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£12.2m to be added to Tariff in October adjustment

Reimbursement back on the discussion table

September 6th 2021

Tagged: DM Zone news Pharmacy owners' news England

By Ailsa Colquhoun

Some £12.2 million will be added to medicine margin in the next financial quarter, (October to December 2021) although retained margin stays at £800 million, pharmacy negotiator the Pharmaceutical Services Negotiating Committee has said, announcing the arrangements for the third year of the five-year pharmacy contract funding deal.

Other aspects of the deal that affect dispensing GPs include a pledge to restart discussions with the DHSC over reimbursement reforms that include the following:

  • Category A price setting methodology
  • medicine margin distribution through Category M
  • Category C price setting for drugs with multiple suppliers
  • Non-Part VIIIA drug price setting
  • Reimbursement and procurement of ‘specials’
  • Reimbursement of generically prescribed drugs and appliances dispensed as ‘specials’
  • Changes to the deduction scale.

Other aspects of the deal which may affect dispensing GPs include:

  • Changing the NHS Regulations to include a pandemic provision
  • Amending the market entry provisions so that NHSE&I may refuse any application that results in an oversupply of Essential services, including those seeking only a minor increase in opening hours
  • Discussions to start on the regulation of dispensing and supply of medicines, including hub and spoke dispensing.

For pharmacies there are additions to the Advanced Services portfolio including:

  • 13 new conditions added to the New Medicine Service
  • Hypertension case-finding
  • Smoking cessation advanced services.