22
22 11/2021 Part II REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS, APPLIANCES AND CHEMICAL REAGENTS Drugs for which discount is not deducted Contractors who have not received discount in respect of the following products need not endorse the prescription. The prescription price reimbursement will have no discount deduction applied. GROUP ITEMS Cold Chain Storage (ALL) Controlled Drugs in schedules 1, 2 and 3 of the Misuse of Drugs Regulations 2001 Cytotoxic or Cytostatic items (ALL) Immunoglobulins (ALL) Insulins for Injection (ALL) Vaccines and Antisera (ALL) Unlicensed medicines not listed in Part VIIIB where the product has been sourced from a supplier holding a MHRA specials or importers licence (prescriptions must be endorsed with invoice price less discount/rebate) INDIVIDUAL ITEMS Abilify Maintena 400mg powder and solvent for prolonged-release suspension for injection pre-filled syringes Abilify Maintena 400mg powder and solvent for prolonged-release suspension for injection vials Acetic acid 33% liquid Acetic acid dilute 420microlitres/5ml oral solution sugar free Acetic acid glacial Acetone liquid Acetylcysteine 2g/10ml solution for infusion ampoules Acetylsalicylic acid (Aspirin powder) powder Aciclovir 200mg/5ml oral suspension sugar free Aciclovir 400mg/5ml oral suspension sugar free Acitretin 25mg capsules Aclasta 5mg/100ml infusion bottles Acumor XL 16mg capsules Acumor XL 24mg capsules A-CYS 600mg capsules A-CYS 600mg effervescent tablets A-CYS 600mg tablets Adartrel 2mg tablets Adcirca 20mg tablets Adefovir 10mg tablets Adempas tablets (ALL) Adoport capsules (ALL) Adrenaline (base) (1 in 10,000) dilute solution for injections ampoules (ALL) Adrenaline (base) 10mg/10ml (1 in 1,000) solution for injection ampoules Adrenaline (base) 5mg/5ml (1 in 1,000) solution for injection ampoules Adrenaline (base) solution for injection pre-filled disposable devices (ALL) Advagraf 1mg modified-release capsules Advagraf 3mg modified-release capsules Advagraf 5mg modified-release capsules Albunorm 5% solution for infusion 100ml bottles Alimemazine 10mg tablets Alimemazine 30mg/5ml oral solution Alimemazine 7.5mg/5ml oral solution Alimentum powder Alitretinoin capsules (ALL) Alkindi granules in capsules for opening (ALL) Almuriva 4.6mg/24hours transdermal patches Alpro Organic Soya Original milk Alpro Organic Soya Wholebean Unsweetened milk Alprostadil 20microgram powder and solvent for solution for injection cartridges Alprostadil 40microgram powder and solvent for solution for injection cartridges Alprostadil 20microgram powder and solvent for solution for injection vials Altraplen Compact Starter Pack liquid Altraplen Protein liquid Altraplen Protein Starter Pack liquid Altrashot 120ml bottles

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Page 1: 11/2021 Part II REQUIREMENTS ENABLING PAYMENTS TO BE …

22

11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Contractors who have not received discount in respect of the following products need not endorse theprescription. The prescription price reimbursement will have no discount deduction applied.

GROUP ITEMSCold Chain Storage (ALL)Controlled Drugs in schedules 1, 2 and 3 of the Misuse of Drugs Regulations 2001Cytotoxic or Cytostatic items (ALL)Immunoglobulins (ALL)Insulins for Injection (ALL)Vaccines and Antisera (ALL)Unlicensed medicines not listed in Part VIIIB where the product has been sourced from a supplier holding aMHRA specials or importers licence (prescriptions must be endorsed with invoice price less discount/rebate)

INDIVIDUAL ITEMSAbilify Maintena 400mg powder and solvent for prolonged-release suspension for injection pre-filled syringesAbilify Maintena 400mg powder and solvent for prolonged-release suspension for injection vialsAcetic acid 33% liquidAcetic acid dilute 420microlitres/5ml oral solution sugar freeAcetic acid glacialAcetone liquidAcetylcysteine 2g/10ml solution for infusion ampoulesAcetylsalicylic acid (Aspirin powder) powderAciclovir 200mg/5ml oral suspension sugar freeAciclovir 400mg/5ml oral suspension sugar freeAcitretin 25mg capsulesAclasta 5mg/100ml infusion bottlesAcumor XL 16mg capsulesAcumor XL 24mg capsulesA-CYS 600mg capsulesA-CYS 600mg effervescent tabletsA-CYS 600mg tabletsAdartrel 2mg tabletsAdcirca 20mg tabletsAdefovir 10mg tabletsAdempas tablets (ALL)Adoport capsules (ALL)Adrenaline (base) (1 in 10,000) dilute solution for injections ampoules (ALL)Adrenaline (base) 10mg/10ml (1 in 1,000) solution for injection ampoulesAdrenaline (base) 5mg/5ml (1 in 1,000) solution for injection ampoulesAdrenaline (base) solution for injection pre-filled disposable devices (ALL)Advagraf 1mg modified-release capsulesAdvagraf 3mg modified-release capsulesAdvagraf 5mg modified-release capsulesAlbunorm 5% solution for infusion 100ml bottlesAlimemazine 10mg tabletsAlimemazine 30mg/5ml oral solutionAlimemazine 7.5mg/5ml oral solutionAlimentum powderAlitretinoin capsules (ALL)Alkindi granules in capsules for opening (ALL)Almuriva 4.6mg/24hours transdermal patchesAlpro Organic Soya Original milkAlpro Organic Soya Wholebean Unsweetened milkAlprostadil 20microgram powder and solvent for solution for injection cartridgesAlprostadil 40microgram powder and solvent for solution for injection cartridgesAlprostadil 20microgram powder and solvent for solution for injection vialsAltraplen Compact Starter Pack liquidAltraplen Protein liquidAltraplen Protein Starter Pack liquidAltrashot 120ml bottles

