TARIFF CODES 2018 • O to T - GEMS

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Working towards a healthier you Please click on the relevant headings below to see a full list of the GEMS Tariff codes for 2018 Occupational and Art Therapy Optometry Tariffs Full Listing Orthoptists Physiotherapy Phytotherapy Podiatry Psychiatrist Medical Practitioner Psychology Psychometry Registered Counsellors Radiography Radiology Social Workers Sonographers Speech Therapy and Audiology Sub-Acute Facilities Tissue Transportation TARIFF CODES 2018 O to T

Transcript of TARIFF CODES 2018 • O to T - GEMS

Working towards a healthier you

Please click on the relevant headings below to see a full list of the GEMS Tariff codes for 2018

Occupational and Art Therapy

Optometry Tariffs Full Listing

Orthoptists

Physiotherapy

Phytotherapy

Podiatry

Psychiatrist Medical Practitioner

Psychology

Psychometry Registered Counsellors

Radiography

Radiology

Social Workers

Sonographers

Speech Therapy and Audiology

Sub-Acute Facilities

Tissue Transportation

TARIFF CODES 2018 • O to T

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

REGULATIONS DEFINING THE SCOPE OF THE PROFESSION OF OCCUPATIONAL THERAPY (R2145 – 31 July 1992)

GENERAL RULES

006 Where emergency treatment is provided:

a. during working hours, and the provision of such treatment requires the practitioner to leave her or his practice to attend to the patient in hospital; or

b. after working hours

the fee for such visits shall be the total fee plus 50%.

For purposes of this rule:

a. “emergency treatment” means a bona fi de, justifi able emergency occupational therapy procedure, where failure to provide the procedure immediately would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the person’s life in serious jeopardy; and

b. “working hours” means 8h00 to 17h00, Monday to Friday.

Modifi er 0006 must be quoted after the appropriate code number(s) to indicate that this rule is applicable.

Rule 006 does not apply to art therapy.

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OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

008 The provision of assistive devices shall be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that appliance is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that appliance is greater than or equal to one hundred rands

Modifi er 0008 must be quoted after the appropriate code numbers to show that this rule is applicable.

009 Materials used in the construction of orthoses or pressure garments shall be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

Modifi er 0009 must be quoted after the appropriate code numbers to show that this rule is applicable.

Rule 009 does not apply to art therapy.

010 Materials used in treatment shall be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

Modifi er 0010 must be quoted after the appropriate code numbers to show that this rule is applicable.

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

011 Where the therapist performs treatments away from the treatment rooms, travelling costs to be charged according to AA rates, e.g. for domicilliary treatments or treatments in nursing homes. Modifi er 0011 must be quoted after the appropriate code numbers to show that this rule is applicable.

Please note that, although only some medical schemes accept responsibility for the payment of transport expenses, others do so in exceptional cases only.

012 Every practitioner shall render a monthly account in respect of any service rendered during the month, irrespective of whether or not the treatment has been completed. NB: Every account shall contain the following particulars: i. the name and practice number of the consulting occupational

or art therapistii. the name of the memberiii. the name of the patientiv. the name of the medical schemev. the membership number of the patientvi. the nature of the treatmentvii. the date on which the service was renderedviii. the relevant diagnostic codes and NHRPL item code numbers

relating to the health service rendered

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OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

013 It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.

Please note: In the case of occupational therapy, a code will only be required when a standard proprietary (off the shelf) product is used. When a splint or support is made by the occupational therapist using or modifying one or more components, a code cannot accurately identify this non-standard product. Please refer to annexure itemising the most commonly made non-standard products used in occupational therapy and bill accordingly.

The Occupational Therapy Association of SA has made available a generic list of non-proprietary splints and pressure garments commonly made by practitioners. The type of materials used to manufacture these products is at the discretion of the practitioner concerned. Price of splints and pressure garments may vary. See Annexures A and B.

MODIFIERS

0006 Add 50% of the total fee for the procedure. Modifi er 0006 does not apply to art therapy.

0008 Assistive devices to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that appliance is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that appliance is greater than or equal to one hundred rands

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

0009 Materials used for orthoses or pressure garments to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands.

See Annexures A and B for non-standard products.

Modifi er 0009 does not apply to art therapy.

0010 Materials used in treatment to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

0011 Travelling costs according to AA rates.

Please note that although only some medical schemes accept responsibility for the payment of transport expenses, others do so in exceptional cases only.

0021 Services rendered to hospital inpatients: Quote modifi er 0021 on all accounts for services performed on hospital inpatients.

ITEMS

1. Procedures of interviewing, guidance and consultancy

108 Interview, guidance or consultation: 30 minute duration 171 21,250 1,0 R 220,60 380 21,250 1,0 R 120,70

109 Interview, guidance or consultation. Each additional 15 mins. A maximum of four instances of this code may be charged per session.

171 10,630 1,0 R 110,20 380 10,625 1,0 R 60,40

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Time-based items in this section exclude time spent on procedures charged in addition to the consultation.

107 Appointment not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).

171 - 1,0 R 0,00 380 - 0,0 R 0,00

110 Reports: To be used to motivate for therapy and/or give a progress report and/or a pre-authorisation report, where such a report is specifi cally required by the medical scheme.

171 16,500 1,0 R 171,20 380 22,140 1,0 R 125,80

501 Treatment in nursing home or other healthcare facilities. Relevant fee plus once per day

171 10,000 1,0 R 103,80 380 10,000 1,0 R 56,90

503 Domicillary treatments: Relevant fee plus 171 20,000 1,0 R 207,60 380 20,000 1,0 R 113,80

2. Procedures of initial evaluation to determine the treatment R 0,00

201 Observation and screening 171 7,500 1,0 R 77,90 380 10,000 1,0 R 56,90

203 Specifi c evaluation for a single aspect of dysfunction (specify which aspect)

171 7,500 1,0 R 77,90 380 10,000 1,0 R 56,90

205 Specifi c evaluation of dysfunction involving one part of the body for a specifi c functional problem (specify part and aspects evaluated)

171 22,500 1,0 R 233,60 380 30,000 1,0 R 170,50

207 Specifi c evaluation for dysfunction involving the whole body (specify condition and which aspects evaluated)

171 45,000 1,0 R 467,10 380 60,000 1,0 R 341,00

209 Specifi c in depth evaluation of certain functions affecting the total person (specify the aspects assessed)

171 75,000 1,0 R 778,50 380 100,000 1,0 R 568,20

211 Comprehensive in-depth evaluation of the total person (specify aspects assessed)

171 105,000 1,0 R 1 090,00 380 140,000 1,0 R 795,50

Measurement for designing

213 Measurement for designing a static or dynamic orthosis 171 7,500 1,0 R 77,90 R 0,00

217 A pressure garment for one limb 171 7,500 1,0 R 77,90 R 0,00

219 A pressure garment for one hand 171 7,500 1,0 R 77,90 R 0,00

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OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

221 A pressure garment for the trunk 171 7,500 1,0 R 77,90 R 0,00

223 A pressure garment for the face (chin strap only) 171 7,500 1,0 R 77,90 R 0,00

225 A pressure garment for the face (full face mask) 171 7,500 1,0 R 77,90 R 0,00

The whole body or part thereof will be the sum total of the parts

227 Specifi c built-in musical aids 380 10,000 1,0 R 56,90

3. Procedures of therapy

301 Group treatment in a task-centered activity, per patient (treatment time 60 minutes or more)

171 10,000 1,0 R 103,80 381 8,840 1,0 R 80,80

303 Placement of a patient in an appropriate treatment situation requiring structuring the environment, adapting equipment and positioning the patient. This does not require individual attention for the whole treatment session, per patient)

171 15,000 1,0 R 155,80 380 10,000 1,0 R 56,90

305 Groups directed to achieve common aims, per patient (treatment time 60 minutes or more)

171 20,000 1,0 R 207,60 381 16,500 1,0 R 150,90

307 Simultaneous treatment with two to four patients, each with specifi c problems, utilising individual activities, per patient (treatment time 60 minutes or more)

171 20,000 1,0 R 207,60 380 20,000 1,0 R 113,80

308 Simultaneous treatment with two to four neuro-behavioural and stress related conditions or severe head injury patients, each with specifi c problems, utilising individual activities, per patient (treatment time 90 minutes or more)

171 30,000 1,0 R 311,40 380 30,000 1,0 R 170,50

Individual and undivided attention during treatment sessions utilising specifi c activity and/or techniques in an integrated treatment session

309 On level one (15 minutes) 171 10,000 1,0 R 103,80 381 10,000 1,0 R 91,50

311 On level two (30 minutes) 171 20,000 1,0 R 207,60 381 20,000 1,0 R 182,90

313 On level three (45 minutes) 171 30,000 1,0 R 311,40 381 30,000 1,0 R 274,30

315 On level four (60 minutes) 171 40,000 1,0 R 415,20 381 40,000 1,0 R 365,60

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

317 On level fi ve (90 minutes) 171 50,000 1,0 R 519,00 381 50,000 1,0 R 457,00

319 On level six (120 minutes) 171 60,000 1,0 R 622,80 381 60,000 1,0 R 548,50

4. Procedures required to promote treatment

401 Recommendations as regards to assistive devices, environmental adaptations, alternative/compensatory methods, handling the patient

171 15,000 1,0 R 155,80 381 10,000 1,0 R 91,50

Designing and constructing a custom-made adaptation, assistive device, splint or simple pressure garment for treatment in a task-centered activity (specify the adaptation, assistive device, splint or simple pressure garment)

403 On level one 171 10,000 1,0 R 103,80 381 10,000 1,0 R 91,50

405 On level two 171 20,000 1,0 R 207,60 381 20,000 1,0 R 182,90

407 On level three 171 30,000 1,0 R 311,40 381 30,000 1,0 R 274,30

409 On level four 171 40,000 1,0 R 415,20 381 40,000 1,0 R 365,60

411 On level fi ve 171 50,000 1,0 R 519,00 381 50,000 1,0 R 457,00

413 On level six 171 60,000 1,0 R 622,80 381 60,000 1,0 R 548,50

415 Designing and constructing a static orthosis 171 60,000 1,0 R 622,80 R 0,00

417 Designing and constructing a dynamic orthosis 171 120,000 1,0 R 1 245,50 R 0,00

Designing and constructing pressure garment for:

419 Limb 171 60,000 1,0 R 622,80 R 0,00

421 Face (chin strap only) 171 45,000 1,0 R 467,10 R 0,00

423 Face (full face mask) 171 60,000 1,0 R 622,80 R 0,00

425 Trunk 171 90,000 1,0 R 934,30 R 0,00

427 Hand 171 90,000 1,0 R 934,30 R 0,00

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OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

The whole body or part thereof will be the sum total of the parts for the fi rst garment and 75% of the fee for any additional garments made on the same pattern

431 Planning and preparing in-depth home programme on a monthly basis

171 90,000 1,0 R 934,30 380 120,000 1,0 R 682,00

434 Hiring equipment: 1% of the current replacement value of the equipment per day. Total charge not to exceed 50% of replacement value. Description of equipment to be supplied.

Payment of this item is at the discretion of medical scheme concerned, and should be considered in instances where cost savings can be achieved. By prior arrangement with the medical scheme.

List of splints and pressure garments exempted from NAPPI codes

ANNEXURE A

Numbers and names of splints to be used with modifi er 0009

701 Static fi nger extension/fl exion splint 170 - 0,0 R 0,00

702 Dynamic fi nger extension/fl exion 170 - 0,0 R 0,00

703 Buddy strap 170 - 0,0 R 0,00

704 DIP/PIP fl exion strap 170 - 0,0 R 0,00

705 MP, PIP, DIP fl exion strap 170 - 0,0 R 0,00

706 Hand-based static fi nger extension/fl exion 170 - 0,0 R 0,00

707 Hand-based static thumb extension/fl exion/opposition/abduction 170 - 0,0 R 0,00

708 Hand-based dynamic fi nger fl exion/extension 170 - 0,0 R 0,00

709 Hand-based dynamic thumb fl exion/extension/opposition/abduction 170 - 0,0 R 0,00

710 Static wrist extension/fl exion 170 - 0,0 R 0,00

711 Dynamic wrist extension/fl exion 170 - 0,0 R 0,00

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

712 Flexion glove 170 - 0,0 R 0,00

713 Forearm based dynamic fi nger fl exion/extension 170 - 0,0 R 0,00

714 Forearm based dorsal protection 170 - 0,0 R 0,00

715 Forearm based volar resting 170 - 0,0 R 0,00

716 Static elbow extension/fl exion 170 - 0,0 R 0,00

717 Dynamic elbow fl exion/extension splint 170 - 0,0 R 0,00

718 Shoulder abduction splint 170 - 0,0 R 0,00

719 Static rigid neck splint 170 - 0,0 R 0,00

720 Static soft neck splint/brace 170 - 0,0 R 0,00

721 Static knee extension 170 - 0,0 R 0,00

722 Static foot dorsifl exion 170 - 0,0 R 0,00

ANNEXURE B

Numbers and names of pressure garments to be used with modifi er 0009

801 Glove to wrist 170 - 0,0 R 0,00

802 Glove to elbow 170 - 0,0 R 0,00

803 Gauntlet (glove with palm and thumb only) 170 - 0,0 R 0,00

804 Sleeve: Upper/forearm 170 - 0,0 R 0,00

805 Sleeve: Full 170 - 0,0 R 0,00

806 Vest + sleeves 170 - 0,0 R 0,00

807 Sleeveless vest 170 - 0,0 R 0,00

808 Upper leg 170 - 0,0 R 0,00

809 Lower leg 170 - 0,0 R 0,00

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

810 Full leg 170 - 0,0 R 0,00

811 Pants (trunk and full legs) 170 - 0,0 R 0,00

812 Briefs 170 - 0,0 R 0,00

813 Anklet 170 - 0,0 R 0,00

814 Knee-length stocking 170 - 0,0 R 0,00

815 Chin strap 170 - 0,0 R 0,00

816 Full face mask 170 - 0,0 R 0,00

817 Neck only 170 - 0,0 R 0,00

818 Finger sock 170 - 0,0 R 0,00

ANNEXURE C

List of materials used in treatment under modifi er 0010

901 Therapeutic putty 170 - 0,0 R 0,00 R 0,00

902 Wood, leather, sisal 170 - 0,0 R 0,00 R 0,00

903 Sponge 170 - 0,0 R 0,00 R 0,00

904 Elastonet 170 - 0,0 R 0,00 R 0,00

905 Silicon gel sheeting 170 - 0,0 R 0,00 R 0,00

Working towards a healthier you

OCCUPATIONAL AND ART THERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY OCCUPATIONAL AND ART THERAPISTS, WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Occupational TherapyCode: 36600

Practice Type: Art TherapyCode: 36700

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

ANNEXURE D

Assistive devices made by the therapist her/himself to be used with modifi er 0008

1001 Hip abduction cushion 170 - 0,0 R 0,00 R 0,00

1002 Sponge on a stick 170 - 0,0 R 0,00 R 0,00

1003 Hand grips (for utensils) 170 - 0,0 R 0,00 R 0,00

1004 Bath bench 170 - 0,0 R 0,00 R 0,00

1005 Bath seat 170 - 0,0 R 0,00 R 0,00

1006 Transfer board 170 - 0,0 R 0,00 R 0,00

1007 Plate surround 170 - 0,0 R 0,00 R 0,00

1008 Wheelchair strap 170 - 0,0 R 0,00 R 0,00

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

11001 Optometric examination R 463,80

11021 Optometric re-examination within six months of 11001/11081 R 308,80

11041 Consultation (15 minutes) without performing an optometric examination R 231,40

11081 Optometric examination and visual fi eld screening R 540,10

11141 Refractive status evaluation R 308,80

11161 Ocular pathology screening R 231,40

11183 Keratometry R 154,90

11202 Tonometry (non-contact) R 154,90

11212 Tonometry (aplanation) R 154,90

11221 Colour vision screening R 77,50

11246 Colour vision evaluation R 231,40

11265 Contrast sensitivity evaluation R 154,90

11283 Lacrimal system evaluation R 154,90

11303 Cycloplegic refraction R 231,40

11323 Preferential looking (infants < two years) R 231,40

11346 Corneal topography R 154,90

11356 Gonioscopy R 154,90

11366 Dilated fundus examination/BIO R 154,90

11402 Visual fi eld – screening R 154,90

11423 Visual fi eld – evaluation R 231,40

11443 Visual fi eld – threshold testing R 386,30

11501 Dispensing fee – single vision R 77,50

11521 Dispensing fee – bifocals R 154,90

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

11541 Dispensing fee – varifocals R 231,40

11604 Photography of anterior segment R 154,90

11624 Photography of fundus R 154,90

11644 Diagnostic and photographic materials

11702 Pachymetry R 154,90

11707 After-hours or away-from-practice visit

11729 Broken appointments

11802 Optical Coherence Tomography (OCT) R 386,30

11809 Screening school (per hour) R 926,40

11829 Screening industrial (per hour) R 926,40

11902 Visual Evoked Potentials (VEP) – unilateral R 308,80

11904 Visual Evoked Potentials (VEP) – bilateral R 540,10

12012 C lens consultation basic – per 30 minutes R 463,80

12032 C lens consultation complex – per 30 minutes R 617,50

12052 C lens consultation advanced – per 30 minutes R 772,50

12062 C lens consultation – therapeutic – per 30 minutes R 772,50

12072 C lens dispensing and/or assessment R 231,40

12112 C lens follow-up examination/basic case – per 30 minutes R 231,40

12132 C lens follow-up examination/complex case – per 30 minutes R 386,30

12152 C lens follow-up examination/advanced case – per 30 minutes R 463,80

12162 C lens follow-up therapeutic – per 30 minutes R 463,80

12503 C lens-related problems assessment – monocular R 154,90

12523 C lens-related problems assessment – binocular R 231,40

12533 C lens instruction R 231,40

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

13003 Binocular instability evaluation – simple case R 463,80

13023 Binocular instability evaluation – complex case R 926,40

13105 Visually-related learning disorders evaluation R 1 390,00

13125 Eye movements evaluation (e.g. Visigraph) R 463,80

13403 Vision training – home therapy instruction R 154,90

13423 Vision training – individual (per 15 minutes) R 231,40

13445 Vision training – individual (per 30 minutes) R 463,80

13463 Vision training – group per patient (per 15 minutes) R 58,70

13489 Vision training – away from practice (add to 13423 or 13463)

13509 Reading rate – screening R 231,40

13529 Reading ortho-didactical skills evaluation R 695,00

13549 Colorimetry intuitive – evaluation R 926,40

14008 Sports vision individual screening R 308,80

14218 Sports vision individual evaluation R 695,00

14238 Sports vision individual training (per 15 minutes) R 231,40

14268 Sports vision group screening R 58,70

14278 Sports vision group evaluation R 136,20

14288 Sports vision group training (per 15 minutes) R 58,70

14309 Sports vision individual screening R 463,80

14319 Sports vision individual evaluation R 926,40

14329 Sports vision individual training (per 15 minutes) R 231,40

14369 Sports vision group screening R 96,30

14379 Sports vision group evaluation R 192,60

14389 Sports vision group training (per 15 minutes) R 58,70

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

16013 Low vision assessment per 30 mins R 463,80

16073 Low vision training per 30 mins R 463,80

19001 Report at request of medical aid R 231,40

19021 Report at patient’s request (arising from Series 11001) R 386,30

23907 Contact lens solutions -

23919 Contact lens accessories -

24022 Hard contact lens

24024 Rigid scleral contact lens

24202 Bifocal hard lens

25412 Fenestration hard lens (per hole)

25512 Truncation hard lens

26012 Laboratory service/modifi cation/polish

26115 Analysis of hard lens

27145 CLL Contafl ex 38% Prosthetic

27146 Kerasoft IC 77%

27147 Kerasoft 2 49%

27148 Kerasoft 3 77%

27150 CLL Soft Haptic 38% Prosthetic

27155 CLL Dark Brown Iris Black Pupil Prosthetic

27165 CLL Field Eyes (sports tint)

27170 CLL Enhancing Iris Tint

27175 CLL Hand Painted Theatricals

X 27180 CLL Photo-phobic N/A

27185 CLL Albino Iris

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

27195 Proclear Sphere

27200 Proclear Sphere Rx

27210 Zero 6 14.0

27215 Zero 6 Rx

27230 Proclear TMT

27235 Z6 Rx Toric

27245 Hydrasoft Toric

27255 Omnifl ex Toric

X 27265 Hydrowave Spher/Toric N/A

X 27270 Kerasoft 2 N/A

X 27275 Kerasoft IC (KIC) N/A

X 27280 Kerasoft 3 N/A

27290 Soleko SL 38 Standard

27295 Soleko SL 38 Color

27327 CLL HEMA (up to 60%)

27329 CLL HWC (higher than 60%)

27341 Sofl ex Soft K 67% (Hydrogel) – for Keratoconus

27343 Sofl ex Soft K 67% Toric (Hydrogel) – for Keratoconus

27345 Sofl ex Eye Q Multifocal

27347 Sofl ex Toric Eye Q Multifocal

27349 Sofl ex CDGM3 Spheric

27351 Sofl ex Toric Lite (TLITE 58%)

27353 Sofl ex Soft K 67% RG (Hydrogel) – for Keratoconus

27355 Sofl ex CDGM3 Toric

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

27357 Sofl ex Expo Aspheric

27358 Alden Novakone Sphere

27359 Alden Novakone Toric

27360 Alden HP Sphere 59

27361 Alden HP Toric 59

27363 Alden Versa Lens

X 27365 BIO-Colours 38% Conventional Custom-Colours (Sphere) N/A

27366 Biogel 60 percent

27367 Biogel 72 percent

X 27368 BIO-Colours 38% Conventional Custom-Colours (Toric) N/A

27370 Ultravision

27371 Soft Spherical

27372 Soft Toric

27800 SynergEyes A

N 27801 Eyebrid 6 month – Silicone Hydrogel R 1 328,80

27802 SynergEyes KC

N 27803 Eyebrid 6 month – Silicone Hydrogel with exchange R 1 328,80

27804 SynergEyes PS

27806 SynergEyes CK

27808 Duette

27810 Duette Multifocal

27812 Ultra Health™ – Kerataconus

28019 Cosmetic Tint

28115 Intensive cleaning of lens

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28219 Analysis of soft lens

28400 SofLens 59

28405 Sofl ens 38

28410 Sofl ens Toric

28415 Sofl ens Natural Colours

28420 Sofl ens Multi-Focal

28425 PureVision

28430 PureVision Toric

28435 PureVision Multi-Focal

28445 SofLens Daily Disposable

28450 SofLens Daily Disposable

28460 SofLens Daily Disposable for astigmatism

28465 PureVision 2HD

28467 PureVision 2HD for astigmatism

28468 PureVision 2 for presbyopia

28470 Air Optix® Aqua

28480 Air Optix® for astigmatism

28485 AIR OPTIX® AQUA multifocal

28490 Dailies®

AquaComfort Plus® (Sphere)

28495 Dailies®

AquaComfort Plus® (Sphere)

28510 FreshLook® One-Day

28520 FreshLook® Colors

28525 FreshLook® Colorblends

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28530 FreshLook® Dimensions

28545 Creations Monthly

28555 CLL Silicone Hydrogel Sphere (Infants)

28557 Biotrue ONEday

28559 Biotrue ONEday

28560 CLL Silicone Hydrogel Sphere

28564 Biotrue ONEday for presbyopia

28565 Neovision 3 Tone Colour

28566 Neovision 2 Tone Colour

28568 Neovision Costume Lenses

28569 SIGMA RX G3/G4/G5 Spheric

28570 Biofi nity

28571 SGF Comfort Spheric

28572 SL55 Spheric

28573 Biofi nity Sphere XR

28574 SL 3 Spheric

28575 Biofi nity Toric

28576 SL38 Toric

28577 SIGMA RX G3/G4/G5 Toric

28578 SGF Comfort Toric

28580 Biofi nity Multifocal

28581 ST3 Toric

28582 Poly Vue RX Custom Multifocal

28583 SIGMA Multifocal

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28584 PV3 Multifocal

28585 Avaira

28586 Poly Vue RX Multifocal Toric

28587 PV3 Multifocal Toric

28588 Compo soft

28589 D1 Yal Daily Lenses

28590 Proclear Compatibles

28591 D1 Yal Daily Lenses

28592 D1 Yal Daily Lenses

28593 M1 Yal Monthly

28594 M1 Yal Monthly

X 28595 Frequency XC (to be discontinued October 2016) N/A

28596 SH Monthly Lenses

28597 SH Monthly Lenses Toric

28598 Monthly Economy Pack

28599 T1 Yal monthly toric

28600 Frequency Aspheric

28601 T1 Yal monthly toric

28602 Queen’s Twins Monthly Spheric

28603 Queen’s Trilogy Monthly Spheric

28604 Solitaire Toric

28605 Proclear 1 day

28606 Solitaire Multifocal

28607 Solitaire Multifocal Toric

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 28608 clear1-day N/A

X 28609 clear1-day N/A

28610 Proclear 1 day

X 28611 clear1-day N/A

X 28612 clear58 N/A

X 28613 clearday Beyond N/A

X 28614 clearday Beyond for astigmatism N/A

X 28615 Biomedics 1 Day Toric N/A

X 28616 clearcolor1-day N/A

28617 Proclear 1 Day Multifocal

X 28618 clearcolor1-day N/A

X 28619 clearcolor N/A

28620 Frequency Xcel Toric

28621 Clariti 1 Day Sphere

28622 Clariti 1 Day Toric

28623 Clariti 1 Day Multifocal

28625 Frequency Xcel Toric XR

28627 Biofi nity Toric XR (coming soon)

28628 MyDay

28629 MyDay (coming soon)

28630 Proclear Toric

28633 Ultra

28635 Proclear Toric XR

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28640 Proclear Multifocal

X 28645 Proclear Multifocal XR N/A

28650 Proclear Multifocal Toric

28655 Proclear Multifocal Toric Trials

28660 Expressions Colors (3 Pack)

28675 Ultrawave

28680 Ultrawave SiH

28685 Ultrawave T

28695 Soleko Queen Solitaire Spheric

28700 Soleko QueenColor Toric

28705 Neovision Neoclean Clear

28710 Neovision Eyepia Clear

28720 ACUVUE® OASYS® with HYDRACLEAR® Plus

28723 Premio 2 week Toric (Silicone Hydrogel) – coming soon

28724 Premio 2 week Sphere (Silicone Hydrogel) – coming soon

28725 ACUVUE® OASYS® for ASTIGMATISM

28726 Miru 1 month – coming soon

28727 Miru 1 day – coming soon

28728 Miru 1 day – coming soon

28729 Kerasoft IC (Silicone Hydrogel 74%)

X 28730 ACUVUE® ADVANCE® with HYDRACLEAR® N/A

28735 1 · DAY ACUVUE® TruEye®

28740 1 · DAY ACUVUE® MOIST®

28745 1 · DAY ACUVUE® MOIST®

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28750 1 · DAY ACUVUE® MOIST® for astigmatism

28760 ACUVUE®2®

X 28765 ACUVUE® BIFOCAL N/A

X 28770 SUREVUE® N/A

28780 Twinkle 3tone colours prescription

28785 Sofclear Clear lenses prescription

28790 Ningaloo Colours prescription

28792 Twinkle 3 monthly prescription (3tone)

28834 AIR OPTIX COLORS®

N 28836 1 · DAY ACUVUE® MOIST Brand MULTIFOCAL Contact Lenses R 669,80

N 28837 1 · DAY ACUVUE® MOIST Brand MULTIFOCAL Contact Lenses R 669,80

N 28838 ACUVUE OASYS® Brand Contact Lenses with HydraLuxe™ R 525,00

N 28839 ACUVUE OASYS® Brand Contact Lenses with HydraLuxe™ R 669,80

N 28841 AQUITY II R 355,00

28842 Visaq

N 28843 AQUITY PC R 347,00

N 28845 AQUITY SI R 465,00

28846 Xtensa Toric

28848 Xtensa Multifocal

28850 Saphir Rx Toric

28852 Saphir Rx Sphere

28854 Saphir Rx Multifocal Toric

28856 Saphir Rx Multifocal

28858 Xtensa Rx Toric

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28860 Saphir Multifocal Toric

28862 Saphir Toric

28864 Saphir Multifocal

N 28865 Avanti Sphere – 1 month (Silicone Hydrogel) R 669,80

28866 Saphir Sphere

N 28867 Avanti Toric – 1 month (Silicone Hydrogel) R 669,80

28868 Silicone Hydrogel

N 28869 Avanti Multifocal Sphere – 1 month (Silicone Hydrogel) R 669,80

28870 Silicone Hydrogel

N 28871 Avanti Multifocal Toric – 1 month (Silicone Hydrogel) R 669,80

28872 Daily

N 28873 CLL Dispo “Enhancing Colours” (Green/Blue/Aqua) R 669,80

28874 Daily

N 28875 Crazy Lenses (Plano) – 1 Day R 162,00

28876 Daily Silicone Hydrogel

28878 Daily Silicone Hydrogel

X 28888 Color Tones (to discontinued November 2016) N/A

28890 AIR OPTIX® NIGHT & DAY® AQUA

28892 AIR OPTIX® NIGHT & DAY® AQUA

28894 Freshlook® Illuminate

28896 Freshlook® Dimensions

28897 Adore Coloured 3 month Disposable (Rx from -10 to +16)

X 28898 Sofl ex Kristal Colour Disposable N/A

X 28899 Sofl ex Colour 4 Fun Cosmetic N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28901 Sofl ex Soft K (Silicone Hydrogel) – for Keratoconus

28902 Sofl ex Soft K Toric (Silicone Hydrogel) – for Keratoconus

28903 Sofl ex Toric (Silicone Hydrogel)

28905 Sofl ex Dispo Air Multifocal (Silicone Hydrogel)

28907 Sofl ex Dispo Bio (Silicone Hydrogel)

28908 Sofl ex Dispo Bio Toric (Silicone Hydrogel)

X 28909 Sofl ex Dispo Multifocal N/A

28910 Sofl ex Dispo Aspheric

28912 Sofl ex Dispo Pro

28913 Sofl ex Dispo Silk One Day

28914 Sofl ex Dispo Silk Toric One Day

28915 Sofl ex Dispo Toric

28916 Sofl ex Eye Q Multifocal (Silicone Hydrogel)

28917 Sofl ex Toric Eye Q Multifocal (Silicone Hydrogel)

28918 Sofl ex Kristal Monthly

28919 Sofl ex Dispo

28920 Sofl ex Soft K RG (Silicone Hydrogel) – for Keratoconus

28921 Sofl ex Soft K Semi Scleral (Silicone Hydrogel) – for Keratoconus

28922 Sofl ex Soft K Toric Semi Scleral (Silicone Hydrogel) – for Keratoconus

28923 CLL Dispo “Enhancing Colours” (Green/Blue/Aqua)

28924 Sofl ex Sphere (Silicone Hydrogel)

X 28925 Sofl ex Dispo Pro Toric N/A

28926 Sofl ex Trios Back Toric

X 28929 Sofl ex Dispo Day by Day N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

28933 daysoft® SILK

28934 daysoft® SILK

28950 Sofl ex Theraputic Lens (Silicone Hydrogel) – for pediatric aphakic

28952 DAILIES® AquaComfort Plus® TORIC

28954 DAILIES® AquaComfort Plus® MULTIFOCAL

28956 DAILIES TOTAL 1®

28958 DAILIES TOTAL 1®

N 28960 AIR OPTIX® HYDRAGLYDE R 669,80

N 28962 AIR OPTIX® AQUA EX R 405,00

N 28964 Avaira Vitality R 483,00

N 28965 DAILIES TOTAL 1® Multifocal R 201,00

N 28971 Monthly Vision R 201,00

N 28972 Clariti 1 Day Sphere R 669,80

29000 SofLens Natural Colours (Plano)

X 29001 clearday™ Beyond1-day N/A

X 29002 clearday™ Beyond1-day N/A

X 29003 clearday™ Beyond1-day N/A

X 29004 clearall-day™ N/A

X 29006 clearall-day™ N/A

X 29007 clearall-day Toric™ N/A

X 29008 clearall-day Toric™ N/A

X 29009 clear58™ N/A

29010 FreshLook® Colors (Plano)

X 29011 clearday™ Beyond N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

29012 Spherical Haptic Contact Lens

X 29013 clearday™ Beyond for astigmatism N/A

29015 FreshLook® ColorBlends (Plano)

X 29016 clearcolor® N/A

29017 AIRSOFT Silocone Hydrogel – Monthly

29018 HYDROSOFT Toric – Yearly

29019 Colourvue 3 monthly colours in prescription

29020 FreshLook® Dimensions (Plano)

29021 Colourvue Toric Colour Lens – 3 months

29022 HYDROSOFT Monthly Power Range – 15.00 to +6.00

29023 TRUBLENDS monthly

29030 FreshLook® ONE-DAY (Plano)

29036 Adore Coloured 3 month Disposable (Plano)

X 29038 Creations Equinox (Plano) N/A

29040 Expressions Colors (Plano) – 3 Pack

29041 Creations Monthly (Plano)

29043 CLL Dispo “Enhancing Colours” (Plano) (Green/Blue/Aqua)

X 29046 Sofl ex Colour 4 Fun Cosmetic (Plano) N/A

X 29048 Sofl ex Kristal Colour (Plano) N/A

29050 Color Tones (Plano) (to be discontinued November 2016)

29052 Crazy Lenses (Plano)

29053 AIR OPTIX COLORS® (Plano)

29065 Twinkle 3tone colours (Plano)

29067 Twinkle 4tone colours (Plano)

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

29070 Twinkle Funny lenses (Plano)

29072 Twinkle 3 monthly (Plano)

29074 Twinkle 4tone 3 monthly (Plano)

29076 Ningaloo Australian Naturals monthly (Plano)

29085 FreshLook® Illuminate (Plano)

29205 Disophta Daily Contact Lens – Aqua Plus UV Daily

29512 Molding materials

29522 Molded fi tting shell

29532 Marriot sighted

29542 Fenestration haptic (per hole)

29552 Modifi cation of haptic lens (power, haptic, scleral)

N 29600 Prosthetic soft contact lens -

N 29601 Prosthetic haptic lens -

29953 Trial contact lenses

29999 Materials not listed -

X 30011 Focus Standard emerald hardcoat N/A

X 30012 Focus Sunactive Standard Emerald N/A

X 30013 Focus Acclimates Standard Emerald Hardcoat N/A

X 30014 Focus Transition 7 Signature & XTRAactive Standard Emerald Hardcoat N/A

X 30015 Focus Surfaced 70mm Emerald Hardcoat N/A

X 30016 Focus Surfaced 70mm Invisibles N/A

X 30017 Focus Acclimates Surfaced Emerald Hardcoat N/A

X 30018 Focus Acclimates Surfaced Invisibles N/A

X 30019 Focus Transition 7 Signature & XTRAactive Surfaced Emerald Hardcoat N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 30020 Focus Transition 7 Signature & XTRAactive Surfaced Invisibles N/A

X 30021 Focus Transition 7 Signature & XTRAactive 1.6 Surfaced Invisibles N/A

X 30022 Focus Transition 7 Signature & XTRAactive 1.67 Surfaced Invisibles N/A

X 30023 Focus Superlite 1.61 Surfaced Invisibles N/A

X 30024 Focus Superlite 1.67 Surfaced Invisibles N/A

T 30025 CR39 1.50 Acclimates HVP Standard R 983,40

T 30026 Hilux Eyas 1.60 Sensity SHV Standard R 1 597,00

T 30027 Hilux 1.50 Mirror Coat Surfaced R 626,80

T 30028 Hliux 1.50 Acclimates SHV Surfaced R 1 267,10

T 30029 Hilux Eyas 1.60 Mirror Coat Surfaced R 1 838,40

T 30030 Hilux Eynoa 1.67 HVLL UV Control R 2 638,70

T 30031 MAUI Polycarbonate Single Vision R 2 016,20

T 30032 MAUI Evolution 1.6 Single Vision R 2 918,80

T 30033 Orma Polaroid SV Surfaced Supra R 1 259,70

T 30034 Orma Polaroid SV Surfaced Crizal Easy UV R 1 763,50

T 30035 Nulux Aspheric 1.50 Mirror Coat R 1 073,70

T 30036 Airwear Polaroid SV Surfaced Supra R 2 301,40

T 30037 Airwear Polaroid SV Surfaced Crizal Easy UV R 2 805,20

T 30038 CZV SV 1.5 Photochromic HMCX R 1 713,90

T 30040 synchrony Single Vision SPH 1.67 PhotoFusion Grey HMC+ R 3 596,80

30041 Futuro S 1.74 Hard Coat R 1 709,90

30042 Futuro S 1.74 Hard Multi Coat R 2 015,40

T 30043 Hilux PNX 1.53 Mirror Coat Surfaced R 1 180,40

T 30044 Hilux 1.60 Polarised Mirror Coat Surfaced R 2 807,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30045 Nulux Aspheric PNX 1.53 Mirror Coat R 1 645,00

T 30046 Hilux TF PNX 1.53 Mirror Coat R 1 340,40

T 30047 Nulux Aspheric TF PNX 1.53 Mirror Coat R 1 676,10

T 30048 Nulux TF Eynoa 1.67 HVLL UV Control Surfaced R 2 927,70

T 30049 Nulux iDentity V+ Eynoa 1.67 Sensity HVLL UV Control (double surface FreeForm) R 4 626,00

T 30050 Nulux Sportive 1.53 Mirror Coat R 2 076,20

T 30051 Nulux Eyas 1.60 Mirror Coat R 2 298,50

T 30052 Hilux 1.50 Polarised Mirror Coat Surfaced R 1 222,60

T 30053 Hilux TF 1.50 Mirror Coat R 624,60

T 30054 SEIKO AZ 1.60 SRC Standard R 1 999,30

T 30055 SEIKO AZ 1.67 SRC Standard R 2 797,40

T 30056 SEIKO AZ 1.74 SRC Standard R 3 957,80

T 30057 SEIKO 1.60 AS SRC Standard R 1 396,90

T 30058 SEIKO 1.67 AS SRC Standard R 1 790,40

T 30059 SEIKO 1.67 AS Transitions 7 SRC Standard R 3 137,50

T 30060 SEIKO 1.74 AS SRC Standard R 2 708,50

T 30061 Hilux TF Eyas 1.60 Mirror Coat R 2 102,90

T 30062 SEIKO 1.50 SRC Standard R 603,30

T 30063 SEIKO 1.60 SRC Standard R 1 254,60

T 30064 Nulux Aspheric TF 1.50 Mirror Coat R 1 209,30

T 30065 Nulux TF Eyas 1.60 Mirror Coat R 2 418,60

T 30066 Nulux iDentity V+ Eyas 1.60 Mirror Coat (double surface FreeForm) R 2 474,20

T 30067 SEIKO 1.60 Transitions 7 SCC Standard R 1 703,70

T 30068 Quality ChangeRx™ SV 1.50 R 1 487,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30069 SEIKO 1.67 SRC Standard R 1 790,40

T 30070 Jet Star 1.5 Aspheric Base 6/8 Uncoated Surfaced R 661,10

T 30071 Jet Star 1.5 Activ Polarized GREY/BROWN Base 6/8 Uncoated Surfaced R 1 511,60

T 30072 Jet Star 1.6 Aspheric Base 6/8 Uncoated Surfaced R 1 471,60

T 30073 Jet Star 1.6 Activ Polarized GREY/BROWN Uncoated Surfaced R 1 942,90

T 30074 Jet Star 1.6 Activ Polarized GREY/BROWN Base 6/8 Uncoated Surfaced R 2 325,20

T 30075 Jet Star 1.67 Aspheric Uncoated Surfaced R 2 263,90

X 30076 ULTIMAX SV 1.56 Photochromic + Premium Diamond Coat Surfaced N/A

X 30077 ULTIMAX SV 1.56 Photochromic + ARC Standard N/A

T 30078 ZEISS Single Vision SPH 1.5 DV Blue Protect R 1 262,60

30079 EV ProNatural 1.5 Clear

30080 EV ProNatural 1.5 SunChange

T 30081 VUE 1.56 VXD VEYEZER XD HMC RANGE1 R 225,40

T 30082 RO Clear S/V HSC+ Stock R 447,70

T 30083 Climateyes Orma Surfaced i-Relief R 1 107,60

X 30084 1.50 Transition VII Grey ARC Surfaced N/A

T 30085 1.50 Polarised Grey/Brown/G15 Hard Surfaced R 1 405,70

T 30086 1.50 Polarised Grey/Brown/G15 ARC Surfaced R 1 895,90

X 30087 1.50 Polarised Grey/Brown/G15 Mirror Coat Surfaced N/A

T 30088 Essilor Aspheric Lenticular i-Relief R 1 567,80

T 30089 1.50 Acclimates Hard Surfaced R 817,60

X 30090 1.50 Acclimates ARC Surfaced N/A

T 30091 1.56 Reactor Grey Hard Surfaced R 754,40

X 30092 1.56 Reactor Grey ARC Surfaced N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30093 1.56 Reactor Grey Super Hydrophobic Surfaced R 1 581,50

T 30094 1.59 Polycarbonate Hard Surfaced R 1 301,60

T 30095 1.59 Polycarbonate ARC Surfaced R 1 810,60

T 30096 1.59 Polycarbonate TRANSITIONS VII Hard Surfaced R 2 552,60

T 30097 1.61 Hard Surfaced R 1 301,60

T 30098 Omega i-Relief Surfaced R 1 567,80

T 30099 Airwear Xperio i-Relief Surfaced R 2 805,20

30100 Ormix Transitions i-Relief Surfaced R 2 584,20

T 30101 Stylis AS i-Relief Surfaced R 2 626,70

30102 Stylis AS Transitions i-Relief Surfaced R 3 692,00

X 30103 1.61 ARC Surfaced N/A

T 30104 1.61 Transition VII Grey Hard Surfaced R 2 288,00

X 30105 1.61 Transition VII Grey ARC Surfaced N/A

X 30106 1.67 Aspheric ARC Surfaced N/A

T 30107 1.67 Transition VII Grey Hard Surfaced R 2 826,00

T 30108 Nulux iDentity V+ 1.50 Hard (double surface FreeForm) R 751,30

T 30109 Nulux iDentity V+ 1.50 HVP (double surface FreeForm) R 1 262,60

T 30110 Nulux iDentity V+ 1.50 SHV (double surface FreeForm) R 1 404,90

T 30111 Nulux iDentity V+ 1.50 HVLL (double surface FreeForm) R 1 618,30

T 30112 Nulux iDentity V+ 1.50 HVLL Blue Control (double surface FreeForm) R 1 773,90

T 30113 Nulux iDentity V+ 1.50 HVLL UV Control (double surface FreeForm) R 1 773,90

T 30114 Nulux iDentity V+ 1.50 Mirror Coat (double surface FreeForm) R 1 264,80

T 30115 Nulux iDentity V+ 1.50 Sensity Hard (double surface FreeForm) R 2 089,60

T 30116 Nulux iDentity V+ 1.50 Sensity HVP (double surface FreeForm) R 2 598,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30117 Nulux iDentity V+ 1.50 Sensity SHV (double surface FreeForm) R 2 743,10

T 30118 Nulux iDentity V+ 1.50 Sensity HVLL (double surface FreeForm) R 2 956,50

X 30119 1.67 Transition VII Grey ARC Surfaced N/A

T 30120 1.67 Transition VII Grey Super Hydrophobic ARC Surfaced R 3 564,00

T 30121 Nulux iDentity V+ 1.50 Sensity HVLL Blue Control (double surface FreeForm) R 3 112,20

T 30122 Nulux iDentity V+ 1.50 Sensity HVLL UV Control (double surface FreeForm) R 3 112,20

T 30123 Lineis Aspheric 1.74 Crizal Prevencia Surfaced R 4 993,70

T 30124 Lineis Aspheric 1.74 i-Relief Surfaced R 4 749,20

T 30125 FIRE FOX Polorised UV AR Blue – Trilogy R 1 823,90

T 30126 FIRE FOX Surfaced Clear UV AR – Trilogy R 1 150,00

T 30127 FIRE FOX Surfaced Clear UV AR Blue – Trilogy R 1 389,00

T 30128 FIRE FOX Surfaced Transition UV AR – Trilogy R 1 962,50

T 30129 Orma Stylistic Surfaced Crizal Easy UV R 1 834,40

T 30130 Airwear Stylistic Surfaced Crizal Easy UV R 2 291,60

T 30131 Ormix Stylistic Surfaced Crizal Easy UV R 3 886,50

T 30132 FIRE FOX Surfaced Transition UV AR Blue – Trilogy R 2 249,30

T 30133 Stylis Stylistic Surfaced Crizal Easy UV R 2 631,50

T 30134 Orma Stylistic Transitions Surfaced Crizal Easy UV R 2 519,10

T 30135 Airwear Stylistic Transitions Surfaced Crizal Easy UV R 3 291,80

T 30136 Ormix Stylistic Transitions Surfaced Crizal Easy UV R 4 187,20

T 30137 Stylis Stylistic Transitions Surfaced Crizal Easy UV R 4 084,10

T 30138 Orma Stylistic Xperio Surfaced Crizal Easy UV R 2 330,80

T 30139 Airwear Stylistic Xperio Surfaced Crizal Easy UV R 3 003,20

30140 Flexivue 1.74 Atoric Transitions HC R 4 017,30

T 30141 Ormix Stylistic Xperio Surfaced Crizal Easy UV R 4 941,70

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30142 Stylis Stylistic Xperio Surfaced Crizal Easy UV R 3 756,40

T 30143 Orma 15 Xperio i-Relief Surfaced R 1 763,50

T 30144 Orma i-Relief Surfaced R 690,00

T 30145 Orma Aclimates Surfaced i-Relief R 1 198,60

T 30146 Orma Aclimates Surfaced Crizal Easy UV R 1 198,60

T 30147 Airwear i-Relief Surfaced R 1 817,30

T 30148 Ormix i-Relief Surfaced R 1 531,20

T 30149 Orma Transitions Surfaced Crizal Forte UV R 1 973,80

T 30150 Orma Transitions Surfaced Crizal Prevencia R 1 973,80

30151 Orma Transitions Surfaced i-Relief R 1 686,60

T 30152 Orma Transitions Xtractive i-Relief Surfaced R 1 729,20

30153 Flexivue 1.53 Hi-curve Trivex Transitions HC R 3 181,80

T 30154 OAKLEY OTD IRIDIUM Ice R 1 238,20

X 30155 OAKLEY OTD IRIDIUM Emerald N/A

X 30156 OAKLEY OTD POLARIZED Gold IR N/A

X 30157 OAKLEY OTD POLARIZED Deep BlueIR N/A

X 30158 OAKLEY OTD EDGE POLARIZED Black IR N/A

X 30159 OAKLEY OTD EDGE POLARIZED Gold IR N/A

T 30160 DIGITAL-SV 1.56 R 853,60

T 30161 DIGITAL-SV Trivex Transition R 4 392,90

T 30162 Shamir Smart SV As-Worn™ (1.74) R 2 374,10

X 30163 OAKLEY OTD EDGE POLARIZED Grey N/A

X 30164 OAKLEY OTD EDGE POLARIZED Bronze N/A

X 30165 SOLARTEC-SV 1.56 N/A

N 30166 Unbranded 1.50 Uncoated 1.5 Standard -

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 30167 OAKLEY OTD EDGE POLARIZED VR28 Black IR N/A

T 30168 ZEISS Single Vision SPH 1.5 PhotoFusion Grey DV Blue Protect R 2 098,50

T 30169 ZEISS Single Vision SPH 1.5 Polarized Grey Hard R 1 687,20

T 30170 ZEISS Single Vision SPH 1.5 Polarized Grey DV Silver R 2 185,20

T 30171 ZEISS Single Vision SPH 1.5 Polarized Grey DV Platinum R 2 398,60

T 30172 ZEISS Single Vision SPH 1.5 Polarized Brown Hard R 1 687,20

T 30173 ZEISS Single Vision SPH 1.5 Polarized Brown DV Silver R 2 185,20

T 30174 ZEISS Single Vision SPH 1.5 Polarized Brown DV Platinum R 2 398,60

T 30175 ZEISS Single Vision SPH 1.5 Polarized Pioneer Hard R 1 687,20

T 30176 ZEISS Single Vision SPH 1.5 Polarized Pioneer DV Silver R 2 185,20

T 30177 ZEISS Single Vision SPH 1.5 Polarized Pioneer DV Platinum R 2 398,60

X 30178 ZEISS Single Vision Lenticular 1.5 DV Platinum N/A

T 30179 ZEISS Single Vision Aphal 1.5 DV Blue Protect R 2 218,50

T 30180 ZEISS Single Vision AS 1.6 DV Blue Protect R 2 158,50

T 30181 ZEISS Single Vision AS 1.6 PhotoFusion Grey DV Blue Protect R 3 261,10

T 30182 ZEISS Single Vision AS 1.67 DV Blue Protect R 2 856,50

30183 ZEISS Single Vision AS 1.67 PhotoFusion Grey DV Blue Protect R 3 602,40

T 30184 ZEISS Single Vision Superb 1.5 DV Blue Protect R 1 749,50

T 30185 ZEISS Single Vision Superb 1.5 PhotoFusion Grey DV Blue Protect R 2 776,50

T 30186 ZEISS Single Vision Superb 1.5 Polarized Grey Hard R 2 347,40

T 30187 ZEISS Single Vision Superb 1.5 Polarized Grey DV Silver R 2 845,40

T 30188 ZEISS Single Vision Superb 1.5 Polarized Grey DV Platinum R 3 058,80

T 30189 ZEISS Single Vision Superb 1.5 Polarized Brown Hard R 2 347,40

T 30190 ZEISS Single Vision Superb 1.5 Polarized Brown DV Silver R 2 845,40

T 30191 ZEISS Single Vision Superb 1.5 Polarized Brown DV Platinum R 3 058,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30192 ZEISS Single Vision Superb 1.5 Polarized Pioneer Hard R 2 347,40

T 30193 ZEISS Single Vision Superb 1.5 Polarized Pioneer DV Silver R 2 845,40

T 30194 ZEISS Single Vision Superb 1.5 Polarized Pioneer DV Platinum R 3 058,80

T 30195 ZEISS Single Vision Superb 1.6 PhotoFusion Grey DV Blue Protect R 3 390,00

T 30196 ZEISS Single Vision Superb 1.6 DV Blue Protect R 2 040,70

T 30197 ZEISS Single Vision Superb 1.6 Polarized Grey Hard R 2 894,30

T 30198 ZEISS Single Vision Superb 1.6 Polarized Grey DV Silver R 3 392,30

T 30199 ZEISS Single Vision Superb 1.6 Polarized Grey DV Platinum R 3 605,70

T 30200 ZEISS Single Vision Superb 1.6 Polarized Brown Hard R 2 894,30

T 30201 ZEISS Single Vision Superb 1.6 Polarized Brown DV Silver R 3 392,30

T 30202 ZEISS Single Vision Superb 1.6 Polarized Brown DV Platinum R 3 605,70

T 30203 ZEISS Single Vision Superb 1.6 Polarized Pioneer Hard R 2 894,30

T 30204 ZEISS Single Vision Superb 1.6 Polarized Pioneer DV Silver R 3 392,30

T 30205 ZEISS Single Vision Superb 1.6 Polarized Pioneer DV Platinum R 3 605,70

T 30206 ZEISS Single Vision Superb 1.67 PhotoFusion Grey DV Blue Protect R 3 832,40

T 30207 ZEISS Single Vision Superb 1.67 DV Blue Protect R 2 447,50

T 30208 ZEISS Single Vision Superb 1.74 DV Silver R 2 943,20

T 30209 ZEISS Single Vision Superb 1.74 DV Platinum R 3 156,60

T 30210 ZEISS Single Vision Superb 1.74 DV Blue Protect R 3 156,60

T 30211 ZEISS Single Vision Individual 1.5 DV Blue Protect R 2 105,10

T 30212 ZEISS Single Vision Individual 1.5 PhotoFusion Grey DV Blue Protect R 3 238,90

T 30213 ZEISS Single Vision Individual 1.5 Polarized Grey Hard R 2 812,10

T 30214 ZEISS Single Vision Individual 1.5 Polarized Grey DV Silver R 3 310,00

T 30215 ZEISS Single Vision Individual 1.5 Polarized Grey DV Platinum R 3 523,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30216 ZEISS Single Vision Individual 1.5 Polarized Brown Hard R 2 812,10

T 30217 ZEISS Single Vision Individual 1.5 Polarized Brown DV Silver R 3 310,00

T 30218 ZEISS Single Vision Individual 1.5 Polarized Brown DV Platinum R 3 523,40

T 30219 Crystalbrite CR39 (1.49) Standard Tintable Hard Coat R 63,10

N 30220 Unbranded 1.50 Hard Coated Standard R 35,70

N 30221 Unbranded 1.50 HMC Standard R 104,20

N 30222 Unbranded 1.50 Photochromatic Hard Coated Standard R 376,00

T 30223 VUE 1.5 POLARIZED GREY/BROWN HC Rx R 160,00

T 30224 VUE 1.5 POLARIZED REVO MIRRORED COATED HC Rx R 415,70

T 30225 ZEISS Finished SV AS 1.56 DuraVision Silver R 318,70

T 30226 ZEISS Finished SV SPH 1.5 DuraVision Platinum R 318,70

T 30227 ZEISS Finished SV SPH 1.5 PhotoFusion Grey DuraVision Platinum R 1 536,90

T 30228 ZEISS Finished SV AS 1.6 DuraVision Platinum R 756,70

T 30229 ZEISS Finished SV AS 1.67 DuraVision Platinum R 1 463,60

T 30230 ZEISS Finished SV AS 1.74 DuraVision Platinum (imported) R 2 779,60

N 30231 Unbranded 1.50 Photochromatic HMC Standard R 756,30

30232 Jet Star 1.5 Uncoated Standard

T 30233 Jet Star 1.5 Hard Coat Standard R 27,50

T 30234 Jet Star 1.5 HSC Standard R 123,10

T 30235 Jet Star 1.5 SUN GREY/BROWN 75% Standard R 76,40

T 30236 Jet Star 1.5 SUN GREY/BROWN/GREEN 85% Standard R 76,40

T 30237 Jet Star 1.5 SUN GREY/BROWN/GREEN 85% HSC Inside Standard R 243,20

T 30238 Jet Star 1.5 Photochromic HSC Standard R 1 074,60

T 30239 Jet Star 1.5 Uncoated Surfaced R 396,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30240 Jet Star 1.5 Transitions VII Uncoated Surfaced R 571,30

N 30241 Unbranded 1.53 Hard Coated Standard R 510,70

T 30242 Jet Star 1.5 Activ Polarized GREY/BROWN Uncoated Surfaced R 1 129,20

X 30243 1.53 PNX Hard Stock N/A

X 30244 1.53 PNX ARC (HVP) Stock N/A

T 30245 1.56 Hard Stock R 132,70

T 30246 1.56 Hard Stock (over -2.00CYL) R 185,20

30247 1.50 Acclimates Hard Stock R 514,70

T 30248 1.59 Polycarbonate Hard Stock R 614,40

30249 1.59 Polycarbonate ARC Stock R 769,20

T 30250 1.5 UNC Surfaced R 21,10

X 30251 1.50 ARC Surfaced N/A

T 30252 Jet Star 1.5 Drivewear Uncoated Surfaced R 2 672,00

T 30253 Jet Star 1.59 Polycarbonate HSC Standard R 398,80

T 30254 Jet Star 1.53 Trivex Uncoated Surfaced R 555,70

T 30255 Jet Star 1.6 HSC Standard R 267,60

T 30256 Jet Star 1.6 Aspheric HSC Standard R 318,70

T 30257 Jet Star 1.6 SUN GREY/BROWN/GREEN 85% HSC Inside Standard R 432,10

T 30258 1.50 Super Hydrophobic Surfaced R 1 036,90

X 30259 1.50 Omega UNC Surfaced N/A

X 30260 1.50 Omega Hard Surfaced N/A

X 30261 1.50 Omega ARC Surfaced N/A

T 30262 Jet Star 1.6 Uncoated Surfaced R 1 129,20

T 30263 Jet Star 1.6 Aspheric Uncoated Surfaced R 1 129,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30264 Jet Star 1.6 Transitions VII Uncoated Surfaced R 2 136,30

T 30265 Jet Star 1.67 Aspheric HSC Standard R 496,60

T 30266 ZEISS Single Vision Individual 1.5 Polarized Pioneer Hard R 2 812,10

T 30267 ZEISS Single Vision Individual 1.5 Polarized Pioneer DV Silver R 3 310,00

T 30268 ZEISS Single Vision Individual 1.5 Polarized Pioneer DV Platinum R 3 523,40

T 30269 ZEISS Single Vision Individual 1.6 PhotoFusion Grey DV Blue Protect R 3 828,00

T 30270 ZEISS Single Vision Individual 1.6 DV Blue Protect R 2 380,80

T 30271 ZEISS Single Vision Individual 1.6 Polarized Grey Hard R 3 398,90

T 30272 ZEISS Single Vision Individual 1.6 Polarized Grey DV Silver R 3 896,90

T 30273 ZEISS Single Vision Individual 1.6 Polarized Grey DV Platinum R 4 110,30

T 30274 ZEISS Single Vision Individual 1.6 Polarized Brown Hard R 3 398,90

T 30275 ZEISS Single Vision Individual 1.6 Polarized Brown DV Silver R 3 896,90

T 30276 ZEISS Single Vision Individual 1.6 Polarized Brown DV Platinum R 4 110,30

T 30277 ZEISS Single Vision Individual 1.6 Polarized Pioneer Hard R 3 398,90

T 30278 ZEISS Single Vision Individual 1.6 Polarized Pioneer DV Silver R 3 896,90

T 30279 ZEISS Single Vision Individual 1.6 Polarized Pioneer DV Platinum R 4 110,30

T 30280 ZEISS Single Vision Individual 1.67 PhotoFusion Grey DV Blue Protect R 4 319,20

T 30281 ZEISS Single Vision Individual 1.67 DV Blue Protect R 2 827,60

T 30282 ZEISS Single Vision Individual 1.74 DV Silver R 3 167,70

T 30283 ZEISS Single Vision Individual 1.74 DV Platinum R 3 381,10

T 30284 ZEISS Single Vision Individual 1.74 DV Blue Protect R 3 381,10

T 30285 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Grey DV Blue Protect R 2 776,50

T 30286 ZEISS Single Vision Superb Sport 1.5 DV Blue Protect R 1 749,50

T 30287 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Fun Hard R 2 347,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30288 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Road Hard R 2 347,40

T 30289 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Sport Hard R 2 347,40

T 30290 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Fun DV Silver R 2 845,40

T 30291 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Road DV Silver R 2 845,40

T 30292 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Sport DV Silver R 2 845,40

T 30293 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Fun DV Platinum R 3 058,80

T 30294 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Road DV Platinum R 3 058,80

T 30295 ZEISS Single Vision Superb Sport 1.5 Polarized Skylet Sport DV Platinum R 3 058,80

T 30296 ZEISS Single Vision Superb Sport 1.5 Polarized Pioneer Hard R 2 347,40

T 30297 ZEISS Single Vision Superb Sport 1.5 Polarized Pioneer DV Silver R 2 845,40

T 30298 ZEISS Single Vision Superb Sport 1.5 Polarized Pioneer DV Platinum R 3 058,80

T 30299 ZEISS Single Vision Superb Sport 1.6 DV Blue Protect R 2 040,70

T 30300 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Grey DV Blue Protect R 3 605,70

T 30301 ZEISS Single Vision Superb Sport 1.6 Polarized Pioneer Hard R 2 894,30

T 30302 ZEISS Single Vision Superb Sport 1.6 Polarized Pioneer DV Silver R 3 392,30

T 30303 ZEISS Single Vision Superb Sport 1.6 Polarized Pioneer DV Platinum R 3 605,70

T 30304 ZEISS Single Vision Individual Sport 1.5 Hard R 1 393,80

T 30305 ZEISS Single Vision Individual Sport 1.5 DV Silver R 1 891,70

T 30306 ZEISS Single Vision Individual Sport 1.5 DV Platinum R 2 105,10

T 30307 ZEISS Single Vision Individual Sport 1.5 DV Blue Protect R 2 105,10

T 30308 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Grey DV Blue Protect R 3 238,90

T 30309 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Fun Hard R 2 812,10

T 30310 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Road Hard R 2 812,10

T 30311 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Sport Hard R 2 812,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30312 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Fun DV Silver R 3 310,00

T 30313 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Road DV Silver R 3 310,00

T 30314 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Sport DV Silver R 3 310,00

T 30315 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Fun DV Platinum R 3 523,40

T 30316 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Road DV Platinum R 3 523,40

T 30317 ZEISS Single Vision Individual Sport 1.5 Polarized Skylet Sport DV Platinum R 3 523,40

T 30318 ZEISS Single Vision Individual Sport 1.5 Polarized Pioneer Hard R 2 812,10

T 30319 ZEISS Single Vision Individual Sport 1.5 Polarized Pioneer DV Silver R 3 310,00

T 30320 ZEISS Single Vision Individual Sport 1.5 Polarized Pioneer DV Platinum R 3 523,40

T 30321 ZEISS Single Vision Individual Sport 1.6 Hard R 1 669,40

T 30322 ZEISS Single Vision Individual Sport 1.6 DV Silver R 2 167,40

T 30323 ZEISS Single Vision Individual Sport 1.6 DV Platinum R 2 380,80

T 30324 ZEISS Single Vision Individual Sport 1.6 DV Blue Protect R 2 380,80

30325 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Grey DV Blue Protect R 4 094,80

T 30326 ZEISS Single Vision Individual Sport 1.6 Polarized Brown Hard R 3 398,90

T 30327 ZEISS Single Vision Individual Sport 1.6 Polarized Brown DV Silver R 3 896,90

T 30328 ZEISS Single Vision Individual Sport 1.6 Polarized Brown DV Platinum R 4 110,30

T 30329 ZEISS Single Vision Individual Sport 1.6 Polarized Pioneer Hard R 3 398,90

T 30330 ZEISS Single Vision Individual Sport 1.6 Polarized Pioneer DV Silver R 3 896,90

T 30331 ZEISS Single Vision Individual Sport 1.6 Polarized Pioneer DV Platinum R 4 110,30

T 30332 DIGITAL-SV 1.5 R 668,50

T 30333 DIGITAL-SV 1.6 R 1 228,80

T 30334 DIGITAL-SV 1.67 R 2 349,40

T 30335 DIGITAL-SV 1.74 R 4 524,70

T 30336 DIGITAL-SV Trivex R 1 888,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30337 DIGITAL-SV 1.5 Transition R 2 431,80

T 30338 DIGITAL-SV 1.6 Transition R 3 750,20

T 30339 DIGITAL-SV 1.67 Transition R 4 392,90

T 30340 DIGITAL-SV 1.5 Polarized – (BROWN/GREY/GREEN) R 1 558,40

T 30341 SOLARTEC-SV 1.5 R 1 558,40

T 30342 SOLARTEC-SV 1.6 R 2 629,60

T 30343 SOLARTEC-SV 1.67 R 4 574,10

T 30344 SOLARTEC-SV Transition 1.5 R 2 959,10

T 30345 SOLARTEC-SV Transition 1.6 R 4 574,10

T 30346 SOLARTEC-SV Transition 1.67 R 5 691,40

T 30347 SOLARTEC-SV 1.5 POLARIZED BROWN/GREY/GREEN R 2 662,50

T 30348 SOLARTEC-SV 1.6 POLARIZED BROWN/GREY/GREEN R 5 760,60

T 30349 SOLARTEC-SV 1.67 POLARIZED BROWN/GREY/GREEN R 7 529,90

T 30350 SOLARTEC-SV 1.5 DRIVEWEAR R 5 117,90

T 30351 RO Photo S/V HMC Stock R 361,00

T 30352 S/V Digiwrap 1.5 Supra R 1 138,10

T 30353 S/V Digiwrap 1.5 Crizal Easy UV R 1 627,20

T 30354 S/V Digiwrap 1.5 Crizal Forte UV R 1 865,10

T 30355 S/V Digiwrap 1.5 Transitions Supra R 1 736,10

T 30356 S/V Digiwrap 1.5 Transitions Crizal Easy UV R 2 225,20

T 30357 S/V Digiwrap 1.5 Transitions Crizal Forte UV R 2 463,00

T 30358 S/V Digiwrap 1.5 Polarised Supra R 1 571,60

T 30359 S/V Digiwrap 1.5 Polarised Crizal Sun R 2 298,50

T 30360 S/V Digiwrap 1.59 Clear Supra R 1 538,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30361 S/V Digiwrap 1.59 Clear Crizal Easy UV R 2 027,30

T 30362 S/V Digiwrap 1.59 Clear Crizal Forte UV R 2 265,20

T 30363 S/V Digiwrap 1.59 Polarised Supra R 2 160,70

T 30364 S/V Digiwrap 1.59 Polarised Crizal Sun R 2 887,60

T 30365 S/V Digiwrap 1.59 Transitions Supra R 2 414,10

T 30366 S/V Digiwrap 1.59 Transitions Crizal Easy UV R 2 903,20

T 30367 S/V Digiwrap 1.59 Transitions Crizal Forte UV R 3 141,10

T 30368 S/V Digiwrap 1.67 Clear Supra R 1 836,20

T 30369 S/V Digiwrap 1.67 Clear Crizal Easy UV R 2 325,20

T 30370 S/V Digiwrap 1.67 Clear Crizal Forte UV R 2 563,10

T 30371 S/V Digiwrap 1.67 Transitions Supra R 3 107,70

T 30372 S/V Digiwrap 1.67 Transitions Crizal Easy UV R 3 596,80

T 30373 S/V Digiwrap 1.67 Transitions Crizal Forte UV R 3 834,60

T 30374 S/V Digiwrap 1.67 Polarised Supra R 2 820,90

T 30375 S/V Digiwrap 1.67 Polarised Crizal Sun R 3 547,90

30376 eLab 1.50 ARC Premium Plus BC Stock R 1 033,70

30377 eLab 1.50 ARC Premium Plus UV Control Stock R 1 033,70

30378 eLab 1.50 Acclimates ARC Stock R 1 033,70

30379 eLab 1.60 ARC Premium Plus BC Stock R 1 871,50

30380 eLab 1.60 ARC Premium Plus UV Control Stock R 1 871,50

30381 ClearFocus

30382 ClearFocus Supreme

T 30383 ClearFocus High Powers R 0,00

T 30384 Luxalite R 0,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30385 Luxalite High Powers R 41,40

T 30386 Thinz Aspheric R 96,40

T 30387 SmartShades R 169,80

T 30388 SmartShades High Powers R 243,20

30389 Luxalite Aspheric

T 30390 Luxalite Aspheric HC R 0,00

T 30391 SmartShades Aspheric R 0,00

T 30392 SmartShades Aspheric HC R 32,20

T 30393 RO Transitions S/V HSC+ Stock R 1 219,10

T 30394 RO Transitions S/V 1.6 HSC+ Stock R 1 908,20

T 30395 RO Transitions S/V 1.6 Surfaced R 1 778,40

T 30396 RO Transitions S/V 1.67 Surfaced R 2 096,20

T 30397 SEIKO Curved (Base Curve 4/6/8) 1.50 Uncoated Surfaced R 695,80

T 30398 SEIKO Curved (Base Curve 4/6/8) 1.50 Polarising Uncoated Surfaced R 2 029,60

T 30399 SEIKO Curved (Base Curve 4/6/8) 1.50 DriveWear Uncoated Surfaced R 3 719,00

T 30400 SEIKO Curved (Base Curve 4/6/8) 1.50 Transitions 7 Uncoated Surfaced R 2 040,70

T 30401 SEIKO Curved (Base Curve 4/6/8) Tribrid Uncoated Surfaced R 1 909,50

T 30402 SEIKO Curved (Base Curve 4/6/8) Tribrid Transitions 7 Uncoated Surfaced R 3 719,00

T 30403 SEIKO Curved (Base Curve 4/6/8) 1.60 Uncoated Surfaced R 1 722,80

T 30404 SEIKO Curved (Base Curve 4/6/8) 1.60 Transitions 7 Uncoated Surfaced R 3 009,90

T 30405 SEIKO Curved (Base Curve 4/6/8) 1.60 Polarising Uncoated Surfaced R 3 205,50

T 30406 SEIKO Curved (Base Curve 4/6/8) 1.67 Uncoated Surfaced R 1 945,10

T 30407 SEIKO Curved (Base Curve 4/6/8) 1.67 Transitions 7 Uncoated Surfaced R 3 170,00

T 30408 SEIKO Curved (Base Curve 4/6/8) 1.67 Polarized Uncoated Surfaced R 3 436,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30409 FSV Clear 1.67 HMC R 1 554,50

T 30410 1.50 Clear Hard Coat – Tintable R 69,80

T 30411 1.50 Clear Hard Multi Coat R 136,50

T 30412 1.56 Reactor Grey Hard Coat R 269,80

T 30413 1.56 Reactor Grey Hard Multi Coat R 336,50

T 30414 1.61 Aspheric Clear Hard Multi Coat R 481,00

T 30415 1.67 Aspheric Clear Hard Multi Coat R 825,60

N 30416 Quality Surfaced SV 1.5 Blue Cut R 224,50

T 30417 1.50 Clear UNC Surfaced R 71,10

T 30418 1.50 Clear Hard Coat Surfaced R 237,80

T 30419 1.50 Lenticular Clear UNC Surfaced R 815,80

T 30420 1.50 Lenticular Clear Hard Coat Surfaced R 971,40

T 30421 1.50 Acclimates Grey Hard Coat Surfaced R 815,80

T 30422 1.50 Transitions VII Grey/Brown Hard Coat Surfaced R 1 393,80

T 30423 1.50 Polarized Transitions Ash Grey SV Hard Coat Surfaced R 5 350,70

T 30424 1.50 Polarized Grey/Brown/Green Hard Coat Surfaced R 1 416,00

T 30425 1.56 Reactor Grey/Brown Hard Coat Surfaced R 660,20

T 30426 1.59 Polycarbonate Clear Hard Coat Surfaced R 1 093,70

30427 1.59 Polarized Polycarbonate Grey/Brown SV Hard Coat Surfaced R 2 709,20

30428 1.59 Polycarbonate Transitions VII Grey Hard Coat Surfaced R 2 860,90

30429 1.59 Polarized Polycarbonate Transitions Ash Grey Hard Coat Surfaced R 4 980,20

T 30430 1.61 Lite Clear Hard Coat Surfaced R 1 393,80

30431 1.61 Transitions VII Grey/Brown Hard Coat Surfaced R 2 527,70

30432 1.60 Polarized Grey/Brown Hard Coat Surfaced R 3 314,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30433 1.67 Lite Clear Hard Coat Surfaced R 1 971,80

30434 1.67 Transitions VII Grey/Brown Hard Coat Surfaced R 3 314,60

30435 1.67 Polarized Grey/Brown Hard Coat Surfaced R 4 828,60

T 30436 1.74 Ultra Lite Hard Coat Surfaced R 3 150,00

30437 1.74 Transitions VII Grey/Brown Hard Coat Surfaced R 6 342,60

T 30438 Orma Crizal Easy UV stock R 399,70

T 30439 1.50 GKB SV Aspheric FF Clear UNC R 371,20

T 30440 1.50 GKB SV Aspheric FF Clear Hard Coat R 537,90

T 30441 1.50 GKB SV Aspheric FF Transitions VII Grey/Brown Hard Coat R 1 838,40

T 30442 1.56 GKB SV Aspheric FF Reactor Grey Hard Coat R 949,20

T 30443 1.59 GKB SV Aspheric FF Polycarbonate Clear Hard Coat R 1 393,80

T 30444 1.61 GKB SV Super Lite Aspheric FF Clear Hard Coat R 1 538,30

30445 1.61 GKB SV Super Lite Aspheric FF Transitions VII Grey/Brown Hard Coat R 3 162,90

T 30446 1.67 GKB SV Ultra Lite Aspheric FF Clear Hard Coat R 2 416,40

30447 1.67 GKB SV Ultra Lite Aspheric FF Transitions VII Grey/Brown Hard Coat R 4 071,60

T 30448 1.74 GKB SV Super Ultra Lite Aspheric FF Clear Hard Coat R 3 750,20

30449 1.74 GKB SV Super Ultra Lite FF Transitions VII Grey/Brown Hard Coat R 7 099,50

T 30450 Nulux TF Eyvia 1.74 SHV Surfaced R 3 463,40

T 30451 Nulux TF Eyvia 1.74 HVLL Surfaced R 3 679,00

T 30452 Nulux TF Eyvia 1.74 HVLL Blue Control Surfaced R 3 832,40

T 30453 Nulux TF Eyvia 1.74 HVLL UV Control Surfaced R 3 832,40

30454 LENZKRAFT CR39 1.49 UNCOATED – TINTABLE

30455 LENZKRAFT CR39 1.49 UNCOATED – TINTABLE HI CYL

30456 LENZKRAFT CR39 1.49 WT SURFACED

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

30457 LENZKRAFT CR39 1.56 HMC + UV400

30458 LENZKRAFT CR39 1.56 HMC + UV400 HI CYL R 44,30

30459 LENZKRAFT PHOTOMATIC HARD COAT + UV400 R 78,60

30460 LENZKRAFT PHOTOMATIC ARC R 134,00

30461 LENZKRAFT CR39 1.61 HMC R 52,10

30462 LENZKRAFT CR39 1.67 ARC R 242,40

30463 LENZKRAFT PHOTOMATIC SURFACED R 85,30

30464 FSV Clear 1.5 UC

T 30465 FSV Clear 1.5 UC Surfaced R 224,20

T 30466 FSV Clear 1.5 UC Surfaced R 372,10

N 30467 Quality Surfaced SV 1.60 Blue Cut Emerald R 756,30

T 30468 FSV Clear 1.5 UC Surfaced R 487,00

T 30469 FSV Clear 1.5 UC Surfaced R 919,00

30470 FSV Lenticular Clear 1.5 UC Surfaced

T 30471 FSV Clear 1.5 HMC R 492,10

T 30472 FSV Polarized 1.5 UC Surfaced R 1 736,00

T 30473 FSV Acclimate 1.5 HC R 967,50

T 30474 FSV Acclimate 1.5 HC Surfaced R 1 199,90

T 30475 FSV Transition 1.5 HC R 1 234,00

T 30476 FSV Transition and XTRActive 1.5 HC Surfaced R 1 668,10

T 30477 FSV Clear 1.56 HMC R 493,20

T 30478 FSV Acclimate 1.56 HMC R 1 052,80

T 30479 FSV Clear 1.59 HC Surfaced R 511,30

T 30480 FSV Polarized 1.59 HC Surfaced R 1 215,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

30481 Nupolar® Gradient (1.59) Grey 3 (82%) and Brown (81%) R 1 763,00

30482 Transitions® Signature™ VII (1.5) Grey and Brown R 1 822,80

30483 Transitions® Signature™ VII (1.5) Digital Surfacing Grey and Brown R 1 943,40

30484 Transitions XTRActive (1.5) Grey and Brown R 1 822,80

30485 Transitions® Vantage™ (1.5) Grey

30486 Trilogy® Transitions® Signature™ VII (1.53) Grey and Brown – Spherical and Aspherical R 2 967,10

30487 Trilogy® Transitions XTRActive (1.53) Grey R 2 967,10

30488 Trilogy Transitions® Vantage™ (1.53) Grey

30489 Transitions® Signature™ VII (1.59) Grey and Brown R 2 846,40

30490 Transitions® XTRActive® (1.59) Grey R 2 846,40

30491 Transitions® Signature™ VII (1.60) Grey and Brown R 2 666,10

30492 Transitions® XTRActive® (1.60) Grey R 2 666,10

30493 Transitions® Signature™ VII (1.67) Grey and Brown R 3 086,60

30494 Transitions® XTRActive® (1.67) Grey R 3 086,60

30495 Transitions® Signature™ VII (1.74) Grey and Brown R 6 095,70

N 30496 SEIKO Drive 1.50 with RCC R 756,30

N 30497 SEIKO Drive 1.50 Transitions 7 with RCC R 756,30

30498 Trilogy® (1.53) R 860,00

T 30499 Essilor 1.56 Photochromic HMC Stock R 160,90

T 30500 BBGR 1.5 Crizal Prevencia Rx R 898,10

T 30501 BBGR Transitions Crizal Prevencia Rx R 1 880,60

T 30502 Essilor 1.56 Crizal Prevencia Stock R 663,30

T 30503 BBGR Airwear Supra Rx R 1 267,10

T 30504 BBGR Airwear Crizal Forte UV Stock R 1 207,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30505 BBGR Airwear Crizal Forte UV Rx R 1 994,00

T 30506 BBGR Airwear Crizal Prevencia Rx R 1 994,00

T 30507 BBGR Airwear Transitions Crizal Forte UV Stock R 1 981,50

T 30508 BBGR Airwear Transition Crizal Prevencia Rx R 2 807,60

T 30509 BBGR Airwear Aspheric Crizal Easy UV Rx R 2 167,40

T 30510 BBGR Airwear Aspheric Crizal Forte UV Rx R 2 405,20

T 30511 BBGR Airwear Aspheric Crizal Prevencia Rx R 2 405,20

T 30512 BBGR Airwear Aspheric Transitions Supra Rx R 2 198,50

T 30513 BBGR Airwear Aspheric Transitions Crizal Easy UV Rx R 2 687,60

T 30514 BBGR Airwear Aspheric Transitions Crizal Forte UV Rx R 2 925,40

T 30515 BBGR Airwear Aspheric Transitions Crizal Prevecia Rx R 2 925,40

T 30516 BBGR Polarised Crizal Forte UV Rx R 1 942,90

T 30517 BBGR Polarised Crizal Prevencia Rx R 1 942,90

T 30518 BBGR 1.6 Crizal Forte UV Stock R 943,40

T 30519 BBGR 1.6 Crizal Prevencia Rx R 1 716,10

T 30520 BBGR Transitions 1.6 Crizal Preventia Rx R 2 774,30

T 30521 BBGR 1.67 Crizal Forte UV Stock R 1 723,70

T 30522 BBGR 1.67 Crizal Prevencia Rx R 2 780,90

T 30523 BBGR Transitions 1.67 Crizal Preventia Rx R 3 841,30

T 30524 BBGR 1.74 Crizal Forte UV Stock R 3 751,00

T 30525 BBGR 1.74 Crizal Prevencia Rx R 4 846,10

30526 NuPolar® (1.67) Grey 3 (83%) and Brown (86%) Xtra Large Blank R 2 846,40

X 30527 OAKLEY OTD IRIDIUM + Red N/A

X 30528 OAKLEY OTD IRIDIUM Ruby N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 30529 OAKLEY OTD IRIDIUM Jade N/A

X 30530 OAKLEY OTD IRIDIUM Violet N/A

X 30531 OAKLEY OTD PRIZM ROAD B-AR N/A

X 30532 OAKLEY OTD PRIZM TRAIL B-AR N/A

X 30533 OAKLEY OTD PRIZM GOLF B-AR N/A

X 30534 OAKLEY OTD – POLARIZED FireIR N/A

X 30535 OAKLEY OTD – POLARIZED RubyIR N/A

X 30536 OAKLEY OTD VENTED IRIDIUM Ice N/A

X 30537 OAKLEY OTD VENETED IRIDIUM Emrald N/A

X 30538 OAKLEY OTD VENETED IRIDIUM + Red N/A

X 30539 OAKLEY OTD VENETED IRIDIUM Ruby N/A

X 30540 OAKLEY OTD VENETED IRIDIUM Jade N/A

X 30541 OAKLEY OTD VENETED IRIDIUM Violet N/A

X 30542 OAKLEY OTD VENTED – POLARIZED Emerald N/A

X 30543 OAKLEY OTD VENTED – POLARIZED FireIR N/A

X 30544 OAKLEY OTD VENTED – POLARIZED RubyIR N/A

T 30545 Orma Exceptio Supra R 4 871,80

T 30546 Orma Exceptio Crizal Forte UV R 5 601,90

T 30547 Orma Exceptio Crizal Prevencia R 5 702,30

T 30548 Orma Exceptio Facet Supra R 8 134,80

T 30549 Orma Exceptio Facet Crizal Forte UV R 8 864,90

T 30550 Orma Exceptio Facet Crizal Prevencia R 8 965,30

T 30551 Orma Lenticulaire R 1 001,40

T 30552 Stylis Exceptio Crizal Forte UV R 6 532,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30553 Stylis Exceptio Crizal Prevencia R 6 632,40

T 30554 Stylis Exceptio Facet Crizal Forte UV R 5 827,80

T 30555 Stylis Exceptio Facet Crizal Prevencia R 5 928,20

T 30556 Shamir Smart SV Attitude-III (1.5) R 2 222,50

T 30557 Shamir Smart SV Attitude-III (1.6) R 3 559,60

T 30558 Shamir Smart SV Attitude-III (1.67) R 4 371,10

T 30559 Shamir Smart SV Attitude-III Transition and XTRActive (1.5) R 3 167,80

T 30560 Shamir Smart SV Attitude-III Transition and XTRActive (1.6) R 5 120,90

T 30561 Shamir Smart SV Attitude-III Transition and XTRActive (1.67) R 6 049,60

T 30562 Shamir Smart SV Attitude-III Polarized (1.5) R 4 559,90

T 30563 Shamir Smart SV Attitude-III Polarized (1.6) R 6 853,10

T 30564 Shamir Smart SV Attitude-III Polarized (1.67) R 7 594,10

T 30565 Shamir Smart SV Attitude-III Polycarbonate Polarized (1.59) R 4 516,40

T 30566 Shamir Smart SV Attitude-III Polycarbonate (1.59) R 2 611,90

T 30567 Shamir Smart SV Attitude-III Polycarbonate Transition and XTRActive (1.59) R 6 688,50

T 30568 Shamir Smart SV Attitude-III Drivewear (1.5) R 5 171,20

T 30569 Shamir Smart SV Attitude-III Trivex (1.53) R 4 557,00

T 30570 ZEISS Single Vision DriveSafe 1.5 DV DriveSafe R 1 927,30

T 30571 ZEISS Single Vision DriveSafe 1.5 PhotoFusion Grey DV DriveSafe R 3 007,70

T 30572 ZEISS Single Vision DriveSafe 1.5 Polarized Pioneer DV Back R 3 292,20

T 30573 ZEISS Single Vision DriveSafe 1.5 Polarized Grey DV Back R 3 292,20

T 30574 ZEISS Single Vision DriveSafe 1.5 Polarized Brown DV Back R 3 292,20

T 30575 ZEISS Single Vision DriveSafe 1.6 DV DriveSafe R 2 227,40

T 30576 ZEISS Single Vision DriveSafe 1.6 PhotoFusion Grey DV DriveSafe R 3 605,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 30577 ZEISS Single Vision DriveSafe 1.6 Polarized Grey DV Back R 3 850,20

T 30578 ZEISS Single Vision DriveSafe 1.6 Polarized Brown DV Back R 3 850,20

T 30579 ZEISS Single Vision DriveSafe 1.6 Polarized Pioneer DV Back R 3 850,20

T 30580 ZEISS Single Vision DriveSafe 1.67 DV DriveSafe R 2 638,70

T 30581 ZEISS Single Vision DriveSafe 1.67 PhotoFusion Grey DV DriveSafe R 4 072,50

T 30582 ZEISS Single Vision DriveSafe 1.74 DV DriveSafe R 3 270,00

T 30583 ZEISS Single Vision DriveSafe Sport 1.5 DV DriveSafe R 1 927,30

T 30584 ZEISS Single Vision DriveSafe Sport 1.5 PhotoFusion Grey DV DriveSafe R 3 007,70

T 30585 ZEISS Single Vision DriveSafe Sport 1.5 Polarized Pioneer DV Back R 3 292,20

T 30586 ZEISS Single Vision DriveSafe Sport 1.5 Polarized Grey DV Back R 3 292,20

T 30587 ZEISS Single Vision DriveSafe Sport 1.5 Polarized Brown DV Back R 3 292,20

T 30588 ZEISS Single Vision DriveSafe Sport 1.5 Polarized Skylet Fun DV Back R 3 292,20

T 30589 ZEISS Single Vision DriveSafe Sport 1.5 Polarized Skylet Road DV Back R 3 292,20

T 30590 ZEISS Single Vision DriveSafe Sport 1.5 Polarized Skylet Sport DV Back R 3 292,20

T 30591 ZEISS Single Vision DriveSafe Sport 1.6 DV DriveSafe R 2 227,40

T 30592 ZEISS Single Vision DriveSafe Sport 1.6 PhotoFusion Grey DV DriveSafe R 3 605,70

T 30593 ZEISS Single Vision DriveSafe Sport 1.6 Polarized Grey DV Back R 3 850,20

T 30594 ZEISS Single Vision DriveSafe Sport 1.6 Polarized Brown DV Back R 3 850,20

T 30595 ZEISS Single Vision DriveSafe Sport 1.6 Polarized Pioneer DV Back R 3 850,20

T 30596 ZEISS Single Vision DriveSafe Sport 1.6 Polarized Skylet Fun DV Back R 3 850,20

T 30597 ZEISS Single Vision DriveSafe Sport 1.6 Polarized Skylet Road DV Back R 3 850,20

T 30598 ZEISS Single Vision DriveSafe Sport 1.6 Polarized Skylet Sport DV Back R 3 850,20

T 30599 ZEISS Single Vision DriveSafe Sport 1.67 DV DriveSafe R 2 638,70

T 30600 ZEISS Single Vision DriveSafe Sport 1.67 PhotoFusion Grey DV DriveSafe R 4 072,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

30601 1.50 Clear Lenticular Bi-Concave Rx R 127,30

30602 1.56 Photochromic Rx R 148,30

30603 1.60 Photochromic Rx R 607,60

30604 1.74 Clear HMC stock R 1 715,40

30605 1.74 Clear Rx R 1 434,30

30606 1.74 Transitions S7 Rx R 2 873,00

N 30607 SEIKO Drive 1.50 Polarising with RCC R 756,30

N 30608 SEIKO Drive 1.50 Drivewear with RCC R 756,30

N 30609 SEIKO Drive 1.60 with RCC R 756,30

N 30610 SEIKO Drive 1.60 Transitions 7 with RCC R 756,30

N 30611 SEIKO Drive 1.60 Polarising with RCC R 756,30

N 30612 SEIKO Drive Tribrid with RCC R 756,30

N 30613 SEIKO Drive Tribrid Transitions 7 with RCC R 756,30

N 30614 SEIKO Drive 1.67 with RCC R 756,30

N 30615 SEIKO Drive 1.67 Transitions 7 with RCC R 756,30

N 30616 SEIKO Drive 1.67 Polarising with RCC R 756,30

N 30617 ULTIMAX 1.53 Trivex/Phoenix Diamond Coat HC Single Vision R 370,30

N 30618 ULTIMAX 1.498 HMC Stock Single Vision R 133,10

N 30619 ULTIMAX 1.498 SHMC Stock Single Vision R 370,30

N 30620 ULTIMAX 1.56 HMC Stock Hi Cyl Single Vision R 133,10

N 30621 ULTIMAX 1.59 Polycarbonate Stock HMC Single Vision R 756,30

N 30622 ULTIMAX 1.53 Trivex/Phoenic HMC Single Vision R 370,30

N 30623 ULTIMAX 1.67 HMC Stock Single Vision R 756,30

N 30624 ULTIMAX 1.67 HMC Stock HI Cyl>2.25-4.00 Single Vision R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30625 ULTIMAX 1.56 HMC Photochromic Stock Single Vision R 431,40

N 30626 ULTIMAX 1.5 Acclimate Stock Single Vision R 756,30

N 30627 ULTIMAX 1.5 Transition Single Vision R 756,30

N 30628 ULTIMAX 1.5 Transition HMC Single Vision R 756,30

N 30629 ULTIMAX 1.498 CR39 White Surfaced Uncoated Single Vision -

N 30630 ULTIMAX 1.498 CR39 White Surfaced Premium HC 70mm Single Vision R 24,90

N 30631 ULTIMAX 1.498 CR39 White Surfaced Premium HC 80mm Single Vision R 318,30

N 30632 ULTIMAX 1.53 Trilogy Clear Surfaced Premium HC Single Vision R 756,30

N 30633 ULTIMAX 1.59 Polycarbonate Surfaced Premium HC Single Vision R 672,90

N 30634 ULTIMAX 1.6 White Surfaced Premium HC Single Vision R 756,30

N 30635 ULTIMAX 1.67 White Surfaced HMC Single Vision R 756,30

N 30636 ULTIMAX 1.56 Photochromic Surfaced Premium HC Single Vision R 636,20

N 30637 ULTIMAX 1.498 Acclimate Surfaced Premium HC Single Vision R 756,30

N 30638 ULTIMAX 1.5 Transition Surfaced Premium HC Single Vision R 756,30

N 30639 ULTIMAX 1.6 Transition Surfaced Premium HC Single Vision R 756,30

N 30640 ULTIMAX 1.67 Transition Surfaced Premium HC Single Vision R 756,30

N 30641 ULTIMAX 1.5 Transition Xtractive Surfaced Single Vision R 756,30

N 30642 ULTIMAX 1.53 Transition Trilogy Surfaced Single Vision R 756,30

N 30643 ULTIMAX 1.498 Drivewear Surfaced Single Vision R 756,30

N 30644 ULTIMAX 1.498 Polarized Surfaced Single Vision R 756,30

N 30645 UVEX S EN 166 Approved CR39 Surfaced Premium HC Single Vision -

N 30647 Unbranded 1.53 HMC Standard R 756,30

N 30652 1.74 Double Aspheric Clear R 756,30

N 30653 Unbranded 1.53 Photochromatic Hard coated Standard R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30654 OTL SV ARC ECONO SUNZONE R 756,30

N 30655 OTL ECONO SUNZONE SURFACED R 555,70

N 30656 1.56 Photochromic HC Stock R 514,40

N 30657 1.56 Photochromic HMC Stock R 587,70

N 30658 1.61 Slimlite HMC Stock R 412,10

N 30659 1.61 Slimlite HMC High Cyl Stock R 603,30

N 30660 1.56 Clear Aspheric/Spheric Rx R 451,20

N 30661 Petite 1.61 Aspheric Rx R 756,30

N 30662 1.60 Transitions VII Rx R 756,30

N 30663 RO Clear S/V 1.56 HC Stock R 18,60

N 30664 RO CLEAR S/V 1.56 HMC Stock R 63,10

N 30665 RO CLEAR S/V 1.6 H/C Stock R 307,60

N 30666 RO Photo S/V 1.6 H/C Surfaced R 756,30

N 30667 RO Clear S/V 80mm Surfaced R 17,70

N 30668 RO Clear Trivex 1.53 H/C Stock R 403,20

N 30669 RO Clear Trivex 1.53 H/C Surfaced R 311,20

N 30670 RO Transitions Trivex H/C Stock R 756,30

N 30671 RO Transitions Trivex H/C Surfaced R 756,30

N 30672 Single Vision 1.56 Photo HMC Standard R 594,40

N 30673 Nulux iDentity V+ EyeGenius 1.50 HVLL R 756,30

N 30674 Nulux iDentity V+ EyeGenius 1.50 HVLL Blue Control R 756,30

N 30675 Nulux iDentity V+ EyeGenius 1.50 HVLL UV Control R 756,30

N 30676 Nulux iDentity V+ EyeGenius 1.50 Sensity HVLL R 756,30

N 30677 Nulux iDentity V+ EyeGenius 1.50 Sensity HVLL Blue Control R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30678 Nulux iDentity V+ EyeGenius 1.50 Sensity HVLL UV Control R 756,30

N 30679 Nulux iDentity V+ EyeGenius Eyas 1.60 HVLL R 756,30

N 30680 Nulux iDentity V+ EyeGenius Eyas 1.60 HVLL Blue Control R 756,30

N 30681 Nulux iDentity V+ EyeGenius Eyas 1.60 HVLL UV Control R 756,30

N 30682 Nulux iDentity V+ EyeGenius Eyas 1.60 Sensity HVLL R 756,30

N 30683 Nulux iDentity V+ EyeGenius Eyas 1.60 Sensity HVLL Blue Control R 756,30

N 30684 Nulux iDentity V+ EyeGenius Eyas 1.60 Sensity HVLL UV Control R 756,30

N 30685 Nulux iDentity V+ EyeGenius Eynoa 1.67 HVLL R 756,30

N 30686 Nulux iDentity V+ EyeGenius Eynoa 1.67 HVLL Blue Control R 756,30

N 30687 Nulux iDentity V+ EyeGenius Eynoa 1.67 HVLL UV Control R 756,30

N 30688 Nulux iDentity V+ EyeGenius Eynoa 1.67 Sensity HVLL R 756,30

N 30689 Nulux iDentity V+ EyeGenius Eynoa 1.67 Sensity HVLL Blue Control R 756,30

N 30690 Nulux iDentity V+ EyeGenius Eynoa 1.67 Sensity HVLL UV Control R 756,30

N 30691 Nulux iDentity V+ EyeGenius Eyvia 1.74 HVLL R 756,30

N 30692 Nulux iDentity V+ EyeGenius Eyvia 1.74 HVLL Blue Control R 756,30

N 30693 Nulux iDentity V+ EyeGenius Eyvia 1.74 HVLL UV Control R 756,30

N 30694 Flexivue 1.67 Atoric Transitions HC R 756,30

N 30695 Torga 1.5 UV 420 Surfaced HC R 756,30

N 30696 Flexivue 1.6l42 Atoric Transition HC R 756,30

N 30697 1.67 Aspheric Hard Surfaced R 756,30

N 30698 1.6 Spheric Super Hydro ARC Stock R 706,40

N 30699 eLab Drivewear 1.53 Plano ARC Stock R 756,30

N 30700 Kodak CR39 Surf R 756,30

N 30710 FSV 1.50 UNCOATED R 113,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30711 FSV CLEAR 1.56 ARC R 272,30

N 30712 FSV CLEAR 1.56 EXTENDED RANGE R 339,20

N 30713 FSV CLEAR 1.60 ASP ARC R 644,00

N 30714 FSV CLEAR 1.67 ASP ARC R 756,30

N 30715 FSV CLEAR 1.67 ASP ARC EXTENDED RANGE R 756,30

N 30716 FSV SUNGUARD 1.56 HC R 521,40

N 30717 FSV SUNGUARD 1.56 ARC R 610,60

N 30718 FSV TRANSITIONS 1.50 HC R 756,30

N 30719 SV CR39 RX CLEAR 1.50 R 352,30

N 30720 SV CR39 POLARISED (GR.G15.BRN) RX CLEAR 1.50 R 756,30

N 30721 SV RX CLEAR 1.60 HC R 756,30

N 30722 SV RX CLEAR 1.67 HC R 756,30

N 30723 Unbranded 1.53 Photochromatic HMC Standard -

N 30724 Unbranded 1.56 HMC Standard R 23,90

N 30725 Unbranded 1.56 Photochromatic HMC Standard R 310,90

N 30726 Unbranded 1.60 HMC Standard R 221,10

N 30727 Unbranded 1.60 Photochromic HMC Standard R 756,30

N 30728 Unbranded 1.67 HMC Standard R 411,60

N 30729 Unbranded 1.67 Photochromatic HMC Standard -

N 30730 Unbranded 1.74 HMC Standard R 756,30

N 30731 Unbranded 1.74 Photochromatic HMC Standard -

N 30732 Unbranded 1.50 Uncoated Surfaced -

N 30733 SV RX SUNGUARD 1.56 HC R 756,30

N 30734 SV TRANSITIONS RX 1.50 HC R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30735 SV TRANSITIONS RX 1.60 HC R 756,30

N 30736 SV TRANSITIONS RX 1.67 HC R 756,30

N 30737 Unbranded 1.50 Hard Coat Surfaced R 98,40

N 30738 Unbranded 1.5 Single Vision Standard HMC R 756,30

N 30739 Unbranded 1.50 Photochromatic Hard Coated Surfaced R 578,00

N 30740 Unbranded 1.50 Photochromatic Hard Coated HMC R 756,30

N 30741 Unbranded 1.53 Uncoated Surfaced R 538,50

N 30742 Unbranded 1.53 Hard Coated Surfaced R 538,50

N 30743 Unbranded 1.53 HMC Surfaced R 756,30

N 30744 Unbranded 1.53 Photochromatic Hard Coated Surfaced R 756,30

N 30745 Unbranded 1.53 Photochromatic HMC Surfaced R 756,30

N 30746 Unbranded 1.56 Single Vision Standard Hard Coat R 544,50

N 30747 Unbranded 1.56 HMC Surfaced -

N 30748 Unbranded 1.56 Photochromatic Hard Coat Surfaced -

N 30749 Unbranded 1.56 Photochromatic HMC Surfaced -

N 30750 Unbranded 1.60 HMC Surfaced R 756,30

N 30751 Unbranded 1.60 Photochromic HMC Surfaced R 756,30

N 30752 Unbranded 1.60 Hard Surfaced R 756,30

N 30753 Unbranded 1.60 Photochromic Hard Surfaced R 756,30

N 30754 Unbranded 1.67 Clear Hard Surfaced R 756,30

N 30755 Unbranded 1.67 HMC Surfaced R 756,30

N 30756 Unbranded 1.67 Photochromic Hard Surfaced -

N 30757 Unbranded 1.67 Photochromic HMC Surfaced R 756,30

N 30758 Unbranded 1.74 Clear Hard Surfaced -

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30759 Unbranded 1.74 Clear HMC Surfaced R 756,30

N 30760 Unbranded 1.74 Photochromic Hard Surfaced -

N 30761 Unbranded 1.74 Photochromic HMC Surfaced -

N 30762 DIGITAL-SV 1.56 UV-Blue R 756,30

N 30763 Sunspeed Photogray HC Standard R 756,30

N 30764 DIGITAL-SV Trivex R 756,30

N 30765 DIGITAL-SV 1.56 R 756,30

N 30766 DIGITAL-SV 1.56 UV-Blue R 756,30

N 30767 DIGITAL-SV 1.6 R 756,30

N 30768 DIGITAL-SV 1.67 R 756,30

N 30769 DIGITAL-SV 1.74 R 756,30

N 30770 DIGITAL-SV 1.5 Transition R 756,30

N 30771 DIGITAL-SV Trivex Transition R 756,30

N 30772 DIGITAL-SV 1.6 Transition R 756,30

N 30773 DIGITAL-SV 1.67 Transition R 756,30

N 30774 DIGITAL-SV 1.5 Polarized R 756,30

N 30775 eLab 1.50 Photochromic UC R 654,80

N 30776 DIGITAL-SV 1.5 R 668,50

N 30777 Shamir Smart SV Transition and XTRActive (1.74) R 756,30

N 30778 Shamir Smart SV Attitude Transition and XTRActive (1.74) R 756,30

N 30779 Petite 1.56 Aspheric Rx R 756,30

N 30780 1.50 Transitions VII Rx R 756,30

N 30781 1.67 Transitions VII Rx R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30782 Petite 1.60 Sunspeed Rx R 756,30

N 30783 Essilor 1.56 Photochromic HC R 536,60

N 30784 Essilor 1.56 Photochromic Surfaced R 582,40

N 30785 Essilor 1.56 Clear Surfaced R 8,10

N 30786 1.50 Photochromic Rx R 575,70

N 30787 SV 1.53 ARC Premium stock R 756,30

N 30788 SV 1.53 Transitions HC stock R 756,30

N 30789 SV 1.53 Drivewear HMC (BS) stock R 756,30

N 30790 SV 1.56 HMC stock R 152,70

N 30791 SV 1.6 Generic ARC stock R 382,50

N 30792 SV 1.6 ARC Premium stock R 756,30

N 30793 SV 1.6 Transitions ARC stock R 756,30

N 30794 SV 1.5 Generic UC stock R 98,90

N 30795 SV 1.5 Generic HC stock R 167,30

N 30796 SV 1.5 Generic HMC stock R 186,90

N 30797 SV 1.5 ARC stock R 382,50

N 30798 SV 1.5 ARC Premium stock R 429,00

N 30799 SV 1.5 Acclimates HC stock R 590,40

N 30800 SV 1.5 Acclimates ARC stock R 756,30

N 30801 SV 1.5 Transitions/Xtra-Active HC stock R 756,30

N 30802 SV 1.5 Transitions ARC stock R 756,30

N 30803 SV 1.5 Transitions ARC Premium stock R 756,30

N 30804 SV 1.5 Thin Easy Tint HC stock R 189,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30805 SV 1.5 Pre-Tinted (Gr/Br/G-15) stock R 199,10

N 30806 SV 1.5 NuPolar® Plano (Gr/Br/G-15) stock R 678,40

N 30807 SV 1.53 HC stock R 468,10

N 30808 SV 1.53 ARC stock R 756,30

N 30809 SV 1.67 Generic ARC stock R 580,60

N 30810 SV 1.67 ARC Premium stock R 756,30

N 30811 SV 1.5 UC Surfaced -

N 30812 Sv 1.5 Acclimates UC Surfaced R 658,20

N 30813 SV 1.5 Transitions/Xtra-Active UC Surfaced R 756,30

N 30814 SV 1.5 NuPolar® UC (Gr/Br/G-15) Surfaced R 756,30

N 30815 Sv 1.5 Drivewear UC Surfaced R 756,30

N 30816 SV 1.53 UC Surfaced R 687,50

N 30817 SV 1.53 Transitions UC Surfaced R 756,30

N 30818 SV 1.6 UC Surfaced R 582,40

N 30819 Sv 1.6 Transitions UC Surfaced R 756,30

N 30820 SV 1.67 UC Surfaced R 756,30

N 30821 Lineis Aspheric Transitions Surfaced R 756,30

N 30822 SV 1.67 Transitions UC Surfaced R 756,30

N 30823 FSV TRANSITIONS 1.60 PREMIUM ARC R 756,30

N 30824 Essilor 1.56 Transitions Classic HMC R 756,30

N 30825 SV CR39 RX BLUE CUT 1.50 R 756,30

N 30826 SV CR39 RX BLUE CUT 1.60 HC R 756,30

N 30827 Flexivue 1.6/42 Atoric NuPolar® HC -

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30828 Flexivue 1.67 Atoric NuPolar® HC -

N 30829 Flexivue 1.6/42 Hi-curve NuPolar® HC R 756,30

N 30830 1.50 CR39 Eclipse AuNaturel (UC) R 16,40

N 30831 Kodak CR39 Clean’N’CleAR Refl ection Free Coating Stk R 352,10

N 30832 Focus 1.56 BlueTech (In-Mass Material) R 756,30

N 30833 Futuro S 1.6 Hard Multi-Coat High Cyl R 756,30

N 30834 Futuro S FreeForm NuPolar® Gradient Polycarb R 756,30

N 30835 1.50 CR39 Eclipse Granite (HC) -

N 30836 1.50 CR39 Eclipse Clarity AR (HMC) -

N 30837 1.50 Clear Aspheric Rx R 73,30

N 30838 1.67 Photochromic Rx R 756,30

N 30839 1.50 CR39 Eclipse Clarity PLUS (SHMC) R 11,90

N 30840 1.56 Campus Granite (HC) R 54,50

N 30841 1.56 Campus Clarity AR (HMC) R 85,00

N 30842 1.50 CR39 Eclipse AuNaturel High Cyl (UC) R 85,00

N 30843 1.56 Campus Clarity AR High Cyl (HMC) R 195,50

N 30844 1.56 Campus Clarity PLUS (SHMC) -

N 30845 1.60 Superior MR-8 Clarity PLUS (HRI)(SHMC) R 289,30

N 30846 1.60 Superior MR-8 Clarity PLUS High Cyl (HRI)(SHMC) R 383,10

N 30847 1.67 Excalibur MR-7 Clarity PLUS (HRI)(ASPH)(SHMC) R 437,20

N 30848 1.60 Superior MR-8 Blu-Coat (HRI)(Blue Block) R 437,20

N 30849 1.67 Excalibur MR-7 Blu-Coat (HRI)(ASPH)(Blue Block) R 562,20

N 30850 1.74 Oceanic MR-174 Clarity PLUS (HRI)(ASPH)(SHMC) R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30851 1.74 Oceanic MR-174 Blu-Coat (HRI)(ASPH)(Blue Block) -

N 30852 Quality Finished SV 1.56 Invisibles Extended Range R 367,60

N 30853 Quality Finished SV 1.67 Invisibles R 576,60

N 30854 Quality Finished SV 1.67 Invisibles Extended Range R 696,60

N 30855 Quality Finished SV 1.74 ASP Invisibles R 756,30

N 30856 Revolution ECO Mid-Index Photochromic Granite (HC) R 139,20

N 30857 Revolution ECO Mid-Index Photochromic Clarity AR (HMC) R 12,20

N 30858 Revolution ECO Mid-Index Photochromic Clarity PLUS (SHMC) R 97,50

N 30859 Revolution Mid-Index Photochromic Granite (HC) -

N 30860 Revolution Mid-Index Photochromic Granite High Cyl (HC) R 179,50

N 30861 Revolution Mid-Index Photochromic Clarity AR (HMC) -

N 30862 Revolution Mid-Index Photochromic Clarity AR High Cyl (HMC) R 267,00

N 30863 Revolution FAST Mid-Index Photochromic Granite (HC) R 146,00

N 30864 Revolution FAST Mid-Index Photochromic Granite High Cyl (HC) R 373,30

N 30865 Revolution FAST Mid-Index Photochromic Clarity AR (HMC) R 307,90

N 30866 Revolution FAST Mid-Index Photochromic Clarity AR High Cyl (HMC) R 517,20

N 30867 Revolution FAST Mid-Index Photochromic Clarity PLUS (SHMC) R 40,90

N 30868 Revolution FAST Mid-Index Photochromic Clarity PLUS High Cyl (SHMC) R 243,50

N 30869 Revolution Hi-Impact Photochromic Clarity AR (HMC) R 756,30

N 30870 Revolution Hi-Impact Photochromic Clarity AR High Cyl (HMC) R 648,70

N 30871 Revolution ECO Hi-Index Photochromic Granite (HC) R 108,50

N 30872 Revolution ECO Hi-Index Photochromic Clarity AR R 176,00

N 30873 Revolution MR-8 Hi-Index Photochromic Clarity PLUS (SHMC) R 446,20

N 30874 Revolution MR-8 Hi-Index Photochromic Clarity PLUS High Cyl (SHMC) R 621,30

N 30875 Revolution MR-7 Hi-Index Photochromic Clarity PLUS (SHMC) R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30876 Revolution MR-7 Hi-Index Photochromic Clarity PLUS High Cyl (SHMC) R 756,30

N 30877 Transitions DriveWear (1.53) Trilogy -

N 30878 NuPolar® (1.59) Grey 3 (82%) & Brown (81%) -

N 30879 Transitions® Signature™ VII (1.5) Grey and Brown -

N 30880 Transitions® XTRActive® (1.5) Grey -

N 30881 Transitions® Signature™ VII (1.59) Grey and Brown -

N 30882 Transitions® XTRActive® (1.59) Grey -

N 30883 Transitions® Signature™ VII (1.60) Grey and Brown -

N 30884 Transitions® Signature™ VII (1.67) Grey and Brown -

N 30885 eLab 1.5 UC Surfaced R 567,70

N 30886 eLab 1.5 UC Surfaced R 597,10

N 30887 eLab 1.56 Photochromic UC Surfaced R 756,30

N 30888 eLab Generic 1.50 UC High Cyl Stock R 509,90

N 30889 eLab Generic 1.50 HMC High Cyl Stock R 582,80

N 30890 eLab Generic 1.56 Photochromic HMC Stock R 578,80

N 30891 eLab Generic 1.56 Photochromic HMC High Cyl Stock R 756,30

N 30892 Essilor 1.56 Photochromic HC Stock R 147,60

N 30893 Futuro S FreeForm Transitions 1.5 Graphite Green R 756,30

N 30894 Futuro S FreeForm Transitions 1.6 Graphite Green R 756,30

N 30895 Futuro S FreeForm Transitions 1.67 Graphite Green R 756,30

N 30896 RO HF-Blue Cut S/V H/C Surfaced -

N 30897 1.56 Photo Hard Stock R 252,00

N 30898 1.59 Poly Blue Control Crizal stock R 756,30

N 30899 1.6 Polarized ARC Surfaced R 756,30

N 30900 ZEISS Single Vision SPH 1.5 PhotoFusion Brown Hard R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30901 ZEISS Single Vision SPH 1.5 PhotoFusion Grey DV Silver R 756,30

N 30902 ZEISS Single Vision SPH 1.5 PhotoFusion Brown DV Platinum R 756,30

N 30903 ZEISS Single Vision SPH 1.5 PhotoFusion Brow DV Blue Protect R 756,30

N 30904 ZEISS Single Vision AS 1.6 PhotoFusion Brown Hard R 756,30

N 30905 ZEISS Single Vision AS 1.6 PhotoFusion Brown DV Silver R 756,30

N 30906 ZEISS Single Vision AS 1.6 PhotoFusion Brown DV Platinum R 756,30

N 30907 ZEISS Single Vision AS 1.67 PhotoFusion Brown DV Silver R 756,30

N 30908 ZEISS Single Vision AS 1.67 PhotoFusion Brown DV Platinum R 756,30

N 30909 ZEISS Single Vision AS 1.67 PhotoFusion Brown DV BlueProtect R 756,30

N 30910 ZEISS Single Vision DriveSafe 1.5 PhotoFusion Brown DV DriveSafe R 756,30

N 30911 ZEISS Single Vision DriveSafe 1.6 PhotoFusion Brown DV DriveSafe R 756,30

N 30912 ZEISS Single Vision DriveSafe 1.67 PhotoFusion Brown DV DriveSafe R 756,30

N 30913 ZEISS Single Vision DriveSafe Sport 1.5 PhotoFusion Brown DV DriveSafe R 756,30

N 30914 ZEISS Single Vision DriveSafe Sport 1.6 PhotoFusion Brown DV DriveSafe R 756,30

N 30915 ZEISS Single Vision DriveSafe Sport 1.67 PhotoFusion Brown DV DriveSafe R 756,30

N 30916 ZEISS Single Vision Superb 1.5 PhotoFusion Brown Hard R 756,30

N 30917 ZEISS Single Vision Superb 1.5 PhotoFusion Brown DV Silver R 756,30

N 30918 ZEISS Single Vision Superb 1.5 PhotoFusion Brown DV Platinum R 756,30

N 30919 ZEISS Single Vision Superb 1.5 PhotoFusion Brown DV BlueProtect R 756,30

N 30920 ZEISS Single Vision Superb 1.6 PhotoFusion Brown Hard R 756,30

N 30921 ZEISS Single Vision Superb 1.6 PhotoFusion Brown DV Silver R 756,30

N 30922 ZEISS Single Vision Superb 1.6 PhotoFusion Brown DV Platinum R 756,30

N 30923 ZEISS Single Vision Superb 1.6 PhotoFusion Brown DV BlueProtect R 756,30

N 30924 ZEISS Single Vision Superb 1.67 PhotoFusion Brown DV Silver R 756,30

N 30925 ZEISS Single Vision Superb 1.67 PhotoFusion Brown DV Platinum R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30926 ZEISS Single Vision Superb 1.67 PhotoFusion Brown DV BlueProtect R 756,30

N 30927 ZEISS Single Vision Individual 1.5 PhotoFusion Brown Hard R 756,30

N 30928 ZEISS Single Vision Individual 1.5 PhotoFusion Brown DV Silver R 756,30

N 30929 ZEISS Single Vision Individual 1.5 PhotoFusion Brown DV Platinum R 756,30

N 30930 ZEISS Single Vision Individual 1.5 PhotoFusion Brown DV BlueProtect R 756,30

N 30931 ZEISS Single Vision Individual 1.6 PhotoFusion Brown Hard R 756,30

N 30932 ZEISS Single Vision Individual 1.6 PhotoFusion Brown DV Silver R 756,30

N 30933 ZEISS Single Vision Individual 1.6 PhotoFusion Brown DV Platinum R 756,30

N 30934 ZEISS Single Vision Individual 1.6 PhotoFusion Brown DV BlueProtect R 756,30

N 30935 ZEISS Single Vision Individual 1.67 PhotoFusion Brown DV Silver R 756,30

N 30936 ZEISS Single Vision Individual 1.67 PhotoFusion Brown DV Platinum R 756,30

N 30937 ZEISS Single Vision Individual 1.67 PhotoFusion Brown DV BlueProtect R 756,30

N 30938 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Brown Hard R 756,30

N 30939 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Brown DV Silver R 756,30

N 30940 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Brown DV Platinum R 756,30

N 30941 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Brown DV BlueProtect R 756,30

N 30942 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Brown Hard R 756,30

N 30943 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Brown DV Silver R 756,30

N 30944 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Brown DV Platinum R 756,30

N 30945 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Brown DV BlueProtect R 756,30

N 30946 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Brown Hard R 756,30

N 30947 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Brown DV Silver R 756,30

N 30948 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Brown DV Platinum R 756,30

N 30949 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Brown DV BlueProtect R 756,30

N 30950 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Brown Hard R 756,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 30951 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Brown DV Silver R 756,30

N 30952 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Brown DV Platinum R 756,30

N 30953 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Brown DV BlueProtect R 756,30

N 30954 ZEISS Single Vision EnergizeMe 1.5 DV Hard R 682,40

N 30955 ZEISS Single Vision EnergizeMe 1.5 DV Silver R 756,30

N 30956 ZEISS Single Vision EnergizeMe 1.5 DV Platinum R 756,30

N 30957 ZEISS Single Vision EnergizeMe 1.5 DV BlueProtect R 756,30

N 30958 ZEISS Single Vision EnergizeMe 1.5 PhotoFusion Grey DV BlueProtect R 756,30

N 30959 ZEISS Single Vision EnergizeMe 1.5 PhotoFusion Brown DV BlueProtect R 756,30

N 30960 ZEISS Single Vision EnergizeMe 1.6 Hard R 756,30

N 30961 ZEISS Single Vision EnergizeMe 1.6 DV Silver R 756,30

N 30962 ZEISS Single Vision EnergizeMe 1.6 DV Platinum R 756,30

N 30963 ZEISS Single Vision EnergizeMe 1.6 DV BlueProtect R 756,30

N 30964 ZEISS Single Vision EnergizeMe 1.6 PhotoFusion Grey DV BlueProtect R 756,30

N 30965 ZEISS Single Vision EnergizeMe 1.6 PhotoFusion Brown DV BlueProtect R 756,30

N 30966 ZEISS Single Vision EnergizeMe 1.67 DV Silver R 756,30

N 30967 ZEISS Single Vision EnergizeMe 1.67 DV Platinum R 756,30

N 30968 ZEISS Single Vision EnergizeMe 1.67 DV BlueProtect R 756,30

N 30969 ZEISS Single Vision EnergizeMe 1.67 PhotoFusion Grey DV BlueProtect R 756,30

N 30970 ZEISS Single Vision EnergizeMe 1.67 PhotoFusion Brown DV BlueProtect R 756,30

N 30971 1.5 Blue Control Crizal Stock R 756,30

N 30972 ZEISS Single Vision EnergizeMe 1.74 DV BlueProtect R 756,30

N 30973 1.5 Transitions VII Blue Control Crizal Stock R 756,30

T 31066 Airwear Transitions Xtractive i-Relief R 2 885,90

T 31067 Airwear Crizal i-Relief Surfaced R 1 817,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 31071 Airwear Aspheric i-Relief Surfaced R 2 240,30

31072 Airwear Aspheric Transitions i-Relief Surfaced R 2 618,50

N 31073 NIKON Lite SP R 240,00

N 31074 NIKON Lite SP RX R 224,00

N 31075 NIKON Lite AS 1.5 R 740,00

N 31077 NIKON Lite AS 1.50 RX R 1 224,00

N 31078 SP 1.5 TRANSITIONS7 R 1 240,00

N 31079 SP TRANSITIONS7 CRIZAL FORTE UV R 1 447,20

N 31080 SP 1.5 RX POLARIZED R 1 224,00

N 31081 NIKON Lite3 AS 1.6 R 1 447,20

N 31083 NIKON Lite3 AS 1.6 RX R 1 447,20

N 31087 NIKON Lite4 AS 1.67 R 1 447,20

N 31089 NIKON Lite4 AS 1.67 RX R 1 447,20

N 31093 NIKON Lite5 AS 1.74 HCC R 1 447,20

N 31094 NIKON Lite5 AS 1.74 R 1 447,20

N 31095 NIKON Lite5 AS 1.74 RX R 1 447,20

N 31097 NIKON Lite3 DAS (Double Aspheric) 1.6 R 1 447,20

N 31098 NIKON Lite4 DAS (Double Aspheric) 1.67 R 1 447,20

N 31099 NIKON Lite5 DAS (Double Aspheric) 1.74 R 1 447,20

N 31100 NIKON SEEMAX AP 1.5 CUSTOM MADE R 1 447,20

N 31104 NIKON SEEMAX AP 1.6 CUSTOM MADE R 1 447,20

N 31108 NIKON SEEMAX AP 1.67 CUSTOM MADE R 1 447,20

N 31112 NIKON SEEMAX AP 1.74 CUSTOM MADE R 1 447,20

N 31116 NIKON VIEWFIT SP 1.5 R 1 224,00

N 31119 NIKON VIEWFIT SP 1.6 R 1 447,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 31122 NIKON VIEWFIT SP 1.67 R 1 447,20

N 31124 UVEX F EN 166 Approved Trilogy Transition Surfaced Hard Coated Single Vision R 1 447,20

N 31600 AFT-I & AFT-II (1.56) UV-Blue R 1 447,20

31601 Essilor EyeZen 1.5 Orma Crizal Easy UV Surfaced

31602 Essilor EyeZen 1.5 Orma Crizal Forte UV Surfaced

T 31603 Essilor EyeZen 1.5 Orma Crizal Prevencia Surfaced R 905,80

31604 Essilor EyeZen 1.5 Orma i-Relief Surfaced

31605 Essilor EyeZen 1.59 Crizal Easy UV Surfaced

31606 Essilor EyeZen 1.59 Crizal Forte UV Surfaced

31607 Essilor EyeZen 1.59 Crizal Prevencia Surfaced R 2 135,90

31608 Essilor EyeZen 1.59 i-Relief Surfaced

T 31609 Nulux Active TF 1.50 Mirror Coat A (0.53) or B (0.88) R 959,80

31610 Essilor EyeZen 1.6 Crizal Easy UV Surfaced

31611 Essilor EyeZen 1.6 Crizal Forte UV Surfaced

T 31612 Nulux Active TF Eyas 1.60 Mirror Coat A (0.53) or B (0.88) R 1 844,50

T 31613 Nulux Active 1.50 Mirror Coat A (0.53) or B (0.88) R 886,40

T 31614 Nulux Active Eyas 1.6 Mirror Coat A (0.53) or B (0.88) R 1 597,80

T 31615 Quality Chill Anti-Fatigue 1.50 ChangeRx™ R 1 995,70

T 31616 Essilor EyeZen 1.6 Crizal Prevencia Surfaced R 1 871,60

31617 Essilor EyeZen 1.6 i-Relief Surfaced

T 31618 Myopilux (1.5)Supra R 1 154,70

T 31619 Myopilux (1.5) Crizal Easy UV R 1 659,10

T 31620 Myopilux (1.5) Crizal Forte UV R 1 910,00

31621 Essilor EyeZen 1.67 Crizal Forte UV

31622 Essilor EyeZen 1.67 Crizal Prevencia R 2 419,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

31623 Essilor EyeZen 1.67 i-Relief

T 31624 Essilor Relax 1.5 Orma Crizal Easy UV Surfaced R 1 200,30

T 31625 Essilor Relax 1.5 Orma Crizal Forte UV Surfaced R 1 451,20

T 31626 Myopilux (1.5) Crizal Prevencia R 2 010,30

T 31627 Essilor Relax 1.5 Orma i-Relief Surfaced R 1 070,90

T 31628 Myopilux (1.5) i-Relief R 1 529,70

31629 Myopilux Orma Transitions Supra

N 31630 Optima Stellar Anti-Fatigue 1.56 R 39,30

N 31631 Optima Stellar Anti-Fatigue 1.6 R 376,80

N 31632 Optima Stellar Anti-Fatigue Transition VII R 1 447,20

N 31633 Optima Stellar Anti-Fatigue Sunactive R 503,30

T 31634 Essilor Relax 1.59 Orma Crizal Easy UV Surfaced R 1 296,20

T 31635 Essilor Relax 1.59 Orma Crizal Forte UV Surfaced R 1 547,10

T 31636 Essilor Relax 1.59 Orma i-Relief Surfaced R 1 166,80

N 31637 Unbranded Accommodative Support Clear 1.5 Uncoated R 288,80

T 31638 Myopilux Airwear Supra R 1 634,20

T 31639 Myopilux Airwear Crizal Easy UV R 2 138,60

T 31640 Myopilux Airwear Crizal Forte UV R 2 389,50

T 31641 Myopilux Airwear Crizal Prevencia R 2 390,00

T 31642 Myopilux Airwear Crizal i-Relief R 2 009,20

N 31643 Unbranded Accommodative Support Clear 1.5 Hard Coat R 558,90

N 31644 Unbranded Accommodative Support Photochromic 1.5 Hard Coat R 1 447,20

N 31645 Unbranded Accommodative Support Clear 1.6 Hard Coat R 1 447,20

31646 Myopilux Airwear Transitions Supra

31647 Myopilux Airwear Transitions Crizal Easy UV

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 31648 Quality Chill Anti-Fatigue 1.50 Blue Cut R 590,80

31649 Myopilux Airwear Transitions Crizal Forte UV

N 31650 Quality Chill Anti-Fatigue 1.60 Blue Cut Emerald R 1 447,20

31651 Myopilux Airwear Transitions Crizal Prevencia

N 31652 1.56 Anti-Fatigue 0.65D R 203,90

31653 Myopilux Airwear Transitions i-Relief

N 31654 Eyezen Ormix Transitions Crizal Prevencia R 1 447,20

T 31655 Myopilux Ormix Supra R 1 673,10

T 31656 RO Relaxx HD R 419,60

T 31657 Myopilux Ormix Crizal Easy UV R 2 177,50

T 31658 ZEISS Digital Lens 1.5 DV Blue Protect R 1 202,10

T 31659 ZEISS Digital Lens 1.5 PhotoFusion Grey DV Blue Protect R 2 398,10

T 31660 ZEISS Digital Lens 1.6 DV Blue Protect R 1 486,60

T 31661 ZEISS Digital Lens 1.6 PhotoFusion Grey DV Blue Protect R 3 331,70

T 31662 ZEISS Digital Lens 1.67 DV Blue Protect R 1 971,20

T 31663 ZEISS Digital Lens 1.67 PhotoFusion Grey DV Blue Protect R 3 718,50

T 31664 ZEISS Digital Lens Sport 1.5 DV Blue Protect R 1 313,20

T 31665 ZEISS Digital Lens Sport 1.5 PhotoFusion Grey DV Blue Protect R 2 509,20

T 31666 ZEISS Digital Lens Sport 1.6 DV Blue Protect R 1 597,80

T 31667 ZEISS Digital Lens Sport 1.6 PhotoFusion Grey DV Blue Protect R 3 442,90

31668 Flexivue 1.5 Mild-add Polarised HC R 1 704,30

T 31669 Myopilux Ormix Crizal Forte UV R 2 428,40

31670 Flexivue 1.53 Mild-add Trivex Transitions HC R 3 154,10

T 31671 Myopilux Ormix Crizal Prevencia R 2 528,70

31672 Flexivue 1.67 Mild-add Transitions HC R 2 163,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 31673 Myopilux Ormix i-Relief R 2 048,10

31674 Myopilux Ormix Transitions Supra

31675 Myopilux Ormix Transitions Crizal Easy UV

N 31676 Relax 0.6D 1.5 Supra R 301,80

31677 Myopilux Ormix Transitions Crizal Forte UV

N 31678 Relax 0.6D 1.5 Crizal Easy R 759,70

N 31679 Relax 0.6D 1.6 Supra R 719,70

31680 Myopilux Ormix Transitions Crizal Prevencia

31681 Myopilux Ormix Transitions i-Relief

T 31682 1.5 Relax 0.6 Hard R 865,10

T 31683 1.5 Relax 0.6 CRIZAL EASY UV R 1 379,50

T 31684 1.6 Relax 0.6 Hard R 1 555,20

T 31685 1.6 Relax 0.6 CRIZAL EASY UV R 2 069,70

N 31686 Relax 0.6D 1.6 Crizal Easy R 1 447,20

N 31687 Eyezen Orma Transitions Crizal Prevencia R 1 447,20

N 31688 Eyezen Airwear Transitions Crizal Prevencia R 1 447,20

T 31689 Essilor Anti-Fatigue 1.5 Orma i-Relief Surfaced R 874,00

T 31690 Essilor Anti-Fatigue 1.6 Crizal Easy UV Surfaced R 1 581,30

T 31691 Essilor Anti-Fatigue 1.6 Crizal Forte UV Surfaced R 1 832,20

N 31692 Eyezen Stylis Transitions Crizal Prevencia R 1 447,20

T 31693 Essilor Anti-Fatigue 1.6 Crizal Prevencia Surfaced R 1 932,60

T 31694 Incredible Flexi Blue Tec 1.5 R 1 155,40

T 31695 Incredible Flexi Protect Your Eyes Blue Tec R 1 842,30

T 31696 Essilor Anti-Fatigue 1.6 i-Relief Surfaced R 1 451,90

T 31697 Essilor Anti-Fatigue 1.67 i-Relief R 2 622,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 31698 Incredible Flexi Blue Tec 1.6 R 1 837,90

T 31699 Myopilux Stylis Crizal Easy UV R 2 916,20

N 31700 Myopilux Orma Transitions Supra R 1 447,20

T 31701 Myopilux Stylis Crizal Forte UV R 3 167,10

T 31702 Myopilux Stylis Crizal Prevencia R 3 267,50

31703 Myopilux Stylis Transitions Crizal Easy UV

31704 Myopilux Stylis Transitions Crizal Forte UV

T 31705 DOUBLE FIRE 1.5 HC R 209,50

T 31706 DOUBLE FIRE 1.5 OCC R 386,30

T 31707 DOUBLE FIRE 1.5 AOCC R 615,80

T 31708 DOUBLE FIRE 1.5 AOCC BLUE R 687,50

T 31709 DOUBLE FIRE 1.5 TRANSITION AOCC R 1 261,00

T 31710 DOUBLE FIRE 1.6 OCC R 830,80

T 31711 DOUBLE FIRE 1.6 AOCC R 971,80

T 31712 DOUBLE FIRE 1.6 AOCC BLUE R 1 105,70

T 31713 DOUBLE FIRE 1.6 TRANSITION AOCC R 1 700,70

T 31714 AFT-I & AFT-II (1.59) Poly R 1 831,50

T 31715 AFT-I & AFT-II (1.59) Poly-Transitions R 4 057,50

T 31716 AFT-I & AFT-II (1.59) Poly-Polarised R 3 514,70

31717 Myopilux Stylis Transitions Crizal Prevencia

31718 Myopilux Stylis Transitions i-Relief

T 31719 1.50 GKB BICLEAR Accommodative FF Clear Hard Coat R 575,20

T 31720 1.60 GKB BICLEAR Accommodative FF Clear Hard Coat R 1 753,40

T 31721 1.67 GKB BICLEAR Accommodative FF Clear Hard Coat R 2 331,40

T 31722 1.74 GKB BICLEAR Accommodative FF Clear Hard Coat R 3 509,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 31723 1.56 GKB BICLEAR Accommodative FF Reactor Grey Hard Coat R 1 153,20

T 31724 1.50 GKB BICLEAR Accommodative FF Transitions VII Grey/Brown Hard Coat R 2 064,60

31725 1.60 GKB BICLEAR Accommodative FF Transitions VII Grey/Brown Hard Coat R 3 314,60

31726 1.67 GKB BICLEAR Accommodative FF Transitions VII Grey/Brown Hard Coat R 4 071,60

31727 1.74 GKB BICLEAR Accommodative FF Transitions VII Grey/Brown Hard Coat R 7 099,50

T 31728 AFT-I & AFT-II (1.5) R 1 271,10

T 31729 AFT-I & AFT-II (1.6) R 2 238,00

T 31730 AFT-I & AFT-II (1.67) R 2 781,10

T 31731 AFT-I & AFT-II (1.5) Transitions R 3 037,50

T 31732 AFT-I & AFT-II (1.6) Transitions R 4 835,80

T 31733 AFT-I & AFT-II (1.67) Transitions R 5 077,50

T 31734 AFT-I & AFT-II (1.5) Polarised R 1 455,90

T 31735 AFT-I & AFT-II (1.6) Polarised R 5 140,90

T 31736 AFT-I & AFT-II (1.67) Polarised R 5 779,20

T 31737 AFT-I & AFT-II (1.57) Trivex R 2 660,30

T 31738 AFT-I & AFT-II (1.57) Trivex Transitions R 5 077,50

T 31739 EasyWork S/V Screen 1.5 Crizal Prevencia R 1 095,40

T 31740 EasyWork S/V Screen 1.5 Transitions Crizal Prevencia R 1 602,20

T 31741 EasyWork S/V Screen 1.6 Crizal Prevencia R 1 142,10

T 31742 EasyWork S/V Screen 1.6 Transitions Crizal Prevencia R 1 977,90

N 31743 Myopilux Orma Transitions Crizal Easy UV R 1 447,20

N 31744 Myopilux Orma Transitions Crizal Forte UV R 1 447,20

N 31745 Unbranded Accommodative Support Photochromic 1.6 Hard Coat R 1 447,20

N 31746 Myopilux Airwear Transitions Supra R 1 447,20

N 31747 Myopilux Airwear Transitions Crizal Easy UV R 1 447,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 31748 Myopilux Airwear Transitions Crizal Forte UV R 1 447,20

