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Endorsing FP10 Prescriptions
(Last updated 27/02/2007)
Learning Objectives
On completion of this package you will
- Know who can dispense FP10 prescriptions
- Be able to endorse prescriptions to show what product has been supplied when necessary
- Be able to identify prescriptions that require endorsement because extra dispensing fees will be paid (for dispensers in community pharmacies)
- Understand which prescriptions require endorsing for zero discount (for dispensers in community pharmacies)
- Be able to calculate how many professional/dispensing fees are due and how many patient charges should be collected if the patient pays for their prescriptions
The package is divided into the following sections:
People who supply drugs or appliances on FP10 prescriptions have to hold a contract to provide Pharmaceutical Services. The Drug Tariff published by the PPA sets out the rules for the reimbursement and remuneration of contractors who provide these services. The rules sometimes do not apply to all types of contractors. This package is applicable to both community pharmacies and dispensing doctors and where the rules do not apply to dispensing doctors this is clearly indicated. You will find it useful to look at the Drug Tariff as you work your way through this package.
Endorsements for Claiming Additional Fees
This section only applies to dispensing through pharmacies and not to dispensing doctors.
Prescriptions for particular types of products attract additional fees because they involve more work for the dispenser than the average prescription. Some of these additional fees are paid automatically by the Prescription Pricing Division but for others the dispenser needs to endorse the prescription appropriately to claim the fee.
 Consider the following examples of products that attract additional fees when prescribed on FP10. What endorsement (if any) would you make on the prescription? Reading the Drug Tariff Part IIIA will help you find the answers. If you use the most recent edition of the Drug Tariff, you can also check how much the additional fees are worth. |
You would also need to endorse the supplier and pack size when necessary but for the purpose of this exercise just comment on the additional fee endorsement. Example 14
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Tab Ritalin 10mg x 30 (thirty)
Take 2 twice daily
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Example 15
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Sodium Benzoate Soln 250mg/5ml as directed
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Example 16
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Single (left side) femoral spring truss
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Example 17
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Amitriptyline Oral Solution 10mg/5ml sugar free x 300ml – please dilute Sig 10ml tds
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Example 18
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Tabs buprenorphine 200 micrograms x 28 (twenty eight) Sig 1 sl tds
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Endorsements for Claiming Additional Fees |
Example 14
Ritalin (methylphenidate) is a Schedule 2 controlled drug.
Example 15
If the dispenser prepared this Sodium Benzoate Solution in the dispensary, the prescription should be endorsed “ED”, indicating extemporaneously dispensed .
Example 16
It is likely that the dispenser will need to measure the patient to determine the appropriate size of truss to supply. The FP10 should then be endorsed "MF", indicating measured and fitted. NB training is required to measure and fit trusses correctly.
Example 17
Amitriptyline is not available as an oral solution in a strength of 10mg/5ml and therefore this would have to be prepared by diluting one of the higher strength oral solutions that are available. The prescription should be endorsed ED”, indicating extemporaneously dispensed. This prescription is probably for an elderly person.
Example 18
Buprenorphine is a Schedule 3 controlled drug.
Other circumstances when an additional fee could be claimed include
- Dispensing of elastic hosiery that requires measuring the patient
- Where a preparation that requires the addition of a vehicle/diluent by the pharmacist results in a liquid of stability of less than 14 days, and for pharmaceutical reasons necessitates supply in more than one container
- Semi-solids or solids prepared by dilution or admixture of a proprietary product
See the Drug Tariff for how to claim additional fees when the situations described above apply.
There are also some prescriptions that attract additional fees for dispensing where no endorsement is necessary. The fee will be added automatically by the Prescription Pricing Division.
Examples of these include:
- Where the prescriber orders an extemporaneously dispensed liquid preparation to be supplied in more than one container
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Prescriptions where the net ingredient cost (basic price) of the item exceeds £100.
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