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Altrashot Starter Pack liquidAmbrisentan tablets (ALL)Aminophylline 250mg/10ml solution for injection ampoulesAmmonaps 500mg tabletsAmmonaps 940mg/g granulesAmmonia solution strongAmmonium bicarbonate powderAmmonium chloride powderAmpicillin 500mg powder for solution for injection vialsAnise water concentratedAPO-go PEN 30mg/3ml solution for injectionAPO-go PFS 50mg/10ml solution for infusion pre-filled syringesAPO-go 50mg/5ml solution for injection ampoulesApomorphine 100mg/20ml solution for infusion vialsApomorphine 30mg/3ml solution for injection cartridgesApomorphine 30mg/3ml solution for injection pre-filled disposable devicesApomorphine 50mg/10ml solution for infusion pre-filled syringesApomorphine 50mg/5ml solution for injection ampoulesApraclonidine 1% eye drops 0.25ml unit dose preservative freeApremilast 30mg tabletsAprepitant 125mg capsules and Aprepitant 80mg capsulesAptamil Pepti 1 powderAptamil Pepti 2 powderAptamil Pepti-Junior powderArachis oil 130ml enemaArimidex 1mg tabletsAripiprazole 1mg/1ml oral solution sugar freeAripiprazole 400mg powder and solvent for suspension for injection pre-filled syringesAripiprazole 400mg powder and solvent for suspension for injection vialsArixtra solution for injection pre-filled syringes (ALL)Arnica tinctureAromasin 25mg tabletsArpoya 10mg tabletsArpoya 5mg tabletsAspirin suppositories (ALL)Atomoxetine 4mg/ml oral solution sugar freeAtomoxetine capsules (ALL)Atovaquone 750mg/5ml oral suspension sugar freeAtripla 600mg/200mg/245mg tabletsAtropine 1% eye dropsAtropine 1mg/1ml solution for injection ampoulesAtropine 3mg/10ml solution for injection pre-filled syringesAubagio 14mg tabletsAymes ActaSolve High Energy powder 85g sachetsAymes ActaSolve High Energy Starter Pack powder Baraclude tablets (ALL)Baraclude 0.05mg/ml oral solutionBaricitinib tablets (ALL)Basecal200 oral powder 43g sachetsBeclometasone 0.025% creamBeclometasone 0.025% ointmentBenzocaine powderBenzoic acid powderBenzoin compound tinctureBenzoin tincture Benzyl benzoate 25% applicationBenzyl benzoate crystalsBerinert 500unit powder and solvent for solution for injection vialsBetaferon 300microgram powder and solvent for solution for injection vialsBetaine oral powderBetaloc I.V. 5mg/5ml solution for injection ampoules

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Betamethasone valerate 0.1% / Clioquinol 3% creamBetamethasone valerate 0.1% / Clioquinol 3% ointmentBetamethasone valerate 0.1% / Neomycin 0.5% creamBetamethasone valerate 0.1% / Neomycin 0.5% ointmentBetaquik liquidBiktarvy 50mg/200mg/25mg tabletsBismuth subnitrate powderBorax powderBoric Acid powderBramox 5mg tabletsBranched-Chain Amino Acid Module powderBricanyl 2.5mg/5ml solution for injection ampoulesBrivaracetam 100mg tabletsBrivaracetam 25mg tabletsBrivaracetam 50mg tabletsBrivaracetam 50mg/5ml oral solution sugar freeBrivaracetam 75mg tabletsBriviact 100mg tabletsBriviact 10mg/ml oral solutionBriviact 25mg tabletsBriviact 50mg tabletsBriviact 75mg tabletsBromocriptine 2.5mg tabletsBronchitol 40mg inhalation powder capsules with two devicesBudenofalk 3mg gastro-resistant capsulesBudenofalk 9mg gastro-resistant granules sachetsBudesonide 1mg orodispersible tablets sugar freeBudesonide 1mg/2ml nebuliser liquid unit dose vialsBudesonide 2mg/100ml enemaBudesonide 3mg gastro-resistant capsulesBudesonide 500micrograms/2ml nebuliser liquid unit dose vialsBudesonide 9mg gastro-resistant granules sachetsBumetanide 1mg/5ml oral solution sugar freeBuserelin nasal spray (ALL)Cabaser 1mg tabletsCabaser 2mg tabletsCaffeine citrate powderCalamine and coal tar ointmentCalcium polystyrene sulfonate powder sugar freeCalcium Resonium powderCalogen emulsionCalogen Extra emulsionCalogen Extra Shots emulsionCamellia sinensis extract 10% ointmentCamphor racemic powderCamphor water concentratedCapexion 0.5mg capsulesCapimune 100mg capsulesCapimune 50mg capsulesCapsaicin 179mg cutaneous patchesCapsicum tinctureCapsorin 100mg capsulesCaptopril 5mg/5ml oral solution sugar freeCarbamazepine suppositories (ALL)Carbimazole 15mg tabletsCardamom compound tinctureCasodex tablets (ALL)Catephen 10% ointmentCaverject 20microgram powder and solvent for solution for injection vialsCeftriaxone 2g powder for solution for injection vialsCellCept 1g/5ml oral suspension

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

CellCept 250mg capsulesCellCept 500mg tabletsCelsentri tablets (ALL)Ceptava 360mg gastro-resistant tabletsCetrimide powderChampix 0.5mg/1mg 4 week treatment initiation packChenodeoxycholic acid 250mg capsulesChloral hydrate 143.3mg/5ml oral solution BPChloral hydrate crystalsChloramphenicol 250mg capsulesChloraPrep solution 26ml applicatorsChloraPrep with Tint solution 26ml applicatorsChlorhexidine gluconate 0.5% solutionChlorhexidine gluconate 4% solutionChlorhexidine gluconate 2% / Isopropyl alcohol 70% solution 26ml applicatorsChlorocresol powderChloroform and morphine tinctureChloroform liquidChloroform spiritChloroform water concentratedChloroquine phosphate 80mg/5ml oral solutionCholestagel 625mg tabletsCialis 2.5mg tabletsCialis 5mg tabletsCialis 10mg tabletsCiclosporin 0.1% eye drops 0.3ml unit doseCimzia 200mg/1ml solution for injection pre-filled syringesCinacalcet tablets (ALL)Ciprofibrate 100mg tabletsCitric acid monohydrate powderCitronella oil liquidClarithromycin 500mg powder for solution for infusion vialsClexane 300mg/3ml solution for injection multidose vialsClexane Forte solution for injection pre-filled syringes (ALL)Clexane 40mg/0.4ml solution for injection pre-filled syringesClexane 60mg/0.6ml solution for injection pre-filled syringesClexane 80mg/0.8ml solution for injection pre-filled syringesClexane 100mg/1ml solution for injection pre-filled syringesClobazam 10mg/5ml oral suspension sugar freeClobazam 5mg/5ml oral suspension sugar freeClove oil liquidClozaril 100mg tabletsCoal tar solution Coal tar solution strongCo-codaprin 8mg/400mg dispersible tabletsCo-danthramer 25mg/200mg/5ml oral suspension sugar freeCo-danthrusate 50mg/60mg/5ml oral suspension sugar freeColesevelam 625mg tabletsColistimethate 1,662,500unit inhalation powder capsulesColistimethate 1million unit powder for solution for injection vialsColistimethate 2million unit powder for solution for injection vialsColobreathe 1,662,500unit inhalation powder capsulesColomycin 2million unit powder for solution for injection vialsCombivir 150mg/300mg tabletsCompleat PaediatricComplete Amino Acid Mix PowderConcord 693 250mg capsulesCopper sulfate pentahydrate powderCosmoFer 500mg/10ml solution for injection ampoulesCresemba 100mg capsulesCrystal violet powder BP 1980

