1
Coversure custom-made Cover White/Lace Front 1
RES C3
ZD N E
9043 / 1
Covidien UK Dover All Silicone Catheter
8887803081 - 8887803107
DT
NE
9037 / 1
Covidien UK Dover All Silicone Female Catheter
8887815127 - 8887815184
DT
NE
4251 / 1
Covidien UK Dover All Silicone Female Catheter 1
8887715129 - 8887715186
DT
NE
9034 / 1
Covidien UK Dover All Silicone Male Catheter
8887805128-8887805227
DT
NE
4250 / 1
Covidien UK Dover All Silicone Male Catheter 1
8887705120 - 8887705203
DT
NE
4252 / 1
Covidien UK Dover All Silicone Paediatric Catheter 1
8887703083 - 8887703109
DT
NE
8583 / 1
Covidien UK Dover Silver Male 1
6051221C - 6052471C
NE
9108 / 1
Covidien UK Ultramer Female
1712, 1716
NE
9105 / 1
Covidien UK Ultramer Male
1612, 1614, 1616, 1618
NE
6182 / 30
Cubcath Female Catheter
AVF08, AVF10, AVF12 & AVF14
DT
NE
6159 / 30
Cubcath Male Catheter
AVM10, AVM12, AVM14 & AVM16
DT
NE
6188 / 30
Cubcath Paediatric Catheter
AVP06, AVP08 & AVP10
DT
NE
1717 / 30
Cure Male 8-16 Catheter 30
HM8-HM16
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 512 of 550
Code/Pack
Description
DT CD ZD N E D
D
9776 / 30
Dansac Gx-Tra Seals 30
7252030, 7253030, 7254030 & 7255030
ZD N E
9777 / 30
Dansac Invent Drainable Opaque Ileostomy Bag 30
33915, 33920, 33925, 33930, 33935 & 33940
ZD N E
9783 / 30
Dansac Invent Mini Drainable Opaque Ileostomy Bag 30
335-15
ZD N E
19156 / 10
Dansac Light Convex Opaque Starter Hole Colostomy Bag 10
257-37
ZD N E
19171 / 1
Dansac Non Sting Adhesive Remover Spray 50ml 1
082-01 Code No Of Sprays Dispensed
ZD N E
19116 / 30
Dansac Nova 1 Drainable Easifold Clear Bag 30
824-15
ZD N E
19115 / 30
Dansac Nova 1 Drainable Easifold Opaque Bag 30
823-15, 823-20, 823-25, 823-30, 823-35, 823-40, 823-45
ZD N E
19157 / 5
Dansac Nova 2 43mm Flange Starter Hole 5
1143-15
ZD N E
9797 / 30
Dansac Nova Clear Pre-Cut Colostomy Bags 30
802-25, 802-30, 802-35, 802-40, 802-45 & 802-50
ZD N E
8256 / 30
Dansac Nova Clear Starter Hole Bag 30
802-20
ZD N E
9788 / 30
Dansac Nova Opaque Colostomy Bags 30
801-20, 801-25, 801-30, 801-35, 801-40, 801-45 & 801-50
ZD N E
8108 / 50
Dansac Opaque Longer Soft Wire Ties 50
095-02
ZD N E
8110 / 50
Dansac Opaque Soft Wire Ties 50
095-01
ZD N E
9628 / 1
Dansac Soft Paste 50g 1
77550-0
7301 / 30
Dansac Unique Drainable Clear Starter Hole Bag 30
322-15
ZD N E
7304 / 30
Dansac Unique Drainable Opaque Starter Hole Bag 30
321-15
ZD N E
9790 / 30
Dansac Unique Light Closed Pouch Opaque Colostomy Bags 30
25520,25525, 25530, 25535, 25540, 25545, 25550 & 25560
ZD N E
9659 / 1
Day Drops 15ml Deodorant (LL05) 1
Code No. of Packs dispensed
ZD N E
9669 / 1
Day Drops 30ml Deodorant (LL06) 1
Code No. of Packs dispensed
ZD N E
9643 / 1
Day Drops 7.5ml Deodorant (LL04) 1
Code No. of Packs dispensed
ZD N E
6960 / 1
Dor Pouch Deodorant 7ml 1
Code No. of Packs dispensed
Code No. of Packs dispensed
130103
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
ZD N E
Page 513 of 550
Code/Pack
Description
DT CD ZD N E D
F
6287 / 1
FlexiCath All Silicone Catheter 1
00-410603C-00-411003C
DT
NE
6291 / 1
FlexiCath All Silicone Female Catheter 1
00-421205C-00-421605C
DT
NE
6676 / 1
FlexiCath All Silicone Female Catheter with pre-filled syringe for balloon inflation 1
01-121205C - 01-121605C
DT
NE
6419 / 1
FlexiCath All Silicone Male Catheter 1
00-411205C-00-412605C
DT
NE
6324 / 1
FlexiCath All Silicone Male Catheter 1
00-411630C-00-412630C
DT
NE
6742 / 1
FlexiCath All Silicone Paediatric Catheter with pre-filled syringe for balloon inflation 1
01-110603C - 01-111003C
DT
NE
6275 / 1
FlexiCath All Silicone Standard Catheter with pre-filled syringe for balloon inflation 1
01-111205C - 01-112605C
DT
NE
6280 / 1
FlexiCath All Silicone Standard Catheter with pre-filled syringe for balloon inflation 1
01-111630C - 01-112630C
DT
NE
5869 / 1
Foley Female Catheter
DT
NE
8581 / 1
Foley Female Long Term Catheter
DT
NE
5870 / 1
Foley Male Catheter
DT
NE
8570 / 1
Foley Male Long Term Catheter
DT
NE
5871 / 1
Foley Paediatric Catheter
DT
NE
8723 / 1
Foley Peadiatric Long Term Catheter
DT
NE
8808 / 1
Folysil All Silicone (Open Ended) Male Catheter 10
AA74
DT
NE
5744 / 1
Folysil All Silicone Catheter (1.5-3) 6-10 1
AA7106, AA7108, AA7110
DT
NE
8845 / 1
Folysil All Silicone Female Catheter 10
AA75
DT
NE
8832 / 1
Folysil All Silicone Male Catheter 10
AA71
DT
NE
6235 / 1
Folysil X-tra Open Ended With Pre-Filled Syringe Male Catheter 1
AA8C12-AA8C18
DT
NE
6631 / 1
Folysil X-Tra With Pre-Filled Syringe Female Catheter 1
AA8B12-AA8B18
DT
NE
6612 / 1
Folysil X-tra With Pre-Filled Syringe Male Catheter 1
AA8A12-AA8A22
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 514 of 550
Code/Pack
Description
DT CD ZD N E D
G
9909 / 1
Grip-Lok Catheter Securement Device Large 1
3400L
DT
NE
9566 / 1
Grip-Lok Catheter Securement Device Medium 1
3300M
DT
NE
5872 / 20
GTA Idrocath Child Catheter
50013
DT
NE
5874 / 20
GTA Idrocath Female Catheter
50011
DT
NE
5875 / 20
GTA Idrocath Kit Child Catheter
50113
DT
NE
5876 / 20
GTA Idrocath Kit Female Catheter
50111
DT
NE
5877 / 20
GTA Idrocath Kit Male Catheter
50110
DT
NE
5878 / 20
GTA Idrocath Kit Paediatric Catheter
50112
DT
NE
5880 / 20
GTA Idrocath Male Catheter
50010
DT
NE
5881 / 20
GTA Idrocath Paediatric Catheter
50012
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 515 of 550
Code/Pack
Description
DT CD ZD N E D
H
19102 / 1
Hi-Line Breathable Stretch Unisex Ostomy Belt 13.5cm deep 1
RES 6b, (Small, Medium, Large, X Large, XX Large, XXXLarge)
ZD N E
19101 / 1
Hi-Line Breathable Stretch Unisex Ostomy Belt 21cm deep 1
RES 6, (Small, Medium, Large, X Large, XX Large, XXXLarge)
ZD N E
19107 / 1
Hi-Line Firm Control Ostomy Girdle/Pantie Brief 1
RES 1, including hole over stoma with suspenders as required
ZD N E
19104 / 1
Hi-Line Lightweight Support Belt (Long) 21cm wide 1
RES 4, (Small, Medium, Large, X Large, XX Large, XXXLarge) Hook&Eye or Velcro
Fastening with Hole over Stoma
ZD N E
19103 / 1
Hi-Line Lightweight Support Belt 13cm wide 1
RES 3, (Small, Medium, Large, X Large, XX Large, XXXLarge) Hook&Eye or Velcro
Fastening with Hole over Stoma
ZD N E
19106 / 1
Hi-Line Medium Control Ostomy Girdle/Pantie Brief 1
RES 2, including hole over stoma with suspenders as required
ZD N E
19108 / 1
