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Document How does the price change mechanism work for generic and proprietary products?

Generic drugs, such as Part VIIIA Category A products

The reimbursement price change takes place one month earlier than proprietary medicines: a price change up to and including the 8th of the month effects for prescriptions dispensed that month. A price change after the 8th of the month will be applied the following month.
 
For example if the manufacturer's list price changed on the 6th of February, the new reimbursement price would apply to prescriptions dispensed in February. If a manufacturer's list price for a generic drug changed on the 15th February, the new reimbursement price would apply to prescriptions dispensed in March.


Proprietary drugs including Part VIIIA products where the price is based on a proprietary product (most Category C products)
 
A price change up to and including the 8th of the month takes effect for prescriptions dispensed in the following month. A price change after the 8th of the month will be applied for reimbursement purposes to prescriptions dispensed one month later.

For example if the manufacturer's list price for a proprietary product changed on the 6th of February, the new reimbursement price would apply to prescriptions dispensed in March. If a manufacturer's list price changed on the 15th February, the new reimbursement price would apply to prescriptions dispensed in April.


Part VIIIA Category M products

The reimbursement prices of category M medicines are changed quarterly by the Department of Health and Social Care. These are published on our website. Click here to view.

 
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