Dispensing Zineryt

[razorbladekisses]

On the Rx it says Zineryt. Quant. 90ml. I think it only lasts 5 weeks (?) would it be OK to give 3 x 30ml over a period of time (6 months)? Would we get paid to dispense it in this way or should we just give 1 x 90ml?

Thanks in advance.

[Zoggite]

You will be paid for either 1x90ml, or for 3x30ml, depending on what you endorse. However, if you choose to dispense three 30ml-bottles, spread over several months, you couldn't claim more than 1 professional fee in total. I suppose, technically, this could be seen as "instalment dispensing"...

[razorbladekisses]

Thanks very much for your help. Much appreciated

[Jeff]

Originally Posted by Zoggite

You will be paid for either 1x90ml, or for 3x30ml, depending on what you endorse. However, if you choose to dispense three 30ml-bottles, spread over several months, you couldn't claim more than 1 professional fee in total. I suppose, technically, this could be seen as "instalment dispensing"...

I generally put down the date of dispensing of each 30ml bottle and claim three fees.
That doesn't mean I get paid 3 fees or that it wouldn't be more profitable to be paid for all 3 bottles at the beginning of the dispensing rather than at the end.

Jeff

[Pharmanaut]

Originally Posted by Jeff

I generally put down the date of dispensing of each 30ml bottle and claim three fees.
That doesn't mean I get paid 3 fees or that it wouldn't be more profitable to be paid for all 3 bottles at the beginning of the dispensing rather than at the end.

Jeff

You can claim limited stability. Ideally note in the "shop diary" when you need to have the extra stock so that you don't have an extra one that you have to pay for until you have dispensed it.

What do you mean - you don't have a "shop diary"?

[Steve G]

Originally Posted by Pharmanaut

You can claim limited stability. Ideally note in the "shop diary" when you need to have the extra stock so that you don't have an extra one that you have to pay for until you have dispensed it.

What do you mean - you don't have a "shop diary"?

off the top of my head you can only claim limited stability if the product is stable for less than 14 days after reconstitution.

[Zoggite]

Originally Posted by Steve G

off the top of my head you can only claim limited stability if the product is stable for less than 14 days after reconstitution.

It's not just off the top of your head, it's also out of Part III A section D of the Drug Tariff:
Limited Stability Fee
Part IIIA Section D of the Drug Tariff sets out the
arrangements for the Limited Stability Fee. The fee
can be claimed where a preparation which
requires the addition of a vehicle/diluent by the
pharmacy contractor results in a liquid of stability
of less than 14 days, and for pharmaceutical
reasons necessitates supply in more than one
container. For example, after reconstitution, Keflex
suspension has a shelf life of 10 days. If the
prescription requests 14 days supply, the
contractor would have to dispense the product on
two different occasions to ensure that the patient
could complete the course.
The Limited Stability Fee is currently £1.55 per
item and is claimed by endorsing the prescription
with the number of extra containers supplied. Due
to the nature of the endorsement, it is not always
clear to prescription processing staff if the fee is
being claimed by the pharmacy contractor or not,
therefore to ensure accurate pricing, PSNC
strongly recommends that the letters ‘LS’ are also
included in the endorsement.
The fee can only be claimed for products that
have been recognised by the NHSBSA
Prescription Pricing Division as being stable for
less than 14 days following the addition of a
required diluent. The list of recognised Limited
Stability products can be seen, listed right, by
generic name.
Please note that although a generic product may
be listed on the limited stability list, it is possible
that where the product is manufactured by a
number of companies that some brands or
manufacturer’s products are stable for less than
14 days and others for 14 days or more. The
limited stability fee should only be claimed where
the individual product being dispensed has
stability of less than 14 days following required
dilution and it is necessary to supply the product
in more than one container."

Amen.

See my favourite bedside reading material, a.k.a. the PSNC's "Dispensing Resouces 2007-2008" booklet, available to download here:
http://www.psnc.org.uk/uploaded_txt/...007%20%234.pdf