Continence Supplies Page 2

Miscellaneous Formulary

Version 7

April 2014

Contents:

Continence supplies Page 2 Stoma accessories Page 7 Skin care products Page 9 Bowel care products Page 11

1 Continence

Appliance Product details Gauge/ Cost per pack Usual Comments CH size quantity 1.Long-term catheters Bard Biocath Aquamatic Male 10ml prefilled 12-22 £8.36 /catheter One every  Packaged in single units. Hydrogel Coated Female 10ml prefilled 12-22 £8.40 /catheter 12 weeks  Prescribe two initially and from then on Bard Biocath Hydrogel Paediatric 5ml 8-10 £8.23 /catheter only one to be prescribed at a time. Coated Latex Bard Silicone Elastomer Male 10ml prefilled 12-22 £9.65 /catheter  If catheter life is less than four weeks, Coated Latex Female 10ml prefilled 12-22 £9.65 /catheter i.e. requiring recurrent re-catherisation, Bard All Silicone Male 10ml 12-22 £9.22 /catheter consider a medium term catheter and Female 10ml 12-16 £8.84 /catheter refer to your local continence service Coloplast All Silicone Paediatric 5ml 8-10 £9.20 /catheter for advice. 2. Short to medium-term catheters Bard PTFE Coated Latex Standard 10ml 12-22 £3.01 /catheter 1 every Packaged in single units. prefilled month Prescribe two initially and from then on Male 10ml 12-22 £2.63 /catheter only one to be prescribed at a time Female 10ml 12-16 £3.93 /catheter Review before each prescription Paediatric 5ml 8-10 £7.28 /catheter 3. Intermittent cathethers for intermittent self- catherisation Single-use pre-lubricated intermittent catheters Conveen Easicath Male 8-22 £30.52 (pack of 25) Approx. 4  Single use Packs per  Dependent on frequency of use. Female 8-14 £30.52 (pack of 25) month if using regularly 3 Paediatric 8-10 £30.52 (pack of 25) – 4 times/ day Astra Tech LoFric Male 8-24 £32.09 (pack of 25) Female 8-18 £39.30 (pack of 25) Paediatric 6-10 £39.30 (pack of 25) Coloplast Speedicath Male 8 £41.45 (pack of 30) Male 10-14 £41.45 (pack of 30)

2 Appliance Product details Gauge/ Cost per pack Usual Comments CH size quantity Male 16-18 £43.41 (pack of 30) Female 6 £44.95 (pack of 30) Female 8 £44.89 (pack of 30) Female 10-14 £47.26 (pack of 30) Female 16 £43.41 (pack of 30) Paediatric 6 £43.41 (pack of 30) Paediatric 8-10 £43.41 (pack of 30) Speedicath 30cm 8-12 £43.41 (pack of 30) Tiemann 10-14 £43.41 (pack of 30) 4. Catheter maintenance solutions Solution G  Regular bladder irrigation interrupts Uro-Tainer Twin (Suby G) 2 x 30ml sachets £4.72 the closed drainage system and OptiFlow G (Suby G) 50ml sachet £3.50 should only be undertaken if the risk of obstruction is greater than the risk Uriflex G 100ml sachet £3.45 Solution R Uro-Tainer Twin Sol R 2 x 30ml sachets £4.72 Optiflo R 50ml £3.50 Uriflex R 100ml sachet £3.45 Sodium Chloride 0.9% Optiflo S 50ml £3.30 Uro-Tainer NaCI 0.9% 50ml sachet £3.45 Uriflex S 100ml sachet £3.45 6. Catheter valves Bard Flip-Flo catheter valve £12.89 (pack of 5) 4 valves Valves should be changed every 7 days Coloplast catheter valve £25.89 (pack of 10) per month 7. Sterile leg bags Bard Uriplan Direct Inlet 350ml £28.33 (pack of 10) Approx. 1 Changed every 5-7 days 30cm tube 350ml £28.08 (pack of 10) box every Direct Inlet 500ml £28.55 other

