The Drug Tariff Flashcards
What is Part XVIIIA?
The black list
These items cannot be prescribed/dispensed on the NHS
What are the 3 different categories for drugs in Part VIIIA?
Cat A –> Drugs that are readily avaliable
BB is allowed for smallest pack size of over £50
Cat C –> Priced on basis of drugs that are not readily avaliable as generics
BB is allowed
Cat M –> Readily avaliable drugs which the department of health determins the reimbursement price
BB is allowed
What are the 4 criteria that a pharmacy must adhere to, to qualify for the quality payment scheme?
Offering MUR/NMS
NHS Choices entry for pharmacy must be up-to-date
Pharmacy staff must be able to send/receive NHS emails
EPS2 must be being used ongoing
A script for 105ml of amoxicillin oral suspension comes into your pharmacy. If you only have bottles of 100ml avaliable….what quantity do you supply?
200ml
This is because you have to fully supply the script, and the NHS BSA will pay you for the full 200ml, not just the 105ml on the Rx
When would a script be endorsed as NCSO?
When a drug (in part VIII) cannot be obtained for a reason, and so a more expensive version needs to be bought instead….like a branded version (above the price stated in the drug tariff)
NCSO = No cheaper stock avaliable
Which part of the Drug Tariff states the ‘Basic Prices of Drugs’?
Part VIIIA
What is the Selected List Scheme (SLS)?
When certain drugs can be given on an FP10, when normally blacklisted, under specific circumstances
Eg, Clobazam for epilepsy
What is Part IX?
Appliances
All are out unless stated…. so specific dimensions are needed for things like dressings
What are the 2 lists included in Part XV Borderline substances?
List A –> Products and conditions for what each product can be used for (alphabetical index of products)
List B –> Conditions and what products can be used (alphabetical index of conditions)
The script should have been endorsed with ACBS by the prescriber
Give a couple of examples of drugs that dont have their discount (from the manufacturer) deducted via the NHS
Immunoglobulins
Insulins for injections
Vaccines
Cold Chain storage items
Sch 1/2/3/ CDs
When would a script be endorsed with BB?
BB = Broken Bulk
This would be done when the quantity on the Rx is less than the minimum amount that can be ordered from the supplier. This is usually for an unusual product that you won’t supply again.
So you still get paid for the stock that is left over, that otherwise wouldnt be used. You cannot claim this for another 6 months on the same product (as it is assumed you’ve used the left over quantitiy to supply any more scripts)
When would a script be endorsed with XP or OOP?
XP/OOP = Out of pocket
This would be done in exceptional circumstances when there has been a high cost to get a product in that is not often dispensed (eg, delivery charges for specials)
The cost much exceed 50p
