November 2024 Price Concessions 2nd 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 (20/11/2024) announced the following list of price concessions for November 2024:
| Drug | Pack size | Price concession |
| Benzoyl peroxide 5% / Clindamycin 1% gel | 60 | £22.06 |
| Brimonidine 0.2% eye drops | 5 | £2.65 |
| Clarithromycin 125mg/5ml oral suspension | 70 | £4.72 |
| Clomipramine 50mg capsules | 28 | £8.06 |
| Co-tenidone 50mg/12.5mg tablets | 28 | £6.20 |
| Domperidone 10mg tablets | 100 | £2.76 |
| Domperidone 10mg tablets | 30 | £0.83 |
| Escitalopram 10mg tablets | 28 | £1.65 |
| Haloperidol 5mg tablets | 28 | £10.39 |
| Hydroxocobalamin 1mg/1ml solution for injection ampoules | 5 | £12.65 |
| Isosorbide mononitrate 20mg tablets | 56 | £1.33 |
| Ketoconazole 2% shampoo | 120 | £24.00 |
| Levetiracetam 250mg tablets | 60 | £1.88 |
| Levetiracetam 500mg tablets | 60 | £4.95 |
| Metformin 1g modified-release tablets | 56 | £4.11 |
| Metformin 500mg modified-release tablets | 56 | £2.49 |
| Naproxen 250mg gastro-resistant tablets | 56 | £6.75 |
| Nicorandil 10mg tablets | 60 | £7.58 |
| Olanzapine 15mg tablets | 28 | £3.38 |
| Ondansetron 8mg tablets | 10 | £3.00 |
| Perindopril erbumine 2mg tablets | 30 | £1.37 |
| Pregabalin 150mg capsules | 56 | £2.88 |
| Pregabalin 200mg capsules | 84 | £4.25 |
| Pregabalin 300mg capsules | 56 | £3.10 |
| Pregabalin 75mg capsules | 56 | £2.65 |
| Rizatriptan 10mg tablets | 3 | £8.51 |
| Ropinirole 500microgram tablets | 28 | £12.61 |
| Tadalafil 5mg tablets | 28 | £8.25 |
| Telmisartan 80mg tablets | 28 | £14.47 |
For the full list of price concessions granted for November 2024 so far please visit our price concession hub page here.
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.
Please see our latest funding and reimbursement short video for further information on the recent changes to the price concession process.
