DHSC’s April 2024 Price Concessions – Final Update

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The Department of Health and Social Care (DHSC) has today (01/05/2024) confirmed the following final list of price concessions for April 2024.

This final update comes after the end of the month and follows the decision by DHSC, under the direction of Ministers, to impose changes to concessions pricing from April to try to manage purchase margins. DHSC has applied its new margin reduction formula as a final step, delaying the announcement through the addition of another layer of complexity to the concessions process.

Community Pharmacy England has strongly opposed this, and is continuing to warn Government and the NHS that putting further pressure on pharmacies to dispense at a loss will have very serious consequences for the sector, patients and the wider primary care system.

All pharmacy owners are encouraged to contact their MPs about the ongoing intolerable pressures on the sector using our guidance for writing to your MP and/or our latest briefings for politicians.

Drug Pack size Price concession
Benzylpenicillin 600mg powder for solution for injection vials 2 £5.95
Cabergoline 500microgram tablets 8 £19.84
Chlorphenamine 2mg/5ml oral solution sugar free 150 £3.24
Co-amoxiclav 250mg/62mg/5ml oral suspension sugar free 100 £2.07
Co-beneldopa 12.5mg/50mg capsules 100 £4.96
Diethylstilbestrol 1mg tablets 28 £104.49
Enalapril 10mg tablets 28 £0.72
Fluticasone 400microgram/unit dose nasal drops 30 £16.90
Fusidic acid 2% cream 15 £1.96
Fusidic acid 2% cream 30 £3.78
Ispaghula husk 3.5g effervescent granules sachets gluten free sugar free 30 £6.39
Itraconazole 100mg capsules 15 £10.35
Lamotrigine 200mg tablets 56 £4.81
Lisinopril 20mg / Hydrochlorothiazide 12.5mg tablets 28 £8.43
Mercaptopurine 50mg tablets 25 £8.73
Metoprolol 100mg tablets 28 £2.69
Mometasone 0.1% cream 30 £3.73
Moxonidine 200microgram tablets 28 £5.36
Olanzapine 20mg tablets 28 £1.66
Pregabalin 100mg capsules 84 £2.13
Prochlorperazine 5mg tablets 28 £1.81
Quetiapine 300mg tablets 60 £6.99
Ropinirole 1mg tablets 84 £33.84
Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose vials 20 £16.99
Sitagliptin 100mg/5ml oral solution sugar free 150 £49.00

Notes 

There are no prices that rolled over from the previous month.

No additional endorsements are required for price concessions. A price concession only applies for the month it is granted; any prices agreed for concessions requested late in the month will roll over into the following month. 

Please  subscribe to our mailing list to receive email updates of any price concessions.

Background to the changes

DHSC announced in the April 2024 Drug Tariff  its decision to manage retained buying margin by limiting concessionary prices. From April to June 2024, DHSC will be seeking to recover c£5.4m per month from the community pharmacy sector by squeezing price concessions.  

This experiment, imposed by DHSC under the direction of Ministers, is replacing the usual process of making margin adjustments to Category M reimbursement prices for this quarter. Community Pharmacy England remains firmly opposed to this approach, or any recovery of margin, given the very serious financial fragility of community pharmacies. We have serious concerns about the ongoing impact on pharmacy businesses and their patients.

Further information on price concessions and FAQs about the process involved can be found on our website (cpe.org.uk/priceconcessions). To hear more on how the current price concessions system operates, pharmacy teams can watch a recording of our webinar here.

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