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Spring 4 > Drug Tariff > Flashcards

Drug Tariff Flashcards

1
Q

What is the purpose of the Drug Tariff?

A
  1. Details the community pharmacy contract with the NHS
  2. A list of prices of drugs/appliances and fees for pharmacies
  3. Charges to the patient
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2
Q

List the 5 ways that community pharmacies are paid

A
  1. Establishment and Practice payments
  2. IT and repeat dispensing prescriptions 3. Fees
  3. Advanced services payments
  4. Enhanced services payments
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3
Q

What do Establishment and Practice payments depend on?

A

Number of items dispensed per month

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4
Q

Describe ‘Fees’ as pharmacy payment

A

NHS payment to pharmacies for dispensing an item = 90p Plus additional payments for other services provided

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5
Q

What are the payments from advanced services?

A

MUR = £28 each, up to 400 a year NMS = £20-28, depends on how may completed per month

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6
Q

Why are enhanced services payments not included in the Drug Tariff?

A

They are locally commissioned and paid for by councils, NHS England area team or CCG (Clinical Commissioning Groups) e.g os service minor ailments

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7
Q

What is the Black List?

A 
Items which are: 
Unnecessary 
Expensive 
Have no medical use 
Duplication with other medicinal products
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8
Q

What items are allowed on an FP10 prescription?

A

Any medicine, food, drink or medical cosmetic item As long as it is not on the black list

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9
Q

Where is the black list found in the drug tariff?

A

Part XVIIIA

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10
Q

How much is the patient charged for a prescription?

A

£8.20 One charge per item

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11
Q

How is elastic hosiery charged to the patient?

A

One charge per leg

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12
Q

How is the patient charged when there are different strengths/flavours of the same item on the FP10?

A

One charge

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13
Q

How is the patient charged when there are different formulations of the same item on the FP10?

A

One charge

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14
Q

How is the patient charged for combination packs?

A

One charge per item in the same pack

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15
Q

How are contraceptive items charged to the patient?

A

No charge

Except for cyprindiol if not endorsed in the body of the Rx with OC or the female sign

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16
Q

How should a prescription be endorsed?

A

Pack size
Quantity supplied if defined by number of treatment days on prescription
Brand name, pack size and price if not i part VIIIA

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17
Q

What does SP stand for in an endorsement?

A

Special = £20

18
Q

What does ED stand for in an endorsement?

A

Extemporaneously dispensed = £20

19
Q

What does PD(n) stand for in an endorsement?

A

Supervised consumption = £0.55 x n

20
Q

What does MF stand for in an endorsement?

A

Measured and fitted = £2.60

21
Q

What is a special?

A

An unlicensed medicine ordered on prescription for a named patient
Produced by a specials manufacturer who is licensed and inspected by the MHRA Certificate of Conformity or Certificate of Analysis must be supplied with the item

22
Q

What is an unlicensed imported medicine?

A

A medicine unlicensed in the UK but licensed medicine elsewhere in the world Acquired by an MHRA licensed and inspected importer

23
Q

How should unlicensed medicines be endorsed?

A

SP Quantity/volume supplied and pack size

If not in part VIIIB add:
Price per pack and number of packs Manufacturer/importer license number (MS number) Batch number

24
Q

Where are unlicensed specials and imported medicines found in the Drug Tariff?

A

Part VIIIB

25
Q

What 5 records should be kept for items from part VIIIB for inspection by the Licensing Authority?

A
  1. Source of the special or imported unlicensed product
  2. The person to whom, and the date on which the special/imported unlicensed product was sold or supplied
  3. Prescriber’s details
  4. Quantity of each sale or supply
  5. Batch number of the special
26
Q

What 5 things must the pharmacist endorse the COA, COC or invoice of unlicensed specials/imported medicines with?

A 
Pharmacy stamp 
Date 
Initials of pharmacist or dispenser 
Invoice price less discount 
Prescriber's details
27
Q

Where and when must the endorsed COA/COC/invoice be sent?

A

At the end of the month Sent to the NHS England area team of the prescriber

28
Q

List 3 items that receive payment for measuring and fitting if claimed using MF in the endorsement margin?

A

Elastic/compression hosiery (part IXA)
Trusses (part IXA)
Para-stomal garments = belts and girdles

29
Q

What are compression stockings?

A

Elastic leg garments which compress the limb, reducing the diameter of the distended veins and cause an increase in venous blood flow velocity/valve effectiveness

30
Q

What does compression therapy prevent?

A

The formation of blood clots in the lower legs

31
Q

What does compression therapy aid the treatment of?

What does compression therapy relieve?

A

Lower leg ulcers

Heavy and aching legs

32
Q

When should stockings be measured?

A

Early morning

Sitting = below knee Standing = thigh length

33
Q

How should elastic/compression hosiery be endorsed?

A

Quantity Type Fabric/knit MF if appropriate

34
Q

How should the patient be charged for elastic/compression hosiery?

A

Per leg £8.20 per number of articles

35
Q

How are lymphoedema garments charged to the patient?

A

Charged per type of item £8.20 per item

No MF endorsement allowed

36
Q

What are trusses?

A

A surgical appliance worn to support a hernia Typically a padded belt

37
Q

What are the details needed on an FP10 for urinary catheters?

A

Quantity Size (Ch) and balloon size
Preferably brand
Male/female

38
Q

What is included in part XIB of the DT?

A

Devices to manage urinary incontinence

39
Q

How much are patients charged for home delivery of items in XIB and XIC?

A

£3.40

40
Q

What is in part IXR of the DT?

A

Chemical reagents
Mostly strips for detection of glucose/ketones in blood for diabetics
INR test strips for warfarin patients

Spring 4 (9 decks)

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