Please see our latest update here

Kyowa Kirin, the sole manufacturers of Nardil (Phenelzine sulfate) 15mg tablets are still experiencing ongoing delays with the supply of Nardil, but have confirmed that the product has not been discontinued.

Kyowa Kirin has informed the Department of Health and Social Care (DHSC) that due to manufacturing challenges, Nardil has been out of stock since Summer 2019. There is no exact date of when the product will be back in stock, however the availability issues are expected to last until 2021.

Supplies of Phenelzine 15mg tablets may be available to order from the following specialist importers on an ‘unlicensed’ basis. Please note the list of suppliers below is not exhaustive. It is important to note that delivery lead-times may vary between companies. Please contact each company directly for further information on how to order and for their delivery lead-times.

The NHS Specialist Pharmacy Service (SPS) has published an update on shortage of Nardil which states that if there is potential for a patient maintained on Phenelzine 15mg tablets to run out of supply during this shortage, they should be urgently referred back to a mental health specialist for advice on ongoing clinical management.

Where prescribing of an unlicensed import is considered appropriate by the prescriber, a prescription must be issued with the wording ‘Special Order’ next to the prescribed product to ensure that a pharmacy can dispense and be correctly reimbursed for a non-Part VIIIB special. In this case, any EPS or paper prescription issued must specify ‘Phenelzine 15mg tablets (Special Order)’ in order for you to dispense and be reimbursed for supplying an unlicensed import.  If a prescription is issued for ‘Phenelzine 15mg tablets‘ without any ‘Special Order’ wording against it, a pharmacy contractor would only be reimbursed the list price of £22.50 for a pack of 100 based on the reference product Nardil.

Prescriptions for unlicensed imported products not listed in Part VIIIB of the Drug Tariff must 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;
• Manufacturers’/importers’ MHRA licence number;
• Batch number of the product supplied;
• SP