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Cystadane oral powderCystagon capsules (ALL)Cystine500 oral powder sachetsDabigatran etexilate 150mg capsulesDabigatran etexilate 75mg capsulesDacepton 100mg/20ml solution for infusion vialsDacepton 30mg/3ml solution for injection cartridgesDalteparin sodium 10,000units/0.4ml solution for injection pre-filled syringesDalteparin sodium 10,000units/1ml solution for injection pre-filled syringesDalteparin sodium 100,000units/4ml solution for injection vialsDalteparin sodium 12,500units/0.5ml solution for injection pre-filled syringesDalteparin sodium 15,000units/0.6ml solution for injection pre-filled syringesDalteparin sodium 18,000units/0.72ml solution for injection pre-filled syringesDalteparin sodium 5,000units/0.2ml solution for injection pre-filled syringesDalteparin sodium 7,500units/0.3ml solution for injection pre-filled syringesDalteparin sodium solution for injection ampoules (ALL)Dapsone tablets (ALL)Darunavir 800mg tabletsDecapeptyl SR powder and solvent for suspension for injection vials (ALL)Deferasirox tablets (ALL)Deferiprone 1g tabletsDegarelix powder and solvent for solution for injection vials (ALL)Demeclocycline 150mg capsulesDescovy tablets (ALL)Denzapine 100mg tabletsDesferal 500mg powder for solution for injection vialsDesitrend 1000mg granules sachetsDesitrend 500mg/5ml concentrate for solution for infusion ampoulesDesmopressin 150micrograms/dose nasal sprayDesmospray 10micrograms/dose nasal sprayDexamethasone 20mg/5ml oral solution sugar freeDeximune 100mg capsulesDeximune 50mg capsulesDiacomit capsules (ALL)Diacomit oral powder sachets (ALL)Dialamine powderDicycloverine tablets (ALL)Dicycloverine 10mg/5ml oral solutionDiethylstilbestrol tablets (ALL)Dificlir 200mg tabletsDiflucan 200mg capsulesDiflucan 200mg/5ml oral suspensionDiloxanide 500mg tabletsDithranol powderDocOmega oral powder 4g sachetsDocusate 120mg/10g enemaDolutegravir tablets (ALL)Domperidone 1mg/ml oral suspension sugar freeDonepezil orodispersible tablets (ALL)Dovato 50mg/300mg tabletsDoxylamine 10mg / Pyridoxine 10mg gastro-resistant tabletsDuocal Super Soluble powderDynastat 40mg powder and solvent for solution for injection vialsDynastat 40mg powder for solution for injection vialsEAA Supplement oral powder 12.5g sachetsEasiphen liquidEdurant 25mg tabletsEleCare powderElemental 028 Extra liquid Elemental 028 Extra powderElive Cod Liver Oil 1000mg capsules

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Elmino XL 16mg capsulesElmiron 100mg capsulesEltrombopag tablets (ALL)Emend 125mg and 80mg capsulesEmend 125mg oral powder sachetsEmerade (1 in 1,000) solution for injection auto-injectors (ALL) Emsogen powder Emtricitabine / Tenofovir alafenamide tablets (ALL)Energivit powderEnoxaparin sodium 40mg/0.4ml solution for injection pre-filled syringesEnoxaparin sodium 60mg/0.6ml solution for injection pre-filled syringesEnoxaparin sodium 80mg/0.8ml solution for injection pre-filled syringesEnoxaparin sodium 100mg/1ml solution for injection pre-filled syringesEnoxaparin sodium 120mg/0.8ml solution for injection pre-filled syringesEnoxaparin sodium 150mg/1ml solution for injection pre-filled syringesEnoxaparin sodium 300mg/3ml solution for injection vialsEN-Selenium 200microgram tabletsEnshake oral powder 96.5g sachetsEnsure Compact liquidEnsure liquidEnsure Plus Advance liquidEnsure Plus Commence liquidEnsure Plus CremeEnsure Plus Fibre liquidEnsure Plus Juce liquidEnsure TwoCal liquidEN-Taurine 500mg capsulesEntecavir 50micrograms/ml oral solution sugar freeEntocort 2mg/100ml enemaEntresto tablets (ALL)Enzalutamide 40mg capsulesEpclusa 400mg/100mg tabletsEpilim Chronosphere MR 100mg granules sachetsEpilim Chronosphere MR 250mg granules sachetsEpilim Chronosphere MR 500mg granules sachetsEpilim Chronosphere MR 50mg granules sachetsEpilim Intravenous 400mg powder and solvent for solution for injection vialsEpiPen 300micrograms/0.3ml (1 in 1,000) solution for injection auto-injectorsEpiPen Jr. 150micrograms/0.3ml (1 in 2,000) solution for injection auto-injectorsEpisenta 300mg/3ml solution for injection ampoulesEpivir tablets (ALL)Erastig 13.3mg/24hours transdermal patchesErythromycin 1g powder for solution for infusion vialsEsbriet 267mg capsulesEsbriet tablets (ALL)Esmya 5mg tabletsEssential Amino Acid Mix powderEthanol 70% duty paidEthanol 90% including dutyEthanol Absolute Duty PaidEthosuximide 250mg capsulesEthosuximide 250mg/5ml oral solution sugar freeEther solventEthinylestradiol 10microgram tabletsEthinylestradiol 1mg tabletsEthinylestradiol 50microgram tabletsEtonogestrel 68mg implantEucalyptus oil liquidEviplera 200mg/25mg/245mg tabletsEvotaz 300mg/150mg tabletsExjade tablets (ALL)

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Extavia 300microgram powder and solvent for solution for injection vialsFamciclovir 250mg tabletsFamciclovir 500mg tabletsFampyra 10mg modified-release tabletsFemara 2.5mg tabletsFeraccru 30mg capsulesFerinject solution for injection vials (ALL)Ferric chloride solutionFerric maltol (iron 30mg) capsulesFerriprox 1000mg tabletsFerrous sulfate heptahydrate powderFidaxomicin 200mg tabletsFingolimod 500microgram capsulesFirdapse 10mg tabletsFirmagon powder and solvent for solution for injection vials (ALL)Flexible collodion methylatedFlixotide Nebules (ALL)Flixotide 500micrograms/dose AccuhalerFlucloxacillin 1g powder for solution for injection vialsFlucloxacillin 500mg powder for solution for injection vialsFluconazole 200mg/5ml oral suspensionFluconazole 200mg/100ml solution for infusion vialsFluticasone 250micrograms/dose / Formoterol 10micrograms/dose inhaler CFC freeFluticasone nebuliser liquid unit dose vials (ALL)Fluticasone propionate 500micrograms/dose dry powder inhalerFlutiform 250micrograms/dose / 10micrograms/dose inhalerFollitropin alfa 75unit powder and solvent for solution for injection vialsFollitropin alfa 450unit powder and solvent for solution for injection vialsFondaparinux sodium solution for injection pre-filled syringes (ALL)Formaldehyde solutionForticare liquidForticreme Complete dessertFortijuce liquidFortini 1.0 Multi Fibre liquidFortini Compact Multi Fibre liquid Fortini Creamy Fruit Multi FibreFortini liquidFortini Multi Fibre liquid Fortini Smoothie Multi Fibre liquidFortisip 2kcal liquidFortisip Compact Fibre liquidFortisip Compact Fibre Starter Pack liquidFortisip Compact Protein liquidFortisip Compact Protein Starter Pack liquidFortisip Compact Starter Pack liquidFortisip Extra liquidFortisip Yogurt Style liquidFortum 1g powder for solution for injection vialsFortum 2g powder for solution for injection vialsFosrenol chewable tablets (ALL)Fosrenol oral powder sachets (ALL)Fostimon 150unit powder and solvent for solution for injection vialsFragmin 10,000units/0.4ml solution for injection pre-filled syringesFragmin 100,000units/4ml solution for injection vialsFragmin 12,500units/0.5ml solution for injection pre-filled syringesFragmin 15,000units/0.6ml solution for injection pre-filled syringesFragmin 18,000units/0.72ml solution for injection pre-filled syringesFragmin 5,000units/0.2ml solution for injection pre-filled syringesFragmin 7,500units/0.3ml solution for injection pre-filled syringesFragmin Graduated Syringe 10,000units/1ml solution for injection pre-filled syringesFragmin solution for injection ampoules (ALL)