Hi-Line Seamless Two Way Stretch Unisex Colostomy Belt 26cm Deep 1
RES 7, (Small, Medium, Large, X Large, XX Large)
ZD N E
19109 / 1
Hi-Line Seamless Two Way Stretch Unisex Colostomy Belt 27cm and above 1
RES 8, (Small, Medium, Large, X Large, XX Large)
ZD N E
5779 / 30
Hi-Slip Hydrophilic Female Catheter 30
HS.SF2008-HS.SF2016
DT
NE
3421 / 30
Hi-Slip Hydrophilic Male Catheter 30
HS.SM4008-HS.SM4022
DT
NE
3427 / 30
Hi-Slip Hydrophilic Paediatric 20cm Catheter 30
HS.SP2006-HS.SF2010
DT
NE
4293 / 30
Hi-Slip Hydrophilic Paediatric 30cm Catheter 30
HS.SP3006-HS.SF3010
DT
NE
5781 / 30
Hi-Slip Hydrophilic Tiemann Catheter 30
HS.ST4010-HS.ST4020
DT
NE
17606 / 20
Hi-Slip Kit Female Catheter 20
HS.KF2008-HS.KF2016
DT
NE
17605 / 20
Hi-Slip Kit Male Catheter 20
HS.KM4008-HS.KM4018
DT
NE
17607 / 20
Hi-Slip Kit Paediatric 20cm Catheter 20
HS.KP2006-HS.KP2010
DT
NE
17608 / 20
Hi-Slip Kit Paediatric 30cm Catheter 20
HS.KP3006-HS.KP3010
DT
NE
17609 / 20
Hi-Slip Kit Tiemann Catheter 20
HS.KT4010-HS.KT4018
DT
NE
4188 / 30
Hi-Slip Plus Hydrophilic Female Catheter 30
HS.PF2008-HS.PF2016
DT
NE
4309 / 30
Hi-Slip Plus Hydrophilic Male Catheter 30
HS.PM4008-HS.PM4024
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 516 of 550
Code/Pack
Description
DT CD ZD N E D
4183 / 30
Hi-Slip Plus Hydrophilic Paediatric 20cm Catheter 30
HS.PP2006-HS.PP2010
DT
NE
5782 / 30
Hi-Slip Plus Hydrophilic Paediatric 30cm Catheter 30
HS.PP3006-HS.PP3010
DT
NE
4179 / 30
Hi-Slip Plus Hydrophilic Tiemann Catheter 30
HS.PT4010-HS.PT4020
DT
NE
19025 / 10
Hollister 500ml/10cm inlet Regular leg bag 10
9621
NE
19026 / 10
Hollister 500ml/50cm inlet Regular leg bag 10
9624
NE
19027 / 10
Hollister 800ml/10cm inlet Regular leg bag 10
9631
NE
19028 / 10
Hollister 800ml/50cm Variable inlet Regular leg bag 10
9632
NE
19139 / 10
Hollister Adapt Barrier Strips (6g) 10
79400 Code No. of Strips dispensed
ZD N E
19162 / 20
Hollister Adapt Paste (14g) 20
79301 Code No. of Packs dispensed
ZD N E
19141 / 1
Hollister Adapt Stoma Powder 1
7906
ZD N E
5883 / 25
Hollister Advance Intermittent with Protective Tip Female Catheter 25
92062, 92082, 92102, 92122, & 92142
DT
NE
5884 / 25
Hollister Advance Intermittent with Protective Tip Male Catheter 25
92084, 92104, 92124, 92144, 92164, & 92184
DT
NE
5885 / 25
Hollister Advance Plus Nelaton Catheter 25
94064-94184
DT
NE
5886 / 25
Hollister Advance Plus Tiemann Tip Catheter 25
95124-95164
DT
NE
9707 / 10
Hollister Compact Beige with Beige Cut to Fit Drainable Pouch 10
3251
ZD N E
9739 / 10
Hollister Compact Beige with Beige Pre Cut Drainable Pouch 10
3252, 3258, 3253
ZD N E
9700 / 10
Hollister Compact Clear with Beige Cut to Fit Drainable Pouch 10
3250
ZD N E
9735 / 30
Hollister Compact Closed Beige Cut to Fit Pouch 30
3470
ZD N E
9757 / 30
Hollister Compact Closed Beige Pre-Cut Pouch 30
3472, 3478, 3473, 3479, 3474 & 3475
ZD N E
9660 / 10
Hollister Impression Bag with Convex Wafer (Transparent)
3610, 3611, 3612, 3613, 3614,3615,3616, 3617, 3618
ZD N E
9826 / 10
Hollister impression C Colostomy Bags
3490, 3491, 3492, 3493, 3494, 3495, 3496, 3497, 3498 & 3499
ZD N E
9786 / 10
Hollister Impression C Colostomy Bags with Convex Wafer
3260, 3261, 3262, 3263, 3264, 3265,3266, 3267
ZD N E
19150 / 10
Hollister Impression C with Convex Wafer Urostomy Bag 10
13mm-44mm 1450, 1451, 1452, 1453, 1454, 1455, 1456, 1457, 1458, 1459
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 517 of 550
Code/Pack
Description
DT CD ZD N E D
9755 / 10
Hollister Impression Pouch
1481, 1482, 1483, 1484, 1485,1486 1487, 1488 & 1489
9122 / 25
Hollister InstantCath Female 25
9674, 9675 & 9676
NE
9120 / 25
Hollister InstantCath Male 25
9670 & 9671, 9672 & 9673
NE
9126 / 25
Hollister InstantCath Paediatric 25
9677& 9678
NE
5887 / 25
Hollister InstantCath Protect Nelaton Catheter 25
9691, 9692, 9693, 9694, 9695 & 9696
DT
NE
5888 / 25
Hollister InstantCath Protect Tiemann Catheter 25
9697, 9698 & 9699
DT
NE
4611 / 30
Hollister Karaya 5 Seal With Filter Transparent Colostomy Bag 30
3323, 3324, 3325,3326, 3327, 3328 & 3329
ZD N E
4612 / 30
Hollister Karaya 5 Seal Without Filter Transparent Colostomy Bag 30
7163,7164,7165,7166,7168,7169
ZD N E
4623 / 1
Hollister Karaya Paste (128g) 1
7910 Code No. of Packs dispensed
ZD N E
4702 / 1
Hollister Karaya Powder ( 71g) 1
7905 Code No. of Packs dispensed
ZD N E
4684 / 30
Hollister Karaya Seal & Microporous Adhesive (Transparent) 25-76mm
3278, 3273, 3279, 3274, 3275 & 3276
ZD N E
4602 / 30
Hollister Karaya Seal with Microporous Adhesive (Opaque) 9” length
3138, 3133, 3139 & 3134
ZD N E
4601 / 30
Hollister Karaya Seal with Microporous Adhesive (Transparent) 12” length
3112, 3118, 3113, 3119, 3114, 3115
ZD N E
4604 / 30
Hollister Karaya Seal with Microporous Adhesive (Transparent) 12” length
3222, 3228, 3223, 3229, 3224, 3225 & 3226
ZD N E
4691 / 10
Hollister Lo Profile Urostomy Bag with Microporous 2 Adhesive and Karaya 5 Seal
1432, 1438, 1433, 1439 & 1434
ZD N E
4696 / 1
Hollister Medical Adhesive Aerosol (90g)
7730
Code No. of Packs dispensed
ZD N E
4697 / 1
Hollister Medical Adhesive Remover (76g)
7731
Code No. of Packs dispensed
ZD N E
19010 / 30
Hollister Moderma-Flex Closed Pouch Beige Starter Hole 30
22100, 22120, 22125, 22130, 22135, 22140, 22145
ZD N E
19011 / 30
Hollister Moderma-Flex Closed Pouch Transparent Starter Hole 30
22500
ZD N E
19012 / 30
Hollister Moderma-Flex Maxi Closed Pouch Beige Cut to Fit 30
22300
ZD N E
19013 / 30
Hollister Moderma-Flex Maxi Closed Pouch Beige Pre Cut 30
22325, 22330, 22335
ZD N E
19014 / 30
Hollister Moderma-Flex Maxi Closed Pouch Transparent Cut to Fit 30
22400
ZD N E
4245 / 15
Hollister Premium Drainable Bag with Integral Flatus Filter
3662, 3663, 3664, 3665, 3668 & 3669
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 518 of 550
Code/Pack
Description
DT CD ZD N E D
9715 / 100
Hollister Replacement Filters for Drainable Bags
7766
ZD N E
9671 / 20
Hollister Replacement Filters for Drainable Bags
7766
ZD N E
8271 / 10
Hollister Retracted Penis Pouch Urinal System 10
9811
4694 / 5
Hollister Skin Barrier 102mmx102mm 5
7700
ZD N E
4247 / 4
Hollister Skin Barrier 203mmx203mm 4
7701
ZD N E
19142 / 50
Hollister Skin Gel Protective Dressing Wipes 50
7917
ZD N E
9702 / 30
Hollister Stoma Caps 51mm
