|REF: Drug Tariff Part II, Clause 6|
On 1st April 2013, a new requirement was brought in to ensure prescriptions contain a prescriber code. During pricing, the Pricing Authority use this code to identify the cost centre in order to recharge the costs to the appropriate area and to provide data on prescribing information.
The code can be found on the top right hand corner of the prescriber details box at the bottom of the prescription form.
Part II clause 6 of the Drug Tariff provides information relating to the identification of the prescriber.
These forms will only require one code— which links the prescriber to the practice where they work (see below).
Non-medical prescribers will need two codes — one identifying them as a prescriber and one that identifies the practice where they work. The only exception is where they use a hospital unit code (see below).
Medical and non-medical hospital prescribers who issue FP10 prescriptions in a hospital setting have one code— this code links the prescriber to the hospital unit where they work. The hospital unit code enables the correct Trust to be invoiced and to determine the prescribing for individual units. Some hospital prescribers may also work for a cost centre; the codes are the same codes as for a GP practice.
Dental prescriptions do not need any prescriber codes and should be processed as normal.
Pharmacy team requirements
It is really important that pharmacy teams check prescriptions for prescriber codes at the time of dispensing, and attempt to identify and insert codes where any are missing.
Pharmacy staff are not expected to validate prescriber codes, they are only expected to ensure that the code is present. The Pricing Authority validates these codes; prescriptions with incorrect codes will still be paid and will not be returned to the pharmacy.
Prescriptions missing the prescriber code (except dental prescriptions) may be returned to the contractor by the Pricing Authority as a referred back form. This could lead to a delay in payment for that prescription.
If your pharmacy team receive a referred back form which is missing a prescriber code, and are able to identify the code, the code should be added to the form and returned to the Pricing Authority in the next month’s submission.
If the pharmacy team has been unsuccessful in identifying the code, the prescription should be endorsed to that effect and then returned
In either case, when resubmitted, the prescription will be paid according to the rules for the month in which it is re-submitted. The contractor will not be paid until the prescription has been returned to the Pricing Authority.
Q. I have received a prescription, which contains a prescriber code, I don't know if it is the individual prescriber’s code. Do I need to check that it is the correct code?
No. Pharmacy contractors are only expected to ensure that a code is present. Sometimes, in the case of hospital prescriptions, the code may be related to a hospital unit rather than an individual prescriber. Pricing Authority staff will check during the recharging process that the code is correct.
As the contractor is not expected to perform any extra work by attempting to validate codes, prescriptions will not be returned to the pharmacy if a code is later identified as being incorrect. These prescriptions will still be paid as normal within the usual time-frames. However, if a contractor suspects the prescription is not a genuine order for the person named on the prescription (e.g. they believe it has been stolen or forged), they should continue to refuse to dispense for that reason.
Q. I have received a dental prescription which does not contain a prescriber code, do I need to contact the prescriber to find it out?
No. Pricing Authority has confirmed that dental prescriptions do not have prescriber codes and therefore pharmacy contractors can dispense and submit these prescriptions without needing to identify or endorse a prescriber code.
Q. When I resubmit my returned prescription which month tariff will be used to reimburse me?
Prescriptions will be reimbursement according to the Drug Tariff price for the month the prescription is resubmitted.
Pricing Authority FAQs (external website)