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Frebini Energy DrinkFrebini Energy Fibre liquidFrebini Energy Fibre liquid unflavouredFrebini Energy liquid Frebini Original Fibre liquidFrebini Original liquidFreeStyle Libre SensorFreeStyle Libre 2 SensorFresubin 1000 Complete liquidFresubin 1200 Complete liquidFresubin 1500 Complete liquidFresubin 1800 Complete liquidFresubin 2250 Complete liquidFresubin 2kcal Fibre drinkFresubin 5kcal shot drinkFresubin Energy Fibre liquid Fresubin Energy liquid unflavouredFresubin HP Energy liquidFresubin Original Fibre liquidFresubin Original liquid unflavouredFresubin Soya Fibre liquidFresubin Thickened Level 3FruitiVits oral powder 6g sachetsFurosemide 250mg/25ml solution for injection ampoulesGA amino5 oral powder 6g sachetsGA gel oral powder 24g sachetsGA1 Anamix Infant powderGA1 Anamix Junior oral powder 18g sachetsGA1 Maxamum powderGalactomin 17 powderGalactomin 19 powderGalsya XL capsules (ALL)Gamolenic acid capsules (ALL)Gastrografin oral solutionGenvoya 150mg/150mg/200mg/10mg tabletsGilenya 0.5mg capsulesGinger tincture strongGluchon-S Glucosamine sulfate 400mg / Chondroitin 100mg capsulesGluchon-S Glucosamine sulfate 500mg / Chondroitin 400mg tabletsGlycopyrronium bromide powder for solution for iontophoresisGlycopyrronium bromide tablets (ALL)Glycopyrronium bromide 1mg/5ml oral solution sugar freeGlycopyrronium bromide 400micrograms/ml oral solution sugar freeGlycosade oral powder 60g sachetsGlytactin BetterMilk 15 oral powder sachetsGlytactin BetterMilk Lite 20 oral powder 46g sachetsGlytactin Build 10 oral powder 16g sachetsGlytactin Build 20/20 oral powder 30g sachetsGlytactin Complete 15 81g barsGlytactin Restore 5 oral powder 20g sachetsGlytactin Restore Lite 20 oral powder 38g sachetsGlytactin RTD 10 liquidGlytactin RTD 15 liquidGonal-f 75unit powder and solvent for solution for injection vialsGonal-f 450unit powder and solvent for solution for injection vialsGosachew 1500mg chewable tabletsGosachew 500mg/400mg chewable tabletsGosa-S 500mg capsulesGoserelin 10.8mg implant pre-filled syringesGoserelin 3.6mg implant pre-filled syringesGrazax 75,000 SQ-T oral lyophilisates

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Griseofulvin 125mg tabletsGuaifenesin powderHaloperidol 200micrograms/ml oral solution sugar freeHalkid 200micrograms/ml oral solutionHarvoni 90mg/400mg tabletsHealthAid Mega CO-Q-10 120mg capsulesHCU Anamix Infant powderHCU Anamix Junior LQ liquidHCU Anamix Junior oral powder 36g sachetsHCU cooler liquidHCU express15 oral powder 25g sachetsHCU express20 oral powder 34g sachetsHCU gel oral powder 24g sachetsHCU Lophlex LQ 20 liquidHCU-LV oral powder 27.8g sachetsHCU Maxamum powderHeparin sodium 10,000units/10ml solution for injection ampoulesHeparin sodium 20,000units/20ml solution for injection ampoulesHeparin sodium 25,000units/1ml solution for injection ampoulesHeparin sodium 5,000units/0.2ml solution for injection ampoulesHeparin sodium 5,000units/1ml solution for injection ampoulesHeparin sodium 5,000units/5ml solution for injection ampoulesHeparon Junior powderHepsera 10mg tabletsHydrocortisone acetate 25mg/1ml suspension for injection ampoulesHydrocortisone granules in capsules for opening (ALL)Hydrocortisone powderHydrocortisone 5mg modified-release tabletsHydrocortistab 25mg/1ml suspension for injection ampoulesHydrogen peroxide 35% solution Hydrogen peroxide 6% solutionHydrogen peroxide 9% solutionHydrolysed whey protein / Maltodextrin powderHyoscine 1mg/72hours transdermal patchesIbandronic acid 3mg/3ml solution for injection pre-filled syringesIchthammol liquidIkervis 0.1% eye drops 0.3ml unit doseImigran tablets (ALL)Imigran 20mg nasal sprayImigran Radis 100mg tabletsImigran Subject 6mg/0.5ml solution for injection pre-filled syringes with deviceImigran Subject 6mg/0.5ml solution for injection syringe refill packImnovid 2mg capsulesInclisiran 284mg/1.5ml solution for injection pre-filled syringesIndoramin 25mg tabletsIndustrial methylated spirit 70%Industrial methylated spirit 70%/Glycerol 1% gelIndustrial methylated spirit 95%Industrial methylated spirit 99%Infatrini liquidInfatrini Peptisorb liquidInnohep 10,000units/0.5ml solution for injection pre-filled syringesInnohep 12,000units/0.6ml solution for injection pre-filled syringesInnohep 14,000units/0.7ml solution for injection pre-filled syringesInnohep 16,000units/0.8ml solution for injection pre-filled syringesInnohep 18,000units/0.9ml solution for injection pre-filled syringesInnohep 8,000units/0.4ml solution for injection pre-filled syringesInnohep solution for injection vials (ALL)Iodine alcoholic solutionIodine aqueous oral solutionIodine solution strong