N 31749 Myopilux Airwear Transitions Crizal Prevencia R 1 447,20

N 31750 Myopilux Airwear Transitions i-Relief R 1 447,20

N 31751 Myopilux Ormix Transitions Supra R 1 447,20

N 31752 Myopilux Ormix Transitions Crizal Easy UV R 1 447,20

N 31754 Myopilux Ormix Transitions Crizal Prevencia R 1 447,20

N 31755 Myopilux Ormix Transitions i-Relief R 1 447,20

N 31756 Myopilux Stylis Transitions Crizal Easy UV R 1 447,20

N 31757 Myopilux Stylis Transitions Crizal Forte UV R 1 447,20

N 31758 Myopilux Stylis Transitions Crizal Prevencia R 1 447,20

N 31759 NIKON Relaxsee 1.5 R 889,00

N 31760 NIKON Relaxsee 1.6 R 1 447,20

N 31761 NIKON Relaxsee 1.67 R 1 447,20

N 31762 EXCLUSIVE ANTI-FATIGUE 1.50 R 1 116,60

N 31763 EXCLUSIVE ANTI-FATIGUE 1.50 BLUE CUT R 1 447,20

N 31764 EXCLUSIVE ANTI-FATIGUE 1.60 HC R 1 447,20

N 31765 EXCLUSIVE ANTI-FATIGUE 1.60 BLUE CUT R 1 447,20

N 31766 Focus Relax 1.56 Blue Tech (In-Mass Material) R 1 447,20

N 31767 ZEISS Digital Lens 1.5 PhotoFusion Brown Hard R 1 447,20

N 31768 ZEISS Digital Lens 1.5 PhotoFusion Brown DV Silver R 1 447,20

N 31769 ZEISS Digital Lens 1.5 PhotoFusion Brown DV Platinum R 1 447,20

N 31770 ZEISS Digital Lens 1.5 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31771 ZEISS Digital Lens 1.6 PhotoFusion Brown Hard R 1 447,20

N 31772 ZEISS Digital Lens 1.6 PhotoFusion Brown DV Silver R 1 447,20

N 31773 ZEISS Digital Lens 1.6 PhotoFusion Brown DV Platinum R 1 447,20

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 31774 ZEISS Digital Lens 1.6 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31775 ZEISS Digital Lens 1.67 PhotoFusion Brown DV Platinum R 1 447,20

N 31776 ZEISS Digital Lens 1.67 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31777 ZEISS Digital Lens 1.67 PhotoFusion Brown DV Silver R 1 447,20

N 31778 ZEISS Digital Lens Sport 1.5 PhotoFusion Brown Hard R 1 447,20

N 31779 ZEISS Digital Lens Sport 1.5 PhotoFusion Brown DV Silver R 1 447,20

N 31780 ZEISS Digital Lens Sport 1.5 PhotoFusion Brown DV Platinum R 1 447,20

N 31781 ZEISS Digital Lens Sport 1.5 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31782 ZEISS Digital Lens Sport 1.6 PhotoFusion Brown Hard R 1 447,20

N 31783 ZEISS Digital Lens Sport 1.6 PhotoFusion Brown DV Silver R 1 447,20

N 31784 ZEISS Digital Lens Sport 1.6 PhotoFusion Brown DV Platinum R 1 447,20

N 31785 ZEISS Digital Lens Sport 1.6 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31786 ZEISS Digital EnergizeMe 1.5 Hard -

N 31787 ZEISS Digital EnergizeMe 1.5 DV Silver -

N 31788 ZEISS Digital EnergizeMe 1.5 DV Platinum -

N 31789 ZEISS Digital EnergizeMe 1.5 PhotoFusion Grey DV BlueProtect R 1 447,20

N 31790 ZEISS Digital EnergizeMe 1.5 DV BlueProtect R 1 202,10

N 31791 ZEISS Digital EnergizeMe 1.6 Hard -

N 31792 ZEISS Digital EnergizeMe 1.5 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31793 ZEISS Digital EnergizeMe 1.6 DV Silver -

N 31794 ZEISS Digital EnergizeMe 1.6 DV Platinum -

N 31795 ZEISS Digital EnergizeMe 1.6 DV BlueProtect R 1 447,20

N 31796 ZEISS Digital EnergizeMe 1.6 PhotoFusion Grey DV BlueProtect R 1 447,20

N 31797 ZEISS Digital EnergizeMe 1.6 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31798 ZEISS Digital EnergizeMe 1.67 DV Silver -

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 31799 ZEISS Digital EnergizeMe 1.67 DV Platinum -

N 31800 ZEISS Digital EnergizeMe 1.67 PhotoFusion Grey DV BlueProtect R 1 447,20

N 31801 ZEISS Digital EnergizeMe 1.67 PhotoFusion Brown DV BlueProtect R 1 447,20

N 31802 ZEISS Digital EnergizeMe 1.74 DV BlueProtect R 1 447,20

N 31803 ZEISS Digital EnergizeMe 1.67 DV BlueProtect R 1 447,20

N 32001 Unbranded Flat-top 28mm 1.50 Hard Coated Clear R 233,30

N 32002 Unbranded Flat-top 28mm 1.50 Photochromatic Hard Coat R 736,80

N 32003 Unbranded Flat-top 28mm 1.50 Photochromatic HMC R 736,80

N 32004 Unbranded Flat-top 28mm 1.53 Clear Hard Coat R 736,80

N 32005 Unbranded Flat-top 28mm 1.53 Clear HMC R 736,80

N 32006 ULTIMAX 1.498 CR39 Bifocal Clear Uncoated R 35,40

X 32007 Focus FT 7028 Emerald Hardcoat N/A

X 32008 Focus FT 7028 Invisibles N/A

X 32009 Focus Transition 7 Signature FT28 Emerald Hardcoat N/A

X 32010 Focus Transition 7 Signature FT28 Invisibles N/A

N 32011 ULTIMAX 1.498 CR39 Bifocal Clear Premium HC R 499,40

X 32012 Focus Acclimates FT28 Emerald Hardcoat N/A

X 32013 Focus Acclimates FT28 Invisibles N/A

T 32015 Hilux Flat-top 28 Transitions S7 SHV R 2 716,60

T 32016 Quality FT 28 ChangeRx™ R 1 537,70

N 32017 ULTIMAX 1.498 CR39 Bifocal Premium HC R 163,00

T 32018 Jet Star D28 1.50 Uncoated R 147,80

T 32019 Jet Star D28 1.50 Transitions 7 Uncoated R 1 054,70

X 32022 Focus FT7028 1.6 N/A

32023 Orma Flat-top 28 i-Relief R 660,80

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

32024 synchrony Single Vision Access A 1.5 UNC

32025 synchrony Single Vision Access B 1.5 UNC

N 32026 ULTIMAX 1.53 Trivex/Trilogy Clear Bifocal Premium HC R 736,80

N 32027 ULTIMAX 1.59 Polycarbonate Bifocal Premium HC R 736,80

T 32028 Orma Flat-top Transitions i-Relief R 2 002,70

T 32029 Orma Flat-top Transitions Xtractive i-Relief R 2 002,70

T 32030 CZV Bifocal FT28 1.5 Photochromic Grey HMCX R 1 801,30

T 32031 synchrony Bifocal FT28 1.5 HMCX R 919,70

T 32032 synchrony Bifocal FT28 1.5 PhotoFusion Grey HMCX R 2 427,70

T 32033 synchrony Bifocal FT35 1.5 HMC+ R 1 238,20

T 32034 synchrony Bifocal FT35 1.5 HMCX R 1 411,10

T 32036 ZEISS Bifocal Aphal RS22 1.5 Hard R 1 598,80

T 32037 ZEISS Bifocal Aphal RS22 1.5 DV Silver R 2 069,10

T 32038 ZEISS Bifocal Aphal RS22 1.5 DV Platinum R 2 271,60

T 32039 ZEISS Bifocal Aphal RS22 1.5 DV Blue Protect R 2 271,60

32040 Futuro Bifocal FT 28 1.5 Photochromic R 809,10

T 32041 Futuro Bifocal FT 28 1.5 Transitions® Signature™ VII R 1 535,60

T 32042 Futuro Bifocal FT 28 1.53 Trivex® R 1 893,10

T 32043 Futuro Bifocal FT 28 1.53 Trivex® Transitions® Signature™ VII R 3 715,20

T 32044 Futuro Digital Bifocal 1.5 R 1 103,40

T 32045 Futuro Digital Bifocal 1.5 Transitions® Signature™ VII R 2 445,30

T 32046 Futuro Bifocal FT 28 1.67 R 2 146,50

X 32047 1.5 Flat-top 28mm ARC N/A

32048 1.5 Flat-top 28mm Super Hydrophobic ARC R 1 026,00

X 32049 1.5 Flat-top 35mm UNC N/A

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

32050 1.5 Flat-top 35mm Hard R 1 026,00

T 32051 1.5 Flat-top 35mm ARC R 1 328,30

X 32052 1.5 Flat-top 28mm Transition® VII Grey ARC N/A

T 32053 1.5 Flat-top 28mm Transition® VII Grey Super Hydrophobic ARC R 2 187,80

32054 1.5 Executive Flat-top Hard R 970,60

T 32055 1.5 Flat-top 28mm Acclimates Hard R 1 304,20

T 32056 1.5 Flat-top 28mm Acclimates Super Hydrophobic ARC R 1 960,90

T 32057 1.53 PNX Flat-top 28mm HARD R 1 436,90

32058 1.53 PNX Flat-top 28mm ARC R 2 013,10

T 32059 1.56 Flat-top 28mm Reactor Grey ARC R 1 415,20

T 32060 1.6 Flat-top 28mm ARC R 2 079,20

32061 Luxalite Flatop Bifocal

T 32062 Luxalite Supreme Flatop Bifocal R 0,00

T 32063 SmartShades Flatop Bifocal R 132,30

T 32064 SmartShades Supreme Flatop Bifocal R 432,40

X 32065 Torga 1.6 Flat-top 28 Clear HC N/A

32066 LENZKRAFT BIFOCAL FT 28 WT CR39 SURFACED

32067 LENZKRAFT BIFOCAL FT 28 PHOTOMATIC R 14,40

32068 Flat-top 28 Trilogy® (1.53) R 1 105,60

N 32069 ULTIMAX 1.56 Photochromic Bifocal Premium HC R 685,00

N 32070 ULTIMAX 1.5 Acclimate Bifocal Premium HC R 736,80

T 32071 Airwear 28 Seg Flat-top Crizal Forte UV R 1 594,40

T 32072 Airwear 28 Seg Flat-top Crizal Prevencia R 1 594,40

32073 Airwear 28 Seg Flat-top i-Relief R 1 344,70

32074 1.50 Flat-top 28mm Clear UNC R 79,70

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

32075 1.50 Flat-top 28mm Clear Hard Coat R 261,20

T 32076 1.50 Lenticular Bifocal 22 mm Clear UNC R 1 198,10

T 32077 1.50 Lenticular Bifocal 22 mm Clear Hard Coat R 1 366,80

32078 1.50 Flat-top 28mm Transitions VII Grey/Brown Hard Coat R 1 593,60

T 32079 1.56 Flat-top 28mm Reactor Grey Hard Coat R 923,90

T 32080 1.59 Flat-top 28mm Polycarbonate Clear Hard Coat R 923,90

T 32081 1.61 Flat-top 28mm Clear Hard Coat R 1 619,90

T 32082 1.67 Flat-top 28mm Clear Hard Coat R 2 315,90

32083 Transitions® Signature™ VII Flat-top 28 Grey & Brown R 2 068,50

32084 Transitions® Signature™ VII Flat-top 28 Grey & Brown High Add (3.25 – 4.00) R 3 272,60

32085 Transitions® Xtractive® Flat-top 28 Grey & Brown R 2 068,50

32086 Transitions® Signature™ VII Flat-top 35 Grey & Brown R 3 151,90

32087 Transitions® Signature™ VII Flat-top 7x28 Grey & Brown Trifocal R 3 393,10

32088 Transitions® Xtractive® VII Flat-top 7x28 Grey Trifocal R 3 393,10

32089 Transitions® Signature™ VII Flat-top 8x35 Grey Only Trifocal R 4 356,00

32090 Trilogy® Transitions® Signature™ VII Flat-top 28 Grey & Brown R 2 911,80

32091 Arc Bifocal FT 28 1.5 White

T 32092 Arc Bifocal FT 28 1.5 Photochromic R 0,00

T 32093 Futuro Digital Bifocal 1.5 Photochromic R 1 843,60

T 32094 Futuro Digital Bifocal 1.6 R 2 062,40

T 32095 Futuro Digital Bifocal 1.6 Transitions® Signature™ VII R 3 444,30

T 32096 Futuro Digital Bifocal 1.67 R 2 555,90

T 32097 Futuro Digital Bifocal 1.67 Transitions® Signature™ VII R 4 114,00

T 32098 BBGR Flat-top 70/35 Crizal Prevencia R 1 421,70

T 32099 BBGR Flat-top 70/28 Crizal Prevencia R 919,70

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Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 32100 BBGR Flat-top Transitions Crizal Prevencia R 2 164,00

T 32101 BBGR Flat-top Polycarbonate Crizal Easy UV R 1 316,20

T 32102 BBGR Flat-top Polycarbonate Crizal Forte UV R 1 541,90

T 32103 BBGR Flat-top Polycarbonate Crizal Prevencia R 1 541,90

32104 Transitions® Signature™ VII (1.59) Flat-top 28 Grey R 1 647,90

32105 Round 40 R 985,00

T 32106 Telex Omega Exceptio Supra (On demand bonded) R 2 657,60

T 32107 Telex Omega Exceptio Crizal Forte UV (On demand bonded) R 3 409,90

T 32108 Telex Omega Exceptio Crizal Prevencia (On demand bonded) R 3 509,90

T 32109 Telex Aspheric Lenticular Exceptio Uncoated (On demand bonded) R 2 682,20

32110 Telex Trifocal (On demand bonded)

32111 Bifocal with top and bottom segment (On demand bonded)

32112 Bifocal with polymerization/SLAB OFF (On demand bonded)

T 32113 Telemil 22 Supra R 2 105,60

T 32114 Telemil 22 Crizal Forte UV R 2 858,00

T 32115 Telemil 22 Crizal Prevencia R 2 957,90

T 32116 Telemil 38 Supra R 2 343,90

T 32117 Telemil 38 Crizal Forte UV R 3 096,30

T 32118 Telemil 38 Crizal Prevencia R 3 196,30

32119 EYECON

T 32120 RO Clear Polycarbonate F/T Bifocal 7028 R 810,10

T 32121 RO Clear 1.67 F/T Bifocal 7028 R 1 449,10

T 32122 RO Tansitions Trivex F/T Bifocal 7028 R 2 429,80

32123 1.50 Clear Lenticular Bifocal R 142,80

32124 1.50 Clear Curve Top Bifocal 70/28

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Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

32125 1.60 Clear MR-8 Flat-top Bifocal 70/28 R 446,10

N 32126 ULTIMAX 1.498 Transition Bifocal Premium HC R 736,80

N 32127 ULTIMAX 1.498 Transition Xtractive Bifocal Premium HC R 736,80

N 32128 ULTIMAX 1.53 Trivex Transition Bifocal Premium HC R 736,80

N 32129 UVEX S EN 166 Approved CR39 Bifocal 1.49 Premium HC R 181,60

N 32130 EXCLUSIVE Flat-top TRANSITIONS HC R 736,80

N 32131 Uvex F EN166 Approved Polycarbonate Transition Bifocal R 680,40

N 32132 EXCLUSIVE Flat-top SUNGUARD R 736,80

N 32133 UVEX F EN166 Approved Trilogy Bifocal Premium Hard Coated R 736,80

N 32134 OTL Flat-top ECONO SUNZONE SURFACED R 692,00

N 32135 Torga 1.5 Double D Flat-top 28 seg HC R 736,80

N 32136 Torga 1.5 Franklin Bifocal HC R 605,00

N 32137 Torga 1.5 Franklin Transitions Bifocal HC R 736,80

N 32138 Torga 1.5 Franklin Trifocal HC R 736,80

N 32139 Torga 1.5 Franklin Transitions Trifocal HC R 736,80

N 32140 Jet Star C28 1.60 Uncoated R 736,80

N 32141 Essilor 1.56 Flat-top Photochromic R 7,60

N 32142 Essilor 1.56 Flat-top Clear R 736,80

N 32143 Flat-top 28 1.5 UC R 79,50

N 32144 Flat-top 28 1.5 Acclimates UC R 736,80

N 32145 Flat-top 28 1.5 Transitions/Xtra-Active UC R 736,80

N 32146 Flat-top 35 1.5 UC R 576,00

N 32147 Flat-top 35 1.5 Transitions UC R 736,80

N 32148 Flat-top 28 1.53 UC R 736,80

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 32149 Flat-top 28 1.53 Transitions UC R 736,80

N 32150 UVEX F EN 166 Approved Polycarbonate G42 Incl Hard Coad Single Vision R 289,60

N 32151 UVEX F EN 166 Approved Polycarbonate Transition Single Vision R 736,80

N 32155 Unbranded Flat-top 35mm 1.5 Hard Coated Clear R 407,20

N 32156 Futuro Bifocal FT 28 1.5 R 371,40

N 32157 Focus 7028 1.6 Quartz Hardcoat R 736,80

N 32158 eLab Flat-top 28 UC R 631,60

N 32159 RO HF-Blue Cut F/T Bifocal 7028 R 71,90

N 32160 Traditional-Flat-top D28 1.5 R 284,40

N 32161 Traditional-Flat-top D28 Poly R 736,80

N 32162 Traditional-Flat-top D28 1.6 R 736,80

N 32163 Traditional-Flat-top D28 1.5 Transition R 736,80

N 32164 Traditional-Flat-top D28 1.5 PhotoView R 736,80

N 32165 Traditional-Flat-top D35 1.5 R 550,40

N 32166 Unbranded Flat-top 28mm 1.5 Clear Uncoated R 154,20

N 32167 Lenssavers 1.5 Flat-top 35 R 649,80

N 32200 UVEX F EN 166 Approved Trilogy Transition Bifocal Hard Coated R 736,80

N 32202 UVEX F EN 166 Approved Polycarbonate Bifocal 1.59 Premium HC R 736,80

32210 VUE 1.5 CR39 FT28 UC

N 32300 eLab Flat-top 28 1.56 Photochromic UC R 611,80

T 32326 Clear FT-28 1.5 UC R 181,00

T 32327 Clear FT-28 1.5 HC R 352,10

T 32328 Clear RT-28 1.5 UC Round-Top R 181,00

T 32329 Clear FT-35 1.5 UC R 507,90

T 32330 Accllimate FT-28 1.5 UC R 1 460,50

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 32331 Transition FT-28 1.5 UC R 1 937,80

T 32332 Clear FT-28 1.59 Poly UC R 922,30

T 34000 iD Workstyle V+ 1.50 Hard R 1 418,80

T 34002 iD Workstyle V+ 1.50 SHV R 2 038,80

T 34003 iD Workstyle V+ 1.50 HVLL R 2 241,30

T 34004 SOFTWEAR 1.5 R 674,40

T 34005 SOFTWEAR 1.6 R 1 102,20

N 34006 Unbranded Varifocal Intermediate/Near 1.5 Clear Uncoated -

T 34007 iD Workstyle V+ 1.50 HVLL Blue Control R 2 391,00

N 34008 Unbranded Varifocal Intermediate/Near 1.5 Clear Uncoated -

T 34009 iD Workstyle V+ 1.50 HVLL UV Control R 2 391,00

T 34010 iD Workstyle V+ Eyas 1.60 Hard R 1 868,00

T 34012 Focus Offi ce CR39 HD 1.5 R 279,90

T 34013 Focus Offi ce CR39 HD 1.6 R 469,70

T 34014 Focus Offi ce Transition 7 HD 1.5 R 1 861,70

T 34015 Focus Offi ce Transition 7 HD 1.6 R 2 620,90

T 34016 iD Workstyle V+ Eyas 1.60 SHV R 2 488,10

T 34017 iD Workstyle V+ Eyas 1.60 HVLL R 2 690,50

T 34018 iD Workstyle V+ Eyas 1.60 HVLL Blue Control R 2 840,30

T 34019 iD Workstyle V+ Eyas 1.60 HVLL UV Control R 2 840,30

T 34020 iD Workstyle V+ Eynoa 1.67 SHV R 2 962,60

T 34021 1.5 Interview 0.8 & 1.3 Degression Hard R 368,80

T 34022 1.5 Interview 0.8 & 1.3 Degression CRIZAL EASY UV R 901,90

T 34023 iD Workstyle V+ Eynoa 1.67 HVLL R 3 165,00

N 34024 Unbranded Varifocal Intermediate/Near 1.5 Clear Hard Coat R 121,70

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Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 34025 Unbranded Varifocal Intermediate/Near 1.5 Clear HMC R 507,40

N 34026 Unbranded Varifocal Intermediate/Near 1.5 Photochromatic Hard Coat -

T 34027 iD Workstyle V+ Eynoa 1.67 HVLL Blue Control R 3 312,70

T 34028 iD Workstyle V+ Eynoa 1.67 HVLL UV Control R 3 312,70

T 34029 Jet Star Offi ce HD 1.50 Uncoated Surfaced R 0,00

T 34030 ZEISS Offi celens Superb Book 1.5 DV Blue Protect R 1 113,00

T 34031 ZEISS Offi celens Superb Near 1.5 DV Blue Protect R 1 113,00

T 34032 ZEISS Offi celens Superb Room 1.5 DV Blue Protect R 1 113,00

T 34033 ZEISS Offi celens Superb Book 1.6 DV Blue Protect R 1 399,80

T 34034 ZEISS Offi celens Superb Near 1.6 DV Blue Protect R 1 399,80

T 34035 ZEISS Offi celens Superb Room 1.6 DV Blue Protect R 1 399,80

T 34036 ZEISS Offi celens Superb Book 1.67 DV Blue Protect R 1 768,90

T 34037 ZEISS Offi celens Superb Near 1.67 DV Blue Protect R 1 768,90

T 34038 ZEISS Offi celens Superb Room 1.67 DV Blue Protect R 1 768,90

T 34039 ZEISS Offi celens Individual 1.5 DV Blue Protect R 1 943,90

T 34040 ZEISS Offi celens Individual 1.6 DV Blue Protect R 2 230,80

T 34041 ZEISS Offi celens Individual 1.67 DV Blue Protect R 2 696,80

T 34042 RO Offi ce HD R 163,90

T 34043 SEIKO Indoor 1.60 Uncoated Surfaced R 1 507,40

T 34044 SEIKO Indoor 1.67 Uncoated Surfaced R 1 830,00

T 34045 SEIKO COMPUTER Xtra 1.74 Uncoated Surfaced R 1 859,60

T 34046 Jet Star Offi ce HD 1.60 Uncoated Surfaced R 197,70

34047 FIRE PURPLE CLEAR HC 1.6

T 34048 FIRE PURPLE CLEAR OCC 1.6 R 19,20

T 34049 FIRE PURPLE CLEAR AOCC 1.6 R 189,20

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34050 FIRE PURPLE AOCC BLUE 1.6 R 361,50

T 34051 FIRE PURPLE TRANSITION HC 1.6 R 484,00

T 34052 FIRE PURPLE TRANSITION OCC 1.6 R 688,00

T 34053 FIRE PURPLE TRANSITION AOCC 1.6 R 869,40

T 34054 FIRE PURPLE TRANSTION AOCC BLUE 1.6 R 948,80

T 34055 1.50 GKB Occupational FF Clear UNC (DEG 0.75-1.25-1.75) R 50,10

T 34056 1.50 GKB Occupational FF Clear Hard Coat (DEG 0.75-1.25-1.75) R 218,80

T 34057 1.60 GKB Occupational FF Clear Hard Coat (DEG 0.75-1.25-1.75) R 1 051,80

T 34058 1.67 GKB Occupational FF Clear Hard Coat (DEG 0.75-1.25-1.75) R 1 884,90

T 34059 1.74 GKB Occupational FF Clear Hard Coat (DEG 0.75-1.25-1.75) R 3 002,70

T 34060 1.56 GKB Occupational FF Reactor Grey Hard Coat (DEG 0.75-1.25-1.75) R 630,00

T 34061 1.50 GKB Occupational FF Transitions VII Grey/Brown Hard Coat (DEG 0.75-1.25-1.75) R 1 631,80

T 34062 1.61 GKB Occupational FF Transitions VII Grey/Brown Hard Coat (DEG 0.75-1.25-1.75) R 2 897,20

T 34063 1.67 GKB Occupational FF Transitions VII Grey/Brown Hard Coat (DEG 0.75-1.25-1.75) R 3 656,40

34064 1.74 GKB Occupational FF Transitions VII Grey/Brown Hard Coat (DEG 0.75-1.25-1.75) R 6 684,50

T 34065 Incredible Reader Blue Tec 1.5 R 1 216,30

T 34066 Incredible Reader Protect Your Eyes Blue Tec R 1 849,00

T 34067 Incredible Offi ce Blue Tec R 1 216,30

T 34068 Incredible Offi ce Protect Your Eyes Blue Tec R 1 849,00

T 34069 Incredible Offi ce Blue Tec 1.6 R 1 849,00

T 34070 SOFTWEAR 1.67 R 1 651,20

T 34071 SOFTWEAR 1.5 Transitions R 2 623,80

T 34072 SOFTWEAR 1.6 Transitions R 3 950,00

T 34073 SOFTWEAR 1.67 Transitions R 4 488,90

T 34074 EasyWork Mid-distance 1.50 Crizal Prevencia R 604,70

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34075 EasyWork Mid-distance 1.60 Crizal Prevencia R 1 370,30

T 34076 EasyWork Prog Indoor 1.50 Crizal Prevencia R 821,90

T 34077 EasyWork Prog Indoor 1.60 Crizal Prevencia R 1 193,10

T 34078 EasyWork Prog Indoor 1.60 i-Relief R 836,70

T 34079 EasyWork Prog Indoor 1.67 Crizal Prevencia R 1 730,90

N 34080 Quality Internal Offi ce Blue Cut R 233,50

N 34081 Quality Internal Offi ce 1.6 Blue Cut Emerald R 1 374,50

N 34082 Unbranded Varifocal Intermediate/Near 1.5 Photochromatic HMC -

N 34083 Unbranded Varifocal Intermediate/Near 1.6 Clear Hard Coat R 663,20

N 34084 Unbranded Varifocal Intermediate/Near 1.6 Clear HMC R 1 075,60

N 34085 Unbranded Varifocal Intermediate/Near 1.6 Photochromatic Hard Coat -

N 34086 Optima Stellar Offi ce Digital Photochromic Customized FreeForm 1.50 R 150,60

N 34087 1.5 Offi ce HD ARC (0.75-1.25-1.75-2.25) R 1 117,00

N 34088 1.6 Offi ce HD ARC (0.75-1.25-1.75-2.25) R 1 374,50

N 34089 EXCLUSIVE OFFICE 1.50 R 732,40

X 34090 Varilux Interview 1.6 Crizal Prevencia N/A

N 34091 Unbranded Varifocal Intermediate/Near 1.6 Photochromatic HMC -

T 34092 Varilux Interview 1.67 i-Relief R 4 262,80

N 34093 NIKON WEB I TRAD 1.5 (1.00) R 454,00

N 34094 NIKON WEB II TRAD 1.5 (2.00) R 454,00

N 34095 SOLTES Wide 1.5 R 704,00

N 34096 SOLTES Wide 1.6 R 1 374,50

N 34097 SOLTES Wide 1.67 R 1 374,50

N 34098 Home&Offi ce 1.5 R 704,00

N 34099 Home&Offi ce 1.6 R 1 374,50

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GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 34100 Home&Offi ce 1.67 R 1 374,50

N 34101 SOFTWEAR (1.56) UV-Blue R 940,10

N 34102 Offi ce LB UC -

N 34103 EXCLUSIVE OFFICE 1.60 R 1 374,50

N 34104 EXCLUSIVE OFFICE 1.50 BLUE CUT R 1 374,50

N 34105 EXCLUSIVE OFFICE 1.60 BLUE CUT R 1 374,50

N 34106 Focus Offi ce 1.56 Blue Tech CR39 HD (In-Mass Material) R 849,40

T 34180 Varilux Interview 1.5 i-Relief R 544,00

T 34432 OS Offi ce 1.5 CR39 Anti-Refl ective Coating R 956,90

X 34500 Focus Dynamic FreeForm 1.5 Emerald Hardcoat N/A

X 34501 Focus Dynamic FreeForm 1.5 Invisibles N/A

X 34502 Focus Dynamic FreeForm 1.6 Invisibles N/A

X 34503 Focus Dynamic FreeForm 1.67 Invisibles N/A

X 34504 Focus Dynamic Transitions 7 Signature FreeForm 1.5 Emerald Hardcoat N/A

X 34505 Focus Dynamic Transitions 7 Signature FreeForm 1.5 Invisibles N/A

X 34506 Focus Dynamic Transitions 7 Signature FreeForm 1.6 Invisibles N/A

X 34507 Focus Dynamic Transitions 7 Signature FreeForm 1.67 Invisibles N/A

T 34508 Amplitude 1.50 Mirror Coat (Mini & Long) R 773,40

T 34509 Amplitude 1.60 Mirror Coat (Mini & Long) R 1 366,10

T 34510 Amplitude Digi 1.50 Uncoated (Mini & Long) R 134,40

T 34514 Amplitude Digi 1.50 Acclimates Hard (Mini & Long) R 980,10

T 34515 Amplitude Digi 1.50 Acclimates HVP (Mini & Long) R 1 471,50

T 34516 Amplitude Digi 1.50 Acclimates SHV (Mini & Long) R 1 600,20

T 34521 MAUI Polycarbonate Progressive R 2 078,90

T 34522 MAUI Evolution 1.6 Progressive R 2 960,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34523 Amplitude Digi 1.60 Polarised Hard (Mini & Long) R 2 308,80

T 34524 Amplitude Digi 1.60 Polarised HVP (Mini & Long) R 2 791,80

T 34525 Amplitude Digi 1.60 Polarised SHV (Mini & Long) R 2 928,80

T 34526 Amplitude Digi 1.60 Polarised HVLL (Mini & Long) R 3 129,20

T 34529 Amplitude TF 1.60 Mirror Coat (Mini & Long) R 2 173,80

T 34530 Orma Polaroid PAL Surfaced Supra R 817,70

T 34531 Orma Polaroid PAL Surfaced Crizal Easy UV R 1 296,30

T 34532 Airwear Polaroid PAL Surfaced Supra R 1 648,90

T 34533 Active Eyas 1.60 low add Mirror Coat R 1 528,50

T 34534 Airwear Polaroid PAL Surfaced Crizal Easy UV R 2 127,40

34535 Varilux Liberty Digital Orma Xperio Supra R 786,90

34536 Varilux Liberty Digital Orma Xperio Crizal Easy UV R 1 308,10

T 34537 Summit 1.50 Mirror Coat (CD & Pro) R 1 549,50

34538 Varilux Liberty Digital Orma Xperio Crizal Forte UV R 1 567,10

T 34539 Summit Eyas 1.60 Mirror Coat (CD & Pro) R 2 119,00

34540 Varilux Liberty Digital Orma Xperio Crizal Prevencia R 1 670,10

T 34541 Summit TF 1.50 Mirror Coat (CD & Pro) R 1 549,50

T 34542 Summit TF Eyas 1.60 Mirror Coat (CD & Pro) R 2 119,00

T 34543 iD LifeStyle V+ 1.50 Mirror Coat (Clarity & Harmony) R 2 201,20

T 34544 iD LifeStyle V+ Eyas 1.60 Mirror Coat (Clarity & Harmony) R 2 739,00

T 34545 iD LifeStyle V+ X-Act 1.50 Hard (Clarity & Harmony) R 2 076,80

34546 Varilux Liberty Digital Short Orma Xperio Supra R 784,70

34547 Varilux Liberty Digital Short Orma Xperio Crizal Easy UV R 1 304,90

34548 Varilux Liberty Digital Short Orma Xperio Crizal Forte UV R 1 563,80

34549 Varilux Liberty Digital Short Orma Xperio Crizal Prevencia R 1 667,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34550 Varilux Comfort New Edition Ormix Crizal PrevenciaClear R 2 601,60

T 34551 Quality Internal ChangeRx™ R 1 382,90

X 34552 RO Pro-T Clear N/A

X 34553 RO Pro-T Transitions N/A

T 34554 RO ProNatural Clear R 322,10

T 34555 RO ProNatural SunChange R 1 174,10

T 34556 Quality Genius FF ChangeRx™ R 1 486,30

T 34557 Quality IQ Individualized FF ChangeRx™ R 1 593,80

T 34558 Futuro P Optimised FreeForm NuPolar® 1.5 R 1 208,60

T 34559 Futuro P Standard FreeForm 1.6 R 1 448,70

T 34560 Futuro P Standard FreeForm Transitions® 1.6 R 2 593,30

T 34561 Futuro P Optimised FreeForm NuPolar® 1.6 R 2 486,60

T 34562 Futuro P Standard FreeForm 1.67 R 1 824,90

T 34563 Futuro P Standard FreeForm Transitions® 1.67 R 3 348,30

T 34564 Futuro P Optimised FreeForm NuPolar® 1.67 R 2 945,40

T 34565 Summit Digi 1.50 Polarised Mirror Coat (CD & Pro) R 1 948,20

T 34566 iD LifeStyle V+ X-Act 1.50 SHV (Clarity & Harmony) R 2 699,00

T 34567 iD LifeStyle V+ X-Act 1.50 HVLL (Clarity & Harmony) R 2 897,20

T 34568 iD LifeStyle V+ X-Act 1.50 HVLL Blue Control (Clarity & Harmony) R 3 046,90

T 34569 Summit Digi 1.60 Polarised Mirror Coat (CD & Pro) R 4 658,20

T 34570 iD LifeStyle V+ X-Act 1.50 HVLL UV Control (Clarity & Harmony) R 3 046,90

T 34571 iD LifeStyle V+ X-Act 1.50 Mirror Coat (Clarity & Harmony) R 2 561,90

T 34572 iD LifeStyle V+ X-Act 1.50 Sensity Hard (Clarity & Harmony) R 3 664,90

T 34573 iD LifeStyle V+ X-Act 1.50 Sensity SHV (Clarity & Harmony) R 4 287,00

T 34574 iD LifeStyle V+ X-Act 1.50 Sensity HVLL (Clarity & Harmony) R 4 489,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34575 iD LifeStyle V+ X-Act 1.50 Sensity HVLL Blue Control (Clarity & Harmony) R 4 622,40

T 34576 Summit TF PNX 1.53 Mirror Coat (CD & Pro) R 1 986,10

T 34577 iD LifeStyle V+ X-Act 1.50 Sensity HVLL UV Control (Clarity & Harmony) R 4 622,40

T 34578 iD LifeStyle V+ X-Act PNX 1.53 Hard (Clarity & Harmony) R 2 481,70

T 34579 iD LifeStyle V+ X-Act PNX 1.53 SHV (Clarity & Harmony) R 3 101,80

T 34580 iD LifeStyle V+ X-Act PNX 1.53 HVLL (Clarity & Harmony) R 3 302,10

T 34581 iD LifeStyle V+ X-Act PNX 1.53 HVLL Blue Control (Clarity & Harmony) R 3 449,80

T 34582 iD LifeStyle V+ X-Act PNX 1.53 HVLL UV Control (Clarity & Harmony) R 3 449,80

T 34583 iD LifeStyle V+ X-Act PNX 1.53 Sensity Hard (Clarity & Harmony) R 4 069,80

T 34584 iD LifeStyle V+ X-Act PNX 1.53 Sensity SHV (Clarity & Harmony) R 4 692,00

T 34585 iD LifeStyle V+ X-Act PNX 1.53 Sensity HVLL (Clarity & Harmony) R 4 892,30

T 34586 Futuro Blando ll Optimised FreeForm 1.5 R 1 339,40

T 34587 Futuro Blando ll Optimised FreeForm Photochromic 1.5 R 2 091,70

T 34588 Futuro Blando ll Optimised FreeForm Transitions® 1.5 R 2 681,30

T 34589 iD LifeStyle V+ X-Act PNX 1.53 Sensity HVLL Blue Control (Clarity & Harmony) R 5 039,90

T 34590 Futuro Blando ll Optimised FreeForm Transitions® XTRActive® 1.5 R 2 681,30

T 34591 Futuro Blando ll Optimised FreeForm 1.60 R 2 310,50

T 34592 Futuro Blando ll Optimised FreeForm Transitions® 1.6 R 3 692,40

T 34593 Futuro Blando ll Optimised FreeForm Transitions® XTRActive® 1.6 R 3 692,40

T 34594 Futuro Blando ll Optimised FreeForm 1.67 R 2 804,00

T 34595 Futuro Blando ll Optimised FreeForm Transitions® 1.67 R 4 362,10

T 34596 Futuro Blando ll Optimised FreeForm Transitions® XTRActive® 1.67 R 4 362,10

T 34597 Futuro Blando ll Optimised FreeForm Drivewear® 1.5 R 3 775,10

T 34598 Varilux Liberty Digital (1.5) i-Relief R 1 156,00

T 34599 Futuro Blando ll Optimised FreeForm Drivewear® Polycarb 1.586 R 5 701,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34600 Futuro Blando ll Optimised FreeForm NuPolar® 1.5 R 2 155,70

T 34601 Futuro Blando ll Optimised FreeForm NuPolar® 1.6 R 3 369,60

T 34602 Futuro Blando ll Optimised FreeForm NuPolar® 1.67 R 4 060,60

T 34603 Varilux Liberty Digital Orma Acclimates i-Relief R 1 588,50

T 34604 Futuro Blando ll Optimised FreeForm NuPolar® Polycarb 1.586 R 4 716,90

T 34605 Futuro Blando ll Optimised FreeForm Trivex® 1.53 R 3 057,50

T 34606 Futuro Blando ll Optimised FreeForm Trivex® Transitions® 1.53 R 4 362,10

T 34607 Varilux Liberty Digital Orma Transitions® i-Relief R 2 104,60

T 34608 Varilux Liberty Digital Airwear Crizal Prevencia R 1 880,00

T 34609 Futuro Blando ll Optimised FreeForm Trivex® Transitions® XTRActive® 1.53 R 4 362,10

T 34610 Futuro Blando ll Optimised FreeForm 1.74 R 6 589,80

T 34611 Summit PNX 1.53 Mirror Coat (CD & Pro) R 1 986,10

T 34612 iD LifeStyle V+ X-Act PNX 1.53 Sensity HVLL UV Control (Clarity & Harmony) R 5 039,90

T 34613 iD LifeStyle V+ PNX 1.53 Mirror Coat (Clarity & Harmony) R 2 606,20

T 34614 iD LifeStyle V+ X-Act Eyas 1.60 Hard (Clarity & Harmony) R 2 614,60

T 34615 iD LifeStyle V+ X-Act Eyas 1.60 SHV (Clarity & Harmony) R 3 234,60

T 34616 iD LifeStyle V+ X-Act Eyas 1.60 HVLL (Clarity & Harmony) R 3 437,10

T 34617 iD LifeStyle V+ X-Act Eyas 1.60 HVLL Blue Control (Clarity & Harmony) R 3 586,80

T 34618 iD LifeStyle V+ X-Act Eyas 1.60 HVLL UV Control (Clarity & Harmony) R 3 586,80

T 34619 iD LifeStyle V+ X-Act PNX 1.53 Mirror Coat (Clarity & Harmony) R 2 966,80

T 34620 iD LifeStyle V+ X-Act Eyas 1.60 Mirror Coat (Clarity & Harmony) R 3 101,80

T 34621 iD LifeStyle V+ X-Act Eyas 1.60 Sensity Hard (Clarity & Harmony) R 4 206,90

T 34622 iD LifeStyle V+ X-Act Eyas 1.60 Sensity SHV (Clarity & Harmony) R 4 824,80

T 34623 iD LifeStyle V+ X-Act Eyas 1.60 Sensity HVLL (Clarity & Harmony) R 5 029,40

T 34624 iD LifeStyle V+ X-Act Eyas 1.60 Sensity HVLL Blue Control (Clarity & Harmony) R 5 177,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34625 iD MyStyle V+ PNX 1.53 Mirror Coat R 3 936,90

T 34626 iD LifeStyle V+ X-Act Eyas 1.60 Sensity HVLL UV Control (Clarity & Harmony) R 5 177,00

T 34627 iD LifeStyle V+ X-Act Eynoa 1.67 SHV (Clarity & Harmony) R 4 124,60

T 34628 iD LifeStyle V+ X-Act Eynoa 1.67 HVLL (Clarity & Harmony) R 4 325,00

T 34629 iD LifeStyle V+ X-Act Eynoa 1.67 HVLL Blue Control (Clarity & Harmony) R 4 474,70

T 34630 iD LifeStyle V+ X-Act Eynoa 1.67 HVLL UV Control (Clarity & Harmony) R 4 474,70

T 34631 SENSO 1.5 Base 6 Uncoated R 758,70

T 34632 SENSO 1.5 Activ Base 6 Grey/Brown Uncoated R 1 735,10

T 34633 SENSO 1.6 Base 6 Uncoated R 1 096,10

T 34634 iD LifeStyle V+ X-Act Eynoa 1.67 Sensity SHV (Clarity & Harmony) R 5 714,80

T 34635 iD LifeStyle V+ X-Act Eynoa 1.67 Sensity HVLL (Clarity & Harmony) R 5 915,20

T 34636 iD LifeStyle V+ X-Act Eynoa 1.67 Sensity HVLL Blue Control (Clarity & Harmony) R 6 064,90

T 34637 iD LifeStyle V+ X-Act Eynoa 1.67 Sensity HVLL UV Control (Clarity & Harmony) R 6 064,90

T 34638 SENSO 1.6 Activ Polarized Grey/Brown Uncoated R 1 735,10

T 34639 iD LifeStyle V+ X-Act Eyvia 1.74 SHV (Clarity & Harmony) R 5 797,10

T 34640 iD LifeStyle V+ X-Act Eyvia 1.74 HVLL (Clarity & Harmony) R 5 997,40

T 34641 iD LifeStyle V+ X-Act Eyvia 1.74 HVLL Blue Control (Clarity & Harmony) R 6 145,10

T 34642 iD LifeStyle V+ X-Act Eyvia 1.74 HVLL UV Control (Clarity & Harmony) R 6 145,10

T 34643 iD MyStyle V+ 1.50 HVLL UV Control R 3 755,60

T 34644 iD MyStyle V+ 1.50 Mirror Coat R 3 270,50

T 34645 iD MyStyle V+ Eyas 1.60 Mirror Coat R 4 344,00

T 34646 SENSO 1.67 Uncoated R 1 300,70

T 34647 Quality Alpha FF R 419,10

T 34648 Quality Alpha FF SunActive 1.56 R 997,00

T 34649 Quality Alpha FF ChangeRx™ R 1 821,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34650 Quality Alpha FF Transitions® T7 R 1 821,60

T 34651 SENSO Basic 1.6 Activ Polarized Grey/Brown Uncoated R 1 482,10

T 34652 SENSO Basic 1.67 Uncoated R 971,70

T 34653 Quality Alpha FF Transitions® T6 XTRActive® R 1 821,60

T 34654 Quality Alpha FF Polarized R 1 332,30

T 34655 Quality Alpha FF 1.67 Polarized R 3 230,40

T 34656 Quality Alpha FF Drivewear R 2 924,60

T 34657 Quality Alpha FF Transitions® Vantage™ R 2 831,80

34658 LuxaLite Continual Focus (CFL18)

34659 LuxaLite Continual Focus HC (CFL18) Seg18+

34660 SmartShades Continual Focus (CFL18)

T 34661 Quality Alpha FF 1.6 Emerald R 1 376,60

T 34662 SmartShades Continual Focus HC (CFL18) Seg18+ R 304,00

34663 Flexivue 1.74 Easivue Ultrathin Transitions® HC R 5 422,80

T 34664 Quality Alpha FF 1.6 Transitions® T7 R 2 899,30

T 34665 Quality Alpha FF 1.67 R 1 851,10

T 34666 Quality Alpha FF 1.67 Transitions® T7 R 3 175,60

T 34667 Quality Alpha FF Trivex Trilogy® Clear R 885,20

T 34668 Quality Alpha FF Trivex Trilogy® Transitions® T7 R 2 270,80

T 34669 Quality Alpha FF Polycarbonate 1.59 R 885,20

T 34670 Quality Alpha FF Polycarbonate Transitions® T7 1.59 R 2 270,80

X 34671 Quality Alpha FF Aris™ Transitions® Autumn Gold™ N/A

X 34672 Quality Alpha FF Transitions® Vantage™ N/A

T 34673 Quality IQ Sport FF R 372,70

T 34674 Quality IQ Sport FF 1.60 R 1 376,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34675 Quality IQ Sport FF 1.67 R 1 851,10

T 34676 Quality IQ Sport FF Polarized R 1 433,60

T 34677 Quality IQ Sport FF1.67 Polarized R 3 230,40

T 34678 Spec Entre’ FreeForm MF 1.60 Polarized Hard R 2 169,60

T 34679 Spec Entre’ FreeForm MF 1.60 Polarized HMC R 2 612,50

T 34680 Quality IQ Sport FF Trivex® Trilogy® Clear R 885,20

T 34681 Quality IQ Sport FF Trivex® Trilogy® Transitions® T7 R 2 272,90

T 34682 Quality IQ Sport FF Polycarbonate 1.59 R 874,70

T 34683 Quality IQ Sport FF Polycarbonate 1.59 Transitions® T7 R 2 272,90

T 34684 Quality IQ Sport FF Polycarbonate 1.59 Polarized R 1 433,60

T 34685 Quality IQ Sport FF ChangeRx™ R 1 821,60

T 34686 Spec Entre’ FreeForm MF 1.60 Polarized SHMC R 2 739,00

N 34687 Unbranded Varifocal Distance/Near Clear 1.5 Uncoated R 381,30

T 34688 Quality IQ Sport FF Transitions® T7 R 1 821,60

34689 LENZKRAFT MULTIFOCAL FreeForm WT CR39 – SHORT

34690 LENZKRAFT CR39 PHOTOMATIC – SHORT

T 34691 Quality Camber™ Dual FF 1.50 R 611,00

T 34692 Quality Camber™ Dual FF 1.50 NuPolar® R 1 811,10

T 34693 Quality Camber™ Dual FF 1.50 Transitions® T7 R 3 481,40

T 34694 Quality Camber™ Dual FF 1.67 R 2 564,00

T 34695 Kidz 1.5 R 233,80

T 34696 Kidz 1.6 R 880,30

T 34697 Kidz 1.67 R 1 615,30

T 34698 Quality Camber™ Dual FF 1.67 NuPolar® R 3 947,50

T 34699 Quality Camber™ Dual FF 1.67 Transitions® T7 R 5 183,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34700 Kidz 1.5 Transitions R 2 278,40

T 34701 Kidz 1.6 Transitions R 3 770,50

T 34702 Quality Camber™ Dual FF 1.56 Polycarbonate R 1 106,70

T 34703 Quality Camber™ Dua FF 1.56 Polycarbonate NuPolar® R 2 526,00

T 34704 Quality Camber™ Dual FF 1.56 Polycarbonate Transitions® T7 R 3 873,70

T 34705 Quality Camber™ Dual FF 1.50 Trivex® R 1 106,70

T 34706 Kidz 1.67 Transitions R 4 005,30

T 34707 Quality Camber™ Dual FF1.50 Trivex® NuPolar® R 1 387,20

T 34708 Quality Camber™ Dual FF 1.50 Trivex® Transitions® T7 R 3 877,90

34709 ADAGE® (1.53) 13mm Trilogy® Transitions® Signature™ VII Grey and Brown R 3 212,80

T 34710 SENSO 1.5 Uncoated R 503,50

T 34711 SENSO 1.5 Activ Polarized Grey/Brown Uncoated R 1 482,10

T 34712 SENSO 1.5 Drivewear Uncoated R 2 538,70

T 34713 SENSO 1.5 Transitions VII Uncoated R 1 180,50

T 34714 SENSO 1.53 Trivex Uncoated R 710,20

T 34715 SENSO 1.6 Uncoated R 830,40

T 34716 SENSO 1.6 Transitions VII Uncoated R 2 230,80

N 34717 Unbranded Varifocal Distance/Near Clear 1.5 Hard Coat R 512,30

T 34718 SENSO Basic 1.5 Uncoated R 275,70

N 34719 Unbranded Varifocal Distance/Near Clear 1.5 HMC R 897,30

T 34720 SENSO Basic 1.5 Activ Polarized Grey/Brown Uncoated R 1 229,00

T 34721 SENSO Basic 1.5 Transitions VII Uncoated R 914,70

T 34722 SENSO Basic 1.6 Uncoated R 492,90

T 34723 SENSO Basic 1.6 Transitions VII Uncoated R 1 965,00

N 34724 Unbranded Varifocal Distance/Near Photochromatic 1.5 Hard Coat R 1 163,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34725 RO ExcelHD Clear R 499,30

T 34726 RO ExcelHD Clear 1.6 H/C R 1 243,70

T 34727 RO ExcelHD Clear 1.67 H/C R 1 994,50

T 34728 RO ExcelHD Transitions R 1 572,70

T 34729 RO ExcelHD Transitions 1.6 H/C R 2 332,00

T 34730 RO ExcelHD Transitions 1.67 H/C R 3 479,30

T 34731 Flexivue 1.53 Easivue Trivex NuPolar® HC R 2 000,00

T 34732 Flexivue 1.53 Easivue Trivex Drivewear HC R 3 375,00

T 34733 Flexivue 1.6/42 Easivue NuPolar® HC R 2 000,00

T 34734 Varilux Liberty Digital Airwear i-Relief R 1 641,00

T 34735 Varilux Liberty Digital Airwear Transitions i-Relief R 3 153,60

T 34736 Varilux Liberty Digital Ormix i-Relief R 1 698,40

T 34737 Varilux Liberty Digital Ormix Transitions i-Relief R 3 050,80

N 34738 Unbranded Varifocal Distance/Near Photochromatic 1.5 HMC R 1 374,50

N 34739 Quality Internal Blue Cut R 423,30

T 34740 Varilux Liberty Digital Stylis i-Relief R 2 498,90

T 34741 Varilux Liberty Digital Stylis Transitions i-Relief R 3 817,90

T 34742 Varilux Liberty Digital Short Airwear i-Relief R 1 641,00

X 34743 Varilux Liberty Digital Short Airwear Transitions Crizal Prevencia N/A

N 34744 Quality Internal 1.6 Blue Cut Emerald R 1 374,50

N 34745 Quality Internal Polycarbonate NuPolar® Emerald R 1 032,80

T 34746 Varilux Liberty Digital Short Stylis i-Relief R 2 498,90

T 34747 Varilux Comfort New Edition i-Relief R 1 727,10

T 34748 Varilux Comfort New Edition Orma Transitions i-Relief R 3 117,70

T 34749 Varilux Comfort New Edition Airwear Transitions Crizal Prevencia (1.59) R 3 865,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

34750 Amplitude Digi 1.60 Polarised Mirror Coat (Mini & Long)

T 34751 Varilux Comfort New Edition Ormix Transitions i-Relief R 3 497,70

T 34752 Varilux Comfort New Edition Stylis Crizal Prevencia (1.67) R 3 624,30

T 34753 Varilux Comfort New Edition Stylis Crizal i-Relief (1.67) R 3 385,40

T 34754 Varilux Comfort New Edition Short i-Relief R 1 727,10

T 34755 Varilux Comfort New Edition Short Orma Xperio i-Relief R 2 236,00

T 34756 Hoyalux Sportive High Curve 1.53 Mirror Coat R 2 568,20

T 34757 Varilux Comfort New Edition Short Airwear i-Relief R 2 362,70

T 34758 Amplitude TF 1.50 Mirror Coat (Mini & Long) R 1 096,10

T 34759 Varilux Comfort New Edition Short Airwear Transitions i-Relief (1.59) R 3 626,70

T 34760 Varilux Comfort New Edition Short Airwear Xperio i-Relief R 4 611,20

T 34761 Varilux Comfort New Edition Short Ormix Crizal Prevencia R 2 601,60

T 34762 Amplitude TF PNX 1.53 Mirror Coat (Mini & Long) R 1 838,50

T 34763 Varilux Comfort New Edition Short Ormix Transitions i-Relief R 3 497,70

N 34764 Quality Internal Polycarbonate NuPolar® Gradient Emerald R 1 180,50

N 34765 Quality Genius FF Blue Cut R 478,20

T 34766 Varilux Physio 2.0 New Edition 360 Orma Xperio i-Relief R 4 345,90

T 34767 Varilux Physio 2.0 New Edition 360 Airwear i-Relief R 3 134,50

T 34768 Varilux Physio 2.0 New Edition 360 Airwear Transitions Xtractive i-Relief R 5 029,30

T 34769 Varilux Physio 2.0 New Edition 360 Airwear Transitions i-Relief R 5 029,30

T 34770 Varilux Physio 2.0 New Edition 360 Ormix 1.6 i-Relief R 3 117,70

T 34771 Maxxee 1.50 uncoated R 16,30

T 34772 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Transitions i-Relief R 4 890,80

T 34773 Maxxee 1.50 Hard R 204,00

T 34774 Maxxee 1.50 HMC R 689,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34775 Maxxee 1.50 Photo Hard R 876,80

T 34776 Maxxee 1.50 Photo HMC R 1 364,00

T 34777 Maxxee 1.53 Hard R 705,90

T 34778 Maxxee 1.53 HMC R 1 191,00

T 34779 Maxxee 1.53 Photo Hard R 1 378,70

T 34780 Maxxee 1.53 Photo HMC R 1 863,80

T 34781 Varilux Physio 2.0 New Edition 360 Styis 1.67 i-Relief R 4 541,90

T 34782 Essifi t (1.5) Transition Supra R 670,20

T 34783 Essifi t (1.5) Transition Crizal Easy UV R 1 148,70

34784 Amplitude Digi 1.50 Polarised Mirror Coat (Mini and Long)

T 34785 Essifi t (1.59) Supra R 965,30

T 34786 Amplitude Digi 1.53 Hard (Mini and Long) R 737,60

T 34787 Essifi t (1.59) Crizal Easy UV R 1 443,80

T 34788 Amplitude Digi 1.53 HVP (Mini and Long) R 1 222,70

T 34789 Amplitude Digi 1.53 SHV (Mini and Long) R 1 357,60

T 34790 Amplitude Digi 1.53 Transitions (Grey) Hard (Mini and Long) R 1 857,50

T 34791 Essifi t (1.59) Transitions Supra R 2 121,00

T 34792 Amplitude Digi 1.53 Transitions (Grey) HVP (Mini and Long) R 2 342,50

T 34793 Amplitude Digi 1.53 Transitions (Grey) SHV (Mini and Long) R 2 477,50

T 34794 Essifi t (1.59) Transitions Crizal Easy UV R 2 599,60

T 34795 Precision HD (1.5) i-Relief R 1 448,00

T 34796 Precision HD Orma Acclimates i-Relief R 1 908,70

T 34797 Spec Entre’ FreeForm MF 1.53 Hard R 672,20

T 34798 Spec Entre’ FreeForm MF 1.53 HMC R 1 115,10

T 34799 Spec Entre’ FreeForm MF 1.53 SHMC R 1 241,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34800 Spec Entre’ FreeForm MF 1.53 Transitions Hard R 1 768,90

T 34801 Precision HD Orma Transitions i-Relief R 2 456,90

T 34802 Spec Entre’ FreeForm MF 1.53 Transitions HMC R 2 211,80

T 34803 Spec Entre’ FreeForm MF 1.53 Transitions SHMC R 2 338,30

T 34804 Precision HD Airwear i-Relief R 1 964,10

N 34805 Quality Genius FF 1.6 Blue Cut Emerald R 1 374,50

N 34806 Quality Genius FF Polycarbonate NuPolar® Gradient Emerald R 1 290,10

N 34807 Quality IQ Individualized FF Blue Cut R 535,10

N 34808 Quality IQ Individualized FF 1.6 Blue Cut Emerald R 1 374,50

T 34809 Precision HD Airwear Transitions i-Relief R 3 608,60

T 34810 Spec Velocity FreeForm MF 1.53 Hard R 3 070,10

T 34811 Spec Velocity FreeForm MF 1.53 HMC R 3 645,90

T 34812 Spec Velocity FreeForm MF 1.53 SHMC R 3 833,60

T 34813 Spec Velocity FreeForm MF 1.53 Transitions Hard R 3 745,00

T 34814 Spec Velocity FreeForm MF 1.53 Transitions HMC R 4 320,80

T 34815 Spec Velocity FreeForm MF 1.53 Transitions SHMC R 4 508,50

N 34816 Quality IQ Individualized FF Polycarbonate NuPolar® Gradient Emerald R 1 374,50

T 34817 Precision HD Ormix i-Relief R 2 022,40

T 34818 Precision HD Ormix Transitions i-Relief R 3 471,60

N 34819 Quality Alpha FF Blue Cut R 655,30

T 34820 Precision HD Stylis i-Relief R 2 882,60

T 34821 Precision HD Stylis Transitions i-relief R 4 317,20

T 34822 Real View (1.5) i-Relief R 1 124,30

T 34823 Real View Orma Acclimates i-Relief R 1 517,90

X 34824 OAKLEY OTD Progressive Polarized – Deep Blue/B-AR N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 34825 Quality Alpha FF 1.6 Blue Cut Emerald R 1 374,50

T 34826 synchrony Progressive Ultra HDV 1.5 UNC R 1 290,10

N 34827 Quality Alpha FF Polycarbonate NuPolar® Gradient Emerald R 1 374,50

T 34828 synchrony Progressive Ultra HDV 1.5 Hard R 1 480,00

T 34829 synchrony Progressive Ultra HDV 1.5 HMC+ R 1 857,50

T 34830 synchrony Progressive Ultra HDV 1.5 HMCX R 2 030,40

T 34831 synchrony Progressive Ultra HDV 1.5 PhotoFusion Grey Hard R 1 857,50

T 34832 synchrony Progressive Ultra HDV 1.5 PhotoFusion Grey HMC+ R 2 287,70

N 34833 Quality IQ Sport FF Polycarbonate NuPolar® Gradient Emerald R 1 374,50

T 34834 synchrony Progressive Ultra HDV 1.5 PhotoFusion Grey HMCX R 2 838,10

T 34835 synchrony Progressive Ultra HDV 1.6 Hard R 1 804,70

T 34836 synchrony Progressive Ultra HDV 1.6 HMC+ R 2 182,20

T 34837 synchrony Progressive Ultra HDV 1.6 HMCX R 2 355,20

T 34838 synchrony Progressive Ultra HDV 1.6 PhotoFusion Grey Hard R 2 882,40

T 34839 synchrony Progressive Ultra HDV 1.6 PhotoFusion Grey HMC+ R 3 259,90

T 34840 synchrony Progressive Ultra HDV 1.6 PhotoFusion Grey HMCX R 3 432,90

T 34841 synchrony Progressive Ultra HDV 1.67 HMC+ R 2 720,00

T 34842 synchrony Progressive Ultra HDV 1.67 HMCX R 2 893,00

T 34843 synchrony Progressive Ultra HDV 1.67 PhotoFusion Grey HMC+ R 3 797,70

T 34844 synchrony Progressive Ultra HDV 1.67 PhotoFusion Grey HMCX R 3 970,70

T 34845 I-Mini II 1.5 FH-15mm R 205,30

T 34846 Talent II 1.5 FH-18mm R 205,30

T 34847 Finite 1.56 SunActive FH-15mm R 872,70

T 34848 Focus Unique FreeForm 1.5 R 2 367,80

X 34849 Focus Unique FreeForm 1.5 Emerald Hardcoat N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 34850 Focus Unique FreeForm 1.5 Invisibles N/A

T 34851 Focus Unique FreeForm 1.6 R 2 810,70

X 34852 Focus Unique FreeForm 1.6 Invisibles N/A

T 34853 Focus Unique FreeForm 1.67 R 3 000,50

X 34854 Focus Unique FreeForm 1.67 Invisibles N/A

T 34855 Focus Unique Transitions 7 Signature FreeForm 1.5 R 3 127,10

X 34856 Focus Unique Transitions 7 Signature FreeForm 1.5 Emerald Hardcoat N/A

X 34857 Focus Unique Transitions 7 Signature FreeForm 1.5 Invisibles N/A

T 34858 Focus Unique Transitions 7 Signature FreeForm 1.6 R 3 380,20

X 34859 Focus Unique Transitions 7 Signature FreeForm 1.6 Invisibles N/A

T 34860 Focus Unique Transitions 7 Signature FreeForm 1.67 R 4 012,90

X 34861 Focus Unique Transitions 7 Signature FreeForm 1.67 Invisibles N/A

T 34862 Focus Unique FreeForm NuPolar® R 3 506,70

T 34863 Focus Unique FreeForm DriveWear R 4 139,40

T 34864 Focus Precise FreeForm 1.5 R 1 102,40

X 34865 Focus Precise FreeForm 1.5 Emerald Hardcoat N/A

X 34866 Focus Precise FreeForm 1.5 Invisibles N/A

T 34867 Focus Precise FreeForm 1.6 R 1 861,70

X 34868 Focus Precise FreeForm 1.6 Invisibles N/A

T 34874 Focus Precise Transitions 7 Signature FreeForm 1.6 R 3 316,90

X 34875 Focus Precise Transitions 7 Signature FreeForm 1.6 Invisibles N/A

T 34876 Focus Precise Transitions 7 Signature FreeForm 1.67 R 3 633,20

X 34877 Focus Precise Transitions 7 Signature FreeForm 1.67 Invisibles N/A

T 34878 Focus Precise FreeForm NuPolar® R 2 620,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34879 Focus Precise FreeForm DriveWear R 3 633,20

T 34880 Spherical Plus 1.5 Polarized (Grey/Brown) R 2 234,70

X 34881 OAKLEY OTD Progressive IRIDIUM Emerald N/A

X 34882 OAKLEY OTD EDGE Progressive POLARIZED Black IR N/A

X 34883 OAKLEY OTD EDGE Progressive POLARIZED Gold IR N/A

X 34884 OAKLEY OTD EDGE Progressive POLARIZED GREY N/A

T 34885 eLab DS L/S 1.60 Transitions S7 UC R 2 325,70

T 34886 eLab Altitude L/S 1.50 UC R 423,30

T 34887 RO Entry DS Clear R 149,20

T 34888 RO Entry DS Photo R 956,90

X 34889 OAKLEY OTD EDGE Progressive POLARIZED BRONZE N/A

X 34890 OAKLEY OTD EDGE Progressive POLARIZED VR28 BLACK IR N/A

T 34891 Easy VIEW HD PolyCarb Transitions HC R 2 545,00

T 34892 RO Pola ExcelHD GR/BR/GN Polarized R 1 222,70

T 34893 Focus Premium FreeForm 1.5 R 912,60

T 34894 Easy VIEW HD 1.60 Clear HC R 1 574,90

T 34895 Easy VIEW HD 1.60 Transitions HC R 2 545,00

X 34896 Easy VIEW HD 1.67 Clear EasyCLEAR N/A

34897 Easy VIEW HD 1.67 Clear EasyCLEAR PLUS R 3 227,10

X 34898 Summit TF X-Act 1.50 Hard (CD & Pro) N/A

N 34899 Quality Alpha Smart Device R 419,10

N 34900 Quality Alpha Smart Device 1.60 Emerald R 1 374,50

N 34901 Quality Alpha Smart Device 1.67 Emerald R 1 374,50

X 34902 Easy VIEW HD 1.67 Transitions EasyCLEAR N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

34903 Easy VIEW HD 1.67 Transitions EasyCLEAR PLUS R 4 614,90

N 34904 Quality Alpha Smart Device Blue Cut R 655,30

N 34905 Quality Alpha Smart Device 1.6 Blue Cut Emerald R 1 374,50

N 34906 Quality Alpha Smart Device Polycarbonate Emerald R 885,20

N 34907 Quality Alpha Smart Device Trivex R 885,20

T 34908 Real View Orma Transitions i-Relief R 1 981,60

T 34909 Real View Airwear i-Relief R 1 564,60

T 34910 Real View Airwear Transitions i-Relief R 3 564,90

T 34911 Real View Ormix Transitions i-Relief R 2 844,70

T 34912 Real View Stylis i-Relief R 2 346,00

T 34913 Real View Stylis Transitions i-Relief R 3 564,90

N 34914 Quality Alpha Smart Device Trivex Transitions T7 R 1 374,50

N 34915 Quality Alpha Smart Device Polucarbonate T7 Emerald R 1 374,50

T 34916 Digi-Pro (1.5) i-Relief R 1 448,00

T 34917 Digi-Pro Orma Acclimates i-Relief R 1 908,70

T 34918 Digi-Pro Orma Transitions i-Relief R 2 456,90

T 34919 Digi-Pro Airwear Crizal i-Relief R 1 964,10

T 34920 Digi-Pro Airwear Transitions i-Relief R 3 608,60

T 34921 Digi-Pro Ormix i-Relief R 2 022,40

T 34922 Digi-Pro Ormix Transitions i-Relief R 3 471,60

T 34923 Digi-Pro Stylis i-Relief R 2 882,60

T 34924 Digi-Pro Stylis Transitions i-Relief R 4 317,20

T 34925 Classic Eyes DS (1.5) i-Relief R 2 493,40

T 34926 Classic Eyes DS Orma Acclimates i-Relief R 2 120,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

34927 Classic Eyes DS Orma Transitions i-Relief

T 34928 Classic Eyes DS Airwear i-Relief R 3 227,50

T 34929 Classic Eyes DS Airwear Transitions i-Relief R 4 851,10

T 34930 Classic Eyes DS Ormix i-Relief R 2 984,50

T 34931 Classic Eyes DS Ormix Transitions i-Relief R 4 565,50

T 34932 MO Individual HD Ormix Transitions Supra R 3 092,50

T 34933 MO Individual HD Ormix Transitions Crizal Easy UV R 3 617,40

T 34934 MO Individual HD Ormix Transitions Crizal Forte UV R 3 879,80

T 34935 MO Individual HD Ormix Transitions i-Relief R 3 471,60

T 34936 MO Individual HD Stylis Crizal Easy UV R 3 028,40

T 34937 MO Individual HD Stylis Crizal Forte UV R 3 290,80

T 34938 MO Individual HD Stylis i-Relief R 2 882,60

T 34939 MO Individual HD Stylis Transitions Crizal Easy UV R 4 436,70

T 34940 MO Individual HD Stylis Transitions Crizal Forte UV R 4 699,20

T 34941 MO Individual HD Stylis Transitions i-Relief R 4 317,20

T 34942 Spec Entre’ FreeForm MF 1.50 Uncoated R 60,60

T 34943 Intuitiv Plus 1.5 Crizal Easy UV R 1 903,90

T 34944 Intuitiv Plus 1.5 Transitions Supra R 2 490,20

T 34945 Intuitiv Plus 1.5 Transitions Crizal Easy UV R 2 954,10

T 34946 Intuitiv Plus 1.5 Transitions Crizal Forte UV R 3 179,80

T 34947 Intuitiv Plus 1.6 Crizal Easy UV R 2 300,40

T 34948 Intuitiv Plus 1.6 Crizal Forte UV R 2 526,00

T 34949 Intuitiv Plus 1.6 Transitions Crizal Easy UV R 3 517,20

T 34950 Intuitiv Plus 1.6 Transitions Crizal Forte UV R 3 742,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34951 Intuitiv Plus 1.67 Crizal Easy UV R 3 160,80

T 34952 Intuitiv Plus 1.67 Crizal Forte UV R 3 386,50

T 34953 Intuitiv Plus 1.67 Transitions Crizal Easy UV R 4 557,00

T 34954 Intuitiv Plus 1.67 Transitions Crizal Forte UV R 4 782,60

T 34955 Sirus Plus 1.50 R 52,20

T 34956 Sirus Plus 1.50 Supra R 263,10

T 34957 Sirus Plus 1.50 Crizal Easy UV R 727,00

T 34958 Sirus Plus 1.50 Crizal Forte UV R 952,70

T 34959 Sirus Plus 1.50 Transitions Supra R 961,10

T 34960 Sirus Plus 1.50 Transitions Crizal Easy UV R 1 425,10

T 34961 Sirus Plus 1.50 Transitions Crizal Forte UV R 1 650,80

T 34962 Sirus Plus 1.60 Supra R 668,00

T 34963 Sirus Plus 1.60 Crizal Easy UV R 1 132,00

T 34964 Sirus Plus 1.60 Crizal Forte UV R 1 357,60

T 34965 Sirus Plus 1.60 Transitions Supra R 1 661,30

T 34966 Sirus Plus 1.60 Transitions Crizal Easy UV R 2 125,30

T 34967 Sirus Plus 1.60 Transitions Crizal Forte UV R 2 351,00

T 34968 Sirus Plus 1.67 Crizal Easy UV R 1 716,20

T 34969 Sirus Plus 1.67 Crizal Forte UV R 1 941,80

T 34970 Sirus Plus 1.67 Transitions Crizal Easy UV R 2 884,50

T 34971 Sirus Plus 1.67 Transitions Crizal Forte UV R 3 110,20

34972 Easy VIEW 1.50 Clear HC

T 34973 Easy VIEW 1.56 Sungrey HC R 579,40

T 34974 Easy VIEW PLUS 1.50 Clear HC R 376,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34975 Easy VIEW PLUS 1.50 Acclimates HC R 887,30

34976 Easy VIEW PLUS 1.50 Transitions HC

34977 Easy VIEW PLUS 1.50 Polarised HC

T 34978 Easy VIEW PLUS PolyCarb Clear HC R 937,90

T 34979 Easy VIEW PLUS PolyCarb Transitions HC R 2 163,30

T 34980 Easy VIEW PLUS 1.60 Clear HC R 937,90

T 34981 Easy VIEW PLUS 1.60 Transitions HC R 2 163,30

X 34982 Easy VIEW PLUS 1.67 Clear EasyCLEAR N/A

T 34983 Easy VIEW PLUS 1.67 Clear EasyCLEAR PLUS R 2 315,10

N 34984 Quality Alpha Smart Device Transitions T7 R 1 374,50

X 34985 Easy VIEW PLUS 1.67 Transitions EasyCLEAR N/A

T 34986 Easy VIEW PLUS 1.67 Transitions EasyCLEAR PLUS R 3 489,80

T 34987 Easy VIEW HD 1.50 Clear HC R 463,40

X 34988 Easy VIEW HD 1.50 Acclimates HC N/A

T 34989 Easy VIEW HD 1.50 Transitions HC R 1 587,50

T 34990 Easy VIEW HD 1.50 Polarised HC R 1 595,90

T 34991 Easy VIEW HD PolyCarb Clear HC R 1 574,90

T 34992 Classic Eyes DS Stylis i-Relief R 4 009,30

T 34993 Classic Eyes DS Stylis Transitions i-Relief R 5 910,90

T 34994 MO Superior HD (1.5) Supra R 891,00

T 34995 MO Superior HD (1.5) Crizal Easy UV R 1 363,40

T 34996 MO Superior HD (1.5) Crizal Forte UV R 1 599,60

T 34997 MO Superior HD (1.5) i-Relief R 1 232,20

T 34998 MO Superior HD Orma Acclimates Supra R 1 305,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 34999 MO Superior HD Orma Acclimates Crizal Easy UV R 1 777,40

T 35000 MO Superior HD Orma Acclimates Crizal Forte UV R 2 016,50

T 35001 MO Superior HD Orma Acclimates i-Relief R 1 649,10

T 35002 MO Superior HD Orma Transitions Supra R 1 800,80

T 35003 MO Superior HD Orma Transitions Crizal Easy UV R 2 273,10

T 35004 MO Superior HD Orma Transitions Crizal Forte UV R 2 509,30

T 35005 MO Superior HD Orma Transitions i-Relief R 2 141,90

T 35006 MO Superior HD Airwear Supra R 1 357,50

T 35007 MO Superior HD Airwear Crizal Easy UV R 1 829,90

T 35008 MO Superior HD Airwear Crizal Forte UV R 2 066,10

T 35009 MO Superior HD Airwear i-Relief R 1 698,70

T 35010 MO Superior HD Airwear Transitions Supra R 2 809,70

T 35011 MO Superior HD Airwear Transitions Crizal Easy UV R 3 285,00

T 35012 MO Superior HD Airwear Transitions Crizal Forte UV R 3 521,20

T 35013 MO Superior HD Airwear Transitions i-Relief R 3 177,10

T 35014 MO Superior HD Ormix Supra R 1 410,00

T 35015 MO Superior HD Ormix Crizal Easy UV R 1 882,40

T 35016 MO Superior HD Ormix Crizal Forte UV R 2 118,60

T 35017 MO Superior HD Ormix i-Relief R 1 751,20

T 35018 MO Superior HD Ormix Transitions Supra R 2 713,40

T 35019 MO Superior HD Ormix Transitions Crizal Easy UV R 3 185,80

T 35020 MO Superior HD Ormix Transitions Crizal Forte UV R 3 422,00

T 35021 MO Superior HD Ormix Transitions i-Relief R 3 054,60

T 35022 MO Superior HD Stylis Crizal Easy UV R 2 655,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35023 MO Superior HD Stylis Crizal Forte UV R 2 891,30

T 35024 MO Superior HD Stylis i-Relief R 2 523,90

T 35025 MO Superior HD Stylis Transitions Crizal Easy UV R 3 923,50

T 35026 MO Superior HD Stylis Transitions Crizal Forte UV R 4 159,70

T 35027 MO Superior HD Stylis Transitions i-Relief R 3 815,60

T 35028 MO Individual HD (1.5) Supra R 1 068,90

T 35029 MO Individual HD (1.5) Crizal Easy UV R 1 593,70

T 35030 MO Individual HD (1.5) Crizal Forte UV R 1 856,20

T 35031 MO Individual HD (1.5) i-Relief R 1 448,00

T 35032 MO Individual HD Orma Acclimates Supra R 1 529,60

T 35033 MO Individual HD Orma Acclimates Crizal Easy UV R 2 054,40

T 35034 MO Individual HD Orma Acclimates Crizal Forte UV R 2 316,90

T 35035 MO Individual HD Orma Acclimates i-Relief R 1 908,70

T 35036 MO Individual HD Orma Transitions Supra R 2 077,80

T 35037 MO Individual HD Orma Transitions Crizal Easy UV R 2 602,60

T 35038 MO Individual HD Orma Transitions Crizal Forte UV R 2 865,10

T 35039 MO Individual HD Orma Transitions i-Relief R 2 456,90

T 35040 MO Individual HD Airwear Supra R 1 585,00

T 35041 MO Individual HD Airwear Crizal Easy UV R 2 109,90

T 35042 MO Individual HD Airwear Crizal Forte UV R 2 372,30

T 35043 MO Individual HD Airwear i-Relief R 1 964,10

T 35044 MO Individual HD Airwear Transitions Supra R 3 200,40

T 35045 MO Individual HD Airwear Transitions Crizal Easy UV R 3 728,20

T 35046 MO Individual HD Airwear Transitions Crizal Forte UV R 3 990,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35047 MO Individual HD Airwear Transitions i-Relief R 3 608,60

T 35048 MO Individual HD Ormix Supra R 1 643,30

T 35049 MO Individual HD Ormix Crizal Easy UV R 2 168,20

T 35050 MO Individual HD Ormix Crizal Forte UV R 2 430,60

T 35051 MO Individual HD Ormix i-Relief R 2 022,40

N 35052 SEIKO Prime Xceed 1.50 Uncoated Surfaced R 1 826,60

N 35053 SEIKO Prime Xceed 1.50 Transitions 7 Uncoated Surfaced R 1 826,60

T 35054 Spec Velocity FreeForm MF 1.50 Uncoated R 2 391,00

T 35055 Spec Entre’ FreeForm MF 1.50 Polarized Hard R 1 250,10

T 35056 Spec Entre’ FreeForm MF 1.50 Polarized HMC R 1 693,00

T 35057 Spec Entre’ FreeForm MF 1.50 Polarized SHMC R 1 819,50

T 35058 Premium HD Digital 1.5 Supra R 729,10

T 35059 Premium HD Digital 1.5 Crizal Easy R 1 163,60

T 35060 Premium HD Digital 1.6 Supra R 1 072,90

T 35061 Premium HD Digital 1.6 Crizal Easy R 1 338,60

T 35062 Premium HD Digital 1.67 Crizal Easy R 2 036,70

X 35063 Premium HD Digital 1.74 Crizal Easy N/A

T 35064 Premium HD Digital 1.5 Transitions 7 Supra R 1 530,60

T 35065 Premium HD Digital 1.5 Transitions 7 Crizal Easy R 1 965,00

35066 Premium HD Digital 1.6 Transitions 7 Supra R 3 444,10

T 35067 Premium HD Digital 1.6 Transitions 7 Crizal Easy R 2 420,60

T 35068 Premium HD Digital 1.67 Transitions 7 Crizal Easy R 3 108,10

T 35070 1.5 Nanko Basic Hard R 398,20

T 35071 1.5 Nanko Basic ARC R 858,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 35073 SEIKO Prime Xceed 1.50 Polarising Uncoated Surfaced R 1 826,60

T 35074 1.5 Nanko Basic Transition VII Hard R 1 605,70

T 35075 1.5 Nanko Basic Transition VII ARC R 2 027,90

X 35080 1.5 Nanko Basic Polarized Grey/Brown/Green Hard N/A

T 35081 1.6 Nanko Basic Hard R 1 093,90

T 35082 1.6 Nanko Basic ARC R 1 612,80

N 35087 SEIKO Prime Xceed 1.50 Drivewear Uncoated Surfaced R 1 826,60

N 35088 SEIKO Prime Xceed 1.60 Uncoated Surfaced R 1 826,60

N 35089 SEIKO Prime Xceed 1.60 Transitions 7 Uncoated Surfaced R 1 826,60

N 35090 SEIKO Prime Xceed 1.60 Polarising Uncoated Surfaced R 1 826,60

N 35091 SEIKO Prime Xceed Tribrid Uncoated Surfaced R 1 826,60

N 35092 SEIKO Prime Xceed Tribrid Transitions 7 Uncoated Surfaced R 1 826,60

X 35094 Presio Advance Digital 1.50 Supra HC N/A

X 35095 Presio Advance Digital 1.50 Crizal N/A

X 35096 Presio Advance Digital 1.50 Crizal Forte UV N/A

N 35097 SEIKO Prime Xceed 1.67 Uncoated Surfaced R 1 826,60

X 35098 Presio Advance Digital 1.50 ECC N/A

X 35099 Presio Advance Digital 1.50 SeeCoat Plus N/A

X 35100 Presio Advance Digital 1.50 SeeCoat Blue N/A

X 35101 Presio Advance Digital 1.50 Transitions Supra HC N/A

X 35102 Presio Advance Digital 1.50 Transitions Crizal N/A

N 35103 SEIKO Prime Xceed 1.67 Transitions 7 Uncoated Surfaced R 1 826,60

N 35104 SEIKO Prime Xceed 1.67 Polarising Uncoated Surfaced R 1 826,60

N 35105 SEIKO Prime Xceed 1.74 Uncoated Surfaced R 1 826,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 35106 Presio Advance Digital 1.50 Transitions Crizal Forte UV N/A

X 35107 Presio Advance Digital 1.50 Transitions ECC N/A

X 35108 Presio Advance Digital 1.50 Transitions SeeCoat Plus N/A

X 35109 Presio Advance Digital 1,50 Graphite Green Supra HC N/A

X 35110 Presio Advance 1,50 Graphite Green Crizal N/A

X 35111 Presio Advance 1,50 Graphite Green Crizal Forte UV N/A

X 35112 Presio Advance Digital 1.50 Polarised Supra HC N/A

X 35113 Presio Advance Digital 1.50 Polarised ECC N/A

N 35114 SEIKO Prime X 1.50 Uncoated Surfaced R 1 826,60

X 35115 Presio Advance Digital 1.60 Supra HC N/A

N 35116 ULTIMAX M/F 1.5 Transition Premium HC R 1 826,60

X 35117 Presio Advance Digital 1.60 Crizal N/A

X 35118 Presio Advance Digital 1.60 Crizal Forte UV N/A

X 35119 Presio Advance Digital 1.60 ECC N/A

X 35120 Presio Advance Digital 1.60 SeeCoat Plus N/A

X 35121 Presio Advance Digital 1.60 SeeCoat Blue N/A

N 35122 SEIKO Prime X 1.50 Transitions 7 Uncoated Surfaced R 1 826,60

X 35123 Presio Advance Digital 1.60 Transitions Supra HC N/A

X 35124 Presio Advance Digital 1.60 Transitions Crizal N/A

X 35125 Presio Advance Digital 1.60 Transitions Crizal Forte UV N/A

X 35126 Presio Advance Digital 1.60 Transitions ECC N/A

X 35127 Presio Advance Digital 1.60 Transitions SeeCoat Plus N/A

X 35128 Presio Advance Digital 1.60 Polarised Supra HC N/A

X 35129 Presio Advance Digital 1.60 Polarised ECC N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 35130 Presio Advance Digital 1.67 Supra HC N/A

X 35131 Presio Advance Digital 1.67 Crizal N/A

X 35132 Presio Advance Digital 1.67 Crizal Forte UV N/A

X 35133 Presio Advance Digital 1.67 ECC N/A

X 35134 Presio Advance Digital 1.67 SeeCoat Plus N/A

X 35135 Presio Advance Digital 1.67 SeeCoat Blue N/A

X 35136 Presio Advance Digital 1.67 Transitions Supra HC N/A

X 35137 Presio Advance Digital 1.67 Transitions Crizal N/A

X 35138 Presio Advance Digital 1.67 Transitions Crizal Forte UV N/A

X 35139 Presio Advance Digital 1.67 Transitions ECC N/A

X 35140 Presio Advance Digital 1.67 Transitions SeeCoat Plus N/A

N 35141 ULTIMAX M/F 1.498 White Clear Generic Uncoated -

X 35142 Presio Advance Digital 1.74 ECC N/A

X 35143 Presio Advance Digital 1.74 SeeCoat Plus N/A

N 35144 ULTIMAX M/F 1.498 White Clear Generic Premium HC R 68,40

X 35145 Presio Advance Digital 1.74 SeeCoat Blue N/A

N 35146 ULTIMAX M/F 1.498 Clear Premium HC R 80,00

X 35147 Presio Advance Digital 1.74 Transitions ECC N/A

X 35148 Presio Advance Digital 1.74 Transitions SeeCoat Plus N/A

N 35149 ULTIMAX M/F 1.53 Trivex/Trilogy Clear Premium HC R 1 042,80

35150 Vision PRO 1.50 Polarised

T 35151 synchrony Progressive Easy S 1.5 UNC R 161,80

T 35152 synchrony Progressive Easy S 1.5 Hard R 351,60

T 35153 synchrony Progressive Easy S 1.5 HMC+ R 729,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35154 synchrony Progressive Easy S 1.5 HMCX R 902,10

X 35155 synchrony Progressive Easy S 1.5 PhotoFusion Grey UNC N/A

T 35156 synchrony Progressive Easy S 1.5 PhotoFusion Grey Hard R 1 254,30

T 35157 synchrony Progressive Easy S 1.5 PhotoFusion Grey HMC+ R 1 631,80

T 35158 synchrony Progressive Easy S 1.5 PhotoFusion Grey HMCX R 1 804,70

35159 synchrony Progressive Easy S 1.59 Hard

35160 synchrony Progressive Easy S 1.59 HMC+

35161 synchrony Progressive Easy S 1.59 HMCX

35162 synchrony Progressive Easy S 1.59 PhotoFusion Grey Hard

35163 synchrony Progressive Easy S 1.59 PhotoFusion Grey HMC+

35164 synchrony Progressive Easy S 1.59 PhotoFusion Grey HMCX

T 35165 synchrony Progressive Easy View 1.5 UNC R 161,80

T 35166 synchrony Progressive Easy View 1.5 Hard R 351,60

T 35167 synchrony Progressive Easy View 1.5 HMC+ R 729,10

T 35168 synchrony Progressive Easy View 1.5 HMCX R 902,10

X 35169 synchrony Progressive Easy View 1.5 PhotoFusion Grey UNC N/A

T 35170 synchrony Progressive Easy View 1.5 PhotoFusion Grey Hard R 1 254,30

T 35171 synchrony Progressive Easy View 1.5 PhotoFusion Grey HMC+ R 1 631,80

T 35172 synchrony Progressive Easy View 1.5 PhotoFusion Grey HMCX R 1 804,70

35173 synchrony Progressive Easy View 1.59 Hard

35174 synchrony Progressive Easy View 1.59 HMC+

35175 synchrony Progressive Easy View 1.59 HMCX

35176 synchrony Progressive Easy View 1.59 PhotoFusion Grey Hard

35177 synchrony Progressive Easy View 1.59 PhotoFusion Grey HMC+

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

35178 synchrony Progressive Easy View 1.59 PhotoFusion Grey HMCX

N 35179 ULTIMAX M/F 1.59 Polycarbonate Premium HC R 834,00

N 35180 ULTIMAX M/F 1.56 Photochromic Premium HC R 903,60

X 35181 Varilux Liberty Digital Short Ormix Crizal Prevencia N/A

T 35182 Varilux Liberty Digital Short Ormix Transitions i-Relief R 3 050,80

T 35183 Varilux Comfort New Edition Airwear Transitions i-Relief (1.59) R 3 626,70

T 35184 Varilux Comfort New Edition Stylis 1.67 Transitions i-Relief R 5 031,70

T 35185 Varilux Comfort New Edition Short Orma Transitions i-Relief R 3 117,70

T 35186 Varilux Comfort New Edition Short Airwear Transitions Crizal Prevencia (1.59) R 3 865,70

T 35187 Varilux Comfort New Edition Short Ormix i-Relief R 2 362,70

X 35188 Varilux Comfort New Edition Short Stylis Crizal Prevencia (1.67) N/A

T 35189 Varilux Comfort New Edition Short Stylis 1.67 Transitions i-Relief R 5 031,70

T 35190 synchrony Progressive Performance HD Short 1.5 HMCX R 1 319,70

T 35191 synchrony Progressive Performance HD Short 1.5 PhotoFusion Grey Hard R 1 642,30

T 35192 synchrony Progressive Performance HD Short 1.5 PhotoFusion Grey HMC+ R 2 019,90

T 35193 synchrony Progressive Performance HD Short 1.5 PhotoFusion Grey HMCX R 2 192,80

T 35194 Varilux Physio 2.0 New Edition 360 Orma Transitions i-Relief R 4 006,60

T 35195 synchrony Progressive Performance HD Short 1.6 Hard R 1 125,60

T 35196 synchrony Progressive Performance HD Short 1.6 HMC+ R 1 503,20

T 35197 synchrony Progressive Performance HD Short 1.6 HMCX R 1 676,10

35198 synchrony Progressive Performance HD Short 1.6 PhotoFusion Grey Hard R 2 486,80

T 35199 synchrony Progressive Performance HD Short 1.6 PhotoFusion Grey HMC+ R 2 895,10

T 35200 synchrony Progressive Performance HD Short 1.6 PhotoFusion Grey HMCX R 3 068,00

T 35201 ZEISS Progressive Precision Pure Short 1.5 Hard R 1 075,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35202 ZEISS Progressive Precision Pure Short 1.5 DV Silver R 1 547,40

T 35203 ZEISS Progressive Precision Pure Short 1.5 DV Platinum R 1 749,90

T 35204 ZEISS Progressive Precision Pure Short 1.5 DV Blue Protect R 1 749,90

T 35205 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Grey Hard R 1 884,90

T 35206 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Grey DV Silver R 2 357,30

T 35207 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Grey DV Platinum R 2 559,80

T 35208 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Grey DV Blue Protect R 2 559,80

T 35209 ZEISS Progressive Precision Pure Short 1.6 Hard R 1 768,90

T 35210 ZEISS Progressive Precision Pure Short 1.6 DV Silver R 2 241,30

T 35211 ZEISS Progressive Precision Pure Short 1.6 DV Platinum R 2 443,80

T 35212 ZEISS Progressive Precision Pure Short 1.6 DV Blue Protect R 2 443,80

T 35213 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Grey Hard R 2 633,60

T 35214 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Grey DV Silver R 3 106,00

T 35215 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Grey DV Platinum R 3 224,10

T 35216 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Grey DV Blue Protect R 3 224,10

T 35217 ZEISS Progressive Precision Pure Short 1.67 DV Silver R 2 412,10

T 35218 ZEISS Progressive Precision Pure Short 1.67 DV Platinum R 2 614,60

T 35219 ZEISS Progressive Precision Pure Short 1.67 DV Blue Protect R 2 614,60

T 35220 ZEISS Progressive Precision Pure Short 1.67 PhotoFusion Grey DV Silver R 3 548,90

T 35221 ZEISS Progressive Precision Pure Short 1.67 PhotoFusion Grey DV Platinum R 3 751,30

T 35222 ZEISS Progressive Precision Pure Short 1.67 PhotoFusion Grey DV Blue Protect R 3 751,30

T 35223 ZEISS Progressive Precision Pure Medium 1.5 Hard R 1 075,00

T 35224 ZEISS Progressive Precision Pure Medium 1.5 DV Silver R 1 547,40

T 35225 ZEISS Progressive Precision Pure Medium 1.5 DV Platinum R 1 749,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35226 ZEISS Progressive Precision Pure Medium 1.5 DV Blue Protect R 1 749,90

T 35227 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Grey Hard R 1 884,90

T 35228 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Grey DV Silver R 2 357,30

T 35229 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Grey DV Platinum R 2 559,80

T 35230 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Grey DV Blue Protect R 2 559,80

T 35231 ZEISS Progressive Precision Pure Medium 1.6 Hard R 1 768,90

T 35232 ZEISS Progressive Precision Pure Medium 1.6 DV Silver R 2 241,30

T 35233 ZEISS Progressive Precision Pure Medium 1.6 DV Platinum R 2 443,80

T 35234 ZEISS Progressive Precision Pure Medium 1.6 DV Blue Protect R 2 443,80

T 35235 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Grey Hard R 2 633,60

T 35236 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Grey DV Silver R 3 106,00

T 35237 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Grey DV Platinum R 3 308,50

T 35238 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Grey DV Blue Protect R 3 308,50

T 35239 ZEISS Progressive Precision Pure Medium 1.67 DV Silver R 2 412,10

T 35240 ZEISS Progressive Precision Pure Medium 1.67 DV Platinum R 2 614,60

T 35241 ZEISS Progressive Precision Pure Medium 1.67 DV Blue Protect R 2 614,60

T 35242 ZEISS Progressive Precision Pure Medium 1.67 PhotoFusion Grey DV Silver R 3 548,90

T 35243 ZEISS Progressive Precision Pure Medium 1.67 PhotoFusion Grey DV Platinum R 3 751,30

T 35244 ZEISS Progressive Precision Pure Medium 1.67 PhotoFusion Grey DV Blue Protect R 3 751,30

T 35245 ZEISS Progressive Precision Pure Long 1.5 Hard R 1 075,00

T 35246 ZEISS Progressive Precision Pure Long 1.5 DV Silver R 1 547,40

T 35247 ZEISS Progressive Precision Pure Long 1.5 DV Platinum R 1 749,90

T 35248 ZEISS Progressive Precision Pure Long 1.5 DV Blue Protect R 1 749,90

T 35249 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Grey Hard R 1 884,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35250 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Grey DV Silver R 2 357,30

T 35251 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Grey DV Platinum R 2 559,80

T 35252 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Grey DV Blue Protect R 2 559,80

T 35253 ZEISS Progressive Precision Pure Long 1.6 Hard R 1 768,90

T 35254 ZEISS Progressive Precision Pure Long 1.6 DV Silver R 2 241,30

T 35255 ZEISS Progressive Precision Pure Long 1.6 DV Platinum R 2 443,80

T 35256 ZEISS Progressive Precision Pure Long 1.6 DV Blue Protect R 2 443,80

T 35257 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Grey Hard R 2 633,60

T 35258 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Grey DV Silver R 3 106,00

T 35259 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Grey DV Platinum R 3 224,10

T 35260 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Grey DV Blue Protect R 3 224,10

T 35261 ZEISS Progressive Precision Pure Long 1.67 DV Silver R 2 412,10

T 35262 ZEISS Progressive Precision Pure Long 1.67 DV Platinum R 2 614,60

T 35263 ZEISS Progressive Precision Pure Long 1.67 DV Blue Protect R 2 614,60

T 35264 ZEISS Progressive Precision Pure Long 1.67 PhotoFusion Grey DV Silver R 3 548,90

T 35265 ZEISS Progressive Precision Pure Long 1.67 PhotoFusion Grey DV Platinum R 3 751,30

T 35266 ZEISS Progressive Precision Pure Long 1.67 PhotoFusion Grey DV Blue Protect R 3 751,30

T 35267 ZEISS Progressive Precision Plus 1.5 Hard R 1 680,30

T 35268 ZEISS Progressive Precision Plus 1.5 DV Silver R 2 152,70

T 35269 ZEISS Progressive Precision Plus 1.5 DV Platinum R 2 355,20

T 35270 ZEISS Progressive Precision Plus 1.5 DV Blue Protect R 2 355,20

T 35271 ZEISS Progressive Precision Plus 1.5 PhotoFusion Grey Hard R 2 490,20

T 35272 ZEISS Progressive Precision Plus 1.5 PhotoFusion Grey DV Silver R 2 962,60

T 35273 ZEISS Progressive Precision Plus 1.5 PhotoFusion Grey DV Platinum R 3 165,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35274 ZEISS Progressive Precision Plus 1.5 PhotoFusion Grey DV Blue Protect R 3 165,00

T 35275 ZEISS Progressive Precision Plus 1.5 Polarized Grey Hard R 2 758,00

T 35276 ZEISS Progressive Precision Plus 1.5 Polarized Grey DV Silver R 3 230,40

T 35277 ZEISS Progressive Precision Plus 1.5 Polarized Grey DV Platinum R 3 432,90

T 35278 ZEISS Progressive Precision Plus 1.5 Polarized Brown Hard R 2 758,00

T 35279 ZEISS Progressive Precision Plus 1.5 Polarized Brown DV Silver R 3 230,40

T 35280 ZEISS Progressive Precision Plus 1.5 Polarized Brown DV Platinum R 3 432,90

T 35281 ZEISS Progressive Precision Plus 1.5 Polarized Pioneer Hard R 2 758,00

T 35282 ZEISS Progressive Precision Plus 1.5 Polarized Pioneer DV Silver R 3 230,40

T 35283 ZEISS Progressive Precision Plus 1.5 Polarized Pioneer DV Platinum R 3 432,90

T 35284 ZEISS Progressive Precision Plus 1.6 Hard R 2 256,10

T 35285 ZEISS Progressive Precision Plus 1.6 DV Silver R 2 728,50

T 35286 ZEISS Progressive Precision Plus 1.6 DV Platinum R 2 930,90

T 35287 ZEISS Progressive Precision Plus 1.6 DV Blue Protect R 2 930,90

T 35288 ZEISS Progressive Precision Plus 1.6 PhotoFusion Grey Hard R 3 331,70

T 35289 ZEISS Progressive Precision Plus 1.6 PhotoFusion Grey DV Silver R 3 804,10

T 35290 ZEISS Progressive Precision Plus 1.6 PhotoFusion Grey DV Platinum R 4 006,50

T 35291 ZEISS Progressive Precision Plus 1.6 PhotoFusion Grey DV Blue Protect R 4 006,50

T 35292 ZEISS Progressive Precision Plus 1.6 Polarized Grey Hard R 3 601,60

T 35293 ZEISS Progressive Precision Plus 1.6 Polarized Grey DV Silver R 4 074,00

T 35294 ZEISS Progressive Precision Plus 1.6 Polarized Grey DV Platinum R 4 276,50

T 35295 ZEISS Progressive Precision Plus 1.6 Polarized Brown Hard R 3 601,60

T 35296 ZEISS Progressive Precision Plus 1.6 Polarized Brown DV Silver R 4 074,00

T 35297 ZEISS Progressive Precision Plus 1.6 Polarized Brown DV Platinum R 4 276,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35298 ZEISS Progressive Precision Plus 1.6 Polarized Pioneer Hard R 3 601,60

T 35299 ZEISS Progressive Precision Plus 1.6 Polarized Pioneer DV Silver R 4 074,00

T 35300 ZEISS Progressive Precision Plus 1.6 Polarized Pioneer DV Platinum R 4 276,50

T 35301 ZEISS Progressive Precision Plus 1.67 DV Silver R 3 283,10

T 35302 ZEISS Progressive Precision Plus 1.67 DV Platinum R 3 485,60

T 35303 ZEISS Progressive Precision Plus 1.67 DV Blue Protect R 3 485,60

T 35304 ZEISS Progressive Precision Plus 1.67 PhotoFusion Grey DV Silver R 4 253,30

T 35305 ZEISS Progressive Precision Plus 1.67 PhotoFusion Grey DV Platinum R 4 455,80

T 35306 ZEISS Progressive Precision Plus 1.67 PhotoFusion Grey DV Blue Protect R 4 455,80

T 35307 ZEISS Progressive Precision Plus 1.74 DV Silver R 3 715,50

T 35308 ZEISS Progressive Precision Plus 1.74 DV Platinum R 3 918,00

T 35309 ZEISS Progressive Precision Plus 1.74 DV Blue Protect R 3 918,00

T 35310 ZEISS Progressive Plus 2 Sport 1.5 Hard R 1 785,80

T 35311 ZEISS Progressive Plus 2 Sport 1.5 DV Silver R 2 258,20

T 35312 ZEISS Progressive Plus 2 Sport 1.5 DV Platinum R 2 460,60

T 35313 ZEISS Progressive Plus 2 Sport 1.5 DV Blue Protect R 2 460,60

T 35314 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Grey Hard R 2 595,60

T 35315 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Grey DV Silver R 3 068,00

T 35316 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Grey DV Platinum R 3 270,50

T 35317 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Grey DV Blue Protect R 3 270,50

T 35318 ZEISS Progressive Plus 2 Sport 1.5 Polarized Grey Hard R 2 863,50

T 35319 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Fun Hard R 2 863,50

T 35320 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Road Hard R 2 863,50

T 35321 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Sport Hard R 2 863,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35322 ZEISS Progressive Plus 2 Sport 1.5 Polarized Grey DV Silver R 3 335,90

T 35323 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Fun DV Silver R 3 335,90

T 35324 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Road DV Silver R 3 335,90

T 35325 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Sport DV Silver R 3 335,90

T 35326 ZEISS Progressive Plus 2 Sport 1.5 Polarized Grey DV Platinum R 3 538,30

T 35327 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Fun DV Platinum R 3 538,30

T 35328 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Road DV Platinum R 3 538,30

T 35329 ZEISS Progressive Plus 2 Sport 1.5 Polarized Skylet Sport DV Platinum R 3 538,30

T 35330 ZEISS Progressive Plus 2 Sport 1.5 Polarized Brown Hard R 2 863,50

T 35331 ZEISS Progressive Plus 2 Sport 1.5 Polarized Brown DV Silver R 3 335,90

T 35332 ZEISS Progressive Plus 2 Sport 1.5 Polarized Brown DV Platinum R 3 538,30

T 35333 ZEISS Progressive Plus 2 Sport 1.5 Polarized Pioneer Hard R 2 863,50

T 35334 ZEISS Progressive Plus 2 Sport 1.5 Polarized Pioneer DV Silver R 3 335,90

T 35335 ZEISS Progressive Plus 2 Sport 1.5 Polarized Pioneer DV Platinum R 3 538,30

T 35336 ZEISS Progressive Plus 2 Sport 1.6 Hard R 2 361,50

T 35337 ZEISS Progressive Plus 2 Sport 1.6 DV Silver R 2 833,90

T 35338 ZEISS Progressive Plus 2 Sport 1.6 DV Platinum R 3 036,40

T 35339 ZEISS Progressive Plus 2 Sport 1.6 DV Blue Protect R 3 036,40

T 35340 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Grey Hard R 3 437,10

T 35341 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Grey DV Silver R 3 909,50

T 35342 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Grey DV Platinum R 4 112,00

T 35343 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Grey DV Blue Protect R 4 112,00

T 35344 ZEISS Progressive Plus 2 Sport 1.6 Polarized Grey Hard R 3 707,10

T 35345 ZEISS Progressive Plus 2 Sport 1.6 Polarized Grey DV Silver R 4 179,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35346 ZEISS Progressive Plus 2 Sport 1.6 Polarized Grey DV Platinum R 4 381,90

T 35347 ZEISS Progressive Plus 2 Sport 1.6 Polarized Brown Hard R 3 707,10

T 35348 ZEISS Progressive Plus 2 Sport 1.6 Polarized Brown DV Silver R 4 179,50

T 35349 ZEISS Progressive Plus 2 Sport 1.6 Polarized Brown DV Platinum R 4 381,90

T 35350 ZEISS Progressive Plus 2 Sport 1.6 Polarized Pioneer Hard R 3 707,10

T 35351 ZEISS Progressive Plus 2 Sport 1.6 Polarized Pioneer DV Silver R 4 179,50

T 35352 ZEISS Progressive Plus 2 Sport 1.6 Polarized Pioneer DV Platinum R 4 381,90

T 35353 ZEISS Progressive Precision Superb 1.5 Hard R 2 138,00

T 35354 ZEISS Progressive Precision Superb 1.5 DV Silver R 2 612,50

T 35355 ZEISS Progressive Precision Superb 1.5 DV Platinum R 2 814,90

T 35356 ZEISS Progressive Precision Superb 1.5 DV Blue Protect R 2 814,90

T 35357 ZEISS Progressive Precision Superb 1.5 PhotoFusion Grey Hard R 2 945,70

T 35358 ZEISS Progressive Precision Superb 1.5 PhotoFusion Grey DV Silver R 3 418,10

T 35359 ZEISS Progressive Precision Superb 1.5 PhotoFusion Grey DV Platinum R 3 620,60

T 35360 ZEISS Progressive Precision Superb 1.5 PhotoFusion Grey DV Blue Protect R 3 620,60

T 35361 ZEISS Progressive Precision Superb 1.5 Polarized Grey Hard R 3 213,60

T 35362 ZEISS Progressive Precision Superb 1.5 Polarized Grey DV Silver R 3 686,00

T 35363 ZEISS Progressive Precision Superb 1.5 Polarized Grey DV Platinum R 3 888,40

35364 ZEISS Progressive Precision Superb 1.5 Polarized Brown Hard R 3 609,00

T 35365 ZEISS Progressive Precision Superb 1.5 Polarized Brown DV Silver R 3 213,60

T 35366 ZEISS Progressive Precision Superb 1.5 Polarized Brown DV Platinum R 3 686,00

T 35367 ZEISS Progressive Precision Superb 1.5 Polarized Pioneer Hard R 3 213,60

T 35368 ZEISS Progressive Precision Superb 1.5 Polarized Pioneer DV Silver R 3 686,00

T 35369 ZEISS Progressive Precision Superb 1.5 Polarized Pioneer DV Platinum R 3 888,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35370 ZEISS Progressive Precision Superb 1.6 Hard R 2 768,60

T 35371 ZEISS Progressive Precision Superb 1.6 DV Silver R 3 241,00

T 35372 ZEISS Progressive Precision Superb 1.6 DV Platinum R 3 443,40

T 35373 ZEISS Progressive Precision Superb 1.6 DV Blue Protect R 3 443,40

T 35374 ZEISS Progressive Precision Superb 1.6 PhotoFusion Grey Hard R 3 844,10

T 35375 ZEISS Progressive Precision Superb 1.6 PhotoFusion Grey DV Silver R 4 329,20

T 35376 ZEISS Progressive Precision Superb 1.6 PhotoFusion Grey DV Platinum R 4 519,00

T 35377 ZEISS Progressive Precision Superb 1.6 PhotoFusion Grey DV Blue Protect R 4 519,00

T 35378 ZEISS Progressive Precision Superb 1.6 Polarized Grey Hard R 4 114,10

T 35379 ZEISS Progressive Precision Superb 1.6 Polarized Grey DV Silver R 4 586,50

T 35380 ZEISS Progressive Precision Superb 1.6 Polarized Grey DV Platinum R 4 789,00

T 35381 ZEISS Progressive Precision Superb 1.6 Polarized Brown Hard R 4 114,10

T 35382 ZEISS Progressive Precision Superb 1.6 Polarized Brown DV Silver R 4 586,50

T 35383 ZEISS Progressive Precision Superb 1.6 Polarized Brown DV Platinum R 4 789,00

T 35384 ZEISS Progressive Precision Superb 1.6 Polarized Pioneer Hard R 4 114,10

T 35385 ZEISS Progressive Precision Superb 1.6 Polarized Pioneer DV Silver R 4 586,50

T 35386 ZEISS Progressive Precision Superb 1.6 Polarized Pioneer DV Platinum R 4 789,00

T 35387 ZEISS Progressive Precision Superb 1.67 DV Silver R 4 244,90

T 35388 ZEISS Progressive Precision Superb 1.67 DV Platinum R 4 447,30

T 35389 ZEISS Progressive Precision Superb 1.67 DV Blue Protect R 4 447,30

T 35390 ZEISS Progressive Precision Superb 1.67 PhotoFusion Grey DV Silver R 5 322,60

T 35391 ZEISS Progressive Precision Superb 1.67 PhotoFusion Grey DV Platinum R 5 525,00

T 35392 ZEISS Progressive Precision Superb 1.67 PhotoFusion Grey DV Blue Protect R 5 525,00

T 35393 ZEISS Progressive Precision Superb 1.74 DV Silver R 4 837,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35394 ZEISS Progressive Precision Superb 1.74 DV Platinum R 5 039,90

T 35395 ZEISS Progressive Precision Superb 1.74 DV Blue Protect R 5 039,90

T 35396 ZEISS Progressive Superb Sport 1.5 Hard R 2 245,50

T 35397 ZEISS Progressive Superb Sport 1.5 DV Silver R 2 715,80

T 35398 ZEISS Progressive Superb Sport 1.5 DV Platinum R 2 920,40

T 35399 ZEISS Progressive Superb Sport 1.5 DV Blue Protect R 2 920,40

T 35400 ZEISS Progressive Superb Sport 1.5 PhotoFusion Grey Hard R 3 051,20

T 35401 ZEISS Progressive Superb Sport 1.5 PhotoFusion Grey DV Silver R 3 523,60

T 35402 ZEISS Progressive Superb Sport 1.5 PhotoFusion Grey DV Platinum R 3 726,00

T 35403 ZEISS Progressive Superb Sport 1.5 PhotoFusion Grey DV Blue Protect R 3 726,00

T 35404 ZEISS Progressive Superb Sport 1.5 Polarized Grey Hard R 3 319,00

T 35405 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Fun Hard R 3 319,00

T 35406 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Road Hard R 3 319,00

T 35407 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Sport Hard R 3 319,00

T 35408 ZEISS Progressive Superb Sport 1.5 Polarized Grey DV Silver R 3 791,40

T 35409 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Fun DV Silver R 3 791,40

T 35410 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Road DV Silver R 3 791,40

T 35411 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Sport DV Silver R 3 791,40

T 35412 ZEISS Progressive Superb Sport 1.5 Polarized Grey DV Platinum R 3 993,90

T 35413 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Fun DV Platinum R 3 993,90

T 35414 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Road DV Platinum R 3 993,90

T 35415 ZEISS Progressive Superb Sport 1.5 Polarized Skylet Sport DV Platinum R 3 993,90

T 35416 ZEISS Progressive Superb Sport 1.5 Polarized Brown Hard R 3 319,00

T 35417 ZEISS Progressive Superb Sport 1.5 Polarized Brown DV Silver R 3 791,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35418 ZEISS Progressive Superb Sport 1.5 Polarized Brown DV Platinum R 3 993,90

T 35419 ZEISS Progressive Superb Sport 1.5 Polarized Pioneer Hard R 3 319,00

T 35420 ZEISS Progressive Superb Sport 1.5 Polarized Pioneer DV Silver R 3 791,40

T 35421 ZEISS Progressive Superb Sport 1.5 Polarized Pioneer DV Platinum R 3 993,90

T 35422 ZEISS Progressive Superb Sport 1.6 Hard R 2 874,00

T 35423 ZEISS Progressive Superb Sport 1.6 DV Silver R 3 346,40

T 35424 ZEISS Progressive Superb Sport 1.6 DV Platinum R 3 548,90

T 35425 ZEISS Progressive Superb Sport 1.6 DV Blue Protect R 3 548,90

T 35426 ZEISS Progressive Superb Sport 1.6 PhotoFusion Grey Hard R 3 949,60

T 35427 ZEISS Progressive Superb Sport 1.6 PhotoFusion Grey DV Silver R 4 422,00

T 35428 ZEISS Progressive Superb Sport 1.6 PhotoFusion Grey DV Platinum R 4 624,50

T 35429 ZEISS Progressive Superb Sport 1.6 PhotoFusion Grey DV Blue Protect R 4 624,50

T 35430 ZEISS Progressive Superb Sport 1.6 Polarized Grey Hard R 4 219,50

T 35431 ZEISS Progressive Superb Sport 1.6 Polarized Grey DV Silver R 4 692,00

T 35432 ZEISS Progressive Superb Sport 1.6 Polarized Grey DV Platinum R 4 894,40

T 35433 ZEISS Progressive Superb Sport 1.6 Polarized Brown Hard R 4 219,50

T 35434 ZEISS Progressive Superb Sport 1.6 Polarized Brown DV Silver R 4 692,00

T 35435 ZEISS Progressive Superb Sport 1.6 Polarized Brown DV Platinum R 4 894,40

T 35436 ZEISS Progressive Superb Sport 1.6 Polarized Pioneer Hard R 4 219,50

T 35437 ZEISS Progressive Superb Sport 1.6 Polarized Pioneer DV Silver R 4 692,00

T 35438 ZEISS Progressive Superb Sport 1.6 Polarized Pioneer DV Platinum R 4 894,40

T 35439 ZEISS Progressive Superb Sport 1.67 DV Silver R 4 350,30

T 35440 ZEISS Progressive Superb Sport 1.67 DV Platinum R 4 552,80

T 35441 ZEISS Progressive Superb Sport 1.67 DV Blue Protect R 4 552,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35442 ZEISS Progressive Superb Sport 1.67 PhotoFusion Grey DV Silver R 5 428,00

T 35443 ZEISS Progressive Superb Sport 1.67 PhotoFusion Grey DV Platinum R 5 630,50

T 35444 ZEISS Progressive Superb Sport 1.67 PhotoFusion Grey DV Blue Protect R 5 630,50

T 35445 ZEISS Progressive Individual 2 1.5 Hard R 2 604,00

T 35446 ZEISS Progressive Individual 2 1.5 DV Silver R 3 076,50

T 35447 ZEISS Progressive Individual 2 1.5 DV Platinum R 3 278,90

T 35448 ZEISS Progressive Individual 2 1.5 DV Blue Protect R 3 278,90

T 35449 ZEISS Progressive Individual 2 1.5 PhotoFusion Grey Hard R 3 411,80

T 35450 ZEISS Progressive Individual 2 1.5 PhotoFusion Grey DV Silver R 3 884,20

T 35451 ZEISS Progressive Individual 2 1.5 PhotoFusion Grey DV Platinum R 4 086,70

T 35452 ZEISS Progressive Individual 2 1.5 PhotoFusion Grey DV Blue Protect R 4 086,70

T 35453 ZEISS Progressive Individual 2 1.5 Polarized Grey Hard R 3 681,70

T 35454 ZEISS Progressive Individual 2 1.5 Polarized Grey DV Silver R 4 154,20

T 35455 ZEISS Progressive Individual 2 1.5 Polarized Grey DV Platinum R 4 356,60

T 35456 ZEISS Progressive Individual 2 1.5 Polarized Brown Hard R 3 681,70

T 35457 ZEISS Progressive Individual 2 1.5 Polarized Brown DV Silver R 4 154,20

T 35458 ZEISS Progressive Individual 2 1.5 Polarized Brown DV Platinum R 4 356,60

T 35459 ZEISS Progressive Individual 2 1.5 Polarized Pioneer Hard R 3 681,70

T 35460 ZEISS Progressive Individual 2 1.5 Polarized Pioneer DV Silver R 4 154,20

T 35461 ZEISS Progressive Individual 2 1.5 Polarized Pioneer DV Platinum R 4 356,60

T 35462 ZEISS Progressive Individual 2 1.6 Hard R 3 179,80

T 35463 ZEISS Progressive Individual 2 1.6 DV Silver R 3 652,20

T 35464 ZEISS Progressive Individual 2 1.6 DV Platinum R 3 854,70

T 35465 ZEISS Progressive Individual 2 1.6 DV Blue Protect R 3 854,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35466 ZEISS Progressive Individual 2 1.6 PhotoFusion Grey Hard R 4 255,40

T 35467 ZEISS Progressive Individual 2 1.6 PhotoFusion Grey DV Silver R 4 727,80

T 35468 ZEISS Progressive Individual 2 1.6 PhotoFusion Grey DV Platinum R 4 930,30

T 35469 ZEISS Progressive Individual 2 1.6 PhotoFusion Grey DV Blue Protect R 4 930,30

T 35470 ZEISS Progressive Individual 2 1.6 Polarized Grey Hard R 4 523,20

T 35471 ZEISS Progressive Individual 2 1.6 Polarized Grey DV Silver R 4 993,50

T 35472 ZEISS Progressive Individual 2 1.6 Polarized Grey DV Platinum R 5 198,10

T 35473 ZEISS Progressive Individual 2 1.6 Polarized Brown Hard R 4 523,20

T 35474 ZEISS Progressive Individual 2 1.6 Polarized Brown DV Silver R 4 993,50

T 35475 ZEISS Progressive Individual 2 1.6 Polarized Brown DV Platinum R 5 198,10

T 35476 ZEISS Progressive Individual 2 1.6 Polarized Pioneer Hard R 4 523,20

T 35477 ZEISS Progressive Individual 2 1.6 Polarized Pioneer DV Silver R 4 993,50

T 35478 ZEISS Progressive Individual 2 1.6 Polarized Pioneer DV Platinum R 5 198,10

T 35479 ZEISS Progressive Individual 2 1.67 DV Silver R 4 782,60

T 35480 ZEISS Progressive Individual 2 1.67 DV Platinum R 4 985,10

T 35481 ZEISS Progressive Individual 2 1.67 DV Blue Protect R 4 985,10

T 35482 ZEISS Progressive Individual 2 1.67 PhotoFusion Grey DV Silver R 5 860,30

T 35483 ZEISS Progressive Individual 2 1.67 PhotoFusion Grey DV Platinum R 6 062,80

T 35484 ZEISS Progressive Individual 2 1.67 PhotoFusion Grey DV Blue Protect R 6 062,80

T 35485 ZEISS Progressive Individual 2 1.74 DV Silver R 5 322,60

T 35486 ZEISS Progressive Individual 2 1.74 DV Platinum R 5 525,00

T 35487 ZEISS Progressive Individual 2 1.74 DV Blue Protect R 5 525,00

T 35488 ZEISS Progressive Individual Sport 1.5 Hard R 2 709,50

T 35489 ZEISS Progressive Individual Sport 1.5 DV Silver R 3 181,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35490 ZEISS Progressive Individual Sport 1.5 DV Platinum R 3 384,40

T 35491 ZEISS Progressive Individual Sport 1.5 DV Blue Protect R 3 384,40

T 35492 ZEISS Progressive Individual Sport 1.5 PhotoFusion Grey Hard R 3 517,20

T 35493 ZEISS Progressive Individual Sport 1.5 PhotoFusion Grey DV Silver R 3 989,70

T 35494 ZEISS Progressive Individual Sport 1.5 PhotoFusion Grey DV Platinum R 4 192,10

T 35495 ZEISS Progressive Individual Sport 1.5 PhotoFusion Grey DV Blue Protect R 4 192,10

T 35496 ZEISS Progressive Individual Sport 1.5 Polarized Grey Hard R 3 787,20

T 35497 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Fun Hard R 3 787,20

T 35498 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Road Hard R 3 787,20

T 35499 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Sport Hard R 3 787,20

T 35500 ZEISS Progressive Individual Sport 1.5 Polarized Grey DV Silver R 4 259,60

T 35501 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Fun DV Silver R 4 259,60

T 35502 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Road DV Silver R 4 259,60

T 35503 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Sport DV Silver R 4 259,60

T 35504 ZEISS Progressive Individual Sport 1.5 Polarized Grey DV Platinum R 4 462,10

T 35505 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Fun DV Platinum R 4 462,10

T 35506 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Road DV Platinum R 4 462,10

T 35507 ZEISS Progressive Individual Sport 1.5 Polarized Skylet Sport DV Platinum R 4 462,10

T 35508 ZEISS Progressive Individual Sport 1.5 Polarized Brown Hard R 3 787,20

T 35509 ZEISS Progressive Individual Sport 1.5 Polarized Brown DV Silver R 4 259,60

T 35510 ZEISS Progressive Individual Sport 1.5 Polarized Brown DV Platinum R 4 462,10

T 35511 ZEISS Progressive Individual Sport 1.5 Polarized Pioneer Hard R 3 787,20

T 35512 ZEISS Progressive Individual Sport 1.5 Polarized Pioneer DV Silver R 4 251,20

T 35513 ZEISS Progressive Individual Sport 1.5 Polarized Pioneer DV Platinum R 4 462,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35514 ZEISS Progressive Individual Sport 1.6 Hard R 3 285,30

T 35515 ZEISS Progressive Individual Sport 1.6 DV Silver R 3 757,70

T 35516 ZEISS Progressive Individual Sport 1.6 DV Platinum R 3 960,10

T 35517 ZEISS Progressive Individual Sport 1.6 DV Blue Protect R 3 960,10

T 35518 ZEISS Progressive Individual Sport 1.6 PhotoFusion Grey Hard R 4 360,80

T 35519 ZEISS Progressive Individual Sport 1.6 PhotoFusion Grey DV Silver R 4 833,30

T 35520 ZEISS Progressive Individual Sport 1.6 PhotoFusion Grey DV Platinum R 5 035,70

T 35521 ZEISS Progressive Individual Sport 1.6 PhotoFusion Grey DV Blue Protect R 5 035,70

T 35522 ZEISS Progressive Individual Sport 1.6 Polarized Grey Hard R 4 628,70

T 35523 ZEISS Progressive Individual Sport 1.6 Polarized Grey DV Silver R 5 101,10

T 35524 ZEISS Progressive Individual Sport 1.6 Polarized Grey DV Platinum R 5 303,60

T 35525 ZEISS Progressive Individual Sport 1.6 Polarized Brown Hard R 4 628,70

T 35526 ZEISS Progressive Individual Sport 1.6 Polarized Brown DV Silver R 5 101,10

T 35527 ZEISS Progressive Individual Sport 1.6 Polarized Brown DV Platinum R 5 303,60

T 35528 ZEISS Progressive Individual Sport 1.6 Polarized Pioneer Hard R 4 628,70

T 35529 ZEISS Progressive Individual Sport 1.6 Polarized Pioneer DV Silver R 5 101,10

T 35530 ZEISS Progressive Individual Sport 1.6 Polarized Pioneer DV Platinum R 5 303,60

T 35531 ZEISS Progressive Individual Sport 1.67 DV Silver R 4 888,10

T 35532 ZEISS Progressive Individual Sport 1.67 DV Platinum R 5 090,60

T 35533 ZEISS Progressive Individual Sport 1.67 DV Blue Protect R 5 090,60

T 35534 ZEISS Progressive Individual Sport 1.67 PhotoFusion Grey DV Silver R 5 965,80

T 35535 ZEISS Progressive Individual Sport 1.67 PhotoFusion Grey DV Platinum R 6 168,30

T 35536 ZEISS Progressive Individual Sport 1.67 PhotoFusion Grey DV Blue Protect R 6 168,30

T 35537 PRECISE PB 1.5 R 808,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35538 PRECISE PB 1.6 R 1 133,50

T 35539 PRECISE PB 1.67 R 2 243,50

T 35540 PRECISE PB 1.5 Transition R 2 165,30

T 35541 PRECISE PB 1.6 Transition R 3 291,00

T 35542 PRECISE PB 1.67 Transition R 4 072,70

T 35543 PRECISE PB 1.74 R 3 869,40

T 35544 PRECISE PB Polarized 1.5 R 1 696,30

T 35545 EASY 1.5 R 935,90

T 35546 EASY 1.6 R 1 368,00

T 35547 EASY 1.67 R 2 571,80

T 35548 EASY 1.74 R 4 135,20

T 35549 EASY Trivex R 2 201,10

T 35550 EASY Polycarbonate R 1 368,00

T 35551 EASY 1.5 Transition R 2 384,20

T 35552 EASY 1.6 Transition R 3 618,80

T 35553 EASY 1.67 Transition R 4 177,10

T 35554 EASY 1.5 Polarized R 1 962,10

T 35555 UNIQUE 1.5 R 1 093,10

T 35556 UNIQUE 1.6 R 1 383,60

T 35557 UNIQUE 1.67 R 2 615,90

T 35558 UNIQUE 1.74 R 4 135,20

T 35559 UNIQUE Trivex R 2 024,60

T 35560 UNIQUE Polycarbonate R 1 611,00

T 35561 UNIQUE 1.5 Transition R 2 790,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35562 UNIQUE 1.6 Transition R 3 932,40

T 35563 UNIQUE 1.67 Transition R 4 573,00

T 35564 UNIQUE 1.5 Polarized (Brown, Grey, Green) R 2 162,50

T 35565 UNIQUE 1.6 Polarized (Brown, Grey, Green) R 5 212,60

T 35566 UNIQUE 1.67 Polarized (Brown, Grey, Green) R 6 491,70

T 35567 UNIQUE-HD 1.5 R 1 291,40

T 35568 UNIQUE-HD 1.6 R 1 696,30

T 35569 UNIQUE-HD 1.67 R 3 041,30

T 35570 UNIQUE-HD 1.74 R 4 666,80

T 35571 UNIQUE-HD Trivex R 2 368,60

T 35572 UNIQUE-HD Polycarbonate R 2 085,70

T 35573 UNIQUE-HD 1.5 Transition R 3 039,70

T 35574 UNIQUE-HD 1.6 Transition R 4 197,80

T 35575 UNIQUE-HD 1.67 Transition R 5 120,20

T 35576 UNIQUE-HD 1.5 Polarized (Brown, Grey, Green) R 2 446,70

T 35577 UNIQUE-HD 1.6 Polarized (Brown, Grey, Green) R 5 511,10

T 35578 UNIQUE-HD 1.67 Polarized (Brown, Grey, Green) R 7 060,30

T 35579 SOLARTEC-PAL 1.5 R 1 555,60

T 35580 SOLARTEC-PAL 1.6 R 2 446,70

T 35581 SOLARTEC-PAL 1.67 R 3 431,70

T 35582 SOLARTEC-PAL 1.5 Transition R 3 257,40

T 35583 SOLARTEC-PAL 1.6 Transition R 4 379,30

T 35584 SOLARTEC-PAL 1.67 Transition R 5 589,20

T 35585 SOLARTEC-PAL 1.5 Polarized (Brown, Grey, Green) R 2 681,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35586 SOLARTEC-PAL 1.6 Polarized (Brown, Grey, Green) R 5 761,20

T 35587 SOLARTEC-PAL 1.67 Polarized (Brown, Grey, Green) R 7 486,70

T 35588 SOLARTEC-PAL 1.5 Drivewear R 5 386,00

T 35589 Futuro Duro ll Optimised FreeForm 1.5 R 1 339,40

T 35590 Futuro Duro ll Optimised FreeForm 1.5 Photochromic R 2 091,70

T 35591 Futuro Duro ll Optimised FreeForm Transitions® 1.5 R 2 681,30

T 35592 Futuro Duro ll Optimised FreeForm Transitions® XTRActive® 1.5 R 2 681,30

T 35593 Futuro Duro ll Optimised FreeForm 1.6 R 2 310,50

T 35594 Futuro Duro ll Optimised FreeForm Transitions® VI 1.6 R 3 692,40

T 35595 Futuro Duro ll Optimised FreeForm Transitions® XTRActive® 1.6 R 3 692,40

T 35596 Futuro Duro ll Optimised FreeForm 1.67 R 2 804,00

T 35597 Futuro Duro ll Optimised FreeForm Transitions® 1.67 R 4 362,10

T 35598 Futuro Duro ll Optimised FreeForm Transitions® XTRActive® 1.67 R 4 362,10

T 35599 Futuro Duro ll Optimised FreeForm DriveWear® 1.5 R 3 775,10

T 35600 Futuro Duro ll Optimised FreeForm Drivewear® Polycarb 1.586 R 5 701,30

T 35601 Futuro Duro ll Optimised FreeForm NuPolar® 1.5 R 2 155,70

T 35602 Futuro Duro ll Optimised FreeForm NuPolar® 1.6 R 3 369,60

T 35603 Futuro Duro ll Optimised FreeForm NuPolar® 1.67 R 4 060,60

T 35604 Futuro Duro ll Optimised FreeForm NuPolar® Polycarb 1.586 R 4 716,90

T 35605 Futuro Duro ll Optimised FreeForm Trivex® 1.53 R 3 057,50

T 35606 Futuro Duro ll Optimised FreeForm Trivex® Transitions® 1.53 R 4 362,10

T 35607 Futuro Duro ll Optimised FreeForm Trivex® Transitions® XTRActive® 1.53 R 4 362,10

T 35608 Futuro Duro ll Optimised FreeForm 1.74 R 6 589,80

T 35609 Futuro Advance Optimised FreeForm 1.5 R 805,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35610 Futuro Advance Optimised FreeForm 1.5 Photochromic R 1 558,10

T 35611 Futuro Advance Optimised FreeForm Transitions® 1.5 R 2 147,70

T 35612 Futuro Advance Optimised FreeForm 1.6 R 1 776,90

T 35613 Futuro Advance Optimised FreeForm Transitions® VI 1.6 R 3 158,90

T 35614 Futuro Advance Optimised FreeForm 1.67 R 2 270,40

T 35615 Futuro Advance Optimised FreeForm Transitions® 1.67 R 3 828,50

T 35616 Futuro Advance Optimised FreeForm NuPolar® 1.5 R 1 622,20

T 35617 Futuro Advance Optimised FreeForm NuPolar® 1.6 R 2 836,00

T 35618 Futuro Advance Optimised FreeForm NuPolar® 1.67 R 3 527,00

T 35619 Intuitiv MIO 1.5 Crizal Easy UV R 2 220,20

T 35620 Intuitiv MIO 1.5 Crizal Forte UV R 2 445,90

T 35621 Intuitiv MIO 1.5 Transitions Easy UV R 3 350,60

T 35622 Intuitiv MIO 1.5 Transitions Crizal Forte UV R 3 576,30

T 35623 Intuitiv MIO 1.6 Crizal Easy UV R 2 631,50

T 35624 Intuitiv MIO 1.6 Crizal Forte UV R 2 857,10

T 35625 Intuitiv MIO 1.6 Transitions Crizal Easy UV R 3 998,10

T 35626 Intuitiv MIO 1.6 Transitions Crizal Forte UV R 4 223,80

T 35627 Intuitiv MIO 1.67 Crizal Easy UV R 3 580,50

T 35628 Intuitiv MIO 1.67 Crizal Forte UV R 3 806,20

T 35629 Intuitiv MIO 1.67 Transitions Crizal Easy UV R 5 113,80

T 35630 Intuitiv MIO 1.67 Transitions Crizal Forte UV R 5 339,40

35631 1.5 FIRE Yellow

35632 1.5 FIRE Yellow SUNCHECK

35633 1.5 FIRE Yellow – I – HC

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

35634 1.5 FIRE Yellow – I – OCC

T 35635 1.5 FIRE Yellow – I SUNCHECK HC R 0,00

T 35636 1.5 FIRE Yellow – I – TRANSITIONS HC R 121,20

T 35637 1.5 FIRE Yellow – I – SUNCHECK OCC R 114,40

T 35638 1.5 FIRE Yellow – I – TRANSITIONS OCC R 347,90

35639 1.6 FIRE Yellow I H C

T 35640 1.6 FIRE Yellow OCC R 150,70

T 35641 1.6 FIRE Yellow Trans HC R 341,20

T 35642 1.6 FIRE Yellow Trans OCC R 590,50

N 35643 ULTIMAX M/F 1.53 Trilogy Transition Premium HC R 1 826,60

35644 1.5 FIRE Red HC

T 35645 1.5 FIRE Red OCC R 234,60

T 35646 1.5 FIRE Red AOCC R 347,90

T 35647 1.5 FIRE Phototromatic HC R 189,20

T 35648 1.5 FIRE Phototromatic OCC R 325,30

T 35649 1.5 FIRE Phototromatic AOCC R 461,30

T 35650 1.5 FIRE Red Trans HC R 461,30

T 35651 1.5 Nanko Basic Acclimates Hard R 1 141,10

T 35652 1.5 Nanko Basic Acclimates ARC R 1 660,00

X 35653 1.5 Nanko Basic Polarized Grey/Brown/Green ARC N/A

T 35654 1.59 Nanko Basic Hard R 1 082,10

T 35655 1.59 Nanko Basic ARC R 1 612,80

T 35656 1.59 Nanko Basic TRANSITIONS VII Hard R 1 801,50

T 35657 1.59 Nanko Basic TRANSITIONS VII ARC R 2 327,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35658 1.5 Nanko HD CR 39 Acclimates Hard R 1 731,70

