Notice of changes to discount not deducted (DND) status of products

Notice of changes to discount not deducted (DND) status of products

Where a product meets the discount not deducted (DND) criteria as set out in Part II of the Drug Tariff (see Background section below), a DND indicator is applied to the respective product entries in dictionary of medicines and devices (dm+d).  Part II of the Drug Tariff, is updated monthly by the Department of Health and Social Care (DHSC) and includes grouped and individual items. Items included under the ‘Group Items’ heading are not listed again individually in Part II.

Following applications made by PSNC on behalf of pharmacy contractors the following products have now been given DND status.
Please note: the lists below only show existing products which have been re-classified as DND; the lists do not include any new products added to dm+d and the Drug Tariff that are granted automatic DND status each month.

The following products were added to the DND list as of October 2020:

  • Adrenaline (base) 10mg/10ml (1 in 1,000) solution for injection ampoules
  • Adrenaline (base) 5mg/5ml (1 in 1,000) solution for injection ampoules
  • Aptamil Pepti 1 powder
  • Aptamil Pepti 2 powder
  • Aymes Shake Extra powder 85g sachets
  • Aymes Shake Extra Starter Pack powder
  • Azathioprine 50mg powder for solution for injection vials
  • Branched-Chain Amino Acid Module powder
  • Calogen emulsion
  • Calogen Extra Shots emulsion
  • DocOmega oral powder 4g sachets
  • Duocal Super Soluble powder
  • Ensure liquid
  • Ensure Plus Advance liquid
  • Ensure Plus Creme
  • Essential Amino Acid Mix powder
  • Forticare liquid
  • Forticreme Complete dessert
  • Fortini 1.0 Multi Fibre liquid
  • Fortini Creamy Fruit Multi Fibre
  • Fortini Smoothie Multi Fibre liquid
  • Fortisip 2kcal liquid
  • Fortisip Compact Fibre Starter Pack liquid
  • Fortisip Compact Protein liquid
  • Fortisip Compact Protein Starter Pack liquid
  • Fortisip Extra liquid
  • Fortisip Yogurt Style liquid
  • GA1 Anamix Junior oral powder 18g sachets
  • GA1 Maxamum powder
  • Glytactin BetterMilk 15 oral powder sachets
  • Glytactin BetterMilk Lite 20 oral powder 46g sachets
  • Glytactin Build 10 oral powder 16g sachets
  • Glytactin Complete 15 81g bars
  • Glytactin Restore 5 oral powder 20g sachets
  • Glytactin Restore Lite 20 oral powder 38g sachets
  • Glytactin RTD 10 liquid
  • HCU Anamix Infant powder
  • HCU Anamix Junior LQ liquid
  • HCU Anamix Junior oral powder 36g sachets
  • HCU Lophlex LQ 20 liquid
  • Heparon Junior powder
  • KetoCal 2.5:1LQ liquid
  • KetoCal 3:1 powder
  • KetoClassic 3:1 Breakfast porridge
  • KetoClassic 3:1 Meal bolognese 126g pouches
  • KetoClassic 3:1 Meal chicken 135g pouches
  • KetoClassic 3:1 Savoury meal
  • Keyo semi-solid food 100g pots
  • Leucine100 oral powder sachets
  • Loprofin SNO-PRO drink
  • Mannitol 40mg inhalation powder capsules with two devices
  • MMA / PA Anamix Junior oral powder 18g sachets
  • MSUD Anamix Junior LQ liquid
  • MSUD express20 oral powder 34g sachets
  • MSUD Lophlex LQ 20 liquid
  • Neocate Syneo powder
  • Nepro HP liquid
  • Nutilis Complete Creme Level 3 custard
  • Nutilis Fruit Dessert Level 4
  • Nutramigen 3 with LGG powder
  • Nutricia Flavour Modjul powder
  • Nutrison Protein Intense liquid
  • Nutrison Protein Plus Energy liquid
  • Optifast shake oral powder 54g sachets
  • Optifast soup oral powder 54g sachets vegetable
  • PKU Air20 liquid
  • PKU Air20 green liquid
  • PKU Air20 gold liquid
  • PKU Air20 red liquid
  • PKU Air20 white liquid
  • PKU Anamix Infant powder
  • PKU Easy Shake & Go oral powder 34g sachets
  • PKU explore10 oral powder 25g sachets
  • PKU explore5 oral powder 12.5g sachets
  • PKU GMPro oral powder 33.3g sachets
  • PKU Lophlex Sensation 20
  • PKU start powder
  • PKU Synergy oral powder 33g sachets
  • Pregestimil LIPIL powder
  • Pro-Cal shot
  • Pro-Cal shot starter pack
  • ProSource jelly
  • ProSource Plus liquid 30ml sachets
  • Pulmocare liquid
  • Renapro Shot 60ml bottles
  • Renastep liquid
  • Resource Energy liquid
  • Resource Fibre 2.0 liquid
  • Scandishake Mix oral powder 85g sachets
  • SOD Anamix Infant powder
  • TYR Lophlex LQ 10 liquid
  • TYR Lophlex LQ 20 liquid
  • Vitasavoury powder 50g sachets
  • XPhe jump 10 liquid
  • XPHEN TYR Tyrosidon Free AA Mix powder

The following products were added to the DND list as of September 2020:

  • Rybelsus 14mg tablets
  • Rybelsus 3mg tablets
  • Rybelsus 7mg tablets

The following products were added to the DND list as of August 2020:

