Retrospective reimbursement price adjustments for Nutrison® water for gastroenteral feeds – update

Update 12/09/2024: Please note a change in payment timings confirmed by Department of Health and Social Care (DHSC). Pricing adjustments for Nutrison® water for gastroenteral feeds are planned to be included in the August 2024 Schedule of Payments (with a payment dates of 1st November 2024). The payments will appear as ‘Adjustment drugs‘ and ‘Adjustment fees’ (if applicable). The adjustments for products listed above will be shown as a combined total.


Following representations made by Community Pharmacy England on behalf of community pharmacy owners, the Department of Health and Social Care (DHSC) has retrospectively adjusted the reimbursement prices of Nutrison® water for gastroenteral feeds dispensed from January to July 2024.

The list price of Nutrison® water for gastroenteral feeds manufactured by Nutricia Ltd had recently increased but these changes were not reflected on the NHS dictionary of medicines and devices (dm+d). Therefore, due to out of date pricing information held on NHS dm+d, Community Pharmacy England sought upward retrospective pricing adjustments for Nutrison® water for gastroenteral feeds dispensed from January to July 2024:

Product Pack size Previous NHS list price Retrospectively adjusted reimbursement price (effective from January 2024)
Nutrison® water for gastroenteral feeds 1000ml £2.16 £2.43

For this product pricing adjustments are planned to be included in the July 2024 Schedule of Payments (with a payment dates of 1st October 2024). The payments will appear as ‘Adjustment drugs‘ and ‘Adjustment fees’ (if applicable). The adjustments for products listed above will be shown as a combined total. Please see updated payment timings above.

Community Pharmacy England has raised concerns with DHSC about the accuracy of certain product and pricing information held on dm+d. Community Pharmacy England is in discussion with DHSC regarding improvements to the data quality and checking processes for dm+d database, managed by NHS Business Services Authority (NHSBSA).