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Iodoform compound paint BPC 1954Iodoform powder BPC 1954Iopidine 1% eye drops 0.25ml unit doseIpecacuanha liquid extractIron dextran 500mg/10ml solution for injection ampoulesIsentress 400mg tabletsIsocarboxazid 10mg tabletsIsoleucine50 oral powder 4g sachetsIsopropyl alcohol 70% / Hydrogen peroxide 0.125% liquidIsopropyl alcohol 70% / Hydrogen peroxide 0.125% sprayIsopropyl alcohol 70% / Triclosan 0.5% topical solutionIsopropyl alcohol (ALL)Isosorbide mononitrate 40mg modified-release tabletsIsotretinoin 40mg capsulesJaydess 13.5mg intrauterine deviceJevity 1.5kcal liquidJevity liquidJevity Plus liquidJevity Plus HP gluten free liquidJevity Promote liquidJext solution for injection auto-injectors (ALL)Jorveza 1mg orodispersible tabletsJyseleca tablets (ALL)Keppra 100mg/ml oral solutionKeppra 500mg/5ml concentrate for solution for infusion vialsKeppra 1g tabletsKeppra 500mg tabletsKeppra 750mg tabletsKetoCal 2.5:1LQ liquidKetoCal 3:1 powderKetoCal 4:1 powderKetoCal 4:1 LQ liquidKetoClassic 3:1 Breakfast porridgeKetoClassic 3:1 Meal bolognese 126g pouchesKetoClassic 3:1 Meal chicken 135g pouchesKetoClassic 3:1 Savoury mealKetoconazole 200mg tabletsKetoVie 4:1 liquidKeyOmega oral powder 4g sachetsK.Yo semi-solid food 100g potsKigabeq soluble tablets (ALL)Kindergen powderKivexa 600mg/300mg tabletsKlaricid IV 500mg powder for solution for infusion vialsL-Arginine powder (Nutricia Ltd)Lacosamide 150mg tabletsLacosamide 200mg tabletsLactic acid liquidLamictal 100mg dispersible tabletsLamictal 2mg dispersible tabletsLamictal 25mg dispersible tabletsLamictal 100mg tabletsLamictal 200mg tabletsLamivudine tablets (ALL)Lamotrigine 2mg dispersible tablets sugar freeLanthanum carbonate chewable tablets (ALL)Lanthanum carbonate oral powder sachets (ALL)Larve Lavender oil liquidLeflunomide 15mg tabletsLemon spirit

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Lenalidomide 10mg capsulesLenalidomide 25mg capsulesLenalidomide 5mg capsulesLenalidomide 7.5mg capsulesLeucine100 oral powder sachetsLeuprorelin 11.25mg powder and solvent for suspension for injection pre-filled syringesLevetiracetam 1g granules sachets sugar freeLevetiracetam 100mg/ml oral solution sugar freeLevetiracetam 500mg/5ml solution for infusion ampoulesLevetiracetam 500mg/5ml solution for infusion vialsLevocarnitine 1.5g/5ml oral solution paediatricLevomepromazine 6mg tabletsLevonorgestrel 13.5mg intrauterine deviceLevonorgestrel 20micrograms/24hours intrauterine deviceLevosert 20micrograms/24hours intrauterine deviceLevothyroxine sodium 100micrograms/5ml oral solution sugar freeLevothyroxine sodium 125micrograms/5ml oral solution sugar freeLinezolid 100mg/5ml oral suspensionLinezolid 600mg tabletsLiothyronine 10microgram tabletsLiothyronine 20microgram tabletsLiothyronine 5microgram tabletsLipistart powderLiquigen emulsionLisinopril 5mg/5ml oral solution sugar freeLithium carbonate 250mg tabletsLocasol powderLophlex powder 27.8g sachetsLoprofin SNO-PRO drinkLorenzo’s oilLotprosin XL capsules (ALL)Magenta powderMagstar 160mg capsulesMalarivon 80mg/5ml syrupMalarone 250mg/100mg tabletsMannitol 40mg inhalation powder capsules with two devicesMastic compound paste Maraviroc tablets (ALL)Maviret 100mg/40mg tabletsMCTprocal oral powder 16g sachetsMebeverine 50mg/5ml oral suspension sugar freeMedrone 100mg tabletsMedroxyprogesterone 400mg tabletsMefenamic acid 50mg/5ml oral suspensionMeglumine amidotrizoate 3.3g/5ml / Sodium amidotrizoate 500mg/5ml oral solution sugar freeMelatonin 1mg/ml oral solution sugar freeMelatonin 2mg capsulesMelatonin 3mg capsulesMelatonin 5mg capsulesMemantine 10mg/ml oral solution sugar freeMenadiol 10mg tabletsMenopur 75unit powder and solvent for solution for injection vialsMenopur 150unit powder and solvent for solution for injection vialsMenthol crystalsMerional powder and solvent for solution for injection vials (ALL)Mercaptamine 150mg capsulesMercaptamine 50mg capsulesMeronem powder for solution for injection vials (ALL)Mesalazine 1g/application foam enemaMesalazine 1g gastro-resistant tabletsMesalazine 1.6mg gastro-resistant tablets

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Mesalazine 400mg gastro-resistant tabletsMesalazine 800mg gastro-resistant tabletsMestinon retard 180mg tabletsMetformin 500mg/5ml oral solution sugar freeMethyl salicylate 25% linimentMethyl salicylate 50% ointmentMethyldopa 125mg tabletsMethylnaltrexone bromide 12mg/0.6ml solution for injection vialsMethylprednisolone 100mg tabletsMethylprednisolone sodium succinate 1g powder and solvent for solution for injection vialsMetyrapone 250mg capsulesMetopirone 250mg capsulesMidodrine 5mg tabletsMimpara tablets (ALL)Mineralised methylated spiritMirena 20micrograms/24hours intrauterine deviceMisoprostol 400microgram tabletsMMA / PA Anamix Junior oral powder 18g sachetsMMA/PA amino5 oral powder 6g sachetsModafinil tablets (ALL)Modigraf granules sachets (ALL)Modisal XL 40mg tabletsModulen IBD powderMonogen powderMoxisylyte 40mg tabletsMSUD Aid 111 powderMSUD amino5 oral powder 6g sachetsMSUD Anamix Infant powderMSUD Anamix Junior LQ liquidMSUD Anamix Junior oral powder sachetsMSUD cooler liquidMSUD express15 oral powder 25g sachetsMSUD express20 oral powder 34g sachetsMSUD gel 24g sachetsMSUD Lophlex LQ 20 liquidMSUD Maxamum powderMultaq 400mg tabletsMycobutin 150mg capsulesMycophenolate mofetil 1g/5ml oral suspension sugar freeMycophenolic acid 360mg gastro-resistant tabletsMyfenax 250mg capsulesMyfenax 500mg tabletsMyfortic gastro-resistant tablets (ALL)Nafarelin 200micrograms/dose nasal sprayNalcrom 100mg capsulesNebido 1000mg/4ml solution for injection vialsNebivolol 2.5mg tabletsNemdatine 20mg tabletsNeocate Advance powder Neocate Junior powderNeocate LCP powderNeocate Spoon powderNeocate Syneo powderNeostigmine 15mg tabletsNeotigason 25mg capsulesNepro HP liquidNeupro transdermal patches (ALL)Nexplanon 68mg implantNitrazepam 2.5mg/5ml oral suspensionNitrofurantoin 25mg/5ml oral suspension sugar freeNorgalax 120mg/10g enema