3184
ZD N E
9611 / 30
Hollister Stoma Caps 76mm
3186
ZD N E
19056 / 50
Hollister Universal Remover Wipes 50
7760
ZD N E
9608 / 10
Hollister Urinary 540ml with Direct inlet connector leg bag 10
9814
9846 / 30
Hollister VaPro Hydrophilic Female 20cm Catheter 30
72082-72142
DT
NE
9610 / 30
Hollister VaPro Hydrophilic Male 40cm Catheter 30
72084-72164
DT
NE
136 / 30
Hollister VaPro Hydrophilic Tiemann Catheter 12-16 30
73124-73164
DT
NE
2227 / 30
Hollister VaPro Plus Female 20cm Catheter 30
74122-74142 gauge 12-14
DT
NE
2248 / 30
Hollister VaPro Plus Male 40cm Catheter 30
74124-74144 gauge 12-14
DT
NE
8898 / 30
Hollister VaPro Pocket Hydrophilic Intermittent Catheter Male 40cm 12-14 30
70124-70144
DT
NE
7949 / 30
Hunter Aloe Meatal Catheter 30
ALOEM10-ALOEM16
DT
NE
5889 / 30
Hunter Antibac D Catheter
ABD16 & ABD18
DT
NE
5890 / 30
Hunter Antibac Nelaton Female Catheter
ABF08, ABF10, ABF12, ABF14
DT
NE
5891 / 30
Hunter Antibac Nelaton Male Catheter
ABM08, ABM10, ABM12, ABM14, ABM16 & ABM18
DT
NE
5892 / 30
Hunter Antibac Nelaton Paediatric Catheter
ABP06, ABP08 & ABP10
DT
NE
6463 / 30
Hunter Urology Aloe Hydro Catheter Female 30
AHF08 - AHF14
DT
NE
6449 / 30
Hunter Urology Aloe Hydro Catheter Male 30
AHM10-AHM16
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
NE
NE
Page 519 of 550
Code/Pack
Description
DT CD ZD N E D
6785 / 30
Hunter Urology Aloe Hydro Catheter Male Tiemann Tip 30
AHM12TT-AHM16TT
DT
NE
6477 / 30
Hunter Urology Aloe Hydro Catheter Paediatric 30
AHP06 - AHP10
DT
NE
5868 / 30
Hunter Urology Emteva Catheter 30
46F1230UK
DT
NE
17424 / 30
Hunter Urology HunterCath Non-Coated ISC Female 30
SCF08-SCF14
NE
5931 / 30
Hunter Urology HunterCath Non-Coated ISC Male 30
SCM10-SCM16
NE
17732 / 30
Hunter Urology HunterCath Non-Coated ISC Paed 30
SCP06-SCP10
NE
5863 / 30
Hunter Urology Smooth Nelaton catheter female 30
SNF08-SNF14
DT
NE
5862 / 30
Hunter Urology Smooth Nelaton catheter male 30
SNM08-SNM14
DT
NE
5864 / 30
Hunter Urology Smooth Nelaton catheter paediatric 30
SNP06-SNP10
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 520 of 550
Code/Pack
Description
DT CD ZD N E D
I
9823 / 10
Incontiaid Adhesive Strip
1004
NE
7770 / 1
Incontiaid Reuseable Urinal Bottle Urinal System 1
1350
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 521 of 550
Code/Pack
Description
DT CD ZD N E D
J
8280 / 1
Jade Ostomy Girdle Belt 1
KM 21
ZD N E
8300 / 1
Jade St Marks Pattern Col. Female Belt 1
KM 31
ZD N E
8289 / 1
Jade St Marks Pattern Col. Male Belt 1
KM 30
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 522 of 550
Code/Pack
Description
DT CD ZD N E D
L
9573 / 1
L.IN.C 2 Way All Silicone Suprapubic with Integral Balloon & Shaped Tip Catheter
084612051, 084614051, 084616101, 084618101, 084620101
DT
NE
9569 / 1
L.IN.C 2 Way All Silicone Suprapubic with Integral Balloon Female Catheter
08471205, 08471405, 08471610, 08471810, 08472010, 08472210, 08472410
DT
NE
9570 / 1
L.IN.C 2 Way All Silicone Suprapubic with Integral Balloon Long Catheter
08451205, 08451405, 08451610, 08451810, 08452010, 08452210, 08452410
DT
NE
8569 / 1
L.IN.C 2 Way All Silicone Suprapubic with Integral Balloon Paediatric 8Ch Catheter
08470803
DT
NE
9567 / 1
L.IN.C 2 Way All Silicone Suprapubic with Integral Balloon Paediatric Catheter
08471003
DT
NE
14599 / 1
L.IN.C 2 Way Foley All Silicone Female Catheter with UniBal Baloon with Glycerine 1
085012051G,085014051G,085016101G
DT
NE
14602 / 1
L.IN.C 2 Way Foley All Silicone Female Catheter with UniBal Baloon with Water 1
085012051W,085014051W,085016101W
DT
NE
14600 / 1
L.IN.C 2 Way Foley All Silicone Male Catheter with UniBal Baloon with Glycerine 1
08501205G,08501405G,08501610G,08501810G
DT
NE
14603 / 1
L.IN.C 2 Way Foley All Silicone Male Catheter with UniBal Baloon with Water 1
08501205W,08501405W,08501610W,08501810W
DT
NE
9562 / 1
L.IN.C 2 Way Foley All Silicone Paediatric Catheter
08500601, 08500803, 08501003
DT
NE
14601 / 1
L.IN.C 2 Way Foley All Silicone Paediatric Catheter with Integral Baloon with Glycerine 1
08501003G,08500601G,08500803G
DT
NE
14604 / 1
L.IN.C 2 Way Foley All Silicone Paediatric Catheter with Integral Baloon with Water 1
08501003W,08500601W,08500803W
DT
NE
8547 / 1
L.IN.C 2 Way Foley All Silicone Tiemann Catheter 1
1011-14 - 1011-18
DT
NE
9563 / 1
L.IN.C Medical 2 Way Foley All Silicone Male Catheter
08501430, 08501630
DT
NE
9557 / 1
L.IN.C Medical All Silicone with Integral Balloon Female Catheter
085012051, 085014051, 085016101
DT
NE
9559 / 1
L.IN.C Medical All Silicone with Integral Balloon Male Catheter
08501205, 08501405, 08501610, 08501810
DT
NE
14630 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Integral Baloon with Glycerine Standard 1
084612051G,084614051G,084616101G,084618101G,084620101G
DT
NE
14631 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Integral Baloon with Water Standard 1
084612051W,084614051W,084616101W,084618101W,084620101W
DT
NE
14632 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Unibal Baloon with Glycerine Female 1
08471205G,08471405G,08471610G,08471810G,08472010G,08472210G,08472410G
DT
NE
14633 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Unibal Baloon with Glycerine Paediatric 1
08471003G,08470803G
DT
NE
14634 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Unibal Baloon with Glycerine Standard 1
08451205G,08451405G,08451610G,08451810G,08452010G,08452210G,08452410G
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 523 of 550
Code/Pack
Description
DT CD ZD N E D
14635 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Unibal Baloon with Glycerine Standard 1
08471205W,08471405W,08471610W,08471810W,08472010W,08472210W,08472410W
DT
NE
14636 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Unibal Baloon with Water Paediatric 1
08471003W,08470803W
DT
NE
14637 / 1
L.IN.C Urinary All Silicone Open Tipped Catheter with Unibal Baloon with Water Standard 1
08451205W,08451405W,08451610W,08451810W,08452010W,08452210W,08452410W
DT
NE
19037 / 30
LBF No Sting Barrier Film (Sterile) Sachets 30
3820
ZD N E
8519 / 100
Lift Medical Adhesive Remover Bottle 100ml
5501
ZD N E
8613 / 30
Lift Medical Adhesive Remover Sachets 30
5500
ZD N E
19057 / 30
Lift Plus Medical Adhesive Remover Sachets 30
5502
ZD N E
