F1SCHEDULE 1VOUCHER LETTER CODES AND FACE VALUES – SUPPLY AND REPLACEMENT

Regulations 1(2) and (3), 9(2)a), 10(2)(a), 16(2)(a) and (3)(a)

Annotations:

Column 1

Column 2

Column 3

Type of optical appliance

Letter code

Face value of voucher

1

Glasses with single vision lenses of a spherical power of not more than 6 dioptres with a cylindrical power of not more than 2 dioptres;

A

F4£38.70

2

Glasses with single vision lenses–

a

of a spherical power of more than 6 dioptres but less than 10 dioptres with a cylindrical power of not more than 6 dioptres;

b

of a spherical power of less than 10 dioptres with a cylindrical power of more than 2 dioptres but not more than 6 dioptres.

B

F4£58.70

3

Glasses with single vision lenses of a spherical power of 10 or more dioptres but not more than 14 dioptres with a cylindrical power of not more than 6 dioptres;

C

F4£86.00

4

Glasses with single vision lenses–

a

of a spherical power of more than 14 dioptres with any cylindrical power;

b

of a cylindrical power of more than 6 dioptres with any spherical power.

D

F4£194.10

5

Glasses with bifocal lenses of a spherical power of not more than 6 dioptres with a cylindrical power of not more than 2 dioptres;

E

F4£66.80

6

Glasses with bifocal lenses–

a

of a spherical power of more than 6 dioptres but less than 10 dioptres with a cylindrical power of not more than 6 dioptres;

b

of a spherical power less than 10 dioptres with a cylindrical power of more than 2 dioptres but not more than 6 dioptres.

F

F4£84.80

7

Glasses with bifocal lenses of a spherical power of 10 or more dioptres but not more than 14 dioptres with a cylindrical power of not more than 6 dioptres;

G

F4£110.10

8

Glasses with prism-controlled bifocal lenses of any power or with bifocal lenses–

a

of a spherical power of more than 14 dioptres with any cylindrical power;

b

with a cylindrical power of more than 6 dioptres with any spherical power.

H

F4£213.40

9

Glasses not falling within any of paragraphs 1 to 8 for which a prescription is given in consequence of a testing of sight by F2... F3a Health Board.

I

F4£198.80

10

Contact lenses for which a prescription is given in consequence of a testing of sight by F2... F3a Health Board.

J

F4£56.40