Sodium hyaluronate 0.2% eye drops preservative free

SNOMED code: 16132911000001102
Active compound: Sodium hyaluronate
Preferred name basis: BANM - British Approved Name (Modified)
Prescribable: Caution - AMP level prescribing advised
Dose form: Not applicable
Ingredients
Form & Route: Eye drops, Ocular
Controlled drug: No Controlled Drug Status

Products

iGel 0.2% eye drops preservative free (Agepha Pharma s.r.o.)

iGel 0.2% eye drops preservative free

SNOMED code: 45759611000001109
Supplier: Agepha Pharma s.r.o.
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
iGel 0.2% eye drops preservative free (Agepha Pharma s.r.o.) 10 ml `45759711000001100` ref. pack	💯 Available	`09003585000275` 1 Apr 2026	NHS Indicative Price £4.80	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Hycosan Extra 0.2% eye drops (Scope Ophthalmics Ltd)

Hycosan Extra 0.2% eye drops

SNOMED code: 22159011000001105
Supplier: Scope Ophthalmics Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Hycosan Extra 0.2% eye drops (Scope Ophthalmics Ltd) 7.5 ml `22159111000001106` ref. pack	💯 Available		No Price Available	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff)

Hy-Opti 0.2% eye drops preservative free (Alissa Healthcare Research Ltd)

Hy-Opti 0.2% eye drops preservative free

SNOMED code: 28285611000001101
Supplier: Alissa Healthcare Research Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Hy-Opti 0.2% eye drops preservative free (Alissa Healthcare Research Ltd) 10 ml `28285711000001105` ref. pack	Discontinued 1 Jun 2022	`5060135170820` 2 Dec 2015	No Price Available 1 Sep 2022 previously: £9.50	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Sep 2022 previously: Allowed (in Drug Tariff)
Hy-Opti 0.2% eye drops preservative free (Alissa Healthcare Research Ltd) 12 ml `40442511000001103` ref. pack	💯 Available	`5060135171612` 1 Feb 2022	NHS Indicative Price £4.78	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

HydraMed 0.2% eye drops preservative free (Farmigea S.p.A.)

HydraMed 0.2% eye drops preservative free

SNOMED code: 28050511000001109
Supplier: Farmigea S.p.A.
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
HydraMed 0.2% eye drops preservative free (Farmigea S.p.A.) 10 ml `28050611000001108` ref. pack	💯 Available	`8032668870864` 29 Oct 2015	NHS Indicative Price 1 Apr 2023 £5.74 previously: £5.60	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Hylo-Forte 0.2% eye drops preservative free (Scope Ophthalmics Ltd)

previously Hylo-Forte 0.2% eye drops

Hylo-Forte 0.2% eye drops preservative free

SNOMED code: 16119611000001106
Named: 1 Jan 2014
Supplier: Scope Ophthalmics Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Hylo-Forte 0.2% eye drops preservative free (Scope Ophthalmics Ltd) 10 ml `16119811000001105` ref. pack	💯 Available		NHS Indicative Price 1 Dec 2013 £9.50 previously: £10.80	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Evolve HA 0.2% eye drops preservative free (Medicom Healthcare Ltd)

Evolve HA 0.2% eye drops preservative free

SNOMED code: 32567411000001106
Supplier: Medicom Healthcare Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Evolve HA 0.2% eye drops preservative free (Medicom Healthcare Ltd) 10 ml `32567711000001100` ref. pack	💯 Available	`5060119660514` 1 May 2016	NHS Indicative Price 1 Mar 2024 £6.5 previously: £5.99	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Clinitas Multi 0.2% eye drops preservative free (Altacor Ltd)

Clinitas Multi 0.2% eye drops preservative free

SNOMED code: 37931211000001101
Supplier: Altacor Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Clinitas Multi 0.2% eye drops preservative free (Altacor Ltd) 10 ml `37931411000001102` ref. pack	💯 Available	`5060156070222` 1 Jan 2020	NHS Indicative Price £5.99	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Ocu-Lube HA 0.2% eye drops preservative free (Sai-Meds Ltd)

Ocu-Lube HA 0.2% eye drops preservative free

SNOMED code: 38038011000001104
Supplier: Sai-Meds Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Ocu-Lube HA 0.2% eye drops preservative free (Sai-Meds Ltd) 10 ml `38038111000001103` ref. pack	💯 Available		NHS Indicative Price £7.90	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Eyeaze 0.2% eye drops preservative free (Ridge Pharma Ltd)

Eyeaze 0.2% eye drops preservative free

SNOMED code: 39873311000001108
Supplier: Ridge Pharma Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Eyeaze 0.2% eye drops preservative free (Ridge Pharma Ltd) 10 ml `39873411000001101` ref. pack	💯 Available	`5900741962283` 29 Nov 2022	NHS Indicative Price 1 Jan 2026 £4.5 previously: £4.15	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

VIZhyal 0.2% eye drops preservative free (East Midlands Pharma Ltd)

VIZhyal 0.2% eye drops preservative free

SNOMED code: 40040211000001108
Supplier: East Midlands Pharma Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
VIZhyal 0.2% eye drops preservative free (East Midlands Pharma Ltd) 10 ml `40040311000001100` ref. pack	💯 Available	`5060133377177` 22 Feb 2022	NHS Indicative Price 1 Aug 2022 £4.10 previously: £5.10	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Xailin Plus HA 0.2% eye drops preservative free (Visufarma UK Ltd)