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Noxafil 40mg/ml oral suspensionNoxafil 100mg gastro-resistant tabletsNoyada 5mg/5ml oral solutionNutilis Complete Creme Level 3 custardNutilis Complete Drink Level 3 liquidNutilis Fruit Dessert Level 4Nutramigen 1 with LGG powderNutramigen 2 with LGG powderNutramigen 3 with LGG powderNutramigen PurAmino powderNutricia Flavour Modjul powderNutricrem dessertNutricrem Starter Pack dessertNutrini Energy liquidNutrini Energy Multifibre liquidNutrini liquidNutrini Low Energy Multifibre liquidNutrini Multifibre liquidNutrini Peptisorb Energy liquidNutrini Peptisorb liquidNutriprem 2 liquidNutrison 800 Complete Multi Fibre liquidNutrison 1000 Complete Multi Fibre liquidNutrison 1200 Complete Multi Fibre liquidNutrison Concentrated liquidNutrison Energy liquidNutrison Energy Multi Fibre liquidNutrison liquidNutrison Low Sodium liquidNutrison MCT liquidNutrison Multi Fibre liquidNutrison Protein Intense liquidNutrison Protein Plus liquidNutrison Protein Plus Energy liquidNutrison Protein Plus Multifibre liquidNutrison Soya liquidNutrison Soya Multi Fibre liquidOcaliva tablets (ALL)Octasa 1600mg MR gastro-resistant tabletsOctim 150micrograms/dose nasal sprayOdefsey 200mg/25mg/25mg tabletsOlanzapine oral lyophilisates sugar free (ALL)Olumiant tablets (ALL)Omeprazole oral suspension sugar free (ALL)Ondansetron orodispersible films sugar free (ALL)Ondansetron 16mg suppositoriesOndansetron 4mg orodispersible tabletsOndansetron 4mg oral lyophilisates sugar freeOndansetron 8mg oral lyophilisates sugar freeOndansetron 8mg tabletsOngentys 50mg capsulesOpicapone 50mg capsulesOpilon 40mg tabletsOpsumit 10mg tabletsOptifast shake oral powder sachetsOptifast soup oral powder sachetsOral Impact oral powder 74g sachetsOrange tincture BP 2001Osmolite 1.5kcal tube feed liquidOsmolite HP liquidOsmolite liquidOsmolite Plus liquid

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Otezla 30mg tabletsOtezla tablets treatment initiation packOxcarbazepine 600mg tabletsPaediaSure Compact liquid PaediaSure fibre liquid PaediaSure liquid PaediaSure Peptide liquidPaediaSure Plus liquid PaediaSure Plus fibre liquidPaediaSure Plus Juce liquidPaliperidone suspension for injection pre-filled syringe (ALL)Pamidronate disodium 90mg/6ml solution for infusion ampoulesPancrex V oral powderPantoprazole 40mg powder for solution for injection vialsParecoxib 40mg powder and solvent for solution for injection vialsParecoxib 40mg powder for solution for injection vialsParicalcitol 1microgram capsulesParicalcitol 2microgram capsulesParvolex 2g/10ml concentrate for solution for infusion ampoulesPentacarinat 300mg powder for solution for injection vialsPentosan polysulfate sodium 100mg capsulesPeppermint oil liquidPeppermint water concentratedPeptamen AF liquidPeptamen HN liquidPeptamen Junior Advance liquidPeptamen Junior liquidPeptamen Junior powderPeptamen liquidPeptamen liquid unflavouredPeptisorb liquidPerative liquidPerfalgan 1g/100ml solution for infusion vialsPericyazine 10mg/5ml oral solutionPhenindione tablets 10mgPhenindione tablets 25mgPhenol crystalsPhenol liquefiedPhenoxybenzamine 10mg capsulesPhenoxyethanol BPPhenylalanine50 oral powder sachetsPhenylbutazone 100mg tabletsPhenytoin sodium 250mg/5ml solution for injection ampoulesPhenytoin sodium 300mg capsulesPhlexy-10 600mg capsulesPhlexy-10 drink mix Phlexy-10 tabletsPhlexy-Vits powderPhlexy-Vits tabletsPhosphates enema (Formula B) 128ml long tubePiperacillin / Tazobactam powder for solution for infusion vials (ALL)PK Aid 4 powderPKU Air15 liquidPKU Air20 liquidPKU Anamix First Spoon oral powder 12.5g sachetsPKU Anamix Infant powderPKU Anamix Junior LQ liquidPKU Anamix Junior PowderPKU cooler10 liquidPKU cooler15 liquidPKU cooler20 liquid

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

PKU Easy microtabsPKU Easy Shake & Go oral powder 34g sachetsPKU explore10 oral powder 25g sachetsPKU explore5 oral powder 12.5g sachetsPKU express15 powderPKU express20 powderPKU gel powder PKU GMPro oral powder 33.3g sachetsPKU Lophlex powder 28g sachetsPKU Lophlex LQ 10 liquidPKU Lophlex LQ 20 liquidPKU Lophlex Sensation 20PKU Maxamum oral powder sachetsPKU Maxamum powderPKU sphere15 oral powderPKU sphere20 oral powder 35g sachetsPKU squeezie liquid 85g pouchesPKU start powderPKU Synergy oral powder 33g sachetsPlenadren 5mg modified-release tabletsPodophyllum resin powderPolyfusor SB sodium chloride 0.45% infusion 500ml bottlesPolyfusor W water for injection bottles (ALL)Posaconazole 100mg gastro-resistant tabletsPosaconazole 40mg/ml oral suspensionPotassium chloride 15% (potassium 20mmol/10ml) solution for infusion 10ml ampoulesPotassium iodide powderPotassium permanganate powderPradaxa 150mg capsulesPradaxa 75mg capsulesPramipexole 350microgram tabletsPrednisolone 20mg/application foam enemaPregestimil LIPIL powderPrezista 100mg/ml oral suspensionPrezista 800mg tabletsPrimidone tablets (ALL)Pro-Cal shotPro-Cal shot starter packProflavine hemisulfate powderPrograf capsules (ALL)Proguanil 100mg / Atovaquone 250mg tabletsPromazine 25mg/5ml oral solutionPrometax 4.6mg/24hours transdermal patchesPropylthiouracil 50mg tabletsProSource liquid 30ml sachetsProSource jellyProSource Plus liquid 30ml sachetsProstap 3 DCS 11.25mg powder and solvent for suspension for injection pre-filled syringesProSure liquidProvera 400mg tabletsProZero liquidPsytixol 200mg/1ml solution for injection ampoulesPulmocare liquidPyrid-10 tabletsPyrid-20 tabletsPyridostigmine bromide 180mg modified-release tabletsQuetiapine 300mg modified-release tabletsQuetiapine 400mg modified-release tabletsQutenza 179mg cutaneous patchesRalnea XL 4mg tabletsRalnea XL 8mg tablets