3 Appliance Product details Gauge/ Cost per pack Usual Comments CH size quantity 10cm tube 500ml £28.66 (pack of 10) month 30cm tube 500ml £28.66 (pack of 10) Direct inlet 750ml £28.75 (pack of 10) 10cm tube 750ml £28.75 (pack of 10) 30cm tube 750ml £28.75 (pack of 10) 38cm adjustable 750ml £28.75 (pack of 10) Coloplast Aquadry Short tube 350ml £25.43 Long tube adjustable 350ml £25.43 Short tube 500ml £25.43 Long tube adjustable 500ml £25.43 Short tube 750ml £25.43 Long tube adjustable 750ml £25.43 Coloplast Simpla Trident T1 Short tube 350ml £29.24 (pack of 10) Long tube 500ml £29.46 (pack of 10) Short tube 500ml £29.60 (pack of 10) Long tube 750ml £29.60 (pack of 10) Short tube 750ml £29.60 (pack of 10) Long tube adjustable 750ml £29.26 (pack of 10) Coloplast Simpla Trident T2 Short tube 350ml £29.58 (pack of 10) Short tube 500ml £29.90 (pack of 10) Long tube 500ml £29.90 (pack of 10) Short tube 750ml £30.05 (pack of 10) Long tube 750ml £30.05 (pack of 10) 8. Belly bag® B1000 B1000 1000ml £10.62 /bag 1 – 2 bags Lasts up to 28 days per month 9. Night drainage bags Bard Uriplan 90cm tube 2 litre £2.55 (pack of 10) 3 x 10 bag Non-drainable bags are single use Simpla Continence Care Standard Size 2 litre £2.83 (pack of 10) packs (Is this Simpla 2 litre S2 connector /month Urine drainage bag with non-return valve with standard size connector?)

4 Appliance Product details Gauge/ Cost per pack Usual Comments CH size quantity 10. Incontinence sheaths a) Non-latex sheaths with self-adhesive liner Rochester Medical Ltd Clear Small 23mm £50.02 (pack of 30) 1 box Each sheath may be left in place for 1 to Advantage Silicone Sheath Medium 28mm £50.02 (pack of 30) (may not 3 days between changes Standard 31mm £50.02 (pack of 30) be Large 35mm £50.02 (pack of 30) required Extra Large 40mm £50.02 (pack of 30) every Coloplast Conveen Security Extra Small £51.64 (pack of 30) month) + Sheath with anti-kink Small £51.64 (pack of 30) design Medium £51.64 (pack of 30) Large £51.64 (pack of 30) Extra Large £51.64 (pack of 30) Coloplast Conveen Security Extra Small £51.10 (pack of 30) + self sealing Urisheath with Small £51.10 (pack of 30) anti-kink design Medium £51.10 (pack of 30) Large £51.10 (pack of 30) Extra Large £51.10 (pack of 30) b) Latex Sheaths with self-adhesive liner Rochester Medical Ltd Small 23mm £50.27 (pack of 30) 1 box Each sheath may be left in place for 1 to Freedom Sheath Medium 28mm £50.27 (pack of 30) (may not 3 days between changes Standard 31mm £50.27 (pack of 30) be Large 35mm £50.27 (pack of 30) required Extra Large 40mm £50.27 (pack of 30) every Rochester Medical Ltd Small 23mm £50.27 (pack of 30) month) Freedom Plus Sheath- Medium 28mm £50.27 (pack of 30) shorter length Standard 31mm £50.27 (pack of 30) Large 35mm £50.27 (pack of 30) Extra Large 40mm £50.27 (pack of 30) Conveen Sheath with anti- Very Small £49.80 kink design Small £49.80 Medium £49.80 Large £49.80 Extra Large £49.80

