DHSC’s May 2024 Price Concessions – 1st Update

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The Department of Health and Social Care (DHSC) has today (24/05/2024) confirmed the following initial list of price concessions for May 2024.

This announcement comes late in the month and follows the decision by DHSC, under the direction of Ministers, to impose changes to concessions pricing from April 2024 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.

Drug Pack size Price concession
Amoxicillin 250mg/5ml oral suspension 100 £2.29
Anastrozole 1mg tablets 28 £1.26
Aripiprazole 10mg tablets 28 £5.23
Aripiprazole 15mg tablets 28 £6.20
Aripiprazole 5mg tablets 28 £4.84
Azithromycin 250mg capsules 6 £6.01
Baclofen 10mg tablets 84 £3.10
Bimatoprost 100micrograms/ml eye drops 3 £4.30
Bimatoprost 300micrograms/ml / Timolol 5mg/ml eye drops 3 £8.14
Bumetanide 1mg tablets 28 £2.39
Cabergoline 500microgram tablets 8 £18.48
Calcipotriol 0.005% / Betamethasone dipropionate 0.05% gel 60 £22.91
Calcipotriol 0.005% / Betamethasone dipropionate 0.05% ointment 30 £10.71
Cefalexin 250mg capsules 28 £2.14
Cefalexin 500mg capsules 21 £2.80
Chloramphenicol 0.5% eye drops 10 £5.26
Cinacalcet 30mg tablets 28 £7.81
Clarithromycin 125mg/5ml oral suspension 70 £5.21
Clarithromycin 250mg/5ml oral suspension 70 £5.86
Co-amoxiclav 250mg/125mg tablets 21 £3.29
Co-amoxiclav 250mg/62mg/5ml oral suspension sugar free 100 £2.40
Co-amoxiclav 500mg/125mg tablets 21 £3.98
Co-beneldopa 12.5mg/50mg capsules 100 £4.96
Co-careldopa 25mg/100mg tablets 100 £8.10
Co-codamol 15mg/500mg tablets 100 £4.50
Co-codamol 30mg/500mg capsules 100 £5.35
Colecalciferol 1,000unit capsules 30 £6.45
Digoxin 125microgram tablets 28 £2.59
Digoxin 250microgram tablets 28 £2.57
Digoxin 62.5microgram tablets 28 £2.56
Docusate 50mg/5ml oral solution sugar free 300 £17.97
Donepezil 5mg tablets 28 £1.73
Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 0.2ml unit dose preservative free 60 £24.03
Dorzolamide 20mg/ml eye drops 5 £3.70
Duloxetine 20mg gastro-resistant capsules 28 £8.29
Duloxetine 30mg gastro-resistant capsules 28 £2.08
Duloxetine 40mg gastro-resistant capsules 56 £10.50
Duloxetine 60mg gastro-resistant capsules 28 £2.90
Enalapril 10mg tablets 28 £0.78
Escitalopram 10mg tablets 28 £1.66
Escitalopram 20mg tablets 28 £2.66
Escitalopram 5mg tablets 28 £5.96
Esomeprazole 40mg gastro-resistant capsules 28 £3.80
Estradiol 10microgram pessaries 24 £10.75
Etoricoxib 30mg tablets 28 £4.49
Etoricoxib 60mg tablets 28 £10.81
Etoricoxib 90mg tablets 28 £8.50
Ezetimibe 10mg tablets 28 £6.17
Famotidine 40mg tablets 28 £29.17
Fenofibrate micronised 160mg tablets 28 £3.32
Haloperidol 1.5mg tablets 28 £3.86
Haloperidol 5mg tablets 28 £3.96
Irbesartan 300mg tablets 28 £1.31
Isotretinoin 20mg capsules 30 £10.25
Itraconazole 100mg capsules 15 £10.20
Ketoconazole 2% shampoo 120 £17.51
Lactulose 3.1-3.7g/5ml oral solution 500 £3.77
Lamotrigine 200mg tablets 56 £4.73
Latanoprost 50micrograms/ml / Timolol 5mg/ml eye drops 2.5 £5.86
Lofepramine 70mg tablets 56 £21.33
Mebeverine 200mg modified-release capsules 60 £6.62
Memantine 10mg tablets 28 £1.26
Memantine 10mg/ml oral solution sugar free 50 £31.90
Memantine 20mg tablets 28 £1.45
