ADAC – Module 4: Pre-2017 Textbook (Northern Ireland)

A number of changes have occurred since the publication of your Module 4 textbook. In order to ensure that your knowledge is current, please read and implement the additional text below.

Module 4: The Drug Tariff – Northern Ireland

A number of changes have occurred since the publication of your Module 4 textbook. In order to ensure that your knowledge is current, please read and implement the additional text below.


 

Section 4: What to do When a Doctor Prescribes a Black Listed Item

Your Module 4 textbook states:

“Items not dispensed should be crossed through and endorsed ‘not dispensed’ on the prescription form.”

 

Please replace this with:

“Items not dispensed should be coded as 88888/1 and the prescription should be placed in the amended bundle. N/D is no longer accepted as a code for not-dispensed items.”

 


 

Section 5: Items which can be Prescribed in Certain Circumstances

Introduction

Activity

Regarding the first activity in this section, please remove “Cyanocobalamin Tablets” and “Treatment or prevention of Vitamin B12 deficiency”.

 


 

Section 13: Independent Prescribers

Please replace this section with the following text:

“Nurses, pharmacists, optometrists, physiotherapists and podiatrists/chiropodists may undertake a programme of approved training to become independent prescribers. Independent prescribers can prescribe as follows:

 

  • Pharmacist and nurse independent prescribers – can prescribe any medicine or appliance within their level of competence, including unlicensed, ACBS items and ‘SLS’ items, and medicines for ‘off-licence’/’off-label’ use. They can also prescribe and administer Schedules 2-5 Controlled Drugs (CDs), except diamorphine, cocaine and dipipanone for the treatment of addiction

 

  • Optometrist independent prescribers – can prescribe licensed medicines for conditions affecting the eye and surrounding tissue only. They cannot prescribe any other medicines, appliances or any CDs. They also cannot prescribe unlicensed medicines, but can prescribe ‘off-licence’/’off-label’

 

  • Physiotherapist independent prescribers – can prescribe any licensed medicine for any condition within their competence within the overarching framework of human movement, performance and function, except CDs. They also cannot prescribe unlicensed medicines, but can prescribe ‘off-licence’/’off-label’

 

  • Podiatrist independent prescribers – can prescribe any licensed medicine within their competence and relevant to the treatment of disorders affecting the foot, ankle and associated structures, except CDs. They also cannot prescribe unlicensed medicines, but can prescribe ‘off-licence’/’off-label’

In addition, the following requirements apply to all independent prescribers, who must:

 

  • Prescribe within their own level of competence and expertise
  • Prescribe medicines generically, except where this is clinically inappropriate or no approved generic name exists
  • Not prescribe medicines in Part IX(a)”

 

Section 13: Supplementary Prescribers

Please add “midwives” to the list of those who can work as supplementary prescribers.

 

 


 

Section 15: Broken Bulk

Your Module 4 textbook states:

“The prescription should be endorsed with the date of dispensing and ‘BB claimed for’”.

 

Please replace this with:

“Pharmacies should endorse the prescription with ‘BBC’, pack size, the date of dispensing and the quantity dispensed”.

 

Section 15: Out of Pocket Expenses

Your Module 4 textbook states:

“To claim the expenses you should endorse the prescription ‘OUT OF POCKET EXPENSES’ and send full details of the claim to the BSO with the prescription form.

 

Details on Out of Pocket Expenses can be found in the General Notes, Paragraph 21 of the Tariff.”

 

Please change this to:

“To claim the out of pocket expense, prescriptions should always be coded with a diamond, ‘OOP’ endorsement should be made on the main body of the prescription with administration cost incurred, postage and VAT. If the item has no code, the prescription should also be endorsed with the ingredient cost (excluding VAT). The prescription serial number should be endorsed on the invoice and a copy of the invoice should be submitted with the prescription to the BSO.

 

Details on Out of Pocket Expenses can be found in the General Notes, Paragraph 22 of the Tariff.”

 

Section 15: Dispensing Fees

Specials

Your Module 4 textbook states:

“Where the Pharmaceutical Committee are satisfied that the use of a “special” was necessary the price will be reimbursed, but if it not deemed necessary payments will be made on the basis that the prescription had been dispensed extemporaneously”.

 

Please replace this with:

“When a prescription for an unlicensed special is presented in the pharmacy, the pharmacy should check, before placing an order, that the cost of the special from the specials supplier will be reimbursed by the BSO to minimise any loss of income for the pharmacy. Where the BSO is not satisfied that a special was necessary, payment of ingredient costs and dispensing fees will be made on the basis that the prescription had been dispensed extemporaneously.

When a prescription cannot be dispensed extemporaneously and must be ordered as a special from a specials supplier, the invoice should be referenced on the prescription and a copy of the invoice should be submitted. Zero discount can also be claimed for unlicensed medicines where the product has been sourced from a supplier holding a Medicines and Healthcare products Regulatory Agency (MHRA) specials or importers licence. The prescription should be endorsed with the invoice price less discount/rebate”.

 

Section 15: Dispensing Fees

Urgent prescriptions

Your Module 4 textbook states:

“Details are given in the General Notes, Paragraph 18 of the Tariff.”

 

Please change this to:

“Details are given in the General Notes, Paragraph 19 of the Tariff.”

 

Section 15: Dispensing Fees

Urgent prescriptions

Your Module 4 textbook states:

“A special fee (General Notes, Paragraph 16.3)”

 

Please change this to:

“A special fee (General Notes, Paragraph 17.(3))”

 


 

Section 17: The pricing process

Please add the following text to the beginning of this section:

 

“Prescriptions should be placed into the correct bundle for collection/submission and the HS30 submission form should be completed. Bundles should include:

 

  1. Fully coded prescriptions (computer generated and handwritten)
  2. Part-coded/uncoded prescriptions
  3. Amended prescriptions
  4. Specials
  5. Urgent prescriptions
  6. Stock
  7. Oxygen
  8. Multiple dispensing (i. complete and ii. amended),
  9. Pharmacy vouchers (minor ailments and smoking cessation forms)
  10. SP1/SP2 forms
  11. Substitute Prescribing forms
  12. Repeat dispensing RA and RD (i. complete and ii. amended)

 

At least 60% of the monthly volume should be submitted in the first submission. Forms should be packaged securely and labelled ready for submission on the submission date with the barcode provided. HS30 forms and address labels can be ordered from the BSO.”

 

 

Section 17: Accelerated Payment Process

2nd submission

Your Module 4 textbook states:

“2nd submission – by 5th–8th of following month”

 

Please change this to:

“2nd submission – remainder of prescriptions being received by 7th of following month (or nearest working day as per arrangements)”

 

 

Then, further on is a list of five points, under “BSO requests that pharmacy teams observe the following criteria:” – please add the following point to this list

 

“6. Submit prescriptions with the associated invoice; the 11 digit script number should be written on a script instead of stapling an invoice to the script.”

 


 

Section 18: Answers to Intertext Questions

 

Due to the frequent changes of the Drug Tariff, published monthly, some of the answers to the inter-text exercises have changed since the publication of your Module 4 textbook. We suggest that you disregard the answers provided in Section 18 where appropriate and refer to the latest Drug Tariff.

 


 

 

Download ADAC Module 4 Addendum for Pre-2017 textbook – Northern Ireland