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Claiming for out of pocket expenses
What can OOPE be claimed on?
There are some restrictions on certain drugs and appliances where out of pocket expenses can not be claimed; OOPE cannot be claimed on:
How to claim
You must endorse your prescriptions with XP or OOP and the full details of the claim; including the cost of the expenses. Any other endorsement will not be accepted as per Department of Health and Social Care instructions.
Pharmacy contractors only
Claiming a fee to cover the cost incurred in procuring unlicensed specials or imports is different procedure.
There are some restrictions on certain drugs and appliances where out of pocket expenses can not be claimed; OOPE cannot be claimed on:
- Part VIIIA drugs which are category A or M.
- Part IXA and IXR appliances.
- Part VIIIB.
- All other specials/unlicensed medicines and imports.
How to claim
You must endorse your prescriptions with XP or OOP and the full details of the claim; including the cost of the expenses. Any other endorsement will not be accepted as per Department of Health and Social Care instructions.
Pharmacy contractors only
Claiming a fee to cover the cost incurred in procuring unlicensed specials or imports is different procedure.
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See also...
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How are payments for out of pocket expenses calculated?
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I have forgotten to claim for out of pocket expenses, what can I do?
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Information on out of pocket expenses (OOP)
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Link to Hints and Tips
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What can I do if I cannot source a Part IXA appliance at Drug Tariff price or without incurring out of pocket expenses?
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What is the Hints and Tips newsletter?
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