RWM/DTP table

Latest updates 

By Ailsa Colquhoun

Janssen has advised that from 1 January 2019 it will close its dispensing doctor scheme; manufacturer discounts will no longer be available on the following Janssen brands:

  • Durogesic Dtrans
  • Lyrinel XL
  • Evra

Other key changes:

  • Owen Mumford MDS to go from 1 January
  • GSK Pharma Products: From November 1, 2018, GSK UK Pharmaceuticals has changed its distribution model from ‘Direct to Pharmacy’ to ‘Reduced Wholesale’, using all three mainline wholesalers
  • New AAH solus Moventig 12.5mg & 25mg tablets (Kyowa Kirin)
  • Reduced 10 per cent MDS discount on Boehringer Ingelheim brands: Trajenta; Jardiance 10/25mg; Spiriva Respimat; Spiolto Respimat.

For further corrections or additions to this table, please email: ailsa.colquhoun@dispensingdoctor.org

DTP Schemes

DTP stands for Direct to Pharmacy schemes, although as they also extend to dispensing doctors, Direct To Purchaser might be more accurate.

In the DTP model, the manufacturer sells direct to the end customer, the dispensing contractor, using an exclusive or reduced number of wholesaler/s acting as distributors or logistics service providers only.

In this capacity, the wholesaler/s never owns the stock and so is in no position to offer any discounts.

DTP tends to be chosen by the larger firms. Glaxo was first, and Pfizer the second. Together, Pfizer, GSK, AstraZeneca and Merck account for just under 30% of the total UK pharmaceutical market (2010, source: ABPI)

There are also optional offers by some companies to sell direct or via mainline wholesalers. eg Roche and Bonviva via Williams, Takeda and Prostap via Clarity DTP. Ferring have made Pentasa, DDAVP Melts and Desmomelts available from Clarity DTP as well as mainline wholesalers.

An increasing number of companies use DTP models to distribute a limited range of lines, usually those that are low volume and high cost. Their other lines are distributed using the Reduced Wholesaler Model (RWM) – see below.

Specified lines DTP model

Pharmaceutical Manufacturer Chosen wholesaler/Distributor Lines affected
BAYER Direct Satisfex, Betaferon; 0%
BRISTOL MYERS SQUIBB Direct Azactam, Etopophos, Orencia, Reyataz, Sprycel, Sustiva, Vepesid, Viaspan, Videx, Zerit For more information, read this letter.
NOVARTIS Direct, through Novartis’ Patient Priority Supply Service Aclasta, Afinator, Exjade, Glivec, Myfortic, Sandostatin LAR, Sandimmun, Tasigna, Tobi, Zometa
ROCHE Direct Pulmozyme (dornase alpha) ampoules 2.5mg and Valcyte (valganciclovir) tablets 450mg x 60
SANOFI AAH Zentiva lines:Celectol, Flagyl, Cystrin and Paramax

DTP Schemes

Pharmaceutical Manufacturer Chosen distributor Details of discount/s offered and 0%s
ASTELLAS Alliance  To contact Astellas tel: 0203 379 8721 or e: ukcustomerservices@astellas.com
ASTRAZENECA AAH, Alliance
PSUK (some brands)
Two-way model, comprising a flat rate discount applied at the point of purchase. See here for discounts effective 1/2/16.

From PSUK: Emla Cream, Marcain, xylocaine, Zoladex. See here for more information.

Symbicort Turbohaler.
See here for (26%) discount information on Eklira Genuair and Duaklir Genuair. For information on all other discounts, visit AZ (registration required)

Price list

ELI LILLY AAH, Phoenix 5%: Cialis, Cymbalta and Yentreve (dependent on volume) only until 31/5/18. Thereafter 0% – see letter
IPSEN AAH All products are 0%.
See also RWM table below for Decapeptyl
PFIZER Alliance Four bands:
1] Flat rate on Lipitor + Viagra: 25%
2] Depo-Provera: 5%
3] 0%s; Click here for the full list of Pfizer discounts (incl. 0%s)
4] 7.5% on everything else
TAKEDA for Prostap Clarity DTP Discount available
Note: Prostap is also available via main wholesalers

RWM schemes In Reduced Wholesaler Model Schemes (RWM or Reduced Wholesaler Agreements, RWA), a pharmaceutical company will use specific wholesaler/s partners (usually, two, although solo and three-way RWM models also exist). Apart from the restriction on the number of wholesalers used, the RWM model is based on the traditional wholesale business model, ie, the wholesaler/s owns the stock and can offer discounts in the usual way.

