January 2024 Price Concessions 1st Update

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Following discussions between Community Pharmacy England and the Department of Health and Social Care (DHSC) regarding medicine pricing issues reported by pharmacy owners, the Department has today (19/01/2024) announced the following initial list of price concessions for January 2024.

Please note: We are still in discussion with DHSC on a number other medicines affected by pricing issues this month. We will issue further updates as soon as we hear back from the Department.

Drug Pack size Price concession
Amiloride 5mg tablets 28 £15.54
Baclofen 5mg/5ml oral solution sugar free 300 £3.97
Betamethasone valerate 0.1% cream 100 £4.05
Bimatoprost 300micrograms/ml / Timolol 5mg/ml eye drops 3 £4.05
Bumetanide 1mg tablets 28 £2.74
Cinacalcet 30mg tablets 28 £6.82
Clarithromycin 250mg tablets 14 £3.09
Clotrimazole 1% cream 20 £1.77
Clotrimazole 500mg pessaries 1 £9.28
Cyclizine 50mg tablets 100 £3.61
Cyclizine 50mg/1ml solution for injection ampoules 5 £5.56
Docusate 50mg/5ml oral solution sugar free 300 £17.09
Escitalopram 10mg tablets 28 £1.27
Haloperidol 1.5mg tablets 28 £3.68
Haloperidol 5mg tablets 28 £3.66
Irbesartan 300mg tablets 28 £1.39
Ivabradine 7.5mg tablets 56 £4.43
Lamotrigine 200mg tablets 56 £5.23
Lamotrigine 25mg tablets 56 £1.92
Lamotrigine 50mg tablets 56 £2.95
Lamotrigine 5mg dispersible tablets sugar free 28 £9.99
Metformin 1g modified-release tablets 56 £2.75
Metformin 500mg/5ml oral solution sugar free 150 £26.50
Methylphenidate 10mg tablets 30 £2.99
Metoclopramide 10mg tablets 28 £2.19
Metoprolol 50mg tablets 28 £3.69
Midazolam 10mg/2ml solution for injection ampoules 10 £5.46
Mometasone 0.1% ointment 30 £3.55
Morphine sulfate 10mg/5ml oral solution 300 £5.45
Orlistat 120mg capsules 84 £23.90
Piroxicam 0.5% gel 112 £3.44
Pregabalin 225mg capsules 56 £2.35
Risperidone 1mg/ml oral solution sugar free 100 £3.16
Risperidone 2mg tablets 60 £1.95
Rosuvastatin 20mg tablets 28 £1.99
Simvastatin 80mg tablets 28 £1.61
Sodium valproate 200mg/5ml oral solution sugar free 300 £8.14
Spironolactone 50mg tablets 28 £4.16
Terbinafine 1% cream 15 £3.54
Terbinafine 1% cream 30 £7.09
Trazodone 150mg tablets 28 £2.10
Zolmitriptan 2.5mg tablets 6 £16.45
Zolmitriptan 2.5mg tablets 12 £32.90
Zonisamide 50mg capsules 56 £13.52
Zopiclone 3.75mg tablets 28 £1.43
Zopiclone 7.5mg tablets 28 £1.56

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.

We encourage pharmacies to report any problems obtaining a Part VIII product at or below the stated Drug Tariff price, using the online feedback form on the Community Pharmacy England 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, discuss the issue with DHSC.

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

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 now access a recording of our recent Medicines Supply and Concessions Briefing webinar  here.

Improvements to the price concession system

Following significant concerns raised by pharmacies about the unsustainable level of prices imposed by  DHSC  in second half of 2022, it was agreed that an  urgent review of the price concession setting system would take place.

Since this announcement, we have sent a strong and clear message back to Government that pharmacies cannot continue to subsidise the NHS medicines bill. Following the review of the concessionary price process, a package of measures has been developed to improve the system.

One of the solutions agreed between us and DHSC is that from 1st April 2023, all products granted a concessionary price will be classified as ‘Discount Not Deducted’ for the month(s) in which they are on concession.

Furthermore, from May 2023, DHSC has implemented a process to roll over prices to the following month for any concessions requested after the 23rd of the month provided these prices were agreed with us. We are also continuing to work with DHSC on how a ‘retrospective increased payment’ may apply, where appropriate. Further information regarding this concession ‘top-up’ mechanism will be issued once details are finalised.