Feidhmeannacht na Seirbhíse Sláinte, Seirbhís Aisíocaíochta Cúraim PhríomhúilBealach amach 5 an M50, An Bóthar Thuaidh, Fionnghlas

Baile Átha Cliath 11, D11 XKF3Guthán: (01) 864 7100 Facs: (01) 834 3589

Health Service Executive, Primary Care Reimbursement ServiceExit 5, M50, North Road, Finglas, Dublin 11, D11 XKF3

Tel: (01) 864 7100 Fax: (01) 834 3589

3rd January 2018

Circular 001/18 Wound Management and Compression Hosiery Dear Pharmacist, The Expert Group for Wound Management Products carried out a national review of Dressings and Aids for Wound Management. Enclosed is a list of Wound Management Products considered as Normal Nursing Needs that would be expected to be available as stock in residential settings. These products will not be approved under Discretionary Hardship Arrangements (Ref: Circular 048/16 - Appendix A). However, Dressings of a more complex nature can be approved under this arrangement. You are reminded that while Dressings are not available to patients on GMS prescriptions, certain Dressings are provided on the Reimbursement List for GP Stock Orders. A more comprehensive list of Wound Management Products available for GP Stock Orders was published on the Reimbursement List effective 1st November 2017. Where there are no local arrangements in place to make supplies through the Public Health Nurse at local level, applications can be submitted under Discretionary Hardship Arrangements for approval supported by a GP prescription. In order to further reduce the administrative burden to Pharmacists, Compression Hosiery products have been provided with administrative codes effective 1st January 2018 (copy of list enclosed). This will mean that where such products are prescribed, they can be dispensed and claimed for electronically. Compression Hosiery will no longer require individual authorisation by the Local Health Office under Discretionary Hardship Arrangements. Reimbursement support is provided for two pairs per calendar year. Claims submitted outside the approved yearly threshold will not be reimbursed. This arrangement applies to medical card holders under the GMS scheme only. We look forward to your continued co-operation with these arrangements. Yours faithfully,

Anne Marie Hoey Primary Care Reimbursement & Eligibility

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Product Name Category

Description

GP Stock

Order

code

Product Description Product

Pack

Size

Product

Specification

Absorbent Lint Lint Absorbent 80748 Absorbent Lint 25g 1 25g

Acti Wrap Lightweight conforming Bandage

86182 Latex Free cohesive soft and comfortable retention bandage.

1 roll 6 cm x 4 m

Acti Wrap Lightweight conforming Bandage

86183 Latex Free cohesive soft and comfortable retention bandage.

1 roll 8 cm x 4 m

Acti Wrap Lightweight conforming Bandage

86186 Latex Free cohesive soft and comfortable retention bandage.

1 roll 10 cm x 4 m

B.V Absorbent Dressings 86169 Low-Adherent Absorbent Dressing - FR (A)

1 5 cm x 5 cm

B.V Absorbent Dressings 86142 Low-Adherent Absorbent Dressing 1 10 cm x 10 cm

B.V Absorbent Dressings 86150 Low-Adherent Absorbent Dressing 1 10 cm. x 20 cm. 1 (A)

B.V Lightweight conforming Bandage

80314 Conforming Bandage 1 5 cm x 4 m

B.V Lightweight conforming Bandage

80322 Conforming Bandage 1 7 cm x 4 m

B.V Lightweight conforming Bandage

80330 Conforming Bandage 1 10 cm x 4 m

B.V Lightweight conforming Bandage

80349 Conforming Bandage 1 15 cm x 4 m

Calico Triangular Bandage 85553 Triangular Bandage 90cm x 127m 1 90 cm x 127 m

Cicaplaie Adhesive island dressing

86304 Non Allergic Adhesive Wound Dressing 10cn x 15cm

1 10 cm x 15 cm

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Clinigrip Tubular Bandages 86135 Tubular Bandage 1 Size A - .05m 4.50cm

