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Document How is a drug added to the list of drugs for which a discount is not deducted?

Manufacturers, suppliers or contractors etc. cannot apply to have Discount Not Deducted (DND) status granted for an item. 
There is only one route whereby this status is granted; you would need to contact PSNC to make them aware that you are not being given discount when obtaining this item.
PSNC will then undertake an initial investigation to see whether they think the product meets the criteria required to be considered DND.

Where PSNC believe that the necessary criteria are fulfilled for an item to be granted DND status,
they will propose the item to NHS Prescription Services for inclusion in Part II.

We then undertake more detailed investigation, before recommending to the Department of Health and Social Care that the item either be accepted for inclusion or rejected, depending on the outcome of the investigation. 
Please note that this process does not apply to the 'Group Items' in the list of Drugs for which a Discount is Not Deducted in Part II of the Drug Tariff which are automatically indicated as DND when added to our systems.

These groups are:
  • Cold Chain Storage (all).
  • Controlled Drugs in schedules 1, 2 and 3 of the Misuse of Drugs Regulations 2001.
  • Cytotoxic or Cytostatic items (all. Please note that for the purposes of discount not deducted, an item must be included in BNF 8.1 to be classed as cytotoxic or cytostatic)
  • Immunoglobulins (all).
  • Insulins for Injection (all).
  • Vaccines and Antisera (all).
  • Unlicensed medicines not listed in Part VIIIB where the product has been sourced from a supplier holding a MHRA specials or importers license (prescriptions must be endorsed with invoice price less discount/rebate).


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