July 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 (19/07/2024) announced the following initial list of price concessions for July 2024:

Drug Pack size Price concession
Amantadine 100mg capsules 56 £13.21
Amiloride 5mg tablets 28 £15.20
Benzydamine 0.15% mouthwash sugar free 300 £4.51
Bimatoprost 300micrograms/ml / Timolol 5mg/ml eye drops 3 £8.75
Cefalexin 500mg capsules 21 £3.01
Chloramphenicol 0.5% eye drops 10 £5.29
Clarithromycin 125mg/5ml oral suspension 70 £5.10
Co-amoxiclav 250mg/125mg tablets 21 £3.16
Co-codamol 15mg/500mg tablets 100 £3.60
Cyclizine 50mg/1ml solution for injection ampoules 5 £4.82
Docusate 50mg/5ml oral solution sugar free 300 £16.90
Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 0.2ml unit dose preservative free 60 £22.46
Duloxetine 20mg gastro-resistant capsules 28 £8.79
Duloxetine 40mg gastro-resistant capsules 56 £10.50
Dutasteride 500microgram capsules 30 £2.28
Enalapril 10mg tablets 28 £0.99
Escitalopram 10mg tablets 28 £1.58
Escitalopram 20mg tablets 28 £1.99
Escitalopram 5mg tablets 28 £4.26
Esomeprazole 40mg gastro-resistant capsules 28 £2.49
Estradiol 10microgram pessaries 24 £10.38
Etoricoxib 90mg tablets 28 £8.50
Lactulose 3.1-3.7g/5ml oral solution 500 £4.57
Levetiracetam 500mg tablets 60 £5.19
Mebeverine 200mg modified-release capsules 60 £7.41
Memantine 10mg tablets 28 £1.49
Memantine 20mg tablets 28 £1.69
Metformin 1g modified-release tablets 56 £3.83
Metformin 500mg/5ml oral solution sugar free 150 £22.45
Methylphenidate 10mg tablets 30 £3.42
Midazolam 10mg/2ml solution for injection ampoules 10 £5.41
Mometasone 0.1% ointment 30 £3.57
Mometasone 50micrograms/dose nasal spray 140 £9.20
Naproxen 500mg gastro-resistant tablets 56 £4.02
Nebivolol 5mg tablets 28 £4.21
Nicorandil 10mg tablets 60 £8.12
Nortriptyline 10mg tablets 100 £4.49
Olanzapine 10mg tablets 28 £7.99
Olanzapine 15mg tablets 28 £3.99
Olanzapine 2.5mg tablets 28 £2.60
Olanzapine 5mg tablets 28 £4.19
Olanzapine 7.5mg tablets 28 £1.33
Orlistat 120mg capsules 84 £23.14
Oxycodone 5mg/5ml oral solution sugar free 250 £8.48
Pregabalin 100mg capsules 84 £2.42
Pregabalin 300mg capsules 56 £3.08
Pregabalin 50mg capsules 84 £18.95
Pregabalin 75mg capsules 56 £1.90
Prochlorperazine 3mg buccal tablets 50 £8.69
Quetiapine 150mg tablets 60 £19.12
Quetiapine 300mg tablets 60 £13.99
Ropinirole 1mg tablets 84 £32.99
Ropinirole 500microgram tablets 28 £14.91
Sodium valproate 200mg/5ml oral solution sugar free 300 £7.62
Tacrolimus 0.1% ointment 30 £25.92
Temazepam 10mg tablets 28 £23.06
Trimethoprim 50mg/5ml oral suspension sugar free 100 £4.78

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

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.

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.

In May 2023, DHSC implemented a process to roll over to the following month any agreed prices for concessions requested on or after the 23rd of the month.

Furthermore, from April 2024, a retrospective top-up payment system applies to products granted very low concessionary prices by DHSC when compared to the average purchase prices identified via the Margins survey. Further information on the top-up mechanism can be found here.

Our CEO gives a video update addressing the prolonged pause in the 2024/25 CPCF negotiations.

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