  • Abilify Maintena 400mg powder and solvent for prolonged-release suspension for injection pre-filled syringes
  • Abilify Maintena 400mg powder and solvent for prolonged-release suspension for injection vials
  • Aripiprazole 400mg powder and solvent for suspension for injection pre-filled syringes
  • Aripiprazole 400mg powder and solvent for suspension for injection vials
  • Prednisolone 20mg/application foam enema

The following products were added to the DND list as of July 2020:

  • Acetylsalicylic acid (Aspirin powder)
  • Ammonium bicarbonate
  • BioBag 100 4cm x 5cm dressing kit
  • BioBag 200 5cm x 6cm dressing kit
  • BioBag 300 6cm x 12cm dressing kit
  • BioBag 400 10cm x 10cm dressing kit
  • BioBag 50 2.5cm x 4cm dressing kit
  • Desmospray 2.5micrograms/dose nasal spray
  • Emtricitabine 200mg / Tenofovir alafenamide 10mg tablets
  • Emtricitabine 200mg / Tenofovir alafenamide 25mg tablets
  • Ethinylestradiol 2microgram tablets
  • Ilomedin 100micrograms/1ml solution for infusion ampoules
  • Larvae 100
  • Larvae 100 30cm x 30cm dressing pack
  • Larvae 100 Boot pack
  • Larvae 200
  • Larvae 200 30cm x 30cm dressing pack
  • Larvae 200 Boot pack
  • Optimax 500mg capsules
  • Primaquine 7.5mg tablets
  • Seconal Sodium 100mg capsules
  • Seconal Sodium 50mg capsules
  • Serdolect 12mg tablets
  • Serdolect 16mg tablets
  • Serdolect 20mg tablets
  • Serdolect 4mg tablets
  • Sodium Amytal 200mg capsules
  • Sodium Amytal 60mg capsules
  • Soneryl 100mg tablets
  • Talidex 25mg tablets
  • Tuinal 100mg Pulvules
  • Zinc Oxide

The following products were added to the DND list as of June 2020:

  • Acetone liquid
  • Borax powder
  • Boric Acid powder
  • Peppermint oil liquid
  • Potassium iodide powder
  • Rose water liquid
  • Sulfur precipitated powder
  • Sulfur sublimed powder
  • Tartaric acid powder

The following products were added to the DND list as of May 2020 2020:

  • Posaconazole 40mg/ml oral suspension

The following products were added to the DND list as of April 2020:

  • Alprostadil 20microgram powder and solvent for solution for injection cartridges
  • Alprostadil 40microgram powder and solvent for solution for injection cartridges
  • Darunavir 800mg tablets
  • Nutrison 800 Complete Multi Fibre liquid

The following products were added to the DND list as of March 2020:

  • Esmya 5mg tablets
  • Liothyronine 10microgram tablets
  • Similac Alimentum powder
  • Ulipristal 5mg tablets
  • Valcyte 50mg/ml oral solution
  • Valganciclovir 50mg/ml oral solution sugar free

The following products were added to the DND list as of February 2020:

  • Follitropin alfa 75unit powder and solvent for solution for injection vials
  • Follitropin alfa 450unit powder and solvent for solution for injection vials

The following products were added to the DND list as of January 2020:

  • Fortini Compact Multi Fibre liquid
  • Nutrini Peptisorb Energy liquid
  • PaediaSure Compact liquid
  • PKU sphere15 oral powder
  • SMA Alfamino powder

If you identify any particular product(s) which are not currently classified as DND but you believe satisfy the criteria (as set out in Part II of the Drug Tariff), please notify PSNC’s Dispensing and Supply Team (0203 1220 810 or info@psnc.org.uk) who will investigate and assess if it meets the relevant criteria. Where appropriate, PSNC will make application to the NHSBSA and DHSC seeking for DND status for the product.


Background

The DND list is updated monthly by the DHSC and includes grouped and individual items. Individual items are separately listed in Part II of the Drug Tariff. Any items covered by the ‘Group Items’ heading are not listed again individually in Part II. Contractors can also check the Actual Medicinal Product (AMP) listing on Dictionary of Medicines and Devices (dm+d) to identify whether a product meets the DND criteria (see below).

Group items

Any products that are covered by one or more of the Group items categories below are reimbursed without any discount deduction applied.

  • Cold Chain Storage (ALL)
  • Schedule 1, 2 or 3 Controlled Drugs: Products containing drugs listed in Schedules 1, 2 and 3 of the Misuse of Drugs Regulation 2001
  • Cytotoxic or Cytostatic item (ALL):
  • Immunoglobulins (ALL)
  • Insulins for injection (ALL)
  • Vaccines and antisera (ALL)
  • Unlicensed medicines: ‘Specials’ not listed in Part VIIIB where the product has been sourced from a supplier holding a MHRA specials or importers licence (prescriptions must be endorsed with invoice price less discount/rebate)
  • Hazardous chemicals

Individual items  

Products that do not are covered by one or more of the Group item categories above must fulfil all three of the following criteria to qualify for entry to the DND list.

  • the manufacturer(s), AAH and Alliance do not offer pharmacy contractors a discount
  • fewer than 500,000 items per year are dispensed of the product
  • average net ingredient cost (NIC) per item is more than £50

The NIC per item is the average NIC per prescription dispensed and not the list price of the product. As the NIC is based on the quantity of the product dispensed, it is independent of product pack size. For new products, the DHSC will give consideration as to whether the product may, in time, meet the criteria.

Please note that there may be occasions where a particular branded product meets the criteria but the generic equivalent of the product does not. In this case, the generic description would not be included in the list.

For more information on discount deduction see our page How discount deduction works



Latest Dispensing and Supply news

View more Dispensing and Supply news >