Clinigrip Tubular Bandages 86257 Tubular Bandage 1 Size B - 0.5m 6.25cm

Clinigrip Tubular Bandages 86136 Tubular Bandage 1 Size C - 0.5m 6.75cm

Clinigrip Tubular Bandages 86137 Tubular Bandage 1 Size D - 0.5m 7.50cm

Clinigrip Tubular Bandages 86138 Tubular Bandage 1 Size E - 0.5m 8.75cm

Clinigrip Tubular Bandages 86139 Tubular Bandage 1 Size F 0.5m 10.0m

Clinigrip Tubular Bandages 86140 Tubular Bandage 1 Size G - 0.5m 12.0cm

Clinigrip Tubular Bandages 86141 Tubular Bandage 1 Size J - 0.5m 17.50cm

Clinigrip Tubular Bandages 86259 Tubular Bandage 1 Size A - 1m 4.50cm

Clinigrip Tubular Bandages 86143 Tubular Bandage 1 Size B - 1m 6.25cm

Clinigrip Tubular Bandages 86144 Tubular Bandage 1 Size C - 1m 6.75cm

Clinigrip Tubular Bandages 86145 Tubular Bandage 1 Size D - 1m 7.50cm

Clinigrip Tubular Bandages 86146 Tubular Bandage 1 Size E - 1m 8.75cm

Clinigrip Tubular Bandages 86147 Tubular Bandage 1 Size F - 1m 10.0cm

Clinigrip Tubular Bandages 86148 Tubular Bandage 1 Size G - 1m 12.0cm

Clinigrip Tubular Bandages 86149 Tubular Bandage 1 Size J - 1m 17.50cm

Cotton Wool Roll Absorbent Wool roll 80926 Cotton Wool Roll 1 250g

Cotton Wool Roll Absorbent Wool roll 80934 Cotton Wool Roll 1 500g

Curafix H

Elasticated Adhesive Bandages

80527 Wide Area Fixation Dressing 10cm x 10m

1 10 cm x 10 cm

DryMax

Superabsorbent Dressing

Superabsorbent Dressing (sterile/ non-sterile) various sizes

Various

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Easifix K Lightweight conforming Bandage

86256 Open Knit retention bandage 20 2.5 cm x 4 mm

Elastic Adhesive

Bandage

Elasticated Adhesive Bandages

80772 Elastic Adhesive 6cm x 4.5m 1 6 cm x 4.5 m

Elastic Adhesive

Bandage

Elasticated Adhesive Bandages

80780 Elastic Adhesive 10cm x 4.5m 1 10 cm x 4.5 m

Elastic Adhesive Strip Adhesive island dressing

80403 Fabric Dressing Strip 6cm x 1m 1 6 cm x 1 m

Eurodressing

Absorbent Dressings 86169 Low-Adherent Absorbent Dressing - FR

1 5 cm x 5 cm

Eurodressing

Absorbent Dressings 86142 Low-Adherent Absorbent Dressing 1 10 cm x 10 cm

Eurodressing Absorbent Dressings 86150 Low-Adherent Absorbent Dressing 1 10 cm. x 20 cm

Eurolasto* Elasticated Adhesive Bandages

80527 Wide Area Fixation Dressing 10cm x 10m

1 10 cm x 10 cm

Eurolasto* Elasticated Adhesive Bandages

80098 Elastic Adhesive Bandage 8cm x 4.5m 1 Roll 8 cm x 4.5 cm

Eurolasto* Elasticated Adhesive Bandages

80772 Elastic Adhesive 6cm x 4.5m 1 6 cm x 4.5 m

Eurolasto* Elasticated Adhesive Bandages

80780 Elastic Adhesive 10cm x 4.5m 1 10 cm x 4.5 m

Euroreel Surgical Adhesive Tapes

80113 Plaster Zinc Oxide 1.25cm x 5m 1 1.25 cm X 5 m

Euroreel Surgical Adhesive Tapes

80113 Plaster Zinc Oxide 1.25cm x 5m 12 1.25 cm X 5 m

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Euroreel Surgical Adhesive Tapes

80128 Meditape Zinc Oxide Tape 2.5cm x 5m

1 2.5 cm x 5 M

Euroreel Surgical Adhesive Tapes

80128 Meditape Zinc Oxide Tape 2.5cm x 5m

1

2.5 cm x 5 M

Euroreel Surgical Adhesive Tapes

80128 Meditape Zinc Oxide Tape 2.5cm x 5m

12 2.5 cm x 5 M

Euroreel Surgical Adhesive Tapes

80675 Plaster Zinc Oxide 5cm x 5m 1 5 cm x 5 m

Euroreel Surgical Adhesive Tapes

80675 Plaster Zinc Oxide 5cm x 5m 1 5 cm x 5 m

Flexiban Padding

Layer

Absorbent Wool roll 86251 A polyester roll of padding used to protect and reshape the limb, prior to the application of Actico compression bandages

