Page 35 - P4403.59-V63_Numark Pharmacy Magazine May 25

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Tariff Tip Nizoral 2% cream • Wales • Scotland
Nizoral® 2% cream supply • England • Northern Ireland

Q: I have received a prescription for However, in England, Wales and Northern
‘Nizoral 2% cream 30g’ - it has not been Ireland the issue is complicated further by a
endorsed as ‘SLS’ by the prescriber - generic listing for Ketoconazole 2% cream in
the drug tariffs.
will I get paid for dispensing it? Ketoconazole 2% cream 30g is listed in Part
A: No, you would not be reimbursed for VIIIA (Basic prices of drugs) of the England
dispensing this prescription as it stands. & Wales Drug Tariff. It does not have the SLS
Nizoral cream 30g is listed in Part XVIIIB of symbol next to it and therefore does not fall
the England and Wales Drug Tariff - Drugs, under the Selected List Scheme.
Medicines and other Substances that may Drug Tariff symbols | Numark
be ordered only in certain circumstances. This means that prescriptions written
This is also known as the Selected List generically can be issued for the treatment
Scheme (SLS).
of any appropriate medical condition and do
Nizoral cream is also listed in the not require the ‘SLS’ endorsement. Nizoral
equivalent sections, Part 12 (Schedule 2) cream can be dispensed on a generic
of the Scotland Tariff and Part XI (b) of the prescription without being out of pocket
Northern Ireland Tariff. because the tariff price is based on the list
Under the tariff rules, Nizoral cream can only price of Nizoral.
be prescribed on an NHS prescription for the There is no generic listing for ketoconazole
treatment of certain specified conditions: cream in the Scotland Tariff and therefore
• Seborrhoeic dermatitis even generic prescriptions would require the
• Pityriasis versicolor ‘SLS’ endorsement.
The prescription must be marked by the So in summary:
prescriber with the reference ‘SLS’ in order For England, Wales and Northern Ireland
for the item to be passed for payment. • Branded prescriptions for Nizoral cream
It is not necessary for the pharmacist to must be endorsed by the prescriber to
confirm whether the item is being used ensure payment.
to treat the specified conditions. The only • Generic prescriptions for ketoconazole
factor affecting payment is whether it is cream do not require any prescriber
endorsed ‘SLS’ or not. endorsement, even if the brand Nizoral is

Note that the endorsement required in dispensed.
Northern Ireland is ‘S. 11’ rather than ‘SLS’. In Scotland, all prescriptions, generic and
Prescriptions for Nizoral cream without branded, must be endorsed with ‘SLS’.
the ‘SLS’ endorsement must be returned
to the prescriber for amendment prior to
submission to the pricing agency.
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