Xailin Plus HA 0.2% eye drops preservative free

SNOMED code: 40146311000001109
Supplier: Visufarma UK Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Xailin Plus HA 0.2% eye drops preservative free (Visufarma UK Ltd) 10 ml `40146411000001102` ref. pack	💯 Available	`5060361080078` 1 Jul 2022 End: 11 Nov 2025`5900741962610` 12 Nov 2025	NHS Indicative Price 1 Nov 2023 £4.15 previously: £5.60	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Aactive HA PF 0.2% eye drops preservative free (TriOn Pharma Ltd)

Aactive HA PF 0.2% eye drops preservative free

SNOMED code: 41460611000001102
Supplier: TriOn Pharma Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Aactive HA PF 0.2% eye drops preservative free (TriOn Pharma Ltd) 10 ml `41460711000001106` ref. pack	💯 Available	`5060660872275` 1 Mar 2023	NHS Indicative Price 1 Mar 2025 £3.46 previously: £3.79	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Ocufresh Everyday 0.2% eye drops preservative free (Blumont Healthcare Ltd)

Ocufresh Everyday 0.2% eye drops preservative free

SNOMED code: 42150011000001100
Supplier: Blumont Healthcare Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Ocufresh Everyday 0.2% eye drops preservative free (Blumont Healthcare Ltd) 10 ml `42150411000001109` ref. pack	💯 Available	`5060148681351` 1 Sep 2023	NHS Indicative Price 1 Jul 2024 £3.49 previously: £3.80	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Kent Pharma Sodium Hyaluronate 0.2% eye drops preservative free (Kent Pharma (UK) Ltd)

Kent Pharma Sodium Hyaluronate 0.2% eye drops preservative free

SNOMED code: 42228011000001104
Supplier: Kent Pharma (UK) Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Kent Pharma Sodium Hyaluronate 0.2% eye drops preservative free (Kent Pharma (UK) Ltd) 10 ml `42228111000001103` ref. pack	💯 Available	`8032668872219` 1 Oct 2023	NHS Indicative Price 1 Jun 2024 £3.40 previously: £3.50	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Eyeaze Lyte 0.2% eye drops preservative free (Ridge Pharma Ltd)

Eyeaze Lyte 0.2% eye drops preservative free

SNOMED code: 44516811000001101
Supplier: Ridge Pharma Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Eyeaze Lyte 0.2% eye drops preservative free (Ridge Pharma Ltd) 10 ml `44516911000001106` ref. pack	💯 Available	`5900741963686` 1 Mar 2025	NHS Indicative Price 1 Jan 2026 £3.89 previously: £4.15	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)

Xailin HA 0.2% eye drops preservative free (Visufarma UK Ltd)

Xailin HA 0.2% eye drops preservative free

SNOMED code: 28488211000001106
Status: ❌ Invalid
Supplier: Visufarma UK Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Xailin HA 0.2% eye drops preservative free (Visufarma UK Ltd) 10 ml `28488311000001103` ref. pack	❌ Invalid Discontinued 14 Jun 2018		No Price Available 13 Jun 2018 previously: £7.19	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 13 Jun 2018 previously: Allowed (in Drug Tariff)

Reference packs

Sodium hyaluronate 0.2% eye drops preservative free 7.5 ml

SNOMED code

22158911000001101

Quantity and unit

7.5 ml

Packs

Hycosan Extra 0.2% eye drops (Scope Ophthalmics Ltd) 7.5 ml

Sodium hyaluronate 0.2% eye drops preservative free 10 ml

SNOMED code

16119511000001107

Quantity and unit

10 ml

Drug Tariff

payment category: Part IXa

Packs

Hylo-Forte 0.2% eye drops preservative free (Scope Ophthalmics Ltd) 10 ml
HydraMed 0.2% eye drops preservative free (Farmigea S.p.A.) 10 ml
Hy-Opti 0.2% eye drops preservative free (Alissa Healthcare Research Ltd) 10 ml
Xailin HA 0.2% eye drops preservative free (Visufarma UK Ltd) 10 ml
Evolve HA 0.2% eye drops preservative free (Medicom Healthcare Ltd) 10 ml
Clinitas Multi 0.2% eye drops preservative free (Altacor Ltd) 10 ml
Ocu-Lube HA 0.2% eye drops preservative free (Sai-Meds Ltd) 10 ml
Eyeaze 0.2% eye drops preservative free (Ridge Pharma Ltd) 10 ml
VIZhyal 0.2% eye drops preservative free (East Midlands Pharma Ltd) 10 ml
Xailin Plus HA 0.2% eye drops preservative free (Visufarma UK Ltd) 10 ml
Aactive HA PF 0.2% eye drops preservative free (TriOn Pharma Ltd) 10 ml
Ocufresh Everyday 0.2% eye drops preservative free (Blumont Healthcare Ltd) 10 ml
Kent Pharma Sodium Hyaluronate 0.2% eye drops preservative free (Kent Pharma (UK) Ltd) 10 ml
Eyeaze Lyte 0.2% eye drops preservative free (Ridge Pharma Ltd) 10 ml
iGel 0.2% eye drops preservative free (Agepha Pharma s.r.o.) 10 ml

Sodium hyaluronate 0.2% eye drops preservative free 12 ml

SNOMED code

40442411000001102

Quantity and unit

12 ml

Drug Tariff

payment category: Part IXa

Packs

Hy-Opti 0.2% eye drops preservative free (Alissa Healthcare Research Ltd) 12 ml