Drug Tariff

Question 1

What is the purpose of the Drug Tariff?

Answer 1

1. Details the community pharmacy contract with the NHS
2. A list of prices of drugs/appliances and fees for pharmacies
3. Charges to the patient

Question 2

List the 5 ways that community pharmacies are paid

Answer 2

1. Establishment and Practice payments
2. IT and repeat dispensing prescriptions 3. Fees
3. Advanced services payments
4. Enhanced services payments

Question 3

What do Establishment and Practice payments depend on?

Answer 3

Number of items dispensed per month

Question 4

Describe ‘Fees’ as pharmacy payment

Answer 4

NHS payment to pharmacies for dispensing an item = 90p Plus additional payments for other services provided

Question 5

What are the payments from advanced services?

Answer 5

MUR = £28 each, up to 400 a year NMS = £20-28, depends on how may completed per month

Question 6

Why are enhanced services payments not included in the Drug Tariff?

Answer 6

They are locally commissioned and paid for by councils, NHS England area team or CCG (Clinical Commissioning Groups) e.g os service minor ailments

Question 7

What is the Black List?

Answer 7

Items which are: 
Unnecessary 
Expensive 
Have no medical use 
Duplication with other medicinal products

Question 8

What items are allowed on an FP10 prescription?

Answer 8

Any medicine, food, drink or medical cosmetic item As long as it is not on the black list

Question 9

Where is the black list found in the drug tariff?

Answer 9

Part XVIIIA

Question 10

How much is the patient charged for a prescription?

Answer 10

£8.20 One charge per item

Question 11

How is elastic hosiery charged to the patient?

Answer 11

One charge per leg

Question 12

How is the patient charged when there are different strengths/flavours of the same item on the FP10?

Answer 12

One charge

Question 13

How is the patient charged when there are different formulations of the same item on the FP10?

Answer 13

One charge

Question 14

How is the patient charged for combination packs?

Answer 14

One charge per item in the same pack

Question 15

How are contraceptive items charged to the patient?

Answer 15

No charge

Except for cyprindiol if not endorsed in the body of the Rx with OC or the female sign

Question 16

How should a prescription be endorsed?

Answer 16

Pack size
Quantity supplied if defined by number of treatment days on prescription
Brand name, pack size and price if not i part VIIIA

Question 17

What does SP stand for in an endorsement?

Answer 17

Special = £20

Question 18

What does ED stand for in an endorsement?

Answer 18

Extemporaneously dispensed = £20

Question 19

What does PD(n) stand for in an endorsement?

Answer 19

Supervised consumption = £0.55 x n

Question 20

What does MF stand for in an endorsement?

Answer 20

Measured and fitted = £2.60

Question 21

What is a special?

Answer 21

An unlicensed medicine ordered on prescription for a named patient
Produced by a specials manufacturer who is licensed and inspected by the MHRA Certificate of Conformity or Certificate of Analysis must be supplied with the item

Question 22

What is an unlicensed imported medicine?

Answer 22

A medicine unlicensed in the UK but licensed medicine elsewhere in the world Acquired by an MHRA licensed and inspected importer

Question 23

How should unlicensed medicines be endorsed?

Answer 23

SP Quantity/volume supplied and pack size

If not in part VIIIB add:
Price per pack and number of packs Manufacturer/importer license number (MS number) Batch number

Question 24

Where are unlicensed specials and imported medicines found in the Drug Tariff?

Answer 24

Part VIIIB

Question 25

What 5 records should be kept for items from part VIIIB for inspection by the Licensing Authority?

Answer 25

1. Source of the special or imported unlicensed product 2. The person to whom, and the date on which the special/imported unlicensed product was sold or supplied 3. Prescriber's details 4. Quantity of each sale or supply 5. Batch number of the special

Question 26

What 5 things must the pharmacist endorse the COA, COC or invoice of unlicensed specials/imported medicines with?

Answer 26

``` Pharmacy stamp Date Initials of pharmacist or dispenser Invoice price less discount Prescriber's details ```

Question 27

Where and when must the endorsed COA/COC/invoice be sent?

Answer 27

At the end of the month Sent to the NHS England area team of the prescriber

Question 28

List 3 items that receive payment for measuring and fitting if claimed using MF in the endorsement margin?

Answer 28

Elastic/compression hosiery (part IXA) Trusses (part IXA) Para-stomal garments = belts and girdles

Question 29

What are compression stockings?

Answer 29

Elastic leg garments which compress the limb, reducing the diameter of the distended veins and cause an increase in venous blood flow velocity/valve effectiveness

Question 30

What does compression therapy prevent?

Answer 30

The formation of blood clots in the lower legs

Question 31

What does compression therapy aid the treatment of? What does compression therapy relieve?

Answer 31

Lower leg ulcers Heavy and aching legs

Question 32

When should stockings be measured?

Answer 32

Early morning | Sitting = below knee Standing = thigh length

Question 33

How should elastic/compression hosiery be endorsed?

Answer 33

Quantity Type Fabric/knit MF if appropriate

Question 34

How should the patient be charged for elastic/compression hosiery?

Answer 34

Per leg £8.20 per number of articles

Question 35

How are lymphoedema garments charged to the patient?

Answer 35

Charged per type of item £8.20 per item | No MF endorsement allowed

Question 36

What are trusses?

Answer 36

A surgical appliance worn to support a hernia Typically a padded belt

Question 37

What are the details needed on an FP10 for urinary catheters?

Answer 37

Quantity Size (Ch) and balloon size Preferably brand Male/female

Question 38

What is included in part XIB of the DT?

Answer 38

Devices to manage urinary incontinence

Question 39

How much are patients charged for home delivery of items in XIB and XIC?

Answer 39

£3.40

Question 40

What is in part IXR of the DT?

Answer 40

Chemical reagents Mostly strips for detection of glucose/ketones in blood for diabetics INR test strips for warfarin patients