Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

"Specials" reimbursement changing

The way that pharmacies are paid for unlicensed "Specials" is changing with effect from the 1st November 2011. Some specials and their reimbursement prices will be listed in the Drug Tariff in a new section, Part VIIIB.

According to the NHS Business Services Authority, full details will be published in the November Drug Tariff. In the meantime a Question and Answer document and a list of those specials that will be included from the 1st of November have been made available.

According to these documents, the purpose of the new system is to be more transparent and to link "the cost of reimbursement to the cost of the product".

Action: Clinicians should be aware of this change. It may be worthwhile reviewing the list of "specials" and changing patients who are on similar products to the listed version if clinically appropriate.

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