We have received a number of enquiries from contractors who have endorsed an incorrect product and pack size, leading to referred backs and delays in payment.
When dispensing a drug not listed in Part VIII of the Drug Tariff, you must endorse:
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the pack size used
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the brand name or name of the manufacturer or wholesaler from whom the supply was purchased (if the order is in the ‘generic’ or pharmacopoeial form)
In EPS you can select the actual medicinal product pack (AMPP). This automatically adds these details to your submission.
Reimbursement
If the AMPP you select has a price listed in dm+d, we will process your claim automatically and our processing team will not need to review your submission. You will be reimbursed at the dm+d price, regardless of whether you have also endorsed an Invoice Price (IP).
This means if you endorse the incorrect product or pack size you will be reimbursed for what you have endorsed and not what you have supplied. For example, if you endorse the first entry in the ‘pick list’ you will be reimbursed for that product, even if you dispense a different product at a different price.
Unlisted products
If the product or pack size you want to dispense is not listed in dm+d, return the prescribed product (the generically prescribed VMP) and an invoice price endorsement including price, pack size and supplier details.
IP endorsements
If you’re adding an IP endorsement to an AMPP make sure both match the pack size you have supplied.