19058 / 1
Lift Plus Medical Adhesive Remover Spray 50ml 1
5503 Code no. of sprays dispensed
ZD N E
2997 / 1
Limone Deodorant 50ml Spray (3905) 1
Code No. of Packs dispensed
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 524 of 550
Code/Pack
Description
DT CD ZD N E D
M
8809 / 6
Malvern Biscath System Catheter Female
BISC001
DT
NE
8810 / 6
Malvern Biscath System Catheter Female
BISC002
DT
NE
8813 / 6
Malvern Biscath System Catheter Female
BISC003
DT
NE
8816 / 6
Malvern Biscath System Catheter Female
BISC004
DT
NE
19072 / 2
Manfred Sauer Pure Latex 28g Skin Adhesive Tube 2
50.00 Code No. of Tubes Dispensed
8920 / 30
Manfred Sauer UK Ltd iQ Cath Easy Hydrophilic catheter Male 30
IQ4004.10, IQ4004.12, IQ4004.14, IQ4004.16, IQ4004.18
DT
NE
1410 / 30
Manfred Sauer UK Ltd iQ Cath Gel+ Catheter Male 30
IQ3204.10, IQ3204.12, IQ3204.14, IQ3204.16, IQ3204.18
DT
NE
3146 / 30
Manfred Sauer UK Ltd iQ Cath Integral Gel Sachet Male 30
IQ3104.10, IQ3104.12, IQ3104.14, IQ3104.16, IQ3104.18
6712 / 30
Manfred Sauer UK Ltd iQ Cath Male Catheter 30
IQ2004.10, IQ2004.12, IQ2004.14, IQ2004.16, IQ2004.18
DT
NE
3004 / 30
Manfred Sauer UK Ltd iQ Cath Original Solo Hydrophilic double wrapped catheter Male 30
IQ2014.10, IQ2014.12, IQ2014.14, IQ2014.16, IQ2014.18
DT
NE
3489 / 30
Manfred Sauer UK Ltd iQ Cath Set Male Soft Tip Catheter 30
IQ3604.10, IQ3604.12, IQ3604.14, IQ3604.16, IQ3604.18
DT
NE
3005 / 30
Manfred Sauer UK Ltd iQ Cath Solo for Gel catheter Male 30
IQ3004.12, IQ3004.14, IQ3004.16
DT
NE
3003 / 30
Manfred Sauer UK Ltd iQ Cath Solo for Gel double wrapped catheter Male 30
IQ3014.12, IQ3014.14, Q3014.16
DT
NE
3824 / 30
Manfred Sauer UK Ltd iQ Cath with external saline sachet (Hydrophilic) catheter Male 30
IQ2704.10, IQ2704.12, IQ2704.14, IQ2704.16, IQ2704.18
DT
NE
3748 / 30
Manfred Sauer UK Ltd iQ Cath with external saline sachet (Hydrophilic) double wrapped catheter
Male 30
IQ2714.10, IQ2714.12, IQ2714.14, IQ2714.16, IQ2714.18
DT
NE
9087 / 1
Medasil (Surgical) Ltd All Silicone Catheter
83P
DT
NE
9073 / 1
Medasil (Surgical) Ltd All Silicone Female Catheter
86F
DT
NE
9074 / 1
Medasil (Surgical) Ltd All Silicone Female Catheter
87F
DT
NE
9071 / 1
Medasil (Surgical) Ltd All Silicone Male Catheter
84M
DT
NE
9072 / 1
Medasil (Surgical) Ltd All Silicone Male Catheter
85M
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
NE
Page 525 of 550
Code/Pack
Description
DT CD ZD N E D
8100 / 1
Mediplus 2 Way Foley All Silicone Catheter with Glycerine Filled Syringe + Empty Syringe
Female 1
5782-5786 balloon size 5-10, gauge-12-16
DT
NE
8099 / 1
Mediplus 2 Way Foley All Silicone Catheter with Glycerine Filled Syringe + Empty Syringe Male
1
5772-5778 balloon size 5-10, gauge-12-18
DT
NE
6833 / 1
Mediplus 2 Way Foley All Silicone Catheter with Glycerine Filled Syringe + Empty Syringe Male
open tip 1
5775-5779 balloon size 5-10, gauge-14-18
DT
NE
6919 / 30
Mediwatch uCath Catheter Female 12cm 30
F1208-F1216
DT
NE
6949 / 30
Mediwatch uCath Catheter Female 18cm 30
F1808-F1816
DT
NE
6908 / 30
Mediwatch uCath Catheter Male 40cm 30
M08-M18
DT
NE
6982 / 30
Mediwatch uCath Catheter Paediatric 30cm 30
P06-P10
DT
NE
7043 / 30
Mediwatch uCath H2O Catheter Female 12cm 30
uCath/HF1208 - uCath/HF1216
DT
NE
7046 / 30
Mediwatch uCath H2O Catheter Female 18cm 30
uCath/HF1808 - uCath/HF1816
DT
NE
6993 / 30
Mediwatch uCath H2O Catheter Male 30
uCath/HM08 - uCath/HM18
DT
NE
7055 / 30
Mediwatch uCath H2O Catheter Paediatric 30
uCath/HP06 - uCath/HP10
DT
NE
4365 / 1
Mentor Chiron Black Butyl Screw Cap Outlet Ileostomy Day Bag
WF005-38-W, WF005-44-R
ZD N E
4643 / 10
Mentor Chiron Double Sided Plasters 90mm Square 10
WJ010-19-N & WJ010-35-L
ZD N E
4644 / 10
Mentor Chiron Double Sided Plasters 102mm Square 10
WJ011-19-S & WJ011-35-Q
ZD N E
4352 / 10
Mentor Chiron Double Sided Plasters 102mm Square 10
WJ016-25-J
ZD N E
4361 / 10
Mentor Chiron Double Sided Plasters 102mmx76mm 10
WJ014-19-F
ZD N E
4354 / 10
Mentor Chiron Double Sided Plasters 125mm Square 10
WJ018-01-C
ZD N E
4357 / 10
Mentor Chiron Double Sided Plasters 127mm Square 10
WJ012-19-W & WJ012-35-U
ZD N E
4360 / 10
Mentor Chiron Double Sided Plasters 150mm Square 10
WJ013-19-B
ZD N E
4362 / 1
Mentor Chiron Latex Rubber Screw Cap Outlet Ileostomy Day Bag
WF003-38-N
ZD N E
4367 / 1
Mentor Chiron Screw Cap Outlet On Body Side Ileostomy Children’s Bag
WF011-38-K
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 526 of 550
Code/Pack
Description
DT CD ZD N E D
9677 / 1
Mentor Chiron Screw Cap Outlet On Body Side Ileostomy Day Bag
WF002-38-J
ZD N E
4712 / 1
Mentor Chiron White Rubber Screw Cap Outlet Ileostomy Day Bag
WF001-38-E, WF001-44-Y, WF001-51-V
ZD N E
9615 / 1
Mentor Chiron White Rubber Screw Cap Outlet Ileostomy Night Bag
WF021-38-Q
ZD N E
9639 / 1
Mentor Cotton Day Size Bag Cover
WN124-01-C
ZD N E
9637 / 1
Mentor Cotton Night Size Bag Cover
WN125-04-N
ZD N E
4716 / 1
Mentor Web and Elastic Belt 25mm Wide 1
WL002-25-01-S, WL002-25-02-U, WL002-25-03-W
ZD N E
4385 / 1
Mentor Web and Elastic Belt 51mm Wide 1
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
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 527 of 550
Code/Pack
Description
DT CD ZD N E D
N
5893 / 1
Nelaton Female Catheter
DT
NE
5894 / 1
Nelaton Male Catheter
DT
NE
5895 / 1
Nelaton Paediatric Catheter
DT
NE
4506 / 1
Noroma Deodorant 1oz (833021) 28ml 1
Code No. of Packs dispensed
ZD N E
4518 / 1
Noroma Deodorant 8oz (833056) 227ml 1
Code No. of Packs dispensed
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 528 of 550
Code/Pack
Description
DT CD ZD N E D
O
6910 / 1
Optiflo G 3.23% Citric Acid Catheter Maintenance Solution CSG100 (100ml) 1
Code No. of Sachets dispensed
DT
NE
6905 / 1
Optiflo G 3.23% Citric Acid Catheter Maintenance Solution CSG50 (50ml) 1
Code No. of Sachets dispensed
DT
NE
6912 / 1
Optiflo R 6% Citric Acid Catheter Maintenance Solution CSR50 (50ml) 1
Code No. of Sachets dispensed
DT
NE
6918 / 1
Optiflo R 6% Citric Acid Catheter Maintenance Solution CSS100 (100ml) 1
Code No. of Sachets dispensed
DT
NE
6922 / 1
Optiflo S 0.9% Saline Catheter Maintenance Solution CSS100 (100ml) 1
Code No. of Sachets dispensed
DT
NE
6921 / 1
Optiflo S 0.9% Saline Catheter Maintenance Solution CSS50 (50ml) 1
