The Drug Tarrif Flashcards
Where does the drug tariff apply?
England and Wales
Drug tariff gives details about:
Standards of products to be supplies Payment to contractors Black list Independent prescribers lists Prescription charge for patients Endorsement by pharmacists
What does the preface of the DT contain?
Additions, deletions, changes between one addition and the next.
What is the difference between renumeration and reimbursement?
Reimbursement is getting your money back for the cost of drugs you are supplying
Renumeration is getting paid for your professional time
How do we know what can be put in an FO10 (medicines and appliances)
DT specifies:
Drugs NOT allowed on FP10 (black list)
Appliances, dressing and reagents ALLOWED on FP10
Part 1 clause 1 of the drug tariff states…
Drugs must be of a suitable standard including parallel imports.
Claims for payment should be sent off no later than…
The 5th of the month following supply
Scripts should be endorsed according to
Clause 9 of part 1
Types if payments you can get? (7)
Net ingredients cost Deduction scale Consumable container allowance Professional fees Additional fees Out of pocket expenses Drugs for which discount is not deducted
How is the price of a drug determined? Eg. 5 tablets?
As a proportion of the basic price.
Price based on exact quantity supplied.
Where are basic prices listed?
Part VIII
or of not then directly from manufacturer.
What must you endorse scripts with?
Name and address of supplier (NHS and private)
Exactly what has been supplied (NHS)
Number of items on the form (NHS)
Why do we endorse? (2)
To cancel the script so that it can’t be used
To enable to PPD to pay you for what has been supplied
If the drug is in part VIIIA how do we endorse? If not?
If in part VIIIA endorsing with pack size is not necessary.
In NOT in part VIIIA endorse with pack size and if generic also manufacturer/brand name
BB stands for
Broken bulk
OOPE stands for
Out of pocket expenses
NCSO stands for
No cheaper stock obtainable
PPD assume biggest/smallest pack size used if not stated?
Biggest
Exact quantity on Rx must be dispensed except for: (4)
Sterile products
Effervescent or hygroscopic products
Tubes, aerosols etc
Products in clause 10B (usually liquid external preparations, eg coal tar)
BB applies to what type of products (3)
Drugs, incontinence and stoma appliances
When do you endorse with broken bulk?
Product is not normally used and the smallest pack size is larger than quantity on Rx.
Quantity remaining not used.
Any Rx within 6 months will be deemed to be supplied from the remainder.
When can you not use BB (2)?
Special containers
Category A&M if smallest pack size is <£50
OOPE should be used when
Expenses incurred in exceptional circumstances obtaining a drug. Eg phoning abroad, handling fee, admin dee etc.
Not frequently spied by the contractor.