Metformin 1g modified-release tablets 56 £3.48
Metformin 500mg modified-release tablets 56 £1.74
Methylphenidate 10mg tablets 30 £3.31
Metoclopramide 10mg tablets 28 £0.96
Metoprolol 100mg tablets 28 £2.69
Midazolam 10mg/2ml solution for injection ampoules 10 £6.81
Mometasone 0.1% ointment 30 £3.52
Mometasone 50micrograms/dose nasal spray 140 £9.20
Montelukast 10mg tablets 28 £1.75
Morphine sulfate 10mg/1ml solution for injection ampoules 10 £6.66
Moxonidine 200microgram tablets 28 £6.08
Mycophenolate mofetil 500mg tablets 50 £7.97
Nebivolol 2.5mg tablets 28 £10.87
Nebivolol 5mg tablets 28 £4.60
Nortriptyline 10mg tablets 100 £3.86
Olanzapine 10mg tablets 28 £3.31
Olanzapine 20mg tablets 28 £1.92
Ondansetron 4mg tablets 10 £6.32
Oxycodone 10mg/1ml solution for injection ampoules 5 £7.35
Paracetamol 500mg effervescent tablets 100 £6.37
Pregabalin 100mg capsules 84 £2.32
Pregabalin 150mg capsules 56 £2.12
Pregabalin 200mg capsules 84 £4.31
Pregabalin 300mg capsules 56 £2.75
Pregabalin 50mg capsules 84 £22.20
Primidone 250mg tablets 100 £88.02
Prochlorperazine 3mg buccal tablets 50 £8.53
Prochlorperazine 5mg tablets 28 £1.71
Pyridostigmine bromide 60mg tablets 200 £17.99
Quetiapine 100mg tablets 60 £2.27
Quetiapine 150mg tablets 60 £3.10
Quetiapine 200mg tablets 60 £5.20
Quetiapine 300mg tablets 60 £11.28
Quinine sulfate 200mg tablets 28 £7.32
Quinine sulfate 300mg tablets 28 £3.10
Rasagiline 1mg tablets 28 £35.19
Risperidone 2mg tablets 60 £1.92
Risperidone 4mg tablets 60 £2.21
Rizatriptan 10mg tablets 3 £7.38
Ropinirole 1mg tablets 84 £33.67
Ropinirole 2mg tablets 28 £31.51
Ropinirole 500microgram tablets 28 £15.75
Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose vials 20 £18.45
Simvastatin 20mg tablets 28 £0.93
Sodium chloride 0.9% nebuliser liquid 2.5ml unit dose ampoules 20 £9.50
Sodium valproate 200mg/5ml oral solution sugar free 300 £10.23
Tacrolimus 0.1% ointment 60 £37.62
Tamsulosin 400microgram / Dutasteride 500microgram capsules 30 £14.93
Temazepam 10mg tablets 28 £24.69
Terbinafine 1% cream 15 £3.52
Terbinafine 1% cream 30 £6.78
Trospium chloride 20mg tablets 60 £13.71
Zolmitriptan 2.5mg tablets 6 £17.33
Zolmitriptan 2.5mg tablets 12 £34.66
Zonisamide 100mg capsules 56 £27.69
Zonisamide 50mg capsules 56 £28.32

Please note: Community Pharmacy England has submitted price concession applications for a number of other medicines affected by pricing issues this month. We will issue further updates as soon as we hear back from the Department.

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. 

Next Steps 

Pharmacies should continue to report any problems obtaining a Part VIII product at or below the stated Drug Tariff price, using the online feedback form on our website. Please include full details of the supplier and price paid for any products sourced above the Drug Tariff price. We will investigate the extent of the problem and, if appropriate, submit further price concession applications to DHSC. Any prices granted by DHSC, will only be agreed by Community Pharmacy England if they are supported by the reports received by our team.

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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