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Pharmacy Professionalism & practice > Drug Tariff > Flashcards

Flashcards in Drug Tariff Deck (16)
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1
Q

who is the drug tariff published by?

A

NHS BSA

2
Q

what is the DT used to check? (5)

A

rules to follow when dispensing
drug and appliance prices
fees paid to the pharmacy
items allowed or not allowed on prescriptions
payment for essential and advanced services

3
Q

what is not in the drug tariff?

A

clinical information

clinical guidance

4
Q

what can nurse prescribers prescribe?

A

nurse formulary - medicines for minor ailments, mostly P or GSL
limited quantities of painkillers
all appliances in the Dt e.g stoma care, wound management

5
Q

what can dental prescribers prescribe?

A

dental formulary - FP10D - not all strengths and formulations
generic list but if brands are ordered they will be dispensed and paid for

6
Q

what is allowed on an NHS prescription?

A

any medicine, food or drink or medical cosmetic allowed as long as its not on the blacklist, and a small list of items that are only allowed in special circumstances (SLS

  • only appliances, reagents, dressings listed in part IX
  • certain prescribers can only prescribe certain items
7
Q

what is the selected list scheme SLS?

A

small list of items allowed only in special circumstances.
these products - SLS must be written by the prescriber (endorsed) otherwise it is not allowed. Pharmacist CANNOT endorse this
examples:
medicines for erectile dysfunction - tadalfil
clobazam for epilepsy

8
Q

What is a special container?

A

Where the quantity prescribed does not coincide with that of an original pack, and the drug is - sterile, effervescent, aerosol, tube, roll on., sachet, liquids for addition to bathwater, coal tar, viscous external preparations

9
Q

what happens when we have a special container?

A

we give the nearest quantity possible and then endorse it. We cannot split the pack

10
Q

what is the halfway pack rule?

A

if the prescription quantity is 1 plus half or less than half of a pack - round down to nearest whole pack.

11
Q

what are borderline substances?

A

a list of foods and toiletry preparations that can be prescribed on an NHS prescription. The advisory committee for borderline substances advises on what medical conditions these items may be regarded s rugs ordered on NHS.
‘ACBS’ must be written on prescription by prescriber otherwise not allowed

12
Q

If prescribing a borderline substance - what must be included in prescription?

A

ACBS written by prescriber

13
Q

what is broken bulk in endorsement?

A

payment for any drug or appliance if only part of it was dispensed - but NOT - unlicensed specials/imports, generics and widely available if smallest pack is less than £50. also appliances from part XIA

14
Q

what are out of pocket expenses in endorsing?

A

OOP/XP are charges incurred when obtaining a dispensed item- postage, packing, courier fees from suppliers. Cannot be claimed for any special or imported product, category A or M(generics), or appliance or reagent in part IXA/IXR.

Must endorse with OOP and cost of the expenses claimed - must be over 50p

15
Q

General endorsement rules?

A

no need to endorse if in part VIIIA and only 1 pack size
endorse with the quantity used if the prescription is written as number of days
on a generically written prescription- for items not used in part VIIIA - endorse the brand name, price and pack size

16
Q

for end of month procedure- what do red separators do?

A

include any prescription with -
where the prescription has handwritten amendments to printed text
where prescriber signature is near the text of the last item on the prescription
broken bulk
OOP/XP
expensive items >£1000
specials