Code No. of Sachets dispensed
DT
NE
8455 / 30
OptiSmooth Hydrophilic Female Catheter 30
OS1808-OS1816
DT
NE
8482 / 30
OptiSmooth Hydrophilic Female Mini Catheter 30
OS1208-OS1216
DT
NE
8451 / 30
OptiSmooth Hydrophilic Male Catheter 30
OS4008-OS4018
DT
NE
8483 / 30
OptiSmooth Hydrophilic Paediatric Catheter 30
OS3006-OS3010
DT
NE
2273 / 30
Orabase Paste (Stoma use) 30g S103
Code No. of Grams dispensed
ZD N E
1677 / 1
Orahesive Powder S106
Code No. of Packs dispensed
ZD N E
19143 / 100
Ostagel Skin Cleanser Bottle 100ml
8801
ZD N E
19144 / 30
Ostagel Skin Cleanser Sachets 1.5ml 30
8802 Code no. of sachets dispensed
ZD N E
19063 / 100
OstoClear Bottle 100ml
MRW2
ZD N E
19062 / 30
OstoClear Sachets 30
MRW1
ZD N E
19084 / 100
OstoCLENZ No Rinse Skin Cleansing Gel 100ml
LGS2
ZD N E
19085 / 30
OstoCLENZ No Rinse Skin Cleansing Gel 2ml Sachets 30
LGS3
ZD N E
19075 / 100
OstoFix Flange Security Tape 2.5cm x 10cm 100
DGW1
ZD N E
19076 / 100
OstoFix Flange Security Tape 5cm x 10cm 100
DGW2
ZD N E
19166 / 40
OstoFix Forty Security Frames 40
DFW3
ZD N E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 529 of 550
Code/Pack
Description
DT CD ZD N E D
19087 / 20
OstoGuard Barrier Cream 2g Sachets 20
Code No. of Sachets dispensed
19086 / 60
OstoGuard Barrier Cream 60g
RMC1
19088 / 30
OstoGuard No Sting Barrier Film 3ml Sachets 30
Code No. of Sachets dispensed
19089 / 30
OstoGuard No Sting Barrier Film Dab on Bottle 30ml
RMC4
ZD N E
19172 / 1
OstoMist Odour Neutraliser Mint Drops 50ml 1
SPN5 Code No. of Packs Dispensed
ZD N E
19082 / 1
OstoMIST Odour Neutralising Apple Spray 50ml 1
Code No. of Sprays dispensed
DPA2
ZD N E
19081 / 1
OstoMIST Odour Neutralising Apple Spray 100ml 1
Code No. of Sprays dispensed
DPA1
ZD N E
19078 / 1
OstoMIST Odour Neutralising Blackberry Spray 50ml 1
Code No. of Sprays dispensed
BDW2
ZD N E
19077 / 1
OstoMIST Odour Neutralising Blackberry Spray 100ml 1
Code No. of Sprays dispensed
BDW1
ZD N E
19152 / 1
OstoMist Odour Neutralising Cinnamon & Sandalwood Spray 50ml 1
CSW2
Code No Of Sprays Dispensed
ZD N E
19153 / 1
OstoMist Odour Neutralising Cinnamon & Sandalwood Spray 100ml 1
CSW1
Code No Of Sprays Dispensed
ZD N E
19080 / 1
OstoMIST Odour Neutralising Grapefruit Spray 50ml 1
Code No. of Sprays dispensed
DWR2
ZD N E
19079 / 1
OstoMIST Odour Neutralising Grapefruit Spray 100ml 1
Code No. of Sprays dispensed
DWR1
ZD N E
19151 / 25
Ostoseal Protective Powder 25g
ABP1
ZD N E
19136 / 1
Ostoshield (belt required) 1
RES 50
ZD N E
19138 / 1
Ostoshield Belt Large/ExLarge for use with Res 50 1
RES 45
ZD N E
19137 / 1
Ostoshield Belt Small/Medium for use with Res 50 1
RES 40
ZD N E
7233 / 300
OstoZyme Multi 300ml
TCB6
ZD N E
19083 / 30
OstoZyme Odour Neutralising Lubricating Gel Sachets 8ml 30
Code No. of Sachets dispensed
RMC2
ZD N E
ZD N E
RMC3
ZD N E
TCB3
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 530 of 550
Code/Pack
Description
DT CD ZD N E D
P
9156 / 1
P Grip Catheter Retainer Strap (1 x Abdominal Strap, 1 x Velcro Tabs, 2 x Hook Tabs) 1
CS 02 Code No. of Packs Dispensed
DT
NE
9082 / 1
P Grip Catheter Retainer Strap (1 x Leg Strap, 1 x Velcro Tabs, 2 x Hook Tabs) 1
CS 01 Code No. of Packs Dispensed
DT
NE
9125 / 1
P Grip Catheter Retainer Strap (1 x Velcro Tabs, 10 x Hook Tabs) 1
CS.TABS Code No. of Packs Dispensed
DT
NE
9131 / 30
Pelican Cohesive Slims washer small 48mm 30
839005
ZD N E
9765 / 30
Pelican Select Closed Clear Cut-to-fit Pouches 30
100700
ZD N E
7323 / 30
Pelican Select Closed Clear Pre-Cut Pouches 30
101727, 101734, 101741, 101748, 101755
ZD N E
9772 / 30
Pelican Select Closed Opaque Cut-to-fit Pouches 30
100720
ZD N E
7319 / 30
Pelican Select Closed Opaque Pre-Cut Pouches 30
100727, 100734, 100741, 100748, 100755
ZD N E
9048 / 10
Pennine Female Catheter
FC1410FP, FC1412FP & FC1414FP
DT
NE
9047 / 10
Pennine Male Catheter
NC1212FP, NC1214FP & NC1216FP
DT
NE
9049 / 10
Pennine Paediatric Catheter
NC1206FP25, NC1208FP25 & NC1210FP25
DT
NE
5896 / 10
Pennine Pre-Lube Female Catheter
FC1608/FP-FC1616/FP
DT
NE
5897 / 10
Pennine Pre-Lube Male Catheter
NC1608FP-NC1616FP
DT
NE
5898 / 10
Pennine Pre-Lube Male+Integral Bag Catheter
NC1608/BGFP, NC1616/BGFP
DT
NE
4437 / 50
Peri-Prep Wipes 50
840001
8970 / 1
Prosys All-Silicone Foley Catheter Female 1
PCF12F10 - PCF18F10
DT
NE
8969 / 1
Prosys All-Silicone Foley Catheter Male 1
PCF12M10 - PCF18M10
DT
NE
19163 / 10
ProSys Long Tube 500ml Leg Bag with velcro straps 10
P500L
NE
19164 / 10
ProSys Short Tube 500ml Leg Bag with velcro straps 10
P500S
NE
9109 / 10
ProSys single use non-sterile drainable night drainage bag 2litre 10
PSU2
NE
9116 / 10
ProSys sterile single use drainable night drainage bag 2litre 10
P2000
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD N E
Page 531 of 550
Code/Pack
Description
DT CD ZD N E D
5861 / 1
ProSys Vesica Community Catheterisation Pack 1
VESCP-01
DT
NE
2980 / 1
ProSys Vesica Community Catheterisation Pack LT 1
VESCP-02
DT
NE
8115 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Extra Large 30
9740
NE
8127 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Large - 30
9732
NE
8120 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Large 30
9735
NE
8125 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Large + 30
9737
NE
8135 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Medium - 30
9726
NE
8128 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Medium 30
9728
NE
8130 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Medium + 30
9730
NE
8150 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Paediatric 30
9718
NE
8191 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Small - 30
9720
NE
8168 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Small 30
9722
NE
8178 / 30
P-Sure Self Adhesive Latex-Free Incontinence Sheath Small + 30
9724
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 532 of 550
Code/Pack
Description
DT CD ZD N E D
Q
1705 / 1
Qufora All Silicone Catheter Balloon Size 1-1.5
34210506 gauge 6
DT
NE
1580 / 1
Qufora All Silicone Catheter Balloon Size 2-3
34210508 gauge 8
DT
NE
1213 / 1
Qufora All Silicone Catheter Balloon Size 3-5
34210510 gauge 10
DT
NE
1685 / 1
Qufora All Silicone Catheter Female Balloon Size 5-10 1
34240512-34240526 gauge 12-26
DT
NE
1683 / 1
