| Category |
Uses
and Restrictions |
Reference
|
Endorsement
Requirement |
| Additional Item |
Additional item has been dispensed
when the prescribed product does not contain an
administration mechanism, for example, Part IXA
Applicator Type 1 or 2, Part IXA Dropper, and also
a diluent dispensed with a dry powder injection
(where not specifically requested by the prescriber
on the prescription). |
|
<AI>
<Full details of additional item dispensed> |
| Brand Name |
Required when the product is dispensed
against a generic order for a product not in Part
VIII. See also Price and Supplier. |
Part II clause 9B |
<Brand name> |
| Broken Bulk |
Should only be used if the quantity
ordered cannot be readily disposed of during the
following six months. Applies to drugs, incontinence
and stoma appliances in Part IXB and IXC and chemical
reagents other than items supplied in special containers.
Broken Bulk is not allowed on Part VIII Category
E products but may be paid on the ingredients.
NB: This should not be endorsed automatically by
pharmacy systems. Only endorse BB when it is clear
that the remainder of the pack will not be easily
disposed of. |
Drug Tariff Part II, Clause 11
|
<BB>
The pack size supplied must also be endorsed. |
| Calendar packs |
For
products packaged in calendar packs, payment is
normally based on the number of packs or sub-packs
nearest to the quantity ordered. If the quantity
prescribed differs from a complete pack or sub-pack
quantity and the quantity prescribed has been dispensed,
the prescription should be endorsed with the dispensed
quantity.
Where
one or a number of calendar packs are ordered
(e.g. “1 pack” ordered), payment will
be based on the smallest pack size available.
Some manufacturer’s packs contain more than
one monthly cycle. If prescriptions ordering three
or more such packs are not endorsed clearly with
the total quantity dispensed the prescription
will be returned to the contractor for clarification.
(e.g. “3 packs” ordered).
See
also Original Pack, Pack Size and Quantity.
|
Drug Tariff Part II Clause 10C(ii)
|
Expressed as
ratio of quantity Dispensed <Number> over
the pack size<number> e.g. 28/56 |
| Discount Not Deducted |
Contractors are only required to
endorse 'DNG' if no discount has been received in
obtaining unlicensed medicines including products
from specials manufacturers. 'ZD' endorsements will
be ignored. |
Drug Tariff Part
II |
<DNG>
|
| Extemporaneously dispensed
|
To claim an extemporaneous dispensing
additional fee. Not needed for preparations in Part
VIII Category E of the Tariff.
Prescriptions for Extemporaneously Dispensed products
should also be fully endorsed with details of the
ingredients used to make up the product. |
Drug Tariff Part IIIA 2A |
<ED>
<Details of ingredients
used>
|
| Hosiery |
To price your prescription, NHSBSA
Prescription Pricing Division processing staff need
sufficient information about the product being dispensed.
As a general rule, prescriptions for hosiery should
include information on the Compression Class, Article
style, Quantity and Knit.
Made to measure Elastic hosiery - garments made
to patient's measurements. See also Measured
and Fitted. |
Drug Tariff Part IXA |
<compression class>
<article style> <quantity> <knit>
If appropriate <made
to measure>
|
| Instalment Dispensing
on Form FP10 (MDA) |
In England Buprenorphine, Diazepam,
Buprenorphine with Naloxone and Schedule 2 Controlled
Drugs used for the treatment of addiction, can be
prescribed on a FP10MDA form. The form must be endorsed
with the date, preparation, quantity supplied and
initialled on every instalment dispensing to receive
the correct payment. The period of treatment must
not exceed 14 days & the prescriber must specify
the number of instalments to be dispensed and the
interval between each instalment on the prescription. |
|
<date>
<time of dispensing> <quantity> <pharmacist
initials> in the relevant field provided |
| Item Not Dispensed
|
Where an item has not been dispensed
the prescribed product should be scored
out and an ND endorsement made immediately
adjacent to the prescribed product. |
|
<ND> |
| Limited Stability
|
Where a preparation which required
the addition of a vehicle/diluent by the pharmacy
contractor results in a liquid of stability of less
than 14 days, and for pharmaceutical reasons necessitates
supply in more than one container, the prescription
form should be endorsed with the number of extra
containers supplied. |
Drug Tariff Part IIIA 2D
NB: Only used for a liquid of
stability of less than 14 days. |
<LS>
<number of extra containers supplied> |
| 'Measured & Fitted'
|
Elastic hosiery/trusses requiring
measurement. See also Hosiery and Trusses. |
Drug Tariff Part IIIA 2B(a)/(b)
|
<MF> |
| NCSO |
No Cheaper Stock Obtainable.
