Cost Comparison Charts PDF

Regional Drug and Therapeutics Centre Cost comparison charts
REGIONAL DRUG AND THERAPEUTICS CENTRE

(NEWCASTLE)
COST COMPARISON CHARTS
January 2020
INTRODUCTION
The charts included within this report are organised by BNF classification (legacy)
and show comparative costs at the NHS Basic price1,2 (as of January 2020) for
selected agents. Except where indicated otherwise, each chart shows the cost of 1
year3 of treatment at a commonly prescribed daily dose (shown in brackets). The
doses given are not intended to imply therapeutic equivalence and for some BNF
sub-classifications, such as angiotensin converting enzyme inhibitors (ACE
inhibitors), the doses may vary according to indication. Additionally, in some
therapeutic areas, for instance antibacterial drugs, the duration of treatment may
differ from that shown. Primarily, this report focuses on costs related to prescribing in
Adults. There are however a few exceptions where products specifically for use in
children are represented, such as in the Emollients and Infant formulas sections.
Additional notes to highlight any relevant cost related information are also added
where appropriate, to improve the clarity of the information presented.
Rationale for inclusion: The cost comparison charts (CCCs) aim to represent the
diversity of products available; including the least expensive, most prescribed, higher
cost products being prescribed and products with additional features. The products
included are furthermore considered in the context of National and local guidance
and stakeholder formulary decisions. It is not possible to represent all
pharmaceuticals within these charts.
1
NHS Business Services Authority (NHS BSA). Drug tariff. https://www.nhsbsa.nhs.uk/pharmacies-
gp-practices-and-appliance-contractors/drug-tariff
2
NHS BSA. Dictionary of medicines and devices (dM+d) https://www.nhsbsa.nhs.uk/pharmacies-gp-
practices-and-appliance-contractors/dictionary-medicines-and-devices-dmd
3
1 year in this instance is equal to 364 days (rather than 365) standardising 1 month as equal to 28
days.
NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES
1 January 2020
Stakeholders (under password protection) can access the current version of the
CCCs via our website in three formats: PDF, Word and Excel. The Excel version
incorporates a more detailed comparison of contraceptives and allows charts to be
split by BNF subsections in some instances. The PDF format of the previous CCC
report is available for free access.

2 January 2020
To navigate to the chart required, hover the cursor over the section required, press CTRL
and click with the left mouse button.
Contents by BNF Legacy / ePACT2 classification Page
1.1 Dyspepsia and gastro-oesophageal reflux disease ................................................................ 6
1.2 Antispasmodics and other drugs altering gut motility ............................................................. 6
1.3 Antisecretory drugs and mucosal protectants ........................................................................ 7
1.5.1 Aminosalicylates .................................................................................................................. 8
1.5.2 Corticosteroids: rectal foams ............................................................................................... 9
1.6 Laxatives ............................................................................................................................... 10
2.2 Diuretics ................................................................................................................................ 11
2.4 Beta-adrenoceptor blocking drugs ........................................................................................ 12
2.5.4 Alpha-adrenoceptor blocking drugs ................................................................................... 13
2.5.5 Drugs affecting the renin-angiotensin system ................................................................... 14
2.6.1/2.6.3 Nitrates and other antianginal drugs ......................................................................... 15
2.6.2 Calcium-channel blockers .................................................................................................. 16
2.8.1/2.8.2 Parenteral anticoagulants/oral anticoagulants.......................................................... 17
2.9 Antiplatelet drugs .................................................................................................................. 18
2.12 Lipid-regulating drugs ......................................................................................................... 19
3.1 Bronchodilators ..................................................................................................................... 20
3.2 Corticosteroids (respiratory): (i) corticosteroid inhalation devices ........................................ 21
3.2 Corticosteroids (respiratory): (ii) combination with bronchodilators, inhalation devices ....... 22
3.1 & 3.2 Inhaled therapy licensed for COPD ............................................................................. 23
3.3 Cromoglicate & related therapy, leukotriene receptor antagonists, and phosphodiesterase
type-4 inhibitors ........................................................................................................................... 24
3.4.1 Antihistamines.................................................................................................................... 24
4.1.1/4.1.2 Hypnotics/Anxiolytics ................................................................................................ 25
4.2.1/4.2.3 Antipsychotic drugs and drugs used for mania and hypomania: maintenance doses
(adults with psychosis) ................................................................................................................ 26
4.2.1 Antipsychotic drugs: low dose ........................................................................................... 27
4.3 Antidepressant drugs ............................................................................................................ 28
4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder: (i) stimulant ..... 29
4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder: (ii) stimulant;
methylphenidate modified release preparations only ................................................................. 30
4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder: (iii) non-stimulant31
4.6 Drugs used in nausea and vertigo ........................................................................................ 31
4.7 Analgesics ............................................................................................................................. 32
4.7.2 Opioid analgesics: (i) oral preparations ............................................................................. 33
4.7.2 Opioid analgesics: (ii) transdermal patches ....................................................................... 34
4.7.2 Opioid analgesics: (iii) modified release preparations ....................................................... 35
4.7.2 Opioid analgesics: (iv) subcutaneous infusion; strong opioids .......................................... 36

3 January 2020
4.7.3 Neuropathic pain ................................................................................................................ 36

4.7.4.1 Treatment of acute migraine ........................................................................................... 37
4.8 Antiepileptic drugs................................................................................................................. 37
4.9.1 Dopaminergic drugs used in Parkinson’s disease: (i) dopamine receptor agonists .......... 38
4.9.1 Dopaminergic drugs used in Parkinson’s disease: (ii) levodopa, COMT and MAO-B
inhibitors ...................................................................................................................................... 39
4.10.2 Nicotine dependence ....................................................................................................... 40
4.11 Drugs for dementia ............................................................................................................. 41
5 Infections: miscellaneous antibacterial and anthelmintic drugs ............................................... 42
5.1 Antibiotics: solid and liquid formulations ............................................................................... 43
5.1.1 Penicillins ........................................................................................................................... 44
5.1.2 Cephalosporins .................................................................................................................. 44
5.1.3 Tetracyclines ...................................................................................................................... 45
5.1.12 Quinolones ....................................................................................................................... 45
5.2 Antifungal drugs: miscellaneous, including topical and gynaecological ............................... 46
6.1.1 Insulin: prefilled (PF) pens and cartridges ......................................................................... 47
Hypodermic equipment: (i) needles for PF and reusable insulin pens (4mm to 6 mm) ............. 48
Hypodermic equipment: (ii) needles for PF and reusable insulin pens (8 mm) .......................... 49
Hypodermic equipment: (iii) lancets ............................................................................................ 50
6.1.6 Blood glucose monitoring: (i) test strips (50) greater than £10 .......................................... 51
6.1.6 Blood glucose monitoring: (ii) test strips (50) less than £10 .............................................. 52
6.1.2 Antidiabetic drugs (i) .......................................................................................................... 53
6.1.2 Antidiabetic drugs: (ii) new agents ..................................................................................... 54
6.4.1 Female sex hormones and their modulators: (i) combination HRT preparations .............. 55
6.4.1 Female sex hormones and their modulators: (ii) oestrogen only HRT patches ................ 56
6.4.1 Female sex hormones and their modulators: (iii) oestrogen only HRT preparations except
patches ....................................................................................................................................... 57
6.6.2 Bisphosphonates and other drugs affecting bone metabolism .......................................... 58
7.3.1 Combined hormonal contraceptives .................................................................................. 59
7.3.2 Progestogen-only contraceptives ..................................................................................... 60
7.4.1 Drugs for urinary retention ................................................................................................. 61
7.4.2 Drugs for urinary frequency, enuresis, and incontinence .................................................. 62
7.4.5 Drugs for erectile dysfunction ............................................................................................ 63
8.3.4.2 Gonadorelin analogues: prostate cancer indication ....................................................... 63
9.6.4 Vitamin D: (i) calcium and vitamin D combination products .............................................. 64
9.6.4 Vitamin D: (ii) prevention of deficiency .............................................................................. 64
9.6.4 Vitamin D: (iii) treatment of deficiency ............................................................................... 65
10.1.1 Non-steroidal anti-inflammatory drugs ............................................................................. 66
10.3.2 Rubefacients, topical NSAIDs, capsaicin, and poultices ................................................. 67
11.4.2 Eye: other anti-inflammatory preparations ....................................................................... 67
4 January 2020
11.6 Treatment of glaucoma ....................................................................................................... 68

11.8.1 Tear deficiency, ocular lubricants, and astringents ......................................................... 69
12.2.1 Drugs used in nasal allergy: corticosteroids .................................................................... 69
13.2.1 Emollients: (i) cost of 1 year’s treatment ......................................................................... 70
13.2.1 Emollients: (ii) cost per 100g or 100ml ............................................................................ 71
13.2.1 Emollients: (iii) bath and shower preparations, cost per 100g or 100ml.......................... 72
13.4 Topical corticosteroids (skin): (i) cost per 30g .................................................................... 73
13.4 Topical corticosteroids (skin): (ii) combination corticosteroid and antimicrobial products .. 74
13.5 Preparations for eczema and psoriasis: scalp .................................................................... 74
13.5.2 Preparations for psoriasis: corticosteroid and vitamin D combination topical preparations75
13.6.1 Topical preparations for acne .......................................................................................... 75
Specialised infant and child milk formulas .................................................................................. 76
Stoma adhesive removers (liquid preparations only) ................................................................. 77
Patent expiry table January 2020 to December 2020 ................................................................ 78

5 January 2020
1.1 Dyspepsia and gastro-oesophageal reflux disease

January 2020: Dyspepsia and gastro-oesophageal reflux disease - cost of 1 year's
treatment
Sodium alginate, calcium carbonate & sodium
bicarbonate: Gaviscon® (10ml QDS) £172.54
Magnesium trisilicate with magnesium carbonate and

sodium bicarbonate oral suspension (10ml TDS) £120.12
Co-magaldrox: Mucogel® (10ml QDS) £87.07
Simeticone with aluminium hydroxide and magnesium

hydroxide: Maalox plus® (5ml QDS) £84.74

bicarbonate: Acidex® (10ml QDS) £74.55
Sodium alginate with potassium bicarbonate:

Gaviscon® Advance (5ml QDS) £74.55

bicarbonate: Peptac® (10ml QDS) £56.78
Sodium alginate with potassium bicarbonate: Acidex®

Advance (5ml QDS) £55.91
£0 £20 £40 £60 £80 £100 £120 £140 £160 £180 £200
Doses given do not imply therapeutic equivalence copyright © RDTC 2020
1.2 Antispasmodics and other drugs altering gut motility

January 2020: Antispasmodics and other drugs altering gut motility - cost of 1 year's
treatment
Dicycloverine
(20mg TDS) £3,067.87
Dicycloverine
(10mg TDS) £2,448.48
Alverine (120mg TDS) £423.88
Fybogel® Mebeverine sachets S/F

(1 BD) £350.17
Propantheline
(15mg TDS and 30mg ON) £337.03
Kolanticon® gel (10ml QDS) £174.72
*Peppermint oil capsules E/C M/R:

Colpermin® (1 TDS) £156.48
Hyoscine butylbromide
(20mg QDS) £156.00
Mebeverine MR
(200mg BD) £111.87
Alverine (60mg TDS) £94.89
*Licensed for up to 3
*Peppermint oil capsules E/C:
£91.52 months. Cost reported is
Mintec® (1 TDS)
based on 1 year supply
Mebeverine for cost-comparison
(135mg TDS) £52.63 purposes only.
£0 £250 £500 £2,250 £2,500 £2,750 £3,000 £3,250

Contents

6 January 2020
1.3 Antisecretory drugs and mucosal protectants

January 2020: Antisecretory drugs and mucosal protectants -
cost of 1 year's treatment
Famotidine
(40mg OD) £506.87
Misoprostol
(200mcg QDS) £243.39
Cimetidine
(400mg BD) £193.04
Nizatidine
(300mg OD) £187.22
Losec® MUPS
(20mg OD) £180.96
Ranitidine 75mg/5ml oral solution

(150mg BD) £160.40
Omeprazole tablets (10mg OD) £102.70
Omeprazole tablets
(20mg OD) £87.36
Lansoprazole orodispersible tablets

(30mg OD) £61.75
Nizatidine
(150mg OD) £54.36
Pantoprazole
(40mg OD) £46.80
Lansoprazole orodispersible tablets

(15mg OD) £39.65
Esomeprazole
(20mg OD) £32.89
Rabeprazole
(20mg OD) £21.32
Ranitidine
(150mg BD) £18.81
Lansoprazole capsules
(30mg OD) £15.73
Omeprazole capsules
(10mg or 20mg OD) £13.39
Lansoprazole capsules
(15mg OD) £12.22
£0 £100 £200 £300 £400 £500 £600

Contents

7 January 2020
1.5.1 Aminosalicylates
January 2020: Aminosalicylates: treatment doses - cost of 28 days treatment
Olsalazine capsules
(3g max single dose 1g) £432.00
Asacol® 400mg or 800mg tablets

(4.8g daily in 2-3 divided doses) £109.80
Mezavant® XL tablets
(4.8g once daily) £80.17
Octasa® 800mg tablets

Pentasa® tablets/granules
(4g daily in 2-3 divided doses) £68.86
Colazide® capsules
(2.25g three time daily) £58.97
Salofalk® tablets
(3g daily in 3 divided doses) £54.40
Salofalk® granules
(3g once daily) £45.59

£0 £50 £100 £150 £200 £250 £300 £350 £400 £450 £500
January 2020: Aminosalicylates: maintenance doses - cost of 1 year's treatment
Olsalazine capsules
(500mg twice daily) £1,872.00
Asacol® 400mg or 800mg tablets

Mezavant® XL tablets

Pentasa® tablets/granules
(2g once daily) £447.60
Salofalk® tablets
(1.5g daily in 3 divided doses) £353.59
Colazide® capsules
(1.5g twice daily) £340.70
Salofalk® granules
(1.5 daily in 3 divided doses) £313.84

£0 £200 £400 £600 £800 £1,000 £1,200 £1,400 £1,600 £1,800 £2,000
Contents

8 January 2020
1.5.2 Corticosteroids: rectal foams

January 2020: Rectal foams - cost of 14 days treatment
Prednisolone 20mg/application
£187.00
foam enema
Budenofalk® 2mg foam enema £57.11
Hydrocortisone 10% foam

£9.33
aerosol enema
£0 £20 £40 £60 £80 £100 £120 £140 £160 £180 £200
Contents

9 January 2020
1.6 Laxatives
January 2020: Laxatives - cost of 14 days treatment
Prucalopride 2 mg (Resolor®) £29.76
Naloxegol 25mg (Moventig®) £25.76
Linaclotide 290mcg (Constella®) £18.78
Sodium citrate enema (Micolette® 1 daily) £5.25
Sodium picosulfate 5 mg/5 ml

oral solution (10 ml) £3.77
Macrogols (2 sachets for 14 days) £3.51
Manevac® (8 g) £2.66
Ispaghula husk (Fybogel® 2 sachets) £2.64
Sterculia (Normacol® 10 g) £2.22
Docusate (200 mg) £1.95
Lactulose (20 ml) £1.62
Methylcellulose (2 g) £1.61
Bisacodyl (10 mg) £1.57
Glycerol suppository (4 g) £1.51
Senna (15 mg) £0.98
£0 £5 £10 £15 £20 £25 £30 £35

Contents

10 January 2020
2.2 Diuretics
January 2020: Diuretics - cost of 1 year's treatment
Chlortalidone
(50mg OD) £1,068.22
Amiloride
(5mg OD) £155.22
Eplerenone
£81.64
(50mg OD)
Torasemide
(5mg OD) £71.89
Amiloride and furosemide

(Co-amilofruse) (5/40mg OD) £68.77
Spironolactone
(50mg OD) £62.53
Indapamide MR
(1.5mg OD) £41.25
Indapamide
(2.5mg OD) £30.68
Bumetanide
(1mg OD) £27.04
Amiloride and hydrochlorothiazide

(Co-amilozide) (5/50mg OD) £24.31
Spironolactone
(25mg OD) £15.99
Furosemide
(40mg OD) £10.66
Bendroflumethiazide
(2.5mg OD) £9.75
£0 £50 £100 £150 £200 £1,050 £1,100

Contents

11 January 2020
2.4 Beta-adrenoceptor blocking drugs
January 2020: Beta-adrenoceptor blocking drugs - cost of 1

year's treatment
Timolol
(10mg BD) £968.00
Acebutolol
(400mg BD) £484.12
Metoprolol
(50mg TDS) £169.65
Nadolol
(160mg OD) £156.00
Nebivolol
(2.5mg OD) £153.14
Labetalol
(200mg BD) £127.66
Celiprolol
(200mg OD) £72.41
Propranolol M/R caps

(80mg OD) £64.35
Nebivolol 5 mg tablets are cross

Nebivolol scored and licensed to be divided
(5mg OD) £48.10
into equal quarters to achieve lower
doses e.g. 1.25 mg and 2.5 mg
Propranolol tabs
(40 mg TDS) £41.73
Sotalol
(80mg BD) £36.92
Carvedilol
(25mg OD) £31.33
Bisoprolol
(5mg OD) £11.05
Atenolol
(50mg OD) £9.49
£0 £200 £400 £600 £800 £1,000 £1,200

Contents

12 January 2020
2.5.4 Alpha-adrenoceptor blocking drugs

January 2020: Alpha-adrenoceptor blocking drugs - cost of 1 year's treatment
Prazosin 1mg tablets

(5mg OD) £104.95
*Doxazosin MR
(4mg OD) £65.00
Terazosin
(5mg OD) £32.63
Doxazosin
(4mg OD) £15.34
*see NHSE and NHSI (2019).

