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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7308 p77
17 July 2004

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Generics reimbursement to be cut by £100m

Further cuts have not been rules out

Plans to cut the Drug Tariff prices of four generic medicines on 1 September have been announced (PDF 10K).

The reduction is expected to reduce pharmacy reimbursement in England by £100m a year. This equates to an average reduction of £10,000 in the bottom line of the 10,000 community pharmacies in England.

The price cuts will apply to doxazosin, lisinopril, omeprazole and simvastatin. All four were subject to reimbursement price cuts on 1 December last year.

The Pharmaceutical Services Negotiating Committee has asked the DoH to justify its planned action. Godfrey Horridge, the PSNC’s financial executive, said: “We were surprised by the announcement.” He declined to comment further until after this week’s PSNC meeting on 14 July.

Normally, reimbursement prices are calculated from trade prices notified to the Prescription Pricing Authority by two wholesalers and three generic manufacturers and subject to a discount recovery. But the Department of Health took these four medicines out of normal operation of the Drug Tariff when it became aware of significant differences between reimbursement and procurement prices. It said that last year’s cuts, and the cuts planned for September, were justified for these four medicines because their generic versions came onto the market after the most recent discount inquiry, which took place in October 2000.

Further cuts to the reimbursement prices of generic medicines have not been ruled out.

Consultation on a range of proposals for the supply, pricing and reimbursement of generic medicines closed at the end of October 2003. This week’s announcement of planned cuts included a statement that final proposals for new arrangements would be made in due course.

Comments on the planned cut can be sent to Eunice Barnor, DoH, Room 609, Eileen House, 80-94 Newington Causeway, London SE1 6EF (e-mail generics@doh.gsi.gov.uk) 9 August.

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