Claim messages must be sent within 180 days of the dispense notification. This is known as the 'claim reconciliation period'.
Contractors have 180 days to dispense the prescription and a further 180 days to claim.
After this time, any reimbursement endorsement submissions will be rejected unless the submission was delayed by an IT issue outside of your control.
This includes an issue with the system used, with NHS IT or the MYS portal.
These claims can be accepted within 12 months of when the claim should have been submitted, providing you send evidence of the IT issue to the NHS Business Services Authority (NHSBSA).
Further information about late claims can be found in Part I of the Drug Tariff.
Schedule 2, 3 or 4 controlled drugs
The prescription will need to be dispensed within 28 days.
Once dispensed, the pharmacy has 180 days to claim.
