Lymphoedema garments made to measure armsleeve to axilla with gauntlet

SNOMED code
33502811000001102
Preferred name basis
Other
Prescribable
Never Valid To Prescribe As A VMP
Dose form
Not applicable
Ingredients
Form & Route

Controlled drug
No Controlled Drug Status

Products

Jobst Elvarex custom fit class 1 (15-21mmHg) armsleeve to axilla with gauntlet lymphoedema garment U1-01-05 Beige (Essity UK Ltd)

previously Jobst Elvarex custom fit class 1 (14-18mmHg) armsleeve to axilla with gauntlet lymphoedema garment

Jobst Elvarex custom fit class 1 (15-21mmHg) armsleeve to axilla with gauntlet lymphoedema garment

SNOMED code
10110911000001101
Named
Supplier
Essity UK Ltd
Licensed as
Devices
Availability restrictions
None
Pack name & codeStatusGTIN, EAN barcodesPricePrescribingReimbursementPack
Jobst Elvarex custom fit class 1 (15-21mmHg) armsleeve to axilla with gauntlet lymphoedema garment U1-01-05 Beige (Essity UK Ltd) 1 device
10111011000001109   ref. pack
💯 AvailableNHS Indicative Price
  £77.41
previously: £76.71
• Nurse Formulary
  • • Prescription Charges
  • • Dispensing Fees
  • • Special container
Appliance Reimbursement status: Allowed (in Drug Tariff)
Jobst Elvarex custom fit class 2 (23-32mmHg) armsleeve to axilla with gauntlet lymphoedema garment U2-02-05 Beige (Essity UK Ltd)

previously Jobst Elvarex custom fit class 2 (20-25mmHg) armsleeve to axilla with gauntlet lymphoedema garment

Jobst Elvarex custom fit class 2 (23-32mmHg) armsleeve to axilla with gauntlet lymphoedema garment

SNOMED code
10111811000001103
Named
Supplier
Essity UK Ltd
Licensed as
Devices
Availability restrictions
None
Pack name & codeStatusGTIN, EAN barcodesPricePrescribingReimbursementPack
Jobst Elvarex custom fit class 2 (23-32mmHg) armsleeve to axilla with gauntlet lymphoedema garment U2-02-05 Beige (Essity UK Ltd) 1 device
10111911000001108   ref. pack
💯 AvailableNHS Indicative Price
  £78.77
previously: £78.6
• Nurse Formulary
  • • Prescription Charges
  • • Dispensing Fees
  • • Special container
Appliance Reimbursement status: Allowed (in Drug Tariff)
Jobst Elvarex custom fit class 2 forte (23-32mmHg) armsleeve to axilla with gauntlet lymphoedema garment U3-03-05 Beige (Essity UK Ltd)

previously Jobst Elvarex custom fit class 3 (25-30mmHg) armsleeve to axilla with gauntlet lymphoedema garment

Jobst Elvarex custom fit class 2 forte (23-32mmHg) armsleeve to axilla with gauntlet lymphoedema garment

SNOMED code
10112611000001108
Named
Supplier
Essity UK Ltd
Licensed as
Devices
Availability restrictions
None
Pack name & codeStatusGTIN, EAN barcodesPricePrescribingReimbursementPack
Jobst Elvarex custom fit class 2 forte (23-32mmHg) armsleeve to axilla with gauntlet lymphoedema garment U3-03-05 Beige (Essity UK Ltd) 1 device
10112711000001104   ref. pack
💯 AvailableNHS Indicative Price
  £79.33
previously: £78.62
• Nurse Formulary
  • • Prescription Charges
  • • Dispensing Fees
  • • Special container
Appliance Reimbursement status: Allowed (in Drug Tariff)

Reference packs

Lymphoedema garments made to measure armsleeve to axilla with gauntlet 1 device
SNOMED code
33008511000001100
Quantity and unit
1 device
Drug Tariff

payment category: Part IXa

Packs