T 35659 1.5 Nanko HD CR 39 Acclimates ARC R 2 315,00

T 35660 1.5 Nanko HD Polarized Grey/Brown/Green ARC R 2 493,60

T 35661 1.59 Nanko HD Polycarbonate Hard R 1 136,50

T 35662 1.59 Nanko HD Polycarbonate CRIZAL EASY UV R 1 719,80

T 35663 1.59 Nanko HD Polycarbonate Transitions Hard R 2 493,60

T 35664 1.59 Nanko HD Polycarbonate Transitions CRIZAL EASY UV R 2 969,70

X 35665 1.6 Nanko HD GOLD Polarized Grey/Brown NANKO ARC N/A

35666 OTL Super Vivo Short MF HD WIDE ARC R 2 930,50

35667 OTL Super Vivo MF HD Short WIDE Sun Protect ARC R 4 094,80

35668 OTL Super Vivo MF HD Short WIDE Super HRI ARC R 3 103,20

35669 OTL Ultra Flex Plus MF HD Long ARC WIDE R 3 147,50

35670 OTL Ultra Flex Plus MF HD Long ARC Sun Protrect WIDE R 3 901,20

35671 OTL Ultra Flex Plus MF HD Long Super HRI ARC WIDE R 3 503,80

35672 Innovation HD 1.5 Clear

35673 Innovation HD 1.5 Acclimates

35674 Innovation HD 1.5 Transitions R 65,30

35675 Innovation HD 1.5 Clear Crizal Easy

35676 Innovation HD 1.5 Acclimates Crizal Easy R 128,40

35677 Innovation HD 1.5 Transitions Crizal Easy R 353,10

35678 Innovation HD 1.59 Polycarb Clear

35679 Innovation HD 1.59 Polycarb Transitions R 118,50

35680 Innovation HD 1.59 Polycarb Clear Crizal Easy

35681 Innovation HD 1.59 Polycarb Transitions Crizal Easy R 411,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

35682 Innovation HD 1.6 Clear

35683 Innovation HD 1.6 Transitions R 118,50

35684 Innovation HD 1.6 Clear Crizal Easy

35685 Innovation HD 1.6 Transitions Crizal Easy R 411,70

35686 Innovation HD 1.67 Clear Crizal Easy

35687 Innovation HD 1.67 Transitions Crizal Easy R 386,30

35688 AOS Digital Surfacing 1.5 Clear

35689 AOS Digital Surfacing 1.5 Acclimates

35690 AOS Digital Surfacing 1.5 Transitions R 169,40

35691 AOS Digital Surfacing 1.5 Clear Crizal Easy

35692 AOS Digital Surfacing 1.5 Acclimates Crizal Easy R 229,10

35693 AOS Digital Surfacing 1.5 Transitions Crizal Easy R 398,40

35694 AOS Digital Surfacing 1.59 Polycarb Clear

35695 AOS Digital Surfacing 1.59 Polycarb Transitions R 219,10

35696 AOS Digital Surfacing 1.59 Polycarb Clear Crizal Easy

35697 AOS Digital Surfacing 1.59 Polycarb Transitions Crizal Easy R 449,30

35698 AOS Digital Surfacing 1.6 Clear

35699 AOS Digital Surfacing 1.6 Transitions R 219,10

35700 AOS Digital Surfacing 1.6 Clear Crizal Easy

35701 AOS Digital Surfacing 1.6 Transitions Crizal Easy R 449,30

35702 AOS Digital Surfacing 1.67 Clear Crizal Easy

35703 AOS Digital Surfacing 1.67 Transitions Crizal Easy R 510,20

35704 Performance Ultra HD 1.5 Clear

35705 Performance Ultra HD 1.5 Acclimates

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

35706 Performance Ultra HD 1.5 Transitions

35707 Performance Ultra HD 1.5 Clear Crizal Easy R 118,50

35708 Performance Ultra HD 1.5 Acclimates Crizal Easy R 386,30

35709 Performance Ultra HD 1.5 Transitions Crizal Easy R 654,10

35710 Performance Ultra HD 1.59 Polycarb Clear

35711 Performance Ultra HD 1.59 Polycarb Transitions

35712 Performance Ultra HD 1.59 Polycarb Clear Crizal Easy R 252,30

35713 Performance Ultra HD 1.59 Polycarb Transitions Crizal Easy R 786,90

35714 Performance Ultra HD 1.6 Clear

35715 Performance Ultra HD 1.6 Transitions

35716 Performance Ultra HD 1.6 Clear Crizal Easy R 252,30

35717 Performance Ultra HD 1.6 Transitions Crizal Easy R 786,90

35718 Performance Ultra HD 1.67 Clear Crizal Easy R 520,10

35719 Performance Ultra HD 1.67 Transitions Crizal Easy R 1 057,00

T 35720 1.5 FIRE Red Trans OCC R 778,70

T 35721 1.5 FIRE Red Trans AOCC R 914,70

T 35722 1.5 FIRE Red Trans AOCC Blue R 1 141,50

T 35723 1.5 FIRE Red POLORISED AOCC R 810,40

T 35724 1.5 FIRE Red POLORISED AOCC Blue R 1 141,50

N 35725 SEIKO Prime X 1.50 Polarising Uncoated Surfaced R 1 826,60

T 35726 1.6 FIRE Red HC R 121,20

T 35727 1.6 FIRE Red OCC R 361,50

T 35728 1.6 FIRE Red AOCC R 484,00

T 35729 1.6 FIRE Red Trans HC R 778,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35730 1.6 FIRE Red Trans OCC R 937,40

T 35731 1.6 FIRE Red Trans AOCC R 1 028,10

T 35732 1.6 FIRE Red Trans AOCC Blue R 1 277,50

N 35733 SEIKO Prime X 1.50 Drivewear Uncoated Surfaced R 1 826,60

T 35734 FIRE Red HC – TRILOGY R 243,70

T 35735 FIRE Red OCC – TRILOGY R 495,30

T 35736 FIRE Red AOCC – TRILOGY R 574,70

T 35737 FIRE Red Trans HC – TRILOGY R 1 141,50

T 35738 FIRE Red Trans OCC – TRILOGY R 1 277,50

T 35739 FIRE Red Trans AOCC – TRILOGY R 1 368,20

T 35740 FIRE Red Trans AOCC blue – TRILOGY R 1 458,90

N 35741 SEIKO Prime X 1.60 Uncoated Surfaced R 1 826,60

T 35742 1.5 Extreme Fire HC R 461,30

T 35743 1.5 Extreme Fire Clear AOCC R 699,40

T 35744 1.5 Extreme Fire Transition HC R 960,10

T 35745 1.5 Extreme Fire Transitions AOCC R 1 141,50

T 35746 1.5 Extreme Fire Polorised AOCC R 1 005,40

T 35747 1.5 Extreme Fire Polorised AOCC Blue R 1 175,50

N 35748 SEIKO Prime X 1.60 Transitions 7 Uncoated Surfaced R 1 826,60

T 35749 TRILOGY Extreme Fire HC R 710,70

T 35750 TRILOGY Extreme Fire Clear AOCC R 960,10

T 35751 TRILOGY Extreme Fire Transition AOCC R 1 821,60

T 35752 TRILOGY Extreme Fire Polorised AOCC R 1 776,30

N 35753 SEIKO Prime X 1.60 Polarising Uncoated Surfaced R 1 826,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35754 FIRE FOX Sport – AOCC – TRILOGY R 688,00

T 35755 FIRE FOX Sport – AOCC Blue – TRILOGY R 778,70

T 35756 FIRE FOX Sport – Transition AOCC – POLY CARB R 1 436,20

T 35757 FIRE FOX Sport – Transition AOCC Blue – POLY CARB R 1 685,60

T 35758 FIRE FOX Sport – Polorised AOCC – TRILOGY R 982,80

T 35759 FIRE FOX Sport – Polorised AOCC Blue – TRILOGY R 1 164,10

N 35760 SEIKO Prime X Tribrid Uncoated Surfaced R 1 826,60

T 35761 FIRE FOX Drive – AOCC – TRILOGY R 688,00

T 35762 FIRE FOX Drive – AOCC Blue – TRILOGY R 778,70

T 35763 FIRE FOX Drive – Transition AOCC – POLY CARB R 1 436,20

T 35764 FIRE FOX Drive – Transition AOCC Blue – POLY CARB R 1 685,60

T 35765 FIRE FOX Drive – Polorised AOCC – TRILOGY R 982,80

T 35766 FIRE FOX Drive – Polorised AOCC Blue – TRILOGY R 1 164,10

N 35767 ULTIMAX M/F 1.5 FBS Hard Coated R 323,60

T 35768 FIRE FOX Designer – AOCC – TRILOGY R 688,00

T 35769 FIRE FOX Designer – AOCC Blue – TRILOGY R 778,70

T 35770 FIRE FOX Designer – Transition AOCC – POLY CARB R 1 436,20

T 35771 FIRE FOX Designer – Transition AOCC Blue – POLY CARB R 1 685,60

T 35772 FIRE FOX Designer – Polorised AOCC – TRILOGY R 982,80

T 35773 FIRE FOX Designer – Polorised AOCC Blue – TRILOGY R 1 164,10

35774 Apex i Move Cr39 White 1.5 R 80,80

35775 Apex i Move Cr39 White 1.6 R 940,70

35776 Apex i Move White 1.67 R 2 217,80

35777 Apex i Move Polycarb R 1 093,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

35778 Apex i Move NuPolar® Grey/Brown R 1 446,50

35779 Apex i Move NuPolar® Grey/Brown 1.67 R 4 166,80

35780 Apex i Move Reactions 1.56 R 940,70

35781 Apex i Move Transitions 1.5 R 1 413,30

35782 Apex i Move Transitions 1.6 R 2 339,60

35783 Apex i Move Transitions 1.67 R 3 033,50

35784 Apex i Move Drivewear 1.5 R 3 294,70

T 35785 PAL Digiwrap 1.5 Supra R 847,30

T 35786 PAL Digiwrap 1.5 Crizal Easy UV R 1 311,20

T 35787 PAL Digiwrap 1.5 Crizal Forte UV R 1 536,90

T 35788 PAL Digiwrap 1.5 Transitions Supra R 1 703,50

T 35789 PAL Digiwrap 1.5 Transitions Crizal Easy UV R 2 167,50

T 35790 PAL Digiwrap 1.5 Transitions Crizal Forte UV R 2 393,10

T 35791 PAL Digiwrap 1.5 Polarised Supra R 1 703,50

T 35792 PAL Digiwrap 1.5 Polarised Crizal Sun R 2 393,10

T 35793 PAL Digiwrap 1.59 Clear Supra R 1 216,30

T 35794 PAL Digiwrap 1.59 Clear Crizal Easy UV R 1 680,30

T 35795 PAL Digiwrap 1.59 Clear Crizal Forte UV R 1 906,00

T 35796 PAL Digiwrap 1.59 Polarised Supra R 2 036,70

T 35797 PAL Digiwrap 1.59 Polarised Crizal Sun R 2 726,40

T 35798 PAL Digiwrap 1.59 Transitions Supra R 2 036,70

T 35799 PAL Digiwrap 1.59 Transitions Crizal Easy UV R 2 502,80

T 35800 PAL Digiwrap 1.59 Transitions Crizal Forte UV R 2 726,40

T 35801 PAL Digiwrap 1.67 Clear Supra R 1 781,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35802 PAL Digiwrap 1.67 Clear Crizal Easy UV R 2 245,50

T 35803 PAL Digiwrap 1.67 Clear Crizal Forte UV R 2 471,20

T 35804 PAL Digiwrap 1.67 Transitions Supra R 2 926,70

T 35805 PAL Digiwrap 1.67 Transitions Crizal Easy UV R 3 390,70

T 35806 PAL Digiwrap 1.67 Transitions Crizal Forte UV R 3 616,40

T 35807 PAL Digiwrap 1.67 Polarised Supra R 2 926,70

T 35808 PAL Digiwrap 1.67 Polarised Crizal Sun R 3 616,40

T 35809 1.50 GKB Matrix FF Clear Uncoated R 50,10

T 35810 1.50 GKB Matrix FF Clear Hard Coat R 218,80

35811 1.50 GKB Matrix FF Transitions VII Grey/Brown Hard Coat R 1 597,00

35812 1.50 GKB Matrix FF Polarized Transitions Ash Grey Hard Coat R 6 623,70

T 35813 1.50 GKB Matrix FF Polarized Grey/Brown/Green Hard Coat R 1 420,90

T 35814 1.56 GKB Matrix FF Reactor Grey/Brown Hard Coat R 914,70

T 35815 1.59 GKB Matrix FF Polycarbonate Clear Hard Coat R 1 051,80

35816 1.59 GKB Matrix FF Polycarbonate Transitions VII Grey Hard Coat R 3 292,50

35817 1.59 GKB Matrix FF Polarized Polycarbonate Transitions Ash Grey Hard Coat R 6 018,20

35818 1.59 GKB Matrix FF Polarised Polycarbonte Grey/Brown Hard Coat R 3 142,00

T 35819 1.61 GKB Matrix FF Clear Hard Coat R 1 051,80

35820 1.61 GKB Matrix FF Transitions VII Grey/Brown Hard Coat R 2 687,10

35821 1.60 GKB Matrix FF Polarized Grey/Brown Hard Coat R 3 595,70

T 35822 1.67 GKB Matrix FF Clear Hard Coat R 2 306,70

35823 1.67 GKB Matrix FF Transitions VII Grey/Brown Hard Coat R 3 444,10

35824 1.67 GKB Matrix FF Polarized Grey/Brown/Green Hard Coat R 5 109,70

T 35825 1.74 GKB Matrix FF Clear Hard Coat R 3 150,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35826 1.74 GKB Matrix FF Transitions VII Grey/Brown Hard Coat R 6 693,40

T 35827 Intuitiv Plus 1.74 Crizal Forte UV R 3 877,90

T 35828 1.50 GKB Matrix Digital Gold Clear Uncoated R 883,10

T 35829 1.50 GKB Matrix Digital Gold Clear Hard Coat R 1 051,80

T 35830 1.50 GKB Matrix Digital Gold Transitions VII Grey/Brown Hard Coat R 2 475,40

T 35831 1.50 GKB Matrix Digital Gold Polarized Grey/Brown/Green Hard Coat R 1 884,90

35832 1.50 GKB Matrix Digital Gold FF Polarized Transitions Ash Grey Hard Coat R 8 137,60

T 35833 1.56 GKB Matrix Digital Gold Reactor Grey/Brown Hard Coat R 1 463,10

T 35834 1.59 GKB Matrix Digital Gold Polycarbonate Clear Hard Coat R 1 758,30

35835 1.59 GKB Matrix Digital Gold Polycarbonate Transitions VII Grey Hard Coat R 3 292,50

35836 1.59 GKB Matrix Digital Gold FF Polarized Polycarbonate Transitions Ash Grey Hard Coat R 7 380,60

35837 1.59 GKB Matrix Digital Gold FF Polarised Polycarbonate Grey/Brown Hard Coat R 4 201,00

T 35838 1.61 GKB Matrix Digital Gold Clear Hard Coat R 1 674,00

35839 1.61 GKB Matrix Digital Gold Transitions VII Grey/Brown Hard Coat R 3 292,50

35840 1.60 GKB Matrix Digital Gold Polarized Grey/Brown Hard Coat R 4 504,30

T 35841 1.67 GKB Matrix Digital Gold Clear Hard Coat R 2 855,00

35842 1.67 GKB Matrix Digital Gold Transitions VII Grey/Brown Hard Coat R 5 109,70

35843 1.67 GKB Matrix Digital Gold Polarized Grey/Brown Hard Coat R 6 623,70

T 35844 1.74 GKB Matrix Digital Gold Clear Hard Coat R 5 217,10

35845 1.74 GKB Matrix Digital Gold Transitions VII Grey/Brown Hard Coat R 8 742,90

T 35846 SIGNIA 1.5 R 8,40

T 35847 SIGNIA 1.5 POLARIZED R 974,00

T 35848 SIGNIA 1.5 PHOTOVIEW R 1 011,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35888 Intuitiv MIO 1.74 Crizal Forte UV R 4 360,80

T 35889 Intuitiv Plus 1.5 Supra R 1 439,90

T 35890 Intuitiv Plus 1.5 Crizal Forte UV R 2 129,50

T 35891 Anateo Plus DS 1.50 Clear Supra R 1 193,10

T 35892 Anateo Plus DS 1.50 Clear Crizal Easy UV R 1 657,10

T 35893 Anateo Plus DS 1.50 Clear Crizal Forte UV R 1 882,80

T 35894 Anateo Plus DS 1.50 Clear Crizal Prevencia R 1 882,80

T 35895 Anateo Plus DS 1.50 Transitions Supra R 2 127,40

T 35896 Anateo Plus DS 1.50 Transitions Crizal Easy UV R 2 591,40

T 35897 Anateo Plus DS 1.50 Transitions Crizal Forte UV R 2 817,10

T 35898 Anateo Plus DS 1.50 Transitions Crizal Prevencia R 2 817,10

T 35899 Anateo Plus DS 1.59 Polycarbonate Crizal Easy UV R 2 188,60

T 35900 Anateo Plus DS 1.59 Polycarbonate Crizal Forte UV R 2 414,20

T 35901 Anateo Plus DS 1.59 Polycarbonate Crizal Prevencia R 2 414,20

T 35902 Anateo Plus DS 1.59 Polycarbonate Transitions Crizal Easy UV R 3 350,60

T 35903 Anateo Plus DS 1.59 Polycarbonate Transitions Crizal Forte UV R 3 576,30

T 35904 Anateo Plus DS 1.59 Polycarbonate Transitions Crizal Prevecia R 3 576,30

T 35905 Anateo Plus DS 1.60 Clear Supra R 1 534,80

T 35906 Anateo Plus DS 1.60 Clear Crizal Easy UV R 1 998,80

T 35907 Anateo Plus DS 1.60 Clear Crizal Forte UV R 2 224,40

T 35908 Anateo Plus DS 1.60 Clear Crizal Prevencia R 2 224,40

T 35909 Anateo Plus DS 1.60 Transitions Supra R 2 665,20

T 35910 Anateo Plus DS 1.60 Transitions Crizal Easy UV R 3 129,20

T 35911 Anateo Plus DS 1.60 Transitions Crizal Forte UV R 3 354,90

T 35912 Anateo Plus DS 1.60 Transitions Crizal Prevencia R 3 354,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35849 SIGNIA 1.6 R 402,40

T 35850 SIGNIA 1.6 PHOTOVIEW R 2 195,10

T 35851 SIGNIA PLUS 1.5 R 259,80

T 35852 SIGNIA PLUS 1.5 POLARIZED R 1 125,70

T 35853 SIGNIA PLUS 1.5 TRANSITIONS VII R 2 125,10

T 35854 SIGNIA PLUS 1.5 PHOTOVIEW R 1 220,30

T 35855 SIGNIA PLUS 1.6 R 574,80

T 35856 SIGNIA PLUS 1.6 POLARIZED R 3 124,50

T 35857 SIGNIA PLUS 1.6 TRANSITIONS VII R 3 378,50

T 35858 SIGNIA PLUS 1.6 PHOTOVIEW R 2 463,40

T 35859 SIGNIA PLUS 1.67 R 1 484,70

T 35860 SIGNIA PLUS 1.67 TRANSITIONS VII R 3 811,50

T 35861 SIGNIA PREMIUM 1.5 R 423,20

T 35862 SIGNIA PREMIUM 1.5 POLARIZED R 1 986,40

T 35863 SIGNIA PREMIUM 1.5 TRANSITIONS VII R 2 643,60

T 35864 SIGNIA PREMIUM 1.5 PHOTOVIEW R 1 894,30

T 35865 SIGNIA PREMIUM 1.53 TRIVEX R 2 218,40

T 35866 SIGNIA PREMIUM 1.53 TRIVEX TRANSITIONS VII R 4 341,60

T 35867 SIGNIA PREMIUM 1.59 POLYCARBONATE R 1 159,40

T 35868 SIGNIA PREMIUM 1.6 R 1 145,10

35869 SIGNIA PREMIUM 1.6 POLARIZED R 3 812,70

35870 SIGNIA PREMIUM 1.6 TRANSITIONS VII R 4 111,00

35871 SIGNIA PREMIUM 1.6 PHOTOVIEW R 3 142,60

35872 SIGNIA PREMIUM 1.67 R 2 119,90

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35913 Anateo Plus DS 1.67 Clear Crizal Easy UV R 2 781,20

T 35914 Anateo Plus DS 1.67 Clear Crizal Forte UV R 3 006,90

T 35915 Anateo Plus DS 1.67 Clear Crizal Prevencia R 3 006,90

T 35916 Anateo Plus DS 1.67 Transitions Crizal Easy UV R 4 048,70

T 35917 Anateo Plus DS 1.67 Transitions Crizal Forte UV R 4 274,40

T 35918 Anateo Plus DS 1.67 Transitions Crizal Prevencia R 4 274,40

X 35919 Anateo DS 1.50 Clear Crizal Prevencia N/A

X 35920 Anateo DS 1.50 Transitions Crizal Prevencia N/A

X 35921 Anateo DS 1.59 Polycarbonate Crizal Prevencia N/A

X 35922 Anateo DS 1.59 Polycarbonate Transitions Crizal Prevencia N/A

X 35923 Anateo DS 1.60 Clear Crizal Prevencia N/A

X 35924 Anateo DS 1.60 Transitions Supra N/A

X 35925 Anateo DS 1.60 Transitions Crizal Prevencia N/A

X 35926 Anateo DS 1.67 Clear Crizal Prevencia N/A

X 35927 Anateo DS 1.67 Transitions Crizal Prevencia N/A

T 35928 Evolis HD 1.50 Clear Crizal Prevencia R 1 536,90

T 35929 Evolis HD 1.50 Transitions Crizal Prevencia R 2 395,30

T 35930 Evolis HD 1.59 Polycarbonate Clear Crizal Prevencia R 1 906,00

T 35931 Evolis HD 1.59 Polycarbonate Transitions Crizal Prevencia R 2 726,40

T 35932 Evolis HD 1.60 Clear Crizal Prevencia R 1 724,60

T 35933 Evolis HD 1.60 Transitions Crizal Prevencia R 2 882,40

T 35934 Evolis HD 1.67 Clear Crizal Prevencia R 2 469,10

T 35935 Evolis HD 1.67 Transitions Crizal Prevencia R 3 618,50

T 35936 Sirus Plus 1.50 Crizal Prevencia R 952,70

T 35937 Sirus Plus 1.50 Transitions Crizal Prevencia R 1 650,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

35873 SIGNIA PREMIUM 1.67 POLARIZED R 5 289,20

35874 SIGNIA PREMIUM 1.67 TRANSITIONS VII R 4 617,70

35875 SIGNIA PREMIUM 1.74 R 4 797,90

35876 SEIKO Curved X (Base Curve 4/6/8) 1.50 Uncoated R 1 610,70

35877 SEIKO Curved X (Base Curve 4/6/8) 1.50 Polarising Uncoated R 2 454,30

35878 SEIKO Curved X (Base Curve 4/6/8) 1.50 DriveWear Uncoated R 3 875,80

35879 SEIKO Curved X (Base Curve 4/6/8) 1.50 Transitions 7 Uncoated R 2 726,40

35880 SEIKO Curved X (Base Curve 4/6/8) Tribrid Uncoated R 2 393,10

35881 SEIKO Curved X (Base Curve 4/6/8) Tribrid Transitions 7 Uncoated R 3 993,90

35882 SEIKO Curved X (Base Curve 4/6/8) 1.60 Uncoated R 2 068,40

35883 SEIKO Curved X (Base Curve 4/6/8) 1.60 Transitions 7 Uncoated R 3 390,70

35884 SEIKO Curved X (Base Curve 4/6/8) 1.60 Polarising Uncoated R 3 055,40

35885 SEIKO Curved X (Base Curve 4/6/8) 1.67 Uncoated R 2 462,70

35886 SEIKO Curved X (Base Curve 4/6/8) 1.67 Transitions 7 Uncoated R 3 903,20

35887 SEIKO Curved X (Base Curve 4/6/8) 1.67 Polarized Uncoated R 3 728,10

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35938 Sirus Plus 1.5 Polarised Supra R 961,10

T 35939 Sirus Plus 1.5 Polarised Crizal Easy UV R 1 425,10

T 35940 Sirus Plus 1.5 Polarised Crizal Forte UV R 1 650,80

T 35941 Sirus Plus 1.5 Polarised Crizal Prevencia R 1 650,80

T 35942 Sirus Plus 1.59 Polarised Supra R 1 661,30

T 35943 Sirus Plus 1.59 Polarised Crizal Easy UV R 2 125,30

T 35944 Sirus Plus 1.59 Polarised CrizalForte UV R 2 351,00

T 35945 Sirus Plus 1.59 Polarised Crizal Prevencia R 2 351,00

T 35946 Sirus Plus 1.60 Crizal Prevencia R 1 357,60

T 35947 Sirus Plus 1.60 Transitions Crizal Prevencia R 2 351,00

T 35948 Sirus Plus 1.67 Crizal Prevencia R 1 941,80

T 35949 Sirus Plus 1.67 Transitions Crizal Prevencia R 3 110,20

T 35950 Start-up 1.50 Crizal Prevencia R 897,90

T 35951 Start-up 1.50 Transitions Crizal Prevencia R 1 541,10

T 35952 Start-up 1.60 Crizal Prevencia R 1 271,20

T 35953 Start-up 1.60 Transitions Crizal Prevencia R 2 182,20

X 35954 Focus Premium FreeForm 1.5 Emerald Hardcoat N/A

X 35955 Focus Premium FreeForm 1.5 Invisibles N/A

T 35956 Focus Premium FreeForm 1.6 R 1 608,60

X 35957 Focus Premium FreeForm 1.6 Invisibles N/A

T 35958 Focus Premium FreeForm 1.67 R 1 861,70

X 35959 Focus Premium FreeForm 1.67 Invisibles N/A

T 35960 Focus Premium Transitions 7 Signature FreeForm 1.5 R 2 241,30

X 35961 Focus Premium Transitions 7 Signature FreeForm 1.5 Emerald Hardcoat N/A

X 35962 Focus Premium Transitions 7 Signature FreeForm 1.5 Invisibles N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 35963 Focus Premium Transitions 7 Signature FreeForm 1.6 R 2 874,00

X 35964 Focus Premium Transitions 7 Signature FreeForm 1.6 Invisibles N/A

T 35965 Focus Premium Transitions 7 Signature FreeForm 1.67 R 3 127,10

X 35966 Focus Premium Transitions 7 Signature FreeForm 1.67 Invisibles N/A

T 35967 Focus Premium FreeForm NuPolar® R 2 241,30

T 35968 Focus Premium FreeForm DriveWear R 3 000,50

X 35969 Summit TF X-Act 1.50 SHV (CD & Pro) N/A

X 35970 Summit TF X-Act 1.50 HVLL (CD & Pro) N/A

X 35971 Summit TF X-Act 1.50 HVLL Blue Control (CD & Pro) N/A

X 35972 Summit TF X-Act 1.50 HVLL UV Control (CD & Pro) N/A

X 35973 Summit TF X-Act 1.50 Sensity Hard (CD & Pro) N/A

X 35974 Summit TF X-Act 1.50 Sensity SHV (CD & Pro) N/A

X 35975 Summit TF X-Act 1.50 Sensity HVLL (CD & Pro) N/A

X 35976 Summit TF X-Act 1.50 Sensity HVLL Blue Control (CD & Pro) N/A

X 35977 Summit TF X-Act 1.50 Sensity HVLL UV Control (CD & Pro) N/A

X 35978 Summit TF X-Act PNX 1.53 Hard (CD & Pro) N/A

X 35979 Summit TF X-Act PNX 1.53 SHV (CD & Pro) N/A

X 35980 Summit TF X-Act PNX 1.53 HVLL (CD & Pro) N/A

X 35981 Summit TF X-Act PNX 1.53 HVLL Blue Control (CD & Pro) N/A

X 35982 Summit TF X-Act PNX 1.53 HVLL UV Control (CD & Pro) N/A

X 35983 Summit TF X-Act PNX 1.53 Sensity Hard (CD & Pro) N/A

X 35984 Summit TF X-Act PNX 1.53 Sensity SHV (CD & Pro) N/A

X 35985 Summit TF X-Act PNX 1.53 Sensity HVLL (CD & Pro) N/A

X 35986 Summit TF X-Act PNX 1.53 Sensity HVLL Blue Control (CD & Pro) N/A

X 35987 Summit TF X-Act PNX 1.53 Sensity HVLL UV Control (CD & Pro) N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 35988 Summit TF X-Act Eyas 1.60 Hard (CD & Pro) N/A

X 35989 Summit TF X-Act Eyas 1.60 SHV (CD & Pro) N/A

X 35990 Summit TF X-Act Eyas 1.60 HVLL (CD & Pro) N/A

X 35991 Summit TF X-Act Eyas 1.60 HVLL Blue Control (CD & Pro) N/A

X 35992 Summit TF X-Act Eyas 1.60 HVLL UV Control (CD & Pro) N/A

X 35993 Summit TF X-Act Eyas 1.60 Sensity Hard (CD & Pro) N/A

X 35994 Summit TF X-Act Eyas 1.60 Sensity SHV (CD & Pro) N/A

X 35995 Summit TF X-Act Eyas 1.60 Sensity HVLL (CD & Pro) N/A

X 35996 Summit TF X-Act Eyas 1.60 Sensity HVLL Blue Control (CD & Pro) N/A

X 35997 Summit TF X-Act Eyas 1.60 Sensity HVLL UV Control (CD & Pro) N/A

T 35998 Summit TF Eynoa 1.67 HVP (CD & Pro) R 2 498,60

T 35999 Summit TF Eynoa 1.67 SHV (CD & Pro) R 2 627,20

T 36000 Summit TF Eynoa 1.67 HVLL (CD & Pro) R 2 821,30

T 36001 Summit TF Eynoa 1.67 HVLL Blue Control (CD & Pro) R 2 968,90

T 36002 Summit TF Eynoa 1.67 HVLL UV Control (CD & Pro) R 2 968,90

T 36003 Summit TF Eynoa 1.67 Sensity HVP (CD & Pro) R 3 924,30

T 36004 Summit TF Eynoa 1.67 Sensity SHV (CD & Pro) R 4 055,00

T 36005 Summit TF Eynoa 1.67 Sensity HVLL (CD & Pro) R 4 249,10

T 36006 Summit TF Eynoa 1.67 Sensity HVLL Blue Control (CD & Pro) R 4 396,70

T 36007 Summit TF Eynoa 1.67 Sensity HVLL UV Control (CD & Pro) R 4 396,70

X 36008 OAKLEY OTD Progressive IRIDIUM – + Red N/A

X 36009 OAKLEY OTD Progressive IRIDIUM – Ruby N/A

X 36010 OAKLEY OTD Progressive IRIDIUM – Jade N/A

X 36011 OAKLEY OTD Progressive IRIDIUM – Violet N/A

X 36012 OAKLEY OTD Progressive PRIZM – Road N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 36013 OAKLEY OTD Progressive PRIZM – Trail N/A

X 36014 OAKLEY OTD Progressive PRIZM – Golf N/A

X 36015 OAKLEY OTD VENTED Progressive IRIDIUM – + Red N/A

X 36016 OAKLEY OTD VENTED Progressive IRIDIUM – Ruby N/A

X 36017 OAKLEY OTD VENTED Progressive IRIDIUM – Jade N/A

X 36018 OAKLEY OTD VENTED Progressive IRIDIUM – Violet N/A

T 36019 Varilux Exceptio Orma Supra R 5 001,20

T 36020 Varilux Exceptio Orma Crizal Easy UV R 4 576,20

T 36021 Varilux Exceptio Orma Crizal Forte UV R 4 576,20

T 36022 Varilux Exceptio Orma Crizal Prevencia R 4 576,20

T 36023 Varilux Exceptio Transitions Orma Supra R 6 357,80

T 36024 Varilux Exceptio Transitions Orma Crizal Easy UV R 6 357,80

T 36025 Varilux Exceptio Transitions Orma Crizal Forte UV R 6 357,80

T 36026 Varilux Exceptio Transitions Orma Crizal Prevencia R 6 357,80

T 36027 Varilux Exceptio Stylis 1.67 Supra R 5 957,60

T 36028 Varilux Exceptio Stylis 1.67 Crizal Easy UV R 5 957,60

T 36029 Varilux Exceptio Stylis 1.67 Crizal Forte UV R 5 957,60

T 36030 Varilux Exceptio Stylis 1.67 Crizal Prevencia R 5 957,60

T 36031 Varilux Exceptio Transitions Stylis 1.67 Supra R 7 829,60

T 36032 Varilux Exceptio Transitions Stylis 1.67 Crizal Easy UV R 7 829,60

T 36033 Varilux Exceptio Transitions Stylis 1.67 Crizal Forte UV R 7 829,60

T 36034 Varilux Exceptio Transitions Stylis 1.67 Crizal Prevencia R 7 829,60

T 36035 PRECISE PB 1.53 Trivex R 2 075,80

T 36036 PRECISE PB 1.56 R 1 005,70

T 36037 PRECISE PB 1.53 Trivex-Transition R 4 182,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 36038 EASY 1.56 R 1 145,80

T 36039 EASY 1.53 Trivex-Transition R 4 481,40

T 36040 UNIQUE 1.56 R 1 363,10

T 36041 UNIQUE 1.53 Trivex-Transition R 4 560,30

T 36042 UNIQUE 1.59 Poly-Transition R 4 003,50

T 36043 UNIQUE-HD 1.56 R 1 815,50

T 36044 UNIQUE-HD 1.53 Trivex-Transition R 4 819,10

T 36045 UNIQUE-HD 1.59 Poly-Transition R 4 353,40

T 36046 SOLARTEC-PAL 1.56 R 2 304,80

T 36047 Kidz 1.56 R 698,40

T 36048 Kidz 1.59 Poly-Transitions R 2 869,30

T 36049 Shamir Autograph Attitude-III (1.5) R 3 260,30

T 36050 Shamir Autograph Attitude-III (1.6) R 4 059,50

T 36051 Shamir Autograph Attitude-III (1.67) R 4 455,20

T 36052 Shamir Autograph Attitude-III Transitions and XTRActive (1.5) R 4 455,20

T 36053 Shamir Autograph Attitude-III Transitions and XTRActive (1.6) R 5 198,60

T 36054 Shamir Autograph Attitude-III Transitions and XTRActive (1.67) R 6 018,10

T 36055 Shamir Autograph Attitude-III Polycarb Transitions (1.59) R 6 252,80

T 36056 Shamir Autograph Attitude-III Polarized (1.5) R 4 690,30

T 36057 Shamir Autograph Attitude-III Polarized (1.6) R 6 133,40

T 36058 Shamir Autograph Attitude-III Polarized (1.67) R 6 466,30

T 36059 Shamir Autograph Attitude-III Polycarbonate Polarized (1.59) R 5 156,00

T 36060 Shamir Autograph Attitude-III Polycarb (1.586) R 2 882,50

T 36061 Shamir Autograph Attitude-III Drivewear (1.5) R 6 313,80

T 36062 Shamir Autograph Attitude-III Trivex NXT (1.53) R 4 327,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 36063 SIGNIA 1.67 R 1 291,40

T 36064 ZEISS Progressive DriveSafe 1.5 DV DriveSafe R 3 080,70

T 36065 ZEISS Progressive DriveSafe 1.5 PhotoFusion Grey DV DriveSafe R 3 968,60

T 36066 ZEISS Progressive DriveSafe 1.5 Polarized Grey DV Back R 4 265,90

T 36067 ZEISS Progressive DriveSafe 1.5 Polarized Brown DV Back R 4 265,90

T 36068 ZEISS Progressive DriveSafe 1.5 Polarized Pioneer DV Back R 4 265,90

T 36069 ZEISS Progressive DriveSafe 1.6 DV DriveSafe R 3 772,40

T 36070 ZEISS Progressive DriveSafe 1.6 PhotoFusion Grey DV DriveSafe R 4 957,70

T 36071 ZEISS Progressive DriveSafe 1.6 Polarized Grey DV Back R 5 253,00

T 36072 ZEISS Progressive DriveSafe 1.6 Polarized Brown DV Back R 5 253,00

T 36073 ZEISS Progressive DriveSafe 1.6 Polarized Pioneer DV Back R 5 253,00

T 36074 ZEISS Progressive DriveSafe 1.67 DV DriveSafe R 2 768,60

T 36075 ZEISS Progressive DriveSafe 1.67 PhotoFusion Grey DV DriveSafe R 6 062,80

T 36076 ZEISS Progressive DriveSafe 1.74 DV DriveSafe R 5 529,20

T 36077 ZEISS Progressive DriveSafe Sport 1.5 DV DriveSafe R 3 186,10

T 36078 ZEISS Progressive DriveSafe Sport 1.5 PhotoFusion Grey DV DriveSafe R 4 074,00

T 36079 ZEISS Progressive DriveSafe Sport 1.5 Polarized Grey DV Back R 4 371,40

T 36080 ZEISS Progressive DriveSafe Sport 1.5 Polarized Brown DV Back R 4 371,40

T 36081 ZEISS Progressive DriveSafe Sport 1.5 Polarized Pioneer DV Back R 4 371,40

T 36082 ZEISS Progressive DriveSafe Sport 1.5 Polarized Skylet Fun DV Back R 4 371,40

T 36083 ZEISS Progressive DriveSafe Sport 1.5 Polarized Skylet Road DV Back R 4 371,40

T 36084 ZEISS Progressive DriveSafe Sport 1.5 Polarized Skylet Sport DV Back R 4 371,40

T 36085 ZEISS Progressive DriveSafe Sport 1.6 DV DriveSafe R 3 877,90

T 36086 ZEISS Progressive DriveSafe Sport 1.6 PhotoFusion Grey DV DriveSafe R 5 067,40

T 36087 ZEISS Progressive DriveSafe Sport 1.6 Polarized Grey DV Back R 5 358,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 36088 ZEISS Progressive DriveSafe Sport 1.6 Polarized Brown DV Back R 5 358,40

T 36089 ZEISS Progressive DriveSafe Sport 1.6 Polarized Pioneer DV Back R 5 358,40

T 36090 ZEISS Progressive DriveSafe Sport 1.6 Polarized Skylet Fun DV Back R 5 358,40

T 36091 ZEISS Progressive DriveSafe Sport 1.6 Polarized Skylet Road DV Back R 5 358,40

T 36092 ZEISS Progressive DriveSafe Sport 1.6 Polarized Skylet Sport DV Back R 5 358,40

T 36093 ZEISS Progressive DriveSafe Sport 1.67 DV DriveSafe R 4 983,00

T 36094 ZEISS Progressive DriveSafe Sport 1.67 PhotoFusion Grey DV DriveSafe R 6 168,30

N 36095 SEIKO Prime X Tribrid Transitions 7 Uncoated Surfaced R 4 053,40

N 36096 ULTIMAX M/F 1.5 FBS Anti-Refl ex Coating HMC R 984,80

N 36097 SEIKO Prime X 1.67 Uncoated Surfaced R 4 053,40

N 36098 ULTIMAX M/F 1.5 Acclimtes HC R 1 182,00

N 36099 ULTIMAX M/F 1.5 Acclimates Anti-Refl ex Coating HMC R 1 785,10

N 36100 SEIKO Prime X 1.67 Transitions 7 Uncoated Surfaced R 4 053,40

N 36101 ULTIMAX M/F 1.5 Plus FH Hard Coated R 648,40

N 36102 SEIKO Prime X 1.67 Polarising Uncoated Surfaced R 4 053,40

N 36103 ULTIMAX M/F 1.5 Plus PH Anti-Refl ex Coating HMC R 1 448,70

N 36104 ULTIMAX M/F 1.5 Plus FH Transition HC R 2 086,70

N 36105 SEIKO Prime X 1.74 Uncoated Surfaced R 4 053,40

N 36106 ULTIMAX M/F 1.5 Plus FH Transtion Anti-Refl ex Coating HMC R 2 887,10

N 36107 SEIKO Drive X 1.50 with RCC R 2 329,90

N 36108 ULTIMAX M/F 1.6 Plus FH Hard Coated R 1 182,00

N 36109 SEIKO Drive X 1.50 Transitions 7 with RCC R 3 361,20

N 36110 ULTIMAX M/F 1.6 Plus FH Anti Refl ex Coating HMC R 2 005,50

N 36111 SEIKO Drive X 1.50 Polarising with RCC R 3 099,70

N 36112 SEIKO Drive X 1.50 Drivewear with RCC R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36113 SEIKO Drive X 1.60 with RCC R 2 796,00

N 36114 SEIKO Drive X 1.60 Transitions 7 with RCC R 4 053,40

N 36115 SEIKO Drive X 1.60 Polarising with RCC R 3 719,70

N 36116 ULTIMAX M/F 1.6 Plus FH Transition HC R 3 119,10

N 36117 ULTIMAX M/F 1.6 Plus FH Transition Anti-Refl ex Coating R 3 780,20

N 36118 ULTIMAX M/F 1.67 Plus FH Hard Coated R 1 251,50

N 36119 SEIKO Drive X Tribrid with RCC R 3 099,70

N 36120 ULTIMAX M/F 1.67 Plus FH Anti-Refl ex Coating HMC R 2 098,30

N 36121 ULTIMAX M/F 1.67 Plus FH Transition HC R 3 490,30

N 36122 ULTIMAX M/F 1.67 Plus FH Transition Anti-Refl ex Coating HMC R 4 053,40

N 36123 ULTIMAX M/F 1.5 DS Regular & Short Clear Premium HC R 1 228,30

N 36124 SEIKO Drive X Tribrid Transitions 7 with RCC R 4 053,40

N 36125 ULTIMAX M/F 1.5 DS Regular & Short Clear HMC R 2 365,10

N 36126 SEIKO Drive X 1.67 with RCC R 3 165,00

N 36127 ULTIMAX M/F 1.5 DS Regular & Short Acclimates Premium HC R 3 583,00

N 36128 SEIKO Drive X 1.67 Transitions 7 with RCC R 4 053,40

N 36129 ULTIMAX M/F 1.5 DS Regular & Short Transition Premium HC R 4 053,40

N 36130 ULTIMAX M/F 1.5 DS Regular & Short Acclimates HMC R 4 053,40

N 36131 SEIKO Drive X 1.67 Polarising with RCC R 4 053,40

N 36132 ULTIMAX M/F 1.5 DS Regular & Short HMC R 4 053,40

N 36133 ULTIMAX M/F 1.67 DS Regular & Short Clear HMC R 3 571,40

N 36134 ULTIMAX M/F 1.67 DS Regular & Short Transition HMC R 4 053,40

N 36135 ULTIMAX M/F 1.498 Innovation Regular & Short Clear HC R 857,20

N 36136 ULTIMAX M/F 1.498 Innovation Regular & Short Clear HMC R 2 017,10

N 36137 ULTIMAX M/F Innovation Regular & Short Acclimates Premium HC R 3 130,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36138 ULTIMAX M/F 1.498 Innovation Regular & Short Transition Premium HC R 4 053,40

N 36139 ULTIMAX M/F 1.498 Innovation Regular & Short Acclimates HMC R 4 053,40

N 36140 ULTIMAX M/F 1.498 Innovation Regular & Short Transition HMC R 4 053,40

N 36141 Unbranded Varifocal Distance/Near Polarised 1.5 R 2 094,30

N 36142 Unbranded Varifocal Distance/Near Clear 1.59 Hard Coat R 1 150,20

N 36143 Unbranded Varifocal Distance/Near Clear 1.59 HMC R 1 528,50

N 36144 Unbranded Varifocal Distance/Near Photochromatic 1.59 Hard Coat R 2 277,70

N 36145 Unbranded Varifocal Distance/Near Photochromatic 1.59 HMC R 2 656,20

N 36146 OTL EASY WEAR ECONO SUNZONE R 1 114,00

N 36147 RO Easy Polycarbonate H/C R 680,60

N 36148 RO Easy Polycarbonate Transitions H/C R 1 764,70

N 36149 RO ExcelHD Plus Clear R 997,00

N 36150 RO ExcelHD Plus Transitions R 1 969,20

N 36151 RO ExcelHD Plus Clear 1.6 H/C R 1 631,80

N 36152 RO ExcelHD Plus Transitions 1.6 H/C R 2 867,70

N 36153 RO ExcelHD Plus Clear 1.67 (ARC Mandatory) R 2 321,40

N 36154 RO ExcelHD Plus Transitions 1.67 (ARC Mandatory) R 4 053,40

N 36155 RO ExcelHD Curved Clear R 1 281,70

N 36156 RO ExcelHD Curved Transitions R 2 184,40

N 36157 RO ExcelHD Curved Clear 1.6 H/C R 1 912,30

N 36158 RO ExcelHD Curved Transitions 1.6 H/C R 3 036,40

N 36159 RO ExcelHD Curved Clear 1.67 (ARC Mandatory) R 2 620,90

N 36160 RO ExcelHD Curved Transitions 1.67 (ARC Mandatory) R 4 053,40

N 36161 RO Pola ExcelHD Curved GR/BR Polarized R 2 178,00

N 36162 RO ExcelHD Wide Clear R 1 288,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36163 RO ExcelHD Wide Transitions R 2 209,70

N 36164 RO ExcelHD Wide Clear 1.6 H/C R 1 918,60

N 36165 RO ExcelHD Wide Transitions 1.6 H/C R 3 135,50

N 36166 RO ExcelHD Wide Clear 1.67 (ARC Mandatory) R 2 912,00

N 36167 RO ExcelHD Wide Transitions 1.67 (ARC Mandatory) R 4 053,40

N 36168 RO ExcelHD Wide Clear 1.74 (ARC Mandatory) R 3 394,90

N 36169 iD LifeStyle V+ X-Act EyeGenius 1.50 HVLL (Clarity & Harmony) R 3 133,40

N 36170 iD LifeStyle V+ X-Act EyeGenius 1.50 HVLL Blue Control (Clarity & Harmony) R 3 283,10

N 36171 iD LifeStyle V+ X-Act EyeGenius 1.50 HVLL UV Control (Clarity & Harmony) R 3 283,10

N 36172 iD LifeStyle V+ X-Act EyeGenius 1.50 Sensity HVLL (Clarity & Harmony) R 4 053,40

N 36173 iD LifeStyle V+ X-Act EyeGenius 1.50 Sensity HVLL Blue Control (Clarity & Harmony) R 4 053,40

N 36174 iD LifeStyle V+ X-Act EyeGenius 1.50 Sensity HVLL UV Control (Clarity & Harmony) R 4 053,40

N 36175 iD LifeStyle V+ X-Act EyeGenius PNX 1.53 HVLL (Clarity & Harmony) R 3 538,30

N 36176 iD LifeStyle V+ X-Act EyeGenius PNX 1.53 HVLL Blue Control (Clarity & Harmony) R 3 686,00

N 36177 iD LifeStyle V+ X-Act EyeGenius PNX 1.53 HVLL UV Control (Clarity & Harmony) R 3 686,00

N 36178 iD LifeStyle V+ X-Act EyeGenius PNX 1.53 Sensity HVLL (Clarity & Harmony) R 4 053,40

N 36179 iD LifeStyle V+ X-Act EyeGenius PNX 1.53 Sensity HVLL Blue Control (Clarity & Harmony) R 4 053,40

N 36180 iD LifeStyle V+ X-Act EyeGenius PNX 1.53 Sensity HVLL UV Control (Clarity & Harmony) R 4 053,40

N 36181 iD LifeStyle V+ X-Act EyeGenius Eyas 1.60 HVLL (Clarity & Harmony) R 3 673,30

N 36182 iD LifeStyle V+ X-Act EyeGenius Eyas 1.60 HVLL Blue Control (Clarity & Harmony) R 3 823,10

N 36183 iD LifeStyle V+ X-Act EyeGenius Eyas 1.60 HVLL UV Control (Clarity & Harmony) R 3 823,10

N 36184 iD LifeStyle V+ X-Act EyeGenius Eyas 1.60 Sensity HVLL (Clarity & Harmony) R 4 053,40

N 36185 iD LifeStyle V+ X-Act EyeGenius Eyas 1.60 Sensity HVLL Blue Control (Clarity & Harmony) R 4 053,40

N 36186 iD LifeStyle V+ X-Act EyeGenius Eyas 1.60 Sensity HVLL UV Control (Clarity & Harmony) R 4 053,40

N 36187 iD LifeStyle V+ X-Act EyeGenius Eynoa 1.67 HVLL (Clarity & Harmony) R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36188 eLab DS L/S 1.50 Acclimates UC R 2 267,10

N 36189 Matrix Digital 1.59 Polycarb Supra R 423,30

N 36190 Matrix Digital 1.59 Polycarb Crizal Easy R 857,80

N 36191 iD LifeStyle V+ X-Act EyeGenius Eynoa 1.67 HVLL Blue Control (Clarity & Harmony) R 4 053,40

N 36192 iD LifeStyle V+ X-Act EyeGenius Eynoa 1.67 HVLL UV Control (Clarity & Harmony) R 4 053,40

N 36193 iD LifeStyle V+ X-Act EyeGenius Eynoa 1.67 Sensity HVLL (Clarity & Harmony) R 4 053,40

N 36194 iD LifeStyle V+ X-Act EyeGenius Eynoa 1.67 Sensity HVLL Blue Control (Clarity & Harmony) R 4 053,40

N 36195 iD LifeStyle V+ X-Act EyeGenius Eynoa 1.67 Sensity HVLL UV Control (Clarity & Harmony) R 4 053,40

N 36196 Precision Digital 1.59 Polycarb Supra R 834,60

N 36197 iD LifeStyle V+ X-Act EyeGenius Eyvia 1.74 HVLL (Clarity & Harmony) R 4 053,40

N 36198 Precision Digital 1.59 Polycarb Crizal Easy R 1 269,10

N 36199 iD LifeStyle V+ X-Act EyeGenius Eyvia 1.74 HVLL Blue Control (Clarity & Harmony) R 4 053,40

N 36200 iD LifeStyle V+ X-Act EyeGenius Eyvia 1.74 HVLL UV Control (Clarity & Harmony) R 4 053,40

N 36201 Precision DS Digital 1.59 Transition 7 Supra R 1 488,40

N 36202 iD MyStyle V+ EyeGenius 1.50 HVLL R 3 844,10

N 36203 iD MyStyle V+ EyeGenius 1.50 HVLL Blue Control R 4 053,40

N 36204 Precision DS Digital 1.59 Transition 7 Crizal Easy R 1 925,00

N 36205 iD MyStyle V+ EyeGenius 1.50 HVLL UV Control R 4 053,40

N 36206 iD MyStyle V+ EyeGenius 1.50 Sensity HVLL R 4 053,40

N 36207 iD MyStyle V+ EyeGenius 1.50 Sensity HVLL Blue Control R 4 053,40

N 36208 iD MyStyle V+ EyeGenius 1.50 Sensity HVLL UV Control R 4 053,40

N 36209 Premium HD 1.59 Polycarb Supra R 1 916,50

N 36210 Premium HD 1.59 Polycarb Crizal Easy R 2 275,00

N 36211 iD MyStyle V+ EyeGenius PNX 1.53 HVLL R 4 053,40

N 36212 iD MyStyle V+ EyeGenius PNX 1.53 HVLL Blue Control R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36213 iD MyStyle V+ EyeGenius PNX 1.53 HVLL UV Control R 4 053,40

N 36214 iD MyStyle V+ EyeGenius PNX 1.53 Sensity HVLL R 4 053,40

N 36215 Premium HD 1.59 Transition 7 Supra R 4 053,40

N 36216 iD MyStyle V+ EyeGenius PNX 1.53 Sensity HVLL Blue Control R 4 053,40

N 36217 Premium HD 1.59 Transition 7 Crizal Easy R 3 108,10

N 36218 iD MyStyle V+ EyeGenius PNX 1.53 Sensity HVLL UV Control R 4 053,40

N 36219 iD MyStyle V+ EyeGenius Eyas 1.60 HVLL R 4 053,40

N 36220 iD MyStyle V+ EyeGenius Eyas 1.60 HVLL Blue Control R 4 053,40

N 36221 iD MyStyle V+ EyeGenius Eyas 1.60 HVLL UV Control R 4 053,40

N 36222 iD MyStyle V+ EyeGenius Eyas 1.60 Sensity HVLL R 4 053,40

N 36223 Precision DS Digital 1.5 Xtractive Supra R 1 488,40

N 36224 iD MyStyle V+ EyeGenius Eyas 1.60 Sensity HVLL Blue Control R 4 053,40

N 36225 Precision DS Digital 1.5 Xtractive Crizal Easy R 1 925,00

N 36226 iD MyStyle V+ EyeGenius Eyas 1.60 Sensity HVLL UV Control R 4 053,40

N 36227 Premium HD Digital 1.5 Xtractive Supra R 2 928,80

N 36228 iD MyStyle V+ EyeGenius Eynoa 1.67 HVLL R 4 053,40

N 36229 Premium HD Digital 1.5 Xtractive Crizal Easy R 3 456,10

N 36230 iD MyStyle V+ EyeGenius Eynoa 1.67 HVLL Blue Control R 4 053,40

N 36231 iD MyStyle V+ EyeGenius Eynoa 1.67 HVLL UV Control R 4 053,40

N 36232 iD MyStyle V+ EyeGenius Eynoa 1.67 Sensity HVLL R 4 053,40

N 36233 iD MyStyle V+ EyeGenius Eynoa 1.67 Sensity HVLL Blue Control R 4 053,40

N 36234 iD MyStyle V+ EyeGenius Eynoa 1.67 Sensity HVLL UV Control R 4 053,40

N 36235 Premium HD Digital 1.5 Polarized Supra R 2 380,50

N 36236 iD MyStyle V+ EyeGenius Eyvia 1.74 HVLL R 4 053,40

N 36237 Premium HD Digital 1.5 Polarized Crizal Easy R 2 907,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36238 iD MyStyle V+ EyeGenius Eyvia 1.74 HVLL Blue Control R 4 053,40

N 36239 iD MyStyle V+ EyeGenius Eyvia 1.74 HVLL UV Control R 4 053,40

N 36240 Futuro LifeStyle Optimised FreeForm 1.5 R 1 024,10

N 36241 Futuro LifeStyle Optimised FreeForm 1.5 Photochromic R 1 776,40

N 36242 Futuro LifeStyle Optimised FreeForm Transitions 1.5 R 2 366,00

N 36243 Futuro LifeStyle Optimised FreeForm 1.6 R 1 995,20

N 36244 Futuro LifeStyle Optimised FreeForm Transitions 1.6 R 3 377,10

N 36245 Futuro LifeStyle Optimised FreeForm 1.67 R 2 488,70

N 36246 Futuro LifeStyle Optimised FreeForm Transitions 1.67 R 4 053,40

N 36247 Futuro LifeStyle Optimised FreeForm NuPolar® 1.5 R 1 840,40

N 36248 Futuro LifeStyle Optimised FreeForm NuPolar® 1.6 R 3 054,30

N 36249 Futuro LifeStyle Optimised FreeForm NuPolar® 1.67 R 3 745,30

N 36250 Futuro LifeStyle Optimised FreeForm Trivex 1.53 R 2 742,20

N 36251 Futuro LifeStyle Optimised FreeForm Trivex Transitions 1.53 R 4 053,40

N 36252 1.6 Nanko Basic Transitions VII Hard R 1 801,50

N 36253 1.6 Nanko Basic Transitions VII ARC R 2 327,40

N 36257 1.5 Nanko HD Platinum Hard R 1 826,10

N 36258 1.5 Nanko HD Platinum Transitions VII Hard R 3 354,50

N 36259 1.6 Nanko HD Platinum Hard R 2 631,70

N 36260 Varilux S Series Orma Xperio Supra R 3 842,90

N 36261 1.6 Nanko HD Platinum Transitions VII Hard R 4 053,40

N 36262 Varilux S Series Orma Xperio Crizal Easy UV R 4 053,40

N 36263 Varilux S Series Orma Xperio Crizal Forte UV R 4 053,40

N 36264 Varilux Series Orma Xperio Crizal Prevencia R 4 053,40

N 36265 Varilux S Series Airwear Xperio Supra R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36266 1.67 Nanko HD Platinum Hard R 3 816,50

N 36267 Varilux S Series Airwear Xperio Crizal Easy UV R 4 053,40

N 36268 1.67 Nanko HD Platinum Transitions VII Hard R 4 053,40

N 36269 Varilux S Series Airwear Xperio Crizal Forte UV R 4 053,40

N 36270 Varilux S Series Airwear Xperio Crizal Prevencia R 4 053,40

N 36271 Varilux S Series Ormix Xperio Supra R 4 053,40

N 36272 Varilux S Series Ormix Xperio Crizal Easy R 4 053,40

N 36273 Varilux S Series Ormix Xperio Crizal Forte UV R 4 053,40

N 36274 Varilux S Series Ormix Xperio Crizal Prevencia R 4 053,40

N 36275 Varilux S Series Stylis Xperio Supra R 4 053,40

N 36276 Varilux S Series Stylis Xperio Crizal Easy UV R 4 053,40

N 36277 Varilux S Series Stylis Xperio Crizal Prevencia R 4 053,40

N 36278 Varilux S Series Stylis Xperio Crizal Forte UV R 4 053,40

N 36279 Varilux S Series Lineis Crizal Forte UV -

N 36280 Varilux S Series Lineis Transitions Crizal Forte UV -

N 36281 Varilux S Series Lineis Crizal Prevencia -

N 36282 Varilux S Series Lineis Transitions Crizal Prevencia -

N 36283 Varilux S Series 4D Orma Xperio Crizal Forte UV R 4 053,40

N 36284 Varilux S Series 4D Orma Xperio Crizal Prevencia R 4 053,40

N 36285 Varilux S Series 4D Airwear Xperio Crizal Forte UV R 4 053,40

N 36286 Varilux S Series 4D Airwear Xperio Crizal Prevencia R 4 053,40

N 36287 Varilux S Series 4D Ormix Xperio Crizal Forte UV R 4 053,40

N 36288 Varilux S Series 4D Ormix Xperio Crizal Prevencia R 4 053,40

N 36289 Varilux S Series 4D Stylis Xperio Crizal Forte UV R 4 053,40

N 36290 Varilux S Series 4D Stylis Xperio Crizal Prevencia R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36300 NIKON Presio i13 TRAD 1.5 R 454,00

N 36301 NIKON Presio i13 TRAD 1.5 TRANSITIONS6 R 1 204,00

N 36302 NIKON GO Digital 1.5 R 704,00

N 36304 NIKON GO Digital 1.6 R 1 454,00

N 36306 NIKON GO Digital 1.67 R 1 954,00

N 36308 NIKON Presio BALANCE 1.5 R 1 704,00

N 36311 NIKON Presio BALANCE 1.6 R 2 454,00

N 36314 NIKON Presio BALANCE 1.67 R 2 954,00

N 36316 NIKON Presio POWER (Dual Power) 1.5 R 2 204,00

N 36319 NIKON Presio POWER (Dual Power) 1.6 R 2 954,00

N 36322 NIKON Presio POWER (Dual Power) 1.67 R 3 454,00

N 36324 NIKON SEEMAX POWER 1.5 CUSTOM MADE R 3 454,00

N 36326 NIKON SEEMAX POWER 1.6 CUSTOM MADE R 4 053,40

N 36328 NIKON SEEMAX POWER 1.67 CUSTOM MADE R 4 053,40

N 36330 NIKON SEEMAX POWER 1.74 CUSTOM MADE R 4 053,40

N 36332 NIKON Presio DigiLife 1.5 R 1 704,00

N 36335 NIKON Presio DigiLife 1.6 R 2 454,00

N 36338 NIKON Presio DigiLife 1.67 R 2 954,00

N 36340 FUSION 1.50 HC R 469,70

N 36341 FUSION 1.60 HC R 1 600,60

N 36342 FUSION TRIVEX HC R 1 701,60

N 36343 FUSION 1.50 SUNGUARD HC R 1 169,80

N 36344 FUSION TRIVEX TRANSITIONS HC R 2 601,50

N 36345 PREMIER 1.50 HC R 853,40

N 36346 PREMIER 1.60 HC R 2 113,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36347 PREMIER TRIVEX HC R 2 204,90

N 36348 PREMIER TRIVEX TRANSITIONS HC R 3 436,20

N 36349 PREMIER 1.50 TRANSITIONS HC R 3 030,50

N 36350 PREMIER TRANSITIONS 1.60 HC R 3 453,10

N 36351 EXCLUSIVE CV 1.50 CLEAR -

N 36352 EXCLUSIVE CV 1.56 SUNGUARD R 731,50

N 36353 PERFICIO 1.50 R 412,10

N 36354 PERFICIO 1.56 SUNGUARD HC R 1 078,90

N 36355 DYNAMIC 1.50 R 517,90

N 36356 DYNAMIC 1.56 SUNGUARD HC R 1 162,30

N 36357 DYNAMIC 1.60 HC R 1 716,80

N 36358 DYNAMIC TRIVEX HC R 1 809,80

N 36359 DYNAMIC TRIVEX TRANSITIONS HC R 2 873,50

N 36360 EXCLUSIVE ALPHA 1.50 R 940,90

N 36361 EXCLUSIVE ALPHA 1.50 TRANSITIONS HC R 3 147,10

N 36362 EXCLUSIVE ALPHA 1.60 CLEAR HC R 1 925,00

N 36363 EXCLUSIVE ALPHA 1.60 TRANSITIONS HC R 4 053,40

N 36364 EXCLUSIVE ALPHA TRIVEX HC R 1 888,30

N 36365 EXCLUSIVE ALPHA TRIVEX TRANSITIONS HC R 3 653,00

N 36366 Unbranded Varifocal Distance/Near Clear 1.67 Hard Coat R 2 075,00

N 36367 Unbranded Varifocal Distance/Near Clear 1.67 HMC R 2 132,00

N 36368 Unbranded Varifocal Distance/Near Photochromatic 1.67 Hard Coat R 4 053,40

N 36369 Unbranded Varifocal Distance/Near Photochromatic 1.67 HMC R 2 755,00

N 36370 PRECISE PB 1.56 UV-Blue R 1 053,80

N 36371 EASY 1.56 UV-Blue R 1 224,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36372 UNIQUE 1.56 UV-Blue R 1 371,90

N 36373 UNIQUE-HD 1.56 UV-Blue R 1 735,20

N 36374 eLab S L/S FF 1.53 SunT UC R 3 250,40

N 36375 eLab Blu 1.5 UC -

N 36376 eLab Blu 1.56 Photochromic UC R 899,00

N 36377 Shamir Autograph-Plus Transitions (1.74) R 4 053,40

N 36378 Shamir Autograph Attitude Transitions (1.74) R 4 053,40

N 36379 Shamir Autograph InTouch Transitions (1.74) R 4 053,40

N 36380 Shamir Autograph-III Transitions (1.74) R 4 053,40

N 36381 Shamir Autograph-III Trivex Transitions (1.53) R 4 053,40

N 36382 Shamir Autograph Attitude-III Transitions (1.74) R 4 053,40

N 36383 Essilor DS 1.56 Photochromic R 1 420,90

N 36384 Essilor DS 1.56 Clear R 724,90

N 36385 Shamir Autograph InTouch Trivex Transitions R 4 053,40

N 36386 AM 1.5 S/L UC -

N 36387 AM 1.5 S/L Acclimates UC R 808,40

N 36388 AM 1.5 S/L Transitions UC R 1 188,90

N 36389 AM 1.5 FF S/L UC R 128,70

N 36390 AM 1.5 FF S/L Transitions UC R 1 272,40

N 36391 AM 1.53 FF S/L UC R 1 056,70

N 36392 SM 1.5 S/L UC R 592,70

N 36393 SM 1.5 S/L Sun UC R 2 170,20

N 36394 SM 1.5 S/L Transitions UC R 1 968,40

N 36395 SM 1.53 S/L UC R 1 471,90

N 36396 SM 1.53 L/S Sun UC R 2 645,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36397 SM 1.53 S/L Transitions UC R 2 564,60

N 36398 SM 1.5 FF S/L UC R 1 365,20

N 36399 SM 1.5 FF S/L Sun UC R 2 316,40

N 36400 SM 1.5 FF S/L Transitions UC R 2 499,70

N 36401 SM 1.53 FF S/L UC R 1 931,30

N 36402 SM 1.53 FF S/L Sun UC R 2 882,40

N 36403 SM 1.53 FF S/L Transitions UC R 3 320,90

N 36404 Image 1.5 UC R 8,10

N 36405 Image 1.5 Transitions/XTRActive UC R 1 604,20

N 36406 Image 1.5 NuPolar® (Gr/Br) UC R 1 140,20

N 36407 Image 1.5 Drivewear UC R 2 613,30

N 36408 Image 1.53 UC R 741,20

N 36409 Image 1.53 Transitions UC R 2 703,80

N 36410 PM 1.5 UC -

N 36411 PM 1.56 Photochromic UC R 642,40

N 36412 Varilux Liberty 3.0 Orma Crizal Forte UV (Fit) R 1 509,60

N 36413 Varilux Liberty 3.0 Orma Supra (Fit) R 741,90

N 36414 Varilux Liberty 3.0 Orma Crizal Prevencia (Fit) R 1 509,60

N 36415 Varilux Liberty 3.0 Orma Crizal Easy UV (Fit) R 1 258,70

N 36416 Varilux Liberty 3.0 Orma i-Relief (Fit) R 1 258,70

N 36417 Varilux Liberty 3.0 Orma Xperio Crizal Easy UV (Fit) R 2 254,80

N 36418 Varilux Liberty 3.0 Orma Xperio Crizal Forte UV (Fit) R 2 505,70

N 36419 Varilux Liberty 3.0 Orma Xperio Crizal Prevencia (Fit) R 2 505,70

N 36420 Varilux Liberty 3.0 Orma Acclimates Supra (Fit) R 1 196,00

N 36421 Varilux Liberty 3.0 Orma Acclimates Crizal Easy UV (Fit) R 1 712,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36422 Varilux Liberty 3.0 Orma Acclimates Crizal Forte UV (Fit) R 1 963,70

N 36423 Varilux Liberty 3.0 Orma Acclimates Crizal Prevencia (Fit) R 1 963,70

N 36424 Varilux Liberty 3.0 Orma Acclimates i-Relief (Fit) R 1 712,80

N 36425 Varilux Liberty 3.0 Orma Transitions Supra (Fit) R 1 737,90

N 36426 Varilux Liberty 3.0 Orma Transitions Crizal Easy UV (Fit) R 2 254,80

N 36427 Varilux Liberty 3.0 Orma Transitions Crizal Forte UV (Fit) R 2 505,70

N 36428 Varilux Liberty 3.0 Orma Transitions Crizal Prevencia (Fit) R 2 505,70

N 36429 Varilux Liberty 3.0 Orma Transitions i-Relief (Fit) R 2 254,80

N 36430 Varilux Liberty 3.0 Airwear Supra (Fit) R 1 251,20

N 36431 Varilux Liberty 3.0 Airwear Crizal Easy UV (Fit) R 1 768,00

N 36432 Varilux Liberty 3.0 Airwear Crizal Forte UV (Fit) R 2 018,90

N 36433 Varilux Liberty 3.0 Airwear Crizal Prevencia (Fit) R 2 018,90

N 36434 Varilux Liberty 3.0 Airwear i-Relief (Fit) R 1 768,00

N 36435 Varilux Liberty 3.0 Airwear Transitions Supra (Fit) R 2 839,40

N 36436 Varilux Liberty 3.0 Airwear Transitions Crizal Easy UV (Fit) R 3 356,20

N 36437 Varilux Liberty 3.0 Airwear Transitions Crizal Forte UV (Fit) R 3 607,10

N 36438 Varilux Liberty 3.0 Airwear Transitions Crizal Prevencia (Fit) R 3 607,10

N 36439 Varilux Liberty 3.0 Airwear Transitions i-Relief (Fit) R 3 356,20

N 36440 Varilux Liberty 3.0 Ormix Supra (Fit) R 1 311,40

N 36441 Varilux Liberty 3.0 Ormix Crizal Easy UV (Fit) R 1 828,30

N 36442 Varilux Liberty 3.0 Ormix Crizal Forte UV (Fit) R 2 079,10

N 36443 Varilux Liberty 3.0 Ormix Crizal Prevencia (Fit) R 2 079,10

N 36444 Varilux Liberty 3.0 Ormix i-Relief (Fit) R 1 828,30

N 36445 Varilux Liberty 3.0 Ormix Transitions Supra (Fit) R 2 731,50

N 36446 Varilux Liberty 3.0 Ormix Transitions Crizal Easy UV (Fit) R 3 248,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36447 Varilux Liberty 3.0 Ormix Transitions Crizal Forte UV (Fit) R 3 499,20

N 36448 FUSION TRANSITION 1.50 R 2 132,70

N 36449 FUSION TRANSITION 1.60 R 3 459,60

N 36451 PERFICIO 1.60 R 1 831,40

N 36452 INDIVIDUAL 1.50 R 623,60

N 36453 INDIVIDUAL 1.60 R 2 125,60

N 36454 INDIVIDUAL 1.67 R 514,00

N 36455 INDIVIDUAL 1.56 SUNGUARD HC R 1 248,80

N 36456 INDIVIDUAL TRANSITION 1.50 HC R 2 787,50

N 36457 INDIVIDUAL TRANSITION 1.60 HC R 3 761,90

N 36458 Varilux Liberty 3.0 Ormix Transitions Crizal Prevencia (Fit) R 3 499,20

N 36459 Varilux Liberty 3.0 Ormix Transitions i-Relief (Fit) R 3 248,30

N 36460 Varilux Liberty 3.0 Stylis Crizal Easy UV (Fit) R 2 668,80

N 36462 Varilux Liberty 3.0 Stylis Crizal Forte UV (Fit) R 2 919,60

N 36463 Varilux Liberty 3.0 Stylis Crizal Prevencia (Fit) R 2 919,60

N 36464 Varilux Liberty 3.0 Stylis i-Relief (Fit) R 2 668,80

N 36465 INDIVIDUAL TRIVEX TRANSITIONS HC R 3 659,50

N 36466 Varilux Liberty 3.0 Stylis Transitions Crizal (Fit) R 4 053,40

N 36467 Varilux Liberty 3.0 Stylis Transitions Crizal Forte UV (Fit) R 4 053,40

N 36468 Varilux Liberty 3.0 Stylis Transitions i-Relief (Fit) R 4 053,40

N 36469 Varilux Liberty 3.0 Stylis Transitions Crizal Prevencia (Fit) R 4 053,40

N 36470 Varilux Comfort 3.0 Orma Supra (Fit) R 1 341,50

N 36471 Varilux Comfort 3.0 Orma Crizal Easy UV (Fit) R 1 858,40

N 36472 EXCLUSIVE ALPHA BLUE CUT 1.50 R 1 402,70

N 36473 Varilux Comfort 3.0 Orma Crizal Forte UV (Fit) R 2 109,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36474 EXCLUSIVE ALPHA BLUE CUT 1.60 R 3 175,20

N 36475 Varilux Comfort 3.0 Orma Crizal Prevencia (Fit) R 2 109,30

N 36476 Varilux Comfort 3.0 Orma i-Relief (Fit) R 1 858,40

N 36477 Varilux Comfort 3.0 Orma Xperio Supra (Fit) R 1 875,90

N 36478 EXCLUSIVE ALPHA SMART BLUE CUT 1.50 R 3 149,80

N 36479 Varilux Comfort 3.0 Orma Xperio Crizal Easy UV (Fit) R 2 392,80

N 36480 Varilux Comfort 3.0 Orma Transitions Supra (Fit) R 2 801,70

N 36481 EXCLUSIVE ALPHA SMART BLUE CUT 1.60 R 4 053,40

N 36482 Varilux Comfort 3.0 Orma Transitions Crizal Easy UV (Fit) R 3 318,60

N 36483 Varilux Comfort 3.0 Orma Transitions Crizal Forte UV (Fit) R 3 569,50

N 36484 EXCLUSIVE ALPHA SMART 1.50 R 1 057,90

N 36485 Varilux Comfort 3.0 Orma Transitions Crizal Prevencia (Fit) R 3 569,50

N 36486 Varilux Comfort 3.0 Orma Transitions i-Relief (Fit) R 3 318,60

N 36487 EXCLUSIVE ALPHA SMART 1.60 R 2 254,80

N 36488 Varilux Comfort 3.0 Airwear Supra (Fit) R 2 008,90

N 36489 Varilux Comfort 3.0 Airwear Transitions Supra (Fit) R 3 336,10

N 36490 Varilux Comfort 3.0 Airwear Crizal Easy UV (Fit) R 2 525,80

N 36491 Varilux Comfort 3.0 Airwear Crizal Forte UV (Fit) R 2 776,60

N 36492 Varilux Comfort 3.0 Airwear Crizal Prevencia (Fit) R 2 776,60

N 36493 Varilux Comfort 3.0 Airwear Transitions Crizal Easy UV (Fit) R 4 053,40

N 36494 Varilux Comfort 3.0 Airwear Transitions Crizal Forte UV (Fit) R 4 053,40

N 36495 Varilux Comfort 3.0 Airwear Transitions Crizal Prevencia (Fit) R 4 053,40

N 36496 Varilux Comfort 3.0 Airwear Transitions i-Relief (Fit) R 4 053,40

N 36497 Varilux Comfort 3.0 Airwear Xperio Supra (Fit) R 4 053,40

N 36498 Varilux Comfort 3.0 Ormix Supra (Fit) R 2 008,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36499 Varilux Comfort 3.0 Ormix Crizal Easy UV (Fit) R 2 525,80

N 36500 Varilux Comfort 3.0 Ormix Crizal Forte UV (Fit) R 2 776,60

N 36501 Varilux Comfort 3.0 Ormix Crizal Prevencia (Fit) R 2 776,60

N 36502 Varilux Comfort 3.0 Ormix Transitions Supra (Fit) R 3 200,70

N 36503 Varilux Comfort 3.0 Ormix Transitions Crizal Easy UV (Fit) R 3 717,50

N 36504 Varilux Comfort 3.0 Ormix Transitions Crizal Forte UV (Fit) R 4 053,40

N 36505 Varilux Comfort 3.0 Ormix Transitions Crizal Prevencia (Fit) R 4 053,40

N 36506 Varilux Comfort 3.0 Ormix Transitions i-Relief (Fit) R 3 717,50

N 36507 Varilux Comfort 3.0 Stylis Crizal Easy UV (Fit) R 3 599,60

N 36508 Varilux Comfort 3.0 Stylis Crizal Forte UV (Fit) R 4 053,40

N 36509 Varilux Comfort 3.0 Stylis Crizal Prevencia (Fit) R 4 053,40

N 36510 Varilux Comfort 3.0 Stylis Crizal i-Relief (Fit) R 3 599,60

N 36511 Varilux Comfort 3.0 Stylis Transitions Crizal Easy UV (Fit) R 4 053,40

N 36512 Varilux Comfort 3.0 Stylis Transitions Crizal Forte UV (Fit) R 4 053,40

N 36513 Varilux Comfort 3.0 Stylis Transitions Crizal Prevencia (Fit) R 4 053,40

N 36514 Varilux Comfort 3.0 Stylis Transitions i-Relief (Fit) R 4 053,40

N 36515 Varilux Physio 3.0 Orma Supra (Fit) R 2 008,90

N 36516 Flexivue 1.6/42 Premium NuPolar® HC R 2 000,00

N 36517 Varilux Physio 3.0 Orma Xperio Supra (Fit) R 4 053,40

N 36518 Varilux Physio 3.0 Orma Xperio Crizal Easy UV (Fit) R 4 053,40

N 36519 Varilux Physio 3.0 Orma Xperio Crizal Forte UV (Fit) R 4 053,40

N 36520 Flexivue 1.74 Premium Transitions HC R 4 053,40

N 36521 Varilux Physio 3.0 Orma Xperio Crizal Prevencia (Fit) R 4 053,40

N 36522 Varilux Physio 3.0 Orma Transitions Supra (Fit) R 3 735,10

N 36523 Varilux Physio 3.0 Orma Crizal Easy UV (Fit) R 2 525,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36524 Varilux Physio 3.0 Orma Transitions Crizal (Fit) R 4 053,40

N 36525 Flexivue 1.53 Premium Trivex Drivewear HC R 4 053,40

N 36526 Varilux Physio 3.0 Orma Crizal Forte UV (Fit) R 2 776,60

N 36527 Varilux Physio 3.0 Orma Crizal Prevencia (Fit) R 2 776,60

N 36528 Varilux Physio 3.0 Orma Transitions Crizal Forte UV (Fit) R 4 053,40

N 36529 Varilux Physio 3.0 Orma Transitions Prevencia (Fit) R 4 053,40

N 36530 Varilux Physio 3.0 Orma Transitions i-Relief (Fit) R 4 053,40

N 36531 Varilux Physio 3.0 Airwear Xperio Supra (Fit) R 4 053,40

N 36532 Varilux Physio 3.0 Airwear Xperio Crizal Easy UV (Fit) R 4 053,40

N 36533 Varilux Physio 3.0 Airwear Xperio Crizal Forte UV (Fit) R 4 053,40

N 36534 Varilux Physio 3.0 Airwear Supra (Fit) R 2 819,30

N 36535 Varilux Physio 3.0 Airwear Crizal Easy UV (Fit) R 3 336,10

N 36536 Varilux Physio 3.0 Airwear Transitions Supra (Fit) R 4 053,40

N 36537 Varilux Physio 3.0 Airwear Transitions Crizal Easy UV (Fit) R 4 053,40

N 36538 Varilux Physio 3.0 Airwear Crizal Forte UV (Fit) R 3 587,00

N 36539 Varilux Physio 3.0 Airwear Crizal Prevencia (Fit) R 3 587,00

N 36540 Varilux Physio 3.0 Airwear i-Relief (Fit) R 3 336,10

N 36541 Varilux Physio 3.0 Airwear Transitions XTRActive Supra (Fit) R 4 053,40

N 36542 Varilux Physio 3.0 Airwear Transitions XTRActive Crizal Easy UV (Fit) R 4 053,40

N 36543 Varilux Physio 3.0 Airwear Transitions XTRActive Crizal Forte UV (Fit) R 4 053,40

N 36544 Varilux Physio 3.0 Airwear Transitions XTRActive Crizal Prevencia (Fit) R 4 053,40

N 36545 Varilux Physio 3.0 Airwear Transitions XTRActive i-Relief (Fit) R 4 053,40

N 36546 Varilux Physio 3.0 Airwear Transitions Crizal Forte UV (Fit) R 4 053,40

N 36547 Varilux Physio 3.0 Airwear Transitions Crizal Prevencia (Fit) R 4 053,40

N 36548 Varilux Physio 3.0 Ormix Transitions Supra (Fit) R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36549 Varilux Physio 3.0 Airwear Transitions i-Relief (Fit) R 4 053,40

N 36550 Varilux Physio 3.0 Ormix Crizal Easy UV R 3 116,70

N 36551 Varilux Physio 3.0 Ormix Crizal Easy UV (Fit) R 3 318,60

N 36552 Varilux Physio 3.0 Ormix Transitions Crizal (Fit) R 3 569,50

N 36553 Varilux Physio 3.0 Ormix Crizal Forte UV (Fit) R 3 569,50

N 36554 Varilux Physio 3.0 Ormix Crizal Prevencia (Fit) R 3 569,50

N 36555 Varilux Physio 3.0 Ormix i-Relief (Fit) R 3 318,60

N 36556 Varilux Physio 3.0 Ormix Transitions Crizal Forte UV (Fit) R 4 053,40

N 36557 Varilux Physio 3.0 Ormix Transitions Crizal Prevencia (Fit) R 4 053,40

N 36558 Varilux Physio 3.0 Ormix Transitions i-Relief (Fit) R 4 053,40

N 36559 Varilux Physio 3.0 Stylis Crizal Easy UV Forte UV (Fit) R 4 053,40

N 36560 Varilux Physio 3.0 Stylis Crizal Prevencia (Fit) R 4 053,40

N 36561 Varilux Physio 3.0 Stylis i-Relief (Fit) R 4 053,40

N 36562 Varilux Physio 3.0 Stylis Transitions Crizal Forte UV (Fit) -

N 36563 Varilux Physio 3.0 Lineis Crizal Forte UV (Fit) -

N 36564 Varilux Physio 3.0 Lineis Crizal Prevencia (Fit) -

N 36565 Focus Precise 1.56 BlueTech FreeForm R 1 608,60

N 36566 Focus Unique 1.56 BlueTech FreeForm R 2 747,50

N 36567 OAKLEY OTD PROGRESSIVE POLARIZED SPORT SPECIFIC R 1 783,60

N 36568 OAKLEY OTD PROGRESSIVE PRIZM SPORT SPECIFC R 1 783,60

N 36569 Futuro Blando ll Optimised FreeForm NuPolar® Gradient Polycarb R 4 053,40

N 36570 Futuro Duro ll Optimised FreeForm NuPolar® Gradient Polycarb R 4 053,40

N 36571 1.50 Lenscape Clear Progressive -

N 36572 Quality Alpha FF 1.74 Emerald R 2 677,90

N 36573 Quality Alpha FF 1.74 Transitions T7 Emerald R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36574 ARC Multifocal White -

N 36575 ARC Multifocal Photochromic -

N 36576 UVEX S EN166 Approved CR39 M/F Hard Coat R 133,40

N 36577 UVEX F EN166 Approved Polycarbonate M/F Hard Coat R 968,50

N 36578 UVEX F EN166 Approved Polycarbonate Transition Multifocal R 2 731,60

N 36579 UVEX F EN166 Approved Trilogy Multifocal Premium Hard Coat R 1 107,70

N 36580 UVEX F EN166 Approved Trilogy Transition M/F Hard Coat R 4 053,40

N 36581 Anateo Plus DS 1.74 Crizal Forte UV R 3 529,90

N 36582 Evolis Conventional 1.50 Transitions Supra R 1 771,00

N 36583 Futuro Blando ll Optimised FreeForm Transitions 1.5 Graphite Green R 3 087,00

N 36584 Futuro Blando ll Optimised FreeForm Transitions 1.6 Graphite Green R 4 053,40

N 36585 Futuro Blando ll Optimised FreeForm Transitions 1.67 Graphite Green R 4 053,40

N 36586 Futuro Duro ll Optimised FreeForm Transitions 1.5 Graphite Green R 3 087,00

N 36587 Futuro Duro ll Optimised FreeForm Transitions 1.6 Graphite Green R 4 053,40

N 36588 Futuro Duro ll Optimised FreeForm Transitions 1.67 Graphite Green R 4 053,40

N 36589 Futuro Advance Optimised FreeForm Transitions 1.67 Graphite Green R 4 053,40

N 36590 Futuro Advance Optimised FreeForm Transitions 1.5 Graphite Green R 3 087,00

N 36591 Futuro Advance Optimised FreeForm Transitions 1.6 Graphite Green R 4 053,40

N 36592 Futuro LifeStyle Optimised FreeForm Transitions 1.5 Graphite Green R 3 087,00

N 36593 Futuro LifeStyle Optimised FreeForm Transitions 1.6 Graphite Green R 4 053,40

N 36594 Futuro LifeStyle Optimised FreeForm Transitions 1.67 Graphite Green R 4 053,40

N 36595 SIGNIA NAVIGATOR PHOTOVIEW SHORT (1.50) R 2 150,30

N 36596 SIGNIA NAVIGATOR SHORT (1.50) R 565,60

N 36597 SIGNIA NAVIGATOR PHOTOVIEW REGULAR (1.50) R 2 150,30

N 36598 SIGNIA NAVIGATOR REGULAR (1.50) R 565,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36599 DS Multifocs 1.5 Uncated R 29,00

N 36600 DS Multifocal 1.5 Hard R 197,70

N 36601 DS Multifocal 1.5 ARC R 640,60

N 36602 DS Multifocal 1.5 ARC Premium R 767,10

N 36603 DS Multifocal 1.5 PhotoA Hard R 828,30

N 36604 DS Multifocal 1.5 PhotoA ARC R 1 271,20

N 36605 DS Multifocal 1.5 PhotoA ARC Premium R 1 397,70

N 36606 DS Multifocal 1.5 PhotoT Hard R 1 252,20

N 36607 DS Multifocal 1.5 PhotoT ARC R 1 695,10

N 36608 DS Multifocal 1.5 PhotoT ARC Premium R 1 821,60

N 36609 DS Multifocal 1.53 Hard R 577,30

N 36610 DS Multifocal 1.53 ARC R 1 020,20

N 36611 DS Multifocal 1.53 ARC Premium R 1 146,70

N 36612 DS Multifocal 1.53 PhotoT Hard R 1 558,00

N 36613 DS Multifocal 1.53 PhotoT ARC R 2 000,90

N 36614 DS Multifocal 1.53 PhotoT ARC Premium R 2 127,40

N 36615 DS Multifocal 1.60 Hard R 741,80

N 36616 DS Multifocal 1.60 ARC R 1 184,70

N 36617 DS Multifocal 1.60 ARC Premium R 1 311,20

N 36618 DS Multifocal 1.60 PhotoT Hard R 2 357,30

N 36619 DS Multifocal 1.60 PhotoT ARC R 2 800,20

N 36620 DS Multifocal 1.60 PhotoT ARC Premium R 2 926,70

N 36621 DS Multifocal 1.67 Hard R 1 657,10

N 36622 DS Multifocal 1.67 ARC R 2 100,00

N 36623 DS Multifocal 1.67 ARC Premium R 2 226,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36624 DS Multifocal 1.67 PhotoT Hard R 2 612,50

N 36625 DS Multifocal 1.67 PhotoT ARC R 3 055,40

N 36626 DS Multifocal 1.67 PhotoT ARC Premium R 3 181,90

N 36627 HD Multifocal 1.50 Uncoated R 739,70

N 36628 HD Multifocal 1.50 Hard R 908,40

N 36629 HD Multifocal 1.50 ARC R 1 351,30

N 36630 HD Multifocal 1.50 ARC Premium R 1 477,80

N 36631 HD Multifocal 1.50 PhotoA Hard R 1 336,50

N 36632 HD Multifocal 1.50 PhotoA ARC R 1 779,40

N 36633 HD Multifocal 1.50 PhotoA ARC Premium R 1 906,00

N 36634 HD Multifocal 1.50 PhotoT Hard R 1 792,10

N 36635 HD Multifocal 1.50 PhotoT ARC R 2 235,00

N 36636 HD Multifocal 1.50 PhotoT ARC Premium R 2 361,50

N 36637 HD Multifocal 1.53 Hard R 1 300,70

N 36638 HD Multifocal 1.53 ARC R 1 743,60

N 36639 HD Multifocal 1.53 ARC Premium R 1 870,10

N 36640 HD Multifocal 1.53 PhotoT Hard R 2 534,50

N 36641 HD Multifocal 1.53 PhotoT ARC R 2 977,30

N 36642 HD Multifocal 1.53 PhotoT ARC Premium R 3 103,90

N 36643 HD Multifocal 1.60 Hard R 1 420,90

N 36644 HD Multifocal 1.60 ARC R 1 863,80

N 36645 HD Multifocal 1.60 ARC Premium R 1 990,30

N 36646 HD Multifocal 1.60 PhotoT ARC R 3 148,20

N 36647 HD Multifocal 1.60 PhotoT Hard R 2 705,30

N 36648 HD Multifocal 1.60 PhotoT ARC Premium R 3 274,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36649 HD Multifocal 1.67 Hard R 1 783,60

N 36650 HD Multifocal 1.67 ARC R 2 226,50

N 36651 HD Multifocal 1.67 ARC Premium R 2 353,10

N 36652 HD Multifocal 1.67 PhotoT Hard R 3 068,00

N 36653 HD Multifocal 1.67 PhotoT ARC R 3 510,90

N 36654 HD Multifocal 1.67 PhotoT ARC Premium R 3 637,50

N 36655 Classic Eyes Dynamic HD 1.50 Hard R 843,00

N 36656 Classic Eyes Dynamic HD 1.50 SCC R 1 349,20

N 36657 Classic Eyes Dynamic HD 1.50 SRC R 1 560,10

N 36658 Classic Eyes Dynamic HD 1.50 SRB R 1 644,50

N 36659 Classic Eyes Dynamic HD 1.50 Transitions 7 Hard R 1 855,40

N 36660 Classic Eyes Dynamic HD 1.50 Transitions 7 SCC R 2 361,50

N 36661 Classic Eyes Dynamic HD 1.50 Transitions 7 SRC R 2 572,40

N 36662 Classic Eyes Dynamic HD 1.50 Transitions 7 SRB R 2 656,80

N 36663 Classic Eyes Dynamic HD 1.60 Hard R 1 435,70

N 36664 Classic Eyes Dynamic HD 1.60 SCC R 1 794,20

N 36665 Classic Eyes Dynamic HD 1.60 SRC R 2 005,10

N 36666 Classic Eyes Dynamic HD 1.60 SRB R 2 089,50

N 36667 Classic Eyes Dynamic HD 1.60 Transitions 7 Hard R 2 422,70

N 36668 Classic Eyes Dynamic HD 1.60 Transitions 7 SCC R 2 928,80

N 36669 Classic Eyes Dynamic HD 1.60 Transitions 7 SRC R 3 139,70

N 36670 Classic Eyes Dynamic HD 1.60 Transitions 7 SRB R 3 224,10

N 36671 Classic Eyes Dynamic HD 1.67 SCC R 2 243,40

N 36672 Classic Eyes Dynamic HD 1.67 SRC R 2 454,30

N 36673 Classic Eyes Dynamic HD 1.67 SRB R 2 538,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36674 Classic Eyes Dynamic HD 1.67 Transitions 7 SCC R 3 671,20

N 36675 Classic Eyes Dynamic HD 1.67 Transitions 7 SRC R 4 053,40

N 36676 Classic Eyes Dynamic HD 1.67 Transitions 7 SRB R 4 053,40

N 36677 Classic Eyes Dynamic HD 1.50 Polarized Hard R 1 667,70

N 36678 Classic Eyes Dynamic HD 1.50 Polarized SCC R 2 173,80

N 36679 Classic Eyes Dynamic HD 1.50 Polarized SRC R 2 384,70

N 36680 RO Entry HF-Blue Cut R 26,90

N 36681 Classic Eyes Dynamic HD 1.60 Polarized Hard R 2 329,90

N 36682 Classic Eyes Dynamic HD 1.60 Polarized SCC R 2 836,00

N 36683 Classic Eyes Dynamic HD 1.60 Polarized SRC R 3 046,90

N 36684 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Brown Hard R 1 884,90

N 36685 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Brown DV Silver R 2 357,30

N 36686 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Brown DV Platinum R 2 559,80

N 36687 ZEISS Progressive Precision Pure Short 1.5 PhotoFusion Brown DV BlueProtect R 2 559,80

N 36688 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Brown Hard R 2 633,60

N 36689 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Brown DV Silver R 3 106,00

N 36690 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Brown DV Platinum R 3 224,10

N 36691 ZEISS Progressive Precision Pure Short 1.6 PhotoFusion Brown DV BlueProtect R 3 224,10

N 36692 ZEISS Progressive Precision Pure Short 1.67 PhotoFusion Brown DV Silver R 3 548,90

N 36693 ZEISS Progressive Precision Pure Short 1.67 PhotoFusion Brown DV Platinum R 3 751,30

N 36694 ZEISS Progressive Precision Pure Short 1.67 PhotoFusion Brown DV BlueProtect R 3 751,30

N 36695 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Brown Hard R 1 884,90

N 36696 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Brown DV Silver R 2 357,30

N 36697 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Brown DV Platinum R 2 559,80

N 36698 ZEISS Progressive Precision Pure Medium 1.5 PhotoFusion Brown DV BlueProtect R 2 559,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36699 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Brown Hard R 2 633,60

N 36700 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Brown DV Silver R 3 106,00

N 36701 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Brown DV Platinum R 3 308,50

N 36702 ZEISS Progressive Precision Pure Medium 1.6 PhotoFusion Brown DV BlueProtect R 3 308,50

N 36703 ZEISS Progressive Precision Pure Medium 1.67 PhotoFusion Brown DV Silver R 3 548,90

N 36704 ZEISS Progressive Precision Pure Medium 1.67 PhotoFusion Brown DV Platinum R 3 751,30

N 36705 ZEISS Progressive Precision Pure Medium 1.67 PhotoFusion Brown DV BlueProtect R 3 751,30

N 36706 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Brown Hard R 1 884,90

N 36707 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Brown DV Silver R 2 357,30

N 36708 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Brown DV Platinum R 2 559,80

N 36709 ZEISS Progressive Precision Pure Long 1.5 PhotoFusion Brown DV BlueProtect R 2 559,80

N 36710 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Brown Hard R 2 633,60

N 36711 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Brown DV Silver R 3 106,00

N 36712 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Brown DV Platinum R 3 224,10

N 36713 ZEISS Progressive Precision Pure Long 1.6 PhotoFusion Brown DV BlueProtect R 3 224,10

N 36714 ZEISS Progressive Precision Pure Long 1.67 PhotoFusion Brown DV Silver R 3 548,90

N 36715 ZEISS Progressive Precision Pure Long 1.67 PhotoFusion Brown DV Platinum R 3 751,30

N 36716 ZEISS Progressive Precision Pure Long 1.67 PhotoFusion Brown DV BlueProtect R 3 751,30

N 36717 ZEISS Progressive Precision Plus 1.5 PhotoFusion Brown Hard R 2 490,20

N 36718 ZEISS Progressive Precision Plus 1.5 PhotoFusion Brown DV Silver R 2 962,60

N 36719 ZEISS Progressive Precision Plus 1.5 PhotoFusion Brown DV Platinum R 3 165,00

N 36720 ZEISS Progressive Precision Plus 1.5 PhotoFusion Brown DV BlueProtect R 3 165,00

N 36721 ZEISS Progressive Precision Plus 1.6 PhotoFusion Brown Hard R 3 331,70

N 36722 ZEISS Progressive Precision Plus 1.6 PhotoFusion Brown DV Silver R 3 804,10

N 36723 ZEISS Progressive Precision Plus 1.6 PhotoFusion Brown DV Platinum R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36724 ZEISS Progressive Precision Plus 1.6 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36725 ZEISS Progressive Precision Plus 1.67 PhotoFusion Brown DV Silver R 4 053,40

N 36726 ZEISS Progressive Precision Plus 1.67 PhotoFusion Brown DV Platinum R 4 053,40

N 36727 ZEISS Progressive Precision Plus 1.67 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36728 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Brown Hard R 2 595,60

N 36729 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Brown DV Silver R 3 068,00

N 36730 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Brown DV Platinum R 3 270,50

N 36731 ZEISS Progressive Plus 2 Sport 1.5 PhotoFusion Brown DV BlueProtect R 3 270,50

N 36732 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Brown Hard R 3 437,10

N 36733 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Brown DV Silver R 4 053,40

N 36734 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Brown DV Platinum R 4 053,40

N 36735 ZEISS Progressive Plus 2 Sport 1.6 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36736 ZEISS Progressive Precision Superb 1.5 PhotoFusion Brown Hard R 2 945,70

N 36737 ZEISS Progressive Precision Superb 1.5 PhotoFusion Brown DV Silver R 3 418,10

N 36738 ZEISS Progressive Precision Superb 1.5 PhotoFusion Brown DV Platinum R 3 620,60

N 36739 ZEISS Progressive Precision Superb 1.5 PhotoFusion Brown DV BlueProtect R 3 620,60

N 36740 ZEISS Progressive Precision Superb 1.6 PhotoFusion Brown Hard R 3 844,10

N 36741 ZEISS Progressive Precision Superb 1.6 PhotoFusion Brown DV Silver R 4 053,40

N 36742 ZEISS Progressive Precision Superb 1.6 PhotoFusion Brown DV Platinum R 4 053,40

N 36743 ZEISS Progressive Precision Superb 1.6 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36744 ZEISS Progressive Precision Superb 1.67 PhotoFusion Brown DV Silver R 4 053,40

N 36745 ZEISS Progressive Precision Superb 1.67 PhotoFusion Brown DV Platinum R 4 053,40

N 36746 ZEISS Progressive Precision Superb 1.67 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36747 ZEISS Progressive Superb Sport 1.5 PhotoFusion Brown Hard R 3 051,20

N 36748 ZEISS Progressive Superb Sport 1.5 PhotoFusion Brown DV Silver R 3 523,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36749 ZEISS Progressive Superb Sport 1.5 PhotoFusion Brown DV Platinum R 3 726,00

N 36750 ZEISS Progressive Superb Sport 1.6 PhotoFusion Brown Hard R 4 053,40

N 36751 ZEISS Progressive Superb Sport 1.6 PhotoFusion Brown DV Silver R 4 053,40

N 36752 ZEISS Progressive Superb Sport 1.6 PhotoFusion Brown DV Platinum R 4 053,40

N 36753 ZEISS Progressive Superb Sport 1.6 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36754 ZEISS Progressive Superb Sport 1.5 PhotoFusion Brown DV BlueProtect R 3 726,00

N 36755 ZEISS Progressive Superb Sport 1.67 PhotoFusion Brown DV Silver R 4 053,40

N 36756 ZEISS Progressive Superb Sport 1.67 PhotoFusion Brown DV Platinum R 4 053,40

N 36757 ZEISS Progressive Superb Sport 1.67 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36758 ZEISS Progressive DriveSafe 1.5 PhotoFusion Brown DV DriveSafe R 4 053,40

N 36759 ZEISS Progressive DriveSafe 1.6 PhotoFusion Brown DV DriveSafe R 4 053,40

N 36760 ZEISS Progressive DriveSafe 1.67 PhotoFusion Brown DV DriveSafe R 4 053,40

N 36761 ZEISS Progressive DriveSafe Sport 1.5 PhotoFusion BrownDV DriveSafe R 4 053,40

N 36762 ZEISS Progressive DriveSafe Sport 1.6 PhotoFusion Grey DV DriveSafe R 4 053,40

N 36763 ZEISS Progressive DriveSafe Sport 1.67 PhotoFusion Grey DV DriveSafe R 4 053,40

N 36764 ZEISS Progressive Individual 2 1.5 PhotoFusion Brown Hard R 3 411,80

N 36765 ZEISS Progressive Individual 2 1.5 PhotoFusion Brown DV Silver R 4 053,40

N 36766 ZEISS Progressive Individual 2 1.5 PhotoFusion Brown DV Platinum R 4 053,40

N 36767 ZEISS Progressive Individual 2 1.5 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36768 ZEISS Progressive Individual 2 1.6 PhotoFusion Brown Hard R 4 053,40

N 36769 ZEISS Progressive Individual 2 1.6 PhotoFusion Brown DV Silver R 4 053,40

N 36770 ZEISS Progressive Individual 2 1.6 PhotoFusion Brown DV Platinum R 4 053,40

N 36771 ZEISS Progressive Individual 2 1.6 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36772 ZEISS Progressive Individual 2 1.67 PhotoFusion Brown DV Silver R 4 053,40

N 36773 ZEISS Progressive Individual 2 1.67 PhotoFusion Brown DV Platinum R 4 053,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36774 ZEISS Progressive Individual 2 1.67 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36775 ZEISS Progressive Individual Sport 1.5 PhotoFusion Brown Hard R 3 517,20

N 36776 ZEISS Progressive Individual Sport 1.5 PhotoFusion Brown DV Silver R 4 053,40

N 36777 ZEISS Progressive Individual Sport 1.5 PhotoFusion Brown DV Platinum R 4 053,40

N 36778 ZEISS Progressive Individual Sport 1.5 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36779 ZEISS Progressive Individual Sport 1.6 PhotoFusion Brown Hard R 4 053,40

N 36780 ZEISS Progressive Individual Sport 1.6 PhotoFusion Brown DV Silver R 4 053,40

N 36781 ZEISS Progressive Individual Sport 1.6 PhotoFusion Brown DV Platinum R 4 053,40

N 36782 ZEISS Progressive Individual Sport 1.6 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36783 ZEISS Progressive Individual Sport 1.67 PhotoFusion Brown DV Silver R 4 053,40

N 36784 ZEISS Progressive Individual Sport 1.67 PhotoFusion Brown DV Platinum R 4 053,40

N 36785 ZEISS Progressive Individual Sport 1.67 PhotoFusion Brown DV BlueProtect R 4 053,40

N 36786 ZEISS Progressive EnergizeMe Short 1.5 Hard -

N 36787 ZEISS Progressive EnergizeMe Short 1.5 DV Silver -

N 36788 ZEISS Progressive EnergizeMe Short 1.5 DV Platinum -

N 36789 ZEISS Progressive EnergizeMe Short 1.5 DV BlueProtect R 1 326,00

N 36790 ZEISS Progressive EnergizeMe Short 1.5 PhotoFusion Grey DV BlueProtect R 2 148,50

N 36791 ZEISS Progressive EnergizeMe Short 1.5 PhotoFusion Brown DV BlueProtect R 2 148,50

N 36792 ZEISS Progressive EnergizeMe Short 1.74 DV BlueProtect R 2 749,60

N 36793 ZEISS Progressive EnergizeMe Short 1.6 Hard -

N 36794 ZEISS Progressive EnergizeMe Short 1.6 DV Silver -

N 36795 ZEISS Progressive EnergizeMe Short 1.6 DV Platinum -

N 36796 ZEISS Progressive EnergizeMe Short 1.6 DV BlueProtect R 1 368,20

N 36797 ZEISS Progressive EnergizeMe Short 1.6 PhotoFusion Grey DV BlueProtect R 2 243,40

N 36798 ZEISS Progressive EnergizeMe Short 1.6 PhotoFusion Brown DV BlueProtect R 2 243,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36799 ZEISS Progressive EnergizeMe Short 1.67 DV Silver -

N 36800 ZEISS Progressive EnergizeMe Short 1.67 DV Platinum -

N 36801 ZEISS Progressive EnergizeMe Short 1.67 DV BlueProtect R 2 032,50

N 36802 ZEISS Progressive EnergizeMe Short 1.67 PhotoFusion Grey DV BlueProtect R 3 118,60

N 36803 ZEISS Progressive EnergizeMe Short 1.67 PhotoFusion Brown DV BlueProtect R 3 118,60

N 36804 ZEISS Progressive EnergizeMe Medium 1.5 Hard -

N 36805 ZEISS Progressive EnergizeMe Medium 1.5 DV Silver -

N 36806 ZEISS Progressive EnergizeMe Medium 1.5 DV Platinum -

N 36807 ZEISS Progressive EnergizeMe Medium 1.5 DV BlueProtect R 1 326,00

N 36808 ZEISS Progressive EnergizeMe Medium 1.5 PhotoFusion Grey DV BlueProtect R 2 148,50

N 36809 ZEISS Progressive EnergizeMe Medium 1.5 PhotoFusion Brown DV BlueProtect R 2 148,50

N 36810 ZEISS Progressive EnergizeMe Medium 1.6 Hard -

N 36811 ZEISS Progressive EnergizeMe Medium 1.6 DV Silver -

N 36812 ZEISS Progressive EnergizeMe Medium 1.6 DV Platinum -

N 36813 ZEISS Progressive EnergizeMe Medium 1.6 DV BlueProtect R 2 022,00

N 36814 ZEISS Progressive EnergizeMe Medium 1.6 PhotoFusion Grey DV BlueProtect R 2 897,20

N 36815 ZEISS Progressive EnergizeMe Medium 1.6 PhotoFusion Brown DV BlueProtect R 2 897,20

N 36816 ZEISS Progressive EnergizeMe Medium 1.67 DV Silver -

N 36817 ZEISS Progressive EnergizeMe Medium 1.67 DV Platinum -

N 36818 ZEISS Progressive EnergizeMe Medium 1.67 DV BlueProtect R 2 180,10

N 36819 ZEISS Progressive EnergizeMe Medium 1.67 PhotoFusion Grey DV BlueProtect R 3 329,50

N 36820 ZEISS Progressive EnergizeMe Medium 1.67 PhotoFusion Brown DV BlueProtect R 3 329,50

N 36821 ZEISS Progressive EnergizeMe Medium 1.74 DV BlueProtect R 2 749,60

N 36822 ZEISS Progressive EnergizeMe 1.5 Hard -

N 36823 ZEISS Progressive EnergizeMe 1.5 DV Silver -

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36824 ZEISS Progressive EnergizeMe 1.5 DV Platinum -

N 36825 ZEISS Progressive EnergizeMe 1.5 DV BlueProtect R 1 326,00

N 36826 ZEISS Progressive EnergizeMe 1.5 PhotoFusion Grey DV BlueProtect R 2 148,50

N 36827 ZEISS Progressive EnergizeMe 1.5 PhotoFusion Brown DV BlueProtect R 2 148,50

N 36828 ZEISS Progressive EnergizeMe 1.6 Hard -

N 36829 ZEISS Progressive EnergizeMe 1.6 DV Silver -

N 36830 ZEISS Progressive EnergizeMe 1.6 DV Platinum -

N 36831 ZEISS Progressive EnergizeMe 1.6 DV BlueProtect R 2 222,30

N 36832 ZEISS Progressive EnergizeMe 1.6 PhotoFusion Grey DV BlueProtect R 2 897,20

N 36833 ZEISS Progressive EnergizeMe 1.6 PhotoFusion Brown DV BlueProtect R 2 897,20

N 36834 ZEISS Progressive EnergizeMe 1.67 DV Silver -

N 36835 ZEISS Progressive EnergizeMe 1.67 DV Platinum -

N 36836 ZEISS Progressive EnergizeMe 1.67 DV BlueProtect R 2 180,10

N 36837 ZEISS Progressive EnergizeMe 1.67 PhotoFusion Grey DV BlueProtect R 3 329,50

N 36838 ZEISS Progressive EnergizeMe 1.67 PhotoFusion Brown DV BlueProtect R 3 329,50

N 36839 ZEISS Progressive EnergizeMe 1.74 DV BlueProtect R 2 749,60

N 36840 ZEISS Progressive Light 3D Short 1.5 Hard R 862,00

N 36841 ZEISS Progressive Light 3D Short 1.5 DV Silver R 1 334,40

N 36842 ZEISS Progressive Light 3D Short 1.5 DV Platinum R 1 536,90

N 36843 ZEISS Progressive Light 3D Short 1.5 DV BlueProtect R 1 536,90

N 36844 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Grey Hard R 1 674,00

N 36845 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Grey DV Silver R 2 146,40

N 36846 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Grey DV Platinum R 2 348,90

N 36847 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Grey DV BlueProtect R 2 348,90

N 36848 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Brown Hard R 1 674,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36849 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Brown DV Silver R 2 146,40

N 36850 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Brown DV Platinum R 2 348,90

N 36851 ZEISS Progressive Light 3D Short 1.5 PhotoFusion Brown DV BlueProtect R 2 348,90

N 36852 ZEISS Progressive Light 3D Short 1.6 Hard R 1 558,00

N 36853 ZEISS Progressive Light 3D Short 1.6 DV Silver R 2 030,40

N 36854 ZEISS Progressive Light 3D Short 1.6 DV Platinum R 2 232,90

N 36855 ZEISS Progressive Light 3D Short 1.6 DV BlueProtect R 2 232,90

N 36856 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Grey Hard R 2 433,20

N 36857 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Grey DV Silver R 2 905,60

N 36858 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Grey DV Platinum R 3 108,10

N 36859 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Grey DV BlueProtect R 3 108,10

N 36860 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Brown Hard R 2 433,20

N 36861 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Brown DV Silver R 2 905,60

N 36862 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Brown DV Platinum R 3 108,10

N 36863 ZEISS Progressive Light 3D Short 1.6 PhotoFusion Brown DV BlueProtect R 3 108,10

N 36864 ZEISS Progressive Light 3D Short 1.67 DV Silver R 2 230,80

N 36865 ZEISS Progressive Light 3D Short 1.67 DV Platinum R 2 433,20

N 36866 ZEISS Progressive Light 3D Short 1.67 DV BlueProtect R 2 433,20

N 36867 ZEISS Progressive Light 3D Short 1.67 PhotoFusion Grey DV Silver R 3 327,40

N 36868 ZEISS Progressive Light 3D Short 1.67 PhotoFusion Grey DV Platinum R 3 529,90

N 36869 ZEISS Progressive Light 3D Short 1.67 PhotoFusion Grey DV BlueProtect R 3 529,90

N 36870 ZEISS Progressive Light 3D Short 1.67 PhotoFusion Brown DV Silver R 3 327,40

N 36871 ZEISS Progressive Light 3D Short 1.67 PhotoFusion Brown DV Platinum R 3 529,90

N 36872 ZEISS Progressive Light 3D Short 1.67 PhotoFusion Brown DV BlueProtect R 3 529,90

N 36873 ZEISS Progressive Light 3D Medium 1.5 Hard R 862,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36874 ZEISS Progressive Light 3D Medium 1.5 DV Silver R 1 334,40

N 36875 ZEISS Progressive Light 3D Medium 1.5 DV Platinum R 1 536,90

N 36876 ZEISS Progressive Light 3D Medium 1.5 DV BlueProtect R 1 536,90

N 36877 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Grey Hard R 1 674,00

N 36878 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Grey DV Silver R 2 146,40

N 36879 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Grey DV Platinum R 2 348,90

N 36880 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Grey DV BlueProtect R 2 348,90

N 36881 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Brown Hard R 1 674,00

N 36882 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Brown DV Silver R 2 146,40

N 36883 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Brown DV Platinum R 2 348,90

N 36884 ZEISS Progressive Light 3D Medium 1.5 PhotoFusion Brown DV BlueProtect R 2 348,90

N 36885 ZEISS Progressive Light 3D Medium 1.6 Hard R 1 558,00

N 36886 ZEISS Progressive Light 3D Medium 1.6 DV Silver R 2 030,40

N 36887 ZEISS Progressive Light 3D Medium 1.6 DV Platinum R 2 232,90

N 36888 ZEISS Progressive Light 3D Medium 1.6 DV BlueProtect R 2 232,90

N 36889 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Grey Hard R 2 433,20

N 36890 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Grey DV Silver R 2 905,60

N 36891 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Grey DV Platinum R 3 108,10

N 36892 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Grey DV BlueProtect R 3 108,10

N 36893 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Brown Hard R 2 433,20

N 36894 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Brown DV Silver R 2 905,60

N 36895 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Brown DV Platinum R 3 108,10

N 36896 ZEISS Progressive Light 3D Medium 1.6 PhotoFusion Brown DV BlueProtect R 3 108,10

N 36897 ZEISS Progressive Light 3D Medium 1.67 DV Silver R 2 188,60

N 36898 ZEISS Progressive Light 3D Medium 1.67 DV Platinum R 2 391,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36899 ZEISS Progressive Light 3D Medium 1.67 DV BlueProtect R 2 391,00

N 36900 ZEISS Progressive Light 3D Medium 1.67 PhotoFusion Grey DV Silver R 3 327,40

N 36901 ZEISS Progressive Light 3D Medium 1.67 PhotoFusion Grey DV Platinum R 3 529,90

N 36902 ZEISS Progressive Light 3D Medium 1.67 PhotoFusion Grey DV BlueProtect R 3 529,90

N 36903 ZEISS Progressive Light 3D Medium 1.67 PhotoFusion Brown DV Silver R 3 327,40

N 36904 ZEISS Progressive Light 3D Medium 1.67 PhotoFusion Brown DV Platinum R 3 529,90

N 36905 ZEISS Progressive Light 3D Medium 1.67 PhotoFusion Brown DV BlueProtect R 3 529,90

N 36906 ZEISS Progressive Light 3D 1.5 Hard R 1 334,40

N 36907 ZEISS Progressive Light 3D 1.5 DV Silver R 1 334,40

N 36908 ZEISS Progressive Light 3D 1.5 DV Platinum R 1 536,90

N 36909 ZEISS Progressive Light 3D 1.5 DV BlueProtect R 1 536,90

N 36910 ZEISS Progressive Light 3D 1.5 PhotoFusion Grey Hard R 1 674,00

N 36911 ZEISS Progressive Light 3D 1.5 PhotoFusion Grey DV Silver R 2 146,40

N 36912 ZEISS Progressive Light 3D 1.5 PhotoFusion Grey DV Platinum R 2 348,90

N 36913 ZEISS Progressive Light 3D 1.5 PhotoFusion Grey DV BlueProtect R 2 348,90

N 36914 ZEISS Progressive Light 3D 1.5 PhotoFusion Brown Hard R 1 674,00

N 36915 ZEISS Progressive Light 3D 1.5 PhotoFusion Brown DV Silver R 2 146,40

N 36916 ZEISS Progressive Light 3D 1.5 PhotoFusion Brown DV Platinum R 2 348,90

N 36917 ZEISS Progressive Light 3D 1.5 PhotoFusion Brown DV BlueProtect R 2 348,90

N 36918 ZEISS Progressive Light 3D 1.6 Hard R 1 558,00

N 36919 ZEISS Progressive Light 3D 1.6 DV Silver R 2 030,40

N 36920 ZEISS Progressive Light 3D 1.6 DV Platinum R 2 232,90

N 36921 ZEISS Progressive Light 3D 1.6 DV BlueProtect R 2 232,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36922 ZEISS Progressive Light 3D 1.6 PhotoFusion Grey Hard R 2 433,20

N 36923 ZEISS Progressive Light 3D 1.6 PhotoFusion Grey DV Silver R 2 905,60

N 36924 ZEISS Progressive Light 3D 1.6 PhotoFusion Grey DV Platinum R 3 108,10

N 36925 ZEISS Progressive Light 3D 1.6 PhotoFusion Grey DV BlueProtect R 3 108,10

N 36926 ZEISS Progressive Light 3D 1.6 PhotoFusion Brown Hard R 2 433,20

N 36927 ZEISS Progressive Light 3D 1.6 PhotoFusion Brown DV Silver R 2 905,60

N 36928 ZEISS Progressive Light 3D 1.6 PhotoFusion Brown DV Platinum R 3 108,10

N 36929 ZEISS Progressive Light 3D 1.6 PhotoFusion Brown DV BlueProtect R 3 108,10

N 36930 ZEISS Progressive Light 3D 1.67 DV Silver R 2 188,60

N 36931 ZEISS Progressive Light 3D 1.67 DV Platinum R 2 391,00

N 36932 ZEISS Progressive Light 3D 1.67 DV BlueProtect R 2 391,00

N 36933 ZEISS Progressive Light 3D 1.67 PhotoFusion Grey DV Silver R 3 327,40

N 36934 ZEISS Progressive Light 3D 1.67 PhotoFusion Grey DV BlueProtect R 3 529,90

N 36935 ZEISS Progressive Light 3D 1.67 PhotoFusion Grey DV Platinum R 3 529,90

N 36936 ZEISS Progressive Light 3D 1.67 PhotoFusion Brown DV Silver R 3 327,40

N 36937 ZEISS Progressive Light 3D 1.67 PhotoFusion Brown DV Platinum R 3 529,90

N 36938 ZEISS Progressive Light 3D 1.67 PhotoFusion Brown DV BlueProtect R 3 529,90

N 36939 ZEISS Progressive Light D Short 1.5 Hard R 651,10

N 36940 ZEISS Progressive Light D Short 1.5 DV Silver R 1 123,50

N 36941 ZEISS Progressive Light D Short 1.5 DV Platinum R 1 326,00

N 36942 ZEISS Progressive Light D Short 1.5 DV BlueProtect R 1 326,00

N 36943 ZEISS Progressive Light D Short 1.5 PhotoFusion Grey Hard R 1 558,00

N 36944 ZEISS Progressive Light D Short 1.5 PhotoFusion Grey DV Silver R 2 030,40

N 36945 ZEISS Progressive Light D Short 1.5 PhotoFusion Grey DV Platinum R 2 232,90

N 36946 ZEISS Progressive Light D Short 1.5 PhotoFusion Grey DV BlueProtect R 2 232,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36947 ZEISS Progressive Light D Short 1.5 PhotoFusion Brown Hard R 1 558,00

N 36948 ZEISS Progressive Light D Short 1.5 PhotoFusion Brown DV Silver R 2 030,40

N 36949 ZEISS Progressive Light D Short 1.5 PhotoFusion Brown DV Platinum R 2 232,90

N 36950 ZEISS Progressive Light D Short 1.5 PhotoFusion Brown DV BlueProtect R 2 232,90

N 36951 ZEISS Progressive Light D Short 1.6 Hard R 1 347,10

N 36952 ZEISS Progressive Light D Short 1.6 DV Silver R 1 819,50

N 36953 ZEISS Progressive Light D Short 1.6 DV Platinum R 2 022,00

N 36954 ZEISS Progressive Light D Short 1.6 DV BlueProtect R 2 022,00

N 36955 ZEISS Progressive Light D Short 1.6 PhotoFusion Grey Hard R 2 222,30

N 36956 ZEISS Progressive Light D Short 1.6 PhotoFusion Grey DV Silver R 2 694,70

N 36957 ZEISS Progressive Light D Short 1.6 PhotoFusion Grey DV Platinum R 2 897,20

N 36958 ZEISS Progressive Light D Short 1.6 PhotoFusion Grey DV BlueProtect R 2 897,20

N 36959 ZEISS Progressive Light D Short 1.6 PhotoFusion Brown Hard R 2 222,30

N 36960 ZEISS Progressive Light D Short 1.6 PhotoFusion Brown DV Silver R 2 694,70

N 36961 ZEISS Progressive Light D Short 1.6 PhotoFusion Brown DV Platinum R 2 897,20

N 36962 ZEISS Progressive Light D Short 1.6 PhotoFusion Brown DV BlueProtect R 2 897,20

N 36963 ZEISS Progressive Light D Short 1.67 DV Silver R 1 977,70

N 36964 ZEISS Progressive Light D Short 1.67 DV Platinum R 2 180,10

N 36965 ZEISS Progressive Light D Short 1.67 DV BlueProtect R 2 180,10

N 36966 ZEISS Progressive Light D Short 1.67 PhotoFusion Grey DV Silver R 3 127,10

N 36967 ZEISS Progressive Light D Short 1.67 PhotoFusion Grey DV Platinum R 3 329,50

N 36968 ZEISS Progressive Light D Short 1.67 PhotoFusion Grey DV BlueProtect R 3 329,50

N 36969 ZEISS Progressive Light D Short 1.67 PhotoFusion Brown DV Silver R 3 127,10

N 36970 ZEISS Progressive Light D Short 1.67 PhotoFusion Brown DV BlueProtect R 3 329,50

N 36971 ZEISS Progressive Light D Short 1.67 PhotoFusion Brown DV Platinum R 3 329,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36972 ZEISS Progressive Light D 1.5 Hard R 651,10

N 36973 ZEISS Progressive Light D 1.5 DV Silver R 1 123,50

N 36974 ZEISS Progressive Light D 1.5 DV Platinum R 1 326,00

N 36975 ZEISS Progressive Light D 1.5 DV BlueProtect R 1 326,00

N 36976 ZEISS Progressive Light D 1.5 PhotoFusion Grey Hard R 1 558,00

N 36977 ZEISS Progressive Light D 1.5 PhotoFusion Grey DV Silver R 2 030,40

N 36978 ZEISS Progressive Light D 1.5 PhotoFusion Grey DV Platinum R 2 232,90

N 36979 ZEISS Progressive Light D 1.5 PhotoFusion Grey DV BlueProtect R 2 232,90

N 36980 ZEISS Progressive Light D 1.5 PhotoFusion Brown Hard R 1 558,00

N 36981 ZEISS Progressive Light D 1.5 PhotoFusion Brown DV Silver R 2 030,40

N 36982 ZEISS Progressive Light D 1.5 PhotoFusion Brown DV Platinum R 2 232,90

N 36983 ZEISS Progressive Light D 1.5 PhotoFusion Brown DV BlueProtect R 2 232,90

N 36984 ZEISS Progressive Light D 1.6 Hard R 1 347,10

N 36985 ZEISS Progressive Light D 1.6 DV Silver R 1 819,50

N 36986 ZEISS Progressive Light D 1.6 DV Platinum R 2 022,00

N 36987 ZEISS Progressive Light D 1.6 DV BlueProtect R 2 022,00

N 36988 ZEISS Progressive Light D 1.6 PhotoFusion Grey Hard R 2 222,30

N 36989 ZEISS Progressive Light D 1.6 PhotoFusion Grey DV Silver R 2 694,70

N 36990 ZEISS Progressive Light D 1.6 PhotoFusion Grey DV Platinum R 2 897,20

N 36991 ZEISS Progressive Light D 1.6 PhotoFusion Grey DV BlueProtect R 2 897,20

N 36992 ZEISS Progressive Light D 1.6 PhotoFusion Brown Hard R 2 222,30

N 36993 ZEISS Progressive Light D 1.6 PhotoFusion Brown DV Silver R 2 694,70

N 36994 ZEISS Progressive Light D 1.6 PhotoFusion Brown DV Platinum R 2 897,20

N 36995 ZEISS Progressive Light D 1.6 PhotoFusion Brown DV BlueProtect R 2 897,20

N 36996 ZEISS Progressive Light D 1.67 DV Silver R 1 977,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 36997 ZEISS Progressive Light D 1.67 DV Platinum R 2 180,10

N 36998 ZEISS Progressive Light D 1.67 DV BlueProtect R 2 180,10

N 36999 ZEISS Progressive Light D 1.67 PhotoFusion Grey DV Silver R 3 127,10

N 39500 TINT ON HRI (50%<) R 404,80

N 39501 EXCLUSIVE ARC R 404,80

N 39502 EXCLUSIVE PREMIUM ARC R 404,80

N 39503 EXCLUSIVE HARD COAT R 404,80

N 39504 WRAP FIT R 404,80

N 39505 SEIKO RoadClearCoat (RCC) R 404,80

N 39506 Torga UV R 335,00

N 39507 Torga Blue Block Tint (FL41/Diamond540/Duochrome600) R 335,00

N 39508 Lenssavers Blue Coat R 404,80

N 39509 MIRROR TINTS R 404,80

N 39510 PHYSIOTINTS R 350,00

N 39511 Focus Clean’N’CleAR Refl ection Free Coating R 404,80

N 39512 NIKON Supra R 250,00

N 39513 NIKON ECC R 404,80

N 39514 TRANSITIONS7 R 404,80

N 39515 NIKON SEECOAT PLUS UV R 404,80

N 39516 NIKON SEECOAT BLUE UV R 404,80

N 39517 NIKON XPERIO POLARIZED R 404,80

N 39518 MILL FIT R 404,80

N 39519 Prism R 197,70

N 39520 Prism fresnel R 404,80

N 39521 Prism for centration R 193,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 39522 Special surfacing R 227,30

N 39523 Frosting R 127,80

N 39524 Special base curve R 239,00

N 39525 Flat lens peepsight -

N 39526 Franklin bifocal R 404,80

N 39527 Fixed tints under 35% R 125,00

N 39528 Fixed tints over 35% R 125,00

N 39529 Gradient tints under 35% av R 150,00

N 39530 Gradient tints over 35% av R 150,00

N 39531 Uv-400nm treatment R 186,30

N 39532 Removal of tint R 128,60

N 39533 Removal of coating R 215,00

N 39534 Minimum Edge Thickness (METS) R 153,60

N 39535 Sensity Emerald Green R 404,80

N 39536 BlueControll R 404,80

N 39537 Mirror Coat R 404,80

N 39538 eLab Back Surface HC R 185,80

N 39539 Customised Digital Surfacing S/V R 404,80

N 39540 CRIZAL FORTE UV R 404,80

N 39541 Back surface HC R 340,70

N 39542 Hard coat R 404,80

N 39543 ARC R 404,80

N 39544 ARC Premium R 404,80

N 39545 Full tint R 374,10

N 39546 Gradient tint R 404,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 39547 Futuro Hard Coat R 168,90

N 39548 Futuro UV400 R 147,30

N 39549 Futuro Extra Large Blanks S/Vision R 171,10

N 39550 Futuro Extra Large Blanks M/Focal R 344,40

N 39551 BBGR Nightdrive Boost R 404,80

N 39552 PhotoA -

N 39553 PhotoT -

N 39554 ARC -

N 39555 ARC Premium -

N 39556 GKB Hi-Tech Blue Protec Multi Coating R 404,80

N 39557 Brown 12% R 160,30

N 39558 Brown 25% R 160,30

N 39559 Wrap Fitting Milling R 404,80

N 39560 Lenssavers tint under 35% R 266,40

N 39561 Lenssavers tint over 35% R 266,40

N 39562 Lenssavers UV400 R 294,60

N 39563 Lenssavers Prism R 259,90

N 39564 Lenssavers Supra R 298,90

N 39565 Brown 60% R 160,30

N 39566 Brown 75% R 160,30

N 39567 Brown 85% R 160,30

N 39568 Brown 95% R 160,30

N 39569 Grey 12% R 160,30

N 39570 Grey 25% R 160,30

N 39571 Grey 60% R 160,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 39572 Grey 75% R 160,30

N 39573 Grey 85% R 160,30

N 39574 Grey 95% R 160,30

N 39575 Pioneer 12% R 160,30

N 39576 Pioneer 25% R 160,30

N 39577 Pioneer 60% R 160,30

N 39578 Pioneer 75% R 160,30

N 39579 Pioneer 85% R 160,30

N 39580 Pioneer 95% R 160,30

N 39581 Blue 12% R 160,30

N 39582 Blue 25% R 160,30

N 39583 Rosé 10% R 160,30

N 39584 Black 12% R 160,30

N 39585 Black 25% R 160,30

N 39586 Black 60% R 160,30

N 39587 Black 75% R 160,30

N 39588 Black 85% R 160,30

N 39589 Black 95% R 160,30

N 39590 Brown 25/0% R 179,80

N 39591 Brown 75/25% R 179,80

N 39592 Brown 90/40% R 179,80

N 39593 Grey 25/0% R 179,80

N 39594 Grey 75/25% R 179,80

N 39595 Grey 90/40% R 179,80

N 39596 Pioneer 25/0% R 179,80

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 39597 Pioneer 75/25% R 179,80

N 39598 Pioneer 90/40% R 179,80

N 39599 Blue 25/0% R 179,80

N 39600 Greyish-blue 40/0% R 179,80

N 39601 Black 25/0% R 179,80

N 39602 Black 75/25% R 179,80

N 39603 Black 90/40% R 179,80

N 39604 Brown 12% R 160,30

N 39605 Brown 25% R 160,30

N 39606 Brown 60% R 160,30

N 39607 Brown 75% R 160,30

N 39608 Brown 85% R 160,30

N 39609 Brown 95% R 160,30

N 39610 Grey 12% R 160,30

N 39611 Grey 25% R 160,30

N 39612 Grey 60% R 160,30

N 39613 Grey 75% R 160,30

N 39614 Grey 85% R 160,30

N 39615 Grey 95% R 160,30

N 39616 Pioneer 12% R 160,30

N 39617 Pioneer 25% R 160,30

N 39618 Pioneer 60% R 160,30

N 39619 Pioneer 75% R 160,30

N 39620 Pioneer 85% R 160,30

N 39621 Pioneer 95% R 160,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 39622 Blue 12% R 160,30

N 39623 Blue 25% R 160,30

N 39624 Rosé 10% R 160,30

N 39625 Black 12% R 160,30

N 39626 Black 25% R 160,30

N 39627 Black 60% R 160,30

N 39628 Black 75% R 160,30

N 39629 Black 85% R 160,30

N 39630 Black 95% R 160,30

N 39631 Brown 25/0% R 179,80

N 39632 Brown 75/25% R 179,80

N 39633 Brown 90/40% R 179,80

N 39634 Grey 25/0% R 179,80

N 39635 Grey 75/25% R 179,80

N 39636 Grey 90/40% R 179,80

N 39637 Blue 25/0% R 179,80

N 39638 Greyish-blue 40/0% R 179,80

N 39639 Black 25/0% R 179,80

N 39640 Black 75/25% R 179,80

N 39641 Black 90/40% R 179,80

N 39642 Pistachio 25/10% R 179,80

N 39643 Cinnamon 25/10% R 179,80

N 39644 Stone 25/10% R 179,80

N 39645 Jeans 25/10% R 179,80

N 39646 Pro Golf Gradient 75/25% R 179,80

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 39647 Skylet Fun 70% R 404,80

