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Separating Group 1 / Group 1a

Background

The introduction of 2D bar codes onto prescriptions has provided an opportunity to use the information contained in the bar code to provide a more efficient and accurate pricing system for pharmacy contractors and dispensing doctors.

In order to take full advantage of this development contractors are asked to separate exempt prescriptions into two groups before submission for pricing:

Group 1:   Those that can be priced automatically.
Group 1a: Those prescriptions that need to be priced by an operator.
(Levy prescriptions will continue to be submitted in a separate group – Group 2)

Separating scripts into Group 1 and Group 1a

Group 1 (to be automatically priced)

This group should only include regular (WP10SS, WP10IPSS, WP10SPSS & WP10PN) exempt prescriptions which have been dispensed as prescribed and where there is no additional claim or endorsement added i.e., where you would be happy for an automated system to pay you for the prescription as it has been prescribed.


Group 1a (to be passed to an operator for review and pricing)
Group 1a should include all of the remaining exempt prescription forms. This group will include all of the remaining prescription form types and any prescription forms where changes or additional endorsement has been necessary i.e. an exception applies.

Group 1a would therefore include the following:-

Exceptions eg:

  • Broken bulk claimed
  • Dispensed quantity is different to that prescribed
  • Out of pocket expenses claim
  • Item not dispensed
  • Local special scheme endorsement (eg WRS)
  • Additional items claimed (eg: droppers)
  • NCSA or NCSO items
  • Generically prescribed by branded drug indicated on prescriptions
  • Handwritten amendments has been made to prescribed information

Other prescriptions forms eg:

  • Resubmissions
  • WP10HP(AD) (Hospital CD instalment) (CD=Controlled Drug)
  • WP10MDA (GP CD instalment)
  • All other non standard WP10 forms including Repeat Dispensing forms
  • All WP10 equivalents eg England FP10 series forms