New arrangements under Part IX of the Drug Tariff for the provision of stoma and urology appliances.

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    • New arrangements under Part IX of the Drug Tariff for the provision of stoma and urology appliances.
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Reimbursement Prices for Items

As part of the new arrangements, under Part IX of the Drug Tariff, for the provision of stoma and urology appliances and related services in primary care, a uniform 2% reduction will be made on the reimbursement prices of all items listed as of 31 March 2010 in the following sections of Part IX of the Drug Tariff:

• Part IXA catheters: urinary; urethral
• All items listed in Part IXB, which lists incontinence appliances
• All items listed in Part IXC, which lists stoma appliances

The new reimbursement prices will come into effect on 01 April 2010 and will be published in the April 2010 Drug Tariff. Both the old and new prices have been detailed in                       Part IX Review Spreadsheet  March 2010 v3 (Please note the original March spreadsheet has been replaced with an updated version to include some additions and price corrections). The prices shown take into account those companies who have as of 26 February 2010 applied for an exemption from the uniform 2% price reduction. Details of which products attract the new appliance services (home delivery fee, wipes/disposal bags and stoma customisation) are also included against each product line.

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Exemption from the 2% reimbursement price reduction

Under the new arrangements those manufacturers who had a combined net ingredient cost (NIC) on stoma and incontinence products dispensed in England of less than £5.6 million, for the 12 months April 2008 to March 2009, were able to apply for an exemption from the 2% reimbursement price reduction by submitting a  Price Reduction Exemption Claim Form.

Please note the deadline for completed applications to be with NHS Prescription Services was extended until 26 February 2010.

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Declaration for Advanced Services

In line with the new arrangements for reimbursement products in Part IX and remuneration, dispensing appliance contractors (DACs) and pharmacy contractors may choose to provide either one or both of the following advanced services:

• Stoma appliance customisation
• Appliance use reviews

DACs and pharmacy contractors wishing to provide either one or both advanced services must make an initial, one-off declaration to NHS Prescription Services stating their intentions.

To declare your intentions please submit the Advanced Services Declaration Form to NHS Prescription Services.

Completed applications must be with NHS Prescription Services no later than the last day of the month prior to the month in which the services are intended to be provided.

A DAC or pharmacy contractor who wishes to offer the "advanced" services of stoma customisation and/or AURs will also need to notify the relevant Primary Care Trust (PCT) of their intention to provide advanced services.

If a DAC or pharmacy contractor wishes to withdraw stoma customisation, three months' notice must be given to both NHS Prescription Services and the relevant PCTs of their intention to do so.

Advanced Services requirements are set out in The Pharmaceutical Services (Advanced Services) (Appliances) (England) Directions 2009 in Part VIE of the Drug Tariff.

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Amendments to the Drug Tariff April 2010

The following parts of  the National Health Service England and Wales Drug Tariff will be amended to reflect the new arrangements along with a new Part VIE. Advance notice of the changes are available below:

Part II

Part IIIA

Part IIIB

Part VIB

Part VIE

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