Qufora All Silicone Catheter Male Balloon Size 5-10 1
34220512-34220526 gauge 12-26
DT
NE
1577 / 1
Qufora All Silicone Urinary Suprapubic Catheter Balloon Size 5-10
34230212-34230224 gauge 12-24
DT
NE
2682 / 30
Qufora Onestep catheter female 30
351206-351216 gauge 6-16
DT
NE
2292 / 30
Qufora Onestep catheter male 30
351406-351418 gauge 6-18
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 533 of 550
Code/Pack
Description
DT CD ZD N E D
R
7075 / 30
Rochester HydroSil Gripper Catheter Male 30
73610-73618
DT
NE
7153 / 30
Rochester HydroSil Gripper Catheter Paediatric 30
72606-72610
DT
NE
2956 / 30
Rochester HydroSil Rose Catheter Female 30
71408-71418
DT
NE
8904 / 30
Rochester HydroSil Silicone Hydrophillic Personal Catheter Female 10-18 30
71610-71618
DT
NE
5902 / 30
Rochester HydroSil Silicone Hydrophillic Personal Catheter Male 10-18 30
63610, 63612, 63614, 63616 & 63618
DT
NE
5903 / 30
Rochester HydroSil Silicone Hydrophillic Personal Catheter Paediatric 6-10 30
62606, 62608 & 62610
DT
NE
5901 / 30
Rochester Silicone Hydrophilic Personal HydroSil Discreet Female Catheter
61610, 61612, 61614, 61616 & 61618
DT
NE
9910 / 1
Rusch Brilliant Aquaflate All-Silicone Female
DA210112 - DA210124
NE
9905 / 1
Rusch Brilliant Aquaflate All-Silicone Male
DA310112 - DA310124
NE
6834 / 1
Rusch Brilliant SilFlate All-Silicone Female
DG210112 - DG210124
NE
6843 / 1
Rusch Brilliant SilFlate All-Silicone Male
DG310112 - DG310124
NE
5907 / 30
Rusch Flocath Hydro Gel Female Catheter
851121
DT
NE
5908 / 30
Rusch Flocath Hydro Gel Female Olive Tip Catheter
851122
DT
NE
5909 / 30
Rusch Flocath Hydro Gel Male Catheter
851141
DT
NE
5916 / 30
Rusch Flocath Hydro Gel Male Olive Tip Catheter
851142
DT
NE
5917 / 30
Rusch Flocath Hydro Gel Male Tiemann Tip Catheter
851143
DT
NE
5918 / 30
Rusch Flocath Hydro Gel Paediatric Catheter
851131
DT
NE
5919 / 30
Rusch Flocath Hydro Gel Paediatric Olive Tip Catheter
851132
DT
NE
5921 / 30
Rusch Flocath Intro Gel Female Catheter 30
851621
DT
NE
5920 / 30
Rusch Flocath Intro Gel Female Olive Tip Catheter 30
851622
DT
NE
8013 / 30
Rusch Flocath Intro Gel Male Catheter 30
851641
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 534 of 550
Code/Pack
Description
DT CD ZD N E D
5923 / 30
Rusch Flocath Intro Gel Male Olive Tip Catheter 30
851642
DT
NE
5924 / 30
Rusch Flocath Intro Gel Male Tiemann Tip Catheter 30
851643
DT
NE
5925 / 30
Rusch Flocath Intro Gel Paediatric Catheter 30
851631
DT
NE
5926 / 30
Rusch Flocath Intro Gel Paediatric Olive Tip Catheter 30
851632
DT
NE
6082 / 30
Rusch Flocath Quick With integral 0.9% Sterile Saline Solution Female Catheter
851221
DT
NE
5927 / 30
Rusch Flocath Quick With integral 0.9% Sterile Saline Solution Male Catheter
851241
DT
NE
9899 / 1
Rusch PTFE Aquaflate Female
DP2101
NE
9884 / 1
Rusch PTFE Aquaflate Male
DP3101
NE
9096 / 5
Rusch PVC Riplex Extra Long 76cm Male/Female Catheter
DT6116 Gauge 8-14
DT
NE
9053 / 5
Rusch PVC Riplex Jacques Female Catheter
DT6114 Gauge 8-16
DT
NE
9051 / 5
Rusch PVC Riplex Jacques Male Catheters
DT6115 Gauge 8-16
DT
NE
9054 / 1
Rusch Soft Rubber Jacques Catheter
DT5143 1/5 Gauge 8-14
DT
NE
9055 / 5
Rusch Soft Rubber Jacques Catheters
DT5143 1/5 Gauge 8-14
DT
NE
9918 / 1
Rusch Sympacath Aquaflate Hydrogel Coated Latex Female
DH210112, DH210114, DH210116, DH210118, DH210120, DH210122, DH210124
NE
9914 / 1
Rusch Sympacath Aquaflate Hydrogel Coated Latex Male
DH310112, DH310114, DH310116, DH310118, DH310120, DH310122, DH310124
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 535 of 550
Code/Pack
Description
DT CD ZD N E D
S
5934 / 1
S G & P Payne Incontaid Silver Female Catheter
1315, 1316, 1317 & 1318
9683 / 10
Salts Cohesive Seals Large 98mm 10
839001
ZD N E
9673 / 30
Salts Cohesive Seals Small 48mm 30
839002
ZD N E
19071 / 1
Salts Cotton Bag Cover 1
833029
ZD N E
4722 / 1
Salts Koenig Rutzen (Maggi) Black Rubber Bags 1
168125, 168132, 168138, 168144, 168151, 168225, 168232 & 168238
ZD N E
4721 / 1
Salts Latex Adhesive Solution 28ml
833005
ZD N E
9751 / 10
Salts Saltair Karaya (Foam Seals) Large Twin Pack 10
833085
ZD N E
9738 / 10
Salts Saltair Karaya (Foam Seals) Small Twin Pack 10
833031
ZD N E
9761 / 30
Salts Simplicity 1 - With Filter Closed Bag 30
511310, 511311, 511330, 511340, 511350 & 511360
ZD N E
19073 / 30
Salts Wipe Away Adhesive Remover Sachets 30
WA 1
ZD N E
19110 / 10
Secuplast Circular Plasters 32mm 10
SP32
ZD N E
19111 / 10
Secuplast Circular Plasters 38mm 10
SP38
ZD N E
19112 / 10
Secuplast Circular Plasters 45mm 10
SP45
ZD N E
19113 / 10
Secuplast Circular Plasters 57mm 10
SP57
ZD N E
19114 / 10
Secuplast Circular Plasters 70mm 10
SP70
ZD N E
19161 / 30
Secuplast Hydro Plaster 30
SPH1
ZD N E
8822 / 30
Self Cath Female Catheter
208, 210, 212 & 214
DT
NE
8803 / 30
Self Cath Male Catheter
408, 410, 412, 414, 416
DT
NE
5102 / 30
Self Cath Male Coude Olive Tip Catheter
810, 812, 814 & 816
DT
NE
5097 / 30
Self Cath Male Coude Taper Tip Catheter
612 & 614
DT
NE
8840 / 30
Self Cath Paediatric Catheter
306, 307, 308, 309 & 310
DT
NE
Code No. of Packs dispensed
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
NE
Page 536 of 550
Code/Pack
Description
9491 / 30
SpeediBag Compact Catherer Accessory 30
28592
9681 / 1
St. Marks Pattern Flange
WK111-25-B, WK113-25-K, WK115-32-Q, WK117-32-Y, WK119-38-V, WK121-38-R,
WK123-44-U, WK125-51-A
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT CD ZD N E D
NE
ZD N E
Page 537 of 550
Code/Pack
Description
DT CD ZD N E D
T
9487 / 60
Teleflex Liquick Base Nelaton Female Catheter 60
630106-630114
DT
NE
9558 / 60
Teleflex Liquick Base Nelaton Male Catheter 60
630010-630016
DT
NE
9466 / 60
Teleflex Liquick Base Nelaton Paediatric Catheter 60
630208-630210
DT
NE
9465 / 60
Teleflex Liquick Base Nelaton Tiemann Tip Catheter 60
631012-631016
DT
NE
8248 / 30
Teleflex Liquick Plus Female Catheter 30
620210
DT
NE
8560 / 30
Teleflex Liquick Plus Male Catheter 30
620012-620016
DT
NE
8011 / 30
Teleflex Liquick Pure Female 8-14 Catheter 30
851321-000080-000140
DT
NE
8012 / 30
Teleflex Liquick Pure Female Ergothan Tip 8-14 Catheter 30
851322-000080-000140
DT
NE
9457 / 60
Teleflex Mobile SL Nelaton Female Catheter 60
580108G - 580114G
DT
NE
9459 / 60
Teleflex Mobile SL Nelaton Male Catheter 60
