FAQs & Endorsing Tips

CPUS Forms

Lancets

Endorsing Tips

Lymphoedema Garments

Homeopathic Products on MAS Prescriptions

Cyclosporin Caps

Vismed

Eye Drops

Disallowed Oralmedic

Endorsement of Serially Dispensed Items

PC70 Question

Shortages

Probiotic Food supplement

MAS Prescribing

Sildenafil

Expensive items

Maternity Exemption Certificate

CPUS Forms - Instalment Dispensing

Please note that any instalment dispensing you carry out on CPUS forms (e.g for Nicotine Replacement) does not attract any instalment dispensing fee nor does it count towards your transitional payment.The fee for PHS services is £25 per month per patient irrespective of the number of times you dispense. Therefore PSD has asked that you do not endorse any instalment dispensing on these forms as it slows PSD processing down but has no impact on monies paid.

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Lancets

Unilet General Purpose Lancets 0.81mm/21gauge are now discontinued by the manufacturer and no longer available. Unilet Superlite Lancets 0.66mm/23gauge are also no longer available but will be paid if endorsed as Unilet General Purpose Superlite Lancets.

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Endorsing Tips

All computer generated quantity endorsements are treated as a packsize unless endorsement indicates a quantity e.g. Q28 or 28/28'

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Lymphoedema Garments

A large selection of Lymphoedema Garments was added to Part 2 of the DT last year. Please note that there is a list of additional options in the section for Jobst Elvarex Lymphoedema garments. In order to be paid for any of these additional options, they must be prescribed as a separate item to the garment itself.

We believe that Silicone Bands are often required for these garments. If you supply Silicone bands please ensure that they are itemised on the prescription form as they currently cost £7.35 each.

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Homeopathic Products on MAS Prescriptions

Some homeopathic products are allowed on CP2 forms and some are not. As a general rule, if the product is licensed as either P or GSL and is not Black Listed, then it can be prescribed on a CP2 form. Our Contract Negotiating Team is about to take the matter of MAS prescribing to the Scottish Government in a bid to simplify and clarify both what can be prescribed and how PSD prices the prescriptions.

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Cyclosporin Caps

Question:

Would pharmacist get paid for Cyclosporin Caps x 120 when 112 were prescribed.

Answer:

No. Cyclosporin Caps are held on file in calendar packs of 30, with sub-packs and would get paid to the nearest sub- pack. Therefore would only get 115 if endorsed.

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Vismed

Vismed was previously on the disallowed items list as it is registered as a medical device. From 1st April 2008 there is a new category in Part 3 in the Scottish Drug Tariff.

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Eye Drops

  • Sodium Hyaluronate

  • Oxyal (10ml bottle) 415p

  • Vismed (20 x 0.3ml single dose unit) 510p

  • Vismed Multi (10ml bottle) 681p

Only these two preparations of Vismed are allowed. Vismed gel eye drops and Vismed light eye drops are still disallowed.

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Disallowed Item - Oralmedic

Question:

Is Oralmedic, a treatment for mouth ulcers, allowed on the NHS prescriptions.

Answer:

No. Oralmedic is classed as a medical device and is therefore not allowed on NHS prescriptions as it is not in the Scottish Drug Tariff. The only medical devices allowed on NHS prescription are those which are specifically mentioned in the Drug Tariff.

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Endorsement of Serially Dispensed items

Question:

Is it still necessary to endorse the front of prescription forms with details of serial dispensing?

Answer:

Yes. Even though there are no fees paid directly for serial dispensing to contractors in Transition, these fees do count, in retrospect, towards calculating your Transitional payment. If the prescription is for methadone then you must endorse clearly on the front of the form under the pack size box:

  • Total amount of drug - number of dispensing - number of supervisions.

  • If you have not supervised the administration of the dose then the last figure should be a zero.

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PC70 Question

Question:

Do I still need to complete and submit PC70s (Purple forms)?

Answer:

Yes, if the product you have dispensed serially is a controlled drug. Please remember that PSD does not process these forms, so in order to be paid correctly you must endorse the prescription form with the details as described above. However, you are legally obliged to sign and date the prescription form each time you dispense a controlled drug. The PC70 is linked and is counted as an extension to the original form as you will have transferred the form number to the PC70. There is plenty of space to sign and date the PC70 each time you dispense. You do not need to complete PC70s for items you dispense serially which are not controlled drugs.

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Shortages

Question:

If there is a recognised shortage of a Scottish Drug Tariff item and the equivalent proprietary product is Black Listed, if I endorse that I have supplied the Black Listed branded product what will PSD price?

Answer:

According to PSD's pricing manual,  if you endorse either the name of the branded product or the manufacturer and price, PSD will price the endorsed product. Please note that this only applies where The Scottish Government has agreed that there is a genuine shortage of the generic product which is in Part 7 of the Drug Tariff.

You can find a list of the agreed shortages for this month under Latest Information in the Contractor Services Section of our web-site.

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Probiotic Food Supplement

VSL #3 Probiotic Food Supplement (Ferring Pharmaceuticals)

Question:

Can I dispense this item?

Answer:

Yes. This item is classed as a Pay and Report item. The Pharmacist will be reimbursed for the item but the GP may be asked to justify the prescribing of the item.

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MAS Prescribing

Sodium Cromoglycate Eye Drops 2%

This product is in Part 7 of the Drug Tariff as a POM pack of 13.5ml. Consequently PSD's pricing system can only price from this pack and because the product is held as a POM, a MAS prescription written generically will be disallowed. The only solution at present is to prescribe a proprietary, branded product.

Glycerin Lemon and Honey

If above item is endorsed with a price it will be passed for payment. If un-endorsed Thornton and Ross (Care) price will be used.

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Sildenafil

Question:

Are Sildenafil 20mg tablets allowed on an NHS prescription without the annotation 'SLS'.

Answer:

Yes. There are now two versions of Sildenafil. The more common version is the one for Erectile Dysfunction (in 25mg, 50mg & 100mg tablets), which is in Schedule 2, and must be annotated `SLS' by the prescriber. The second version is in 20mg tablets, under the brand name Revatio™. This is indicated for Pulmonary Hypertension, which is a very rare condition. Prescriptions for Sildenafil 20mg tablets (usually a dose of three times a day) do not need the `SLS' endorsement. The drug may also be prescribed as an oral suspension, which may be for a child. (The prescription should indicate the age of the patient, if under the age of 12.)  It may therefore be safely assumed that, the product is for pulmonary hypertension.  The prescription should not need the `SLS' marking.

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Expensive Items

Question:

Is there any extra payment for dispensing prescriptions for drugs which are particularly expensive?

Answer:

There is no formal way in Scotland to claim 'compensation' for dispensing an expensive item. If the item will have an impact on your cash flow then the best course of action is to contact your local NHS Board to request an ex gratia payment. Any payment made would be at the discretion of the Board.

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Maternity Exemption Certificate

Question:

Can a patient still use a Maternity Exemption Certificate after a miscarriage?

Answer:

If miscarriage occurs before 26 weeks the certificate is no longer valid. If miscarriage occurs after 26 weeks the certificate remains valid until the expiry date.

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