Endorsing guide

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

Appendix 4 - Different Pack Types - Pricing Rules

PSD’s pricing rules dictate how much of a change in the prescribed quantity is allowed. The amount of leeway allowed differs depending on the ‘type’ of pack dispensed. These rules and the guidance below applies to both electronic and paper endorsing.

There are 4 types of pack:

1. Ordinary Packs (10% rule)

2. Calendar Packs(nearest sub-pack to cover the quantity)

3. Patient Packs(calendar pack with no sub-packs)

4. Whole Packs(pack and a half rule)

1. Ordinary packs (10% Rule)

These are mostly proprietary packs which often have to be broken if the quantity prescribed does not match a larger pack to within 10%.   (They have no days of the week marked on the packaging)

You may dispense and be paid for:

  • The exact quantity prescribed
  • A quantity up to 10% more than the quantity ordered so long as this quantity coincides with a full pack quantity on PSD’s master file.  (NOT a Parallel import quantity unless it matches a British pack size)
  • A quantity less than the quantity prescribed
  • In the absence of endorsement you will be paid for the exact quantity prescribed

2. Calendar Packs – packs with days of the week printed on the strips

These are mostly proprietary packs.   You may dispense and be paid for:

  • the exact quantity prescribed
  • the nearest sub pack to cover the quantity prescribed.
  • a quantity less than the quantity prescribed
  • in the absence of endorsement you will be paid for the exact quantity prescribed.

Example: Actonel 5mg Tablets  - Pack available 28/2

Prescribed quantity Pack size used Quantity endorsement PSD will pay
30 28/2   30
30 28/2 Q30 30
30 28/2 Q42 42
30 28/2 Q56 30
50 28/2 Q56 56

NB: Please remember that when you dispense electronically your PMR system will ensure that you choose a pack and confirm/enter the dispensed quantity.

3. Patient Packs

These are generic packs in Part 7 of the Drug Tariff.   They are treated by PSD as 'Calendar packs with no sub-packs'. They cause confusion because most of them actually do contain sub-packs.  You may dispense:

  • The exact quantity prescribed
  • The full pack above the quantity prescribed
  • A quantity less than the quantity prescribed
  • In the absence of endorsement you will be paid for the exact quantity prescribed
  • Do not claim in sub-pack quantities which PSD does not recognise. If you do you will be paid the exact quantity prescribed.

NB – Refer to CPS Pink DT Part 7 Booklet which annotates each item with its pack type.

Example: Furosemide 40mg Tablets  ~  Pack available 28

Prescribed quantity Pack size used Quantity endorsement PSD will pay
30 28   30
30 28 Q28 28
30 28 Q30 30
30 28 Q56 56
30 28 Q42 30

NB: Please remember that when you dispense electronically your PMR system will ensure that you choose a pack and confirm/enter the dispensed quantity.

4 Whole Packs/Special Containers

This rule appears to cause the most confusion. The problems arise because contractors do not always recognise what is a whole pack and is particularly confusing if a product is available in two pack sizes both of which are classed as Whole Packs. (e.g. Tacrolimus).

PSD will only ever pay in whole pack quantities.

  • You should provide the drug in the pack or packs nearest to the quantity ordered. Endorse the quantity dispensed.
  • If you do not endorse PSD will pay the nearest number of complete packs.

    N.B. if the quantity prescribed is exactly a pack and a half (or 2 and a half packs etc.) in the absence of an endorsement PSD will round up and pay to the nearest whole pack above the quantity prescribed.

  • You cannot be paid for the exact quantity prescribed unless it coincides with an exact number of packs.

Example: Tacrolimus Caps 1mg – Packs available 50 and 100

Prescribed quantity Pack size used Quantity endorsement PSD will pay
112     100
112   Q112 100
112 50 Q112 100
112 100 Q112 100
112 50+100 Q50+Q100 (Q150) 50 pack and 100 pack

NB: Please remember that when you dispense electronically your PMR system will ensure that you choose a pack and confirm/enter the dispensed quantity.