FAQ
Hi Amanda,
Quick question please,
Nexplanon and the coils – is there anywhere in particular we should be purchasing them from?
Hiya,
Nexplanon is solus to Alliance so buy from Alliance.
Mirena, I think you can purchase through PSUK and AAH – it doesn’t matter, the list price will still be the same and neither offer any discount.
Good morning Amanda,
Hope you are keeping well?
I was wondering if you could help me with a quick analysis on family planning procedure as I have been requested by my practice manager to give her information regarding the cost of the items and how much we receive back from the NHS. So, I just want to make sure I am giving her the correct information. So far I have worked out the cost of the items minus the clawback:
Nexplanon – £83.43 – 11.18% = 74.10
Mirena – £88.00 – 11.18% = 78.16
Copper – £8.95 – 11.18% = 7.94
Kyleena – £76.00 – 11.18% = 67.50
However, I know I need to add on the dispensing fee and also any MDS discounts but then I am unsure what I need to do regarding VAT?
Are you able to help me with this at all please? I’m getting in a bit of a muddle, feel like I am making more complicated than it needs to be?
HI there,
I am very well thanks – hope all is good with you?
So your calculations with the clawback were correct and you were correct that you needed to add the dispensing fee.
Just FYI there are no Manufacturer Discount Schemes deals on Mirena, Copper or Kyleena or Nexplanon (if you dispense those?)
How you make money on Mirena etc is the fact that its contraception and you only pay 5% VAT when you purchase contraception.
However when you get your PA payment back through PCSE statement (calculated on Epact) the calculation is calculated at 20%
So on a Mirena you make £3.39 due to the VAT calculation.
So cost of Mirena £88.00 + 5% VAT = £92.40
Submit your script to prescription services, you only receive back £78.16 (after
clawback)
PA payment is cost of Drug, less 11.18% x 20% = £15.63 + dispensing fee, approx. £2.00 means your total reimbursement is £17.63. remove loss of £14.24 – makes a profit of £3.39
This would be the same calculation for all your coils and Nexplanon.
Good afternoon Amanda,
Hope you are ok?
Sorry for the random question – when we claim for items such as Insulin and other PA items – Do we need to add PA to the actual insulin paper prescription (FP10)?
HI
I am very well thanks – hope you’re ok?
The answer is no, any injectables are automatically classed as PA by Prescription Services.