Items which should not routinely be
Doxazosin prescribed in primary care:
(2mg OD) £12.87 Guidance for CCGs. Select the link
beneath the chart.
£0 £20 £40 £60 £80 £100 £120

Items which should not routinely be prescribed in primary care: Guidance for CCGs
Contents

13 January 2020
2.5.5 Drugs affecting the renin-angiotensin system

January 2020: Drugs affecting the renin-angiotensin system -
cost of 1 year's treatment
Sacubitril (97mg) / Valsartan

(103mg) BD £1,190.28
*Aliskiren (300 mg) £445.51
Eprosartan (600 mg) £236.08
Azilsartan medoxomil (40mg) £218.40
Valsartan (80 mg) £168.09
Quinapril (20 mg) £140.27
Imidapril (10 mg) £93.86
*Perindopril arginine (5 mg) £76.20
Telmisartan (40 mg) £67.86
Fosinopril (10 mg) £64.74
Irbesartan (150 mg) £61.49
Trandolapril (2 mg) £34.84
Ramipril tablets (5 mg) £27.17
Perindopril erbumine (4 mg) £26.69
Enalapril (10 mg) £25.87
Losartan (50 mg) £24.70
Captopril (25 mg BD) £22.88
Candesartan (8 mg) £21.19

Olmesartan (20 mg) £19.89 Items which should not routinely be
prescribed in primary care:
Lisinopril (10 mg) £11.96 Guidance for CCGs. Select the link
beneath the chart.
Ramipril capsules (5 mg) £11.57
£0 £100 £200 £300 £400 £500£1,100 £1,200

Contents

14 January 2020
2.6.1/2.6.3 Nitrates and other antianginal drugs

January 2020: Nitrates and other antianginal drugs - cost of 28
days treatment
Ranolazine (375mg, 500mg, 750mg BD) £45.71
Isosorbide dinitrate (20 mg QDS) £27.04
Transiderm Nitro® (5 mg/24 hours) £20.46
Deponit® (5 mg/24 hours) £12.77
Minitran® (5 mg/24 hours) £10.85
Isosorbide mononitrate MR tabs (60 mg) £10.50
Isosorbide mononitrate MR caps (60 mg) £8.86
Ivabradine (10 mg) £4.98
Nicorandil (20 mg BD) £3.74
Glyceryl trinitrate (500 mcg, 100 tablets) £2.15
Isosorbide mononitrate (40 mg BD) £1.35
Glytrin® spray (200 dose) £0.48
Nitromin® spray (200 dose) £0.38
£0 £10 £20 £30 £40 £50

Contents

15 January 2020
2.6.2 Calcium-channel blockers

January 2020: Calcium-channel blockers - cost of 1 year's
treatment
Diltiazem MR tablets
(60 mg TDS) £558.09
Dilzem XL®
(180 mg) £150.15
Adizem XL®
(180 mg) £134.81
Nicardipine
(30 mg BD) £123.89
Verapamil
(120 mg BD) £115.18
Nifedipine MR tabs
(20 mg BD) £114.53
Adizem SR®
(90 mg BD) £110.50
Viazem XL®
(180 mg) £95.68
Tildiem Retard®
(90 mg BD) £94.51
Zemret XL®
(180mg) £91.00
Nifedipine MR tablets
(30 mg) £89.05
Zemtard XL®
(180 mg) £80.60
Nifedipine MR capsules
(20 mg BD) £65.64
Felodipine MR
(5 mg) £54.73
Lercanidipine
(10 mg) £31.20
Lacidipine
(4 mg) £28.34
Amlodipine
(5 mg) £10.79
£0 £100 £200 £300 £400 £500 £600

Contents

16 January 2020
2.8.1/2.8.2 Parenteral anticoagulants/oral anticoagulants
January 2020: Anticoagulants - cost of 28 days treatment
Enoxaparin inj 150mg (BD) £559.50
Enoxaparin inj 150mg (OD) £279.75

Parenteral anticoagulants
Tinzaparin inj 18,000u (OD) £299.82
Dalteparin inj 18,000u (OD) £284.59
Apixaban 2.5mg or 5mg

£53.20
tablets (BD)
Rivaroxaban 15 or 20mg
£50.40
tablets (OD)
Edoxaban 30mg or 60mg
£49.00
tablets (OD)
Dabigatran 75 or 110 or 150mg
£47.60 Oral anticoagulants
capsules (BD)
Warfarin 500microgram tablets (OD) £1.45
Warfarin 5mg tablets (OD) £0.99

Does not include cost
Warfarin 3mg tablets (OD) £0.87 of INR monitoring
Warfarin 1mg tablets (OD) £0.82
£0 £100 £200 £300 £400 £500 £600

Contents

17 January 2020
2.9 Antiplatelet drugs

January 2020: Antiplatelet drugs - cost of 1 year's treatment
Ticagrelor
(90mg BD) £709.80
Prasugrel
(5mg OD) £313.04
Aspirin
25mg/Dipyridamole £163.80
MR 200mg BD
Dipyridamole MR
(200mg BD) £159.55
Prasugrel
(10mg OD) £85.67
Clopidogrel
(75mg OD) £19.37
Aspirin EC
(75mg OD) £10.92
Aspirin Dispersible
(75mg OD) £10.01
£0 £100 £200 £300 £400 £500 £600 £700 £800

Contents

18 January 2020
2.12 Lipid-regulating drugs

January 2020: Lipid-regulating drugs - cost of 1 year's treatment
Evolocumab (140mg every 2 weeks) £4,422.60

Alirocumab (75/150mg every 2 weeks ) £4,368.00
Ciprofibrate (100 mg) £1,592.89
Colesevelam (6 tablets) £1,399.22
Colestipol (20 g) £730.43
Gemfibrozil (1.2 g) £586.17
Simvastatin (80 mg) / Ezetimibe (10 mg) £535.73
Colestyramine sugar free (12 g) £468.69
Acipimox (500 mg) £374.76
Atorvastatin chewable tablets (20mg) £320.32
Atorvastatin chewable tablets (10mg) £167.44
Fenofibrate (145mg) / Simvastatin (40mg) £101.07
Bezafibrate MR (400 mg) £92.58
Fenofibrate (160 mg) £44.46
Fenofibrate (200 mg) £42.12
Fluvastatin (40 mg) £34.06
Fluvastatin (20mg) £29.64
Rosuvastatin (40mg) £29.38
Atorvastatin (80mg) £24.05
Rosuvastatin (20mg) £23.66
Simvastatin (80 mg) £21.97
Ezetimibe (10 mg) £20.93
Pravastatin (40 mg) £18.59
Rosuvastatin (10 mg) £18.20
Atorvastatin (40mg) £16.12
Rosuvastatin (5 mg) £15.86
Pravastatin (20 mg) £15.08
Atorvastatin (20 mg) £13.00
Atorvastatin (10 mg) £11.31
£0 £1,000 £2,000 £3,000 £4,000 £5,000
Contents

19 January 2020
3.1 Bronchodilators
January 2020: Bronchodilators - cost of 1 year's treatment
Salmeterol Accuhaler® DPI
£426.00
(50 mcg BD)
Tiotropium Handihaler® refill DPI
£406.47
(18 mcg OD)
Indacaterol/glycopyrronium Breezhaler® DPI
£394.33
(85mcg/43mcg, 1 act OD)
Vilanterol/Umeclidinium Ellipta® DPI
£394.33
(22mcg/55mcg, 1 act OD)
Aclidinium Genuair® DPI
£394.33
(322 mcg, 1 act BD)
Aclidinium/formoterol Genuair® DPI
£394.33
(340mcg/12mcg, 1 act BD)
Olodaterol/tiotropium Respimat® SMI
£394.33
(2.5mcg/2.5mcg, 2 act OD)
Indacaterol inhalation powder caps DPI
£390.57
(150 mcg, 1 act)
Salmeterol inhaler MDI
£355.02
(25 mcg, 2 act BD)
Umeclidinium Ellipta® DPI
£333.67
(65mcg, 1 act OD)
Glycopyrronium Breezhaler® DPI
£333.67
(50mcg, 1 act)
Olodaterol Respimat® SMI
£319.71
(2.5mcg, 2act OD)
Tiotropium Braltus Zonda® DPI
£313.04
(10 mcg OD)
Formoterol Turbohaler® DPI
£300.91
(6 mcg BD)
Tiotropium Respimat® SMI
£279.07
(5 mcg OD)
Soltel® (Salmeterol) inhaler MDI
£242.06
(25 mcg, 2 act BD)
Formoterol Easyhaler®
£144.08
(12 mcg, 1 act BD)
Terbutaline Turbohaler® DPI
£100.71
(500 mcg, 1 act QDS)
Salamol Easi-Breathe® MDI
£91.73
Airomir Autohaler® MDI
£87.65
Salbutamol Accuhaler® DPI
£87.36
Ipratropium inhaler MDI
£80.95
(20 mcg, 2 act QDS)
Salbutamol Easyhaler® DPI
£48.27
Salbutamol Easyhaler® DPI
£48.19
(100mg, 2 act QDS)
Airomir® inhaler MDI
£28.68
Salbutamol inhaler CFC-free MDI
£21.84
Ventolin Evohaler® MDI
£21.84
£0 £50 £10 0 £15 0 £20 0 £25 0 £30 0 £35 0 £40 0 £45 0
Contents

20 January 2020
3.2 Corticosteroids (respiratory): (i) corticosteroid inhalation devices
January 2020: Corticosteroids - cost of 1 year's treatment

Fluticasone Accuhaler®
£526.22 High dose ICS
(500 mcg, 1 act BD)
in adult - only
Fluticasone Evohaler® after referring
£438.50
(250 mcg, 2 act BD) to secondary
Clenil Modulite® inhaler care
£118.59 High dose
(250 mcg, 2 act BD)
therapy stage
Soprobec® inhaler
£88.96
(250mcg, 2 act BD)
£309.52
(250 mcg, 1 act BD)
Fluticasone Evohaler®
£257.95
(125 mcg, 2 act BD)
£219.25 Medium dose
(250 mcg, 1 act BD)
ICS in adult
Mometasone Twisthaler® Additional
£218.70
(400 mcg 1 act OD) add-on
therapies
Budesonide 400 Turbohaler® stage
£207.48
(1 act BD)
Easyhaler® Budesonide
£128.93
(400mcg, 1 act BD)
Qvar 100 Easi-Breathe®
£123.40
(2 act BD)
Ciclesonide inhaler
£117.15
(160 mcg, 1 act OD)
Budesonide 200 Turbohaler®
£103.74
(1 act BD)
£97.07
(100 mcg, 1 act BD)
£79.23
(50 mcg, 2 act BD)
Easyhaler® Budesonide
£64.46
(200mcg, 1 act BD)
Qvar 100® inhaler Low dose ICS
£62.64 in adult
(1 act BD)
Regular
Qvar 50® inhaler Preventer
£57.29
(2 act BD) stage or
inhaler add-
Qvar 50 Easi-Breathe®
£56.35 on therapy
(2 act BD) stage
Easyhaler® Beclomethasone
£54.35
(200mcg, 1 act BD)
Clenil Modulite® inhaler
£54.02
(100 mcg, 2 act BD)
Kelhale 50® inhaler
£37.86
(2 act BD)
Soprobec® inhaler
£20.27
(100mcg, 1 act BD)
Kelhale 100® inhaler
£18.93
(1 act BD)
£0 £100 £200 £300 £400 £500 £600

Contents

21 January 2020
3.2 Corticosteroids (respiratory): (ii) combination with bronchodilators,

inhalation devices
January 2020: ICS/LABA and ICS/LABA/LAMA combination

inhalers - Cost of treatment for 1 year [Dotted Bars = licensed for
COPD]
Symbicort 400 /12 Turbo haler® (2 act BD) DPI £679.47
DuoResp Spiromax® 3 20/9 (2 act B D) DPI £678.74
Flutifor m® 250/10 inha ler (2 a ct B D) MDI £552.79
Fobumix E asyha ler® 3 20/9 (2 act B D) DPI £521.73
Ser etid e 5 00 Accuha ler® (1 a ct B D) DPI £397.25
AirFluS al Forspir o® 50 0/5 0 (1 act BD) DPI £363.64 High dose ICS in
adult
Relvar Ellipta® 1 84/22 inhale r (1 act OD) DPI £357.93 High dose
Ser etid e 2 50 Evo haler® (2 act BD) MDI £355.75 therapy stage -
only after
Fostair 20 0/6 or NEXThale r® (2 act BD) MDI/DPI £355.75 referring to
secondary care
Sird upla 250 inha ler (2 act BD) MDI £343.62
Combisal® 2 5/2 50 inhaler (2 act BD) MDI £339.61
Fusaco mb Ea syhale r® 50 /50 0 (1 act BD) DPI £327.48
Stalpex® 50/500 (1 act BD) DPI £297.99
Ser eflo ® 25/250 inh aler (2 act BD) MDI £242.55
Trelegy Ellipta® 92/22/55 (1 a ct OD) DPI £539.93
Trimbow® 87 /5/9 inhal er ( 2 a ct B D) MDI £539.93
Ser etid e 2 50 Accuha ler® (1 a ct B D) DPI £424.67
Fostair 10 0/6 or NEXThale r® (2 act BD) MDI/DPI £355.75
Symbicort Turboh aler® 200/6 (2 act BD) & 400 /12 (1 act BD) DPI £339.73
Flutifor m® 125/5 or K-hale r® inh aler (2 act BD) MDI £339.73
Medium dose
Symbicort 200 /6 (2 act BD) MDI £339.73 ICS in adult
Additional add-
DuoResp Spiromax® 1 60/4.5 (2 act BD) & 320/9 (1 a ct B D) DPI £339.37 on therapy
Ser etid e 1 25 Evo haler® (2 act BD) MDI £284.53 stage
Sird upla 125 inha ler (2 act BD) MDI £272.39
Relvar Ellipta® 9 2/2 2 i nhaler (1 act OD) DPI £266.93
Fusaco mb Ea syhale r® 50 /25 0 (1 act BD) DPI £260.87
Fobumix E asyha ler® 1 60/4.5 (2 act BD) & 320/9 (1 a ct B D) DPI £260.87
Combisal® 2 5/1 25 inhaler (2 act BD) MDI £213.43
Ser eflo ® 25/125 inh aler (2 act BD) MDI £181.88
Symbicort 100 /6 Turboh aler® (2 act BD) DPI £339.73
Fobumix E asyha ler® 8 0/4 .5 (2 act BD) DPI £260.87
Ser etid e 5 0 E voh aler® (2 act BD) MDI £218.40
Low dose ICS
Ser etid e 1 00 Accuha ler® (1 a ct B D) DPI £218.40 in adult
*Fo stair 100/6 or NE XThaler® (1 act BD) DPI £177.87 Regular
*Low dose LABA - 12mcg Preventer or
Flutifor m® 50/5 or K -haler ® inha ler (2 act BD) MDI £174.72 formoterol inhaler add-on
therapy stage
*Symbi cor t 200/6 Tu rbohal er® (1 act BD) DPI £169.87
DuoResp Spiromax® 1 60/4.5 (1 act BD) DPI £169.68
Combisal® 2 5/5 0 in haler (2 act BD) MDI £163.80
Fobumix E asyha ler® 1 60/4.5 (1 act BD) DPI £130.43
£0 £20 0 £40 0 £60 0 £80 0
Contents

