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Cheeky way of prescribing solpadol brand

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  • Cheeky way of prescribing solpadol brand

    Getting prescriptions for co-cod caps 30/500 but in the dosage its says please give solpadol brand.

    co-codamol 30/500 caps
    1-2 capsules qds please give solpadol brand
    100

    Will this be paid as solpadol? Especially with ETP, will the PPA read this as just generic as the brand is written as a dose?

  • #2
    Re: Cheeky way of prescribing solpadol brand

    Needs prescribing as Solpadol as PPA computers will only pay for generic, so i have been told

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    • #3
      Re: Cheeky way of prescribing solpadol brand

      Originally posted by Mr Pharm S View Post
      Getting prescriptions for co-cod caps 30/500 but in the dosage its says please give solpadol brand.

      co-codamol 30/500 caps
      1-2 capsules qds please give solpadol brand
      100

      Will this be paid as solpadol? Especially with ETP, will the PPA read this as just generic as the brand is written as a dose?
      Makes sense to me
      If the patient is going to get Solpadol anyway if they demand it (and in most cases they do - half the time it's the default brand equalisation).
      Then there might as well be a hint on the script as well as on the PMR.
      (And yes you'll be paid the DT price)
      It's also an opportunity to undertake an MUR so that you can get patient preferences on your PMR.

      Jeff

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      • #4
        Re: Cheeky way of prescribing solpadol brand

        Way back in the 50s, 'ethical' cos made standard generics. BW gave them up. Their products were marketed under 'Tabloid'. British Drug Houses had a campaign to try to get Drs to add 'preferably BDH' to their scripts. All futile.
        I did locum once where the proprietor (a widow), gave us 'Gardenal' brand of phenobarb as her customers demanded quality. In another we dispensed in glass bottles whereas BTC used cardboard skillets.

        Also some pharmacists refused to use PIs until the DOH started assuming we all did.
        johnep

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        • #5
          Re: Cheeky way of prescribing solpadol brand

          I think if you put asterisks each side of where it says "solpadol brand" then the PPA automated system flags it and then it gets put through manually.
          I keep getting scripts for E45 lotion then says please supply Endless" which totally baffled me until I found out it was the Endless Moisture version which is new. I asterisk it and put it in the calendar pack/broken bulk file so it will definitely be put through manually and not via PPA computer.

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          • #6
            Re: Cheeky way of prescribing solpadol brand

            I was always told that if a brand was specified as well as the generic then we could give the brand. We get it quite a lot with diltiazem and isosorbide.
            Make some one smile today.

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            • #7
              Re: Cheeky way of prescribing solpadol brand

              Some people might suggest that you just cross the inconvenient option out, but I couldn't possibly comment.

              I do know that if the script is goes through the Comically Incompetant Pennypinchers system, you will be hard put to get paid for anything that isn't on the "Drug Name" line. Trying to amend a barcoded script won't help unless you mess up the coding, of course. When etp comes in, if it ever does, I suppose it will be one more thing we need to amend on the label!
              ....just my opinion

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              • #8
                Re: Cheeky way of prescribing solpadol brand

                Originally posted by DavidS View Post
                Some people might suggest that you just cross the inconvenient option out, but I couldn't possibly comment.

                I do know that if the script is goes through the Comically Incompetant Pennypinchers system, you will be hard put to get paid for anything that isn't on the "Drug Name" line. Trying to amend a barcoded script won't help unless you mess up the coding, of course. When etp comes in, if it ever does, I suppose it will be one more thing we need to amend on the label!
                There was a PSNC circular that mentioned that anything in the instructions that modified the name on the drug line needs to have a couple of asterisks in front so that the emphanistically named capacity improvement program computer system snags the scanned script out to a manual operator, as mentioned by the previous poster.
                47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
                2018 AD : Modern Man : I shopped, I clicked, I collected.
                How times change.

                If you find you have read something that has upset or offended you an anyway please unread it at once.

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                • #9
                  Re: Cheeky way of prescribing solpadol brand

                  Drs do this because they are paid a bonus for prescribing generically but the pt wants the brand. In future I will be doing as suggested and highlighting the brand request.
                  johnep

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                  • #10
                    Re: Cheeky way of prescribing solpadol brand

                    Originally posted by johnep View Post
                    Drs do this because they are paid a bonus for prescribing generically but the pt wants the brand. In future I will be doing as suggested and highlighting the brand request.
                    johnep
                    Its a pain in the neck when a proprietary is listed as a formula, for example Anusol.
                    47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
                    2018 AD : Modern Man : I shopped, I clicked, I collected.
                    How times change.

                    If you find you have read something that has upset or offended you an anyway please unread it at once.

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                    • #11
                      Re: Cheeky way of prescribing solpadol brand

                      PSNC have updated their guidance - see "Supplementary Product Information included in Dosage Instructions: Updated Guidance" available at Other Known Issues Funding & Drug Tariff PSNC

                      Basically, asterisks (*) on either side of the product name should not be used as a way of flagging these items to the attention of PPD staff. An alternative method of flagging individual items for PPD staff attention is currently being investigated.

                      Meanwhile, if a prescriber has included product information in the dosage instructions, contractors are advised to contact the prescriber to request that all information linked to the product is included in the first line of the request for that item.

                      Additionally, the PSNC Dispensing Resources Guide (http://www.psnc.org.uk/publications_...urces_20072008) states that in cases where both the generic name and a product’s brand name or manufacturer have been prescribed, the NHSBSA would interpret that as an order for a proprietary product and the contractor would be reimbursed according to the normal Drug Tariff rules, that is based on the manufacturer’s list price.
                      Last edited by pharmatron; 13, November 2008, 01:15 PM.

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                      • #12
                        Re: Cheeky way of prescribing solpadol brand

                        Originally posted by pharmatron View Post
                        PSNC have updated their guidance - see "Supplementary Product Information included in Dosage Instructions: Updated Guidance" available at Other Known Issues Funding & Drug Tariff PSNC

                        Basically, asterisks (*) on either side of the product name should not be used as a way of flagging these items to the attention of PPD staff. An alternative method of flagging individual items for PPD staff attention is currently being investigated.
                        Thanks for updating us on that - the last circular I saw said to use the asterisks.
                        Why can't they communicate with the GPs themselves?
                        47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
                        2018 AD : Modern Man : I shopped, I clicked, I collected.
                        How times change.

                        If you find you have read something that has upset or offended you an anyway please unread it at once.

                        Comment


                        • #13
                          Re: Cheeky way of prescribing solpadol brand

                          Originally posted by Pharmanaut View Post
                          Why can't they communicate with the GPs themselves?
                          I asked that about 15 years ago when they phoned to ask me to stop gps sticking flu jab adverts on the scripts. They told me then that their point of contact was with me alone. I told them that they were stuffed, then, because i wasn't doing it. they seemed taken aback, but something was done.

                          Mind you, we still get the stickers, so it wasn't much use....
                          ....just my opinion

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