October 2023 Price Concessions 1st Update


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 (16/10/2023) announced the following initial list of price concessions for October 2023.

Please note the following line has been revised upwards on the 27th October 2023 following mid-month price changes reported by pharmacy owners, the revised price is reflected in the table below:

  • Ropinirole 250microgram tablets
Drug Pack Size Price concession
Amisulpride 100mg tablets 60 £18.00
Atorvastatin 10mg tablets 28 £1.30
Atorvastatin 20mg tablets 28 £1.39
Atorvastatin 40mg tablets 28 £2.25
Carbocisteine 250mg/5ml oral solution 300 £7.42
Chloramphenicol 1% eye ointment 4 £4.89
Cinacalcet 30mg tablets 28 £7.25
Co-amoxiclav 500mg/125mg tablets 21 £4.39
Doxycycline 100mg capsules 8 £1.05
Eplerenone 25mg tablets 28 £11.12
Eplerenone 50mg tablets 28 £5.58
Etoricoxib 60mg tablets 28 £2.20
Flecainide 100mg tablets 60 £3.04
Isotretinoin 20mg capsules 30 £11.27
Levetiracetam 100mg/ml oral solution sugar free 300 £10.41
Metoprolol 50mg tablets 28 £2.20
Mometasone 0.1% ointment 30 £4.11
Oxycodone 5mg/5ml oral solution sugar free 250 £9.60
Pantoprazole 20mg gastro-resistant tablets 28 £2.89
Quinine sulfate 200mg tablets 28 £7.40
Rasagiline 1mg tablets 28 £15.74
Risperidone 1mg/ml oral solution sugar free 100 £3.15
Risperidone 500microgram tablets 20 £3.05
Ropinirole 250microgram tablets 12 £3.94 £6.15
Rosuvastatin 10mg tablets 28 £0.95
Rosuvastatin 20mg tablets 28 £3.09
Rosuvastatin 40mg tablets 28 £1.65
Topiramate 100mg tablets 60 £10.63
Warfarin 1mg tablets 28 £0.92
Zolmitriptan 2.5mg orodispersible tablets sugar free 6 £20.24
There are no prices that rolled over from the previous month.

For the full list of price concessions granted so far for October 2023, please visit our webpage: cpe.org.uk/priceconcessions

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. We are still working with the DHSC to agree concessionary prices for other drugs reported to be unavailable at the stated October Drug Tariff price. Please note that we cannot provide details of any generic products awaiting price concession approval from 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.