Dear Colleague,
The second update of concessionary prices were granted today for July 2024:
DrugPack SizeConcessionary Price
Agomelatine 25mg tablets28£13.50
Amisulpride 200mg tablets60£28.42
Betamethasone valerate 0.1% cream30£2.57
Cabergoline 500microgram tablets8£15.92
Clarithromycin 250mg/5ml oral suspension70£9.11
Codeine 30mg tablets28£1.31
Codeine 30mg tablets100£4.69
Erythromycin 250mg gastro-resistant tablets28£21.00
Famotidine 20mg tablets28£17.76
Famotidine 40mg tablets28£28.90
Isotretinoin 20mg capsules30£10.61
Ketoconazole 2% shampoo120£23.95
Lacosamide 200mg tablets56£10.63
Lofepramine 70mg tablets56£23.90
Losartan 12.5mg tablets28£2.98
Metformin 500mg modified-release tablets56£2.11
Natfidrofuryl 100mg capsules84£10.45
Nicorandil 20mg tablets60£15.04
Olanzapine 20mg tablets28£7.99
Oxytetracycline 250mg tablets28£3.70
Pregabalin 150mg capsules56£2.53
Pregabalin 200mg capsules84£4.38
Primidone 250mg tablets100£83.16
Quetiapine 100mg tablets60£16.04

Concessionary prices will be paid against the usual code, no additional endorsements are needed.

Please continue to notify CPNI of any pricing issues you are experiencing via our Medicine Shortage Reporter.

Concessionary prices are also published on the CPNI website.

Kind regards

Dear Contractor

The Department of Health NI has issued correspondence (dated 17 July 2024) in relation to nine serious shortage protocols (SSPs) which have been issued for quetiapine 150mg, 200mg and 300mg immediate release tablets (SSP062 to SSP070 inclusive).  These SSPs are introduced with immediate effect and expire on Friday 13 September 2024.

Overview

Depending on the prescribed quantity of the affected quetiapine immediate release tablet, the protocols allow pharmacists to either supply a reduced quantity of the same quetiapine immediate release tablet, or substitute with an alternative strength, or provide a reduced quantity of a specific alternative product.  For each SSP, DHSC has included specific patients counselling points which must be taken into account when deciding whether supply in accordance with an SSP is suitable for a patient.  Pharmacists will need to call on their clinical expertise to determine which SSP is the most appropriate to use in each scenario and to counsel patients on any changes made to their treatment and what it means for their medicine regimen.

Only one SSP can be used against an individual prescription.  Therefore, in each scenario, the pharmacist will need to consider both the pharmacy’s stock levels of different quetiapine immediate release tablets strengths and the patient’s circumstances before determining which of the SSPs is most appropriate to use.  Depending on the SSP used, the change in supply may require additional counselling to ensure that the patient is confident to take their medication.

These are detailed SSPs, and further important information is included within the covering letter and within the specific SSPs which can be accessed via this link: https://bso.hscni.net/directorates/operations/family-practitioner-services/pharmacy/contractor-information/drug-tariff-and-related-materials/serious-shortage-protocols-ssps/

Action

Contractors should:

  1. Note the immediate coming into effect of SSP062 to SSP070 inclusive;
  2. Read the important details within the covering letter and in the body of each specific SSP; and
  3. Alert their prescribing teams.

Contractors should contact their local SPPG office in the first instance should further information be required.

CPNI colleagues are also available for advice.

Regards,

Mike

SENT ON BEHALF OF
PROF MIKE MAWHINNEY
Head of Regulatory Affairs

This update contains important information for community pharmacy teams.

 CPNI ALERTS 

 DOH(NI) ALERTS 

 BSO ALERTS 

Pharmacy team(s) can keep updated via CPNI’s Contractor Calendar and Contractor Emails.

Or report medicine shortages, pricing and staffing issues via CPNI’s Medicine Shortage Reporter and Situation Reporter.

Please bring this to the attention of your pharmacy team(s).

Kind regards

SENT ON BEHALF OF
Gerard Greene
Chief Executive
Dear Contractor,

SPPG issued this update earlier today relating to the global IT issues currently affecting some systems.
 
CPNI have been liaising with SPPG, PMR providers and wholesalers on the issue. At this stage community pharmacy PMR systems do not appear to be affected by the issue, however pharmacy teams may have to deal with the consequences of the IT outage on others e.g. affected GP practices etc.
 
Patients should be advised to order their repeat prescriptions in the normal way when their repeat prescriptions are due and if a GP practice is affected by the IT issue the practice will be able to advise patients accordingly.
 
CPNI have prepared a social media card that you may wish to use on your social media channels.
 
Community Pharmacies are reminded that they can provide an urgent supply of a patient’s regular prescription medicines (excluding Controlled Drugs Schedules 1,2&3) where they are unable to obtain a prescription.
 
Community pharmacies should ensure that any emergency supply is provided in accordance with the service specification:
Emergency Supply Service Documentation – Business Services Organisation (BSO) Website (hscni.net)
 
CPNI will keep you updated.

