The May 2023 NHS Drug Tariff has been published and my blog has been updated:
Current NHS Drug Tariff Liothyronine Prices
Link to a blog post of Monthly NHS Drug Tariff prices for Liothyronine products from January 2023 onwards.
helvella.blogspot.com/p/cur...
Only one change. A substantial rise for 5 microgram tablets from 9947 to 12050 pence for 28 tablets. (Which is an increase of 2103 - just over 21%.)
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What do the category codes mean?
This will probably post as a mess, but the information is here:
drugtariff.nhsbsa.nhs.uk/#/...
1. All drugs listed in this Part have a pack size and price which has been determined by the Secretary of State for Health as respects England and the Welsh Ministers as respects Wales.
2. Categories A, C and M of the drugs (appearing in Col.4) are as under:
2.1 Category A - Drugs which are readily available. Broken Bulk may be claimed for those products whose smallest pack size has a price greater than or equal to £50, if necessary. The prices listed in this Part of the Drug Tariff are indicative of the prices determined by the Secretary of State for Health. The following pack sizes are considered when calculating Category A prices:
• for tablets and capsules, all prescription only medicine pack sizes up to and including 120 unit doses:
• for liquids and some creams (including special containers) up to and including 500ml/500g.
Where a pack size for a product listed in this Part exceeds the quantities stated above, the listed pack size is the only pack size considered when calculating the price. The Secretary of State determines the prices for Category A drugs to be the average of the price calculated for the pack size listed in the Drug Tariff weighted by the following four manufacturers and suppliers; A A H Pharmaceuticals Ltd, Alliance Healthcare (Distribution) Ltd, Teva UK Ltd and Accord Healthcare Ltd on or before the 8th of the month being reimbursed. In the weighted formula, A A H Pharmaceuticals Ltd and Alliance Healthcare (Distribution) Ltd prices have a weighting of 2, the prices from the other suppliers have a weighting of one.
2.2 Category C - Drugs which are not readily available as a generic, where the price is based on a particular proprietary product, manufacturer or as the case may be supplier. Endorsement of pack size is required if more than one pack is listed. Broken Bulk may be claimed, if necessary. Where the price of the product is based upon a non-proprietary product the price listed in this Part of the Drug Tariff is indicative of the price determined and in this case the Secretary of State determines the price to be the price listed by the manufacturer or as the case may be supplier on or before the 8th of the month being reimbursed.
2.3 Category M - Drugs which are readily available. Broken Bulk may be claimed for those products whose smallest pack size has a price greater than or equal to £50, if necessary. The Secretary of State determines the price based on information obtained under the Health Service Products (Provision and Disclosure of Information) Regulations 2018. The following pack sizes are considered when calculating Category M prices:
• for tablets and capsules, all prescription only medicine pack sizes up to and including 120 unit doses;
• for liquids and some creams (including special containers) up to and including 500ml/500g.
Where a pack size for a product listed in this Part exceeds the quantities stated above, the listed pack size is the only pack size considered when calculating the price.
3. Recommended International Non-proprietary Names
With effect from 1 December 2003 drugs will be listed in this Part by their recommended International Non-proprietary Name (rINN), with the exception of Adrenaline and Noradrenaline (which will be listed by their BAN). Where such products are ordered by the former BAN, reimbursement will be made whether the manufacturer of those products is using the former BAN or the rINN to name them. Where prices are calculated for Category A products such prices will be included in the calculation whether they are listed by suppliers as a former BAN or as a rINN.
4. NHS dictionary of medicines and devices (NHS dm+d)
The drugs listed in this Part will reflect the naming convention used in the NHS dictionary of medicines and devices. Where such products are ordered by another naming convention, reimbursement will be made using the Part VIII dm+d naming convention. Where prices are calculated for Category A products such prices will be included in the calculation whether they are listed by suppliers using the NHS dm+d naming convention or as other naming conventions. Products are displayed as Name, strength, modification (when present), presentation and 'freeness' (when present e.g. sugar free, gluten free). eg Aciclovir 400mg/5ml oral suspension sugar free.
A salt will only be displayed if more than one clinically significant salt exists in that presentation. eg Calcium carbonate and Calcium gluconate.
Please note that the NHS dm+d uses the European Directorate for the Quality of Medicines & Healthcare (EDQM) List of Standard Terms e.g. gastro-resistant is used to describe enteric coated.
5. Symbols
The following symbols are used in Part VIIIA
PPA Symbol S Special Container
PPA Symbol R Item requiring reconstitution
PPA Symbol $ Selected List Scheme (SLS)
Have added the link to my blog.
Just in case you are interested, the May 2023 NHS Drug Tariff comes into force today.
And you can subscribe to an alert so that you get an email letting you know of updates, here:
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