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Branded drugs that are produced by more than one manufacturer

Some branded drugs are available from more than one manufacturer, but are still licensed under the same name, (e.g. Dianette, Dicloflex Retard 100mg, Dicloflex E/C 25mg and 50mg, Nifedipress MR10 and Verapress MR 240). As the reimbursement price of a branded drug is based on the manufacturer's list price, reimbursement prices for these brands may differ depending on the manufacturer supplied.

Therefore, in order for the PPD to accurately reimburse contractors for the dispensed item, branded products produced by more than one manufacturer should be endorsed with the manufacturer of the item supplied. If a prescription is received for a branded drug which is produced by more than one manufacturer and the manufacturer has not been endorsed, the PPD will return these prescriptions for additional clarification.

If the prescription is then resubmitted without the required information reimbursement will be made based on Part II clause 7C of the Drug Tariff, where the Secretary of State for Health will determine the price paid. This will be the lowest price that can be paid for that particular brand.

 

 

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