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PM2D Spring Amy L > The Drug Tariff II > Flashcards

The Drug Tariff II Flashcards

1
Q

What is the purpose of the Drug Tariff?

A
  • Details the community pharmacy contract with the NHS (essential, advanced, enhanced services)
  • A list of prices of drugs/appliances and fees for pharmacies
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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
  4. Advanced services payments
  5. 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

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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
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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
What **5 records** should be kept for items from **part VIIIB** for **inspection by the Licensing Authority**?
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
What **5 things** must the **pharmacist endorse** the **COA, COC or invoice** of **unlicensed specials/imported medicines** with?
1. **Pharmacy stamp** 2. **Date** 3. **Initials of pharmacist** or dispenser 4. Invoice price less **discount** 5. **Prescriber's details**
27
**Where and when** must the endorsed **COA/COC/invoice** be **sent**?
* At the **end of the month** * Sent to the **NHS England area team** of the prescriber
28
List **3 items** that receive **payment** for **measuring and fitting** if claimed using **MF** in the endorsement margin?
1. **Elastic/compression hosiery** (part IXA) 2. **Trusses** (part IXA) 3. **Para-stomal garments** = belts and girdles
29
What are **compression stockings**?
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
What does **compression therapy prevent**?
The **formation of blood clots in the lower legs**
31
What does **compression therapy aid the treatment** of?
**Lower leg ulcers**
32
What does **compression therapy relieve**?
**Heavy and aching legs**
33
**When** should **stockings be measured**?
**Early morning** * **Sitting** = below knee * **Standing** = thigh length
34
How should **elastic/compression hosiery be endorsed**?
* **Quantity** * **Type** * **Fabric/knit** * **MF if appropriate**
35
How should the **patient be charged** for **elastic/compression hosiery**?
* **Per leg** * £8.20 per number of articles
36
How are **lymphoedema garments charged** to the patient?
* **Charged per type** of item * £8.20 per item * **No MF** endorsement allowed
37
What are **trusses**?
A surgical appliance worn to **support a hernia** Typically a **padded belt**
38
What are the **details** needed on an **FP10** for **urinary catheters**?
* **Quantity** * **Size (Ch) and balloon size** * **Preferably brand** * **Male/female**
39
What is **included** in **part XIB** of the DT?
Devices to **manage urinary incontinence**
40
What is **included** in **part XIC** of the DT?
Devices used to manage **colostomy, ileostomy and urostomy post-surgery**
41
How much are **patients charged** for **home delivery** of items in **XIB and XIC**?
**£3.40**
42
What is in **part IXR** of the DT?
Chemical reagents * Mostly strips for detection of **glucose/ketones** in blood for **diabetics** * **INR test strips** for **warfarin** patients

PM2D Spring Amy L (9 decks)

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