Non-tariff specials endorsing

Q: How do I endorse a prescription for a non-tariff Special?

A: A special is defined in the Drug Tariff as an unlicensed medicinal product that is manufactured in the UK for human use and has been specially prepared to meet a prescription ordered for an individual patient.

For a full discussion of the issues associated with procurement and supply of unlicensed medicines please see our Pharmacy Excellence module: Specials and Unlicensed Medicines.

Prescriptions for specials that are not listed in the Drug Tariff are endorsed as follows:

England and Wales 

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Where a product has been sourced under a Manufacturer’s Specials or Importer’s licence issued by the MHRA and is not listed in Part VIIIB of the Drug Tariff, contractors should endorse:

  • Net invoice price.
  • Pack size used to dispense from.
  • Manufacturers’/importers’ MHRA licence number.
  • Batch number of the product supplied.
  • SP (£20 per prescription, for costs incurred in obtaining the item).

 

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 Specials endorsing guide EW

Scotland Scotland

When supplying a product outside of Part 7S that is being sourced from a specials manufacturer, the contractor must first seek reimbursement authorisation from their Health Board. Prescriptions should be endorsed with:

  • SP, followed by the NHS net cost price for the quantity dispensed, excluding VAT, in format ‘££pp’.
  • Additional handling or postage and packing charges can be claimed as Out of Pocket Expenses by endorsing XP, followed by cost in ‘££pp’ and the reason: ‘pp’ for [Postage & Packing], ‘hc’ for a [Handling Charge] and ‘xp’ for any other reason.
  • The prescription should then be sent to PSD with the invoice.

 

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Specials endorsing guide SC

Northern Ireland

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As yet there is no specials tariff in Northern Ireland. Reimbursement remains based on the price of the product as endorsed by the contractor. The prescription should be endorsed with:

  • Name of the supplier.
  • Net Price of product.
  • Any out of pocket expenses, e.g. delivery.
  • As there is no specific product code number for unlicensed specials, a single diamond should be written in the ‘code number’ column.
  • Pharmacy contractors should ensure the unique 11 digit code found at the bottom of each prescription is written on the corresponding invoice, before sending to the BSO.

 

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 Specials endorsing guide NI

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