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:

	Who can dispense an FP10 prescription?
	Endorsements That Clarify What Has Been Dispensed
	Endorsements for Claiming Additional Fees
	Endorsements to prevent the dispenser from being out of pocket
	Endorsements to show the number of professional fees and patient charges

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 to prevent the dispenser from being out of pocket

There are 3 types of endorsement that could be made to ensure that the dispenser has been reimbursed appropriately for the cost of the products on the FP10. These are:

• Broken bulk
• No cheaper stock obtainable
• Discount not given

Clicking on the topics above will take you to an explanation.

Broken bulk

When a dispenser supplies a product for which there is little demand and needs to obtain a larger pack size than will cover the quantity on the FP10, the dispenser may be able to claim for the reimbursement of the cost of the complete pack. In this situation the prescription is endorsed "broken bulk". The dispenser should use the pack size that will leave the minimum balance after supplying the drug.

Broken bulk claims should not be made where there is an established demand for the product. The Prescription Pricing Division monitor how often broken bulk claims are made by a contractor and will ignore claims that are inappropriate.

The only Drug Tariff Part IX products for which broken bulk claims can be made are for stoma and incontinence appliances. Claims are not allowed for drugs packed in special containers apart from calendar packs. Claims will also not be accepted for a manufacturer's shipping outer e.g. 27 x 200ml Maxijul Liquid.

Discount not given

For specials, other than those containing Controlled Drugs in schedules 1, 2 and 3 of the Misuse of Drugs Regulations 2001, where discount has not been obtained from specials manufacturers, contractors need to endorse 'DNG' for 'discount not given' to avoid discount being removed. If discount was obtained by the contractor no endorsement should be made.