N 39648 Skylet Road 80% R 404,80

N 39649 Skylet Sport 90% R 404,80

N 39650 Pro Golf 40% R 404,80

N 39651 Happy Yellow 35% R 324,90

N 39652 Magma Orange 50% R 324,90

N 39653 Spicy Red 60% R 324,90

N 39654 Sunset Violet 75% R 324,90

N 39655 Sweet Violet 50% R 324,90

N 39656 Space Blue 50% R 324,90

N 39657 Chillout Green 35% R 324,90

N 39658 Pretty Pink 35% R 324,90

N 39659 F 60 (Red Brown) R 404,80

N 39660 F 80 (Brown) R 404,80

N 39661 F 90 (Dark Brown) R 404,80

N 39662 F 451 (Blue) R 404,80

N 39663 F 452 (Dark Blue) R 404,80

N 39664 Z 1 (Dark Blue) R 404,80

N 39665 F 540 (Bright Orange) R 404,80

N 39666 F 560 (Orange) R 404,80

N 39667 F 580 (Red Orange) R 404,80

N 39668 Large Blanks Single Vision Surfaced R 136,10

N 39669 Large Blanks Bifocal/Varifocal R 194,40

T 39732 Jet Star Full Tint R 134,30

T 39735 Jet Star Gradient Tint R 151,60

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 39737 Jet Star Blue Blocker Tint R 277,20

T 39738 Jet Star Match Tint R 134,30

T 39739 Jet Star Hard Coat R 162,50

T 39740 Jet Star Hard SuperClean Coat (HSC) R 465,70

T 39741 Jet Star Platinum Coat R 595,70

T 39742 Jet Star Mirage (Mirror Coat) R 574,00

39743 VUE HARD Coating R 53,10

X 39744 Hard Coating N/A

X 39745 Hard Multi Coating N/A

X 39747 Anti-Refl ex Coating N/A

39748 i-Relief R 620,90

X 39749 Lenssavers Crizal N/A

T 39750 Lenssavers Crizal Easy R 745,10

39751 Fashion Mirror Coating R 630,80

T 39752 Zeiss Duravision Blue Protect R 888,10

T 39753 Kodak Clear ARC R 600,00

T 39754 Kodak Clean & Clear R 900,70

T 39755 Shamir Glacier Blue Shield™ R 1 246,10

T 39756 Shamir Glacier Sun R 1 194,90

39757 Nanko Wrap Milling R 534,60

T 39758 EasyCLEAR R 595,70

39759 EasyCLEAR Plus R 719,40

T 39760 OS Full Tint 1.5 R 152,00

T 39761 OS Gradient Tint 1.5 R 179,50

T 39762 HMC+ R 582,70

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 39763 Nanko special design N/A

T 39766 Special fi re lens designs R 186,30

T 39767 OCC – OPTICAL Clear Coat – (ARC) R 372,60

39768 EasyCLEAR Blue R 719,40

T 39769 AOCC – Advanced Optical Clear Coat – (UV – ARC) R 512,30

39770 eLab ARC Premium Plus BC R 1 499,60

T 39771 AOCC Blue – Advanced of Optical clear ARC – BLUE R 558,80

39772 eLab ARC Premium Plus UV Control R 1 499,60

39773 Mirror coating R 706,10

39774 eLab Mirror Silver/Gold/Blue R 919,70

T 39775 GKB Hi Tech Full Tint 1.5 R 151,60

39776 GKB Hi Tech Full Tint 1.6 & 1.67 R 303,20

T 39777 GKB HI – TECH – Hard Multi Coat R 389,90

T 39778 Shamir Mirror Power-Gold/Blue/Silver/Orange/Red/Green R 979,30

T 39779 GKB HI – TECH – Hard Multi Super Hydrophobic Coating R 606,50

T 39780 Kodak BluProtect R 1 153,20

X 39781 Shamir Glacier Achromatic™ N/A

T 39782 Signet HMC R 510,90

T 39783 Signe EzyClean R 729,90

T 39784 RO HSC Digital R 608,60

39785 KF Blue Tec R 663,00

X 39786 Kodak UV-Blue add to 1.56/1.6 N/A

T 39792 Spherical – HMC R 620,90

39845 Back surface hardcoat (spincoating) R 151,70

40501 Spectacle frame -

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

40525 Ready-made optical appliances/readers -

40609 Sunglasses -

41008 Spectacle case -

43025 Transfer – zyl or metal frame R 89,70

43126 Transfer – nylon supra frame R 222,50

43136 Transfer – rimless frame R 222,50

43225 Re-edge – zyl or metal frame R 159,40

43326 Re-edge – nylon supra frame R 159,40

43409 Realignment of frame R 96,30

43427 Re-edge – rimless frame R 159,40

43529 Converting zyl frame to half eye/nylon supra R 159,40

T 46016 Fitting nylon R 228,00

T 46026 Fitting rimless R 274,00

46028 Alter rimless shape or size R 138,40

46039 Facetting R 277,80

46500 Wrap bevel fi tting for 8-base front curve R 172,60

T 46510 Rx compensation for 8-base front curve R 153,00

49019 Frame repairs or sundry items – to be specifi ed -

T 49029 Labour charge (per 15 minutes or part) R 0,00

49101 Medical aid benefi t -

49201 Discount -

49409 Parcelling – packaging – delivery -

49999 Materials not listed (must be specifi ed) -

53015 Prosthetic consultation R 633,30

53115 Impression for all ocular prosthetics R 2 556,50

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

53215 Iris colour R 1 056,70

53315 Model fi tting R 5 852,30

53415 Prosthesis manufacture and moulding R 6 761,60

53515 Follow-up (within 6 months) R 349,80

53615 Consultation away from practice

53715 Glass eye, complete with consultation and fi tting R 4 745,40

53815 Drill ball and socket (pegging to coral)

53915 Trimming and re-shaping R 517,40

54015 Build-up R 1 528,70

54115 Veining R 715,80

54215 Polishing R 317,40

54315 Materials for custom eye R 1 994,10

54415 Stock eye R 721,70

54515 Prosthetic haptic lens R 3 027,40

54615 Motility/coupling peg

54715 Conforma supply & fi t

54815 Conforma supply only

54915 Surcharge – children under 5 years of age

55015 Assist in theatre – per 30 minutes

56000 Complete eye R 20 588,70

X 57062 Prosthetic soft contact lens N/A

58001 Iris conformer

61013 Lva – single element

61114 Lva – multiple elements fi xed focus

61215 Lva – multiple elements variable focus

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

61318 LVA – electronic

61320 Software aided vision therapy programme

69999 Materials not listed (must be specifi ed)

70011 Single vision Standard R 177,10

N 70012 Unbranded glass single vision Standard multicoat R 344,60

N 70013 Unbranded glass single vision Surfaced -

N 70014 Unbranded glass single vision Surfaced multicoat R 344,60

N 70015 Unbranded glass single vision Standard PGX R 148,30

N 70016 Unbranded glass single vision Surfaced PGX R 344,60

N 70017 Uvex s en166 approved white glass single vission Surfaced heat harden -

N 70018 Uvex s en166 approved pgx glass single vission Surfaced heat harden -

N 70019 Torga 1.523 Clear stock R 100,00

N 70020 Torga 1.523 Clear Surfaced R 344,60

70021 Single vision Surfaced R 470,40

70022 Ultimax white 1.5 65Mm Standard

70023 Ultimax white 1.5 65Mm Surfaced

T 70024 Ultimax white 1.5 70Mm Surfaced R 144,70

70025 Ultimax hi index 1.7 White Surfaced

70026 Ultimax pgx 1.5 65Mm Standard R 110,70

T 70027 Ultimax pgx 1.5 65Mm Surfaced R 63,70

70028 Ultimax pgx 1.5 70Mm Surfaced R 249,10

70029 Ultimax hi index 1.6 Pgx Surfaced

N 70030 Unbranded glass single vision 1.6 Surfaced R 344,60

N 70031 Unbranded glass single vision 1.7 Surfaced R 344,60

N 70032 Sv 1.52 White uc stock R 114,90

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 70033 SV 1.52 White MC Stock R 344,60

N 70034 SV 1.52 PGX UC Stock R 217,60

70035 Essilor 1.6 Superdiafel Surfaced R 1 334,70

T 70038 Essilor 1.6 Photochromic lens Surfaced R 1 350,20

T 70039 Essilor 1.8 Achromatic Surfaced R 2 793,00

N 70043 SV 1.52 PGX MC Stock R 344,60

T 70047 Focus Glass White Surfaced 70mm R 570,00

T 70049 Focus Glass PGX Standard R 364,40

T 70050 Focus PGX Surfaced 65mm R 503,30

T 70051 Focus PGX Surfaced 70mm R 1 036,80

T 70053 Focus Hilite 1.7 Surfaced R 1 903,80

70054 Focus Hilite 1.8 Surfaced R 3 854,70

N 70055 SV 1.52 White UC Surfaced -

N 70056 SV 1.52 PGX UC Surfaced R 181,40

N 70057 1.523 Polarized Glass R 344,60

N 70058 ZEISS Single Vision SPH Min 1.8 R 344,60

N 70059 ZEISS Single Vision SPH Min 1.8 Super ET R 344,60

T 70060 Hoya 1.50 PGX/PBX Stock R 159,90

T 70061 Hoya 1.50 PGX/PBX Surfaced R 138,70

T 70062 Hoya LHI2 1.6 PGX R 1 814,80

N 70063 ZEISS Single Vision SPH Min 1.9 R 344,60

N 70065 ZEISS Single Vision SPH Min 1.9 Super ET R 344,60

X 70090 Quality Polarized N/A

T 70095 Essilor Stock Glass 1.5 PGX/PBX R 173,70

T 70096 Essilor Rx Glass 1.5 Photochromic R 460,20

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 70126 synchrony Finished SV SPH Min 1.5 Photo Grey UNC R 148,80

T 70128 synchrony Single Vision SPH Min 1.5 Photo Grey UNC R 705,60

T 70134 synchrony Single Vision SPH Min 1.8 UNC R 2 468,40

70402 VISION 1.52 Clear R 49,90

70404 VISION 1.52 PGX R 207,00

70406 VISION 1.52 Clear Rx

70408 VISION 1.52 PGX Rx R 483,70

70410 VISION 1.52 Clear Rx

70412 VISION 1.52 Rx R 604,30

70418 VISION 1.60 PGX Rx R 968,40

70420 VISION 1.70 Rx R 665,20

70422 VISION 1.80 Rx R 2 815,40

70712 Bifocal – Standard R 525,70

T 71009 Hoya THI-9 (1.90) MC R 5 309,40

T 71350 Hoya 1.50 UV Crown Stock R 35,40

71351 Hoya 1.50 UV Crown Stock MC R 572,20

71352 Hoya 1.50 UV Crown Surfaced

T 71353 Hoya 1.50 UV Crown Surfaced MC R 685,60

T 71354 Hoya G15 Pre-tinted UV Crown Surfaced R 754,50

T 71355 Hoya G15 Pre-tinted UV Crown Surfaced MC R 1 441,40

T 71356 Hoya 1.50 PGX/PBX Stock MC R 588,90

T 71357 Hoya 1.50 PGX/PBX Surfaced MC R 827,80

T 71358 Hoya LHI-2 1.6 PGX MC R 2 501,80

T 71359 Hoya LHI-70 1.7 Surfaced R 1 356,90

T 71360 Hoya LHI-70 1.7 Surfaced MC R 2 043,80

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 71361 Hoya THI-2 (1.80) R 3 062,00

T 71362 Hoya THI-2 (1.80) MC R 3 751,10

T 71363 Hoya THI-9 (1.90) R 4 620,30

71365 S/V 1.52 Glass White Standard R 66,40

71366 S/V 1.52 Glass White Rx 65mm R 216,90

71367 S/V 1.52 Glass PGX Standard R 210,30

71368 S/V 1.52 Glass PGX Rx 65mm R 572,20

T 71372 S/V 1.52 Glass White Rx 70mm R 329,90

T 71374 S/V 1.52 Glass PGX Rx 70mm R 718,90

T 71375 ZEISS Single Vision SPH Min 1.7 R 839,00

T 71376 Torga 1.6 Surfaced Clear R 570,00

71377 eLab 1.50 White UV UC Stock R 55,30

71378 eLab 1.50 White UV MC Stock R 574,40

T 71379 eLab 1.50 White UV UC Surfaced R 93,40

T 71380 S/V 1.7 Glass White Rx R 1 305,80

T 71382 S/V 1.8 Glass White Rx R 2 646,20

T 71383 Torga 1.523 Stock PGX/PBX R 200,00

T 71384 Torga 1.523 Stock PGX/PBX HMC R 270,00

T 71385 Torga 1.523 Surfaced PGX/PBX R 810,00

T 71386 Torga 1.6 Surfaced PGX/PBX R 1 280,00

T 71387 Torga 1.7 Hi-lite Surfaced R 910,00

71388 Torga 1.8 Hi-lite Surfaced R 2 202,30

71389 Torga 1.9 Hi-lite Surfaced R 3 353,30

T 71390 synchrony Single Vision SPH Min 1.5 UNC R 323,20

T 71395 Quality Finished SV White R 55,40

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 71396 Quality Finished SV PGX R 173,20

T 71397 Quality Surfaced SV White R 9,80

T 71398 Quality Surfaced SV PGX R 216,50

T 71399 Quality Surfaced SV White 1.7 R 894,50

T 71400 Quality Surfaced SV White 1.8 R 2 010,50

X 71401 Quality Surfaced SV PGX 1.6 N/A

71418 OTL SV Clear

71419 OTL SV PGX R 100,80

71420 OTL Eco-Sunzone PGX

71421 OTL SV 1.67 Clear R 252,30

71422 OTL SV Surfaced

T 71430 Wht 65 Glass Stock R 8,70

T 71432 Wht 65 Glass Surfaced R 0,00

71433 1.70 Clear HMC stock R 221,30

T 71434 PGX 65 Glass Stock R 133,20

T 71436 PGX 65 Glass Surfaced R 98,70

T 71439 OS White Glass Stock R 0,00

T 71440 OS PGX Glass Stock R 88,50

T 71441 OS Surfaced White Glass R 114,90

T 71442 OS Surfaced PGX Glass R 369,10

T 71443 OS Surfaced White Glass Hilite 1.7 R 1 287,60

T 71444 OS Surfaced White Glass Hilite 1.8 R 2 487,30

T 71445 OS Surfaced PGX Glass Hilite 1.6 R 1 724,70

T 71446 OS Surfaced G15/B15 Solid Tint R 821,00

T 71450 synchrony Single Vision SPH Min 1.5 Super AR R 921,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 71451 synchrony Single Vision SPH Min 1.5 Photo Grey Super AR R 1 303,60

T 71452 synchrony Single Vision SPH Min 1.8 Super AR R 3 066,40

T 71453 ZEISS Single Vision SPH Min 1.7 Super ET R 1 174,60

71454 eLab 1.50 PGX/PBX UC Stock R 200,40

71455 eLab 1.50 PGX/PBX MC Stock R 691,70

T 71456 eLab 1.50 PGX/PBX Surfaced R 309,20

T 71500 Focus Glass Plano G15 R 177,70

N 72001 Unbranded F/T Glass Bifocal 28seg R 118,20

N 72002 Unbranded F/T PGX Glass Bifocal 28seg R 383,50

N 72003 Unbranded F/T Glass Bifocal 35seg R 778,00

N 72004 Unbranded F/T PGX Glass Bifocal 35seg R 778,00

N 72005 Flat-top 28 1.52 White UC R 116,90

N 72006 UVEX S White Glass Bifocal Incl Heat Harden R 137,80

N 72007 Uvex S PGX Glass Bifocal Heat Harden 65MM R 778,00

N 72008 Flat-top 28 1.52 PGX UC R 460,20

N 72009 eLab Flat-top 28 Seg White UV UC R 778,00

N 72010 eLab Flat-top 28 Seg PGX UC R 778,00

T 72019 Ultimax Flat-top 28 Seg White R 223,60

X 72020 Bifocal – Solid 38mm Seg N/A

72021 Ultimax Flat-top 35 Seg White

T 72022 Ultimax Flat-top 28 Seg PGX R 478,80

72023 Ultimax Flat-top 28 Seg PGX

72024 Ultimax Flat-top 35 Seg PGX

72025 Ultimax Flat-top 28 Seg White

X 72040 Bifocal – Executive 60mm N/A

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 72060 Trifocal – Flat-top 68x28 Seg N/A

T 72061 Focus PGX FT6528 Standard R 717,70

T 72089 synchrony Bifocal FT28 Min 1.5 Photo Grey Min UNC R 684,00

T 72100 synchrony Bifocal FT28 Min 1.5 UNC R 300,20

T 72101 Quality FT 28 White R 323,40

T 72103 Quality FT 28 PGX R 694,50

T 72104 Quality FT 35 White R 1 812,30

T 72105 Quality FT 35 PGX R 2 042,20

T 72106 Quality Trifocal 28 White R 1 879,80

T 72107 Quality Trifocal 28 PGX R 2 723,40

T 72111 Flat-top 28 Seg PGX/PBX R 787,30

T 72112 Flat-top 35 Seg White R 1 354,70

T 72113 Flat-top 35 Seg PGX R 1 782,80

T 72116 OS White Glass Flatop 65/28 R 300,90

72117 OTL Flat-top Clear

72118 OTL Flat-top PGX R 168,20

T 72119 OS White Glass Flatop 70/28 R 596,90

T 72130 OS PGX Flatop 65/28 R 542,00

T 72131 OS PGX Flatop 70/28 R 852,10

T 72132 OS White Glass Flatop 65/35 R 1 265,50

T 72133 OS PGX Flatop 65/35 R 1 533,40

T 72134 synchrony Bifocal FT28 Min 1.5 Photo Grey Super AR R 1 251,30

T 72135 synchrony Bifocal FT28 Min 1.5 Super AR R 867,50

T 72136 eLab Flat-top 28 Seg White UV UC R 290,10

T 72137 eLab Flat-top 28 Seg PGX/PBX UC R 586,30

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Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 72138 eLab Flat-top 35 Seg White UC N/A

X 72139 eLab Flat-top 35 Seg PGX UC N/A

T 72140 Flat-top 28 Seg PGX/PBX R 423,10

T 72141 Flat-top 35 Seg White R 1 128,40

T 72142 Flat-top 35 Seg PGX R 1 453,10

T 72161 WHT Glass FT Bifocal 6528 R 123,00

T 72163 PGX Glass FT Bifocal 6528 R 527,90

T 72180 Flat-top 28 Seg White UV Crown R 247,40

T 72181 Flat-top 28 Seg White UV Crown MC R 1 097,40

T 72182 Flat-top 28 Seg PGX/PBX MC R 1 595,10

T 72184 Fused Bifocal White R 852,70

T 72185 Flat-top 28 Seg White UV Crown Trifocal R 1 236,60

T 72186 Flat-top 35 Seg White UV Crown Trifocal R 1 236,60

72188 Bifocal FT28 1.52 Clear R 626,40

72190 Bifocal FT28 1.52 PGX R 1 177,50

72198 VISION 1.52 Flat-top Clear 65/28seg R 292,20

72199 VISION 1.52 Flat-top PGX 65/28seg R 397,40

72200 VISION 1.52 Flat-top Clear 70/28seg R 728,20

72201 VISION 1.52 Flat-top PGX 70/28seg R 937,40

72202 VISION 1.52 Flat-top Clear 65/35seg R 2 370,60

72203 VISION 1.52 Flat-top PGX 65/35 R 3 306,80

72204 VISION 1.52 Flat-top Clear 70/35seg R 2 683,80

72205 VISION 1.52 Flat-top PGX 70/35seg R 3 724,10

72206 PGX Glass Budget Flat-top 65/28 R 29,90

T 72212 Torga Flat-top 28 Seg Clear R 100,00

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 72214 Torga Flat-top 28 Seg PGX/PBX R 775,00

T 72216 Torga Flat-top 35 Seg clear R 1 110,00

T 72218 Torga Flat-top 35 Seg PGX R 1 585,00

T 72220 Torga Flat-top 28 Seg Trifocal PGX R 2 025,00

T 72221 Flat-top 35 Seg White MC R 2 006,30

T 72222 Flat-top 35 Seg PGX MC R 2 432,40

T 72223 Fused Bifocal White MC R 1 508,60

T 72224 Flat-top 28 Seg White UV Crown Trifocal MC R 1 888,20

T 72225 Flat-top 28 Seg PGX UV Crown Trifocal R 1 658,40

T 72226 Flat-top 28 Seg PGX UV Crown Trifocal MC R 2 314,30

T 72227 Flat-top 35 Seg White UV Crown Trifocal MC R 1 888,20

T 72228 Flat-top 35 Seg PGX UV Crown Trifocal R 4 786,00

T 72229 Flat-top 35 Seg PGX UV Crown Trifocal MC R 5 395,50

N 74000 Unbranded Glass Multifocal Clear 1.52 R 332,30

N 74001 Shamir Spring Regular (1.523) R 1 162,00

N 74002 Shamir Spring Regular (1.6) R 1 162,00

74005 Ultimax White Multifocal 1.523

74006 Ultimax PGX Multifocal 1.523 R 447,10

N 74007 Shamir Spring Regular PGX (1.6) R 1 162,00

N 74008 Shamir Piccolo (1.7) R 1 162,00

N 74009 UVEX S White Glass Heat Harden Multifocal R 285,30

N 74010 UVEX S PGX Glass Heat Harden 70mm Multifocal R 535,50

T 74011 Hoyalux GP WIDE (1.523) R 266,90

T 74012 Hoyalux GP Wide LHI-2 (1.6) SGX R 2 129,70

N 74013 Unbranded Glass Multifocal PGX 1.52 R 521,20

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

N 74016 Unbranded Glass Multifocal Clear 1.6 R 910,80

N 74018 Unbranded Glass Multifocal PGX 1.6 R 1 162,00

N 74019 MF 1.52 White UC R 132,90

N 74020 MF 1.52 PGX UC R 750,00

N 74021 ZEISS Progressive Superb Min 1.6 UNC R 1 162,00

N 74022 ZEISS Progressive Superb Min 1.6 Super ET R 1 162,00

N 74023 ZEISS Progressive Superb Min 1.8 UNC R 1 162,00

N 74025 ZEISS Progressive Individual Min 1.6 Super ET R 1 162,00

T 74028 Shamir Piccolo (1.523) R 1 775,00

T 74029 Shamir Piccolo Thin & Dark (1.523) R 2 860,20

T 74030 Shamir Genesis (1.6) R 2 142,00

T 74031 Shamir Genesis PGX (1.6) R 2 459,00

T 74032 Shamir Genesis (1.7) R 4 327,10

N 74033 ZEISS Progressive Individual Min 1.8 Super ET R 1 162,00

N 74034 ZEISS Progressive Superb Min 1.8 Super ET R 1 162,00

T 74037 Shamir Spring Regular PSSG (1.523) R 1 424,40

T 74039 Varilux Comfort (1.6) R 1 769,70

74040 Varilux Comfort Photochromic (1.6) R 2 104,90

T 74043 Varilux Liberty (1.6) R 928,60

T 74044 Varilux Comfort Achromatic (1.8) R 3 587,60

T 74046 Varilux Liberty (1.6) Photochromic R 1 436,10

T 74070 Shamir Piccolo PSSG (1.523) R 2 283,40

T 74071 Adaptar PGX R 783,30

T 74077 Adaptar R 330,60

X 74090 Easy Vision PAL Photochromic (1.523) N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 74091 Vision-Ease Outlook Photochromic (1.6) N/A

T 74101 Hoyalux GP Wide LHI-2 (1.6) SGX MC R 2 766,50

T 74121 Hoyalux Summit Pro LHI-2 (1.6) R 1 666,20

T 74122 Hoyalux GP Wide LHI (1.7) R 1 705,20

T 74126 Hoyalux Summit Pro LHI (1.7) R 2 491,40

T 74135 Hoyalux Summit Pro LHI-2 (1.6) SGX/SBX R 2 296,50

T 74136 Hoyalux GP WIDE (1.523) MC R 901,60

T 74137 Hoyalux GP WIDE (1.523) SGX R 962,20

T 74138 Hoyalux GP WIDE (1.523) SGX MC R 1 601,20

T 74139 Hoyalux GP Wide LHI2 (1.6) R 1 534,00

T 74140 Hoyalux GP Wide LHI2 (1.6) MC R 2 170,80

T 74142 Hoyalux GP Wide LHI (1.7) MC R 2 339,80

T 74143 Hoyalux Summit Pro (1.523) R 1 410,60

T 74144 Hoyalux Summit Pro (1.523) MC R 2 082,00

T 74145 Hoyalux Summit Pro (1.523) SBX/SGX R 1 798,30

T 74146 Hoyalux Summit Pro (1.523) SBX/SGX MC R 2 469,80

T 74147 Hoyalux Summit CD LHI-2 (1.6) MC R 2 339,80

T 74148 Hoyalux Summit CD LHI-2 (1.6) PBX/PGX MC R 2 965,80

T 74149 Hoyalux Summit CD THI-2 (1.8) MC R 3 162,90

T 74150 Hoyalux Summit Pro LHI-2 (1.6) MC R 2 339,80

T 74163 Hoyalux Summit Pro LHI-2 (1.6) SGX/SBX MC R 2 965,80

T 74164 Hoyalux Summit Pro LHI (1.7) MC R 2 716,70

T 74168 Hoyalux Summit CD LHI-2 (1.6) R 1 666,20

T 74170 Hoyalux Summit CD LHI-2 (1.6) PGX/PBX R 2 296,50

T 74178 ZEISS Progressive GT2 Min 1.6 UNC R 1 575,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 74180 ZEISS Progressive GT2 Min 1.6 Super ET R 1 902,30

T 74182 ZEISS Progressive GT2 Min 1.6 Umbramatic Grey UNC R 2 173,00

T 74184 ZEISS Progressive GT2 Min 1.6 Umbramatic Grey Super ET R 2 500,10

T 74186 ZEISS Progressive GT2 Min 1.8 Super ET R 4 421,30

T 74210 Pro Aspherica Clear F.H. 22mm R 100,00

T 74212 Pro Aspherica PGX F.H. 22mm R 605,00

T 74214 Piccolo Clear F.H. 17mm R 405,00

T 74216 Piccolo PGX F.H. 17mm R 1 315,00

T 74218 Genesis Clear 1.6 F.H 21mm R 1 315,00

T 74223 Genesis Clear 1.6 PGX F.H 21mm R 1 650,00

74230 VISION PRO 1.52 Clear R 674,00

74232 VISION PRO 1.52 PGX R 1 037,00

T 74238 Hoyalux Amplitude Long 15mm (1.523) R 321,10

T 74239 Hoyalux Amplitude Long 15mm (1.523) MC R 994,70

T 74240 Hoyalux Amplitude Long 15mm (1.523) SGX/SBX R 1 064,00

T 74242 Hoyalux Amplitude Mini 11mm (1.523) R 321,10

T 74243 Hoyalux Amplitude Mini 11mm (1.523) MC R 994,70

T 74244 Hoyalux Amplitude Mini 11mm (1.523) SGX/SBX R 1 064,00

T 74246 Hoyalux Amplitude Mini 11mm (1.523) SGX/SBX MC R 1 735,50

75012 Varifocal Distance to Near R 946,30

T 75241 Hoyalux Amplitude Long 15mm (1.523) SGX/SBX MC R 1 735,50

T 75260 Shamir Offi ce (1.523) R 805,40

T 75264 Shamir Panorama (1.523) R 1 230,80

T 75266 Shamir Panorama PSSG (1.523) R 1 793,10

T 75350 Rodenstock Progressiv SI® 1.6 R 453,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 75352 Rodenstock Progressiv SI® 1.6 Colormatic R 1 174,50

T 75354 Rodenstock Progressiv PureLife® 1.6 R 719,60

T 75356 Rodenstock Progressiv PureLife® 1.6 Colomatic R 1 458,20

T 75358 Rodenstock Progressiv Pure Life® 1.8 R 5 495,70

T 75360 Rodenstock Multigressive MyView® 1.6 R 3 734,70

T 75362 Rodenstock Multigressive MyView® 1.6 Colormatic R 4 321,70

T 75364 Rodenstock Impression® 1.6 R 4 029,30

T 75366 Rodenstock Impression® 1.6 Colormatic R 4 763,50

T 75367 RO Progressive WHT Glass R 292,90

T 75368 RO Progressive PGX Glass R 788,90

T 75370 Pro Aspherica Short Clear F.H. 17mm R 100,00

T 75371 Pro Aspherica Short PGX F.H.17mm R 605,00

T 75380 OS PGX Glass Piccolo R 1 742,40

T 75381 OS White Glass Genesis R 3 531,20

T 75382 Shamir Genesis (1.8) R 9 707,20

T 75389 OS White Glass Genesis R 4 055,30

75390 OTL Convo Progressive Clear

75391 OTL Convo Progressive PGX

T 75392 OS PGX Glass Spring Regular R 1 054,40

T 75393 synchrony Progressive Easy View Min 1.6 UNC R 381,70

T 75394 synchrony Progressive Easy View Min 1.6 Photo Grey UNC R 916,70

T 75395 OS White Glass Insight R 479,00

T 75396 OS PGX Glass Insight R 1 054,40

T 75397 OS White Glass Genesis R 1 274,60

T 75398 OS PGX Glass Genesis R 1 742,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 75399 OS White Glass Piccolo R 1 274,60

T 75400 synchrony Progressive Easy View Min 1.6 Photo Grey Super AR R 1 499,40

T 75401 synchrony Progressive Easy View Min 1.6 Super AR R 964,40

T 75402 eLab Altitude L/S White UC R 310,30

T 75403 eLab Altitude L/S PGX UC R 1 022,90

T 75404 eLab S L White UC R 0,00

T 75405 eLab S L PGX UC R 0,00

T 75406 eLab PX L/S White UC R 0,00

T 75407 eLab PX L/S PGX UC R 0,00

T 75603 Shamir Autograph-Plus (1.6) R 2 221,70

T 75604 Shamir Autograph-Plus PGX (1.6) R 2 458,60

T 75605 Shamir Autograph InTouch (1.6) R 2 349,30

T 75606 Shamir Autograph InTouch PGX (1.6) R 2 940,20

T 75607 Pro Aspherica Hilite 1.7 Clear F.H. 22mm R 2 360,00

T 75608 Pro Aspherica Hilite 1.8 Clear F.H. 22mm R 4 320,00

75609 Flexivue Mineral Mild Add FH 18mm R 747,10

T 75610 Flexivue Mineral Mild Add PGX/PBX R 1 080,00

75611 Flexivue Mineral Mild Add 1.6 Clear R 1 339,10

T 75612 Flexivue Mineral Mild Add 1.6 PGX R 1 990,00

75613 Flexivue Mineral Mild Add 1.7 Clear R 1 599,20

T 75614 Flexivue Mineral Desktop Clear FH 16mm R 100,00

T 75615 Flexivue Mineral Desktop Hilite 1.6 Clear R 775,00

T 75618 Flexivue Mineral Easivue Clear FH 16-21mm R 100,00

T 75619 Flexivue Mineral Easivue PGX/PBX FH 16-21mm R 170,00

T 75620 Flexivue Mineral Easivue 1.6 Clear R 570,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 75621 Flexivue Mineral Easivue 1.6 PGX R 1 045,00

T 75622 Flexivue Mineral Easivue 1.7 Clear R 1 010,00

T 75623 Flexivue Mineral Easivue 1.8 Clear R 2 360,00

N 76002 Tint <35% R 270,80

N 76003 Tint >35% R 292,40

N 76004 Safety treatment R 163,00

N 76006 Prism R 196,00

N 76007 Fresnel prism R 376,30

N 76008 Vacuum tints R 376,30

N 76009 Vacuum mirror R 376,30

N 76012 Prism for centration R 248,10

N 76013 Special surfacing R 252,80

N 76015 Frosting R 151,90

N 76017 Mineral Multi AR Coat R 376,30

76044 Blue/Silver/Gold Mirror R 2 018,60

T 76046 Zeiss Super ET R 327,10

T 76047 Zeiss Umbra 25 R 467,90

T 76048 Zeiss Umbra 75 R 467,90

T 76049 Zeiss Umbra 85 R 467,90

T 76060 Super AR R 582,70

T 76066 QualiCote Brilliant EMIXX Superclean & Antistatic R 474,40

T 76082 Amber (Brown) Less than 35% R 168,90

T 76083 Amber (Brown) Over 35% R 168,90

T 76130 VISION ARC R 901,10

T 76132 VISION Chem Temp R 227,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 76134 VISION Heat Hardening R 227,50

76136 Torga Heat Tempering R 254,50

76138 Torga Chemical Tempering R 254,50

76144 Torga Industrial Tempering R 254,50

T 76172 Torga Mineral Clarity R 525,00

T 76180 OS Industrial Heat Hardening R 137,60

T 76542 Shamir-MC R 845,80

T 78045 Hoya Mineral Multi AR Coating (MC) R 671,50

X 78047 KF Superior Coat N/A

T 78048 Focus Invisibles R 716,90

T 78049 Focus Invisibles Plus R 846,90

T 78050 Rodenstock Supersin R 784,10

T 78061 eLab Mineral Multi AR Coating (MC) R 338,10

X 78979 VC – Removal of Coating N/A

X 78995 Fixed tint up to 35% single vision N/A

X 79015 Fixed tint up to 35% bifocal N/A

X 79039 Fixed tints over 35% single vision N/A

X 79075 Photochromic Single Vision 1.5 N/A

X 79095 Photochromic Bifocal 1.5 N/A

X 79115 Photochromic Varifocal 1.5 N/A

X 79139 Photochromic Thin & Dark N/A

X 79158 Photochromic Filter Cap N/A

X 79177 Photochromic Single Vision 1.6 N/A

X 79187 Photochromic Varifocal 1.6 N/A

X 79216 AR – Multicoat N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 79237 Ar – supercoat N/A

X 79255 Safety treatment N/A

X 79351 Prism N/A

X 79372 Prism fresnel N/A

X 79399 Prism for centration N/A

X 79419 Special surfacing N/A

X 79452 Franklin bifocal N/A

X 79471 Frosting N/A

X 79518 Special base curve N/A

X 79535 Lenticular concave N/A

X 79559 Extra large blanks – s/vision >69mm N/A

X 79579 Extra large blanks – s/vision >74mm N/A

X 79599 Extra large blanks – bifocal >69mm N/A

X 79676 Aspheric Lenses N/A

X 79703 35m/m Seg Flat-top – Bifocal N/A

X 79713 35m/m Seg Flat-top – Trifocal N/A

X 79723 Flat Lens Peepsight N/A

X 79736 HRI White Single Vision 1.6 N/A

X 79755 HRI White Bifocal 1.6 N/A

X 79795 HRI White Single Vision 1.7 N/A

X 79815 HRI White Bifocal 1.7 N/A

X 79918 HRI White Single Vision 1.8 N/A

X 79948 HRI White Single Vision 1.9 N/A

X 79959 Laminations N/A

79999 Materials not listed -

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

80011 Single Vision Standard R 177,10

80021 Single Vision Surfaced R 470,40

T 80031 Orma 15 Xperio Crizal Forte UV Surfaced R 2 008,00

T 80032 Orma Transitions Supra Surfaced R 1 225,50

80033 Airwear Optifog ARC Standard R 1 227,40

T 80034 Airwear Xperio Crizal Forte UV Surfaced R 3 049,70

T 80036 Nulux Eyvia 1.74 SHV R 3 463,40

T 80037 Nulux Eyvia 1.74 HVLL R 3 679,00

T 80038 Nulux iDentity V+ Eyvia 1.74 SHV (Double Surface FreeForm) R 3 463,40

T 80039 Nulux iDentity V+ Eyvia 1.74 HVLL (Double Surface FreeForm) R 3 679,00

T 80040 Shamir Smart SV Attitude Polycarbonate (1.59) R 2 203,60

T 80041 Shamir Smart SV Attitude Polycarbonate Transition and XTRActive (1.59) R 5 748,50

T 80042 Nulux Eynoa 1.67 HVP Surfaced R 2 325,20

T 80043 Hilux 1.50 Standard R 27,50

80044 Edison Greymatic 1.56 Photochromic Surfaced

80045 Edison Lite 1.74 HMC Surfaced

T 80046 Hilux 1.50 SHV Standard R 345,40

T 80047 Hilux 1.50 Polarised Standard R 858,90

T 80048 Hilux Thin Hard 1.50 Standard R 105,30

T 80049 ZEISS Single Vision AS 1.67 DV Platinum R 2 856,50

T 80050 Nulux Eyas 1.60 Hard R 1 780,60

T 80052 Hilux PNX 1.53 Hard Standard R 594,40

T 80054 Focus Ultralite 1.74 Emerald Surfaced R 3 992,50

T 80055 Hilux 1.50 Transitions S7 Hard Surfaced R 1 191,50

X 80056 Kodak Aspheric 1.56 EvoClear HC N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 80057 Kodak 1.56 Standard HC+AR N/A

X 80058 Kodak 1.6 EvoClear HC N/A

X 80059 Kodak Instashades 1.56 N/A

X 80060 Kodak CleAR MARC 1.5 N/A

T 80062 Hilux 1.50 Polarised SHV Surfaced R 1 360,40

T 80063 Hilux 1.50 Polarised HVLL Surfaced R 1 573,80

X 80067 Lite 5 AS 1.74 RX SeeCoat Plus N/A

T 80069 Airwear Transitions Crizal Easy UV Surfaced R 2 653,60

80070 Airwear Aspheric Transitions Crizal Easy UV Surfaced R 2 749,00

80071 Airwear Aspheric Transitions Supra Surfaced R 2 228,90

T 80072 Airwear Crizal Easy UV Surfaced R 1 817,30

T 80073 Hilux 1.50 HVLL Standard R 643,30

T 80074 Airwear Surfaced Supra R 1 313,50

T 80075 Airwear Supra Standard R 634,40

T 80076 Airwear Transitions Supra Surfaced R 2 149,80

T 80077 Airwear Aspheric Crizal Easy UV Surfaced R 2 240,30

T 80078 Essilor Aspheric Lenticular Surfaced R 1 372,80

T 80079 Hyperal Orma R 710,90

T 80080 Lineis Aspheric 1.74 Surfaced R 7 325,00

T 80081 Omega Surfaced R 836,70

T 80084 Orma Supra Standard R 81,80

T 80085 Nulux Eynoa 1.67 SHV Surfaced R 2 467,50

80086 Hilux 1.50 Uncoated Surfaced

T 80087 Orma Crizal Forte UV Standard R 683,30

T 80090 Orma Transitions Standard Supra R 1 037,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80091 Orma Trio Standard R 576,40

T 80092 Nulux Aspheric 1.50 Uncoated R 364,50

T 80093 Nulux Aspheric 1.50 Hard R 564,60

T 80094 Nulux Aspheric 1.50 HVP R 1 073,70

T 80095 Nulux Aspheric 1.50 SHV R 1 215,90

T 80096 Nulux Aspheric 1.50 HVLL R 1 427,10

T 80097 Hilux 1.50 NuPolar® Drivewear HVP Surfaced R 2 612,00

T 80103 Hilux PNX 1.53 SHV Standard R 974,50

T 80104 Hilux PNX 1.53 HVLL Standard R 1 105,70

T 80105 Hilux 1.60 Polarised HVP Surfaced R 2 807,60

T 80106 Hilux 1.60 Polarised SHV Surfaced R 2 952,10

T 80107 Hilux 1.60 Polarised HVLL Surfaced R 3 163,30

T 80119 ZEISS Single Vision Individual 1.5 Hard R 1 393,80

T 80120 ZEISS Single Vision Individual 1.5 DV Silver R 1 891,70

T 80125 Stylis Aspheric Surfaced Crizal Easy UV R 2 626,70

T 80126 Stylis Aspheric Surfaced Transitions Crizal Easy UV R 3 714,80

T 80127 ZEISS Single Vision Individual 1.6 Hard R 1 669,40

T 80128 ZEISS Single Vision Individual 1.6 DV Silver R 2 167,40

T 80132 ZEISS Single Vision Individual 1.67 DV Silver R 2 614,20

T 80153 KF SV Polareyes R 515,70

X 80160 EasyVision Easelite 1.56 HMC Standard N/A

X 80161 EasyVision Optimalite 1.67 HMC Standard N/A

X 80162 Easy Vision Continua Polycarbonate Standard N/A

T 80165 Quality Surfaced SV 1.50 XTRActive® Emerald R 1 487,10

T 80166 Hi-Max 1.56 Standard R 77,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80169 Hilux Eyas 1.60 HVP Surfaced R 1 838,40

80170 Miracle Aspheric Plus Standard R 139,40

T 80172 Platinum Microfi lm™ Crystal 1.56 Standard R 149,30

T 80175 Nulux Eyas 1.60 HVP R 2 291,90

80176 Platinum Microfi lm™ Crystal 1.67 Standard R 504,70

T 80178 Sunspeed™ Photogray Standard R 357,40

T 80180 Hilux PNX 1.53 Hard Surfaced R 666,90

T 80182 Nulux Aspheric TF PNX 1.53 Hard Surfaced R 1 167,00

X 80184 Lite 3 AS 1.60 ECC N/A

T 80185 Hilux 1.50 Transitions S7 Hard Standard Grey R 987,90

X 80187 Kodak CleAR MARC UVSun N/A

T 80188 Airwear Crizal Forte UV Standard R 1 243,30

X 80189 Kodak CleAR MARC 1.56 N/A

T 80190 Airwear Crizal Forte UV Surfaced R 2 061,80

X 80191 Kodak CleAR MARC SunSensors Grey/Brown N/A

T 80192 Airwear Aspheric Crizal Forte UV Surfaced R 2 484,80

X 80193 Kodak CleAR MARC Polycarbonate N/A

80194 Airwear Aspheric Transitions Crizal Forte UV Surfaced R 3 010,20

T 80196 Essilor Aspheric Lenticular Supra R 1 932,80

T 80198 Essilor Aspheric Lenticular Crizal Easy UV R 2 437,20

X 80199 Kodak CleAR MARC 1.6 N/A

T 80200 Omega Supra Surfaced R 1 064,10

X 80201 Kodak CleAR MARC InstaShades Grey/Brown N/A

T 80202 Omega Crizal Easy UV Surfaced R 1 567,80

X 80203 Kodak CleAR MARC Aspheric Bi-Concave N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80204 Orma 15 Supra Surfaced R 186,20

X 80205 Kodak CleAR MARC Aspheric Standard N/A

T 80206 Orma 15 Crizal Easy UV Surfaced R 690,00

X 80207 Kodak CleAR MARC Aspheric Surfaced N/A

80208 Orma 15 Crizal Forte UV Surfaced R 752,60

X 80209 Kodak CleAR MARC Aspheric 1.74 N/A

T 80210 Orma Transitions Surfaced Crizal Easy UV R 1 729,20

T 80211 Essilor 1.6 HMC Standard R 260,30

T 80212 Orma Transitions Crizal Forte UV Surfaced R 1 973,80

T 80213 Airwear Trio Standard R 968,50

T 80216 Focus Acclimates 1.56 Invisibles Standard R 618,80

T 80218 Stylis AS Crizal Forte UV Surfaced R 2 871,20

T 80219 Quality Atoric Wrap Emerald R 335,60

T 80220 Stylis AS Transitions Crizal Forte UV Surfaced R 3 959,30

X 80221 Single Vision – Lenticular/elipsoid N/A

T 80222 Quality Atoric Wrap Transitions® T7 Emerald R 1 945,10

T 80225 Quality Atoric Wrap 1.6 Emerald R 1 756,10

T 80226 Quality Atoric Wrap 1.6 Transitions® T7 Emerald R 2 783,20

T 80227 Quality Finished SV 1.56 Invisibles R 223,10

T 80228 Quality Finished SV 1.50 Emerald R 78,70

T 80229 Quality Surfaced SV 1.60 Emerald R 1 407,10

T 80230 Pupil 1.56 HMC Standard R 20,90

T 80231 Quality Finished SV Polycarbonate R 625,50

T 80241 Focus Lenticular R 2 058,50

T 80243 Focus Sunactive Invisibles Standard R 552,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

80244 Platinum Microfi lm™ Crystal 1.61 Standard R 288,90

T 80245 Airwear Transitions Crizal Forte UV Surfaced R 2 898,10

T 80246 Essilor Climateyes Standard R 878,30

T 80247 Essilor Climateyes Surfaced R 1 361,00

T 80248 Focus Sunactive Standard R 352,10

T 80249 Focus Sunactive Surfaced R 658,00

T 80250 Focus Acclimates Standard R 565,50

T 80251 Focus Acclimates Surfaced R 818,00

T 80258 Focus Surfaced 75mm R 297,80

80259 Focus Surfaced 80mm R 647,50

T 80260 Focus NuPolar® R 2 325,20

T 80261 Focus Drivewear R 3 125,50

T 80266 Focus High Base Curve 12.00 and up R 1 591,60

T 80276 Focus Easylite Invisibles Standard R 127,60

T 80279 Focus Superlite 1.67 Invisibles Standard R 1 019,00

T 80293 ZEISS Single Vision SPH 1.5 Hard R 482,40

T 80294 ZEISS Single Vision SPH 1.5 DV Silver R 1 080,30

T 80295 ZEISS Single Vision SPH 1.5 DV Platinum R 1 262,60

T 80296 ZEISS Single Vision AS 1.6 Hard R 1 447,10

T 80297 ZEISS Single Vision AS 1.6 DV Silver R 1 945,10

T 80298 ZEISS Single Vision AS 1.6 DV Platinum R 2 158,50

T 80299 Quality Finished SV SunActive Emerald R 363,20

T 80301 Quality Surfaced SV 1.56 SunActive Emerald R 866,90

T 80308 Ormix Crizal Forte UV Standard R 971,90

T 80312 synchrony Single Vision SPH 1.5 HMC+ R 686,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

80321 VUE 1.5 ACCLIMATES HARD R 173,80

T 80322 VUE 1.56 VEYEZER HMC RANGE1 R 103,10

T 80325 Focus Superlite 1.61 Standard R 352,10

T 80329 Focus Superlite 1.67 Surfaced R 2 031,80

T 80336 Dagas 1.67 HMC aspheric Standard R 494,40

T 80358 ZEISS Single Vision Aphal 1.5 DV Silver R 2 005,10

X 80362 ZEISS Single Vision Lenticular 1.5 DV Silver N/A

T 80374 synchrony Finished SV AS 1.67 HMC+ R 552,20

X 80376 EasyVision SunScreenUV 1.56 Photochromic Standard N/A

T 80388 Estelux 1.50 Uncoated Standard R 29,70

T 80389 Estelux 1.50 HMC Standard R 105,30

T 80390 Hilux Eyas 1.60 SHV Standard R 1 210,20

T 80391 Hilux 1.60 Polarised Hard Surfaced R 2 298,50

T 80392 Hilux 1.50 HVP Standard R 314,30

T 80394 Flexivue 1.53 Atoric Trivex HC R 1 550,00

T 80395 Flexivue 1.53 Hi-curve Trivex HC R 2 025,00

T 80397 CR39 1.50 Acclimates Hard Standard R 523,30

T 80399 CZV SV 1.5 Photochromic Hard Coated Standard R 461,00

T 80401 CZV SV 1.5 Photochromic Hard R 1 135,90

T 80403 CZV SV 1.5 Photochromic HMC+ R 1 531,60

T 80404 Hliux 1.50 Acclimates Hard Surfaced R 613,50

T 80406 Hilux 1.50 Transitions S7 HVP Surfaced R 1 700,60

T 80408 Hilux 1.50 Transitions S7 SHV Surfaced R 1 842,80

T 80413 1.60 Clear HMC R 142,90

T 80415 synchrony Single Vision SPH 1.6 Hard R 1 413,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80416 synchrony Single Vision SPH 1.6 HMC+ R 1 811,70

80422 Quality Surfaced SV 1.67 Emerald R 1 680,00

T 80424 Quality Finished SV Transitions® T7 Emerald R 807,80

T 80425 Ormix Surfaced Supra R 1 027,40

T 80426 Ormix Surfaced Crizal Easy UV R 1 531,20

T 80427 Ormix Surfaced Crizal Forte UV R 1 775,70

T 80429 Ormix Transitions Supra Surfaced R 2 115,60

T 80430 Ormix Transitions Crizal Easy UV Surfaced R 2 619,30

T 80431 Ormix Transitions Crizal Forte UV Surfaced R 2 863,80

T 80433 synchrony Single Vision SPH 1.6 PhotoFusion Grey Hard R 2 454,20

T 80434 synchrony Single Vision SPH 1.6 PhotoFusion Grey HMCX R 3 034,40

T 80435 synchrony Single Vision SPH 1.67 PhotoFusion Grey HMCX R 3 779,10

T 80436 ZEISS Single Vision SPH 1.5 PhotoFusion Grey Hard R 1 387,10

T 80437 ZEISS Single Vision SPH 1.5 PhotoFusion Grey DV Silver R 1 885,10

T 80438 Orma Aclimates Standard R 411,90

T 80439 Orma Aclimates Surfaced Supra R 694,90

T 80440 1.56 Clear HMC R 0,00

T 80441 ZEISS Single Vision AS 1.6 PhotoFusion Grey Hard R 2 549,70

80442 1.60 RX Clear Titan HC R 1 495,20

T 80443 ZEISS Single Vision AS 1.6 PhotoFusion Grey DV Silver R 3 047,70

T 80444 1.67 Clear Titan ARC R 343,40

80445 ZEISS Single Vision AS 1.67 PhotoFusion Grey DV Silver R 3 377,60

T 80447 synchrony Single Vision SPH 1.5 PhotoFusion Grey Hard R 1 071,40

T 80448 synchrony Single Vision SPH 1.5 PhotoFusion Grey HMCX R 1 851,70

T 80449 Omega Crizal Forte UV Surfaced R 1 812,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80450 Quality Surfaced SV 1.50 Transitions® T7 Emerald R 1 487,10

T 80453 Quality Surfaced SV 1.60 Transitions® T7 Emerald R 2 249,60

T 80455 Quality Surfaced SV 1.67 Transitions® T7 Emerald MR-10™ R 2 643,10

T 80457 Quality Surfaced SV 1.59 Polycarbonate Emerald R 849,10

T 80460 Quality Surfaced SV 1.59 Polycarbonate Transitions® T7 Emerald R 2 087,40

T 80462 Focus Superlite 1.61 Invisibles Standard R 565,50

T 80463 Focus Superlite 1.61 Surfaced R 1 458,20

T 80467 Hilux PNX 1.53 Transitions S7 HVP Surfaced R 2 460,80

T 80481 synchrony Single Vision SPH 1.67 Hard R 2 062,90

T 80483 Nulux iDentity V+ Eyas 1.60 HVP (Double Surface FreeForm) R 2 465,30

T 80485 synchrony Single Vision SPH 1.67 HMC+ R 2 460,80

T 80494 ZEISS Single Vision AS 1.6 PhotoFusion Grey DV Platinum R 3 261,10

T 80510 Torga 1.5 HMC R 150,00

T 80512 1.50 Clear R 0,00

80514 Torga 1.5 Transitions Surfaced HC R 2 191,30

80516 ZEISS Single Vision AS 1.67 PhotoFusion Grey DV Platinum R 3 602,40

T 80518 Torga 1.5 NuPolar® HC R 1 415,00

T 80520 ZEISS Single Vision Individual 1.5 DV Platinum R 2 105,10

80522 Torga 1.5 Drivewear HC R 3 419,70

T 80525 ZEISS Single Vision Individual 1.6 DV Platinum R 2 380,80

T 80526 Torga 1.53 Trivex Surfaced HC R 1 315,00

T 80528 ZEISS Single Vision Individual 1.67 DV Platinum R 2 827,60

80530 Torga 1.53 Trivex Transitions HC R 3 181,80

T 80533 ZEISS Single Vision Aphal 1.5 DV Platinum R 2 218,50

T 80534 Torga 1.56 HC R 165,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80536 Torga 1.56 HMC R 315,00

T 80538 Torga 1.56 Surfaced HC R 945,00

T 80539 KF SV Polareyes ARC R 960,30

T 80540 KF SV Climateyes Standard ARC R 903,40

T 80541 KF SV Climateyes Surfaced ARC R 1 371,60

T 80546 Torga 1.6/42 Surfaced HC R 1 145,00

T 80547 KF SV Transition Standard ARC R 1 336,90

T 80549 KF SV Transition Surfaced ARC R 1 471,60

T 80551 Flexivue 1.56 Hi-curve Flexi-Tint HC R 1 515,00

T 80552 Torga 1.6 Polycarbonate Surfaced HC R 875,00

T 80557 Airwear Xperio Supra Surfaced R 2 301,40

T 80558 Airwear Xperio Crizal Easy UV Surfaced R 2 805,20

80559 Torga 1.6 Polycarbonate Transitions HC R 3 181,80

T 80560 Hilux 1.50 Polarised Hard Surfaced R 709,10

T 80561 Hilux Eyas 1.60 Transitions S7 HVP R 2 694,20

T 80563 Estelux 1.50 Hard Coated Standard R 76,40

T 80564 Orma 15 Xperio Supra Surfaced R 1 259,70

T 80566 Orma 15 Xperio Crizal Easy UV Surfaced R 1 763,50

80567 Torga 1.67 Superthin HMC R 1 073,50

T 80569 Torga 1.67 Superthin Surfaced HC R 2 190,00

T 80570 Flexivue 1.56 Atoric Flexi-Tint HC R 1 245,00

80572 Torga 1.67 Superthin Transitions HC R 3 939,90

T 80574 Flexivue 1.5 Atoric HC R 975,00

T 80576 Flexivue 1.5 Transitions Atoric HC R 2 360,00

T 80578 Flexivue 1.5 Atoric Drivewear HC R 3 980,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80580 Flexivue 1.5 Atoric NuPolar® HC R 1 820,00

80584 Torga 1.67 Superthin Polarised HC R 3 259,30

80586 Torga 1.5 Lenticular HC R 1 743,10

T 80588 Flexivue 1.5 Hi-curve HC R 1 315,00

T 80590 Flexivue 1.6/42 Hi-curve HC R 1 890,00

T 80591 Essilor 1.56 HMC (Low Cyl) Standard R 94,00

T 80598 KF SV Protect Your Eyes 1.53 Standard ARC R 636,60

T 80599 KF SV ProtectYour Climateyes ARC Standard R 1 554,70

T 80600 KF SV ProtectYour Climateyes Surfaced R 1 149,30

T 80601 Shamir Smart SV Attitude (1.5) R 1 865,00

T 80602 Shamir Smart SV Attitude (1.6) R 3 027,70

T 80603 Shamir Smart SV Attitude (1.67) R 3 733,40

T 80604 Shamir Smart SV Attitude Transition and XTRActive (1.5) R 2 687,10

T 80605 Shamir Smart SV Attitude Transition and XTRActive (1.6) R 4 385,40

T 80606 Shamir Smart SV Attitude Transition and XTRActive (1.67) R 5 192,90

T 80607 Shamir Smart SV Attitude Polarized (1.5) R 3 897,60

80608 Shamir Smart SV (1.5) R 1 017,10

T 80609 Shamir Smart SV (1.6) R 1 686,90

T 80610 Shamir Smart SV (1.67) R 2 314,00

T 80611 Shamir Smart SV (1.74) R 4 617,10

T 80612 Shamir Smart SV Transition and XTRActive (1.5) R 4 279,50

T 80613 Shamir Smart SV Transition and XTRActive (1.6) R 4 195,40

T 80614 Shamir Smart SV Transition and XTRActive (1.67) R 4 689,10

T 80615 Shamir Smart SV Polarized (1.5) R 1 693,60

T 80616 KF SV ProtectYour Climate Eyes 1.53 ARC Surfaced R 1 660,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

80617 KF SV Trivex Standard Transition ARC R 1 666,70

T 80618 KF SV Protect Your Eyes 1.53 Surfaced ARC R 893,60

T 80619 KF SV Trivex Surfaced Transition ARC R 2 038,50

T 80621 1.50 RX Clear Uncoated R 0,00

80623 1.50 Transitions HC R 988,30

80625 1.50 RX Transitions HC R 1 124,40

T 80633 Torga 1.6/42 HMC R 430,00

T 80634 Torga 1.6/42 Polarised HC R 2 495,00

T 80635 Torga 1.56 Flexi-Tint HMC R 550,00

T 80637 Torga 1.56 Flexi-Tint Surfaced HC R 1 245,00

T 80639 Torga 1.53 Trivex HC R 775,00

80641 1.50 POLARised HC R 1 110,10

T 80645 Torga 1.53 Trivex Polarised HC R 1 890,00

T 80647 Hilux PNX 1.53 HVP Standard R 974,50

T 80649 Hilux PNX 1.53 HVP Surfaced R 1 180,40

T 80650 Hilux PNX 1.53 SHV Surfaced R 1 318,20

T 80651 Hilux PNX 1.53 Transitions Hard Standard R 1 623,60

80652 Futuro S 1.5 Hard Multi Coat R 84,10

T 80653 Hilux Eyas 1.60 Hard Surfaced R 1 324,90

T 80654 Hilux Eyas 1.60 SHV Surfaced R 1 980,70

T 80656 Nulux Eyas 1.60 SHV R 2 440,80

T 80657 Nulux iDentity V+ Eyas 1.60 Hard (Double Surface FreeForm) R 1 956,20

T 80658 Nulux iDentity V+ Eyas 1.60 SHV (Double Surface FreeForm) R 2 609,80

T 80659 Nulux iDentity V+ Eynoa 1.67 SHV (Double Surface FreeForm) R 2 636,40

T 80662 Hilux 1.50 NuPolar® Drivewear Plano R 1 205,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80663 Hilux 1.50 NuPolar® Drivewear Hard Surfaced R 2 098,50

80669 Futuro S 1.56 Hard Multi Coat R 84,10

80670 Futuro S 1.6 Hard Multi Coat R 211,40

T 80678 Shamir Smart SV Attitude Polarized (1.6) R 5 891,70

T 80681 Airwear Transitions Crizal Forte UV Standard R 2 038,00

T 80682 Orma Transitions Crizal Forte UV Standard R 1 837,50

T 80696 SunActive 1.56 HMC R 807,80

T 80697 SunActive 1.56 Surfaced R 1 062,30

T 80698 Future-X Steel-SHMC R 653,00

T 80699 Future-X HC R 444,90

80700 Edison Slimlite 1.61 HMC

80701 Edison Slimlite High 1.61 HMC

80702 Edison Greymatic 1.56 Photochromic

80703 Edison Lite 1.67 HMC

80704 Edison Lite 1.74 HMC

T 80705 KF SV Protect Your Eyes Standard ARC R 636,60

T 80706 KF SV ProtectYour Climate Eyes R 1 111,80

T 80707 KF SV ProtectYour Climate Eyes ARC R 1 554,70

T 80708 KF SV ProtectYour Climate Eyes Surfaced R 1 149,30

T 80709 KF SV ProtectYour Climate Eyes ARC Surfaced R 1 660,50

T 80710 KF SV Protect Your Eyes ARC Surfaced R 893,60

80711 KF SV Polycarbonate Standard Transition ARC R 1 666,70

T 80712 KF SV Polycarbonate Surfaced Transition ARC R 2 038,50

T 80713 KF SV 1.6 Standard ARC R 1 025,70

80714 KF SV 1.6 Standard Climate Eyes R 1 360,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80716 KF SV 1.6 Standard Climate Eyes ARC R 1 823,70

80717 KF SV 1.6 Surfaced Climateyes R 1 628,00

T 80718 KF SV 1.6 Surfaced Climateyes ARC R 2 142,90

T 80719 KF SV 1.6 Standard Transition ARC R 1 914,90

T 80720 KF SV 1.6 Surfaced ARC R 1 058,10

T 80721 Shamir Smart SV Attitude Polarized (1.67) R 6 536,00

80723 Futuro S FreeForm 1.5

T 80724 Shamir Smart SV Attitude Polycarbonate Polarized (1.59) R 3 859,80

T 80725 Futuro S Photochromic 1.5 R 629,30

T 80726 Shamir Smart SV Attitude Drivewear (1.5) R 4 429,10

80727 Futuro S FreeForm Transitions® 1.5 R 817,90

T 80728 Shamir Smart SV Attitude Trivex (1.53) R 3 895,00

T 80729 Futuro S FreeForm 1.6 R 1 399,80

T 80730 Shamir Smart SV Polarized (1.6) R 5 041,70

80731 Futuro S FreeForm Transitions® 1.6 R 2 579,80

T 80732 Shamir Smart SV Polarized (1.67) R 6 284,20

T 80733 KF SV 1.6 Surfaced Transition ARC R 2 678,70

80734 Futuro S 1.67 Hard Multi Coat R 739,30

80735 Futuro S Transitions® 1.5 Hard Coat R 880,90

T 80736 Shamir Smart SV Polycarbonate Polarized (1.59) R 3 174,40

T 80737 Shamir Smart SV Polycarbonate (1.59) R 1 280,30

T 80738 Shamir Smart SV Drivewear (1.5) R 5 433,70

T 80739 Shamir Smart SV Trivex (1.53) R 2 053,10

T 80740 Futuro S FreeForm 1.67 R 1 869,50

80741 Evo Drivewear Polarised Transitions Rx

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

80742 Futuro S FreeForm Transitions® 1.67 R 3 321,30

T 80743 Futuro S FreeForm Drivewear® 1.5 R 2 938,10

80744 1.50 RX Polarised HC R 1 258,40

80746 1.50 RX Clear ASP Lenticular HC R 923,00

80747 1.50 RX DriveWear HC R 5 080,90

80749 1.56 Clear HMC (Hi Cyl) R 438,30

80756 Shamir Golf – SV Trivex (1.53)

80757 Shamir Golf – SV Polycarbonate (1.59)

80758 Shamir Golf – SV (1.6)

T 80759 BBGR Acclimates Supra Stock R 398,80

T 80760 BBGR Acclimates Supra Rx R 577,90

T 80762 Torga 1.57 Future X HC R 335,00

80763 Torga 1.5 Transitions HC R 1 250,60

T 80764 Torga 1.57 Future X HMC R 485,00

T 80765 Torga 1.57 Future X Surfaced HC R 1 010,00

T 80766 Essilor 1.6 HMC Stock R 252,00

80767 Torga 1.6/42 Transitions HC R 3 181,80

80768 Futuro S Transitions® 1.5 Hard Multi Coat R 1 529,50

T 80769 Flexivue 1.6/42 Atoric HC R 1 685,00

T 80771 Flexivue 1.5 Hi-curve Transitions HC R 2 565,00

T 80772 Flexivue 1.5 Hi-curve NuPolar® HC R 1 820,00

T 80776 Flexivue 1.6/42 Hi-curve Transitions HC R 3 440,00

T 80777 synchrony Finished SV SPH 1.5 HMC+ R 132,00

T 80779 synchrony Single Vision SPH 1.67 HMCX R 2 643,10

80782 Orma 15 Standard

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80783 Stylis AS Crizal Forte UV Standard R 1 776,40

T 80784 Essilor 1.67 HMC Standard R 514,60

T 80785 Essilor 1.56 HC (Low Cyl) Standard R 67,10

T 80786 Essilor 1.56 HC (High Cyl) Standard R 67,10

T 80788 Torga 1.5 Surfaced Stock (Special Diameters) HC R 840,00

T 80789 Flexivue 1.67 Atoric HC R 2 295,00

T 80791 Shamir Smart SV Polycarbonate Transition and XTRActive (1.59) R 5 311,90

T 80793 Flexivue 1.74 Atoric HC R 2 565,00

T 80794 Flexivue 1.5 Hi-curve Drivewear HC R 4 185,00

80798 Futuro S FreeForm 1.74 R 5 130,70

80812 Bifocal – Standard R 525,70

T 80816 BBGR 1.50 Uncoated Stock R 0,00

T 80817 BBGR 1.5 Uncoated Rx R 0,00

T 80818 Essilor 1.56 H/C (Low Cyl) Stock R 63,10

T 80819 BBGR 1.5 Supra Rx R 171,10

T 80821 BBGR Transitions Stock R 1 007,90

T 80823 synchrony Finished SV AS 1.6 HMC+ R 356,50

X 80825 synchrony Single Vision SPH 1.5 PhotoFusion Grey UNC N/A

T 80827 synchrony Single Vision SPH 1.5 PhotoFusion Grey HMC+ R 1 669,40

T 80829 1.56 SunSmart HMC R 86,70

T 80831 1.56 RX SunSmart HC R 311,00

80833 1.59 Polycarb HMC R 579,90

T 80834 synchrony Single Vision SPH 1.6 PhotoFusion Grey HMC+ R 2 852,10

T 80836 BBGR Polarised Supra Rx R 1 215,90

T 80839 BBGR 1.6 Supra Rx R 989,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80840 BBGR 1.6 Crizal Easy UV Rx R 1 478,30

T 80841 Essilor 1.67 HMC Stock R 498,80

T 80842 BBGR 1.67 Crizal Easy UV Rx R 2 543,10

T 80850 VUE 1.6 Spheric Hmar Range 1 R 3,10

T 80851 VUE 1.6 Spheric Hmar Range 2 R 247,60

80852 VUE 1.6 Aspheric HC Rx R 444,90

T 80853 VUE 1.67 Aspheric Hmar Range 1 R 236,50

T 80854 VUE 1.67 Aspheric Hmar Range 2 R 607,70

80855 VUE 1.67 Aspheric HC Rx R 823,40

80857 VUE 1.5 Transitions Hc Grey Or Brown R 379,70

80858 VUE 1.5 Transitions Hc Grey Or Brown Rx R 602,00

80859 VUE 1.5 Transitions Hmar Grey Or Brown R 742,60

T 80860 BBGR Acclimates Crizal Easy UV Rx R 1 388,00

T 80861 VUE 1.56 Veyezer Grey Hard Rx R 137,80

T 80862 BBGR 1.5 Crizal Easy UV Rx R 660,20

T 80865 Essilor 1.5 Hardcoat Standard R 81,80

T 80866 synchrony Finished SV SPH 1.5 R 0,00

T 80867 Essilor 1.5 HMC Standard R 551,60

T 80869 Essilor 1.56 Photochromic R 167,30

T 80870 synchrony Single Vision SPH 1.5 UNC R 86,70

T 80872 synchrony Single Vision SPH 1.5 Hard R 286,70

80873 Hi-Max 1.71 Standard (Minus Powers Only) R 768,00

T 80874 synchrony Single Vision SPH 1.5 HMCX R 866,90

80881 Hi-Max 1.74 Standard (Minus Powers Only) R 1 090,20

T 80883 BBGR Transitions Crizal Forte UV Stock R 1 634,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 80885 EasyVision Easelite 1.56 Uncoated Surfaced N/A

X 80887 EasyVision Optimalite 1.67 Uncoated Surfaced N/A

X 80889 EasyVision SunScreenUV 1.56 Photochromic Uncoated Surfaced N/A

T 80908 Hilux 1.50 Transitions XtrActive Hard Surfaced R 1 191,50

T 80909 Hilux 1.50 Transitions XtrActive HVP Surfaced R 1 700,60

T 80910 Hilux 1.50 Hard Surfaced R 113,30

80911 1.59 RX Polycarb Titan HC R 1 026,00

T 80912 Hilux 1.50 HVP Surfaced R 626,80

80913 1.60 RX Transitions Titan HC R 2 313,00

T 80914 Hilux 1.50 SHV Surfaced R 771,30

T 80915 Hoya G15 Pre-tinted Standard R 120,90

T 80916 Hoya Grey D (85%) Pre-tinted Standard R 120,90

T 80917 Hoya Brown D (85%) Pre-tinted Standard R 120,90

T 80919 Hliux 1.50 Acclimates HVP Surfaced R 1 124,80

T 80920 Nulux Aspheric PNX 1.53 HVP R 1 645,00

T 80921 Nulux Aspheric PNX 1.53 SHV R 1 782,80

T 80922 Hilux PNX 1.53 Transitions Hard Surfaced R 1 951,80

T 80923 Hilux PNX 1.53 Transitions S7 SHV Surfaced R 2 603,10

T 80924 Hilux Eyas 1.60 Transitions S7 Hard R 2 185,20

T 80925 Hilux Eyas 1.60 Transitions S7 SHV R 2 838,70

T 80930 synchrony Single Vision SPH 1.6 HMCX R 1 994,00

T 80935 Hilux Eynoa 1.67 HVP R 2 127,40

T 80940 Hilux Eynoa 1.67 SHV R 2 269,60

T 80941 Hilux Eynoa 1.67 Transitions S7 HVP R 3 321,10

T 80946 Hilux Eynoa 1.67 Transitions S7 SHV R 3 463,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80949 Nulux Eynoa 1.67 SHV Standard R 1 470,30

T 80950 Torga 1.5 HC R 100,00

T 80954 Hilux 1.50 Transitions XTRActive SHV Surfaced R 1 842,80

T 80955 Flexivue 1.67 Hi-curve HC R 2 495,00

T 80956 Hilux 1.50 Transitions XTRActive HVLL Surfaced R 2 056,20

80957 1.67 RX Clear Titan HC R 1 674,50

T 80959 Essilor 1.56 HMC (Low Cyl) Stock R 89,80

T 80960 Climateyes Orma Standard R 647,50

T 80961 Hilux 1.50 HVLL Surfaced R 982,50

T 80962 Climateyes Orma Surfaced R 505,50

T 80963 Hilux 1.50 Transitions S7 HVLL Surfaced R 2 056,20

X 80964 EasyVision SunScreenUV 1.56 Photo HMC Standard N/A

T 80965 Hilux 1.50 Polarised HVP Surfaced R 1 222,60

80966 VME Single Vision (1.56)

T 80967 Hilux PNX 1.53 HVLL Surfaced R 1 533,80

T 80968 Nulux Aspheric PNX 1.53 HVLL R 1 996,20

T 80969 Hilux PNX 1.53 Transitions S7 HVLL Surfaced R 2 814,30

T 80971 Hilux Eyas 1.60 HVLL Surfaced R 2 191,80

T 80972 Hilux Eyas 1.60 Transitions S7 HVLL R 3 049,90

T 80974 Nulux Eyas 1.60 HVLL R 2 643,10

T 80977 Nulux iDentity V+ Eyas 1.60 HVLL (Double Surface FreeForm) R 2 823,20

T 80979 Hilux Eynoa 1.67 HVLL R 2 480,80

T 80980 Hilux Eynoa 1.67 Transitions S7 HVLL R 3 672,40

T 80982 Nulux Eynoa 1.67 HVLL Surfaced R 2 683,10

T 80985 Nulux iDentity V+ Eynoa 1.67 HVLL (Double Surface FreeForm) R 2 849,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 80989 Hilux 1.50 NuPolar® Drivewear SHV Surfaced R 2 743,10

T 80990 Hilux 1.50 NuPolar® Drivewear HVLL Surfaced R 2 965,40

T 80991 Hilux Eyas 1.60 HVLL Standard R 1 356,90

T 80992 Nulux Eynoa 1.67 HVLL Standard R 1 597,00

80993 Futuro S 1.5 Hard Coat R 28,80

80999 1.67 RX Transitions Titan HC R 2 888,50

T 81004 ZEISS Single Vision SPH 1.5 PhotoFusion Grey DV Platinum R 2 098,50

T 81006 ZEISS Single Vision AS 1.67 DV Silver R 2 643,10

T 81008 Petite 1.67 Aspheric Rx R 1 623,20

T 81009 Petite 1.71 Aspheric Rx R 2 205,60

81020 Petite 1.74 Aspheric Rx R 3 078,80

X 81021 Petite i-PRO 1.56 Customised Digital N/A

T 81022 Petite i-PRO 1.50 Polarised Customised Digital R 1 464,40

X 81023 Petite i-PRO 1.61 Customised Digital N/A

X 81024 Petite i-PRO 1.67 Customised Digital N/A

X 81025 Petite i-PRO 1.71 Customised Digital N/A

X 81026 Petite i-PRO 1.50 Transitions® VI Customised Digital N/A

T 81027 ZEISS Single Vision Individual 1.5 PhotoFusion Grey DV Silver R 3 025,50

T 81028 ZEISS Single Vision Individual 1.5 PhotoFusion Grey DV Platinum R 3 238,90

T 81029 ZEISS Single Vision Individual Sport 1.5 Polarized Grey Hard R 2 812,10

T 81030 ZEISS Single Vision Individual Sport 1.5 Polarized Grey DV Silver R 3 310,00

T 81031 ZEISS Single Vision Individual Sport 1.5 Polarized Grey DV Platinum R 3 523,40

T 81035 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Grey Hard R 2 527,50

T 81036 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Grey DV Silver R 3 025,50

T 81037 ZEISS Single Vision Individual Sport 1.5 PhotoFusion Grey DV Platinum R 3 238,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81041 ZEISS Single Vision Individual 1.67 PhotoFusion Grey DV Silver R 4 105,80

T 81042 ZEISS Single Vision Individual 1.67 PhotoFusion Grey DV Platinum R 4 319,20

81044 VUE 1.6 Transitions Grey HC Rx R 1 201,90

81045 VUE 1.67 Transitions Grey HC Rx R 1 580,40

X 81046 Lite 5 AS 1.74 RX Transitions SeeCoat Plus N/A

81047 1.50 Transitions-Acclimates HC R 645,30

81048 1.50 RX Transitions-Acclimates HC R 789,10

81049 1.59 RX Polycarb Transitions Titan HC R 2 451,40

81050 ULTIVEX SV 1.586 Polycarbonate + Premium Diamond Coat

81051 ULTIMAX SV 1.498 Stock + Premium Diamond Coat R 75,30

81052 ULTIMAX SV 1.56 Photochromic + Premium Diamond Coat R 249,10

81053 Shamir Golf – SV Polycarbonate Polarized (1.59)

81054 Shamir Golf – SV Polycarbonate Transition and XTRActive (1.59)

81055 Shamir Golf – SV Transition and XTRActive (1.6)

81056 Shamir Golf – SV Polarized (1.6)

T 81057 Orma Supra Optifog R 612,40

T 81059 Orma Optifog ARC Standard R 930,30

T 81060 Orma Transitions XTRActive Crizal Forte UV Surfaced R 1 973,80

T 81063 Airwear Transitions XTRActive Supra R 2 382,10

T 81064 Airwear Transitions XTRActive Crizal Easy UV R 2 885,90

T 81065 Airwear Transitions XTRActive Crizal Forte UV R 3 130,40

T 81068 Ormix Optifog ARC Standard R 1 258,00

T 81069 Essilor 1.67 Crizal Forte UV Standard R 1 776,40

T 81070 Lineis 1.74 Crizal Forte UV Standard R 3 538,80

T 81073 ZEISS Single Vision Individual Sport 1.6 Polarized Grey DV Silver R 3 896,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81074 ZEISS Single Vision Individual Sport 1.6 Polarized Grey DV Platinum R 4 110,30

81075 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Grey DV Silver R 3 870,20

81076 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Grey DV Platinum R 4 094,80

T 81077 OAKLEY OTD NON-IRIDIUM Clear +AR R 868,00

T 81078 OAKLEY OTD NON-IRIDIUM Grey R 868,00

81079 OAKLEY OTD NON-IRIDIUM Persimmon

81080 OAKLEY OTD NON-IRIDIUM VR28

T 81081 OAKLEY OTD NON-IRIDIUM Bronze R 1 093,70

T 81082 OAKLEY OTD IRIDIUM Black R 1 203,70

T 81083 OAKLEY OTD IRIDIUM Gold R 1 203,70

T 81084 OAKLEY OTD IRIDIUM Fire R 943,60

81085 OAKLEY OTD IRIDIUM G30

81086 OAKLEY OTD IRIDIUM VR28 Black R 1 339,10

X 81087 OAKLEY OTD IRIDIUM Tungsten N/A

X 81088 OAKLEY OTD POLARIZED – Grey/B-AR N/A

X 81089 OAKLEY OTD POLARIZED – Bronze/B-AR N/A

X 81090 OAKLEY OTD POLARIZED – VR28/B-AR N/A

X 81091 OAKLEY OTD POLARIZED – Black IR N/A

X 81092 OAKLEY OTD POLARIZED – Deep Blue N/A

81093 OAKLEY OTD POLARIZED – G30

X 81094 OAKLEY OTD POLARIZED – Tungsten IR N/A

X 81095 OAKLEY OTD POLARIZED – Ice IR N/A

X 81096 OAKLEY OTD POLARIZED – VR28 Blk IR N/A

81097 OAKLEY OTD POLARIZED – OORed IR

X 81098 OAKLEY OTD POLARIZED – Shallow Blue IR N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 81099 OAKLEY OTD POLARIZED – OOBlackIR N/A

X 81100 OAKLEY OTD – TRANSITIONS Grey AR N/A

X 81101 OAKLEY OTD – TRANSITIONS Brown AR N/A

81102 OAKLEY OTD – TRANSITIONS GoldIR/B-AR

81103 OAKLEY OTD – TRANSITIONS Emerald IR/B-AR

X 81104 OAKLEY OTD – TRANSITIONS Black IR/B-AR N/A

X 81105 Easy Vision Continua Polycarbonate Uncoated Surfaced N/A

X 81106 EasyVision SunScreenUV 1.56 Photo HMC Uncoated Surfaced N/A

T 81107 Estelux 1.60 HVP Standard R 305,40

X 81109 SEEMAX 1.60 (Custom Made) SeeCoat Plus N/A

X 81110 SEEMAX 1.67 (Custom Made) SeeCoat Plus N/A

X 81111 SEEMAX 1.74 (Custom Made) SeeCoat Plus N/A

X 81112 Petite i-PRO 1.60 Transitions® VI Customised Digital N/A

T 81113 Quality Atoric Wrap Polycarbonate Emerald R 1 127,00

T 81114 Quality Atoric Wrap Polycarbonate Transitions® T7 Emerald R 2 380,80

T 81115 Quality Atoric Wrap Polycarbonate Polarized Emerald R 1 845,00

T 81116 Quality Atoric Wrap Trivex Trilogy® Clear R 1 198,20

T 81117 Quality Atoric Wrap Trivex Trilogy® Transitions® T7 R 2 491,90

T 81118 Quality Atoric Wrap Transitions Vantage™ R 2 996,60

T 81119 Quality Atoric Wrap Polarized Emerald R 1 558,30

T 81129 Quality Atoric Wrap Drivewear® Emerald R 2 994,30

T 81130 Quality Atoric Wrap Drivewear® Polycarbonate Emerald R 3 238,90

X 81131 Quality Atoric Wrap Aris™ Transitions® Autumn Gold™ Performance Sunwear Lenses N/A

T 81132 Quality Atoric Wrap Transitions T6 XTRActive R 1 949,50

T 81133 Quality Atoric Wrap Transitions T6 XTRActive 1.67 MR-10™ R 3 225,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81134 Quality Surfaced SV 1.67 XTRActive® Emerald MR-10™ R 2 643,10

T 81135 Quality Surfaced SV 1.50 Transitions Vantage™ Emerald R 2 389,70

T 81136 Quality Surfaced SV 1.50 Polarized Emerald R 1 135,90

T 81137 Quality Surfaced SV 1.50 Drivewear® Emerald R 2 389,70

X 81138 Quality Surfaced SV 1.50 Aris™ Transitions® Autumn Gold™ N/A

T 81139 Quality Surfaced SV 1.53 Trivex Trilogy® Emerald R 849,10

T 81140 Quality Surfaced SV 1.53 Trivex Trilogy® Transitions® T7 Grey R 2 087,40

81141 Shamir Run – SV Trivex (1.53)

81142 Shamir Run – SV Polycarbonate (1.59)

81143 Shamir Run – SV (1.6)

81144 Shamir Run – SV Polycarbonate Transition and XTRActive (1.59)

81145 Shamir Run – SV Transition and XTRActive (1.6)

81146 Shamir Run – SV Polycarbonate Polarized (1.59)

81147 Shamir Run – SV Polarized (1.6)

X 81149 Petite i-PRO 1.60 Sunspeed™ Customised Digital N/A

T 81150 ZEISS Single Vision Superb 1.5 Hard R 1 038,10

T 81151 ZEISS Single Vision Superb 1.5 DV Silver R 1 536,10

T 81152 ZEISS Single Vision Superb 1.5 DV Platinum R 1 749,50

T 81154 ZEISS Single Vision Superb 1.5 PhotoFusion Grey Hard R 2 065,10

T 81155 ZEISS Single Vision Superb 1.5 PhotoFusion Grey DV Silver R 2 563,10

T 81156 ZEISS Single Vision Superb 1.5 PhotoFusion Grey DV Platinum R 2 776,50

T 81159 ZEISS Single Vision Superb Sport 1.5 Polarized Grey Hard R 2 347,40

T 81160 ZEISS Single Vision Superb Sport 1.5 Polarized Grey DV Silver R 2 845,40

T 81161 ZEISS Single Vision Superb Sport 1.5 Polarized Grey DV Platinum R 3 058,80

T 81162 ZEISS Single Vision Superb Sport 1.5 Hard R 1 038,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81163 ZEISS Single Vision Superb Sport 1.5 DV Silver R 1 536,10

T 81164 ZEISS Single Vision Superb Sport 1.5 DV Platinum R 1 749,50

T 81165 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Grey Hard R 2 065,10

T 81166 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Grey DV Silver R 2 563,10

T 81167 ZEISS Single Vision Superb Sport 1.5 PhotoFusion Grey DV Platinum R 2 776,50

T 81171 ZEISS Single Vision Superb 1.6 Hard R 1 329,30

T 81172 ZEISS Single Vision Superb 1.6 DV Silver R 1 827,30

T 81173 ZEISS Single Vision Superb 1.6 DV Platinum R 2 040,70

T 81174 ZEISS Single Vision Superb Sport 1.6 Hard R 1 329,30

T 81175 ZEISS Single Vision Superb Sport 1.6 DV Silver R 1 827,30

T 81176 ZEISS Single Vision Superb Sport 1.6 DV Platinum R 2 040,70

T 81177 ZEISS Single Vision Superb Sport 1.6 Polarized Grey Hard R 2 894,30

T 81178 ZEISS Single Vision Superb Sport 1.6 Polarized Grey DV Silver R 3 392,30

T 81179 ZEISS Single Vision Superb Sport 1.6 Polarized Grey DV Platinum R 3 605,70

81180 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Grey Hard R 2 888,50

T 81181 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Grey DV Silver R 3 390,00

T 81182 ZEISS Single Vision Superb Sport 1.6 PhotoFusion Grey DV Platinum R 3 605,70

T 81186 ZEISS Single Vision Superb 1.67 DV Silver R 2 234,10

T 81187 ZEISS Single Vision Superb 1.67 DV Platinum R 2 447,50

T 81191 ZEISS Single Vision Superb 1.67 PhotoFusion Grey DV Silver R 3 619,00

T 81192 ZEISS Single Vision Superb 1.67 PhotoFusion Grey DV Platinum R 3 832,40

81193 Torga 1.53 Trivex Drivewear HC R 4 017,30

T 81194 Flexivue 1.53 Hi-curve Trivex Polarised HC R 2 225,00

T 81195 Flexivue 1.67 Hi-curve Transitions HC R 4 250,00

81196 Flexivue 1.67 Hi-curve Polarised HC R 4 399,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81197 Torga 1.5 Polar T HC R 1 145,00

T 81198 Flexivue 1.5 Atoric Polar T HC R 1 180,00

T 81199 Flexivue 1.5 Hi-curve Polar T HC R 1 415,00

T 81200 Hilux 1.50 Transitions S7 HVLL Standard Grey R 1 579,20

T 81214 SEIKO AZ 1.60 SCC Standard R 1 741,50

T 81215 SEIKO AZ 1.60 Uncoated Surfaced R 2 067,30

T 81217 SEIKO AZ 1.60 Transitions 7 SCC Standard R 3 515,40

T 81218 SEIKO AZ 1.60 Transitions 7 Uncoated Surfaced R 3 045,50

T 81220 SEIKO AZ 1.67 SCC Standard R 2 510,60

T 81221 SEIKO AZ 1.67 Uncoated Surfaced R 2 214,10

T 81223 SEIKO AZ 1.67 Transitions 7 SCC Standard R 3 808,80

T 81224 SEIKO AZ 1.67 Transitions 7 Uncoated Surfaced R 3 170,00

T 81226 SEIKO AZ 1.74 SCC Standard R 3 686,60

T 81227 SEIKO AZ 1.74 Uncoated Surfaced R 3 218,90

X 81229 SEIKO SPORTSTECH 1.67 BC 6 Uncoated Surfaced N/A

X 81231 SEIKO SPORTSTECH 1.67 BC 8 Uncoated Surfaced N/A

T 81233 SEIKO 1.60 AS SCC Standard R 1 141,20

T 81234 SEIKO 1.60 AS Uncoated Surfaced R 2 029,60

T 81236 SEIKO 1.60 AS Transitions 7 SCC Standard R 1 703,70

T 81237 SEIKO 1.67 AS SCC Standard R 1 532,50

T 81238 SEIKO 1.67 AS Uncoated Surfaced R 2 078,50

T 81240 SEIKO 1.67 AS Transitions 7 SCC Standard R 2 953,00

T 81241 SEIKO 1.67 AS Transitions 7 Uncoated Surfaced R 3 045,50

T 81243 SEIKO 1.74 AS SCC Standard R 2 475,00

T 81244 SEIKO 1.74 AS Uncoated Surfaced R 2 654,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81247 SEIKO 1.50 SCC Standard R 358,80

T 81248 SEIKO 1.50 Transitions 7 SCC Standard R 1 281,30

T 81249 SEIKO 1.50 Uncoated Surfaced R 300,10

T 81252 SEIKO 1.50 Transitions 7 Uncoated Surfaced R 1 651,60

T 81255 SEIKO 1.50 Polarising Uncoated Surfaced R 1 636,10

T 81258 SEIKO 1.50 DriveWear Uncoated Surfaced R 3 327,80

T 81260 KF SV ARC Basic Standard R 315,20

T 81261 synchrony Finished SV SPH 1.5 PhotoFusion Grey HC R 918,90

T 81262 KF SV ARC Superior Surfaced R 515,70

T 81263 synchrony Finished SV SPH 1.5 PhotoFusion Grey HMC+ R 1 485,80

T 81264 KF SV Protect Your Eyes Standard R 438,10

T 81266 KF SV Polycarbonate Standard Transition R 1 310,20

T 81268 KF SV Protect Your Eyes Surfaced R 449,00

T 81270 KF SV Polycarbonate Surfaced Transition R 1 560,50

T 81272 KF SV Protect Your Eyes 1.53 Standard R 438,10

T 81274 KF SV Trivex Standard Transition R 1 310,20

81275 ZEISS Single Vision Individual Sport 1.6 PhotoFusion Grey Hard R 3 347,80

T 81276 KF SV Protect Your Eyes 1.53 Surfaced R 449,00

T 81278 KF SV Trivex Surfaced Transition R 1 560,50

T 81280 KF SV 1.6 Standard R 646,10

T 81282 KF SV 1.6 Standard Transition R 1 470,30

T 81283 ZEISS Single Vision Individual 1.5 PhotoFusion Grey Hard R 2 527,50

T 81284 KF SV 1.6 Surfaced R 613,50

T 81286 KF SV 1.6 Surfaced Transition R 2 234,10

T 81287 ZEISS Single Vision Individual Sport 1.6 Polarized Grey Hard R 3 398,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81288 KF SV 1.67 Standard ARC R 1 341,30

81289 Futuro S FreeForm Transitions® XTRActive® 1.5 R 817,90

T 81290 KF SV 1.67 Standard Transition ARC R 1 779,20

81291 Futuro S FreeForm Transitions® XTRActive® 1.6 R 2 579,80

T 81292 KF SV 1.67 Surfaced ARC R 2 547,50

81293 Futuro S FreeForm Transitions® XTRActive® 1.67 R 3 321,30

T 81294 KF SV 1.67 Surfaced Transition ARC R 3 659,00

T 81296 KF SV up to 1.74 Standard ARC R 2 581,80

81298 KF SV up to 1.74 Standard Transition ARC R 3 150,80

T 81300 KF SV up to 1.74 Surfaced ARC R 2 705,40

X 81301 SEEMAX 1.60 (Custom Made) Transitions SeeCoat Plus N/A

81302 KF SV up to 1.74 Surfaced Transition ARC R 3 456,30

X 81303 SEEMAX 1.67 (Custom Made) Transitions SeeCoat Plus N/A

T 81304 KF SV Climateyes Standard R 695,10

X 81305 SEEMAX 1.74 (Custom Made) Transitions SeeCoat Plus N/A

T 81306 KF SV Climateyes Surfaced R 927,00

T 81308 KF SV ProtectYour Climateyes 1.53 Standard R 1 110,10

T 81310 KF SV Transition Standard R 892,30

X 81311 Petite i-PRO 1.74 Customised Digital N/A

T 81312 KF SV Transition Surfaced R 1 027,00

81313 Futuro S Transitions® 1.6 Hard Multi Coat R 3 106,60

X 81314 Futuro S Acclimates 1.5 Hard Coat N/A

T 81315 Futuro S Photochromic 1.5 Hard Coat R 227,60

T 81316 Futuro S Photochromic 1.5 Hard Multi Coat R 303,60

T 81317 Futuro S Trilogy® 1.5 Hard Coat R 967,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81318 Futuro S Trilogy® 1.5 Hard Multi Coat R 1 107,80

T 81319 Futuro S Future-X® 1.57 Hard Multi Coat R 525,70

T 81320 Futuro S Future-X® Photochromic 1.5 Hard Multi Coat R 697,20

81321 Futuro S FreeForm Drivewear® Polycarb 1.586 R 5 360,90

T 81322 Futuro S FreeForm NuPolar® 1.5 R 803,70

T 81323 Futuro S FreeForm NuPolar® 1.6 R 2 510,60

81324 Futuro S FreeForm NuPolar® 1.67 R 3 363,30

81325 Futuro S FreeForm NuPolar® Polycarb 1.586 R 3 363,30

T 81326 Futuro S FreeForm Trilogy 1.53 R 1 492,70

T 81327 Futuro S FreeForm Transitions® Trilogy 1.53 R 2 901,50

T 81328 Futuro S FreeForm Transitions® XTRActive® Trilogy 1.53 R 2 901,50

X 81330 Lite AS 1.50 ECC N/A

X 81334 Lite 3 AS 1.60 SeeCoat Plus N/A

X 81335 Lite 3 AS 1.60 Transitions SeeCoat Plus N/A

X 81336 Lite 4 AS 1.67 ECC N/A

X 81337 Lite 4 AS 1.67 SeeCoat Plus N/A

X 81338 Lite 4 AS 1.67 Transitions SeeCoat Plus N/A

X 81339 Lite 5 AS 1.74 ECC N/A

X 81340 Lite 5 AS 1.74 SeeCoat Plus N/A

X 81341 Lite 3 DAS (Double Aspheric) 1.60 SeeCoat Plus N/A

X 81343 Lite 5 DAS (Double Aspheric) 1.74 SeeCoat Plus N/A

X 81344 Lite AS 1.50 RX Supra HC N/A

X 81346 Lite 3 AS 1.60 RX Supra HC N/A

X 81347 Lite 3 AS 1.60 RX Transitions Supra HC N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

81349 1.50 Clear Titan HC R 93,00

81350 1.50 Clear Crizal R 698,40

81351 1.50 Transitions Crizal R 1 660,10

81352 1.50 SunSpex R 75,30

T 81353 BBGR 1.5 Crizal Forte UV Stock R 663,30

T 81354 BBGR 1.5 Crizal Forte UV Rx R 898,10

T 81355 BBGR Transitions Supra Rx R 1 153,70

T 81356 BGR Transitions Crizal Easy UV Rx R 1 642,80

T 81357 BBGR Transitions Crizal Forte UV Rx R 1 880,60

T 81358 BBGR Airwear Supra Stock R 614,40

T 81359 BBGR Airwear Crizal Easy UV Rx R 2 077,10

T 81360 BBGR Polarised Crizal Easy UV Rx R 1 705,00

T 81361 BBGR Evo 1.6 Crizal Forte UV Rx R 1 716,10

T 81362 BBGR Transitions 1.6 Supra Rx R 2 047,30

T 81363 BBGR Transitions 1.6 Crizal Easy UV Rx R 2 536,40

T 81364 BBGR Transitions 1.6 Crizal Forte UV Rx R 2 774,30

T 81365 BBGR 1.67 Crizal Forte UV Rx R 2 780,90

T 81366 BBGR Transitions 1.67 Crizal Easy UV Rx R 3 603,40

T 81367 BBGR Transitions 1.67 Crizal Forte UV Rx R 3 841,30

T 81368 BBGR 1.74 Crizal Forte UV Rx R 4 846,10

81369 Sun -X Speed 1.56 Photochromic

81370 Sun -X Speed 1.56 Photochromic Surfaced

T 81373 Focus Transition 7 Signature® and XTRAactive® Invisibles Standard R 1 512,50

T 81377 Hilux TF 1.50 Hard R 113,30

T 81378 Hilux 1.50 HVLL Blue Control Surfaced R 1 142,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81379 Hilux TF 1.50 HVLL R 978,10

T 81380 Hilux TF 1.50 HVLL Blue Control R 1 133,70

T 81383 Nulux Aspheric TF 1.50 Hard R 695,80

T 81384 Nulux Aspheric 1.50 HVLL Blue Control R 1 582,70

T 81385 Nulux Aspheric TF 1.50 HVLL R 1 560,50

T 81386 Nulux Aspheric TF 1.50 HVLL Blue Control R 1 718,30

T 81387 Hilux TF PNX 1.53 Hard R 831,40

T 81388 Hilux PNX 1.53 HVLL Blue Control Surfaced R 1 689,40

T 81389 Hilux TF PNX 1.53 HVLL R 1 698,30

T 81390 Hilux TF PNX 1.53 HVLL Blue Control R 1 856,20

T 81394 Nulux Aspheric PNX 1.53 HVLL Blue Control R 2 151,80

T 81395 Nulux Aspheric TF PNX 1.53 HVLL Surfaced R 2 034,00

T 81396 Nulux Aspheric TF PNX 1.53 HVLL Blue Control Surfaced R 2 191,80

T 81397 Hilux TF Eyas 1.60 Hard R 1 591,60

T 81398 Hilux Eyas 1.60 HVLL Blue Control Surfaced R 2 347,40

T 81399 Hilux TF Eyas 1.60 HVLL R 2 456,40

T 81400 Hilux TF Eyas 1.60 HVLL Blue Control R 2 614,20

T 81401 Hilux Eyas 1.60 Transitions S7 HVLL Standard R 1 770,40

T 81408 Nulux TF Eyas 1.60 Hard R 1 905,10

T 81409 Nulux TF Eyas 1.60 HVLL R 2 772,00

T 81410 Nulux Eyas 1.60 HVLL Blue Control R 2 807,60

T 81411 Nulux TF Eyas 1.60 HVLL Blue Control R 2 929,90

T 81416 Nulux iDentity V+ Eyas 1.60 HVLL Blue Control (Double Surface FreeForm) R 2 987,70

T 81417 Hilux Eynoa 1.67 HVLL Blue Control R 2 638,70

T 81418 Hilux TF Eynoa 1.67 HVLL R 2 314,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81419 Hilux TF Eynoa 1.67 HVLL Blue Control R 2 469,70

T 81424 Nulux Eynoa 1.67 HVLL Blue Control Surfaced R 2 838,70

T 81425 Nulux TF Eynoa 1.67 HVLL Surfaced R 2 769,80

T 81426 Nulux TF Eynoa 1.67 HVLL Blue Control Surfaced R 2 927,70

T 81431 Nulux iDentity V+ Eynoa 1.67 HVLL Blue Control (Double Surface FreeForm) R 2 983,20

T 81433 Nulux Eyvia 1.74 HVLL Blue Control R 3 832,40

T 81434 Nulux iDentity V+ Eyvia 1.74 HVLL Blue Control (Double Surface FreeForm) R 3 832,40

T 81435 SunActive 1.56 HC R 662,50

T 81437 SEIKO Tribrid Uncoated Surfaced R 1 516,00

T 81440 SEIKO Tribrid Transitions 7 Uncoated Surfaced R 3 327,80

T 81443 SEIKO 1.60 SCC Standard R 994,50

T 81444 SEIKO 1.60 Uncoated Surfaced R 1 331,50

T 81447 SEIKO 1.60 Transitions 7 Uncoated Surfaced R 2 618,70

T 81450 SEIKO 1.60 Polarising Uncoated Surfaced R 2 812,10

T 81453 SEIKO 1.67 SCC Standard R 1 532,50

T 81454 SEIKO 1.67 Uncoated Surfaced R 1 551,60

T 81456 SEIKO 1.67 Polarising Uncoated Surfaced R 3 045,50

T 81458 SEIKO 1.67 Transitions 7 Uncoated Surfaced R 2 776,50

T 81460 synchrony Finished SV SPH 1.5 HC R 52,00

T 81461 BBGR Airwear Transitions Supra Rx R 2 080,70

T 81462 BBGR Airwear Transitions Crizal Easy UV Rx R 2 569,70

T 81463 VUE 1.56 VEYEZER HMC RANGE 2 R 458,80

T 81464 Lenssavers 1.5 Hard Multi Coat R 56,40

T 81465 Lenssavers 1.5 Hard Multi Coat Surfaced R 122,20

T 81466 Lenssavers 1.5 Superhydrophobic ARC R 345,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

81467 Lenssavers 1.5 Superhydrophobic ARC Surfaced R 526,80

T 81468 Lenssavers 1.56 Acclimates Supra R 134,20

X 81469 Lenssavers 1.56 Acclimates Supra Surfaced N/A

T 81470 Lenssavers 1.6 Superhydrophobic ARC R 865,60

T 81471 Lenssavers 1.6 Superhydrophobic ARC Surfaced R 1 344,90

T 81472 Lenssavers 1.6 Hard Coat R 0,00

T 81473 Lenssavers 1.6 Hard Coat Surfaced R 886,90

T 81474 Lenssavers 1.67 Hard Coat Aspheric R 128,90

81475 Lenssavers 1.74 Superhydrophobic ARC Aspheric R 2 646,20

81476 Lenssavers 1.74 Superhydrophobic ARC Aspheric Surfaced R 2 646,20

81477 Lenssavers 1.5 Polarised Supra R 539,00

81478 Lenssavers 1.5 Polarised Crizal Easy R 614,30

T 81479 Lenssavers 1.5 Transitions 7 Supra R 604,60

T 81481 Lenssavers 1.5 Transitions 7 Crizal Easy R 1 191,50

T 81482 Lenssavers 1.6 Transitions 7 Crizal Easy R 2 334,10

81483 Lenssavers 1.67 Transitions 7 Crizal Easy R 2 734,70

X 81484 OAKLEY OTD VENTED NON-IRIDIUM Clear + AR N/A

X 81485 OAKLEY OTD VENTED NON-IRIDIUM Grey N/A

X 81486 OAKLEY OTD VENTED NON-IRIDIUM Persimmon N/A

81487 OAKLEY OTD VENTED NON-IRIDIUM VR28

X 81488 OAKLEY OTD VENTED NON-IRIDIUM Bronze N/A

X 81489 OAKLEY OTD VENTED IRIDIUM Black N/A

X 81490 OAKLEY OTD VENTED IRIDIUM Gold N/A

X 81491 OAKLEY OTD VENTED IRIDIUM Fire Ice N/A

X 81492 OAKLEY OTD VENTED IRIDIUM G30 N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 81493 OAKLEY OTD VENTED IRIDIUM VR28 Black N/A

X 81494 OAKLEY OTD VENTED IRIDIUM Tungsten N/A

X 81495 OAKLEY OTD VENTED POLARIZED Grey/B-AR N/A

X 81496 OAKLEY OTD VENTED POLARIZED Bronze/B-AR N/A

X 81497 OAKLEY OTD VENTED POLARIZED VR28/B-AR N/A

X 81498 OAKLEY OTD VENTED POLARIZED – Black IR N/A

X 81499 OAKLEY OTD VENTED POLARIZED – Deep Blue IR N/A

81500 OAKLEY OTD VENTED POLARIZED – G30

X 81501 OAKLEY OTD VENTED POLARIZED – Tungsten IR N/A

X 81502 OAKLEY OTD VENTED POLARIZED – IceIR-Gold IR N/A

X 81503 OAKLEY OTD VENTED POLARIZED – VR28 Black IR N/A

81504 OAKLEY OTD VENTED POLARIZED – OORed IR

X 81505 OAKLEY OTD VENTED – POLARIZED Shallow Blue IR N/A

X 81506 OAKLEY OTD VENTED – POLARIZED – OO Black IR N/A

X 81507 OAKLEY OTD VENTED – TRANSITIONS Grey AR N/A

X 81508 OAKLEY OTD VENTED – TRANSITIONS Brown AR N/A

X 81509 OAKLEY OTD VENTED – TRANSITIONS Gold IR/B-AR N/A

81510 OAKLEY OTD VENTED – TRANSITIONS Emerald IR/B-AR

81511 OAKLEY OTD VENTED – TRANSITIONS Black IR/B-AR

X 81512 OAKLEY OTD SHIELD IMPLANT NON-IRIDIUM N/A

81513 OAKLEY OTD SHIELD IMPLANT NON-IRIDIUM Grey

81514 OAKLEY OTD SHIELD IMPLANT NON-IRIDIUM Persimmon

81515 OAKLEY OTD SHIELD IMPLANT NON-IRIDIUM VR28

X 81516 OAKLEY OTD SHIELD IMPLANT IRIDIUM N/A

X 81517 OAKLEY OTD SHIELD IMPLANT PRIZM N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

81518 OAKLEY OTD SHIELD IMPLANTIRIDIUM Ice

81519 OAKLEY OTD SHIELD IMPLANT IRIDIUM VR28 Black

X 81520 OAKLEY OTD SHIELD IMPLANT POLARIZED B-AR N/A

81521 OAKLEY OTD SHIELD IMPLANT POLARIZED VR28

81522 Q-Change Single Vision 1.56

T 81523 Shamir Smart SV As-Worn (1.5) R 1 509,70

T 81524 Shamir Smart SV As-Worn (1.6) R 1 709,90

T 81525 Shamir Smart SV As-Worn (1.67) R 2 374,10

T 81526 Shamir Smart SV As-Worn Transition and XTRActive (1.5) R 2 658,60

T 81527 Shamir Smart SV As-Worn Transition and XTRActive (1.6) R 4 288,10

T 81528 Shamir Smart SV As-Worn Transition and XTRActive (1.67) R 4 829,50

T 81529 Shamir Smart SV As-Worn Polarized (1.5) R 2 027,40

T 81530 Shamir Smart SV As-Worn Polarized (1.6) R 5 161,90

T 81531 Shamir Smart SV As-Worn Polarized (1.67) R 6 062,90

T 81532 Shamir Smart SV As-Worn Polycarbonate Polarized (1.59) R 2 655,20

T 81533 Shamir Smart SV As-Worn Polycarbonate (1.59) R 1 109,50

T 81534 Shamir Smart SV As-Worn Polycarbonate Transition and XTRActive (1.59) R 4 614,80

T 81535 Shamir Smart SV As-Worn Drivewear (1.5) R 6 384,50

T 81536 Shamir Smart SV As-Worn Trivex (1.53) R 1 686,00

X 81540 Lite 3 S 1.60 RX Polarised Supra HC N/A

X 81541 Lite 3 S 1.60 RX Polarised ECC N/A

X 81542 Lite 3 S 1.60 RX Polarised SeeCoat Plus N/A

X 81543 Lite AS 1.50 RX ECC N/A

X 81544 Lite AS 1.50 RX SeeCoat Plus N/A

X 81545 Lite AS 1.50 RX SeeCoat Blue N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 81546 Lite 3 AS 1.60 RX ECC N/A

X 81547 Lite 3 AS 1.60 RX SeeCoat Plus N/A

X 81548 Lite 3 AS 1.60 RX SeeCoat Blue N/A

X 81549 Lite 3 AS 1.60 RX Transitions ECC N/A

X 81550 Lite 3 AS 1.60 RX Transitions SeeCoat Plus N/A

X 81551 Lite 4 AS 1.67 RX ECC N/A

X 81552 Lite 4 AS 1.67 RX SeeCoat Plus N/A

X 81553 Lite 4 AS 1.67 RX SeeCoat Blue N/A

X 81554 Lite 4 AS 1.67 RX Transitions ECC N/A

X 81555 Lite 4 AS 1.67 RX Transitions SeeCoat Plus N/A

X 81556 Lite 5 AS 1.74 RX ECC N/A

X 81557 Lite 5 AS 1.74 RX SeeCoat Blue N/A

X 81558 SEEMAX 1.60 (Custom Made) SeeCoat Blue N/A

X 81559 SEEMAX 1.67 (Custom Made) SeeCoat Blue N/A

X 81560 SEEMAX 1.74 (Custom Made) SeeCoat Blue N/A

X 81561 SEESTYLE 1.60 (Custom Made, 3/5/8BC) SeeCoat Plus N/A

X 81562 SEESTYLE 1.60 (Custom Made, 3/5/8BC) Hi Colour 50% N/A

X 81563 SEESTYLE 1.60 (Custom Made, 3/5/8BC) Mirror Gold/Silver/Blue N/A

X 81564 SEESTYLE 1.60 (Custom Made, 3/5/8BC) Transitions SeeCoat Plus N/A

X 81565 SEESTYLE 1.60 (Custom Made, 3/5/8BC) Polarised Supra HC N/A

X 81566 SEESTYLE 1.67 (Custom Made, 3/5/8BC) SeeCoat Plus N/A

X 81567 SEESTYLE 1.67 (Custom Made, 3/5/8BC) Hi Colour 80% N/A

X 81568 SEESTYLE 1.67 (Custom Made, 3/5/8BC) Mirror Gold/Silver/Blue N/A

X 81569 SEESTYLE 1.67 (Custom Made, 3/5/8BC) Transitions SeeCoat Plus N/A

X 81570 SEESTYLE 1.74 (Custom Made, 3/5/8BC) SeeCoat Plus N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 81571 SEESTYLE 1.74 (Custom Made, 3/5/8BC) Transitions SeeCoat Plus N/A

81572 1.50 Clear Titan HC Tintable R 347,50

81573 1.50 RX Clear Titan HC R 418,30

T 81574 1.50 RX Clear Supra HC R 252,30

81575 1.50 RX Clear Crizal R 1 028,20

81576 1.50 RX Clear Crizal Forte UV R 1 298,20

81577 1.50 RX Transitions-Acclimates Titan HC R 1 073,50

81578 1.50 RX Transitions-Acclimates HMC R 1 422,20

81579 1.50 RX Transitions-Acclimates Crizal R 1 690,00

81580 1.50 RX Transitions-Acclimates Crizal Forte UV R 1 954,40

81581 1.50 RX Transitions XTRActive HC R 1 124,40

81582 1.50 RX Transitions XTRActive Titan HC R 1 409,90

81583 1.50 RX Transitions XTRActive HMC R 1 757,40

81584 1.50 RX Transitions XTRActive Crizal R 2 023,00

81585 1.50 RX Transitions XTRActive Crizal Forte UV R 2 285,40

81586 1.50 RX Transitions Titan HC R 1 409,90

81587 1.50 RX Transitions HMC R 1 757,40

81588 1.50 RX Transitions Crizal R 2 023,00

81589 1.50 RX Transitions Crizal Forte UV R 2 285,40

81590 1.50 RX Polarised Titan HC R 1 542,70

81591 1.50 RX Polarised HMC R 1 889,20

81592 1.50 RX Polarised Crizal R 2 153,60

81593 1.50 RX Polarised Crizal Forte UV R 2 423,70

81594 1.50 RX DriveWear Titan HC R 5 363,10

81595 1.50 RX DriveWear HMC R 5 711,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

81596 1.56 RX SunSmart Titan HC R 753,70

81599 1.59 RX Polycarb HMC R 1 654,60

81600 Accomodative Support Lens R 470,40

T 81601 Essilor Anti-Fatigue 1.5 Orma Crizal Surfaced R 874,00

T 81602 Essilor Anti-Fatigue 1.5 Orma Crizal Forte UV Surfaced R 1 118,50

T 81603 Nulux Active 1.50 Uncoated A (0.53) or B (0.88) R 203,90

T 81604 Nulux Active 1.50 Hard A (0.53) or B (0.88) R 392,90

T 81605 Nulux Active 1.50 HVP A (0.53) or B (0.88) R 886,40

T 81606 Nulux Active 1.50 SHV A (0.53) or B (0.88) R 1 019,80

T 81607 Nulux Active 1.50 HVLL A (0.53) or B (0.88) R 1 224,30

T 81608 Nulux Active TF Eyas 1.60 Hard A (0.53) or B (0.88) R 1 353,20

T 81610 Nulux Active TF Eyas 1.60 SHV A (0.53) or B (0.88) R 1 980,10

T 81611 Nulux Active TF Eyas 1.60 HVLL A (0.53) or B (0.88) R 2 184,60

T 81616 Nulux Active TF Eynoa 1.67 SHV A (0.53) or B (0.88) R 2 109,10

T 81617 Nulux Active TF Eynoa 1.67 HVLL A (0.53) or B (0.88) R 2 315,80

T 81621 Shamir Relax (1.6) R 1 822,60

81622 Flexivue 1.5 Mild-add HC R 907,50

T 81623 Flexivue 1.6/42 Mild-add HC R 1 620,00

T 81624 Flexivue 1.67 Mild-add HC R 2 260,00

T 81625 Flexivue 1.5 Mild-add Transitions HC R 2 360,00

T 81627 Futuro Anti-Fatigue FreeForm 1.5 R 420,60

T 81634 Futuro Anti-Fatigue FreeForm Transitions 1.5 R 1 559,50

T 81635 Futuro Anti-Fatigue FreeForm Trivex 1.53 R 2 369,40

T 81636 Futuro Anti-Fatigue FreeForm 1.60 R 1 615,80

T 81637 Futuro Anti-Fatigue FreeForm1.67 R 3 736,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81643 Flexivue 1.6/42 Mild-add Transitions HC R 3 305,00

T 81644 Flexivue 1.53 Mild-add Trivex HC R 1 515,00

T 81645 Quality Chill Anti-Fatigue 1.50 R 319,50

T 81648 Quality Chill Anti-Fatigue 1.60 Emerald R 1 573,30

T 81650 Quality Chill Anti-Fatigue 1.67 Emerald R 2 022,40

T 81652 Quality Chill Anti-Fatigue 1.50 Transitions® T7 Emerald R 1 995,70

T 81654 Quality Chill Anti-Fatigue 1.60 Transitions® T7 Emerald R 2 847,10

T 81656 Quality Chill Anti-Fatigue 1.67 Transitions® T7 Emerald R 3 107,20

T 81658 Flexivue 1.56 Mild-add Flexi-Tint HC R 1 245,00

T 81659 Shamir Relax (1.5) R 1 188,60

T 81660 Shamir Relax Polycarbonate (1.59) R 949,10

T 81661 Futuro Anti-Fatigue FreeForm Transitions XTRActive 1.5 R 1 559,50

T 81662 Futuro Anti-Fatigue FreeForm Trivex Transitions 1.53 R 3 438,00

T 81663 Futuro Anti-Fatigue FreeForm Trivex Transitions XTRActive 1.53 R 3 438,00

T 81664 Futuro Anti-Fatigue FreeForm Transitions 1.6 R 2 670,30

T 81665 Futuro Anti-Fatigue FreeForm Transitions XTRActive 1.6 R 2 670,30

T 81666 Futuro Anti-Fatigue FreeForm Transitions 1.67 R 4 846,80

T 81667 Futuro Anti-Fatigue FreeForm Transitions XTRActive 1.67 R 4 846,80

81668 VISION FatiguePREVENT 1.50 Clear Titan HC R 604,30

81670 VISION FatiguePREVENT 1.60 Clear Titan HC R 1 659,00

81676 VISION FatiguePREVENT 1,50 Transitions R 2 547,60

X 81678 Nikon RelaxSee 1.50 Supra HC N/A

X 81679 Nikon RelaxSee 1.60 Supra HC N/A

T 81682 Quality Chill Anti-Fatigue 1.50 Trivex Trilogy® Clear R 1 008,70

T 81683 Quality Chill Anti-Fatigue 1.50 Trivex Trilogy® Transitions® T7 R 2 215,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 81684 Quality Chill Aris™ Transitions® Autumn Gold™ Performance Sunwear lenses N/A

T 81685 Quality Chill Transitions Vantage™ R 2 873,80

T 81686 Nulux Active TF 1.50 Hard A (0.53) or B (0.88) R 466,30

T 81687 Nulux Active TF 1.50 SHV A (0.53) or B (0.88) R 1 093,10

T 81688 Nulux Active TF 1.50 HVLL A (0.53) or B (0.88) R 1 297,70

T 81692 Essilor Anti-Fatigue 1.67 Crizal Forte UV R 2 866,90

T 81694 Nulux Active 1.50 HVLL Blue Control A (0.53) or B (0.88) R 1 375,50

T 81695 Nulux Active TF 1.50 HVLL Blue Control A (0.53) or B (0.88) R 1 448,80

T 81698 Nulux Active TF Eyas 1.60 HVLL Blue Control A (0.53) or B (0.88) R 2 333,60

T 81700 Nulux Active TF Eynoa 1.67 HVLL Blue Control A (0.53) or B (0.88) R 2 464,70

T 81705 Nulux Active Eyas 1.6 Hard A (0.53) or B (0.88) R 1 106,50

T 81706 Nulux Active Eyas 1.6 SHV A (0.53) or B (0.88) R 1 731,20

T 81707 Nulux Active Eyas 1.6 HVLL A (0.53) or B (0.88) R 1 937,90

T 81708 Nulux Active Eyas 1.6 HVLL Blue Control A (0.53) or B (0.88) R 2 086,80

T 81710 ZEISS Digital Lens 1.5 Hard R 490,70

T 81711 ZEISS Digital Lens 1.5 DV Silver R 988,70

T 81712 ZEISS Digital Lens 1.5 DV Platinum R 1 202,10

T 81714 ZEISS Digital Lens 1.5 PhotoFusion Grey Hard R 1 686,70

T 81715 ZEISS Digital Lens 1.5 PhotoFusion Grey DV Silver R 2 184,60

T 81716 ZEISS Digital Lens 1.5 PhotoFusion Grey DV Platinum R 2 398,10

T 81721 ZEISS Digital Lens 1.6 Hard R 775,30

T 81722 ZEISS Digital Lens 1.6 DV Silver R 1 273,20

T 81723 ZEISS Digital Lens 1.6 DV Platinum R 1 486,60

T 81724 ZEISS Digital Lens 1.6 PhotoFusion Grey Hard R 2 620,40

T 81725 ZEISS Digital Lens 1.6 PhotoFusion Grey DV Silver R 3 118,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81726 ZEISS Digital Lens 1.6 PhotoFusion Grey DV Platinum R 3 331,70

T 81730 ZEISS Digital Lens 1.67 DV Silver R 1 757,80

T 81731 ZEISS Digital Lens 1.67 DV Platinum R 1 971,20

T 81732 ZEISS Digital Lens 1.67 PhotoFusion Grey DV Silver R 3 505,10

T 81733 ZEISS Digital Lens 1.67 PhotoFusion Grey DV Platinum R 3 718,50

T 81736 Shamir Relax Transitions and XTRActive (1.5) R 2 752,80

T 81737 Shamir Relax Polycarbonate Transitions and XTRActive (1.59) R 3 641,40

T 81738 Shamir Relax Transitions and XTRActive (1.6) R 3 641,30

X 81739 Nikon RelaxSee 1.50 ECC N/A

X 81740 Nikon RelaxSee 1.50 SeeCoat Plus N/A

X 81741 Nikon RelaxSee 1.50 SeeCoat Blue N/A

X 81742 Nikon RelaxSee 1.60 ECC N/A

X 81743 Nikon RelaxSee 1.60 SeeCoat Plus N/A

X 81744 Nikon RelaxSee 1.60 SeeCoat Blue N/A

81745 VISION FatiguePREVENT 1.50 Clear R 357,50

81746 VISION FatiguePREVENT 1.50 Clear HMC R 1 164,20

81748 VISION FatiguePREVENT 1.50 Transitions HMC R 3 105,40

81750 VISION FatiguePREVENT 1.50 POLARised Titan HC

81751 VISION FatiguePREVENT 1.50 POLARised HMC

81753 VISION FatiguePREVENT 1.60 Clear HMC R 2 216,80

81755 VISION FatiguePREVENT 1.60 Transitions Titan HC R 3 458,50

81756 VISION FatiguePREVENT 1.60 Transitions HMC R 3 771,60

81758 VISION FatiguePREVENT 1.67 Clear HMC R 5 002,30

81759 VISION FatiguePREVENT 1.67 Transitions HMC R 4 003,00

81761 VISION FatiguePREVENT 1.67 POLARised HMC

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81763 ZEISS Digital Lens Sport 1.5 Hard R 601,90

T 81764 ZEISS Digital Lens Sport 1.5 DV Silver R 1 099,80

T 81765 ZEISS Digital Lens Sport 1.5 DV Platinum R 1 313,20

T 81766 ZEISS Digital Lens Sport 1.5 PhotoFusion Grey Hard R 1 797,80

T 81767 ZEISS Digital Lens Sport 1.5 PhotoFusion Grey DV Silver R 2 295,80

T 81768 ZEISS Digital Lens Sport 1.5 PhotoFusion Grey DV Platinum R 2 509,20

T 81772 ZEISS Digital Lens Sport 1.6 Hard R 886,40

T 81773 ZEISS Digital Lens Sport 1.6 DV Silver R 1 384,40

T 81774 ZEISS Digital Lens Sport 1.6 DV Platinum R 1 597,80

T 81775 ZEISS Digital Lens Sport 1.6 PhotoFusion Grey Hard R 2 731,50

T 81776 ZEISS Digital Lens Sport 1.6 PhotoFusion Grey DV Silver R 3 229,50

T 81777 ZEISS Digital Lens Sport 1.6 PhotoFusion Grey DV Platinum R 3 442,90

T 81781 Essilor Anti-Fatigue 1.5 Orma Crizal Prevencia Surfaced R 1 118,50

T 81782 Essilor Anti-Fatigue 1.67 Crizal Prevencia R 2 866,90

T 81784 EasyWork S/V Screen 1.5 Crizal Easy UV R 857,50

T 81785 EasyWork S/V Screen 1.5 Crizal Forte UV R 1 095,40

T 81786 EasyWork S/V Screen 1.5 Transitions Crizal Easy UV R 1 364,40

T 81787 EasyWork S/V Screen 1.5 Transitions Crizal Forte UV R 1 602,20

T 81788 EasyWork S/V Screen 1.6 Crizal Easy UV R 904,20

T 81789 EasyWork S/V Screen 1.6 Crizal Forte UV R 1 142,10

T 81790 EasyWork S/V Screen 1.6 Transitions Crizal Easy UV R 1 740,00

T 81791 EasyWork S/V Screen 1.6 Transitions Crizal Forte UV R 1 977,90

T 81795 Nulux Active Eynoa 1.67 SHV A (0.53) or B (0.88) R 1 917,90

T 81796 Nulux Active Eynoa 1.67 HVLL A (0.53) or B (0.88) R 2 122,40

T 81797 Nulux Active Eynoa 1.67 HVLL Blue Control A (0.53) or B (0.88) R 2 271,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81807 EasyWork S/V Screen 1.5 R 368,50

T 81808 EasyWork S/V Screen 1.5 i-Relief R 719,70

T 81809 EasyWork S/V Screen 1.5 Transitions i-Relief R 1 226,50

T 81810 EasyWork S/V Screen 1.6 i-Relief R 766,40

T 81811 Nulux Active TF 1.50 Sensity Hard A (0.53) or B (0.88) R 1 815,60

T 81812 Nulux Active TF 1.50 Sensity SHV A (0.53) or B (0.88) R 2 442,50

T 81813 Nulux Active TF 1.50 Sensity HVLL A (0.53) or B (0.88) R 2 647,00

T 81814 Nulux Active TF 1.50 Sensity HVLL Blue Control A (0.53) or B (0.88) R 2 796,00

T 81815 Nulux Active TF Eyas 1.60 Sensity Hard A (0.53) or B (0.88) R 2 306,90

T 81816 Nulux Active TF Eyas 1.60 Sensity SHV A (0.53) or B (0.88) R 2 933,80

T 81817 Nulux Active TF Eyas 1.60 Sensity HVLL A (0.53) or B (0.88) R 3 138,30

T 81818 Nulux Active TF Eyas 1.60 Sensity HVLL Blue Control A (0.53) or B (0.88) R 3 287,30

T 81819 Nulux Active TF Eynoa 1.67 Sensity SHV A (0.53) or B (0.88) R 3 509,60

T 81820 Nulux Active TF Eynoa 1.67 Sensity HVLL A (0.53) or B (0.88) R 3 716,30

T 81821 Nulux Active TF Eynoa 1.67 Sensity HVLL Blue Control A (0.53) or B (0.88) R 3 865,20

T 81822 Nulux Active 1.50 Sensity Hard A (0.53) or B (0.88) R 1 568,90

T 81823 Nulux Active 1.50 Sensity SHV A (0.53) or B (0.88) R 2 195,80

T 81824 Nulux Active 1.50 Sensity HVLL A (0.53) or B (0.88) R 2 400,30

T 81825 Nulux Active 1.50 Sensity HVLL Blue Control A (0.53) or B (0.88) R 2 549,20

T 81826 Nulux Active Eyas 1.60 Sensity Hard A (0.53) or B (0.88) R 2 060,20

T 81827 Nulux Active Eyas 1.60 Sensity SHV A (0.53) or B (0.88) R 2 687,00

T 81828 Nulux Active Eyas 1.60 Sensity HVLL A (0.53) or B (0.88) R 2 891,60

T 81829 Nulux Active Eyas 1.60 Sensity HVLL Blue Control A (0.53) or B (0.88) R 3 040,50

T 81830 Nulux Active Eynoa 1.67 Sensity SHV A (0.53) or B (0.88) R 3 262,80

T 81831 Nulux Active Eynoa 1.67 Sensity HVLL A (0.53) or B (0.88) R 3 469,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81832 Nulux Active Eynoa 1.67 Sensity HVLL Blue Control A (0.53) or B (0.88) R 3 618,50

T 81833 Nulux Active TF 1.50 HVLL UV Control A (0.53) or B (0.88) R 1 448,80

T 81834 Nulux Active TF 1.50 Sensity HVLL UV Control A (0.53) or B (0.88) R 2 796,00

T 81835 Nulux Active TF Eyas 1.60 HVLL UV Control A (0.53) or B (0.88) R 2 333,60

T 81836 Nulux Active TF Eyas 1.60 Sensity HVLL UV Control A (0.53) or B (0.88) R 3 287,30

T 81837 Nulux Active TF Eynoa 1.67 HVLL UV Control A (0.53) or B (0.88) R 2 464,70

T 81838 Nulux Active TF Eynoa 1.67 Sensity HVLL UV Control A (0.53) or B (0.88) R 3 865,20

T 81839 Nulux Active 1.50 HVLL UV Control A (0.53) or B (0.88) R 1 375,50

T 81840 Nulux Active 1.50 Sensity HVP A (0.53) or B (0.88) R 2 060,20

T 81841 Nulux Active 1.50 Sensity HVLL UV Control A (0.53) or B (0.88) R 2 549,20

T 81842 Nulux Active Eyas 1.6 HVLL UV Control A (0.53) or B (0.88) R 2 086,80

T 81843 Nulux Active Eyas 1.60 Sensity HVLL UV Control A (0.53) or B (0.88) R 3 040,50

T 81844 Nulux Active Eynoa 1.67 HVLL UV Control A (0.53) or B (0.88) R 2 271,30

T 81845 Nulux Active Eynoa 1.67 Sensity HVLL UV Control A (0.53) or B (0.88) R 3 618,50

T 81846 Apex Anti-Fatigue 1.50 R 98,00

T 81847 Apex Anti-Fatigue 1.60 R 755,60

81848 Apex Anti-Fatigue 1.67 R 945,10

81849 Apex Anti-Fatigue 1.50 Transitions® T7 R 1 009,30

81850 Apex Anti-Fatigue 1.60 Transitions® T7 R 2 203,50

T 81851 EasyWork S/V Screen 1.6 Transitions i-Relief R 1 602,20

T 81852 Incredible Flexi Hard 1.5 R 377,30

T 81853 Incredible Flexi ARC 1.5 R 821,90

T 81854 Incredible Flexi Protect Your Eyes R 1 064,30

T 81855 Incredible Flexi Protect Your Eyes ARC R 1 508,90

T 81856 Incredible Flexi Hard 1.6 R 1 059,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81857 Incredible Flexi ARC 1.6 R 1 504,40

X 81858 RO Relaxx N/A

T 81859 SEIKO EXTENSIVE VISION 1.5 Uncoated R 466,30

T 81860 SEIKO EXTENSIVE VISION 1.5 Polarising Uncoated R 1 553,30

T 81861 SEIKO EXTENSIVE VISION 1.5 Drivewear Uncoated R 3 369,50

T 81862 SEIKO EXTENSIVE VISION 1.5 Transitions 7 Uncoated R 1 637,80

T 81863 SEIKO EXTENSIVE VISION Tribrid Uncoated R 1 524,40

T 81864 SEIKO EXTENSIVE VISION Tribrid Transitions 7 Uncoated R 3 242,80

T 81865 SEIKO EXTENSIVE VISION 1.6 Uncoated R 844,20

T 81866 SEIKO EXTENSIVE VISION 1.6 Polarising Uncoated R 2 544,80

T 81867 SEIKO EXTENSIVE VISION 1.6 Transitions 7 Uncoated R 2 533,70

T 81868 SEIKO EXTENSIVE VISION 1.67 Uncoated R 1 566,60

T 81869 SEIKO EXTENSIVE VISION 1.67 Polarising Uncoated R 2 960,50

T 81870 SEIKO EXTENSIVE VISION 1.67 Transitions 7 Uncoated R 2 960,50

T 81871 SEIKO EXTENSIVE VISION 1.74 Uncoated R 2 898,20

T 81873 Spec Active Student 1.50 Hard R 566,30

T 81874 Spec Active Student 1.50 HMC R 1 148,70

T 81875 Spec Active Student 1.50 SHMC R 1 337,70

T 81877 Spec Active Student 1.50 Climatio UNC R 1 662,20

T 81878 Spec Active Student 1.50 Climatio Hard R 1 840,10

T 81879 Spec Active Student 1.50 Climatio HMC R 2 420,30

T 81880 Spec Active Student 1.50 Climatio SHMC R 2 611,50

T 81882 Spec Active Student 1.60 Hard R 1 364,40

T 81883 Spec Active Student 1.60 HMC R 1 944,60

T 81884 Spec Active Student 1.60 SHMC R 2 135,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81886 Spec Active Student 1.60 Climatio Hard R 2 344,70

T 81887 Spec Active Student 1.60 Climatio HMC R 2 927,10

T 81888 Spec Active Student 1.60 Climatio SHMC R 3 116,10

T 81890 Spec Active Student 1.67 HMC R 2 718,20

T 81891 Spec Active Student 1.67 SHMC R 2 907,10

T 81893 Spec Active Student 1.67 Climatio HMC R 4 089,80

T 81894 Spec Active Student 1.67 Climatio SHMC R 4 280,90

T 81895 OS Relax 1.5 Hard Coat R 1 487,00

T 81896 OS Relax 1.5 Glacier Plus R 1 516,60

T 81897 OS Relax Polycarbonate 1.59 Hard Coat R 1 519,30

T 81898 OS Relax Polycarbonate 1.59 Glacier Plus R 1 952,30

81899 OS Relax 1.6 Hard Coat

T 81900 OS Relax 1.6 Glacier Plus R 2 283,20

81901 OS Relax Transitions and XTRActive 1.5 Hard Coat R 2 875,20

81902 OS Relax Transitions and XTRActive 1.5 Glacier Plus R 3 097,70

T 81903 OS Relax Polycarbonate Transitions and XTRActive 1.59 Hard Coat R 4 542,60

T 81904 OS Relax Polycarbonate Transitions and XTRActive 1.59 Glacier Plus R 4 690,60

T 81905 OS Relax Transitions and XTRActive 1.6 Hard Coat R 4 542,60

T 81906 OS Relax Transitions and XTRActive 1.6 Glacier Plus R 4 690,60

T 81920 OS Smart SV Attitude Transition and XTRActive 1.5 Glacier Plus R 2 041,40

T 81921 OS Smart SV Attitude Transition and XTRActive 1.6 Hard Coat R 3 294,80

T 81922 OS Smart SV Attitude Transition and XTRActive 1.6 Glacier Plus R 3 413,20

T 81923 OS Smart SV Attitude Transition and XTRActive 1.67 Hard Coat R 3 718,50

T 81924 OS Smart SV Attitude Transition and XTRActive 1.67 Glacier Plus R 3 851,60

T 81925 OS Smart SV Attitude Polarized 1.5 Hard Coat R 2 447,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81926 OS Smart SV Attitude Polarized 1.5 Glacier Plus R 2 579,30

T 81927 OS Smart SV Attitude Polarized 1.6 Hard Coat R 3 859,70

T 81928 OS Smart SV Attitude Polarized 1.6 Glacier Plus R 3 978,10

T 81929 OS Smart SV Attitude Polarized 1.67 Hard Coat R 4 283,30

T 81930 OS Smart SV Attitude Polarized 1.67 Glacier Plus R 4 462,20

T 81931 OS Smart SV Attitude Polycarbonate Polarized 1.59 Hard Coat R 2 447,50

T 81932 OS Smart SV Attitude Polycarbonate Polarized 1.59 Glacier Plus R 2 660,00