22 January 2020
3.1 & 3.2 Inhaled therapy licensed for COPD

January 2020: Inhaled therapy licensed for COPD (ICS/LABA
combinations, LABAs, LAMAs, LABA/LAMA combinations &
ICS/LABA/LAMA combinations) - Cost of treatment for 1 year
Beclometasone/formoterol/glycopyrronium [Trimbow®] 87/5/9

MDI (2 act BD) £539.93
Fluticasone/vilanterol/umeclidinium [Trelegy Ellipta®] 92/22/55
DPI (1 act OD) £539.93
Salmeterol [Serevent Accuhaler®]
DPI (25 mcg, 2 act BD) £426.00
Tiotropium [Spiriva Handihaler®] refill
DPI (18 mcg, 1 act OD) £406.47
Fluticasone/salmeterol [Seretide Accuhaler®] 500/50
DPI (1 act BD) £397.25
Aclidinium/formoterol [Duaklir Genuair®] 340/12
DPI (1 act BD) £394.33
Olodaterol/tiotropium [Spiolto Respimat®]
SMI (2.5mcg/2.5mcg, 2 act OD) £394.33
Indacaterol/glycopyrronium [Ultibro Breezhaler] 85/43
DPI (1 act OD) £394.33
Umeclidinium/vilanterol [Anoro Ellipta®] 55/22
DPI (1 act OD) £394.33
Aclidinium [Eklira Genuair®] DPI
(322 mcg, 1 act BD) £394.33
Indacaterol [Onbrez Breezhaler®]
DPI (150 mcg, 1 act) £390.57
Fluticasone/salmeterol [AirFluSal Forspiro®] 500/50
DPI (1 act BD) £363.64
Beclometasone/formoterol [Fostair®] 100/6
MDI or NEXThaler® DPI (2 act BD) £355.75
Salmeterol [Serevent Evohaler®]
MDI (25 mcg, 2 act BD) £355.02
Formoterol [Foradil®] inhalation powder
DPI (12mcg, 1act BD) £340.46
Budesonide/formoterol [Symbicort Turbohaler®] 200/6
DPI (2 act BD) & 400/12 DPI (1 act BD) £339.73
Budesonide/formoterol [Symbicort®] 200/6
MDI (2 act BD) £339.73
Budesonide/formoterol [DuoResp Spiromax®] 160/4.5
Glycopyrronium [Seebri Breezhaler®]
DPI (50mcg, 1 act OD) £333.67
Umeclidinium [Incruse Ellipta®]
DPI (65 mcg, 1 act OD) £333.67
Fluticasone/Salmeterol [Fusacomb Easyhaler®] 500/50
DPI (1 act BD) £327.48
Olodaterol [Striverdi Respimat®]
SMI (2.5mcg, 2 act OD) £319.71
Tiotropium [Braltus Zonda®]
DPI (10 mcg, 1 act OD) £313.04
Fluticasone/salmeterol [Stalpex®]
500/50 DPI (1 act BD) £297.99
Tiotropium [Spiriva Respimat®]
SMI (2.5mg, 2 act OD) £279.07
Fluticasone furoate/vilanterol [Relvar Ellipta®] 92/22
DPI (1 act OD) £266.93
Budesonide/formoterol [Fobumix Easyhaler®] 160/4.5
Formoterol modulite [Atimos®]
MDI (12mcg, 1act BD) £218.84
Formoterol Easyhaler®
DPI (12 mcg, 1 act BD) £144.08
£0 £100 £200 £300 £400 £500 £600

Contents

23 January 2020
3.3 Cromoglicate & related therapy, leukotriene receptor antagonists, and

phosphodiesterase type-4 inhibitors
January 2020: Cromoglicate & related therapy, leukotriene receptor antagonists, and
phosphodiesterase type 4 inhibitors - cost of 1 year's treatment
Sodium cromoglycate CFC-Free

inhaler (5mg, 2 act QDS) £476.58
Roflumilast
(500mcg OD) £457.55
Montelukast
(10mg OD) £53.04
£0 £100 £200 £300 £400 £500 £600

3.4.1 Antihistamines
January 2020: Antihistamines - cost of 1 year's treatment
Alimemazine (10 mg BD) £2,934.88
Acrivastine (8 mg TDS) £291.20
Cyproheptadine (4 mg TDS) £218.04
Ketotifen (1mg BD) £91.36
Clemastine (2 mg) £88.94
Mizolastine MR (10 mg) £83.96
Levocetirizine (5 mg) £49.87
Promethazine (25 mg) £32.37
Chlorphenamine (4 mg TDS) £30.42
Fexofenadine (120 mg) £26.33
Desloratadine (5 mg) £16.14
Loratadine (10 mg) £12.74
Cetirizine (10 mg) £12.25
Hydroxyzine (25 mg) £8.06
£0 £100 £200 £300 £2,900 £3,000

Contents

24 January 2020
4.1.1/4.1.2 Hypnotics/Anxiolytics
January 2020: Hypnotics and anxiolytics - cost of 14 days treatment
Clomethiazole capsules (2 ON) £15.31
Clomethiazole syrup (10 ml ON) £14.00
Loprazolam 1 mg £11.25
Lormetazepam 1 mg £8.27
Oxazepam 15 mg (BD) £7.30
Melatonin MR 2 mg £7.18
Buspirone 10 mg (TDS) £5.25
Lorazepam 2.5 mg £3.70
Zolpidem 10 mg £0.96
Temazepam 20 mg £0.78
Zopiclone 7.5 mg £0.56
Nitrazepam 5 mg £0.52
Diazepam 10 mg £0.51
£0 £2 £4 £6 £8 £10 £12 £14 £16 £18

Contents

25 January 2020
4.2.1/4.2.3 Antipsychotic drugs and drugs used for mania and hypomania:
maintenance doses (adults with psychosis)
January 2020: Drugs used for adults with psychosis:
maintenance doses - cost of 1 year's treatment
Paliperidone 12mg (9mg+3mg) OD £3,161.60
Quetiapine 600mg MR OD £2,062.67
Paliperidone 9mg OD £1,896.96
Lurasidone (Latuda®) 18.5mg – 74mg OD £1,179.36
Cariprazine (Reagila®) 1.5mg - 6mg OD £1,044.68
Olanzapine 20mg orodispersible OD £1,019.20
Risperidone 4mg (disp) OD £653.77
Risperidone 6mg OD £639.73
Asenapine (Sycrest®) 5mg OD £622.44 N.B.: Asenapine is only intended

for use in acute crisis and not
licensed for maintenance therapy
Asenapine (Sycrest®) 10mg OD £622.44
Amisulpride 400mg BD £510.57
Olanzapine 5mg orodispersible OD £377.39
Aripiprazole 30mg OD £178.36
Amisulpride 200mg BD £160.52
Quetiapine 225mg (200mg+25mg) BD £111.38
Risperidone 4mg OD £81.84
Quetiapine 150mg BD £67.58
Olanzapine 20mg OD £27.69
Aripiprazole 15mg OD £20.54
Olanzapine 5mg OD £19.63
£0 £500 £1,000 £1,500 £2,000 £2,500 £3,000 £3,500

Contents

26 January 2020
4.2.1 Antipsychotic drugs: low dose

January 2020: Antipsychotic drugs: low dose - cost of 1 year's treatment
Risperidone 1mg
(orodispersible) BD £562.38
Risperidone 500microgram
(orodispersible) BD £475.28
Sulpiride 200mg BD £126.91
Risperidone 1mg BD £99.74
Risperidone 500microgram BD £78.62
Amisulpride 50mg tablets BD £73.89
Quetiapine 25mg BD £25.36
Olanzapine 2.5mg tablets £18.85
Haloperidol 500micrograms £14.32
Quetiapine 25mg OD £12.68
£0 £100 £200 £300 £400 £500 £600

Contents

27 January 2020
4.3 Antidepressant drugs
January 2020: Antidepressant drugs - cost of 1 year's

treatment
*Trimipramine (75 mg) £7,819.50
Mianserin (30 mg) £480.74
Agomelatine (25mg) £408.46
Vortioxetine (10mg) £360.36
Phenelzine (60 mg) £327.60
Lofepramine (140 mg) £285.09
Reboxetine (8 mg) £229.44
*Dosulepin (75 mg) £223.21
Fluvoxamine (100 mg) £214.76
Moclobemide (300 mg) £169.75
Clomipramine (75 mg) £132.60
Nortriptyline (75 mg) £100.90
Trazodone (150 mg) £53.82
Imipramine (75 mg) £47.97
Escitalopram (10mg) £43.94
Venlafaxine (75 mg MR) £33.80
Amitriptyline (75 mg) £33.15
Duloxetine (60 mg) £29.64
Flupentixol (1 mg) £29.48
Mirtazapine (30 mg) £20.67
Venlafaxine (75 mg) £20.22

Sertraline (50 mg) £16.51 Items which should not routinely
be prescribed in primary care:
Paroxetine (20 mg) £15.77 Guidance for CCGs. Select the
link beneath the chart.
Fluoxetine (20 mg) £12.25
Citalopram (20 mg) £11.83
£0 £100 £200 £300 £400 £500 £7,800 £7,900

Contents
28 January 2020
4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder:
(i) stimulant
January 2020: Drugs used for attention deficit hyperactivity

disorder - Stimulant - cost of 28 days treatment
Dexamfetamine 5mg/5ml oral solution

(5mg QDS) £128.23

(5mg BD) £106.86

(2.5mg BD) £106.86
Oral solution has
shelf life of 30
days after opening
Dexamfetamine tabs
(Generic, 5mg QDS) £98.84
Dexamfetamine tabs
(Generic, 5mg BD) £49.42
Dexamfetamine tabs
(Generic, 2.5mg BD) £24.71
Dexamfetamine tabs
(Amfexa®, 5mg QDS) £74.26
Dexamfetamine tabs
(Amfexa®, 5mg BD) £37.13
Dexamfetamine tabs
(Amfexa®, 2.5mg BD) £18.56
Lisdexamfetamine caps
(70mg OD) £83.16
(50mg OD) £68.60
(30mg OD) £58.24
Methylphenidate
(20mg BD) £20.38
Methylphenidate
(10mg BD) £7.28
Methylphenidate
(5mg BD) £5.66
£0 £20 £40 £60 £80 £100 £120 £140 £160

Contents

29 January 2020
(ii) stimulant; methylphenidate modified release preparations only
January 2020: Drugs used for attention deficit hyperactivity

disorder - Stimulant - Methylphenidate MR only - cost of 28 days
treatment
Concerta XL® tabs (54mg OD) £68.71
Concerta XL® tabs (36mg OD) £39.62
18mg Concerta XL
Concerta XL® tabs (27mg OD) £34.36 equivalent to 15mg
total daily dose of
Concerta XL® tabs (18mg OD) £29.11 standard release
Delmosart® MR tabs (54mg OD) £34.34

Matoride XL® tabs (54mg OD) £34.35

Xaggitin XL® tabs (54mg OD) £34.35

Xenidate XL® tabs (54mg OD) £34.34

Equasym XL® caps (30mg OD) £32.67 Equasym and Medikinet

Equasym XL® caps (20mg OD) capsules can be opened and
£28.00
sprinkled on apple sauce
Equasym XL® caps (10mg OD) £23.33
Medikinet XL® caps (5mg OD) £22.44

£0 £10 £20 £30 £40 £50 £60 £70 £80
Contents

30 January 2020
(iii) non-stimulant
January 2020: Drugs used for attention deficit hyperactivity disorder - Non-stimulant -
cost of 28 days treatment
Atomoxetine 4mg/ml oral
solution sugar free (100mg OD) £198.33
Atomoxetine caps
(80mg-100mg OD) £67.33
Atomoxetine caps
(10mg, 18mg or 60mg OD) £50.56
Atomoxetine caps
(25mg or 40mg OD) £49.76
Guanfacine MR tabs
(Intuniv®) 7mg (4mg + 3mg) OD £141.68
Guanfacine MR tabs
(Intuniv®, 6mg OD) £131.04
Guanfacine MR tabs
(Intuniv®) 5mg (3mg + 2mg) OD £124.04
Guanfacine MR tabs
Guanfacine MR tabs
Guanfacine MR tabs
Guanfacine MR tabs
£0 £50 £100 £150 £200 £250
Contents
4.6 Drugs used in nausea and vertigo
January 2020: Drugs used in nausea and vertigo - cost of 1 year's treatment
Hyoscine patch
(1mg/72hours, once every 3 days) £777.66
Prochlorperazine buccal tablets

(3 mg BD) £395.01
Hyoscine
(20 mg TDS) £117.00
Promethazine
(Avomine®, 25 mg BD) £81.38
Cinnarizine
(15 mg TDS) £65.13
Promethazine
(Phenergan® 25 mg BD) £64.74
Cyclizine
(50 mg BD) £51.98
Prochlorperazine
(5 mg TDS) £41.34
Metoclopramide
(10 mg TDS) £38.61
Betahistine
(16 mg BD) £37.79
£0 £100 £200 £300 £400 £500 £600 £700 £800 £900

Contents

31 January 2020
4.7 Analgesics
January 2020: Analgesics - cost of 7 days treatment
Tramacet®
(8 tablets) £9.03
Tramacet® effervescent
(8 tablets) £9.03
Aspirin 300 mg
(12 tablets) £8.98
Tramadol MR 400 mg
(1 tablet) £7.13
Remedeine®
(8 tablets) £6.41
Buprenorphine 400 micrograms

(4 tablets) £5.64
Co-codamol effervescent 8/500

(8 tablets) £4.64
Co-codamol effervescent 30/500

(8 tablets) £4.57
Nefopam 30 mg
(9 tablets) £3.96
Co-codamol 30/500
(8 capsules) £3.08
DHC Continus® 120 mg

(2 tablets) £2.74
Co-codamol 30/500
(8 tablets) £2.58
Codeine 30 mg
(8 tablets) £2.42
Dihydrocodeine 30 mg
(8 tablets) £2.38
*Tramadol 37.5mg / Paracetamol

