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To avoid the need for any new endorsements for OPD, it was agreed that the NHS Business
Services Authority will utilise the existing EPS dispensed quantity field within PMR systems
to determine the correct payment. All other prescription endorsement requirements remain
unchanged.
Reimbursed for prescribed quantity Reimbursed for dispensed quantity
If the dispensed quantity is the same as the If the dispensed quantity is up to 10% more than the
prescribed quantity prescribed quantity
If the dispensed quantity is more than 10% of If the dispensed quantity is lower than the prescribed
the prescribed quantity quantity
OPD +/- 10% reimbursement examples
Product for dispensing Product for dispensing
Lipitor 20mg chewable tablets available Perindopril erbumine 4mg tablets
in pack sizes of 30 tablets available in pack sizes of 30 tablets
Applying 10% rule to 28 = +/- 2.8 tablets Applying 10% rule to 56 = +/- 5.6 tablets
(rounded up to 3) (rounded up to 6)
Can dispense either 28/30 or 1 x 30 Can dispense either 56/30 or 2 x 30
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