T 81933 OS Smart SV Attitude Polycarbonate 1.59 Hard Coat R 1 997,10

T 81934 OS Smart SV Attitude Polycarbonate 1.59 Glacier Plus R 2 212,20

T 81935 OS Smart SV Attitude Polycarbonate Transition and XTRActive 1.59 Hard Coat R 4 170,40

T 81936 OS Smart SV Attitude Polycarbonate Transition and XTRActive 1.59 Glacier Plus R 4 471,60

T 81937 OS Smart SV Attitude Drivewear 1.5 Hard Coat R 3 294,80

T 81938 OS Smart SV Attitude Drivewear 1.5 Glacier Plus R 3 386,30

T 81939 OS Smart SV Attitude Trivex 1.53 Hard Coat R 2 447,50

T 81940 OS Smart SV Attitude Trivex 1.53 Glacier Plus R 2 579,30

T 81941 OS Golf – SV Trivex 1.53 Glacier R 2 660,00

T 81942 OS Golf – SV Polycarbonate 1.59 Glacier Plus R 2 701,70

T 81943 OS Golf – SV Polycarbonate Polarized 1.59 Glacier Plus R 4 791,70

T 81944 OS Golf – SV Polycarbonate Transition and XTRActive 1.59 Glacier Plus R 6 093,60

T 81945 OS Golf – SV 1.6 Glacier Plus R 1 691,70

T 81946 OS Golf – SV Transition and XTRActive 1.6 Glacier Plus R 4 435,30

T 81947 OS Golf – SV Polarized 1.6 Glacier Plus R 4 502,60

T 81948 OS Run – SV Trivex 1.53 Glacier Plus R 2 660,00

T 81949 OS Run – SV Polycarbonate 1.59 Glacier Plus R 2 701,70

T 81950 OS Run – SV 1.6 Glacier Plus R 1 691,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 81951 OS Run – SV Polycarbonate Transition and XTRActive 1.59 Glacier Plus R 6 093,60

T 81952 OS Run – SV Transition and XTRActive 1.6 Glacier Plus R 4 435,30

T 81953 OS Run – SV Polycarbonate Polarized 1.59 Glacier Plus R 4 791,70

T 81954 OS Run – SV Polarized 1.6 Glacier Plus R 4 502,60

T 81955 OS Smart SV Polarized 1.67 Hard Coat R 4 932,90

T 81956 OS Smart SV Polarized 1.67 Glacier Plus R 5 242,30

T 81957 OS Smart SV Polycarbonate Polarized 1.59 Hard Coat R 3 013,70

T 81958 OS Smart SV Polycarbonate Polarized 1.59 Glacier Plus R 3 516,70

T 81959 OS Smart SV Polycarbonate 1.59 Hard Coat R 1 889,40

T 81960 OS Smart SV Polycarbonate 1.59 Glacier Plus R 2 104,60

T 81961 OS Smart SV Polycarbonate Transition and XTRActive 1.59 Hard Coat R 3 887,90

T 81962 OS Smart SV Polycarbonate Transition and XTRActive 1.59 Glacier Plus R 4 189,20

T 81963 OS Smart SV Drivewear 1.5 Hard Coat R 5 497,80

T 81964 OS Smart SV Drivewear 1.5 Glacier Plus R 5 645,70

T 81965 OS Smart SV Trivex 1.53 Hard Coat R 2 306,30

T 81966 OS Smart SV Trivex 1.53 Glacier Plus R 2 696,30

T 81967 OS Smart SV Attitude 1.5 Hard Coat R 1 176,60

T 81968 OS Smart SV Attitude 1.5 Glacier Plus R 1 315,10

T 81969 OS Smart SV Attitude 1.6 Hard Coat R 2 165,10

T 81970 OS Smart SV Attitude 1.6 Glacier Plus R 2 283,50

T 81971 OS Smart SV Attitude 1.67 Hard Coat R 2 447,50

T 81972 OS Smart SV Attitude 1.67 Glacier Plus R 2 660,00

T 81973 OS Smart SV Attitude Transition and XTRActive 1.5 Hard Coat R 1 882,70

X 82002 Bifocal – Aspheric Lenticular/Elipsoid N/A

X 82003 Bifocal – Solid 74x40 Seg N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 82004 Bifocal – Executive 74mm N/A

X 82005 Trifocal – Flat-top/Executive 74mm N/A

X 82006 Easy Vision F/T SunScreenUV 70/28 N/A

82011 Orma Omega Bifocal Crizal Easy UV R 2 037,50

T 82017 SEIKO C28 1.50 Uncoated R 738,30

X 82022 Signet Armorlite F/T Trifocal 1.5 Photoview 74/28 RLXplus N/A

T 82024 Orma Flat-top 28 Crizal Easy UV R 724,40

T 82025 OrmaFlat-top 35 Crizal Easy UV R 1 239,40

T 82026 Orma 28 Seg Transitions Supra R 1 524,80

T 82027 Orma 28 Seg Transitions Crizal Easy UV R 2 002,70

82030 Lenssavers 1.5 Acclimates Flat-top 28 Supra R 357,50

T 82031 Airwear 28 Seg Flat-top Supra R 884,50

T 82032 Airwear 28 Seg Flat-top Crizal Easy UV R 1 362,40

T 82035 Petite Flat-top 1.56 HMC R 737,70

T 82036 Quality FT 28 (MR-10™) Emerald 1.67 R 2 575,30

82037 BBGR FT28 Sphere Powers Only

82039 VISION 1.56 SunSmart Flat-top 70/35seg R 2 807,80

T 82041 BBGR Flat-top 70/35 Supra R 732,00

T 82042 BBGR Flat-top 70/35 Crizal Easy UV R 1 196,00

T 82043 BBGR Flat-top 70/35 Crizal Forte UV R 1 421,70

T 82044 BBGR Flat-top 70/28 Crizal Forte UV R 919,70

T 82045 BBGR Flat-top Transitions Crizal Forte UV R 2 164,00

82047 High Addition Flat-top 28 R 985,00

82048 Double D Flat-top 28 R 1 226,20

T 82050 Hilux Flat-top 28 R 221,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 82052 Hilux Flat-top 28 PNX 1.53 Hard R 1 356,30

T 82053 Hilux Eyas 1.60 Curve Top 28 Hard R 1 586,20

T 82054 Hilux Flat-top 28 Transitions S7 Hard R 2 029,10

T 82055 Hilux Flat-top 35 R 710,90

T 82056 Hilux Flat-top 35 Transitions Hard R 2 301,10

T 82057 Hilux Flat-top 35 Trifocal R 1 438,50

T 82058 Hilux Executive Bifocal R 1 042,00

X 82062 Kodak CleAR F/T (70/28) UVSun Polarised ARC N/A

X 82063 Kodak CleAR F/T (75/28) Aspheric ARC N/A

X 82064 Kodak CleAR F/T (74/28) Photoview Grey/Brown ARC N/A

X 82066 Kodak CleAR F/T (76/28) Polycarbonate ARC N/A

X 82067 Kodak CleAR F/T (75/28) 1.6 ARC N/A

T 82068 Focus FT7028 1.67 R 3 305,00

82069 Focus FT7628 R 970,60

T 82070 Focus FT7035 R 1 141,20

T 82085 Quality FT 28 Uncoated R 261,70

T 82087 Quality FT 35 Uncoated R 848,00

T 82090 Hilux Flat-top 28 Acclimates Hard R 1 215,00

T 82091 Quality Trifocal 28 Uncoated R 1 605,10

T 82093 Quality Fuse Lenticular Uncoated R 1 069,50

T 82101 Torga 1.5 Flat-top 28 Spherical HMC +2.00/-2.00DS adds 1.00 to 3.00 R 100,00

82118 VISION 1.50 Flat-top 70/28 Transitions-Acclimates R 872,10

T 82119 Orma Flat-top 28 Supra R 246,50

T 82123 Lenssavers 1.6 Flat-top 28 Supra R 761,50

82124 Lenssavers 1.5 Transitions 7 Flat-top 28 Supra R 1 114,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 82126 Orma Flat-top 35 uncoated R 545,80

T 82127 Executive Orma R 816,50

T 82128 Orma Flat-top Transitions Crizal Forte UV R 2 234,70

T 82129 Orma Flat-top Acclimates R 1 376,30

T 82130 Orma Flat-top 28 Crizal Prevencia R 956,40

X 82132 ULTIVEX B/F 1.586 70/28 Polycarbonate + Premium Diamond Coat N/A

X 82133 ULTIMAX B/F 1.498 70/28 Clear + Premium Diamond Coat N/A

X 82134 ULTIMAX B/F 1.56 70/28 Photochromic + Premium Diamond Coat N/A

T 82135 Orma Flat-top Transitions Crizal Prevencia R 2 234,70

T 82136 Orma Flat-top Transitions XTRActive Crizal Prevencia R 2 234,70

82138 Flat-top 28 HRI 1.67n (MR-10™) R 1 828,30

T 82142 Hilux Flat-top 28 PNX 1.53 Transitions Hard R 2 944,40

T 82144 Orma Flat-top Climate Eyes R 1 366,10

T 82147 Hilux Flat-top 28 Transitions S7 HVP R 2 514,10

T 82148 Hilux Flat-top 28 PNX 1.53 HVLL R 2 176,70

T 82149 Hilux Eyas 1.60 Curve Top 28 HVLL R 2 406,60

82156 Flat-top 28 (Large Blank Size) R 985,00

82157 Flat-top 35 R 985,00

82158 Seamless 28 R 865,40

82159 Round 22 R 985,00

82164 Flat-top 7x28 Trifocal R 985,00

82165 Flat-top 8x35 Trifocal R 985,00

82169 High Addition Flat-top 35 R 985,00

82170 Multi-Seg 45 R 1 105,60

82171 Reverse Slab-Off Flat-top 28 R 1 226,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

82172 1.5 Flat-top 28mm UNC R 150,50

82173 1.5 Flat-top 28mm Hard R 319,90

T 82177 1.5 Flat-top 28mm Transition VII Grey Hard R 1 704,90

T 82179 1.56 Flat-top 28mm Reactor Grey Hard R 1 161,70

T 82180 Hilux Flat-top 28 Hard R 411,50

T 82182 Hilux Flat-top 28 HVP R 894,40

T 82183 Orma Flat-top 28 Uncoated R 30,80

T 82186 Hilux Flat-top 28 Acclimates HVP R 1 702,20

T 82188 CZV Bifocal FT28 1.5 Photochromic Grey Hard R 1 250,80

T 82189 Hilux Flat-top 28 PNX 1.53 HVP R 1 841,40

T 82190 Hilux Flat-top 28 PNX 1.53 SHV R 1 976,30

T 82191 Hilux Eyas 1.60 Curve Top 28 HVP R 2 069,10

T 82192 Hilux Eyas 1.60 Curve Top 28 SHV R 2 206,20

T 82193 Hilux Flat-top 28 Trifocal R 474,70

T 82195 BBGR Flat-top 70/28 Uncoated R 19,20

T 82196 BBGR Flat-top 70/35 Uncoated R 521,10

T 82200 BBGR Flat-top Polycarbonate Supra R 852,20

T 82201 KF F/T 28 Seg Bifocal Climateyes ARC R 1 247,00

T 82202 KF F/T 28 Seg BF Transition ARC R 1 522,90

T 82203 KF F/T 28 Seg BF Polareyes R 763,70

T 82204 KF F/T 28 Seg BF Polareyes ARC R 1 185,50

T 82205 KF F/T 28 Seg Bifocal Protect Your Eyes 1.53 ARC R 1 314,10

T 82206 KF F/T 28 Seg Bifocal ProtectYour Climate Eyes 1.53 ARC R 2 058,60

T 82207 KF F/T 28 Seg Bifocal Protect Your Eyes ARC R 1 314,10

T 82208 KF F/T 28 Seg Bifocal Polycarbonate Transition ARC R 2 413,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 82209 1.6 Flat-top 28mm Hard R 1 692,90

T 82211 Focus Transition 7 Signature FT28 R 1 862,40

82212 Focus Acclimates FT28 R 1 187,50

T 82223 BBGR Flat-top 70/28 Supra R 230,10

T 82224 BBGR Flat-top 70/28 Crizal Easy UV R 694,10

T 82225 BBGR Flat-top Acclimates Supra R 1 328,90

T 82226 BBGR Flat-top Acclimates Crizal Easy UV R 1 792,80

T 82227 BBGR Flat-top Transitions Supra R 1 474,40

T 82228 BBGR Flat-top Transitions Crizal Easy UV R 1 938,40

82233 OTL Flat-top Clear Stock

82234 OTL Flat-top Clear Surfaced

82235 OTL Flat-top Sunglare R 625,30

82236 OTL Flat-top Lanticular R 363,00

T 82240 KF F/T 28 Seg Bifocal Protect Your Eyes R 892,30

T 82242 KF F/T 28 Seg Bifocal Polycarbonate Transition R 1 874,90

T 82244 KF F/T 28 Seg Bifocal Protect Your Eyes 1.53 R 892,30

T 82246 KF F/T 28 Seg Bifocal ProtectYour Climate Eyes 1.53 R 1 636,80

T 82248 KF F/T 28 Seg Bifocal Climate Eyes R 825,20

T 82250 KF F/T 28 Seg BF Transition R 1 101,10

T 82259 RO Clear F/T Bifocal 7028 R 25,50

T 82260 RO Photo F/T Bifocal 7028 R 514,80

T 82261 RO Acclimates F/T Bifocal 7028 R 879,70

T 82262 RO Transitions F/T Bifocal 7028 R 1 181,20

82263 RO Lenticular Round Bifocal 22 R 799,00

T 82264 Hilux Flat-top 28 HVLL UV Control R 1 381,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 82265 Hilux Flat-top 28 Sensity HVLL Blue Control R 2 999,20

T 82266 Hilux Flat-top 28 Sensity HVLL UV Control R 2 999,20

T 82267 eLab Flat-top 28 UC R 289,10

T 82268 eLab Flat-top 28 Acclimates UC R 1 295,90

T 82270 eLab Flat-top 28 Transitions/Xactive UC R 1 709,60

T 82271 eLab Flat-top 28 NuPolar® UC (Grey/Brown) R 1 736,80

T 82272 eLab Flat-top 28 1.53 UC R 1 313,70

T 82273 eLab Flat-top 28 1.53 Transitions UC R 4 050,00

T 82274 eLab Flat-top 35 UC R 813,70

T 82275 eLab Flat-top 35 Transitions S7 UC R 2 548,50

T 82276 Shamir DUO 1.5 Clear R 1 878,40

T 82277 Shamir DUO 1.5 Drivewear R 6 348,80

T 82278 Shamir DUO 1.5 Polarized R 4 555,20

T 82279 Shamir DUO 1.5 TR Signature VII/XTRActive R 3 617,00

T 82280 Shamir DUO 1.53 Trivex Clear HC R 5 865,70

T 82281 Shamir DUO 1.53 Trivex TR Signature VII HC R 6 368,80

T 82282 Shamir DUO 1.59 Poly Clear HC R 3 107,90

T 82283 Shamir DUO 1.59 Poly Drivewear HC R 8 493,60

T 82284 Shamir DUO 1.59 Poly Polar HC R 4 941,60

T 82285 Shamir DUO 1.59 Poly TR Signature VII/XTRActive HC R 6 276,60

T 82286 Shamir DUO 1.6 Superlite Clear HC R 2 582,00

T 82287 Shamir DUO 1.6 Superlite Polar HC R 5 067,00

T 82288 Shamir DUO 1.6 Superlite TR Signature VII/XTRActive HC R 5 521,00

T 82289 Shamir DUO 1.67 Superlite Clear HC R 3 078,80

T 82290 Shamir DUO 1.67 Superlite Polar HC R 6 456,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 82291 Shamir DUO 1.67 Superlite TR Signature VII/XTRActive HC R 6 348,90

T 82292 Shamir DUO 1.74 Superlite Clear HC R 4 858,70

T 82295 Spec Flat-top 28 UC R 259,60

T 82296 Spec Flat-top 28 Hard R 434,70

T 82297 Spec Flat-top 28 HMC R 1 008,30

T 82298 Spec Flat-top 28 SHMC R 1 274,00

T 82300 Spec Flat-top 28 Climatio (Photochromic) Hard R 1 862,40

T 82301 Spec Flat-top 28 Climatio HMC R 2 438,20

T 82302 Spec Flat-top 28 Climatio SHMC R 2 628,00

T 82304 Spec Flat-top 28 Transitions S7 Hard R 2 113,40

T 82305 Spec Flat-top 28 Transitions S7 SHMC R 2 874,80

T 82307 Spec Flat-top 28 Polarized R 1 170,70

T 82308 Spec Flat-top 28 Polarized SHMC R 1 921,50

82309 OS CR39 Flat-top 28 1.5 R 174,90

T 82310 OS CR39 Flat-top 28 1.5 R 344,00

T 82311 OS CR39 Flat-top 35 1.5 R 645,60

T 82312 OS Sunactive Flat-top 28 1.56 R 900,70

T 82313 OS Acclimate Flat-top 28 1.5 R 912,30

T 82314 OS Transition/XTRActive Flat-top 28 1.5 R 1 271,90

T 82315 OS Transition Flat-top 35 1.5 R 3 243,80

T 82316 OS CR39 Flat-top 28 1.67 Glacier Plus R 4 983,80

T 82317 OS CR39 DUO 1.6 Glacier Plus R 2 356,50

T 82318 OS Transition DUO 1.6 Glacier Plus R 4 669,00

T 82319 OS CR39 DUO 1.67 Glacier Plus R 3 538,50

T 82320 OS Transition DUO 1.67 Glacier Plus R 4 253,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 82321 OS CR39 DUO 1.74 Glacier Plus R 3 979,90

T 82322 OS CR39 1.5 Flat-top 7 X 28 Trifocal R 1 225,50

T 82323 OS CR39 1.5 Flat-top 7 X 28 Transitions Trifocal R 3 359,80

T 82324 OS CR39 1.5 Flat-top 8 X 35 Trifocal R 1 457,50

T 82325 OS CR39 1.5 Flat-top 8 X 35 Transitions Trifocal R 4 519,80

T 83014 Quality FT 28 Polycarbonate Emerald R 1 168,60

T 83016 Quality FT 28 Transitions® T7 Emerald R 1 537,70

T 83017 Quality FT 35 Transitions® T7 Emerald R 2 202,00

T 83020 Quality Trifocal 28 Transitions® T7 Emerald R 3 136,30

T 83022 Quality FT 28 SunActive Emerald R 1 004,10

T 83024 Hilux Flat-top 28 SHV R 1 031,50

T 83025 Hilux Flat-top 28 HVLL R 1 231,90

T 83026 Hilux Flat-top 28 Polarized Hard R 2 026,90

T 83027 Hilux Flat-top 28 Polarized HVP R 2 512,00

T 83028 Hilux Flat-top 35 Hard R 898,60

T 83030 Torga 1.5 Flat-top 28 HC R 270,00

T 83031 Torga 1.5 Flat-top 28 NuPolar® HC R 1 550,00

83032 Torga 1.5 Flat-top 28 Transitions HC R 2 224,50

T 83033 Torga 1.56 Flat-top 28 Flexi-Tint HC R 740,00

T 83034 Torga 1.53 Trivex Flat-top 28 HC R 1 245,00

83035 Torga 1.53 Trivex Flat-top 28 Transitions HC R 3 176,20

T 83039 Torga 1.5 Flat-top 35 HC R 705,00

83040 Torga 1.5 Flat-top 35 Transitions HC R 2 683,80

T 83041 Torga 1.5 Executive HC R 945,00

T 83042 Torga 1.5 Flat-top 7 X 28 Trifocal HC R 1 685,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83043 Torga 1.5 Flat-top 7 X 28 Transitions Trifocal HC R 3 170,00

83044 Torga 1.5 Flat-top 8 X 35 Trifocal HC R 1 925,70

83045 Torga 1.5 Flat-top 8 X 35 Transitions Trifocal HC R 3 674,20

X 83046 Torga 1.6 Polycarbonate Flat-top 28 NuPolar® HC N/A

T 83047 Torga 1.5 Flat-top 35 NuPolar® HC R 1 920,00

T 83048 Torga 1.5 Flat-top 7 X 28 NuPolar® Trifocal HC R 2 055,00

T 83069 Hilux Flat-top 28 HVLL Blue Control R 1 381,60

T 83070 Hilux Flat-top 28 Sensity Hard R 2 029,10

T 83071 Hilux Flat-top 28 Sensity HVP R 2 514,10

T 83072 Hilux Flat-top 28 Sensity HVLL R 2 851,60

83073 NuPolar® (1.5) Flat-top 28 Grey 3 (84%) and Brown (83%) R 1 226,20

83074 NuPolar® (1.5) Flat-top 35 Grey 3 (84%) R 1 286,00

83075 NuPolar® (1.5) Trifocal 7x28 Grey 3 (84%) R 1 467,50

83076 NuPolar® (1.59) Flat-top 28 Grey 3 (83%) and Brown (78%) R 1 707,70

T 83129 SunActive 1.56 FT 28 R 1 602,40

83131 Torga 1.5 Flat-top 28 Drivewear HC R 3 464,00

T 83140 synchrony Bifocal FT35 1.5 UNC R 670,90

T 83141 synchrony Bifocal FT28 1.5 UNC R 179,50

X 83145 CZV Bifocal FT28 1.5 Photochromic Grey UNC N/A

T 83147 Torga 1.67 Flat-top 28 HC R 1 685,00

T 83148 synchrony Bifocal FT28 1.5 Hard R 369,30

83149 VME Bifocal (1.56)

T 83150 synchrony Bifocal FT28 1.5 HMC+ R 746,80

83151 VUE 1.56 VEYEZER FT28 HC R 389,60

T 83154 CZV Bifocal FT28 1.5 Photochromic Grey HMC+ R 1 628,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 83155 synchrony Bifocal FT28 1.5 PhotoFusion Grey UNC N/A

T 83156 synchrony Bifocal FT28 1.5 PhotoFusion Grey Hard R 1 877,20

T 83157 synchrony Bifocal FT28 1.5 PhotoFusion Grey HMC + R 2 254,70

T 83160 synchrony Bifocal FT35 1.5 Hard R 860,70

83270 VISION 1.50 Flat-top 70/28 white

83272 VISION 1.50 Flat-top 70/35 white R 408,40

83276 VISION 1.50 Transitions Flat-top 75/28seg R 1 104,50

T 83280 VISION 1.56 SunSmart Flat-top 70/28seg R 392,70

83281 VISION 1.59 Polycarb Flat-top 70/28seg R 854,40

83282 VISION 1.50 Clear Trifocal 70/28seg R 811,30

83283 VISION 1.50 Clear Trifocal 70/35seg

83284 VISION 1.56 SunSmart Trifocal 70/28seg R 4 893,80

T 83285 Orma Flat-top 28 Crizal Forte UV R 956,40

83286 VISION 1.50 Clear Round Fused 70/25seg R 288,90

83287 VISION 1.50 Clear Round Fused Lenticular 66/22seg R 1 179,70

83288 VISION 1.50 Round Seg Lent Blended White R 1 179,70

T 83290 Torga 1.5 Lenticular Round Seg HC R 1 550,00

T 83291 Torga 1.5 Invisible Seg HC (28mm Round) R 540,00

T 83292 Torga 1.5 Invisible Seg Flexi-Tint HC (28mm Round) R 640,00

T 83302 Hilux Flat-top 28 Trifocal Hard R 664,50

T 83303 Hilux Flat-top 28 Trifocal HVP R 1 147,50

T 83304 Hilux Flat-top 35 Trifocal Hard R 1 624,10

T 83305 Hilux Flat-top 35 Trifocal HVP R 2 109,20

T 83306 Hilux Executive Bifocal Hard R 1 231,90

T 83307 Hilux Executive Bifocal HVP R 1 790,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83382 Transitions® DriveWear® (1.5) Flat-top 28 R 4 235,40

T 83390 Petite Flat-top 1.61 HMC R 1 298,40

T 83391 Petite Invisible Blended 1.56 HMC R 737,70

T 83392 Petite Flat-top 1.56 Polarised HMC R 1 391,80

T 83394 Orma 28 Seg Transitions XTRActive® Supra R 1 524,80

T 83396 Orma 28 Seg Transitions XTRActive® Crizal Easy UV R 2 002,70

T 83398 Orma Flat-top Transitions XTRActive® Crizal Forte UV R 2 234,70

83400 1.59 RX Polycarb Crizal R 1 921,20

83401 1.59 RX Polycarb Crizal Forte UV R 2 191,30

T 83402 Petite i-PRO 1.61 Polarised Customised Digital R 2 470,20

83403 1.59 RX Polycarb Transitions HMC R 3 085,50

83404 1.59 RX Polycarb Transitions Crizal R 6 511,80

83405 1.59 RX Polycarb Transitions Crizal Forte UV R 3 617,90

83407 1.60 RX Clear HMC R 2 128,20

83408 1.60 RX Clear Crizal R 2 391,60

83409 1.60 RX Clear Crizal Forte UV R 2 658,30

83410 1.60 RX Transitions HMC R 2 946,00

T 83411 Essilor 1.56 H/C (High Cyl) Stock R 63,10

83412 1.60 RX Transitions Crizal R 3 211,60

83413 1.60 RX Transitions Crizal Forte UV R 3 476,20

83414 BBGR Acclimates HMC Stock R 858,80

83415 1.67 RX Clear HMC R 2 305,30

83416 1.67 RX Clear Crizal R 2 573,10

83417 1.67 RX Clear Crizal Forte UV R 2 839,80

T 83418 BBGR Airwear Transitions Crizal Forte UV Rx R 2 807,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83419 1.67 RX Transitions HMC R 3 521,50

83420 1.67 RX Transitions Crizal R 3 786,10

83421 1.67 RX Transitions Crizal Forte UV R 4 051,70

T 83427 ZEISS Single Vision Individual 1.6 PhotoFusion Grey Hard R 3 116,60

T 83428 ZEISS Single Vision Individual 1.6 PhotoFusion Grey DV Silver R 3 614,60

T 83429 ZEISS Single Vision Individual 1.6 PhotoFusion Grey DV Platinum R 3 828,00

T 83430 ZEISS Single Vision Superb 1.6 PhotoFusion Grey Hard R 2 678,70

T 83431 ZEISS Single Vision Superb 1.6 PhotoFusion Grey DV Silver R 3 176,60

T 83432 ZEISS Single Vision Superb 1.6 PhotoFusion Grey DV Platinum R 3 390,00

T 83433 Quality Finished SV SunActive QualiCote R 425,40

T 83434 Quality Finished SV Transitions® T7 QualiCote R 870,00

T 83435 Quality Surfaced SV 1.50 Uncoated R 55,50

T 83436 Quality Surfaced SV 1.74 Emerald R 2 683,10

T 83437 Quality Surfaced SV 1.54 Rodendstock Colormatic® IQ R 1 027,00

X 83438 Quality Surfaced SV 1.60 Rodendstock Colormatic® Contrast N/A

T 83439 Quality Surfaced SV 1.74 Transitions® T7 Emerald R 3 839,10

T 83440 Quality Surfaced SV 1.67 Polarized Emerald MR-10™ R 2 800,90

T 83441 Quality Surfaced SV Lenticular 1.5 R 591,30

T 83442 Orma E-Spf R 211,40

T 83443 Orma Climate Eyes E-Spf R 877,20

T 83444 Orma Tinted E-Spf R 402,10

T 83445 Omega Crizal Prevencia Surfaced R 1 812,40

T 83446 Orma 15 Crizal Prevencia Surfaced R 934,50

T 83448 Orma Crizal Prevencia Surfaced R 934,50

T 83449 Airwear Crizal Prevencia R 1 243,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83450 Airwear Crizal Prevencia Surfaced R 2 061,80

T 83451 Ormix Crizal Prevenica R 971,90

T 83452 Ormix Crizal Prevenica Surfaced R 1 775,70

T 83453 Orma Transitions Xtractive Crizal Prevencia Surfaced R 1 973,80

T 83454 Airwear Transitions Crizal Prevencia Surfaced R 2 898,10

T 83455 Airwear Aspheric Crizal Prevencia Surfaced R 2 484,80

83456 Airwear Aspheric Transitions Crizal Prevencia Surfaced R 3 114,30

T 83457 Airwear Xperio Crizal Prevencia Surfaced R 3 049,70

T 83458 Ormix Surfaced Crizal Prevencia R 1 775,70

T 83459 Ormix Transitions Crizal Prevencia Surfaced R 2 863,80

T 83460 Stylis AS Crizal Prevencia Surfaced R 2 871,20

T 83461 Stylis AS Transitions Crizal Prevencia Surfaced R 3 959,30

T 83462 Essilor 1.74 HMC Standard R 5 841,30

83463 Lenssavers 1.67 Hard Coat Aspheric Surfaced

83464 Lenssavers 1.67 Superhydrophobic ARC Aspheric

83465 Lenssavers 1.67 Superhydrophobic ARC Aspheric Surfaced

T 83466 Focus Transition 7 Signature and XTRActive® Standard R 1 139,00

T 83467 Focus Transition 7 Signature and XTRActive® Surfaced R 1 391,60

T 83476 Focus Transition 7 Signature and XTRActive® 1.6 Surfaced R 2 992,10

83479 Focus Transition 7 Signature and XTRActive® 1.67 Surfaced R 4 578,50

T 83490 Hilux TF PNX 1.53 SHV R 1 484,90

T 83494 Hilux TF Eyas 1.60 SHV R 2 243,00

T 83498 Hilux TF Eynoa 1.67 SHV R 2 102,90

T 83501 Nulux Aspheric TF 1.50 SHV R 1 349,30

T 83502 Nulux Aspheric TF PNX 1.53 SHV Surfaced R 1 820,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83503 Nulux TF Eyas 1.60 SHV R 2 558,60

T 83504 Orma Transitions Crizal Prevencia Surfaced R 1 973,80

83505 1.50 Transitions XTRActive HC

T 83506 Nulux TF Eynoa 1.67 SHV Surfaced R 2 556,40

83512 Nulux Sportive 1.50

T 83513 Nulux Sportive 1.50 Hard R 1 058,10

T 83514 Nulux Sportive 1.50 HVP Back Surface Only R 1 547,20

T 83515 Nulux Sportive 1.50 SHV R 1 711,70

T 83516 Nulux Sportive 1.50 HVLL R 1 922,90

83517 Nulux Sportive 1.50 HVLL UV Control

T 83518 Nulux Sportive 1.50 Mirror Coat R 1 547,20

T 83519 Nulux Sportive 1.53 Hard R 1 587,20

T 83520 Nulux Sportive 1.53 HVP Back Surface Only R 2 076,20

T 83521 Nulux Sportive 1.53 SHV R 2 240,70

T 83522 Nulux Sportive 1.53 HVLL R 2 451,90

83523 Nulux Sportive 1.53 HVLL UV Control

T 83525 Nulux Sportive 1.60 Hard R 2 118,50

T 83526 Nulux Sportive 1.60 HVP Back Surface Only R 2 607,50

T 83527 Nulux Sportive 1.60 SHV R 2 769,80

T 83528 Nulux Sportive 1.60 HVLL R 2 983,20

83529 Nulux Sportive 1.60 HVLL UV Control

T 83530 Nulux Sportive 1.60 Mirror Coat R 2 607,50

83539 1.5 UNC Stock

83540 1.5 Hard Stock R 118,50

T 83541 1.5 Tinted Stock Grey/Brown R 70,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83542 1.5 CRIZAL EASY UV Stock R 682,90

83545 1.5 Transition VII Grey Hard Stock R 1 049,20

83546 1.5 Transition Grey VII CRIZAL EASY UV Stock R 1 755,20

T 83547 1.56 ARC Stock R 162,70

T 83548 1.56 ARC Stock (Over -2.00 CYL) R 217,60

T 83549 1.56 Photochromic ARC Stock R 415,00

T 83552 1.60 Spheric ARC Stock R 396,00

X 83553 1.60 Aspheric ARC Stock N/A

83554 1.67 Aspheric ARC Stock R 781,30

X 83555 1.74 Aspheric ARC Stock N/A

T 83556 1.50 Hard Surfaced R 184,40

T 83562 1.50 Transition VII Grey Hard Coat Surfaced R 1 136,20

T 83565 1.50 Transition VII Grey Super Hydrophobic Surfaced R 2 154,10

T 83570 1.50 Acclimates Super Hydrophobic ARC Surfaced R 1 640,10

T 83579 1.59 SV Polycarbonate Transitions VII ARC Surfaced R 3 218,70

T 83582 1.61 Super Hydrophobic Surfaced R 2 098,10

T 83585 1.61 Transition VII Grey Super Hydrophobic Surfaced R 3 123,60

T 83586 1.61 Polarized 1.61 Grey/Brown Hard Surfaced R 3 108,50

T 83588 1.67 Aspheric Super Hydrophobic Surfaced R 2 663,10

X 83591 1.67 Polarized Grey/Brown Hard Surfaced N/A

X 83592 1.74 Aspheric ARC Surfaced N/A

T 83593 1.74 Aspheric Super Hydrophobic Surfaced R 3 645,40

T 83594 Quality Finished SV 1.50 Uncoated R 43,10

83595 OTL SV CLEAR STOCK

83596 OTL SV SUN-GLARE R 895,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83597 OTL ECO-SUNZONE R 534,60

83598 OTL SV ARC CLEAR

83599 OTL SV ARC SUN-GLARE R 1 163,20

83600 OTL SV 1.67 HRI ARC CLEAR ALTRA THIN R 1 147,70

83601 OTL SV Surfaced

T 83602 OTL SV Surfaced 1.67 R 1 372,00

83603 OTL SV Polorised R 854,40

83604 OTL SV Surfaced Sunglare R 617,50

83605 OTL SV Lenticulars R 412,90

T 83606 Torga 1.5 Tinted Grey/Brown HC R 165,00

X 83634 Lite AS 1.50 HCC N/A

X 83635 Lite 3 AS 1.60 ECC Blue N/A

X 83636 Lite 4 DAS (Double Aspheric) 1.67 SeeCoat Plus N/A

83637 RO Clear S/V U/C Stock

83638 RO Clear S/V Surfaced

T 83639 RO Clear S/V H/C Stock R 18,60

T 83640 RO Clear S/V HMC Stock R 63,10

T 83641 RO Photo S/V H/C Stock R 212,00

T 83642 RO Photo S/V Surfaced R 133,30

T 83643 RO Acclimates S/V H/C Stock R 418,80

T 83644 RO Acclimates S/V Surfaced R 506,80

T 83645 RO Transitions S/V H/C Stock R 745,60

T 83646 RO Transitions S/V Surfaced R 824,70

T 83647 RO Lenticular S/V Surfaced R 624,60

T 83648 Orma Stylistic Surfaced Supra R 1 330,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83649 Airwear Stylistic Surfaced Supra R 1 787,90

T 83650 Ormix Stylistic Surfaced Supra R 3 382,10

T 83651 Stylis Stylistic Surfaced Supra R 2 127,80

T 83652 Orma Stylistic Transitions Surfaced Supra R 2 015,30

T 83653 Airwear Stylistic Transitions Surfaced Supra R 2 788,00

T 83654 Ormix Stylistic Transitions Surfaced Supra R 3 682,80

T 83655 Stylis Stylistic Transitions Surfaced Supra R 3 580,30

T 83656 Orma Stylistic Xperio Surfaced Supra R 1 827,00

T 83657 Airwear Stylistic Xperio Surfaced Supra R 2 499,50

T 83658 Ormix Stylistic Xperio Surfaced Supra R 4 359,60

T 83659 Stylis Stylistic Xperio Surfaced Supra R 3 252,70

T 83660 Essilor 1.56 Crizal Prevencia R 683,30

T 83661 Hilux 1.50 HVLL Blue Control Standard R 892,30

T 83662 Hilux 1.50 Sensity Hard Standard Brown and Grey R 987,90

T 83663 Hilux 1.50 Sensity Hard Surfaced R 1 191,50

T 83664 Hilux 1.50 Sensity HVP Surfaced R 1 700,60

T 83665 Hilux 1.50 Sensity SHV Surfaced R 1 842,80

T 83666 Hilux 1.50 Sensity HVLL Standard Brown and Grey R 1 579,20

T 83667 Hilux 1.50 Sensity HVLL Surfaced R 2 056,20

T 83668 Hilux 1.50 Sensity HVLL Blue Control Surfaced R 2 211,80

T 83669 Hilux PNX 1.53 Sensity Hard Surfaced R 1 951,80

T 83670 Hilux PNX 1.53 Sensity HVP Surfaced R 2 460,80

T 83671 Hilux PNX 1.53 Sensity SHV Surfaced R 2 603,10

T 83672 Hilux PNX 1.53 Sensity HVLL Surfaced R 2 814,30

T 83673 Hilux PNX 1.53 Sensity HVLL Blue Control Surfaced R 2 969,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83674 Hilux Eyas 1.60 HVLL Blue Control Standard R 1 625,90

T 83675 Hilux Eyas 1.60 Sensity Hard R 2 176,30

T 83676 Hilux Eyas 1.60 Sensity HVP R 2 685,30

T 83677 Hilux Eyas 1.60 Sensity SHV R 2 829,80

T 83678 Hilux Eyas 1.60 Sensity HVLL Surfaced R 3 041,00

T 83679 Hilux Eyas 1.60 Sensity HVLL Standard R 1 770,40

T 83680 Hilux Eyas 1.60 Sensity HVLL Blue Control R 3 207,70

T 83681 Hilux Eynoa 1.67 Sensity SHV R 3 463,40

T 83682 Hilux Eynoa 1.67 Sensity HVLL R 3 672,40

T 83683 Hilux Eynoa 1.67 Sensity HVLL Blue Control R 3 832,40

T 83684 Nulux Aspheric PNX 1.53 Sensity Hard R 2 151,80

T 83685 Nulux Aspheric PNX 1.53 Sensity HVP R 2 660,90

T 83686 Nulux Aspheric PNX 1.53 Sensity SHV R 2 814,30

T 83687 Nulux Aspheric PNX 1.53 Sensity HVLL R 3 016,60

T 83688 Nulux Aspheric PNX 1.53 Sensity HVLL Blue Control R 3 181,10

T 83689 Nulux Eyas 1.60 Sensity HVP R 3 467,80

T 83690 Nulux Eyas 1.60 Sensity SHV R 3 610,10

T 83691 Nulux Eyas 1.60 Sensity HVLL R 3 821,30

T 83692 Nulux Eyas 1.60 Sensity HVLL Blue Control R 3 979,10

T 83693 Nulux Eynoa 1.67 Sensity HVP R 3 774,60

T 83694 Nulux Eynoa 1.67 Sensity SHV R 3 916,90

T 83695 Nulux Eynoa 1.67 Sensity HVLL R 4 130,30

T 83696 Nulux Eynoa 1.67 Sensity HVLL Blue Control R 4 285,90

T 83697 Hilux TF 1.50 Sensity Hard R 1 451,60

T 83698 Hilux TF 1.50 Sensity HVLL R 2 316,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83699 Hilux TF 1.50 Sensity HVLL Blue Control R 2 474,20

T 83700 Hilux TF PNX 1.53 Sensity Hard R 2 185,20

T 83701 Hilux TF PNX 1.53 Sensity SHV R 2 838,70

T 83702 Hilux TF PNX 1.53 Sensity HVLL R 3 049,90

T 83703 Hilux TF PNX 1.53 Sensity HVLL Blue Control R 3 207,70

T 83704 Hilux TF Eyas 1.60 Sensity Hard R 2 772,00

T 83705 Hilux TF Eyas 1.60 Sensity SHV R 3 425,60

T 83706 Hilux TF Eyas 1.60 Sensity HVLL R 3 639,00

T 83707 Hilux TF Eyas 1.60 Sensity HVLL Blue Control R 3 794,60

T 83708 Hilux TF Eynoa 1.67 Sensity HVLL R 3 681,20

T 83709 Hilux TF Eynoa 1.67 Sensity HVLL Blue Control R 3 834,60

T 83710 Nulux TF Eyas 1.60 Sensity HVLL R 4 274,80

T 83711 Nulux TF Eyas 1.60 Sensity HVLL Blue Control R 4 432,60

T 83712 Nulux TF Eynoa 1.67 Sensity SHV R 4 199,20

T 83713 Nulux TF Eynoa 1.67 Sensity HVLL R 4 412,60

T 83714 Nulux TF Eynoa 1.67 Sensity HVLL Blue Control R 4 570,40

T 83715 Nulux iDentity V+ Eyas 1.60 Sensity HVP (Double surface FreeForm) R 3 854,60

T 83716 Nulux iDentity V+ Eyas 1.60 Sensity SHV (Double Surface FreeForm) R 3 632,30

T 83717 Nulux iDentity V+ Eyas 1.60 Sensity HVLL (Double Surface FreeForm) R 3 845,70

T 83718 Nulux iDentity V+ Eyas 1.60 Sensity HVLL Blue Control (Double Surface FreeForm) R 4 001,40

T 83720 Nulux iDentity V+ Eynoa 1.67 Sensity SHV (Double Surface FreeForm) R 4 257,00

T 83721 Nulux iDentity V+ Eynoa 1.67 Sensity HVLL (Double Surface FreeForm) R 4 470,40

T 83722 Nulux iDentity V+ Eynoa 1.67 Sensity HVLL Blue Control (Double Surface FreeForm) R 4 626,00

83723 Transitions® DriveWear® (1.5) R 3 086,60

83724 Transitions® DriveWear® (1.53) Trilogy® R 3 086,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83725 Transitions® DriveWear® (1.59) R 3 568,00

83726 NuPolar® (1.5) Grey 1 (66%), Grey 3 (84%), Brown (83%) and Green 15 (85%) R 1 101,20

83727 NuPolar® (1.5) Grey 3 (84%) and Brown (83%) Xtra Large Blank R 1 161,00

83728 NuPolar® (1.53) Trilogy® Grey 3 (84%) and Brown (83%) R 1 642,30

83729 NuPolar® (1.59) Grey 3 (82%), Brown (81%), Green 15 (85%) and Copper (81%) R 1 642,30

83730 NuPolar® (1.60) Grey 3 (84%), Brown (80%) and Green 15 (85%) R 2 485,60

83731 NuPolar® (1.67) Grey 3 (83%), Brown (86%) and Green 15 (85%) R 2 846,40

83732 Lenssavers Acclimates 1.5 Crizal Easy

83733 Lenssavers Acclimates 1.5 Crizal Easy Surfaced

83734 Hilux 1.50 HVLL UV Control Standard

T 83735 Hilux 1.50 HVLL UV Control Surfaced R 1 142,60

T 83736 Hilux 1.50 Sensity HVLL UV Control Surfaced R 2 211,80

T 83737 Hilux PNX 1.53 HVLL UV Control Surfaced R 1 689,40

T 83738 Hilux PNX 1.53 Sensity HVLL UV Control Surfaced R 2 969,90

83739 Hilux Eyas 1.60 HVLL UV Control Standard

T 83740 Hilux Eyas 1.60 HVLL UV Control Surfaced R 2 347,40

T 83741 Hilux Eyas 1.60 Sensity HVLL UV Control R 3 207,70

T 83742 Hilux Eynoa 1.67 Sensity HVLL UV Control R 3 832,40

T 83743 Nulux Aspheric 1.50 HVLL UV Control R 1 582,70

T 83744 Nulux Aspheric PNX 1.53 Hard R 1 129,20

T 83745 Nulux Aspheric PNX 1.53 HVLL UV Control R 2 151,80

T 83746 Nulux Aspheric PNX 1.53 Sensity HVLL UV Control R 3 181,10

T 83747 Nulux Eyas 1.60 HVLL UV Control R 2 807,60

T 83748 Nulux Eyas 1.60 Sensity Hard R 2 956,50

T 83749 Nulux Eyas 1.60 Sensity HVLL UV Control R 3 979,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83750 Nulux Eynoa 1.67 HVLL UV Control Surfaced R 2 838,70

T 83751 Nulux Eynoa 1.67 Sensity HVLL UV Control R 4 285,90

T 83752 Nulux Eyvia 1.74 HVLL UV Control R 3 832,40

T 83753 Hilux TF 1.50 HVP R 622,40

T 83754 Hilux TF 1.50 SHV R 769,10

T 83755 Hilux TF 1.50 HVLL UV Control R 1 133,70

T 83756 Hilux TF 1.50 Sensity HVP R 1 960,60

T 83757 Hilux TF 1.50 Sensity SHV R 2 105,10

T 83758 Hilux TF 1.50 Sensity HVLL UV Control R 2 474,20

T 83759 Hilux TF PNX 1.53 HVLL UV Control R 1 856,20

T 83760 Hilux TF PNX 1.53 Sensity HVLL UV Control R 3 207,70

T 83761 Hilux TF Eyas 1.60 HVLL UV Control R 2 614,20

T 83762 Hilux TF Eyas 1.60 Sensity HVLL UV Control R 3 794,60

T 83763 Hilux TF Eynoa 1.67 HVLL UV Control R 2 469,70

T 83764 Hilux TF Eynoa 1.67 Sensity SHV R 3 465,60

T 83765 Hilux TF Eynoa 1.67 Sensity HVLL UV Control R 3 834,60

T 83766 Nulux Aspheric TF 1.50 HVLL UV Control R 1 718,30

T 83767 Nulux Aspheric TF PNX 1.53 HVLL UV Control Surfaced R 2 191,80

T 83768 Nulux TF Eyas 1.60 HVLL UV Control R 2 929,90

T 83769 Nulux TF Eyas 1.60 Sensity Hard R 3 410,00

T 83770 Nulux TF Eyas 1.60 Sensity SHV R 4 063,60

T 83771 Nulux TF Eyas 1.60 Sensity HVLL UV Control R 4 432,60

T 83772 Nulux TF Eynoa 1.67 HVLL UV Control Surfaced R 2 983,20

T 83773 Nulux iDentity V+ Eyas 1.60 HVLL UV Control (Double Surface FreeForm) R 2 987,70

T 83774 Nulux iDentity V+ Eyas 1.60 Sensity Hard (Double Surface FreeForm) R 3 465,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83775 Nulux iDentity V+ Eyas 1.60 Sensity HVLL UV Control (Double Surface FreeForm) R 4 001,40

T 83776 Nulux iDentity V+ Eynoa 1.67 HVLL UV Control (Double Surface FreeForm) R 2 983,20

T 83777 Nulux iDentity V+ Eyvia 1.74 HVLL UV Control (Double Surface FreeForm) R 3 832,40

X 83778 Lite 3 S 1.50 RX Graphite Green HC N/A

X 83779 Lite 3 S 1.50 RX Graphite Green Grizal ARC N/A

83780 eLab Generic 1.50 UC Stock R 98,50

83781 eLab Generic 1.50 HC Stock R 157,20

83782 eLab Generic 1.50 HMC Stock R 190,40

83783 eLab Generic 1.56 HMC Stock R 98,50

83784 eLab Generic 1.60 HMC Stock R 431,60

83785 eLab Generic 1.67 HMC Aspheric Stock R 657,40

83786 eLab Pre-tinted Stock (Grey D/Brown D/G-15) R 205,80

T 83787 eLab NuPolar® 1.50 UC Plano Stock (Grey/Brown/G15) R 1 381,30

83788 eLab NuPolar® 1.50 HC Surfaced (Grey/Brown/G15) R 1 169,80

X 83789 eLab Drivewear 1.50 Plano Stock N/A

T 83790 eLab Drivewear 1.50 HC Surfaced R 2 922,50

83791 eLab 1.50 Thin Hard Stock R 190,40

X 83792 eLab 1.50 HC Stock N/A

T 83793 eLab 1.50 ARC Stock R 574,10

T 83794 eLab 1.50 ARC Premium Stock R 744,40

T 83795 eLab 1.50 ARC Premium Plus Stock R 1 035,40

83796 eLab 1.50 UC Surfaced R 58,70

83797 eLab 1.50 Acclimates HC Stock R 691,70

T 83798 eLab 1.50 Acclimates UC Surfaced R 880,70

T 83802 eLab 1.50 Transitions/Xactive HC Grey Stock R 1 171,50

N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83803 eLab 1.50 Transitions S7 ARC Stock R 1 579,30

T 83804 eLab 1.50 Transitions S7 ARC Premium Plus Grey Stock R 1 915,70

T 83805 eLab 1.50 Transitions/Xactive UC Surfaced R 1 313,50

T 83808 eLab 1.53 HC Stock R 683,30

T 83809 eLab 1.53 ARC Stock R 1 188,70

83810 eLab 1.53 ARC Premium Stock R 1 235,10

83811 eLab 1.53 ARC Premium Plus Stock R 1 393,40

T 83812 eLab 1.53 UC Surfaced R 933,60

83814 eLab 1.53 Transitions HC Stock R 2 010,90

83815 eLab 1.53 Transitions S7 UC Surfaced R 2 538,80

83817 eLab 1.60 ARC Premium Stock R 478,10

83818 eLab 1.60 ARC Premium Plus Stock R 836,70

T 83819 eLab 1.60 UC Surfaced R 1 325,40

83821 eLab 1.60 Transitions S7 ARC Stock R 2 175,80

83822 eLab 1.60 Transitions S7 ARC Premium Plus Stock R 2 188,00

T 83823 eLab 1.60 Transitions S7 UC Surfaced R 2 482,40

T 83824 eLab 1.67 ARC Premium Stock R 1 836,50

T 83825 eLab 1.67 ARC Premium Plus Stock R 2 047,70

T 83826 eLab 1.67 UC Surfaced R 2 089,50

T 83827 eLab 1.67 Transitions S7 UC Surfaced R 3 423,80

T 83828 Focus Standard High Cyl R 205,40

T 83829 Focus Easylite Invisibles Standard High Cyl R 245,40

T 83830 Focus Plano Sun R 178,70

83831 Focus Plano NuPolar® R 577,70

T 83832 Focus Sunactive Standard High Cyl R 845,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83833 Focus Sunactive Invisibles Standard High Cyl R 1 072,30

T 83836 Focus Superlite 1.67 Invisibles Standard High Cyl R 1 139,00

T 83837 RO Clear S/V High Base 70mm Stock R 0,00

T 83838 RO Clear S/V 1.6 HMC Stock R 361,00

T 83839 RO Clear S/V 1.6 H/C Surfaced R 891,40

T 83840 RO Clear S/V AS 1.67 HMC Stock R 447,70

T 83841 RO Clear S/V AS 1.67 H/C Surfaced R 1 224,80

T 83842 RO Pola S/V GR/BR/GN Polarized Surfaced R 684,60

T 83843 SEIKO INDI-SV 1.5 Uncoated Surfaced R 1 087,00

T 83844 SEIKO INDI-SV 1.5 Transitions 7 Uncoated Surfaced R 2 091,80

T 83845 SEIKO INDI-SV 1.5 Polarized Uncoated Surfaced R 1 687,20

T 83846 SEIKO INDI-SV 1.5 Drivewear Uncoated Surfaced R 3 743,50

T 83847 SEIKO INDI-SV 1.6 Uncoated Surfaced R 2 238,50

T 83848 SEIKO INDI-SV 1.6 Transitions 7 Uncoated Surfaced R 3 258,90

T 83849 SEIKO INDI-SV 1.6 Polarized Uncoated Surfaced R 3 045,50

T 83850 SEIKO INDI-SV Tribrid Uncoated Surfaced R 1 920,60

T 83851 SEIKO INDI-SV Tribrid Transition 7 Uncoated Surfaced R 3 743,50

T 83852 SEIKO INDI-SV 1.67 Uncoated Surfaced R 2 387,50

T 83853 SEIKO INDI-SV 1.67 Transitions 7 Uncoated Surfaced R 3 376,70

T 83854 SEIKO INDI-SV 1.67 Polarized Uncoated Surfaced R 3 743,50

T 83855 SEIKO INDI-SV 1.74 Uncoated Surfaced R 3 436,70

T 83856 SEIKO A-ZONE 1.6 (BC3 & BC5) Uncoated Surfaced R 2 067,30

T 83857 SEIKO A-ZONE 1.6 (BC3 & BC5) Transitions 7 Uncoated Surfaced R 3 045,50

T 83858 SEIKO A-ZONE 1.67 (BC3 & BC5) Uncoated Surfaced R 2 214,10

T 83859 SEIKO A-ZONE 1.67 (BC3 & BC5) Transitions 7 Uncoated Surfaced R 3 170,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83860 SEIKO A-ZONE 1.74 (BC3 & BC5) Uncoated Surfaced R 3 218,90

T 83870 ZEISS Single Vision Individual Sport 1.5 Polarized Brown Hard R 2 812,10

T 83871 ZEISS Single Vision Individual Sport 1.5 Polarized Brown DV Silver R 3 310,00

T 83872 ZEISS Single Vision Individual Sport 1.5 Polarized Brown DV Platinum R 3 523,40

T 83873 ZEISS Single Vision Superb Sport 1.5 Polarized Brown Hard R 2 347,40

T 83874 ZEISS Single Vision Superb Sport 1.5 Polarized Brown DV Silver R 2 845,40

T 83875 ZEISS Single Vision Superb Sport 1.5 Polarized Brown DV Platinum R 3 058,80

T 83876 ZEISS Single Vision Superb Sport 1.6 Polarized Brown Hard R 2 894,30

T 83877 ZEISS Single Vision Superb Sport 1.6 Polarized Brown DV Silver R 3 392,30

T 83878 ZEISS Single Vision Superb Sport 1.6 Polarized Brown DV Platinum R 3 605,70

83879 Spec 1.50 Standard

83880 Spec1.50 Hard Standard

83881 Spec 1.50 HMC Standard

83882 Spec1.50 SHMC Standard

83883 Spec1.50 Hard Surfaced

83884 Spec 1.50 HMC Surfaced

83885 Spec 1.50 SHMC Surfaced

83886 Spec G15 Pre-tinted Standard

83887 Spec Grey D (85%) Pre-tinted Standard

83888 Spec Brown D (85%) Pre-tinted Standard

83890 Spec 1.50 Climatico Hard Standard

83891 Spec 1.50 Climatico HMC Standard

83892 Spec 1.50 Climatico SHMC Standard

83893 Spec 1.50 Climatico UC Surfaced

83894 Spec 1.50 Climatico Hard Surfaced

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83895 Spec 1.50 Climatico HMC Surfaced

83896 Spec 1.50 Climatico SHMC Surfaced

83897 Spec 1.50 Transitions S7 Hard Standard Grey

83898 Spec 1.50 Transitions S7 HMC Standard Grey

83899 Spec 1.50 Transitions S7 SHMC Standard Grey

83900 Spec 1.50 Transitions S7 Hard Surfaced Grey

83901 Spec 1.50 Transitions S7 HMC Surfaced Grey

83902 Spec 1.50 Transitions S7 SHMC Surfaced Grey

83903 Spec1.50 Transitions XtrActive Hard Surfaced

83904 Spec 1.50 Transitions XtrActive HMC Surfaced

83905 Spec 1.50 Transitions XtrActive SHMC Surfaced

83908 Spec 1.50 Polarised HMC Surfaced

83909 Spec 1.50 Polarised SHMC Surfaced

83910 Spec 1.50 NuPolar® Drivewear Plano

83911 Spec 1.50 NuPolar® Drivewear Surfaced

83912 Spec 1.50 NuPolar® Drivewear HMC Surfaced

83913 Spec 1.50 NuPolar® Drivewear SHMC Surfaced

83916 Spec 1.60 SHMC Standard

83917 Spec 1.60 Hard Surfaced

83918 Spec 1.60 HMC Surfaced

83919 Spec 1.60 SHMC Surfaced

83920 Spec IQ 1.60 Climatico Hard Standard

83921 Spec IQ 1.60 Climatico HMC Standard

83922 Spec IQ 1.60 Climatico SHMC Standard

83923 Spec IQ 1.60 Climatico Hard Surfaced

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83924 Spec IQ 1.60 Climatico HMC Surfaced

83925 Spec IQ 1.60 Climatico SHMC Surfaced

83926 Spec 1.60 Transitions S7 Hard Standard

83927 Spec 1.60 Transitions S7 HMC Standard

83928 Spec 1.60 Transitions S7 SHMC Standard

83929 Spec 1.60 Transitions S7 Hard Surfaced

83930 Spec 1.60 Transitions S7 HMC Surfaced

83931 Spec 1.60 Transitions S7 SHMC Surfaced

83932 Spec 1.60 Aspheric Hard

83933 Spec 1.60 Aspheric SHMC

83934 Spec 1.60 Polarised Hard Surfaced

83935 Spec 1.60 Polarised HMC Surfaced

83936 Spec 1.60 Polarised SHMC Surfaced

83937 Spec 1.67 SHMC Standard

83938 Spec 1.67 SHMC Surfaced

83939 Spec 1.67 Transitions S7 SHMC Surfaced

83940 Spec Aspheric 1.60 Hard

83941 Spec Aspheric 1.60 SHMC

83942 Spec Aspheric 1.60 Transitions S7 Hard

83943 Spec Aspheric 1.60 Transitions S7 SHMC

83944 Spec Aspheric 1.67 SHMC

83945 Spec Aspheric 1.67 Transitions S7 SHMC

83946 Spec Aspheric 1.74 SHMC

T 83947 OS CR39 1.5 Uncoated R 0,00

T 83948 OS CR39 1.5 Hardcoated R 30,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83949 OS CR39 1.5 Hard Multi Coat R 42,40

T 83950 OS CR39 1.56 Hard Multi Coat R 137,50

T 83951 OS CR39 1.57 Future-X Hard Coat Hammer Lens R 509,10

T 83952 OS CR39 1.57 Future-X Steel-SHMC Hammer Lens R 509,10

T 83953 OS CR39 1.6 Hard Multi Coat R 221,10

83954 OS CR39 1.67 Optimalite HMC R 570,00

T 83955 OS CR39 1.67 Super Hard Multi Coat R 1 597,10

T 83956 OS SunActive 1.56 Hard Coat R 382,70

T 83957 OS SunActive 1.56 Hard Multi Coat R 761,80

T 83958 OS Acclimates 1.5 Hard Coat R 382,70

T 83959 OS Acclimates 1.56 Hard Multi Coat R 654,30

T 83960 OS Transitions 7 1.5 Hard Coat R 778,10

T 83961 OS Transitions 7 1.5 Hard Multi Coat R 1 299,90

T 83962 OS CR39 1.498 Surfaced 70mm R 61,70

T 83963 OS CR39 1.498 Surfaced 75mm R 303,70

T 83964 OS CR39 1.498 Surfaced 80mm R 532,40

83965 OS CR39 1.61 Surfaced Hard Coat R 1 572,70

T 83966 OS CR39 1.61 Surfaced Hard Multi Coat R 1 772,40

T 83967 OS CR39 1.67 Surfaced Hard Coat R 2 251,20

T 83968 OS CR39 1.67 Surfaced Hard Multi Coat R 2 350,70

T 83969 OS CR39 1.74 Surfaced Hard Multi Coat R 3 803,20

T 83970 OS Acclimates 1.5 Surfaced Hard Coat R 739,50

T 83971 OS Sunactive 1.56 Surfaced Hard Coat R 804,10

T 83972 OS Transitions 7 1.5 Surfaced Hard Coat R 1 078,40

83973 OS Transitions 7 1.6 Surfaced Hard Coat R 2 529,90

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

83974 OS Transitions 7 1.6 Surfaced Hard Multi Coat R 3 501,60

T 83975 OS Transitions 7 1.67 Surfaced Hard Coat R 3 803,20

T 83976 OS Transitions 7 1.67 Surfaced Hard Multi Coat R 3 922,90

T 83977 OS CR39 NuPolar® Polarised Grey/G15/Brown Surfaced Hard Coat R 1 628,50

T 83978 OS CR39 Drivewear Surfaced Hard Coat R 2 801,30

83979 OS Trilogy 1.5 Hard Coat R 1 263,90

T 83980 OS Trilogy 1.5 Hard Multi Coat R 1 649,20

T 83981 OS Trilogy 1.5 Transitions® 7 Hard Coat R 2 422,40

T 83982 OS Trilogy 1.5 Transitions® 7 Hard Multi Coat R 2 660,90

T 83983 OS Smart SV 1.5 Hard Coat R 1 120,10

T 83984 OS Smart SV 1.5 Glacier Plus R 1 234,10

T 83985 OS Smart SV 1.6 Hard Coat R 1 685,00

T 83986 OS Smart SV 1.6 Glacier Plus R 1 772,40

T 83987 OS Smart SV 1.67 Hard Coat R 2 251,20

T 83988 OS Smart SV 1.67 Glacier Plus R 2 350,70

T 83989 OS Smart SV 1.74 Glacier Plus R 3 803,20

83990 OS Smart SV Transition and XTRActive 1.5 Hard Coat R 2 428,10

T 83991 OS Smart SV Transition and XTRActive 1.5 Glacier Plus R 3 359,40

T 83992 OS Smart SV Transition and XTRActive 1.6 Hard Coat R 3 449,50

T 83993 OS Smart SV Transition and XTRActive 1.6 Glacier Plus R 3 628,40

T 83994 OS Smart SV Transition and XTRActive 1.67 Hard Coat R 3 803,20

T 83995 OS Smart SV Transition and XTRActive 1.67 Glacier Plus R 3 924,30

T 83996 OS Smart SV Polarized 1.5 Hard Coat R 3 238,30

T 83997 OS Smart SV Polarized 1.5 Glacier Plus R 3 359,40

T 83998 OS Smart SV Polarized 1.6 Hard Coat R 3 803,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 83999 OS Smart SV Polarized 1.6 Glacier Plus R 3 924,00

84000 Varifocal Intermediate to Near R 907,50

T 84004 Varilux Interview 1.6 Supra R 926,80

T 84005 Varilux Interview 1.6 Crizal Easy UV R 1 404,70

T 84006 Varilux Interview 1.6 Crizal Forte UV R 1 636,70

X 84008 Home&Offi ce (H&O) 1.74 SeeCoat Plus N/A

T 84012 EasyWork Mid-distance 1.50 i-Relief R 248,30

T 84013 EasyWork Mid-distance 1.60 i-Relief R 1 013,90

T 84014 EasyWork Prog Indoor 1.50 i-Relief R 465,50

T 84015 EasyWork Prog Indoor 1.67 i-Relief R 1 374,50

T 84021 Hoya TACT 1.50 Uncoated R 484,50

T 84022 Hoyalux Lecture B 1.50 HVP R 638,50

T 84024 Shamir Offi ce (1.5) R 558,60

T 84025 synchrony Single Vision Access A 1.5 Hard R 90,10

X 84026 Weblens I 1.50 Supra HC N/A

T 84035 Varilux Interview 1.5 R 0,00

T 84036 Varilux Interview 1.5 Supra R 87,00

T 84037 Varilux Interview 1.5 Crizal Easy UV R 544,00

T 84038 Lenssavers 1.5 Offi ce Supra R 0,00

T 84039 Lenssavers 1.5 Offi ce Crizal Easy R 292,60

X 84041 Online Wide 1.60 Supra HC N/A

X 84043 Online Wide 1.67 SeeCoat Plus N/A

X 84044 Online Wide 1.74 SeeCoat Plus N/A

X 84045 Easy Vision Progressive Reader N/A

T 84052 synchrony Single Vision Access B 1.5 Hard R 90,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84053 synchrony Single Vision Access B 1.5 HMC+ R 467,60

T 84054 synchrony Single Vision Access B 1.5 HMCX R 640,60

X 84058 Online Wide 1.50 Supra HC N/A

T 84059 Varilux Interview 1.5 Crizal Forte UV R 776,00

T 84064 Varilux Interview 1.67 Crizal Forte UV R 4 494,80

T 84070 Flexivue 1.5 Desktop HC R 100,00

T 84075 ZEISS Offi celens Superb Near 1.5 Hard R 438,10

T 84076 Flexivue 1.6/42 Desktop HC R 605,00

T 84077 ZEISS Offi celens Superb Near 1.5 DV Silver R 910,50

T 84078 ZEISS Offi celens Superb Near 1.5 DV Platinum R 1 113,00

T 84079 ZEISS Offi celens Individual 1.5 Hard R 1 269,10

T 84080 Shamir Smart Offi ce (1.5) R 724,00

T 84081 ZEISS Offi celens Individual 1.5 DV Silver R 1 741,50

T 84082 Shamir Smart Offi ce (1.6) R 1 704,20

T 84083 ZEISS Offi celens Individual 1.5 DV Platinum R 1 943,90

T 84084 Quality Internal Offi ce 1.59 Polycarbonate Emerald R 630,00

T 84085 Quality Internal Offi ce 1.50 Trivex Trilogy® Clear R 630,00

T 84086 Varilux Interview 1.5 Crizal Prevencia R 776,00

T 84087 Flexivue 1.53 Desktop Trivex HC R 505,00

T 84088 Flexivue 1.56 Desktop Flexi-Tint HC R 200,00

T 84089 Varilux Interview 1.6 Crizal Prevencia R 1 636,70

T 84091 Varilux Interview 1.67 Crizal Prevencia R 4 494,80

T 84093 EasyWork Mid-distance 1.50 Supra R 0,00

84095 Optima Stellar Offi ce Digital Customized FreeForm 1.5

84096 Optima Stellar Offi ce Digital Customized FreeForm 1.6

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

84097 Optima Stellar Offi ce Digital Customized FreeForm 1.67

T 84098 EasyWork Mid-distance 1.50 Crizal Easy UV R 379,10

T 84099 EasyWork Mid-distance 1.50 Crizal Forte UV R 604,70

T 84100 Hoya TACT 1.50 Hard R 674,30

T 84101 EasyWork Mid-distance 1.60 Crizal Easy UV R 1 144,60

T 84102 Hoya TACT 1.50 HVP R 1 161,50

T 84103 EasyWork Mid-distance 1.60 Crizal Forte UV R 1 370,30

T 84104 Hoya TACT 1.50 SHV R 1 292,30

T 84105 EasyWork Prog Indoor 1.50 Supra R 132,30

T 84106 Hoya TACT Eyas 1.60 SHV R 1 775,20

T 84107 EasyWork Prog Indoor 1.50 Crizal Easy UV R 596,30

T 84108 Hoyalux Lecture B 1.50 Hard R 153,40

T 84109 EasyWork Prog Indoor 1.50 Crizal Forte UV R 821,90

T 84110 Hoya TACT Eyas 1.60 HVP R 1 642,30

T 84111 EasyWork Prog Indoor 1.60 Crizal Easy UV R 967,50

T 84112 Hoyalux Lecture B 1.50 SHV R 773,40

T 84113 EasyWork Prog Indoor 1.60 Crizal Forte UV R 1 193,10

T 84115 EasyWork Prog Indoor 1.67 Crizal Easy UV R 1 505,30

T 84116 Hoya Add Power 1.50 HVP R 638,50

T 84117 EasyWork Prog Indoor 1.67 Crizal Forte UV R 1 730,90

T 84125 Shamir WorkSpace (1.5) R 1 928,40

T 84126 Shamir WorkSpace Polycarbonate (1.59) R 2 948,00

T 84127 Shamir WorkSpace (1.6) R 3 369,40

T 84128 Shamir Computer (1.5) R 1 176,70

T 84129 Shamir Computer Polycarbonate (1.59) R 2 948,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84130 Shamir Computer (1.6) R 2 060,60

T 84133 Hoya TACT 1.50 HVLL R 1 496,80

T 84135 Hoya TACT Eyas 1.60 HVLL R 1 979,80

T 84136 Hoyalux Lecture B 1.50 HVLL R 973,80

T 84137 Hoyalux Lecture B Eyas 1.60 HVLL R 1 581,20

T 84138 Hoya Add Power 1.50 HVLL R 973,80

T 84140 Quality Internal Offi ce 1.5 Emerald R 0,00

T 84142 Quality Internal Offi ce 1.6 Emerald R 1 165,70

T 84144 Quality Internal Offi ce 1.67 Emerald R 1 591,70

T 84145 Hoya TACT 1.50 HVLL Blue Control R 1 644,50

T 84146 Hoya TACT TF 1.50 HVLL R 1 610,70

T 84147 Hoya TACT TF 1.50 HVLL Blue Control R 1 758,30

T 84148 Hoya TACT TF Eyas 1.60 Hard R 1 488,40

T 84149 Hoya TACT Eyas 1.60 HVLL Blue Control R 2 125,30

T 84150 Hoya TACT Eyas 1.60 Hard R 1 155,20

T 84151 Hoya TACT TF Eyas 1.60 HVLL R 2 310,90

T 84152 Hoya Add Power 1.50 SHV R 773,40

T 84153 Hoya TACT TF Eyas 1.60 HVLL Blue Control R 2 460,60

T 84155 Hoyalux Lecture B TF 1.50 Hard R 233,50

T 84156 Hoyalux Lecture B 1.50 HVLL Blue Control R 1 123,50

T 84157 Hoyalux Lecture B TF 1.50 HVLL R 1 053,90

T 84158 Hoyalux Lecture B TF 1.50 HVLL Blue Control R 1 203,70

T 84159 Hoyalux Lecture B TF Eyas 1.60 Hard R 838,80

T 84161 Hoyalux Lecture B Eyas 1.60 HVLL Blue Control R 1 730,90

T 84162 synchrony Single Vision Access A 1.5 HMC+ R 467,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84163 Hoyalux Lecture B TF Eyas 1.60 HVLL R 1 661,30

T 84164 Shamir Smart Offi ce Polycarbonate (1.59) R 1 849,40

T 84165 synchrony Single Vision Access A 1.5 HMCX R 640,60

T 84166 Hoyalux Lecture B TF Eyas 1.60 HVLL Blue Control R 1 809,00

T 84168 Hoya Add Power 1.50 Hard R 153,40

T 84172 Hoyalux Lecture B 1.50 Uncoated R 0,00

T 84173 Hoyalux Lecture B Eyas 1.60 Hard R 758,70

T 84174 Hoyalux Lecture B Eyas 1.60 HVP R 1 243,70

T 84175 Hoyalux Lecture B Eyas 1.60 SHV R 1 378,70

T 84177 Hoya Add Power TF 1.50 Hard R 233,50

T 84178 Hoya Add Power 1.50 HVLL Blue Control R 1 123,50

T 84179 Hoya Add Power TF 1.50 HVLL R 1 053,90

T 84183 Futuro Offi ce FreeForm Transitions 1.5 R 1 235,30

T 84184 Futuro Offi ce FreeForm Transitions XTRActive 1.5 R 1 235,30

T 84185 Futuro Offi ce FreeForm Transitions 1.6 R 2 286,50

T 84186 Futuro Offi ce FreeForm Transitions XTRActive 1.6 R 2 286,50

T 84187 Futuro Offi ce FreeForm Transitions 1.67 R 3 137,50

T 84188 Futuro Offi ce FreeForm Transitions XTRActive 1.67 R 3 137,50

T 84189 Futuro Offi ce FreeForm Trilogy 1.53 R 2 003,70

T 84190 Futuro Offi ce FreeForm Transitions Trilogy 1.53 R 3 017,50

T 84191 Futuro Offi ce FreeForm Transitions XTRActive Trilogy 1.67 R 3 017,50

84192 VISION Offi ce 1.50 Clear

84194 VISION Offi ce 1.60 Clear Titan HC R 1 243,90

84196 VISION Offi ce 1.67 Clear HMC R 2 544,40

84199 VISION Offi ce 1.50 Transitions Titan HC R 2 382,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84200 Futuro Offi ce FreeForm 1.5 R 301,50

T 84201 Hoya Add Power TF 1.50 HVLL Blue Control R 1 203,70

T 84202 Futuro Offi ce FreeForm 1.6 R 1 288,70

T 84204 Futuro Offi ce FreeForm 1.67 R 1 718,20

X 84205 Home&Offi ce (H&O) 1.50 Supra HC N/A

X 84206 Home&Offi ce (H&O) 1.60 Supra HC N/A

X 84207 Home&Offi ce (H&O) 1.67 SeeCoat Plus N/A

T 84246 ZEISS Offi celens Superb Room 1.5 Hard R 438,10

T 84247 ZEISS Offi celens Superb Room 1.5 DV Silver R 910,50

T 84248 ZEISS Offi celens Superb Room 1.5 DV Platinum R 1 113,00

T 84249 ZEISS Offi celens Superb Near 1.6 Hard R 724,90

T 84250 ZEISS Offi celens Superb Near 1.6 DV Silver R 1 197,30

T 84251 ZEISS Offi celens Superb Near 1.6 DV Platinum R 1 399,80

T 84252 ZEISS Offi celens Superb Room 1.6 Hard R 724,90

T 84253 ZEISS Offi celens Superb Room 1.6 DV Silver R 1 197,30

T 84254 ZEISS Offi celens Superb Room 1.6 DV Platinum R 1 399,80

T 84256 ZEISS Offi celens Superb Near 1.67 DV Silver R 1 566,40

T 84257 ZEISS Offi celens Superb Near 1.67 DV Platinum R 1 768,90

T 84259 ZEISS Offi celens Superb Room 1.67 DV Silver R 1 566,40

T 84260 ZEISS Offi celens Superb Room 1.67 DV Platinum R 1 768,90

T 84261 ZEISS Offi celens Individual 1.6 Hard R 1 555,90

T 84262 ZEISS Offi celens Individual 1.6 DV Silver R 2 028,30

T 84263 ZEISS Offi celens Individual 1.6 DV Platinum R 2 230,80

T 84265 ZEISS Offi celens Individual 1.67 DV Silver R 2 494,40

T 84266 ZEISS Offi celens Individual 1.67 DV Platinum R 2 696,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84267 Rodenstock Nexyma® 40 & 80 (1.5) R 484,50

T 84268 Rodenstock Multigressiv Ergo® 1.50 R 1 771,00

T 84269 Rodenstock Multigressiv Ergo® 1.60 R 2 361,50

T 84270 Rodenstock Impression Ergo® 1.50 R 2 361,50

T 84271 Rodenstock Impression Ergo® 1.60 R 2 741,10

T 84293 ZEISS Offi celens Superb Book 1.5 Hard R 438,10

T 84294 ZEISS Offi celens Superb Book 1.5 DV Silver R 910,50

T 84295 ZEISS Offi celens Superb Book 1.5 DV Platinum R 1 113,00

T 84296 ZEISS Offi celens Superb Book 1.6 Hard R 724,90

T 84297 ZEISS Offi celens Superb Book 1.6 DV Silver R 1 197,30

T 84298 ZEISS Offi celens Superb Book 1.6 DV Platinum R 1 399,80

T 84300 ZEISS Offi celens Superb Book 1.67 DV Silver R 1 566,40

T 84301 ZEISS Offi celens Superb Book 1.67 DV Platinum R 1 768,90

T 84302 SEIKO COMPUTER Xtra 1.50 Uncoated Surfaced R 661,70

T 84305 SEIKO COMPUTER Xtra Tribrid Uncoated Surfaced R 1 193,10

T 84308 SEIKO COMPUTER Xtra 1.60 Uncoated Surfaced R 954,80

T 84311 SEIKO COMPUTER Xtra 1.67 Uncoated Surfaced R 1 266,90

X 84313 Lenssavers 1.6 Offi ce Supra N/A

X 84314 Lenssavers 1.6 Offi ce Crizal Easy N/A

X 84315 Weblens I 1.50 N/A

X 84316 Weblens I 1.50 Crizal N/A

X 84317 Weblens I 1.50 Crizal Forte UV N/A

X 84318 Weblens II 1.50 N/A

X 84319 Weblens II 1.50 Supra HC N/A

X 84320 Weblens II 1.50 Crizal N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 84321 Weblens II 1.50 Crizal Forte UV N/A

X 84322 Online Wide 1.50 ECC N/A

X 84323 Online Wide 1.50 SeeCoat Plus N/A

X 84324 Online Wide 1.50 SeeCoat Blue N/A

X 84325 Online Wide 1.60 ECC N/A

X 84326 Online Wide 1.60 SeeCoat Plus N/A

X 84327 Online Wide 1.60 SeeCoat Blue N/A

X 84328 Online Wide 1.67 ECC N/A

X 84329 Online Wide 1.67 SeeCoat Blue N/A

X 84330 Online Wide 1.74 ECC N/A

X 84331 Online Wide 1.74 SeeCoat Blue N/A

X 84332 Home&Offi ce (H&O) 1.50 ECC N/A

X 84333 Home&Offi ce (H&O) 1.50 SeeCoat Plus N/A

X 84334 Home&Offi ce (H&O) 1.50 SeeCoat Blue N/A

X 84335 Home&Offi ce (H&O) 1.60 ECC N/A

X 84336 Home&Offi ce (H&O) 1.60 SeeCoat Plus N/A

X 84337 Home&Offi ce (H&O) 1.60 SeeCoat Blue N/A

X 84338 Home&Offi ce (H&O) 1.67 ECC N/A

X 84339 Home&Offi ce (H&O) 1.67 SeeCoat Blue N/A

X 84340 Home&Offi ce (H&O) 1.74 ECC N/A

X 84341 Home&Offi ce (H&O) 1.74 SeeCoat Blue N/A

84342 VISION Offi ce 1.50 Clear Titan HC R 189,30

84343 VISION Offi ce 1.50 Clear HMC R 752,60

84345 VISION Offi ce 1.50 Transitions HC R 2 132,70

84346 VISION Offi ce 1.50 Transitions HMC R 2 942,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

84348 VISION Offi ce 1.50 Polarized HC

84349 VISION Offi ce 1.50 Polarized Titan HC

84350 VISION Offi ce 1.50 Polarized HMC

84352 VISION Offi ce 1.60 Clear HMC R 1 801,70

84354 VISION Offi ce 1.60 Transitions Titan HC

84355 VISION Offi ce 1.60 Transitions HMC

84358 VISION Offi ce 1.67 Transitions HMC

84360 VISION Offi ce 1.67 Polarized HMC

T 84362 Hoya TACT TF 1.50 Hard R 788,20

T 84363 Hoya TACT TF 1.50 SHV R 1 408,20

T 84364 Hoya TACT TF Eyas 1.60 SHV R 2 108,40

T 84365 Hoyalux Lecture B TF 1.50 SHV R 855,70

T 84366 Hoyalux Lecture B TF Eyas 1.60 SHV R 1 458,90

T 84367 Hoya Add Power TF 1.50 SHV R 855,70

T 84368 Hoya Add Power 1.50 Uncoated R 0,00

84385 OTL Desktop Clear (Offi ce Design)

84386 OTL Desktop Sunglare (Offi ce Design) R 348,70

84387 OTL Desktop Clear 1.67 (Offi ce Design) R 1 496,30

T 84392 Nanko HD Offi ce WHITE 1.50 NANKO Hard Coat (0.75-1.25-1.75-2.00-2.25) R 610,00

T 84393 Nanko HD Offi ce WHITE 1.60 NANKO Hard Coat (0.75-1.25-1.75-2.00-2.25) R 1 068,70

X 84394 Nanko HD Offi ce WHITE 1.67 NANKO Hard Coat (0.75-1.25-1.75-2.00-2.25) N/A

X 84395 Nanko HD Offi ce WHITE 1.74 NANKO Hard Coat (0.75-1.25-1.75-2.00-2.25) N/A

T 84396 Hoya TACT 1.50 HVLL UV Control R 1 644,50

T 84397 Hoya TACT Eyas 1.60 HVLL UV Control R 2 125,30

T 84398 Hoya TACT TF 1.50 HVLL UV Control R 1 758,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84399 Hoya TACT TF Eyas 1.60 HVLL UV Control R 2 460,60

T 84400 Hoyalux Lecture B 1.50 HVLL UV Control R 1 123,50

T 84401 Hoyalux Lecture B Eyas 1.60 HVLL UV Control R 1 730,90

T 84402 Hoyalux Lecture B TF 1.50 HVLL UV Control R 1 203,70

T 84403 Hoyalux Lecture B TF Eyas 1.60 HVLL UV Control R 1 809,00

T 84404 Hoya Add Power 1.50 HVLL UV Control R 1 123,50

T 84405 Hoya Add Power TF 1.50 HVLL UV Control R 1 203,70

84409 Apex Offi ce 1.5

84410 Apex Offi ce 1.6 R 364,20

84411 Apex Offi ce 1.67 R 1 196,40

T 84412 eLab Offi ce AP 1.50 UC R 201,90

T 84413 eLab Offi ce LB 1.50 UC R 81,70

T 84414 eLab Offi ce T 1.50 UC R 511,90

T 84415 eLab Offi ce AP FF 1.50 UC R 548,60

84416 eLab Offi ce LB FF 1.50 UC R 610,90

T 84417 eLab Offi ce T FF 1.50 UC R 1 183,10

T 84418 Incredible Reader Hard 1.5 R 479,80

T 84419 Incredible Reader ARC 1.5 R 901,60

T 84420 Incredible Reader Protect Your Eyes R 1 110,90

T 84421 Incredible Reader Protect Your Eyes ARC R 1 532,70

T 84422 Incredible Offi ce Hard 1.5 R 479,80

T 84423 Incredible Offi ce ARC 1.5 R 901,60

T 84424 Incredible Offi ce Protect Your Eyes R 1 110,90

T 84425 Incredible Offi ce Protect Your Eyes ARC R 1 532,70

T 84426 Incredible Offi ce Hard 1.6 R 1 110,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84427 Incredible Offi ce ARC 1.6 R 1 532,70

84428 RO Offi ce

T 84429 Spec Offi ce A 1.50 Hard R 353,70

T 84430 Spec Offi ce A 1.50 HMC R 929,50

T 84431 Spec Offi ce A 1.50 SHMC R 1 117,20

T 84433 Spec Offi ce A 1.60 Hard R 916,80

T 84434 Spec Offi ce A 1.60 HMC R 1 492,60

T 84435 Spec Offi ce A 1.60 SHMC R 1 680,30

T 84438 Spec Offi ce B 1.50 Hard R 353,70

T 84439 Spec Offi ce B 1.50 HMC R 929,50

T 84440 Spec Offi ce B 1.50 SHMC R 1 117,20

T 84442 Spec Offi ce B 1.60 Hard R 916,80

T 84443 Spec Offi ce B 1.60 HMC R 1 492,60

T 84444 Spec Offi ce B 1.60 SHMC R 1 680,30

T 84445 OS Offi ce 1.5 CR39 R 376,90

T 84446 OS Smart Offi ce 1.5 Hard Coat R 1 003,40

T 84447 OS Smart Offi ce 1.5 Glacier Plus R 1 099,10

T 84448 OS Smart Offi ce 1.6 Hard Coat R 1 807,30

T 84449 OS Smart Offi ce 1.6 Glacier Plus R 1 946,40

T 84521 Shamir Autograph Attitude Polycarb Transitions (1.59) R 5 319,90

T 84522 Shamir Autograph Attitude Polycarb (1.586) R 2 389,30

T 84530 Natural 1.5 Uncoated R 835,60

T 84531 Summit 1.50 Transitions S7 Hard (CD & Pro) R 2 064,10

T 84532 Natural 1.5 Crizal Easy UV R 1 386,70

T 84534 Shamir Piccolo (1.6) R 3 244,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84535 Shamir Piccolo (1.67) R 5 135,10

T 84536 Summit Eyas 1.60 Suntech HVP (CD & Pro) R 2 990,00

X 84546 Kodak Precise Evoclear (1.56) N/A

X 84547 Kodak Precise (1.67) N/A

X 84548 Kodak Precise Polycarbonate N/A

X 84549 Kodak Precise Instashades (1.56) N/A

X 84550 Kodak Precise Polarshades N/A

X 84552 Kodak Concise Evoclear (1.56) N/A

X 84553 Kodak Concise (1.67) N/A

X 84554 Kodak Concise InstaShades (1.56) N/A

T 84555 Amplitude 1.50 (Mini & Long) R 98,60

T 84558 Shamir Regular (1.5) R 539,50

T 84559 Shamir Creation (1.6) R 3 602,70

T 84560 Shamir Spectrum (1.74) R 4 663,00

T 84561 Summit Eynoa 1.67 Suntech HVP (CD & Pro) R 3 369,60

T 84562 Shamir Spectrum Polycarb Transitions and XTRActive (1.59) R 4 326,30

T 84564 Shamir Creation (1.67) R 4 792,00

T 84565 Shamir Creation Transitions (1.6) R 5 169,30

T 84569 Natural 1.5 Crizal Forte UV R 1 474,20

T 84576 Futuro P Standard FreeForm Photochromic 1.5 R 1 109,90

T 84587 Flexivue 1.67 Hi-Curve Transitions HC R 4 725,00

T 84588 Shamir Genesis Transitions (1.5) R 2 630,00

T 84592 Summit Digi Eyas 1.60 Polarised Hard (CD & Pro) R 4 194,20

T 84596 Flexivue 1.5 Hi-Curve HC R 840,00

T 84597 Flexivue 1.5 Hi-Curve Transitions HC R 2 295,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 84599 Signet Navigator Photoview (1.50) N/A

T 84600 Shamir Creation Transitions (1.67) R 6 623,80

T 84601 Shamir Autograph Attitude Polarized (1.5) R 3 961,30

X 84602 EasyVision FF WHT N/A

X 84604 EasyVision FF WHT N/A

X 84605 EasyVision FF WHT N/A

X 84606 EasyVision FF Transitions T7 N/A

X 84609 EasyVision FF Transitions T7 N/A

X 84610 EasyVision FF Transitions T7 N/A

X 84611 EasyVision FF Polarized N/A

X 84613 EasyVision FF DriveWear N/A

T 84619 Amplitude 1.50 Hard (Mini & Long) R 286,30

84625 VUE HOUSE BRAND 1.5 CR39 UC

84631 VUE HOUSE BRAND VEYEZER HC R 22,10

84632 VUE HOUSE BRAND 1.5 Transitions HC R 548,90

84633 VUE HOUSE BRAND 1.61 HC R 203,60

T 84638 Varilux Ipseo Stylis Crizal Forte UV(1.67) R 5 991,10

X 84651 Signet Armorlite Signia Short (1.5) N/A

X 84652 Signet Navigator Photoview Short (1.50) N/A

T 84659 Shamir Autograph-Plus Transitions and XTRActive (1.5) R 3 049,20

T 84660 Shamir Short (1.5) R 539,50

84662 Adaptar (1.5)

84663 Adaptar Transitions Supra (1.5) R 233,60

T 84678 Amplitude 1.50 HVP (Mini & Long) R 773,40

T 84679 Summit Digi 1.50 Polarised Hard (CD & Pro) R 1 484,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84686 Varilux Ipseo Stylis Transitions Crizal Forte UV(1.67) R 7 116,30

T 84687 Amplitude 1.60 HVP (Mini & Long) R 1 366,10

T 84689 Varilux Ipseo Ormix Crizal Forte UV (1.6) R 4 190,90

T 84690 Varilux Ipseo Ormix Transitions Crizal Forte UV (1.6) R 6 083,90

T 84695 Varilux Ipseo Ormix Crizal Easy UV (1.6) R 3 958,90

T 84696 Varilux Ipseo Ormix Transitions Crizal Easy UV (1.6) R 5 851,90

T 84697 Natural 1.5 Hard Coated R 911,40

T 84700 Amplitude 1.60 Hard (Mini & Long) R 881,00

T 84701 GP Wide 1.50 Hard R 933,70

T 84706 GP Wide 1.50 HVP R 1 418,80

T 84709 GP Wide 1.50 SHV R 1 551,70

84717 VUE HOUSE BRAND 1.67 HC R 762,60

84719 VUE HOUSE BRAND 1.61 Transitions HC R 1 321,40

84724 VUE HOUSE BRAND 1.67 Transitions HC R 1 881,40

T 84738 Summit 1.50 Hard (CD & Pro) R 1 085,60

T 84739 Summit 1.50 HVP (CD & Pro) R 1 549,50

T 84744 Summit 1.50 SHV (CD & Pro) R 1 678,20

T 84745 Summit 1.50 Transitions S7 HVP (CD & Pro) R 2 530,20

T 84750 Summit Digi 1.50 Polarised HVP (CD & Pro) R 1 948,20

T 84756 Summit Digi 1.50 Polarised SHV (CD & Pro) R 2 078,90

T 84758 Summit PNX 1.53 HVP (CD & Pro) R 1 986,10

T 84762 Summit PNX 1.53 SHV (CD & Pro) R 2 114,80

T 84764 Shamir Short Acclimate (1.5) R 1 536,50

T 84765 Summit PNX 1.53 Transitions S7 HVP (CD & Pro) R 3 352,70

T 84771 Summit Eyas 1.60 HVP (CD & Pro) R 2 119,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84773 Summit Eyas 1.60 SHV (CD & Pro) R 2 247,60

T 84774 Summit Eyas 1.60 Transitions S7 HVP (CD & Pro) R 3 544,70

T 84775 Summit Eyas 1.60 Transitions S7 SHV (CD & Pro) R 3 675,40

T 84776 Summit Eyas 1.60 Suntech SHV (CD & Pro) R 3 118,60

T 84777 Summit Digi Eyas 1.60 Polarised HVP (CD & Pro) R 4 658,20

T 84778 Summit Digi Eyas 1.60 Polarised SHV (CD & Pro) R 4 786,90

T 84779 Summit Eynoa 1.67 HVP (CD & Pro) R 2 498,60

T 84780 Flexivue 1.5 Classic HC R 135,00

T 84784 Flexivue 1.5 Easivue HC R 605,00

T 84786 Flexivue 1.5 Easivue Transitions HC R 2 055,00

T 84788 Flexivue 1.5 Easivue NuPolar® HC R 1 585,00

T 84789 Flexivue 1.5 Easivue Drivewear HC R 3 305,00

T 84790 Flexivue 1.53 Easivue Trivex HC R 1 510,00

T 84792 Flexivue 1.53 Easivue Trivex Transitions HC R 2 970,00

T 84793 Flexivue 1.6/42 Easivue HC R 1 510,00

T 84797 Summit Eynoa 1.67 SHV (CD & Pro) R 2 627,20

T 84798 Flexivue 1.67 Easivue Superthin HC R 2 210,00

T 84799 Flexivue 1.67 Easivue Superthin Transitions HC R 3 810,00

T 84800 Flexivue 1.5 Corporate HC R 640,00

T 84802 Flexivue 1.5 Corporate Transitions HC R 2 025,00

T 84803 Flexivue 1.53 Corporate Trivex HC R 1 245,00

T 84805 Flexivue 1.6/42 Corporate HC R 1 510,00

T 84806 Flexivue 1.5 Premium HC R 910,00

T 84807 Quality Internal SunActive 1.56 Emerald R 705,90

T 84808 Flexivue 1.5 Premium Transitions HC R 2 295,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84810 Flexivue 1.5 Premium Polarised HC R 1 950,00

T 84811 Flexivue 1.5 Premium Drivewear HC R 3 780,00

T 84812 Flexivue 1.53 Premium Trivex HC R 1 550,00

T 84813 Summit Eynoa 1.67 Transitions S7 SHV (CD & Pro) R 4 055,00

T 84814 Flexivue 1.6/42 Premium HC R 1 855,00

T 84815 Flexivue 1.67 Premium Superthin HC R 2 455,00

T 84816 Flexivue 1.67 Premium Superthin Transitions HC R 4 080,00

T 84819 Summit Eynoa 1.67 Suntech SHV (CD & Pro) R 3 498,30

T 84825 Quality Genius FF SunActive 1.56 Emerald R 773,40

T 84827 Quality IQ Individualized FF SunActive 1.56 Emerald R 845,10

T 84848 Quality Internal Transitions XTRActive 1.5 Emerald R 1 382,90

T 84850 Natural Orma Transitions Supra Coated R 1 821,20

T 84851 Natural Orma Transitions Crizal Coated R 2 293,60

T 84852 Natural Orma Transitions Crizal Forte UV R 2 468,50

T 84853 Summit TF 1.50 Hard (CD & Pro) R 1 085,60

T 84854 Summit TF 1.50 HVP (CD & Pro) R 1 549,50

T 84855 Summit TF 1.50 SHV (CD & Pro) R 1 678,20

T 84856 Summit TF 1.50 HVLL (CD & Pro) R 1 872,20

T 84857 Summit TF 1.50 Transitions S7 Hard (CD & Pro) R 2 064,10

X 84858 Summit TF 1.50 Transitions S7 Hard (CD & Pro) N/A

T 84859 Summit TF 1.50 Transitions S7 SHV (CD & Pro) R 2 658,90

T 84860 Summit TF 1.50 Transitions S7 HVLL (CD & Pro) R 2 852,90

T 84861 Summit TF PNX 1.53 Hard (CD & Pro) R 1 520,00

T 84862 Summit TF PNX 1.53 HVP (CD & Pro) R 1 986,10

T 84863 Summit TF PNX 1.53 SHV (CD & Pro) R 2 114,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 84864 Summit TF PNX 1.53 HVLL (CD & Pro) R 2 308,80

T 84865 Summit TF PNX 1.53 Transitions S7 Hard (CD & Pro) R 2 886,70

T 84866 Summit TF PNX 1.53 Transitions S7 HVP (CD & Pro) R 3 352,70

T 84867 Summit TF PNX 1.53 Transitions S7 SHV (CD & Pro) R 3 481,40

T 84868 Summit TF PNX 1.53 Transitions S7 HVLL (CD & Pro) R 3 675,40

T 84869 Summit TF Eyas 1.60 Hard (CD & Pro) R 1 652,90

T 84870 Summit TF Eyas 1.60 HVP (CD & Pro) R 2 119,00

T 84871 Summit TF Eyas 1.60 SHV (CD & Pro) R 2 247,60

T 84872 Summit TF Eyas 1.60 HVLL (CD & Pro) R 2 441,70

T 84873 Summit TF Eyas 1.60 Transitions S7 Hard (CD & Pro) R 3 080,70

T 84874 Summit TF Eyas 1.60 Transitions S7 HVP (CD & Pro) R 3 544,70

T 84875 Summit TF Eyas 1.60 Transitions S7 SHV (CD & Pro) R 3 675,40

T 84876 Summit TF Eyas 1.60 Transitions S7 HVLL (CD & Pro) R 3 869,40

X 84877 Summit TF Eynoa 1.67 HVP (CD & Pro) N/A

X 84878 Summit TF Eynoa 1.67 SHV (CD & Pro) N/A

X 84879 Summit TF Eynoa 1.67 HVLL (CD & Pro) N/A

T 84880 Summit TF Eynoa 1.67 Transitions S7 HVP (CD & Pro) R 3 924,30

T 84892 Summit TF Eynoa 1.67 Transitions S7 SHV (CD & Pro) R 4 055,00

T 84893 Summit TF Eynoa 1.67 Transitions S7 HVLL (CD & Pro) R 4 249,10

T 84914 Summit Eyas 1.60 Transitions S7 Hard (CD & Pro) R 3 080,70

T 84915 Summit Eynoa 1.67 Transitions S7 HVP (CD & Pro) R 3 924,30

T 84984 Quality Genius FF Transitions T6 XTRActive Emerald R 1 486,30

85012 Varifocal Distance to Near R 946,30

T 85052 synchrony Progressive Performance HD 1.5 UNC R 579,40

T 85053 synchrony Progressive Performance HD 1.5 HMCX R 1 319,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85073 Quality IQ Individualized Transitions T6 XTRActive Emerald R 1 593,80

T 85087 Petite i-PRO Digital Advanced Optimisation ARC (1.56) R 1 314,50

85088 Petite i-PRO Digital Advanced Optimisation ARC (1.50) Transitions® VII R 3 260,30

T 85089 Petite i-PRO Digital Advanced Optimisation ARC (1.61) White Superlite R 2 067,90

T 85090 Petite i-PRO Digital Advanced Optimisation ARC (1.67) White Superlite R 2 419,40

T 85091 Petite i-PRO Digital Advanced Optimisation ARC (1.71) White Superlite R 3 273,30

T 85092 Petite i-PRO Digital Advanced Optimisation ARC (1.56) Polarised R 2 067,90

T 85097 Amplitude 1.50 Acclimates Hard (Mini & Long) R 982,20

X 85114 Presio GO Digital 1.60 Supra HC N/A

X 85116 Presio GO Digital 1.60 Transitions Supra HC N/A

T 85122 Shamir Insight (1.5) R 512,40

X 85141 Presio GO Digital 1.74 SeeCoat Plus N/A

T 85144 Quality Internal 1.67 Polarized Emerald R 2 547,10

T 85146 Quality Genius FF R 273,60

T 85149 Quality Genius FF Transitions® T7 Emerald R 1 486,30

T 85151 Quality Genius FF Polarized Emerald R 1 062,40

T 85153 Quality Genius FF 1.67 Polarized Emerald R 2 707,40

T 85155 Quality Genius FF Drivewear Emerald R 2 441,70

T 85156 Quality Genius FF 1.6 Emerald R 1 102,40

T 85158 Quality Genius FF 1.6 Transitions® T7 Emerald R 2 420,60

T 85160 Quality Genius FF 1.67 Emerald R 1 511,60

T 85162 Quality Genius FF 1.67 Transitions® T7 Emerald R 2 656,80

T 85164 Quality IQ Individualized FF R 320,00

T 85167 Quality IQ Individualized FF Transitions® T7 Emerald R 1 593,80

T 85169 Quality IQ Individualized FF Polarized Emerald R 1 148,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85171 Quality IQ Individualized FF 1.67 Polarized Emerald R 2 876,10

T 85173 Quality IQ Individualized FF Drivewear Emerald R 2 597,70

T 85174 Quality IQ Individualized FF 1.6 Emerald R 1 191,00

T 85176 Quality IQ Individualized FF Transitions® T7 Emerald R 2 574,50

T 85178 Quality IQ Individualized FF 1.67 Emerald R 1 621,30

T 85180 Quality IQ Individualized FF 1.67 Transitions® T7 Emerald R 2 823,40

T 85190 Shamir Autograph-Plus (1.74) R 5 527,10

T 85191 Shamir Autograph-Plus Polarized (1.6) R 6 406,60

T 85192 Shamir Autograph-Plus Polarized (1.67) R 7 350,40

T 85193 Shamir Autograph-Plus Polycarbonate Polarized (1.59) R 4 640,00

T 85200 Shamir Autograph-Plus Drivewear (1.5) R 6 076,50

T 85201 Shamir Autograph-Plus Trivex NXT (1.53) R 5 390,20

T 85202 Shamir Autograph Attitude Polarized (1.6) R 5 216,20

T 85203 Shamir Autograph Attitude Polarized (1.67) R 5 505,60

T 85204 Shamir Autograph Attitude Polycarbonate Polarized (1.59) R 4 366,20

T 85205 Shamir Autograph Attitude Drivewear (1.5) R 5 373,00

T 85206 Shamir Autograph Attitude Trivex NXT (1.53) R 3 645,40

T 85238 synchrony Progressive Performance HDV 1.5 Hard R 1 480,00

T 85239 synchrony Progressive Performance HDV 1.5 HMCX R 2 030,40

T 85240 synchrony Progressive Performance HDV 1.6 Hard R 1 804,70

T 85241 synchrony Progressive Performance HDV 1.6 HMCX R 2 355,20

T 85242 synchrony Progressive Performance HDV 1.67 HMCX R 2 893,00

X 85272 Signet Armorlite Signia (1.5) N/A

X 85282 Kodak Precise RLXPlus (1.5) N/A

X 85285 Presio GO Digital 1.50 Supra HC N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 85287 Presio GO Digital 1.50 Transitions Supra HC N/A

T 85289 Amplitude 1.50 SHV (Mini & Long) R 908,40

T 85290 Amplitude 1.50 Acclimates HVP (Mini & Long) R 1 469,40

T 85291 Amplitude 1.60 SHV (Mini & Long) R 1 501,00

X 85292 Kodak Concise RLXPlus (1.5) N/A

T 85302 Shamir Genesis (1.5) R 1 011,80

85312 Summit 1.50 (CD & Pro) R 893,20

T 85322 Shamir Piccolo (1.5) R 1 003,20

T 85332 VME CFL (1.56) R 0,00

85342 Focus Dynamic FreeForm 1.5 R 1 405,50

T 85358 Shamir Spectrum (1.5) R 1 425,80

T 85359 Shamir Spectrum (1.6) R 2 155,10

T 85360 Shamir Spectrum (1.67) R 2 931,50

T 85361 Shamir Spectrum Transition and XTRActive (1.5) R 2 776,80

T 85362 GP Wide 1.50 R 746,00

T 85363 Shamir Spectrum Transition and XTRActive (1.6) R 4 220,30

T 85364 Amplitude 1.50 HVLL (Mini & Long) R 1 110,90

T 85367 Flexivue 1.6/42 Hi-Curve HC R 2 175,00

T 85368 Flexivue 1.6/42 Hi-Curve Transitions HC R 3 340,00

T 85369 Shamir Spectrum Transition and XTRActive (1.67) R 4 551,20

T 85370 Shamir Cool (1.5) R 1 910,60

T 85371 Shamir Cool (1.6) R 2 367,50

T 85372 Shamir Cool Polycarbonate (1.59) R 2 502,50

T 85373 Shamir Cool Trivex (1.53) R 3 078,90

T 85374 KF Incredible MF 1.5 Climate Eyes R 939,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85375 KF Incredible MF 1.6 R 1 030,70

T 85376 KF Incredible MF 1.6 Transition R 1 969,20

T 85377 KF Incredible MF 1.67 ARC R 1 526,40

T 85378 KF Incredible MF 1.67 Transition ARC R 2 580,90

T 85379 KF Incredible MF Protect Your Eyes R 893,70

T 85380 KF Incredible MF Protect Your Climate Eyes R 1 319,70

T 85381 KF Incredible MF Protect Your Eyes R 1 030,70

T 85382 KF Incredible MF Trivex Transition R 1 969,20

T 85383 KF Incredible MF Transition 1.5 R 1 254,30

T 85402 Amplitude 1.60 HVLL (Mini & Long) R 1 701,40

T 85409 GP Wide 1.50 HVLL R 1 756,20

T 85417 Summit 1.50 HVLL (CD & Pro) R 1 872,20

T 85418 Summit 1.50 Transitions S7 HVLL (CD & Pro) R 2 852,90

T 85419 Summit Digi 1.50 Polarised HVLL (CD & Pro) R 2 272,90

T 85420 Summit PNX 1.53 HVLL (CD & Pro) R 2 308,80

T 85421 Summit PNX 1.53 Transitions S7 HVLL (CD & Pro) R 3 675,40

T 85422 Summit Eyas 1.60 HVLL (CD & Pro) R 2 441,70

T 85423 Summit Eyas 1.60 Transitions S7 HVLL (CD & Pro) R 3 869,40

T 85424 Summit Eyas 1.60 Suntech HVLL (CD & Pro) R 3 312,70

T 85425 Summit Digi Eyas 1.60 Polarised HVLL (CD & Pro) R 4 980,90

T 85426 Summit Eynoa 1.67 HVLL (CD & Pro) R 2 821,30

T 85427 Summit Eynoa 1.67 Transitions S7 HVLL (CD & Pro) R 4 249,10

T 85428 Summit Eynoa 1.67 Suntech HVLL (CD & Pro) R 3 692,30

T 85485 Sevo 1.5 R 698,60

T 85486 Sevo 1.5 Hard Coated R 910,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85487 Sevo 1.5 Crizal Easy UV Coated R 1 385,10

T 85488 Sevo 1.5 Crizal Forte UV Coated R 1 472,60

T 85489 Sevo 1.5 Transitions Hard Coated R 1 819,90

T 85490 Sevo 1.5 Transitions Crizal Easy UV R 2 291,70

T 85491 Sevo 1.5 Transitions Crizal Forte UV R 2 583,30

T 85492 Sevo 1.6 Hard Coated R 1 430,20

T 85493 Sevo 1.6 Crizal Easy UV Coated R 1 902,00

T 85494 Sevo 1.6 Crizal Forte UV Coated R 2 138,00

T 85495 Sevo 1.6 Transitions Hard Coated R 2 729,10

T 85496 Sevo 1.6 Transitions Crizal Easy UV R 3 206,20

T 85497 Sevo 1.67 Crizal Easy UV R 4 112,40

T 85498 Sevo 1.67 Transitions Crizal Easy UV R 5 711,00

T 85499 Sevo 1.67 Crizal Forte UV R 4 316,20

T 85500 Sevo 1.67 Transitions Crizal Forte UV R 5 918,30

T 85532 Flexivue 1.74 Easivue Ultrathin HC R 2 970,00

T 85533 Flexivue 1.56 Corporate Flexi-Tint HC R 1 585,00

X 85558 Presio W (AFS) 1.50 Supra HC N/A

X 85560 Presio W (AFS) 1.50 Transitions Supra HC N/A

X 85563 Presio-i 1.50 N/A

X 85564 Presio-i 1.50 Transitions Supra HC N/A

T 85566 Focus Dynamic FreeForm 1.6 R 2 114,80

T 85567 Focus Dynamic FreeForm 1.67 R 2 620,90

X 85568 Presio W (AFS) 1.60 Supra HC N/A

X 85570 Presio W (AFS) 1.60 Transitions Supra HC N/A

T 85587 Flexivue 1.6/42 Premium Transitions HC R 3 305,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85594 Focus Dynamic FreeForm NuPolar® R 3 127,10

T 85596 Trendy Pro 1.5 Uncoated R 835,60

T 85597 Trendy Pro 1.5 Hard Coated R 911,40

T 85598 Trendy Pro 1.5 HMC R 1 386,70

T 85599 Trendy Pro 1.5 Transitions R 1 602,50

T 85600 Trendy Pro 1.5 Transitions Hard Coated R 1 821,20

T 85601 Trendy Pro 1.5 Transitions HMC R 2 293,60

T 85602 Focus Dynamic FreeForm DriveWear R 4 265,90

X 85627 Presio W (AFS) 1.67 Supra HC N/A

X 85628 Presio W (AFS) 1.67 Transitions Supra HC N/A

X 85629 Presio W (AFS) 1.74 SeeCoat Plus N/A

T 85637 Shamir Creation (1.5) R 1 796,30

T 85638 Shamir Creation Transitions (1.5) R 3 194,30

X 85640 SEEMAX (Custom Made) 1.60 Transitions Seecoat Plus N/A

85641 VME Paradigm Multifocal

T 85648 Varilux Liberty Digital (1.5) Supra R 663,70

T 85649 Varilux Liberty Digital (1.5) Crizal Easy UV R 1 156,00

T 85650 Varilux Liberty Digital (1.5) Crizal Forte UV R 1 394,90

T 85651 Varilux Liberty Digital Orma Transitions Supra R 1 612,40

T 85652 Varilux Liberty Digital Orma Transitions Crizal Easy UV R 2 104,60

T 85653 Varilux Liberty Digital Orma Transitions Crizal Forte UV R 2 343,50

T 85654 Varilux Liberty Digital Airwear Supra R 1 148,80

T 85655 Varilux Liberty Digital Airwear Crizal Easy UV R 1 641,00

T 85656 Varilux Liberty Digital Airwear Crizal Forte UV R 1 880,00

T 85657 Varilux Liberty Digital Airwear Transitions Supra R 2 661,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85658 Varilux Liberty Digital Airwear Transitions Crizal Easy UV R 3 153,60

T 85659 Varilux Liberty Digital Airwear Transitions Crizal Forte UV R 3 392,50

T 85660 Varilux Liberty Digital Ormix Supra R 1 206,10

T 85661 Varilux Liberty Digital Ormix Crizal Easy UV R 1 698,40

T 85662 Varilux Liberty Digital Ormix Crizal Forte UV R 1 937,30

T 85663 Varilux Liberty Digital Ormix Transitions Supra R 2 558,60

T 85664 Varilux Liberty Digital Ormix Transitions Crizal Easy UV R 3 050,80

T 85665 Varilux Liberty Digital Ormix Transitions Crizal Forte UV R 3 289,80

T 85666 Varilux Liberty Digital Stylis Crizal Easy UV R 2 498,90

T 85667 Varilux Liberty Digital Stylis Crizal Forte UV R 2 737,80

T 85668 Varilux Liberty Digital Stylis Transitions Crizal R 3 817,90

T 85669 Varilux Liberty Digital Stylis Transitions Crizal Forte UV R 4 056,80

T 85671 Varilux Liberty Digital Short (1.5) Supra R 663,70

T 85672 Varilux Liberty Digital Short (1.5) Crizal Easy UV R 1 156,00

T 85685 Flexivue 1.6/42 Easivue Transitions HC R 2 970,00

T 85693 Varilux Liberty Digital Short (1.5) Crizal Forte UV R 1 394,90

T 85694 Varilux Liberty Digital Short Orma Transitions Supra R 1 612,40

T 85696 Varilux Liberty Digital Short Orma Transitions Crizal Easy UV R 2 104,60

T 85698 Varilux Liberty Digital Short Stylis Transitions Crizal Forte UV R 4 056,80

T 85704 Varilux Liberty Digital Short Orma Transitions Crizal Forte UV R 2 343,50

T 85705 Varilux Liberty Digital Short Airwear Supra R 1 148,80

T 85706 Varilux Liberty Digital Short Airwear Crizal Easy UV R 1 641,00

T 85707 Varilux Liberty Digital Short Airwear Crizal Forte UV R 1 880,00

T 85708 Varilux Liberty Digital Short Airwear Transitions Supra R 2 661,40

T 85709 Varilux Liberty Digital Short Airwear Transitions Crizal Easy UV R 3 153,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85710 Varilux Liberty Digital Short Airwear Transitions Crizal Forte UV R 3 392,50

T 85711 Varilux Liberty Digital Short Ormix Supra R 1 206,10

T 85712 Varilux Liberty Digital Short Ormix Crizal Easy UV R 1 698,40

T 85713 Varilux Liberty Digital Short Ormix Crizal Forte UV R 1 937,30

T 85714 Varilux Liberty Digital Short Ormix Transitions Supra R 2 558,60

T 85715 Varilux Liberty Digital Short Ormix Transitions Crizal Easy UV R 3 050,80

T 85716 Varilux Liberty Digital Short Ormix Transitions Crizal Forte UV R 3 289,80

T 85717 KF Incredible MF 1.5 Climate Eyes ARC R 1 360,80

T 85718 Varilux Liberty Digital Short Stylis Crizal Easy UV R 2 498,90

T 85719 Varilux Liberty Digital Short Stylis Crizal Forte UV R 2 737,80

T 85720 Flexivue 1.56 Premium Flexi-Tint HC R 1 685,00

T 85721 Varilux Liberty Digital Short Stylis Transitions Crizal Easy UV R 3 817,90

T 85722 Quality Internal R 229,30

T 85727 Quality Internal Polarized Emerald R 980,10

T 85733 Quality Internal 1.6 Emerald R 1 018,10

T 85735 Quality Internal 1.6 Transitions® T7 Emerald R 2 272,90

T 85744 Quality Internal Transitions® T7 Emerald R 1 382,90

T 85756 Summit 1.50 Transitions S7 SHV (CD & Pro) R 2 658,90

T 85757 Summit PNX 1.53 Transitions S7 SHV (CD & Pro) R 3 481,40

T 85766 Shamir Piccolo Polycarb (1.59) R 2 730,70

T 85786 Shamir Autograph-Plus (1.5) R 1 712,40

T 85794 Essilor DS Stylis Crizal Easy UV R 2 675,50

T 85798 Essilor DS Stylis Crizal Forte UV R 2 911,70

T 85799 Essilor DS Stylis Transitions Crizal Easy UV R 3 944,00

T 85800 Essilor DS Stylis Transitions Crizal Forte UV R 4 180,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85801 Quality Internal Drivewear Emerald R 2 294,00

T 85803 Quality Internal 1.67 Transitions® T7 Emerald R 2 498,60

T 85826 Essilor DS Airwear Crizal Easy UV R 1 850,30

T 85827 Essilor DS Airwear Crizal Forte UV R 2 086,50

T 85828 Essilor DS Airwear Transitions Supra R 2 833,00

T 85829 Essilor DS Airwear Transitions Crizal Easy UV R 3 305,40

T 85830 Essilor DS Airwear Transitions Crizal Forte UV R 3 541,60

T 85831 Essilor DS Ormix Supra R 1 430,50

T 85832 Essilor DS Ormix Crizal Easy UV R 1 902,80

T 85833 Quality Internal 1.67 Emerald R 1 408,20

T 85836 Essilor DS Ormix Crizal Forte UV R 2 139,00

T 85837 Essilor DS Ormix Transitions Supra R 2 730,90

T 85838 Essilor DS Ormix Transitions Crizal Easy UV R 3 206,20

T 85839 Essilor DS Ormix Transitions Crizal Forte UV R 3 442,40

T 85855 Summit Eyas 1.60 Hard (CD & Pro) R 1 652,90

T 85856 Summit PNX 1.53 Hard (CD & Pro) R 1 520,00

T 85857 Summit PNX 1.53 Transitions S7 Hard (CD & Pro) R 2 886,70

T 85859 Flexivue 1.56 Hi-Curve Flexi-Tint HC R 2 245,00

T 85866 Shamir Autograph-Plus (1.6) R 2 589,10

T 85868 Essilor DS (1.5)Supra R 911,40

T 85869 Essilor DS (1.5) Crizal Easy UV R 1 386,70

T 85870 Essilor DS (1.5) Crizal Forte UV R 1 474,20

T 85875 Essilor DS Orma Transitions Supra R 1 821,20

T 85876 Essilor DS Orma Transitions Crizal Easy UV R 2 293,60

T 85877 Essilor DS Orma Transitions Crizal Forte UV R 2 585,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85878 Essilor DS Airwear Supra R 1 378,00

T 85885 Shamir Genesis (1.6) R 3 244,40

T 85890 Evolis HD 1.50 R 720,70

T 85899 Flexivue 1.56 Easivue Flexi-Tint HC R 1 585,00

T 85920 Flexivue 1.56 Classic Flexi-Tint HC R 910,00

T 85975 Flexivue 1.6/42 Corporate Transitions HC R 2 970,00

T 85976 Flexivue 1.67 Corporate HC R 1 550,00

T 85977 Flexivue 1.67 Corporate Transitions HC R 3 780,00

T 85978 Flexivue 1.74 Premium Ultrathin HC R 3 375,00

T 85980 Flexivue 1.5 Hi-Curve Drivewear HC R 3 645,00

T 85981 Flexivue 1.5 Hi-Curve Polarised HC R 2 245,00

T 85982 Flexivue 1.53 Hi-Curve Trivex HC R 1 585,00

T 85983 Flexivue 1.67 Hi-Curve HC R 2 000,00

T 85984 Flexivue 1.67 Hi-Curve Polarised HC R 4 350,00

T 85986 Shamir Genesis (1.67) R 5 135,10

T 85989 Shamir Autograph-Plus Transitions and XTRActive (1.6) R 4 771,70

T 85990 Shamir Autograph-Plus (1.67) R 3 117,60

T 85991 Shamir Autograph-Plus Transitions and XTRActive (1.67) R 5 199,80

T 85992 Shamir Autograph-Plus Polycarb (1.586) R 2 701,10

T 85993 Shamir Autograph-Plus Polycarb Transitions and XTRActive (1.59) R 5 161,70

T 85994 Shamir Autograph-Plus Polarized (1.5) R 3 049,20

T 85995 Shamir Autograph Attitude (1.5) R 2 717,80

T 85996 Shamir Autograph Attitude (1.6) R 3 412,70

T 85997 Shamir Autograph Attitude (1.67) R 3 756,90

T 85998 Shamir Autograph Attitude Transitions and XTRActive (1.5) R 3 756,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 85999 Shamir Autograph Attitude Transitions and XTRActive (1.6) R 4 403,30

T 86000 Shamir Autograph Attitude Transitions and XTRActive (1.67) R 5 115,90

86001 Futuro P Standard FreeForm 1.5

T 86002 Futuro P Standard FreeForm Transitions® 1.5 R 1 211,30

T 86003 Futuro Blando Optimised FreeForm 1.60 R 1 510,10

T 86004 Futuro Blando Optimised FreeForm Transitions® 1.6 R 2 892,10

T 86005 Futuro Blando Optimised FreeForm 1.67 R 2 003,70

T 86006 Futuro Blando Optimised FreeForm Transitions® 1.67 R 3 561,70

T 86007 Futuro Blando Optimised FreeForm 1.74 R 5 789,40

T 86008 Futuro Blando Optimised FreeForm Drivewear® 1.5 R 2 974,80

T 86009 Futuro Blando Optimised FreeForm NuPolar® 1.5 R 1 355,40

T 86010 Futuro Blando Optimised FreeForm Trivex® 1.53 R 2 257,10

T 86011 Futuro Duro Optimised FreeForm 1.5 R 539,00

T 86012 Futuro Duro Optimised FreeForm Transitions® 1.5 R 1 880,90

T 86013 Futuro Duro Optimised FreeForm 1.6 R 1 510,10

T 86014 Futuro Duro Optimised FreeForm Transitions® VI 1.6 R 2 892,10

T 86015 Futuro Duro Optimised FreeForm 1.67 R 2 003,70

T 86016 Futuro Duro Optimised FreeForm Transitions® 1.67 R 3 561,70

T 86017 Futuro Duro Optimised FreeForm DriveWear® 1.5 R 2 974,80

T 86018 Futuro Duro Optimised FreeForm NuPolar® 1.5 R 1 355,40

T 86019 Futuro Duro Optimised FreeForm Trivex® 1.53 R 2 257,10

T 86020 Futuro Duro Optimised FreeForm 1.74 R 5 789,40

86021 1.56 Lenscape Photo Progressive R 80,80

86022 Edison Gentle ION 1.5n

86023 Edison Gentle ION 1.67n

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86024 synchrony Progressive Performance HD 1.5 PhotoFusion Grey HMCX R 2 192,80

T 86026 synchrony Progressive Performance HD 1.6 PhotoFusion Grey HMCX R 3 068,00

T 86027 Amplitude TF 1.50 (Mini & Long) R 421,20

T 86028 Amplitude TF 1.50 Hard (Mini & Long) R 611,00

T 86029 Amplitude TF 1.50 HVP (Mini & Long) R 1 096,10

T 86030 Amplitude TF 1.50 SHV (Mini & Long) R 1 231,10

T 86031 Amplitude TF 1.50 HVLL (Mini & Long) R 1 433,60

T 86032 Amplitude TF 1.50 Transitions S7 Hard (Mini & Long) R 1 768,90

T 86033 Amplitude TF 1.50 Transitions S7 HVP (Mini & Long) R 2 254,00

T 86034 Amplitude TF 1.50 Transitions S7 SHV (Mini & Long) R 2 391,00

T 86035 Amplitude TF 1.50 Transitions S7 HVLL (Mini & Long) R 2 593,50

T 86039 Amplitude TF PNX 1.53 Hard (Mini & Long) R 1 351,30

T 86040 Amplitude TF PNX 1.53 HVP (Mini & Long) R 1 838,50

T 86041 Amplitude TF PNX 1.53 SHV (Mini & Long) R 1 971,30

T 86042 Amplitude TF PNX 1.53 HVLL (Mini & Long) R 2 173,80

T 86051 Amplitude TF 1.60 Hard (Mini & Long) R 1 688,70

T 86052 Amplitude TF 1.60 HVP (Mini & Long) R 2 173,80

T 86053 Amplitude TF 1.60 SHV (Mini & Long) R 2 308,80

T 86054 Amplitude TF 1.60 HVLL (Mini & Long) R 2 509,10

T 86055 Amplitude TF 1.60 Transitions S7 Hard (Mini & Long) R 3 184,00

T 86056 Amplitude TF 1.60 Transitions S7 HVP (Mini & Long) R 3 669,10

T 86057 Amplitude TF 1.60 Transitions S7 SHV (Mini & Long) R 3 804,10

T 86058 Amplitude TF 1.60 Transitions S7 HVLL (Mini & Long) R 4 006,50

T 86062 Amplitude TF 1.67 HVP (Mini & Long) R 2 429,00

T 86063 Amplitude TF 1.67 SHV (Mini & Long) R 2 564,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86064 Amplitude TF 1.67 HVLL (Mini & Long) R 2 766,40

T 86115 Summit TF PNX 1.53 Suntech HVP (CD & Pro) R 2 857,10

T 86116 Summit TF PNX 1.53 Suntech SHV (CD & Pro) R 2 985,80

T 86117 Summit TF PNX 1.53 Suntech HVLL (CD & Pro) R 3 179,80

T 86118 Summit TF Eyas 1.60 Suntech HVP (CD & Pro) R 2 990,00

T 86119 Summit TF Eyas 1.60 Suntech SHV (CD & Pro) R 3 118,60

T 86120 Summit TF Eyas 1.60 Suntech HVLL (CD & Pro) R 3 312,70

T 86121 Summit TF Eynoa 1.67 Suntech HVP (CD & Pro) R 3 369,60

T 86122 Summit TF Eynoa 1.67 Suntech SHV (CD & Pro) R 3 498,30

T 86123 Summit TF Eynoa 1.67 Suntech HVLL (CD & Pro) R 3 692,30

T 86152 synchrony Progressive Performance HD 1.5 Hard R 769,20

T 86153 synchrony Progressive Performance HD 1.5 HMC+ R 1 146,70

T 86154 synchrony Progressive Performance HD 1.6 Hard R 1 125,60

T 86155 synchrony Progressive Performance HD 1.6 HMC+ R 1 503,20

T 86158 synchrony Progressive Performance HD 1.5 PhotoFusion Grey Hard R 1 642,30

T 86159 synchrony Progressive Performance HD 1.5 PhotoFusion Grey HMC+ R 2 019,90

86162 synchrony Progressive Performance HD 1.6 PhotoFusion Grey Hard R 2 485,60

T 86163 synchrony Progressive Performance HD 1.6 PhotoFusion Grey HMC+ R 2 895,10

T 86164 synchrony Progressive Performance HDV 1.5 PhotoFusion Grey Hard R 2 287,70

T 86165 synchrony Progressive Performance HDV 1.5 PhotoFusion Grey HMCX R 2 838,10

T 86166 synchrony Progressive Performance HDV 1.6 PhotoFusion Grey Hard R 2 882,40

T 86167 synchrony Progressive Performance HDV 1.6 PhotoFusion Grey HMCX R 3 432,90

T 86168 synchrony Progressive Performance HDV 1.67 PhotoFusion Grey HMCX R 3 970,70

86218 Vision PRO 1.50 Clear R 50,90

T 86222 synchrony Progressive Performance HDV 1.5 UNC R 1 290,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86223 synchrony Progressive Performance HDV 1.5 HMC+ R 1 857,50

T 86227 synchrony Progressive Performance HDV 1.6 HMC+ R 2 182,20

T 86231 synchrony Progressive Performance HDV 1.67 HMC+ R 2 720,00

T 86235 synchrony Progressive Performance HDV 1.5 PhotoFusion Grey HMC+ R 2 665,20

T 86236 synchrony Progressive Performance HDV 1.6 PhotoFusion Grey HMC+ R 3 259,90

T 86237 synchrony Progressive Performance HDV 1.67 PhotoFusion Grey HMC+ R 3 797,70

T 86341 Summit 1.50 Suntech Hard (CD & Pro) R 1 956,60

T 86342 Summit 1.50 Suntech HVP (CD & Pro) R 2 420,60

T 86343 Summit 1.50 Suntech SHV (CD & Pro) R 2 549,20

T 86344 Summit 1.50 Suntech HVLL (CD & Pro) R 2 743,20

T 86345 Summit PNX 1.53 Suntech Hard (CD & Pro) R 2 391,00

T 86346 Summit PNX 1.53 Suntech HVP (CD & Pro) R 2 857,10

T 86347 Summit PNX 1.53 Suntech SHV (CD & Pro) R 2 985,80

T 86348 Summit PNX 1.53 Suntech HVLL (CD & Pro) R 3 179,80

T 86349 Summit Eyas 1.60 Suntech Hard (CD & Pro) R 2 523,90

T 86359 Summit TF 1.50 Suntech Hard (CD & Pro) R 1 956,60

X 86360 Summit TF 1.50 Suntech Hard (CD & Pro) N/A

T 86361 Summit TF 1.50 Suntech SHV (CD & Pro) R 2 549,20

T 86362 Summit TF 1.50 Suntech HVLL (CD & Pro) R 2 743,20

T 86363 Summit TF PNX 1.53 Suntech Hard (CD & Pro) R 2 391,00

T 86364 Summit TF Eyas 1.60 Suntech Hard (CD & Pro) R 2 523,90

T 86396 synchrony Progressive Performance HD 1.6 HMCX R 1 674,00

T 86441 Varilux Comfort New Edition Supra R 1 234,80

T 86442 Varilux Comfort New Edition Crizal Easy UV R 1 727,10

T 86443 Varilux Comfort New Edition Crizal Forte UV R 1 966,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86447 Varilux Comfort New Edition Orma Transitions Supra (1.502) R 2 625,50

T 86448 Varilux Comfort New Edition Orma Transitions Crizal Easy UV R 3 117,70

T 86449 Varilux Comfort New Edition Orma Transitions Crizal Forte UV R 3 356,70

T 86453 Varilux Comfort New Edition Airwear Supra (1.59) R 1 870,40

T 86454 Varilux Comfort New Edition Airwear Transitions Supra (1.59) R 3 134,50

T 86455 Varilux Comfort New Edition Airwear Crizal Easy UV R 2 362,70

T 86456 Varilux Comfort New Edition Airwear Crizal Forte UV R 2 601,60

T 86457 Varilux Comfort New Edition Airwear Transitions Crizal Easy UV (1.59) R 3 626,70

T 86458 Varilux Comfort New Edition Airwear Transitions Crizal Forte UV (1.59) R 3 865,70

T 86460 Varilux Comfort New Edition Airwear Xperio Supra R 4 118,90

T 86461 Varilux Comfort New Edition Airwear Xperio Crizal Easy UV R 4 611,20

T 86469 Varilux Comfort New Edition Ormix Supra Clear R 1 870,40

T 86470 Varilux Comfort New Edition Ormix Crizal Easy UV Clear R 2 362,70

T 86471 Varilux Comfort New Edition Ormix Crizal Forte UV Clear R 2 601,60

T 86475 Varilux Comfort New Edition Ormix Transitions Supra R 3 005,40

T 86476 Varilux Comfort New Edition Ormix Transitions Crizal Easy UV R 3 497,70

T 86477 Varilux Comfort New Edition Ormix Transitions Crizal Forte UV R 3 736,60

86481 Varilux Comfort New Edition Stylis Crizal Easy UV (1.67) R 3 114,30

T 86482 Varilux Comfort New Edition Stylis Crizal Forte UV (1.67) R 3 624,30

T 86485 Varilux Comfort New Edition Stylis 1.67 Transitions Crizal Easy UV R 5 031,70

T 86486 Varilux Comfort New Edition Stylis 1.67 Transitions Crizal Forte UV R 5 270,70

T 86538 Varilux Physio 2.0 New Edition 360 Orma Supra R 1 870,40

T 86539 Varilux Physio 2.0 New Edition 360 Orma Xperio Supra R 3 853,70

T 86540 Varilux Physio 2.0 New Edition 360 Orma Xperio Crizal Easy UV R 4 345,90

T 86541 Varilux Physio 2.0 New Edition 360 Orma Transitions Supra R 3 514,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

86542 Varilux Physio 2.0 New Edition 360 Orma Crizal Easy UV R 24,30

T 86543 Varilux Physio 2.0 New Edition 360 Orma Transitions Crizal R 4 006,60

T 86544 Varilux Physio 2.0 New Edition 360 Orma Crizal Forte UV R 2 601,60

T 86545 Varilux Physio 2.0 New Edition 360 Orma Transitions Crizal Forte UV R 4 245,60

T 86546 Varilux Physio 2.0 New Edition 360 Airwear Xperio Supra R 5 108,20

T 86547 Varilux Physio 2.0 New Edition 360 Airwear Xperio Crizal Easy UV R 5 600,40

T 86548 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Supra R 2 625,50

86549 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Transitions Supra R 2 814,40

T 86550 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Crizal Easy UV R 3 117,70

T 86551 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Transitions Crizal R 4 890,80

T 86552 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Crizal Forte UV R 3 356,70

T 86553 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Transitions Crizal Forte UV R 5 129,70

T 86554 Varilux Physio 2.0 New Edition 360 Styis 1.67 Crizal Easy UV Forte UV R 4 780,80

T 86555 Varilux Physio 2.0 New Edition 360 Stylis 1.67 Transitions Crizal Forte UV R 6 427,20

T 86556 Varilux Physio 2.0 New Edition 360 Lineis 1.74 Crizal Forte UV R 6 668,50

T 86561 KF Incredible MF Transition 1.5 ARC R 1 676,10

T 86562 KF MF Polareyes R 939,00

T 86563 KF MF Polareyes ARC R 1 360,80

T 86564 KF Incredible MF Protect Your Eyes ARC R 1 452,50

T 86565 KF Incredible MF Protect Your Climate Eyes R 1 758,30

T 86566 KF Incredible MF Protect Your Climate Eyes ARC R 2 180,10

T 86567 KF Incredible MF Trivex Transition ARC R 2 391,00

T 86568 KF Incredible MF Protect Your Eyes ARC R 1 315,50

T 86569 KF Incredible MF Protect Your Climate Eyes ARC R 1 842,70

T 86570 KF Incredible MF 1.6 ARC R 1 452,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86571 KF Incredible MF 1.6 Climate Eyes R 1 758,30