325mg (8 tablets) £2.06
Co-dydramol 10/500
(8 tablets) £1.78
Co-codamol 8/500
(8 tablets) £1.78
Tramadol 50 mg Items which should not routinely be
(8 capsules) £1.53
Paracetamol 500 mg Guidance for CCGs. Select the link
(8 tablets) £1.33 beneath the chart.
£0 £2 £4 £6 £8 £10
Contents

32 January 2020
4.7.2 Opioid analgesics: (i) oral preparations

January 2020: Opioid analgesics - cost of 7 days treatment
Dipipanone 10mg / Cyclizine 30mg tablets

(4 tablets) £246.76
Pethidine 50 mg
£55.91
(8 tablets)
Pentazocine 25 mg tablets
£50.08
(8 daily)
*Oxycodone 20mg / Naloxone 10mg MR

tablets (4 daily) £42.31
Pentazocine 50 mg capsules
(4 daily) £28.50
Oxycodone 40 mg MR tablets
(2 daily) £25.05
Oxycodone 20 mg capsules
£22.86
(4 daily)
Tapentadol 150 mg MR tablets

£18.68
(2 daily)
Tapentadol 75 mg tablets
(4 daily) £18.68
Hydromorphone 2.6 mg capsules

(8 daily) £17.64
Hydromorphone 8 mg MR capsules
(2 daily) £14.02
Meptazinol 200 mg
(8 tablets) £11.06
Tramadol MR 400 mg
(1 tablet) £7.13
Morphine 10 mg / 5 ml oral solution

(50 ml daily) £7.00
Morphine 20 mg
(5 tablets) £6.63
Morphine MR tablets
(60 mg BD) £5.67
Items which should not routinely
Buprenorphine 400 mcg sublingual be prescribed in primary care:
(4 tablets) £5.64
Guidance for CCGs. Select the
Morphine MR capsules link beneath the chart.
(60 mg BD) £3.78
£0 £10 £20 £30 £40 £50 £60 £240 £250 £260

Contents
33 January 2020
4.7.2 Opioid analgesics: (ii) transdermal patches
January 2020: Opioid analgesics - patches only - cost of 7 days

treatment
Osmanil® £23.46
Victanyl® £22.55
Fentalis Reservoir® £19.94
Durogesic DTrans®,
Fentanyl and Yemex® £15.69
Fentanyl patches -
Fencino® £10.55 50mcg per hour, 1
every 3 days
Matrifen® and
Mezolar Matrix® £9.38
Opiodur® £8.91
Transtec® and Buplast®

(1 every 4 days) £10.37
Hapoctasin®
(1 every 3 days) £8.29
Relevtec® Buprenorphine twice

weekly patches -
52.5 mcg per hour
Carlosafine®
Bupeaze®
Butrans® £7.89
Butec®, Reletrans®
and Sevodyne® £3.55
Buprenorphine once weekly
patches - 10 mcg per hour
Panitaz® and Bupramyl® £3.16
Bunov® £2.49
£0 £5 £10 £15 £20 £25
Contents

34 January 2020
4.7.2 Opioid analgesics: (iii) modified release preparations
January 2020: MR opioid analgesics - cost of 7 days treatment
OxyContin 40mg (1 BD) £25.05
Oxylan 40mg (1 BD) £25.00
Carexil 40mg (1 BD) £15.03
Onexila XL 80mg (1 OD) £12.52

Abtard , Longtec and
Reltebon 40mg (1 BD) £12.52
Oxeltra and Oxypro 40mg (1 BD) £6.26
Renocontin 40mg (1 BD) £5.95
OxyContin 20mg (1 BD) £12.52
Oxylan 20mg (1 BD) £12.50
Onexila XL 40mg (1 OD) £6.26

Abtard, Carexil, Longtec and
Reltebon 20mg (1 BD) £6.26
Ixyldone, Oxeltra and
Oxypro 20mg (1 BD) £3.13
Renocontin 20mg (1 BD) £2.97
MXL 120mg
capsules (1 OD) £7.29
MST Continus 60mg
tablets (1 BD) £5.67
Morphgesic SR 60mg
tablets (1 BD) £4.21
Zomorph 60mg modified-release
capsules (1 BD) £3.78
MXL 60mg
capsules (1 OD) £3.74
MST Continus 30mg tablets (1 BD) £2.91 Several NHS bodies recommend
that modified-release forms of strong
Morphgesic SR 30mg opioids be prescribed by brand
tablets (1 BD) £2.16 name to avoid confusion and reduce
risk of harm.
Zomorph 30mg modified-release
capsules (1 BD) £1.94
£0 £5 £10 £15 £20 £25 £30

Contents

35 January 2020
4.7.2 Opioid analgesics: (iv) subcutaneous infusion; strong opioids

January 2020: Costs per 24 hours for strong opioids administered via subcutaneous
infusion
Oxycodone 100mg/24hours £28.04

Diamorphine 100mg/24hours £8.78
Morphine sulphate 150mg/24hours £5.75
Diamorphine 15mg/24hours £5.70 Please Note: Doses shown are only approximately equivalent and for
price comparison purposes only. Extreme caution is required when
Morphine 30mg/24hours £3.45 converting from one parenteral opioid to another and specialist advice
Oxycodone 15mg/24hours £3.20 should always be sought.
There are differences in opinion regarding dose conversion ratios —

Oxycodone 30mg/24hours £4.80 current practice is based on pharmacokinetic data from observational
and uncontrolled studies, and on expert opinion and experience.
Diamorphine 30mg/24hours £3.13 Reported equi-analgesic dose ratios vary widely. When converting
from one opioid to another, regular assessment and reassessment of
Morphine 45mg/24hours £2.96 efficacy and adverse effects is essential because of the lack of
evidence on equi-analgesic doses and inter-individual variations.

Morphine 15mg/24hours £1.07

Morphine 10mg/24hours £1.15
£0 £5 £10 £15 £20 £25 £30
copyright © RDTC 2020
Contents
4.7.3 Neuropathic pain

January 2020: Neuropathic pain - cost of 1 year's treatment
*Lidocaine patch (1/day) £878.45
Capsaicin 0.075% cream

£176.90
(1.5g/day)
Gabapentin (600mg TDS) £86.60
Gabapentin (2x300mg TDS) £66.39
Carbamazepine (200mg QDS) £66.39
Pregabalin (100mg TDS) £51.48
Pregabalin (150mg BD) £40.17
Nortriptyline (25mg OD) £33.63

Duloxetine (60mg OD) £29.64 prescribed in primary care:
Guidance for CCGs. Select the link
beneath the chart.
Amitriptyline (25mg OD) £11.05
£0 £50 £100 £150 £200 £850 £900

Doses given do not imply therapeutic equivalence. Individual responses and prescribed doses vary substantially in the management of neuropathic pain copyright © RDTC 2020
Contents

36 January 2020
4.7.4.1 Treatment of acute migraine

January 2020: Antimigraine drugs (acute) - cost of 1 days treatment
Sumatriptan injection (6 mg) £25.48
Sumatriptan (Imigran Radis® 100 mg) £7.15
Sumatriptan nasal spray (20 mg) £7.08
Zolmitriptan nasal spray (5 mg) £6.08
Rizatriptan wafers (10 mg) £4.46
Eletriptan (20 or 40 mg) £3.75
Almotriptan (12.5 mg) £2.70
Tolfenamic acid (200 mg) £2.46
Migril® (4 tablets) £2.04
Zolmitriptan (2.5 mg) £1.28
Rizatriptan tablets (10 mg) £1.18
Frovatriptan (2.5 mg) £0.99
Naratriptan (2.5 mg) £0.72
Sumatriptan tablets (100 mg) £0.30
Sumatriptan tablets (50mg) £0.25

£0 £5 £10 £15 £20 £25 £30
Contents
4.8 Antiepileptic drugs
January 2020: Antiepileptic drugs - cost of 1 year's treatment
Ethosuximide 250mg capsules (QDS) £4,498.00
Perampanel 2mg tablets (OD) £1,820.00
Lacosamide 150mg (BD) £1,686.62
Brivaracetam (Briviact®) 50mg tablets (BD) £1,685.32
Eslicarbazepine 800mg £1,650.13
Primidone 250mg tablets (BD) £831.38
Levetiracetam (Desitrend®) 750mg sachets (BD) £750.69
Vigabatrin 500mg tablets (QDS) £646.61
Topiramate 200mg tablets (BD) £542.00
Epival CR tablets (1200mg daily) £254.36
Epilim Chrono tablets (1200mg daily) £254.25
Clonazepam 2mg tablets (BD) £246.21
Oxcarbazepine 450mg tablets £226.12
Sodium valproate 200mg gastro-resistant tablets £211.19
Episenta MR capsules (1200mg daily) £189.28
Phenytoin sodium 100mg capsules (TD) £143.39
Zonisamide 100mg capsules (QDS) £120.38
Clobazam 10mg tablets (BD) £92.70
Levetiracetam 750mg tablets (BD) £76.93 Levetiracetam (Desitrend®) 750mg sachets (BD) = Levetiracetam (Desitrend®) 500mg sachets (BD) +
Levetiracetam (Desitrend®) 250mg sachets (BD)
Carbamazepine 400mg MR tablets (BD) £65.26
Lamotrigine 100mg tablets (BD) £56.68 Oxcarbazepine 450mg tablets = Oxcarbazepine 300mg tablets (BD) + Oxcarbazepine 150mg (BD) tablets
Modified-release sodium valproate:
Gabapentin 400mg capsules (TD) £42.81 Epilim Chrono tablets 1200mg daily = Epilim Chrono 500mg tablets (BD) + Epilim Chrono 200mg tablet (OD)
Pregabalin 150mg capsules (BD) £40.17 Episenta MR capsules 1200mg daily = 2 x Episenta 300mg MR capsules BD
Epival CR tablets 1200mg daily = 2 x Epival 300mg CR tablets BD
Phenobarbital 30mg tablets (TD) £37.44
£0 £500 £1,000 £1,500 £2,000 £2,500 £3,000 £3,500 £4,000 £4,500 £5,000
Contents

37 January 2020
4.9.1 Dopaminergic drugs used in Parkinson’s disease: (i) dopamine receptor

agonists
January 2020: Drugs used in parkinsonism and related disorders

- Dopamine-receptor agonists - cost of 28 days treatment
Pramipexole MR tablets
£211.86
(3.15mg, OD)
£140.54
(2.1mg, OD)
£110.38
(1.57mg, OD)
£52.90
(1.05mg, OD)
£28.69
(520mcg, OD)
£17.59
(260mcg, OD)
Pramipexole tablets
£45.33
(1050mcg [700mcg + 350mcg], TDS)
Pramipexole tablets
£6.41
(700mcg, TDS)
Pramipexole tablets
£38.92
(350mcg, TDS)
Pramipexole tablets
£11.98
(88mcg, TDS)
Rotigotine transdermal patch

£149.93
(8mg per day)
£149.93
(6mg per day)
£123.60
(4mg per day)
£81.10
(2mg per day)
Ropinirole MR tablets
£126.33
(24mg, OD)
£84.22
(16mg, OD)
£42.11
(8mg, OD)
£25.09
(4mg, OD)
£12.54
(2mg, OD)
Spiroco XL® tablets

£56.82
(24mg, OD)
£37.88
(16mg, OD)
Spiroco XL = Branded
£18.94 generic ropinirole MR
(8mg, OD)
£11.28
(4mg, OD)
£5.63
(2mg, OD)
Ropinirole tablets
£323.72
(6mg [5mg + 1mg], QDS)
Ropinirole tablets
£247.51
(5mg, QDS)
Ropinirole tablets
£185.63
(5mg, TDS)
Ropinirole tablets
£36.78
(2mg, TDS)
Ropinirole tablets
£57.16
(1mg, TDS)
£0 £50 £100 £150 £200 £250 £300 £350
Contents

38 January 2020
4.9.1 Dopaminergic drugs used in Parkinson’s disease: (ii) levodopa, COMT

and MAO-B inhibitors
January 2020: Drugs used in parkinsonism and related disorders

- Levodopa, COMT and MAO-B inhibitors - cost of 28 days
treatment
Tolcapone tablets (200mg, TDS) £159.94
Tolcapone tablets (100mg, TDS) £79.97
Stalevo® tablets (any dose, 2 TDS) £116.44

Stalevo® tablets (any dose, 1 TDS) £58.22
Opicapone capsules (50mg, OD) £87.64
Sastravi® tablets (any dose, 2 TDS) £58.23

Sastravi® tablets (any dose, 1 TDS) £29.11 COMT inhibitors
Stanek® tablets (any dose, 2 TDS) £58.21

Stanek® tablets (any dose, 1 TDS) £29.11
Entacapone tablets (2000mg, daily) £33.41

Entacapone tablets (200mg, QDS) £13.37
Entacapone tablets (200mg, TDS) £10.02
Safinamide tablets (100mg, OD) £64.40

Safinamide tablets (50mg, OD) £64.40
Zelapar® oral lyophilisates (1.25mg, OD) £40.28

MAO-B inhibitors
Selegiline tablets (10mg, OD) £9.02
Selegiline tablets (5mg, OD) £4.63
Rasagiline tablets (1mg, OD) £2.43
Co-careldopa tablets (25mg/250mg, TDS) £29.39

Co-careldopa tablets (12.5mg/50mg, TDS) £14.35
Co-careldopa tablets (25mg/100mg, TDS) £7.93
Co-careldopa MR tablets (25mg/250mg, TDS) £16.24

Co-careldopa MR tablets (25mg/100mg, TDS) £16.24 Levodopa products
Co-beneldopa MR capsules (25mg/100mg, TDS) £10.73
Co-beneldopa capsules (50mg/200mg, TDS) £9.90

Co-beneldopa capsules (25mg/100mg, TDS) £5.80
Co-beneldopa capsules (12.5mg/50mg, TDS) £4.17
£0 £50 £100 £150 £200

Contents

39 January 2020
4.10.2 Nicotine dependence

January 2020: Nicotine dependence - cost of 7 days treatment
Nicotine 2 mg sublingual tablets (40) £42.64
Nicorette QuickMist® (single pack) 1mg/spray (64

sprays) £38.92
Nicorette® nasal spray (64 sprays) £36.24
Nicorette QuickMist® (double pack) 1mg/spray

(64 sprays) £30.73
Nicotinell® lozenge 1 mg (25 lozenges) £16.63
Nicotinell® chewing gum 2 mg (25 pieces) £15.06
Varenicline 1 mg (BD) £13.65
Niquitin® 7, 14, or 21 mg (1 patch) £11.48
Nicorette® chewing gum 4 mg (15 pieces) £11.22
Nicotinell® chewing gum 4 mg (15 pieces) £11.22
Nicorette® patches 5, 10, or 15 mg (1 patch) £10.99
Niquitin® lozenges 2 or 4 mg (15 lozenges) £10.79
Nicorette® chewing gum 2 mg (15 pieces) £10.27
Nicotinell TTS 30® (1 patch) £9.97
Bupropion 150 mg MR (BD) £9.74
Nicotinell TTS 20® (1 patch) £9.40
Nicotinell TTS® 10 (1 patch) £9.12
Doses given do not imply therapeutic equivalence £0 £10 £20 £30 £40 £50
Contents

