Page 23 - P4304.1-V111_PS Magazine - July 25

Top Tips

Orion Pharma alternatives PSUK is pleased to offer a 40% discount
Sadly, Orion Pharma have decided to end their MDS on their Easyhaler range as of 31st May 2025.
The table below highlights a selection of profitable alternatives that your practice could potentially use. on Sereflo pMDIs for dispensing practices
Some of the alternatives listed may be a different device type, but will be in the same therapy area.
If you would like more information, please contact your PSUK Dispensing Doctor Account Manager to
request the relevant Boost. PSUK Discount Partners

PIP DT NHS Total NETT DT NHS Profit Profit We launched Discount Partners in February 2025 and since then have added new suppliers to the offering on
Product Information Code Supplier Price Price Rebate WD % Price Claw- Claw- Prescribed Prescribed a regular basis.
back back Generically By Brand Product NHS List price 1 PSUK discount Saving
Potential Easyhaler Formoterol Alternatives From June, we are adding two new suppliers which we think will really benefit members.
Orion
Easyhaler Formoterol 12mcg DPI (120 Dose) 3250883 £23.75 £23.75 0% 0% 0% £23.75 £2.66 £2.66 -£2.66 -£2.66
Pharma Sereflo pMDI
Atimos Modulite 12mcg MDI (100 Dose) 3163706 Chiesi £30.06 £30.06 30% 0% 30% £21.04 £3.36 £3.36 £5.66 £5.66 25/125mcg £14.99 40% £5.99
Oxis Turbohaler 12mcg DPI (60 Dose) 2446060 AstraZeneca £24.80 £24.80 5% 5% 10% £22.32 £2.77 £2.77 -£0.29 -£0.29
Potential Fobumix Easyhaler Alternatives Sereflo pMDI
Fobumix Easyhaler 4.5mcg/80mcg DPI (120 4040374 Orion £28.00 £21.50 0% 0% 0% £21.50 £3.13 £2.40 £3.37 -£2.40 £19.99 40% £7.99
Dose) Pharma 25/250mcg
Fobumix Easyhaler 4.5mcg/160mcg DPI (60 4040382 Orion £10.75 £10.75 0% 0% 0% £10.75 £1.20 £1.20 -£1.20 -£1.20
Dose) Pharma
Fobumix Easyhaler 4.5mcg/160mcg DPI (120 4040390 Orion £28.00 £21.50 0% 0% 0% £21.50 £3.13 £2.40 £3.37 -£2.40
Dose) Pharma Sereflo pMDI can offer a 25mcg salmeterol with 125 or 250mcg fluticasone
Fobumix Easyhaler 9mcg/320mcg DPI (120 4040408 Orion £28.00 £21.50 0% 0% 0% £21.50 £3.13 £2.40 £3.37 -£2.40
Modern Infrastructure for Better Patient
CCS Media
Dose) Pharma combination more cost-effectively than the market-leading competitors,
DuoResp Spiromax 6mcg/200mcg DPI (120 3886298 Teva £28.00 £27.97 30% 0% 30% £19.58 £3.13 £3.13 £5.29 £5.26
1-3
Dose) Seretide® and Sirdupla® (salmeterol/fluticasone). Plus, you can take
DuoResp Spiromax 12mcg/400mcg DPI (120 3886280 Teva £28.00 £27.97 30% 0% 30% £19.58 £3.13 £3.13 £5.29 £5.26 CCS Media is a Technology and Supplies Reseller Experiences
Dose) advantage of significant additional savings with the PSUK discount.
with over 41 years of experience delivering first-
Digital transformation is reshaping healthcare.
Teva MDS rebate is paid directly by the manufacturer
Symbicort Turbohaler 6mcg/100mcg DPI (120 2798031 AstraZeneca £28.00 £28.00 35% 5% 40% £16.80 £3.13 £3.13 £8.07 £8.07 class IT solutions and services across the UK and CCS Media builds robust data centre and network
Dose) beyond. solutions that optimise your practice’s operations,
Symbicort Turbohaler 6mcg/200mcg DPI (120 2798023 AstraZeneca £28.00 £28.00 35% 5% 40% £16.80 £3.13 £3.13 £8.07 £8.07
Dose) As a multi-award-winning reseller, CCS Media leveraging cloud and software-defined technologies.
Symbicort Turbohaler 12mcg/400mcg DPI (60 2938272 AstraZeneca £28.00 £28.00 35% 5% 40% £16.80 £3.13 £3.13 £8.07 £8.07
delivers IT products and services that enhance
Dose) Sereflo pMDI is indicated for use in adults with asthma 18 years of age and older only. 4,5
Secure and Collaborative Practice Solutions
35% MDS rebate is from pack 11 per month. First 10 packs receive a 7% MDS rebate efficiency and reduce risk.
Sereflo pMDI is indicated in the regular treatment of patients with moderate to severe asthma
Effective communication and security are crucial.
WockAIR 6.1mcg/194.7mcg DPI (120 Dose) 1248756 Wockhardt £19.00 £19.00 20% 0% 20% £15.20 £2.12 £2.12 £1.68 £1.68 where use of a combination product (long-acting β2 agonist and inhaled corticosteroid)
As a valued partner, PSUK members receive
WockAIR 10.8mcg/346.3mcg DPI (120 Dose) 1248764 Wockhardt £19.00 £19.00 20% 0% 20% £15.20 £2.12 £2.12 £1.68 £1.68 is appropriate: CCS Media offers collaboration tools and security
exclusive discounts on our wide range of products
architectures tailored for the healthcare sector,
and services, maximising value and supporting your
Potential Fusacomb Easyhaler Alternatives - patients not adequately controlled on a lower strength corticosteroid combination product 4,5
Orion
Fusacomb Easyhaler 50mcg/250mcg DPI (60 Dose) 4075891 Pharma £33.95 £21.50 0% 0% 0% £21.50 £3.80 £2.40 £8.65 -£2.40 or practice’s success. protecting patient data and ensuring compliance.
For more information on how CCS Media can help
Orion
Comprehensive Supplies to drive
Fusacomb Easyhaler 50mcg/500mcg DPI (60 Dose) 4075909 Pharma £32.74 £26.99 0% 0% 0% £26.99 £3.66 £3.02 £2.09 -£3.02 - patients already adequately controlled on an inhaled corticosteroid in a mid or
Efficiency
Fixkoh AirMaster 50mcg/250mcg DPI (60 Dose) 4171625 Thornton & £33.95 £19.29 38% 0% 38% £11.96 £3.80 £2.16 £18.19 £5.17 high strength and a long-acting β2 agonist. 4,5 your practice, please complete the contact form on
Ross
Fixkoh AirMaster 50mcg/500mcg DPI (60 Dose) 4171617 Thornton & £32.74 £16.12 26% 0% 26% £11.93 £3.66 £1.80 £17.15 £2.39 From dispensing equipment to office supplies, CCS our website or get in touch by phone:
Ross
Seretide Accuhaler 50mcg/250mcg DPI (60 Dose) 2602654 GSK £33.95 £33.95 12% 0% 12% £29.88 £3.80 £3.80 £0.28 £0.28 Seretide is a trademark of GSK. Sirdupla is a registered trademark of Mylan. Phone - 01246 200200
Media provides everything your practice needs to
pMDI = pressurised metered dose inhaler.
Seretide Accuhaler 50mcg/500mcg DPI (60 Dose) 2602647 GSK £32.74 £32.74 12% 0% 12% £28.81 £3.66 £3.66 £0.27 £0.27 run smoothly, ensuring productivity and patient Website - www.ccsmedia.com
Sodium Hyaluronate 0.4% Preservative-Free Eye Drops (10ml) satisfaction.
®
Orion
Easyhaler Beclometasone 200mcg DPI (200 Dose) 3175825 Pharma £14.93 £14.93 0% 0% 0% £14.93 £1.67 £1.67 -£1.67 -£1.67 Sereflo Metered Dose Inhaler (salmeterol xinafoate/fluticasone with caution in patients with severe cardiovascular disorders or heart rhythm abnormalities and in
patients with diabetes mellitus, thyrotoxicosis, uncorrected hypokalaemia or with a predisposition to
propionate)
Clenil Modulite 50mcg MDI (200 Dose) 2771376 Chiesi £3.70 £3.70 30% 2.25% 32% £2.51 £0.41 £0.41 £0.78 £0.78 Prescribing Information low levels of serum potassium. Prescribers should also be aware of the risk of adrenal suppression
and acute adrenal crisis which may occur in patients on prolonged treatment with high doses of
Please consult the full Summary of Product Characteristics (SmPC) before prescribing
Clenil Modulite 100mcg MDI (200 Dose) 2771400 Chiesi £7.42 £7.42 30% 2.25% 32% £5.03 £0.83 £0.83 £1.56 £1.56 Sereflo 25 microgram (μg) salmeterol xinafoate /125 μg or 250 μg fluticasone propionate per actuation inhaled corticosteroids. Systemic effects may occur with any inhaled corticosteroid and it is important
Clenil Modulite 200mcg MDI (200 Dose) 2771392 Chiesi £16.17 £16.17 30% 2.25% 32% £10.96 £1.81 £1.81 £3.41 £3.41 pressurised inhalation, suspension. For both dose strengths the equivalent delivered dose per therefore, that the patient is reviewed regularly and the dose of inhaled corticosteroid is reduced to the
lowest dose at which effective control of asthma is maintained. Visual disturbances may be reported
actuation is 21 μg of salmeterol and the delivered fluticasone propionate is 110 μg, for 125 μg dose
