Preparation (and means prescribed with)	Charges Payable
Actinac treatment pack	1
Appliances - including bandages and dressings
A- multiples of the same or different sizes e.g. Crepe bandages 5cm x 2	1
Open wove bandage 2.5 cm x 1 & 5cm x 1	1
Polythene occlusive dressings Gloves (100 gauge)	1
Arm sleeve, Leg sleeve, Foot bag,Torso vest in any combination (150 gauge)	1
B- sets of appliances e.g. multiple dressing pack No 1	1
C- sets of appliances & extra parts e.g. hypodermic syringe & hypodermic needles	2
D- different appliances e.g. gauze & cotton wool & lint	3
Multilayer compression bandaging e.g. Profore #1 & #2 & #3 & #4	4
Profore Kit	1
Becodisks	1
Canesten cream 1% & Canesten VC 10% cream	2
Canesten Oral and Creamduo	2
Canesten combi	2
Canesten spray & Canesten powder	2
Champix Starter Pack (0.5+1mg) & Champix 1mg 1x56
Chlordiazepoxide 5mg tabs & Chlordiazepoxide 5mg caps	2
Climagest	2
Climesse	1
Covermark masking cream - 3 different shades	1
Cycloprogynova 1mg	2
Cycloprogynova 2mg	2
Cycloprogynova 1mg & Cycloprogynova 2mg	3
Dianette (unless marked ♀ by the prescriber)	1
Didronel PMO	2
Dithranol 0.5% in Lassar's paste & Dithranol 1.0% in Lassar's paste	1
Dressings - see Appliances
Ecostatin Twin Pack	2
Elastic Hosiery
1 pair knee caps	2
2 pairs thigh stockings	4
1 pair suspenders	1
Elleste Duet	2
Elleste Duet Conti	1
Estracombi	2
Estraderm patches	1
Evorel	1
Evorel Conti	1
Evorel Sequi	2
Femapak	2
Femoston (all strengths)	2
Femoston Conti	1
Femseven Sequi	2
Gluten-free biscuits (sweet and/or savoury)	1
Gluten-free flour & Gluten-free bread mix	2
Gyno-Pevaryl Combipak	2
Heliclear Triple Pack	3
Hypodermic tablets & Water for injection	1
Hytrin starter pack	1
Hytrin BPH	1
Imigran Subject Complete Pack & Imigran Refill	1
Injections	-
A- dispensed in powder form with solvent e.g.	1
- Streptomycin sulph 1gm x 5}	1
- Water for injection 2ml x 5 }
B- different types of the same injection e.g.
- Influenza vaccine (2 different strains in different ampoules)	1
C- Insulins - general exemption	0
Intal capsules & Intal Spinhaler	2
Kliofem	1
Kliovance	1
Migraleve Tabs
A- Complete (12 or 24)	2
B- Supplementary pack (12 pink or 12 yellow)	1
C- Supplementary packs (12 pink & 12 yellow)	2
D- Complete & supplementary pack (pink or yellow)	2
E- Complete & supplemetary packs (pink & yellow)	2
Napratec Combination Pack	2
Nicorette Inhaler	1
Nicorette Micro Starter Tabs 2mg - 30 pack size} Nicorette Micro Refill Tabs 2mg - 105 pack size }	1
Nicorette Patches } & Nicotinell TTS Patches}	2
Nicotinell TTS 10 Patches } & Nicotinell TTS 20 Patches}	1
Niquitin CQ Clear } & Niquitin CQ Standard}	1
Novofem	2
Nuvelle Continuous	1
Nuvelle Tabs	2
Orthocreme with vaginal applicator	0
Oxygen Therapy set with cylinders	1
Oxygen Cylinder(s)	1
Pabrinex - vials of two separate formulations
IMHP - intramuscular high power	2
IVHP - intravenous high power	2
Panoxyl 5% Acne Gel & Panoxyl 10% Acne Gel	1
Portable urinal sets & spare sheaths	1
Prednisolone tabs 1mg & Prednisolone Soluble Tablets	2
Prednisolone tabs 1mg & Prednisolone tabs 2.5mg EC	2
Prednisolone tabs 1mg & Prednisolone tabs 5mg	1
Premique	1
Premique Cycle	2
Prempak C 0.625	2
Prempak C 1.25	2
Spiriva Combopack (capsules & handihaler) & Refill Pack	1
Synalar cream & ointment	2
Syntaris nasal spray ( bottle with pump and applicator)	1
Synphase	0
Tablets, Capsules etc
A- same drug, different strengths ordered separately on one form or at the same time e.g.
Sodium Amytal caps 60mg x 21 & Sodium Amytal caps 200mg x 7	1
Amitriptyline tabs 10mg x 100 & Amitriptyline Tabs 25mg x 100	1
B- same drug, different preparations ordered separately on one form or at the same time e.g.
Prothiaden tabs 75mg x 100 & Prothiaden caps 25mg x 100	2
C- strength ordered not listed - must be dispensed using a combination of strengths e.g.
Prothiaden 100mg x 100 supply	1
Prothiaden tabs 75mg x 100 }	1
Prothiaden caps 25mg x 100}
Tridestra	2
Triptafen M & Triptafen tabs	2
Trisequens	2
Ventolin Syrup & Ventolin Evohaler	2
Voltarol & Voltarol Retard	2

A single charge of £5.00 is payable where

• The same drug or preparation is supplied in one or more container
• Different strengths of the same drug are ordered as separate prescriptions at the same time
• More than one appliance of the same type (other than elastic hosiery) is supplied
• A set of parts making up a complete appliance is supplied
• Drugs are supplied in powder form with the solvent separate for subsequent admixture
• A drug is supplied with a dropper, throat brush, or vaginal applicator
• Several flavours of the same preparation are supplied
• Multiple charges are payable where
• Different drugs, types of dressings, or appliance(s) are supplied
• Different formulations or presentations of the same drug or preparation are supplied
• Additional parts are supplied together with a complete set of apparatus, or additional dressing(s) together with a dressing pack
• More than one piece of elastic hosiery is supplied