5 Appliance Product details Gauge/ Cost per pack Usual Comments CH size quantity Conveen self-sealing Extra small £51.13 (pack of 30) Urisheath Small £51.13 (pack of 30) Medium £51.13 (pack of 30) Large £51.13 (pack of 30) Extra Large £51.13 (pack of 30) 11. Non sterile leg bags (for use with sheaths only) Coloplast Ltd Conveen 50cm tube 350ml £24.66 (pack of 10) Approx. 1 Can be left in place for 5-7 days Security 50cm tube 500ml £24.66 (pack of 10) box every 50cm tube 750ml £24.66 (pack of 10) other month 12. Accessories Leg bag holders Bard Ltd Urisleeve Small 24-39cm £8.00 (pack of 4) Medium 36-55cm £8.00 (pack of 4) Large 40-70cm £8.00 (pack of 4) Coloplast Aquasleeve Small 24-33cm £8.26 (pack of 4) Standard 34-39cm £8.26 (pack of 4) Medium 40-46 cm £8.26 (pack of 4) Large 47-64cm £8.26 (pack of 4) G-strap Simpla G-Strap Adult £14.04 (pack of 5) Abdominal £15.49 (pack of 5) Bard Confasure Catheter Small £14.27 (pack of 5) Retaining Strap Adult £14.27 (pack of 5) Abdominal £14.84 (pack of 5)

6 Stoma accessories

Product Pack size Price Usual quantity Comments

1. Barrier films 3m Health Care Cavilon No Sting Barrier 28ml £6.62 Follow directions of Films/wipes used with Film Pump Spray stoma nurse each bag/flange change Medicareplus Medi Derma-S Non Sting 30 £19.40 for selected patients Medical Barrier Film Wipes only i.e. diabetics, C D Medical Ltd Clinifilm Wipes 30 £19.50 palliative patients and 3m Health Care Cavilon No Sting Barrier 30 £23.19 difficult stomas Film Stoma Wipe 2. Skin fillers Hollister Adapt Paste 60g 60 £3.68 Dansac Soft Paste 50 £3.56 Pelican Paste 100 £7.94 Convatec Orabase paste s103 30 £2.08 Convatec Orahesive Powder 25 £2.39 OstoMart OstoSEAL Protective Powder 25 £2.39 3. Discharge solidifying agents Opus AbsorbaGel 150 £46.31 Opus Deogel 50 £30.01 4. Flange extenders Salts SecuPlast Hydro 30 £11.80 Salts SecuPlast Hydro Aloe 30 £12.79 Coloplast Brava Elastic Tape 20 £12.71 5. Moudable washers Salts SecuPlast Mouldable Seals 30 £49.69 Standard Hollister Adapt Barrier Rings 48mm 10 £17.34 Pelican Cohesive Slims Small 48mm 30 £55.36 Pelican Cohesive Seals Small 48mm 30 £56.43 Hollister Adapt Barrier Rings 98mm 10 £21.86 6. Stoma collars

7 Product Pack size Price Usual quantity Comments

Salts Dermacol Stoma Collar 35mm 30 £55.42 Salts Dermacol Stoma Collar 38mm 30 £55.42 Salts Dermacol Stoma Collar 29mm 30 £55.42 Salts Dermacol Stoma Collar 32mm 30 £55.42 Salts Dermacol Stoma Collar 26mm 30 £55.42 7. Adhesive Removers (Sprays/Wipes) Peel-Easy Spray 50ml £7.10 1 -3 cans per month Used each time stoma CliniMed Essentials Appeel No Sting 50ml £9.10 (depending on bag is changed Medical Adhesive Remover Aerosol frequency of bag Spray changes) Pelican Release Non-Sting Adhesive 50ml £9.24 Remover Aerosol Spray OstoMart OstoCLEAR Adhesive 30 £8.97 Remover Sachets Peel-Easy No Sting Wipes 30 £11.66

Stoma support garments and clothing - Please check with stoma nurse specialist that it is recommended for that patient Deodourants, cleansers and soaps are not clinically necessary and prescribing of these products will not be supported in Suffolk.

