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 July 2021:

  • Revlimid 25mg capsules
  • Minims povidone iodine 5% eye drops 0.4ml unit dose (Group Item)
  • Misoprostol 400microgram tablets
  • PKU Easy microtabs
  • Vigabatrin 100mg soluble tablets sugar free
  • Vigabatrin 500mg soluble tablets sugar free

The following products were added to the DND list as of June 2021:

  • Elmiron 100mg capsules
  • Exjade 90mg tablets
  • Exjade 180mg tablets
  • Exjade 360mg tablets
  • Kigabeq 100mg soluble tablets
  • Kigabeq 500mg soluble tablets
  • Olumiant 2mg tablets
  • Olumiant 4mg tablets

The following products were added to the DND list as of May 2021:

  • Levomepromazine 6mg tablets
  • Melatonin 2mg  capsules
  • Melatonin 3mg  capsules
  • Melatonin 5mg  capsules
  • Methylnaltrexone bromide 12mg/0.6ml solution for injection vials
  • Pamidronate disodium 90mg/6ml solution for infusion ampoules
  • TwoCal Bolus liquid

The following products were added to the DND list as of April 2021:

  • Almuriva 4.6mg/24hours transdermal patches
  • Aripiprazole 1mg/ml oral solution sugar free
  • Arpoya 10mg tablets
  • Arpoya 5mg tablets
  • Atropine 1mg/1ml solution for injection ampoules
  • Betaloc I.V. 5mg/5ml solution for injection ampoules
  • Captopril 5mg/5ml oral solution sugar free
  • Catephen 10% ointment
  • Ceftriaxone 2g powder for solution for injection vials
  • Ceptava 360mg gastro-resistant tablets
  • Co-danthrusate 50mg/60mg/5ml oral suspension sugar free
  • Domperidone 1mg/ml oral suspension sugar free
  • Ferinject 1000mg/20ml solution for injection vials
  • Grazax 75,000 SQ-T oral lyophilisates
  • Leflunomide 15mg tablets
  • Malarivon 80mg/5ml syrup
  • Mycophenolic acid 360mg gastro-resistant tablets
  • Noyada 5mg/5ml oral solution
  • Ongentys 50mg capsules
  • Opsumit 10mg tablets
  • Pancrex V oral powder
  • Plenadren 5mg modified-release tablets
  • Polyfusor W water for infusion 1litre bottles
  • Polyfusor W water for infusion 500ml bottles
  • Prezista 100mg/ml oral suspension
  • Prometax 4.6mg/24hours transdermal patches
  • Rezolsta 800mg/150mg tablets
  • Rocephin 2g powder for solution for injection vials
  • Ropiqual XL 4mg tablets
  • Sodium valproate 400mg/4ml solution for injection ampoules
  • Strontium ranelate 2g granules sachets sugar free
  • Symtuza 800mg/150mg/200mg/10mg tablets
  • Teglutik 5mg/1ml oral suspension
  • Topogyne 400microgram tablets
  • Zytiga 500mg tablets

The following products were added to the DND list as of March 2021:

  • Champix 0.5mg/1mg 4 week treatment initiation pack
  • Dynastat 40mg powder and solvent for solution for injection vials
  • Isosource Junior Mix
  • Levetiracetam 500mg/5ml solution for infusion vials
  • Linezolid 600mg tablets
  • Solu-Medrone 1g powder and solvent for solution for injection vials
  • Tobramycin 240mg/6ml solution for injection vials

The following products were added to the DND list as of February 2021:

