Further 32 concessionary prices agreed for December

Cumbria pharmacist Ben Merriman asked whether the price of bicalutamide 50mg tablets is "fair"
Cumbria pharmacist Ben Merriman asked whether the price of bicalutamide 50mg tablets is "fair"

The Department of Health and National Assembly for Wales have agreed a further 32 concessionary prices for December 2017 prescriptions.

An initial 54 items received concessionary prices for December, and were announced last month (December 29).

The Pharmaceutical Services Negotiating Committee (PSNC) said it is "pleased" that December's prices have been finalised, in time to be considered alongside December’s payments.

However, "once again many are lower than we had sought", PSNC director of pharmacy funding Mike Dent said.

Last month, contractors said they were "sickened" by the final 53 price concessions announced for November prescriptions, which did not include the much-requested felodipine.

Reacting to the December prices on Twitter yesterday, Cumbria pharmacist Ben Merriman said: "We'll now be paid £11.16 for a box of bicalutamide 50mg tablets. Is that a fair or reasonable reimbursement given that we can't refuse to dispense them, and that the cheapest we can get them for is £119.79 a box?"

The additional 32 price concessions for December are listed below. You can view the initial 54 prices agreed for the month here.

Drug
Strength
Form
Price
Aripiprazole
5mg
tablets (28)
£3.50
Aripiprazole
15mg
tablets (28)
£2.41
Bicalutamide
50mg
tablets (28)
£11.16
Eplerenone
25mg
tablets (28)
£29.14
Fexofenadine
180mg
tablets (30)
£2.98
Gabapentin
300mg
capsules (100)
£4.85
Glimepiride
1mg
tablets (30)
£2.05
Glimepiride
2mg
tablets (30)
£2.98
Glimepiride
3mg
tablets (30)
£3.53
Glimepiride
4mg
tablets (30)
£6.31
Levetiracetam
100mg/ml
sugar-free oral solution(300)
£8.08
Levetiracetam
250mg
tablets (60)
£11.72
Losartan
100mg
tablets (28)
£1.20
Pregabalin
25mg
capsules (56)
£6.46
Pregabalin
50mg
capsules (84)
£5.34
Pregabalin
75mg
capsules (56)
£4.51
Pregabalin
100mg
capsules (84)
£6.40
Pregabalin
150mg
capsules (56)
£3.66
Pregabalin
200mg
capsules (84)
£5.84
Pregabalin
225mg
capsules (56)
£3.44
Pregabalin
300mg
capsules (56)
£6.50
Quetiapine
100mg
tablets (60)
£34.72
Quetiapine
150mg
tablets (60)
£50.92
Quetiapine
200mg
tablets (60)
£34.11
Quetiapine
300mg
tablets (60)
£55.52
Sumatriptan
100mg
tablets (6)
£8.50
Terbinafine
250mg
tablets (14)
£9.50
Tolterodine
1mg
tablets (56)
£2.45
Topiramate
25mg
tablets (60)
£4.90
Topiramate
50mg
tablets (60)
£18.11
Topiramate
100mg
tablets (60)
£14.00
Vitamin B co strong
tablets (28)
£3.98

 

1 Comments
Question: 
Are there any concessionary prices you were hoping for?

A B, Community pharmacist

I agree that this is a very poor state of affairs. I've had to spend a lot of time searching for the best prices and planning stock levels, which isn't exactly the medical "professional" job I once did. 

I do take issue though when an article quotes one pharmacist with one example of Bicalutamide generic price, it paints a bit of a skewed picture of the situation. Both Pheonix and Alliance have bicalutamide at a much lower price than £119.79 quoted.

I would have thought if enough evidence was reported using the PSNC generic supply tool online the price negociated would be higher. The fact that the price for this and other items are lower must mean there either isn't enough reporting or the number of reports needed to raise to NCSO price is too high.

Maybe the PSNC or the DoH could shed some light on how many reports are needed to get the NCSO price to go up. 100 reports? 1000? I have met Mike Dent a few times and he seems a very genuine person. I would like to hear him explain in more detail how these prices are negociated and how many price reports are needed. I would also be interested to see how many independants and how many multiples report generic price issues given that most multiples are associated to a main wholesaler.

Job of the week

Pharmacist (qualified Independent Prescriber)
London
Annual salary £41,600 to £52,000 depending on experience.