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Vol 274 No 7346 p479
23 April 2005

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Contractors set to lose around 30 pc profit

Pharmacies with a high prescription turnover

Pharmacies with a high prescription turnover are likely to be most affected

Contractors in England and Wales will, on average, lose around 30 per cent in cash profit as a result of the recalibration of the Drug Tariff, an analysis by Numark of 350 of its members suggests.

The loss will depend on prescription mix, varying from 11 per cent to 45 per cent, the analysis indicates. The pharmacies that will experience the greatest impact will be those that have high prescription turnovers on lines such as simvastatin, amlodipine, pravastatin and ramipril, all now Category M medicines.

Category M was created under the new contract funding arrangements, which reduced the reimbursement prices for generic medicines by £300m to fund parts of the new community pharmacy contract. The Pharmaceutical Services Negotiating Committee said last week that the Department of Health is monitoring manufacturer and wholesaler prices for Category M medicines and intends to make changes to Category M prices quarterly. The PSNC will be examining the impact of these changes to ensure that only £300m is removed.

The PSNC also announced last week that the DoH has agreed that for April, May and June, amlodipine will be considered a Category A item. The committee warned, however, that the decision to reclassify amlodipine temporarily should not be considered a precedent for similar cases where prices increase during a quarter.

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