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Raltegravir 400mg tabletsRapamune tablets (ALL)Raponer XL 8mg tabletsRebetol 200mg capsulesRelistor 12mg/0.6ml solution for injection vialsRenagel 800mg tabletsRenapro powderRenapro Shot 60ml bottlesRenastart powderRenastep liquidRenilon 7.5 liquidRenvela 800mg tabletsRenvela 2.4g oral powder sachetsReQuip 1mg tabletsReQuip 2mg tabletsReQuip 5mg tabletsReQuip XL 8mg tabletsResonium A powderResource Energy liquidResource Fibre 2.0 liquidResource Junior complete sip feedRespifor milkshake style liquidRevatio 10mg/ml oral suspensionRevatio 20mg tabletsRevlimid 10mg capsulesRevlimid 25mg capsulesRevlimid 5mg capsules Revlimid 7.5mg capsulesRevolade tablets (ALL)Rezolsta 800mg/150mg tabletsRifabutin 150mg capsulesRifaximin tablets (ALL)Rilutek 50mg tabletsRiluzole 25mg/5ml oral suspension sugar freeRinvoq 15mg modified-release tabletsRiociguat tablets (ALL)Risperidone 1mg/ml oral solution sugar freeRivastigmine 2mg/ml oral solutionRivastigmine 2mg/ml oral solution sugar freeRoaccutane 20mg capsulesRocephin 2g powder for solution for injection vialsRopinirole 2mg tabletsRopiqual XL 4mg tabletsRose water liquidRotigotine transdermal patches (ALL)Rybelsus tablets (ALL)Sabril 500mg oral powder sachetsSacubitril/Valsartan tablets (ALL)Salbutamol 2mg tabletsSalbutamol 4mg tabletsSalbutamol 5mg/5ml solution for infusion ampoulesSalicylic acid 12% collodionSalicylic acid powderSaline 0.9% nebuliser liquid 2.5ml Steri-Neb unit dose ampoulesSalofalk 1g gastro-resistant tabletsSalofalk 1g/application foam enemaSalvacyl 11.25mg powder and solvent for suspension for injection vialsSamsca tablets (ALL)Sandimmun 100mg/ml oral solutionSandimmun capsules (ALL)Scandishake Mix oral powder 85g sachets

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Scopoderm 1.5mg patchesSelenase 100micrograms/2ml oral solution 2ml unit dose ampoulesSelenase 500micrograms/10ml oral solution unit dose vialsSelenase 500micrograms/10ml solution for injection vialsSelenium 100micrograms/2ml oral solution unit dose ampoulesSeroquel 100mg tabletsSeroquel 200mg tabletsSeroquel 300mg tabletsSeroquel XL 150mg tabletsSeroquel XL 300mg tabletsSeroquel XL 400mg tabletsSetofilm orodispersible films (ALL)Sevelamer 2.4g oral powder sachets sugar freeSevelamer 800mg tabletsSialanar 320micrograms/ml oral solutionSildenafil 10mg/ml oral suspension sugar freeSildenafil 20mg tabletsSilver nitrate powderSimilac High Energy liquidSirolimus tablets (ALL)SMA Alfamino powderSMA Althera powderSOD Anamix Infant powderSodium bicarbonate 8.4% (1mmol/ml) solution for injection 10ml ampoulesSodium oxybate 500mg/ml oral solution sugar freeSodium phenylbutyrate 500mg tabletsSodium phenylbutyrate 940mg/g granules sugar freeSodium polystyrene sulfonate powder sugar freeSodium salicylate powderSodium valproate 100mg modified-release granules sachets sugar freeSodium valproate 250mg modified-release granules sachets sugar freeSodium valproate solution for injection ampoules (ALL)Sodium valproate 50mg modified-release granules sachets sugar freeSolgar Chelated Magnesium 100mg tabletsSolgar CoQ-10 100mg capsulesSolian 100 tabletsSolian 400 tabletsSolian 100mg/ml oral solutionSolu-Medrone 1g powder and solvent for solution for injection vialsSondate XL 200mg tabletsSouvenaid liquidSpiroco XL 8mg tabletsSquill liquid extractStayveer 125mg tabletsStiripentol capsules (ALL)Stiripentol oral powder sachets (ALL)Strattera 4mg/1ml oral solutionStrattera capsules (ALL)Stribild 150mg/150mg/200mg/245mg tabletsStrontium ranelate 2g granules sachets sugar freeSulfadiazine 500mg tabletsSulfinpyrazone 200mg tabletsSulfur precipitated powderSulfur sublimed powderSumatriptan 20mg/0.1ml nasal spray unit doseSumatriptan 6mg/0.5ml solution for injection pre-filled disposable devicesSumatriptan 6mg/0.5ml solution for injection pre-filled penSumatriptan 6mg/0.5ml solution for injection pre-filled syringes with deviceSumatriptan 6mg/0.5ml solution for injection syringe refillSupportan drinkSuprecur 150micrograms/dose nasal spray

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Suprefact 100micrograms/dose nasal spraySurgical spiritSurvimed OPD liquidSymtuza 800mg/150mg/200mg/10mg tabletsSynarel 200micrograms/dose nasal spraySyrisal 292.5mg/5ml (1mmol/ml) oral solutionTacrolimus 1mg modified-release capsulesTacrolimus 2mg capsulesTacrolimus 3mg modified-release capsulesTacrolimus 5mg modified-release capsulesTacrolimus 750microgram capsulesTacrolimus granules sachets sugar free (ALL)Tafinlar capsules (ALL)Tapclob 10mg/5ml oral suspensionTapclob 5mg/5ml oral suspensionTargaxan 550mg tabletsTartaric acid powderTazocin powder for solution for infusion vials (ALL)Tecfidera gastro-resistant capsules (ALL)Teglutik 5mg/1ml oral suspensionTenofovir 123mg tabletsTentrini Energy liquidTentrini Energy Multifibre liquidTentrini liquidTentrini Multifibre liquidTerbutaline 2.5mg/5ml solution for injection ampoulesTestosterone enantate 250mg/1ml solution for injection ampoulesTestosterone undecanoate 1g/4ml solution for injection ampoulesTestosterone undecanoate 1g/4ml solution for injection vialsThalidomide Celgene 50mg capsulesThamicarb 84mg/1ml oral solutionTimothy grass pollen allergen extract 75,000 SQ-T oral lyophilisates sugar freeTinzaparin sodium 4,500units/0.45ml solution for injection pre-filled syringes Tinzaparin sodium 8,000units/0.4ml solution for injection pre-filled syringesTinzaparin sodium 12,000units/0.6ml solution for injection pre-filled syringesTinzaparin sodium 16,000units/0.8ml solution for injection pre-filled syringesTivicay tablets (ALL)Tobi Podhaler 28mg inhalation powder capsules with deviceTobramycin 28mg inhalation powder capsules with deviceTobramycin 240mg/6ml solution for injection vialsTobramycin 300mg/5ml nebuliser liquid ampoulesTocofersolan 50mg/ml oral solution sugar freeToctino capsules (ALL)Tolbutamide 500mg tabletsTolvaptan 7.5mg tabletsTopiramate 50mg capsulesTopogyne 400microgram tabletsTracleer 125mg tabletsTranylcypromine 10mg tabletsTrazodone 50mg/5ml oral solution sugar freeTriamterene 50mg capsulesTrientine dihydrochloride 300mg capsulesTrifluoperazine 1mg/5ml oral solution sugar freeTrimipramine 50mg capsulesTrimipramine tablets (ALL)Triptorelin 11.25mg powder and solvent for suspension for injection vialsTriptorelin acetate 3mg powder and solvent for suspension for injection vialsTriptorelin embonate 22.5mg powder and solvent for suspension for injection vialsTriumeq 50mg/600mg/300mg tabletsTruvada 200mg/245mg tabletsTurpentine oil liquid

