Q. When can I claim for Out of Pocket Expenses?
Out of pocket expenses are those additional costs incurred when sourcing products for supply on prescription. This can include costs such as phone calls to suppliers to order products or delivery costs from manufacturers.
These costs will be reimbursed when obtaining products listed in certain sections of the Drug Tariff.
It is important for the pharmacy to keep an audit trail, in case evidence is ever requested by the Pricing Authority to support the claim.
OOP can only be claimed for certain items:
| No | Yes |
|---|---|
| Part VIIIA Category A and M | Part VIIIA Category C |
| All unlicensed specials and imports (including those in Part VIIIB and part VIIID)* | Readily available medicinal products outside of Part VIIIA (including ACBS) |
| Part IXR | Part IXB |
| Part IXA | Part IXC |
*SP £20 can be claimed
This tariff tip applies to England and Wales only.
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If you have any questions about the Drug Tariff - send Sue a message or call Information Services on 0800 783 5709*