T 86572 KF Incredible MF 1.6 Climate Eyes ARC R 2 180,10

T 86573 KF Incredible MF 1.6 Transition ARC R 2 391,00

T 86608 Shamir FirstPAL (1.5) R 966,70

T 86609 Shamir FirstPAL Polycarb (1.586) R 1 601,20

T 86610 Shamir FirstPAL (1.6) R 1 601,70

T 86611 Shamir FirstPAL Transitions and XTRActive (1.5) R 2 024,20

T 86612 Shamir FirstPAL Transitions and XTRActive (1.6) R 3 293,10

T 86613 Shamir FirstPAL Polycarb Transitions (1.59) R 3 293,10

86614 Shamir Golf – Proline Trivex (1.53)

86615 Shamir Golf – Proline Polycarb (1.586)

86616 Shamir Golf – Proline (1.6)

T 86617 Shamir Spectrum (1.59) R 2 193,40

T 86618 Futuro P Standard FreeForm Transitions® XTRActive 1.5 R 1 211,30

T 86619 Futuro Blando Optimised FreeForm 1.5 R 539,00

T 86620 Futuro Blando Optimised FreeForm Transitions® 1.5 R 1 880,90

T 86621 Futuro Blando Optimised FreeForm Transitions® XTRActive 1.5 R 1 880,90

T 86622 Futuro Blando Optimised FreeForm NuPolar® 1.6 R 2 569,30

T 86623 Futuro Blando Optimised FreeForm NuPolar® 1.67 R 3 260,20

T 86624 Futuro Blando Optimised FreeForm NuPolar® Polycarb 1.586 R 3 916,50

T 86625 Futuro Blando Optimised FreeForm Transitions® XTRActive 1.6 R 2 892,10

T 86626 Futuro Blando Optimised FreeForm Transitions® XTRActive 1.67 R 3 561,70

T 86627 Futuro Blando Optimised FreeForm Drivewear® Polycarb 1.586 R 4 901,00

T 86628 Futuro Blando Optimised FreeForm Trivex® Transitions® 1.53 R 3 561,70

T 86629 Futuro Blando Optimised FreeForm Trivex® Transitions® XTRActive 1.53 R 3 561,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86630 Futuro Duro Optimised FreeForm Transitions® XTRActive 1.5 R 1 880,90

T 86631 Futuro Duro Optimised FreeForm Transitions® XTRActive 1.6 R 2 892,10

T 86632 Futuro Duro Optimised FreeForm Transitions® XTRActive 1.67 R 3 561,70

T 86633 Futuro Duro Optimised FreeForm Drivewear® Polycarb 1.586 R 4 901,00

T 86634 Futuro Duro Optimised FreeForm NuPolar® 1.6 R 2 569,30

T 86635 Futuro Duro Optimised FreeForm NuPolar® 1.67 R 3 260,20

T 86636 Futuro Duro Optimised FreeForm NuPolar® Polycarb 1.586 R 3 916,50

T 86637 Futuro Duro Optimised FreeForm Trivex® Transitions® 1.53 R 3 561,70

T 86638 Futuro Duro Optimised FreeForm Trivex® Transitions® XTRActive 1.53 R 3 561,70

86639 Vision (DS) 1.50 Clear Titan HC R 262,30

86644 Vision (DS) 1.50 Transitions Titan HC R 1 407,70

86653 Vision (DS) 1.59 PolyCarb Titan HC R 1 112,30

86655 Vision (DS) 1.59 PolyCarb Transitions Titan HC R 2 296,50

86657 Vision (DS) 1.60 Clear Titan HC R 1 241,70

86660 Vision (DS) 1.60 Transitions Titan HC R 2 483,40

86663 Vision (DS) 1.67 Clear Titan HC R 1 594,80

86666 Vision (DS) 1.67 Transitions Titan HC R 2 531,10

T 86672 Varilux Physio 2.0 New Edition 360 Airwear Crizal Easy UV R 3 134,50

T 86673 Varilux Physio 2.0 New Edition 360 Airwear Transitions Crizal Easy UV R 5 029,30

T 86674 Varilux Physio 2.0 New Edition 360 Airwear Crizal Forte UV R 3 373,40

T 86675 Varilux Physio 2.0 New Edition 360 Airwear Transitions Crizal Forte UV R 5 268,30

X 86695 MOVE Digital 1.50 Supra HC N/A

X 86696 MOVE Digital 1.50 Transitions Supra HC N/A

X 86697 Presio GO Digital 1.67 Supra HC N/A

X 86698 Presio GO Digital 1.67 Transitions Supra HC N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86704 OAKLEY OTD Progressive Polarized – Grey/B-AR R 808,20

T 86705 OAKLEY OTD Progressive Polarized – Gold/B-AR R 808,20

T 86706 OAKLEY OTD Progressive Polarized – VR28/B-AR R 1 598,10

T 86707 OAKLEY OTD Progressive Polarized – Black IR/B-AR R 1 598,10

T 86708 OAKLEY OTD Progressive Polarized – Deep Blue/B-AR R 1 598,10

X 86709 OAKLEY OTD Progressive Polarized – G30/B-AR N/A

X 86710 OAKLEY OTD Progressive Polarized – Tungsten/B-AR N/A

X 86711 OAKLEY OTD Progressive Polarized – Ice IR/B-AR N/A

X 86712 OAKLEY OTD Progressive Polarized – VR28 Black IR/B-AR N/A

X 86713 Presio POWER (AFS) & (ECPS) 1.60 Supra HC N/A

X 86715 Presio POWER (AFS) & (ECPS) 1.60 Transitions Supra HC N/A

X 86717 Presio POWER (AFS) & (ECPS) 1.67 Supra HC N/A

X 86719 Presio POWER (AFS) & (ECPS) 1.67 Transitions Supra HC N/A

X 86721 Presio POWER (AFS) & (ECPS) 1.74 SeeCoat Plus N/A

X 86722 SEEMAX (Custom Made) 1.60 SeeCoat Plus N/A

X 86723 SEEMAX (Custom Made) 1.67 SeeCoat Plus N/A

X 86724 SEEMAX (Custom Made) 1.74 SeeCoat Plus N/A

86725 Vision (DS) 1.50 Clear Crizal R 1 084,60

86727 Vision (DS) 1.50 Transitions-Acclimates Titan HC R 1 017,10

X 86729 ULTIVEX M/F 1.586 Polycarbonate + Premium Diamond Coat N/A

X 86730 ULTIMAX M/F 1.498 Clear + Premium Diamond Coat N/A

X 86731 ULTIMAX M/F 1.56 Photochromic + Premium Diamond Coat N/A

86732 Shamir Golf – Proline Polycarb Transitions (1.59)

86733 Shamir Golf – Proline Polycarbonate Polarized (1.59)

86734 Shamir Golf – Proline Transitions and XTRActive (1.6)

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

86735 Shamir Golf – Proline Polarized (1.6)

T 86736 Varilux Physio 2.0 New Edition 360 Airwear Supra R 2 642,20

T 86737 Varilux Physio 2.0 New Edition 360 Airwear Transitions Supra R 4 537,10

T 86738 Varilux Physio 2.0 New Edition 360 Airwear Transitions XTRActive Supra R 4 537,10

T 86739 Varilux Physio 2.0 New Edition 360 Airwear Transitions XTRActive Crizal Easy UV R 5 029,30

T 86740 Varilux Physio 2.0 New Edition 360 Airwear Transitions XTRActive Crizal Forte UV R 5 268,30

X 86741 OAKLEY OTD Progressive Polarized – OO Red IR/B-AR N/A

X 86742 OAKLEY OTD Progressive Polarized – Shallow Blue/B-AR N/A

X 86743 OAKLEY OTD Progressive Polarized – OO Black/B-AR N/A

X 86744 OAKLEY OTD Progressive Transitions – Grey AR N/A

X 86745 OAKLEY OTD Progressive Transitions – Brown AR N/A

86746 OAKLEY OTD Progressive Transitions – GoldIR/B-AR

86747 OAKLEY OTD Progressive Transitions – Emerald IR/B-AR

X 86748 OAKLEY OTD Progressive Transitions – Black IR/B-AR N/A

X 86749 EasyVision FF SunScreenUV N/A

T 86750 Active 1.50 Low Add R 107,00

T 86751 Active 1.50 Low Add Hard R 294,70

T 86752 Active 1.50 Low Add HVP R 779,80

T 86753 Active 1.50 Low Add SHV R 912,60

T 86754 Active 1.50 Low Add HVLL R 1 115,10

T 86759 Active Eyas 1.60 Low Add Hard R 1 043,40

T 86761 Active Eyas 1.60 Low Add SHV R 1 663,40

T 86762 Active Eyas 1.60 Low Add HVLL R 1 865,90

T 86768 Active Eynoa 1.67 Low Add SHV R 1 857,50

T 86769 Active Eynoa 1.67 Low Add HVLL R 2 062,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86773 iD LifeStyle V+ 1.50 Hard (Clarity & Harmony) R 1 716,20

T 86775 iD LifeStyle V+ 1.50 SHV (Clarity & Harmony) R 2 338,30

T 86777 iD LifeStyle V+ 1.50 HVLL (Clarity & Harmony) R 2 536,60

T 86779 iD LifeStyle V+ 1.50 Transitions S7 Hard (Clarity & Harmony) R 3 304,20

T 86781 iD LifeStyle V+ 1.50 Transitions S7 SHV (Clarity & Harmony) R 3 926,40

T 86783 iD LifeStyle V+ 1.50 Transitions S7 HVLL (Clarity & Harmony) R 4 128,90

T 86785 iD LifeStyle V+ 1.50 Transitions XTRActive Hard (Clarity & Harmony) R 3 304,20

T 86787 iD LifeStyle V+ 1.50 Transitions XTRActive SHV (Clarity & Harmony) R 3 926,40

T 86789 iD LifeStyle V+ 1.50 Transitions XTRActive HVLL (Clarity & Harmony) R 4 128,90

T 86791 iD LifeStyle V+ 1.50 Suntech Hard (Clarity & Harmony) R 2 684,20

T 86793 iD LifeStyle V+ 1.50 Suntech SHV (Clarity & Harmony) R 3 304,20

T 86795 iD LifeStyle V+ 1.50 Suntech HVLL (Clarity & Harmony) R 3 506,70

T 86797 iD LifeStyle V+ PNX 1.53 Hard (Clarity & Harmony) R 2 119,00

T 86799 iD LifeStyle V+ PNX 1.53 SHV (Clarity & Harmony) R 2 739,00

T 86801 iD LifeStyle V+ PNX 1.53 HVLL (Clarity & Harmony) R 2 941,50

T 86803 iD LifeStyle V+ PNX 1.53 Suntech Hard (Clarity & Harmony) R 3 089,10

T 86805 iD LifeStyle V+ PNX 1.53 Suntech HVLL (Clarity & Harmony) R 3 911,60

T 86807 iD LifeStyle V+ PNX 1.53 Transitions S7 Hard (Clarity & Harmony) R 3 709,20

T 86809 iD LifeStyle V+ PNX 1.53 Transitions S7 SHV (Clarity & Harmony) R 4 327,10

T 86811 iD LifeStyle V+ PNX 1.53 Transitions S7 HVLL (Clarity & Harmony) R 4 531,70

T 86813 iD LifeStyle V+ Eyas 1.60 Hard (Clarity & Harmony) R 2 254,00

T 86815 iD LifeStyle V+ Eyas 1.60 SHV (Clarity & Harmony) R 2 874,00

T 86817 iD LifeStyle V+ Eyas 1.60 HVLL (Clarity & Harmony) R 3 076,50

T 86819 iD LifeStyle V+ Eyas 1.60 Transitions S7 Hard (Clarity & Harmony) R 3 844,10

T 86821 iD LifeStyle V+ Eyas 1.60 Transitions S7 SHV (Clarity & Harmony) R 4 464,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86823 iD LifeStyle V+ Eyas 1.60 Transitions S7 HVLL (Clarity & Harmony) R 4 666,70

T 86825 iD LifeStyle V+ Eyas 1.60 Suntech Hard (Clarity & Harmony) R 3 226,20

T 86827 iD LifeStyle V+ Eynoa 1.67 SHV (Clarity & Harmony) R 3 764,00

T 86828 iD LifeStyle V+ Eyas 1.60 Suntech SHV (Clarity & Harmony) R 3 844,10

T 86830 iD LifeStyle V+ Eyas 1.60 Suntech HVLL (Clarity & Harmony) R 4 046,60

T 86833 iD LifeStyle V+ Eynoa 1.67 HVLL (Clarity & Harmony) R 3 964,40

T 86835 iD LifeStyle V+ Eynoa 1.67 Suntech SHV (Clarity & Harmony) R 4 732,00

T 86837 iD LifeStyle V+ Eynoa 1.67 Suntech HVLL (Clarity & Harmony) R 4 934,50

T 86839 iD LifeStyle V+ Eynoa 1.67 Transitions S7 SHV (Clarity & Harmony) R 5 352,10

T 86841 iD LifeStyle V+ Eynoa 1.67 Transitions S7 HVLL (Clarity & Harmony) R 5 554,50

T 86843 iD LifeStyle V+ Eyvia 1.74 SHV (Clarity & Harmony) R 5 434,30

T 86845 iD LifeStyle V+ Eyvia 1.74 HVLL (Clarity & Harmony) R 5 636,80

T 86847 iD LifeStyle V+ PNX 1.53 Suntech SHV (Clarity & Harmony) R 3 709,20

X 86849 DigiLife (e-Life progressive) 1.50 Supra HC N/A

X 86850 DigiLife (e-Life progressive) 1.50 Transitions Supra HC N/A

X 86851 DigiLife (e-Life progressive) 1.60 Supra HC N/A

X 86852 DigiLife (e-Life progressive) 1.60 Transitions Supra HC N/A

X 86853 DigiLife (e-Life progressive) 1.67 Supra HC N/A

X 86854 DigiLife (e-Life progressive) 1.67 Transitions Supra HC N/A

X 86855 DigiLife (e-Life progressive) 1.74 SeeCoat Plus N/A

X 86856 DigiLife (e-Life progressive) 1.74 Transitions SeeCoat Plus N/A

X 86857 Presio GO Digital 1.60 Polarised Supra HC N/A

X 86858 Presio GO Digital 1.74 Transitions SeeCoat Plus N/A

86859 Espace (1.5)

T 86860 Espace (1.5) Supra R 0,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86861 Espace (1.5) Crizal Easy UV R 390,90

T 86862 Espace (1.5) Crizal Forte UV R 622,90

T 86867 Ubuntu (1.5) Supra R 768,50

T 86868 Ubuntu (1.5) Crizal Easy UV R 1 247,10

T 86869 Ubuntu (1.5) Crizal Forte UV R 1 485,10

T 86870 Ubuntu Orma (1.5) Acclimates Supra R 1 174,30

T 86871 Ubuntu Orma (1.5) Acclimates Crizal Easy UV R 1 652,80

T 86872 Ubuntu Orma (1.5) Acclimates Crizal Forte UV R 1 890,90

T 86873 Ubuntu Orma (1.5) Transitions Supra R 1 604,60

T 86874 Ubuntu Orma (1.5) Transitions Crizal Easy UV R 2 083,20

T 86875 Ubuntu Orma (1.5) Transitions Crizal Forte UV R 2 321,20

T 86902 Varilux Liberty Digital Orma Acclimates Supra R 1 096,20

T 86903 Varilux Liberty Digital Orma Acclimates Crizal Easy UV R 1 588,50

T 86904 Varilux Liberty Digital Orma Acclimates Crizal Forte UV R 1 827,40

T 86905 Varilux Comfort New Edition Orma Xperio Supra R 1 743,80

T 86906 Varilux Comfort New Edition Orma Xperio Crizal Easy UV R 2 236,00

T 86907 Varilux Comfort New Edition Orma Xperio Crizal Forte UV R 2 475,00

T 86908 Varilux Comfort New Edition Airwear Xperio Crizal Forte UV R 4 850,10

T 86910 Varilux Comfort New Edition Short Supra R 1 234,80

T 86911 Varilux Comfort New Edition Short Crizal Easy UV R 1 727,10

T 86912 Varilux Comfort New Edition Short Crizal Forte UV R 1 966,00

T 86913 Varilux Comfort New Edition Short Orma Xperio Supra R 1 743,80

T 86914 Varilux Comfort New Edition Short Orma Xperio Crizal Easy UV R 2 236,00

T 86915 Varilux Comfort New Edition Short Orma Xperio Crizal Forte UV R 2 475,00

T 86916 Varilux Comfort New Edition Short Orma Transitions Supra (1.502) R 2 625,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86917 Varilux Comfort New Edition Short Orma Transitions Crizal Easy UV R 3 117,70

T 86918 Varilux Comfort New Edition Short Orma Transitions Crizal Forte UV R 3 356,70

86919 Varilux Comfort New Edition Short Airwear Supra (1.59)

86920 Varilux Comfort New Edition Short Airwear Transitions Supra (1.59) R 2 030,80

86921 Varilux Comfort New Edition Short Airwear Crizal Easy UV R 2 030,80

86922 Varilux Comfort New Edition Short Airwear Crizal Forte UV R 2 551,00

T 86923 Varilux Comfort New Edition Short Airwear Transitions Crizal Easy UV (1.59) R 3 626,70

T 86924 Varilux Comfort New Edition Short Airwear Transitions Crizal Forte UV (1.59) R 3 865,70

T 86925 Varilux Comfort New Edition Short Airwear Xperio Supra R 4 118,90

T 86926 Varilux Comfort New Edition Short Airwear Xperio Crizal Easy UV R 4 611,20

T 86927 Varilux Comfort New Edition Short Airwear Xperio Crizal Forte UV R 4 850,10

T 86928 Varilux Comfort New Edition Short Ormix Supra Clear R 1 870,40

T 86929 Varilux Comfort New Edition Short Ormix Crizal Easy UV Clear R 2 362,70

T 86930 Varilux Comfort New Edition Short Ormix Crizal Forte UV Clear R 2 601,60

T 86931 Varilux Comfort New Edition Short Ormix Transitions Supra R 3 005,40

T 86932 Varilux Comfort New Edition Short Ormix Transitions Crizal Easy UV R 3 497,70

T 86933 Varilux Comfort New Edition Short Ormix Transitions Crizal Forte UV R 3 736,60

86934 Varilux Comfort New Edition Short Stylis Crizal Easy UV (1.67) R 3 093,30

86935 Varilux Comfort New Edition Short Stylis Crizal Forte UV (1.67) R 3 613,40

T 86936 Varilux Comfort New Edition Short Stylis 1.67 Transitions Crizal Easy UV R 5 031,70

T 86937 Varilux Comfort New Edition Short Stylis 1.67 Transitions Crizal Forte UV R 5 270,70

T 86939 Varilux Physio 2.0 New Edition 360 Orma Xperio Crizal Forte UV R 4 584,90

T 86940 Varilux Physio 2.0 New Edition 360 Airwear Xperio Crizal Forte UV R 5 839,40

X 86941 Anateo DS 1.50 Clear Crizal Forte UV N/A

X 86942 Anateo DS 1.50 Transitions Crizal Forte UV N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 86943 Anateo DS 1.59 Polycarbonate Crizal Forte UV N/A

X 86944 Anateo DS 1.59 Polycarbonate Transitions Crizal Forte UV N/A

X 86945 Anateo DS 1.60 Clear Crizal Forte UV N/A

X 86946 Anateo DS 1.60 Transitions Crizal Forte UV N/A

X 86947 Anateo DS 1.67 Clear Crizal Forte UV N/A

X 86948 Anateo DS 1.67 Transitions Crizal Forte UV N/A

T 86951 Evolis HD 1.50 Clear Crizal Forte UV R 1 536,90

T 86952 Evolis HD 1.50 Transitions Crizal Forte UV R 2 395,30

T 86953 Evolis HD 1.59 Polycarbonate Clear Crizal Forte UV R 1 906,00

T 86954 Evolis HD 1.59 Polycarbonate Transitions Crizal Forte UV R 2 726,40

T 86955 Evolis HD 1.60 Clear Crizal Forte UV R 1 724,60

T 86956 Evolis HD 1.60 Transitions Crizal Forte UV R 2 882,40

T 86957 Evolis HD 1.67 Clear Crizal Forte UV R 2 469,10

T 86958 Evolis HD 1.67 Transitions Crizal Forte UV R 3 618,50

T 86961 iPAL DS 1.50 Supra R 149,20

T 86962 iPAL DS 1.50 Crizal Easy UV R 613,20

T 86963 iPal DS 1.50 Acclimates Supra R 452,90

T 86964 iPal DS 1.50 Acclimates Crizal Easy UV R 916,80

T 86965 iPAL DS 1.50 Transitions Supra R 790,30

T 86966 iPAL DS 1.50 Transitions Crizal Easy UV R 1 254,30

T 86967 iPAL DS 1.59 Polycarbonate Supra R 520,40

T 86968 iPAL DS 1.59 Polycarbonate Crizal Easy UV R 984,30

T 86969 iPAL DS 1.59 Polycarbonate Transitions Supra R 1 433,60

T 86970 iPAL DS 1.59 Polycarbonate Transitions Crizal Easy UV R 1 897,50

T 86971 iPAL DS 1.60 Supra R 520,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 86972 iPAL DS 1.60 Crizal Crizal Easy UV R 984,30

T 86973 iPAL DS 1.60 Transitions Supra R 1 433,60

T 86974 iPAL DS 1.60 Transitions Crizal Easy UV R 1 897,50

T 86975 iPAL DS 1.67 Supra R 1 058,20

T 86976 iPAL DS 1.67 Crizal Easy UV R 1 522,10

T 86977 iPAL DS 1.67 Transitions Supra R 2 133,70

T 86978 iPAL DS 1.67 Transitions Crizal Easy UV R 2 597,70

T 86981 Evolis 1.50 Uncoated R 720,70

T 86982 Evolis 1.50 Hardcoated R 931,60

T 86983 Evolis 1.50 Crizal Easy UV R 1 395,60

T 86984 Evolis 1.50 Crizal Forte UV R 1 621,30

T 86985 Evolis 1.50 Transitions R 1 771,00

T 86986 Evolis 1.50 Transitions Crizal Easy UV R 2 235,00

T 86987 Evolis 1.50 Transitions Crizal Forte UV R 2 460,60

87030 Aptive 1.50 Uncoated

87031 Aptive 1.50 Hardcoated

87032 Aptive 1.50 Crizal Easy UV R 368,60

T 87035 Aptive 1.50 Transitions R 670,10

T 87036 Aptive 1.50 Transitions Crizal R 1 125,60

T 87050 Matrix 1.5 Digital Supra R 77,50

T 87051 Matrix 1.6 Digital Supra R 423,30

X 87052 Matrix 1.67 Digital Supra N/A

X 87053 Matrix Digital 1.74 Supra N/A

T 87054 Matrix Digital 1.5 Acclimates Supra R 360,10

T 87055 Matrix Digital 1.5 Transitions 7 Supra R 676,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87056 Matrix Digital 1.6 Transitions 7 Supra R 1 277,50

X 87057 Matrix Digital 1.67 Transitions 7 Supra N/A

T 87058 Quality Internal Transitions XTRActive 1.67 MR-10™ Emerald R 2 348,90

T 87059 Precision DS Digital 1.5 Supra R 182,90

T 87060 Precision DS Digital 1.6 Supra R 560,40

X 87061 Precision DS Digital 1.67 Supra N/A

X 87062 Precision DS Digital 1.74 Supra N/A

T 87063 Precision DS Digital 1.5 Transitions 7 Supra R 834,60

T 87064 Precision DS Digital 1.6 Transitions 7 Supra R 1 488,40

X 87065 Precision DS Digital 1.67 Transitions 7 Supra N/A

X 87066 Quality Internal Transitions Vantage™ N/A

T 87067 Quality Internal Trivex Trilogy® Clear R 611,00

T 87068 Quality Internal Trivex Trilogy® Transitions® T7 Grey R 1 754,10

T 87069 Quality Internal Polycarbonate 1.59 R 611,00

T 87070 Quality Internal Polycarbonate Transitions® T7 1.59 R 1 754,10

X 87071 Quality Internal Aris™ Transitions® Autumn Gold™ Performance Sunwear Lenses N/A

T 87072 Quality Internal Transitions Vantage™ R 2 218,10

T 87073 Quality Genius FF Transitions Vantage™ R 2 361,50

T 87074 Quality Genius Trivex Trilogy® Clear R 676,40

T 87075 Quality Genius Trivex Trilogy® Transitions® T7 Grey R 1 876,40

T 87076 Quality Genius Polycarbonate 1.59 R 676,40

T 87077 Quality Genius Polycarbonate Transitions® T7 1.59 R 1 876,40

X 87078 Quality Genius Aris™ Transitions® Autumn Gold™ Performance Sunwear Lenses N/A

T 87079 Quality Genius Transitions Vantage™ R 2 361,50

T 87080 Quality IQ Individuallized FF Transitions Vantage™ R 2 597,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87081 Quality IQ Individualized Trivex Trilogy® Clear R 743,90

T 87082 Quality IQ Individualized Trivex Trilogy® Transitions® T7 R 2 003,00

T 87083 Quality IQ Individualized Polycarbonate 1.59 R 741,80

T 87084 Quality IQ Individualized Polycarbonate Transitions® T7 1.59 R 2 003,00

X 87085 Quality IQ Aris™ Transitions® Autumn Gold™ Performance Sunwear Lenses N/A

T 87086 Quality IQ Individualized Transitions Vantage™ R 2 513,40

87087 Shamir Run – Proline Trivex (1.53)

87088 Shamir Run – Proline Polycarbonate (1.59)

87089 Shamir Run – Proline (1.6)

87090 Shamir Run – Proline Polycarbonate Transition and XTRActive (1.59)

87091 Shamir Run – Proline Transition and XTRActive (1.6)

87092 Shamir Run – Proline Polycarbonate Polarized (1.59)

87093 Shamir Run – Proline Polarized (1.6)

T 87094 Shamir Autograph InTouch (1.5) R 2 300,40

T 87095 Shamir Autograph InTouch (1.6) R 3 300,70

T 87096 Shamir Autograph InTouch (1.67) R 3 687,40

T 87097 Shamir Autograph InTouch (1.74) R 4 855,20

T 87098 Shamir Autograph InTouch Transitions and XTRActive (1.5) R 3 658,40

T 87099 Shamir Autograph InTouch Transitions and XTRActive (1.6) R 4 366,20

T 87100 Shamir Autograph InTouch Transitions and XTRActive (1.67) R 5 033,60

T 87101 Shamir Autograph InTouch Polycarb (1.586) R 2 890,60

T 87102 Shamir Autograph InTouch Polycarb Transitions and XTRActive (1.59) R 5 085,40

T 87103 Shamir Autograph InTouch Polarized (1.5) R 3 885,40

T 87104 Shamir Autograph InTouch Polarized (1.6) R 5 229,40

T 87105 Shamir Autograph InTouch Polarized (1.67) R 5 847,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87106 Shamir Autograph InTouch Polycarbonate Polarized (1.59) R 4 869,30

T 87107 Shamir Autograph InTouch Drivewear (1.5) R 5 383,00

T 87108 Shamir Autograph InTouch Trivex NXT (1.53) R 3 708,30

T 87109 Petite i-PRO Digital Advanced Optimisation ARC (1.60) Transitions® VII R 4 529,00

T 87110 Petite i-PRO Digital Advanced Optimisation ARC 1.60 Sunspeed™ R 2 469,70

X 87111 MOVE Digital 1.60 Supra HC N/A

X 87112 MOVE Digital 1.60 Transitions Supra HC N/A

T 87135 Flexivue 1.67 Easivue Superthin Polarised HC R 4 050,00

T 87136 Flexivue 1.5 Xtra-DAsph HC R 1 415,00

87137 Flexivue 1.5 Xtra-DAsph Transitions HC R 3 812,60

T 87138 Flexivue 1.5 Xtra-DAsph Polarised HC R 2 225,00

T 87140 Flexivue 1.53 Xtra-DAsph Trivex HC R 1 785,00

T 87143 Flexivue 1.6/42 Xtra-DAsph HC R 2 225,00

87144 Flexivue 1.6/42 Xtra-DAsph Transitions HC R 4 808,70

T 87145 Flexivue 1.6/42 Xtra-DAsph Polarised HC R 3 405,00

T 87146 Flexivue 1.67 Xtra-DAsph HC R 3 240,00

87147 Flexivue 1.67 Xtra-DAsph Transitions HC R 5 561,20

87148 Flexivue 1.67 Xtra-DAsph Polarised HC R 4 886,10

T 87149 Flexivue 1.5 Vario Sport HC R 775,00

T 87150 Flexivue 1.5 Vario Sport Transitions HC R 2 090,00

T 87151 Flexivue 1.5 Vario Sport Polarised HC R 1 720,00

T 87152 Flexivue 1.5 Vario Sport Drivewear HC R 2 970,00

T 87153 Flexivue 1.53 Vario SportTrivex HC R 1 550,00

T 87154 Flexivue 1.53 Vario Sport Trivex Transitions HC R 2 700,00

T 87155 Flexivue 1.56 Vario Sport Flexi-Tint HC R 2 180,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87156 Flexivue 1.6/42 Vario Sport HC R 1 190,00

T 87157 Flexivue 1.6/42 Vario Sport Transitions HC R 2 970,00

T 87158 Flexivue 1.6/42 Vario Sport Polarised HC R 2 180,00

T 87159 Flexivue 1.67 Vario Sport HC R 1 720,00

T 87160 Flexivue 1.67 Vario Sport Transitions HC R 3 780,00

T 87161 Flexivue 1.67 Vario Sport Polarised HC R 4 050,00

T 87162 Flexivue 1.53 Premium Trivex Transitions HC R 3 170,00

T 87163 Flexivue 1.67 Premium Superthin Polarised HC R 4 080,00

T 87167 Flexivue 1.53 Hi-Curve Trivex Transitions HC R 3 205,00

T 87168 Flexivue 1.53 Hi-Curve Trivex Polarised HC R 2 000,00

T 87173 Varilux S Series Orma 1.5 Crizal Forte UV R 3 010,00

T 87174 Varilux S Series Orma 1.5 Transitions Crizal Forte UV R 4 552,80

T 87179 Varilux S Series Airwear 1.59 Crizal Forte UV R 3 986,70

T 87180 Varilux S Series Airwear 1.59 Transitions Crizal Forte UV R 5 974,90

T 87185 Varilux S Series Ormix 1.6 Crizal Forte UV R 3 666,60

T 87186 Varilux S Series Ormix 1.6 Transitions Crizal Forte UV R 5 420,40

T 87187 Varilux S Series Styis 1.67 Crizal Forte UV R 4 745,30

T 87188 Varilux S Series Stylis 1.67 Transitions Crizal Forte UV R 6 415,60

T 87194 Varilux S Series 4D Orma 1.5 Crizal Forte UV R 3 381,20

T 87195 Varilux S Series 4D Orma 1.5 Transitions Crizal Forte UV R 5 097,90

T 87200 Varilux S Series 4D Airwear 1.59 Crizal Forte UV R 4 469,20

T 87201 Varilux S Series 4D Airwear 1.59 Transitions Crizal Forte UV R 6 515,40

T 87206 Varilux S Series 4D Ormix 1.6 Crizal Forte UV R 4 116,60

T 87207 Varilux S Series 4D Ormix 1.6 Transitions Crizal Forte UV R 6 072,30

T 87208 Varilux S Series 4D Styis 1.67 Crizal Forte UV R 5 311,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87209 Varilux S Series 4D Stylis 1.67 Transitions Crizal Forte UV R 7 176,60

87222 Optima Stellar Digital Customized FreeForm 1.5

87223 Optima Stellar Digital Customized FreeForm Transitions® VI 1.5 R 170,40

X 87224 Optima Stellar Digital Customized FreeForm All-Climates 1.56 N/A

X 87225 Optima Stellar Digital Customized FreeForm Transitions® XTRActive 1.5 N/A

87226 Optima Stellar Digital Customized FreeForm 1.6

87227 Optima Stellar Digital Customized FreeForm Transitions® VI 1.6 R 905,30

X 87228 Optima Stellar Digital Customized FreeForm Transitions® XTRActive 1.6 N/A

87229 Optima Stellar Digital Customized FreeForm 1.67 R 282,30

87230 Optima Stellar Digital Customized FreeForm Transitions® VI 1.67 R 1 128,80

X 87231 Optima Stellar Digital Customized FreeForm Transitions® XTRActive 1.67 N/A

X 87232 Optima Stellar Digital Customized FreeForm DriveWear® 1.5 N/A

87233 Optima Stellar Digital Customized FreeForm NuPolar® 1.5 R 314,30

X 87234 Optima Stellar Digital Customized FreeForm NuPolar® 1.67 N/A

X 87235 Optima Stellar Digital Customized FreeForm 1.74 N/A

87237 Optima Stellar Digital Customized FreeForm Sunvision 1.56

X 87255 EasyVision Short WHT N/A

T 87256 Flexivue 1.5 Classic Polar T HC R 705,00

T 87257 Flexivue 1.5 Easivue Polar T HC R 1 325,00

87258 Sun-X Speed 1.56n Photochromic

T 87259 Rodenstock Progressiv SI® 1.50 R 465,50

T 87260 Rodenstock Progressiv SI® ColorMatic 1.54 IQ R 1 119,30

T 87261 Rodenstock Progressiv PureLife® 1.5 R 790,30

T 87262 Rodenstock Progressiv PureLife® 1,54 ColorMatic IQ R 1 606,50

T 87263 Rodenstock Progressiv PureLife® 1.60 R 1 606,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87264 Rodenstock Progressiv PureLife® 1.67 R 2 321,40

T 87265 Rodenstock Progressiv Pure Life Free® 1.50 R 1 714,10

T 87266 Rodenstock Progressiv Pure Life Free® 1.60 R 2 393,10

T 87267 Rodenstock Progressiv Pure Life Free® 1.67 R 3 078,60

T 87268 Rodenstock Progressiv Pure Life Free® 1.54 ColorMatic IQ R 2 395,30

T 87269 Rodenstock Progressiv Pure Life Free® 1.60 ColorMatic IQ R 3 591,10

T 87270 Rodenstock Progressiv Pure Life Free® 1.67 ColorMatic IQ R 4 101,40

T 87271 Rodenstock Multigressiv My View® 1.50 R 2 393,10

T 87272 Rodenstock Multigressiv My View® 1.60 R 3 078,60

T 87273 Rodenstock Multigressiv My View® 1.67 R 3 591,10

T 87274 Rodenstock Multigressiv My View® 1.74 R 6 151,40

T 87275 Rodenstock Multigressiv My View® 1.54 ColorMatic IQ R 3 078,60

T 87276 Rodenstock Multigressiv My View® 1.60 ColorMatic IQ R 4 445,20

T 87277 Rodenstock Multigressiv My View® 1.67 ColorMatic IQ R 4 784,80

T 87278 Rodenstock Impression® EyeLT® 1.50 R 2 739,00

T 87279 Rodenstock Impression® EyeLT® 1.60 R 3 591,10

T 87280 Rodenstock Impression® EyeLT® 1.67 R 5 126,40

T 87281 Rodenstock Impression® EyeLT® 1.74 R 6 836,80

T 87282 Rodenstock Impression® EyeLT® 1.54 ColorMatic IQ R 3 589,00

T 87283 Rodenstock Impression® EyeLT® 1.60 ColorMatic IQ R 5 126,40

T 87284 Rodenstock Impression® EyeLT® 1.67 ColorMatic IQ R 6 490,90

87285 VUE PREMIUM MULTIFOCAL 1.5 CR39 UC

87286 VUE PREMIUM MULTIFOCAL 1.5 TRANSITIONS HC R 1 003,80

T 87287 Focus Dynamic Transitions 7 Signature FreeForm 1.5 R 3 000,50

T 87291 Focus Dynamic Transitions 7 Signature FreeForm 1.6 R 4 012,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87295 Focus Dynamic Transitions 7 Signature FreeForm 1.67 R 4 265,90

T 87299 Amplitude 1.50 Transitions S7 Hard (Mini & Long) R 1 446,20

T 87300 Amplitude 1.50 Transitions S7 HVP (Mini & Long) R 1 933,40

T 87301 Amplitude 1.50 Transitions S7 HVLL (Mini & Long) R 2 268,70

T 87302 Amplitude 1.60 Transitions S7 Hard (Mini & Long) R 2 658,90

T 87303 Amplitude 1.60 Transitions S7 HVP (Mini & Long) R 3 144,00

T 87304 Amplitude 1.60 Transitions S7 HVLL (Mini & Long) R 3 481,40

T 87311 Active 1.50 Low Add HVLL Blue Control R 1 262,70

T 87313 Active Eyas 1.60 Low Add HVLL Blue Control R 2 013,50

T 87321 Active Eynoa 1.67 Low Add HVLL Blue Control R 2 209,70

T 87323 Summit TF 1.50 HVLL Blue Control (CD & Pro) R 2 019,90

T 87325 Summit TF PNX 1.53 HVLL Blue Control (CD & Pro) R 2 456,40

T 87327 Summit TF Eyas 1.60 HVLL Blue Control (CD & Pro) R 2 589,30

X 87329 Summit TF Eynoa 1.67 HVLL Blue Control (CD & Pro) N/A

T 87352 iD LifeStyle V+ 1.50 HVLL Blue Control (Clarity & Harmony) R 2 684,20

T 87360 iD LifeStyle V+ PNX 1.53 HVLL Blue Control (Clarity & Harmony) R 3 089,10

T 87366 iD LifeStyle V+ Eyas 1.60 HVLL Blue Control (Clarity & Harmony) R 3 226,20

T 87371 iD LifeStyle V+ Eynoa 1.67 HVLL Blue Control (Clarity & Harmony) R 4 112,00

T 87377 iD LifeStyle V+ Eyvia 1.74 HVLL Blue Control (Clarity & Harmony) R 5 784,40

T 87383 Varilux S Series Short Orma 1.5 Crizal Forte UV R 3 010,00

T 87384 Varilux S Series Short Orma 1.5 Transitions Crizal Forte UV R 4 552,80

T 87389 Varilux S Series Short Airwear 1.59 Crizal Forte UV R 3 986,70

T 87390 Varilux S Series Short Airwear 1.59 Transitions Crizal Forte UV R 5 974,90

T 87395 Varilux S Series Short Ormix 1.6 Crizal Forte UV R 3 666,60

T 87396 Varilux S Series Short Ormix 1.6 Transitions Crizal Forte UV R 5 420,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87397 Varilux S Series Short Styis 1.67 Crizal Forte UV R 4 745,30

T 87398 Varilux S Series Short Stylis 1.67 Transitions Crizal Forte UV R 6 415,60

T 87404 Varilux S Series 4D Short Orma 1.5 Crizal Forte UV R 3 381,20

T 87405 Varilux S Series 4D Short Orma 1.5 Transitions Crizal Forte UV R 5 097,90

T 87410 Varilux S Series 4D Short Airwear 1.59 Crizal Forte UV R 4 469,20

T 87411 Varilux S Series 4D Short Airwear 1.59 Transitions Crizal Forte UV R 6 515,40

T 87416 Varilux S Series 4D Short Ormix 1.6 Crizal Forte UV R 4 116,60

T 87417 Varilux S Series 4D Short Ormix 1.6 Transitions Crizal Forte UV R 6 072,30

T 87418 Varilux S Series 4D Short Styis 1.67 Crizal Forte UV R 5 311,40

T 87419 Varilux S Series 4D Short Stylis 1.67 Transitions Crizal Forte UV R 7 176,60

T 87421 Shamir Spectrum Polarized (1.5) R 2 958,00

T 87422 Shamir Spectrum Polarized (1.6) R 6 033,90

T 87423 Shamir Spectrum Polarized (1.67) R 7 258,50

T 87424 Shamir Spectrum Drivewear (1.5) R 5 454,80

T 87425 Evolis HD 1.50 Clear Supra R 847,30

T 87426 Evolis HD 1.50 Crizal Easy UV R 1 311,20

T 87427 Evolis HD 1.50 Transitions Supra R 1 705,60

T 87428 Evolis HD 1.50 Transitions Crizal Easy UV R 2 169,60

T 87429 Evolis HD 1.59 Polycarbonate Clear Crizal Easy UV R 1 680,30

T 87430 Evolis HD 1.59 Polycarbonate Transitions Crizal Easy UV R 2 500,70

T 87431 Evolis HD 1.60 Clear Crizal Easy UV R 1 498,90

T 87432 Evolis HD 1.60 Transitions Crizal Easy UV R 2 656,80

T 87433 Evolis HD 1.67 Clear Crizal Easy UV R 2 243,40

T 87434 Evolis HD 1.67 Transitions Crizal Easy UV R 3 392,80

T 87440 Amplitude Digi 1.50 Polarised Hard (Mini & Long) R 1 231,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87441 Amplitude Digi 1.50 Polarised HVP (Mini & Long) R 1 716,20

T 87442 Amplitude Digi 1.50 Polarised SHV (Mini & Long) R 1 849,00

T 87443 Amplitude Digi 1.50 Polarised HVLL (Mini & Long) R 2 053,60

T 87456 iD MyStyle V+ 1.50 SHV R 3 405,50

T 87457 iD MyStyle V+ 1.50 HVLL R 3 607,90

T 87458 iD MyStyle V+ 1.50 HVLL Blue Control R 3 755,60

T 87462 iD MyStyle V+ PNX 1.53 SHV R 4 071,90

T 87463 iD MyStyle V+ PNX 1.53 HVLL R 4 274,40

T 87464 iD MyStyle V+ PNX 1.53 HVLL Blue Control R 4 424,10

T 87468 iD MyStyle V+ Eyas 1.60 SHV R 4 476,80

T 87469 iD MyStyle V+ Eyas 1.60 HVLL R 4 679,30

T 87470 iD MyStyle V+ Eyas 1.60 HVLL Blue Control R 4 826,90

T 87474 iD MyStyle V+ Eynoa 1.67 SHV R 5 134,80

T 87475 iD MyStyle V+ Eynoa 1.67 HVLL R 5 337,30

T 87476 iD MyStyle V+ Eynoa 1.67 HVLL Blue Control R 5 484,90

T 87480 iD MyStyle V+ Eyvia 1.74 SHV R 7 296,60

T 87481 iD MyStyle V+ Eyvia 1.74 HVLL R 7 496,90

T 87482 iD MyStyle V+ Eyvia 1.74 HVLL Blue Control R 7 644,60

T 87483 SEIKO EMBLEM XtraWide 1.50 Uncoated R 1 781,50

T 87486 SEIKO EMBLEM XtraWide 1.50 Polarising Uncoated R 2 717,90

T 87489 SEIKO EMBLEM XtraWide 1.50 DriveWear Uncoated R 4 128,90

T 87492 SEIKO EMBLEM XtraWide 1.50 Transitions 7 Uncoated R 2 728,50

T 87495 SEIKO EMBLEM XtraWide Tribrid Uncoated R 2 823,40

T 87498 SEIKO EMBLEM XtraWide Tribrid Transitions 7 Uncoated R 4 145,70

T 87501 SEIKO EMBLEM XtraWide 1.60 Uncoated R 2 138,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87504 SEIKO EMBLEM XtraWide 1.60 Transitions 7 Uncoated R 3 439,20

T 87507 SEIKO EMBLEM XtraWide 1.60 Polarising Uncoated R 3 217,80

T 87510 SEIKO EMBLEM XtraWide 1.67 Uncoated R 3 019,50

T 87512 SEIKO EMBLEM XtraWide 1.67 Transitions 7 Uncoated R 4 088,80

T 87514 SEIKO EMBLEM XtraWide 1.67 Polarising Uncoated R 3 890,50

T 87517 SEIKO EMBLEM XtraWide 1.74 Uncoated R 3 707,10

T 87519 KF Incredible 1.5 Hard R 503,50

T 87520 SEIKO SYNERGY Xtra 1.50 Uncoated R 1 393,50

T 87523 SEIKO SYNERGY Xtra 1.50 Polarising Uncoated R 2 199,10

T 87526 SEIKO SYNERGY Xtra 1.50 DriveWear Uncoated R 3 620,60

T 87529 SEIKO SYNERGY Xtra 1.50 Transitions 7 Uncoated R 2 469,10

T 87532 SEIKO SYNERGY Xtra Tribrid Uncoated R 2 022,00

T 87535 SEIKO SYNERGY Xtra Tribrid Transitions 7 Uncoated R 3 637,50

T 87538 SEIKO SYNERGY Xtra 1.60 Uncoated R 1 697,20

T 87541 SEIKO SYNERGY Xtra 1.60 Transitions 7 Uncoated R 3 019,50

T 87544 SEIKO SYNERGY Xtra 1.60 Polarising Uncoated R 2 684,20

T 87547 SEIKO SYNERGY Xtra 1.67 Uncoated R 2 091,60

T 87549 SEIKO SYNERGY Xtra 1.67 Transitions 7 Uncoated R 3 529,90

T 87551 SEIKO SYNERGY Xtra 1.67 Polarising Uncoated R 3 357,00

T 87553 SEIKO SYNERGY Xtra 1.74 Uncoated R 3 171,40

T 87555 Shamir Regular Transition (1.5) R 2 253,20

T 87556 SEIKO VISION X 1.50 Uncoated R 889,40

T 87559 SEIKO VISION X 1.50 Polarising Uncoated R 1 690,90

T 87562 SEIKO VISION X 1.50 DriveWear Uncoated R 3 101,80

T 87565 SEIKO VISION X 1.50 Transitions 7 Uncoated R 1 872,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87568 SEIKO VISION X 1.60 Uncoated R 1 266,90

T 87571 SEIKO VISION X 1.60 Transitions 7 Uncoated R 2 254,00

T 87574 SEIKO VISION X 1.60 Polarising Uncoated R 2 161,20

T 87577 SEIKO VISION X 1.67 Uncoated R 1 568,50

T 87579 SEIKO VISION X 1.67 Transitions 7 Uncoated R 2 996,30

T 87581 Shamir Short Transition (1.5) R 2 605,60

T 87589 Spherical FBS 1.5 R 70,40

T 87590 Spherical FBS Acclimate 1.5 R 649,30

T 87591 Spherical Plus 1.5 R 333,00

T 87592 Spherical Plus Transition 1.5 R 1 347,40

T 87593 Spherical Plus 1.6 R 704,50

T 87594 Spherical Plus Transition 1.6 R 1 997,40

T 87595 Spherical Plus 1.67 R 896,40

T 87596 Spherical Plus Transition 1.67 R 2 219,70

T 87597 Spherical Plus Polycarbonate 1.59 R 1 296,90

T 87598 Spherical Plus PolycarbonateTransition 1.59 R 3 364,50

T 87603 Essifi t (1.5) Supra R 12,70

T 87604 Essifi t (1.5) Crizal Easy UV R 490,60

T 87606 Essifi t Orma Acclimates Supra R 780,80

T 87607 Essifi t Orma Acclimates Crizal Easy UV R 1 259,40

T 87629 Precision HD (1.5)Supra R 1 068,90

T 87630 Precision HD (1.5) Crizal Easy UV R 1 593,70

T 87631 Precision HD (1.5) Crizal Forte UV R 1 856,20

T 87632 Precision HD Orma Acclimates Supra R 1 529,60

T 87633 Precision HD Orma Acclimates Crizal Easy UV R 2 054,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87634 Precision HD Orma Acclimates Crizal Forte UV R 2 316,90

T 87635 Precision HD Orma Transitions Supra R 2 077,80

T 87636 Precision HD Orma Transitions Crizal Easy UV R 2 602,60

T 87637 Precision HD Orma Transitions Crizal Forte UV R 2 865,10

T 87638 Precision HD Airwear Supra R 1 585,00

T 87639 Precision HD Airwear Crizal Easy UV R 2 109,90

T 87640 Precision HD Airwear Crizal Forte UV R 2 372,30

T 87641 Precision HD Airwear Transitions Supra R 3 200,40

T 87642 Precision HD Airwear Transitions Crizal Easy UV R 3 728,20

T 87643 Precision HD Airwear Transitions Crizal Forte UV R 3 990,60

T 87644 Precision HD Ormix Supra R 1 643,30

T 87645 Precision HD Ormix Crizal Easy UV R 2 168,20

T 87646 Precision HD Ormix Crizal Forte UV R 2 430,60

T 87647 Precision HD Ormix Transitions Supra R 3 092,50

T 87648 Precision HD Ormix Transitions Crizal Easy UV R 3 617,40

T 87649 Precision HD Ormix Transitions Crizal Forte UV R 3 903,10

T 87650 Precision HD Stylis Crizal Easy UV R 3 028,40

T 87651 Precision HD Stylis Crizal Forte UV R 3 290,80

T 87652 Precision HD Stylis Transitions Crizal Easy UV R 4 436,70

T 87653 Precision HD Stylis Transitions Crizal Forte UV R 4 699,20

T 87654 KF Incredible 1.5 R 355,90

T 87656 Classic Eyes DS (1.5)Supra R 2 137,80

T 87657 Classic Eyes DS (1.5) Crizal Easy UV R 2 633,20

T 87658 Classic Eyes DS (1.5) Crizal Forte UV R 2 854,60

T 87659 Classic Eyes DS Orma Acclimates Supra R 1 765,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87660 Classic Eyes DS Orma Acclimates Crizal Easy UV R 2 341,60

T 87661 Classic Eyes DS Orma Acclimates Crizal Forte UV R 2 629,70

T 87662 Classic Eyes DS Orma Transitions Supra R 3 276,10

T 87663 Classic Eyes DS Orma Transitions Crizal Easy UV R 3 775,10

T 87664 Classic Eyes DS Orma Transitions Crizal Forte UV R 3 996,40

T 87665 Classic Eyes DS Airwear Supra R 2 872,10

T 87666 Classic Eyes DS Airwear Crizal Easy UV R 3 374,60

T 87667 Classic Eyes DS Airwear Crizal Forte UV R 3 592,40

T 87668 Classic Eyes DS Airwear Transitions Supra R 4 495,30

T 87669 Classic Eyes DS Airwear Transitions Crizal Easy UV R 4 994,20

T 87670 Classic Eyes DS Airwear Transitions Crizal Forte UV R 5 208,60

T 87671 Classic Eyes DS Ormix Supra R 2 629,70

T 87672 Classic Eyes DS Ormix Crizal Easy UV R 3 132,10

T 87673 Classic Eyes DS Ormix Crizal Forte UV R 3 349,90

T 87674 Classic Eyes DS Ormix Transitions Supra R 4 210,70

T 87675 Classic Eyes DS Ormix Transitions Crizal Easy UV R 4 713,20

T 87676 Classic Eyes DS Ormix Transitions Crizal Forte UV R 4 931,00

T 87677 Classic Eyes DS Stylis Crizal Easy UV R 4 133,40

T 87678 Classic Eyes DS Stylis Crizal Forte UV R 4 354,80

T 87679 Classic Eyes DS Stylis Transitions Crizal Easy UV R 6 034,30

T 87680 Classic Eyes DS Stylis Transitions Crizal Forte UV R 6 448,80

T 87681 Epic DS Orma Xperio Supra R 3 276,10

T 87682 Epic DS Orma Xperio Crizal Easy UV R 3 775,10

T 87683 Epic DS Orma Xperio Crizal Forte UV R 3 992,90

T 87684 Epic DS Airwear Xperio Supra R 4 495,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87685 Epic DS Airwear Xperio Crizal Easy UV R 4 994,20

T 87686 Epic DS Airwear Xperio Crizal Forte UV R 5 212,10

T 87687 Epic Optimized Orma Xperio Supra R 3 075,90

T 87688 Epic Optimized Orma Xperio Crizal Easy UV R 3 550,20

T 87689 Epic Optimized Orma Xperio Crizal Forte UV R 3 757,50

T 87690 Epic Optimized Airwear Xperio Supra R 4 235,30

T 87691 Epic Optimized Airwear Xperio Crizal Easy UV R 4 709,70

T 87692 Epic Optimized Airwear Xperio Crizal Forte UV R 4 917,00

87693 Quadro 1.50 Hardcoated

T 87694 Quadro 1.50 ARC R 0,00

T 87695 Quadro 1.50 Acclimates Hardcoated R 210,30

T 87696 Quadro 1.50 Acclimates ARC R 674,30

T 87697 Quadro 1.50 Transitions Hardcoated R 503,50

T 87698 Qaudro 1.50 Transitions ARC R 967,50

T 87699 Quadro 1.60 Hardcoated R 92,20

T 87700 Quadro 1.60 ARC R 556,20

T 87701 Quadro 1.60 Transitions Hardcoated R 988,60

T 87702 Quadro 1.60 Transitions ARC R 1 452,50

T 87703 Quadro 1.67 Hardcoated R 554,10

T 87704 Quadro 1.67 ARC R 1 018,10

T 87705 Quadro 1.67 Transitions Hardcoated R 1 480,00

T 87706 Quadro 1.67 Transitions ARC R 1 943,90

X 87707 Presio POWER (AFS) & (ECPS) 1.50 Supra HC N/A

X 87708 Presio POWER (AFS) & (ECPS) 1.50 Transitions Supra HC N/A

X 87709 Presio POWER (AFS) & (ECPS) 1.74 Transitions SeeCoat Plus N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87710 SEEMAX (Custom Made) 1.67 Transitions SeeCoat Plus N/A

X 87711 SEEMAX (Custom Made) 1.74 Transitions SeeCoat Plus N/A

87712 speX 1.56 Clear

87713 speX 1.56 SunSmart R 216,90

87715 [I] Spex 1.50 Transitions-Acclimates Titan HC R 776,90

87716 [I] Spex 1.60 Clear Titan HC R 853,30

87717 [I] Spex 1.60 Transitions Titan HC R 1 844,90

T 87730 1.5 Nanko HD CR 39 Hard R 731,80

T 87731 1.6 Nanko HD CR 39 Hard R 1 424,60

T 87735 1.5 Nanko HD CR 39 Transition VII Hard R 1 957,90

T 87736 1.6 Nanko HD CR 39 Transition VII Hard R 2 469,80

X 87737 1.67 Nanko HD Transition VII ARC N/A

T 87741 1.5 Nanko HD Polarized Grey/Brown/Green Hard R 2 076,90

T 87742 Petite i-PRO Digital Advanced Optimisation ARC (1.74) White R 4 227,60

T 87743 Varilux Liberty Digital Short Stylis Transitions Crizal Prevencia R 4 056,80

T 87752 Matrix 1.5 Digital Crizal Easy R 511,90

T 87753 Matrix 1.6 Digital Crizal Easy R 857,80

T 87754 Matrix 1.67 Digital Crizal Easy R 1 361,80

X 87755 Matrix Digital 1.74 Crizal Easy N/A

T 87756 Matrix Digital 1.5 Acclimates Crizal Easy R 794,50

T 87759 Matrix Digital 1.5 Transitions 7 Crizal Easy R 1 110,90

T 87760 Matrix Digital 1.6 Transitions 7 Crizal Easy R 1 711,90

T 87761 Matrix Digital 1.67 Transitions 7 Crizal Easy R 2 365,70

T 87762 Precision DS Digital 1.5 Crizal Easy R 617,40

T 87763 Precision DS Digital 1.6 Crizal Easy R 994,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87764 Precision DS Digital 1.67 Crizal Easy R 1 541,10

X 87765 Precision DS Digital 1.74 Crizal Easy N/A

T 87768 Precision DS Digital 1.5 Transitions 7 Crizal Easy R 1 269,10

T 87769 Precision DS Digital 1.6 Transitions 7 Crizal Easy R 1 925,00

T 87770 Precision DS Digital 1.67 Transitions 7 Crizal Easy R 2 635,70

X 87771 OAKLEY OTD VENTED Progressive Polarized – Grey/B-AR N/A

X 87772 OAKLEY OTD VENTED Progressive Polarized – Bronze/B-AR N/A

X 87773 OAKLEY OTD VENTED Progressive Polarized – VR28/B-AR N/A

X 87774 OAKLEY OTD VENTED Progressive Polarized – Black IR/B-AR N/A

X 87775 OAKLEY OTD VENTED Progressive Polarized – Deep Blue/B-AR N/A

X 87776 OAKLEY OTD VENTED Progressive Polarized – G30/B-AR N/A

X 87777 OAKLEY OTD VENTED Progressive Polarized – Tungsten/B-AR N/A

X 87778 OAKLEY OTD VENTED Progressive Polarized – Ice IR-GoldIR/B-AR N/A

X 87779 OAKLEY OTD VENTED Progressive Polarized – VR28 Black IR/B-AR N/A

X 87780 OAKLEY OTD VENTED Progressive Polarized – OO Red IR/B-AR N/A

X 87781 OAKLEY OTD VENTED Progressive Polarized – Shallow Blue/B-AR N/A

X 87782 OAKLEY OTD VENTED Progressive Polarized – OO Black/B-AR N/A

X 87783 OAKLEY OTD VENTED Transitions – Grey AR N/A

X 87784 OAKLEY OTD VENTED Transitions – Brown AR N/A

87785 OAKLEY OTD VENTED Transitions – Gold IR/B-AR

87786 OAKLEY OTD VENTED Transitions – Emerald IR/B-AR

X 87787 OAKLEY OTD VENTED Transitions – Black IR/B-AR N/A

X 87788 OAKLEY OTD Progressive NON-IRIDIUM – Clear + AR N/A

87789 OAKLEY OTD Progressive NON-IRIDIUM – VR28

X 87790 OAKLEY OTD Progressive NON-IRIDIUM – Bronze N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87791 OAKLEY OTD Progressive NON-IRIDIUM – Grey N/A

X 87792 OAKLEY OTD Progressive NON-IRIDIUM – Persimmon N/A

X 87793 OAKLEY OTD Progressive IRIDIUM – Black N/A

X 87794 OAKLEY OTD Progressive IRIDIUM – Gold N/A

X 87795 OAKLEY OTD Progressive IRIDIUM – Fire N/A

X 87796 OAKLEY OTD Progressive IRIDIUM – Ice N/A

X 87797 OAKLEY OTD Progressive IRIDIUM – Tungsten N/A

87798 OAKLEY OTD Progressive IRIDIUM – G30

X 87799 OAKLEY OTD Progressive IRIDIUM – VR28 Black N/A

87800 OAKLEY OTD Progressive IRIDIUM – Black

X 87801 OAKLEY OTD VENTED Progressive NON-IRIDIUM – Clear +AR N/A

87802 OAKLEY OTD VENTED Progressive NON-IRIDIUM – VR28

X 87803 OAKLEY OTD VENTED Progressive NON-IRIDIUM – Bronze N/A

X 87804 OAKLEY OTD VENTED Progressive NON-IRIDIUM – Grey N/A

X 87805 OAKLEY OTD VENTED Progressive NON-IRIDIUM – Persimmon N/A

X 87806 OAKLEY OTD VENTED Progressive IRIDIUM – Black N/A

X 87807 OAKLEY OTD VENTED Progressive IRIDIUM – Gold N/A

X 87808 OAKLEY OTD VENTED Progressive IRIDIUM – Fire N/A

X 87809 OAKLEY OTD VENTED Progressive IRIDIUM – Ice N/A

X 87810 OAKLEY OTD VENTED Progressive IRIDIUM – Tungsten N/A

87811 OAKLEY OTD VENTED Progressive IRIDIUM – G30

X 87812 OAKLEY OTD VENTED Progressive IRIDIUM – VR28 Black N/A

X 87813 OAKLEY OTD VENTED Progressive IRIDIUM – Black N/A

T 87814 iPAL DS 1.50 Polarised Supra R 954,80

87815 Q-change Progressive 1.56

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87816 Shamir Autograph-III (1.5) R 3 323,60

T 87817 Shamir Autograph-III (1.6) R 3 963,10

T 87818 Shamir Autograph-III (1.67) R 4 438,80

T 87819 Shamir Autograph-III (1.74) R 5 952,90

T 87820 Shamir Autograph-III Transitions and XTRActive (1.5) R 4 407,20

T 87821 Shamir Autograph-III Transitions and XTRActive (1.6) R 5 404,50

T 87822 Shamir Autograph-III Transitions and XTRActive (1.67) R 6 172,80

T 87823 Shamir Autograph-III Polycarb (1.586) R 3 991,10

T 87824 Shamir Autograph-III Polycarb Transitions and XTRActive (1.59) R 6 601,00

T 87825 Shamir Autograph-III Polarized (1.5) R 4 720,50

T 87826 Shamir Autograph-III Polarized (1.6) R 6 578,90

T 87827 Shamir Autograph-III Polarized (1.67) R 8 613,80

T 87828 Shamir Autograph-III Polycarbonate Polarized (1.59) R 4 985,70

T 87829 Shamir Autograph-III Drivewear (1.5) R 6 508,40

T 87830 Shamir Autograph-III Trivex NXT (1.53) R 5 103,30

X 87833 EV FBS 1.5 N/A

X 87834 EV FBS Acclimate 1.5 N/A

X 87835 EV Plus 1.5 N/A

X 87836 EV Plus Transition 1.5 N/A

X 87837 EV Plus 1.6 N/A

X 87838 EV Plus Transition 1.6 N/A

X 87839 EV Plus 1.67 N/A

X 87840 EV Plus Transition 1.67 N/A

X 87841 EV Plus Polycarbonate 1.59 N/A

X 87842 EV Plus Polycarbonate Transition 1.59 N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87843 EV Plus Short 1.5 N/A

X 87844 EV Plus Short Transition 1.5 N/A

X 87845 EV Plus Short 1.6 N/A

X 87846 EV Plus Short Transition 1.6 N/A

X 87847 MOVE Digital 1.50 Crizal N/A

X 87848 MOVE Digital 1.50 Crizal Forte UV N/A

X 87849 MOVE Digital 1.50 Transitions Crizal N/A

X 87850 MOVE Digital 1.50 Transitions Crizal Forte UV N/A

X 87851 MOVE Digital 1.59 PolyCarb Supra HC N/A

X 87852 MOVE Digital 1.59 PolyCarb Crizal N/A

X 87853 MOVE Digital 1.59 PolyCarb Crizal Forte UV N/A

X 87854 MOVE Digital 1.59 PolyCarb Transitions Supra HC N/A

X 87855 MOVE Digital 1.59 PolyCarb Transitions Crizal N/A

X 87856 MOVE Digital 1.59 PolyCarb Transitions Crizal Forte UV N/A

X 87857 MOVE Digital 1.60 Crizal N/A

X 87858 MOVE Digital 1.60 Crizal A2 N/A

X 87859 MOVE Digital 1.60 Transitions Crizal N/A

X 87860 MOVE Digital 1.60 Transitions Crizal Forte UV N/A

X 87861 MOVE Digital 1.67 Crizal N/A

X 87862 MOVE Digital 1.67 Crizal Forte UV N/A

X 87863 MOVE Digital 1.67 Transitions Crizal N/A

X 87864 MOVE Digital 1.67 Transitions Crizal Forte UV N/A

X 87865 Presio-i 1.50 Supra HC N/A

X 87866 Presio-i 1.50 Crizal N/A

X 87867 Presio-i 1.50 Crizal Forte UV N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87868 Presio-i 1.50 SeeCoat Plus N/A

X 87869 Presio-i 1.50 SeeCoat Blue N/A

X 87870 Presio-i 1.50 Transitions N/A

X 87871 Presio-i 1.50 Transitions Crizal N/A

X 87872 Presio-i 1.50 Transitions Crizal Forte UV N/A

X 87873 Presio-i 1.50 Transitions SeeCoat Plus N/A

X 87874 Presio-i 1.60 Supra HC N/A

X 87875 Presio-i 1.60 Crizal N/A

X 87876 Presio-i 1.60 Crizal Forte UV N/A

X 87877 Presio-i 1.60 SeeCoat Plus N/A

X 87878 Presio-i 1.60 SeeCoat Blue N/A

X 87879 Presio-i 1.60 Transitions Supra HC N/A

X 87880 Presio-i 1.60 Transitions Crizal N/A

X 87881 Presio-i 1.60 Transitions Crizal Forte UV N/A

X 87882 Presio-i 1.60 Transitions SeeCoat Plus N/A

X 87883 Presio-i 1.67 ECC N/A

X 87884 Presio-i 1.67 SeeCoat Plus N/A

X 87885 Presio-i 1.67 SeeCoat Blue N/A

X 87886 Presio-i 1.67 Transitions ECC N/A

X 87887 Presio-i 1.67 Transitions SeeCoat Plus N/A

X 87888 Presio GO Digital 1.50 Crizal N/A

X 87889 Presio GO Digital 1.50 Crizal Forte UV N/A

X 87890 Presio GO Digital 1.50 ECC N/A

X 87891 Presio GO Digital 1.50 SeeCoat Plus N/A

X 87892 Presio GO Digital 1.50 SeeCoat Blue N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87893 Presio GO Digital 1.50 Transitions Crizal N/A

X 87894 Presio GO Digital 1.50 Transitions Crizal Forte UV N/A

X 87895 Presio GO Digital 1.50 Transitions ECC N/A

X 87896 Presio GO Digital 1.50 Transitions SeeCoat Plus N/A

X 87897 Presio GO Digital 1.50 Polarised Supra HC N/A

X 87898 Presio GO Digital 1.50 Polarised ECC N/A

X 87899 Presio GO Digital 1.60 Crizal N/A

X 87900 Presio GO Digital 1.60 Crizal Forte UV N/A

X 87901 Presio GO Digital 1.60 ECC N/A

X 87902 Presio GO Digital 1.60 SeeCoat Plus N/A

X 87903 Presio GO Digital 1.60 SeeCoat Blue N/A

X 87904 Presio GO Digital 1.60 Transitions Crizal N/A

X 87905 Presio GO Digital 1.60 Transitions Crizal Forte UV N/A

X 87906 Presio GO Digital 1.60 Transitions ECC N/A

X 87907 Presio GO Digital 1.60 Transitions SeeCoat Plus N/A

X 87908 Presio GO Digital 1.60 Polarised ECC N/A

X 87909 Presio GO Digital 1.67 Crizal N/A

X 87910 Presio GO Digital 1.67 Crizal Forte UV N/A

X 87911 Presio GO Digital 1.67 ECC N/A

X 87912 Presio GO Digital 1.67 SeeCoat Plus N/A

X 87913 Presio GO Digital 1.67 SeeCoat Blue N/A

X 87914 Presio GO Digital 1.67 Transitions Crizal N/A

X 87915 Presio GO Digital 1.67 Transitions Crizal Forte UV N/A

X 87916 Presio GO Digital 1.67 Transitions ECC N/A

X 87917 Presio GO Digital 1.67 Transitions SeeCoat Plus N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87918 Presio GO Digital 1.74 ECC N/A

X 87919 Presio GO Digital 1.74 SeeCoat Blue N/A

X 87920 Presio GO Digital 1.74 Transitions ECC N/A

X 87921 Presio W (AFS) 1.50 ECC N/A

X 87922 Presio W (AFS) 1.50 SeeCoat Plus N/A

X 87923 Presio W (AFS) 1.50 SeeCoat Blue N/A

T 87924 Petite i-PRO Digital Advanced Optimisation ARC (1.61) Polarised R 3 022,20

X 87925 Presio W (AFS) 1.50 Transitions ECC N/A

X 87926 Presio W (AFS) 1.50 Transitions SeeCoat Plus N/A

X 87928 Presio W (AFS) 1.60 ECC N/A

X 87929 Presio W (AFS) 1.60 SeeCoat Plus N/A

X 87930 Presio W (AFS) 1.60 SeeCoat Blue N/A

T 87931 Espace (1.5) i-Relief R 390,90

X 87932 Presio W (AFS) 1.60 Transitions ECC N/A

X 87933 Presio W (AFS) 1.60 Transitions SeeCoat Plus N/A

T 87934 Ubuntu (1.5) i-Relief R 1 124,30

X 87935 Presio W (AFS) 1.67 ECC N/A

X 87936 Presio W (AFS) 1.67 SeeCoat Plus N/A

X 87937 Presio W (AFS) 1.67 SeeCoat Blue N/A

T 87938 Ubuntu Orma (1.5) Acclimates i-Relief R 1 279,20

X 87939 Presio W (AFS) 1.67 Transitions ECC N/A

X 87940 Presio W (AFS) 1.67 Transitions SeeCoat Plus N/A

T 87941 Ubuntu Orma (1.5) Transitions i-Relief R 1 960,40

T 87942 Varilux Liberty Digital (1.5) Crizal Prevencia R 1 394,90

T 87943 Varilux Liberty Digital Orma Acclimates Crizal Prevencia R 1 827,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87944 Presio POWER (AFS) & (ECPS) 1.50 ECC

X 87945 Presio POWER (AFS) & (ECPS) 1.50 SeeCoat Plus

X 87946 Presio POWER (AFS) & (ECPS) 1.50 Seecoat Blue

T 87947 Varilux Liberty Digital Orma Transitions Crizal Prevencia R 2 343,50

X 87948 Presio POWER (AFS) & (ECPS) 1.50 Transitions ECC

X 87949 Presio POWER (AFS) & (ECPS) 1.50 Transitions SeeCoat Plus

T 87950 Varilux Liberty Digital Airwear Transitions Crizal Prevencia R 3 392,50

X 87951 Presio POWER (AFS) & (ECPS) 1.60 ECC

X 87952 Presio POWER (AFS) & (ECPS) 1.60 SeeCoat Plus

X 87953 Presio POWER (AFS) & (ECPS) 1.60 SeeCoat Blue

T 87954 Varilux Liberty Digital Ormix Crizal Prevencia R 1 937,30

X 87955 Presio POWER (AFS) & (ECPS) 1.60 Transitions ECC

X 87956 Presio POWER (AFS) & (ECPS) 1.60 Transitions SeeCoat Plus

T 87957 Varilux Liberty Digital Ormix Transitions Crizal Prevencia R 3 289,80

X 87958 Presio POWER (AFS) & (ECPS) 1.67 ECC

X 87959 Presio POWER (AFS) & (ECPS) 1.67 SeeCoat Plus

X 87960 Presio POWER (AFS) & (ECPS) 1.67 SeeCoat Blue

T 87961 Varilux Liberty Digital Stylis Crizal Prevencia R 2 737,80

X 87962 Presio POWER (AFS) & (ECPS) 1.67 Transitions ECC

X 87963 Presio POWER (AFS) & (ECPS) 1.67 Transitions SeeCoat Plus

X 87964 Presio POWER (AFS) & (ECPS) 1.74 ECC

T 87965 Varilux Liberty Digital Stylis Transitions Crizal Prevencia R 4 056,80

X 87966 Presio POWER (AFS) & (ECPS) 1.74 SeeCoat Blue

X 87967 Presio POWER (AFS) & (ECPS) 1.74 Transitions ECC

T 87968 Varilux Liberty Digital Short (1.5) Crizal Prevencia R 1 394,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 87969 Varilux Liberty Digital Short Orma Transitions Crizal Prevencia R 2 343,50

X 87970 SEEMAX (Custom Made) 1.60 Supra HC N/A

T 87971 Varilux Liberty Digital Short Airwear Crizal Prevencia R 1 880,00

X 87972 SEEMAX (Custom Made) 1.60 SeeCoat Blue N/A

X 87973 SEEMAX (Custom Made) 1.60 Transitions Supra HC N/A

T 87974 Varilux Liberty Digital Short Airwear Transitions Crizal Prevencia R 3 392,50

T 87975 Varilux Liberty Digital Short Ormix Crizal Prevencia R 1 937,30

X 87976 SEEMAX (Custom Made) 1.67 SeeCoat Blue N/A

T 87977 Varilux Liberty Digital Short Ormix Transitions Crizal Prevencia R 3 289,80

T 87978 Varilux Liberty Digital Short Stylis Crizal Prevencia R 2 737,80

X 87979 SEEMAX (Custom Made) 1.74 SeeCoat Blue N/A

T 87980 Varilux Comfort New Edition Crizal Prevencia R 1 966,00

T 87981 Varilux Comfort New Edition Orma Xperio Crizal Prevencia R 2 475,00

T 87982 Varilux Comfort New Edition Orma Transitions Crizal Prevencia R 3 356,70

X 87983 DigiLife (e-Life progressive) 1.50 ECC N/A

X 87984 DigiLife (e-Life progressive) 1.50 SeeCoat Plus N/A

X 87985 DigiLife (e-Life progressive) 1.50 SeeCoat Blue N/A

T 87986 Varilux Comfort New Edition Airwear Crizal Prevencia R 2 601,60

X 87987 DigiLife (e-Life progressive) 1.50 Transitions ECC N/A

X 87988 DigiLife (e-Life progressive) 1.50 Transitions SeeCoat Plus N/A

X 87989 DigiLife (e-Life progressive) 1.50 Polarised Supra HC N/A

X 87990 DigiLife (e-Life progressive) 1.50 Polarised ECC N/A

T 87991 Varilux Comfort New Edition Airwear Xperio Crizal Prevencia R 4 850,10

X 87992 DigiLife (e-Life progressive) 1.60 ECC N/A

X 87993 DigiLife (e-Life progressive) 1.60 SeeCoat Plus N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 87994 DigiLife (e-Life progressive) 1.60 SeeCoat Blue N/A

T 87995 Varilux Comfort New Edition Ormix Transitions Crizal Prevencia R 3 736,60

X 87996 DigiLife (e-Life progressive) 1.60 Transitions ECC N/A

X 87997 DigiLife (e-Life progressive) 1.60 Transitions SeeCoat Plus N/A

X 87998 DigiLife (e-Life progressive) 1.60 Polarised Supra HC N/A

X 87999 DigiLife (e-Life progressive) 1.60 Polarised ECC N/A

T 88000 Varilux Comfort New Edition Stylis 1.67 Transitions Crizal Prevencia R 5 270,70

X 88001 DigiLife (e-Life progressive) 1.67 ECC N/A

X 88002 DigiLife (e-Life progressive) 1.67 SeeCoat Plus N/A

X 88003 DigiLife (e-Life progressive) 1.67 SeeCoat Blue N/A

T 88004 Varilux Comfort New Edition Short Crizal Prevencia R 1 966,00

X 88005 DigiLife (e-Life progressive) 1.67 Transitions ECC N/A

X 88006 DigiLife (e-Life progressive) 1.67 Transitions SeeCoat Plus N/A

X 88007 DigiLife (e-Life progressive) 1.74 ECC N/A

T 88008 Varilux Comfort New Edition Short Orma Xperio Crizal Prevencia R 2 475,00

X 88009 DigiLife (e-Life progressive) 1.74 SeeCoat Blue N/A

X 88010 DigiLife (e-Life progressive) 1.74 Transitions ECC N/A

T 88011 speX 1.56 SunSmart HC R 434,90

T 88012 Vision PRO 1.50 Clear HC R 0,00

88013 Vision PRO 1.50 Clear Crizal R 843,30

88014 Vision PRO 1.50 Clear Crizal Forte UV R 1 080,10

T 88015 Varilux Comfort New Edition Short Orma Transitions Crizal Prevencia R 3 356,70

T 88019 Varilux Comfort New Edition Short Airwear Crizal Prevencia R 2 601,60

T 88020 Varilux Comfort New Edition Short Airwear Xperio Crizal Prevencia R 4 850,10

T 88021 [I] Spex 1.50 Clear Titan HC R 0,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

88022 [I] Spex 1.50 Clear HMC R 607,60

88023 [I] Spex 1.50 Clear Crizal R 843,30

T 88024 Varilux Comfort New Edition Short Ormix Transitions Crizal Prevencia R 3 736,60

88025 [I] Spex 1.50 Transitions-Acclimates HMC R 1 334,70

88026 [I] Spex 1.50 Transitions-Acclimates Crizal R 1 567,10

88027 [I] Spex 1.59 PolyCarb Titan HC R 754,80

88028 [I] Spex 1.59 PolyCarb HMC R 1 312,50

88029 [I] Spex 1.59 PolyCarb Crizal R 1 547,20

88030 [I] Spex 1.59 PolyCarb Transitions Titan HC R 2 399,30

88031 [I] Spex 1.59 PolyCarb Transitions HMC R 2 399,30

88032 [I] Spex 1.59 PolyCarb Transitions Crizal R 2 657,20

T 88033 Varilux Comfort New Edition Short Stylis Crizal Prevencia (1.67) R 3 624,30

88034 [I] Spex 1.60 Clear HMC R 1 413,30

88035 [I] Spex 1.60 Clear Crizal R 1 647,90

T 88036 Varilux Comfort New Edition Short Stylis 1.67 Transitions Crizal Prevencia R 5 270,70

88037 [I] Spex 1.60 Transitions HMC R 2 399,30

88038 [I] Spex 1.60 Transitions Crizal R 2 633,90

T 88039 synchrony Progressive Performance HD Short 1.5 UNC R 579,40

T 88040 synchrony Progressive Performance HD Short 1.5 Hard R 769,20

T 88041 synchrony Progressive Performance HD Short 1.5 HMC+ R 1 146,70

T 88046 Varilux Ipseo Ormix Crizal Prevencia (1.6) R 4 190,90

T 88047 Varilux Ipseo Ormix Transitions Crizal Prevencia (1.6) R 6 083,90

T 88048 Varilux Ipseo Stylis Transitions Crizal Prevencia (1.67) R 7 116,30

T 88049 Varilux Physio 2.0 New Edition 360 Orma Xperio Crizal Prevencia R 4 584,90

T 88050 Varilux Physio 2.0 New Edition 360 Orma Crizal Prevencia R 2 601,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88051 Varilux Physio 2.0 New Edition 360 Orma Transitions Prevencia R 4 245,60

T 88066 Varilux Physio 2.0 New Edition 360 Airwear Crizal Prevencia R 3 373,40

T 88067 Varilux Physio 2.0 New Edition 360 Airwear Transitions Xtractive Crizal Prevencia R 5 268,30

88068 Vision (DS) 1.50 Clear Crizal Forte UV R 1 330,30

T 88069 Varilux Physio 2.0 New Edition 360 Airwear Transitions Crizal Prevencia R 5 268,30

88070 Vision (DS) 1.50 Transitions-Acclimates Crizal R 1 837,10

88071 Vision (DS) 1.50 Transitions-Acclimates Crizal Forte UV R 2 081,80

T 88072 Varilux Physio 2.0 New Edition 360 Lineis 1.74 Crizal Prevencia R 6 668,50

88073 Vision (DS) 1.50 Transitions Crizal R 2 233,30

88074 Vision (DS) 1.50 Transitions Crizal Forte UV R 2 475,70

88075 Vision (DS) 1.50 Transitions XTRActive Titan HC R 1 407,70

88076 Vision (DS) 1.50 Transitions XTRActive Crizal R 2 233,30

88077 Vision (DS) 1.50 Transitions XTRActive Crizal Forte UV R 2 475,70

T 88078 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Crizal Prevencia R 3 356,70

88079 Vision (DS) 1.59 PolyCarb Crizal R 1 935,70

88080 Vision (DS) 1.59 PolyCarb Crizal Forte UV R 2 182,40

T 88081 Varilux Physio 2.0 New Edition 360 Ormix 1.6 Transitions Crizal Prevencia R 5 129,70

88082 Vision (DS) 1.59 PolyCarb Transitions Crizal R 3 116,50

88083 Vision (DS) 1.59 PolyCarb Transitions Crizal Forte UV R 3 363,30

T 88084 Varilux Physio 2.0 New Edition 360 Styis 1.67 Crizal Prevencia R 4 780,80

88085 Vision (DS) 1.60 Clear Crizal R 2 010,90

88086 Vision (DS) 1.60 Clear Crizal Forte UV R 2 255,50

X 88087 Varilux Physio 2.0 New Edition 360 Styis 1.67 Crizal Prevencia N/A

88088 Vision (DS) 1.60 Transitions Crizal R 3 305,80

88089 Vision (DS) 1.60 Transitions Crizal Forte UV R 3 550,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

88090 Vision (DS) 1.60 Polarised Titan HC

88091 Vision (DS) 1.60 Polarised Crizal

88092 Vision (DS) 1.60 Polarised Crizal Forte UV

T 88093 Varilux S Series Orma 1.5 Crizal Prevencia R 3 242,00

88094 Vision (DS) 1.67 Clear Crizal R 2 414,80

88095 Vision (DS) 1.67 Clear Crizal Forte UV R 2 661,70

T 88096 Varilux S Series Orma 1.5 Transitions Crizal Prevencia R 4 552,80

88097 Vision (DS) 1.67 Transitions Crizal R 3 355,50

88098 Vision (DS) 1.67 Transitions Crizal Forte UV R 3 601,20

T 88099 Varilux S Series Airwear 1.59 Crizal Prevencia R 3 986,70

T 88100 Varilux S Series Airwear 1.59 Transitions Crizal Prevencia R 5 974,90

T 88104 Varilux S Series Ormix 1.6 Crizal Prevencia R 3 666,60

T 88108 Varilux S Series Ormix 1.6 Transitions Crizal Prevencia R 5 420,40

T 88112 Varilux S Series Styis 1.67 Crizal Prevencia R 4 640,90

T 88116 Varilux S Series Stylis 1.67 Transitions Crizal Prevencia R 6 415,60

T 88119 Varilux S Series Short Orma 1.5 Crizal Prevencia R 3 242,00

T 88122 Varilux S Series Short Orma 1.5 Transitions Crizal Prevencia R 4 552,80

T 88125 Varilux S Series Short Airwear 1.59 Crizal Prevencia R 3 986,70

T 88128 Varilux S Series Short Airwear 1.59 Transitions Crizal Prevencia R 5 974,90

T 88131 Varilux S Series Short Ormix 1.6 Crizal Prevencia R 3 666,60

T 88134 Varilux S Series Short Ormix 1.6 Transitions Crizal Prevencia R 5 420,40

T 88137 Varilux S Series Short Styis 1.67 Crizal Prevencia R 4 745,30

T 88138 Varilux S Series Short Stylis 1.67 Transitions Crizal Prevencia R 6 415,60

T 88139 Varilux S Series 4D Orma 1.5 Crizal Prevencia R 3 381,20

T 88140 Varilux S Series 4D Orma 1.5 Transitions Crizal Prevencia R 5 097,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88141 Varilux S Series 4D Airwear 1.59 Crizal Prevencia R 4 469,20

T 88142 Varilux S Series 4D Airwear 1.59 Transitions Crizal Prevencia R 6 515,40

T 88143 Varilux S Series 4D Ormix 1.6 Crizal Prevencia R 4 116,60

T 88144 Varilux S Series 4D Ormix 1.6 Transitions Crizal Prevencia R 6 072,30

T 88145 Varilux S Series 4D Stylis 1.67 Transitions Crizal Prevencia R 7 176,60

T 88146 Varilux S Series 4D Short Orma 1.5 Crizal Prevencia R 3 381,20

T 88147 Varilux S Series 4D Short Orma 1.5 Transitions Crizal Prevencia R 5 097,90

T 88148 Varilux S Series 4D Short Airwear 1.59 Crizal Prevencia R 4 469,20

T 88149 Varilux S Series 4D Short Airwear 1.59 Transitions Crizal Prevencia R 6 515,40

T 88150 Varilux S Series 4D Short Ormix 1.6 Crizal Prevencia R 4 116,60

T 88151 Varilux S Series 4D Short Ormix 1.6 Transitions Crizal Prevencia R 6 072,30

T 88152 Varilux S Series 4D Short Stylis 1.67 Transitions Crizal Prevencia R 7 176,60

T 88153 Essilor DS (1.5) i-relief R 1 240,90

T 88155 Essilor DS Orma Transitions i-Relief R 2 147,80

T 88156 Essilor DS Airwear i-Relief R 1 704,60

T 88157 Essilor DS Airwear Transitions i-Relief R 3 159,60

T 88158 Essilor DS Ormix i-Relief R 1 757,00

T 88159 Essilor DS Ormix Transitions i-Relief R 3 060,40

T 88160 Essilor DS Stylis i-Relief R 2 529,70

T 88161 Essilor DS Stylis Transitions i-Relief R 3 798,10

T 88162 Precision HD (1.5) Crizal Prevencia R 1 961,10

T 88163 Precision HD Orma Acclimates Crizal Prevencia R 2 421,80

T 88164 Precision HD Orma Transitions Crizal Prevencia R 2 970,00

T 88165 Precision HD Airwear Crizal Prevencia R 2 477,30

T 88166 Precision HD Airwear Transitions Crizal Prevencia R 4 092,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88167 Precision HD Ormix Crizal Prevencia R 2 535,60

T 88168 Precision HD Ormix Transitions Crizal Prevencia R 3 984,80

T 88169 Precision HD Stylis Crizal Prevencia R 3 392,80

T 88170 Precision HD Stylis Transitions Crizal Prevencia R 4 801,20

T 88171 Futuro Natural Optimised FreeForm 1.5 R 2 195,70

T 88172 Futuro Natural Optimised FreeForm Transitions® 1.5 R 3 516,40

T 88173 Futuro Natural Optimised FreeForm NuPolar® 1.5 R 3 839,20

T 88174 Futuro Natural Optimised FreeForm 1.6 R 2 841,40

T 88175 Futuro Natural Optimised FreeForm Transitions® 1.6 R 4 543,50

T 88176 Futuro Natural Optimised FreeForm NuPolar® 1.6 R 4 196,70

T 88177 Futuro Natural Optimised FreeForm 1.67 R 4 885,00

T 88178 Futuro Natural Optimised FreeForm Transitions® 1.67 R 5 189,10

T 88179 Futuro Natural Optimised FreeForm NuPolar® 1.67 R 5 013,00

T 88180 Flexivue 1.5 Creativ Clear HC R 875,00

T 88181 Flexivue 1.5 Creativ Transitions HC R 2 295,00

T 88182 Flexivue 1.5 Creativ Polar T HC R 1 045,00

T 88183 Flexivue 1.5 Creativ Drivewear HC R 3 305,00

T 88184 Flexivue 1.53 Creativ Trivex Clear HC R 1 315,00

T 88185 Flexivue 1.53 Creativ Trivex Transitions HC R 2 970,00

T 88186 Flexivue 1.53 Creativ Trivex NuPolar® HC R 2 000,00

T 88187 Flexivue 1.56 Creativ FlexiTint HC R 2 000,00

T 88188 Flexivue 1.6/42 Creativ Clear HC R 1 080,00

T 88189 Flexivue 1.6/42 Creativ Transitions HC R 3 170,00

T 88190 Flexivue 1.6/42 Creativ NuPolar® HC R 1 920,00

T 88191 Flexivue 1.67 Creativ Superthin Clear HC R 1 685,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88192 Flexivue 1.67 Creativ Supertin Transitions HC R 3 780,00

T 88193 Flexivue 1.67 Creativ Supertin NuPolar® HC R 4 050,00

T 88194 Flexivue 1.74 Creativ Ultrathin Clear HC R 2 970,00

X 88195 Anateo DS 1.50 Clear Supra N/A

X 88196 Anateo DS 1.50 Clear Crizal Easy UV N/A

X 88197 Anateo DS 1.50 Transitions Supra N/A

X 88198 Anateo DS 1.50 Transitions Crizal Easy UV N/A

X 88199 Anateo DS 1.59 Polycarbonate Crizal Easy UV N/A

X 88200 Anateo DS 1.59 Polycarbonate Transitions Crizal Easy UV N/A

X 88201 Anateo DS 1.60 Clear Crizal Easy UV N/A

X 88202 Anateo DS 1.60 Transitions Crizal Easy UV N/A

X 88203 Anateo DS 1.67 Clear Crizal Easy UV N/A

X 88204 Anateo DS 1.67 Transitions Crizal Easy UV N/A

T 88205 Start-up 1.50 Supra R 208,20

T 88206 Start-up 1.50 Crizal Easy UV R 672,20

T 88207 Start-up 1.50 Crizal Forte UV R 897,90

88208 Hoyalux Sportive High Curve 1.50

T 88209 Hoyalux Sportive High Curve 1.50 Hard R 1 602,30

T 88210 Hoyalux Sportive High Curve 1.50 HVP Back Surface R 2 066,30

T 88211 Hoyalux Sportive High Curve 1.50 SHV R 2 220,20

T 88212 Hoyalux Sportive High Curve 1.50 HVLL R 2 422,70

88213 Hoyalux Sportive High Curve 1.50 HVLL UV Control

T 88214 Hoyalux Sportive High Curve 1.50 Mirror Coat R 2 066,30

T 88215 Amplitude 1.60 Transitions S7 SHV (Mini & Long) R 3 278,90

T 88216 Hoyalux Sportive High Curve 1.53 Hard R 2 104,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88217 Hoyalux Sportive High Curve 1.53 HVP (Back Surface Only) R 2 568,20

T 88218 Hoyalux Sportive High Curve 1.53 SHV R 2 722,20

T 88219 Hoyalux Sportive High Curve 1.53 HVLL R 2 924,60

88220 Hoyalux Sportive High Curve 1.53 HVLL UV Control

T 88222 Amplitude 1.50 Transitions S7 SHV (Mini & Long) R 2 066,30

T 88223 Hoyalux Sportive High Curve 1.60 Hard R 2 479,60

T 88224 Hoyalux Sportive High Curve 1.60 HVP (Back Surface Only) R 2 943,60

T 88225 Hoyalux Sportive High Curve 1.60 SHV R 3 099,70

T 88226 Hoyalux Sportive High Curve 1.60 HVLL R 3 300,00

88227 Hoyalux Sportive High Curve 1.60 HVLL UV Control

T 88228 Hoyalux Sportive High Curve 1.60 Mirror Coat R 2 943,60

T 88231 Amplitude TF 1.50 HVLL Blue Control (Mini & Long) R 1 581,20

T 88234 Amplitude TF PNX 1.53 HVLL Blue Control (Mini & Long) R 2 321,40

T 88236 Amplitude TF 1.60 HVLL Blue Control (Mini & Long) R 2 661,00

T 88239 Amplitude TF 1.67 HVLL Blue Control (Mini & Long) R 2 916,20

X 88265 1.5 Nanko HD CR 39 ARC N/A

T 88266 1.5 Nanko HD CR 39 CRIZAL EASY UV R 1 424,60

X 88269 1.5 Nanko HD CR 39 Transition VII ARC N/A

T 88270 1.5 Nanko HD CR 39 Transition VII CRIZAL EASY UV R 2 624,50

X 88279 1.6 Nanko HD CR 39 ARC N/A

T 88280 1.6 Nanko HD CR 39 CRIZAL EASY UV R 2 279,30

X 88281 1.6 Nanko HD CR 39 Transition VII ARC N/A

T 88282 1.6 Nanko HD CR 39 Transition VII CRIZAL EASY UV R 2 893,50

X 88283 1.6 Nanko HD Polarized Grey/Brown/Green Hard N/A

X 88284 1.67 Nanko HD ARC N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88285 1.67 Nanko HD CRIZAL EASY UV R 2 624,50

T 88286 1.67 Nanko HD Transition VII CRIZAL EASY UV R 3 779,20

X 88287 1.67 Nanko HD Polarized Grey/Brown/Green Hard N/A

T 88290 Varilux Ipseo Stylis Crizal Prevencia (1.67) R 5 991,10

88291 OTL Convo Progressive Clear

88292 OTL Convo Progressive Sunglare R 928,60

88293 OTL Micra Progressive Short

88294 OTL Concord Progressive long

88295 OTL Econo – Progressive Short/Long FreeForm

88296 OTL Econo – Progressive Short/Long Suglare FreeForm R 694,00

88297 OTL Evolution Clear FreeForm R 1 817,20

88298 OTL Evolution Sunglare FreeForm R 2 223,40

88299 OTL Evolution Clear 1.67 FreeForm R 1 947,80

88300 OTL Clarity Clear FreeForm R 1 123,40

88301 OTL Clarity Sunglare FreeForm R 1 721,00

88302 OTL Clarity Clear 1.67 FreeForm R 1 541,70

88303 OTL True Sight Clear FreeForm R 555,60

88304 OTL True Sight Sunglare FreeForm R 944,10

88305 OTL True Sight Clear 1.67 FreeForm R 741,50

88306 OTL Comforter Clear FreeForm R 2 174,70

88307 OTL Comforter Sunglare FreeForm R 2 735,80

88308 OTL Comforter Clear 1.67 FreeForm R 2 444,80

T 88317 Futuro Blando Optimised FreeForm Photochromic 1.5 R 1 291,30

T 88318 Futuro Duro Optimised FreeForm 1.5 Photochromic R 1 291,30

T 88357 RO Entry Clear R 0,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88359 RO Entry Photo R 845,10

T 88361 RO Easy Clear R 381,20

T 88362 RO Easy Clear 1.6 H/C R 1 176,30

T 88363 RO Easy Clear 1.67 H/C R 1 623,40

T 88364 RO Easy Photo R 1 161,50

T 88367 RO Easy Transitions R 1 490,50

T 88368 RO Easy Transitions 1.6 H/C R 2 121,10

T 88369 RO Easy Transitions1.67 H/C R 2 553,40

X 88370 Anateo DS 1.60 Clear Supra N/A

T 88371 Evolis HD 1.60 Clear Supra R 1 035,00

T 88372 Start-up 1.50 Transitions Supra R 851,50

T 88373 Start-up 1.50 Transitions Crizal Easy UV R 1 315,50

T 88374 Start-up 1.50 Transitions Crizal Forte UV R 1 541,10

T 88375 Start-up 1.60 Supra R 581,50

T 88376 Start-up 1.60 Crizal Easy UV R 1 045,50

T 88377 Start-up 1.60 Crizal Forte UV R 1 271,20

T 88378 Start-up 1.60 Transitions Supra R 1 492,60

T 88379 Start-up 1.60 Transitions Crizal Easy UV R 1 956,60

T 88380 Start-up 1.60 Transitions Crizal Forte UV R 2 182,20

T 88381 Varilux Stylistic Orma Supra R 1 870,40

T 88382 Varilux Stylistic Orma Crizal Easy UV R 2 267,70

T 88383 Varilux Stylistic Orma Crizal Forte UV R 2 499,70

T 88384 Varilux Stylistic Orma Crizal Prevencia R 2 499,70

88385 Varilux Stylistic Orma Xperio Supra R 2 526,60

88386 Varilux Stylistic Orma Xperio Crizal Easy UV R 3 047,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

88387 Varilux Stylistic Orma Xperio Crizal Forte UV R 3 306,80

88388 Varilux Stylistic Orma Xperio Crizal Prevencia R 3 409,80

88389 Varilux Stylistic Orma Transitions Supra (1.502) R 2 751,30

88390 Varilux Stylistic Orma Transitions Crizal Easy UV R 3 272,60

88391 Varilux Stylistic Orma Transitions Crizal Forte UV R 3 531,50

88392 Varilux Stylistic Orma Transitions Crizal Prevencia R 3 634,40

T 88393 Varilux Stylistic Airwear Supra (1.59) R 2 522,90

T 88394 Varilux Stylistic Airwear Transitions Supra (1.59) R 4 954,10

T 88395 Varilux Stylistic Airwear Crizal Easy UV R 3 000,80

T 88396 Varilux Stylistic Airwear Crizal Forte UV R 3 232,70

T 88397 Varilux Stylistic Airwear Crizal Prevencia R 3 232,70

T 88398 Varilux Stylistic Airwear Transitions Crizal Easy UV (1.59) R 4 722,10

T 88399 Varilux Stylistic Airwear Transitions Crzal Forte UV (1.59) R 4 954,10

T 88400 Varilux Stylistic Airwear Xperio Supra R 4 246,50

T 88401 Varilux Stylistic Airwear Xperio Crizal Easy UV R 4 724,40

T 88402 Varilux Stylistic Airwear Xperio Crizal Forte UV R 4 956,40

T 88403 Varilux Stylistic Airwear Xperio Crizal Prevencia R 4 956,40

T 88404 Varilux Stylistic Ormix Supra Clear R 3 543,40

T 88405 Varilux Stylistic Ormix Crizal Easy UV Clear R 4 022,00

T 88406 Varilux Stylistic Ormix Crizal Forte UV Clear R 4 260,00

T 88407 Varilux Stylistic Ormix Transitions Supra R 5 304,10

T 88408 Varilux Stylistic Ormix Transitions Crizal Easy UV R 5 782,70

T 88409 Varilux Stylistic Ormix Transitions Crizal Forte UV R 6 020,70

T 88410 Varilux Stylistic Ormix Transitions Crizal Prevencia R 6 115,90

T 88411 Varilux Stylistic Stylis Crizal Easy UV (1.67) R 4 144,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88412 Varilux Stylistic Stylis Crizal Forte UV (1.67) R 4 376,50

T 88413 Varilux Stylistic Stylis 1.67 Transitions Crizal R 5 742,90

T 88414 Varilux Stylistic Stylis 1.67 Transitions Crizal Forte UV R 5 974,90

T 88415 Varilux Stylistic Stylis 1.67 Transitions Crizal Prevencia R 5 974,90

T 88416 Real View (1.5) Crizal Easy UV R 1 249,70

T 88417 Real View (1.5) Crizal Forte UV R 1 471,30

T 88418 Real View Orma Acclimates Supra R 1 194,30

T 88419 Real View Orma Acclimates Crizal Easy UV R 1 640,40

T 88420 Real View Orma Acclimates Crizal Forte UV R 1 864,90

T 88421 Real View Orma Transitions Supra R 1 660,80

T 88422 Real View Orma Transitions Crizal Easy UV R 2 106,90

T 88423 Real View Orma Transitions Crizal Forte UV R 2 328,50

T 88424 Real View Airwear Crizal Easy UV R 1 687,00

T 88425 Real View Airwear Crizal Forte UV R 1 911,60

T 88426 Real View Airwear Transitions Supra R 2 614,30

T 88427 Real View Airwear Transitions Crizal Easy UV R 3 063,30

T 88428 Real View Airwear Transitions Crizal Forte UV R 3 285,00

T 88429 Real View Ormix Crizal Easy UV R 1 736,60

T 88430 Real View Ormix Crizal Forte UV R 1 961,10

T 88431 Real View Ormix i-Relief R 1 614,10

T 88432 Real View Ormix Transitions Crizal Easy UV R 2 970,00

T 88433 Real View Ormix Transitions Crizal Forte UV R 3 191,70

T 88434 Real View Stylis Crizal Easy UV R 2 468,50

T 88435 Real View Stylis Crizal Forte UV R 2 690,10

T 88436 Real View Stylis Transitions Crizal Easy UV R 3 666,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88437 Real View Stylis Transitions Crizal Forte UV R 3 888,60

T 88438 Digi-Pro (1.5) Supra R 1 068,90

T 88439 Digi-Pro (1.5) Crizal Easy UV R 1 593,70

T 88440 Digi-Pro (1.5) Crizal Forte UV R 1 856,20

T 88441 Digi-Pro Orma Acclimates Supra R 1 529,60

T 88442 Digi-Pro Orma Acclimates Crizal Easy UV R 2 054,40

T 88443 Digi-Pro Orma Acclimates Crizal Forte UV R 2 316,90

T 88444 Digi-Pro Orma Transitions Supra R 2 077,80

T 88445 Digi-Pro Orma Transitions Crizal Easy UV R 2 602,60

T 88446 Digi-Pro Orma Transitions Crizal Forte UV R 2 865,10

T 88447 Digi-Pro Airwear Supra R 1 585,00

T 88448 Digi-Pro Airwear Crizal Easy UV R 2 109,90

T 88449 Digi-Pro Airwear Crizal Forte UV R 2 372,30

T 88450 Digi-Pro Airwear Transitions Supra R 3 200,40

T 88451 Digi-Pro Airwear Transitions Crizal Easy UV R 3 728,20

T 88452 Digi-Pro Airwear Transitions Crizal Forte UV R 3 990,60

T 88453 Digi-Pro Ormix Supra R 1 643,30

T 88454 Digi-Pro Ormix Crizal Easy UV R 2 168,20

T 88455 Digi-Pro Ormix Crizal Forte UV R 2 430,60

T 88456 Digi-Pro Ormix Transitions Crizal Easy UV R 3 617,40

T 88457 Digi-Pro Ormix Transitions Crizal Forte UV R 3 879,80

T 88458 Digi-Pro Stylis Crizal Easy UV R 3 028,40

T 88459 Digi-Pro Stylis Crizal Forte UV R 3 290,80

T 88460 Digi-Pro Stylis Transitions Crizal Easy UV R 4 436,70

T 88461 Digi-Pro Stylis Transitions Crizal Forte UV R 4 699,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 88462 1.5 Nanko HD GOLD NANKO Hard N/A

X 88463 1.5 Nanko HD GOLD NANKO ARC N/A

X 88464 1.5 Nanko HD GOLD NANKO Super Hydrophobic ARC N/A

X 88465 1.5 Nanko HD GOLD Transition VII NANKO Hard N/A

X 88466 1.5 Nanko HD GOLD Transition VII NANKO ARC N/A

X 88467 1.5 Nanko HD GOLD Transition VII NANKO Super Hydrophobic ARC N/A

X 88471 1.5 Nanko HD GOLD Polarized Grey/Brown/Green NANKO Hard N/A

X 88478 1.6 Nanko HD GOLD NANKO Hard N/A

X 88479 1.6 Nanko HD GOLD NANKO ARC N/A

X 88480 1.6 Nanko HD GOLD NANKO Super Hydrophobic ARC N/A

X 88481 1.6 Nanko HD GOLD Transition VII NANKO Hard N/A

X 88482 1.6 Nanko HD GOLD Transition VII NANKO ARC N/A

X 88483 1.6 Nanko HD GOLD Transition VII NANKO Super Hydrophobic ARC N/A

X 88484 1.6 Nanko HD GOLD Polarized Grey/Brown NANKO Hard N/A

X 88487 1.67 Nanko HD GOLD NANKO Super Hydrophobic ARC N/A

X 88490 1.67 Nanko HD GOLD Transition VII NANKO Super Hydrophobic ARC N/A

X 88491 1.67 Nanko HD GOLD Polarized Grey/Brown NANKO Hard N/A

X 88494 1.74 Nanko HD GOLD NANKO Super Hydrophobic ARC N/A

T 88500 1.5 Nanko HD Platinum White CRIZAL EASY UV R 2 347,40

T 88503 1.5 Nanko HD Platinum Transition VII CRIZAL EASY UV R 3 875,80

T 88507 1.5 Nanko HD Platinum Polarized Grey/Brown ARC R 3 141,20

T 88513 1.6 Nanko HD Platinum White ARC R 3 141,20

T 88516 1.6 Nanko HD Platinum Transition VII ARC R 5 499,00

X 88517 1.6 Nanko HD Platinum Polarized Grey Hard Coat N/A

T 88520 1.67 Nanko HD Platinum White CRIZAL EASY UV R 4 326,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88523 1.67 Nanko HD Platinum Transition VII CRIZAL EASY UV R 6 295,20

X 88524 1.67 Nanko HD Platinum Polarized Grey Hard N/A

T 88527 1.74 Nanko HD Platinum ARC R 6 174,30

T 88577 Amplitude 1.50 Sensity Hard (Mini & Long) R 1 446,20

T 88578 Amplitude 1.50 Sensity HVP (Mini & Long) R 1 933,40

T 88579 Amplitude 1.50 Sensity SHV (Mini & Long) R 2 066,30

T 88580 Amplitude 1.50 Sensity HVLL (Mini & Long) R 2 268,70

T 88581 Amplitude 1.60 Sensity Hard (Mini & Long) R 2 658,90

T 88582 Amplitude 1.60 Sensity HVP (Mini & Long) R 3 144,00

T 88583 Amplitude 1.60 Sensity SHV (Mini & Long) R 3 278,90

T 88584 Amplitude 1.60 Sensity HVLL (Mini & Long) R 3 481,40

T 88593 Amplitude Digi 1.50 Hard (Mini & Long) R 324,20

T 88594 Amplitude Digi 1.50 HVP (Mini & Long) R 811,40

T 88595 Amplitude Digi 1.50 SHV (Mini & Long) R 944,30

T 88599 Amplitude Digi 1.50 Transitions S7 Hard (Mini & Long) R 1 446,20

T 88600 Amplitude Digi 1.50 Transitions S7 HVP (Mini & Long) R 1 933,40

T 88601 Amplitude Digi 1.50 Transitions S7 SHV (Mini & Long) R 2 066,30

T 88602 Amplitude Digi 1.60 Hard (Mini & Long) R 946,40

T 88603 Amplitude Digi 1.60 HVP (Mini & Long) R 1 433,60

T 88604 Amplitude Digi 1.60 SHV (Mini & Long) R 1 566,40

T 88608 Amplitude Digi 1.60 Transitions S7 Hard (Mini & Long) R 2 658,90

T 88609 Amplitude Digi 1.60 Transitions S7 HVP (Mini & Long) R 3 144,00

T 88610 Amplitude Digi 1.60 Transitions S7 SHV (Mini & Long) R 3 278,90

T 88642 Amplitude TF 1.50 Sensity Hard (Mini & Long) R 1 768,90

T 88643 Amplitude TF 1.50 Sensity HVP (Mini & Long) R 2 254,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88644 Amplitude TF 1.50 Sensity SHV (Mini & Long) R 2 391,00

T 88645 Amplitude TF 1.50 Sensity HVLL (Mini & Long) R 2 593,50

T 88646 Amplitude TF 1.50 Sensity HVLL Blue Control (Mini & Long) R 2 739,00

T 88647 Amplitude TF PNX 1.53 Sensity Hard (Mini & Long) R 2 443,80

T 88648 Amplitude TF PNX 1.53 Sensity HVP (Mini & Long) R 2 928,80

T 88649 Amplitude TF PNX 1.53 Sensity SHV (Mini & Long) R 3 065,90

T 88650 Amplitude TF PNX 1.53 Sensity HVLL (Mini & Long) R 3 266,30

T 88651 Amplitude TF PNX 1.53 Sensity HVLL Blue Control (Mini & Long) R 3 413,90

T 88652 Amplitude TF 1.60 Sensity Hard (Mini & Long) R 3 184,00

T 88653 Amplitude TF 1.60 Sensity HVP (Mini & Long) R 3 669,10

T 88654 Amplitude TF 1.60 Sensity SHV (Mini & Long) R 3 804,10

T 88655 Amplitude TF 1.60 Sensity HVLL (Mini & Long) R 4 006,50

T 88656 Amplitude TF 1.60 Sensity HVLL Blue Control (Mini & Long) R 4 156,30

T 88657 Amplitude TF 1.67 Sensity HVP (Mini & Long) R 3 399,10

T 88658 Amplitude TF 1.67 Sensity SHV (Mini & Long) R 3 534,10

T 88659 Amplitude TF 1.67 Sensity HVLL (Mini & Long) R 3 736,60

T 88660 Amplitude TF 1.67 Sensity HVLL Blue Control (Mini & Long) R 3 886,30

T 88679 Active 1.50 Low Add Sensity Hard R 1 534,80

T 88680 Active 1.50 Low Add Sensity SHV R 2 150,60

T 88681 Active 1.50 Low Add Sensity HVLL R 2 353,10

T 88682 Active 1.50 Low Add Sensity HVLL Blue Control R 2 500,70

T 88683 Active Eyas 1.60 Low Add Sensity Hard R 2 051,50

T 88684 Active Eyas 1.60 Low Add Sensity SHV R 2 667,30

T 88685 Active Eyas 1.60 Low Add Sensity HVLL R 2 871,90

T 88686 Active Eyas 1.60 Low Add Sensity HVLL Blue Control R 3 019,50

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88687 Active Eynoa 1.67 Low Add Sensity SHV R 3 276,80

T 88688 Active Eynoa 1.67 Low Add Sensity HVLL R 3 479,30

T 88689 Active Eynoa 1.67 Low Add Sensity HVLL Blue Control R 3 626,90

T 88691 Summit 1.50 Sensity Hard (CD & Pro) R 2 064,10

T 88692 Summit 1.50 Sensity HVP (CD & Pro) R 2 530,20

T 88693 Summit 1.50 Sensity SHV (CD & Pro) R 2 658,90

T 88694 Summit 1.50 Sensity HVLL (CD & Pro) R 2 852,90

T 88695 Summit PNX 1.53 Sensity Hard (CD & Pro) R 2 886,70

T 88696 Summit PNX 1.53 Sensity HVP (CD & Pro) R 3 352,70

T 88697 Summit PNX 1.53 Sensity SHV (CD & Pro) R 3 481,40

T 88698 Summit PNX 1.53 Sensity HVLL (CD & Pro) R 3 675,40

T 88699 Summit Eyas 1.60 Sensity Hard (CD & Pro) R 3 080,70

T 88700 Summit Eyas 1.60 Sensity HVP (CD & Pro) R 3 544,70

T 88701 Summit Eyas 1.60 Sensity SHV (CD & Pro) R 3 675,40

T 88702 Summit Eyas 1.60 Sensity HVLL (CD & Pro) R 3 869,40

T 88703 Summit Eynoa 1.67 Sensity HVP (CD & Pro) R 3 924,30

T 88704 Summit Eynoa 1.67 Sensity SHV (CD & Pro) R 4 055,00

T 88705 Summit Eynoa 1.67 Sensity HVLL (CD & Pro) R 4 249,10

T 88721 Summit TF 1.50 Sensity Hard (CD & Pro) R 2 064,10

X 88722 Summit TF 1.50 Sensity Hard (CD & Pro) N/A

T 88723 Summit TF 1.50 Sensity SHV (CD & Pro) R 2 658,90

T 88724 Summit TF 1.50 Sensity HVLL (CD & Pro) R 2 852,90

T 88725 Summit TF 1.50 Sensity HVLL Blue Control (CD & Pro) R 3 000,50

T 88726 Summit TF PNX 1.53 Sensity Hard (CD & Pro) R 2 886,70

T 88727 Summit TF PNX 1.53 Sensity HVP (CD & Pro) R 3 352,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88728 Summit TF PNX 1.53 Sensity SHV (CD & Pro) R 3 481,40

T 88729 Summit TF PNX 1.53 Sensity HVLL (CD & Pro) R 3 675,40

T 88730 Summit TF PNX 1.53 Sensity HVLL Blue Control (CD & Pro) R 3 823,10

T 88731 Summit TF Eyas 1.60 Sensity Hard (CD & Pro) R 3 080,70

T 88732 Summit TF Eyas 1.60 Sensity HVP (CD & Pro) R 3 544,70

T 88733 Summit TF Eyas 1.60 Sensity SHV (CD & Pro) R 3 675,40

T 88734 Summit TF Eyas 1.60 Sensity HVLL (CD & Pro) R 3 869,40

T 88735 Summit TF Eyas 1.60 Sensity HVLL Blue Control (CD & Pro) R 4 017,10

X 88736 Summit TF Eynoa 1.67 Sensity HVP (CD & Pro) N/A

X 88737 Summit TF Eynoa 1.67 Sensity SHV (CD & Pro) N/A

X 88738 Summit TF Eynoa 1.67 Sensity HVLL (CD & Pro) N/A

X 88739 Summit TF Eynoa 1.67 Sensity HVLL Blue Control (CD & Pro) N/A

T 88759 iD LifeStyle V+ 1.50 Sensity Hard (Clarity & Harmony) R 3 304,20

T 88761 iD LifeStyle V+ 1.50 Sensity SHV (Clarity & Harmony) R 3 926,40

T 88763 iD LifeStyle V+ 1.50 Sensity HVLL (Clarity & Harmony) R 4 128,90

T 88765 iD LifeStyle V+ 1.50 Sensity HVLL Blue Control (Clarity & Harmony) R 4 274,40

T 88767 iD LifeStyle V+ PNX 1.53 Sensity Hard (Clarity & Harmony) R 3 709,20

T 88769 iD LifeStyle V+ PNX 1.53 Sensity SHV (Clarity & Harmony) R 4 327,10

T 88771 iD LifeStyle V+ PNX 1.53 Sensity HVLL (Clarity & Harmony) R 4 531,70

T 88773 iD LifeStyle V+ PNX 1.53 Sensity HVLL Blue Control (Clarity & Harmony) R 4 679,30

T 88775 iD LifeStyle V+ Eyas 1.60 Sensity Hard (Clarity & Harmony) R 3 844,10

T 88777 iD LifeStyle V+ Eyas 1.60 Sensity SHV (Clarity & Harmony) R 4 464,20

T 88779 iD LifeStyle V+ Eyas 1.60 Sensity HVLL (Clarity & Harmony) R 4 666,70

T 88781 iD LifeStyle V+ Eyas 1.60 Sensity HVLL Blue Control (Clarity & Harmony) R 4 814,30

T 88783 iD LifeStyle V+ Eynoa 1.67 Sensity SHV (Clarity & Harmony) R 5 356,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88785 iD LifeStyle V+ Eynoa 1.67 Sensity HVLL (Clarity & Harmony) R 5 554,50

T 88787 iD LifeStyle V+ Eynoa 1.67 Sensity HVLL Blue Control (Clarity & Harmony) R 5 702,20

T 88789 iD MyStyle V+ 1.50 Sensity SHV R 4 510,60

T 88790 iD MyStyle V+ 1.50 Sensity HVLL R 4 713,00

T 88791 iD MyStyle V+ 1.50 Sensity HVLL Blue Control R 4 860,70

T 88792 iD MyStyle V+ PNX 1.53 Sensity SHV R 5 191,80

T 88793 iD MyStyle V+ PNX 1.53 Sensity HVLL R 5 394,30

T 88794 iD MyStyle V+ PNX 1.53 Sensity HVLL Blue Control R 5 541,90

T 88795 iD MyStyle V+ Eyas 1.60 Sensity SHV R 5 594,60

T 88796 iD MyStyle V+ Eyas 1.60 Sensity HVLL R 5 799,20

T 88797 iD MyStyle V+ Eyas 1.60 Sensity HVLL Blue Control R 5 946,80

T 88798 iD MyStyle V+ Eynoa 1.67 Sensity SHV R 6 145,10

T 88799 iD MyStyle V+ Eynoa 1.67 Sensity HVLL R 6 349,60

T 88800 iD MyStyle V+ Eynoa 1.67 Sensity HVLL Blue Control R 6 497,30

88801 ADAGE® (1.53) 13mm Trilogy® R 564,40

T 88802 ADAGE® (1.59) 13mm R 379,10

88803 ADAGE® (1.59) 13mm Transitions® Signature™ VII Grey and Brown R 2 852,00

88804 ADAGE® (1.59) 13mm NuPolar® Polarised Grey 3 (82%) and Brown (85%) R 1 528,40

88805 IMAGE® (1.5) R 264,60

88806 IMAGE® (1.5) Transitions® Signature™ VII Grey and Brown R 2 250,00

88807 IMAGE® (1.5) Transitions XTRActive Grey R 2 250,00

88808 IMAGE® (1.5) NuPolar® Polarised Grey 3 (83%) and Brown (78%) R 1 046,90

88809 IMAGE® (1.5) Transitions® DriveWear® R 3 573,60

88810 IMAGE® (1.53) Trilogy® R 564,40

88811 IMAGE® (1.53) Trilogy® Transitions® Signature™ VII Grey R 3 212,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

88812 IMAGE® (1.53) Trilogy® Transitions XTRActive Grey R 3 212,80

88813 IMAGE® (1.59) R 564,40

88814 IMAGE® (1.59) Transitions® Signature™ VII Grey and Brown R 2 852,00

88815 IMAGE® (1.59) Transitions XTRActive Grey R 2 852,00

88817 IMAGE® (1.59) NuPolar® Polarised Grey 3 (82%) and Brown (81%) R 1 647,90

88818 IMAGE® (1.59) NuPolar® Decenterd Design Grey 3 (82%) R 1 528,40

88819 IMAGE® (1.59) Transitions® DriveWear® R 3 935,40

88820 IMAGE® (1.67) R 2 250,00

88821 IMAGE® (1.67) Transitions® Signature™ VII Grey R 3 814,80

X 88822 MOVE Digital 1,50 Graphite Green Supra HC N/A

88823 Flexivue 1.53 Xtra-Dasph Trivex Transitions HC R 4 808,70

T 88824 Flexivue 1.53 Xtra-Dasph Trivex Polarised HC R 2 360,00

X 88825 MOVE Digital 1.50 Graphite Green Crizal N/A

X 88826 MOVE Digital 1.50 Graphite Green Crizal Forte UV N/A

X 88827 Presio GO Digital 1.50 Graphite Green Supra HC N/A

X 88828 Presio GO 1.50 Graphite Green Crizal N/A

X 88829 Presio GO 1.50 Graphite Green Crizal Forte UV N/A

T 88830 Amplitude TF 1.50 HVLL UV Control (Mini & Long) R 1 581,20

T 88831 Amplitude TF 1.50 Sensity HVLL UV Control (Mini & Long) R 2 739,00

T 88832 Amplitude TF PNX 1.53 HVLL UV Control (Mini & Long) R 2 321,40

T 88833 Amplitude TF PNX 1.53 Sensity HVLL UV Control (Mini & Long) R 3 413,90

T 88834 Amplitude TF 1.60 HVLL UV Control (Mini & Long) R 2 661,00

T 88835 Amplitude TF 1.60 Sensity HVLL UV Control (Mini & Long) R 4 156,30

T 88836 Amplitude TF 1.67 HVLL UV Control (Mini & Long) R 2 916,20

T 88837 Amplitude TF 1.67 Sensity HVLL UV Control (Mini & Long) R 3 886,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88847 Active 1.50 Low Add HVLL UV Control R 1 262,70

T 88848 Active 1.50 Low Add Sensity HVLL UV Control R 2 500,70

T 88850 Active Eyas 1.60 Low Add HVLL UV Control R 2 013,50

T 88851 Active Eyas 1.60 Low Add Sensity HVLL UV Control R 3 019,50

T 88852 Active Eynoa 1.67 Low Add HVLL UV Control R 2 209,70

T 88853 Active Eynoa 1.67 Low Add Sensity HVLL UV Control R 3 626,90

T 88854 Summit TF 1.50 HVLL UV Control (CD & Pro) R 2 019,90

T 88855 Summit TF 1.50 Sensity HVLL UV Control (CD & Pro) R 3 000,50

T 88856 Summit TF PNX 1.53 HVLL UV Control (CD & Pro) R 2 456,40

T 88857 Summit TF PNX 1.53 Sensity HVLL UV Control (CD & Pro) R 3 823,10

T 88858 Summit TF Eyas 1.60 HVLL UV Control (CD & Pro) R 2 589,30

T 88859 Summit TF Eyas 1.60 Sensity HVLL UV Control (CD & Pro) R 4 017,10

X 88860 Summit TF Eynoa 1.67 HVLL UV Control (CD & Pro) N/A

X 88861 Summit TF Eynoa 1.67 Sensity HVLL UV Control (CD & Pro) N/A

T 88870 iD LifeStyle V+ 1.50 HVLL UV Control (Clarity & Harmony) R 2 684,20

T 88872 iD LifeStyle V+ 1.50 Sensity HVLL UV Control (Clarity & Harmony) R 4 274,40

T 88874 iD LifeStyle V+ PNX 1.53 HVLL UV Control (Clarity & Harmony) R 3 089,10

T 88876 iD LifeStyle V+ PNX 1.53 Sensity HVLL UV Control (Clarity & Harmony) R 4 679,30

T 88878 iD LifeStyle V+ Eyas 1.60 HVLL UV Control (Clarity & Harmony) R 3 226,20

T 88880 iD LifeStyle V+ Eyas 1.60 Sensity HVLL UV Control (Clarity & Harmony) R 4 814,30

T 88882 iD LifeStyle V+ Eynoa 1.67 HVLL UV Control (Clarity & Harmony) R 4 112,00

T 88884 iD LifeStyle V+ Eynoa 1.67 Sensity HVLL UV Control (Clarity & Harmony) R 5 702,20

T 88886 iD LifeStyle V+ Eyvia 1.74 HVLL UV Control (Clarity & Harmony) R 5 784,40

T 88888 iD MyStyle V+ 1.50 Sensity HVLL UV Control R 4 860,70

T 88889 iD MyStyle V+ PNX 1.53 HVLL UV Control R 4 424,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88890 iD MyStyle V+ PNX 1.53 Sensity HVLL UV Control R 5 541,90

T 88891 iD MyStyle V+ Eyas 1.60 HVLL UV Control R 4 826,90

T 88892 iD MyStyle V+ Eyas 1.60 Sensity HVLL UV Control R 5 946,80

T 88893 iD MyStyle V+ Eynoa 1.67 HVLL UV Control R 5 484,90

T 88894 iD MyStyle V+ Eynoa 1.67 Sensity HVLL UV Control R 6 497,30

T 88895 iD MyStyle V+ Eyvia 1.74 HVLL UV Control R 7 644,60

88896 Falcon Easy View Digital 1.5 Clear R 63,10

88897 Falcon Easy View Digital 1.5 Acclimates R 694,00

88898 Falcon Easy View Digital 1.5 Clear AR-Coated R 820,10

88899 Falcon Easy View Digital 1.5 Acclimates AR-Coated R 1 299,30

88900 Falcon Easy View Digital 1.59 Polycarb Clear R 694,00

T 88901 Falcon Easy View Digital 1.59 Polycarb Clear AR-Coated R 1 359,70

88902 Falcon Easy View Digital 1.6 Clear R 769,20

88903 Falcon Easy View Digital 1.6 Clear AR-Coated R 1 299,30

88904 Falcon Easy View Digital 1.67 Clear R 1 273,90

88905 Falcon Easy View Digital 1.67 Clear AR-Coated R 2 081,80

88906 Falcon DS 1.5 Clear R 694,00

88907 Falcon DS 1.5 Acclimates R 1 097,80

T 88908 Falcon DS 1.5 Transitions R 1 515,80

T 88909 Falcon DS 1.5 Clear AR-Coated R 1 315,50

T 88910 Falcon DS 1.5 Acclimates AR-Coated R 1 357,60

T 88911 Falcon DS 1.5 Transitions S7 AR-Coated R 2 003,50

T 88912 Falcon DS 1.59 Polycarb Clear R 1 101,90

T 88913 Falcon DS 1.59 Polycarb Transitions S7 R 1 974,50

T 88914 Falcon DS 1.59 Polycarb Clear AR-Coated R 1 708,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88915 Falcon DS 1.59 Polycarb Transitions S7 AR-Coated R 2 304,00

T 88916 Falcon DS 1.6 Clear R 1 223,20

T 88917 Falcon DS 1.6 Transitions S7 R 2 148,50

T 88918 Falcon DS 1.6 Clear AR-Coated R 1 763,60

T 88919 Falcon DS 1.6 Transitions S7 AR-Coated R 2 594,00

88920 Falcon DS 1.67 Clear R 1 602,50

88921 Falcon DS 1.67 Transitions S7 R 2 964,90

88922 Falcon DS 1.67 Clear AR-Coated R 2 460,20

T 88923 Falcon DS 1.67 Transitions S7 AR-Coated R 3 558,90

T 88924 Falcon Ultra HD Digital 1.5 Clear R 1 368,20

T 88925 Falcon Ultra HD Digital 1.5 Acclimates R 1 974,50

T 88926 Falcon Ultra HD Digital 1.5 Transitions R 2 736,40

T 88927 Falcon Ultra HD Digital 1.5 Clear AR-Coated R 1 763,60

T 88928 Falcon Ultra HD Digital 1.5 Acclimates AR-Coated R 2 499,10

T 88929 Falcon Ultra HD Digital 1.5 Transitions S7 AR-Coated R 3 213,60

T 88930 Falcon Ultra HD Digital 1.59 Polycarb Clear R 1 908,60

T 88931 Falcon Ultra HD Digital 1.59 Polycarb Transitions S7 R 2 277,70

T 88932 Falcon Ultra HD Digital 1.59 Polycarb Clear AR-Coated R 2 251,30

T 88933 Falcon Ultra HD Digital 1.59 Polycarb Transitions S7 AR-Coated R 2 939,40

T 88934 Falcon Ultra HD Digital 1.6 Clear R 1 869,10

T 88935 Falcon Ultra HD Digital 1.6 Transitions S7 R 2 939,40

T 88936 Falcon Ultra HD Digital 1.6 Clear AR-Coated R 2 499,10

T 88937 Falcon Ultra HD Digital 1.6 Transitions S7 AR-Coated R 3 577,40

T 88938 Falcon Ultra HD Digital 1.67 Clear R 3 580,00

88939 Falcon Ultra HD Digital 1.67 Transitions S7 R 4 074,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 88940 Falcon Ultra HD Digital 1.67 Clear AR-Coated R 3 841,00

T 88941 Falcon Ultra HD Digital 1.67 Transitions S7 AR-Coated R 4 637,10

88942 Apex Lifestyle FF

88943 Apex Lifestyle FF Reactions 1.56 R 185,90

T 88944 Apex Lifestyle FF Transitions® T7 R 839,50

X 88945 Apex Lifestyle FF Transitions XTRActive N/A

88946 Apex Lifestyle FF Polarized R 1 568,20

88947 Apex Lifestyle FF 1.6 R 336,40

88948 Apex Lifestyle FF 1.6 Transitions® T7 R 1 663,40

88949 Apex Individual FF

88950 Apex Individual FF Reactions 1.56 R 185,90

88951 Apex Individual FF Transitions® T7 R 997,20

88952 Apex Individual Transitions XTRActive R 997,20

T 88953 Apex Individual FF Polarized R 1 639,90

88954 Apex Individual FF 1.67 Polarized R 2 523,30

T 88955 Apex Individual FF Drivewear R 2 944,80

88956 Apex Individual FF 1.6 R 524,60

88957 Apex Individual FF 1.6 Transitions® T7 R 1 829,40

88958 Apex Individual FF 1.67 R 997,20

88959 Apex Individual FF 1.67 Transitions® T7 R 2 523,30

X 88960 Apex Individual Trivex Trilogy® Clear N/A

X 88961 Apex Individual Trivex Trilogy® Transitions® T7 N/A

88962 Apex Individual Polycarbonate 1.59 R 585,50

X 88963 Apex Individual Polycarbonate 1.59 Transitions® T7 N/A

88964 Apex iStyle FF 1.5

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

88965 Apex iStyle FF 1.56 Reactions R 185,90

88966 Apex iStyle 1.5 Transitions® T7 R 997,20

88967 Apex iStyle FF 1.5 Transitions XTRActive R 997,20

T 88968 Apex iStyle FF 1.5 Polarized R 1 639,90

T 88969 Apex iStyle FF 1.5 Drivewear R 3 014,40

T 88970 Apex iStyle FF 1.5 Transitions Vantage™ R 3 014,40

88971 Apex iStyle FF 1.6 R 524,60

88972 Apex iStyle FF 1.6 Transitions® T7 R 1 829,40

88973 Apex iStyle FF 1.67 R 997,20

88974 Apex iStyle FF 1.67 Polarized R 2 523,30

88975 Apex iStyle FF 1.67 Transitions® T7 R 2 523,30

X 88976 Apex iStyle FF 1.67 Transitions XTRActive 1.67 MR-10™ N/A

X 88977 Apex iStyle FF Trivex Trilogy® Clear N/A

X 88978 Apex iStyle FF Trivex Trilogy® Transitions® T7 Grey N/A

88979 Apex iStyle FF Polycarbonate 1.59 R 585,50

X 88980 Apex iStyle FF Polycarbonate Transitions® T7 1.59 N/A

T 88981 eLab DS L/S 1.50 UC R 534,30

88985 eLab DS L/S 1.50 Photochromic UC R 2 084,00

88990 eLab DS L/S 1.50 Transitions S7 UC R 2 300,90

T 88996 eLab DS L/S 1.53 UC R 1 170,60

T 88999 eLab DS L/S 1.53 Transitions UC R 2 635,00

T 89002 eLab DS L/S 1.60 UC R 985,90

T 89009 eLab DS L/S 1.60 Photochromic UC R 1 617,20

T 89012 eLab DS L/S 1.67 UC R 2 803,60

T 89014 eLab DS L/S 1.67 Photochromic UC R 4 145,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89021 eLab HD L/S 1.50 UC R 1 130,40

T 89026 eLab HD L/S 1.50 Photochromic UC R 2 595,50

T 89031 eLab HD L/S 1.50 Transitions S7 UC R 2 918,00

T 89037 eLab HD L/S 1.53 UC R 2 380,20

T 89041 eLab HD L/S 1.53 Transitions UC R 3 716,10

T 89045 eLab HD L/S 1.60 UC R 1 694,60

T 89049 eLab HD L/S 1.60 Photochromic UC R 2 880,10

T 89052 eLab HD L/S 1.60 Transitions S7 UC R 3 163,10

T 89056 eLab HD L/S 1.67 UC R 3 534,30

T 89058 eLab HD L/S 1.67 Photochromic UC R 4 193,70

X 89062 eLab HD L/S 1.67 Transitions S7 UC N/A

T 89064 eLab Altitude L/S 1.50 Transitions S7 UC R 1 505,30

T 89066 eLab Altitude L/S 1.50 Acclimates UC R 1 277,50

T 89067 eLab Altitude L/S FF 1.50 UC R 625,20

T 89069 eLab Altitude L/S FF 1.50 Transitions S7 UC R 1 686,50

T 89071 eLab Altitude L/S FF 1.53 UC R 1 527,60

T 89074 eLab S L/S 1.50 UC R 973,80

T 89076 eLab S L/S 1.50 Transitions S7 UC R 2 277,20

T 89081 eLab S L/S 1.50 SunT UC R 1 333,10

T 89086 eLab S L/S 1.53 UC R 2 132,60

T 89092 eLab S L/S 1.53 Transitions S7 UC R 3 633,20

T 89094 eLab S L/S 1.53 SunT UC R 2 882,90

T 89096 eLab S L/S FF 1.50 UC R 1 378,00

T 89099 eLab S L/S FF 1.50 Transitions S7 UC R 2 789,60

T 89100 eLab S L/S FF 1.50 SunT UC R 2 497,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89101 eLab S L/S FF 1.53 UC R 2 376,80

