November 2024 Price Concessions 2nd Update

Following discussions between Community Pharmacy England and the Department of Health and Social Care (DHSC) regarding medicine pricing issues reported by pharmacy owners, the Department has today [20/11/2024] announced the following list of price concessions for November 2024:

Drug	Pack size	Price concession
Benzoyl peroxide 5% / Clindamycin 1% gel	60	£22.06
Brimonidine 0.2% eye drops	5	£2.65
Clarithromycin 125mg/5ml oral suspension	70	£4.72
Clomipramine 50mg capsules	28	£8.06
Co-tenidone 50mg/12.5mg tablets	28	£6.20
Domperidone 10mg tablets	100	£2.76
Domperidone 10mg tablets	30	£0.83
Escitalopram 10mg tablets	28	£1.65
Haloperidol 5mg tablets	28	£10.39
Hydroxocobalamin 1mg/1ml solution for injection ampoules	5	£12.65
Isosorbide mononitrate 20mg tablets	56	£1.33
Ketoconazole 2% shampoo	120	£24.00
Levetiracetam 250mg tablets	60	£1.88
Levetiracetam 500mg tablets	60	£4.95
Metformin 1g modified-release tablets	56	£4.11
Metformin 500mg modified-release tablets	56	£2.49
Naproxen 250mg gastro-resistant tablets	56	£6.75
Nicorandil 10mg tablets	60	£7.58
Olanzapine 15mg tablets	28	£3.38
Ondansetron 8mg tablets	10	£3.00
Perindopril erbumine 2mg tablets	30	£1.37
Pregabalin 150mg capsules	56	£2.88
Pregabalin 200mg capsules	84	£4.25
Pregabalin 300mg capsules	56	£3.10
Pregabalin 75mg capsules	56	£2.65
Rizatriptan 10mg tablets	3	£8.51
Ropinirole 500microgram tablets	28	£12.61
Tadalafil 5mg tablets	28	£8.25
Telmisartan 80mg tablets	28	£14.47

The DHSC previously announced (15/11/2024) the following list of price concessions for November:

Apixaban 2.5mg tablets	60	£4.20
Cefalexin 500mg capsules	21	£2.67
Chloramphenicol 1% eye ointment	4	£3.68
Clarithromycin 250mg/5ml oral suspension	70	£8.64
Fenofibrate micronised 200mg capsules	28	£3.83
Flucloxacillin 250mg/5ml oral solution sugar free	100	£5.63
Glimepiride 4mg tablets	30	£1.19
Isotretinoin 20mg capsules	30	£12.99
Methylphenidate 54mg modified-release tablets	30	£73.62
Mometasone 0.1% ointment	30	£3.22
Naproxen 500mg gastro-resistant tablets	56	£19.88
Nefopam 30mg tablets	90	£3.86
Nicorandil 20mg tablets	60	£13.82
Olanzapine 2.5mg tablets	28	£1.35
Olanzapine 7.5mg tablets	28	£1.29
Perindopril erbumine 4mg tablets	30	£1.68
Perindopril erbumine 8mg tablets	30	£3.32
Quetiapine 100mg tablets	60	£11.10
Quetiapine 150mg tablets	60	£11.35
Quetiapine 200mg tablets	60	£15.50
Quetiapine 25mg tablets	60	£2.85
Quetiapine 300mg tablets	60	£12.10
Sodium cromoglicate 2% eye drops	13.5	£3.14
Tacrolimus 0.1% ointment	30	£25.92
Tacrolimus 0.1% ointment	60	£47.28
Telmisartan 20mg tablets	28	£2.29

There are no prices that rolled over from the previous month.

No additional endorsements are required for price concessions. A price concession only applies for the month it is granted; any prices agreed for concessions requested late in the month will roll over into the following month.

We encourage pharmacies to report any problems obtaining a Part VIII product at or below the stated Drug Tariff price, using the online feedback form on the our website. Please include full details of the supplier and price paid for any products sourced above the Drug Tariff price. We will investigate the extent of the problem and, if appropriate, discuss the issue with DHSC. We are still working with the DHSC to agree concessionary prices for other drugs reported to be unavailable at the stated November 2024 Drug Tariff price. Please note that we cannot provide details of any generic products awaiting price concession approval from DHSC.

Further information on price concessions and FAQs about the process involved can be found on our website (cpe.org.uk/priceconcessions).

Improvements to the price concession system

Following significant concerns raised by pharmacy owners about the unsustainable level of prices imposed by DHSC in second half of 2022, it was agreed that an urgent review of the price concession setting system would take place.

Since this announcement, we have sent a strong and clear message back to Government that pharmacy owners cannot continue to subsidise the NHS medicines bill. Following the review of the concessionary price process, a package of measures has been developed to improve the system.

One of the solutions agreed between us and DHSC is that from 1st April 2023, all products granted a concessionary price will be classified as ‘Discount Not Deducted’ for the month(s) in which they are on concession.

Furthermore, from May 2023, DHSC has implemented a process to roll over to the following month any agreed prices for concessions requested on or after the 23rd of the month. We are also continuing to work with DHSC on how a ‘retrospective increased payment’ may apply, where appropriate. Further information regarding this concession ‘top-up’ mechanism will be issued once details are finalised.

Please see our latest funding and reimbursement short video for further information on the recent changes to the price concession process.

Price Concessions Announcement

November 2024 Price Concessions