Retrospective reimbursement prices for August 2026
Following representations made by Community Pharmacy England on behalf of community pharmacy owners, the Department of Health and Social Care (DHSC) has redetermined August 2026 reimbursement prices for the following products to reflect an increase in their NHS list prices.
To avoid pharmacy owners dispensing these products at a loss, DHSC has agreed to grant retrospective price adjustments for the following products prescribed by brand or generically.
August 2026 price adjustments
| Generic name | Brand name | Pack size | Previous NHS list price | Redetermined reimbursement price | Drug Tariff Category |
| Silver nitrate 95% caustic applicators | Avoca 95% silver nitrate applicators (Bray Group Ltd) | 100 applicator 10 x 10 applicators | £99.08 | £107.44 | Part VIIIA Category C |
| Generic PKU Easy microtabs | PKU Easy microtabs (Galen Ltd) | 440 gram 4 x 110g bottles | £235.12 | £242.17 | Non-Dug Tariff |
| Generic TYR Easy tablets | TYR Easy tablets (Galen Ltd) | 462 tablet 6 x 77 tablets | £384.57 | £396.11 | Non-Dug Tariff |
Pricing adjustments for products granted an adjustment for are planned to be included in the August 2026 Schedule of Payments (with a payment date of 30 October 2026).
Background
Following a change to the list price of a product, the corresponding Drug Tariff and/or reimbursement price adjustment is influenced by two key factors:
- The type of product i.e. brand (proprietary) or generic (non-proprietary); and
- The effective price change date (i.e. the date the list price is updated by the supplier) – whether this was on or before the 8th of the month or after the 8th of the month
The impact of the price change timetable on reimbursement is outlined below:
Generics with list price changes
- If the list price is updated on or before the 8th of the month, the new price would apply to reimbursement in the same month
- If the list price is updated after the 8th of the month, the new price would apply to reimbursement from the following month
Brands with list price changes
- If the list price is updated on or before the 8th of the month, the new price would apply to reimbursement the following month
- If the list price is updated after the 8th of the month, the new price would apply to reimbursement from the month following the next
Under the current price change mechanism, pharmacy owners would have to wait one (or in some cases two months) before any NHS list prices changes are applied to reimbursement of branded products. The delays in reimbursement prices catching up with any NHS list price increases can lead to dispensing at a loss, as pharmacies will be reimbursed based on the previous NHS list price until the price change is adjusted in line with the price change timetable. The impact is more significant for products with large list price increases or for high volume lines. To avoid pharmacy owners dispensing these products at a loss, Community Pharmacy England requested DHSC to redetermine the reimbursement prices for the products listed above.
Community Pharmacy England continues to seek a review of the current price change timetable for branded products so that there is no extra months’ delay in applying any new list prices changes to reimbursement.