T 89103 eLab S L/S FF 1.53 Transitions S7 UC R 3 796,50

T 89104 eLab Image 1.50 UC R 454,80

T 89105 eLab Image 1.50 Transitions/XTRActive UC R 2 360,20

T 89106 eLab Image 1.50 Drivewear UC R 4 137,20

T 89107 eLab Image 1.50 NuPolar® UC R 1 828,00

T 89108 eLab Image 1.53 UC R 1 329,80

T 89109 eLab Image 1.53 Transitions UC R 3 731,60

T 89110 iPAL DS 1.50 R 0,00

T 89111 Start-up 1.50 R 0,00

X 89112 Harmony HD Progressive 1.5 N/A

X 89113 Harmony HD Progressive 1.5 Acclimates N/A

X 89114 Harmony HD Progressive Trivex N/A

X 89115 Harmony HD Progressive Trivex Transitions S7 N/A

X 89116 Harmony HD Progressive 1.6 N/A

X 89117 Harmony HD Progressive 1.6 Transitions S7 N/A

X 89118 Harmony DWA HD 1.5 N/A

X 89119 Harmony DWA HD Transitions 1.5 N/A

T 89120 RO Pola – GR/BR Polarized R 817,70

T 89129 SEIKO SUPERIOR Xcel 1.5 Uncoated R 1 979,80

T 89130 SEIKO SUPERIOR Xcel 1.5 Polarising Uncoated R 2 893,00

T 89131 SEIKO SUPERIOR Xcel 1.5 Drivewear Uncoated R 4 143,60

T 89132 SEIKO SUPERIOR Xcel 1.5 Transitions 7 Uncoated R 2 893,00

T 89133 SEIKO SUPERIOR Xcel Tribrid Uncoated R 3 120,80

T 89134 SEIKO SUPERIOR Xcel Tribrid Transitions 7 Uncoated R 4 253,30

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89135 SEIKO SUPERIOR Xcel 1.6 Uncoated R 2 893,00

T 89136 SEIKO SUPERIOR Xcel 1.6 Polarising Uncoated R 3 458,20

T 89137 SEIKO SUPERIOR Xcel 1.6 Transitions 7 Uncoated R 3 669,10

T 89138 SEIKO SUPERIOR Xcel 1.67 Uncoated R 3 757,70

T 89139 SEIKO SUPERIOR Xcel 1.67 Polarising Uncoated R 4 036,10

T 89140 SEIKO SUPERIOR Xcel 1.67 Transitions 7 Uncoated R 4 569,60

T 89141 SEIKO SUPERIOR Xcel 1.74 Uncoated R 4 263,80

T 89180 Spec Entre’ FreeForm MF 1.50 Hard R 229,30

T 89181 Spec Entre’ FreeForm MF 1.50 HMC R 672,20

T 89182 Spec Entre’ FreeForm MF 1.50 SHMC R 798,70

T 89183 OS Insight 1.5 CR39 R 261,00

T 89184 Spec Entre’ FreeForm MF 1.50 Photo Hard R 904,20

T 89185 Spec Entre’ FreeForm MF 1.50 Photo HMC R 1 347,10

T 89186 Spec Entre’ FreeForm MF 1.50 Photo SHMC R 1 473,60

T 89187 OS Insight 1.5 CR39 Anti Refl ective Coating R 771,30

T 89188 Spec Entre’ FreeForm MF 1.50 Transitions Hard R 1 347,10

T 89189 Spec Entre’ FreeForm MF 1.50 Transitions HMC R 1 790,00

T 89190 Spec Entre’ FreeForm MF 1.50 Transitions SHMC R 1 916,50

T 89191 OS Insight Transitions 1.5 R 1 560,10

T 89192 Spec Entre’ FreeForm MF 1.60 Hard R 815,60

T 89193 Spec Entre’ FreeForm MF 1.60 HMC R 1 258,50

T 89194 Spec Entre’ FreeForm MF 1.60 SHMC R 1 385,00

T 89195 OS Insight Transitions 1.5 Anti-Refl ective Coating R 2 140,10

T 89196 Spec Entre’ FreeForm MF 1.60 Photo Hard R 2 190,70

T 89197 Spec Entre’ FreeForm MF 1.60 Photo HMC R 2 633,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89198 Spec Entre’ FreeForm MF 1.60 Photo SHMC R 2 760,10

T 89199 OS Genesis 1.5 CR39 R 840,90

T 89200 Spec Entre’ FreeForm MF 1.60 Transitions Hard R 2 515,50

T 89201 Spec Entre’ FreeForm MF 1.60 Transitions HMC R 2 958,40

T 89202 Spec Entre’ FreeForm MF 1.60 Transitions SHMC R 3 084,90

T 89203 OS Genesis 1.5 CR39 Anti-Refl ective Coating R 1 420,90

T 89204 Spec Entre’ FreeForm MF 1.67 Hard R 1 410,40

T 89205 Spec Entre’ FreeForm MF 1.67 HMC R 1 853,20

T 89206 Spec Entre’ FreeForm MF 1.67 SHMC R 1 979,80

T 89207 OS Genesis 1.6 CR39 Hard Coat R 2 372,10

T 89208 Spec Entre’ FreeForm MF 1.67 Photo Hard R 2 296,10

T 89209 Spec Entre’ FreeForm MF 1.67 Photo HMC R 2 739,00

T 89210 Spec Entre’ FreeForm MF 1.67 Photo SHMC R 2 865,60

T 89211 OS Genesis 1.6 CR39 Anti-Refl ective Coating R 3 068,00

T 89212 Spec Entre’ FreeForm MF 1.67 Transitions Hard R 2 823,40

T 89213 Spec Entre’ FreeForm MF 1.67 Transitions HMC R 3 266,30

T 89214 Spec Entre’ FreeForm MF 1.67 Transitions SHMC R 3 392,80

T 89215 OS Genesis 1.67 Hard Coat R 2 836,00

T 89216 Spec Velocity FreeForm MF 1.50 Hard R 2 568,20

T 89217 Spec Velocity FreeForm MF 1.50 HMC R 3 144,00

T 89218 Spec Velocity FreeForm MF 1.50 SHMC R 3 331,70

T 89219 OS Genesis 1.67 Anti-Refl ective Coating R 3 392,80

T 89220 Spec Velocity FreeForm MF 1.50 Photo Hard R 3 158,70

T 89221 Spec Velocity FreeForm MF 1.50 Photo HMC R 3 732,40

T 89222 Spec Velocity FreeForm MF 1.50 Photo SHMC R 3 920,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89223 OS Genesis Transitions 1.5 R 2 024,10

T 89224 Spec Velocity FreeForm MF 1.50 Transitions Hard R 3 245,20

T 89225 Spec Velocity FreeForm MF 1.50 Transitions HMC R 3 820,90

T 89226 Spec Velocity FreeForm MF 1.50 Transitions SHMC R 4 008,60

T 89227 OS Genesis Transitions 1.5 Anti-Refl ective Coating R 2 604,00

T 89228 Spec Velocity FreeForm MF 1.60 Hard R 3 394,90

T 89229 Spec Velocity FreeForm MF 1.60 HMC R 3 970,70

T 89230 Spec Velocity FreeForm MF 1.60 SHMC R 4 152,10

T 89231 OS Genesis Transitions 1.6 Hard Coat R 3 740,80

T 89232 Spec Velocity FreeForm MF 1.60 Climatio Photo Hard R 3 983,30

T 89233 Spec Velocity FreeForm MF 1.60 Photo HMC R 4 559,10

T 89234 Spec Velocity FreeForm MF 1.60 Photo SHMC R 4 746,80

T 89235 OS Genesis Transitions 1.6 Anti-Refl ective Coating R 3 972,80

T 89236 Spec Velocity FreeForm MF 1.60 Transitions Hard R 4 069,80

T 89237 Spec Velocity FreeForm MF 1.60 Transitions HMC R 4 647,70

T 89238 Spec Velocity FreeForm MF 1.60 Transitions SHMC R 4 833,30

T 89239 OS Genesis Transitions 1.67 Hard Coat R 4 204,80

T 89240 Spec Velocity FreeForm MF 1.67 Hard R 4 409,40

T 89241 Spec Velocity FreeForm MF 1.67 HMC R 4 983,00

T 89242 Spec Velocity FreeForm MF 1.67 SHMC R 5 172,80

T 89243 OS Genesis Transitions 1.67 Anti-Refl ective Coating R 4 320,80

T 89244 Spec Velocity FreeForm MF 1.67 Photo Hard R 4 997,80

T 89245 Spec Velocity FreeForm MF 1.67 Photo HMC R 5 573,50

T 89246 Spec Velocity FreeForm MF 1.67 Photo SHMC R 5 759,10

T 89247 OS Piccolo 1.5 Hard Coat R 840,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89248 Spec Velocity FreeForm MF 1.67 Transitions Hard R 5 160,20

T 89249 Spec Velocity FreeForm MF 1.67 Transitions HMC R 5 735,90

T 89254 Spec Velocity FreeForm MF 1.67 Transitions SHMC R 5 923,60

T 89255 OS Piccolo 1.5 Anti-Refl ective Coating R 1 420,90

T 89256 OS Piccolo 1.6 CR39 Hard Coat R 2 372,10

T 89257 OS Piccolo 1.6 CR39 Anti-Refl ective Coating R 3 068,00

T 89258 OS Piccolo 1.67 CR39 Hard Coat R 2 836,00

T 89259 OS Piccolo 1.67 CR39 Anti-Refl ective Coating R 3 392,80

T 89261 OS Piccolo Transitions 1.5 Hard Coat R 2 024,10

T 89262 OS Piccolo Transitions 1.5 Anti-Refl ective Coating R 2 604,00

T 89263 OS Piccolo Transitions 1.6 CR39 Hard Coat R 3 740,80

T 89264 OS Piccolo Transitions 1.6 CR39 Anti-Refl ective Coating R 3 972,80

T 89265 OS Piccolo Transitions 1.67 CR39 Hard Coat R 4 204,80

T 89266 OS Piccolo Transitions 1.67 CR39 Anti-Refl ective Coating R 4 320,80

T 89267 OS Piccolo Polycarb 1.59 Hard Coat R 2 209,20

T 89268 OS Piccolo Polycarb 1.59 Anti-Refl ective Coating R 2 891,90

T 89269 OS Spring Short 1.5 R 261,00

T 89270 OS Spring Short 1.5 Anti-Refl ective Coating R 748,10

T 89271 OS Spring Regular 1.5 R 261,00

T 89272 OS Spring Regular 1.5 Anti-Refl ective Coating R 748,10

T 89273 OS Spring Short Transition 1.5 R 2 000,90

T 89274 OS Spring Short Transition 1.5 Anti-Refl ective Coating R 2 627,20

T 89276 OS Spring Regular Acclimate 1.5 R 1 606,50

T 89278 OS Spring Regular Acclimate 1.5 Anti-Refl ective Coating R 2 116,90

T 89280 OS Autograph 1.5 Hard Coat R 1 904,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89282 OS Autograph 1.5 Glacier Plus R 1 609,50

T 89283 OS Autograph 1.6 Hard Coat R 2 209,20

T 89284 OS Autograph 1.6 Glacier Plus R 2 905,90

T 89285 OS Autograph 1.67 Hard Coat R 2 936,50

T 89286 OS Autograph 1.67 Glacier Plus R 3 227,40

T 89287 OS Autograph 1.74 Glacier Plus R 4 138,40

T 89288 OS Autograph Transitions and XTRActive 1.5 Hard Coat R 3 281,00

T 89289 OS Autograph Transitions and XTRActive 1.5 Glacier Plus R 3 617,80

T 89290 OS Autograph Transitions and XTRActive 1.6 Hard Coat R 3 548,90

T 89291 OS Autograph Transitions and XTRActive 1.6 Glacier Plus R 3 829,70

T 89292 OS Autograph Transitions and XTRActive 1.67 Hard Coat R 3 982,80

T 89293 OS Autograph Transitions and XTRActive 1.67 Glacier Plus R 4 123,10

T 89294 OS Autograph Polycarb 1.586 Hard Coat R 3 548,90

T 89295 OS Autograph Polycarb 1.586 Glacier Plus R 3 829,70

T 89296 OS Autograph Polycarb Transitions and XTRActive 1.59 Hard Coat R 4 138,40

T 89297 OS Autograph Polycarb Transitions and XTRActive 1.59 Glacier Plus R 4 587,60

T 89298 OS Autograph Polarized 1.5 Hard Coat R 2 745,10

T 89299 OS Autograph Polarized 1.5 Glacier Plus R 3 089,60

T 89300 OS Autograph Polarized 1.6 Hard Coat R 3 548,90

T 89301 OS Autograph Polarized 1.6 Glacier Plus R 4 727,90

T 89302 OS Autograph Polarized 1.67 Hard Coat R 5 105,60

T 89303 OS Autograph Polarized 1.67 Glacier Plus R 5 411,80

T 89304 OS Autograph Polycarbonate Polarized 1.59 Hard Coat R 3 829,70

T 89305 OS Autograph Polycarbonate Polarized 1.59 Glacier Plus R 4 102,70

T 89306 OS Autograph Drivewear 1.5 Hard Coat R 5 156,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89307 OS Autograph Drivewear 1.5 Glacier Plus R 5 386,30

T 89308 OS Autograph Trivex NXT 1.53 Hard Coat R 5 105,60

T 89309 OS Autograph Trivex NXT 1.53 Glacier Plus R 5 156,60

T 89310 OS Autograph Attitude 1.5 Hard Coat R 2 155,60

T 89312 OS Autograph Attitude 1.6 Hard Coat R 2 450,40

T 89313 OS Autograph Attitude 1.6 Glacier Plus R 3 066,60

T 89314 OS Autograph Attitude 1.67 Hard Coat R 3 600,00

T 89315 OS Autograph Attitude 1.67 Glacier Plus R 3 816,90

T 89316 OS Autograph Attitude Transitions and XTRActive 1.5 Hard Coat R 2 745,10

T 89317 OS Autograph Attitude Transitions and XTRActive 1.5 Glacier Plus R 2 834,40

T 89318 OS Autograph Attitude Transitions and XTRActive 1.6 Hard Coat R 3 736,50

T 89319 OS Autograph Attitude Transitions and XTRActive 1.6 Glacier Plus R 4 352,80

T 89320 OS Autograph Attitude Transitions and XTRActive 1.67 Hard Coat R 4 238,00

T 89321 OS Autograph Attitude Transitions and XTRActive 1.67 Glacier Plus R 4 567,10

T 89322 OS Autograph Attitude Polycarb Transitions 1.59 Hard Coat R 4 272,40

T 89323 OS Autograph Attitude Polycarb Transitions 1.59 Glacier Plus R 4 633,50

T 89324 OS Autograph Attitude Polarized 1.5 Hard Coat R 3 548,90

T 89325 OS Autograph Attitude Polarized 1.5 Glacier Plus R 3 727,60

T 89326 OS Autograph Attitude Polarized 1.6 Hard Coat R 4 272,40

T 89327 OS Autograph Attitude Polarized 1.6 Glacier Plus R 4 633,50

T 89328 OS Autograph Attitude Polarized 1.67 Hard Coat R 4 901,40

T 89329 OS Autograph Attitude Polarized 1.67 Glacier Plus R 5 156,60

T 89330 OS Autograph Attitude Polycarbonate Polarized 1.59 Hard Coat R 3 873,00

T 89331 OS Autograph Attitude Polycarbonate Polarized 1.59 Glacier Plus R 4 138,40

T 89332 OS Autograph Attitude Polycarb 1.586 Hard Coat R 2 155,60

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89334 OS Autograph Attitude Drivewear 1.5 Hard Coat R 4 352,80

T 89335 OS Autograph Attitude Drivewear 1.5 Glacier Plus R 4 429,30

T 89336 OS Autograph Attitude Trivex NXT 1.53 Hard Coat R 2 450,40

T 89337 OS Autograph Attitude Trivex NXT 1.53 Glacier Plus R 3 066,60

T 89338 OS Golf – Proline Trivex 1.53 Hard Coat R 3 873,00

T 89344 OS Golf – Proline Polycarbonate Polarized 1.59 Hard Coat R 3 574,50

T 89345 OS Golf – Proline Polycarbonate Polarized 1.59 Glacier Plus R 3 843,70

T 89346 OS Golf – Proline 1.6 Hard Coat R 2 289,60

T 89347 OS Golf – Proline 1.6 Glacier Plus R 2 451,60

T 89348 OS Golf – Proline Transitions and XTRActive 1.6 Hard Coat R 3 816,90

T 89349 OS Golf – Proline Transitions and XTRActive 1.6 Glacier Plus R 3 982,80

T 89350 OS Golf – Proline Polarized 1.6 Hard Coat R 4 084,80

T 89351 OS Golf – Proline Polarized 1.6 Glacier Plus R 4 186,90

T 89352 OS Spectrum 1.5 Hard Coat R 1 378,60

T 89353 OS Spectrum 1.5 Glacier Plus R 1 632,70

T 89354 OS Spectrum 1.59 Hard Coat R 2 016,50

T 89355 OS Spectrum 1.59 Glacier Plus R 2 324,00

T 89356 OS Spectrum 1.6 Hard Coat R 2 016,50

T 89357 OS Spectrum 1.6 Glacier Plus R 2 324,00

T 89358 OS Spectrum 1.67 Hard Coat R 2 857,60

T 89359 OS Spectrum 1.67 Glacier Plus R 3 089,60

T 89360 OS Spectrum 1.74 Glacier Plus R 4 486,80

T 89361 OS Spectrum Transitions and XTRActive 1.5 Hard Coat R 2 267,90

T 89362 OS Spectrum Transitions and XTRActive 1.5 Glacier Plus R 2 451,60

T 89363 OS Spectrum Transitions and XTRActive 1.6 Hard Coat R 3 281,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89364 OS Spectrum Transition and XTRActive 1.6 Glacier Plus R 3 575,10

T 89365 OS Spectrum Transition and XTRActive 1.67 Hard Coat R 3 575,10

T 89366 OS Spectrum Transition and XTRActive 1.67 Glacier Plus R 3 843,70

T 89367 OS Spectrum Polycarb Transitions and XTRActive 1.59 Hard Coat R 3 281,00

T 89368 OS Spectrum Polycarb Transitions and XTRActive 1.59 Glacier Plus R 3 575,10

T 89369 OS Spectrum Polarized 1.5 Hard Coat R 2 016,50

T 89370 OS Spectrum Polarized 1.5 Glacier Plus R 2 324,00

T 89371 OS Spectrum Polarized 1.6 Hard Coat R 4 238,00

T 89372 OS Spectrum Polarized 1.6 Glacier Plus R 4 567,10

T 89373 OS Spectrum Polarized 1.67 Hard Coat R 4 633,50

T 89374 OS Spectrum Polarized 1.67 Glacier Plus R 4 817,20

T 89375 OS Spectrum Drivewear 1.5 Hard Coat R 5 156,60

T 89376 OS Spectrum Drivewear 1.5 Glacier Plus R 5 386,30

T 89377 OS Run – Proline Trivex 1.53 Hard Coat R 3 873,00

T 89378 OS Run – Proline Trivex 1.53 Glacier Plus R 4 138,40

T 89379 OS Run – Proline Polycarbonate 1.59 Hard Coat R 2 155,60

T 89380 OS Run – Proline Polycarbonate 1.59 Glacier Plus R 2 324,00

T 89381 OS Run – Proline 1.6 Hard Coat R 2 289,60

T 89382 OS Run – Proline 1.6 Glacier Plus R 2 451,60

T 89383 OS Run – Proline Polycarbonate Transition and XTRActive 1.59 Hard Coat R 4 352,80

T 89384 OS Run – Proline Polycarbonate Transition and XTRActive 1.59 Glacier Plus R 4 684,50

T 89385 OS Run – Proline Transition and XTRActive 1.6 Hard Coat R 3 816,90

T 89386 OS Run – Proline Transition and XTRActive 1.6 Glacier Plus R 3 982,80

T 89387 OS Run – Proline Polycarbonate Polarized 1.59 Hard Coat R 3 574,50

T 89388 OS Run – Proline Polycarbonate Polarized 1.59 Glacier Plus R 3 843,70

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89389 OS Run – Proline Polarized 1.6 Hard Coat R 4 084,80

T 89390 OS Run – Proline Polarized 1.6 Glacier Plus R 4 186,90

T 89391 OS Autograph InTouch 1.5 Hard Coat R 1 609,50

T 89392 OS Autograph InTouch 1.5 Glacier Plus R 1 788,10

T 89393 OS Autograph InTouch 1.6 Hard Coat R 2 905,90

T 89394 OS Autograph InTouch 1.6 Glacier Plus R 3 171,30

T 89395 OS Autograph InTouch 1.67 Hard Coat R 3 227,40

T 89396 OS Autograph InTouch 1.67 Glacier Plus R 3 503,00

T 89397 OS Autograph InTouch 1.74 Glacier Plus R 3 829,70

T 89398 OS Autograph InTouch Transitions and XTRActive 1.5 Hard Coat R 3 227,40

T 89399 OS Autograph InTouch Transitions and XTRActive 1.5 Glacier Plus R 3 579,70

T 89400 OS Autograph InTouch Transitions and XTRActive 1.6 Hard Coat R 3 829,70

T 89401 OS Autograph InTouch Transitions and XTRActive 1.6 Glacier Plus R 4 141,00

T 89403 OS Autograph InTouch Transitions and XTRActive 1.67 Glacier Plus R 4 123,10

T 89405 OS Autograph InTouch Polycarb 1.586 Glacier Plus R 2 905,90

T 89407 OS Autograph InTouch Polycarb Transitions and XTRActive 1.59 Glacier Plus R 3 829,70

T 89409 OS Autograph InTouch Polarized 1.5 Glacier Plus R 3 370,30

T 89411 OS Autograph InTouch Polarized 1.6 Glacier Plus R 3 829,70

T 89412 OS Autograph InTouch Polarized 1.67 Hard Coat R 5 156,60

T 89413 OS Autograph InTouch Polarized 1.67 Glacier Plus R 5 480,70

T 89414 OS Autograph InTouch Polycarbonate Polarized 1.59 Hard Coat R 3 982,80

T 89415 OS Autograph InTouch Polycarbonate Polarized 1.59 Glacier Plus R 4 250,70

T 89416 OS Autograph InTouch Drivewear 1.5 Hard Coat R 5 386,30

T 89417 OS Autograph InTouch Drivewear 1.5 Glacier Plus R 5 506,20

T 89418 OS Autograph InTouch Trivex NXT 1.53 Hard Coat R 3 600,00

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89419 OS Autograph InTouch Trivex NXT 1.53 Glacier Plus R 3 816,90

T 89420 OS Autograph-III 1.5 Hard Coat R 3 600,00

T 89421 OS Autograph-III 1.5 Glacier Plus R 3 816,90

T 89422 OS Autograph-III 1.6 Hard Coat R 3 281,00

T 89423 OS Autograph-III 1.6 Glacier Plus R 3 575,10

T 89424 OS Autograph-III 1.67 Hard Coat R 3 829,70

T 89425 OS Autograph-III 1.67 Glacier Plus R 4 102,70

T 89426 OS Autograph-III 1.74 Glacier Plus R 3 829,70

T 89427 OS Autograph-III Transitions and XTRActive 1.5 Hard Coat R 3 102,40

T 89428 OS Autograph-III Transitions and XTRActive 1.5 Glacier Plus R 3 375,40

T 89429 OS Autograph-III Transitions and XTRActive 1.6 Hard Coat R 3 829,00

T 89430 OS Autograph-III Transitions and XTRActive 1.6 Glacier Plus R 4 115,50

T 89431 OS Autograph-III Transitions and XTRActive 1.67 Hard Coat R 5 105,60

T 89432 OS Autograph-III Transitions and XTRActive 1.67 Glacier Plus R 5 411,80

T 89433 OS Autograph-III Polycarb 1.586 Hard Coat R 3 281,00

T 89434 OS Autograph-III Polycarb 1.586 Glacier Plus R 3 575,10

T 89435 OS Autograph-III Polycarb Transitions and XTRActive 1.59 Hard Coat R 3 548,90

T 89436 OS Autograph-III Polycarb Transitions and XTRActive 1.59 Glacier Plus R 3 829,70

T 89437 OS Autograph-III Polarized 1.5 Hard Coat R 3 548,20

T 89438 OS Autograph-III Polarized 1.5 Glacier Plus R 3 829,70

T 89439 OS Autograph-III Polarized 1.6 Hard Coat R 6 629,10

T 89440 OS Autograph-III Polarized 1.6 Glacier Plus R 7 267,00

T 89441 OS Autograph-III Polarized 1.67 Hard Coat R 8 543,00

T 89442 OS Autograph-III Polarized 1.67 Glacier Plus R 9 053,40

T 89443 OS Autograph-III Polycarbonate Polarized 1.59 Hard Coat R 4 123,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89444 OS Autograph-III Polycarbonate Polarized 1.59 Glacier Plus R 4 587,60

T 89445 OS Autograph-III Drivewear 1.5 Hard Coat R 5 156,60

T 89446 OS Autograph-III Drivewear 1.5 Glacier Plus R 5 506,20

T 89447 OS Autograph-III Trivex NXT 1.53 Hard Coat R 3 227,40

T 89448 OS Autograph-III Trivex NXT 1.53 Glacier Plus R 3 503,00

T 89449 OS FreeForm Back Surface 1.5 Hard Coat R 0,00

T 89450 OS FreeForm Back Surface 1.5 Anti-Refl ective Coating R 121,80

T 89451 OS FreeForm Plus 1.5 Hard Coat R 0,00

T 89452 OS FreeForm Plus Transition 1.5 Anti-Refl ective Coating R 1 053,20

T 89453 OS FreeForm Plus 1.6 Hard Coat R 198,30

T 89454 OS FreeForm Plus Transition 1.6 Anti-Refl ective Coating R 1 014,90

T 89455 OS FreeForm Plus 1.67 Hard Coat R 325,90

T 89456 OS FreeForm Plus Transition 1.67 Anti-Refl ective Coating R 1 576,30

T 89457 OS FreeForm Plus Polycarbonate 1.59 Hard Coat R 19,70

T 89458 OS FreeForm Plus PolycarbonateTransition 1.59 Anti-Refl ective Coating R 1 244,60

T 89459 OS FreeForm Plus Short 1.5 Hard Coat R 0,00

T 89460 OS FreeForm Plus Short Transition 1.5 Anti-Refl ective Coating R 376,90

T 89461 OS FreeForm Plus Short 1.6 Hard Coat R 632,10

T 89462 OS FreeForm Plus Short Transition 1.6 Anti-Refl ective Coating R 1 525,30

T 89463 OS Autograph Attitude 1.5 Glacier Plus R 2 324,00

T 89464 OS Autograph Attitude Polycarb 1.586 Glacier Plus R 2 324,00

T 89465 OS Golf – Proline Trivex 1.53 Glacier Plus R 4 138,40

T 89466 OS Golf – Proline Polycarb 1.586 Hard Coat R 2 155,60

T 89467 OS Golf – Proline Polycarb 1.586 Glacier Plus R 2 324,00

T 89468 OS Golf – Proline Polycarb Transitions 1.59 Hard Coat R 4 352,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89469 OS Golf – Proline Polycarb Transitions 1.59 Glacier Plus R 4 684,50

T 89470 OS Autograph InTouch Transitions and XTRActive 1.67 Hard Coat R 3 936,80

T 89471 OS Autograph InTouch Polycarb 1.586 Hard Coat R 2 209,20

T 89472 OS Autograph InTouch Polycarb Transitions and XTRActive 1.59 Hard Coat R 3 548,90

T 89473 OS Autograph InTouch Polarized 1.5 Hard Coat R 3 357,60

T 89474 OS Autograph InTouch Polarized 1.6 Hard Coat R 3 548,90

X 89500 Fixed Tints Under 35% N/A

T 89501 Hoya Hi-Vision LongLife UV Control R 1 191,30

T 89502 Hoya Mirror Silver, Gold or Blue (in combo with ECP solid tint, 50%, 75%, 85%)* R 693,10

X 89505 Fixed Tints Over 35% N/A

X 89506 Gradient Tints Under 35% av N/A

X 89507 Gradient Tints Over 35% av N/A

X 89508 UV-400nm Treatment N/A

X 89509 Removal Of Tint N/A

X 89510 CR39 Photochromatic Single Vision Standard N/A

X 89511 CR39 Photochromatic Bifocal N/A

X 89512 Cerium Lenses (Single Vision) N/A

X 89513 Cerium Lenses (Bifocal) N/A

X 89514 Cerium Lenses (Varifocal) N/A

X 89519 Special Surfacing N/A

X 89523 35m/m Seg Flat-top – Bifocal N/A

T 89529 Suntech Brown R 994,20

T 89530 Suntech Grey R 994,20

T 89531 Sensity Bronze Brown R 1 659,20

T 89532 Sensity Silver Grey R 1 659,20

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 89533 35m/m Seg Flat-top – Trifocal N/A

T 89535 Hoya Full Tint R 168,90

T 89536 Hoya Full Tint for Mirror (Brown, Maroon, Grey, Granite, G15, G25, Green) R 168,90

T 89537 Hoya Gradient Tint R 186,30

T 89538 Hoya GradientMatch R 275,10

T 89539 Hoya FullMatch R 246,90

89544 Full tint <35% R 160,50

89545 Full tint >35% R 160,50

89546 Graduated <35% R 174,90

89547 Graduated >35% R 174,90

T 89548 Tint on 1.6 & 1.67 Index R 569,70

89549 Fixed Tints (Any Matching Colours) R 75,30

89550 Gradient Tints R 75,30

X 89551 Hi Curve – Nikon Coatings N/A

X 89552 Hi-Colour 1.60 (50%) – Nikon Coatings N/A

X 89553 Hi-Colour 1.67 (80%) – Nikon Coatings N/A

T 89554 Hi-Colour (1.60 & 1.67 Index) R 748,60

X 89555 Hard Coat – Dip Coating N/A

X 89556 Hard Coat – Spin Coating (Back Surface) N/A

X 89557 Hard Coat – Resin Coat (Front and Back Surface) N/A

X 89558 Mirror Coat (Blue/Silver/Gold) N/A

X 89559 Anti-Refl ex Coating N/A

X 89560 Removal Of Coating N/A

89561 Apex Titanium Coat R 950,70

89562 Apex ARC R 594,40

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

89563 Hard Coat R 178,20

T 89564 ClarityCote ARC R 575,40

T 89565 ClarityCote Plus R 822,00

T 89566 HMCX R 760,30

T 89568 Hard Coating R 194,90

X 89569 Mirror Coating – Blue Red Stealth Silver N/A

X 89570 Dip Coat N/A

T 89571 Zeiss DuraVision Platinum™ (DVP) R 888,10

X 89572 Franklin Bifocal N/A

T 89573 Zeiss DuraVision Silver R 680,10

T 89574 Zeiss Hard R 223,10

T 89575 eLab Hard Coat (HC) R 190,70

T 89576 eLab ARC R 668,70

T 89577 eLab ARC Premium R 757,70

89578 eLab ARC Premium Plus R 1 273,90

T 89579 eLab Back Surface ARC R 471,80

T 89584 Crizal Easy UV Coating R 712,40

T 89585 Crizal Forte UV R 950,70

T 89586 Crizal Prevencia R 950,70

T 89587 ARC R 712,40

T 89588 Supra R 221,60

T 89589 Optifog R 517,00

89590 Hard Coat – Dip Coat

X 89591 Frosting N/A

T 89593 Crizal R 693,10

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89594 Crizal Forte UV R 924,90

T 89595 Focus Invisibles R 716,90

T 89596 Focus Invisibles Plus R 846,90

89597 Focus Emerald R 290,00

T 89598 Zeiss Duravision Back R 604,30

89599 Focus Hard Coat R 103,00

T 89600 Zeiss Duravision Mirror R 888,10

T 89609 Hoya Super Hard R 197,10

T 89610 Hoya Hi-Vision View Protect (HVP) R 693,10

T 89611 Hoya Super Hi-Vision (SHV) R 831,70

T 89612 Hoya Hi-Vision LongLife (HVLL) R 1 039,70

T 89613 Hoya Hi-Vision LongLife Blue Control R 1 191,30

T 89614 Hoya Back Surface HVP R 693,10

T 89615 KF Superior Coat R 587,00

T 89616 KF Basic Coat R 275,10

T 89617 KF Polarized R 678,00

X 89618 Special Base Curve N/A

T 89620 Supra R 216,60

89626 Lenssavers Hard Multi Coating R 404,00

T 89627 Lenssavers Superhydrophobic ARC R 639,00

89628 Nanko – Hard R 212,50

T 89630 Nanko – Super Hydrophobic Coating R 844,70

X 89632 Nikon HCC N/A

X 89633 Nikon ECC N/A

X 89634 Nikon ECC Blue (Blue Light Reduction) N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

X 89635 Lenticular Concave N/A

X 89636 Nikon SEECOAT Blue (Blue Light Reduction) N/A

X 89637 Nikon Mirror (Gold/Silver/Blue on n=1.60 & 1.67) N/A

T 89638 OAKLEY OTD AR COATING R 308,70

T 89639 OAKLEY OTD B-AR COATING R 151,60

89640 OAKLEY OTD EDGE POLISHING

89641 Anti-Refl ex Coating R 530,20

89642 Sollidor Hard Dip Coat R 189,30

T 89643 QualiCote Brilliant EMIXX Superclean and Antistatic R 753,80

T 89644 Quality Emerald R 223,10

T 89645 Rodenstock Duralux R 268,60

T 89646 Rodenstock Solitaire® Protect R 784,10

T 89647 Rodenstock Solitaire® Protect Plus R 937,90

T 89648 RO Hard Coat R 171,10

T 89649 RO HMC R 519,80

T 89650 RO HSC+ R 608,60

T 89651 Shamir Hard Multi Coating R 630,50

T 89652 Shamir Glacier R 955,90

T 89653 Shamir Glacier Plus R 1 194,90

89654 Torga Hardcoat R 121,70

T 89655 Torga Tint and UV R 195,00

T 89656 Torga Clarity R 525,00

T 89657 Torga Clarity Plus R 705,00

T 89658 Torga Iridio Anti-static R 890,00

X 89659 Extra Large Blanks – Single Vision >74m/m N/A

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89660 Torga Mirror Coat: Blue/Red/Silver plus BS AR R 1 320,00

T 89661 Premium Diamond Coat (Back Surface Spin Coat) R 131,00

T 89662 VME Nanolight Single Vision R 797,70

T 89663 VME Nanolight Bifocal R 798,50

T 89664 VME Nanolight CFL (1.56) R 1 367,40

89665 VME Smart Shades Single Vision R 863,20

T 89666 VME Smart Shades Bifocal R 1 481,30

89667 VME Smart Shades CFL (1.56) R 1 722,00

T 89668 Crizal R 692,40

T 89669 Crizal Forte UV R 900,60

T 89670 Supra HC R 292,40

T 89671 Titan HC R 219,90

T 89673 HMC R 488,90

X 89674 Nikon SEECOAT Plus N/A

T 89675 Torga FL 41 Blue Blocker Relax R 890,00

T 89677 VUE Multi-Anti-Refl ective Coating R 437,50

X 89678 Prism N/A

X 89679 Extra Large Blanks – Single Vision >79m/m N/A

X 89680 Prism Fresnel N/A

X 89681 Prism For Centration N/A

X 89682 Minimum Edge Thickness (METS) N/A

T 89683 Focus Dynamic ‘Wrap’ Bevel Fitting R 392,00

89684 Focus Dynamic ‘Milled’ Bevel Fitting R 727,20

89685 Mini Corridor (only with Nikon coatings)

T 89691 eLab Full Tint R 92,90

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89692 eLab Gradient Tint R 143,00

T 89693 eLab Gradient Match Tint R 32,80

T 89694 eLab Full Match Tint R 65,50

X 89699 Extra Large Blanks – Flat-top >74mm N/A

T 89700 SEIKO Full Tint R 162,50

T 89701 SEIKO Gradient Tint R 173,30

T 89702 SEIKO Double Gradient Tint R 346,60

T 89703 SEIKO Transitions Pre-tinted (10%, 15% or 20%) R 346,60

T 89704 SEIKO Dark 90% (Excluding Tribrid and 1.74) R 383,40

T 89705 SEIKO Dark 90% Polarising R 383,40

T 89706 SEIKO Sunny Yellow (Blue Blocker) R 305,40

T 89707 SEIKO Skyfun (Blue Blocker) R 305,40

T 89708 SEIKO Roadstar (Blue Blocker) R 305,40

T 89709 SEIKO Hard Coat R 173,30

89710 SEIKO SuperCleanCoat (SCC) R 605,40

T 89711 SEIKO SuperResistantCoat (SRC) R 909,70

89712 SEIKO SuperResistantBlue (SRB) R 934,10

T 89713 SEIKO Mirrorcoat R 747,30

T 89714 SEIKO Xception Ultra Hard R 394,20

T 89715 SEIKO Xception Heat Resistant R 463,50

X 89716 Aspheric Single Vision N/A

T 89717 SEIKO Xception SCC Back Surface Only R 556,70

T 89718 SEIKO Xception Ultra-thin R 580,50

T 89719 SEIKO Xception Curved R 418,00

T 89720 SEIKO Xception High Sphere R 636,80

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89721 SEIKO Xception High Cyl R 636,80

T 89722 SEIKO Xception High Prism R 636,80

T 89723 SEIKO Xception High Add R 636,80

T 89724 SEIKO Xception Base Curve Pairing/Adjusting R 418,00

T 89725 Climatio (Photochromic) Brown R 1 401,40

T 89726 Climatio (Photochromic) Grey R 1 401,40

T 89727 Specialized Full Tint R 225,30

T 89728 Specialized Gradient Tint R 225,30

T 89729 Specialized GradientMatch R 225,30

T 89730 Specialized FullMatch R 225,30

T 89731 Anti Fog R 383,40

T 89733 OS UV400 R 193,00

T 89734 OS Hard Coating R 179,50

X 89736 Aspheric Lens Bifocal N/A

89741 Mirror Coat R 872,10

X 89746 Atoric/Aspheric Back Surface N/A

89752 Focus Invisibles ‘Refl ection Free’ Blue Control R 1 017,10

X 89765 HRI up to 1.56 S/Vision N/A

X 89785 HRI up to 1.60 S/Vision N/A

X 89795 HRI up to 1.60 Bifocal N/A

X 89805 HRI up to 1.70 S/Vision N/A

X 89807 HRI up to 1.74 S/Vision N/A

X 89815 Polarized N/A

X 89822 Flat Lens/Peep Sight Fitted N/A

X 89826 Bi-concave N/A

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OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

T 89840 [I] Scription Lens Procedure R 493,80

T 89842 Futuro Digital Personalisation R 1 205,60

T 89845 Wrap Frame Fitting Dynamic R 504,70

T 89846 Wrap Frame Fitting Milling R 775,40

T 89847 i-Relief R 558,80

89848 Optimised Digital Thinning R 397,40

89876 Crizal Prevencia R 754,80

X 89978 HRI – Polycarbonate 1.6 N/A

X 89985 HRI – Trivex 1.53 N/A

89999 Materials not listed -

T 90011 Vision exam (when no material supplied) R 202,10

T 93200 Combined V/Exam + Frame + S/Vision Standard R 713,60

93201 Combined V/Exam + Frame + S/Vision Surfaced R 765,80

T 93210 Combined V/Exam + Frame + S/Vision Standard Hard Coated R 813,70

93211 Combined V/Exam + Frame + S/Vision Surfaced Hard Coated R 865,40

T 93240 Combined V/Exam Frame + S/Vision Standard PGX R 830,40

93241 Combined V/Exam + Frame + S/Vision Surfaced PGX R 892,00

T 93250 Combined V/Exam + Frame + S/Vision Standard Fixed Tint R 842,00

93251 Combined V/Exam + Frame + S/Vision Surfaced Fixed Tint R 876,50

93260 Combined V/Exam + Frame + S/Vision Standard CR39 Photochromatic R 1 201,90

93261 Combined V/Exam + Frame + S/Vision Surfaced CR39 Photochromatic R 1 201,90

93300 Combined V/Exam + Frame + Bifocal R 1 217,40

93310 Combined V/Exam + Frame + Bifocal + Hard Coat R 1 317,00

93340 Combined V/Exam + Frame + Bifocal PGX R 1 748,60

93350 Combined V/Exam + Frame + Bifocal CR39 Fixed Tint R 1 325,80

Working towards a healthier you

OPTOMETRY

Version 2 • January 2018

GEMS OPTOMETRY TARIFF FILE WITH EFFECT FROM 1 JANUARY 2018

Change Code Description 2018 Tariff

93360 Combined V/Exam + Frame + Bifocal CR39 Photochromatic R 2 158,10

93400 Combined V/Exam + Frame + Varifocal CR39 R 1 759,70

93410 Combined V/Exam + Frame + Varifocal CR39 Hard Coat R 1 859,30

93440 Combined V/Exam + Frame + Varifocal PGX R 2 671,60

93450 Combined V/Exam + Frame + Varifocal CR39 Fixed Tint R 2 113,80

93460 Combined V/Exam + Frame + Varifocal CR39 Photochromatic R 2 804,60

93800 Contact lens material benefi t

93900 Comprehensive AEI screening and report -

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ORTHOPTISTS

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF ORTHOPTISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: OrthoptistsCode: 37400

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

ITEMS

001 Orthoptic consultation (Ocular motility assessment, comprehensive examination) 330 10,000 1,0 R 159,50

003 Orthoptic treatment (Ocular motility imbalance) 330 8,700 1,0 R 138,70

005 Orthoptic consultation (Hess chart) 330 11,100 1,0 R 177,20

007 Orthoptic visual fi elds charting or fi eld of binocular single vision 330 21,700 1,0 R 346,00

107 Appointment not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).

330 - 0,0

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PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

REGULATIONS DEFINING THE SCOPE OF THE PROFESSION OF PHYSIOTHERAPY (R2301 – 3 DECEMBER 1976)

SCHEDULE

GENERAL RULES GOVERNING THE SCALE OF BENEFITS

001 Unless timely steps (i.e. 24 hours prior to the appointment) are taken to cancel an appointment the relevant fee may be charged, but shall not be payable by medical schemes. Each case shall, however, be considered on merit and, if circumstances warrant, no fee shall be charged. Modifi er 0001 to be quoted.

002 In exceptional cases where the fee is disproportionately low in relation to the actual services rendered by the practitioner, the practitioner shall provide motivation for a higher fee and such higher fee as may be agreed upon between the practitioner and the scheme may be charged.

003 Where a practitioner uses equipment which is not owned by that practitioner, a reduction of 15% of the relevant rate will be applicable. Modifi er 0003 must be quoted when this rule is applied.

004 In the case of prolonged or costly treatment, the practitioner should fi rst ascertain from the scheme concerned whether it will accept fi nancial responsibility in respect of such treatment, since the member may be subject to maximum annual benefi ts.

005 After a series of 20 treatments in respect of one patient for the same condition, the practitioner concerned shall report to the scheme as soon as possible if further treatment is necessary. Payment for treatments in excess of the stipulated number may be granted by the scheme after receipt of a letter from the practitioner concerned, motivating the need for such treatment.

007 Practitioners are reminded that a lower fee than that appearing in the scale of benefi ts shall be charged if the customary fee in the area is less than that charged. Reduced fees shall also be charged where the practitioner would have reduced his/her fee in private practice in particular cases. Prolonged treatment or exceptional cases should also receive special consideration in accordance with the usual medical practice.

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PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

008 The fee in respect of more than one procedure (excluding evaluation and visiting Items 407, 501, 502, 503, 507, 509, 701, 702, 703, 704, 705, 706, 707, 708, 801, 803, 901 and 903) performed at the same consultation or visit, shall be the fee for the major procedure plus half the fee in respect of each additional procedure, but under no circumstances may fees be charged for more than three procedures carried out in the treatment of any one condition. Modifi er 0008 must then be quoted after the appropriate code numbers for the additional code numbers for the additional procedures to indicate that this rule is applicable.

009 When more than one condition requires treatment and each of these conditions necessitates an individual treatment, they shall be charged as individual treatments. Full details of the nature of the treatments and the diagnosis or diagnostic codes shall be stated. Modifi er 0009 must then be quoted after the appropriate code number to indicate that this rule is applicable.

010 When the treatment times of two completely separate and different conditions overlap, the fee shall be the full fee for one condition and 50% of the fee for the other condition. Both conditions must be specifi ed. Modifi er 0010 must then be quoted after the appropriate code number to indicate that this rule is applicable.

011 Every physiotherapist must acquaint himself with the provisions of the Medical Schemes Act, 1998 and the regulations promulgated under the Act in connection with the rendering of accounts.

Every account shall contain the following particulars:

• the name and practice code number of the referring practitioner (where applicable)• the name of the member• the name of the patient• the name of the medical scheme• the membership number of the member• the practice code number and name of practitioner• the nature and cost of the treatment• the date on which the service was rendered• the relevant diagnostic codes and NHRPL item code numbers relating to the health service rendered

012 NB: Rounding off does not apply to amounts occurring once the modifi ers are used.

013 Where the physiotherapist performs treatment away from the treatment rooms, travelling costs being more than 16 kilometres in total to be charged according to the AA rate. Modifi er 0013 must be quoted after the appropriate code numbers to show that this rule is applicable. Please note that although only some medical schemes accept responsibility for the payment of transport expenses, others do so in exceptional cases only.

014 Physiotherapy services rendered in a nursing home or hospital. Modifi er 0014 must be quoted after each code.

Working towards a healthier you

PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

016 It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.

MODIFIERS

0001 Appointment not kept

0003 15% of the relevant rate to be deducted where equipment used is not owned by the practitioner

0008 Only 50% of the fee for these additional procedures may be charged

0009 The full fee for the additional condition may be charged

0010 Only 50% of the fee for the second condition may be charged

0013 Travelling costs (being more than 16 kilometres in total) according to AA rate. Please note that although only some medical schemes accept responsibility for the payment of transport expenses, others do so in exceptional cases only.

0014 Physiotherapy services rendered to an in-patient in a nursing home or hospital

1. Radiation therapy/moist heat/cryotherapy

001 Infra-red, radiant heat, wax therapy hot packs 260 5,000 1,0 R 49,40

005 Ultraviolet light 260 10,000 1,0 R 99,00

006 Laser beam 260 15,000 1,0 R 148,40

007 Cryotherapy 260 5,000 1,0 R 49,40

2. Low-frequency currents

103 Galvanism, diodynamic current, tens 260 10,000 1,0 R 99,00

105 Muscle and nerve stimulating currents 260 12,000 1,0 R 118,60

107 Interferential therapy 260 10,000 1,0 R 99,00

3. High-frequency currents

201 Shortwave diathermy 260 5,000 1,0 R 49,40

203 Ultrasound 260 10,000 1,0 R 99,00

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PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

205 Microwave 260 5,000 1,0 R 49,40

4. Physical modalities

300 Vibration 260 10,000 1,0 R 99,00

301 Percussion 260 16,100 1,0 R 159,30

302 Massage 260 10,000 1,0 R 99,00

303 Myofacial release/soft tissue mobilisation, one or more body parts 260 20,090 1,0 R 198,70

304 Acupuncture 260 15,000 1,0 R 148,40

305 Re-education of movement/exercises (excluding ante and postnatal exercises) 260 10,000 1,0 R 99,00

307 Pre- and post-operative exercises and/or breathing exercises 260 10,000 1,0 R 99,00

308 Group exercises (excluding ante and postnatal exercises – maximum of 10 in a group) 260 10,000 1,0 R 99,00

309 Isokinetic treatment 260 10,000 1,0 R 99,00

310 Neural tissue mobilisation 260 20,000 1,0 R 197,80

313 Ante and postnatal exercises/counselling 260 10,000 1,0 R 99,00

314 Lymph drainage 260 5,000 1,0 R 49,40

315 Postural drainage 260 10,000 1,0 R 99,00

317 Traction 260 10,000 1,0 R 99,00

318 Upper respiratory nebulisation and/or lavage 260 10,000 1,0 R 99,00

319 Nebulisation 260 10,000 1,0 R 99,00

321 Intermittent positive pressure ventilation 260 10,000 1,0 R 99,00

323 Suction: Level 1 (including sputum specimen taken by suction) 260 5,000 1,0 R 49,40

325 Suction: Level 2 (suction with involvement of lavage as a treatment in a special unit situation or in the respiratory-compromised patient)

260 20,090 1,0 R 198,70

327 Bagging (used on the intubated unconscious patient or in the severely respiratory-distressed patient) 260 5,000 1,0 R 49,40

328 Dry needling 260 15,000 1,0 R 148,40

Working towards a healthier you

PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

5. Manipulation/mobilisation of joints or immobilisation

401 Spinal 260 15,000 1,0 R 148,40

402 Premeditated manipulation 260 10,000 1,0 R 99,00

405 All other joints 260 15,000 1,0 R 148,40

407 Immobilisation (excluding materials), Rule 008 does not apply 260 15,000 1,0 R 148,40

6. Rehabilitation

501 Rehabilitation where the pathology requires the undivided attention of the physiotherapist, Rule 008 does not apply. Duration: 30 mins

260 25,000 1,0 R 247,00

502 Hydrotherapy where the pathology requires the undivided attention of the physiotherapist, Rule 008 does not apply. Duration: 30 mins

260 25,000 1,0 R 247,00

503 Rehabilitation for central nervous system disorders – condition to be clearly stated and fully documented (no other treatment modality may be charged in conjunction with this). Duration: 60 mins

260 55,000 1,0 R 543,90

504 EMG biofeedback treatment 260 15,000 1,0 R 148,40

505 Group rehabilitation: Treatment of a patient with disabling pathology in an appropriate facility requiring specifi c equipment and supervision, without individual attention for the whole treatment session, no charge may be levied by facility.

260 12,000 1,0 R 118,60

506 Stress management 260 20,000 1,0 R 197,80

507 Respiratory re-education and training. Duration: 30 mins 260 15,000 1,0 R 148,40

509 Rehabilitation: Each additional full 15 mins, where the pathology requires the undivided attention of the physiotherapist. Rule 0008 does not apply. Can only be used with codes 501, 502, 507 or 503 to indicate the completion of an additional 15 minutes. A maximum of two instances of this code may be charged per session.

260 15,000 1,0 R 148,40

7. Evaluation

701 Evaluation/counselling at the fi rst visit only (to be fully documented) 260 15,000 1,0 R 148,40

702 Complex evaluation/counselling at the fi rst visit only (to be fully documented) 260 30,000 1,0 R 296,50

703 One complete reassessment of a patient’s condition during the course of treatment. To be used only once per episode of care

260 15,000 1,0 R 148,40

704 Lung function: Peak fl ow (once per treatment) 260 5,000 1,0 R 49,40

Working towards a healthier you

PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

705 Computerised/electronic test for lung pathology 260 15,000 1,0 R 148,40

706 Reports: To be used to motivate for therapy and/or give a progress report and/or a pre-authorisation report, where such a report is specifi cally required by the medical scheme

260 15,000 1,0 R 148,40

707 Physical performance test, must be fully documented 260 20,000 1,0 R 197,80

708 Interview, guidance or consultation with the patient or his family. To be used only once per episode of care 260 15,000 1,0 R 148,40

720 Essential continuation of physiotherapy care, in an after-hours situation (see general Rules on tariff codes 720 and 721)

20,000 R 197,80

721 Emergency physiotherapy intervention (see general rules on tariff codes 720 and 721) 30,000 R 296,70

801 Electrical test for diagnostic purposes (including IT curve and isokinetic tests) for a specifi c medical condition 260 35,000 1,0 R 345,90

803 Effort test – multistage treadmill 260 35,000 1,0 R 345,90

8. Visiting codes

901 Treatment at a nursing home: Relevant fee plus (to be charged only once per day and not with every hospital visit)

260 10,000 1,0 R 99,00

903 Domicilliary treatments: Relevant fee plus 260 20,000 1,0 R 197,80

9. Other

117 Appointment not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category)

260 - 1,0

937 Bird or equivalent freestanding nebuliser excluding oxygen at hospital per day 260 10,000 1,0 R 99,00

938 Bird or equivalent freestanding nebuliser excluding oxygen domicilliary per day 260 10,000 1,0 R 99,00

939 Cost of material: Items to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

260 - 1,0

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PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

940 Cost of appliances: Items to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that appliance is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that appliance is greater than or equal to one hundred rands

260 - 0,0

941 Hiring equipment: 1% of the current replacement value of the equipment per day. Total charge not to exceed 50% of replacement value. Description of equipment to be supplied.

Payment of this item is at the discretion of medical scheme concerned, and should be considered in instances where cost savings can be achieved. By prior arrangement with the medical scheme.

GENERAL RULES ON TARIFF CODE 720 AND 721

Indications for use of code 720 “essential continuation of physiotherapy care in after hours situation”. This code may be used under the following circumstances where failure to provide the physiotherapy intervention might result in any or all of the following:

a. serious impairment to bodily functionsb. serious dysfunction of a bodily organ or partc. reduced functional ability due to severe paind. would place the patient’s life in serious jeopardye. increase of length of hospital stayf. prolongation of expected recovery time

Explanation and use of “after-hours situation”. “After-hours situation” shall mean all physiotherapy interventions, where essential continuation of care is required in excess of ordinary working hours in the following circumstances:

a. weekdays before 07h00 and after 17h00b. Saturdays before and after the normal working hours of the practice c. Sundays and public holidays

Working towards a healthier you

PHYSIOTHERAPY

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PHYSIOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhysiotherapyCode: 37200

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

This code may not be charged in the following circumstances:

a. Where the physiotherapy appointment is scheduled for the convenience of the patientb. Where the physiotherapy appointment is scheduled for the convenience of the physiotherapistc. Where the ordinary outpatient consulting hours for the practice fall outside the above parametersd. In circumstances where the above criteria are not met, the use of code 720 is not applicable

Code 720 and 721 may not be charged together at the same single intervention.

Code 721 – emergency physiotherapy intervention

Explanation and indications for use:

Code 721 may only be used where an emergency physiotherapy intervention is provided. Emergency is defi ned as a sudden, and at the time, unexpected onset of a health condition or an unplanned event that requires immediate unscheduled physiotherapy intervention. Failure to provide the physiotherapy intervention immediately might result in any or all of the following:

a. serious impairment to bodily functions b. serious dysfunction of a bodily organ or part c. reduced functional ability due to severe pain d. would place the patient’s life in serious jeopardy

In circumstances where the above criteria are not met, the use of code 720 is not applicable.

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PHYTOTHERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PHYTOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhytotherapyCode: 41300

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

RULES

ITEMS

Consultations

Consultation encompasses consultation, history taking, patient examination and assessment, side room diagnostic tests, counselling and/or preparation of medicines.

130 Consultation (initial or follow up). Duration 5-15 mins 510 10,000 1,0 R 88,60

131 Consultation (initial or follow up). Duration 16-30 mins 510 22,500 1,0 R 199,50

132 Consultation (initial or follow up). Duration 31-45 mins 510 37,500 1,0 R 332,50

133 Consultation (initial or follow up). Duration 46-60 mins 510 52,500 1,0 R 465,40

134 Consultation, each additional full 15 mins, to a maximum of 60 mins 510 15,000 1,0 R 133,10

Preparation and dispensing of medicaments

Medicaments

The amount charged in respect of proprietary medicines shall be at net acquisition price.

In relation to all other materials, items are to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

Working towards a healthier you

PHYTOTHERAPY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PHYTOTHERAPISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PhytotherapyCode: 41300

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

310 Tinctures, per 10 ml 520 2,700 1,0 R 5,66

320 Tea mixes, per 10 g 520 1,000 1,0 R 2,08

330 Capsules/tablets, per capsule 520 3,400 1,0 R 6,91

340 Creams/ointments, per 10 ml 520 20,100 1,0 R 41,30

350 Syrups, per 10 ml 520 2,800 1,0 R 5,77

360 Medicinal oils, per 10 ml 520 1,300 1,0 R 2,54

390 Proprietary materials 520 - 1,0 -

395 Proprietary medicines 520 - 1,0 -

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PODIATRY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PODIATRISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PodiatryCode: 36800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

GENERAL RULES

A. All accounts must be presented with the following information clearly stated:

• name of practitioner• qualifi cations of the practitioner• BHF practice number• postal address and telephone number• date on which service(s) were provided• the relevant diagnostic codes and NHRPL item code numbers relating to the health service rendered• the surname and initials of the member• the fi rst name of the patient• the name of the scheme• the membership number of the member• the name and practice number of the referring practitioner, if applicable

B. The rate in respect of more than one procedure performed at the same consultation or visit, shall be the full rate for the major procedure plus half the rate in respect of each additional procedure carried out in the treatment of any one condition.

C. It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.

D. The amount charged in respect of medicines and scheduled substances shall not exceed the limits prescribed in the Regulations Relating to a Transparent Pricing System for Medicines and Scheduled Substances, dated 30 April 2004, made in terms of the Medicines and Related Substances Act, 1965 (Act No 101 of 1965).

In relation to all other materials, items are to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

Working towards a healthier you

PODIATRY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PODIATRISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PodiatryCode: 36800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

MODIFIERS

0002 For procedures 021 to 031 carried out in a day clinic or unattached operating theatre unit, the rate shall be reduced to two-thirds.

0004 Consultation or treatment in a nursing facility/hospital

0006 Consultation or treatment at the patient’s residence

ITEMS

Modifi er 0004 must be quoted for consultation or treatment rendered in a nursing home or hospital

Modifi er 0006 must be quoted for consultations or treatment rendered at the patient’s residence

Consultations

301 Consultation (initial or follow up) 5-10 minutes 274 7,500 1,0 R 112,60

302 Consultation (initial or follow up) 11-20 minutes 274 15,000 1,0 R 225,30

303 Consultation (initial or follow up) 21-30 minutes 274 25,000 1,0 R 375,40

304 Consultation (initial or follow up) 31-45 minutes 274 37,500 1,0 R 563,20

006 More than one patient seen at a residence (see note below) 270 8,500 1,0 R 115,30

Note: This code is a blanket code for home visits away from the practitioners rooms where more than one but up to and including six patients are treated. The code may be used again if seven to twelve patients are seen.

101 Appointments not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).

270 - 0,0

Injections

009 Administration of injection, per administration 270 1,300 1,0 R 17,70

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PODIATRY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PODIATRISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PodiatryCode: 36800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

Routine treatments

010 General podiatric care up to 15 minutes including the following:

• trim nails• debride and cut dystrophic nails, one to fi ve• evacuation of sub-ungual haematoma• paring or cutting of benign hyperkeratotic lesion, single lesion• drain paronychia, one nail • nail spike removal, single

270 3,900 1,0 R 52,80

011 General podiatric care (30 minutes) including the following:

• debride and cut dystrophic nails, six or more• nail spike removal, two to four• paring or cutting of benign hyperkeratotic lesion, two to four lesions • paring or cutting of benign hyperkeratotic lesion, more than four lesions• reduction of heel fi ssures• enucleation of interdigital corns, more than two

270 7,800 1,0 R 105,80

012 Extended care for chronic disease management or ulcer management (applicable to diabetes, arthritis and peripheral vascular diseases)

270 7,400 1,0 R 100,40

013 General podiatric care more than 30 minutes (a combination of Items 010 and 011) 270 11,800 1,0 R 160,10

Verruca treatments

Note: No consultation fee shall be charged for the same session unless the procedure is performed at the time of the initial consultation.

014 Verruca pedis (chemotherapy fi rst lesion, consultation and treatment) 270 5,900 1,0 R 80,10

015 Subsequent lesion 270 2,900 1,0 R 39,30

016 Cryotherapy fi rst lesion (consultation and treatment) 270 7,800 1,0 R 105,80

017 Subsequent lesion 270 3,900 1,0 R 52,80

018 Diathermy fi rst lesion (consultation and treatment) 270 6,900 1,0 R 93,80

019 Subsequent lesion 270 3,500 1,0 R 47,50

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PODIATRY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PODIATRISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PodiatryCode: 36800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

Nail surgery

Note: No consultation fee shall be charged for the same session unless the procedure is performed at the time of the initial consultation.

021 Nail wedge resection with matrix phenolisation: one nail – one side (including consultation) 270 19,600 1,0 R 266,00

022 Two nails – one side 270 25,500 1,0 R 346,00

024 Two nails – both sides 270 36,400 1,0 R 494,10

023 One nail – two sides (including consultation) 270 25,500 1,0 R 346,00

025 Avulsion with matrix phenolisation (including consultation) 270 19,600 1,0 R 266,00

031 Avulsion without matrix phenolisation (including consultation) 270 12,800 1,0 R 173,60

Other

040 Infection control, per patient 270 1,200 1,0 R 16,30

041 Remedial therapy 270 4,900 1,0 R 66,50

042 Sterile pack 270 5,900 1,0 R 80,10

044 Suturing (includes consultation) 270 7,800 1,0 R 105,80

046 Incision biopsy 270 5,900 1,0 R 80,10

047 Removal of foreign body 270 8,900 1,0 R 120,80

048 Suturing/wound closure material: Cost of material plus 10% 270 - 0,0 -

146 Excision biopsy 270 8,900 1,0 R 120,80

201 Sterile surgical blades (maximum of 2 per patient) 270 1,000 1,0 R 13,50

203 Wound dressing material (maximum of 2 per patient) 270 2,000 1,0 R 27,10

205 Plaster of Paris bandage roll (maximum of 2 per patient) at net acquisition price 270 - 0,0 -

207 Moulded orthotic material fee 270 11,800 1,0 R 160,10

209 Simple insole material fee 270 5,900 1,0 R 80,10

211 Local anaesthetic medication per ampoule (maximum of 5 per patient) 270 2,000 1,0 R 27,10

Working towards a healthier you

PODIATRY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PODIATRISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PodiatryCode: 36800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

213 Injection medication fee (other than local anaesthetic at net acquisition price 270 - 0,0 -

Items 215, 217 or 219 may be used for corrective or supportive strapping or padding placed into footwear. The area of the foot must be specifi ed.

215 Padding and strapping: Digital, per foot 270 2,800 1,0 R 38,20

217 Padding and strapping: Metatarsal, per foot 270 3,500 1,0 R 47,50

219 Padding and strapping: Heel, per foot 270 3,500 1,0 R 47,50

Appliances and orthotics

(By arrangement with the scheme concerned)

043 Biomechanical examination 270 15,700 1,0 R 213,20

051 Neutral impression Plaster of Paris casting 270 8,500 1,0 R 115,30

052 Orthotic repair 270 12,800 1,0 R 173,60

053 Temporary orthotic or corrective component 270 12,800 1,0 R 173,60

054 Prescription covering and soft tissue supplements 270 8,900 1,0 R 120,80

055 Silicone devices: Digital 270 5,400 1,0 R 73,30

056 Computerised gait analysis 270 19,600 1,0 R 266,00

057 Template measurement 270 2,900 1,0 R 39,30

058 Immobilisation casting 270 10,600 1,0 R 144,00

059 Simple insole – one foot 270 11,100 1,0 R 150,80

061 Simple insoles – both feet 270 20,100 1,0 R 272,80

060 Silicone devices – metatarsal 270 10,700 1,0 R 145,00

064 Silicone devices – heel 270 15,900 1,0 R 215,90

The rates for Items 063 and 065 include the cost of instrinsic and extrinsic posting adjustments.

063 Prescription orthotic – one foot 270 19,100 1,0 R 259,10

065 Prescription orthotics – both feet 270 38,300 1,0 R 519,80

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PODIATRY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PODIATRISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PodiatryCode: 36800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

067 Preformed moulded insoles: Adult, both feet 270 22,100 1,0 R 300,10

069 Preformed moulded insoles: Adult, one foot 270 11,000 1,0 R 149,20

071 Preformed moulded insoles: Child, both feet 270 17,000 1,0 R 230,70

073 Preformed moulded insoles: Child, one foot 270 8,500 1,0 R 115,30

CONSUMABLE LIST

Sterilising items Waste disposalCold sterilant e.g. Cidex, Steri 101, etc. Sharps containerUltraviolet tubes (replacements) Medical waste binAutoclave bags

Regularly used itemsDisposable hand towels e.g. Kimdri PhenolDisinfecting handwash e.g. Hibiscrub Silicone and activator for devicesLinen savers Monochloracetic AcidCotton wool Salacylic acid in LanolinGloves: Non-sterile Dental needles

Sterile Xylotox Se Plain Solution for injectionGauze: Non-sterile Emergency drugs e.g. adrenaline/epipen

Sterile Penrose drains/tournicotTube gauze (various sizes) Hydrogen peroxidePadding e.g. semi-compressed felt 70% alcoholStrapping e.g. Hapla, Zopla HibicolDisinfecting hand gel e.g. Steri 601 AcetoneSurface disinfectant e.g. Steri 201 Sterile blades (various sizes)Tongue depressors Moores DiscsApplicator sticks Sterile dressing traysFriars Balsam SuturesSilver nitrate Single-use sterile syringesHibitane concentrate

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PSYCHIATRIST MEDICAL PRACTITIONER

Version 3 • April 2018

GEMS TARIFF FOR CONSULTATIVE SERVICES BY PSYCHIATRIST WITH EFFECT FROM 1 JANUARY 2018 Practice Type: Psychiatrist Medical PractitionerCode: 12200

Tariff Code Description of Tariff Code CF Units 2018 values

In calculating the GEMS Tariff , the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

I.b Specialists tiered consultation structure

I.b.1 New and established patients: Consultations/visits by psychiatrists (22) only

0161 Psychiatry (‘22’): New and established patients: Consultation/visit of new or established patient with problem focused history, clinical examination and straightforward decision making for minor problem. Typically occupies the doctor personally with the patient between 10 and 20 minutes (for hospital consultation/visit by psychiatrist - refer to items 0166-0169).

11 15,000 R 379.40

0162 Psychiatry (‘22’): New and established patients: Consultation/visit of new or established patient with detailed history, clinical examination and straightforward decision making and counselling. Typically occupies the doctor personally with the patient between 21 and 35 minutes (for hospital consultation/visit by psychiatrist - refer to items 0166-0169).

11 27,500 R 695.60

0163 Psychiatry (‘22’): New and established patients: Consultation/visit of new or established patient with detailed history, complete clinical examination and moderately complex decision making and counselling. Typically occupies the doctor personally with the patient between 36 and 45 minutes (for hospital consultation/visit by psychiatrist - refer to items 0166-0169).

11 40,000 R 1 011.70

0164 Psychiatry (‘22’): New and established patients: Consultation/visit of new or established patient with comprehensive history and clinical examination for complex problem requiring complex decision making and counselling. Typically occupies a doctor personally with the patient between 46 and 60 minutes (for hospital consultation/visit by psychiatrist - refer to items 0166-0169).

11 52,500 R 1 327.90

0166 Psychiatry (22): First hospital and follow-up consultation/visit with problem focused history, clinical examination and straightforward decision making for a minor problem. . Typically occupies the doctor personally with the patient for between 10 and 20 minutes.

11 15,000 R 318.10

0167 Psychiatry (22): First hospital and follow-up consultation/visit with problem focused history, clinical examination and straightforward decision making for a minor problem. . Typically occupies the doctor personally with the patient for between 21 and 35 minutes.

11 27,500 R 423.10

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PSYCHIATRIST MEDICAL PRACTITIONER

Version 3 • April 2018

GEMS TARIFF FOR CONSULTATIVE SERVICES BY PSYCHIATRIST WITH EFFECT FROM 1 JANUARY 2018 Practice Type: Psychiatrist Medical PractitionerCode: 12200

Tariff Code Description of Tariff Code CF Units 2018 values

0168 Psychiatry (22): First hospital and follow-up consultation/visit with problem focused history, clinical examination and straightforward decision making for a minor problem. . Typically occupies the doctor personally with the patient for between 36 and 45 minutes.

11 40,000 R 528.00

0169 Psychiatry (22): First hospital and follow-up consultation/visit with problem focused history, clinical examination and straightforward decision making for a minor problem. . Typically occupies the doctor personally with the patient for between 46 and 60 minutes.

11 52,500 R 636.20

0133 Writing of special motivations for procedures and treatment without the physical presence of a patient (includes report on the clinical condition of a patient) requested by or on behalf of a third party funder or its agent

11 10.000 190.80

0199 Completion of chronic medication forms by medical practitioners with or without the physical presence of the patient requested by or on behalf of a third party funder or its agent

10 21.430 400.10

Medical psychotherapy

2957 Individual psychotherapy (specify type): Including play therapy for children: Per short session (20 minutes) 11 20,000 R 506.00

2958 Psychoanalytic therapy: Per 60-minute session 11 60,000 R 1 517.70

2962 Directive therapy to family, parent(s), spouse: Per 20-minute session 11 20,000 R 506.00

2963 Pairs, marriage or sex therapy: Per 20-minute session 11 20,000 R 506.00

2968 Group therapy: Adults (specify number), tariff per person per 80-minute session; Children (specify number), tariff per person per 80-minute session

11 26,000 R 657.70

2974 Individual psychotherapy (specify type): Including play therapy for children, per intermediate session (40 minutes)

11 40,000 R 1 011.70

2975 Individual psychotherapy (specify type): Including play therapy for children, per extended session (60 minutes or longer)

11 60,000 R 1 517.70

2976 Intermediate treatment where either Items 2962 or 2963 are used, per 40-minute session 11 40,000 R 1 011.70

2977 Extended treatment where either Items 2962 or 2963 are used, per 60-minute session 11 60,000 R 1 517.70

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PSYCHIATRIST MEDICAL PRACTITIONER

Version 3 • April 2018

GEMS TARIFF FOR CONSULTATIVE SERVICES BY PSYCHIATRIST WITH EFFECT FROM 1 JANUARY 2018 Practice Type: Psychiatrist Medical PractitionerCode: 12200

Tariff Code Description of Tariff Code CF Units 2018 values

RULES GOVERNING THE SECTION MEDICAL PSYCHOTHERAPY

V. (a) Electro-convulsive treatment: Visits at hospital or nursing home during a course of electro-convulsive treatment are justifi ed and may be charged for in addition to the fees for the procedure.

(b) Except where otherwise indicated, the duration of a medical psychotherapeutic session is set at 20 minutes or part thereof, provided that such a part comprises 50% or more of the time of a session. This set duration is also applicable for psychiatric examination methods

R 0.00

0079 When a fi rst consultation/visit proceeds into, or is immediately followed by a medical psychotherapeutic procedure, fees for the procedure are calculated according to the appropriate individual psychotherapy code (items 2957, 2974 or 2975)

R 0.00

Physical treatment methods

2970 Electro-convulsive treatment (ECT): Each time (see Rule Va) 11 15,000 R 379,40

Psychiatric examination methods

2972 Narco-analysis (maximum of 3 sessions per treatment): Per 60 mins session 11 60,000 R 1 517,70

2973 Psychometry (specify examination): Per session (maximum of 3 sessions per examination) 11 20,000 R 506,00

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PSYCHOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PSYCHOLOGISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PsychologyCode: 38600

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

GENERAL RULES

B. Where emergency treatment is provided:

a. during working hours, and the provision of such treatment requires the practitioner to leave her or his practice to attend to the patient at another venue; or

b. after working hours the fee for such visits shall be the total fee plus 50%.

For purposes of this rule:

a. “emergency treatment” means a bona fi de, justifi able emergency psychological procedure, where failure to provide the service immediately would result in serious or irreparable psychological or functional impairment

b. “working hours” means 8h00 to 17h00, Monday to Friday

Modifi er 0003 must be quoted after the appropriate code number(s) to indicate that this rule is applicable.

C. It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.

D. Every account shall contain the following particulars:

a. the surname and initials of the memberb. the surname, fi rst name and other initials, if any, of the patientc. the name of the scheme concernedd. the membership number of the membere. the practice code number, group practice number and individual provider registration number issued by

the registering authorities for providers, if applicable, of the supplier of service and, in the case of a group practice, the name of the practitioner who provided the service

f. the date on which each relevant health service was renderedg. the relevant diagnostic codes and NHRPL item code numbers relating to the health service rendered

Working towards a healthier you

PSYCHOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PSYCHOLOGISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PsychologyCode: 38600

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

E. Compilation of reports is only to be included within billable time if these reports are for purposes of motivating for therapy and/or giving a progress report and/or a pre-authorisation report, and where such a report is specifi cally required by the medical scheme. Maximum billable time for such a report is 15 minutes.

F. With the exception of compilation of reports as per Rule E, time charged in terms of the codes in this schedule only includes time spent in direct interaction with the patient.

MODIFIERS

Modifi er governing the section psychological services

0003 Emergency treatments – relevant fee plus 50%

0004 Psychology services rendered to an inpatient in a nursing home or hospital

Consultative and therapeutic services

007 Appointment not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).

200 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 1-10 mins 280 5,000 1,0 R 84,70

201 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 11-20 mins 280 15,000 1,0 R 253,90

202 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 21-30 mins 280 25,000 1,0 R 423,10

203 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 31-40 mins 280 35,000 1,0 R 592,30

204 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 41-50 mins 280 45,000 1,0 R 761,50

205 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 51-60 mins 280 55,000 1,0 R 931,00

206 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 61-70 mins 280 65,000 1,0 R 1 100,20

207 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 71-80 mins 280 75,000 1,0 R 1 269,30

208 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 81-90 mins 280 85,000 1,0 R 1 438,60

209 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 91-100 mins 280 95,000 1,0 R 1 607,90

210 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 101-110 mins 280 105,000 1,0 R 1 777,30

211 Psychology assessment, consultation, counselling and/or therapy (individual or family). Duration: 111-120 mins 280 115,000 1,0 R 1 946,20

This code would be used in addition to code 211

Working towards a healthier you

PSYCHOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PSYCHOLOGISTS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: PsychologyCode: 38600

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

290 Extended assessment, consultation, counselling and/or therapy (individual or family) per full 15 minutes in excess of 120 minutes

280 7,500 1,0 R 127,00

Group services

300 Psychology group consultation, counselling and/or therapy, per patient. Duration: 1-10 mins 280 1,000 1,0 R 16,90

301 Psychology group consultation, counselling and/or therapy, per patient. Duration: 11-20 mins 280 3,000 1,0 R 50,60

302 Psychology group consultation, counselling and/or therapy, per patient. Duration: 21-30 mins 280 5,000 1,0 R 84,70

303 Psychology group consultation, counselling and/or therapy, per patient. Duration: 31-40 mins 280 7,000 1,0 R 118,50

304 Psychology group consultation, counselling and/or therapy, per patient. Duration: 41-50 mins 280 9,000 1,0 R 152,30

305 Psychology group consultation, counselling and/or therapy, per patient. Duration: 51-60 mins 280 11,000 1,0 R 186,10

306 Psychology group consultation, counselling and/or therapy, per patient. Duration: 61-70 mins 280 13,000 1,0 R 219,90

307 Psychology group consultation, counselling and/or therapy, per patient. Duration: 71-80 mins 280 15,000 1,0 R 253,90

308 Psychology group consultation, counselling and/or therapy, per patient. Duration: 81-90 mins 280 17,000 1,0 R 287,70

309 Psychology group consultation, counselling and/or therapy, per patient. Duration: 91-100 mins 280 19,000 1,0 R 321,60

310 Psychology group consultation, counselling and/or therapy, per patient. Duration: 101-110 mins 280 21,000 1,0 R 355,40

311 Psychology group consultation, counselling and/or therapy, per patient. Duration: 111-120 mins 280 23,000 1,0 R 389,30

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PSYCHOMETRY REGISTERED COUNSELLORS

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PSYCHOMETRISTS OR REGISTERED COUNSELLORS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Registered CounsellorsCode: 38100

Practice Type: PsychometryCode: 38500

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

GENERAL RULES

A. Every account shall contain the following particulars:

a. the surname and initials of the memberb. the surname, fi rst name and other initials, if any, of the patientc. the name of the scheme concernedd. the membership number of the membere. the practice code number, group practice number and individual provider

registration number issued by the registering authorities for providers, if applicable, of the supplier of service and, in the case of a group practice, the name of the practitioner who provided the service

f. the date on which each relevant health service was renderedg. the relevant diagnostic codes and NHRPL item code numbers relating to

the health service rendered

B. Compilation of reports is only to be included within billable time if these reports are for purposes of motivating for therapy and/or giving a progress report and/or a pre-authorisation report, and where such a report is specifi cally required by the medical scheme. Maximum billable time for such a report is 15 minutes.

PSYCHOMETRIC SERVICES

007 Appointment not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).

200 Psychometric testing. Duration: 1-10 mins 285 0,500 1,0 R 42,30

201 Psychometric testing. Duration: 11-20 mins 285 1,500 1,0 R 127,00

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PSYCHOMETRY REGISTERED COUNSELLORS

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PSYCHOMETRISTS OR REGISTERED COUNSELLORS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Registered CounsellorsCode: 38100

Practice Type: PsychometryCode: 38500

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

202 Psychometric testing. Duration: 21-30 mins 285 2,500 1,0 R 211,50

203 Psychometric testing. Duration: 31-40 mins 285 3,500 1,0 R 296,10

204 Psychometric testing. Duration: 41-50 mins 285 4,500 1,0 R 380,80

205 Psychometric testing. Duration: 51-60 mins 285 5,500 1,0 R 465,20

206 Psychometric testing. Duration: 61-70 mins 285 6,500 1,0 R 550,10

207 Psychometric testing. Duration: 71-80 mins 285 7,500 1,0 R 634,50

208 Psychometric testing. Duration: 81-90 mins 285 8,500 1,0 R 719,20

209 Psychometric testing. Duration: 91-100 mins 285 9,500 1,0 R 803,90

210 Psychometric testing. Duration: 101-110 mins 285 10,500 1,0 R 888,50

211 Psychometric testing. Duration: 111-120 mins 285 11,500 1,0 R 973,30

290 Psychometric testing – per full 15 minutes in excess of 120 minutes 285 0,750 1,0 R 63,50

SERVICES RENDERED BY REGISTERED COUNSELLORS

300 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 1-10 mins

285 0,500 1,0 R 42,30

301 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 11-20 mins

285 1,500 1,0 R 127,00

302 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 21-30 mins

285 2,500 1,0 R 211,50

303 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 31-40 mins

285 3,500 1,0 R 296,10

304 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 41-50 mins

285 4,500 1,0 R 380,80

305 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 51-60 mins

285 5,500 1,0 R 465,20

306 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 61-70 mins

285 6,500 1,0 R 550,10

Working towards a healthier you

PSYCHOMETRY REGISTERED COUNSELLORS

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY PSYCHOMETRISTS OR REGISTERED COUNSELLORS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Registered CounsellorsCode: 38100

Practice Type: PsychometryCode: 38500

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

307 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 71-80 mins

285 7,500 1,0 R 634,50

308 Assessment, consultation, counselling and/or therapy (individual or family). Duration: 81-90 mins

285 8,500 1,0 R 719,20

400 Group consultation, counselling and/or therapy, per patient. Duration: 1-10 mins

285 0,100 1,0 R 8,42

401 Group consultation, counselling and/or therapy, per patient. Duration: 11-20 mins

285 0,300 1,0 R 25,40

402 Group consultation, counselling and/or therapy, per patient. Duration: 21-30 mins

285 0,500 1,0 R 42,30

403 Group consultation, counselling and/or therapy, per patient. Duration: 31-40 mins

285 0,700 1,0 R 59,20

404 Group consultation, counselling and/or therapy, per patient. Duration: 41-50 mins

285 0,900 1,0 R 76,10

405 Group consultation, counselling and/or therapy, per patient. Duration: 51-60 mins

285 1,100 1,0 R 93,10

406 Group consultation, counselling and/or therapy, per patient. Duration: 61-70 mins

285 1,300 1,0 R 110,00

407 Group consultation, counselling and/or therapy, per patient. Duration: 71-80 mins

285 1,500 1,0 R 127,00

408 Group consultation, counselling and/or therapy, per patient. Duration: 81-90 mins

285 1,700 1,0 R 144,00

409 Group consultation, counselling and/or therapy, per patient. Duration: 91-100 mins

285 1,900 1,0 R 160,70

410 Group consultation, counselling and/or therapy, per patient. Duration: 101-110 mins

285 2,100 1,0 R 177,70

411 Group consultation, counselling and/or therapy, per patient. Duration: 111-120 mins

285 2,300 1,0 R 194,60

490 Extended group consultation, counselling and/or therapy – per patient per full 15 minutes in excess of 120 minutes

285 0,150 1,0 R 12,80

Working towards a healthier you

RADIOGRAPHY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY RADIOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: RadiographyCode: 33900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

DIAGNOSTIC PROCEDURES

Note: Items 015, 029, 031, 033, 037, 065, 071, 073, 075, 077, 079, 081, 083, 085, 087, 089, 091, 093, 095, 097, 099, 101, 115, 117, 119, 121, 129, 131, 133, 135, 137, 139, 141, 149, 167, 171 and 173 should only be paid on condition that the radiographer submits the name of the supervising clinician and his/her BHF practice number. Schemes should not pay the radiographer if she/he is supervised by a radiologist.

GENERAL RULES

1000 It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.

MODIFIERS

0001 The specifi ed call-out fee may be charged for any bona fi de, justifi able emergency occurring at any hour which requires the practitioner to travel to the patient. Individual medical schemes may require a motivation to accompany the claim.

290 12,490 1,0 R 64,80

0021 Services rendered to hospital patients: Quote modifi er 0021 on all accounts for services performed on hospital or day clinic patients.

0080 Multiple examinations: Full fees

0081 Repeat examinations: No reduction

0084 Films should be charged under code 300

1. Skeleton

1.1. Limbs

001 Finger, toe 290 12,300 1,0 R 64,00

003 Limb per region, e.g. shoulder, elbow, knee, foot, hand, wrist or ankle (an adjacent part which does not require an additional set of views should not be added, e.g. wrist or hand)

290 16,200 1,0 R 84,20

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RADIOGRAPHY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY RADIOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: RadiographyCode: 33900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

005 Smith-Petersen or equivalent control, in theatre 290 134,600 1,0 R 698,70

007 Stress studies, e.g. joint 290 16,200 1,0 R 84,20

009 Length studies per right and left pair of long bones 290 16,200 1,0 R 84,20

011 Skeletal survey under 5 years 290 48,500 1,0 R 251,80

013 Skeletal survey over 5 years 290 52,300 1,0 R 271,60

015 Arthrography per joint 290 39,500 1,0 R 205,10

1.2. Spinal column

017 Per region, e.g. cervical, sacral, coccygeal, one region thoracic 290 24,600 1,0 R 127,90

021 Stress studies 290 10,000 1,0 R 52,10

025 Scoliosis studies 290 39,300 1,0 R 204,10

027 Pelvis (sacro-iliac or hip joints only to be added where an extra set of views is required) 290 17,000 1,0 R 88,40

Myelography

029 Lumbar 290 43,100 1,0 R 223,90

031 Thoracic 290 40,100 1,0 R 208,30

033 Cervical 290 59,400 1,0 R 308,50

035 Multiple (lumbar, thoracic, cervical): Same fee as for fi rst segment (no additional introduction of contrast medium) 290 - 0,0 R 0,00

037 Discography 290 31,500 1,0 R 163,40

1.3. Skull

039 Skull studies 290 32,300 1,0 R 167,70

041 Paranasal sinuses 290 17,000 1,0 R 88,40

043 Facial bones and/or orbits 290 34,900 1,0 R 181,00

045 Mandible 290 26,000 1,0 R 135,00

047 Nasal bone 290 16,200 1,0 R 84,20

049 Mastoid: Bilateral 290 50,000 1,0 R 259,50

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RADIOGRAPHY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY RADIOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: RadiographyCode: 33900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

Teeth

051 One quadrant 290 7,700 1,0 R 39,90

053 Two quadrants 290 8,500 1,0 R 44,20

055 Full mouth 290 10,800 1,0 R 56,20

057 Rotation tomography of the teeth and jaws 290 14,600 1,0 R 75,70

059 Temporo-mandibular joints: Per side 290 19,200 1,0 R 99,50

061 Tomography: Per side 290 30,500 1,0 R 158,30

063 Localisation of foreign body in the eye 290 30,700 1,0 R 159,50

065 Ventriculography 290 37,400 1,0 R 194,30

067 Post-nasal studies: Lateral neck 290 10,000 1,0 R 52,10

069 Maxillofacial cephalometry 290 26,900 1,0 R 139,70

071 Dacryocystography 290 24,200 1,0 R 125,70

2. Alimentary tract

073 Sialography (plus 80% for each additional gland) 290 24,600 1,0 R 127,90

075 Pharynx and oesophagus 290 22,800 1,0 R 118,30

077 Oesophagus, stomach and duodenum (control fi lm of abdomen included) and limited follow-through 290 31,500 1,0 R 163,40

079 Small bowel meal (control fi lm of abdomen included, except when part of Item 081) 290 27,700 1,0 R 143,80

081 Barium meal and dedicated gastrointestinal tract follow-through (including control fi lm of the abdomen, oesophagus, duodenum, small bowel and colon)

290 47,200 1,0 R 245,10

083 Barium enema (control fi lm of abdomen included) 290 50,900 1,0 R 264,20

085 Biliary tract: ERCP (choledogram and/or pancreatography screening included) 290 47,000 1,0 R 244,10

087 Gastric/oesophageal/duodenal intubation control 290 20,800 1,0 R 108,00

089 Hypotonic duodenography (077 included) 290 57,300 1,0 R 297,50

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RADIOGRAPHY

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GEMS TARIFF FOR SERVICES BY RADIOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: RadiographyCode: 33900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

3. Biliary tract

091 Oral cholecystography 290 47,800 1,0 R 248,30

093 Intravenous 290 58,600 1,0 R 304,30

095 Operative: First series 290 58,100 1,0 R 301,80

097 Subsequent series 290 24,000 1,0 R 124,50

099 Post-operative: T-tube 290 20,100 1,0 R 104,60

101 Trans-hepatic, percutaneous 290 34,600 1,0 R 179,60

103 Tomography of biliary tract: Add 290 21,500 1,0 R 111,60

Chest

105 Larynx (tomography included) 290 42,400 1,0 R 220,20

107 Chest (Item 167 included) 290 19,200 1,0 R 99,50

109 Chest and cardiac studies (Item 167 included) 290 23,100 1,0 R 119,80

111 Ribs 290 19,200 1,0 R 99,50

113 Sternum or sterno-clavicular joints 290 24,600 1,0 R 127,90

Bronchography

115 Unilateral 290 33,500 1,0 R 173,90

117 Bilateral 290 56,500 1,0 R 293,40

119 Pleurography 290 15,700 1,0 R 81,50

121 Laryngography 290 15,700 1,0 R 81,50

123 Thoracic inlet 290 15,700 1,0 R 81,50

5. Abdomen

125 Control fi lms of the abdomen (not being part of examination for barium meal, barium enema, pyelogram, cholecystogram, cholangiogram, etc.)

290 17,000 1,0 R 88,40

127 Acute abdomen or equivalent studies 290 30,700 1,0 R 159,50

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GEMS TARIFF FOR SERVICES BY RADIOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: RadiographyCode: 33900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

6. Urinary tract

129 Control fi lm included and bladder views before and after micturition 290 67,000 1,0 R 347,90

133 Waterload test: Add 290 20,100 1,0 R 104,60

135 Cystography only or urethrography only (retrograde) 290 37,600 1,0 R 195,20

Cysto-urethrography

137 Retrograde 290 33,100 1,0 R 171,90

139 Retrograde-prograde pyelography 290 42,400 1,0 R 220,20

141 Aspiration renal cyst 290 17,000 1,0 R 88,40

143 Tomography of renal tract: Add 290 19,200 1,0 R 99,50

7. Gynaecology and obstetrics

145 Pregnancy 290 19,200 1,0 R 99,50

147 Pelvimetry 290 35,500 1,0 R 184,50

149 Hysterosalpingography 290 32,000 1,0 R 165,90

8. Tomography and cinematography

151 Tomography (conventional except where otherwise specifi ed): Add 100% provided that if it is more than one dimension, fees shall be charged for the additional investigation at 50% of the rate with a maximum of two additional investigations.

290 - 0,0 -

153 Tomography (multi-dimensional in motion): Add 150% 290 - 0,0 -

9. Computed tomography

155 Head, single examination, full series 290 262,700 1,0 R 1 363,80

157 Head, repeat examination at the same visit, after contrast, full series 290 90,200 1,0 R 468,20

159 Chest 290 303,700 1,0 R 1 576,70

161 Abdomen (including base of chest and/or pelvis) 290 353,000 1,0 R 1 832,60

163 Multiple examinations: For an additional part, the lesser fee shall be reduced to 290 82,100 1,0 R 426,30

165 Limbs and other limited examinations 290 82,100 1,0 R 426,30

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GEMS TARIFF FOR SERVICES BY RADIOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: RadiographyCode: 33900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

Modifi er governing this specifi c section of the tariffs

0089 The number of sections of each examination and the matrix number must be specifi ed. A full series of sections would be 8 or more for brain examinations, 12 or more for chest examinations, and 16 or more for abdomen examinations. Fees for examinations on a matrix number of less than 250 shall be reduced by 50%.

10. Miscellaneous

167 Fluoroscopy: Per half hour, add (not applicable to Items 107 and 109) 290 21,400 1,0 R 111,20

169 Where a C-arm portable X-ray unit is used in hospital or theatre: Per half hour: Add 290 29,600 1,0 R 153,70

171 Sinography 290 44,300 1,0 R 230,00

173 Bone densitometry 290 80,900 1,0 R 420,00

175 Mammography: Unilateral or bilateral 290 58,100 1,0 R 301,80

177 Repeat mammography, unilateral or bilateral for localisation of tumour 290 58,100 1,0 R 301,80

179 Attendance at operation in theatre or at radiological procedure performed by a surgeon or physician in X-ray department except 005: Per 1/2 hour, plus fee for examination performed

290 17,600 1,0 R 91,40

181 Setting of sterile trays 290 3,000 1,0 R 15,60

Films are to be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

300 X-ray fi lms

Attendance in catheterisation laboratory

Use codes 191 to 193 to charge for radiographer input where that is not included in cath lab facility fee.

191 Preparation in catheterisation laboratory for purposes of cardiac catheterisation and/or invasive intravascular procedures

290 43,000 1,0 R 223,20

192 Post-processing in catheterisation laboratory for purposes of cardiac catheterisation and/or invasive intravascular procedures

290 43,000 1,0 R 223,20

193 Coronary angiogram per 30 minutes or part thereof provided that such part comprises 50% or more of the time 290 43,000 1,0 R 223,20

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Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

194 Right heart investigation of valve and venous system of the right heart 290 43,000 1,0 R 223,20

195 PTCA per 30 minutes or part thereof provided that such part comprises 50% or more of the time 290 43,000 1,0 R 223,20

196 Left heart investigation of valve of the left heart and ventrical 290 43,100 1,0 R 223,90

197 Stent procedure per 30 minutes or part thereof provided that such part comprises 50% or more of the time 290 43,000 1,0 R 223,20

199 Vascular study per 30 minutes or part thereof provided that such part comprises 50% or more of the time 290 43,000 1,0 R 223,20

201 Temporary pacemaker procedure per 30 minutes or part thereof provided that such part comprises 50% or more of the time

290 43,000 1,0 R 223,20

203 Permanent pacemaker procedure in catheterisation laboratory per 30 minutes or part thereof provided that such part comprises 50% or more of the time

290 43,000 1,0 R 223,20

205 Intra-aortic balloon pump procedure per 30 minutes or part thereof provided that such part comprises 50% or more of the time

290 43,000 1,0 R 223,20

207 Electro-physiological studies per 30 minutes or part thereof provided that such part comprises 50% or more of the time

290 43,000 1,0 R 223,20

209 Bleomycine and other studies per 30 minutes or part thereof provided that such part comprises 50% or more of the time

290 43,000 1,0 R 223,20

211 Intravascular ultrasound per 30 minutes of part thereof provided that such part comprises 50% or more of the time

290 43,000 1,0 R 223,20

213 Rotablator/laser procedures per 30 minutes or part thereof provided that such part comprises 50% or more of the time

290 43,000 1,0 R 223,20

215 Embolisation per 30 minutes or part thereof provided that such part comprises 50% or more of the time 290 43,000 1,0 R 223,20

RULES

Z No fee to be subject to more than one reduction

11. Portable unit examinations

185 Where portable X-ray unit is used in the hospital or theatre: Add 290 19,400 1,0 R 100,80

187 Theatre investigations with fi xed installation: Add 290 8,300 1,0 R 43,10

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RADIOLOGY

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

This schedule is for the exclusive use of registered specialist radiology practices (Pr No “038”) and Nuclear medicine practices (Pr No “025”). “025” practices may only charge the codes with a third digit of 9. “038” practices may charge all codes except codes with a third digit of 9. Practitioners registered as both radiologists and nuclear physicians may charge all codes. Neurosurgeons accredited by the RSSA may charge for the neuro-interventional studies at 100% of the published radiology rate, subject to preauthorisation and this excludes equipment fees or any other claims for the same event.

This schedule must be used in conjunction with the Radiological Society of SA Guidelines. Please refer to the PET guidelines in Annexure D.

CODE STRUCTURE FRAMEWORK

a. The tariff code consists of 5 digits

i. First digit indicates the main anatomical region or procedural category• 0 = General (non specifi c)• 1 = Head• 2 = Neck• 3 = Thorax• 4 = Abdomen and pelvis (soft tissue)• 5 = Spine, pelvis and hips• 6 = Upper limbs• 7 = Lower limbs• 8 = Interventional• 9 = Soft tissue regions (Nuclear medicine)

e.g. “Head” = 1xxxx

ii. Second digit indicates the sub region within a main region or category e.g.• “Head/skull and brain” = 10xxx

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

iii. Third digit indicates modality• 1 = General (black and white) X-rays• 2 = Ultrasound• 3 = Computed tomography• 4 = Magnetic Resonance Imaging• 5 = Angiography • 6 = Interventional radiology• 9 = Nuclear medicine (isotopes)

e.g.: “Head/skull and brain/general X-ray” = 101xx

iv. Fourth and fi fth digits are specifi c to a procedure/examination, e.g. “Head/skull and brain/general/X-ray of the skull” = 10100

GUIDELINES FOR USE OF CODING STRUCTURE

• The vast majority of the codes describe complete procedures/examination and their use for the appropriate studies is self-explanatory.• Some codes may have multiple applications and their use is described in notes associated with each code.• Codes 00510 to 00560 (angiography machine codes) may only be used by owners of the equipment and who have registered such equipment with the Board of Healthcare

Funders/RSSA.• The machine codes 00510, 00520, 00530, 00540, 00550, 00560 may not be added to 60540, 60550, 70530, 70535 (antegrade venography, upper and lower limbs). • Where public sector hospital equipment is used for a procedure, the units will be reduced by 33.33%.

CONSUMABLES

• Contrast medium- Prior to the implementation of Act 90, contrast will be billed according to the offi cial 2004 RSSA reimbursement price list, without markup.- After the implementation of Act 90, contrast medium will be billed according to the suppliers’ list price, without markup.

• Angiography catheters, angioplasty balloons, stents, coils and other embolisation materials, guide wires and drains are to be billed at net acquisition cost, without markup, until the implementation of Act 90.

• All other consumables are to be billed at net acquisition price, until the implementation of Act 90. Thereafter Act 90 regulations apply. • The cost of fi lm is included in the comprehensive procedure codes and is not billed for separately.• Appropriate codes must be provided for consumables.

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

General comments on procedural codes

• All X-ray tomography codes are stand-alone studies and may be used as a unique study or in combination with the appropriate regional study if done simultaneously. May not be added to 20130, 42110, 42115.

• Setting of sterile tray is included in all appropriate procedure codes.• Where introduction of contrast is necessary eg. sialography,

arthrography, angiography, etc, the codes used for the procedures are comprehensive and include the introduction of contrast or isotopes.

• The use of doppler or colour doppler as an adjunct to a study (eg small parts thyroid) is included in the code for that study.

• CT angiography (10330, 20330, 32300, 32310, 44300, 44310, 44320, 44330, 60310, 70310, 70320) are stand-alone studies and may not be added to the regional contrasted studies (see 10335, 20340, 20350, 44325 for combined studies).

• Angiography and interventional procedures include selective and super selective catheterisation of vessels as are necessary to perform the procedures.

Codes 00230 (Ultrasound guidance), 00320 (CT guidance) and 00430 (MR guidance) are stand-alone procedures that include the regional study and may not be added to any of the ultrasound, CT or MR regional studies.

GENERAL CODES

MODIFIERS

00091 Radiology and Nuclear medicine services rendered to hospital inpatients

00092 Radiology and Nuclear medicine services rendered to outpatients

00093 A reduction of one third (33.33%) will apply to radiological examinations where hospital equipment is used.

Equipment/diagnostic

00090 Consumables used in radiology procedures: cost price PLUS 26% (up to a maximum of R26,00). (Where applicable, VAT should be added to the above).

410 - 1,0 -

Appropriate code to be provided. See separate codes for contrast and isotopes.

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

00110 X-ray skeletal survey under fi ve years 410 6,260 1,0 R 773,40

00115 X-ray skeletal survey over fi ve years 410 10,400 1,0 R 1 284,80

00120 X-ray sinogram, any region 410 10,890 1,0 R 1 345,40

00130 X-ray with mobile unit in other facility 410 1,900 1,0 R 234,60

To be added to applicable procedure codes e.g. 30100

00135 X-ray control view in theatre, any region 410 5,260 1,0 R 649,80

00140 X-ray fl uoroscopy, any region 410 2,260 1,0 R 279,20

May only be added to the examination when fl uoroscopy is not included in the standard procedure code. May not be added to:

• any angiography, venography, lymphangiography or interventional codes• any contrasted fl uoroscopy examination

00145 X-ray fl uoroscopy guidance for biopsy, any region 410 5,300 1,0 R 654,90

Add to the procedure e.g. 80600, 80605, 80610

00150 X-ray C-Arm (equipment fee only, not procedure), per half hour 410 2,420 1,0 R 299,00

Only to be used if equipment is owned by the radiologist

00155 X-ray C-arm fl uoroscopy in theatre per half hour (procedure only) 410 2,300 1,0 R 283,90

00160 X-ray fi xed theatre installation (equipment fee only) 410 2,260 1,0 R 279,20

Only to be used if equipment is owned by the radiologist

00190 X-ray examination contrast material 410 - 1,0 -

Identifi cation code for the use of contrast with a procedure. Appropriate codes to be supplied.

00210 Ultrasound with mobile unit in other facility 410 1,840 1,0 R 227,20

Add to the relevant ultrasound examination codes e.g. 10200

00220 Ultrasound intraoperative study 410 7,320 1,0 R 904,30

Covers all regions studied. Single code per operative procedure.

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Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

00230 Ultrasound guidance 410 12,100 1,0 R 1 495,20

Comprehensive ultrasound code including regional study and guidance. Guided procedure code to be added e.g. 80600, 80605, 80610.

00240 Ultrasound guidance for tissue ablation 410 11,240 1,0 R 1 388,80

Comprehensive ultrasound code including regional study and guidance. Radiologist assistance (01030) may be added if procedure is performed by a non-radiologist. Guided procedure code to be added if performed by a radiologist. 80620 or 80630.

00250 Ultrasound limited doppler study, any region 410 6,500 1,0 Z R 803,10

Stand-alone code may not be added to any other code

00290 Ultrasound examination contrast material 410 - 1,0 -

Identifi cation code for the use of contrast with a procedure. Appropriate codes to be supplied.

00310 CT planning study for radiotherapy 410 21,370 1,0 R 2 640,30

00591 Radiology prosthetic device

To be used once per planning session for any region

00320 CT guidance (separate procedure) 410 16,920 1,0 R 2 090,60

Comprehensive CT code including regional study and guidance. Guided procedure code to be added e.g. 80600, 80605, and 80610.

00330 CT guidance, with diagnostic procedure 410 8,460 1,0 R 1 045,00

To be added to the diagnostic procedure code. Guided procedure code to be added e.g. 80600, 80605, 80610.

00340 CT guidance and monitoring for tissue ablation 410 21,150 1,0 R 2 613,00

May only be used once per procedure for a region. Radiologist assistance (01030) may be added if procedure is performed by a non-radiologist. If performed by radiologist, add procedural code 80620, or 80630.

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

00390 CT examination contrast material 410 - 1,0 -

Identifi cation code for the use of contrast with a procedure. Appropriate codes to be supplied.

00410 MR study of the whole body for metastases screening 410 70,400 1,0 R 8 697,80

00420 MR spectroscopy, any region 410 28,900 1,0 R 3 570,60

May be added to the regional study, once only

00430 MR guidance for needle replacement 410 42,560 1,0 R 5 258,10

Comprehensive MRI code including region studied and guidance. Guided procedure code to be added eg 80600, 80605, 80610.

00440 MR low fi eld strength imaging of peripheral joint, any region 410 12,000 1,0 R 1 482,70

00450 MR planning study for radiotherapy or surgical procedure 410 38,000 1,0 R 4 694,80

00455 MR planning study for radiotherapy or surgical procedure, with contrast 410 47,000 1,0 R 5 806,90

00490 MR examination contrast material 410 - 1,0 -

Identifi cation code for the use of contrast with a procedure. Appropriate codes to be supplied.

00510 Analogue monoplane screening table 410 41,010 1,0 R 5 066,80

A machine code may be added once per complete procedure/patient visit

00520 Analogue monoplane table with DSA attachment 410 47,500 1,0 R 5 868,60

A machine code may be added once per complete procedure/patient visit

00530 Dedicated angiography suite: Analogue monoplane unit. Once-off charge per patient by owner of equipment.

410 47,500 1,0 R 5 868,60

A machine code may be added once per complete procedure/patient visit

00540 Digital monoplane screening table 410 79,920 1,0 R 9 873,90

A machine code may be added once per complete procedure/patient visit

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

00550 Dedicated angiography suite: Digital monoplane unit. Once-off charge per patient by owner of equipment.

410 93,030 1,0 R 11 493,70

A machine code may be added once per complete procedure/patient visit

00560 Dedicated angiography suite: Digital bi-plane unit. Once-off charge per patient by owner of equipment.

410 125,000 1,0 R 15 443,60

A machine code may be added once per complete procedure/patient visit

00590 Angiography and interventional examination contrast material 410 - 1,0 -

Identifi cation code for the use of contrast with a procedure. Appropriate codes to be supplied.

00900 Nuclear medicine study – Bone, whole body, appendicular and axial skeleton 410 34,920 1,0 R 4 314,20

00903 Nuclear medicine study – Bone, whole body, appendicular and axial skeleton and SPECT

410 48,330 1,0 R 5 971,20

00906 Nuclear medicine study – venous thrombosis regional 410 21,540 1,0 R 2 661,40

00909 Nuclear medicine study – tumour whole body 410 34,150 1,0 R 4 219,30

00912 Nuclear medicine study – tumour whole body multiple studies 410 47,560 1,0 R 5 875,80

00915 Nuclear medicine study – tumour whole body and SPECT 410 47,560 1,0 R 5 875,80

00918 Nuclear medicine study – tumour whole body, multiple studies and SPECT 410 60,980 1,0 R 7 534,00

00921 Nuclear medicine study – infection whole body 410 31,450 1,0 R 3 885,60

00924 Nuclear medicine study – infection whole body with SPECT 410 44,860 1,0 R 5 542,40

00927 Nuclear medicine study – infection whole body multiple studies 410 44,860 1,0 R 5 542,40

00930 Nuclear medicine study – infection whole body with SPECT multiple studies 410 58,270 1,0 R 7 199,20

00933 Nuclear medicine study – bone marrow imaging limited area 410 24,100 1,0 R 2 977,40

00936 Nuclear medicine study – bone marrow imaging whole body 410 37,510 1,0 R 4 634,20

00939 Nuclear medicine study – bone marrow imaging limited area, multiple studies 410 37,510 1,0 R 4 634,20

00942 Nuclear medicine study – bone marrow imaging whole body, multiple studies 410 50,920 1,0 R 6 291,00

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

00945 Nuclear medicine study – spleen imaging only, haematopoietic 410 24,100 1,0 R 2 977,40

00960 Nuclear medicine therapy – hyperthyroidism 410 11,990 1,0 R 1 481,40

00965 Nuclear medicine therapy – thyroid carcinoma and metastases 410 6,470 1,0 R 799,40

00970 Nuclear medicine therapy – intra-cavity radioactive colloid therapy 410 6,470 1,0 R 799,40

00975 Nuclear medicine therapy – interstitial radioactive colloid therapy 410 6,470 1,0 R 799,40

00980 Nuclear medicine therapy – intravascular radio pharmaceutical therapy particulate

410 6,470 1,0 R 799,40

00985 Nuclear medicine therapy – intra-articular radio pharmaceutical therapy 410 6,470 1,0 R 799,40

00990 Nuclear medicine isotope 410 - 1,0 -

Identifi cation code for the use of isotope with a procedure. Appropriate codes to be supplied.

00991 Nuclear medicine substrate 410 - 1,0 -

00956 PET/CT scan whole body without contrast 181,020 411 181,020 1,0

00957 PET/CT scan whole body with contrast 185,080 411 185,080 1,0

00950 PET scan local 411 - 1,0 -

00951 PET/CT local 133,660 411 133,660 1,0

00952 PET/CT local with contrast 137,730 411 137,730 1,0

00955 PET scan whole body 411 - 1,0 -

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Call and assistance

• Emergency call out code 01010 only to be used if radiologist is called out to the rooms to report on an examination after normal working hours. May not be used for routine reporting during extended working hours.

• Emergency call out code 01020 only to be used when a radiologist reports on subsequent cases after having been called out to the rooms to report an initial after-hours procedure. This code may also be used for home tele-radiology reporting of an emergency procedure. May not be used for routine reporting during normal or extended working hours.

• Radiologist assistance in theatre code 01030 only to be used if the radiologist is actively involved in assisting another radiologist or clinician with a procedure.

• Radiographer assistance in theatre 01040 may not be used for procedures performed in facilities owned by the radiologist, i.e. only for attendance in hospital theatres etc. Does not apply to Bedside Unit (BSU) examinations.

• Second opinion consultations only to be used if a written report is provided as indicated in codes 01050, 01055, 01060. Not intended for ad hoc verbal consultations.

01010 Emergency call-out fee, fi rst case 410 3,000 1,0 R 370,70

01020 Emergency call-out fee, subsequent cases same trip 410 2,000 1,0 R 247,00

01030 Radiologist assistance in theatre, per half hour 410 6,000 1,0 R 741,30

01040 Radiographer attendance in theatre, per half hour 410 1,600 1,0 R 197,60

01050 Written report on study done elsewhere, short 410 1,500 1,0 R 185,30

01055 Written report on study done elsewhere, extensive 410 4,200 1,0 R 518,70

01060 Written report for medico legal purposes, per hour 410 9,720 1,0 R 1 200,70

01070 Consultation for pre-assessment of interventional procedure 410 4,860 1,0 R 600,60

01100 X-ray procedure after hours, per procedure 410 2,000 0,0 R 247,00

01200 Ultrasound procedure after hours, per procedure 410 4,000 0,0 R 494,20

01300 CT procedure after hours, per procedure 410 10,000 0,0 R 1 235,40

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Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

01400 MR procedure after hours, per procedure 410 14,000 0,0 R 1 729,70

01500 Angiography procedure after hours, per procedure 410 20,000 0,0 R 2 471,10

01600 Interventional procedure after hours, per procedure 410 26,000 0,0 R 3 212,30

01970 Consultation for Nuclear medicine study 410 2,200 1,0 R 271,80

Monitoring

ECG/pulse oximetry monitoring (02010). Use for monitoring patients requiring conscious sedation during imaging procedure. Not to be used as a routine.

02010 ECG/pulse oximeter monitoring 410 2,000 1,0 R 247,00

Head

Skull and brain

Codes 10100 (skull) and 10110 (tomography) may be combined

10100 X-ray of the skull 410 3,860 1,0 R 476,80

10110 X-ray tomography of the skull 410 4,300 1,0 R 531,30

10120 X-ray shuntogram for VP shunt 410 15,360 1,0 R 1 897,70

10200 Ultrasound of the brain – neonatal 410 7,380 1,0 R 911,90

10210 Ultrasound of the brain including doppler 410 13,220 1,0 R 1 633,30

10220 Ultrasound of the intracranial vasculature, including B mode, pulse and colour doppler

410 15,040 1,0 R 1 858,10

10300 CT brain uncontrasted 410 22,650 1,0 R 2 798,60

10310 CT brain with contrast only 410 33,280 1,0 R 4 111,80

10320 CT brain pre- and post-contrast 410 40,480 1,0 R 5 001,40

10325 CT brain pre- and post-contrast for perfusion studies 410 49,100 1,0 Z R 6 066,20

Stand-alone code may not be added to any other CT studies of the brain, except for code 10330

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

10330 CT angiography of the brain 410 77,580 1,0 R 9 585,10

10335 CT of the brain pre- and post-contrast with angiography 410 97,910 1,0 R 12 096,50

10340 CT brain for cranio-stenosis including 3D 410 34,160 1,0 R 4 220,50

10350 CT brain stereotactic localisation 410 19,360 1,0 R 2 391,80

10360 CT base of skull coronal high-resolution study for CSF leak 410 34,900 1,0 Z R 4 311,80

10400 MR of the brain, limited study 410 43,560 1,0 R 5 381,80

10410 MR of the brain uncontrasted 410 63,800 1,0 R 7 882,40

10420 MR of the brain with contrast 410 75,940 1,0 R 9 382,50

10430 MR of the brain, pre- and post-contrast 410 104,040 1,0 R 12 854,10

10440 MR of the brain, pre- and post-contrast, for perfusion studies 410 107,440 1,0 R 13 274,10

10450 MR of the brain plus angiography 410 92,200 1,0 R 11 391,00

10460 MR of the brain, pre- and post-contrast plus angiography 410 121,230 1,0 R 14 977,80

10470 MR angiography of the brain uncontrasted 410 58,500 1,0 R 7 227,60

10480 MR angiography of the brain contrasted 410 74,020 1,0 R 9 144,90

10485 MR of the brain, with diffusion studies 410 79,000 1,0 R 9 760,30

10490 MR of the brain, pre- and post-contrast, with diffusion studies 410 110,640 1,0 R 13 669,40

10492 MR study of the brain plus angiography, plus diffusion, uncontrasted 410 95,000 1,0 R 11 737,00

10495 MR of the brain, pre- and post-contrast plus angiography and diffusion 410 125,440 1,0 R 15 497,90

10500 Arteriography of intracranial vessels: 1-2 vessels 410 48,600 1,0 R 6 004,30

10510 Arteriography of intracranial vessels: 3-4 vessels 410 82,330 1,0 R 10 171,60

10520 Arteriography of extra-cranial (non-cervical) vessels 410 48,440 1,0 R 5 984,50

10530 Arteriography of intracranial and extra-cranial (non-cervical) vessels 410 118,090 1,0 R 14 589,90

10540 Arteriography of intracranial vessels (4) plus 3D rotational angiography 410 97,570 1,0 R 12 054,70

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

10550 Arteriography of intracranial vessels (1) plus 3D rotational angiography 410 37,290 1,0 R 4 607,10

10560 Venography of dural sinuses 410 52,230 1,0 R 6 452,90

10900 Nuclear medicine study – bone regional, static 410 21,500 1,0 R 2 656,30

10905 Nuclear medicine study – bone regional, static with fl ow 410 27,530 1,0 R 3 401,40

10910 Nuclear medicine study – bone regional, static with SPECT 410 34,920 1,0 R 4 314,20

10915 Nuclear medicine study – bone regional, static with fl ow, with SPECT 410 40,940 1,0 R 5 058,10

10920 Nuclear medicine study – brain, planar, complete, static 410 16,920 1,0 R 2 090,60

10925 Nuclear medicine study – brain complete static with vascular fl ow 410 22,950 1,0 R 2 835,60

10930 Nuclear medicine study – brain, planar, complete, static with SPECT 410 30,330 1,0 R 3 747,30

10935 Nuclear medicine study – brain, planar, complete, static with fl ow, with SPECT

410 36,360 1,0 R 4 492,30

10940 Nuclear medicine study – CSF fl ow imaging cisternography 410 21,600 1,0 R 2 668,70

10945 Nuclear medicine study – ventriculography 410 13,410 1,0 R 1 656,80

10950 Nuclear medicine study – shunt evaluation static, planar 410 13,410 1,0 R 1 656,80

10955 Nuclear medicine study – CFS leakage detection and localisation 410 13,410 1,0 R 1 656,80

10960 Nuclear medicine study – CSF SPECT 410 13,410 1,0 R 1 656,80

10970 PET scan of the brain 411 - 1,0 -

10971 PET/CT scan of the brain uncontrasted 411 130,460 1,0

10972 PET/CT of the brain contrasted 411 134,840 1,0

10980 PET perfusion scan of the brain 411 - 1,0 -

10981 PET/CT perfusion scan of the brain 411 155,170 1,0

Facial bones and nasal bones

Codes 11100 (facial bones) and 11110 (tomography) may be combined

11100 X-ray of the facial bones 410 3,930 1,0 R 485,60

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

11110 X-ray tomography of the facial bones 410 4,300 1,0 R 531,30

11120 X-ray of the nasal bones 410 2,390 1,0 R 295,40

11300 CT of the facial bones 410 20,960 1,0 R 2 589,60

11310 CT of the facial bones with 3D reconstructions 410 30,400 1,0 R 3 755,90

11320 CT of the facial bones/soft tissue, pre- and post-contrast 410 41,260 1,0 R 5 097,50

11400 MR of the facial soft tissue 410 62,400 1,0 R 7 709,30

11410 MR of the facial soft tissue pre- and post-contrast 410 100,600 1,0 R 12 429,00

11420 MR of the facial soft tissue plus angiography, with contrast 410 110,300 1,0 R 13 627,40

11430 MR angiography of the facial soft tissue 410 74,020 1,0 R 9 144,90

Orbits, lacrimal glands and tear ducts

Code 12130 (tomography) may be added to 12100 or 12110 or 12120 (orbits) or 12140 (dacrocystography).

12100 X-ray orbits less than three views 410 3,560 1,0 R 439,70

12110 X-ray of the orbits, three or more views, including foramina 410 5,300 1,0 R 654,90

12120 X-ray of the orbits for foreign body 410 3,560 1,0 R 439,70

12130 X-ray tomography of the orbits 410 4,300 1,0 R 531,30

12140 X-ray dacrocystography 410 11,200 1,0 R 1 383,80

12200 Ultrasound of the orbit/eye 410 5,130 1,0 R 633,90

12210 Ultrasound of the orbit/eye including doppler 410 10,970 1,0 R 1 355,30

12300 CT of the orbits, single plane 410 15,700 1,0 R 1 939,80

12310 CT of the orbits, more than one plane 410 20,590 1,0 R 2 543,70

12320 CT of the orbits pre- and post-contrast, single plane 410 36,030 1,0 R 4 451,40

12330 CT of the orbits pre- and post-contrast, multiple planes 410 39,700 1,0 R 4 904,90

12400 MR of the orbits 410 62,460 1,0 R 7 717,00

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

12410 MR of the orbitae, pre- and post-contrast 410 100,640 1,0 R 12 433,90

12900 Nuclear medicine study – dacrocystography 410 20,770 1,0 R 2 566,00

Paranasal sinuses

Code 13120 (tomography) may be added to 13100, 13110 (paranasal sinuses), 13130 (nasopharyngeal)

13100 X-ray of the paranasal sinuses, single view 410 2,740 1,0 R 338,50

13110 X-ray of the paranasal sinuses, two or more views 410 3,660 1,0 R 452,30

13120 X-ray tomography of the paranasal sinuses 410 4,300 1,0 R 531,30

13130 X-ray of the naso-pharyngeal soft tissue 410 2,740 1,0 R 338,50

13300 CT of the paranasal sinuses single plane, limited study 410 7,200 1,0 R 889,60

13310 CT of the paranasal sinuses, two planes, limited study 410 12,400 1,0 R 1 532,10

13320 CT of the paranasal sinuses, any plane, complete study 410 15,420 1,0 R 1 905,10

13330 CT of the paranasal sinuses, more than one plane, complete study 410 20,770 1,0 R 2 566,00

13340 CT of the paranasal sinuses, any plane, complete study: pre- and post- contrast

410 34,740 1,0 R 4 292,20

13350 CT of the paranasal sinuses, more than one plane, complete study: Pre- and post-contrast

410 41,010 1,0 R 5 066,80

13400 MR of the paranasal sinuses 410 60,270 1,0 R 7 446,10

13410 MR of the paranasal sinuses, pre- and post-contrast 410 96,590 1,0 R 11 933,50

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Mandible, teeth and maxilla

• Code 14110 (orthopantomogram) may be combined with 14100 (mandible) if two separate studies are performed

• Code 14110 (orthopantomogram) may be combined with 15100 and/or 15110 (TM joint) if complete separate studies are performed

• Code 14160 (tomography) may be combined with 14130 or 14140 or 14150 (teeth)

• Code 14160 (tomography) may be combined with 15100 and/or 15110 (TM joint) if complete separate studies are performed

• Code 14330 and 14340 (dental implants) may be combined if mandible and maxilla are examined at the same visit

14100 X-ray of the mandible 410 3,660 1,0 R 452,30

14110 X-ray orthopantomogram of the jaws and teeth 410 4,060 1,0 R 501,60

14120 X-ray maxillofacial cephalometry 410 2,770 1,0 R 342,20

14130 X-ray of the teeth single quadrant 410 2,000 1,0 R 247,00

14140 X-ray of the teeth more than one quadrant 410 2,530 1,0 R 312,80

14150 X-ray of the teeth full mouth 410 3,620 1,0 R 447,30

14160 X-ray tomography of the teeth per side 410 3,230 1,0 R 399,00

14300 CT of the mandible 410 22,280 1,0 R 2 752,60

14310 CT of the mandible, pre- and post-contrast 410 41,260 1,0 R 5 097,50

14320 CT mandible with 3D reconstructions 410 30,400 1,0 R 3 755,90

14330 CT for dental implants in the mandible 410 27,450 1,0 R 3 391,40

14340 CT for dental implants in the maxilla 410 27,450 1,0 R 3 391,40

14400 MR of the mandible/maxilla 410 63,800 1,0 R 7 882,40

14410 MR of the mandible/maxilla, pre- and post-contrast 410 98,640 1,0 R 12 187,00

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

TM joints

• Code 15100 (TM joint) and 15120 (tomography) may be combined• Code 15110 (TM joint) and 15130 (tomography) may be combined • Code 15140 (arthrography) and 15120 (tomography) may be combined• Code 15150 (arthrography) and 15130 (tomography) may be combined• Codes 15320 (CT arthrogram) and 15420 (MR arthrogram) include

introduction of contrast (00140 may not be added)

15100 X-ray tempero-mandibular joint, left 410 3,560 1,0 R 439,70

15110 X-ray tempero-mandibular joint, right 410 3,560 1,0 R 439,70

15120 X-ray tomography tempero-mandibular joint, left 410 4,300 1,0 R 531,30

15130 X-ray tomography tempero-mandibular joint, right 410 4,300 1,0 R 531,30

15140 X-ray arthrography of the tempero-mandibular joint, left 410 15,410 1,0 R 1 903,90

15150 X-ray arthrography of the tempero-mandibular joint, right 410 15,410 1,0 R 1 903,90

15200 Ultrasound tempero-mandibular joints, one or both sides 410 6,560 1,0 R 810,50

15300 CT of the tempero-mandibular joints 410 25,380 1,0 R 3 135,80

15310 CT of the tempero-mandibular joints plus 3D reconstructions 410 34,500 1,0 R 4 262,50

15320 CT arthrogram of the tempero-mandibular joints 410 35,960 1,0 R 4 442,60

15400 MR of the tempero-mandibular joints 410 63,800 1,0 R 7 882,40

15410 MR of the tempero-mandibular joints, pre- and post-contrast 410 100,840 1,0 R 12 458,60

15420 MR arthrogram of the tempero-mandibular joints 410 74,710 1,0 R 9 230,20

Mastoids and internal auditory canal

• Code 16100 (mastoids) and 16120 (tomography) may be combined.• Code 16110 (mastoids bilat) and 16130 (tomography) may be combined.• Code 16140 (IAMs) and 16150 (tomography) may be combined.

16100 X-ray of the mastoids, unilateral 410 3,590 1,0 R 443,60

16110 X-ray of the mastoids, bilateral 410 7,180 1,0 R 887,00

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

16120 X-ray tomography of the petro-temporal bone, unilateral 410 4,300 1,0 R 531,30

16130 X-ray tomography of the petro-temporal bone, bilateral 410 8,600 1,0 R 1 062,40

16140 X-ray internal auditory canal, bilateral 410 5,230 1,0 R 646,10

16150 X-ray tomography of the internal auditory canal, bilateral 410 4,300 1,0 R 531,30

16300 CT of the mastoids 410 12,600 1,0 R 1 556,80

16310 CT of the internal auditory canal 410 21,470 1,0 R 2 652,60

16320 CT of the internal auditory canal, pre- and post-contrast 410 34,200 1,0 R 4 225,40

16330 CT of the ear structures, limited study 410 13,400 1,0 R 1 655,60

16340 CT of the middle and inner ear structures, high-defi nition including all reconstructions in various planes

410 43,350 1,0 R 5 355,80

16400 MR of the internal auditory canals, limited study 410 43,560 1,0 R 5 381,80

16410 MR of the internal auditory canals, pre- and post-contrast, limited study 410 68,930 1,0 R 8 516,10

16420 MR of the internal auditory canals, pre- and post-contrast, complete study 410 102,640 1,0 R 12 681,00

16430 MR of the ear structures 410 64,400 1,0 R 7 956,50

16440 MR of the ear structures, pre- and post-contrast 410 102,640 1,0 R 12 681,00

Sella turcica

Code 17100 (sella) and 17110 (tomography) may be combined

17100 X-ray of the sella turcica 410 3,080 1,0 R 380,50

17110 X-ray tomography of the sella turcica 410 4,300 1,0 R 531,30

17300 CT of the sella turcica/hypophysis 410 17,450 1,0 R 2 155,90

17310 CT of the sella turcica/hypophysis, pre- and post-contrast 410 42,260 1,0 R 5 221,10

17400 MR of the hypophysis 410 43,560 1,0 R 5 381,80

17410 MR of the hypophysis, pre- and post-contrast 410 74,030 1,0 R 9 146,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Salivary glands and fl oor of the mouth

• Code 18100 (calculus) and 18110 (open mouth) may be combined• Codes 18120 (sialography) and 18320 (CT sialography) include

introduction of contrast and fl uoroscopy (00140 may not be added)

18100 X-ray of the salivary glands and ducts for calculus 410 2,840 1,0 R 350,90

18110 X-ray of the salivary ducts, open mouth for calculus 410 1,900 1,0 R 234,60

18120 X-ray sialography, per gland 410 14,080 1,0 R 1 739,60

18200 Ultrasound of the salivary glands/fl oor of the mouth 410 6,560 1,0 R 810,50

18300 CT of the salivary glands, uncontrasted 410 12,600 1,0 R 1 556,80

18310 CT of the salivary glands/fl oor of the mouth, pre- and post-contrast 410 42,100 1,0 R 5 201,50

18320 CT sialography 410 26,280 1,0 R 3 247,00

18400 MR of the salivary glands/fl oor of the mouth 410 63,200 1,0 R 7 808,20

18410 MR of the salivary glands/fl oor of the mouth, pre- and post-contrast 410 100,840 1,0 R 12 458,60

18900 Nuclear medicine study – salivary gland imaging 410 20,770 1,0 R 2 566,00

Soft Tissue

19900 Nuclear medicine study – tumour localisation planar, static 410 20,74 1 R 2 562,50

19905 Nuclear medicine study – tumour localisation planar, static, multiple studies 410 35,17 1 R 4 345,10

19910 Nuclear medicine study – tumour localisation planar, static and SPECT 410 34,15 1 R 4 219,30

19915 Nuclear medicine study – tumour localisation planar, static, multiple studies and SPECT

410 47,56 1 R 5 875,80

19920 Nuclear medicine study – infection localisation planar, static 410 18,04 1 R 2 228,80

19925 Nuclear medicine study – infection localisation planar, static, multiple studies 410 31,45 1 R 3 885,60

19930 Nuclear medicine study – infection localisation planar, static and SPECT 410 31,45 1 R 3 885,60

19935 Nuclear medicine study – infection localisation planar, static, multiple studies and SPECT

410 44,86 1 R 5 542,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Neck

• Code 20120 (laryngography) includes fl uoroscopy (00140 may not be added

• Code 20130 (speech) includes tomography and cinematography (00140 may not be added)

• Code 20450 (MR angiography) may be combined with 10410 (MR brain)

20100 X-ray of soft tissue of the neck 410 2,740 1,0 R 338,50

20110 X-ray of the larynx including tomography 410 9,390 1,0 R 1 160,00

20120 X-ray laryngography 410 8,280 1,0 R 1 023,00

20130 X-ray evaluation of pharyngeal movement and speech by screening and/or cine with or without video recording

410 8,300 1,0 R 1 025,40

20200 Ultrasound of the thyroid 410 6,560 1,0 R 810,50

20210 Ultrasound of soft tissue of the neck 410 6,560 1,0 R 810,50

20220 Ultrasound of the carotid arteries, bilateral including B mode, pulsed and colour doppler

410 15,000 1,0 R 1 853,40

20230 Ultrasound of the entire extracranial vascular tree including carotids, vertebral and subclavian vessels with B mode, pulse and colour doppler

410 21,840 1,0 R 2 698,30

20240 Ultrasound study of the venous system of the neck including pulse and colour doppler

410 10,800 1,0 Z R 1 334,20

20300 CT of the soft tissues of the neck 410 18,250 1,0 R 2 254,60

20310 CT of the soft tissues of the neck, with contrast 410 38,150 1,0 R 4 713,30

20320 CT of the soft tissues of the neck, pre- and post-contrast 410 43,810 1,0 R 5 412,80

20330 CT angiography of the extracranial vessels in the neck 410 79,360 1,0 R 9 804,80

20340 CT angiography of the extracranial vessels in the neck and intracranial vessels of the brain

410 107,500 1,0 R 13 281,50

20350 CT angiography of the extracranial vessels in the neck and intracranial vessels of the brain plus a pre- and post-contrast study of the brain

410 124,430 1,0 R 15 373,10

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

20400 MR of the soft tissue of the neck 410 63,600 1,0 R 7 857,60

20410 MR of the soft tissue of the neck, pre- and post-contrast 410 102,040 1,0 R 12 606,90

20420 MR of the soft tissue of the neck and uncontrasted angiography 410 92,600 1,0 R 11 440,70

20430 MR angiography of the extracranial vessels in the neck, without contrast 410 59,600 1,0 R 7 363,70

20440 MR angiography of the extracranial vessels in the neck, with contrast 410 74,020 1,0 R 9 144,90

20450 MR angiography of the extra and intracranial vessels, with contrast 410 116,050 1,0 R 14 337,80

20460 MR angiography of the intra and extracranial vessels plus brain, without contrast

410 135,170 1,0 R 16 700,00

20470 MR angiography of the intra and extracranial vessels plus brain, with contrast

410 156,050 1,0 R 19 279,80

20500 Arteriography of cervical vessels: Carotid 1-2 vessels 410 44,430 1,0 R 5 489,30

20510 Arteriography of cervical vessels: Vertebral 1-2 vessels 410 50,730 1,0 R 6 267,60

20520 Arteriography of cervical vessels: Carotid and vertebral 410 77,630 1,0 R 9 591,00

20530 Arteriography of aortic arch and cervical vessels 410 91,970 1,0 R 11 362,80

20540 Arteriography of aortic arch, cervical and intracranial vessels 410 108,870 1,0 R 13 450,70

20550 Venography of jugular and vertebral veins 410 48,950 1,0 R 6 047,60

Thyroid (nuclear medicine)

21900 Nuclear medicine study – thyroid, single uptake 410 9,68 1 R 1 196,00

21910 Nuclear medicine study – thyroid, multiple uptake 410 14,69 1 R 1 814,80

21920 Nuclear medicine study – thyroid imaging with uptake 410 17,72 1 R 2 189,30

21930 Nuclear medicine study – thyroid imaging 410 12,72 1 R 1 571,60

21940 Nuclear medicine study – thyroid imaging with vascular fl ow 410 18,74 1 R 2 315,30

21950 Nuclear medicine study – thyroid suppression/stimulation 410 12,72 1 R 1 571,60

21960 PET scan of the thyroid 411 0 1

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Parathyroid (nuclear medicine)

22900 Nuclear medicine study – parathyroid, planar, static 410 16,52 1 R 2 041,20

22910 Nuclear medicine study – parathyroid, planar, static, multiple 410 28,91 1 R 3 571,70

22920 Nuclear medicine study – parathyroid, planar, static with subtraction technique

410 21,88 1 R 2 703,20

22930 Nuclear medicine study – parathyroid SPECT 410 13,41 1 R 1 656,80

22940 PET scan of the parathyroid 411 0 1

Soft tissue

29900 Nuclear medicine study – tumour localisation planar, static 410 20,74 1 R 2 562,50

29905 Nuclear medicine study – tumour localisation planar, static, multiple studies 410 35,17 1 R 4 345,10

29910 Nuclear medicine study – tumour localisation planar, static and SPECT 410 34,15 1 R 4 219,30

29915 Nuclear medicine study – tumour localisation planar, static, multiple studies and SPECT

410 47,56 1 R 5 875,80

29920 Nuclear medicine study – tumour localisation planar, static 410 18,04 1 R 2 228,80

29925 Nuclear medicine study – infection localisation planar, static, multiple studies 410 31,45 1 R 3 885,60

29930 Nuclear medicine study – infection localisation planar, static and SPECT 410 31,45 1 R 3 885,60

29935 Nuclear medicine study – infection localisation planar, static, multiple studies and SPECT

410 44,86 1 R 5 542,40

29940 Nuclear medicine study – regional lymph node mapping, static, planar 410 24,1 1 R 2 977,40

29945 Nuclear medicine study – regional lymph node mapping, static, planar, multiple

410 36,49 1 R 4 508,30

29950 Nuclear medicine study – lymph node localisation with gamma probe 410 12,39 1 R 1 530,70

29960 PET scan of the soft tissue of the neck 411 0 1

29961 PET/CT scan of the soft tissue of the neck uncontrasted 411 132,06 1

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

29962 PET/CT scan of the soft tissue of the neck contrasted 411 136,45 1

Thorax

Chest wall, pleura, lungs and mediastinum

• Code 30140 (tomography) may be combined with 30100 or 30110 (chest) or 30150 or 30155 (ribs) or 30160 (thoracic inlet)

• Codes 30170 (sterno-clavicular) and 30175 (tomography) may be combined

• Code 30180 (sternum) and 30185 (tomography) may be combined• Code 30340 (CT limited high resolution) may be combined with 30310 or

30320 or 30330 (CT chest). Motivation may be required• Code 30350 (high resolution) is a stand-alone study• Code 30360, (CT chest for pulmonary embolism) is a complete

examination and includes the preceding uncontrasted CT scan of the chest, and may not be combined with 40330 or 40333 (CT abdomen and pelvis)

• Code 30370 (CT pulmonary embolism plus CT venography) may not be combined with 70230 (doppler)

30100 X-ray of the chest, single view 410 3,040 1,0 R 375,80

30110 X-ray of the chest two views, PA and lateral 410 3,840 1,0 R 474,30

30120 X-ray of the chest complete with additional views 410 4,240 1,0 R 523,90

30130 X-ray of the chest complete including fl uoroscopy 410 4,480 1,0 R 553,50

30140 X-ray tomography of the chest 410 4,300 1,0 R 531,30

30150 X-ray of the ribs 410 4,790 1,0 R 591,90

30155 X-ray of the chest and ribs 410 6,420 1,0 R 793,00

30160 X-ray of the thoracic inlet 410 2,560 1,0 R 316,10

30170 X-ray of the sterno-clavicular joints 410 4,210 1,0 R 520,30

30175 X-ray tomography of the sterno-clavicular joint 410 4,300 1,0 R 531,30

30180 X-ray of the sternum 410 4,210 1,0 R 520,30

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

30185 X-ray tomography of the sternum 410 4,300 1,0 R 531,30

30200 Ultrasound of the chest wall, any region 410 6,560 1,0 R 810,50

30210 Ultrasound of the pleural space 410 6,560 1,0 R 810,50

30220 Ultrasound of the mediastinal structures 410 6,560 1,0 R 810,50

30300 CT of the chest, limited study 410 9,500 1,0 R 1 173,60

30310 CT of the chest uncontrasted 410 26,600 1,0 R 3 286,40

30320 CT of the chest contrasted 410 42,430 1,0 R 5 242,00

30330 CT of the chest, pre- and post-contrast 410 45,700 1,0 R 5 646,10

30340 CT of the chest, limited high-resolution study 410 11,200 1,0 R 1 383,80

30350 CT of the chest, complete high-resolution study 410 24,010 1,0 R 2 966,50

30355 CT of the chest, complete high-resolution study with additonal prone and expiratory studies

410 33,300 1,0 Z R 4 114,20

30360 CT of the chest for pulmonary embolism 410 57,120 1,0 R 7 057,20

30370 CT of the chest for pulmonary embolism with CT venography of abdomen, pelvis and lower limbs

410 80,280 1,0 R 9 918,50

30400 MR of the chest 410 63,600 1,0 R 7 857,60

30410 MR of the chest with uncontrasted angiography 410 92,600 1,0 R 11 440,70

30420 MR of the chest, pre- and post-contrast 410 102,040 1,0 R 12 606,90

30900 Nuclear medicine study – lung perfusion 410 21,540 1,0 R 2 661,40

30910 Nuclear medicine study – lung ventilation, aerosol 410 21,500 1,0 R 2 656,30

30920 Nuclear medicine study – lung perfusion and ventilation 410 42,030 1,0 R 5 192,70

30930 Nuclear medicine study – lung ventilation using radioactive gas 410 14,170 1,0 R 1 750,70

30940 Nuclear medicine study – lung perfusion and ventilation using radioactive gas

410 34,690 1,0 R 4 285,90

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

30950 Nuclear medicine study – Muco-ciliary clearance study dynamic 410 26,510 1,0 Z R 3 275,40

30960 Nuclear medicine study – Alveolar permeabillity 410 26,510 1,0 Z R 3 275,40

Stand-alone code. Not to be combined with 30910.

