Page 35 - P4403.59-V70_Numark Pharmacy Magazine_November 25 PRINT

• Check the Dictionary of that a GP could prescribe a Mars
Medicines and Devices (dm+d):
this online resource specifies
if a product is registered as a
device or a medicine. https://
dmd-browser.nhsbsa.nhs.uk/
• Check the manufacturer’s
product website or contact the
manufacturer for clarification.
Examples of common appliances
with a CE mark and listed in the DT
are:
• Micropore tape
• Cetraben cream
• Bug Buster kit
• Novopen reusable insulin pen
Examples of appliances with a CE
mark and not listed in the Drug Tariff medicine is specially manufactured
are:
• NeilMed Sinus Rinse
• Tena Pad
Never assume that a product is
a medicine: it could be a device.
A good example of this is sodium
bicarbonate 5% ear drops - you
may automatically think of this as
a medicine but it’s a device and is
listed in part IXA of the Drug Tariff.
Finally, if a product does not
have a CE mark then it is either a
medicinal product, a food/nutritional If an alternative description is used,
supplement or a cosmetic/toiletry
you can dispense items without
the CE mark but they are not at EU
standards..
Medicinal products
The DT contains an extensive list of
medicines along with the price that
a pharmacy will be reimbursed for
dispensing on a prescription. This list
is called Part VIIIA – Basic Prices of
Drugs and the medicines are listed
generically and split into different
categories based on availability.
The categories are not important
for our purposes; the point is that if
a drug is listed in the DT then you
will be reimbursed the set price for
dispensing it.
If the drug isn’t listed in Part
VIIIA, does that mean it can't
be prescribed?
Any drug, cosmetic or food can be
prescribed on an NHS prescription
unless it is named in part XVIIIA
– affectionately known as "the
blacklist". Technically, this means
P4403.59-V70_Numark Pharmacy Magazine_November 25.indd 35
P4403.59-V70_Numark Pharmacy Magazine_November 25.indd 35
Bar if they wanted to – it is a food
and it is not on the blacklist –
and a pharmacy would (with an
appropriate endorsement) be paid
for dispensing it. In this case, the
local NHS team would be asking the
GP to justify their prescribing and
of course the pharmacist would be
likely to query the prescription rather
than dispense it.
When dispensing a generic drug that
is not listed in the DT and the DM+D
you must endorse the prescription
with manufacturer, pack size and
price. Failure to do so will result
in a resub for clarification. If the
or imported then there are additional
endorsing requirements.
The "blacklist" in the NHS Drug
Tariff (Part XVIIIA) is a list of
specific medicines and brands
that cannot be prescribed on an
NHS prescription and will not be
reimbursed by NHS Prescription
Services to the dispensing
pharmacy.
However, the key here is that it is the
'exact description' that is blacklisted.
for example the generic name of the
product and that description is not
in the blacklist then the pharmacy
will be reimbursed for dispensing
it. It is the product name on the
prescription that is important, not
the name on the packaging.
Here are some examples of
blacklisted items:
• Benerva 100mg tablets are
blacklisted under their brand
name of Benerva but can
be prescribed generically as
thiamine 100mg tablets. In this
case, the GP cannot insist that
Benerva is dispensed. You should
choose the cheapest licensed
product available to you which
may or may not be Benerva.
• Daktarin 2% Cream 15g is on
the blacklist so it cannot be
prescribed. But again, it could
be prescribed using its generic
name of miconazole 2% cream
15g which is not on the blacklist.
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