Page 12 - P4304.1-V104_PS Magazine - December 24

Endorsements should reflect the brand given so you are reimbursed correctly and if you do not
endorse this prescription, it will be returned in the blue envelope for clarification.
This is endorsing. It is not required for any generic prescription listed in part 8a of the drug
tariff unless there is more than one pack size listed.
This endorsing rule also applies to concessions as the concessionary drug tariff price will be
automatically applied and paid. Any endorsement will not be read unless an item is not in the
drug tariff, or more than one pack size is listed in the drug tariff.
Endorsing is only done in the margin of the prescription as shown in PRESCRIPTION A.
Now let’s look at the other term – Branding.
This seems to be where we all get confused.
Branding is not the same as endorsing although you may endorse a brand as I demonstrated
on Prescription B, where an item is not listed generically in the DT.
Branding a prescription is when an alteration is made in the main body of the prescription
as in Prescription C below. It is a PRESCRIBING CHANGE and requires the PRESCRIBERS
SIGNATURE to make the prescribing change valid. Without the signature it will not be
acknowledged by prescription services.
PRESCRIPTION C

This prescription is now written as Maxitram SR and MUST be
dispensed as such. You will now no longer receive the DT price
for the Tramadol MR 150mg capsules which was £21.71 as
listed in the DT but rather the brand cost will be applied as per
Tramadol 150mg MR the dm+d.
Capsules
One to be taken In the instance of branding this prescription in the main body
twice a day the payment would be £18.21.
x60
Maxitram SR
c m pond

First word of warning, as demonstrated here – by branding you are requesting a lower price
than the DT price, which is a shame. You could have dispensed Maxitram against the generic
prescription no problem and without any endorsing or branding you would have received the DT
price of £21.71. You really need to be careful and check before you start altering prescriptions.

I hope this is making sense so far because I now want to move onto the even more
complicated concept of generic branding or GHOST BRANDING prescriptions.
What is a ghost brand?
A ‘Ghost’ branded generic medicine refers to a generic drug that is bioequivalent to a better-
known branded medication but is marketed under an obscure or lesser-known label, often
without strong branding or marketing presence. It provides the same active ingredients,
dosage, and efficacy as the original brand-name drug. An example here would be Sukkarto for
Metformin where the big brand was Glucophage. Ghost branding also refers to a generic item
where the manufacturer is added into the drug name as below in Prescription D.
The addition of a generic manufacturer or a generic brand name into the prescription item
line or added by hand in the body of the prescription, again is a prescribing change not an
endorsement. It means that the item dispensed should be as prescribed so in the case of
Prescription D the order is for Morningside Tramadol SR 150 capsules and only the Morningside
brand can be dispensed.

12 PS Magazine | Concessions Myth Buster Buy direct online at PSUK.co.uk

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