40 January 2020
4.11 Drugs for dementia

January 2020: Drugs for dementia - cost of 1 year's treatment
Galantamine 24mg
MR capsules £1,037.40
Galantamine 12mg
tablets £963.30
Rivastigmine 4.6mg/24
hours patches £946.04
Memantine hydrochloride
5 mg/actuation oral solution £897.04
Galantamine 16mg
MR capsules £843.70
Rivastigmine 6mg
capsules £836.94
Galantamine 8mg
tablets £805.61
Gatalin XL® 24mg

capsules £518.70
Gatalin XL® 16mg

capsules £421.85
Rivastigmine 9.5mg/24
hours patches £242.30
Donepezil 10mg orodispersible

tablets £134.68
Donepezil 5mg orodispersible

tablets £115.31
Rivastigmine 3mg
capsules £72.80
Memantine 20mg
tablets £25.48
Donepezil 10mg
tablets £14.95
Donepezil 5mg
tablets £12.87
£0 £200 £400 £600 £800 £1,000 £1,200
Contents

41 January 2020
5 Infections: miscellaneous antibacterial and anthelmintic drugs

January 2020: Miscellaneous antimicrobial and anthelmintic drugs - cost of 5 days
treatment
Nitrofurantoin MR (200 mg) £6.79
Pivmecillinam (400mg initially,
200mg TDS for 3 days) £5.40
Fosfomycin 3g (1 sachet) £4.86
Nitrofurantoin capsules (200 mg) £3.48
Metronidazole tablets (1.2 g) £2.84
Nitrofurantoin tablets (200 mg) £2.76
Co-trimoxazole 480 mg (4) £1.36

Azithromycin (500 mg, three
doses only) £1.26
Erythromycin (1g) £1.21
Clarithromycin (250 mg BD) £1.04
Trimethoprim (400 mg) £0.65

Mebendazole (100 mg, single-
dose only) £0.22
£0 £1 £2 £3 £4 £5 £6 £7 £8
Contents

42 January 2020
5.1 Antibiotics: solid and liquid formulations

January 2020: Antibiotics: solid and liquid formulations - cost
per course of treatment
250mg/5ml
£16.14
Flucloxacillin oral solution:
250mg QDS (7 days)
250mg caps: £1.67
250mg/5ml
Erythromycin suspension: £8.77
250mg QDS (5 days)
250mg tabs: £1.21
250mg/62mg/5ml
Co-Amoxiclav suspension: £5.00
TDS (5 days) 250mg/125mg
tabs: £1.56
50mg/5ml
Trimethoprim suspension: £4.99
100mg BD (3 days)
100mg tabs: £0.19
250mg/5ml
Clarithromycin suspension: £4.84
250mg BD (5 days)
250mg tabs: £1.04
250mg/5ml
Penicillin V oral solution: £4.78
250mg QDS (5 days)
250mg tabs: £0.81
250mg/5ml
suspension: £3.84
Amoxicillin 250mg caps: £1.86
500mg TDS (5 days)
500mg caps: £1.05
The chart is based on course

length. Liquid preparations
250mg/5ml
£1.40 are costed to the nearest
suspension:
Cefalexin pack required to meet the
250mg TDS (5 days) 250mg tabs: £1.27 prescription course length.
250mg caps: £1.03
£0 £5 £10 £15 £20

Contents

43 January 2020
5.1.1 Penicillins
January 2020: Penicillins - cost of 5 days treatment
Ampicillin (1 g) £14.39
Augmentin 375® (3 tablets) £3.59
Co-fluampicil 250/250 (4 capsules) £1.86
Co-amoxiclav 250/125 (3 tablets) £1.56
Flucloxacillin (1 g) £0.96
Amoxicillin (750 mg) £0.93
Phenoxymethylpenicillin / Penicillin
V (1 g) £0.81
£0 £2 £4 £6 £8 £10 £12 £14 £16

Contents
5.1.2 Cephalosporins
January 2020: Cephalosporins - cost of 5 days treatment
Cefuroxime (250 mg BD) £12.66
Cefixime (200 mg) £9.45
Cefaclor MR (375 mg BD) £6.50
Cefadroxil (500 mg BD) £3.23
Cefradine (500 mg BD) £2.49
Cefalexin tablets (500 mg BD) £1.36
Cefalexin capsules (500 mg BD) £1.02
£0 £2 £4 £6 £8 £10 £12 £14

Contents

44 January 2020
5.1.3 Tetracyclines
January 2020: Tetracyclines - cost of 5 days treatment
*†Minocycline tablets (100 mg) £2.53
*†Minocycline capsules (100

£2.34
mg)
*Tetracycline (1 g) £1.88
† see NHSE and NHSI (2019).

*†Minocycline MR (100 mg) £1.79 prescribed in primary care:
beneath the chart.
Lymecycline (816 mg) £1.56
*Oxytetracycline (1 g) £1.36
*Doxycycline (100 mg) £1.03
*Lymecycline (408 mg) £0.78

*courses for acne will be
longer than 5 days
£0 £1 £1 £2 £2 £3 £3
Contents
5.1.12 Quinolones
January 2020: Quinolones - cost of 5 days treatment
Ofloxacin (800 mg) £26.72
Levofloxacin (500 mg) £12.14
Moxifloxacin (400 mg) £11.00
Ciprofloxacin (500 mg BD) £1.01
Ciprofloxacin (250 mg BD) £0.81
£0 £5 £10 £15 £20 £25 £30

Contents

45 January 2020
5.2 Antifungal drugs: miscellaneous, including topical and gynaecological

January 2020: Miscellaneous antifungal drugs (including topical and gynaecological) -
cost of 28 days treatment unless otherwise stated
Clotrimazole pessary (500 mg x 1) £5.54
Miconazole oral gel (15 g, 1 tube) £4.01

Ketoconazole 2% shampoo (120
ml) £3.90
Terbinafine (250 mg OD, 28 days) £3.56
Itraconazole (200 mg OD, 7 days) £2.93

Nystatin suspension (1 ml, QDS, 1
week) £2.56
Fluconazole (50 mg OD for 2
weeks) £1.86
Miconazole 2% cream (30 g, 1 tube) £1.82

Clotrimazole 1% cream (20 g, 1
tube) £1.21
Fluconazole (150 mg, single-dose) £0.87
Itraconazole (200 mg BD, 1 day) £0.84
£0 £1 £2 £3 £4 £5 £6
Contents

46 January 2020
6.1.1 Insulin: prefilled (PF) pens and cartridges

January 2020: Insulins (prefilled pens) - cost of 1 year's treatment
Long-acting insulin+GLP-1
Xultophy® (40 units) £1,545.46 combination
Humalog® Mix 25 KwikPen (40 units) £300.71
Humalog® Mix 50 KwikPen (40 units) £300.71
NovoMix® 30 FlexPen (40 units) £290.13 Mixed Insulins
Humulin M3® KwikPen (40 units) £210.63
Insuman® Comb 25 SoloStar (40 units) £192.19
Suliqua® 100u/50mcg/ml (40 units) £1,092.00
Suliqua® 100u/33mcg/ml (40 units) £829.92
Tresiba® FlexTouch (40 units) £452.33
Levemir® FlexPen (40 units) £407.68
Toujeo® SoloStar (45 units) £401.98
Lantus® SoloStar (40 units) £366.62 Intermediate and long acting insulins
Abasaglar® KwikPen (40 units) £342.45

Semglee® (40 units) £291.10
Humulin I® KwikPen (40 units) £210.63
Insulatard® InnoLet (40 units) £198.02
Insuman® Basal SoloStar (40 units) £192.19
NovoRapid® FlexPen (40 units) £297.02
Humalog® KwikPen (40 units) £285.96 Short acting insulins
Apidra® SoloStar (40 units) £274.70
Insulin Lispro Sanofi® SoloStar (40 units) £243.05
£0 £200 £400 £600 £800 £1,000 £1,200 £1,400 £1,600 £1,800
Contents
Mi January 2020: Insulins (cartridges) - cost of 1 year's treatment
Humalog® Mix 50 (40 units) £285.96

Humalog® Mix25 (40 units) £285.96
NovoMix® 30 (40 units) £279.45
Humulin M3® (40 units) £185.20 Mixed Insulins
Insuman® Comb 25 (40 units) £169.87
Insuman® Comb 50 (40 units) £169.87
Tresiba® (40 units) £452.33
Levemir® (40 units) £407.68
Lantus® (40 units) £366.62
Abasaglar® (40 units) £342.45
Insulatard® (40 units) £222.28
Intermediate and long acting insulins
Humulin I® (40 units) £185.20
Insuman® Basal (40 units) £169.87
Humalog® (40 units) £274.80
NovoRapid® (40 units) £274.80
Apidra® (40 units) £274.70
Short acting insulins
Insulin Lispro Sanofi® (40 units) £233.54
Humulin S® (40 units) £185.20
Insuman Rapid® (40 units) £169.87
£0 £50 £100 £150 £200 £250 £300 £350 £400 £450 £500
Contents

47 January 2020
Hypodermic equipment: (i) needles for PF and reusable insulin pens (4mm to 6
mm)4
January 2020: Needles for Pre-filled and Reusable Insulin Pens
4mm to 6mm - cost of 100 needles [Blue signifies safety needles]
Registered trade names ®
BD AutoShield Duo £30.41
Microdot Dual Safety £25.00
Dropsafe Safety £23.00
Mylife Clickfine AutoProtect £19.00
Microdot Safety £17.00
Neon Verifine Safety £14.89
NovoFine £13.02
NovoTwist £12.99
GlucoRx Safety £12.95
Microdot Max Safety £12.89
Insupen 33G £12.69
Unifine Pentips 33G + Unifine
Pentips Plus £12.50
Unifine Pentips 5mm/31G £12.00
Unifine Pentips 31G & 32G £11.75
IME-FINE £11.20
BD Micro-Fine Ultra
& BD Micro-Fine+ £9.80
Mylife Clickfine £9.11 NHS Clinical Commissioners and NHS
England guidance recommends that
Nanopass £7.60 prescribers in primary care should not
NeedleBay Fine
initiate insulin needles that cost more than
£6.95
£5 per 100 needles for any diabetes
Omnican Fine 31G £6.01 patient. For further details, select the link
Glucoject, Insupen & Unifine beneath the chart
Pentips Plus £5.95
HaemoFine £5.35
Microdot Droplet £4.95
GlucoRx FinePoint and Neon BD Viva pen needles
Verifine £4.50
supplied in packs of
BD Viva £3.99 90 costing £3.59
TriCare, 4SURE 31G & 32G
+ Omnican Fine 32G £3.95
PROFine £3.80
Mylife Penfine Classic £3.55
GlucoRx CarePoint
and CareFine £2.75
Microdot Max £2.74
£0 £5 £10 £15 £20 £25 £30 £35
Needles may not be interchangeable - consult product literature copyright © RDTC 2020
Contents
4
NHS BSA Drug tariff, Part IXA: Appliances
48 January 2020
Hypodermic equipment: (ii) needles for PF and reusable insulin pens (8 mm)4
January 2020: Needles for Pre-filled and Reusable Insulin Pens 8mm -
cost of 100 needles [Blue signifies safety needles]
Dropsafe Safety £23.00
NovoFine Autocover £22.28
Mylife Clickfine AutoProtect £19.00
Neon Verifine Safety £14.89
GlucoRx Safety £12.95
NovoFine £9.24
Mylife Clickfine £9.11
Unifine Pentips £8.25
IME-FINE £8.20
BD Micro-Fine+ £7.99
Nanopass £7.60
NHS Clinical Commissioners and NHS
NeedleBay Fine £6.95 England guidance recommends that
prescribers in primary care should not
Omnican Fine £6.01 initiate insulin needles that cost more than
£5 per 100 needles for any diabetes
Glucoject, Insupen & Unifine patient. For further details, select the link
Pentips Plus £5.95
beneath the chart
HaemoFine £5.35
Microdot Droplet £4.95

GlucoRx FinePoint and Neon
Verifine £4.50
BD Viva pen needles
BD Viva £3.99 supplied in packs of
90 costing £3.59
TriCare and 4SURE £3.95
PROFine £3.80
Mylife Penfine Classic £3.55

GlucoRx CarePoint
and CareFine £2.75
£0 £5 £10 £15 £20 £25

Needles may not be interchangeable - consult product literature copyright © RDTC 2020
Contents
4
49 January 2020
Hypodermic equipment: (iii) lancets4

January 2020: Hypodermic equipment: lancets - cost of 100
lancets
Unistik 3 Comfort lancets
1.8mm/28gauge £6.17
Softclix lancets
0.4mm/28gauge £4.03
FreeStyle lancets
0.5mm/28gauge £3.82
Microlet lancets
0.5mm/28gauge £3.72
Greenlan lancets
0.35mm/28gauge £3.00
CareSens lancets
0.36mm/28gauge £2.95
OneTouch Delcia Plus lancets

0.32mm/30gauge £2.93
FastClix lancets
0.3mm/30gauge £2.89
Vitrex Soft lancets

0.65mm/23gauge £2.85
Palmdoc Lancets
0.38mm/30gauge £2.85
Milward Steri-Let Lancets

0.36mm/28gauge £2.85
Mylife lancets multicolour

0.3mm/30gauge £2.75
Mylife lancets
0.3mm/30gauge £2.75
Glucoject PLUS lancets

0.20mm/33gauge £2.75
AgaMatrix Ultra-Thin lancets

0.35mm/28gauge £2.72
GlucoZen lancets
0.36mm/28gauge £2.50
GlucoRx lancets
0.31mm/30gauge £2.25
Apollo twist lancets

0.36mm/28gauge £2.25
palmdoc iCare Advanced lancets

0.38mm/30gauge £2.23
Microdot Plus lancets

0.3mm/30gauge £2.19
Droplet lancets
0.31mm/30gauge £2.19
£0 £1 £2 £3 £4 £5 £6 £7
Contents
4
50 January 2020
6.1.6 Blood glucose monitoring: (i) test strips (50) greater than £10
January 2020: Blood glucose monitoring - cost of 50 tests more
than £10
FreeStyle Lite £16.41
FreeStyle £16.40
FreeStyle Optium £16.30
Sensocard £16.30
Aviva and Guide £16.21
Glucomen LX Sensor £15.76
Myglucohealth £15.50
Contour Next £15.16
OneTouch Verio £15.12
Medisense SoftSense £15.05
Breeze 2 £15.00
Betachek C50
Betachek C50 £14.99 testing strips
w hen supplied in
Dario packs of 100
£14.95 costing £29.98
GlucoDock and MediTouch £14.90
Mendor Discreet £14.75
BGStar £14.73
Betachek G5 £14.19
IME-DC £14.10
MODZ and FineTouch £14.00
On-Call Advanced £13.65
palmdoc iCare Advanced Solo £13.50
CareSens N £12.75
MediTouch 2 £12.49
Active £10.03
£0 £5 £10 £15 £20

Test strips are not usually interchangeable - consult manufacturers' literature copyright © RDTC 2020
Contents

51 January 2020
6.1.6 Blood glucose monitoring: (ii) test strips (50) less than £10
January 2020: Blood glucose monitoring - cost of 50 tests below
£10
Contour, Mobile and
OneTouch Select Plus £9.99
GlucoMen areo Sensor and
Advocate Redi-Code+ £9.99
Dario Lite and
CareSens PRO £9.95
GlucoRx GO and
GO Professional £9.95
TRUEyou £9.92
OKmeter Core £9.90
Omnitest 3 and 5 £9.89
Element, GlucoLab
and GluNEO £9.89
palmdoc iCare Advanced £9.70
Contour TS £9.60
Mylife Pura and Unio £9.50
Microdot + £9.49
Fora Advanced pro GD40 £9.25
AutoSense testing
AutoSense £9.00 strips w hen
supplied in packs
VivaChek Ino and 4SURE £8.99 of 25 costing £4.50
GlucoRx HCT Glucose
and Nexus £8.95
WaveSense JAZZ
and JAZZ Duo £8.74
Contour Plus £8.50
SURESIGN Resure £8.49
TEE2 £7.75
Performa £7.50
Microdot Max £7.49
SD Codefree and
*Kinetik Wellbeing £6.99
Betachek Visual £6.80
Visually
readable
Glucoflex-R £6.75
*True Metrix £6.25
Finetest Lite £5.95
*The follow ing products are based on
palmdoc £5.90 w hen they are supplied in packs of
100 costing:
GlucoRx Q £5.45 *GlucoZen.auto - £10.85
Kinetik Wellbeing - £13.98
*GlucoZen.auto £5.43 *True Metrix -£12.50
£0 £2 £4 £6 £8 £10 £12
Test strips are not usually interchangeable - consult manufacturers' literature copyright © RDTC 2020
Contents

