EPS endorsement

EPS endorsement

Information required by the Pricing Authority to price prescriptions

The information required to be sent to the Pricing Authority electronically is, as now, only the essential information required to price prescriptions. Information on the dispensed product, where required, will be provided to the Pricing Authority using the dm+d code for the product.

Other endorsements will also be required, in the same way as now, for example endorsements to claim broken bulk or out of pocket expenses or the NCSO concession. Pharmacy systems will support pharmacy staff in making these endorsements electronically.

Useful resources:

Some pharmacy contractors currently make endorsements manually by hand without any support from their pharmacy systems. In these cases, pharmacy staff will in future be required to use their pharmacy system to make endorsements electronically.

Product Type Prescribed Information Required by the Pricing Authority
Generic Product listed in Part VIII of the Drug Tariff VMPP or ‘nothing’*
Generic Product which is not listed in Part VIII of the Drug Tariff AMPP or AMP
Branded product AMPP or ‘nothing’*
Appliance prescribed generically and only listed generically in the Tariff (e.g. Absorbent Lint BPC) VMPP or ‘nothing’*
Appliance prescribed generically but listed by Brand name in the Tariff AMPP, AMP or ‘nothing’*
Appliance prescribed by Brand Name(but listed generically in Tariff) AMPP or VMPP of the dispensed item, or AMP or ‘nothing’*

*When the dispenser submits ‘nothing’ in the reimbursement claim message, the pharmacy system will default to the dm+d code for the prescribed item.

Frequently asked questions

Q. How will additional endorsements such as ‘XP’ be handled in EPS Release 2?
A. Information on the dispensed product, where required, will be provided to the Pricing Authority using the NHS dm+d SNOMED code for the product.

Other endorsements will also be required, in the same way as now, for example endorsements to claim broken bulk or out of pocket expenses or the NCSO concession. Pharmacy systems will support pharmacy staff in making these endorsements electronically. The guidance that has gone to system suppliers is in line with existing endorsement guidance.

Some pharmacy contractors currently make endorsements manually by hand without any support from their pharmacy systems. In these cases, pharmacy staff will in future be required to use their pharmacy system to make endorsements electronically.

Q. Can I endorse a prescription ‘NCSO’ in advance of the NCSO Concession being agreed by the Department of Health?
A. Yes, where a Part VIII product cannot be obtained at the Drug Tariff price because of a supply problem and a more expensive product has had to be dispensed, the prescription could be endorsed in anticipation of the NCSO Concession being granted. The full endorsement required is the initials, ‘NCSO’, full details of the product dispensed and the endorsement must be initialled and dated.

The Pricing Authority will reimburse based on the standard Part VIII price where the product was not been granted the NCSO Concession in the month concerned. The Concession is only granted where there is a significant national shortage. Detailed guidance on the NCSO Concession can be found in the stock shortages section of the PSNC Website.

Q. How do we express that an EPS item is not dispensed?
A. Functionality varies from system to system, if you are unsure of how to mark an item as ‘Not Dispensed’ you are advised to check an up-to-date version of your system manual or contact your system suppler.  The Pricing Authority endorsement manual (2013 version) mentions that “Prescribed items for which no dispensing activity has been recorded have the default item status code ‘0002’. When recording endorsements electronically within the Electronic Prescription Service the item status code ‘0002’ is used instead of an ‘ND’ endorsement.” The use of the letters ‘ND’ by pharmacy teams is for paper prescription endorsements only.

Related resources

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