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Flashcards in The Drug Tarrif Deck (58):
0

Drug tariff gives details about:

Standards of products to be supplies
Payment to contractors
Black list
Independent prescribers lists
Prescription charge for patients
Endorsement by pharmacists

1

Where does the drug tariff apply?

England and Wales

2

What does the preface of the DT contain?

Additions, deletions, changes between one addition and the next.

3

What is the difference between renumeration and reimbursement?

Reimbursement is getting your money back for the cost of drugs you are supplying
Renumeration is getting paid for your professional time

4

How do we know what can be put in an FO10 (medicines and appliances)

DT specifies:

Drugs NOT allowed on FP10 (black list)
Appliances, dressing and reagents ALLOWED on FP10

5

Part 1 clause 1 of the drug tariff states...

Drugs must be of a suitable standard including parallel imports.

6

Claims for payment should be sent off no later than...

The 5th of the month following supply

7

Scripts should be endorsed according to

Clause 9 of part 1

8

Types if payments you can get? (7)

Net ingredients cost
Deduction scale
Consumable container allowance
Professional fees
Additional fees
Out of pocket expenses
Drugs for which discount is not deducted

9

How is the price of a drug determined? Eg. 5 tablets?

As a proportion of the basic price.
Price based on exact quantity supplied.

10

Where are basic prices listed?

Part VIII
or of not then directly from manufacturer.

11

What must you endorse scripts with?

Name and address of supplier (NHS and private)
Exactly what has been supplied (NHS)
Number of items on the form (NHS)

12

Why do we endorse? (2)

To cancel the script so that it can't be used
To enable to PPD to pay you for what has been supplied

13

If the drug is in part VIIIA how do we endorse? If not?

If in part VIIIA endorsing with pack size is not necessary.

In NOT in part VIIIA endorse with pack size and if generic also manufacturer/brand name

14

BB stands for

Broken bulk

15

OOPE stands for

Out of pocket expenses

16

NCSO stands for

No cheaper stock obtainable

17

PPD assume biggest/smallest pack size used if not stated?

Biggest

18

Exact quantity on Rx must be dispensed except for: (4)

Sterile products
Effervescent or hygroscopic products
Tubes, aerosols etc
Products in clause 10B (usually liquid external preparations, eg coal tar)

19

BB applies to what type of products (3)

Drugs, incontinence and stoma appliances

20

When do you endorse with broken bulk?

Product is not normally used and the smallest pack size is larger than quantity on Rx.
Quantity remaining not used.
Any Rx within 6 months will be deemed to be supplied from the remainder.

21

When can you not use BB (2)?

Special containers

Category A&M if smallest pack size is <£50

22

OOPE should be used when

Expenses incurred in exceptional circumstances obtaining a drug. Eg phoning abroad, handling fee, admin dee etc.

Not frequently spied by the contractor.

23

Endorse OOPE with (2)

OOP or XP

24

Reconstituted drugs clause ensures that

Applies to antibacterial, antiviral and antifungals that require reconstitution from granules or powder

Ensures that contractor is paid for the quantity made up rather than the quantity order in the Rx

25

Drugs that are not usually discounted by suppliers do not require endorsement

Eg fridge lines

26

Definition of a special

Specials are unlicensed relevant medicinal products which have been specially prepared to meet a Rx ordered for an individual patient (named patient basis) without the need for a manufacture to hold a marketing authorisation for the medicinal product concerned.

27

Examples of drugs her discount is not deducted (7)

Cold chain storage
CD sch 1,2&3
Cytotoxic or cytostatic items
Immunoglobulins
Insulin s for injection
Vaccines and antisera
Specials source from manufacture or made extemporaneously

28

Professional fees. How much at present

90p + addition fees if applicable

29

6 additional fees

Unlicensed meds sources from manufacturer (SP)
Extemporaneously dispensed (ED)
Appliances - measured and fitted (MF)
CDs - sch 2&3
Expensive prescription fee (to account for time waiting for reimbursement)
Oral methadone

30

There is a section specifying acceptable types of containers and spoons. Why? (2)

Ensure safety and accuracy

31

What is the deduction scale?

The higher the volume of product obtained the grater the discount give, deduction scale recovers one of this for the government.

32

Payment for essential services include:

Establishment payment
Practice payments
Repeat dispensing
Electronic transfer of Rx allowance

33

Payment for advanced services includes

MUR, NMR, stoma customisation and appliance review.

34

Branded or generic.
If branded on Rx must supply brand. If generic can supply any. DT lists price DoH will pay for...

Generic. Regardless of cost to the pharmacist.

35

Category A is

Drugs that are readily available

(May use if smallest pack size is >£50)

36

Category C is

Drugs that are priced on basis of a particular rebrand or supplier. (Not as readily available as a generic)

Endorse with a pack size if more that one is listed.
BB is allowed.

37

Category M is

Very common generics

Drugs which are readily available where the DoH calculates the reimbursement price from information submitted by manufacturers.

BB is allowed if smallest pack size >£50

38

Square symbol means

Special container

39

Circle symbol means

Requires reconstitution

40

Double SS symbol means

Selected list scheme

41

Formulations abbriviations
STD
SF
CF
LF
PF
NSF

STD standard form incl standard flavours
SF sugar free
CF colour free
LF lactose free
PF preservative free
NSF non standard flavour

42

Can you used BB and OOPE for
Appliances and dressings
Incontinence supplies
Stoma appliances
Chemical reagents


Appliances and dressings - NO
Incontinence supplies - YES
Stoma appliances - YES
Chemical reagents. - BB for some. No OPPE

43

Oxygen is supplied via what form... Not an FP10

HOOF

home oxygen order form

44

Essential small pharmacies scheme is subsidy for

Small rural pharmacies.

45

What is ACBS

Advisory committee for borderline substances

46

What are border line substances?
How do you endorse them?

Are you a toiletry or a drug?

ACBS

47

Boarder line substances...

List A
List B
List C are....

List A. Products (& what condition you can use them for)
List B. Conditions (& what products you can use for them)
List C. Blank. Rejected products are now included elsewhere..

Eg. Wysol for lactose intolerant preschool kiddies.

48

Notes on pricing charges. DT contains list of exemptions. Multiple prescription charges and 'no charge items'. How does this work?

If item is same form and different strengths eg. Hytrin started pack. only one charge.
If item is combination eg. HRT multiple charges.

49

Out of hours formulary is ...

List of drugs patient should be able to access out of hours...

50

How to endorse no charges?

1 in the box
Under: 2n/c

For 3 items, 2 no charges

51

Blacklist is...

Part XVIIIA of the DT
restricts number of products available for certain minor illnesses on the NHS.

52

If you supply black list you what happens?
So what should you do?

You will to be paid.

Suggests alternative to prescriber
Sell an OTC if available
Get Rx changed to private
In emergency may supply as emergency supply at request of patient or doctor.

53

SLS means

Selected list scheme.
Certain drugs only available on FP10 under certain circumstances.
PRESCRIBER MUST MARK SLS. YOU CAN'T!

54

Criterion 6 of the black list says

You ant have profiled injection devices if it is more economical to have a device that is refillable.

55

To whom do we submit CD requisitions and Rx once supplied?

NHSBSA

56

What form do we have CD requisition on?

FP10CDF

57

What categories can we claim OOPE on?

C