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So what if the drug isn’t listed in Part Here are a few examples of items in the
VIIIA? Does that mean it can't be blacklist:
prescribed?
The description Fiery Jack ointment, a
Any drug, cosmetic or food can be prescribed medicinal product, is in the blacklist and
on an NHS prescription unless it is named in therefore cannot be prescribed. However, its
part XVIIIB – affectionately known as "the generic name of Capsicum 2.466% ointment
blacklist". Technically, this means that a GP is not blacklisted – if a GP prescribed
could prescribe a Mars Bar if they wanted to generically then the pharmacy could dispense
– it is a food and it is not on the blacklist – Fiery Jack and get reimbursed.
and a pharmacy would (with an appropriate
endorsement) be paid for dispensing it. In Complan is blacklisted and so the product
this case, the local health authority would be cannot be prescribed. But the full product
asking the GP to justify their prescribing and description (as given in the DMD) Complan
of course the pharmacist would be likely to Shake Oral Powder 57g Sachets is not
query the prescription rather than dispense it. blacklisted and therefore can be prescribed.
When dispensing a medicine that is not listed Benerva 100mg tablets are blacklisted under
in the DT you must endorse the prescription their brand name of Benerva but can be
with manufacturer, pack size and price. Failure prescribed generically as thiamine 100mg
to do so will result in the prescription being tablets. In this case, the GP cannot insist that
sent back for clarification. If the medicine Benerva is dispensed. You should choose the
is specially manufactured or imported then cheapest product available to you which may
there are additional endorsing requirements. or may not be Benerva.
The blacklist Daktarin 2% Cream 15g is in the blacklist so
it cannot be prescribed. But again, it could
The underlying principle of the blacklist is to be prescribed using its generic name of
try and prevent expensive over-the-counter miconazole 2% cream 15g which is not in the
products being prescribed at the expense of blacklist.
the NHS. This proves very difficult to achieve, Selected List Scheme
particularly when the blacklist does not keep
pace with new and amended OTC products. There are some medicines that are only
The result is a historical document replete allowed to be prescribed on the NHS for
with quirks and anomalies which we have to certain patients or certain medical conditions.
make sense of. The classic example of this is the supply
of Viagra (sildenafil) for the treatment of
If a given product is named in the blacklist
then it cannot be prescribed using that erectile dysfunction. Other examples include
exact description. If dispensed, the item will clobazam for the treatment of epilepsy and
be disallowed and the pharmacy will not be Nizoral cream (ketoconazole) for seborrhoeic
reimbursed for it. The key here is that it is the dermatitis.
'exact description' that is blacklisted. If an Full details are given in Part XVIIIB Drugs,
alternative description is used, for example Medicines and other Substances that may be
the generic name of the product and that ordered only in certain circumstances (Part
description is not in the blacklist then the 12 in Scotland). When using this list, drugs
pharmacy will be reimbursed for dispensing it. in column 1 may be prescribed for persons
It is the product name on the prescription that mentioned in column 2, only for the purpose
is important, not the name on the packaging! specified in column 3. It is for the prescriber
to determine if the patient has the listed
medical condition and they must endorse the
prescription with "SLS". Where SLS is missing
the prescription cannot be dispensed and
must be returned for amendment.
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