Consultation on drug reimbursement reforms


Consultation on drug reimbursement reforms

July 23, 2019

The Department of Health and Social Care (DHSC) has opened a public consultation seeking views on a series of drug reimbursement reforms for community pharmacy.

In line with the five-year deal on the Community Pharmacy Contractual Framework (CPCF) announced yesterday, this consultation is the first step in improving reimbursement arrangements. PSNC’s intention is to work on changes that will deliver smoother cash flow and fairer distribution of margin.

Proposed reforms include:

  • Changing how Drug Tariff Category A, C and M prices are set;
  • Including more products prescribed for medicinal purposes (such as food supplements) in Part VIIIA of the Drug Tariff;
  • Changing to the arrangements for reimbursing and procuring unlicensed medicines;
  • Using the manufacturer’s (rather than supplier’s) list price for reimbursing non-Part VIIIA products; and
  • Splitting the discount deduction scale into one for generics and one for brands.

View the consultation documents

The public consultation runs until 17th September 2019, after which DHSC and NHS England and NHS Improvement will discuss the findings and next steps with PSNC.

PSNC is currently considering its response to the consultation and will publish a draft as soon as possible to help inform any responses that contractors or LPCs may like to submit.

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