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ZONE
19 Eczema: part 2
21 Pharmacokinetics
26 Category M
Category M Barometer
Generic Eric reveals how January's tariff will affect your pharmacy
he category M tariff will see a
continuation of stability into the New
Year, with a marginal addition to the
reimbursement pot of 1.2 per cent.
The adjustment is in the region of a £4.5 million
addition, once market growth has been factored
in. This will see almost £340 added to the average
pharmacy's generic purchase profits over the
coming quarter, or £113 a month.
Despite the overall stability, however, out of
442 products, just 29 remain at the same
reimbursement level as last quarter.
Most of the savings to the NHS have been made
by reducing the reimbursement price for
risperidone 4mg tablets, which this quarter loses
87 per cent of its value. Other prominent
reductions are topirimates and the losartans, which
have taken a further knock for the third quarter
since they entered the tariff last year.
There have been 10 other significant additions
to the category, in addition to risperidone, and
many of these were in the top 10 decreases in
reimbursement (see What's not, right).
This quarter sees the removal of just two
products: ascorbic acid 500mg tablets and
flucloxacillin 125mg/5ml oral solution.
The new basket of category M products is
worth £1.35 billion, up £16.3m. The Category M
Barometer index has now decreased from 103.9 in
the previous quarter to 102.6 for this quarter.
On the most commonly dispensed lines by
volume, reimbursement prices have decreased on
only seven products this quarter. In fact, an
annualised amount of £7.8m has been added to
these lines (£75m removed last quarter).
For the average pharmacy this equates to £163
per month being added to the bottom line (if
whole market volumes are used and just the top
20 lines are dispensed).
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Whnt's hot
The 10 products with the largest rise in price
Pack
size
October
tariff
price (£)
January
tariff
price (£)
Change
(£)
Co-fluampicil 250mg/250mg capsules
100
37.65
69.14
31.49
▲ 84%
Glyceryl trinitrate 500mcg sublingual tablets
100
3.27
5.69
2.42
A 74%
Sertraline 50mg tablets
28
1.15
1.62
0.47
A41%
Gabapentin 100mg tablets
100
3.57
5.02
1.45
A 41%
Bendroflumethiazide 2.5mg tablets
28
0.79
1.06
0.27
A 34%
Oxybutynin 2.5mg tablets
56
6.58
8.71
2.13
A32%
Cefradme 500mg capsules
20
4.50
5.95
1.45
A 32%
Co-tenidone 100mg/25mg tablets
28
1.57
2.07
0.50
A32%
Gabapentin 400mg capsules
100
5.53
7.16
1.63
A29%
Piroxicam 0.5% gel
60g
2.01
2.56
0.55
A 27%
The 10 products with the largest fall in price
Pack
size
October
tariff
price (£)
January
tariff
price (£)
Change
(£)
Risperidone 4mg tablets
60
30.32
3.96
-26.36
87%
Amisulpride 100mg tablets
60
30.73
14.55
-16.18
53%
Topiramate 100mg tablets
60
12.52
6.23
-6.29
50%
Methotrexate 2.5mg tablets
100
14.96
7.51
-7.45
50%
Topiramate 25mg tablets
60
6.17
3.17
-3.00
49%
Alfuzosin 2.5mg tablets
60
20.37
11.39
-8.98
44%
Topiramate 200mg tablets
60
17.21
9.88
-7.33
43%
Brimonidine 0.2 per cent eye drops
5ml
6.55
3.78
-2.77
42%
Topiramate 50mg tablets
60
10.74
6.23
-4.51
42%
Losartan 100mg tablets
28
2.84
1.74
-1.10
39%
Data and analys
s supplie
d by Actavis
CPD
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