Since its introduction, the RWM model has been widely adopted by pharmaceutical suppliers. At the 2011 Dispensing Doctors’ Association conference, it was said that only 20% of all items are supplied outside either an RWM or DTP wholesaling model.

RWM AAH ALLIANCE* PHOENIX (+PSUK)
365 HEALTHCARE ——— Eligible medical discount ———
ABBOTT Diabetes (selected) range: 6%
Nutritional: NQ
Other (excl. Freestyle Lite): NQ
Diabetes range & Omacor MR: 5%; Nutritional and Omacor: NQ Diabetes range: 0% (+6%)
Nutritional: 0%
Other (excl. Freestyle Lite): 0% (+6%)
ABBVIE ——— ——— 0%
ACCORD H’CARE ——— Zomestine: NQ ———
ADVANZ PHARMA
(Formerly Concordia)
———   Product list. 0.4% Click here for more information  ———
AHA WORLDWIDE ——— 8%
ALCON LABS 6%: For qualifying products, click here (unique lines highlighted in red) Other products: 0% 6% For qualifying products, click here (unique lines highlighted in red) ———
ALK-Abelló ——— Grazax: NQ Jext: NQ ———
ALLERGAN 6% 6% 6%
ALLIANCE Pharmaceuticals 8%: For applicable products click here 8% ———
ALMIRALL 4% 4% 3.85% + 2%
ALVEOLUS ——— NQ ———
AMGEN NQ ——— ———
ANAIAH  ——— 0% ———
ARCHIMEDES 4.5% Product list   ——— ———
ARISTO (formerly CEB) ———  8.5% Mintreleq XL: 8%
ARJUN Normal discount Eligible where applicable ———
ASCENSIA (formerly Bayer Diabetes 8% 8% 6%+2%
ASPEN Selected products: 7%
Others: NQ
 Woundcarae: 5%  Woundcare
ASPIRE ——— 20%: Onexila XL ———
AYMES NQ: Product list ——— ———
BARD 6% 7.5% ———
BASILEA ——— NQ ———
BAUSCH LOMB + M 4% 0% 0% (+4%)
BAXTER ONCOLOGY ————– NQ: applicable products ———
BAYER Schering (UK) 8%  8% Click on the link for products and discounts 6% (+2%)
BECTON DICKINSON 10%: pen needles – see here; other BD products: standard medical ———  Qualifying ethical
BIAL ————– Ongentys: NQ NQ
BOEHRINGER INGELHEIM 3.5%: Actilyse, Buscopan, Catapres, Combivent, Jardiance, Jentadueto,   Oramorph, Pradaxa, Rinatec,  Striverdi, Synjardy, Trajent

NQ: Actilyse, Atrovent, Micardis, Mirapexin, Oramorph, Spiriva,  Viramune

 

Solus: Spiriva Respimat and Spiolto: 2.5%
Other: 2.5%

3.5% (+1.5%)
Solus for Pradaxa (dabigatran)
BOOMO MEDICAL  ————– 0%  ————–
BRANCASTER  PHARMA ————– Bramox: NQ
LQD: NQ
Bramox: NQ

