How to Lose Business

[Defblade]

Methadone scripts are the only ones on instalments at present that you will be paid for.

You can claim additional fees if the shelf life of a reconstituted product means you need to supply them seperately. Antibiotic suspn for more than 7 days is the classic, but could also apply to zineryt.

[johnep]

Oh dear, I don't think we ever had.
johnep

[Ally]

You can dispense as you wish, as long as the prescription is endorsed properly you will be paid. Lack of endorsement however means you are paid less. Take aspirin for example, you will get paid more if you dispense the rx amount in packs of 32. No endorsement means they will use the 1000 pack size to work out how much to pay you and you'l make less money.

Ive notice this in nearly every pharmacy ive worked, large and small. Aspirin, Paracetamol, Gaviscon, Aqueous Cream, Paracetamol Suspension, Metformin etc, etc. The only way to make money is to play on the pack sizes. BUT... you must order the product! A few independant pharmacies ive worked in are endorsing for smaller pack sizes but ordering the larger ones. If rxs are quered you must prove you brought the stock. I think one of the old Gaviscon cases with the society involved a pharmacist endorsing for 5 x 100ml of gaviscon and when they checked the number of bottles ordered was about 25% of the quantity they should have been ordering in order to forfill the rxs hence a clear case of fraud.

[bobbin]

However, I would only endorse for whatever has actually been handed to the patient.

Absolutely. Care should be taken to ensure that pack size endorsements are correct. If ACTs are doing the final check, they need to be trained to check the endorsements as well.

[bobbin]

Am I right in thinking you could also claim for three dispensing fees (as it has to be made up) if the patient came back each time rather than taking all three bottles at once?

I'm afraid not. Limited stability fees can only be claimed for the following products (which are stable for less that 14 days).............

Amoxicillin 125mg/5ml oral suspension
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Amoxicillin 250mg/5ml oral suspension
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Ampicillin 125mg/5ml oral suspension
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Ampicillin 250mg/5ml oral suspension
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Azithromycin 200mg/5ml oral suspension
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Cefaclor 125mg/5ml oral suspension sugar free
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Cefaclor 250mg/5ml oral suspension sugar free
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Cefadroxil 125mg/5ml oral suspension
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Cefadroxil 250mg/5ml oral suspension
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Cefadroxil 500mg/5ml oral suspension
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Cefalexin 125mg/5ml oral suspension
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Cefalexin 250mg/5ml oral suspension
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Cefalexin 500mg/5ml oral suspension
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Cefpodoxime 40mg/5ml oral suspension
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Cefradine 250mg/5ml oral solution
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Cefuroxime 125mg/5ml oral suspension
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Co-amoxiclav 125mg/31mg/5ml oral suspension
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Co-amoxiclav 125mg/31mg/5ml oral suspension sugar free
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Co-amoxiclav 400mg/57mg/5ml oral suspension sugar free
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Co-amoxiclav 250mg/62mg/5ml oral suspension
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Co-amoxiclav 250mg/62mg/5ml oral suspension sugar free
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Erythromycin ethyl succinate 125mg/5ml oral suspension
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Erythromycin ethyl succinate 125mg/5ml oral suspension sugar free
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Erythromycin ethyl succinate 250mg/5ml oral suspension
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Erythromycin ethyl succinate 250mg/5ml oral suspension sugar free
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Erythromycin ethyl succinate 500mg/5ml oral suspension
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Erythromycin ethyl succinate 500mg/5ml oral suspension sugar free
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Flucloxacillin 125mg/5ml oral solution
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Flucloxacillin 125mg/5ml oral solution sugar free
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Flucloxacillin 250mg/5ml oral solution
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Flucloxacillin 250mg/5ml oral solution sugar free
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Oseltamivir 60mg/5ml oral suspension sugar free
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Phenoxymethylpenicillin 125mg/5ml oral solution
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Phenoxymethylpenicillin 125mg/5ml oral solution sugar free
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Phenoxymethylpenicillin 250mg/5ml oral solution sugar free

See.........

Limited Stability Fee Funding & Drug Tariff PSNC

Bobbin