580010G - 580016G
DT
NE
9453 / 60
Teleflex Mobile SL Nelaton Paediatric Catheter 60
580208G - 580210G
DT
NE
9452 / 60
Teleflex Mobile SL Nelaton Tiemann Tip Catheter 60
581012G - 581016G
DT
NE
7196 / 60
Teleflex MobiLoc Catheter Female 60
550114G
DT
NE
7303 / 60
Teleflex MobiLoc Catheter Male 60
550012G-550014G
DT
NE
7307 / 60
Teleflex MobiLoc Catheter Paediatric 60
550208G-550210G
DT
NE
7477 / 60
Teleflex MobiStom Catheter Male 40cm 60
570014G-570018G
DT
NE
7634 / 60
Teleflex MobiStom Catheter Nelaton Tip 40cm 60
572014G
DT
NE
7533 / 60
Teleflex MobiStom Catheter Tiemann Tip 40cm 60
571014G
DT
NE
5036 / 30
Teleflex SafetyCat Active catheter female Ergothan tip 30
851722-000060 - 000140
DT
NE
8497 / 30
Teleflex SafetyCat Active catheter male 30
851741-000120 - 000160
DT
NE
2815 / 30
Teleflex SafetyCat Active catheter male Ergothan tip 30
851742-000100 - 000160
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 538 of 550
Code/Pack
Description
DT CD ZD N E D
1294 / 30
Teleflex SafetyCat Active catheter male Tiemann tip 30
851743-000120 - 000160
DT
NE
5930 / 30
Teleflex SafetyCat Active catheter paediatric Ergothan tip 30
851732-000080 - 000100
DT
NE
8030 / 50
Teleflex SafetyCat Non-Coated ISC Female Catheter 50
22082110-22082116
DT
NE
8928 / 50
Teleflex SafetyCat Non-Coated ISC Male Catheter 50
22082210-22082216
DT
NE
8974 / 50
Teleflex SafetyCat Non-Coated ISC Paediatric Catheter 50
22082008-22082010
DT
NE
981 / 12
Texas Catheter (including adhesive strip) 12
8884731300
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 539 of 550
Code/Pack
Description
DT CD ZD N E D
U
19060 / 200
Ultra Cleanse Bottle 200ml
4401
ZD N E
19059 / 30
Ultra Cleanse Sachets 30
4400
ZD N E
9161 / 25
Ultrasmooth Hydrophilic Catheter 25
USD4012, USD4014, USD4016 & USD4018
DT
NE
9388 / 25
Ultrasmooth Hydrophilic Female Catheter 25
US1808, US1810, US1812, US1814, US1816 & US1818
DT
NE
9301 / 25
Ultrasmooth Hydrophilic Male Catheter 25
US4008, US4010, US4012, US4014, US4016 & US4018
DT
NE
9245 / 25
Ultrasmooth Hydrophilic Paediatric Catheter 25
US3006, US3008 & US3010
DT
NE
5127 / 25
Ultrasmooth Meatal Dilator Catheter 25
USMD08, USMD10, USMD12, USMD14, USMD16, USMD18
DT
NE
17982 / 25
UltraSmooth Plus hydrophilic catheter female 25
USP1808 - USP1818 gauge 8-18
DT
NE
2753 / 25
UltraSmooth Plus hydrophilic catheter male 25
USP4008 - USP4018 gauge 8-18
DT
NE
3296 / 25
UltraSmooth Plus hydrophilic catheter paediatric 25
USP3006 - USP3010 gauge 6-10
DT
NE
9191 / 1
Universal Hospital All Silicone Male Catheter
UN41151205, UN41151405, UN41151605, UN41151805 & UN41152005
DT
NE
9181 / 1
Universal Hospital Elastomer Male Catheter
UN51161210, UN51161410, UN51161610, UN51161810, UN51162010, UN51162210,
UN51162410 & UN51162610
DT
NE
9460 / 1
Universal Hospital Lubricious Male Catheter
UN51181210, UN51181410, UN51181610, UN51181810, UN51182010, UN51182210,
UN51182410 & UN51182610
DT
NE
5300 / 5
Unomedical Ltd Female Catheter
ZT02015182 & ZT02017182
DT
NE
5299 / 5
Unomedical Ltd Male Catheter
ZT01007182, ZT01009182, ZT01011182 & ZT01013182
DT
NE
5307 / 5
Unomedical Ltd Male Paediatric Catheter
ZT01004182
DT
NE
8216 / 1
Uribag F Pocket Sized Female Urinal System 1.2 Litre Capacity 1
NE
8219 / 1
Uribag Pocket Sized Male Urinal System 1.1 Litre Capacity 1
NE
6288 / 1
Uriflo Catheterisation Pack long tube leg bag 1
FCP001-L
DT
NE
4146 / 1
Uriflo Catheterisation Pack short tube leg bag 1
FCP001-S
DT
NE
3447 / 1
Uro-Tainer NaCl 0.9% Catheter Maintenance Solution (FB99833) 100ml
Code No. of Bottles dispensed
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 540 of 550
Code/Pack
Description
DT CD ZD N E D
3398 / 1
Uro-Tainer NaCl 0.9% Catheter Maintenance Solution (FB99849) 50ml
Code No. of Bottles dispensed
6904 / 2
Uro-TainerTwin Solutio R 6% Citric Acid (9746625) 30ml 2
Code No. of Sachets dispensed
NE
6903 / 2
Uro-TainerTwin Suby G 3.23% Citric Acid (9746609) 30ml 2
Code No. of Sachets dispensed
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
DT
Page 541 of 550
NE
Code/Pack
Description
DT CD ZD N E D
V
4237 / 30
VaQua Female Catheter 30
VAQ08F, VAQ10F, VAQ12F, VAQ14F, VAQ16F, VAQ18F
DT
NE
4232 / 30
VaQua Male Catheter 30
VAQ08M, VAQ10M, VAQ12M, VAQ14M, VAQ16M, VAQ18M
DT
NE
4238 / 30
VaQua Paediatric Catheter 30
VAQ08P, VAQ10P
DT
NE
7935 / 60
Vesica Urology OptiSmooth Mitro 40cm Catheter 30
OSM4008-OSM4018
DT
NE
7945 / 60
Vesica Urology OptiSmooth Mitro 50cm Catheter 30
OSM5008-OSM5018
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 542 of 550
Code/Pack
Description
DT CD ZD N E D
W
143 / 30
Wellspect Healthcare Lofric Dila-Cath Non PVC Catheter 30
4061625 - 4061825
DT
NE
6069 / 20
Wellspect Healthcare Lofric Hydro-Kit Female Catheter 20
4230825, 4231025, 4231225, 4231425, 4231625, 4231825
DT
NE
14624 / 20
Wellspect Healthcare Lofric Hydro-Kit Non PVC Male Catheter (8-18Ch) 20
4200825, 4201025, 4201225, 4201425, 4201625, 4201825
DT
NE
6057 / 20
Wellspect Healthcare Lofric Hydro-Kit Paediatric Catheter 20
4210825, 4211025
DT
NE
6858 / 20
Wellspect Healthcare Lofric Hydro-Kit Tiemann Tip Catheter 20
9871000, 9871200, 9871400, 9871600, 9871800
DT
NE
6111 / 30
Wellspect Healthcare Lofric Insti-Cath Female 20cm Catheter 30
4080825 - 4081425
DT
NE
5986 / 30
Wellspect Healthcare Lofric Insti-Cath Male 40cm Catheter 30
4070825 - 4071425
DT
NE
6125 / 30
Wellspect Healthcare Lofric Insti-Cath Paediatric 20cm Catheter 30
4400825 - 4401025
DT
NE
9844 / 25
Wellspect Healthcare Lofric Insti-Cath Tieman Catheter 25
821000, 821200 & 821400
DT
NE
6098 / 30
Wellspect Healthcare LoFric Non PVC Female 15cm Catheter 30
4040825-4041425
DT
NE
6094 / 30
Wellspect Healthcare LoFric Non PVC Female 20cm Catheter 30
4030825-4031825
DT
NE
2290 / 30
Wellspect Healthcare LoFric Non PVC Male Catheter 30
4000825-4002225
DT
NE
6093 / 30
Wellspect Healthcare LoFric Non PVC Paediatric 20cm Catheter 30
4010625
DT
NE
6083 / 30
Wellspect Healthcare LoFric Non PVC Paediatric 30cm Catheter 30
4020825-4021025
DT
NE
8922 / 30
Wellspect Healthcare Lofric Origo with water Male (40cm) Catheter 30
4431025-4431825
DT
NE
8933 / 30
Wellspect Healthcare Lofric Origo with water Paediatric (30cm) Catheter 30
4420825-4421225
DT
NE
8934 / 30
Wellspect Healthcare Lofric Origo with water Tiemann (40cm) Catheter 30