LQD: NQ

BRISTOLMYERS SQUIBB ‡ 7% excl. Baraclude: NQ Applicable products (plus Byetta/Bydureon) 7% discount (all customers, non NQ lines only) Applicable products (plus Byetta/Bydureon)
Solus: Baraclude: NQ
———
CAMERUS ————– Solus; ZD  
CELGENE NQ  ————–  ————–
CHIESI 3%: For product information, click here 2.5%:
Solus: Bronchitol: NQ
4%
CLINISUPPLIES 3% ——– ———
COLOPLAST Products: 5% Product range: 5%  ———
CONSILIENT 2.5% Rewisca: 0%
Mysimba: 5%
Rewisca: 0%
Mysimba: 5%
CONVATEC Woundcare:
6%:
 Product list
Ostomy: 6%
Woundcare: 5%
Ostomy: 4%
See 
Products
Ostomy: 10%
COVALON ——— 10%: Product list ———
CRESCENT PHARMA 5.5% ——— ———
DAIICHI SANKYO 5% 5% MDS: Olmetec & Sevikar – Individual to each customer 5%
DENTSPLY Navina: NQ Awaited Awaited
DERMA UK 5%   Product list ——— ———
DESITIN PHARMA NQ products NQ ———
Dr FALK Salofalk suppositories, Budenofalk capsules and granules, Jorveq: 9%   ——— ———
DR SCHÄR ——– 0% ———
DUNELM PCTLS 5% ——– ——–
ECOGEN ——– 1% ——–
EISAI for Aricept, Inovelon, Pariet, Zebinix and Zonegran 7.5% 7.5% 4% (+3.5%)
ENNOGEN PHARMA ——– Trimovate (unlic.): 6.5%  
EPISTATUS ——– NQ ——–
ETHYPHARM (formerly DB Ashbourne) Qualifying lines: 7.5%
Zomorph (solus): NQ
Solus: Noyada: 2%

Prenoxad/Tglutik: ZD

Selected products: 7.5%
EVOLAN PHARMA ——— ZipZoc: NQ ———
FERRING Calscreen: NQ Others: 4% —— ———
FINOX ——– 0% ——–
FLYNN PHARMA 5.25% 5.25% ——–
FOODLINK ——– 0% ——–
FONTUS ——– 4% 4%
GALDERMA 6%: Selected products

NQ: Epiduo, Loceryl 5ml, Rozex Gel 40g

7% Awaited
GASTROPHARM ——– NQ ——–
GEDEON RICHTER NQ ——– ——–
GENIUS ——– Fresh: NQ ——–
GLUCORX 3% 3% 5.5%
GRUNENTHAL ——— Palexia, Ralvo, Tramacet, Qutenza, Versatis, Zydol: 5% ——–
GSK See products
GSK
pharmaGSK vaccine 
(Solus: Spec. meds/Viiv portfolio: 0%) Awaited
HARTMAN 6% —— 10%
IHEALTHLABS —— Standard  
INDIVIOR NQ —— ——
INFAI —— —— NQ
INFIRST HEALTHCARE —— NQ ——
INSIDE BIOMETRICS 7% —— ——
INTRAPHARM LABS All products MDS available: Click here for details All products MDS available: click here for details Qualifying ethical
IPSEN for Decapeptyl See DTP table —— 0%
JANSSEN CILAG 6%: Orap, Pancrease

NQ: Caelyx, Femeron

7%

 

7% (+1.5%)

 

JUVELA (HERO) ——— As special lines: NQ ———
KARO PHARMA ——— 2.5%  ———
KCI MEDICAL ——— Standard discount Awaited
KETOCARE ——— NQ ———
KoRa/ NEWPORT ——— All lines: 0% ———
KYOWA KIRIN 4.5%. 

