YOUR PHARMACY PSNC TOP TIPS: how can you check the classification of a product? A good resource for checking whether a product is an unlicensed special is the Dictionary of Medicines and Medical Devices. Here you can find out whether a product is Drug Tariff-listed Special, a non-Drug Tariff Special or an import. Broken bulk (BB) • Endorse the letters BB and the amount dispensed over the pack size used; • Place paper prescriptions in the red separator for submission • Part VIIIA Category C • Part VIIIA Category A and M products with smallest listed pack size of £50 or over • Readily available medicinal products outside of part VIIIA • Part IXB • Part IXC • Ingredients used to prepare an unlicensed special (extemporaneously dispensing) • Special containers • Part VIIIA Category A and M products with smallest listed pack size or less than £50 • All unlicensed specials and imports • Part IXA • Part IXR Out-of-pocket expenses (OOP or XP for EPS release 2) • Clearly endorse the letters OOP or XP (EPS R2) – no other variation is allowed • Endorse the amount being claimed and a brief reason for the claim eg, P&P • Place paper prescriptions in the red separator for submission • Out-of-pocket expenses cannot be claimed on part IXA-listed appliances including catheters, dressings, elastic hosiery, etc • Part VIIIA Category C • Readily available medicinal products outside of part VIIIA (including ACBS) • Part IXB • Part IXC Correct endorsements OOP XP • Part VIIIA Category A and M • All unlicensed specials and imports • Part IXA • Part IXR Incorrect endorsements OOPE OPE Out-of-pocket expenses Avoiding common errors leading to pricing issues • Endorse clearly, keeping all endorsements within the left-hand side margin of the prescription form • Make sure endorsements are complete and legible • Dispensing endorsements should line up correctly against each prescribed item • If your PMR system endorses, ensure the printer ink is visible • Avoid any marks in the prescribing area of the such as ticks as this may affect how the prescription is priced • Quantities owing should not be annotated on the prescription – this could be interpreted as the amount dispensed • Pharmacy stamp must not obscure any patient details such as date of birth, prescribed items, or endorsements • Items not dispensed must be endorsed ‘ND’ and a horizontal line drawn through the item not dispensed • Ensure that on EPS prescriptions any supplementary product information eg, a particular brand or manufacturer is included as part of the prescribed product and NOT the dosage instructions, to ensure this is considered when calculating payment PSNC resources • Prescription switching: psnc.org.uk/switching • Endorsement guidance: psnc.org.uk/endorse • PSNC Endorsing Good Practice Guidance webinar: psnc.org.uk/endorsingwebinar Multiple flavours Paper prescriptions If the prescriber has not stated ‘Assorted Flavours’, ‘Various Flavours’ or ‘Mixed Flavours’ or similar on the prescription, only one professional fee will be paid regardless of the number of flavours that have been dispensed and endorsed by the pharmacy. A pharmacy can claim one professional fee for each separate flavour dispensed and endorsed against a prescription stating, ‘mixed flavours’, however you cannot can claim more fees for supplying 22 | The Pharmacist | September/October 2018 multiple flavours when a prescription states ‘flavour not specified’. In fact, you can only claim for single flavour – extra fees for supplying multiple flavours are only payable if this is specified on the prescription. EPS prescriptions Where a prescriber does not specify the flavour, they should prescribe the ‘Flavour Not Specified’ actual medicinal product (AMP). If the prescriber does not tick the ‘AF’ box you can only claim for one flavour. Where the prescriber adds an AF endorsement in the prescriber endorsement field you will receive a dispensing fee for each flavour supplied. Where ‘AF’ is selected by the prescriber, the pharmacy should select the actual medicinal product pack (AMPP) for each specific flavour dispensed along with the quantity dispensed for that flavour. If the prescriber does not endorse AF, you can still dispense different flavours but will only receive one fee.