Endorsing guide

(v1.10) Updated: 2 January 2016, see all updates

2.2.11.3 Products Not included in Part 7S or 7U

PSD does not hold prices for unlicensed products.

Just like endorsements for Specials, in the electronic message the CP must add the specific price endorsement by entering in the NHS net cost price for the quantity dispensed, excluding VAT. The PMR system will format the claim.

On the paper form the CP must endorse the code SP, followed by NHS net cost price for the quantity dispensed, excluding VAT, of the product in format ‘pppp’.

An invoice should be submitted as evidence of the claim, but the price claimed must be declared on the prescription form or no payment will be made.

If there is an additional handling or postage and packing charge this can also be claimed separately as an Out of Pocket expense. (Please refer to Section 2.2.12 for guidance)

Circular PCA(P)(2015)17 describes new arrangements for the dispensing of specials and imported unlicensed medicines effective from 1st September 2015. Further information on endorsing requirements of these products can be found in Appendix 6 of the endorsing guide.

If a prescribed item requires to be made as an extemporaneous preparation, and the CP elects to order it from a specials manufacturer then this usually incurs a much higher cost. This type of product is classed as a “Special”. The products falling into this category are generally topical products which have originally been prescribed by a hospital skin clinic.

They may contain ingredients that cannot be sourced in reasonably small quantities. They are likely to contain at least one ingredient which is in the Drug Tariff. (E.g. soft white paraffin) Please see the entry for “Specials” in Part 1 of the Drug Tariff.

Considerable differences can exist between the prices charged by different manufacturers of unlicensed specials. Please note that, under the terms of the Scottish Drug Tariff, there is no obligation to make full reimbursement for a special sourced from a third party unless the NHS Board agrees to complete such a payment.

The CP should always contact their NHS Board for initial approval before contracting with a specials manufacturer.

PSD will generally pass the following type of ‘special’ without question:

  • Where the preparation has Coal Tar or Cade Oil as one of the ingredients
  • Sterile products
  • All Products from Special Order Hospital Manufacturing Units. A list of the Special Order Manufacturers can be found in the British National Formulary (BNF).

In the electronic message the CP must add the special price endorsement by entering in the NHS net cost price for the quantity dispensed, excluding VAT, of the product. The PMR system will format the claim.

On the paper form the CP must endorse the code SP, followed by the NHS net cost price for the quantity dispensed, excluding VAT, of the product in format ‘pppp’.

The invoice, or a legible copy, should be submitted to PSD with the paper prescription form as evidence of the claim, but the price claimed must be declared on the prescription form or PSD cannot make an accurate payment.

If there is an additional handling or postage and packing charge this can also be claimed separately as an Out of Pocket expense. (Please refer to Section 2.2.12 for guidance)

PSD will assess the prescription, and pay those where it is clear that the item had to be prepared by a third party and that there is no alternative route of supply.

In all other cases PSD will pay for the ingredients and refer to the Board. The balance of the full cost will only be made if authorised by the Board. PSD will inform the CP of the Board’s decision.  

Example :- illustrates endorsements for special price £63, fixed non Part 7S handling charge £30 and additional out of pocket expenses of £22.50, all in the format ‘pppp’.

Electronic format Paper format
Required Required
A Special Price endorsement should be applied along with any relevant and appropriate out of pocket expenses.
NB - Guidance relating to application of endorsements can be found in your supplier User Guide / Manuals
The paper form should be endorsed as in the example format above. Any relevant and appropriate Out of Pocket expenses should be applied.
NB - Please ensure that the price endorsements are written as ‘pppp’