NQ: Solus: Moventig 12.5mg/25mg tabs
Selected products: 4.5%

——— 7%
LEO  ——— Selected: 7%
Other: 2.5%
———
LIFESCAN   9%: OneTouch, Ultra and Finepoint only 8% 7% (+1.5%)
LONDON EYE HOSPITAL ——– NQ ——–
LUNDBECK ——– 7% ———
M&A PHARMA ——– Eroset; Mandanol; Emcozin: NQ ——–
MANFRED SAUER 6%  7.5%  
MARTINDALE ——– Prenoxad/Teglutik: NQ
Solus: Noyada: 2%
Prenoxad, Teglutik: NQ
Woundcare: eligible medical discount
——–
MEAD JOHNSON NUTRITION (UK) NQ NQ Selected products  ——–
MEDAC ——— Metoject: NQ & leflunomide ———
MERCK SERONO Gonal F & Ovitrelle: NQ   Saizen: NQ Qualifying ethical products
MITSUBISHI ———–  ——— Tanatril: 7.5%   Exembol: NQ.
MOBERG PHARMA ———– Emtrix (solus) ZD ———–
MSD Pharma: 7%;
Zepatier: NQ
Vaccines: NQ
———– ———
MYLAN (incl. BGP & Meda) 1.6%/4% – see Product list EpiPem/Muse: NQ
Others: 1.6%/4%
NQ
NAPP 4.5% (excl. NQ lines) click here for product information  4% excl.
solus on Truxima/Remsima – NQ
2.5% +2%
NEOCEUTICALS ———– NQ 2.5%
NEON H’CARE ———– NQ Awaited
NESTLE NQ Oral Impact range only: NQ Qualifying ethical
NEWPORT ———– 0% ———–
NICOX Awaited NQ ———–
NIPRO DIAGNOSTIC Product range 8% ——— 8%
NODEN PHARMA ———- Solus: Rasilex: NQ ———
NORGINE Others: 7.25%
NQ: Targaxan/Endocuff
——— ———
NOVARTIS (also see above for selective DTP lines) 3.5%: Estradot; Lioresal; Tegretol & Voltarol (selected strengths)

7%: Solus: Entresto
NQ: Ritalin; Syntocinon Liam

3.5-7%: Remaining lines – see details

7%: Ultibro
3.5%: Selected items6%: Eyecare

7%: Other

———
NOVO NORDISK ———- 8% (excl. NQ lines) ———
NUALTRA ———- NQ ——–
NUTRICIA M Ethical lines; NQ
Others: 7%
Solus: Allergy/metabolic: 0%: Product Information 0%
OPUS ——– 7% ——–
OREXIGEN T’PEUTICS ——– 5% ——–
ORION PHARMA
Fobumix Easyhaler MDS and pricing structure

Fobumix Easyhaler MDS and pricing structure

Fobumix Easyhaler MDS and pricing structure
OTSUKA ——– Abilify Main’ce: 0.5%
Samsca: NQ
———
OWEN MUMFORD EMD  ——— ———
PHARMACOSMOS ——– ——– NQ
PHARMANORD ——– Bio-Melatonin tabs (unlic.): 0% Awaited
PIRAMAL CRITICAL ——– 5% Awaited
PROSTRAKEN 4.5%  4.5% Awaited
PROVECA ——– NQ ——–
QDEM ——– NQ  7%
RECKITT BENCKISER +++ 0% ——– ———
RIDGE PHARMA ——– Awaited.
Additional Oxypro PR MDS terms
Awaited.
Additional Oxypro PR MDS terms
ROCHE DIABETES 5.5% 5% Qualifying ethical
ROCHE PRODUCTS 7%: Product list 7% (excl. NQ lines) spend contributes to customer threshold ———
ROVI ——– NQ ——–
SANDOZ NQ ——– ——–
SANOFI AVENTIS 8% (no renal) 7% (AH only for renal lines) 7% (+1.5%) (no renal)
SANTEN Taptiqom: 7%    ———  ———
SERVIER LABS 3.9%