52 January 2020
6.1.2 Antidiabetic drugs (i)

January 2020: Antidiabetic drugs - cost of 1 year's treatment
Exenatide (10mcg BD) £993.60

Exenatide (2mg once weekly) £953.68
*Dulaglutide (1.5mg once weekly) £952.25
*Semaglutide (0.5mg once weekly) £952.25
Tolbutamide (500mg TDS) £826.80
Empagliflozin / Linagliptin (10mg/5mg OD) £726.44
Lixisenatide (20mcg OD) £702.88
Liraglutide (0.6mg OD) £476.11
*Empagliflozin / metformin (12.5mg/1g BD) £475.67
*Dapagliflozin / metformin (5mg/1g BD) £475.67
Empagliflozin (10mg OD) £475.67
Dapagliflozin (10mg OD) £475.67
*Canagliflozin / metformin (50mg/1g BD) £475.63
Canagliflozin (100mg OD) £475.63
Vildagliptin (50mg BD) £433.55
*Vildagliptin / metformin (50mg/1g BD) £432.92
Metformin / sitagliptin (1g/50mg BD) £432.38
*Linagliptin / metformin (2.5mg/1g BD) £432.38
Sitagliptin (100mg OD) £432.38
Linagliptin (5mg OD) £432.38
*Saxagliptin / metformin (2.5mg/1g BD) £410.80
Saxagliptin (5mg OD) £410.80
Pioglitazone / metformin (15mg/850mg BD) £389.35
*Ertugliflozin (5mg OD) £382.20
Alogliptin / metformin (12.5mg/1g BD) £345.80
*Alogliptin (25mg OD) £345.80
Nateglinide (60mg TDS) £339.56
Acarbose (50mg TDS) £176.90
*The cost is identical irrespective
Metformin 500mg MR: Glucophage® SR (1.5g OD) £78.00 of strength of preparation
Glipizide (5mg OD) £65.00
Needles are included in packs of long-acting
Metformin (500mg TDS) £40.95 exenatide (2mg once w eekly), dulaglutide
(1.5mg once w eekly) and Semaglutide
Glimepiride (4mg OD) £38.83 (0.5mg once w eekly) at no extra cost. The
Repaglinide (2mg OD) £21.88 cost of needles for other GLP-1 agonists w ill
vary betw een £22 pa and £95 pa,
Pioglitazone (30mg OD) £21.19 depending on dose frequency and needle
choice.
Gliclazide (80mg OD) £13.78
£0 £500 £1,000 £1,500

Contents

53 January 2020
6.1.2 Antidiabetic drugs: (ii) new agents

January 2020: Antidiabetic drugs - Newer agents - cost of 1 year's
treatment
Exenatide (10mcg BD) £993.60
Exenatide (2mg once weekly) £953.68
*Semaglutide (0.5mg once weekly) £952.25
*Dulaglutide (1.5mg once weekly) £952.25
Empagliflozin / Linagliptin (10mg/5mg OD) £726.44
Lixisenatide (20mcg OD) £702.88
Liraglutide (0.6mg OD) £476.11
*Dapagliflozin / metformin (5mg/1g BD) £475.67
Empagliflozin (10mg OD) £475.67
*Empagliflozin / metformin (12.5mg/1g BD) £475.67
Dapagliflozin (10mg OD) £475.67
*Canagliflozin / metformin (50mg/1g BD) £475.63
Canagliflozin (100mg OD) £475.63
Vildagliptin (50mg BD) £433.55
*Vildagliptin / metformin (50mg/1g BD) £432.92
*Linagliptin / metformin (2.5mg/1g BD) £432.38
Linagliptin (5mg OD) £432.38
Metformin / sitagliptin (1g/50mg BD) £432.38
Sitagliptin (100mg OD) £432.38
*Saxagliptin / metformin (2.5mg/1g BD) £410.80 *The cost is identical irrespective

of strength of preparation
Saxagliptin (5mg OD) £410.80 Needles are included in packs of long-acting

exenatide (2mg once w eekly), dulaglutide
*Ertugliflozin (5mg OD) £382.20 (1.5mg once w eekly) and Semaglutide
(0.5mg once w eekly) at no extra cost. The
cost of needles for other GLP-1 agonists w ill
Alogliptin / metformin (12.5mg/1g BD) £345.80 vary betw een £22 pa and £95 pa,
depending on dose frequency and needle
*Alogliptin (25mg OD) £345.80 choice.
£0 £200 £400 £600 £800 £1,000 £1,200

Contents

54 January 2020
6.4.1 Female sex hormones and their modulators: (i) combination HRT
preparations
January 2020: Combination HRT preparations - cost of 28 days
treatment
Duavive® (Conjugated
oestrogens/bazedoxifene) £15.00
Femoston® Conti (estradiol/dydrogesterone) £8.14

Indivina® (estradiol/medroxyprogesterone)
1mg/2.5 - 2mg/5mg £6.86
Elleste Duet Conti® (estradiol/norethisterone) £5.67 Oral
Kliovance® (estradiol/norethisterone) £4.40
Kliofem® (estradiol/norethisterone) £3.81 Continuous

Premique® (conjugated
oestrogens/medroxyprogesterone) Low dose £2.17
FemSeven® Conti (estradiol/levonorgestrel)

weekly £14.71
Evorel® Conti (estradiol/norethisterone) twice
weekly £12.41 Transdermal
FemSeven® Sequi (estradiol/levonorgestrel)

weekly £12.51
Transdermal
Evorel® Sequi (estradiol/norethisterone) twice
weekly £11.09
Tridestra® (estradiol/medroxyprogesterone) £6.30 Oral (3- monthly cycle)
Femoston® (estradiol/dydrogesterone) Cyclical

1mg/10mg - 2mg/10mg £5.39
Novofem® (estradiol/norethisterone) £3.81
Trisequens® (estradiol/norethisterone) £3.70 Oral (monthly cycle)
Clinorette® (estradiol/norethisterone) £3.08
Elleste Duet® (estradiol/norethisterone) 1mg £3.07
Elleste Duet® (estradiol/norethisterone) 2mg £3.07
£0 £5 £10 £15 £20

Contents

55 January 2020
6.4.1 Female sex hormones and their modulators: (ii) oestrogen only HRT
patches
January 2020: Oestrogen only HRT patches - cost of 28 days
treatment
FemSeven® 100mcg weekly £7.28
FemSeven® 50mcg weekly £6.01
Estradot® 100mcg twice weekly £7.27
Estradot® 25mcg twice weekly £5.99
Progynova® TS 100 twice weekly £6.90
Progynova® TS 50 twice weekly £6.30
Estraderm MX® 100mcg twice

weekly £6.66
Estraderm MX® 25mcg twice

weekly £5.49
Elleste Solo® MX 80 twice weekly £5.99
Elleste Solo® MX 40 twice weekly £5.19
Evorel® 100mcg twice weekly £4.28

Highest and lowest cost
Evorel® 25mcg twice weekly £3.42 items displayed only
£0 £1 £2 £3 £4 £5 £6 £7 £8
Contents

56 January 2020
6.4.1 Female sex hormones and their modulators: (iii) oestrogen only HRT
preparations except patches
January 2020: Oestrogen only HRT preparations (excluding
patches) - cost of 28 days treatment
Sandrena 1.5mg (1mg + 0.5mg) OD £10.93
Sandrena 0.5mg OD £5.08
Oestrogel 4 doses (3mg) per day £8.40 Topical
Oestrogel 2 doses (1.5mg) per day £4.20
Estring every 3 months £10.47
Vaginal ring
Vagifem 10mcg twice weekly £5.57 Vaginal pessary
Blissel 1 applicator (1g) twice weekly £5.04 Vaginal gel
Ovestin 1 applicator (0.5g) twice weekly £1.19 Vaginal cream
Progynova® 1mg-2mg OD £2.43
Zumenon® 1mg-2mg OD £2.30
Bedol® 2mg OD £1.69
Elleste solo® 1mg OD £1.69 Oral
Elleste solo® 2mg OD £1.69
Premarin® 0.3mg £2.02
Premarin® 0.625mg £1.34 Indications differ

between products and
Premarin® 1.25mg £1.19 strengths
£0 £2 £4 £6 £8 £10 £12
Contents

57 January 2020
6.6.2 Bisphosphonates and other drugs affecting bone metabolism

January 2020: Bisphosphonates and other drugs affecting bone metabolism - cost of
1 year's treatment
Denosumab (Prolia®) £396.50
Risedronate sodium (5 mg) £245.44
Risedronate sodium (35 mg weekly) £147.42
Ibandronic acid (150 mg monthly) £116.35
Alendronic acid (10 mg) £34.19
Alendronic acid (70 mg weekly) £12.09
£0 £50 £100 £150 £200 £250 £300 £350 £400 £450

Contents

58 January 2020
7.3.1 Combined hormonal contraceptives

January 2020: Contraceptives - Combined Hormonal
Contraceptives - cost of 1 year's treatment

Lizinna (21) £20.11
Synphase (21) £15.60 Ethinylestradiol 35 microgram
Norimin (21) £9.88
Brevinor (21) £8.62
Elevin (21) £126.75

Yasmin (21) £63.70
Dretine (28) £48.19
Yacella (21) £35.97
Marvelon (21) £30.77
Femodene (21) £29.16
Alenvona (21) £26.56
Femodene ED (28) £23.08
Katya 30/75 (21) £21.80
Gedarel 30/150 (21) £18.16
Millinette 30/75 (21) £17.85
Cimizt (21) £16.47
Ethinylestradiol 30 microgram
Microgynon 30 ED (28) £12.96
Microgynon 30 (21) £12.22
Ovranette (21) £9.53
Rigevidon (21) £8.19
Levest (21) £7.80
Eloine (28) £63.70

Femodette (21) £38.35
Mercilon (21) £36.57
Sunya (21) £28.69
Millinette 20/75 (21) £23.44 Ethinylestradiol 20 microgram
Gedarel 20/150 (21) £22.01
Bimizza (21) £21.84
Nuvaring (28) £128.70

SyreniRing (28) £102.96
Qlaira (28) £101.32
Zoely (28) £85.80
Evra (21) £84.54
Logynon (21) £16.55
Logynon ED (28) £13.00 Other contraceptives
TriRegol (21) £10.53
Norinyl-1 (21) £9.49
£0 £20 £40 £60 £80 £100 £120 £140
Contents
For a more detailed comparison of contraceptives, access the excel version of the cost comparison
charts via the RDTC website (link available via the title page). This is available to stakeholders only
under password protection
59 January 2020
7.3.2 Progestogen-only contraceptives

January 2020: Contraceptives - Progestogen-only Contraceptives
- cost of 1 year's treatment
Cerazette (28) £41.38
Aizea (28) £22.58
Cerelle (28) £15.17
Feanolla (28) £15.12
Oral Progestogen-only
Zelleta (28) £12.91 Contraceptives
Desorex (28) £12.78
Norgeston (28) £9.57
Noriday (28) £9.10
Sayana Press (1 every 13

wks) £29.90
Nexplanon (1 every 3 yrs) £27.81
Noristerat (1 every 8 wks) £26.33
Depo-Provera pfs (1 every Parenteral and Intra-

12 wks) £26.04 uterine Progestogen-
only Contraceptives
Jaydess (1 every 3 yrs) £23.07
Mirena (1 every 5yrs) £17.60
Kyleena (1 every 5yrs) £15.20
£0 £5 £10 £15 £20 £25 £30 £35 £40 £45

Doses given do not imply therapeutic equivalence
Contents
For a more detailed comparison of contraceptives, access the excel version of the cost comparison
charts via the RDTC website (link available via the title page). This is available to stakeholders only
under password protection
60 January 2020
7.4.1 Drugs for urinary retention

January 2020: Drugs for urinary retention - cost of 1 year's treatment
Solifenacin 6mg / Tamsulosin 400microgram
modified-release tablets £335.12
Dutasteride 500microgram / Tamsulosin
400microgram capsules £240.24
Alfuzosin MR (10 mg) £151.79
Indoramin (40 mg) £130.68
Tamsulosin MR tablets (400 micrograms) £127.04
Prazosin (4 mg) £83.96
Tamsulosin MR capsules (400 micrograms) £46.96
Dutasteride (500 micrograms) £34.70
Terazosin (5 mg) £32.63
Alfuzosin (7.5 mg) £30.39
Finasteride (5 mg) £24.18
Doxazosin (4 mg) £15.34
£0 £50 £100 £150 £200 £250 £300 £350 £400

Contents

61 January 2020
7.4.2 Drugs for urinary frequency, enuresis, and incontinence

January 2020: Drugs for urinary frequency, enuresis and
incontinence - cost of 1 year's treatment
Propiverine (15 mg TDS) £386.10
Oxybutynin patch (Kentera®) £353.60
Mirabegron MR (Betmiga® 25mg/50mg OD) £351.87
Propantheline 15 mg tablets (5) £337.03
Fesoterodine MR (4 or 8 mg OD) £335.14
Oxybutynin MR (10 mg) £334.15
Darifenacin (7.5 or 15 mg OD) £331.24
Propiverine MR (30mg) £317.85
Trospium MR (Regurin® XL 60mg) £299.65
Oxybutynin (3 mg BD) £228.15
Tolterodine MR (Neditol XL, 4 mg) £167.57
Oxybutynin MR (5 mg) £167.08
Flavoxate (200 mg TDS) £141.60
Trospium (20 mg BD) £78.50
Duloxetine (generic 40 mg BD) £54.47
Solifenacin (10 mg) £51.69
Solifenacin (5 mg) £42.95
Oxybutynin (5 mg BD) £32.11
Oxybutynin (2.5 mg BD) £25.74
Tolterodine (2 mg BD) £21.84
£0 £100 £200 £300 £400 £500

Contents

62 January 2020
7.4.5 Drugs for erectile dysfunction

January 2020: Drugs for erectile dysfunction - cost of 1 year's treatment
Alprostadil (Caverject vials)
20microgram £620.88
Alprostadil MUSE 1mg £601.12
Alprostadil 3mg/g (Vitaros®) £520.00

Alprostadil (Caverject Dual Chamber)
20microgram £494.00
Phentolamine/Aviptadil (Invicorp®)
2mg/25mcg/0.35ml £494.00
Cialis 20mg £375.44
Viagra 100mg £305.44
Vardenafil 10mg £260.65
Avanafil 200mg £256.10

*see NHSE and NHSI (2019). Items
Vardenafil 20mg £176.80 which should not routinely be
prescribed in primary care: Guidance
Avanafil 100mg £170.69 for CCGs. Select the link beneath the
chart.
*Tadalafil 5mg £98.15
N.B.: Costs, other than for tadalafil
Tadalafil 20mg £25.61 5mg, based on advice from DH
(circulated in HSC 1999/148) that one
Tadalafil 10mg £16.90 treatment per week will be sufficient for
most patients treated for erectile
Sildenafil 100mg £13.65 dysfunction.
Tadalafil 5mg cost assumes daily dose.
Sildenafil 50mg £12.61
£0 £100 £200 £300 £400 £500 £600 £700

