The NHS and reimbursement
The NHS reimburse practices for the costs of sourcing and administering PA items. This means the NHS pays a PA allowance, plus a dispensing fee.
PA allowance + dispensing fee
The PA allowance is made to cover any VAT that has been paid on the purchase of PA items.
Prostap DCS requires reconstitution immediately prior to administration, and so attracts TWO dispensing fees.
PA allowance is:
(NHS list price-clawback) +VAT allowance + dispensing fee
A couple of things to remember:
- The dispensing fee will vary according to the number of items submitted for reimbursement per individual doctor per month
- Clawback is your practice discount abatement rate, which varies according to the number of items submitted for reimbursement by the practice per month
Many wholesalers provide discounts when purchasing items through them. Some wholesalers, like CLARITYpharma, even provide these discounts immediately at the point of purchase.
Taking advantage of these discounts can help improve practice income.
CLARITYpharma is the preferred direct dispensing partner of Takeda UK Ltd, and you can find out more about them here
Two working examples for Prostap DCS
Getting paid is easy
Every month the appropriate NHS payment services division will send you the correct submission document in advance for you to make your monthly claim.
Each NHS region has its own submission forms, which are personalised to each practice claiming payment for administration/dispensing.
- England – use claim form FP34PD
For submissions in England, submission instructions are here
- Wales – Use claim form WP34P
For submissions in Wales, submission instructions are here
Prescription forms for PA items (excluding high volume PA items) should also be included with the submission document, and sorted alphabetically by prescriber name.
Payment claims should be made no later than the fifth day of the month following that in which the medicine was dispensed.
Payment will be received at the end of the month following the month in which the payment claim was received. For example August claims received by NHS Prescription Services by September 4 will be paid at the end of October.