Understanding your FP34 Schedule of Payments
Published on: 5th May 2020 | Updated on: 7th April 2022
The Schedule of Payments is a document which provides contractors with a summary breakdown of reimbursement for drugs and appliances provided against NHS prescriptions including the fees payable for any additional NHS services provided for example, Advanced Services and any locally authorised payments from your NHS England Area team. Pharmacy contractors can expect to receive their Schedule of Payment from NHS Business Services Authority (NHSBSA) 5-working days before the payment date.
Download our Factsheet: Understanding the Single Activity Fee – In this factsheet, PSNC’s Dispensing and Supply Team explain what the Single Activity Fee is and provide examples of items that are eligible for multiple fees as well as those that attract no fee.
Download our Factsheet: Using Your Schedule of Payments to Monitor Performance – In this factsheet, PSNC’s Dispensing and Supply team explain how to analyse your monthly Schedule of Payments to help you understand and manage your NHS pharmacy business more effectively
Download our factsheet How to access your Prescription Item Reports – This factsheet explains how pharmacy contractors can access their monthly detailed payment information from the NHS Business Services Authority (NHSBSA).
There are two different types of payment options for pharmacy contractors:
1. Early advance payment
From November 2021, all contractors can access advance payments around 20 days earlier by submitting your FP34Cs using the Manage Your Service (MYS) portal no later than 5th of the month following that in which supply was made.
The 100% advance payments (for early and current timetables) will continue to be based on the items declared on the FP34C and the latest available Average Item Value (AIV) for that pharmacy, less the value of prescription charges declared on the submission document. Contractors using MYS for submissions must print off the populated FP34C from the portal and dispatch it alongside their bundle of paper prescriptions. No advance payment will be received for very late FP34C submissions (using either MYS or paper). The final reconciliation payment date remains unchanged i.e. this will be paid on the 1st working day of the month approximately two months after contractors have submitted the appropriate FP34C form and prescriptions for pricing.
The table below shows the earlier advance payment timetable dates for prescriptions dispensed over the next 12 months. For example, if submission using MYS is secured by the 5th of the month following that in which supply was made contractors will receive an earlier advance payment from November 2021 (starting for October’s prescriptions). For the dispensing month of October 2021, a contractor will be required to submit their FP34C declaration through MYS during the first 5 days of November 2021 to receive an early advance payment on 11 November.
The table also shows final deadline submission to qualify for normal advance:
2. Normal payment option
An estimated 100% of the normal advance payment for prescriptions is made by the NHSBSA for prescriptions submitted one month earlier (dispensed two months earlier). Payments are made on the 1st of each month, where this falls on a weekend or bank holiday payment will be made on the working day prior. The paper FP34C submission document will only be available until March 2022 (for February 2022 prescriptions) after which MYS will be the only route for all monthly submissions. Contractors who continue to use the paper FP34C submission document (from November 2021 to March 2022) will NOT receive any earlier advance payments but instead will receive advance payments in accordance with the current payment timetable i.e on or around the 1st of the month following submission. Therefore, contractors who use paper FP34Cs for their monthly submissions are strongly encouraged to start using the MYS portal to make their declarations.
Normal payment option timeline:
For example, June payment will comprise of the 100% estimated Advance payment for prescriptions submitted in May (dispensed in April) with the full value of the priced prescriptions less the recovery of the estimated 100% Advance payment for prescriptions submitted in April (dispensed in March).
Pharmacy Earlier Payment Scheme (PEPS)
The Pharmacy Earlier Payment Scheme (PEPS) gave community pharmacies early access to their monthly advance payment for the provision of NHS pharmaceutical services. The scheme is now in the process of ending, with transition arrangements put in place for existing PEPS contractors.
As part of the transition arrangement, pharmacy contractors who are signed up to the PEPS, will receive a one-off payment on 1 November 2021 to bridge the gap between the current PEPS payment timetable and the new early advance payment timetable outlined above. The one-off payment will be set at 92% of the PEPS pharmacy contractor’s payment which the contractor will have received on 1 October 2021. This one-off payment received on 1 November will be recovered in equal parts over 11 months, i.e. the last recovery will be on 30 September 2022. The 12-month transition period is intended to help ease any cashflow concerns and offer contractors time to review and discuss refinancing options with their banks or other lenders, if required.
Pharmacy contractors signed up to the PEPS are strongly advised to follow the new earlier timetable for advance payment as set out above to claim for November’s prescriptions by submitting FP34Cs using MYS by 5 December 2021 and by dispatching prescription bundles by 5 December 2021. Failure to do so will result in a gap of one month between payments.
PEPS pharmacy contractors, who wish to opt out from the transition arrangements outlined above, must notify the NHSBSA by 15 October 2021 by emailing firstname.lastname@example.org.
PEPS pharmacy contractors, who choose to opt out of the transition arrangements, should note that they will experience a gap in payment between the last PEPS payment (i.e. made on 1 October 2021 for prescriptions dispensed in October) and the advance payment for prescriptions dispensed in November 2021 paid either on 9 December 2021 (if they follow the new earlier timetable) or 31 December 2021 (if they follow the current payment timetable).
Contractors can view their monthly Schedule of Payments using the following options:
- Paper – Schedule of Payment is sent by post to the pharmacy contractor’s specified address.
- eSchedule – NHSBSA produces electronic payment schedule data (called ‘eSchedule’) which pharmacy contractors can use instead of receiving a paper copy. The eSchedule is an electronic file that contains all of the data on the paper FP34 Schedule of Payments. Contractors will no longer receive a paper Schedule of Payments if they register for the eSchedule. For further information on eSchedules including how to register for the service, click here. eSchedules can be received alongside the paper FP34 and if you are satisfied with the data, at an agreed time, NHSBSA will stop sending paper FP34s.