8.3.4.2 Gonadorelin analogues: prostate cancer indication
January 2020: Prostate cancer treatments - cost of 1 year's treatment
Degarelix (Firmagon® - 80mg) £1,552.44
Triptorelin (Gonapeptyl® - 3.75mg) £1,061.97
Goserelin (Zoladex® - 3.6mg) £910.00

Monthly
Leuprorelin (Prostap SR DCS® - 3.75mg) £902.88
Triptorelin (Decapeptyl® - 3mg) £897.00
Goserelin (Zoladex LA® - 10.8mg) £940.00

3 monthly
Leuprorelin (Prostap 3 DCS® - 11.25mg) £902.88
Triptorelin acetate (Decapeptyl® SR - 11.25mg) £828.00
Triptorelin acetate (Decapeptyl® SR - 22.5mg) 6 monthly

£828.00
£0 £200 £400 £600 £800 £1,000 £1,200 £1,400 £1,600 £1,800

Contents

63 January 2020
9.6.4 Vitamin D: (i) calcium and vitamin D combination products

January 2020: Calcium + vitamin D preparations - cost of 1 year's treatment
Calcium and ergocalciferol, 2 chewable tablets

£664.04
(194 mg calcium, 800 units vitamin D)
Cacit D3®, 2 sachets dissolved in water
£98.52
(1 g calcium, 880 units vitamin D)
Calcichew D3®, 2 chewable tablets
£55.91
Calfovit D3®, 1 sachet dissolved in water
£52.42
(1.2 g calcium, 800 units vitamin D)
Calcichew D3 Forte®, 2 chewable tablets
£51.45
Calceos®, 2 chewable tablets
£47.81
Adcal D3®, 2 chewable tablets
£47.45
Natecal D3®, 2 chewable tablets
£44.04
Adcal D3®, 4 caplets swallowed whole
£38.35
(1.2g calcium, 800 units vitamin D)
theiCal-D3, 1 chewable tablet (1g calcium, 880
£35.79
units vitamin D)
Accrete D3®, 2 tablets swallowed whole
£35.79
(1.2g calcium, 800 units vitamin D)
Evacal®, 2 chewable tablets
£35.75
Calci-D®, 1 chewable tablet (1g calcium, 1,000
£29.25
units vitamin D)
£0 £20 £40 £60 £80 £100 £660 £680
9.6.4 Vitamin D: (ii) prevention of deficiency

January 2020: Vitamin D preparations - Prevention - cost of 28 days treatment
Desunin®, 1 tablet swallowed whole
£4.28
(800iu OD)
Fultium D3® drops,
£3.51
(800iu daily)
Fultium D3®, 1 capsule swallowed whole
£3.36
(800iu OD)
Stexerol-D3®, 1 tablet swallowed whole
£2.95
(1,000iu OD)
InVita D3®, 1 capsule swallowed whole
£2.50
(800 iU OD)
Strivit-D3®, 1 capsule swallowed whole 800iu - 1000iu daily
£2.33
(800iu OD)
Thorens® oral drops,
£1.31
(800iu daily)
Invita D3®, 1 ampoule swallowed orally

£1.48
(25,000iu monthly)
Thorens®, 1 bottle swallowed orally
£1.46
(25,000iu monthly)
Stexerol-D3®, 1 tablet swallowed whole
£1.42
(25,000iu monthly)
20,000iu - 25,000iu
InVita D3®, 1 capsule swallowed whole per 28 days
£1.32
(25,000 iU monthly)
Fultium D3®, 1 capsule swallowed whole
£0.97
(20,000iu monthly)
Plenachol®, 1 capsule swallowed whole
£0.90
(20,000iu monthly)
Aviticol®, 1 capsule swallowed whole
£0.68
(20,000iu monthly)
£0 £1 £2 £3 £4 £5
Contents

64 January 2020
9.6.4 Vitamin D: (iii) treatment of deficiency

January 2020: Vitamin D preparations - Treatment - cost of 7 weeks treatment
Thorens®, 2 bottles swallowed orally

(50,000iu weekly for 7 weeks) £20.48
Stexerol-D3®, 2 tablets swallowed whole

Invita D3®, 1 ampoule swallowed orally

Fultium D3®, 2 capsules swallowed whole

InVita D3®, 1 capsule swallowed whole

(50,000 iU weekly for 7 weeks) £11.55
Plenachol®, 1 capsule swallowed whole

Aviticol®, 2 capsules swallowed whole

£0 £5 £10 £15 £20 £25

Contents

65 January 2020
10.1.1 Non-steroidal anti-inflammatory drugs

January 2020: Non-steroidal anti-inflammatory drugs - cost of 1
year's treatment
Mefenamic acid (500 mg) £689.52
Aspirin 300 mg tablets (12) £466.83
Naproxen EC (250 mg TDS) £227.96
Tiaprofenic acid MR (300 mg BD) £194.35
Etodolac MR (600 mg) £188.07
Tenoxicam (20 mg) £162.83
Naproxen (250 mg TDS) £128.31
Aceclofenac (100 mg BD) £116.72
Nabumetone (1 g) £89.70
Naprosyn® / Naprosyn EC® (250

mg TDS) £83.66
Celecoxib (200 mg) £80.93
Diclofenac sodium (50 mg TDS) £68.25
Piroxicam (20 mg) £58.24
Ibuprofen (400 mg TDS) £47.84
Indometacin (50 mg BD) £41.34
Etoricoxib (90 mg) £36.79
Meloxicam (7.5 mg) £15.41
£0 £100 £200 £300 £400 £500 £600 £700 £800

Contents

66 January 2020
10.3.2 Rubefacients, topical NSAIDs, capsaicin, and poultices

January 2020: Rubefacients, topical NSAIDs, capsaicin, and poultices - cost of 1
year's treatment
Capsaicin 0.025% cream £429.76
Capsaicin 0.075% cream £353.81
Felbinac 3% gel £87.69
Benzydamine 3% cream (Difflam®) £74.69
Ibuprofen 10% gel (Ibugel Forte®) £63.23
Diclofenac 1% gel £50.56
*Rubefacient (e.g. Transvasin® cream) £46.82
N.B. costs are based on

Piroxicam 0.5% gel £39.88 usage of 3g/day

Ketoprofen 2.5% gel £36.47 Items which should not routinely be
Ibuprofen 5% gel £28.83 beneath the chart.
£0 £50 £100 £150 £200 £250 £300 £350 £400 £450 £500
11.4.2 Eye: other anti-inflammatory preparations

January 2020: Other anti-inflammatory preparations - cost of 7 day's treatment
Catacrom®
(Sodium cromoglicate 2% 0.3ml unit dose) £19.32
Sodium cromoglicate 2% 13.5ml £11.74

Opticrom Aqueous®
(Sodium cromoglicate 2%) 13.5ml £8.03 Mast-cell stabilisers
Alomide®
(Lodoxamide 0.1%) 10ml £5.21 Assumptions & Calculations
A drop equates to 0.05ml. For example a 10ml bottle
Optrex Allergy® contains 200 drops/applications per pack for non-metered-
(Sodium cromoglicate 2%) 10ml £3.88
dose products
Opticrom Allergy® 1 drop/application per eye to both eyes for lodoxamide
(Sodium cromoglicate 2%) 10ml £3.35 and sodium cromoglicate four times daily. For all
antihistamines as above but twice daily.
Pollenase Allergy® Rounded up to nearest full pack
(Sodium cromoglicate 2%) 10ml £3.35
Relestat®
(Epinastine 500 mcg/ml) 5ml £9.90
Zaditen®
(Ketotifen 250 mcg/ml) 5ml £7.80
Ketofall®
(Ketotifen 0.4ml unit dose) £6.95
Optilast®
(Azelastine 0.05%) 8ml £6.40
Antihistamines
Opatanol®
(Olopatadine 1mg/ml) 5ml £4.68
Otrivine-Antistin®
(Antazoline 0.5%, Xylometazoline 0.05%) 10ml £3.35
£0 £5 £10 £15 £20 £25

Contents

67 January 2020
11.6 Treatment of glaucoma
January 2020: Treatment of Glaucoma - cost of 1 year's treatment
Dorzolamide 2% + timolol 0.5% (Cosopt®) PF £371.67
Dorzolamide 2% (Trusopt®) PF £314.34
Tafluprost + Timolol (Taptiqom®) PF £188.50
Dorzolamide 2% + timolol 0.5% (Eylamdo®) PF £185.77

Bimatoprost 0.03% (Lumigan®) PF £178.75
Latanoprost + timolol (Fixapost®) PF £175.37

Preservative free
Tafluprost (Saflutan®) PF £158.60 preparations
Dorzolamide 2% (Eydelto®) PF £157.17
Bimatoprost (Eyreida®) PF £152.23
Latanoprost (Monopost®) PF £110.37
Timolol gel (Tiopex®) PF £97.37
Pilocarpine 4% £369.20
Bimatoprost + timolol (Ganfort®) £184.08
Travoprost + timolol (Duotrav®) £181.35

Bimatoprost 0.01% (Lumigan®) £152.23
Brinzolamide + timolol (Azarga®) £143.65
Brimonidine + timolol (Combigan®) £130.00
Brinzolamide 1% + Brimonidine 0.2% (Simbrinza®) £119.99

Latanoprost £64.48
Latanoprost + timolol £48.75
Timolol 0.25% LA (Timoptol®-LA) £40.56
Timolol 0.5% LA (Timoptol®-LA) £40.56
Travoprost £38.87
Brinzolamide £36.40
Dorzolamide 2% £31.46
Dorzolamide 2% + timolol 0.5% £30.81
Brimonidine 0.2% £29.77

Betaxolol 0.5% (Betoptic®) £24.70
Levobunolol 0.5% £24.05
Timolol 0.5% £19.24
Timolol 0.25% £18.20
£0 £100 £200 £300 £400

Doses given do not imply therapeutic equivalence
Contents

68 January 2020
11.8.1 Tear deficiency, ocular lubricants, and astringents

January 2020: Tear deficiency, ocular lubricants, and astringents - cost of 1 year's
treatment
Sodium hyaluronate 0.15% PF (Hyabak) 10ml £87.89
Carmellose and glycerol (Optive) 10ml £82.39
Carmellose, glycerol and castor-oil (Optive Plus) 10ml £82.39
Sodium hyaluronate 0.4% PF (Clinitas Multi) 10ml £76.89
Sodium hyaluronate 0.20% PF (Hyloforte) 10ml £76.00
Sodium Hyaluronate 0.2% PF (Evolve HA) 10ml £65.89
Sodium hyaluronate 0.15% (Oxyal) 10ml £58.10
Liquid paraffin (Lacrilube ointment) 5g £55.72
Carmellose sodium 0.5% PF (Evolve Carmellose) 10ml £54.89
Sodium hyaluronate (Aeon Protect) 10ml £50.60 NHS Clinical Commissioners and
NHS England guidance recommends
Hypromellose 0.3% PF (Tear-Lac) 10ml £46.40 that a prescription for treatment of
dry or sore eyes should not routinely
Sodium hyaluronate 0.03% PF (Hylofresh) 10ml £39.60 be offered in primary care as the
condition is appropriate for self-care.
Carbomer 980 0.2% (Geltears) 10g £39.20 See guidance link below chart.
Hypromellose 0.3% (Generic) 10ml £18.34 Assumptions & Calculations
200 drops/applications per pack for non-metered-dose products
Polyvinyl alcohol (Sno Tears) 10ml £13.78 1 drop/application per eye to both eyes TDS for 365 days for
drops. 1 application at night for ointments.
Liquid paraffin + retinol (VitA-POS ointment) 5g £8.25 Rounded up to nearest full pack
£0 £20 £40 £60 £80 £100
Pe
Conditions for which over the counter items should not routinely be prescribed in primary
care: Guidance for CCGs. (2018)
12.2.1 Drugs used in nasal allergy: corticosteroids

January 2020: Nasal steroids - cost of 28 days treatment
Fluticasone 50 mcg/Azelastine 137 mcg (Dymista®)

1 spray both nostrils bd £13.81
Triamcinolone 55 mcg (Nasacort®)

1 spray both nostrils od £3.45
Fluticasone proprionate 50mcg

Mometasone 50 mcg (Nasonex®)

Fluticasone furoate 27.5 mcg (Avamys®)

Fluticasone proprionate 50mcg (Nasofan®)

Beclometasone 50 mcg (200 dose)

1 spray both nostrils bd £2.04
Budesonide 64 mcg (Rhinocort aqua®)

£0 £2 £4 £6 £8 £10 £12 £14 £16

Contents

69 January 2020
13.2.1 Emollients: (i) cost of 1 year’s treatment

January 2020: Emollients: cost of 1 year’s treatment - cost of 1
year's treatment
Calmurid® (500g) £2,084.16

Balneum® plus (500g) £935.38
E45® Itch relief (500g) £935.38 Preparations containing urea
Hydromol® cream (500g) £756.29
Ultrabase® (500g) £541.01
Aveeno® lotion (500ml) £415.58
Dermol® cream (500g) £413.71
Epaderm® ointment (500g) £410.59
Aveeno® cream (500ml) £403.73
Thirty:30® ointment (500g) £403.73
Epaderm® Junior ointment (125g) £400.40
Diprobase® cream (500g) £394.37
Aqueous cream (500g) £390.00
Dermol® lotion (500ml) £376.90
Diprobase® ointment (500g) £373.78
E45® cream £373.78
Cetraben® (500g) £373.78
Doublebase® gel (500g) £363.79
Oilatum® cream (500ml) £329.47
Zerobase® cream (500g) £328.22
Epaderm® Junior cream (150g) £310.27
Hydromol® ointment (500g) £309.50
Zerodouble® gel (500g) £305.76
MyriBase® gel (500ml) £290.78
E45® lotion (500ml) £286.42
LP/WSP ointment (50:50) (500g) £285.17
Yellow Soft Paraffin (500g) £260.83
Zeroderm® ointment (500g) £255.84
ZeroCream® (500g) £254.59
White Soft Paraffin (500g) £251.47
AproDerm® ointment (500g) £246.48
Fifty:50® ointment (500g) £228.38
ZeroAQS® emollient cream (500g) £205.30
Epimax® ointment (500g) £186.58
ExCetra® cream (500g) £184.08 Volumes can vary between products. Usage is
based on 600g or 600ml per week per adult. For
Isomol® gel (500g) £182.21 Oilatum® Junior cream and Epaderm® Junior
Epimax® cream (500g) £155.38 cream/ointment, usage is based on 250g or
250ml per week.
Oilatum® Junior cream (500ml) £137.28
£0 £500 £1,000 £1,500 £2,000 £2,500
Contents

70 January 2020
13.2.1 Emollients: (ii) cost per 100g or 100ml
January 2020: Emollients: cost per 100g or 100ml
Calmurid® (500g) £6.68