4441025-4441825
DT
NE
6243 / 25
Wellspect Healthcare Lofric Plus Non PVC Female 15cm Catheter 25
984000 - 984600
DT
NE
8842 / 25
Wellspect Healthcare Lofric Plus Non PVC Female Catheter 25
943800, 944000, 944200, 944400, 944600 & 944800
DT
NE
6176 / 25
Wellspect Healthcare Lofric Plus Non PVC Male Catheter 25
904000 - 904800
DT
NE
8869 / 25
Wellspect Healthcare Lofric Plus Non PVC Paediatric Catheter 25
993800 & 994000
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 543 of 550
Code/Pack
Description
DT CD ZD N E D
3294 / 30
Wellspect Healthcare Lofric Primo Non-PVC Female 15cm Catheter 30
4140825-4141425
DT
NE
3298 / 30
Wellspect Healthcare Lofric Primo Non-PVC Female 20cm Catheter 30
4130825-4131825
DT
NE
1991 / 30
Wellspect Healthcare Lofric Primo Non-PVC Male Catheter 30
4100825-4101825 gauge 8-18
DT
NE
3305 / 30
Wellspect Healthcare Lofric Primo Non-PVC Paediatric Catheter 30
4110625-4111025
DT
NE
9396 / 30
Wellspect Healthcare Lofric Primo Tiemann Tip Catheter 30
9661000, 9661200, 9661400, 9661600, 9661800
DT
NE
2630 / 30
Wellspect Healthcare Lofric Sense Female 15cm Catheter 30
4160825 - 4161425
DT
NE
9097 / 25
Wellspect Healthcare Lofric Tiemann Tip Catheter Catheter 25
961000, 961200, 961400, 961600, 961800
DT
NE
4678 / 30
WyCath H2O hydrophilic (Soft Tip) Female 18cm Catheter 30
W2SF08-W2SF14
DT
NE
4658 / 30
WyCath H2O hydrophilic (Soft Tip) Male 40cm Catheter 30
W2SM10-W2SM18
DT
NE
4679 / 30
WyCath H2O hydrophilic (Soft Tip) Paediatric 30cm Catheter 30
W2SP08-W2SP10
DT
NE
4686 / 30
WyCath H2O hydrophilic (Tapered Tip) Female 18cm Catheter 30
W2TAF08-W2TAF14
DT
NE
4683 / 30
WyCath H2O hydrophilic (Tapered Tip) Male 40cm Catheter 30
W2TAM10-W2TAM18
DT
NE
4689 / 30
WyCath H2O hydrophilic (Tapered Tip) Peadiatric 30cm Catheter 30
W2TAP06-W2TAP10
DT
NE
4750 / 30
WyCath H2O hydrophilic (Tiemann Tip) Male 40cm Catheter 30
W2TM10-W2TM16
DT
NE
4751 / 30
WyCath H2O hydrophilic (Tiemann Tip) Paediatric 30cm Catheter 30
W2TP06-W2TP10
DT
NE
4639 / 30
WyCath H2O hydrophilic Female 18cm Catheter 30
W2F08-W2F12
DT
NE
4641 / 30
WyCath H2O hydrophilic Female Short 11cm Catheter 30
W2SH08-W2SH12
DT
NE
4638 / 30
WyCath H2O hydrophilic Male 40cm Catheter 30
W2M10-W2M16
DT
NE
4648 / 30
WyCath H2O hydrophilic Paediatric 30cm Catheter 30
W2P06-W2P10
DT
NE
4763 / 30
WyCath Hydrophilic Meatal Dilator Standard Tip Catheter 30
WCM08-WCM18
DT
NE
4764 / 30
WyCath Hydrophilic Meatal Dilator Tapered Tip Catheter 30
WMT08-WMT18
DT
NE
4511 / 30
WyCath Uncoated Paediatric Catheter 30
WUP05
DT
NE
4366 / 30
WyCath Uncoated with soft tip Female Catheter 30
USF10-USF12
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 544 of 550
Code/Pack
Description
DT CD ZD N E D
4355 / 30
WyCath Uncoated with soft tip Male Catheter 30
USM10-USM16
DT
NE
4368 / 30
WyCath Uncoated with soft tip Paediatric Catheter 30
USP08-USP10
DT
NE
4636 / 30
WyCath Uncoated with tapered tip Female Catheter 30
UTAF08-UTAF12
DT
NE
4538 / 30
WyCath Uncoated with tapered tip Male Catheter 30
UTAM10-UTAM16
DT
NE
4637 / 30
WyCath Uncoated with tapered tip Paediatric Catheter 30
UTAP06-UTAP10
DT
NE
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 545 of 550
Code/Pack
Description
DT CD ZD N E D
Substitute Prescribing Supervision Codes
B
84214 / 28
Buprenorphine 2mg / Naloxone 500microgram sublingual tablets sugar free 28 tablet
Supervision Code
DT
ZD
E
82360 / 7
Buprenorphine 400microgram sublingual tablets sugar free 7 tablet
Supervision Code
DT
ZD
E
82361 / 50
Buprenorphine 400microgram sublingual tablets sugar free 7 tablet
Supervision Code
DT
ZD
E
84215 / 28
Buprenorphine 8mg / Naloxone 2mg sublingual tablets sugar free 28 tablet
Supervision Code
DT
ZD
E
80400 / 7
Buprenorphine Sugar Free Sublingual Tablet 2mg 7
Supervision Code
ZD
E
80422 / 7
Buprenorphine Sugar Free Sublingual Tablet 8mg 7
Supervision Code
ZD
E
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 546 of 550
Code/Pack
Description
DT CD ZD N E D
M
82579 / 100
Methadone 1mg/ml oral solution 100 ml
Supervision Code
DT
ZD
E
82583 / 100
Methadone 1mg/ml oral solution sugar free 100ml
Supervision Code
DT
ZD
E
82582 / 50
Methadone 1mg/ml oral solution sugar free 500 ml
Supervision Code
DT
ZD
E
80605 / 500
Methadone Oral Solution 1mg/ml 500ml
Supervision Code
ZD
80737 / 500
Methadone Oral Solution S/F 1mg/1ml 500ml
Supervision Code
ZD
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 547 of 550
Code/Pack
Description
DT CD ZD N E D
P
82660 / 50
Physeptone Tablets 5mg 50
Supervision Code
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
ZD
Page 548 of 550
Code/Pack
Description
DT CD ZD N E D
S
81346 / 28
Suboxone Tablets 2mg 28
Supervision Code
ZD
81348 / 28
Suboxone Tablets 8mg 28
Supervision Code
ZD
87363 / 7
Subutex Tablets 0.4mg 7
Supervision Code
ZD
87367 / 7
Subutex Tablets 2mg 7
Supervision Code
ZD
87574 / 7
Subutex Tablets 8mg 7
Supervision Code
ZD
DT - Drug Tariff,CD - Control Drug, ZD - Zero Discount, D - Dentist, N - Nurse, E - Extended Nurse Prescriber
1 2015
Page 549 of 550
Oxygen Therapy Service
Please note that there are no codes for the actual head set or stand. To claim reimbursement
for these particular pieces of equipment, the total number of sets and stands that are owned by
the contractor should be recorded on the PO1 claim form.
To code for an Oxygen Giving Set (cylinder of gas, mask & tubing),
use the appropriate codes from sections A, B & C below.
e.g. 999/1, 801/1 & 800/1.
A: Gases
999
996
993
919
980
992
Domiciliary Cylinder 1360 Litre
DD Light Size (BOC) 460 Litre
PD Size Cylinder (BOC) 300 Litre
CD Size Cylinder (BOC)
B2 Size Cylinder (Air Products) 400 Litre
B10 Size Cylinder (Air Products) 2122 Litre
801
809
813
995
825
Ventimask
Intersurgical 005
Intersurgical 010
Nasal Cannula (BOC)
Venticare Mask
800
Tubing And Connector Assembly
B: Masks
C: Tubing
Oxygen cylinders & equipment prescribed independently from a set
When oxygen cylinders or equipment are prescribed independently from a set, select the
relevant code(s) from the sections below.

Gases Use codes from Section A

Masks & Tubing
806
810
816
822
819
824
Ventimask
Intersurgical 005 Mask
Intersurgical 010 Mask
Tubing And Connector Assembly
Bayonet Connector
Venticare Mask