The Pharmacist September/October 2018 - Page 21

PSNC TOP TIPS: general endorsing Endorse only as needed — don’t over-endorse as this can cause confusion and lead to incorrect reimbursement Double-check prescription endorsements Prescribed item Required endorsement Checking for: A generic medicine listed in part VIIIA • Pack size: where multiple pack A generic medicine which is not listed in part VIIIA • Brand name or manufacturer/ A branded medicine • Pack size A generic appliance – listed generically in part IX • Pack size: where multiple pack Expensive items Any item with a net ingredient cost of £100 or more is considered an expensive item. Expensive items automatically receive an expensive item fee of 2% of the prescription value. No endorsement is required for an expensive item, but PSNC recommends pharmacy teams do the following: • Flag the item in some way during the dispensing process • File the prescription separately at the end of the day • Submit paper prescriptions in the red separator (EPS prescriptions are paid automatically) • Keep a log of all expensive items for reconciliation with the FP34 schedule of payment for that dispensing month A generic appliance – listed by brand or manufacturer in part IX • Brand or manufacturer’s name as Unlicensed specials/imports If you have a prescription for an unlicensed special or import, check whether it is listed in part VIIIB of the drug tariff. This will help you to determine what you need to endorse – different rules apply for listed and unlisted specials. sizes are listed supplier; and • Pack size: where there are multiple pack sizes available. If the product does not have a price listed in the Dictionary of Medicines and Devices* (dm+d) endorse: • Net price before discount and excluding VAT If the product does not have a price listed in the dm+d, endorse: • Net price before discount and excluding VAT sizes are available. Additionally, elastic hosiery prescriptions should indicate: • Total quantity to be supplied; • Description of the article (eg, circular knit, below knee); and • Compression class listed in the tariff; and • Pack size: where multiple pack sizes are listed A branded appliance – listed by brand or manufacturer in part IX • Pack size: where multiple pack sizes are listed *The Dictionary of Medicines and Devices is the database used by the NHS to standardise the language used to describe medicines within the NHS. This database also contains information regarding the price of medicines. Pharmacy staff can access this database by visiting dmd.medicines.org.uk Unlicensed specials and special obtains: what is the difference? Special obtains are items that the wholesaler does not stock as a standard line — meaning they have to order the product on an ad hoc basis. This can be any product: a medicine, appliance or a special. Therefore, do not assume that all special obtain items are unlicensed specials or imported lines. Unlicensed specials made to order will come with a specials manufacturer number, which can be found on the Certificate of Conformity/Certificate of Analysis (COC/COA). Imports will have an importer’s licence number on the accompanying paperwork, while extemporaneously made items will usually have been made up in the pharmacy. It is important to double-check the classification of the product you are ordering, as an incorrect endorsement could mean you will miss out on the relevant fees — OOP/XP for special obtains and SP for unlicensed specials/ imports. Part VIIIB-listed unlicensed specials/imports Endorse: • Quantity dispensed (where different from quantity prescribed); • The letters ‘SP’ for the £20 sourcing fee Please note: remuneration is based on the list price for the minimum listed quantity with price per unit for any additional quantity Non-part VIIIB unlicensed specials/imports Endorse: • Amount dispensed over pack size used • Invoice price per pack size from which the order was supplied less any discount or rebate • Ma nufacturers’/ importers’ MHRA licence number • Batch number of the product supplied • ‘SP’ for the £20 sourcing fee Submit paper prescriptions in the red separator (EPS prescriptions are paid automatically, and tokens do not need to be separated) September/October 2018 | The Pharmacist | 21