Page 13 - P4304.1-V113 PS Magazine September 2025 (Print Ready)_Handy
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Scotland and Northern Ireland do • From 1 April, 2025 the
st
not have a directly equivalent Part reimbursement price of Inclisiran
VIIIC in their regional Drug Tariffs. has increased to £60.00. But
In Scotland, managed by NHS more importantly, the DHSC has
National Services Scotland (NSS), determined that all drugs from Part
free of charge or heavily discounted VIIIC will be Zero-discounted for
products are handled through general practice. This means that
local commissioning agreements your usual clawback that applies to
or centrally funded schemes. all reimbursement payments made
Pharmacies or dispensaries generally to you will not apply to Incliseran.
submit cost invoices and claim
reimbursement based on actual So, lets do some sums.
expenses, often supported by local
guidance rather than a formal tariff If Incliseran was not in Part VIIIC then
list. Similarly, in Northern Ireland, the reimbursement would be made
the Business Services Organisation at NHS list price which in June 2025
(BSO) administers reimbursement for is £1987.36 and if usual clawback
free and discounted drugs through were deducted this would result in
separate funding agreements 11.18% discount deducted from
and invoice-based submissions, your reimbursement payment – a
rather than a designated part of loss of £222. This is why so many of
a structured tariff. Although they you either sent or are sending your
achieve the same practical outcome, Incliseran scripts down to the local
ensuring dispensing contractors pharmacy.
are reimbursed for delivering
clinically necessary, low cost or However, because of Part VIIIC the
no cost medicines, they do so via situation is far more favourable for
administrative processes instead of a dispensing.
published tariff section like Part VIIIC.
Purchase £45 + VAT @ 20% = £54
Dispensing and administering
Incliseran Reimbursement £60 + VAT allowance
(PA allowance) @ 20% = £72
What all this means is, for you as
dispensing contractors, you do not Profit £18
need to shy away from dispensing
Incliseran as you will not need to So, we have £18 profit available as
purchase it at the full list price but Incliseran can be dispensed without
rather at a nominal price. Furthermore clawback and with a margin on
you will turn a handy profit due to acquisition cost which prevents
one other special arrangement for the usual loss on branded products
Dispensing Doctors – the Discount without a discount scheme.
not Deducted status of the Incliseran.
• As per the supply arrangements
in place, Leqvio/Incliseran can
be purchased from AAH and the
purchase price is set at £45.00
plus VAT. Check this is what you DONE DHSE!
are being charged.
27/08/2025 16:40:44
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