Yours sincerely,

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Colleague

The first update of concessionary prices were granted today for July 2024:

DrugPack SizeConcessionary Price
Amantadine 100mg capsules56£13.21
Amiloride 5mg tablets28£15.20
Benzydamine 0.15% mouthwash sugar free300£4.51
Bimatoprost 300micrograms/ml / Timolol 5mg/ml
eye drops
3£8.75
Cefalexin 500mg capsules21£3.01
Chloramphenicol 0.5% eye drops10£5.29
Clarithromycin 125mg/5ml oral suspension70£5.10
Co-amoxiclav 250mg/125mg tablets21£3.16
Co-codamol 15mg/500mg tablets100£3.60
Cyclizine 50mg/1ml solution for injection ampoules5£4.82
Docusate 50mg/5ml oral solution sugar free300£16.90
Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops
0.2ml unit dose preservative free
60£22.46
Duloxetine 20mg gastro-resistant capsules28£8.79
Duloxetine 40mg gastro-resistant capsules56£10.50
Dutasteride 500microgram capsules30£2.28
Enalapril 10mg tablets28£0.99
Escitalopram 10mg tablets28£1.58
Escitalopram 20mg tablets28£1.99
Escitalopram 5mg tablets28£4.26
Esomeprazole 40mg gastro-resistant capsules28£2.49
Estradiol 10microgram pessaries24£10.38
Etoricoxib 90mg tablets28£8.50
Lactulose 3.1-3.7g/5ml oral solution500£4.57
Levetiracetam 500mg tablets60£5.19
Mebeverine 200mg modified-release capsules60£7.41
Memantine 10mg tablets28£1.49
Memantine 20mg tablets28£1.69
Metformin 1g modified-release tablets56£3.83
Metformin 500mg/5ml oral solution sugar free150£22.45
Methylphenidate 10mg tablets30£3.42
Midazolam 10mg/2ml solution for injection ampoules10£5.41
Mometasone 0.1% ointment30£3.57
Mometasone 50micrograms/dose nasal spray140£9.20
Naproxen 500mg gastro-resistant tablets56£4.02
Nebivolol 5mg tablets28£4.21
Nicorandil 10mg tablets60£8.12
Nortriptyline 10mg tablets100£4.49
Olanzapine 10mg tablets28£7.99
Olanzapine 15mg tablets28£3.99
Olanzapine 2.5mg tablets28£2.60
Olanzapine 5mg tablets28£4.19
Olanzapine 7.5mg tablets28£1.33
Orlistat 120mg capsules84£23.14
Oxycodone 5mg/5ml oral solution sugar free250£8.48
Pregabalin 100mg capsules84£2.42
Pregabalin 300mg capsules56£3.08
Pregabalin 50mg capsules84£18.95
Pregabalin 75mg capsules56£1.90
Prochlorperazine 3mg buccal tablets50£8.69
Quetiapine 150mg tablets60£19.12
Quetiapine 300mg tablets60£13.99
Ropinirole 1mg tablets84£32.99
Ropinirole 500microgram tablets28£14.91
Sodium valproate 200mg/5ml oral solution sugar free300£7.62
Tacrolimus 0.1% ointment30£25.92
Temazepam 10mg tablets28£23.06
Trimethoprim 50mg/5ml oral suspension sugar free100£4.78

Concessionary prices will be paid against the usual code, no additional endorsements are needed.

Please continue to notify CPNI of any pricing issues you are experiencing via our Medicine Shortage Reporter.

Concessionary prices are also published on the CPNI website.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Contractor
SPPG have issued correspondence on 18th July regarding the Living Well Service.

SUMMARY

  • The ‘Live longer and stronger’ campaign is to begin on 1st August 2024.
  • Various resources will be provided and if these are not received by 31st July 2024, SPPG have asked community pharmacies to email reception.pha@hscni.net immediately and title the subject heading as ‘LIVING WELL PHARMACY CAMPAIGN’.
  • Replacement resources cannot be provided if not reported by 7th August 2024.
  • Social media posts released by PHA can be shared on social media channels to increase the reach of the campaign. Details of this schedule along with printable resources can be found here.
  • The campaign for ‘MMR vaccination’ will finish on 31st July 2024, and the survey will open on 5th August 2024 at 9am and will close 2nd September 2024 at 6pm.
  • When completing the required survey, please ensure to use the correct contractor number.

ACTION

  • Contractors are asked to read the correspondence issued by SPPG on 18th July 2024 regarding the Living Well Service and share with all relevant members of the team.
  • The next campaign ‘Live longer and stronger’ begins on 1st August 2024 and if resources are not received by 31st July 2024, email reception.pha@hscni.net immediately. Please ensure the email subject is titled ‘LIVING WELL PHARMACY CAMPAIGN’. Failure to report this by 7th August 2024 will result in no resources being provided.
  • The current campaign ‘MMR vaccination’ will finish on 31st July 2024 and the survey will run from 5th August 2024 until 2nd September 2024.
  • On completion of the survey, contractors are asked to take a picture of the confirmation text and/or tick the box to save a copy of your survey answers.

Any queries regarding the content of this letter can be directed to your local primary care office, or alternatively please contact a member of the CPNI team.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive