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24 November 2021 by Sue Swift

Tears Naturale II™ Tariff Tip

  • Wales
  • England
  • Scotland
  • Northern Ireland

Sue Swift, our UK Drug Tariff Information Technician, and the rest of the information team have been receiving numerous calls on Tears Naturale ™ & Tears Naturale II™ over the last couple of months.  No clarity from either the NHS or the manufacturer has yet been provided, but this is the information we have at present:                                      

Differences between the two products

Tears Naturale ™
(P medicine)

Tears Naturale II™
(Medical Device)

Discontinued 29th Sept 2021

New 21st June 2021

Ingredients

Hypromellose

Hypromellose

Dextran 70

Dextran 70

Disodium Edetate

Borax

Sodium Chloride

Sodium Chloride

Potassium Chloride

Potassium Chloride

Benzalkonium Chloride

Polyquad (polidronium chloride)

Hydrochloric acid and/or Sodium Hydroxide

Hydrochloric acid and/or Sodium Hydroxide

Purified Water

Purified Water

Tears Naturale II is classed as a medical device and so it must be named in the Drug Tariff to be prescribed. The England and Wales tariff still lists the previous version Tears Naturale which is a Pharmacy only medicine whereas  Tears  Naturale II bears the CE mark of an appliance.

Both  Tears Naturale multi-dose 15ml bottleand Tears Naturale single dose units were discontinued by the maufactures in July 2021 and the dictionary of Medicnes & Devices on 29xth Sept 2021.However, the manufacturers, Alcon have re-formulated the drops as a new product called Tears Naturale II which has been registered as a medical device. As with all devices this cannot be dispensed on a NHS prescription unless the device is listed in the Drug Tariff , at time of writing the this Tariff Tip (November 2021), Tears Naturale II is NOT listed in the any of the UK tariffs , but it can be purchased over the counter and can be written on a private prescription.

Figure 1 DISC Tears Naturale


Figure 2  NEW Tears Naturale II

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