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Selected List Scheme Borderline substances
There are some medicines that are Some foods and toiletry
only allowed to be prescribed on the preparations have the properties
NHS for certain patients or medical of drugs when used to treat a
conditions. The classic example medical condition. These products
of this is the supply of Viagra are assessed by a committee,
(sildenafil) for the treatment of known as the Advisory Committee
erectile dysfunction. Other examples on Borderline Substances (ACBS),
include clobazam for the treatment to decide if they are appropriate
of epilepsy and Nizoral cream for to prescribe on the NHS. If they
seborrhoeic dermatitis. are approved they are given the
Full details are given in Part designation 'borderline substance'
XVIIIB Drugs, Medicines and other and listed in Part XV of the Drug
Substances that may be ordered Tariff. Where a borderline substance
only in certain circumstances. When is prescribed, the prescriber should
using this list, drugs in column 1 endorse the prescription "ACBS"
may be prescribed for persons – however, if the endorsement
mentioned in column 2, only for the is missing the item can still be
purpose specified in column 3. It is dispensed.
for the prescriber to determine if Part XV is split into three lists; A, B
the patient has the listed medical and C.
condition and they must endorse the A. is an alphabetical list of products
prescription with "SLS". Where SLS is which have been approved by the
missing the prescription cannot be ACBS committee. They are listed
dispensed and must be returned for with the conditions that they may
amendment. be prescribed for.
Both Viagra and Nizoral cream B. is a list of medical conditions
can be dispensed on prescriptions combined with the products
for sildenafil and ketoconazole, that can be prescribed for that
respectively, when written condition.
generically without the need for the C. no longer has any products on it,
‘SLS’ endorsement, adding to the but still exists in the DT. It was a
confusion on what is allowed and list of products which have been
not allowed on prescriptions! considered by the ACBS but may
Foods and nutritional not be prescribed on Form FP10.
supplements These are now included in the
There are many food products used Blacklist rather than List C.
to treat or manage various medical Your Action Plan
conditions; gluten-free foods, total Navigating the DT is crucial for
meal replacements (e.g. Fortisip/ maintaining your pharmacy's profit
FortiJuce) and some baby milks are margin. Here are some tips to help
examples. Where foods are used in you stay on top of things:
this way they are considered by the • Familiarize yourself with the
Advisory Committee on Borderline electronic DT, which offers a
Substances. handy search function.
Nutritional supplements cover the • Explore the Dictionary of
whole range of vitamin and mineral Medicines and Devices for
products from vitamin A to zinc. Most detailed product information.
vitamin or mineral products are not • Keep an eye out for Numark
licensed as medicines (there are some Information Services Tariff Tips
exceptions e.g. Fultium D3) but are to stay updated.
allowed to be prescribed, provided numarknet.com/member-benefits/
the description is not on the blacklist. advice-guidance/tariff-tips-library
In most cases, provided a generic numarknet.com/member-benefits/
description is used rather than a advice-guidance/do-not-dispense
brand name or manufacturer then the
item will be allowed on prescription.
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