Following applications made by PSNC to the Department of Health and Social Care (DHSC) and the NHS Business Services Authority (NHSBSA), a further 15 new products entered the list of ‘Drugs for which Discount is Not Deducted’ (DND) in Part II of the Drug Tariff from 1 September 2022:

Click here to view the 15 products added to DND list on 1 September 2022:

Acetylcysteine 200mg oral powder sachets
Alzest 13.3mg/24hours transdermal patches
Brilique 60mg tablets
Brilique 90mg orodispersible tablets
Brilique 90mg tablets
Creon 25000 gastro-resistant capsules
Creon Micro Pancreatin 60.12mg gastro-resistant granules
Hydrocortisone 2.5% cream
Hydrocortisone 2.5% ointment
Icosapent 998mg capsules
Imiquimod 5% cream 250mg sachets
Valsartan 40mg tablets
Voriconazole 100mg tablets
Voriconazole 50mg tablets
Zyclara 3.75% cream 250mg sachets

For a list of all the monthly changes to the DND status of products please see the following page Notice of changes to discount not deducted (DND) status of products. A total of 544 products have been granted DND status following checks made by PSNC within the past 27 months.

Background

The DND list is updated monthly by the DHSC and includes grouped and individual items. Individual items are separately listed in Part II of the Drug Tariff. Any items covered by the ‘Group Items’ heading are not listed again individually in Part II. Contractors can also check the Actual Medicinal Product (AMP) listing on Dictionary of Medicines and Devices (dm+d) to identify whether a product meets the DND criteria (see below).

Group items

Any products that are covered by one or more of the Group items categories below are reimbursed without any discount deduction applied.

Cold Chain Storage (ALL)
Schedule 1, 2 or 3 Controlled Drugs: Products containing drugs listed in Schedules 1, 2 and 3 of the Misuse of Drugs Regulation 2001
Cytotoxic or Cytostatic item (ALL):
Immunoglobulins (ALL)
Insulins for injection (ALL)
Vaccines and antisera (ALL)
Unlicensed medicines: ‘Specials’ not listed in Part VIIIB where the product has been sourced from a supplier holding a MHRA specials or importers licence (prescriptions must be endorsed with invoice price less discount/rebate)
Hazardous chemicals

Individual items  

Products that do not are covered by one or more of the Group item categories above must fulfil all three of the following criteria to qualify for entry to the DND list.

the manufacturer(s), AAH and Alliance do not offer pharmacy contractors a discount
fewer than 500,000 items per year are dispensed of the product
average net ingredient cost (NIC) per item is more than £50

PSNC will continue its work to assess whether other drugs and appliances fulfil the current DND entry requirements under either the ‘Group’ and ‘Individual item’ criteria and make applications to NHSBSA and DHSC, accordingly.

If a product is currently subject to the discount deduction scale and you believe that it should be added to DND list based on the criteria specified above, please contact the PSNC Dispensing and Supply Team by emailing info@psnc.org.uk who will investigate whether the product meets the relevant DND criteria and make an application to the DHSC and NHSBSA, as appropriate.

For further information on how discount deduction works, click here.

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