Polyurethane foam film dressing sterile without adhesive border 15cm x 20cm rectangular

SNOMED code: 3133811000001108
Preferred name basis: Other
Prescribable: Invalid to prescribe in NHS primary care
Non-availability: Actual Products not Available
Non-availability date: 1 Aug 2023
Dose form: Not applicable
Ingredients
Form & Route
Controlled drug: No Controlled Drug Status

Products

Lyofoam Extra dressing (non-adhesive) 15cm x 20cm rectangular (Molnlycke Health Care Ltd)

previously Lyofoam Extra dressing (non adhesive) 15cm x 20cm rectangular

Lyofoam Extra dressing (non-adhesive) 15cm x 20cm rectangular

SNOMED code: 409511000001109
Named: 19 Mar 2004
Supplier: Molnlycke Health Care Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Lyofoam Extra dressing (non-adhesive) 15cm x 20cm rectangular (Molnlycke Health Care Ltd) 1 dressing `1611311000001103` ref. pack	Discontinued 1 Jan 2013		No Price Available 1 Apr 2013 previously: £4.64	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Apr 2013 previously: Allowed (in Drug Tariff)
Lyofoam Extra dressing (non-adhesive) 15cm x 20cm rectangular (Molnlycke Health Care Ltd) 10 dressing `7761311000001106` ref. pack	Discontinued 1 Jan 2013		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Apr 2013 previously: Allowed (in Drug Tariff)

Tielle Plus Borderless dressing 15cm x 20cm rectangular (Johnson & Johnson Medical Ltd)

Tielle Plus Borderless dressing 15cm x 20cm rectangular

SNOMED code: 423411000001104
Supplier: Johnson & Johnson Medical Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Tielle Plus Borderless dressing 15cm x 20cm rectangular (Johnson & Johnson Medical Ltd) 1 dressing `1611811000001107` ref. pack	Discontinued 1 Mar 2008		No Price Available 1 Mar 2008 previously: £5.51	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Mar 2008 previously: Allowed (in Drug Tariff)
Tielle Plus Borderless dressing 15cm x 20cm rectangular (Johnson & Johnson Medical Ltd) 5 dressing `7800011000001101` ref. pack	Discontinued 1 Mar 2008		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Mar 2008 previously: Allowed (in Drug Tariff)

Allevyn Lite dressing 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd)

previously Allevyn LM dressing (non adhesive) 15cm x 20cm rectangular

Allevyn Lite dressing 15cm x 20cm rectangular

SNOMED code: 298911000001108
Named: 1 Feb 2003
Supplier: Smith & Nephew Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Allevyn Lite dressing 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 1 dressing `1715111000001109` ref. pack	Discontinued 1 Aug 2016		No Price Available 1 Nov 2016 previously: £4.38	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2016 previously: Allowed (in Drug Tariff)
Allevyn Lite dressing 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 10 dressing `7700611000001105` ref. pack	Discontinued 1 Aug 2016	`5000223440381` 19 Jan 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2016 previously: Allowed (in Drug Tariff)

Flexipore dressing (adhesive) 15cm x 20cm rectangular (Tissue Science Laboratories Plc)

Flexipore dressing (adhesive) 15cm x 20cm rectangular

SNOMED code: 242211000001108
Supplier: Tissue Science Laboratories Plc
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Flexipore dressing (adhesive) 15cm x 20cm rectangular (Tissue Science Laboratories Plc) 1 dressing `1715211000001103` ref. pack	Discontinued 15 Jul 2011		No Price Available 1 Nov 2011 previously: £3.70	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2011 previously: Allowed (in Drug Tariff)
Flexipore dressing (adhesive) 15cm x 20cm rectangular (Tissue Science Laboratories Plc) 10 dressing `7749111000001102` ref. pack	Discontinued 15 Jul 2011		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2011 previously: Allowed (in Drug Tariff)

Allevyn Thin dressing (adhesive) 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd)

Allevyn Thin dressing (adhesive) 15cm x 20cm rectangular

SNOMED code: 3723811000001104
Supplier: Smith & Nephew Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Allevyn Thin dressing (adhesive) 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 1 dressing `3724111000001108` ref. pack	Discontinued 1 Apr 2015		No Price Available 1 Jul 2015 previously: £4.29	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jul 2015 previously: Allowed (in Drug Tariff)
Allevyn Thin dressing (adhesive) 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 3 dressing `7702711000001102` ref. pack	Discontinued 1 Apr 2015	`5000223452957` 19 Jan 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jul 2015 previously: Allowed (in Drug Tariff)

Allevyn Compression dressing 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd)

Allevyn Compression dressing 15cm x 20cm rectangular

SNOMED code: 4170411000001104
Supplier: Smith & Nephew Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Allevyn Compression dressing 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 1 dressing `4170511000001100` ref. pack	Discontinued 1 Oct 2016		No Price Available 1 Jan 2017 previously: £4.90	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jan 2017 previously: Allowed (in Drug Tariff)
Allevyn Compression dressing 15cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 3 dressing `7697711000001105` ref. pack	Discontinued 1 Oct 2016	`5000223452070` 19 Jan 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jan 2017 previously: Allowed (in Drug Tariff)

Advazorb dressing 15cm x 20cm rectangular (Advancis Medical)

Advazorb dressing 15cm x 20cm rectangular

SNOMED code: 10078911000001101
Supplier: Advancis Medical
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Advazorb dressing 15cm x 20cm rectangular (Advancis Medical) 1 dressing `10079111000001106` ref. pack	Discontinued 1 Apr 2007		No Price Available 1 Apr 2007 previously: £1.60	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Apr 2007 previously: Allowed (in Drug Tariff)
Advazorb dressing 15cm x 20cm rectangular (Advancis Medical) 10 dressing `10079311000001108` ref. pack	Discontinued 1 Apr 2007		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Apr 2007 previously: Allowed (in Drug Tariff)

Tielle Xtra dressing 15cm x 20cm rectangular (Systagenix Wound Management Ltd)

Tielle Xtra dressing 15cm x 20cm rectangular

SNOMED code: 12515411000001103
Supplier: Systagenix Wound Management Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Tielle Xtra dressing 15cm x 20cm rectangular (Systagenix Wound Management Ltd) 1 dressing `12515511000001104` ref. pack	Discontinued 1 Feb 2018	`15051978001348` 4 Jun 2015	No Price Available 1 May 2018 previously: £5.51	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 May 2018 previously: Allowed (in Drug Tariff)
Tielle Xtra dressing 15cm x 20cm rectangular (Systagenix Wound Management Ltd) 5 dressing `12515611000001100` ref. pack	Discontinued 1 Feb 2018	`25051978001345` 4 Jun 2015	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 May 2018 previously: Allowed (in Drug Tariff)

Lyofoam Max dressing 15cm x 20cm rectangular (Molnlycke Health Care Ltd)

Lyofoam Max dressing 15cm x 20cm rectangular

SNOMED code: 19673911000001103
Supplier: Molnlycke Health Care Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Lyofoam Max dressing 15cm x 20cm rectangular (Molnlycke Health Care Ltd) 1 dressing `19674011000001100` ref. pack	Discontinued 1 Aug 2023		No Price Available 1 Nov 2023 previously: £2.83	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2023 previously: Allowed (in Drug Tariff)
Lyofoam Max dressing 15cm x 20cm rectangular (Molnlycke Health Care Ltd) 10 dressing `19674111000001104` ref. pack	Discontinued 1 Aug 2023		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2023 previously: Allowed (in Drug Tariff)