Clenil Modulite 250mcg MDI (200 Dose) 2771384 Chiesi £16.29 £16.29 30% 2.25% 32% £11.04 £1.82 £1.82 £3.43 £3.43 strength and 220 μg, for 250 μg dose strength. INDICATIONS: For use in adults with asthma 18 years with steroid use. Patients presenting with blurred vision or other visual disturbances should be
of age and older only. Sereflo is indicated in the regular treatment of patients with moderate to severe considered for referral to an ophthalmologist. Drug Interactions: Concomitant use should be avoided
Qvar 50mcg MDI (200 Dose) 2544724 Teva £3.70 £7.87 40% 0% 40% £4.72 £0.41 £0.88 -£1.44 £2.27 asthma where use of a combination product (long-acting β2 agonist and inhaled corticosteroid) is with; non-selective and selective β blockers, ritonavir and other potent/moderate CYP3A inhibitors,
appropriate: patients not adequately controlled on a lower strength corticosteroid combination product unless potential benefit outweighs the risk. Particular caution is advised in acute severe asthma
Qvar 100mcg MDI (200 Dose) 2544732 Teva £7.42 £17.21 40% 0% 40% £10.33 £0.83 £1.92 -£3.74 £4.96 or patients already adequately controlled on an inhaled corticosteroid in a mid or high strength and as hypokalaemia may be potentiated by concomitant treatment with xanthine derivatives, steroids
Qvar Easi-Breathe 50mcg MDI (200 Dose) 3102357 Teva £7.87 £7.74 32% 0% 32% £5.26 £0.88 £0.87 £1.73 £1.61 a long-acting β2 agonist. POSOLOGY AND ADMINISTRATION: Patients should be instructed and diuretics. See the SmPC for further information on contraindications and precautions.
Valley Northern
PREGNANCY AND LACTATION: Balance risks against benefits. UNDESIRABLE EFFECTS:
in the proper use of their inhaler (see SmPC and patient information leaflet). Recommended With their strong customer focus, Valley Northern
Adverse events which have been associated with salmeterol/fluticasone propionate include: Very
Qvar Easi-Breathe 100mcg MDI (200 Dose) 3102365 Teva £17.21 £16.95 32% 0% 32% £11.53 £1.92 £1.90 £3.76 £3.53 doses in adults 18 years and older - Two inhalations of 25μg salmeterol and 125 μg or 250 μg are more than just products, they are here to help
Valley Northern is a family run business based in
fluticasone propionate twice daily. A short-term trial of salmeterol and fluticasone propionate may be common; nasopharyngitis and headache; Common; candidiasis of the mouth and throat, pneumonia,
Teva MDS rebate is paid directly by the manufacturer considered as initial maintenance therapy in adults with moderate persistent asthma for whom rapid move your business forward! Here’s a few of the extra
bronchitis, hypokalaemia, throat irritation, hoarseness/dysphonia, sinusitis, contusions, muscle
Stafford, UK. They supply the healthcare industry
control of asthma is essential. In these cases, the recommended initial dose is two inhalations of 25 cramps, traumatic fractures, arthralgia and myalgia. For other adverse events please consult the full
Soprobec 50mcg MDI (200 Dose) 4098620 Glenmark £3.70 £2.41 39% 3% 42% £1.40 £0.41 £0.27 £1.89 £0.74 benefits that they offer...
with medical packaging, consumables and
μg salmeterol and 50 μg fluticasone propionate twice daily. Note: Sereflo is not available in a lower SmPC. MARKETING AUTHORISATION HOLDER & PL NUMBERS: Cipla (EU) Ltd. Dixcart House,
Addlestone Road, Bourne Business Park, Addlestone, Surrey KT15 2LE. PL 36390/0237 and PL
Soprobec 100mcg MDI (200 Dose) 4098638 Glenmark £7.42 £4.82 39% 3% 42% £2.80 £0.83 £0.54 £3.79 £1.49 strength product containing salmeterol 25 μg and fluticasone propionate 50 μg. Therefore, when > Design Consultant Service
equipment, from prescription bags to fridges, and a
initiating therapy, or when it is appropriate to titrate down to a dose below 125 μg, an alternative 36390/0238. Legal category: POM. NHS Cost 25 μg/125 μg 1x 120 dose MDI £14.99 and 25 μg/250
Soprobec 200mcg MDI (200 Dose) 4098646 Glenmark £16.17 £10.51 39% 3% 42% £6.10 £1.81 £1.18 £8.27 £3.24 fixed-dose combination of salmeterol and fluticasone propionate containing a lower dose of the μg 1x 120 doses MDI £19.99. Date of last revision: April 2020.
