Procurement & supply
Pharmacists are recommended to have a written Standard Operating Procedure (SOP) in place detailing the steps involved in the ordering of ‘Specials’ including risk assessments of the different options available62. For example:
- A written order listing the formula of the product
- A certificate of analysis or certificate of conformity as appropriate
- An MHRA licensed specials supplier is preferred. Details of registered licensed manufacturing sites can be found here
- Preference should be given to suppliers with a history of satisfactory service (new providers recommended by other pharmacies to be considered)
- Aim to continue to use the same supplier when dispensing repeat supplies
- Regularly check that the chosen supplier is offering the best all round service
Find alternatives to
solid dose medications
- Prescribing ‘Specials’ – Five guiding principles for prescribers. NPC.
- Dealing with ‘Specials’. RPSGB.
- Information and guidance on the prescribing and use of unlicensed pharmaceutical specials. East of England NHS Collaborative Procurement Hub.
- Association of Pharmaceutical Specials Manufacturers
- Manufacturer’s and wholesale dealer’s licences. MHRA.
- Introduction of a 'Specials' tariff. NHS Prescription Services.