- Information Services Portal (ISP) – The Schedule of Payments can be viewed through the (ISP). You can still receive paper Schedule of Payments if you have registered for the ISP.
The ‘Summary of Payment Amounts’ shows how the ‘net payment’ is calculated by providing a breakdown of payments with the recovery of costs for that month.
The final Net Payment is calculated as:
Total of account minus ‘recovery of Advance payment’ (1) plus ‘payment on account for…’ plus ‘any other authorised amounts’ (3).
It includes the total value of drugs and appliances dispensed, fees and allowances received, and the value of the prescription charges retained by the contractor (i.e. prescription charges received minus refunds).
- It shows the recovery of the Advance payment that was previously made in respect to this dispensing month. This is now being recovered as all items have been individually priced.
- It shows the Advance payment for the next dispensing month (i.e. the payment on account for the following month, May in this case), which is the total number items declared on that month’s FP34C multiplied by the average item value (AIV).
- It shows any payments for local schemes such as locally commissioned Enhanced services.
The ‘drug and appliance costs’ section lists the total value of drugs and appliances as priced by the NHSBSA. It states a sum for all products which attract discount deduction and also details the percentage discount that will be deducted from the total of basic prices at standard discount rate (further details on discount deduction can be found in Part V of the Drug Tariff). It provides a separate figure for zero discount items which have no discount deducted.
Other payments such as out of pocket expenses (OOP/XP), consumables and container fees are also listed.
The ‘prescription fees’ section gives a breakdown of all the prescription related fees the contractor will be paid for the month. This includes the total value for the Single Activity Fee (displayed as activity payment) which is calculated by multiplying the SAF rate by the number of prescription items. Other fees outlined here include unlicensed medicines, appliances, Controlled drugs (Schedule 2 and 3) and expensive items. A breakdown of Medicine Use Reviews (MURs), Appliance Use Reviews (AURs), Stoma customisation and New Medicines Service (NMS) is also included here.
Contractors can also find their Establishment payment in this section (for more details on Establishment payments, see Part VIA of the Drug Tariff).
For further information about the SAF see our Dispensing and Supply Factsheet: Understanding the Single Activity Fee
For more information on prescriptions requesting multiple flavours see our Multiple flavours factsheet
The charges section shows a more detailed breakdown of how many charges were deducted from the payment made to the contractor. It shows the number of charges and the rate of prescription charge, as well as the value of FP57 refunds, to provide the final amount to be deducted from payment by NHSBSA.
Here you will find a breakdown of payments authorised by your local Area team for providing local Enhanced services. Each local service will have their own scheme code. This section also details the pharmacy’s LPC levy.
The ‘details of other amounts authorised’ section includes various other payments a pharmacy contractor may be entitled to; for example, Pharmacy Quality Scheme, NHS Urgent Medicine Supply Advance Service (NUMSAS) payments, and National Flu vaccination service. It also details Pharmacy Access Scheme payments (if a pharmacy is eligible to receive this payment).
The ‘Prescription Data’ section details all prescription forms and items (both EPS and paper prescriptions) received by NHSBSA from the pharmacy. This is useful for pharmacy contractors to monitor and reconcile against their declaration/dispensing system totals. This section also details what the pharmacy’s average item value (AIV*) is. Any referred back forms and items are also displayed here.
This section shows the number of items submitted to NHSBSA for pricing which have been switched between the exempt and chargeable groups. To try and minimise loss from prescription switching, contractors are advised to monitor this closely, for example to ensure that staff are following standard operating procedures and ensuring that exemption declarations are completed as required.
This section shows the number and value of expensive items which were dispensed during the month, which have an item value of £100 or more. These values are important as fluctuations in the number or value of expensive items dispensed can have a significant impact on the average item value in a given month, and consequently the advance paid for the following month.
- When checking the itemised list for expected payments the following aspects need to be considered:
- The itemised list is in value order with the largest value item at the top of the list;
- The prices quoted are the basic price of the quantity prescribed/dispensed and do not include any additional fees or adjustments due to broken bulk claims;
- If you have dispensed an item where the combined net ingredient cost of everything that made up that item is equal to or more than £100, that combined total will appear on the itemised list. e.g.
- If a Fluticasone item has a reimbursement value of £60 per pack, where one pack is prescribed, this would not appear in the expensive item section. If two packs were prescribed, the item total reimbursement value would be £120 and therefore this item would appear in the section;
- A product on the list may be described as an ‘exception Handler unspecified item’ or ‘exception handler discount not deducted Item’. These will include special order products not listed in dm+d;
- With products prescribed as ‘assorted flavours’ if the value of the quantity of an individual flavour dispensed does not exceed £100 then that flavour will not appear in the list.
If a product does not appear on the itemised list as expected, this does not necessarily mean that there has been incorrect payment. In these cases further enquiries can be made via the NHS Prescription Services Helpdesk on 0300 330 1349 or by email at email@example.com
See our Dispensing Factsheet: Expensive items which defines what an expensive item is and provides guidance on the endorsement and submission of prescriptions for such items. It also explains how payments for expensive items are calculated by the NHS Business Services Authority (NHSBSA) and how contractors can reconcile these against their monthly Schedule of Payments (SoP) and/or Prescription Item Reports (Px reports).
This section contains guidance for pharmacy contractors in England. Welsh contractors should refer to information on the Health Solutions Wales (HSW) website.
For more information on this topic please email firstname.lastname@example.org