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

TwoCal liquidTwoCal Bolus liquidTYR Anamix Infant powderTYR Anamix Junior LQ liquidTYR Anamix Junior oral powder sachetsTYR cooler liquidTYR express15 oral powder 25g sachetsTYR express20 oral powder 34g sachetsTYR gel oral powder 24g sachetsTYR Lophlex LQ 10 liquidTYR Lophlex LQ 20 liquidTYR Maxamum powderUard 180XL capsulesUard 240XL capsulesUCD amino5 oral powder 6.6g sachetsUlipristal 5mg tabletsUrsodeoxycholic acid 300mg tabletsUrsofalk 250mg capsulesUrsofalk 500mg tabletsValaciclovir 250mg tabletsValcyte 450mg tabletsValcyte 50mg/ml oral solutionValganciclovir 50mg/ml oral solution sugar freeValine50 oral powder 4g sachetsValtrex tablets (ALL)Vancomycin capsules (ALL)Vanquoral 100mg capsulesVanquoral 50mg capsulesVedrop 50mg/ml oral solutionVemlidy 25mg tabletsVentolin 5mg/5ml solution for infusion ampoulesVerkazia 0.1% eye drops 0.3ml unit doseVFEND 40mg/ml oral suspensionVFEND tablets (ALL)Vigabatrin 500mg oral powder sachets sugar freeVigabatrin soluble tablets sugar free (ALL)Vimpat 150mg tabletsVimpat 200mg tabletsViread 123mg tabletsViread 245mg tabletsViread 33mg/g granulesViridal Duo Continuation Pack 20microgram powder and solvent for solution for injection cartridgesViridal Duo Continuation Pack 40microgram powder and solvent for solution for injection cartridges Vital 1.5kcal liquidVitasavoury powder 50g sachetsVoleze 4.6mg/24hours transdermal patchesVolibris tablets (ALL)Voractiv tabletsVoriconazole 200mg tabletsVoriconazole 200mg/5ml oral suspensionWarfarin 1mg/ml oral suspension sugar free (Rosemont Pharmaceuticals Ltd)Water for injections 1litre bottlesWater for injections 500ml bottlesWellvone 750mg/5ml oral suspensionWhite linimentWilzin 25mg capsulesWilzin 50mg capsules Xagrid 500microgram capsulesXeljanz 5mg tabletsXeomin 100unit powder for solution for injection vialsXeplion suspension for injection pre-filled syringe (ALL)

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Part II 11/2021REQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

Drugs for which discount is not deducted

Xifaxanta 200mg tabletsXMET Homidon powderXMTVI Asadon powderXonvea 10mg/10mg gastro-resistant tabletsXPhe jump 10 liquidXPHEN TYR Tyrosidon Free AA Mix powderXtandi 40mg capsulesXyrem 500mg/ml oral solutionZalasta 20mg tabletsZeffix 100mg tabletsZemplar 1microgram capsulesZemplar 2microgram capsulesZinamide 500mg tabletsZinc acetate 25mg capsulesZinc acetate 50mg capsulesZinc oxide powderZing 220mg capsulesZofran 16mg suppositoriesZofran 4mg/5ml syrupZofran Flexi-amp solution for injection ampoules (ALL)Zofran Melt oral lyophilisates (ALL)Zofran tablets (ALL)Zoladex 3.6mg implant SafeSystem pre-filled syringes Zoladex LA 10.8mg implant SafeSystem pre-filled syringesZolmitriptan 5mg tabletsZometa 4mg/100ml infusion bottlesZometa 4mg/5ml solution for infusion vialsZonegran 100mg capsulesZonegran 50mg capsulesZonisamide 100mg capsulesZonisamide 50mg capsulesZovirax 200mg/5ml oral suspensionZovirax Double Strength 400mg/5ml oral suspensionZyprexa 10mg tabletsZyprexa 15mg tabletsZyprexa 20mg tabletsZyprexa 5mg tabletsZyprexa 7.5mg tabletsZyprexa Velotabs (ALL)Zytiga 500mg tabletsZyvox 100mg/5ml granules for oral suspensionZyvox 600mg tablets

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

PRODUCTS INCLUDED IN CLAUSE 10B(iii)

Products included in Clause 10B(iii) are listed below.Liquid preparations for external use:

SubPara Name Pack(s)

(c) Alphosyl Shampoo 2 in 1 (250ml)(c) Aveeno Body Wash (500ml)(c) Aveeno Lotion (500ml)(c) Aveeno Moisturising Creamy Oil (300ml)

(a) Balneum Bath Oil (500ml and 1000ml)(a) Balneum Plus Bath Oil 82.95%/15% (500ml)

(b) Capasal Therapeutic Shampoo (250ml)(c) Ceanel Concentrate (150ml and 500ml)(a) Cetraben Bath Oil (500ml)

(c) Dentinox Cradle Cap Shampoo (125ml)(a) Dermalo Bath Emollient (500ml)(c) Dermol 200 Shower Emollient (200ml)(c) Dermol 500 Lotion (500ml pump)(c) Dermol 600 Bath Emollient (600ml)(c) Dermol Wash cutaneous emulsion (200ml)(a) Doublebase Emollient Bath Additive (500ml)

(a) E45 Emollient Bath Oil (500ml)(c) E45 Lotion (200ml and 500ml pump)(c) E45 Shower Creme Emollient (200ml)(c) E45 Emollient Wash Cream (250ml)(c) Eczmol 1% Cream (250ml)(a) Emulsiderm Emollient (300ml and 1 litre)(b) Exorex Lotion (100ml and 250ml)

(a) Hydromol Bath and Shower Emollient (350ml, 500ml and 1 litre)(c) Hydromol Intensive 10% Cream (30g and 100g)

(b) Neutrogena T/Gel Shampoo for Dry Hair (125ml and 250ml)(b) Neutrogena T/Gel Therapeutic Shampoo (125ml and 250ml)

(a) Oilatum Bath Formula (150ml and 300ml)(c) Oilatum Cream (150g, 500ml and 1050ml)(a) Oilatum Emollient (500ml)(a) Oilatum Junior Bath Additive (150ml, 300ml and 600ml)(c) Oilatum Junior Cream (150g and 350ml)(a) Oilatum Plus Bath Additive (500ml)(c) Oilatum Scalp Intensive Shampoo (100ml)(c) Oilatum Scalp Treatment Shampoo (100ml)(c) Oilatum Shower Gel Fragrance Free (150g)

(b) Psoriderm Bath Emulsion (200ml)(b) Psoriderm Cream (225ml)(b) Psoriderm Scalp Lotion Shampoo (250ml)

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11/2021 Part IIREQUIREMENTS ENABLING PAYMENTS TO BE MADE FOR THE SUPPLY OF DRUGS,

APPLIANCES AND CHEMICAL REAGENTS

(a) QV Bath Oil (500ml)(c) QV Cream (100g and 500g)(c) QV Lotion (250ml)

(c) Selsun Shampoo (50ml, 100ml and 150ml)(c) Skin Salvation Ointment (30ml, 60ml and 120ml)(c) Stellisept med 1% skin cleanser (100ml and 500ml)

(a) Zeroneum Bath Emollient (500ml)

Products included in Clause 10B(iii) are listed below.Liquid preparations for external use:

SubPara Name Pack(s)