 The formulary should be sufficient to cover 80% of patients needs. In exceptional circumstances other products may be prescribed in discussion with a stoma care nurse.

Contacts: Debbie Cooper, community stoma nurse, 07855 773682 or 01473 242168 Sarah Skingley, community stoma nurse, 07855 773681

8 Skincare Product Container size Price Comments

1. Soap substitutes Emulsifying ointment (OTC) 500g £2.12 QV® Gentle Wash (OTC) 250ml £3.14 500ml pump £5.24 Dermol® 500 lotion (OTC) 500ml £6.04 Only if infection present or is a frequent complication 2. Zeroderm® ointment (OTC) 125g £2.41 500g £4.10 White soft paraffin 50% / liquid paraffin 500g £2.21 50% ointment (OTC) QV® intensive ointment (OTC) 450g £5.65 Ultrabase® cream (OTC) 50g £1.40 500g pump £4.80 Zerobase® (OTC) 500g pump £1.04 £5.26 QV Cream® (OTC) 100g £2.04 500g £5.86 1.05kg pump £11.94 Doublebase® gel (OTC) 100g £2.65 500g pump £5.83 Dermol® cream (OTC) 100g £2.86 Only if infection present or is a frequent complication 500g pump £6.63 Aveeno® lotion (OTC) 500ml £6.66 Restricted to paediatric use; ACBS borderline substance 3. Emollients with urea Balneum Cream (OTC) 50g £2.85 500g £9.97 Balneum Plus Cream (OTC) 100g £3.29 Usually only on advice from secondary care 500g £14.99 Calmurid® cream (OTC) 100g £9.27 Usually only on advice from secondary care

9 Product Container size Price Comments

500g £35.70 4. Emollient bath and shower preparations There is a lack of good evidence to support the prescribing of these items. These should only be prescribed at the request of secondary care in exceptional circumstances. Patients should be encouraged to wash with soap substitutes. Soap substitutes available OTC include ZeroAQS®, Oilatum® soap bar, QV® gentle wash. 5. Barrier preparations Conotrane cream (OTC) 100g £0.88 500g £3.51 Sudocrem (OTC) 60g £1.25 125g £1.84 250g £3.09 400g £4.34 Cavilon No Sting Barrier Film (OTC) 1ml foam applicators £4.96 (pack of 5) Only where the patient has a wound 3ml foam applicators £7.96 (pack of 5) 28ml pump spray £6.65 NB. Cavilon Durable Barrier Cream is non- formulary and should not be prescribed. 6. Skin cleanser Proshield Foam Spray cleanser 235ml £6.45 7. Pressure sore prevention Aderma Pads 10x10x0.3 3.66 10x10x1.2 7.22 20x20x0.3 17.04 20x20x1.2 20.36 30x5x0.3 4.68 50x2.5x0.3 5.68 Heel Standard 12.49 Heel Extra Large 13.66 Sacrum/Ankle Wrap 16.11 Kerrapro 50x2.5x0.3cm £5.20 30X5X0.3CM £6.25 10X10X1.2CM £12.50 10X10X0.3CM £4.15

10 Product Container size Price Comments

Heel x 2 £14.66 Sacrum/Ankle £16.50 Bowelcare

Product Size/strength Pack size Price Comments 1. Anal Plugs Conoplast Ltd Peristeen Small 20 £44.93 Large 20 £44.00 2. Laxatives Ispaghula husk sachet (Ispagel) (sugar and 3.5g 30 gluten free) Bisacodyl gastro-resistant tablets 5mg £3.43 Senna Tablets 7.5mg 60 £10.11 Docusate sodium capsules 100mg 30 £2.09 Macrogol (Laxido) 20 Lactulose 15ml Glycerol suppositories Docusate enema Phosphate enema 128ml (standard tube) 1

128ml (long tube) 1

Micralex enema Sodium Picosulfate 100ml Condanthramer capsules 25mg/200mg 60 Condanthramer suspension 300ml 25mg/200ml/5ml

11 Process for Reviewing Formulary Product