Drug Tariff entry

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Dear Department of Health and Social Care,

The remit of the Drug Tariff is to use competition to encourage lower prices and create an
incentive for pharmacy contractors to procure in a manner that is cost- effective for the NHS. The decision for inclusion being made by the Secretary of State. This being the case how is it possible that an identical product to another (minor differences in excipients only) is not included in the drug tariff despite being £84 cheaper than the alternative brand. The specific product included in the Drug Tariff is Aceteff (acetylcysteine 600mg) 30 tablets (Dunelm) £89.50 Part VIIIA (C), the alternative Nacsys (acetylcysteine 600mg) 30 tablets (Atlantic Pharma) £5.50 is not included in the drug tariff.

The tax payer has therefore being paying over £84 more for a generic prescription for over 12 months with the pharmacist potentially making a significant profit if dispensing Nacsys against this prescription. This is unacceptable given the cost pressures on the NHS.

What is the process for determining inclusion of products in the Drug Tariff?

Is there a process (and what is it) to identify where cheaper identical products are available to ensure these are included in the tariff as a priority?

Yours faithfully,


Department of Health and Social Care

1 Attachment

Dear Vijay

Please find attached the Department of Health and Social Care's response
to your recent FOI request (our ref: FOI-1160119  ) 

Yours sincerely,

 Dorothy Crowe 

Freedom of Information team
Department of Health and Social Care


Please do not reply to this email. To contact the Department of Health and
Social Care, please visit [1]www.gov.uk/dhsc

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