1 roll 10 cm x 3.5 m

Fortelast* Elasticated Adhesive Bandages

80098 Elastic Adhesive Bandage 8cm x 4.5m 1 Roll 8 cm x 4.5 cm

Fortelast* Elasticated Adhesive Bandages

80772 Elastic Adhesive 6cm x 4.5m 1 6 cm x 4.5 m

Fortelast* Elasticated Adhesive Bandages

80780 Elastic Adhesive 10cm x 4.5m 1 10 cm x 4.5 m

Gauze & Cotton

Tissue

Other 80977 Gauze & Cotton Tissue 1 500g

Hospiform Lightweight conforming Bandage

86052 A super elastic conforming bandage 1 6 cm x 4 m

Hospiform Lightweight conforming Bandage

86054 A super elastic conforming bandage 1 8 cm x 4 m

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Hospiform Lightweight conforming Bandage

86055 A super elastic conforming bandage 1 10 cm x 4 m

Hospiform Lightweight conforming Bandage

86056 A super elastic conforming bandage 1 12 cm x 4 m

Hypafix Elasticated Adhesive Bandages

80527 Wide Area Fixation Dressing 10cm x 10m

1 10 cm x 10 cm

Hypafix Surgical Adhesive Tapes

86023 Wide Area Fixation 1 5 cm x 5 m

Jelonet Wound Contact layer 86231 Paraffin Gauze Dressing 10cm x 10cm (Individually wrapped)

1 10 cm x 10 cm

Jelonet Wound Contact layer 86258 Paraffin Gauze Dressing 5cm x 5cm (Individually wrapped)

1 5 cm x 5 cm

K-Lite Lightweight conforming Bandage

86066 Light support bandage 16 5 cm x 4.5 m

K-Lite Lightweight conforming Bandage

86130 Light support bandage 16 7 cm x 4.5 m

K-Lite Lightweight conforming Bandage

86131 Light support bandage 16 10 cm x 4.5 m

K-Lite Lightweight conforming Bandage

86132 Light support bandage 16 15 cm x 4.5 m

K-Lite Lightweight conforming Bandage

86133 Light support bandage 16 10 cm x 5.25 m

Lenkelast Crepe Bandage 80047 Elastic Crepe Bandage 6cm x 5m 1 6 cm x 5 m

Lenkelast Crepe Bandage 80047 Elastic Crepe Bandage 6cm x 5m 10 6 cm x 5 m

Lenkelast Crepe Bandage 80055 Elastic Crepe Bandage 8cm x 5m 1 8cm x 5 m

Lenkelast Crepe Bandage 80055 Elastic Crepe Bandage 8cm x 5m 10 8cm x 5 m

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Lenkelast Crepe Bandage 80063 Elastic Crepe Bandage 10cm x 5m 1 10 cm x 5 m

Lenkelast Crepe Bandage 80063 Elastic Crepe Bandage 10cm x 5m 10 10 cm x 5 m

Lenkelast Crepe Bandage 80071 Elastic Crepe Bandage 15cm x 5m 1 15 cm x 5 m

Lenkelast Crepe Bandage 80071 Elastic Crepe Bandage 15cm x 5m 10 15 cm x 5 m

Leukofix Surgical Adhesive Tapes

86197 Transparent Adhesive tape with bi-directional tear

24 1.25 cm x 5 m

Leukofix Surgical Adhesive Tapes

86024 Transparent Adhesive tape with bi-directional tear

12 2.5 cm x 5 m

Leukofix Surgical Adhesive Tapes

86025 Transparent Adhesive tape with bi-directional tear

6 5 cm x 5 m

Leukoplast Sleek Surgical Adhesive Tapes

86266 Sleek BP 2.5cm x 5m 12 2.5 cm x 5 m

Leukoplast Sleek Surgical Adhesive Tapes

80624 Sleek BP 5cm x 5m 12 5 cm x 5 m

Leukoplast Sleek Surgical Adhesive Tapes

86026 High Strength waterproof adhesive tape

12 2.5 cm x 3 m

Leukoplast Sleek Surgical Adhesive Tapes

86027 High Strength waterproof adhesive tape

12 7.5 cm x 5 m

Leukoplast Sleek Surgical Adhesive Tapes

86028 High Strength waterproof adhesive tape

12 10 cm x 5 m

Leukoplast Sleek Surgical Adhesive Tapes

86030 High Strength waterproof adhesive tape (Latex Free)

12 1.25 cm x 5 m

Leukoplast Sleek Surgical Adhesive Tapes

86031 High Strength waterproof adhesive tape Latex Free

12 2.5 cm x 5 m

Leukoplast Sleek Surgical Adhesive Tapes

86032 High Strength waterproof adhesive tape Latex Free

12 5 cm x 5 m

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Leukoplast Sleek Surgical Adhesive Tapes

