Following applications made by PSNC to the Department of Health and Social Care (DHSC) and the NHS Business Services Authority (NHSBSA), a further 25 new products were classed as ‘Drugs for which Discount is Not Deducted’ (DND) from 1 April 2023. This took the total number of products granted DND status to over 600 products following checks made by PSNC.

Click here to view the 25 products added to DND list on 1 April 2023:

Alpha tocopheryl acetate 500mg/5ml oral suspension
Byannli 1000mg/5ml prolonged-release suspension for injection pre-filled syringes
Byannli 700mg/3.5ml prolonged-release suspension for injection pre-filled syringes
Dexcom One CGM System (contains 1 sensor, 1 sensor applicator, 1 transmitter) (Dexcom International Ltd) 1
Dexcom One Sensor (Dexcom International Ltd) 1 kit
Dexcom One Sensor (Dexcom International Ltd) 3 kit
Dexcom One Transmitter (Dexcom International Ltd) 1
Granisetron 3mg/3ml solution for injection ampoules
Magnesium sulfate 10% (magnesium 0.4mmol/ml) solution for injection 10ml ampoules
Metformin 1g/5ml oral solution sugar free
Metformin 850mg/5ml oral solution sugar free
Metronidazole 200mg/5ml oral suspension
Nizatidine 300mg capsules
Paracetamol 240mg suppositories
Passio disposable collection kit – PAS-10
Propiverine 15mg tablets
Quinagolide 50microgram tablets and Quinagolide 25microgram tablets
Renvela 0.8g oral powder sachets
Rifampicin 150mg capsules
Sodium chloride 30% solution for infusion 100ml vials
Sodium chloride 30% solution for injection 10ml ampoules
Tagrisso 80mg tablets
Timolol 10mg / Bendroflumethiazide 2.5mg tablets
Vancomycin 500mg powder for solution for infusion vials
Water for injections 100ml vials

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.


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 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.

The post 25 products added to the Discount Not Deducted (DND) list from April 2023 appeared first on PSNC Website.