Hi Amanda,

I hope you are well. 

We have had a patient prescribed Hydrocortisone 0.5% cream but it is £76 per 15gram tube. 

I can’t find it in the part 8A Drug tariff so I am not sure how to find out what we would get back for it.  

Are you able to advise please?

HI there,

I am very well thanks – hope all is good with you?

The 0.5% cream is what you would call a ‘non-part 8 product’ basically there is no listing in the Drug Tariff for it.

When you dispense it, you would need to endorse the pack size, price paid and manufacturer in the left-hand column and they will reimburse you £76.00 – however you will get clawback on this so you will probably make a loss.

My suggestion (and I am not a prescriber) would be to prescribe the 0.5% ointment which is in the Drug tariff – has a higher reimbursement price –  £96.76 but Alliance are selling it for £61.61 – hence nice margin.

Good afternoon Amanda

I hope you are well? I was wondering if you could help me please? I have taken a look at the premium priced generics on Epact and I am a bit confused by one of the items. The Oxybutynin is showing as current spend £55.08 but potential spend £92.16. I have gone back through the January Drug tariff and price is £46.08 which is why I endorsed it. I have also checked all of Januarys concessions and Oxybutynin 10mg MR tablets are not on there. Can you explain it to me please so I don’t make the same mistake again? 

Many thanks 

Hi there,

So Drug Tariff in January is £46.08 for 28 so looks like prescription was for 56 which would calculate at £92.16

It looks like it was amended with Aspire who have an indicative price of only £27.54 (for 28) hence why the reimbursement price is only £55.08.

So Aspire has a lower indicative price than tariff.

Hi Amanda,

We have a query about Vagifem/Estridiol. Can we just confirm about cheapest and if it has Special Container rules?

Hi

The Estradiol pessary does have special container rules – best option is not to split the pack (if possible)

Reimbursement price currently is £10.82.

Shortline wholesalers are currently the cheapest at £10.29 – which isn’t cheap enough when you consider clawback.

But Shortline currently seems to be the best option.

Hope that all makes sense?