86033 High Strength waterproof adhesive tape Latex Free

12 7.5 cm x 5 m

Medilite Surgical Adhesive Tapes

86057 Non Allergic Paper tape 1.25cm x 9m 1 1.25 cm x 9 m

Medilite Surgical Adhesive Tapes

86058 Non Allergic Paper tape 25cm x 9m 1 2.5 cm x 9 m

Medilite Silk Tape Surgical Adhesive Tapes

85588 Silk Tape 1.25cm x 9m 1 1.25 cm x 9 m

Medilite Silk Tape Surgical Adhesive Tapes

85596 Silk Tape 2.5cm x 9m 1 2.5 cm x 9 m

Medilite Silk Tape Surgical Adhesive Tapes

85618 Silk Tape 5cm x 9m 1 5 cm x 9 m

Mepore Self-adhesive dressing Self-adhesive dressing – various sizes Various sizes

Melolin Low-adherent absorbent dressing

Low-adherent absorbent dressing – various sizes

Various sizes

Non-woven swab

sterile

Regal Filmated

Non-Woven/Filimated swabs sterile

86215 Non-woven swabs sterile 5 x 5cm 5 5 cm x 5 cm

Non-woven swab

sterile

Regal Filmated

Non-Woven/Filimated swabs sterile

86262 Non-woven swabs sterile 5 x 5cm 5 5 cm x 5 cm

Non-woven swab

sterile

Regal Filmated

Non-Woven/Filimated swabs sterile

86223 Non-woven swabs sterile 7.5 x 7.5cm 5 7.5 cm x 7.5 cm

Non-woven swab

sterile

Regal Filmated

Non-Woven/Filimated swabs sterile

86261 Non-woven swabs sterile 7.5 x 7.5cm 5 7.5 cm x 7.5 cm

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Non-woven swab

sterile

Regal Filmated

Non-Woven/Filimated swabs sterile

86207 Non-woven swabs sterile 10 x 10cm 5 10 cm x 10 cm

Non-woven swab

sterile

Regal Filmated

Non-Woven/Filimated swabs sterile

86263 Non-woven swabs sterile 10 x 10cm 5 10 cm x 10 cm

Non-Woven swabs

non sterile

Non-Woven swabs non sterile

86177 Non-Woven swabs non sterile 100 10 cm x 10 cm

Non-Woven swabs

non sterile

Non-Woven swabs non sterile

86177 Non-Woven swabs non sterile 100 10 cm x 10 cm

Non-Woven swabs

non sterile

Non-Woven swabs non sterile

86185 Non-Woven swabs non sterile 100 5 cm x 5 cm

Non-Woven swabs

non sterile

Non-Woven swabs non sterile

86185 Non-Woven swabs non sterile 100 5 cm x 5 cm

Non-Woven swabs

non sterile

Non-Woven swabs non sterile

86193 Non-Woven swabs non sterile 100 7.5 cm x 7.5 cm

Non-Woven swabs

non sterile

Non-Woven swabs non sterile

86193 Non-Woven swabs non sterile 100 7.5 cm x 7.5 cm

Opsite Transparent adhesive film

Transparent adhesive film – various sizes

Various sizes

Raucolast Lightweight conforming Bandage

80314 Conforming Bandage 1 5 cm x 4 m

Raucolast Lightweight conforming Bandage

80322 Conforming Bandage 1 7 cm x 4 m

Raucolast Lightweight conforming Bandage

80330 Conforming Bandage 1 10 cm x 4 m

Raucolast Lightweight conforming Bandage

80349 Conforming Bandage 1 15 cm x 4 m

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Silk Tape Surgical Adhesive Tapes

86204 Silk Tape 2.5cm x 10m 1 2.5 m x 10 m

Silk Tape Surgical Adhesive Tapes

86011 Silk Tape 5cm x 10m 1 5 cm x 10 m

Siltape Surgical Adhesive Tapes

86229 Is a soft silicone fixation tape delivered on a handy roll with perforations for ease of use, no scissors are required

