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A prescribing only practice payment is calculated using the basic price of the drug as listed in the BNF, DM+D or Drug Tariff.

The calculation is:

(the drug price – the discount) + the VAT allowance for personally administered items and the dispensing fee

Your payment may be subject to amendments by your Sub ICB Location (SICBL). 

The VAT allowance that's reimbursed will be at the current rate for that dispensing month. This is currently 20%.

We calculate the dispensing fees for both General Medical Services (GMS) and Personal Medical Services (PMS) practices.

SICBL pay these to GMS practices only.

If you're a PMS practice, you must contact your local SICBL as they may make an alternative payment.

Discount

 
Total basic price per month - £ bandwidth New discount rate %
1 to 2000 3.17
2001 to 4000 5.93
4001 to 6000 7.21
6001 to 8000 8.06
8001 to 10 000 8.68
10 001 to 12 000 9.19
12 001 to 14 000 9.60
14 001 to 16 000 9.97
16 001 to 18 000 10.29
18 001 to 20 000 10.57
20 001 to 22 000 10.82
22 001 to 24 000 11.03
24 001 and above 11.18

Fees

Annex G of the Statement of Financial Entitlement states that the following table will be used to calculate the dispensing fees from 1 April 2025

 
Total prescriptions calculated separately for each individual dispensing practitioner, in bands Prices per prescription in pence
Up to 472 238.6
473 – 591 235.4
592 – 710 232.4
711 – 827 229.6
828 – 947 227.1
948 – 1063 224.7
1064 – 1478 222.4
1479 – 2069 220.4
2070 – 2364 218.5
2365 – 2956 216.9
2957 – 3545 215.5
3546 – 4137 214.3
4138 – 4726 213.2
4727 and over 212.4

Annex G of the Statement of Financial Entitlement states that the following table will be used to calculate the dispensing fees from 1 October 2024

 
Total prescriptions calculated separately for each individual dispensing practitioner, in bands Prices per prescription in pence
Up to 472 244.6
473 – 591 241.3
592 – 710 238.3
711 – 827 235.4
828 – 947 232.8
948 – 1063 230.3
1064 – 1478 228.0
1479 – 2069 225.9
2070 – 2364 224.0
2365 – 2956 222.4
2957 – 3545 220.9
3546 – 4137 219.7
4138 – 4726 218.6
4727 and over 217.8