Drug Tariff II

Question 1

What is the drug tariff?

Answer 1

Details the community Pharmacy contract with the NHS - essential, advanced, enhanced services.
A list of prices/drugs /appliances and fees for Pharmacies

Question 2

List the 5 ways that community Pharmacies are paid

Answer 2

1. Establishment and practice payment
2. IT and SCR payments
3. Fees (dispensing)
4. Advanced services payments
5. Enhanced services payments

Question 3

What do establish and practice payments depend on?

Answer 3

Number of items dispensed per month

Question 4

Describe fees as a pharmacy payment

Answer 4

NHS payment to Pharmacies for dispensing an item = £1.26 plus additional payments for other services claimed via endorsements or automatic payments

Question 5

What are the payments from advanced services?

Answer 5

MUR = £28, up to £400 a year
NMS = £20.28, depends on how many completed a month
Flu £9.48
NUMSAS depends on cost of drugs and service provided but £10 consultation, 2.50 admin, 1.50 supply

Question 6

Why are enhanced services payments not included in the drug tariff?

Answer 6

They are locally commissioned and paid for by councils, NHS England area team or CCG

Question 7

What is the black list?

Answer 7

Items which are:

• unnecessary
• Expensive
• No medical use
• Duplication of other medicinal products

Question 8

What items are allowed on FP10 prescription?

Answer 8

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

Question 9

Where is the black list in the DT?

Answer 9

Part XVIIIA

Question 10

How much is the patient charged for a Rx?

Answer 10

£8.80 - one charge per item

Question 11

How is elastic hosiery charged to the patient?

Answer 11

One charge per leg

Question 12

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

Answer 12

One charge

Question 13

How is the patient charged if there are different formulations of the same item e.g slow release prednisolone Vs immediate release?

Answer 13

2 charges

Question 14

How is a patient charged for combination packs?

Answer 14

One charge PER ITEM in the same combination pack

Question 15

How are contraceptive items charged to patient?

Answer 15

no charge - except cyprindiol if not endorsed in the body of the Rx with OC

Question 16

How should a prescription be endorsed/when?

Answer 16

• If there is >1 pack size
• Quantity supplied is defined by the number of treatment days on Rx
• Brand name, pack size and price if NOT in part VIIIA

Question 17

What is SP in endorsement?

Answer 17

Special

Question 18

What does ED stand for in an endorsement?

Answer 18

Extemporaneously dispensed

Question 19

What does PD(n) stand for?

Answer 19

Packed doses for supervised consumption of methadone

Question 20

What does MF stand for?

Answer 20

Measured and fitted e.g for elastic compression hosiery (part IXA)

• Trusses part IXA
• Para stomal garments Part IXC where size not indicated in DT

Question 21

What is a special?

Answer 21

Unlicensed medicine that is ordered on a Rx for a named patient, produced by a specials manufacturer which is licensed and inspected by the MHRA

Question 22

What is an unlicensed imported medicine?

Answer 22

Medicine that is unlicensed in the UK but licensed elsewhere in the world - imported by a MHRA licensed and inspected importer

Question 23

How should an unlicensed medicine be endorsed?

Answer 23

All:

• SP
• Quantity or volume supplied
• Pack size

Question 24

If the unlicensed medicine is not in Part VIIIB, what other endorsements should be included?

Answer 24

Price per pack
Number of packs
Manufacturer/importer license number
Batch number

Question 25

What 5 records should be kept for items from part VIIIB for inspection by the licensing authority?

Answer 25

(keep for 5 years) - Source - Who it was supplied to - Prescribers details - Date of supply - Quantity of supply - Batch number

Question 26

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

Answer 26

- Pharmacy stamp - Date - Pharmacist initials - Prescriber details - Invoice price less discount

Question 27

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

Answer 27

At month end - must send a copy to the NHS england area team of the prescriber - removing patient details

Question 28

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

Answer 28

- Elastic and compression hosiery if in part IXA - Trusses part IXA - Para stomal garments if part IXC

Question 29

What are Compression stockings?

Answer 29

Elastic leg garments which compress the limb, reduce the diameter of distended veins and increase venous blood flow - legs only

Question 30

What does compression therapy prevent?

Answer 30

Reducing venous pressure, preventing formation of blood clots Aids treatment of lower leg ulcers Relieves aching heavy legs

Question 31

When should stockings be measured?

Answer 31

In the morning whilst sitting for BK, standing for TL.

Question 32

How should elastic/compression hosiery be endorsed?

Answer 32

``` Quantity Type Fabric Knit (MF if appt) ```

Question 33

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

Answer 33

Charges per leg £8.80 x number of articles

Question 34

How are lymphoedema garments charged to patient? Can you use MF?

Answer 34

charge to patient per TYPE of item | - Cannot use MF endorsements for these

Question 35

What are trusses?

Answer 35

Framework - support hernia - padded belt e.g double scrotal elastic band truss

Question 36

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

Answer 36

Quantity Size Balloon size Preferably brand, if Male or Female

Question 37

What is included in part XIB of the DT?

Answer 37

Urinary catheters | Dressings

Question 38

What is in IXB and IXC of DT?

Answer 38

IXB . = urinary incontinence not catheters | IXC = Colostomy bags etc

Question 39

How much are patients charged for home delivery of items IXB and IXC?

Answer 39

All items get a £3.40 fee for home delivery - no endorsement needed

Question 40

What is in part IXR of DT?

Answer 40

Chemical reagents e.g strips for detection of glucose /ketones = diabetics, INR test strips for warfarin - ALL special containers

Question 41

What are the 4 occasions that prescriptions arent placed in red separators to send off?

Answer 41

- expensive - specials & unlicensed imports - items with BB or OOP - Hand written ammendments where the prescribers signature enroaches over an item on the Rx