1 tape 2 cm x 3 M

Siltape Surgical Adhesive Tapes

86179 Is a soft silicone fixation tape delivered on a handy roll with perforations for ease of use, no scissors are required

1 tape 4 cm x 1.5 M

Soffban Natural Absorbent Wool roll 86041 Natural Viscose Padding 12 5 cm x 2.7 M

Soffban Natural Absorbent Wool roll 86042 Natural Viscose Padding 12 7. 5cm x 2.7 M

Soffban Natural Absorbent Wool roll 86043 Natural Viscose Padding 12 15 cm x 2.7 M

Soffban Natural Absorbent Wool roll 86044 Natural Viscose Padding 6 20 cm x 2.7 M

Soffban Plus Absorbent Wool roll 86035 Synthetic Padding 12 10 cm x 2.7 M

Soffban Plus Absorbent Wool roll 86036 Synthetic Padding 12 5 cm x 2.7 M

Soffban Plus Absorbent Wool roll 86038 Synthetic Padding 12 7.5 cm x 2.7 M

Soffban Plus Absorbent Wool roll 86039 Synthetic Padding 12 15 cm x 2.7 M

Soffban Plus Absorbent Wool roll 86040 Synthetic Padding 6 20 cm x 2.7 M

Solvaline N Absorbent Dressings 86169 Low-Adherent Absorbent Dressing 1 5 cm x 5 cm

Solvaline N Absorbent Dressings 86142 Low-Adherent Absorbent Dressing 1 10 cm x 10 cm

Solvaline N Absorbent Dressings 86150 Low-Adherent Absorbent Dressing 1 10 cm. x 20 cm

Telfa™ Non-Adherent

Absorbent Dressing

Absorbent Dressings 86074 Non-Adherent Absorbent Dressing 50 5 cm x 7.5 cm

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

Telfa™ Non-Adherent

Absorbent Dressing

Absorbent Dressings 86075 Non-Adherent Absorbent Dressing 50 10 cm x 7.5 cm

Telfa™ Non-Adherent

Absorbent Dressing

Absorbent Dressings 86076 Non-Adherent Absorbent Dressing 50 15 cm x 7.5 cm

Telfa™ Non-Adherent

Absorbent Dressing

Absorbent Dressings 86077 Non-Adherent Absorbent Dressing 100 20 cm x 7.5 cm

Tensogrip L Tubular Bandages 86022 Elasticated Tubular Bandages 1 32.5 cm x 10 M

Tubigrip Tubular Bandages 86161 Provides tissue support in the treatment of strains and sprains, soft tissue injuries, general oedema and ribcage injuries

1 10 M Size M X-Lge trunks

Tubinette Cotton net tubular bandage

86152 100% plain viscose surgical stockinette

40 fingers & toes size 01

Tubinette Cotton net tubular bandage

86153 100% plain viscose surgical stockinette

26 bulky finger dressing size 12

Tubinette Cotton net tubular bandage

86154 100% plain viscose surgical stockinette

30 adult limbs size 56

Tubinette Cotton net tubular bandage

86155 100% plain viscose surgical stockinette

30 large adult limbs size 78

Tubinette Cotton net tubular bandage

86156 100% plain viscose surgical stockinette

12 small bodies, adult heads size T1

Tubinette Cotton net tubular bandage

86157 100% plain viscose surgical stockinette

12 large bodies size T2

White Open Wove

Bandage

White open wove bandage

80241 White Open woven bandage 5cm x 5cm

1 5 cm x 5 cm

White Open Wove

Bandage

White open wove bandage

80268 White Open woven bandage 7.5cm x 5cm

1 7.5 cm x 5 cm

List of Wound Management Products classified as Normal Nursing Needs accompanying Circular 001/18

January 2018 V1

*Specialist when used as part of a compression kit

Additional Products Classified under Normal Nursing Needs

Zinc Oxide Tape Surgical Adhesive Tapes

86202 Zinc Oxide Tape 1.25cm x 5m 1 1.25 cm x 5 m

Zinc Oxide Tape Surgical Adhesive Tapes

86203 Zinc Oxide Tape 5cm x 5m 1 5 cm x 5 m

Zinc Oxide Tape Surgical Adhesive Tapes

86009 Zinc Oxide Tape 7.5cm x 5m 1 7.5 cm x 5 m

Category Description Product Description

Alcohol Swabs Alcohol prep pad, Isopropyl alcohol swab, Pre-injection swab, anti-bacterial wipes

