September 30th 2025

By Ailsa Colquhoun

43 products to gain DND status

Some 43 products will be added to the Discount Not Deducted list from 1 October.

The DND concession does not apply to dispensing practices. Without applied wholesaler/manufacturer discounts, all DND products will be loss-making due to the dispensing GP clawback.

The affected products  are:

• Almuriva 13.3mg/24hours transdermal patches
• Four flavours of Altrajuce  
• Eight flavours of Altraplen Compact  
• Eight flavours of Aymes Actagain  
• Eflornithine 11.5% cream
• Two flavours of Fortisip PlantBased 1.5kcal  
• Five flavours of Fresubin 2kcal  
• GlucoMen iCan Sens
• Latuda 18.5mg tablets
• Latuda 37mg tablets
• Latuda 74mg tablets
• Macrogol 3350 oral powder 8.5g sachets sugar free
• Nutrison Peptisorb Plus HEHP liquid
• Nutrison Protein Shot liquid
• Pro-Cal powder
• Pro-Cal powder 15g sachets
• Progesterone micronised 200mg vaginal capsules
• Ropiqual XL 8mg tablets
• Seravit Paediatric powder
• Testosterone 16.2mg/g transdermal gel (20.25mg per actuation)
• Utrogestan 200mg vaginal capsules

Community Pharmacy England maintains a list of changes to the DND list. So far this year there have been 75 products switched to the DND list, in addition to those granted automatic DND status each month.

In addition, individual items are separately listed in Part II of the Drug Tariff and group items in the Actual Medicinal Product (AMP) listing on Dictionary of Medicines and Devices (dm+d)

Also classed as DND are the following group items:

• Cold Chain Storage (ALL)
• Schedule 1, 2 or 3 Controlled Drugs: Products containing drugs listed in Schedules 1, 2 and 3 of the Misuse of Drugs Regulation 2001
• Cytotoxic or Cytostatic item (ALL):
• Immunoglobulins (ALL)
• Insulins for injection (ALL)
• Vaccines and antisera (ALL)
• Unlicensed medicines: ‘Specials’ not listed in Part VIIIB where the product has been sourced from a supplier holding a MHRA specials or importers licence (prescriptions must be endorsed with invoice price less discount/rebate)
• Hazardous chemicals

Individual items that fulfil all three of the following criteria also qualify for entry to the DND list.

• the manufacturer(s), AAH and Alliance do not offer pharmacy owners a discount
• fewer than 500,000 items per year are dispensed of the product
• average net ingredient cost (NIC) per item is more than £50.