Allowed & Disallowed Items

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At Community Pharmacy Scotland, we want to help our members stay up to date, informed and knowledgeable, especially when it comes to items that will not be passed for payment on a prescription. To support this, we provide a list of disallowed items monthly to contractors who have requested these reports, you can also see these in your eSchedules. We also review a selection of items monthly to ensure Practitioner Services’ accuracy and to keep you informed of any items which have been disallowed repeatedly. Our Pharmacy Services Team deal with enquiries relating to disallowed items and can help you to understand why an item has been rejected and how to avoid reoccurrence.

We have compiled various lists specific to the Drug Tariff, of items which are disallowed on NHS prescription forms in Scotland including the most common disallowed items. There are monthly updates to the Drug Tariff and you should always refer to the updated information when in doubt if an item is disallowed.

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The Blacklist is published in Schedule 1 of Part 12 of the Scottish Drug Tariff and contains a list of items including medicines and/or specific brands of medicines which should not be prescribed or dispensed on NHS prescriptions.

The Selected List Scheme (SLS)

The Selected List Scheme includes drugs, medicines and other substances which should only be prescribed for certain conditions under the circumstances listed in the Drug Tariff.

Prescribers must endorse prescriptions for these products ‘SLS’ both on the electronic message and paper scripts. If the ‘SLS’ endorsement is missing, the prescription should not be dispensed as it will not be passed for payment by P&CFS. Instead it should be returned to the prescriber to be amended. Please note that the SLS endorsement cannot be added by the dispenser.

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Part 9 of the Drug Tariff provides a list of the chemical reagents which may be ordered by authorised prescribers. The items in this section that can’t be prescribed on a GP10(N) by Nurse Prescribers, are indicated by the symbol ‘Nx’.

The following items are disallowed chemical reagents and will not be passed for payment. These are most commonly found prescribed on GP10A Stock Order Forms.

  • Multistix Strips
  • Novagen
  • Pregnancy Test Kits
  • Clearview HCG

Please see our section on Stock Order Forms for more information.

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General dental practitioners may only prescribe items included in the Drug Tariff on Form GP14. When ordering items included in their formulary, dentists must use the title which appears in the formulary. For example, prescriptions for Colgate Duraphat toothpaste would not be passed for payment, however generic Sodium Fluoride toothpaste is accepted.

Please note:

  • Any prescription written generically, computer generated generically or stamped with the generic name will be passed for payment
  • If the item is handwritten, computer generated or stamped with the proprietary name with no reference made to the generic item name, it will be disallowed
  • Dentists employed in the Hospital Dental Service are not restricted by the dental formulary in their prescribing on form HBP (Scotland)

Most Commonly Disallowed Items on GP14 Forms

Please find a list of the most commonly disallowed items on a dental GP14 Form.

 

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From our analysis of six months of data (January – June 2018), the largest number of rejected items were disallowed as the appliance is not listed in the Drug Tariff.

Parts 2 - 5 of the Scottish Drug Tariff provides a list of dressings and appliances that may be ordered by authorised prescribers on the appropriate prescribing lists of Health Boards, against a prescription.

The items in these parts that may not be prescribed on Form GP10(N) by Nurse Prescribers are indicated by the symbol `Nx’.

The supply of any other appliance or dressing not in Parts 2 - 5 will not be passed for payment by P&CFS.

In general, if an item is allowed on a GP10 it is also allowed on GP10A but there are a few exceptions. Please refer to the Stock Orders section

It is important to check the size of the dressing or appliance ordered. Some items are only allowed in certain widths, lengths, etc. e.g. Inadine 10cm x 10cm is disallowed but Inadine 9.5cm x 9.5cm is allowed and is in the Drug Tariff.

Please be mindful that dressings are mainly held on file as singles. To ensure that accurate reimbursement occurs please check that the prescribed quantity reflects what was dispensed.

Stoma appliances are no longer published in the Drug Tariff but can be found in a separate section – Stoma Supplies.

This list contains items of appliances which are disallowed on NHS prescription forms in Scotland unless specified.

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There are two different specifications of Nurse Prescriber – Standard and Supplementary.

Supplementary Nurses (Independent/Supplementary) may prescribe any Item Drug/Appliance including certain Controlled Drugs.

Standard Nurses (Community Nurses and Health Visitors) may only prescribe items included in the Nurse Prescriber Formulary (NPF), Drug Tariff on Form GP10N.

  • Nurses are not allowed to prescribe on a GP10 Form and a doctor may not prescribe on a GP10N Form.
  • Unlicensed products are not allowed to be prescribed by Standard Nurses.
  • All nurses are required to prescribe generically as specified throughout the NPF, except where this would not be clinically appropriate or where there is no approved generic name and should not be abbreviated. The only exception to this rule is for the prescribing of dressings and appliances where Trade Names may be used.
  • Nurses, pharmacists and allied health professionals who are qualified as Independent Prescribers may issue prescriptions for medicinal products and medical devices in line with guidance provided in Part 8C of the Drug Tariff.
  • Nurses, pharmacists and allied health professionals who are qualified as Supplementary Prescribers, may issue prescriptions for the treatment of patients who are subject to an agreed Clinical Management Plan, drawn up in consultation with a medical or dental practitioner.