Antimicrobial Skin Cleansers/ Soap E.g. Hibiscrub, Clinisan

Blood Collection Sets Blood collection and/or infusion set

Disposable Aprons Plastic aprons

Dressing Packs Sterile wound care dressing packs

Face Masks Surgical face masks

Gloves Latex gloves, Non latex gloves: (sterile, non-sterile, powdered, powder-free)

Medicated Powder E.g. Caldesene, Cuticura

Oral Swabs Buccal swabs, swab sticks

Sterilising Agents Disinfectants E.g. Milton

Wound Cleansing Agents E.g. Normasol, sterile saline, sterile water

Page 1

ADMINISTRATIVE CODES FOR USE BY PHARMACY FOR THE PROVISION OF COMPRESSION HOSIERY TO GMS PATIENTS ONLY

EFFECTIVE 1ST JANUARY 2018

Page 2

Instruction Code

Description Code the number pairs, packs, kits dispensed

Supplier Price €

Add 86235 Activa Class 1 Stocking Below Knee Open Toe Sand 268-1500, 268-1518, 268-1526, 268-1534, 317-2723 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 8.91

Add 86230 Activa Class 1 Stocking Below Knee Black 278-2373, 278-2381, 278-2399, 278-2407 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 8.91

Add 86233 Activa Class 1 Stocking Below Knee Honey 259-0438, 259-0453, 259-0479, 259-0495 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 8.91

Add 86234 Activa Class 1 Stocking Below Knee Sand 259-0420, 259-0446, 259-0461, 259-0487 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 8.91

Add 86232 Activa Class 1 Stocking Below Knee Black 278-2415, 278-2423, 278-2431, 278-2449 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 8.91

Add 86236 Activa Class 1 Stocking Thigh Length Black 259-0321, 259-0354, 259-0388, 259-0412 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 9.75

Add 86237 Activa Class 1 Stocking Thigh Length Honey 259-0313, 259-0347, 259-0370, 259-0404 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 9.75

Add 86238 Activa Class 1 Stocking Thigh Length Sand 259-0305, 259-0339, 259-0362, 259-0396 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 9.75

Add 86249 Activa Class 1 Tights Black 286-9998, 287-0004, 287-0012, 287-0020 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 15.37

Add 86242 Activa Class 2 Stocking Below Knee Open Toe Sand 259-0818, 259-0826, 259-0834, 259-0842, 317-2707 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 13.04

Add 86240 Activa Class 2 Stocking Below Knee Honey 259-0651, 259-0701, 259-0750, 259-0792 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 13.04

Add 86241 Activa Class 2 Stocking Below Knee Sand 259-0628, 259-0685, 259-0743, 259-0784 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 13.04

Add 86239 Activa Class 2 Stocking Below Knee Black 259-4463 259-0891, 259-0917, 259-0933 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 13.04

Add 86246 Activa Class 2 Stocking Thigh Length Open Toe Sand 259-0859, 259-0867, 259-0875, 259-0883 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 14.50

Add 86243 Activa Class 2 Stocking Thigh Length Black 259-0529, 259-0552, 259-0586, 259-0610 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 14.50

Add 86244 Activa Class 2 Stocking Thigh Length Honey 259-0511, 259-0545, 259-0578, 259-0602 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 14.50

Add 86245 Activa Class 2 Stocking Thigh Length Sand 259-0503, 259-0537, 259-0560, 259-0594 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 14.50

Add 86250 Activa Class 2 Tights Natural 287-0038, 287-0046, 287-0053, 287-0061 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 16.88

Add 86247 Activa Class 3 Stocking Below Knee Open Toe Sand 259-1246, 259-1253, 259-1261, 259-1279, 310-2977 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 14.77

Add 86248 Activa Class 3 Stocking Thigh Length Open Toe Sand 259-1287, 259-1295, 259-1303, 259-1311 (British Standard) Pair 1 (A) Aquilant Medical Ltd. 16.90

Add 86184 Activa Leg Ulcer Hosiery Kit 287-0038, 287-0046, 287-0053, 287-0061 (British Standard) 1 (A) Code the number of kits dispensed

