Page 14 - P4403.59-V50_Numark Magazine April 24
P. 14

REPAYMENT OF



                                                COVID ADVANCE





                                                As you are aware, community pharmacies in Northern Ireland
                                                are to begin repaying a £35m COVID advance from the
                                     NORTHERN IRELAND
                                                Government from this month onwards.
                                                In a May 10 letter to contractors, the Health and Social Care
                                                Board said the advance, which was given to contractors over
                                                March and April last year as a result of the recognition of
                                                “unprecedented demand for prescriptions” at that time, will be
                                                reclaimed over the next 24 months, beginning with the April
                                                2021 payment, which is paid in May.
                                                For the first six months of the temporary adjustment recovery
                                                schedule, contractors will pay 1/48th of the advance they
                                                received last year, following this, the plan is expected to be for
                                                the Business Services Organisation to claw back 1/24th for the
                                                remaining 21 months with the BSO giving each contractor a
                                                schedule to set out the reclaim.
                                                Extracted from the letter sent to contractors in Northern Ireland,
                                                in summary, the following clawback rates will be introduced:

                                                •  Discount Scale 1: Generic medicines (excluding those
                                                    granted a concessionary price) – 18.48%
                                                •  Discount Scale 2: Appliances – 10.39%

                                                •  Discount Scale 3: Branded medicines (plus those medicines
                                                    granted a concessionary price, for the month in which the
                                                    concessionary price applies) – 5.27%

                                                DoH(NI) will use a phased approach to introduce the new
                                                clawback arrangements using both the new rates (referred to
                                                above) and the existing clawback arrangements on qualifying
                                                medicines and appliances, with the total clawback being
                                                calculated and deducted by BSO according to the following
                                                ratios:


                                                •  Jan-Mar’24: 15% using the New rates and 85% using the
                                                    Existing clawback arrangements.
                                                •  Apr-June’24: 30% New and 70% Existing.
                                                •  July-Sept’24: 50% New and 50% Existing.

                                                •  Oct-Dec’24: 70% New and 30% Existing.
                                                •  Jan-Mar’25: 85% New and 15% Existing.
                                                •  April’25 onwards: 100% New and 0% Existing.


                                                This phased approach will be applied to prescriptions dispensed
                                                from January 2024 onwards.  Under the new arrangements
                                                the total amount that will be deducted for each pharmacy will
                                                change, by varying amounts, with some pharmacies seeing an
                                                increase in the amount deducted and others seeing a reduction.



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         P4403.59-V50_Numark Magazine April 24.indd   14                                                         13/03/2024   15:31:11
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