lot in between!
inhaled corticosteroid is required. Use of a spacer device; where required in those with difficulties in > Cost Consultant Service
Soprobec 250mcg MDI (200 Dose) 4098653 Glenmark £16.29 £10.59 39% 3% 42% £6.14 £1.82 £1.18 £8.33 £3.26 coordinating actuation of the inhaler with inspiration of breath, it is recommended ONLY for higher
They are a specialist and trusted supplier of high
strength Sereflo containing salmeterol 25 μg and fluticasone propionate 250 μg. Patients should > Lean Management/Storage Consultant Service
Adverse events should be reported. Reporting forms and information can
quality, safe medical consumables and pharmacy
Potential Easyhaler Budesonide Alternatives continue to use the same make of spacer device (Volumatic or the AeroChamber Plus) as switching be found at www.mhra.gov.uk/yellowcard or search for MHRA Yellowcard
Orion
packaging to the NHS Supply Chain, GP Practices,
Easyhaler Budesonide 100mcg DPI (200 Dose) 3100955 Pharma £14.25 £8.86 0% 0% 0% £8.86 £1.59 £0.99 £3.80 -£0.99 between spacer devices can result in changes in the dose delivered to the lungs. See the SmPC For more information on how Valley Northern can
in the Google Play or Apple App Store. Adverse events should also be
help your practice, please contact them by phone or
for further information on initiation, titration down and spacer use. CONTRAINDICATIONS:
Hospital Pharmacies, Chemist Groups, Community
Easyhaler Budesonide 200mcg DPI (200 Dose) 3100963 Orion £28.50 £17.71 0% 0% 0% £17.71 £3.19 £1.98 £7.60 -£1.98 Hypersensitivity to the active substances or to any of the excipients. SPECIAL WARNINGS AND reported Cipla (EU) Ltd on 0800 0472144, drugsafety@cipla.com
Pharma PRECAUTIONS: Sereflo should not be used to treat acute asthma symptoms for which a fast- and email at:
Pharmacies and vets across the UK.
Orion
Easyhaler Budesonide 400mcg DPI (100 Dose) 3100971 Pharma £28.50 £17.71 0% 0% 0% £17.71 £3.19 £1.98 £7.60 -£1.98 short-acting bronchodilator is required. Patients should be advised to have their inhaler to be used Email - sales@valleynorthern.com
As a PSUK member you now have access to up to
Pulmicort Turbohaler 100mcg DPI (200 Dose) 123521 AstraZeneca £14.25 £14.25 5% 5% 10% £12.83 £1.59 £1.59 -£0.17 -£0.17 for relief in an acute asthma attack available at all times. Patients should not be initiated on Sereflo References.
1. Dictionary of medicines and devices (dm+d), available at https://www.nhsbsa.nhs.uk/pharmacies-gp-
during an exacerbation, or significantly worsening or acutely deteriorating asthma. Serious asthma- Phone - 01785 250123
10% discount from Valley Northern.
Pulmicort Turbohaler 200mcg DPI (100 Dose) 464149 AstraZeneca £14.25 £14.25 5% 5% 10% £12.83 £1.59 £1.59 -£0.17 -£0.17 related adverse events and exacerbations may occur with Sereflo. Patients should be asked to practices-and-appliance-contractors/dictionary-medicines-and-devices-dmd (accessed August 2022).
continue treatment but to seek medical advice if asthma symptoms remain uncontrolled or worsen 2. British National Formulary, Medicinal forms, available at
https://bnf.nice.org.uk/medicinal-forms/fluticasone-with-salmeterol.html (accessed August 2022).
Pulmicort Turbohaler 400mcg DPI (50 Dose) 464156 AstraZeneca £14.25 £14.25 5% 5% 10% £12.83 £1.59 £1.59 -£0.17 -£0.17 after initiation. Treatment should not be stopped abruptly due to risk of exacerbation. Therapy should Website - www.valleynorthern.com
be down-titrated under physician supervision. All inhaled medication containing corticosteroids 3. MIMS.co.uk (accessed August 2022).
should be administered with caution in patients with active or quiescent pulmonary tuberculosis and 4. Sereflo 25 microgram/125 microgram. Summary of Product Characteristics.
fungal, viral or other infections of the airway. Salmeterol and fluticasone propionate should be used 5. Sereflo 25 microgram/250 microgram. Summary of Product Characteristics.
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