Fees and allowances

Fees and allowances

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Broken Bulk
Consumables &
Container Allowance
Multiple flavours factsheet
Out of Pocket Expenses

Pharmacy contractors can claim various fees for dispensing certain products, some are automatically applied and some requirement endorsement. The tables below show which fees a pharmacy contractor can claim for and what or if the endorsement requirements are.

Professional Fees (Drug Tariff Part IIIA)

Description
of fee

Fee per prescription item (p)

Endorsement required

1. Single Activity Fee

127

No endorsement
2. ADDITIONAL FEES:
A. UNLICENSED MEDICINES
(a)  Preparations manufactured under an MHRA specials licence or sourced under an MHRA importers licence

2000

SP
(b)  Preparations prepared under the Section 10 exemption from the Medicines Act 1968

2000

ED
B. APPLIANCES
(a)  Elastic Hosiery (Compression Hosiery) requiring measurement and endorsed “measured and fitted

260

MF
(b)  Trusses requiring measurement and endorsed “measured and fitted

260

MF
(c)  Para stomal garments (belts and girdles) where size is not indicated in the Drug Tariff requiring measurement and endorsed “measured and fitted”

260

MF
(d)  Home delivery of Part IXA qualifying items1 (excluding catheter kits and intermittent self-catheters), Part IXB and Part IXC

340

No endorsement
(e)  Home delivery of catheter kits and intermittent self-catheters

930

No endorsement
C. All prescriptions for oral liquid methadone attract a payment

250

No endorsement
D. Where the quantity dispensed to the patient for a prescription for oral liquid methadone covers more than one dose and the contractor has packaged each dose separately

55

PD(n)*
E. Where the prescription is for a Controlled Drug in Schedule 2 or 3 of the Misuse of Drugs Regulations 2001
Schedule 2 drug

128

No endorsement
Schedule 3 drug

43

No endorsement
F. Expensive Prescription Fee
Note – Expensive Prescription Fee is not included in calculation of ESPS payments

A fee equivalent to 2% of the net ingredient cost will be payable on all prescriptions over £100

No endorsement

1 Part IXA (qualifying items) include: catheters (urinary and urethral), laryngectomy and tracheostomy, catheter accessories, catheter maintenance solutions, anal irrigation system, vacuum pumps and constrictor rings for erectile dysfunction, and wound drainage pouches.

*n = The number of doses packaged separately minus the number of times the contractor has dispensed the medicine to the patient**. Where a numeric value is not provided, the contractor will be paid one fee. If the number of occasions when the medicine is dispensed equals the number of doses that have been packaged separately, this fee is not payable.

**An interaction with the patient where oral liquid methadone has been supplied.

Allowances (Drug Tariff Part II)

 

Description of allowance

Eligible products

When to use

Endorsement required

10. Quantity to be Supplied (Special Containers)
Products recognised as being packaged in special containers by the Pricing Authority. Check our Special Container Database. Whenever a special container product is dispensed.  “Amount dispensed/ pack size used
11. Broken Bulk
– Part VIIIA Category C
– Part VIIIA Category A and M products with smallest listed pack size of £50 or over
– Readily available medicinal products outside of Part VIIIA
– Part IXB
– Part IXC
– Ingredients used to prepare an unlicensed special (extemporaneously dispensing)
For a claim to be accepted, pharmacy contractors must dispense from the pack or combination of packs that minimises the residual balance. Contractors should only claim Broken Bulk where it is unlikely that they will be able to dispense the remainder within the following 6 months. BB” and amount dispensed over pack size used
12. Out of Pocket Expenses
– Part VIIIA Category C
– Readily available medicinal products outside of Part VIIIA
– Part IXB
– Part IXC
Out of Pocket Expenses (OOP) can be claimed, where in exceptional circumstances, the contractor has incurred expenses in obtaining the eligible products and where the product is not required to be frequently supplied by the contractor. OOP” or “XP”, name or description of the charge, price paid
13. Reconstitution of Certain Oral Liquids This clause applies to antibacterial, antiviral or antifungal preparations listed in 5.1, 5.2 and 5.3 (except 5.3.1) of the British National Formulary (BNF), which are for oral administration and requires reconstitution from granules or powder. When the quantity reconstituted from an original pack or packs is unavoidably greater than the quantity ordered and it has not been possible for the contractor to use the remainder for or towards supplying against another prescription, payment will be calculated from the Basic Price of the preparation and will be based on the nearest pack or number of packs necessary to cover the quantity ordered. No extra endorsements are required other than the usual requirement to endorse the pack size used. This is because the rules for reconstitution are applied automatically to the eligible products.
14 Serious Shortage Protocol (SSP) Any drugs, appliances or chemical reagents In England, the Secretary of State may issue an SSP if, in his or her opinion, there is, or may be, a serious shortage of
a medicine or appliance in England or any part of England. A serious shortage is not defined, but arguably denotes
more than a simple shortage that may be resolved by other measures.
The Department of Health and Social Care will inform pharmacy teams if a product is subject to an SSP.
NCSO – to indicate that the supply was made in accordance with an SSP;
Details of product supplied in accordance with the SSP (drug name, quantity, strength, formulation, supplier
name or brand)*;
Quantity supplied*;
Pack size – best practice where multiple pack sizes are available; and
Invoice price – only if NHSBSA has no list-price available on dm+d.

* The drug details and quantity supplied and endorsed will depend on the specific SSP.


Related Resources

Endorsement Guidance

Prescription Submission



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