Prescribed List: Changes from 1 March 2017

Information about the publication of Ministerial Decisions

A formal published “Ministerial Decision” is required as a record of the decision of a Minister (or an Assistant Minister where they have delegated authority) as they exercise their responsibilities and powers.

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demonstrating that good governance, and clear lines of accountability and authority, are in place around decisions-making – including the reasons and basis on which a decision is made, and the action required to implement a decision
providing a record of decisions and actions that will be available for examination by States Members, and Panels and Committees of the States Assembly; the public, organisations, and the media; and as a historical record and point of reference for the conduct of public affairs

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A decision made 3 February 2017:

Decision Reference: MD-S-2017-0011
Decision Summary Title :	Prescribed List Changes 1 March 2017		Date of Decision Summary:	02 February 2017
Decision Summary Author:	Prescribing Advisor		Decision Summary: Public or Exempt?	Public
Type of Report: Oral or Written?	Written		Person Giving Oral Report:	N/A
Written Report Title :	Changes to be made to the Prescribed List as at 1 March 2017		Date of Written Report:	02 February 2017
Written Report Author:	Prescribing Advisor		Written Report : Public or Exempt?	Public
Subject: Changes to be made to the Prescribed List (Jersey) as at 1 March 2017
Decision(s): Further to Article 15, paragraphs (11) and (12), of the Health Insurance (Jersey) Law 1967, and having consulted with the Pharmaceutical Benefit Advisory Committee, the Minister decided to make amendments to the Prescribed List with effect from 1 March 2017 as set out in the accompanying report.
Reason(s) for Decision: The Pharmaceutical Benefit Advisory Committee met on 17 January 2017 and has provided the Minister with the recommendations in respect of amendments to the Prescribed List. On considering these recommendations, the Minister would like to make the following amendments. New products to be added to the Prescribed List 1.1 Linagliptin 5mg tablet (brand name Trajenta); linagliptin/metformin 2.5mg/850mg, 2.5mg/1000mg tablets (brand name Jentadueto) for the treatment of type 2 diabetes mellitus 1.2 Tretinoin 250mcg/gram with clindamycin 10mg/gram gel (brand name Treclin) for the treatment of acne 1.3 Insulin degludec 100 IU per ml with liraglutide 3.6mg per ml (brand name Xultophy) for the treatment of type 2 diabetes mellitus 1.4 Adapalene 1mg/gram with benzoyl peroxide 25mg/gram gel (brand name Epiduo) for the treatment of acne 1.5 Docusate sodium oral solution sugar free 50mg/5mL (generic only) Colecalciferol solution (Thorens brand) 25,000 units in 2.5 ml oral solution 2 Additional strengths of products already listed 2.1 Buprenorphine patch 20mcg/hour for the treatment of pain 2.2 Oxycodone m/r tablet 30mg for moderate-severe pain 2.3 Beclometasone 200mcg/dose with formoterol 6mcg/dose metered dose inhaler and dry powder inhaler (brand names Fostair and Fostair NEXThaler) 2.4 Levothyroxine tablets 75mcg (generic only) 2.5 Estradiol with dydrogesterone tablets 0.5mg/2.5mg (brand name Femoston-conti) Items to be removed from the Prescribed List 3.1 Hypromellose preservative-free eye drops 0.32% as lower cost alternatives are available. 3.2 Betamethasone valerate 0.1% with neomycin 0.5% cream and ointment following discontinuation of Betnovate N brand 3.3 The Committee supported the removal of Erythromycin 40 mg, zinc acetate 12 mg/mL (brand name Zineryt) for the treatment subject to wider consultation due to the extensive use of this product at present 4 Other amendments to the Prescribed List 4.1 Buprenorphine patch 5mcg, 10mcg, 20mcg to be reimbursed for both branded and generic products 4.2 Oral contraceptives to be reimbursed for both branded and generic products currently included in the Prescribed List 4.3 Glycopyrronium bromide entry to be amended entries in the Prescribed List to specify strength as 55mcg per dose not 50mcg The changes reflect current evidence and expert advice, and ensure that patients in Jersey have access to an appropriate range of modern, safe and effective treatments from their GPs at a proportionate cost to the Fund.
Resource Implications: The overall impact of the changes is expected to be cost neutral
Action required: Business Manager to issue public notice listing amendments and notify all approved medical practitioners and approved contractors.
Signature:		Position: Minister
Date Signed:		Date of Decision (If different from Date Signed):