Prescriber and Dispenser Endorsements for ETP Pilot

Release 9.00
Date 11/02/2003
The changes to release 8.00 are the addition of some frequently asked questions. The table has also been sorted into alphabetical order within each Source and DispEndorsementCode. For the DispEndorsementCodes 'AP' and 'FOC' further clarification has been provided in the supporting information.

The following table provides the endorsements required by the Prescription Pricing Authority (PPA) to aid its reimbursement and remuneration process.

Queries with regards to endorsements should be referred to the PPA's Pharmaceutical Helpdesk: 0191 203 5272, 0191 203 5274 or 0191 203 5275.

Frequently Asked Questions

1. The 'Product' element in the 'ItemDispensingInfo' is defined as optional - under what circumstance(s) should it be present?
Where appropriate to clarify what has been dispensed when a generic product is prescribed that is not listed in Drug Tariff Part VIII.

2. Under what circumstances is the 'free of charge' (FOC) dispenser endorsement used?
To be used when a free of charge product has been dispensed. No claim for reimbursement is being made but a claim for a professional fee (Drug Tariff Part III 1.) is allowed.

3. Under what circumstances is the 'quantity discarded' (QD) dispenser endorsement used?
This endorsement will only be applicable to dispensing doctors' endorsements.

4. If a sub-pack is dispensed does this constitute splitting a pack, and does the 'Split Pack' element of the 'ItemDispensingInfo have to be used in this case?
Example:
Rx: Atenolol tablets 50mg
Dx: Dispensed a sub-pack of 14 out of a pack of 28
Yes - that is an example of a SplitPack.

5. What code is used when there aren't any endorsements? Is the 'DispEndorsement' element left blank when no endorsements are required?
If the dispenser is not required to endorse any information for reimbursement and remuneration purposes i.e. where all the relevant information is in the prescribed message then a default endorsement 'AP' should be input into the DispEndorsement field. This is equivalent to no dispenser endorsement at all on a paper FP10 prescription. Where any of the product dispensed, quantity dispensed and pack size dispensed fields are populated then the DispEndorsement field should be blank if no additional endorsements are necessary.

6. A manufacturer/brand endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo' element?
At this stage it is not felt that it is appropriate to introduce such a coding system, as there is not a standardised coding system. With the introduction of the Primary Care Drug Dictionary such a coding system may be possible in the future.

7. A made to measure endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo' element?
An indication in ItemDispensingInfo or an endorsement of 'made to measure' in the DispEndorsement field will enable the correct Drug Tariff Part IX hosiery garment to be reimbursed.

8. An oxygen mask endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo' element?
This type of endorsement should not be necessary, the make of oxygen mask dispensed should be provided in ItemDispensingInfo.

9. An urgent endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo' element?
Details of the Urgent endorsement codes required are provided in the table below, i.e. UR -urgent resident or UN - urgent non-resident, these endorsements in the DispEndorsement field together with the time and date of dispensing will allow the correct fee to be paid. ETP pilots currently only support urgent dispensing where the message is endorsed urgent by the prescriber because the digital signature of the patient or representative is not available for 'dispensing urgently'.

10. An extra item endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo' element?
Example:
Activa with a suspender as an extra item would have the following written endorsement '+ Suspender DT fig 3 2 unit(s)'.
The endorsement of extra items where appropriate to those prescribed is currently not supported in ETP pilots.

11. A knit endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo ' element? Example: 'Circular'.
No codes are currently agreed for endorsing these items, the relevant information should be provided in ItemDispensingInfo to enable the correct Drug Tariff Part IX product to be reimbursed.

12. A type of bandage endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo' element?
Example: 'Type 1'
As in the previous question no codes are currently agreed for endorsing these items, the relevant information should be provided in ItemDispensingInfo to enable the correct Drug Tariff Part IX product to be reimbursed.

