27 products on dm+d reclassified as specials

27 products on dm+d reclassified as specials

September 18, 2020

Following checks carried out by PSNC, 27 products (see table below) listed on the NHS dictionary of medicines and devices (dm+d) have been updated to reflect their unlicensed status. This means that the respective product entries have been annotated with either (Special Order)’ or (Imported (Country))’ against their Actual Medicinal Product (AMP) names.

The new annotation ensures that when these products are prescribed using their updated AMP names, they will be recognised by the NHSBSA as non-Part VIIIB unlicensed medicinal products (specials) so that pharmacy contractors are reimbursed accordingly. In addition, these unlicensed products automatically qualify for Group Item Discount Not Deducted (DND) status meaning that no discount deduction will be applied to their reimbursement prices. Prior to the change, reimbursement for these products was calculated according to their dm+d list price (where available) with no £20 ‘SP’ fee payable, despite any endorsement.

List of 27 products updated on dm+d to reflect their unlicensed status.

Generic or Virtual Medicinal Product (VMP) name Brand or Actual Medicinal Product (AMP) name
Amobarbital 50mg / Secobarbital sodium 50mg capsules Tuinal 100mg Pulvules (Special Order)
Amobarbital sodium 200mg capsules Sodium Amytal 200mg capsules (Special Order)
Amobarbital sodium 60mg capsules Sodium Amytal 60mg capsules (Special Order)
Butobarbital 100mg tablets Soneryl 100mg tablets (Special Order)
Desmopressin 2.5micrograms/dose nasal spray Desmospray 2.5micrograms/dose nasal spray (Imported (Germany))
Ethinylestradiol 2microgram tablets Ethinylestradiol 2microgram tablets (Special Order)
Iloprost 100micrograms/1ml solution for infusion ampoules Ilomedin 100micrograms/1ml solution for infusion ampoules (Imported (Greece))
Larvae sterile BioBag 50 2.5cm x 4cm dressing kit (Special Order)
BioBag 100 4cm x 5cm dressing kit (Special Order)
BioBag 200 5cm x 6cm dressing kit (Special Order)
BioBag 300 6cm x 12cm dressing kit (Special Order)
BioBag 400 10cm x 10cm dressing kit (Special Order)
Larvae 100 (Special Order)
Larvae 100 30cm x 30cm dressing pack (Special Order)
Larvae 100 Boot pack (Special Order)
Larvae 200 (Special Order)
Larvae 200 30cm x 30cm dressing pack (Special Order)
Larvae 200 Boot pack (Special Order)
Primaquine 7.5mg tablets Primaquine 7.5mg tablets (Special Order)
Secobarbital sodium 100mg capsules Seconal Sodium 100mg capsules (Special Order)
Secobarbital sodium 50mg capsules Seconal Sodium 50mg capsules (Special Order)
Sertindole 12mg tablets Serdolect 12mg tablets (Imported (Denmark))
Sertindole 16mg tablets Serdolect 16mg tablets (Imported (Denmark))
Sertindole 20mg tablets Serdolect 20mg tablets (Imported (Denmark))
Sertindole 4mg tablets Serdolect 4mg tablets (Imported (Denmark))
Thalidomide 25mg tablets Talidex 25mg tablets (Special Order)
Tryptophan 500mg capsules Optimax 500mg capsules (Special Order)

Please note: The correct AMP product listing should be selected by prescribers when using their prescribing systems to ensure that the required product is supplied by the pharmacy so that contractors can be reimbursed accordingly. Click here for further information on dispensing correctly written prescriptions for specials.

Previously, these products were flagged on dm+d as ‘Individual Patient Supply’ without any marker to indicate their unlicensed status. According to the dm+d editorial policy, the ‘Individual Patient Supply’ flag is applied to ‘a medicinal product that has been available, its licence may have been withdrawn or discontinued, but the product is still supplied by the manufacturer for specific clinical reasons to named patients. These are available on a named patient basis only for patients who cannot be transferred to another brand.

Whilst these updated products have retained the ‘Individual Patient Supply’ marker, the annotation of (Special Order) or (Imported (Country)) against the respective product names allows NHSBSA to reimburse these products as non-Part VIIIB specials, if endorsed accordingly. Non-Part VIIIB specials should be endorsed with the following information:

  • Amount dispensed over pack size used;
  • Invoice price per pack size from which the order was supplied less any discount or rebate;
  • Initials ‘SP’ (which attracts a fixed fee of £20)
  • Manufacturers’/importers’ MHRA licence number;
  • Batch number of the product supplied;

Further resources

Dispensing unlicensed medicines factsheet

NHSBSA dm+d viewer

Endorsing non-Part VIII EPS items

How discount deduction works

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