Frequently Asked Questions

2nd June 2023 - Source: Amanda Chell



Hi Amanda,

Hope you’re well?

Thank you very much for the list which is included in the HRT p/p certificates, however we have been asked about Tibilone?  Is there a reason why that isn’t included?

All good here thanks …. Except for the HRT prepayment issues which is causing lots of problems ☹

You are correct Tibilone has not been included and neither has Provera.

I spent a great deal of time  last week trying to speak to Prescription Services but have just managed to get hold of them.

What they have said is that the list of HRT was set by NHS England and NHS England has decided what is and isn’t included.

Hi Amanda

I wonder could you help me with regard to the Lantus and Semglee.   I have been asked to look at the cost implications of switching our Lantus patients to Semglee.  I cannot see that there would be much to gain as neither have wholesale discount or a Manufacturer Discount Scheme and only if we could find a PI would we stand to gain anything.  Have I missed anything?

Hi There,

You are correct and haven’t missed anything.

My only comment would be that the Semglee is slightly cheaper so the loss between purchase and reimbursement would be slightly less.


We have a patient on Creon 25000 g/r caps. He has 1100 capsules a month at a cost of £28.25 a box. I think I have worked out because he has 11 boxes this is a loss of approximately £32 a month. He doesn’t have any other regular meds with us. I have looked for any  discount and cannot see anything  on that product. I have asked dispensers to look for PI but have not found anything in that strength.

Can you confirm there are no discounts and should we be sending the script away. His dose seems to constantly be increasing!

You are correct, this will be a significant loss maker as there is no discount.

I think on occasions, a PI has been available but not always and you need to ensure the price is less than 11.18% below list price.

Its also a Part 2 item in the Drug Tariff-  so my suggestion would be to ask the patient to take the prescription to a local pharmacy as they won’t suffer the clawback and loss that you are suffering.