13. An Order Number endorsement is not included in the endorsement codes. How should this endorsement be represented in the 'ItemDispensingInfo' element?
Where appropriate order number endorsements should be provided along with manufacturer or supplier in ItemDispensingInfo

Table of Prescriber and Dispenser Endorsements for ETP Pilot

Source	Endorsement Description	DispEndorsementCode (Dispenser) or PXEndorsementCode (Prescriber)	DispEndorsement (Dispenser) or PXEndorsement (Prescriber)	Supporting Information
Prescriber	Prescriptions for products recommended by the Advisory Committee on Borderline Substances	ACBS
Prescriber	Bulk Drug Prescribing Bulk Appliances Prescribing	BU BS		The name of the institution in Institution field The name of the institution in Institution field
Prescriber	Contraceptive	CC		This replaces the female symbol.
Prescriber	Selected List Scheme (DT Part XVIIIB)	SLS
Prescriber	Urgent	Urgent	Urgent	Please note if the doctor does not endorse urgent, the pharmacist will not be able to endorse "dispensed urgently" as there is no field for a patient or representatives signature.
Dispensing Doctors only	Quantity Discarded	QD
Dispenser	Limited Stability	AB	number of extra Quantities	E.g. AB3 means= 4 quantities supplied in total to meet the prescription. Only used for a liquid of stability of less than 14 days.
Dispenser	Additional Information	AI	Additional Information relating to the dispensed item	Please note - It is intended that this endorsement only be used in circumstances when other endorsements are not appropriate.
Dispenser	Dispensed as prescribed	AP	AP	Default endorsement if no other endorsement has been input. This is equivalent to no dispenser endorsement at all on a paper FP10 prescription.
Dispenser	Broken Bulk DT Part II Clause 11 Should only be used if the quantity ordered cannot be readily disposed of during the next six months.	BB	BB	Must not be a DEFAULT endorsement, must be a requirement for user input i.e. after dispensing
Dispenser	Where the prescription is for the Controlled Drug Temazepam as detailed in SI 2001 No. 2888 which amends the Misuse of Drugs Regulations 1985.	CD		To support this endorsement also required: Date of dispensing in DispensedDate field
Dispenser	Free of Charge	FOC	FOC	Product has been supplied is 'free of charge'. There will be no reimbursement on this item but a professional fee (Drug Tariff Part III 1) is claimed.
Dispenser	Sterling Invoice Price in Pence or Euro Invoice Price in Cents Or Sterling Net Ingredient Cost Price in Pence or Euro Net Ingredient Cost Price in Cents Net or Cost Price Or Sterling Retail Price in Pence or Euro Retail Price in Cents Retail Price	IPP or IPC NPP or NPC RPP or RPC	price in pence or cents e.g.350 price in pence or cents e.g.350 price in pence or cents e.g.350	To be used when invoice price is required (excl. VAT) To be used when net ingredient or cost price is required (excl. VAT) To be used when only the retail price is available (incl. VAT) e.g. Boots
Dispenser	Measured & fitted	MF	MF	e.g. 475P&P
Dispenser	No Cheaper Stock Obtainable Where the DH have agreed that a preparation in DT Part VIII is not available at the appropriate price. Generic in short supply Contractors shall not so endorse unless they have made all reasonable efforts to obtain the product at the appropriate price but have not succeeded.	NCSO	NCSO	To support this endorsement also required: Pharmacy Digital Signature date in DispensingDate field; supplier in Product field; manufacturer (or brand name) in Product field; Dispenser digital signature in DispenserAuthe& field Date of dispensing in DispensedDate field pack size in DispensedAs field; Sterling price in pence (if not in appropriate Sterling price list) in DispEndorsement field or Euro price in cents (if not in appropriate Euro price list) in DispEndorsement field.
Dispenser	Item not dispensed	ND	ND
Dispenser	Prescriber Approved	PA	PA
Dispenser	Prescriber Contacted Prescriber Not Contacted	PC PNC	PC PNC	To support this endorsement also required: Dispenser digital signature in DispenserAuthe& field Date of dispensing in DispensedDate field To support these endorsements also required: Pharmacy Digital Signature date in DispensingDate field;
Dispenser	Flavours	SF	number of flavours	e.g. SF6 = 6 flavours in total supplied
Dispenser	Urgent Resident Urgent Non- Resident	UR UN	Date and time(only acceptable if prescriber has endorsed Urgent) Date and time(only acceptable if prescriber has endorsed Urgent)	e.g. UR20010624234500 e.g. UN20010624234500 The agreed time convention for the ETP Pilot will be CCYYMMDDHHMMSS
Dispenser	Sterling Out of Pocket Expenses claim in pence Or Euro Out of Pocket Expenses claim in cents	XP or XC	value in pence and reason for expense claim value in cents and reason for expense claim	e.g. XP475P&P
Dispenser	Zero Discount List B only	ZD		Only need for List B.