Where the DH have agreed that a preparation in
Part VIII of the Drug Tariff is in short supply
and not available at the fixed Drug Tariff price.
Contractors should not endorse
NCSO unless they have made all reasonable efforts
to obtain the product at the appropriate price
but have not succeeded.
Information on products that have been granted
the 'NCSO' concession is published in the pharmaceutical
press and on the NHSBSA Prescription Pricing Division
and PSNC Websites. |
Drug Tariff Part II Clause 9C |
<NCSO>
<Pharmacist initials> <Date> <Supplier,
manufacturer or brand name> <Pack size>
<price if appropriate> |
| Original Pack |
The use of 'OP' by either prescriber
or pharmacist is to be discouraged since its interpretation
is imprecise. |
|
The term ‘O.P.’
should not be used in endorsements |
| Out of Pocket Expenses |
Expenses incurred in exceptional
circumstances when obtaining an item not included
in Drug Tariff Part VIII Category A and M, Part
IXA and Part IXR.
Endorsements are required for each prescription
item where a claim is made. In addition, the number
of claims and the total value of these claims should
be declared each month on the FP34C submission form.
|
Drug Tariff Part II Clause 12.
|
<XP>
<Full details of claim> <£p> |
| Pack Size |
Only to be used for products supplied
where the supplier lists more than one pack size
or where there are multiple pack sizes listed in
the Drug Tariff.
In the absence of an endorsement reimbursement will
be calculated on the basis of the price for the
pack size listed in Part VII of the Drug Tariff.
If the product is not included in Part VII then
the pack size will be assessed in the following
order using (i) a pack size equal to the quantity.or
(ii) the next largest pack size to the quantity
or (iii) the largest pack size available.
See also Calendar packs containing more than
one months supply and Original Pack. |
Drug Tariff Part II Clause 9B &
Part VIII Note 2 |
Expressed as
ratio of Quantity <Number> over the Pack
Size <number> e.g. 28/56 |
| Prescriber Contacted
|
Missing drug strength and/or quantity
as specified by prescriber to be endorsed with initials
and date |
FPN 114 See BNF p2 |
<PC>
<strength> <quantity> <dose>
as appropriate <initials> <date> |
| Prescriber Not Contacted
|
Missing drug strength and/or quantity
where the prescriber cannot be contacted, the pharmacist
may supply sufficient to complete up to 5 days treatment
(with the exceptions as outlined in the BNF). |
FPN 114 See BNF p2 |
<PNC>
<action> Initial & Date |
| Price |
The total net price (before discount
and ex VAT) needs to be endorsed for number of packs
required to cover quantity ordered on prescriptions
for less common products or 'special' items. The
price must also be endorsed on the prescriptions
for certain appliances where specifically required
in the Drug Tariff Part IX. See also brand name.
|
Drug Tariff Part II Clause 9B Drug
Tariff Part IX |
<IP>
<£p> |
| Quantity to be Dispensed
|
Only required where a contractor
supplies a quantity at variance with that ordered
or where a drug supplied is a Calendar Pack and
the pharmacist dispenses the exact quantity ordered
which differs from the pack size.
See also pack size, Calendar packs containing
more than one months supply and Original Pack.
|
Part II Clause 10 |
Expressed as
ratio of Quantity<Number> over the Pack
Size<number> e.g. 28/56 |
| RC |
Rebate claimed.
If alcohol (96%), rectified spirit (ethanol 90%)
or any other dilute ethanol is prescribed as an
ingredient of a medicine for internal use, the price
of the duty paid alcohol will be paid. If the duty
has been reclaimed, endorse the prescription 'rebate
claimed' and the price will be calculated based
on that of duty-free alcohol. |
Drug Tariff Part VIII Note 7.2
|
'rebate claimed' |
| Supplier |
Manufacturer or supplier or
wholesaler to be endorsed if generic and not included
in Part VIII or if branded product is less common
In a small number of cases, products
with the same marketing authorisation number and
brand name are marketed by a number of different
suppliers, for example Nifedipress MR 10 Tablets
is manufactured by Dexcel Pharma and is supplied
to Teva under third party livery. In these cases,
the manufacturer must also be endorsed on the
prescription.
See also Ingredients, Pack size, Price, and
brand name. |
Drug Tariff Part II Clause 9B |
<manufacturer
etc.> |
| Trusses |
Single or double, and side if single.
Position, e.g. Inguinal, Scrotal Type, eg. Spring
truss, Elastic band truss.
See also Measured and Fitted. |
Drug Tariff Part IXA |
<single>
<double> <position> <type> |