30970 Nuclear medicine study – quantitative evaluation of lung perfusion and ventilation

410 6,020 1,0 Z R 743,90

Stand-alone code. Not to be combined with 30920

30980 PET scan of the chest 411 - 1,0 -

30981 PET/CT scan of the chest uncontrasted 411 132,060 1,0

30982 PET/CT scan of the chest contrasted 411 136,450 1,0

30983 PET/CT scan of the chest pre- and post-contrast 411 181,180 1,0

Oesophagus

Codes 31100, 31110, 31120 (swallow) include fl uoroscopy (00140 may not be added)

31100 X-ray barium swallow 410 6,600 1,0 R 815,40

31105 X-ray 3-phase dynamic contrasted swallow 410 12,600 1,0 Z R 1 556,80

31110 X-ray barium swallow, double contrast 410 7,920 1,0 R 978,30

31120 X-ray barium swallow with cinematography 410 10,070 1,0 R 1 244,10

Aorta and large vessels

Codes 32210 and 32220 (IVUS) may be combined

32200 Ultrasound intravascular arterial or venous assessment for intervention, once per complete procedure

410 4,200 1,0 R 518,70

32210 Ultrasound intravascular (IVUS) fi rst vessel 410 8,440 1,0 R 1 042,70

32220 Ultrasound intravascular (IVUS) subsequent vessels 410 5,300 1,0 R 654,90

32300 CT angiography of the aorta and branches 410 79,080 1,0 R 9 770,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

32305 CT angiography of the thoracic and abdominal aorta and branches 410 105,500 1,0 Z R 13 034,50

32310 CT angiography of the pulmonary vasculature 410 79,080 1,0 R 9 770,40

32400 MR angiography of the aorta and branches 410 78,500 1,0 R 9 698,70

32410 MR angiography of the pulmonary vasculature 410 105,270 1,0 R 13 005,80

32500 Arteriography of thoracic aorta 410 28,260 1,0 R 3 491,40

32510 Arteriography of bronchial intercostal vessels alone 410 50,150 1,0 R 6 196,00

32520 Arteriography of thoracic aorta, bronchial and intercostal vessels 410 67,430 1,0 R 8 331,00

32530 Arteriography of pulmonary vessels 410 63,270 1,0 R 7 816,90

32540 Arteriography of heart chambers, coronary arteries 410 44,270 1,0 R 5 469,60

32550 Venography of thoracic vena cava 410 28,380 1,0 R 3 506,30

32560 Venography of vena cava, azygos system 410 56,310 1,0 R 6 957,00

32570 Venography patency of A-port or other central line 410 19,640 1,0 R 2 426,50

Heart

Codes 33300 (CT anatomy/function) and 33310 (CT angiography) may be done as stand-alone studies or as additive studies if both are performed at the same time.

33205 Ultrasound study of the heart for foetal or paediatric cases including doppler 410 12,300 1,0 R 1 519,70

Code 33205 is a stand-alone study and may not be added to 33200 or 33210. This code is intended for paediatric and foetal cases only.

33200 Ultrasound study of the heart, including doppler 410 8,200 1,0 R 1 013,00

33210 Ultrasound study of the heart, trans-oesophageal 410 10,520 1,0 R 1 299,80

33220 Ultrasound intravascular imaging to guide placement of intracoronary stent once per vessel

410 5,200 1,0 R 642,60

33300 CT anatomical/functional study of the heart 410 34,610 1,0 R 4 276,20

33310 CT angiography of heart vessels 410 81,280 1,0 R 10 042,30

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

33400 MR of the heart, anatomical study 410 62,200 1,0 R 7 684,90

33410 MR of the heart, anatomical and functional study 410 69,000 1,0 R 8 524,80

33420 MR of the heart, pre- and post-contrast 410 103,040 1,0 R 12 730,40

33430 MR angiography of the heart vessels 410 70,710 1,0 R 8 736,10

33440 MR of the heart, anatomical, functional and coronary angiography 410 106,840 1,0 R 13 200,00

33900 Nuclear medicine study – cardiac shunt detection 410 21,500 1,0 R 2 656,30

33905 Nuclear medicine study – cardiac blood pool imaging, ejection fraction plus wall motion single study

410 26,510 1,0 R 3 275,40

33910 Nuclear medicine study – cardiac blood pool imaging, ejection fraction plus wall motion multiple studies

410 34,920 1,0 R 4 314,20

33915 Nuclear medicine study – cardiac blood pool imaging, gated SPECT 410 13,410 1,0 R 1 656,80

33920 Nuclear medicine study – cardiac blood pool imaging, fi rst pass technique 410 26,510 1,0 R 3 275,40

33925 Nuclear medicine study – myocardial perfusion, single, rest (thallium/mibi) planar, non-gated

410 16,520 1,0 R 2 041,20

33930 Nuclear medicine study – myocardial perfusion, single, stress (thallium/mibi) planar, non-gated

410 16,520 1,0 R 2 041,20

33935 Nuclear medicine study – myocardial perfusion, single, rest (thallium/mibi), SPECT (non-gated)

410 16,520 1,0 R 2 041,20

33940 Nuclear medicine study – myocardial perfusion, single, stress (thallium/mibi), SPECT non-gated

410 16,520 1,0 R 2 041,20

33945 Nuclear medicine study – myocardial perfusion, single, rest (thallium/mibi), SPECT (gated)

410 28,910 1,0 R 3 571,70

33950 Nuclear medicine study – myocardial perfusion, single, stress (thallium/mibi), SPECT (gated)

410 28,910 1,0 R 3 571,70

33955 Nuclear medicine study – plus wall movement and ejection fraction, SPECT 410 6,020 1,0 R 743,90

33960 Nuclear medicine study – cardiac hot spot imaging (infarction) planar 410 21,500 1,0 R 2 656,30

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

33965 Nuclear medicine study – cardiac hot spot imaging (infarction) SPECT 410 13,410 1,0 R 1 656,80

33970 Nuclear medicine study – multi-stage treadmill ECG test 410 6,660 1,0 R 822,90

33980 PET scan of the heart 411 - 1,0 -

33981 PET/CT scan of the heart 411 145,780 1,0

Mamma

• Codes 34110 (localisation), 34120 (stereo-tactic localisation) and 34130 (stereo-tactic biopsy) may not be combined

• Code 34130 (stereo-tactic biopsy). Add procedural code 80610 (cutting needle) or 34150 (mammotome)

• Code 34205 (U/S FNA) includes the procedural code (may not be combined with 34150)

34100 X-ray mammography, including ultrasound 410 10,440 1,0 R 1 289,70

34101 X-Ray mammography unilateral, including ultrasound 410 8,352 1,0 R 1 031,90

Code 34100 may not be combined with 34205 when these two procedures are done in the same sitting. Code 34100 includes ultrasound. In this situation use code 80605 (fi ne needle aspiration) with 34100.

34105 X-ray mammography galactography 410 9,400 1,0 R 1 161,30

Once-off fee per visit. May be added to 34100.

34110 X-ray mammography study for localisation 410 7,240 1,0 R 894,40

34120 X-ray stereotactic mammography – localisation 410 10,400 1,0 R 1 284,80

34130 X-ray stereotactic mammography – biopsy 410 11,600 1,0 R 1 433,20

34140 X-ray of biopsy specimen of the mamma 410 2,740 1,0 R 338,50

34150 X-ray mammotome handheld biopsy apparatus 410 9,800 1,0 R 1 210,50

34200 Ultrasound study of the breast 410 7,900 1,0 R 975,90

34205 Ultrasound guided aspiration FNA/localisation of the breast 410 12,100 1,0 R 1 495,20

34300 Computer-assisted diagnosis for mammography 410 1,400 1,0 R 173,20

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

34400 MR study of the breast 410 62,600 1,0 R 7 734,10

34410 MR study of the breast pre- and post-contrast 410 100,840 1,0 R 12 458,60

34900 PET scan of the breast/mamma 411 - 1,0 -

Soft tissue

39900 Nuclear medicine study – tumour localisation planar, static 410 20,74 1 R 2 562,50

39905 Nuclear medicine study – tumour localisation planar, static, multiple studies 410 35,17 1 R 4 345,10

39910 Nuclear medicine study – tumour localisation planar, static and SPECT 410 34,15 1 R 4 219,30

39915 Nuclear medicine study – tumour localisation planar, static, multiple studies and SPECT

410 47,56 1 R 5 875,80

39920 Nuclear medicine study – infection localisation planar, static 410 18,04 1 R 2 228,80

39925 Nuclear medicine study – infection localisation planar, static, multiple studies 410 31,45 1 R 3 885,60

39930 Nuclear medicine study – infection localisation planar, static and SPECT 410 31,45 1 R 3 885,60

39935 Nuclear medicine study – infection localisation planar, static, multiple studies, SPECT

410 44,86 1 R 5 542,40

39940 Nuclear medicine study – regional lymph node mapping, static, planar 410 24,1 1 R 2 977,40

39945 Nuclear medicine study – regional lymph node mapping, static, planar, multiple

410 36,49 1 R 4 508,30

39950 Nuclear medicine study – lymph node localisation with gamma probe 410 12,39 1 R 1 530,70

Abdomen and pelvis

Abdomen/stomach/bowel

• Code 40120 (tomography) may be combined with 40100 or 40105 or 40110 (abdomen)

• Codes 40140 to 40190 (barium studies) include fl uoroscopy (00140 may not be added)

• Code 40190 (intussusception) is a stand-alone code and may not be combined with 40160 or 40165 (barium enema), 00140 may not be added

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

40100 X-ray of the abdomen 410 3,320 1,0 R 410,20

40105 X-ray of the abdomen supine and erect, or decubitus 410 5,360 1,0 R 662,10

40110 X-ray of the abdomen multiple views including chest 410 8,100 1,0 R 1 000,90

40120 X-ray tomography of the abdomen 410 4,300 1,0 R 531,30

40140 X-ray barium meal single contrast 410 8,870 1,0 R 1 095,90

40143 X-ray barium meal double contrast 410 11,990 1,0 R 1 481,40

40147 X-ray barium meal double contrast with follow-through 410 15,800 1,0 R 1 952,00

40150 X-ray small bowel enteroclysis (meal) 410 25,450 1,0 R 3 144,40

Code 40150 excludes duodenal intubation and 40175 (duodenal intubation) may be added

40153 X-ray small bowel meal follow-through single contrast 410 19,550 1,0 R 2 415,30

40157 X-ray small bowel meal with pneumocolon 410 25,630 1,0 R 3 166,50

40160 X-ray large bowel enema single contrast 410 12,970 1,0 R 1 602,50

40165 X-ray large bowel enema double contrast 410 19,630 1,0 R 2 425,40

40170 X-ray guided gastro oesophageal intubation 410 1,600 1,0 R 197,60

40175 X-ray guided duodenal intubation 410 2,800 1,0 R 345,90

40180 X-ray defaecogram 410 12,970 1,0 R 1 602,50

40190 X-ray guided reduction of intussusception 410 16,270 1,0 R 2 010,00

40200 Ultrasound study of the abdominal wall 410 5,540 1,0 R 684,50

40210 Ultrasound study of the whole abdomen including the pelvis 410 8,240 1,0 R 1 018,00

40300 CT study of the abdomen 410 26,410 1,0 R 3 262,90

40310 CT study of the abdomen with contrast 410 44,820 1,0 R 5 537,50

40313 CT study of the abdomen pre- and post-contrast 410 52,990 1,0 R 6 546,70

40320 CT of the pelvis 410 26,130 1,0 R 3 228,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

40323 CT of the pelvis with contrast 410 47,480 1,0 R 5 866,10

40327 CT of the pelvis pre- and post-contrast 410 53,870 1,0 R 6 655,50

40330 CT of the abdomen and pelvis 410 38,500 1,0 R 4 756,50

40333 CT of the abdomen and pelvis with contrast 410 62,170 1,0 R 7 680,90

40337 CT of the abdomen and pelvis pre- and post-contrast 410 67,430 1,0 R 8 331,00

40340 CT triphasic study of the liver, abdomen and pelvis, pre- and post-contrast 410 74,110 1,0 R 9 156,30

40345 CT of the chest, abdomen and pelvis without contrast 410 70,120 1,0 R 8 663,10

40350 CT of the chest, abdomen and pelvis with contrast 410 88,350 1,0 R 10 915,60

40355 CT of the chest triphasic of the liver, abdomen and pelvis with contrast 410 93,050 1,0 R 11 496,00

40360 CT of the base of skull to symphysis pubis with contrast 410 102,730 1,0 R 12 692,10

40365 CT colonoscopy 410 34,780 1,0 R 4 297,10

Stand-alone study, may not be added to any code between 40300 and 40360

40400 MR of the abdomen 410 64,580 1,0 R 7 978,80

40410 MR of the abdomen pre- and post-contrast 410 100,840 1,0 R 12 458,60

40420 MR of the pelvis, soft tissue 410 64,580 1,0 R 7 978,80

40430 MR of the pelvis, soft tissue, pre- and post-contrast 410 102,040 1,0 R 12 606,90

40900 Nuclear medicine study – gastro-oesophageal refl ux and emptying 410 21,500 1,0 R 2 656,30

40905 Nuclear medicine study – gastro-oesophageal refl ux and emptying, multiple studies

410 34,920 1,0 R 4 314,20

40910 Nuclear medicine study – gastrointestinal protein loss 410 21,500 1,0 R 2 656,30

40915 Nuclear medicine study – gastrointestinal protein loss, multiple studies 410 34,920 1,0 R 4 314,20

40920 Nuclear medicine study – acute GIT bleed static/dynamic 410 21,500 1,0 R 2 656,30

40925 Nuclear medicine study – acute GIT bleed multiple studies 410 34,920 1,0 R 4 314,20

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

40930 Nuclear medicine study – Meckel’s localisation 410 20,770 1,0 R 2 566,00

40935 Nuclear medicine study – gastric mucosa imaging 410 20,770 1,0 R 2 566,00

40940 Nuclear medicine study – colonic transit multiple studies 410 44,860 1,0 Z R 5 542,40

Stand-alone code

40950 PET scan of the abdomen and pelvis 411 - 1,0 -

40951 PET/CT scan of the abdomen and pelvis uncontrasted 411 163,590 1,0

40952 PET/CT scan of the abdomen and pelvis contrasted 411 167,970 1,0

40953 PET/CT scan of the abdomen and pelvis pre- and post-contrast 411 203,700 1,0

Liver, spleen, gall bladder and pancreas

Code 41110, 41120 and 41130 (cholangiography) include fl uoroscopy (00140 may not be added)

41100 X-ray ERCP including screening 410 18,900 1,0 R 2 335,00

41105 X-ray ERCP reporting on images done in theatre 410 2,400 1,0 R 296,50

41110 X-ray cholangiography intraoperative 410 8,450 1,0 R 1 044,00

41120 X-ray T-tube cholangiography post-operative 410 14,050 1,0 R 1 735,80

41130 X-ray transhepatic percutaneous cholangiography 410 32,340 1,0 R 3 995,50

41200 Ultrasound study of the upper abdomen 410 7,000 1,0 R 864,60

41210 Ultrasound doppler of the hepatic and splenic veins and inferior vena cava in assessment of portal venous hypertension or thrombosis

410 9,800 1,0 R 1 210,50

Code 41210 is a stand-alone study and may not be added to 40200, 40210, 41200 or 42200

41300 CT of the abdomen triphasic study – liver 410 54,900 1,0 R 6 782,90

41400 MR study of the liver/pancreas 410 64,780 1,0 R 8 003,40

41410 MR study of the liver/pancreas pre- and post-contrast 410 100,840 1,0 R 12 458,60

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

41420 MRCP 410 49,200 1,0 R 6 078,50

41430 MR study of the abdomen with MRCP 410 92,980 1,0 R 11 487,40

41440 MR study of the abdomen pre- and post-contrast with MRCP 410 133,600 1,0 R 16 506,10

41900 Nuclear medicine study – liver and spleen, planar views only 410 21,500 1,0 R 2 656,30

41905 Nuclear medicine study – liver and spleen, with fl ow study 410 27,530 1,0 R 3 401,40

41910 Nuclear medicine study – liver and spleen, planar views SPECT 410 34,920 1,0 R 4 314,20

41915 Nuclear medicine study – liver and spleen, with fl ow study and SPECT 410 40,940 1,0 R 5 058,10

41920 Nuclear medicine study – hepatobiliary system planar static/dynamic 410 21,500 1,0 R 2 656,30

41925 Nuclear medicine study – hepatobiliary tract including fl ow 410 26,510 1,0 R 3 275,40

41930 Nuclear medicine study – hepatobiliary system planar, static/dynamic multiple studies

410 34,920 1,0 R 4 314,20

41935 Nuclear medicine study – hepatobiliary tract including fl ow, multiple studies 410 39,920 1,0 R 4 932,00

41940 Nuclear medicine study – gall bladder ejection fraction 410 6,020 1,0 R 743,90

41945 Nuclear medicine study – biliary gastric refl ux study 410 20,770 1,0 R 2 566,00

Renal tract

42100 X-ray tomography of the renal tract 410 4,300 1,0 R 531,30

• Code 42100 (tomography) may not be added to 42110 or 42115 (IVP)• Codes 42115 (IVP), 42120 (cystography), 42130 (urethography), 42140

(MCU), 42150 (retrograde), and 42160 (prograde) include fl uoroscopy (00140 may not be added)

42110 X-ray excretory urogram including tomography 410 24,860 1,0 R 3 071,40

42115 X-ray excretory urogram including tomography with micturating study 410 32,860 1,0 R 4 059,90

42120 X-ray cystography 410 15,050 1,0 R 1 859,50

42130 X-ray urethrography 410 15,370 1,0 R 1 898,80

42140 X-ray micturating cysto-urethrography 410 19,300 1,0 R 2 384,50

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

42150 X-ray retrograde/prograde pyelography 410 12,530 1,0 R 1 548,10

42155 X-ray retrograde/prograde pyelography reporting on images done in theatre 410 2,410 1,0 R 297,90

42160 X-ray prograde pyelogram – percutaneous 410 32,670 1,0 R 4 036,40

42200 Ultrasound study of the renal tract including bladder 410 7,420 1,0 R 916,70

42205 Ultrasound doppler for resistive index in vessels of transplanted kidney 410 3,800 1,0 R 469,60

Code 42205 is a stand-alone study and may not be added to 42200

42210 Ultrasound study of the renal arteries including doppler 410 10,600 1,0 Z R 1 309,60

42300 CT of the renal tract for a stone 410 25,150 1,0 R 3 107,40

42400 MR of the renal tract for obstruction 410 47,000 1,0 R 5 806,90

42410 MR of the kidneys without contrast 410 64,580 1,0 R 7 978,80

42420 MR of the kidneys pre- and post-contrast 410 102,240 1,0 R 12 631,70

42900 Nuclear medicine study – renal imaging, static (e.g. DMSA) 410 21,940 1,0 R 2 710,80

42905 Nuclear medicine study – renal imaging, static (e.g. DMSA) with fl ow 410 27,960 1,0 R 3 454,30

42910 Nuclear medicine study – renal imaging, static (e.g. DMSA) with SPECT 410 35,350 1,0 R 4 367,40

42915 Nuclear medicine study – renal imaging, static (e.g. DMSA), with fl ow, with SPECT

410 41,370 1,0 R 5 111,20

42920 Nuclear medicine study – renal imaging dynamic (renogram) and vascular fl ow

410 26,510 1,0 R 3 275,40

42930 Nuclear medicine study – renovascular study, baseline 410 26,510 1,0 R 3 275,40

42940 Nuclear medicine study – renovascular study, with intervention 410 26,510 1,0 R 3 275,40

42950 Nuclear medicine study – indirect voiding cystogram 410 6,020 1,0 Z R 743,90

Reproductive system

• Codes 43120 and 43130 (hystero-salpingography) include fl uoroscopy (00140 may not be added)

• Codes 43230 (U/S ova aspiration) and 43240 (amniocentesis) are complete procedure codes

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Codes 43230 (U/S ova aspiration) and 43240 (amniocentesis) are complete procedures and may not be combined with 00230 (ultrasound guidance) or 80605 (fi ne needle aspiration). Code 43240 may be combined with 43260 (second trimester), 43270 (third trimester) and 43273 (third trimester follow-up)

43100 X-ray pelvimetry single 410 4,000 1,0 R 494,20

43110 X-ray pelvimetry multiple views 410 5,800 1,0 R 716,50

43120 X-ray hystero-salpingography 410 10,030 1,0 R 1 239,20

43130 X-ray hystero-salpingography with introduction of contrast 410 13,530 1,0 R 1 671,60

43200 Ultrasound study of the pelvis transabdominal 410 5,700 1,0 R 704,10

43205 Ultrasound study of the female pelvis transvaginal 410 7,210 1,0 R 890,70

43210 Ultrasound study of the prostate transrectal 410 7,380 1,0 R 911,90

43215 Ultrasound transrectal prostate volume for brachytherapy 410 10,400 1,0 R 1 284,80

43220 Ultrasound study of the testes 410 7,380 1,0 R 911,90

43225 Ultrasound study for male impotence including doppler and injection of vaso contrictor

410 15,000 1,0 R 1 853,40

Code 43225 is a stand-alone study and may not be added to 43200, 43210, 43220 or 44200

43230 Ultrasound guided transvaginal aspiration for ova 410 13,500 1,0 R 1 668,00

43240 Ultrasound guided amniocenthesis 410 5,840 1,0 R 721,50

43250 Ultrasound study of the pregnant uterus, fi rst trimester 410 4,200 1,0 R 518,70

43260 Ultrasound study of the pregnant uterus, second trimester 410 6,360 1,0 R 785,70

43270 Ultrasound study of the pregnant uterus, third trimester, fi rst visit 410 6,360 1,0 R 785,70

43273 Ultrasound study of the pregnant uterus, third trimester, follow-up visit 410 4,200 1,0 R 518,70

43277 Ultrasound study of the pregnant uterus, multiple gestation, second or third trimester, fi rst visit

410 8,170 1,0 R 1 009,60

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

43280 Ultrasound doppler of the umbilical cord for resistive index 410 3,800 1,0 R 469,60

Code 43280 is a stand-alone study and may not be added to the following codes: 43250, 43260, 43270, 43273 or 43277

43300 CT pelvimetry – topogram 410 6,580 1,0 R 813,00

43400 MR study of pelvic reproductive organs – limited study 410 47,600 1,0 R 5 880,90

43405 MR study for pelvimetry 410 20,000 1,0 R 2 471,10

43410 MR study of pelvic reproductive organs – complete – uncontrasted 410 64,580 1,0 R 7 978,80

43420 MR study of pelvic reproductive organs – complete – pre- and post-contrast 410 102,240 1,0 R 12 631,70

43950 Nuclear medicine study – radio pharmaceutical voiding cystogram 410 21,500 1,0 R 2 656,30

43960 Nuclear medicine study – testicular imaging 410 26,510 1,0 R 3 275,40

43970 Nuclear medicine study – hystero-salpingography 410 26,510 1,0 Z R 3 275,40

43961 PET scan of the testis 411 - 1,0 -

Aorta and vessels

Code 44400 (MR Angiography) may be combined with 40400 (MR abdomen)

44200 Ultrasound study of abdominal aorta and branches, including doppler 410 18,320 1,0 R 2 263,30

44205 Ultrasound study of the IVC and pelvic veins, including doppler 410 14,000 1,0 Z R 1 729,70

This is a stand-alone code and may not be added to 44200

44300 CT angiography of abdominal aorta and branches 410 76,720 1,0 R 9 478,60

44305 CT angiography of the abdominal aorta and branches and pre- and post-contrast study of the upper abdomen

410 94,320 1,0 R 11 653,10

44310 CT angiography of the pelvis 410 78,640 1,0 R 9 715,90

44320 CT angiography of the abdominal aorta and pelvis 410 89,540 1,0 R 11 062,50

44325 CT angiography of the abdominal aorta and pelvis and pre- and post-contrast study of the upper abdomen and pelvis

410 119,150 1,0 R 14 720,80

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

44330 CT portogram 410 74,400 1,0 R 9 191,80

44400 MR angiography of abdominal aorta and branches 410 76,640 1,0 R 9 468,60

44500 Arteriography of abdominal aorta alone 410 28,120 1,0 R 3 474,20

44503 Arteriography of aorta plus coeliac, mesenteric branches 410 75,630 1,0 R 9 343,90

44505 Arteriography of aorta plus renal, adrenal branches 410 63,010 1,0 R 7 784,70

44507 Arteriography of aorta plus non-visceral branches 410 60,790 1,0 R 7 510,40

44510 Arteriography of coeliac, mesenteric vessels alone 410 64,350 1,0 R 7 950,20

44515 Arteriography of renal, adrenal vessels alone 410 49,490 1,0 R 6 114,60

44517 Arteriography of non-visceral abdominal vessels alone 410 54,910 1,0 R 6 784,00

44520 Arteriography of internal and external iliac vessels alone 410 56,720 1,0 R 7 007,60

44525 Venography of internal and external iliac veins alone 410 62,110 1,0 R 7 673,50

44530 Corpora cavernosography 410 25,060 1,0 R 3 096,10

44535 Vasography, vesciculography 410 29,190 1,0 R 3 606,30

44540 Venography of inferior vena cava 410 26,120 1,0 R 3 227,00

44543 Venography of hepatic veins alone 410 53,770 1,0 R 6 643,30

44545 Venography of inferior vena cava and hepatic veins 410 68,910 1,0 R 8 513,80

44550 Venography of lumbar azygos system alone 410 43,890 1,0 R 5 422,50

44555 Venography of inferior vena cava and lumbar azygos veins 410 65,460 1,0 R 8 087,40

44560 Venography of renal, adrenal veins alone 410 43,990 1,0 R 5 434,80

44565 Venography of inferior vena cava and renal/adrenal veins 410 68,390 1,0 R 8 449,40

44570 Venography of spermatic, ovarian veins alone 410 40,390 1,0 R 4 990,10

44573 Venography of inferior vena cava, renal, spermatic, ovarian veins 410 73,990 1,0 R 9 141,30

44580 Venography indirect splenoportogram 410 48,670 1,0 R 6 013,00

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

44583 Venography direct splenoportogram 410 31,590 1,0 R 3 903,00

44587 Venography transhepatic portogram 410 66,750 1,0 R 8 246,90

Soft tissue

49900 Nuclear medicine study – tumour localisation planar, static 410 20,74 1 R 2 562,50

49905 Nuclear medicine study – tumour localisation planar, static, multiple studies 410 35,17 1 R 4 345,10

49910 Nuclear medicine study – tumour localisation planar, static and SPECT 410 34,15 1 R 4 219,30

49915 Nuclear medicine study – tumour localisation planar, static, multiple studies and SPECT

410 47,56 1 R 5 875,80

49920 Nuclear medicine study – infection localisation planar, static 410 18,04 1 R 2 228,80

49930 Nuclear medicine study – infection localisation planar, static, multiple studies 410 31,45 1 R 3 885,60

49940 Nuclear medicine study – infection localisation planar, static and SPECT 410 31,45 1 R 3 885,60

49950 Nuclear medicine study – infection localisation planar, static, multiple studies and SPECT

410 44,86 1 R 5 542,40

49960 Nuclear medicine study – regional lymph node mapping, dynamic 410 5,01 1 R 619,00

49965 Nuclear medicine study – regional lymph node mapping, static, planar 410 24,1 1 R 2 977,40

49970 Nuclear medicine study – regional lymph node mapping, static, planar, multiple

410 37,51 1 R 4 634,20

49975 Nuclear medicine study – regional lymph node mapping SPECT 410 13,41 1 R 1 656,80

49980 Nuclear medicine study – lymph node localisation with gamma probe 410 13,41 1 R 1 656,80

Spine, pelvis and hips

Code 51340 (CT myelography, cervical), 52330 (CT myelography thoracic) and 53340 (CT myelography lumbar) are stand-alone studies and may not be combined with the conventianla myelography codes viz. 51160, 52150, 53160

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

GENERAL

Code 50130 (Lumbar puncture) and 50140 (cisternal puncture) include fl uoroscopy and introduction of contrast (00140 may not be added)

50100 X-ray of the spine scoliosis view AP only 410 7,000 1,0 R 864,60

50105 X-ray of the spine scoliosis view AP and lateral 410 12,000 1,0 R 1 482,70

50110 X-ray of the spine scoliosis view AP and lateral including stress views 410 18,540 1,0 R 2 290,70

50120 X-ray bone densitometry 410 11,520 1,0 R 1 423,40

50130 X-ray guided lumbar puncture 410 4,800 1,0 R 592,90

50140 X-ray guided cisternal puncture cisternogram 410 22,980 1,0 R 2 839,20

50300 CT quantitive bone mineral density 410 11,830 1,0 R 1 461,50

50500 Arteriogram of the spinal column and cord, all vessels 410 127,230 1,0 R 15 719,00

50510 Venography of the spinal, paraspinal veins 410 58,450 1,0 R 7 221,40

Cervical

• Code 51100 (stress) is a stand-alone study and may not be added to 51110, 51120 (cervical spine), 51160 (myelography) and 51170 (discography)

• Code 51140 (tomography) may be combined with 51110 or 51120 (spine)• Code 51160s (myelography) and 51170 (discography) include

fl uoroscopy and introduction of contrast (00140 may not be added)• Code 51300 (CT) limited – limited to a single cervical vertebral body• Code 51310 (CT) regional study – 2 vertebral bodies and intervertebral

disc spaces• Code 51320 (CT) complete study – an extensive study of the cervical

spine• Code 51340 (CT myelography) – post myelographic study and includes

all disc levels, includes fl uoroscopy and introduction of contrast (00140 may not be added)

51100 X-ray of the cervical spine, stress views only 410 4,140 1,0 R 511,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

51110 X-ray of the cervical spine, one or two views 410 3,010 1,0 R 371,90

51120 X-ray of the cervical spine, more than two views 410 4,280 1,0 R 528,90

51130 X-ray of the cervical spine, more than two views including stress views 410 7,580 1,0 R 936,50

51140 X-ray tomography cervical spine 410 4,300 1,0 R 531,30

51160 X-ray myelography of the cervical spine 410 27,460 1,0 R 3 392,70

51170 X-ray discography cervical spine per level 410 25,170 1,0 R 3 109,90

51300 CT of the cervical spine limited study 410 9,500 1,0 R 1 173,60

51310 CT of the cervical spine – regional study 410 13,910 1,0 R 1 718,40

51320 CT of the cervical spine – complete study 410 37,130 1,0 R 4 587,50

51330 CT of the cervical spine pre- and post-contrast 410 58,850 1,0 R 7 270,90

51340 CT myelography of the cervical spine 410 47,190 1,0 R 5 830,30

51350 CT myelography of the cervical spine following myelogram 410 21,690 1,0 R 2 679,90

51400 MR of the cervical spine, limited study 410 44,400 1,0 R 5 485,50

51410 MR of the cervical spine and cranio-cervical junction 410 64,820 1,0 R 8 008,50

51420 MR of the cervical spine and cranio-cervical junction pre- and post-contrast 410 102,140 1,0 R 12 619,30

51900 Nuclear medicine study – bone regional cervical 410 21,500 1,0 R 2 656,30

51910 Nuclear medicine study – bone tomography regional cervical 410 13,410 1,0 R 1 656,80

51920 Nuclear medicine study – with fl ow 410 6,020 1,0 R 743,90

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Thoracic

• Code 52120 (tomography) may be combined with 52100 or 52110 (spine)

• Code 52150 (myelography) includes fl uoroscopy and introduction of contrast (00140 may not be added)

• Code 52300 (CT) limited study – limited to a single thoracic vertebral body

• Code 52305 (CT) regional study – 2 vertebral bodies and intervertebral disc paces

• Code 52310 (CT) complete study – an extensive study of the thoracic spine

• Code 52330 (CT myelography) – post myelographic study and includes all disc levels, fl uoroscopy and introduction of contrast (00140 may not be added)

52100 X-ray of the thoracic spine, one or two views 410 3,210 1,0 R 396,60

52110 X-ray of the thoracic spine, more than two views 410 4,000 1,0 R 494,20

52120 X-ray tomography thoracic spine 410 4,300 1,0 R 531,30

52140 X-ray of the thoracic spine, more that two views including stress views 410 6,640 1,0 R 820,20

52150 X-ray myelography of the thoracic spine 410 18,620 1,0 R 2 300,40

52300 CT of the thoracic spine, limited study 410 9,500 1,0 R 1 173,60

52305 CT of the thoracic spine, regional study 410 13,910 1,0 R 1 718,40

52310 CT of the thoracic spine, complete study 410 35,780 1,0 R 4 420,70

52320 CT of the thoracic spine pre- and post-contrast 410 58,850 1,0 R 7 270,90

52330 CT myelography of the thoracic spine 410 48,090 1,0 R 5 941,40

52340 CT myelography of the thoracic spine following myelogram 410 20,370 1,0 R 2 516,60

52400 MR of the thoracic spine, limited study 410 46,600 1,0 R 5 757,30

52410 MR of the thoracic spine 410 64,340 1,0 R 7 949,10

52420 MR of the thoracic spine pre- and post-contrast 410 101,420 1,0 R 12 530,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

52900 Nuclear medicine study – bone regional dorsal 410 21,500 1,0 R 2 656,30

52910 Nuclear medicine study – bone tomography regional dorsal 410 13,410 1,0 R 1 656,80

52920 Nuclear medicine study – with fl ow 410 6,020 1,0 R 743,90

Lumbar

• Code 53100 (stress) is a stand-alone study and may not be added to 53110, 53120 (lumbar spine), 53160 (myelography) and 53170 (discography)

• Code 53140 (tomography) may be combined with 53110 or 53120 (spine)

• Codes 53160 (myelography) and 53170 (discography) include fl uoroscopy and introduction of contrast (00140 may not be added)

• Code 53300 (CT) limited study – limited to a single lumbar vertebral body• Code 53310 (CT) regional study – 2 vertebral bodies and intervertebral

disc spaces• Code 53320 (CT) complete study – an extensive study of the lumbar

spine• Code 53340 (CT myelography) – post-myelographic study and includes

all disc levels, fl uoroscopy and introduction of contrast (00140 may not be added)

53100 X-ray of the lumbar spine – stress study only 410 4,140 1,0 R 511,40

53110 X-ray of the lumbar spine, one or two views 410 3,560 1,0 R 439,70

53120 X-ray of the lumbar spine, more than two views 410 4,460 1,0 R 551,00

53130 X-ray of the lumbar spine, more that two views including stress views 410 7,520 1,0 R 929,10

53140 X-ray tomography lumbar spine 410 4,300 1,0 R 531,30

53160 X-ray myelography of the lumbar spine 410 23,940 1,0 R 2 957,70

53170 X-ray discography lumbar spine per level 410 25,170 1,0 R 3 109,90

53300 CT of the lumbar spine limited study 410 9,500 1,0 R 1 173,60

53310 CT of the lumbar spine – regional study 410 13,910 1,0 R 1 718,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

53320 CT of the lumbar spine, complete study 410 37,640 1,0 R 4 650,50

53330 CT of the lumbar spine pre- and post-contrast 410 58,850 1,0 R 7 270,90

53340 CT myelography of the lumbar spine 410 49,110 1,0 R 6 067,60

53350 CT myelography of the lumbar spine following myelogram 410 23,460 1,0 R 2 898,40

53400 MR of the lumbar spine, limited study 410 46,200 1,0 R 5 707,90

53410 MR of the lumbar spine 410 64,320 1,0 R 7 946,70

53420 MR of the lumbar spine pre- and post-contrast 410 103,290 1,0 R 12 761,10

53900 Nuclear medicine study – bone regional lumbar 410 21,500 1,0 R 2 656,30

53910 Nuclear medicine study – bone tomography regional lumbar 410 13,410 1,0 R 1 656,80

53920 Nuclear medicine study – with fl ow 410 6,020 1,0 R 743,90

Sacrum

• Code 54120 (tomography) may be combined with 54100 (sacrum) or 54110 (SI joints)

• Code 54300 (CT) limited study – limited to single sacral vertebral body• Code 54310 (CT) complete study – an extensive study of the sacral

spine

54100 X-ray of the sacrum and coccyx 410 3,580 1,0 R 442,30

54110 X-ray of the sacro-iliac joints 410 4,100 1,0 R 506,60

54120 X-ray tomography – sacrum and/or coccyx 410 4,300 1,0 R 531,30

54300 CT of the sacrum – limited study 410 7,600 1,0 R 938,90

54310 CT of the sacrum – complete study – uncontrasted 410 25,610 1,0 R 3 164,10

54320 CT of the sacrum with contrast 410 46,930 1,0 R 5 798,20

54330 CT of the sacrum pre- and post-contrast 410 52,970 1,0 R 6 544,40

54400 MR of the sacrum 410 65,000 1,0 R 8 030,80

54410 MR of the sacrum pre- and post-contrast 410 101,040 1,0 R 12 483,40

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Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Pelvis

• Codes 55110 (tomography) and 55100 (pelvis) may be combined• Code 55300 (CT) limited study – limited to a small region of interest of

the pelvis e.g. ascetabular roof or pubic ramus

55100 X-ray of the pelvis 410 3,660 1,0 R 452,30

55110 X-ray tomography – pelvis 410 4,300 1,0 R 531,30

55300 CT of the bony pelvis limited 410 9,500 1,0 R 1 173,60

55310 CT of the bony pelvis complete uncontrasted 410 25,610 1,0 R 3 164,10

55320 CT of the bony pelvis complete 3D recon 410 37,470 1,0 R 4 629,40

55330 CT of the bony pelvis with contrast 410 46,930 1,0 R 5 798,20

55340 CT of the bony pelvis – pre- and post-contrast 410 52,970 1,0 R 6 544,40

55400 MR of the bony pelvis 410 65,000 1,0 R 8 030,80

55410 MR of the bony pelvis pre- and post-contrast 410 102,240 1,0 R 12 631,70

55900 Nuclear medicine study – bone regional pelvis 410 21,500 1,0 R 2 656,30

55910 Nuclear medicine study – bone tomography regional pelvis 410 13,410 1,0 R 1 656,80

55920 Nuclear medicine study – with fl ow 410 6,020 1,0 R 743,90

Hips

• Code 56130 (tomography) may be combined with 56100 or 56110 or 56120 (hip)

• Code 56140 (stress) may be combined with 56100 or 56110 or 56120 (hip)

• Code 56150 (arthrography) includes fl uoroscopy and introduction of contrast (00140 may not be added)

• Code 56160 (introduction of contrast into hip joint) to be used with 56310 (CT hip) and 56410 (MR hip) and includes fl uoroscopy. The combination of 56150 and 56310 and 56410 is not supported except in exceptional circumstances with motivation

• Code 56300 (CT) study limited to small region of interest e.g. part of femur head

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

56100 X-ray of the left hip 410 3,180 1,0 R 392,70

56110 X-ray of the right hip 410 3,180 1,0 R 392,70

56120 X-ray pelvis and hips 410 6,020 1,0 R 743,90

56130 X-ray tomography – hip 410 4,300 1,0 R 531,30

56140 X-ray of the hip/s – stress study 410 4,380 1,0 R 541,10

56150 X-ray arthrography of the hip joint including introduction contrast 410 15,750 1,0 R 1 945,90

56160 X-ray guidance and introduction of contrast into hip joint only 410 7,410 1,0 R 915,50

56200 Ultrasound of the hip joints 410 6,500 1,0 R 803,10

56300 CT of hip – limited 410 9,500 1,0 R 1 173,60

56310 CT of hip – complete 410 27,370 1,0 R 3 381,70

56320 CT of hip – complete with 3D recon 410 39,780 1,0 R 4 914,80

56330 CT of hip with contrast 410 43,260 1,0 R 5 344,70

56340 CT of hip pre- and post-contrast 410 47,880 1,0 R 5 915,50

56400 MR of the hip joint/s, limited study 410 44,900 1,0 R 5 547,20

56410 MR of the hip joint/s 410 64,100 1,0 R 7 919,50

56420 MR of the hip joint/s, pre- and post-contrast 410 101,640 1,0 R 12 557,60

56900 Nuclear medicine study – bone regional pelvis 410 21,500 1,0 R 2 656,30

56910 Nuclear medicine study – bone limited static plus fl ow 410 27,530 1,0 R 3 401,40

56920 Nuclear medicine study – bone tomography regional 410 13,410 1,0 R 1 656,80

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Upper limbs

GENERAL

• Code 60100 (stress only) is a stand-alone study and may not be combined with other codes

• Code 60110 (tomography) may be combined with any one of the defi ned regional X-ray studies of the upper limb. Motivation may be required for more than one regional tomographic study per visit

• Code 60200 (U/S) may only be used once per visit• Code 60300 (CT) limited study – limited to a small region of interest

e.g. part of humeral head• Code 60400 (MR limited) may only be used once per visit

60100 X-ray upper limbs – any region, stress studies only 410 4,520 1,0 R 558,30

60110 X-ray upper limbs – any region, tomography 410 4,300 1,0 R 531,30

60200 Ultrasound upper limb – soft tissue, any region 410 7,380 1,0 R 911,90

60210 Ultrasound of the peripheral arterial system of the left arm including B mode, pulse and colour doppler

410 13,640 1,0 R 1 685,30

60220 Ultrasound of the peripheral arterial system of the right arm including B mode, pulse and colour doppler

410 13,640 1,0 R 1 685,30

60230 Ultrasound peripheral venous system upper limbs including pulse and colour doppler for deep vein thrombosis

410 12,540 1,0 R 1 549,30

60240 Ultrasound peripheral venous system upper limbs including pulse and colour doppler

410 17,260 1,0 R 2 132,50

60300 CT of the upper limbs limited study 410 9,500 1,0 R 1 173,60

60310 CT angiography of the upper limb 410 78,280 1,0 R 9 671,40

60400 MR of the upper limbs limited study, any region 410 44,800 1,0 R 5 535,00

60410 MR angiography of the upper limb 410 74,660 1,0 R 9 223,90

60500 Arteriogram of subclavian, upper limb arteries alone, unilateral 410 45,670 1,0 R 5 642,50

60510 Arteriogram of subclavian, upper limb arteries alone, bilateral 410 82,670 1,0 R 10 213,60

60520 Arteriogram of aortic arch, subclavian, upper limb, unilateral 410 56,750 1,0 R 7 011,50

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

60530 Arteriogram of aortic arch, subclavian, upper limb, bilateral 410 88,110 1,0 R 10 885,90

60540 Venography, antegrade of upper limb veins, unilateral 410 26,120 1,0 R 3 227,00

60550 Venography, antegrade of upper limb veins, bilateral 410 49,430 1,0 R 6 107,10

60560 Venography, retrograde of upper limb veins, unilateral 410 31,010 1,0 R 3 831,10

60570 Venography, retrograde of upper limb veins, bilateral 410 54,810 1,0 R 6 771,70

60580 Venography, shuntogram, dialysis access shunt 410 23,790 1,0 R 2 939,20

60900 Nuclear medicine study – venogram upper limb 410 37,120 1,0 R 4 586,10

Shoulder

• Code 61160 (arthrography) includes fl uoroscopy and introduction of contrast (00140 may not be added)

• Code 61170 (introduction of contrast into the shoulder joint) may be combined with 61300 and 61305 (CT), or 61400 and 61405 (MR). The combination of 61160 (arthrography) and 61300 and 61305 (CT) or 61400 and 61405 (MR) is not supported except in exceptional circumstances with motivation

61100 X-ray of the left clavicle 410 3,040 1,0 R 375,80

61105 X-ray of the right clavicle 410 3,040 1,0 R 375,80

61110 X-ray of the left scapula 410 3,040 1,0 R 375,80

61115 X-ray of the right scapula 410 3,040 1,0 R 375,80

61120 X-ray of the left acromio-clavicular joint 410 3,140 1,0 R 387,90

61125 X-ray of the right acromio-clavicular joint 410 3,140 1,0 R 387,90

61128 X-ray of acromio-clavicular joints plus stress studies, bilateral 410 7,680 1,0 R 948,70

61130 X-ray of the left shoulder 410 3,480 1,0 R 429,80

61135 X-ray of the right shoulder 410 3,480 1,0 R 429,80

61140 X-ray of the left shoulder plus subacromial impingement views 410 5,920 1,0 R 731,40

61145 X-ray of the right shoulder plus subacromial impingement views 410 5,920 1,0 R 731,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

61150 X-ray of the left subacromial impingement views only 410 3,240 1,0 R 400,30

61155 X-ray of the right subacromial impingement views only 410 3,240 1,0 R 400,30

61160 X-ray arthrography shoulder joint including introduction of contrast 410 15,830 1,0 R 1 955,70

61170 X-ray guidance and introduction of contrast into shoulder joint only 410 7,410 1,0 R 915,50

61200 Ultrasound of the left shoulder joint 410 6,500 1,0 R 803,10

61210 Ultrasound of the right shoulder joint 410 6,500 1,0 R 803,10

61300 CT of the left shoulder joint – uncontrasted 410 24,360 1,0 R 3 009,70

61305 CT of the right shoulder joint – uncontrasted 410 24,360 1,0 R 3 009,70

61310 CT of the left shoulder – complete with 3D recon 410 37,660 1,0 R 4 652,90

61315 CT of the right shoulder – complete with 3D recon 410 37,660 1,0 R 4 652,90

61320 CT of the left shoulder joint – pre- and post-contrast 410 48,630 1,0 R 6 008,20

61325 CT of the right shoulder joint – pre- and post-contrast 410 48,630 1,0 R 6 008,20

61400 MR of the left shoulder 410 64,640 1,0 R 7 986,20

61405 MR of the right shoulder 410 64,640 1,0 R 7 986,20

61410 MR of the left shoulder pre- and post-contrast 410 101,040 1,0 R 12 483,40

61415 MR of the right shoulder pre- and post-contrast 410 101,040 1,0 R 12 483,40

Humerus

62100 X-ray of the left humerus 410 2,94 1 R 363,20

62105 X-ray of the right humerus 410 2,94 1 R 363,20

62300 CT of the left upper arm 410 24,36 1 R 3 009,70

62305 CT of the right upper arm 410 24,36 1 R 3 009,70

62310 CT of the left upper arm contrasted 410 39,97 1 R 4 938,20

62315 CT of the right upper arm contrasted 410 39,97 1 R 4 938,20

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

62320 CT of the left upper arm pre- and post-contrast 410 48,58 1 R 6 002,00

62325 CT of the right upper arm pre- and post-contrast 410 48,58 1 R 6 002,00

62400 MR of the left upper arm 410 64,2 1 R 7 931,80

62405 MR of the right upper arm 410 64,2 1 R 7 931,80

62410 MR of the left upper arm pre- and post-contrast 410 102,04 1 R 12 606,90

62415 MR of the right upper arm pre- and post-contrast 410 102,04 1 R 12 606,90

62900 Nuclear medicine study – bone limited/regional static 410 21,5 1 R 2 656,30

62905 Nuclear medicine study – bone limited static plus fl ow 410 27,53 1 R 3 401,40

62910 Nuclear medicine study – bone tomography regional 410 13,41 1 R 1 656,80

Elbow

• Code 63120 (arthrography) includes fl uoroscopy and introduction of contrast (00140 may not be added)

• Code 63130 (introduction of contrast) may be combined with 63300 and 63305 (CT) or 63400 and 63405 (MR). The combination of 63120 (arthrography) and 63300 and 63305 or 63400 and 63405 (MR) is not supported except in exceptional circumstances with motivation

63100 X-ray of the left elbow 410 3,140 1,0 R 387,90

63105 X-ray of the right elbow 410 3,140 1,0 R 387,90

63110 X-ray of the left elbow with stress 410 4,340 1,0 R 536,20

63115 X-ray of the right elbow with stress 410 4,340 1,0 R 536,20

63120 X-ray arthrography elbow joint including introduction of contrast 410 15,890 1,0 R 1 963,20

63130 X-ray guidance and introduction of contrast into elbow joint only 410 7,410 1,0 R 915,50

63200 Ultrasound of the left elbow joint 410 6,500 1,0 R 803,10

63205 Ultrasound of the right elbow joint 410 6,500 1,0 R 803,10

63300 CT of the left elbow 410 24,360 1,0 R 3 009,70

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

63305 CT of the right elbow 410 24,360 1,0 R 3 009,70

63310 CT of the left elbow – complete with 3D recon 410 37,660 1,0 R 4 652,90

63315 CT of the right elbow – complete with 3D recon 410 37,660 1,0 R 4 652,90

63320 CT of the left elbow contrasted 410 39,970 1,0 R 4 938,20

63325 CT of the right elbow contrasted 410 39,970 1,0 R 4 938,20

63330 CT of the left elbow pre- and post-contrast 410 48,630 1,0 R 6 008,20

63335 CT of the right elbow pre- and post-contrast 410 48,630 1,0 R 6 008,20

63400 MR of the left elbow 410 64,640 1,0 R 7 986,20

63405 MR of the right elbow 410 64,640 1,0 R 7 986,20

63410 MR of the left elbow pre- and post-contrast 410 101,040 1,0 R 12 483,40

63415 MR of the right elbow pre- and post-contrast 410 101,040 1,0 R 12 483,40

63905 Nuclear medicine study – bone limited/regional static 410 21,500 1,0 R 2 656,30

63910 Nuclear medicine study – bone limited static plus fl ow 410 27,530 1,0 R 3 401,40

63915 Nuclear medicine study – bone tomography regional 410 13,410 1,0 R 1 656,80

Forearm

64100 X-ray of the left forearm 410 2,94 1 R 363,20

64105 X-ray of the right forearm 410 2,94 1 R 363,20

64110 X-ray peripheral bone densitometry 410 1,96 1 R 242,20

64300 CT of the left forearm 410 24,36 1 R 3 009,70

64305 CT of the right forearm 410 24,36 1 R 3 009,70

64310 CT of the left forearm contrasted 410 39,97 1 R 4 938,20

64315 CT of the right forearm contrasted 410 39,97 1 R 4 938,20

64320 CT of the left forearm pre- and post-contrast 410 48,58 1 R 6 002,00

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

64325 CT of the right forearm pre- and post-contrast 410 48,58 1 R 6 002,00

64400 MR of the left forearm 410 64,2 1 R 7 931,80

64405 MR of the right forearm 410 64,2 1 R 7 931,80

64410 MR of the left forearm pre- and post-contrast 410 98,04 1 R 12 112,60

64415 MR of the right forearm pre- and post-contrast 410 98,04 1 R 12 112,60

64900 Nuclear medicine study – bone limited/regional static 410 21,5 1 R 2 656,30

64905 Nuclear medicine study – bone limited static plus fl ow 410 27,53 1 R 3 401,40

64910 Nuclear medicine study – bone tomography regional 410 13,41 1 R 1 656,80

Hand and wrist

• Code 65120 (fi nger) may not be combined with 65100 or 65105 (hands)• Codes 65130 and 65135 (wrists) may be combined with 65140 or 65145

(scaphoid) respectively if requested and additional views done• Code 65160 (arthrography) includes fl uoroscopy and the introduction of

contrast (00140 may not be added)• Code 65170 (contrast) may be combined with 65300 and 65305 (CT)

or 65400 and 65405 (MR). The combination of 65160 (arthrography) and 65300 and 65305 or 65400 and 65405 is not supported except in exceptional circumstances with motivation

65100 X-ray of the left hand 410 3,080 1,0 R 380,50

65105 X-ray of the right hand 410 3,080 1,0 R 380,50

65110 X-ray of the left hand – bone age 410 3,080 1,0 R 380,50

65120 X-ray of a fi nger 410 2,670 1,0 R 329,90

65130 X-ray of the left wrist 410 3,180 1,0 R 392,70

65135 X-ray of the right wrist 410 3,180 1,0 R 392,70

65140 X-ray of the left scaphoid 410 3,300 1,0 R 407,70

65145 X-ray of the right scaphoid 410 3,300 1,0 R 407,70

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

65150 X-ray of the left wrist, scaphoid and stress views 410 7,560 1,0 R 934,10

65155 X-ray of the right wrist, scaphoid and stress views 410 7,560 1,0 R 934,10

65160 X-ray arthrography wrist joint including introduction of contrast 410 15,930 1,0 R 1 968,10

65170 X-ray guidance and introduction of contrast into wrist joint only 410 7,410 1,0 R 915,50

65200 Ultrasound of the left wrist 410 6,500 1,0 R 803,10

65210 Ultrasound of the right wrist 410 6,500 1,0 R 803,10

65300 CT of the left wrist and hand 410 24,360 1,0 R 3 009,70

65305 CT of the right wrist and hand 410 24,360 1,0 R 3 009,70

65310 CT of the left wrist and hand – complete with 3D recon 410 37,660 1,0 R 4 652,90

65315 CT of the right wrist and hand – complete with 3D recon 410 37,660 1,0 R 4 652,90

65320 CT of the left wrist and hand contrasted 410 39,970 1,0 R 4 938,20

65325 CT of the right wrist and hand contrasted 410 39,970 1,0 R 4 938,20

65330 CT of the left wrist and hand pre- and post-contrast 410 48,630 1,0 R 6 008,20

65335 CT of the right wrist and hand pre- and post-contrast 410 48,630 1,0 R 6 008,20

65400 MR of the left wrist and hand 410 64,640 1,0 R 7 986,20

65405 MR of the right wrist and hand 410 64,640 1,0 R 7 986,20

65410 MR of the left wrist and hand pre- and post-contrast 410 101,040 1,0 R 12 483,40

65415 MR of the right wrist and hand pre- and post-contrast 410 101,040 1,0 R 12 483,40

65900 Nuclear medicine study – bone limited/regional static 410 21,500 1,0 R 2 656,30

65905 Nuclear medicine study – bone limited static plus fl ow 410 27,530 1,0 R 3 401,40

65910 Nuclear medicine study – bone tomography regional 410 13,410 1,0 R 1 656,80

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Soft tissue

69900 Nuclear medicine study – tumour localisation planar, static 410 20,74 1 R 2 562,50

69905 Nuclear medicine study – tumour localisation planar, static, multiple studies 410 35,17 1 R 4 345,10

69910 Nuclear medicine study – tumour localisation planar, static and SPECT 410 34,15 1 R 4 219,30

69915 Nuclear medicine study – tumour localisation planar, static, multiple studies and SPECT

410 47,56 1 R 5 875,80

69920 Nuclear medicine study – infection localisation planar, static 410 18,04 1 R 2 228,80

69925 Nuclear medicine study – infection localisation planar, static, multiple studies 410 31,45 1 R 3 885,60

69930 Nuclear medicine study – infection localisation planar, static and SPECT 410 31,45 1 R 3 885,60

69935 Nuclear medicine study – infection localisation planar, static, multiple studies and SPECT

410 44,86 1 R 5 542,40

69940 Nuclear medicine study – regional lymph node mapping dynamic 410 6,02 1 R 743,90

69945 Nuclear medicine study – regional lymph node mapping, static, planar 410 24,1 1 R 2 977,40

69950 Nuclear medicine study – regional lymph node mapping, static, planar, multiple

410 37,51 1 R 4 634,20

69955 Nuclear medicine study – regional lymph node mapping SPECT 410 13,41 1 R 1 656,80

69960 Nuclear medicine study – lymph node localisation with gamma probe 410 13,41 1 R 1 656,80

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Lower limbs

GENERAL

• Code 70100 (stress) is a stand-alone study and may not be combined with other codes

• Code 70110 (tomography) may be combined with any one of the defi ned regional X-ray studies of the lower limb. Motivation may be required for more than one regional tomographic study per visit

• Code 70200 (U/S) may only be billed once per visit• Code 70300 ((CT) limited study – limited to a small region of interest

e.g. part of condyle of the knee• Codes 70310 and 70320 (CT angiography) may not be combined• Code 70400 (MR limited) may only be used once per visit• Code 70410 and 70420 (MR angiography) may not be combined

70100 X-ray lower limbs – any region, stress studies only 410 4,520 1,0 R 558,30

70110 X-ray lower limbs – any region, tomography 410 4,300 1,0 R 531,30

70120 X-ray of the lower limbs – full length study 410 6,460 1,0 R 798,10

70200 Ultrasound lower limb – soft tissue, any region 410 7,380 1,0 R 911,90

70210 Ultrasound of the peripheral arterial system of the left leg including B mode, pulse and colour doppler

410 13,640 1,0 R 1 685,30

70220 Ultrasound of the peripheral arterial system of the right leg including B mode, pulse and colour doppler

410 13,640 1,0 R 1 685,30

70230 Ultrasound peripheral venous system lower limbs including pulse and colour doppler for deep vein thrombosis

410 13,640 1,0 R 1 685,30

70240 Ultrasound peripheral venous system lower limbs including pulse and colour doppler in erect and supine position including all compression and refl ux manoeuvres, deep and superfi cial systems bilaterally

410 19,660 1,0 R 2 428,80

70300 CT of the lower limbs, limited study 410 9,500 1,0 R 1 173,60

70310 CT angiography of the lower limb 410 79,430 1,0 R 9 813,60

70320 CT angiography abdominal aorta and outfl ow lower limbs 410 98,340 1,0 R 12 149,70

70400 MR of the lower limbs, limited study 410 46,400 1,0 R 5 732,70

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

70410 MR angiography of the lower limb 410 76,660 1,0 R 9 471,00

70420 MR angiography of the abdominal aorta and lower limbs 410 118,860 1,0 R 14 684,90

70500 Angiography of pelvic and lower limb arteries, unilateral 410 40,590 1,0 R 5 014,80

70505 Angiography of pelvic and lower limb arteries, bilateral 410 75,920 1,0 R 9 379,50

70510 Angiography of abdominal aorta, pelvic and lower limb vessels, unilateral 410 61,230 1,0 R 7 564,80

70515 Angiography of abdominal aorta, pelvic and lower limb vessels, bilateral 410 85,660 1,0 R 10 583,10

70520 Angiography translumbar aorta with full peripheral study 410 45,680 1,0 R 5 643,70

70530 Venography, antegrade of lower limb veins, unilateral 410 25,460 1,0 R 3 145,50

70535 Venography, antegrade of lower limb veins, bilateral 410 49,430 1,0 R 6 107,10

70540 Venography, retrograde of lower limb veins, unilateral 410 31,170 1,0 R 3 851,10

70545 Venography, retrograde of lower limb veins, bilateral 410 56,790 1,0 R 7 016,30

70560 Lymphangiography, lower limb, unilateral 410 51,040 1,0 R 6 305,90

70565 Lymphangiography, lower limb, bilateral 410 83,970 1,0 R 10 374,40

70900 Nuclear medicine study – venogram lower limb 410 37,120 1,0 R 4 586,10

Femur

71100 X-ray of the left femur 410 2,94 1 R 363,20

71105 X-ray of the right femur 410 2,94 1 R 363,20

71300 CT of the left femur 410 24,52 1 R 3 029,30

71305 CT of the right femur 410 24,52 1 R 3 029,30

71310 CT of the left upper leg contrasted 410 41,83 1 R 5 168,00

71315 CT of the right upper leg contrasted 410 41,83 1 R 5 168,00

71320 CT of the left upper leg pre- and post-contrast 410 49,71 1 R 6 141,60

71325 CT of the right upper leg pre- and post-contrast 410 49,71 1 R 6 141,60

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

71400 MR of the left upper leg 410 64,8 1 R 8 006,00

71405 MR of the right upper leg 410 64,8 1 R 8 006,00

71410 MR of the left upper leg, pre- and post-contrast 410 102,04 1 R 12 606,90

71415 MR of the right upper leg, pre- and post-contrast 410 102,04 1 R 12 606,90

71900 Nuclear medicine study – bone limited/regional static 410 21,5 1 R 2 656,30

71905 Nuclear medicine study – bone limited static plus fl ow 410 27,53 1 R 3 401,40

71910 Nuclear medicine study – bone tomography regional 410 13,41 1 R 1 656,80

Knee

• Codes 72140 and 72145 (patella) may not be added to 72100, 72105, 72110, 72115, 72130, 72135 (knee views)

• Code 72160 (arthrography) includes fl uoroscopy and introduction of contrast (00140 may not be added)

• Code 72170 (introduction of contrast) may be combined with 72300 and 72305 (CT) or 72400 and 72405 (MR). The combination of 72160 (arthrography) and 72300 and 72305 (CT) or 72400 and 72405 (MR) is not supported except in exceptional circumstances with motivation

72100 X-ray of the left knee one or two views 410 2,770 1,0 R 342,20

72105 X-ray of the right knee one or two views 410 2,770 1,0 R 342,20

72110 X-ray of the left knee, more than two views 410 3,320 1,0 R 410,20

72115 X-ray of the right knee, more than two views 410 3,320 1,0 R 410,20

72120 X-ray of the left knee including patella 410 4,620 1,0 R 570,70

72125 X-ray of the right knee including patella 410 4,620 1,0 R 570,70

72130 X-ray of the left knee with stress views 410 5,820 1,0 R 719,00

72135 X-ray of the right knee with stress views 410 5,820 1,0 R 719,00

72140 X-ray of left patella 410 2,770 1,0 R 342,20

72145 X-ray of right patella 410 2,770 1,0 R 342,20

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

72150 X-ray both knees standing – single view 410 2,800 1,0 R 345,90

72160 X-ray arthrography knee joint including introduction of contrast 410 15,810 1,0 R 1 953,40

72170 X-ray guidance and introduction of contrast into knee joint only 410 7,410 1,0 R 915,50

72200 Ultrasound of the left knee joint 410 6,500 1,0 R 803,10

72205 Ultrasound of the right knee joint 410 6,500 1,0 R 803,10

72300 CT of the left knee 410 24,520 1,0 R 3 029,30

72305 CT of the right knee 410 24,520 1,0 R 3 029,30

72310 CT of the left knee complete study with 3D reconstructions 410 35,930 1,0 R 4 439,20

72315 CT of the right knee complete study with 3D reconstructions 410 35,930 1,0 R 4 439,20

72320 CT of the left knee contrasted 410 41,830 1,0 R 5 168,00

72325 CT of the right knee contrasted 410 41,830 1,0 R 5 168,00

72330 CT of the left knee pre- and post-contrast 410 49,760 1,0 R 6 147,70

72335 CT of the right knee pre- and post-contrast 410 49,760 1,0 R 6 147,70

72400 MR of the left knee 410 64,100 1,0 R 7 919,50

72405 MR of the right knee 410 64,100 1,0 R 7 919,50

72410 MR of the left knee pre- and post-contrast 410 100,840 1,0 R 12 458,60

72415 MR of the right knee pre- and post-contrast 410 100,840 1,0 R 12 458,60

72900 Nuclear medicine study – bone limited/regional static 410 21,500 1,0 R 2 656,30

72905 Nuclear medicine study – bone limited static plus fl ow 410 27,530 1,0 R 3 401,40

72910 Nuclear medicine study – bone tomography regional 410 13,410 1,0 R 1 656,80

Lower leg

73100 X-ray of the left lower leg 410 2,94 1 R 363,20

73105 X-ray of the right lower leg 410 2,94 1 R 363,20

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

73300 CT of the left lower leg 410 24,52 1 R 3 029,30

73305 CT of the right lower leg 410 24,52 1 R 3 029,30

73310 CT of the left lower leg contrasted 410 41,83 1 R 5 168,00

73315 CT of the right lower leg contrasted 410 41,83 1 R 5 168,00

73320 CT of the left lower leg pre- and post-contrast 410 49,71 1 R 6 141,60

73325 CT of the right lower leg pre- and post-contrast 410 49,71 1 R 6 141,60

73400 MR of the left lower leg 410 64,2 1 R 7 931,80

73405 MR of the right lower leg 410 64,2 1 R 7 931,80

73410 MR of the left lower leg pre- and post-contrast 410 102,04 1 R 12 606,90

73415 MR of the right lower leg pre- and post-contrast 410 102,04 1 R 12 606,90

73900 Nuclear medicine study – bone limited/regional static 410 21,5 1 R 2 656,30

73905 Nuclear medicine study – bone limited static plus fl ow 410 27,53 1 R 3 401,40

73910 Nuclear medicine study – bone tomography regional 410 13,41 1 R 1 656,80

Ankle and foot

• Code 74145 (toe) may not be combined with 74120 or 74125 (foot)• Code 71450 (sesamoid bones) may be combined with 74120 or 74125

(foot) if requested• Codes 74120 and 74125 (foot) may only be combined with 74130 and

74135 (calcaneus) if specifi cally requested• Code 74160 (arthrography) includes fl uoroscopy and introduction of

contrast (00140 may not be added)• Code 74170 (introduction of contrast) may be combined with 74300

and 74305 (CT) or 74400 and 74405 (MR). The combination of 74160 (arthrography) and 74300 and 74305 (CT) or 74400 and 74405 (MR) are not supported except in exceptional circumstances with motivation

74100 X-ray of the left ankle 410 3,320 1,0 R 410,20

74105 X-ray of the right ankle 410 3,320 1,0 R 410,20

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

74110 X-ray of the left ankle with stress views 410 4,520 1,0 R 558,30

74115 X-ray of the right ankle with stress views 410 4,520 1,0 R 558,30

74120 X-ray of the left foot 410 2,800 1,0 R 345,90

74125 X-ray of the right foot 410 2,800 1,0 R 345,90

74130 X-ray of the left calcaneus 410 2,740 1,0 R 338,50

74135 X-ray of the right calcaneus 410 2,740 1,0 R 338,50

74140 X-ray of both feet – standing – single view 410 2,800 1,0 R 345,90

74145 X-ray of a toe 410 2,670 1,0 R 329,90

74150 X-ray of the sesamoid bones one or both sides 410 2,800 1,0 R 345,90

74160 X-ray arthrography ankle joint including introduction of contrast 410 15,910 1,0 R 1 965,60

74170 X-ray guidance and introduction of contrast into ankle joint 410 7,410 1,0 R 915,50

74210 Ultrasound of the left ankle 410 6,500 1,0 R 803,10

74215 Ultrasound of the right ankle 410 6,500 1,0 R 803,10

74220 Ultrasound of the left foot 410 6,500 1,0 R 803,10

74225 Ultrasound of the right foot 410 6,500 1,0 R 803,10

74290 Ultrasound bone densitometry 410 2,040 1,0 R 252,20

74300 CT of the left ankle/foot 410 24,520 1,0 R 3 029,30

74305 CT of the right ankle/foot 410 24,520 1,0 R 3 029,30

74310 CT of the left ankle/foot – complete with 3D recon 410 37,810 1,0 R 4 671,30

74315 CT of the right ankle/foot – complete with 3D recon 410 37,810 1,0 R 4 671,30

74320 CT of the left ankle/foot contrasted 410 41,830 1,0 R 5 168,00

74325 CT of the right ankle/foot contrasted 410 41,830 1,0 R 5 168,00

74330 CT of the left ankle/foot pre- and post-contrast 410 49,710 1,0 R 6 141,60

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

74335 CT of the right ankle/foot pre- and post-contrast 410 49,710 1,0 R 6 141,60

74400 MR of the left ankle 410 64,100 1,0 R 7 919,50

74405 MR of the right ankle 410 64,100 1,0 R 7 919,50

74410 MR of the left ankle pre- and post-contrast 410 100,640 1,0 R 12 433,90

74415 MR of the right ankle pre- and post-contrast 410 100,640 1,0 R 12 433,90

74420 MR of the left foot 410 64,200 1,0 R 7 931,80

74425 MR of the right foot 410 64,200 1,0 R 7 931,80

74430 MR of the left foot pre- and post-contrast 410 102,040 1,0 R 12 606,90

74435 MR of the right foot pre- and post-contrast 410 102,040 1,0 R 12 606,90

74900 Nuclear medicine study – bone limited/regional static 410 21,500 1,0 R 2 656,30

74905 Nuclear medicine study – bone limited static plus fl ow 410 27,530 1,0 R 3 401,40

74910 Nuclear medicine study – bone tomography regional 410 13,410 1,0 R 1 656,80

Soft tissue

79900 Nuclear medicine study – tumour localisation planar, static 410 20,74 1 R 2 562,50

79905 Nuclear medicine study – tumour localisation planar, static, multiple studies 410 35,17 1 R 4 345,10

79910 Nuclear medicine study – tumour localisation planar, static and SPECT 410 34,15 1 R 4 219,30

79915 Nuclear medicine study – tumour localisation planar, static, multiple studies and SPECT

410 47,56 1 R 5 875,80

79920 Nuclear medicine study – infection localisation planar, static 410 18,43 1 R 2 277,10

79925 Nuclear medicine study – infection localisation planar, static, multiple studies 410 31,84 1 R 3 933,60

79930 Nuclear medicine study – infection localisation planar, static and SPECT 410 31,84 1 R 3 933,60

79935 Nuclear medicine study – infection localisation planar, static, multiple studies and SPECT

410 45,25 1 R 5 590,50

79940 Nuclear medicine study – regional lymph node mapping dynamic 410 6,02 1 R 743,90

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

79945 Nuclear medicine study – regional lymph node mapping, static, planar 410 24,1 1 R 2 977,40

79950 Nuclear medicine study – regional lymph node mapping, static, planar, multiple studies

410 37,51 1 R 4 634,20

79955 Nuclear medicine study – regional lymph node mapping and SPECT 410 13,41 1 R 1 656,80

79960 Nuclear medicine study – lymph node localisation with gamma probe 410 13,41 1 R 1 656,80

Intervention

GENERAL

• Codes 80600, 80605, 80610, 80620, 80630, 81660, 81680, 82600, 84660, 85640, 85645, 86610, 86615, 86620, 86630, (aspiration/biopsy/ablations etc.) may be combined with the relevant guidance codes (fl uoroscopy, ultrasound, CT, MR) as previously described. The machine codes 00510, 00520, 00530, 00540, 00550, 00560 may not be combined with these codes

• If ultrasound guidance (00230) is used for a procedure which also attracts one of the machine codes (00510, 00520, 00530, 00540, 00550, 00560), it may not be billed for separately

• Codes 80640, 80645, 87682, 87683 include fl uoroscopy. Machine fees may not be added

• All other interventional procedures are complete unique procedures describing a whole comprehensive procedure and combinations of different codes will only be supported when motivated

80600 Percutaneous abscess, cyst drainage, any region 410 9,370 1,0 R 1 157,60

80605 Fine needle aspiration biopsy, any region 410 4,220 1,0 R 521,30

80610 Cutting needle, trochar biopsy, any region 410 6,360 1,0 R 785,70

80620 Tumour/cyst ablation chemical 410 25,370 1,0 R 3 134,40

80630 Tumour ablation radio frequency, per lesion 410 21,210 1,0 R 2 620,50

80640 Insertion of CVP line in radiology suite 410 8,990 1,0 R 1 110,70

80645 Peripheral central venous line insertion 410 12,120 1,0 Z R 1 497,50

80650 Infi ltration of a peripheral joint, any region 410 6,400 1,0 Z R 790,70

Working towards a healthier you

RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

May be combined with relevant guidance (fl uoroscopy, ultrasound, CT and MR). May not be combined with machine codes 00510, 00520, 00530, 00540, 00550, 00560 or 86610 (facet joint or SI joint) or arthrogram codes.

Neuro intervention

81600 Intracranial aneurysm occlusion, direct 410 214,520 1,0 R 26 503,50

81605 Intracranial arteriovenous shunt occlusion 410 254,820 1,0 R 31 482,70

81610 Dural sinus arteriovenous shunt occlusion 410 264,330 1,0 R 32 657,30

81615 Extracranial arteriovenous shunt occlusion 410 157,280 1,0 R 19 431,60

81620 Extracranial arterial embolisation (head and neck) 410 163,120 1,0 R 20 153,10

81625 Caroticocavernous fi stula occlusion 410 192,290 1,0 R 23 756,90

81630 Intracranial angioplasty for stenosis, vasospasm 410 126,920 1,0 R 15 680,80

81632 Intracranial stent placement (including PTA) 410 133,720 1,0 Z R 16 520,90

81635 Temporary balloon occlusion test 410 83,420 1,0 R 10 306,40

Code 81635 does not include the relevant preceding diagnostic study and may be combined with codes 10500, 10510, 10530, 10540, 10550.

81640 Permanent carotid or vertebral artery occlusion (including occlusion test) 410 178,180 1,0 R 22 013,80

81645 Intracranial aneurysm occlusion with balloon remodelling 410 216,350 1,0 R 26 729,70

81650 Intracranial aneurysm occlusion with stent assistance 410 230,450 1,0 R 28 471,60

81655 Intracranial thrombolysis, catheter directed 410 58,940 1,0 R 7 282,00

Code 81655 may be combined with any of the other neuro interventional codes 81600 to 81650.

81660 Nerve block, head and neck, per level 410 7,660 1,0 R 946,40

81665 Neurolysis, head and neck, per level 410 20,140 1,0 R 2 488,30

81670 Nerve block, head and neck, radio frequency, per level 410 19,040 1,0 R 2 352,50

81680 Nerve block, coeliac plexus or other regions, per level 410 9,280 1,0 R 1 146,80

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Thorax

82600 Chest drain insertion 410 8,820 1,0 R 1 089,60

82605 Trachial, bronchial stent insertion 410 30,360 1,0 R 3 751,00

Gastrointestinal

83600 Oesophageal stent insertion 410 31,220 1,0 R 3 857,00

83605 GIT balloon dilation 410 24,360 1,0 R 3 009,70

83610 GIT stent insertion (non-oesophageal) 410 32,020 1,0 R 3 956,00

83615 Percutaneous gastrostomy, jejunostomy 410 25,360 1,0 R 3 133,20

Hepatobiliary

84600 Percutaneous biliary drainage, external 410 33,980 1,0 R 4 198,30

84605 Percutaneous external/internal biliary drainage 410 37,210 1,0 R 4 597,20

84610 Permanent biliary stent insertion 410 51,220 1,0 R 6 328,00

84615 Drainage tube replacement 410 20,220 1,0 R 2 498,30

84620 Percutaneous bile duct stone or foreign object removal 410 49,980 1,0 R 6 174,90

84625 Percutaneous gall bladder drainage 410 29,580 1,0 R 3 654,50

84630 Percutaneous gallstone removal, including drainage 410 69,250 1,0 R 8 555,80

84635 Transjugular liver biopsy 410 24,930 1,0 R 3 080,10

84640 Transjugular intrahepatic portosystemic shunt 410 119,470 1,0 R 14 760,20

84645 Transhepatic portogram including venous sampling, pressure studies 410 81,890 1,0 R 10 117,30

84650 Transhepatic portogram with embolisation of varices 410 100,810 1,0 R 12 454,90

84655 Percutaneous hepatic tumour ablation 410 15,680 1,0 R 1 937,40

84660 Percutaneous hepatic abscess, cyst drainage 410 13,200 1,0 R 1 630,90

84665 Hepatic chemoembolisation 410 59,440 1,0 R 7 343,70

84670 Hepatic arterial infusion catheter placement 410 60,300 1,0 R 7 450,00

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Urogenital

85600 Percutaneous nephrostomy, external drainage 410 29,970 1,0 R 3 702,70

85605 Percutaneous double J stent insertion including access 410 40,820 1,0 R 5 043,20

85610 Percutaneous renal stone, foreign body removal including access 410 66,790 1,0 R 8 251,90

85615 Percutaneous nephrostomy tract establishment 410 29,270 1,0 R 3 616,40

85620 Change of nephrostomy tube 410 15,900 1,0 R 1 964,60

85625 Percutaneous cystostomy 410 16,520 1,0 R 2 041,20

85630 Urethral balloon dilatation 410 14,240 1,0 R 1 759,20

85635 Urethral stent insertion 410 31,220 1,0 R 3 857,00

85640 Renal cyst ablation 410 11,920 1,0 R 1 472,90

85645 Renal abscess, cyst drainage 410 15,160 1,0 R 1 873,10

85655 Fallopian tube recanalisation 410 45,060 1,0 R 5 567,00

Spinal

86600 Spinal vascular malformation embolisation 410 275,160 1,0 R 33 995,70

86605 Vertebroplasty per level 410 22,300 1,0 R 2 755,10

86610 Facet joint block per level, uni- or bilateral 410 9,540 1,0 R 1 178,40

Code 86610 may only be billed once per level, and not per left and right side per level.

86615 Spinal nerve block per level, uni- or bilateral 410 8,160 1,0 R 1 008,00

86620 Epidural block 410 9,420 1,0 R 1 163,70

86625 Chemonucleolysis, including discogram 410 18,320 1,0 R 2 263,30

86630 Spinal nerve ablation per level 410 11,600 1,0 R 1 433,20

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

Vascular

• Code 87654 (thrombolysis follow-up) may only be used on the days following the initial procedure, 87650 (thrombolysis)

• If a balloon angioplasty and/or stent placement is performed at more that one defi ned anatomical site at the same sitting the relevant codes may be combined. However, multiple balloon dilatations or stent placements at one defi ned site will only attract one procedure code

87600 Percutaneous transluminal angioplasty: Aorta, IVC 410 56,560 1,0 R 6 987,90

87601 Percutaneous transluminal angioplasty: Iliac 410 55,760 1,0 R 6 889,00

87602 Percutaneous transluminal angioplasty: Femoropopliteal 410 60,160 1,0 R 7 432,60

87603 Percutaneous transluminal angioplasty: Subpopliteal 410 73,340 1,0 R 9 060,90

87604 Percutaneous transluminal angioplasty: Brachiocephalic 410 67,120 1,0 R 8 292,60

87605 Percutaneous transluminal angioplasty: Subclavian, axillary 410 60,160 1,0 R 7 432,60

87606 Percutaneous transluminal angioplasty: Extracranial carotid 410 71,620 1,0 R 8 848,50

87607 Percutaneous transluminal angioplasty: Extracranial vertebral 410 73,300 1,0 R 9 056,10

87608 Percutaneous transluminal angioplasty: Renal 410 87,690 1,0 R 10 833,90

87609 Percutaneous transluminal angioplasty: Coeliac, mesenteric 410 87,690 1,0 R 10 833,90

87620 Aorta stent-graft placement 410 120,750 1,0 R 14 918,40

87621 Stent insertion (including PTA): Aorta, IVC 410 73,870 1,0 R 9 126,50

87622 Stent insertion (including PTA): Iliac 410 76,370 1,0 R 9 435,40

87623 Stent insertion (including PTA): Femoropopliteal 410 77,970 1,0 R 9 633,00

87624 Stent insertion (including PTA): Subpopliteal 410 84,550 1,0 R 10 445,90

87625 Stent insertion (including PTA): Brachiocephalic 410 98,470 1,0 R 12 165,90

87626 Stent insertion (including PTA): Subclavian, axillary 410 86,690 1,0 R 10 710,20

87627 Stent insertion (including PTA): Extracranial carotid 410 106,990 1,0 R 13 218,30

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

87628 Stent insertion (including PTA): Extracranial vertebral 410 100,550 1,0 R 12 422,80

87629 Stent insertion (including PTA): Renal 410 98,590 1,0 R 12 180,70

87630 Stent insertion (including PTA): Coeliac, mesenteric 410 98,590 1,0 R 12 180,70

87631 Stent-graft placement: Iliac 410 76,370 1,0 R 9 435,40

87632 Stent-graft placement: Femoropopliteal 410 77,970 1,0 R 9 633,00

87633 Stent-graft placement: Brachiocephalic 410 98,470 1,0 R 12 165,90

87634 Stent-graft placement: Subclavian, axillary 410 82,770 1,0 R 10 226,00

87635 Stent-graft placement: Extracranial carotid 410 120,430 1,0 R 14 879,10

87636 Stent-graft placement: Extracranial vertebral 410 114,730 1,0 R 14 174,60

87637 Stent-graft placement: Renal 410 98,590 1,0 R 12 180,70

87638 Stent-graft placement: Coeliac, mesenteric 410 98,590 1,0 R 12 180,70

87650 Thrombolysis in angiography suite, per 24 hours 410 45,820 1,0 R 5 661,00

Code 87650 may be combined with any of the relevant non-neuro interventional angiography and interventional codes 10520, 20500, 20510, 20520, 20530, 20540, 32500, 32530, 44500, 44503, 44505, 44507, 44510, 44515, 44517, 44520, 60500, 60510, 60520, 60530, 70500, 70505, 70510, 70515, 87600 to 87638.

87651 Aspiration, rheolytic thrombectomy 410 77,670 1,0 R 9 596,10

87652 Atherectomy, per vessel 410 91,890 1,0 R 11 353,00

87653 Percutaneous tunnelled/subcutaneous arterial or venous central or other line insertion

410 28,150 1,0 R 3 477,90

87654 Thrombolysis follow-up 410 23,570 1,0 R 2 912,10

87655 Percutaneous sclerotherapy, vascular malformation 410 21,100 1,0 R 2 606,80

87660 Embolisation, mesenteric 410 100,430 1,0 R 12 408,00

87661 Embolisation, renal 410 99,360 1,0 R 12 275,70

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

87662 Embolisation, bronchial, intercostal 410 108,340 1,0 R 13 385,40

87663 Embolisation, pulmonary arteriovenous shunt 410 103,220 1,0 R 12 752,70

87664 Embolisation, abdominal, other vessels 410 101,440 1,0 R 12 532,80

87665 Embolisation, thoracic, other vessels 410 97,600 1,0 R 12 058,20

87666 Embolisation, upper limb 410 90,920 1,0 R 11 232,90

87667 Embolisation, lower limb 410 92,140 1,0 R 11 383,60

87668 Embolisation, pelvis, non-uterine 410 117,120 1,0 R 14 469,90

87669 Embolisation, uterus 410 113,880 1,0 R 14 069,60

87670 Embolisation, spermatic, ovaria veins 410 85,820 1,0 R 10 602,90

87680 Inferior vena cava fi lter placement 410 61,840 1,0 R 7 640,30

87681 Intravascular foreign body removal 410 85,030 1,0 R 10 505,30

87682 Revision of access port (tunnelled or implantable) 410 14,120 1,0 Z R 1 744,60

87683 Removal of access port (tunnelled or implantable) 410 11,120 1,0 Z R 1 373,80

87690 Superior petrosal venous sampling 410 73,010 1,0 R 9 020,30

87691 Pancreatic stimulation test 410 89,790 1,0 R 11 093,40

87692 Transportal venous sampling 410 76,950 1,0 R 9 507,00

87693 Adrenal venous sampling 410 55,010 1,0 R 6 796,40

87694 Parathyroid venous sampling 410 86,660 1,0 R 10 706,70

87695 Renal venous sampling 410 55,010 1,0 R 6 796,40

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RADIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

ANNEXURE A

Radiology tariff contrast price effective 1 January 2004 PER VIAL

For use in conjuction with codes:

• 00190 X-ray examination contrast material• 00290 Ultrasound examination contrast material• 00390 CT examination contrast material• 00490 MR examination contrast material• 00590 Angiography and interventional examination contrast material

ANNEXURE B

Radiology tariff contrast price effective 1 January 2004 PER VIAL

Contrast Index Price Range – 2004 contrast prices

ANNEXURE C

Recommended isotope and kit prices for nuclear medicine for 2004 by the Association of Nuclear medicine Physicians

For use in conjuction with codes:

• 00990 Nuclear medicine isotope• 00991 Nuclear medicine substrate

ANNEXURE D PET GUIDELINES

A. Indications

For the purposes of this guideline, only established indications for PET-CT are included and this relates to the more common types of malignancies as seen in practice. While some of the less common forms of cancer may also yield advantages with PET-CT imaging, there is as yet insuffi cient published data to support the general use and these have been excluded in the list below. This situation may change as new research and information becomes available.

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Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

1. Non-small cell lung carcinoma (NSCC)

a. Primary diagnosis of lesionsi. >10mm diameter lesions where conventional imaging and biopsy

have been inconclusiveb. Staging especially where curative surgery is planned

i. Evaluation of primary tumour (T-stage)ii. Suspected nodal disease or characterisation of nodal diseaseiii. Suspected distal metastases of determining extent of metastasesiv. Solitary distal metastasis where metastatectomy is considered.

PET-CT is used to exclude additional lesions which would preclude surgery

c. Investigation of suspected recurrence (restaging)i. Local or regional recurrence ii. Nodal or distal recurrenceiii. Determine the extent of proven recurrent diseaseiv. Differentiate fi brotic mass from active disease

d. All patients with proven carcinoma of the lung, who are considered for curative resection, should be imaged with PET-CT prior to surgery

e. Current available literature confi rms that PET-CT is more accurate than CT or PET alone for staging and restaging of NSCC

2. Hodgkin’s and Non-Hodgkin’s lymphoma

a. Single most accurate imaging modality for Hodgkins and Non-Hodgkins lymphoma

b. Stagingi. All patients prior to commencing treatment as baseline, following

diagnosisii. Indicated at completion of therapy to confi rm complete response

c. Monitoring of response to treatmenti. Numerous studies have confi rmed that mid-treatment PET scans

predict clinical outcomeii. Prognostic value and role in modifi cation of therapeutic regime

d. Investigation of residual or recurrent disease (restaging)i. Where conventional imaging is equivocal for residual diseaseii. Suspected nodal recurrenceiii. Differentiating recurrent and residual disease from post-therapeutic

fi brosis and scarring

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

3. Thyroid carcinoma

a. Not indicated for primary diagnosisb. Staging

i. Primary examination of choice is I-123 whole body scintigraphyii. Only indicated for differentiated and medullary carcinoma of the

thyroid in patients with negative I-123, but with a high index of suspicion for nodal or distal metastases on cross-sectional imaging or where whole body I-123 scan is equivocal

c. Investigation of residual or recurrent disease (restaging)i. Elevated thyroglobulin despite negative whole body scintigraphy for

differentiated thyroid carcinomaii. Elevated calcitonin levels and equivocal imaging fi ndings for

medullary thyroid carcinomaiii. Solitary distal metastasis where metastatectomy is considered.

PET-CT is used to exclude additional lesions which would preclude surgery

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

4. Head and neck carcinoma

a. Primary diagnosisi. There is little, if any, role for PET-CT in primary diagnosis of mucosal

lesionsii. Limited to identifying primary tumour in histologically proven

metastatic squamous cell carcinoma in cervical nodesb. Staging of the primary tumour prior to therapy

i. Local nodes which are equivocal on CI (conventional imaging)ii. Suspected distal adenopathyiii. Suspected distal metastasesiv. All patients where uni- or bilateral surgery is planned (may alter

management and approach by up to 50% and is signifi cantly more accurate than CT alone)

v. Excellent sensitivity (95%) for local and distal nodal disease (specifi city in local disease may be affected by physiological uptake)

c. Investigation of residual or recurrent disease (restaging)i. Differentiating fi brosis and recurrence where routine imaging is

equivocal and may reduce the number of equivocal fi ndings by up to 50%

ii. Following neo-adjuvant therapy for restagingiii. Suspected local or distal recurrenceiv. Differentiating post-therapeutic changes from residual or recurrent

tumours poses signifi cant problems for CT and MRI. PET-CT is signifi cantly more accurate than routine cross sectional imaging in this regard

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RADIOLOGY

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

5. Breast cancer

a. There is no role for PET-CT in the primary diagnosis, sentinel node mapping or imaging of locally-contained node negative tumours

b. No role for carcinoma-in-situc. PET-CT imaging is limited to patients with infi ltrating ductal carcinomad. Staging

i. Only indicated if there is a signifi cant chance of distal disease as determined by axillary dissection or where conventional imaging is equivocal

ii. Can result in up to 57% change of stage and management compared to other CI (conventional imaging)

iii. High accuracy (86% vs. 77% for CT alone) for nodal and distal metastases in patient with infi ltrating ductal carcinoma

e. Investigation of recurrent disease (restaging)i. Suspected local or regional recurrenceii. Suspected nodal or distal metastatic recurrenceiii. Differentiate post-therapeutic fi brosis from recurrent or residual

tumouriv. Signifi cantly more accurate for nodal and distal recurrence than

conventional imaging

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Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

6. Colorectal cancer

a. No role in the diagnosis of the primary tumourb. Accurate for staging (89%) and restaging (88%)c. Staging

i. Suspected distal nodal metastases where conventional imaging is equivocal, particularly distal nodes

ii. Suspected distal metastasesiii. Evaluation of suspected single metastases considered for curative

surgical resection to exclude concomitant diseaseiv. May result in changes in treatment in up to 27% of patients

d. Investigation of residual or recurrent disease (restaging)i. Suspected local pelvic or distal recurrenceii. Differentiate local and distal post-therapeutic changes from residual

and recurrent diseaseiii. Evaluate and restage following neo-adjuvant therapyiv. Evaluate patients with rising tumour markers and normal or equivocal

conventional imaging

7. Stomach carcinoma – GIST

a. In GIST tumours FDG tracer uptake is establishedi. Indicated to determine response to treatment as determined by

tumour activity on PET-CT measuring tracer uptake (SUV)ii. Paradigm shift in assessing tumour responses to treatmentiii. Response to Imatinib (Gleevec) can be predicted with 18FFDG as

early as 24 hours after commencing treatment and long before any change in tumour size is demonstrated on conventional imaging

iv. Baseline study before commencing treatment is essential to determine degree of tracer uptake for post-treatment comparison

b. Variable uptake of tracer in other stomach tumours, which is diffi cult to explain and to predict. Routine imaging is not supported in other types of stomach tumours, at this stage

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

8. Testicular carcinoma

a. Complex histology and variable uptake of different histological sub-groups

b. Limited to seminoma and teratoma in the following cases:i. Evaluate residual mass to differentiate residual/recurrent tumour from

fi brosisii. Suspected recurrence but normal or equivocal conventional imaging

fi ndings

9. Oesophageal carcinoma

a. Not indicated for primary diagnosisb. Staging for nodal and distal metastases (90% accurate)

i. Indicated for N-staging, particularly where there is suspected distal nodal disease or where conventional imaging is equivocal

ii. Indicated for M-staging where distal metastases are suspectediii. Strongly indicated for patient undergoing curative surgery to exclude

distal diseasec. Investigation of residual or recurrent disease (restaging)

i. Restaging for patients who have undergone neo-adjuvant chemotherapy

ii. Suspected local or distal recurrent diseaseiii. Differentiate post-therapeutic fi brosis from recurrent or residual

disease

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RADIOLOGY

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

10. Melanoma

a. No role in primary diagnosis which is primarily a surgical/histological diagnosis

b. Staging is determined by depth of penetration of the primary tumour and presence of sentinel node at surgeryi. Indicated for Stage 3 and 4 disease where there is a high incidence

of distal nodal and metastatic diseaseii. Solitary distal metastasis on conventional imaging where

metastatectomy is considered. PET-CT is used to exclude additional lesions which would preclude surgery

iii. Overall N and M staging is signifi cantly more accurate than conventional imaging (97% vs 80%)

c. Investigation of recurrent disease (restaging)i. Modality of choice for recurrent nodal and distal metastatic diseaseii. Differentiate post-therapeutic fi brosis from recurrent or residual

diseased. PET-CT may alter management in up to 34% of patients with Stage 3

and 4 disease

11. Ovarian carcinoma

a. Most cases present as advanced diseaseb. Recurrence is frequent and the overall 5-year survival for advanced

disease is only 17%c. Diagnosis and initial staging requires a laparotomy as small peritoneal

deposits may be diffi cult to demonstrate on imagingi. PET-CT is indicated where surgical or conventional imaging fi ndings

are equivocal for primary stagingii. PET-CT is accurate for demonstrating nodal and distal diseaseiii. Sensitivity is limited by size of peritoneal deposits. It is more accurate

for macroscopic diseased. Investigation of recurrent disease (restaging)

i. Superior to CT and MRI for recurrence (92% sens. and 75% spec.)ii. Alternative to a second look laparotomy (presents signifi cant cost-

saving potential)iii. Defi nite role for patients with rising tumour marker where

conventional imaging is negative for recurrence

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GEMS TARIFF FOR RADIOLOGISTS AND Nuclear medicine WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Nuclear medicineCode: 12500

Practice Type: RadiologyCode: 13800

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

12. Carcinoma of unknown primary

a. By defi nition, unknown primary tumors are those that remain undetected after all diagnostic resources have been used

b. PET-CT may detect up to 57% primary tumours when conventional cross-sectional imaging has been negative

c. PET-CT is indicated where conventional imaging has failed to identify a primary malignancy

B. Limited value and relative contraindications

These conditions are those where there is variable or poor uptake of the tracer FDG or where imaging is routinely performed with tracers other than FDG which are not locally available. This may result in false negative fi ndings using FDG and the routine use of PET-CT should be discouraged.

1. Urological malignancya. No role in diagnosis and staging of renal cell carcinomab. Prostate limited to suspected recurrence in histologically-proven high

grade tumours. Prostate is ideally imaged with Choline as tracerc. No role for diagnosis and staging of bladder carcinoma

2. Broncho-alveolar cell carcinoma3. Small cell carcinoma of the lung4. Hepatocellular carcinoma5. Sarcomas6. Neuro-endocrine tumours7. Anaplastic thyroid carcinoma which is Grade 4 by defi nition, at diagnosis8. Suspected brain tumours where MRI is more sensitive and specifi c9. Tumours with large mucinous components10. Lobular carcinoma of the breast

In addition to these tumours, imaging should be used with caution in patients who are diabetic or who have recently used high doses of cortico-steroids.

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SOCIAL WORKERS

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GEMS TARIFF FOR SERVICES BY SOCIAL WORKERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: Social WorkersCode: 48900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

GENERAL RULES

005 Every practitioner shall render a monthly account in respect of any service rendered during the month, irrespective of whether or not the treatment has been completed. NB: Every account shall contain the following particulars:

• the surname and initials of the member• the surname, fi rst name and other initials, if any, of the patient• the name of the scheme concerned• the membership number of the member• the practice code number, group practice number and individual provider registration number issued by

the registering authorities for providers, if applicable, of the supplier of service and, in the case of a group practice, the name of the practitioner who provided the service

• the relevant diagnostic and such other item code numbers that relates to such relevant health service• the date on which each relevant health service was rendered• the relevant diagnostic codes and NHRPL item code numbers relating to the health service rendered

006 It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.

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GEMS TARIFF FOR SERVICES BY SOCIAL WORKERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: Social WorkersCode: 48900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

007 Where emergency treatment is provided:

a. during working hours, and the provision of such treatment requires the practitioner to leave her or his practice to attend to the patient at another venue

b. after working hours the fee for such visits shall be the total fee plus 50%

For purposes of this rule:

a. “emergency treatment” means a bona fi de, justifi able emergency social work service, where failure to provide the service immediately would result in serious or irreparable psychological or functional impairment

b. “working hours” means 8h00 to 17h00, Monday to Friday

Modifi er 0003 must be quoted after the appropriate code number(s) to indicate that this rule is applicable.

008 Compilation of reports is only to be included within billable time if these reports are for purposes of motivating for therapy and/or giving a progress report and/or a pre-authorisation report, and where such a report is specifi cally required by the medical scheme. Maximum billable time for such a report is 15 minutes.

MODIFIERS

0003 Add 50% of the total fee for the treatment

0021 Services rendered to hospital inpatients: Quote modifi er 0021 on all accounts for services performed on hospital inpatients

0022 Services rendered at patients residence: Quote modifi er 0022 on all accounts for services performed at the patients residence

ITEMS

107 Appointment not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).

300 - 0,0

200 Social worker consultation, counselling and/or therapy. Duration: 1-10 mins 300 0,500 1,0 R 44,70

201 Social worker consultation, counselling and/or therapy. Duration: 11-20 mins 300 1,500 1,0 R 134,30

202 Social worker consultation, counselling and/or therapy. Duration: 21-30 mins 300 2,500 1,0 R 224,10

203 Social worker consultation, counselling and/or therapy. Duration: 31-40 mins 300 3,500 1,0 R 313,70

204 Social worker consultation, counselling and/or therapy. Duration: 41-50 mins 300 4,500 1,0 R 403,40

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GEMS TARIFF FOR SERVICES BY SOCIAL WORKERS WITH EFFECT FROM 1 JANUARY 2018 Practice Type: Social WorkersCode: 48900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

205 Social worker consultation, counselling and/or therapy. Duration: 51-60 mins 300 5,500 1,0 R 492,90

206 Social worker consultation, counselling and/or therapy. Duration: 61-70 mins 300 6,500 1,0 R 582,70

207 Social worker consultation, counselling and/or therapy. Duration: 71-80 mins 300 7,500 1,0 R 672,10

208 Social worker consultation, counselling and/or therapy. Duration: 81-90 mins 300 8,500 1,0 R 761,90

209 Social worker consultation, counselling and/or therapy. Duration: 91-100 mins 300 9,500 1,0 R 851,50

210 Social worker consultation, counselling and/or therapy. Duration: 101-110 mins 300 10,500 1,0 R 941,10

211 Social worker consultation, counselling and/or therapy. Duration: 111-120 mins 300 11,500 1,0 R 1 030,70

Group consultation, counselling or therapy

Group consultation, counselling and/or therapy items are chargeable to a maximum of 12 patients

300 Social worker group consultation, counselling and/or therapy, per patient. Duration: 1-10 mins 300 0,100 1,0 R 8,99

301 Social worker group consultation, counselling and/or therapy, per patient. Duration: 11-20 mins 300 0,300 1,0 R 26,80

302 Social worker group consultation, counselling and/or therapy, per patient. Duration: 21-30 mins 300 0,500 1,0 R 44,70

303 Social worker group consultation, counselling and/or therapy, per patient. Duration: 31-40 mins 300 0,700 1,0 R 62,70

304 Social worker group consultation, counselling and/or therapy, per patient. Duration: 41-50 mins 300 0,900 1,0 R 80,60

305 Social worker group consultation, counselling and/or therapy, per patient. Duration: 51-60 mins 300 1,100 1,0 R 98,70

306 Social worker group consultation, counselling and/or therapy, per patient. Duration: 61-70 mins 300 1,300 1,0 R 116,60

307 Social worker group consultation, counselling and/or therapy, per patient. Duration: 71-80 mins 300 1,500 1,0 R 134,30

308 Social worker group consultation, counselling and/or therapy, per patient. Duration: 81-90 mins 300 1,700 1,0 R 152,30

309 Social worker group consultation, counselling and/or therapy, per patient. Duration: 91-100 mins 300 1,900 1,0 R 170,40

310 Social worker group consultation, counselling and/or therapy, per patient. Duration: 101-110 mins 300 2,100 1,0 R 188,20

311 Social worker group consultation, counselling and/or therapy, per patient. Duration: 111-120 mins 300 2,300 1,0 R 206,10

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SONOGRAPHERS

Version 2 • January 2018

GEMS TARIFFS FOR SERVICES BY SONOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018

Tariff Code Description of Tariff Code 2018 values

Reimbursement for the tariff codes for procedures performed within the scope of practice for sonographers will be subject to referral by the medical practitioner, and according to scheme rules, managed care protocols and benefi t limits. The following tariff codes 3620, 3621, 3622, 3625, 3629, 3637, 5100 and 5114 are subjected to Sapphire and Beryl formularies.

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.The cost of fi lm is included in the comprehensive procedure codes and is not billed for separately.

3615 Routine obstetric ultrasound at 10 to 20 weeks gestational age, preferable at 10 to 14 weeks gestational age, to include nuchal translucency assessment R 477,80

3617 Routine obstetric ultrasound at 20 to 24 weeks to include detailed anatomical assessment R 477,80

3618 Pelvic organs ultrasound transabdominal probe (this is a gynaecological ultrasound examination and may not be used in pregnancy) R 382,40

3620 Cardiac examination plus doppler colour mapping R 477,80

3621 Cardiac examination (MMode) R 239,00

3622 Cardiac examination: 2 dimensional R 477,80

3625 Cardiac examinations + doppler R 477,80

3627 Ultrasound examination includes whole abdomen and pelvic organs, where pelvic organs are clinically indicated (including liver, gall bladder, spleen, pancreas, abdominal vascular anatomy, para-aortic area, renal tract, pelvic organs).

R 573,40

3629 High-defi nition (small parts) scan: Thyroid, breast lump, scrotum, etc. R 477,80

3637 + colour doppler (may be added onto any other regional exam, but not to be added to Items 3605, 5110, 5111, 5112, 5113 or 5114) R 745,30

5100 Pelvic organs ultrasound: Transvaginal or transrectal probe R 477,80

5106 Obstetric ultrasound before 10 weeks gestational age for complicated pregnancy i.e. suspected ectopic pregnancy abortion or discrepancy between gestational age and dates. Not to be used for routine diagnosis of pregnancy.

R 239,00

5107 Ultrasound after 24 weeks – motivation required R 239,00

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SONOGRAPHERS

Version 2 • January 2018

GEMS TARIFFS FOR SERVICES BY SONOGRAPHERS WITH EFFECT FROM 1 JANUARY 2018

Tariff Code Description of Tariff Code 2018 values

5114 Peripheral venous ultrasound vascular study; B mode, pulsed and colour doppler; in erect and supine position including compression manoeuvres and refl ux in superfi cial and deep systems, bilaterally

R 1 361,10

General rule governing ultrasonic examinations during pregnancy

Ultrasound examinations

The international norm approved for use in South Africa for normal pregnancy is two ultrasound exams:

a. The fi rst scan should preferably include a nuchal thickness estimation and be performed between 10 and 14 weeks gestation. The second scan should be performed between 20 and 24 weeks and should include a full anatomical report. All subsequent ultrasound scans are excluded from the benefi ts of medical schemes unless accompanied by proper motivation. An ultrasound scan to assess an abnormal early pregnancy may be performed before 10 weeks but this scan may not be used to diagnose a normal uncomplicated pregnancy. Item 3618 is a gynaecological scan and its use is not approved for use in pregnancy.

b. In cases where the scan is performed by the attending practitioner, a clear indication for such a scan must be entered on the account rendered, or a letter of motivation must be attached to the account (the practitioner must elect one of the two options).

c. In case of a referral, the referring doctor must submit a letter of motivation to the radiologist or other practitioner doing the scan. A copy of the letter of motivation must be attached to the fi rst account rendered to the patient (by the radiologist or the other practitioner doing the scan) and must be attached to the fi rst account submitted to the medical scheme by the patient or the doctor, as the case may be.

d. In case of a referral to a radiologist, no motivation should be required from the radiologist.

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

GENERAL RULES

A. All accounts must be presented with the following information clearly stated:

• name of practitioner• qualifi cations of the practitioner• BHF practice number• postal address and telephone number• date on which service(s) were provided• the relevant diagnostic codes and NHRPL item code numbers relating to

the health service rendered• the surname and initials of the member• the fi rst name of the patient• the name of the scheme• the membership number of the member• the name and practice number of the referring practitioner, if applicable

B. The rate in respect of more than one evaluation under Item 1800 shall be the full rate for the fi rst evaluation plus half the rate in respect of each additional evaluation, but under no circumstances may fees be charged for more than three evaluations carried out.

D. It is recommended that, when such benefi ts are granted, drugs, consumables and disposable items used during a procedure or issued to a patient on discharge will only be reimbursed by a medical scheme if the appropriate code is supplied on the account.

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

E. Materials used in treatment shall be charged (exclusive of VAT) at net acquisition price plus:

• 26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands

• a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands

Use Item 300 for this purpose.

ITEMS

1. Assessment, consultation and treatment

The time used to conduct any diagnostic or treatment procedure claimed in addition to the codes in this section, can not be considered in determining the duration of the assessment, consultation or treatment claimed.

1.1. Consultations

1.1.1. Audiology consultations

1010 Audiology consultation. Duration 5-15 mins 316 10,000 1,0 R 102,70

1011 Audiology consultation. Duration 16-30 mins 316 22,500 1,0 R 230,80

1012 Audiology consultation. Duration 31-45 mins 316 37,500 1,0 R 384,90

1013 Audiology consultation. Duration 46-60 mins 316 52,500 1,0 R 539,10

1015 Prolonged audiology consultation, each additional full 15 mins, to a maximum of 60 mins

316 15,000 1,0 R 154,00

1.1.2. Speech therapy consultations

1020 Speech therapy consultation. Duration 5-15 mins 310 10,000 1,0 R 104,20

1021 Speech therapy consultation. Duration 16-30 mins 310 22,500 1,0 R 234,50

1022 Speech therapy consultation. Duration 31-45 mins 310 37,500 1,0 R 390,60

1023 Speech therapy consultation. Duration 46-60 mins 310 52,500 1,0 R 547,00

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

1.2. Assessment and treatment

1.2.1. Speech therapy assessment and treatment

1050 Speech therapy assessment and treatment. Duration 5-15 mins 310 10,000 1,0 R 104,20

1051 Speech therapy assessment and treatment. Duration 16-30 mins 310 22,500 1,0 R 234,50

1052 Speech therapy assessment and treatment. Duration 31-45 mins 310 37,500 1,0 R 390,60

1053 Speech therapy assessment and treatment. Duration 46-60 mins 310 52,500 1,0 R 547,00

2. Speech, voice, language and hearing disorders

0007 Group therapy: Per patient at rooms (maximum of 3 patients per therapy) 310 15,000 1,0 R 156,30

Note: Professional group consultations – no fee to be charged

0009 Preparation of a home programme 310 15,000 1,0 R 156,30

Note: This category is to prepare the home programme prior to consultation with patient or caregiver.

0020 Report writing 310 30,000 1,0 R 312,70 316 30,000 1,0 R 308,00

0107 Appointment not kept (schemes will not necessarily grant benefi ts in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).

310 - 1,0 R 0,00 316 - 1,0 R 0,00

3. Audiology

A. Peripheral hearing evaluation

1100 Air conduction, pure tone audiogram 313 15,000 1,0 R 176,20

1105 Bone conduction, pure tone audiogram 313 12,000 1,0 R 140,90

1110 Full speech audiogram including speech reception threshold and discrimination at two or more levels (3277)

313 15,000 1,0 R 176,20

1115 Speech audiogram screening 313 5,000 1,0 R 58,90

1120 Visual reinforcement audiometry (VRA) 314 40,000 1,0 R 480,20

1121 Conditioning play audiometry 314 40,000 1,0 R 480,20

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

1122 Select picture audiometry 314 40,000 1,0 R 480,20

1125 Tinnitus evaluation 313 15,000 1,0 R 176,20

B. Middle ear function evaluation

1200 Tympanometry 312 8,000 1,0 R 88,90

1205 Immittance measurements – impedance/stapedial refl ex (3276): Limited refl ex spectrum (eg: 1-2 frequencies)

312 4,000 1,0 R 44,50

1210 Immittance measurements – impedance/stapedial refl ex (3276): Extended refl ex spectrum (250-8000Hz e.g. 4-8 frequencies)

312 12,000 1,0 R 133,30

1215 High-frequency tympanometry (impedance testing) for peadiatric population 312 8,000 1,0 R 88,90

1220 Eustachian tube function test – multiple tympanograms, bilateral 312 12,000 1,0 R 133,30

1225 Rinné and Weber tests 313 4,000 1,0 R 46,90

C. Diagnostic audiological tests for differential diagnosis between cochlear, retro-cochlear, central, functional and/or vestibular pathology

1300 Tone decay (for retro cochlear pathology) 313 8,000 1,0 R 94,10

1305 Refl ex decay (for retro cochlear pathology) 312 8,000 1,0 R 88,90

1310 Short Increment Sensitivity Index (SISI) 313 5,000 1,0 R 58,90

1315 Most comfortable levels (MCL) and uncomfortable levels (UCL): Air conduction

313 8,000 1,0 R 94,10

1320 Most comfortable levels (MCL) and uncomfortable levels (UCL): Speech thresholds

313 4,000 1,0 R 46,90

1325 Test for functional hearing loss 313 10,000 1,0 R 117,50

1331 Stenger test, pure tone 313 5,000 1,0 R 58,90

1332 Stenger test, speech 313 5,000 1,0 R 58,90

1335 Fistula test – for peri-lymph fl uid leakage 313 15,000 1,0 R 176,20

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

D. Auditory Processing (AP) and Central Auditory Processing Tests (CAP)

Only tests appropriate to the recommendations of the HPCSA Taskforce on CAPD should be administered, i.e. low-linguistically loaded tests are tests of choice. No more than two tests from each category below can be administered. Repeat Item 1400 for each test done. Deviations from this billing guideline requires motivation.

Preliminary test battery Dichotic speech tests• Scan-C • Dichotic Digits Test• Scan-A • Dichotic Consonant Vowel• PSI • SSI-CCM • Staggered Spondaic Word TestDifferential diagnosis between CAPD and ADHD • Competing Sentences Test• Selective Auditory Attention Test • Dichotic Rhyme Test• Auditory Continuous Performance Test • Dichotic Sentence Identifi cation Test

Tests of monaural low redundancy Temporal processing tests • Low pass fi ltered speech – Ivey • Random Gap Detection Test• Low pass fi ltered speech – NU-6 Lists 500Hz, 750Hz and 1000Hz• Time compressed speech/time compressed speech with reverberation Temporal patterning tests • Frequency Pattern (Pitch Pattern) Sequence TestSpeech in noise tests • Duration Pattern Sequence Test• SPIN• SSI-ICM Binaural interaction tests• BKB-SIN • Masking level difference for speech• SIN • Binaural Fusion Test (Ivey, NU-6 or CVC Fusion)• QuickSIN

1400 Central Auditory Processing Disorders Test, test to be specifi ed 314 13,000 1,0 R 156,10

E. Electro-Physiological Examinations/Auditory Evoked Potentials (AEP)

1500 Diagnostic neurological short latency ABR (Auditory Brainstem Response) Bilateral; single decibel (2692)

314 60,000 1,0 R 720,30

1505 AABR – Bilateral (Automated Auditory Brainstem Response). Cannot be charged with 1510

312 30,000 1,0 R 333,10

1510 Screening ABR – Bilateral (Auditory Brainstem Response). Cannot be charged with 1505

312 20,000 1,0 R 222,10

1515 Diagnostic Audiological Click ABR (Auditory Brainstem Evoked Response) – bilateral air conduction threshold determination using click stimuli

314 60,000 1,0 R 720,30

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

1520 Diagnostic Audiological Click ABR (Auditory Brainstem Response) – bilateral bone conduction threshold determination using click stimuli

314 80,000 1,0 R 960,20

Combinations of Items 1531 to 1534 cannot be billed together.

1531 Diagnostic Audiological Tone Burst ABR (Auditory Brainstem Response) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 1 frequency

314 30,000 1,0 R 360,20

1532 Diagnostic Audiological Tone Burst ABR (Auditory Brainstem Response) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 2 frequencies

314 60,000 1,0 R 720,30

1533 Diagnostic Audiological Tone Burst ABR (Auditory Brainstem Response) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 3 frequencies

314 90,000 1,0 R 1 080,40

1534 Diagnostic Audiological Tone Burst ABR (Auditory Brainstem Response) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 4 frequencies

314 120,000 1,0 R 1 440,60

Combinations of Items 1541 to 1544 cannot be billed together

1541 Diagnostic audiological middle latency and late cortical auditory evoked responses (2698) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 1 frequency

314 25,000 1,0 R 300,20

1542 Diagnostic audiological middle latency and late cortical auditory evoked responses (2698) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 2 frequencies

314 50,000 1,0 R 600,40

1543 Diagnostic audiological middle latency and late cortical auditory evoked responses (2698) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 3 frequencies

314 75,000 1,0 R 900,30

1544 Diagnostic audiological middle latency and late cortical auditory evoked responses (2698) – bilateral frequency specifi c threshold determination using tone-burst stimuli at: 4 frequencies

314 100,000 1,0 R 1 200,50

Combinations of Items 1551 to 1554 cannot be billed together.

1551 ASSER (Auditory Steady State Evoked Response) – bilateral threshold determination: 1 frequency

314 30,000 1,0 R 360,20

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

1552 ASSER (Auditory Steady State Evoked Response) – bilateral threshold determination: 2 frequencies

314 40,000 1,0 R 480,20

1553 ASSER (Auditory Steady State Evoked Response) – bilateral threshold determination: 3 frequencies

314 60,000 1,0 R 720,30

1554 ASSER (Auditory Steady State Evoked Response) – bilateral threshold determination: 4 frequencies

314 80,000 1,0 R 960,20

1560 P300 Cognitive AEP (Auditory Evoked Potential) or MMN (Mismatch Negativity)

314 35,000 1,0 R 420,20

1565 Electrocochleography: Unilateral (2699) 314 45,000 1,0 R 540,10

1570 Electrocochleography: Bilateral (2700) 314 90,000 1,0 R 1 080,40

1575 Cochlear nerve function test – intra-operative monitoring, per 30min 314 30,000 1,0 R 360,20

1580 Evoked otoacoustic emissions (OAE), limited 311 15,000 1,0 R 160,10

1581 Evoked otoacoustic emissions (OAE), comprehensive 312 30,000 1,0 R 333,10

F. Balance/vestibular examinations and treatment

1600 Spontaneous and positional nystagmus using electro-nystagmography (ENG) (3253)

314 55,000 1,0 R 660,30

1605 Spontaneous and positional nystagmus using Video-nystagmography (VNG) 315 55,000 1,0 R 694,90

1610 Eye visualizations – spontaneous and positional nystagmus, monocular 311 35,000 1,0 R 374,00

1615 Videonystagmoscopy: Spontaneous and positional nystagmus. Only camera/goggles, without computerised VNG software

312 35,000 1,0 R 388,70

1620 Oculo-motor/central tests using electro-nystagmography (ENG) 315 25,000 1,0 R 315,90

1625 Oculo-motor/central tests using video-nystagmography (VNG) 315 25,000 1,0 R 315,90

1630 DVA (Dynamic Visual Acuity) test using video-nystagmography (VNG) 315 10,000 1,0 R 126,50

1635 Caloric test using ENG electro-nystagmography (3255) 315 50,000 1,0 R 631,80

1640 Caloric test using VNG electro-nystagmography (3255) 315 50,000 1,0 R 631,80

1645 Posturography 315 25,000 1,0 R 315,90

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

1650 Rotational chair test 312 15,000 1,0 R 166,60

1655 Otolith repositioning/canalith manoeuvre 316 25,000 1,0 R 256,50

1660 Vestibular rehabilitation (neuromuscular) re-education of movement, balance, coordination, kinesthetic sense, posture and proprioception

316 25,000 1,0 R 256,50

G. Cochlear implant tests

1700 Cochlear implants: Pre-implant round window promontory testing 312 45,000 1,0 R 499,70

1710 Cochlear implants: Electrode mapping, per 15 min (max 120 min) 315 15,000 1,0 R 189,40

1720 Cochlear implants: Implant test: Four test modes, intra- or post-operatively 313 5,000 1,0 R 58,90

1725 Cochlear implants: Neural response telemetry, intra-operatively (during cochlear implant surgery)

315 20,000 1,0 R 252,70

1730 Cochlear implants: Neural response telemetry, post-operatively (after cochlear implant surgery)

313 55,000 1,0 R 646,20

1735 Cochlear implants: Electrical Stapedius Refl ex Thresholds, intra-operatively only

315 13,000 1,0 R 164,30

1740 Cochlear implants: Comprehensive speech perception testing, pre- and post-cochlear implant, per 15 min (max 45 min)

314 15,000 1,0 R 179,90

H. Hearing amplifi cation/hearing aids

1800 Hearing aid evaluation – per ear 311 15,000 1,0 R 160,10

1805 Free Field Hearing Aid Evaluation: Pure tone and speech (with and without lip-reading)

314 13,000 1,0 R 156,10

1810 Insertion gain measurement, per ear 312 10,000 1,0 R 111,20

1815 Re-programming of hearing aid, per ear 311 10,000 1,0 R 107,00

1820 Technical adjustment of hearing aid/device, per ear 311 6,000 1,0 R 64,30

1825 Repairs to hearing aids 316 - 1,0 -

1830 Global charge for supply and fi tting of hearing aid and follow-up (by arrangement with scheme)

316 - 1,0 -

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SPEECH THERAPY & AUDIOLOGY

Version 2 • January 2018

GEMS TARIFF FOR SERVICES BY SPEECH THERAPISTS AND AUDIOLOGISTS WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Speech TherapyCode: 38201

Practice type: AudiologyCode: 38202

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values CF Units BF Flag 2018 values

I. Occupational health/Industrial hearing assessment

1900 Pure Tone Audiogram (air conduction) (3237) 316 15,000 1,0 R 154,00

1905 Pure Tone Audiogram (bone conduction) (3274) 316 12,000 1,0 R 123,10

1910 Full Speech Audiogram including speech reception threshold and discrimination at two or more levels (3277)

316 15,000 1,0 R 154,00

1915 Speech audiogram screening 316 5,000 1,0 R 51,30

1920 Immittance measurements (impedance) (tympanometry) 316 4,000 1,0 R 41,10

1925 Immittance measurements (impedance) (stapedial refl ex) (3276) 316 12,000 1,0 R 123,10

4. Material

0300 Medication 316 - 1,0 -

0301 Material 316 - 1,0 -

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SUB-ACUTE FACILITIES

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PRIVATE SUB-ACUTE FACILITIES WITH A “049” PRACTICE NUMBER WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Sub-Acute FacilitiesCode: 54900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

In calculating the GEMS Tariff, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+ rounded to the nearest 10 cent. Modifi er values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a modifi er, the same rounding scheme should be followed.

ALL GEMS TARIFFS ARE VAT INCLUSIVE.

GENERAL RULES

B. The charges are indicated in the relevant column opposite the item codes.

C. Procedure for the classifi cation of private sub-acute facilities:

i. inspections of private sub-acute facilities having practice code numbers commencing with the digits “049” will be conducted by an independent agency on behalf of BHF. Applications to be addressed in writing to BHF

ii. the provisions referred to in D.1.1 shall apply mutatis mutandis to all private sub-acute facilities such as post-natal units, rehabilitation units and psychiatric units

D. All accounts submitted by private sub-acute facilities shall comply with all of the requirements of Chapter 2, Regulation 5, promulgated in terms of the Medical Schemes Act, Act No. 131 of 1998. Such accounts shall also refl ect the practice code number and name of the attending practitioner.

E. All accounts containing items, which are subject to a discount in terms of the rates, shall indicate such items individually and shall show separately the gross amount of the discount.

SCHEDULE

1. Accommodation

Ward fees

Private sub-acute facilities shall indicate the exact time of admission and discharge on all accounts.

Patients admitted as day patients shall be charged half daily rate if discharged before 23h00 on the same date.

The following will be applicable to Items 001, 010, 013, 015, 017, 105 and 020.

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SUB-ACUTE FACILITIES

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PRIVATE SUB-ACUTE FACILITIES WITH A “049” PRACTICE NUMBER WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Sub-Acute FacilitiesCode: 54900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

On the day of admission:• If accommodation is less than 12 hours from time of admission: Half the daily rate• If accommodation is more than 12 hours from time of admission: Full daily rate

On day of discharge:• If accommodation is less than 12 hours: Half the daily rate• If accommodation is more than 12 hours: Full daily rate

Two half-day fees would be applicable when a patient is transferred internally between any ward and any sub-acute unit.

1.1. General wards

001 Ward fee, per day 480 10,000 1,0 R 1 409,70

1.2. Rehabilitation units

The following high-function rehabilitation impairment categories will be treated in recognised and accredited specialised rehabilitation units of private sub-acute facilities: Stroke, brain dysfunction (traumatic and non-traumatic), spinal cord dysfunction (traumatic and non-traumatic), orthopaedic (lower joint replacements), amputation (lower extremity), cardiac, pulmonary, major multiple trauma. Other neurological or orthopaedic impairments will require specifi c letters of motivation.

101 General ward/facility fee: Under 5 hours stay 480 2,227 1,0 R 314,10

105 General care (ward/supporting facilities and equipment) 480 10,286 1,0 R 1 450,10

Note: The maxima may be modifi ed in individual cases on specifi c motivation from the doctor-in-charge.

1.3 Psychiatric rehabilitation unit

The following psychiatric categories will be treated in recognised and accredited specialised psychiatric units of private sub-acute facilities: Depression, bipolar mood disorder, anxiety disorder, organic mood disorder, dementia, psychological behavioural disorder, schizophrenia, mental retardation, eating disorder, nonorganic sleep disorder, sexual dysfunction (not by organic disorder) and mental behaviour disorder (ass pueperium), will require specifi c letters of motivation. Inclusive of all specialised psychiatric equipment, monitors, etc.

003 Ward fee with overnight stay (specifi c motivation from the doctor-in-charge) (ward/supporting facilities and equipment)

480 10,430 1,0 R 1 470,30

005 General ward fee: Under 5 hours stay 480 2,266 1,0 R 319,30

007 General ward fee: Without overnight stay 480 5,392 1,0 R 760,10

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SUB-ACUTE FACILITIES

Version 2 • January 2018

GEMS TARIFF IN RESPECT OF PRIVATE SUB-ACUTE FACILITIES WITH A “049” PRACTICE NUMBER WITH EFFECT FROM 1 JANUARY 2018

Practice Type: Sub-Acute FacilitiesCode: 54900

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

2. Standard material charges

2.1. Ward stock

The amount charged in respect of dispensed medicines and scheduled substances shall not exceed the limits prescribed in the Regulations Relating to a Transparent Pricing System for Medicines and Scheduled Substances, dated 30 April 2004, made in terms of the Medicines and Related Substances Act, 1965 (Act No 101 of 1965).

In relation to other ward stock (materials and/or medicines), the amount charged shall not exceed the net acquisition price (inclusive of VAT) or the exit price as determined in terms of Act No 101 of 1965.

419 Ward stock 440 - 0,0 -

2.2. Gases

Oxygen, ward use

Fee for oxygen, per quarter hour of part thereof. To be charged using the appropriate NAPPI code.

284 PWV area 440 - 1,0 -

710 Cape Town 440 - 1,0 -

711 Port Elizabeth 440 - 1,0 -

712 East London 440 - 1,0 -

713 Durban 440 - 1,0 -

714 Other areas 440 - 1,0 -

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TISSUE TRANSPORTATION

Version 2 • January 2018

GEMS TARIFF FOR TISSUE TRANSPORTATION WITH EFFECT FROM 1 JANUARY 2018 Practice Type: Accredited Blood and Blood Product CouriersCode: 50300

Tariff Code Description of Tariff Code CF Units BF Flag 2018 values

The GEMS tariff values for tissue transportation services are obtainable from the Scheme administrator. Please contact GEMS at 0860 00 4367 to be supplied with the applicable tariffs and reimbursement value.

001 Items in the section on blood transportation are only chargeable by providers with a “003” practice number (Accredited Blood and Blood Product Couriers).

1. Blood transportation

700 Routine compat collection: Collection of patient’s blood compat by courier from hospital/clinic, other than as an emergency. Compat to be delivered to blood bank for cross-match.

460 - 0,0 R 0,00

710 Routine blood/blood product collection: Collection and delivery of cross-matched blood/blood produce by courier from blood bank, other than as an emergency. Blood/blood product to be taken to hospital/clinic for patient.

460 - 0,0 R 0,00

720 Emergency blood/blood product collection: Collection of blood/blood product (without a full cross-match) where the driver has to wait for the blood/blood product and deliver it to the hospital (i.e. round trip).

460 - 0,0 R 0,00

Medical scheme may require verifi cation of emergency and determine the nature of such required verifi cation. May not be billed with 700, 710 or 730.

730 Emergency blood/blood product collection following change of status of request: Collection of blood/blood product (with or without a full cross-match) where, after the original request was delivered to the blood bank by the courier as a routine request, the status of the request was subsequently changed by the hospital or clinic to an emergency necessitating a non-routine collection by the courier. Blood/blood product to be taken to hospital/clinic for patient.

460 - 0,0 R 0,00

Medical scheme may require verifi cation of change of status and determine the nature of such required verifi cation. Typically billed with 700. May not be billed with 710.

740 Long distance: Additional per km fee for collections further than 50 km. This fee applies only to those kilometres in excess of 50 km. Supporting documentation required, illustrating distance travelled.

460 - 0,0 R 0,00