Midazolam oromucosal pre-filled syringes
Q: I have a handwritten out of hours prescription for Midazolam 10mg oral pre-filled syringes, the patient usually has Buccolam. Will I be paid for supplying Buccolam?
A: Contractors would only be paid for supplying Buccolam (Midazolam 10mg/2ml oromucosal solution pre-filled oral syringes sugar free) where the prescriber confirms that this is the product required as Midazolam 10mg is listed in the England, Wales and Northern Ireland Drug Tariffs (Sept 2024) as:
| Dictionary of medicines and devices description | Drug tariff linked product | Tariff price (March 20) |
Midazolam 10mg/1ml oromucosal solution pre-filled oral syringes sugar free
|
Epistatus |
£45.76 |
Midazolam 10mg/2ml oromucosal solution pre-filled oral syringes sugar free
|
Buccolam |
£91.50 |
In order to ensure accurate remuneration contractors would need to ensure that the prescription was either amended by the prescriber to indicate the syringe size or the prescription endorsed “PC” along with details of the syringe size and product supplied. Failure to endorse this prescription correctly would result in the PPA remunerating for Epistatus and a potential loss to the contactor of £45.74.
The following table summarises the Midazolam oromucosal solution products currently listed in the Drug Tariffs of England, Wales and Northern Ireland:
| Dictionary of medicines and devices description | Drug tariff linked product | Tariff price (Sept 2024) |
| Midazolam 2.5mg/0.5ml oromucosal solution pre-filled oral syringes sugar free | Buccolam | £82.00 |
| Midazolam 5mg/1ml oromucosal solution pre-filled oral syringes sugar free | Buccolam | £85.50 |
| Midazolam 7.5mg/1.5ml oromucosal solution pre-filled oral syringes sugar free | Buccolam | £89.00 |
| Midazolam 10mg/1ml oromucosal solution pre-filled oral syringes sugar free | Epistatus | £45.76 |
| Midazolam 10mg/2ml oromucosal solution pre-filled oral syringes sugar free | Buccolam | £91.50 |