Drug Tariff Part VIIIB
For Drug Tariff Part VIIIB products, the minimum reimbursement you'll receive is the list price for the minimum volume or pack size given for example, 75ml is prescribed with 100ml being the minimum volume, reimbursement would be made for the full 100ml.
If the quantity on a prescription is more than the Part VIIIB listed minimum volume or pack size, reimbursement will be paid on the listed volume or pack size plus the 1ml or 1g list price for every additional 1ml or 1g prescribed for example, if 200ml if prescribed with 100ml being the minimum volume, the price will be calculated as 1 × 100ml plus 100 × 1ml.
When a Part VIIIB drug is classed as a special container, payment will be made according to the usual special container rules.
Products listed in Part VIIIB are not included in the 'Drugs for which discount is not deducted' list as a margin has been added to the reimbursement prices of products listed to cover this.
Drugs listed in Part VIIIB have a 5% discount deduction rate applied.
Drug Tariff Part VIIID
These are unlicensed drugs for which there are known pack sizes. Reimbursement will be made using the listed packs and prices, as long as they meet the same formulation criteria as Part VIIIB.
A list of these formulations can be found in Part VIIID of the Drug Tariff.
When a Part VIIID drug is classed as a special container, payment will be made according to the usual special container rules.
Drugs listed in Part VIIID are also subject to the 5% discount deduction rate.
Other unlicensed medicines
For all unlicensed preparations not listed in Part VIIIB of the Drug Tariff, the endorsement information is used to calculate the reimbursement.
Dispensers must endorse the pack size and invoice price of that pack.
From this, the actual value of the dispensed item will be determined by the:
- MHRA licence number of the supplier or importer
- batch number of the item
- pack size from which the order was supplied
- invoice price per pack size from which the product was supplied less discount or rebates
- 'SP' to claim the fixed fee to pay for cost incurred in sourcing the product
- 'ED' to claim the fixed fee for extemporaneous dispensing if the product has been extemporaneously dispensed by your pharmacy or a third party