  • Alimemazine 10mg tablets
  • Alimemazine 7.5mg/5ml oral solution
  • Alkindi 0.5mg granules in capsules for opening
  • Alkindi 1mg granules in capsules for opening
  • Alkindi 2mg granules in capsules for opening
  • Alkindi 5mg granules in capsules for opening
  • Altraplen Compact Starter Pack liquid
  • Altraplen Protein liquid
  • Altraplen Protein Starter Pack liquid
  • Altrashot 120ml bottles
  • Altrashot Starter Pack liquid
  • Beclometasone 0.025% cream
  • Beclometasone 0.025% ointment
  • Betamethasone valerate 0.1% / Clioquinol 3% cream
  • Betamethasone valerate 0.1% / Clioquinol 3% ointment
  • Betamethasone valerate 0.1% / Neomycin 0.5% cream
  • Betamethasone valerate 0.1% / Neomycin 0.5% ointment
  • Calcium Resonium powder
  • Carbamazepine 125mg suppositories
  • Carbamazepine 250mg suppositories
  • Chloral hydrate 143.3mg/5ml oral solution BP
  • Colomycin 2million unit powder for solution for injection vials
  • Dicycloverine 10mg tablets
  • Dicycloverine 10mg/5ml oral solution
  • Dicycloverine 20mg tablets
  • Epilim Chronosphere MR 100mg granules sachets
  • Epilim Chronosphere MR 250mg granules sachets
  • Epilim Chronosphere MR 500mg granules sachets
  • Epilim Chronosphere MR 50mg granules sachets
  • Epilim Intravenous 400mg powder and solvent for solution for injection vials
  • Erastig 13.3mg/24hours transdermal patches
  • Griseofulvin 125mg tablets
  • Halkid 200micrograms/ml oral solution
  • Jorveza 1mg orodispersible tablets
  • Lithium carbonate 250mg tablets
  • Multaq 400mg tablets
  • Nalcrom 100mg capsules
  • Neostigmine 15mg tablets
  • Neotigason 25mg capsules
  • Nitrazepam 2.5mg/5ml oral suspension
  • Norgalax 120mg/10g enema
  • Nutricrem dessert
  • Nutricrem Starter Pack dessert
  • Octasa 1600mg MR gastro-resistant tablets
  • Pentacarinat 300mg powder for solution for injection vials
  • Phosphates enema (Formula B) 128ml long tube
  • Pradaxa 150mg capsules
  • Pradaxa 75mg capsules
  • Resonium A powder
  • Sabril 500mg oral powder sachets
  • Salofalk 1g gastro-resistant tablets
  • Salofalk 1g/application foam enema
  • Solian 100 tablets
  • Solian 100mg/ml oral solution
  • Syrisal 292.5mg/5ml (1mmol/ml) oral solution
  • Testosterone enantate 250mg/1ml solution for injection ampoules
  • Thamicarb 84mg/1ml oral solution
  • Ursofalk 250mg capsules
  • Ursofalk 500mg tablets
  • Vanquoral 100mg capsules
  • Vanquoral 50mg capsules
  • Xonvea 10mg/10mg gastro-resistant tablets

The following products were added to the DND list as of January 2021:

  • Adartrel 2mg tablets
  • Aminophylline 250mg/10ml solution for injection ampoules
  • Carbimazole 15mg tablets
  • Dexamethasone 20mg/5ml oral solution sugar free
  • Erythromycin 1g powder for solution for infusion vials
  • Flixotide 500micrograms/dose Accuhaler
  • Fluconazole 200mg/100ml solution for infusion vials
  • Furosemide 250mg/25ml solution for injection ampoules
  • Glycopyrronium bromide powder for solution for iontophoresis
  • Hydrocortistab 25mg/1ml suspension for injection ampoules
  • Imigran 20mg nasal spray
  • Innohep 12,000units/0.6ml solution for injection pre-filled syringes
  • Innohep 16,000units/0.8ml solution for injection pre-filled syringes
  • Innohep 8,000units/0.4ml solution for injection pre-filled syringes
  • Lamictal 2mg dispersible tablets
  • Lamictal 25mg dispersible tablets
  • Phenytoin sodium 250mg/5ml solution for injection ampoules
  • PKU Lophlex powder 28g sachets
  • Potassium chloride 15% (potassium 20mmol/10ml) solution for infusion 10ml ampoules
  • Qutenza 179mg cutaneous patches
  • Ropinirole 2mg tablets
  • Scopoderm 1.5mg patches
  • Stayveer 125mg tablets
  • Tinzaparin sodium 4,500units/0.45ml solution for injection pre-filled syringes
  • Tolvaptan 7.5mg tablets
  • Triamterene 50mg capsules
  • Voleze 4.6mg/24hours transdermal patches

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

  • Adrenaline (base) 100micrograms/1ml (1 in 10,000) dilute solution for injection ampoules
  • Adrenaline (base) 500micrograms/5ml (1 in 10,000) dilute solution for injection ampoules
  • Adrenaline (base) 1mg/10ml (1 in 10,000) dilute solution for injection ampoules
  • Baraclude 0.05mg/ml oral solution
  • Biktarvy 50mg/200mg/25mg tablets
  • Budenofalk 3mg gastro-resistant capsules
  • Budenofalk 9mg gastro-resistant granules sachets
  • Dacepton 100mg/20ml solution for infusion vials
  • Dacepton 30mg/3ml solution for injection cartridges
  • Desitrend 1000mg granules sachets
  • Desitrend 500mg/5ml concentrate for inf ampoules
  • EleCare powder
  • Ensure Plus Juce liquid
  • Episenta 300mg/3ml solution for injection ampoules
  • Epivir 150mg tablets
  • Evotaz 300mg/150mg tablets
  • Feraccru 30mg capsules
  • Ikervis 0.1% eye drops 0.3ml unit dose
  • Levosert 20micrograms/24hours intrauterine device
  • Odefsey 200mg/25mg/25mg tablets
  • Setofilm 4mg orodispersible films
  • Setofilm 8mg orodispersible films
  • Vemlidy 25mg tablets
  • Verkazia 0.1% eye drops 0.3ml unit dose
  • Viread 123mg tablets
  • Viread 33mg/g granules
  • Xifaxanta 200mg tablets

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

  • FreeStyle Libre 2 Sensor
  • Optifast shake oral powder sachets
  • Optifast soup oral powder sachets

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
  • Prednisolone 20mg/application foam enema

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

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

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

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

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

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



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