Aquilant Medical Ltd. 31.00

Add 86108 BSN Medical JOBST Bellavar RAL Class 2 Tights RTW Petite Open Toe 77577-00020/21/22/23-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86109 BSN Medical JOBST Bellavar RAL Class 2 Tights RTW Regular Open Toe 77576-00008/09/10/11/12/13-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86110 BSN Medical JOBST Bellavar RAL Class 3 Tights RTW Petite Open Toe 77588-00000/1/2/3/4/5-00 (European Standard) Pair 1 (A) Healthcare 21 68.57

Add 86111 BSN Medical JOBST Bellavar RAL Class 3 Tights RTW Regular Open Toe 77587-00000/1/2/3/4/5-00 (European Standard) Pair 1 (A) Healthcare 21 68.57

Add 86091 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Petite Closed Toe 70622-00036/37/38/39/40/41/48/49/50/51/52/53-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86092 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Petite Maxi Closed Toe 70622-00162/63/64/65/66/67/68/69/70/71/72/73-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86093 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Petite Maxi Open Toe 70622-00132/33/34/35/36/37/38/39/40/41/42/43-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86094 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Petite Open Toe 70622-00078/79/80/81/82/83/84/85/86/87/88/89-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Page 3

Instruction Code

Description Code the number pairs, packs, kits dispensed

Supplier Price €

Add 86095 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Regular Closed Toe 70621-00036/37/38/39/40/41/48/49/50/51/52/53-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86097 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Regular Maxi Closed Toe 70621-00162/63/64/65/66/67/68/69/70/71/72/73-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86098 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Regular Maxi Open Toe 70621-00132/33/34/35/36/37/38/39/40/41/42/43-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86099 BSN Medical JOBST Opaque RAL Class 1 Tights RTW Regular Open Toe 70621-00078/79/80/81/82/83/84/85/86/87/88/89-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86100 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Petite Closed Toe 70632-00054/55/56/57/58/59/72/73/74/75/76/77-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86101 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Petite Maxi Closed Toe 70632-00180/81/82/83/84/85/86/87/88/89/90/91-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86102 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Petite Maxi Open Toe 70632-00150/51/52/53/54/55/56/57/58/59/60/61-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86103 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Petite Open Toe 70632-00048/49/50/51/52/53/108/109/110/111/112/113-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86104 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Regular Closed Toe 70631-00054/55/56/57/58/59/72/73/74/75/76/77-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86105 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Regular Maxi Closed Toe 70631-00138/39/40/41/42/43/44/45/46/47/48/49-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86106 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Regular Maxi Open Toe 70631-00174/75/76/77/78/79/80/81/82/83/84/85-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86107 BSN Medical JOBST Opaque RAL Class 2 Tights RTW Regular Open Toe 70631-00048/49/50/51/52/53/108/109/110/111/112/113-00 (European Standard) Pair 1 (A) Healthcare 21 63.43

Add 86084 BSN Medical JOBST Ulcercare Replacement Liners 7363221/22/23/24/25/26/27 (European Standard) 1 (A) Code the number of packs dispensed

Healthcare 21 25.79

Add 86089 BSN Medical JOBST Ultrasheer RAL Class 1 Tights RTW Petite Closed Toe 73582-00036/37/38/39/40/41/48/49/50/51/52/53-00 (European Standard) Pair 1 (A) Healthcare 21 62.62

Add 86090 BSN Medical JOBST Ultrasheer RAL Class 1 Tights RTW Regular Closed Toe 73581-00036/37/38/39/40/41/48/49/50/51/52/53-00 (European Standard) Pair 1 (A) Healthcare 21 62.62

Add 86086 BSN Medical JOBST Ultrasheer RAL Class 2 Tights RTW Petite Open Toe 73590-00048/49/50/51/52/53/96/97/98/99/100/101-00 (European Standard) Pair 1 (A) Healthcare 21 62.62

Add 86087 BSN Medical JOBST Ultrasheer RAL Class 2 Tights RTW Regular Closed Toe 73589-00054/55/56/57/58/59/72/73/74/75/76/77-00 (European Standard) Pair 1 (A) Healthcare 21 62.62

Add 86205 BSN Medical JOBST Ultrasheer RAL Class 2 Tights RTW Regular Open Toe 73589-00048/49/50/51/52/53/96/97/98/99/100/101-00 (European Standard) Pair 1 (A) Healthcare 21 62.62

Add 86085 BSN Medical JOBST Ultrasheer RAL Class 2 Tights RTW Petite Closed Toe 73590-00054/55/56/57/58/59/72/73/74/75/76/77-00 (European Standard) Pair 1 (A) Healthcare 21 62.62