As part of our Funding & Reimbursement Shorts  series, Community Pharmacy England’s in-house Drug Tariff and funding experts have created a new video on disallowed items.

Disallowed items are those that have not been passed for payment by the NHS Business Services Authority (NHSBSA). It is important that pharmacy teams understand what can be done avoid or reduce the risk of receiving disallowed items from the NHSBSA to minimise the risk of losing money by dispensing disallowed items. Items may be disallowed for a number of reasons, for example the item prescribed is an appliance or medical device which is not listed in Part IX of the Drug Tariff, or where the prescriber is not authorised to issue prescriptions for the prescribed item for example, if a NHS dentist or nurse has prescribed an item outside of their respective formulary.

In this video, Gemma Hackett, our Dispensing and Supply Officer, and Mitesh Bhudia, our Dispensing and Supply Supervisor, explain:

  • What disallowed items are and the most frequent reasons for them being unpaid
  • Practical checks pharmacy teams can carry out to reduce the risk, such as verifying prescribing rights, ensuring items are listed in the Drug Tariff, and confirming prescriber qualifications via the NMC register
  • How to challenge disallowed items through MYS and what information to provide when submitting an appeal
  • Helpful resources and top tips, including monitoring updates to dispensing systems, challenging NHSBSA decisions when appropriate, and using tools like the Prescription Item Report (PIR).

Watch the disallowed item video here:

Funding & Reimbursement Shorts

Community Pharmacy England’s series of Funding & Reimbursement Shorts aim to provide pharmacy owners and their teams with more information on common funding and reimbursement topics, enhancing understanding of specific topics and addressing common queries. In the videos, our in-house Drug Tariff and funding experts will offer practical advice on topics such as:

  • Referred back items
  • Paper prescription sorting and submission process
  • End of month submission process
  • Handling prescriptions with supplementary product information
  • Price concessions
  • Dispensing claiming SSPs
  • Original pack dispensing

The videos are supplemented by factsheets and briefings produced by the Dispensing and Supply team, including the overarching ‘Top tips to maximise dispensing income’ factsheet, which links to a wealth of resources and serves as a handy written checklist for the wider pharmacy team. 

Later videos will cover topics such as referred back and disallowed items and EPS claiming. We would also welcome your suggestions for other future topics – please email  ds.team@cpe.org.uk  with any suggestions. 

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