Arrangements with Clarity: 3.9%

4%  Awaited
SHIELD THERP’ICS 5% NQ NQ
SHIONOGI ——– 5%: Solus ——–
SHIRE NQ 6% on non NQ lines Fosrenol and Xagrid: 0% Click on the link for full product information 6%
SLO DRINKS ——– ZD ——–
SMITH & NEPHEW ——– Eligible Medical Discounts Product range 9%
SOLVAY Omacor and Colofac MR: 6% Eligible Medical where discount applies Omacor: NQ
SPEPHARM AG (form. MERUS) ——– 3% ——–
SPIRIT HEALTHCARE Caresens N Test Strip: 3% ——– ——–
SUNOVION ——– 7% ——–
SYNERGY ——– Comfi: 10% (net price) ——–
SYSTAGENIX Qualifying products: qualifying ethical discount Eligible Medical Discounts Products  13%
TAKEDA Awaited Awaited Awaited
TECHNOMED ——– Eligible medical Discount ——–
TILLOTT for Octasa++ ——– 10.5% MDS: 25% Qualifying ethical
UCB Keppra, Viridal & Vimpat: NQ   All solus: 4% ——–
ULTRAPHARM ——– Product list: 0%  ——–
URGO  ——–  8% 8%
VENTURE ——– NQ ———
VERITON PHARMA ——– Solus: Epistatus: ZD  
VIFOR FRESENIUS ——– ZD ——–
VITAFLO Products: NQ ——– NQ
WARBURTON NQ ——– ——–
WARNER CHILCOTT (ACTAVIS) 5.5%: Actonel; Asacol; Cacit – see here ——– 6%: Asacol
WELLSPECT 5% Eligible Medical Discounts Others: 5%  4-13%
WOCKHARDT Acidex, Yaltomin, Oxeltra Acidex, Yaltomin, Oxeltra NQ ———
YOUR PRODUCTS ——– 0% Awaited

+ Bausch and Lomb also use Mawdsleys and Sants* (Alliance) Discount applied before invoicing. Therefore invoice price is net of discount. Medical Trading Terms apply in addition to Alliance Healthcare’s standard terms and conditions of sale.

++ Octasa is also available from Mawsleys and Mawdsley pre-wholesale

‡ BMS Baraclude is only via Alliance.

+++ Reckitt Benckiser products below:

Temgesic Amp 0.3mg/1ml x5          Suboxone Sub Tab 2mg x28            Subutex Sub Tab 0.4mg x7

Temgesic Sub Tab 0.2mg x50         Suboxone Sub Tab 8mg x28            Subutex Sub Tab 2mg x7

Temgesic Sub Tab 0.4mg x50         Subutex Sub Tab 8mg

Exceptions to above arrangements:

Bayer – does not include Bayer Consumer Care

GSK – does not include GSK Vaccines, GSK Consumer Health and ViiV Healthcare UK products

Novartis – does not include Novartis Consumer Health

Roche – does not include Roche Diagnostics

Pfizer – does not include Wyeth Consumer Healthcare, Wyeth Vaccines or SMA Nutrition

Shire – does not include Shire Human Genetics

‡‡ Mead Johnson lines supplied by Alliance Healthcare & AAH

NUTRAMIGEN 2 LIPIL PWD 400G 24
NUTRAMIGEN 1 LIPIL PWD 400G 24
PREGESTIMIL LIPIL PWD 400G 24
ENFAMIL O-LAC LIPIL PWD400G 24
ENFAMIL AR LCP PWD 400G 24
NUTRAMIGEN AA PWD 400G 6

M– available from Mawdsleys

This information applies to Great Britain only

Surcharge table

Wholesaler Fuel Ordered In Error Low Spend Additional information
AAH £75 All qualifying ethical: monthly purchase threshold of £1,500 before 10% discount can be applied RWM products (excluding solus lines) are subject to a £200 threshold before discount (per manufacturer) unless otherwise stated
Alliance Healthcare Sliding scale based on AA Roadwatch. More information is available online 2% or more ordered in error: £50 charge. More information £300 for qualifying spend <£5000. More information 1.        Alliance Healthcare purchases (excluding exclusive supply lines) contribute to overall AH discounts.

2.        No surcharges apply to products that are exclusive to Alliance

3. Missing claims handled online

Alliance Forte members
No OIE & low spend surcharges plus enhanced financial terms and membership benefits. More information online

PHOENIX n/a £60 n/a

 

 

 

 

 

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