Balneum® plus (500g) £3.00
E45® Itch relief (500g) £3.00 Preparations containing urea
Epaderm® Junior ointment (125g) £3.08
Hydromol® Cream (500g) £2.42
Epaderm® Junior cream (150g) £2.39
Ultrabase® (500g) £1.73
Aveeno® Lotion (500ml) £1.33
Dermol® Cream (500g) £1.33
Epaderm® ointment (500g) £1.32
Aveeno® cream (500ml) £1.29
Thirty:30® Ointment (500g) £1.29
Diprobase® Cream (500g) £1.26
Aqueous Cream (500g) £1.25
Dermol® Lotion (500ml) £1.21
Diprobase® Ointment (500g) £1.20
E45® Cream £1.20
Cetraben® (500g) £1.20
Doublebase® Gel (500g) £1.17
Oilatum® Cream (500ml) £1.06
Oilatum® Junior cream (500ml) £1.06
Zerobase® cream (500g) £1.05
Hydromol® ointment (500g) £0.99
Zerodouble® gel (500g) £0.98
MyriBase® gel (500ml) £0.93
E45® Lotion (500ml) £0.92
LP/WSP Ointment (50:50) (500g) £0.91
Yellow Soft Paraffin (500g) £0.84
Zeroderm® ointment (500g) £0.82
ZeroCream® (500g) £0.82
White Soft Paraffin (500g) £0.81
AproDerm® ointment (500g) £0.79
Fifty:50® Ointment (500g) £0.73
ZeroAQS® emollient cream (500g) £0.66
Epimax® ointment (500g) £0.60
ExCetra® cream (500g) £0.59
Isomol® gel (500g) £0.58
Epimax® cream (500g) £0.50
£0 £1 £2 £3 £4 £5 £6 £7 £8
Contents

71 January 2020
13.2.1 Emollients: (iii) bath and shower preparations, cost per 100g or 100ml
January 2020: Emollients: bath and shower preparations (cost per
100g or 100ml)
Oilatum® shower gel fragrance free (150g) £3.51
Doublebase® emollient shower gel (200g) £2.61
Dermol® shower emollient (200ml) £1.78
Oilatum® Bath Formula (300ml) £1.67
Oilatum® Plus bath additive (500ml) £1.59
Balneum Plus bath oil (500ml) £1.33
E45 emollient wash cream (250ml) £1.32
Dermol® Bath Emollient (600ml) £1.26
Aqueous Cream (500g) £1.25
Dermol® Lotion (500ml) £1.21
Emulsiderm emollient (1000ml) £1.20
Doublebase® Gel (500g) £1.17
Oilatum® Emollient (500ml) £1.16
Cetraben® emollient bath additive (500ml) £1.15
Oilatum® Junior bath additive (600ml) £1.11
Doublebase emollient bath additive (500ml) £1.09
Balneum® Bath Oil (500ml) £1.08
E45® emollient bath oil (500ml) £1.06
Zerolatum® Emollient bath additive (500ml) £0.96 N.B. see NHSE and NHSI (2019).
Hydromol® Bath & Shower emollient (500ml) £0.89 prescribed in primary care:
beneath the chart.
LPL 63.4 (500ml) £0.63
£0 £1 £2 £3 £4
Contents

72 January 2020
13.4 Topical corticosteroids (skin): (i) cost per 30g
January 2020: Topical corticosteroids per 30g
Nerisone Forte® (difluocortolone 0.3%)

oily cream £9.40
Dermovate® (clobetasol 0.05%)
cream/oint £2.37
Very Potent
ClobaDerm® (Clobetasol 0.05%)
cream/oint £2.25
Synalar® (fluocinolone 0.025%)

£5.01
gel
Nerisone® (diflucortolone 0.1%)
£4.95
oily cream
Elocon® (mometasone 0.1%)
cream £4.53
Cutivate® (fluticasone 0.05%)
cream/oint £4.24
Metosyn® (fluocinonide 0.05%)
£4.00
cream
Nerisone® (diflucortolone 0.1%)
cream/oint £3.98
Metosyn® (fluocinonide 0.05%) Potent
£3.95
oint
Elocon® (mometasone 0.1%)
oint £3.73
Synalar® (fluocinolone 0.025%)
£3.53
cream/oint
Diprosone® (betamethasone 0.05%)
£1.84
cream/oint
Locoid® (Hydrocortisone butyrate 0.1%)
cream/oint £1.48
Betnovate® (Betamethasone valerate 0.1%)
£1.22
cream/oint
Audavate® (betamethasone 0.1%)
£1.16
oint
Eumovate® (clobetasone 0.05%)

cream/oint £1.63
Clobavate® (Clobetasone 0.05%)
oint £1.31
Betnovate RD® (betamethasone 0.025%) Moderate
cream/oint £0.95
Audavate RD® (betamethasone 0.025%)
cream/oint £0.90
Hydrocortisone 0.5% ointment £88.00
Hydrocortisone 1% ointment £2.60
Hydrocortisone 0.5% cream Mild

£2.52
Hydrocortisone 1% cream £2.42
£0 £2 £4 £6 £8 £10 £86 £88 £90

Contents
73 January 2020
13.4 Topical corticosteroids (skin): (ii) combination corticosteroid and

antimicrobial products
January 2020: Topical corticosteroids with antimicrobial per 30g
Clobetasol propionate with neomycin
and nystatin cream/oint £87.00 Very Potent
Betamethasone 0.1%, clioquinol 3%

cream/oint £38.88
Betamethasone 0.1%, neomycin 0.5%
cream/oint £31.36
Fucibet® (betamethasone 0.1%,
fusidic acid 2%) cream £6.38
Lotriderm® (betamethasone 0.064%,
clotrimazole 1%) cream £6.34
Xemacort® (betamethasone 0.1%, Potent
Synalar C® (fluocinolone 0.025%,
clioquinol 3%) cream/oint £5.32
Synalar N® (fluocinolone 0.025%,
neomycin 0.5%) oint £4.36
Trimovate® (clobetasone 0.05%,

oxtetracycline, nystatin) cream £12.45 Moderate
Fucidin H® (hydrocortisone 1%,

Timodine® (hydrocortisone 0.5%,
nystatin) cream £3.37
Mild
Daktacort® (hydrocortisone 1%,
miconazole) oint £2.50
Daktacort® (hydrocortisone 1%,
miconazole) cream £2.49
Canesten HC® (hydrocortisone 1%,
clotrimazole 1%) cream £2.42
£0 £10 £20 £30 £40 £50 £60 £70 £80 £90 £100
13.5 Preparations for eczema and psoriasis: scalp

January 2020: Preparations for eczema and psoriasis: scalp (cost per 100g or 100ml)
Elocon® 0.1% scalp lotion (30ml) £14.53
Sebco® ointment (100g) £13.38
Cocois® ointment (100g) £11.69
Dermovate® 0.05% scalp

application (100ml) £10.42
Diprosone® 0.05% lotion (100ml) £7.80
Etrivex® shampoo (125ml) £7.32
Locoid® 0.1% scalp lotion (100ml) £6.83
Betnovate® 0.1% scalp application

(100ml) £4.99
Betacap® 0.1% scalp application

(100ml) £3.75
Alphosyl 2 in 1® shampoo (250ml) £2.32
Psoriderm® scalp lotion (250 ml) £1.90
Capasal® Therapeutic shampoo

(250ml) £1.88
£0 £2 £4 £6 £8 £10 £12 £14 £16

Contents

74 January 2020
13.5.2 Preparations for psoriasis: corticosteroid and vitamin D combination

topical preparations
January 2020: Corticosteroid and vitamin D combination topical preparations (cost of
single course of treatment)
Dovobet® gel (60g)* £520.94
Dovobet® ointment
(60g)** £277.76
* Licensed Indication: plaque psoriasis (not scalp),

duration 8 week course.
Enstilar® foam (60g)*** £277.76 ** Dovobet ointment licensed Indication: stable plaque
psoriasis, duration 4 week course. Please check individual
generic products licensing.
*** Licensed Indication: plaque psoriasis, duration 4 week
course.
£0 £100 £200 £300 £400 £500 £600

13.6.1 Topical preparations for acne

January 2020: Topical preparations for acne (cost per 30g or 30ml)
Duac® (Benzoyl peroxide 3% and 5%,

Clindamycin 1%) gel £13.14
Epiduo® (Adapalene 0.1%,
Benzoyl peroxide 2.5%) gel £13.02
Treclin® (Clindamycin 1%, Tretinoin
0.025%) gel £11.94
Differin® (Adapalene 0.1%) cream/gel £10.95
Zindaclin® (Clindamycin 1%) gel £8.66

Aknemycin Plus® (Erythromycin 4%,
Tretinoin 0.025%) solution £8.46
Finacea® (Azelaic acid 15%) gel £7.48
Erythromycin 2%, Isotretinoin 0.05% gel £7.47

*Freederm® Treatment (Nicotinamide
4%) gel £6.67
*Acnecide® (Benzoyl 5%) gel £5.34

* Pharmacy medicines ‘P’ containing nicotinamide or
benzoyl peroxide available over the counter.
Skinoren® (Azelaic acid 20%) cream £4.49
NHS Clinical Commissioners and NHS England
guidance recommends that a prescription for
*Acnecide® (Benzoyl 5%) wash gel £3.26 treatment of mild acne should not routinely be offered
in primary care as the condition is appropriate for self-
*Brevoxyl® (Benzoyl 4%) cream £2.48 care. See guidance link below chart.
£0 £2 £4 £6 £8 £10 £12 £14

Conditions for which over the counter items should not routinely be prescribed in primary
care: Guidance for CCGs. (2018)
Contents

75 January 2020
Specialised infant and child milk formulas5

January 2020: Specialised infant and child milk formulas (cost per 100g)
Neocate® Spoon powder sachets
(15x37g) £7.92
Neocate® LCP powder

(400g) £7.39
Nutramigen® PurAmino powder

(400g) £5.75
SMA Alfamino® powder

(400g) £5.75 Amino acid based
Nutramigen 2 with LGG powder®

(400g) £2.80
Nutramigen 1 with LGG powder®

£2.80 Lactose free
(400g)
Similac Alimentum® powder

(400g) £2.36
Hydrolysate formula
Aptamil Pepti 1® powder
(400g) £2.47
SMA Althera® powder

(450g) £2.46 Contain Lactose
Aptamil Pepti 2® powder

(400g) £2.35
SMA Wysoy® powder

£1.27 Soya based
(860g)
£0 £1 £2 £3 £4 £5 £6 £7 £8 £9
Contents
5
BNF for Children. Borderline substances.
76 January 2020
Stoma adhesive removers (liquid preparations only)6

January 2020: Stoma adhesive removers (cost per 50ml)
Pelican Release £9.88
Appeel® £9.73
Dansac £9.66
Appeel® Advance £9.60
EasyLease £9.52
GB Soft Skin® £9.42
Brava® £9.33
Lift Plus® £9.07
ConvaTec Niltac™ £9.04
Sensi-Care® £8.68
Independence £7.28
Adapt™ £7.21
Peel-Easy™ £7.18
Pelican Platinum £7.07
Elite® £6.98
Salts £6.81
Remove £6.80
Dansac EasiSpray™ £6.75
ZenSetiv £5.90
Lifteez £5.60
CliniPeel® £5.50
StoCare Remove £5.30
Lift Plus 360 £5.30
Clear £5.19
Offmate £5.10
Lift £3.28
£0 £2 £4 £6 £8 £10 £12

Contents
6
NHS BSA Drug tariff, Part IXC: Stoma appliances.
77 January 2020
Patent expiry table January 2020 to December 2020
Expiry dates below take account of the SPC and any paediatric extension. The table
also indicates where a licence for a generic/biosimilar product is in the latter stages
of the EU licensing process or is already available in the EU. However, it does not
follow that a generic/biosimilar product will be available in the UK as patent issues
differ between countries. Patent legislation is complex and the information below
should be used as a guide only.
Note that patent expiries are subject to change when new licence extensions (SPC
or paediatric) are granted to the originator product or if court decisions alter the
patent status of a drug. In addition, the patent expiries detailed only cover the basic,
manufacturing patent. Additional patents on formulations and uses can influence
when a generic or biosimilar becomes available commercially.
Patent expiry date may not give an accurate date as to when a generic version will
actually be marketed in the UK, once a generic has been granted a product licence.
Generic
Patent expiry Date includes
or biosimilar Commissioning
Drug BNF date * = UK patent paediatric
available/ in route
only, no SPC extension
development
Melatonin (controlled
release - Circadin®) 4 2020 Jan - CCG
Asenapine 4 2020 Feb - CCG
Ziconotide 4 2020 Feb -- NHSE
Dexrazoxane 8 2020 Mar - NHSE
Erlotinib HCl 8 2020 Mar - Yes NHSE
Aliskiren 2 2020 Apr - CCG
Cinacalcet 9 2020 Apr Yes Yes NHSE
Eculizumab 9 2020 Apr - NHSE
Temsirolimus 8 2020 Apr - NHSE
Tipranavir 5 2020 May - NHSE
Bevacizumab 8 2020 Jun Yes Yes NHSE
C1-esterase inhibitor 3 2020 Jul - NHSE
Natalizumab 8 2020 Jul Yes NHSE
Tapentadol 4 2020 Jul - CCG
Fosaprepitant 4 2020 Aug Yes NHSE
Micafungin 5 2020 Sep - NHSE
Ambrisentan 2 2020 Oct - Yes NHSE
Depends on
Tocilizumab 10 2020 Dec Yes indication

78 January 2020

Cost Comparison Charts PDF

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Cost Comparison Charts PDF

Uploaded by

Copyright:

Available Formats

Regional Drug and Therapeutics Centre Cost comparison charts

REGIONAL DRUG AND THERAPEUTICS CENTRE

COST COMPARISON CHARTS

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

4.7.3 Neuropathic pain ................................................................................................................ 36

11.6 Treatment of glaucoma ....................................................................................................... 68

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

1.1 Dyspepsia and gastro-oesophageal reflux disease

Magnesium trisilicate with magnesium carbonate and

Co-magaldrox: Mucogel® (10ml QDS) £87.07

Simeticone with aluminium hydroxide and magnesium

Sodium alginate, calcium carbonate & sodium

Sodium alginate with potassium bicarbonate:

Sodium alginate, calcium carbonate & sodium

Sodium alginate with potassium bicarbonate: Acidex®

1.2 Antispasmodics and other drugs altering gut motility

Alverine (120mg TDS) £423.88

Fybogel® Mebeverine sachets S/F

Kolanticon® gel (10ml QDS) £174.72

*Peppermint oil capsules E/C M/R:

Alverine (60mg TDS) £94.89

£0 £250 £500 £2,250 £2,500 £2,750 £3,000 £3,250

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

1.3 Antisecretory drugs and mucosal protectants

Ranitidine 75mg/5ml oral solution

Omeprazole tablets (10mg OD) £102.70

Lansoprazole orodispersible tablets

Lansoprazole orodispersible tablets

£0 £100 £200 £300 £400 £500 £600

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

Asacol® 400mg or 800mg tablets

Octasa® 800mg tablets

Octasa® 400mg tablets

January 2020: Aminosalicylates: maintenance doses - cost of 1 year's treatment

Asacol® 400mg or 800mg tablets

Octasa® 800mg tablets

Octasa® 400mg tablets

Doses given do not imply therapeutic equivalence copyright © RDTC 2020

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

1.5.2 Corticosteroids: rectal foams

Budenofalk® 2mg foam enema £57.11

Hydrocortisone 10% foam

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

January 2020: Laxatives - cost of 14 days treatment

Prucalopride 2 mg (Resolor®) £29.76

Naloxegol 25mg (Moventig®) £25.76

Linaclotide 290mcg (Constella®) £18.78

Sodium citrate enema (Micolette® 1 daily) £5.25

Sodium picosulfate 5 mg/5 ml

Macrogols (2 sachets for 14 days) £3.51

Ispaghula husk (Fybogel® 2 sachets) £2.64

Sterculia (Normacol® 10 g) £2.22

Docusate (200 mg) £1.95

Lactulose (20 ml) £1.62

Bisacodyl (10 mg) £1.57

Glycerol suppository (4 g) £1.51

Senna (15 mg) £0.98

£0 £5 £10 £15 £20 £25 £30 £35

Doses given do not imply therapeutic equivalence copyright © RDTC 2020

NOT TO BE USED FOR COMMERCIAL OR MARKETING PURPOSES

January 2020: Diuretics - cost of 1 year's treatment

Amiloride and furosemide