*The most commonly disallowed dressings for a Standard Nurse include (this does not apply to Supplementary Nurses prescribers where the relevant sections of the Drug Tariff should be checked):

  • Adaptic Touch
  • Aquacel
  • Askina Dressil   
  • Atrauman
  • Comfifast
  • Hydrofilm
  • K-Lite
  • K-Soft
  • Kerracel
  • Kerramax
  • Kliniderm
  • Mepilex
  • Premierpore
  • Tegaderm
  • Transpore
  • Urgoclean
  • Zetuvit
 

*Please note this is not a comprehensive list and all dressings in Part 2 of the Drug Tariff are allowed to be prescribed on Form GP10(N) by Nurse Prescribers, except those indicated by the symbol ‘Nx’.

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In general, if an item is allowed on Form GP10 it is also allowed on Form GP10A. There are however, a limited number of items which may only be supplied on Stock Order Forms.

These are:

  • Adhesive Foam Pieces 22cm x 45cm x 7 mm
  • Administration Sets
  • Cryogesic (Ethyl Chloride) Direct Spray, Fine Spray 100ml
  • Fluorets Strips Histo Freezer Kits
  • Jet Nebulisers: Complete with face mask and connecting tubing replacement parts
  • Leukostrip Skin Closure Strip (6.4mm x 76mm x 3 size ONLY)
  • Lumbar Fabric Support
  • Protein Sensitisation Test Solutions
  • Steri-Strip Skin Closure Strip (6mm x 75mm x 3 size ONLY)
  • Surgical Sutures: - As listed in Part 3 of the Drug Tariff (pages 282-283)
  • Tuberculin PPD

Most Commonly Disallowed Items on Stock Order Forms

Please find a list of most commonly disallowed items on Stock Order Forms.

Other Items not Allowed on GP10A Forms:

  • Finger Cots
  • Hypodermic Equipment (all items listed as Hypodermic Equipment in Part 3 of the Drug Tariff except Lancets)
  • Portable Oxygen

GP10A Forms and Quantity

We have seen an increase in the number of issues where quantities being claimed and paid differ on GP10A Stock Order Forms submitted to Practitioner Services. If you receive a stock order for dressings, please note most dressings are held on file at Practitioner Services as a single dressing (as held in the Drug Tariff). If a single number of dressing is prescribed, please ensure this is what is supplied and claimed. We have found instances where contractors are giving this quantity as number of boxes instead of numbers of individual dressings resulting in significant loss. 

If clarification of the required quantity is required, do speak to the issuing surgery and if the quantity to supply is different to that prescribed, please endorse appropriately with a PC endorsement.

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Contractors are responsible for ensuring all their pharmacists who are using the National Patient Group Direction for the Urgent Supply of Repeat Medicines and Appliances have completed the PGD Authorisation Form from the pack at each update and sent it to the Primary Care Pharmacy Department of the Health Board they are working in.

Contractors who fail to ensure the completed authorisation form is returned to the Health Board should be aware that the CPUS prescriptions will not be reimbursed for the products supplied.

CPUS Prescriptions 

  • Universal Claim Forms (UCF) - This is an electronic process and is the main format which should be used. The claim is electronic and there is no requirement to send a paper copy to NSS. A copy of the script needs to be sent to the GP to inform the details of the supply for the patient’s record
  • Paper CPUS Forms - These are handwritten and should only be used where the electronic UCF is not available. Copies of the handwritten CPUS need to be sent to NSS for payment. A copy of the script needs to be sent to the GP to inform the details of the supply for the patient’s record

Please Note:

  • Levonelle One Step is not allowed as part of the PHS Emergency Hormonal Contraception Service. Any prescription written for this product on a CPUS Form will be disallowed. The only product allowed on CPUS for the EHC service is Levonelle 1500. This is a POM and therefore you must ensure that you have signed the appropriate PGD before you prescribe it.

Most Commonly Disallowed Items on CPUS Forms

Please find a list of most commonly disallowed items on CPUS Forms. Remember you should always refer to the latest version of the PGD.

You can find more information here on Unscheduled Care.

Unscheduled Care Ask Me Anything Event 

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The new Pharmacy First service now incorporates the previous Minor Ailments Service, along with the UTI and Impetigo PGDs. With the introduction of Pharmacy First, some changes were made to what is allowed to be prescribed under the three services. Now everything that can be supplied for the conditions within the scope of the service is listed in the Approved List.

As of 1st October, any items prescribed under Pharmacy First which are not listed on the Approved List, will be rejected for payment, and you may have seen some of these items appear in your eSchedule for October.

To help you in identifying what to look out for when prescribing under the service, please see our article on NHS Pharmacy First Prescribing - Top Tips. We have also compiled the following list of commonly disallowed Pharmacy First Items, which will be reviewed regularly.

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