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How to avoid refer backs

We have noticed a rise in items being referred back to contractors for the reason ‘The order/endorsement is incomplete. The presentation must be present.’ The reason code for this is RB2B and is most common with handwritten prescriptions.

If you receive a referred back item using this code, you’ll need to endorse the presentation. This is the pharmaceutical form that was dispensed. For example, this could be tablets, capsules, suspension, solution, vial, or amp etc. If you are dispensing a drug tariff item, endorse the item as it is listed in the drug tariff.

Here are some common items as examples:

1 – ‘Fluoxetine 20mg no presentation (pharmaceutical form)’ prescribed, please endorse the presentation (pharmaceutical form) that was dispensed.

Fluoxetine has four listed presentations (this is the unit of measure or pharmaceutical form):

  • capsules
  • dispersible tablet sugar free
  • oral solution
  • oral solution sugar free

We would need an endorsement of which of these was dispensed, for example capsules, dispersible tablet sugar free, oral solution or oral solution sugar free.

2 – ‘Clarithromycin 500mg no presentation (pharmaceutical form)’ prescribed, please endorse the presentation (pharmaceutical form) that was dispensed.

Clarithromycin has three listed presentations (this is the unit of measure or pharmaceutical form):

  • tablets
  • modified-release tablets
  • powder for solution for infusion vials

We would need an endorsement of which of these was dispensed, for example tablets, modified-release tablets, or vials.