Tariff Watch

What is moving dispensing margin right now.

A short, dated read on the Drug Tariff, contract and QOF changes that move a dispensing practice's income. This is general information, not advice. Confirm current figures against the primary source before acting.

Last reviewed: 30 May 2026
A

Drug Tariff and generics

Generic apixaban has reached the tariff

Part VIIIA · 2026

The apixaban (Eliquis) patent was held invalid by the Court of Appeal in 2023, and generic apixaban is now in Part VIIIA. The March 2026 Drug Tariff showed about £1.64 for 2.5mg (60) and £2.29 for 5mg (56), against branded Eliquis well above £50 a pack. A price concession of about £2.80 for 5mg (56) was granted for April 2026, so purchase prices were still above tariff in the early weeks. Why it matters: a very high-volume anticoagulant has moved from near-zero brand margin to a Category M line where buying margin is possible once supply settles. Early concession volatility means a real risk of dispensing at a loss during the switch, so watch sourcing against the tariff month by month.

Sources: JUVE Patent, CPE April 2026 concessions. Check the current month on the NHS Electronic Drug Tariff.

Ticagrelor generics: a steep fall in reimbursement

Category A · Jan 2026

The January 2026 tariff moved generic ticagrelor to Category A at about £3.97 for 60mg (56) and £4.73 for 90mg (56), down from roughly £54.60 as a brand. Why it matters: another large fall that rewards careful purchasing and punishes old stock bought at brand prices.

Dapagliflozin has moved into Category M

Category M · Sep 2025

Dapagliflozin (Forxiga) moved into Category M in September 2025 with a significant reimbursement cut after its patent was invalidated. Why it matters: a high-volume SGLT2 inhibitor where margin now depends entirely on buying below tariff.

The DOAC and SGLT2 classes are repricing through 2028

2024 to 2028

Rivaroxaban (Xarelto) generics have been in Categories A and M since around September 2024. Empagliflozin (Jardiance) is not expected to go generic in the UK until roughly 2028, and sitagliptin (Januvia) has been generic and low-priced since 2022 to 2023. Why it matters: the margin on a practice's highest-volume lines is a moving target across these years, so a snapshot taken once goes stale quickly.

Price concessions are at record levels

Record · 2026

Community Pharmacy England recorded around 201 concessions for March 2026, with more than 200 again in the following months, the highest on record, driven by supply-chain disruption. A new Part VIIIA sub-category, Category H, was introduced from March 2026 to speed up tariff adjustment for newly genericised lines. Why it matters: concession lag is the main way a dispensing practice loses money on a generic it cannot source at tariff, and the volume of concessions shows how often that is happening.

Self-care and OTC restrictions continue

Ongoing

NHS England guidance directs that items for mild conditions, such as emollients for mild dry skin and drops for mild dry eye, should not routinely be prescribed, and ICBs are switching branded emollients to generics. Why it matters: each item not prescribed is a dispensing fee and a margin opportunity foregone, so the mix shift matters even when no single line looks dramatic.

B

Contract and funding

The 2026/27 contract was imposed in England

1 April 2026

The 2026/27 GP contract was imposed from 1 April 2026, having been rejected by 98.9% of GPs who voted. The Global Sum rose from £123.34 to £130.07 per weighted patient, about 5.5%, and total contract investment rose by £485m to £13,863m, about 3.6% in cash. Why it matters: the capitation rise is real but is partly offset by cost pressures and by funding moved around rather than added.

Dispensing fee fell for the first half of 2026/27

Apr to Sep 2026

For dispensing practices the fee per item fell for the April to September 2026 period, a formula effect of rising national item volumes, with an uplift expected from October 2026 that is not yet published. The prescription charge is frozen at £9.90 for 2026/27. Why it matters: dispensing income does not move with the core uplift; it is set by the Drug Tariff and the fee scale, and the first half of the year carries a fee cut.

Source: Dispex. Exact pence and the October uplift to be confirmed.

Staff cost pressures from April 2026

From April 2026

The National Living Wage rose to £12.71 an hour, about 4.1%; employer National Insurance stays at 15% with a £5,000 threshold, and GP practices get no Employment Allowance. The DDRB recommended 3.5% for GPs and 3.3% for other staff. Why it matters: dispensary and support staff often sit near the living wage, so these land harder on a dispensing practice than on an average urban practice.

C

QOF

QOF rises to 582 points, with no income protection

2026/27

QOF for 2026/27 rose to 582 points, from 564, with the point worth £227.95, from £225.49. Most of that rise reflects the change in the national average list size, not a real-terms increase, and there is no income protection this year. Why it matters: high achievers must now earn every point on live performance, and several indicators changed in ways that move money, including a cut to the cholesterol indicator and new all-or-nothing diabetes and heart-failure measures.

Items here are checked against primary sources, including the NHSBSA Drug Tariff, Community Pharmacy England and NHS England. Figures move, so confirm the current position before acting on any of them.
§ 01

What the Drug Tariff actually is

The Drug Tariff is published every month by the NHS Business Services Authority on behalf of the Department of Health and Social Care. It sets out what dispensing contractors, pharmacies and dispensing practices, are reimbursed for the medicines they dispense, plus the fees and allowances they're paid for dispensing them.

For dispensing practices the part that moves the money is Part VIIIA: the basic reimbursement prices for the generic medicines that make up the bulk of what you dispense. Each line sits in a category, and the category decides how its price is set, and how often it changes.

§ 02

Part VIIIA: the four categories

Three long-standing categories (A, C and M), and from March 2026 a fourth: Category H. Each is priced on a different basis and a different clock.

Category A

How it's priced

A weighted average of list prices from the main suppliers (AAH and Alliance weighted more heavily than Teva and Accord). Historically reset monthly; since 2024 reforms it is moving onto a quarterly, sales-data-based footing.

Cycle · quarterly (reforming)
Category C

How it's priced

Reimbursed on the list price of a particular branded product or supplier. Used where a generic isn't readily available from multiple sources, so the price tracks one product rather than a market.

Cycle · as the listed source changes
Category M

How it's priced

Set from manufacturers' reported actual selling prices, then deliberately uplifted so the system delivers the agreed level of retained "margin" to dispensers. It is also the lever used to claw that margin back. Reset quarterly.

Cycle · quarterly
Category HNew · Mar 2026

How it's priced

A subset of multi-source Category C products moved into a new category. DHSC sets the price from suppliers' sales data, and it applies only where the drug is prescribed generically. Updated quarterly.

Cycle · quarterly
§ 03

The bits that turn reimbursement into margin

Knowing a line's Tariff price is only the start. Three further mechanisms decide whether you actually kept any of it.

ClawbackDeducted
A discount deduction (the "clawback") is taken off reimbursement on a sliding scale, on the assumption you bought below Tariff. The more you're reimbursed, the higher the band. It reduces what you actually receive on every line.
Dispensing feesAdded
A fee per item dispensed, paid on top of reimbursement, on its own schedule and revised in-year. For many practices the fee income is a material part of the contribution, and a cut to it (as in recent settlements) lands straight on the bottom line.
Price concessionsVolatile
When a product's market price spikes above its Tariff price, usually a supply problem, a concession price is granted for that month so dispensers aren't dispensing at a guaranteed loss. Concessions are issued month by month and frequently revised several times within the same month, which is why last month's numbers can't be trusted for this month.
The point

Reimbursement category, minus clawback, plus fees, against what you actually paid after rebates, resolved for the right week, for every line. Miss one moving part and the margin you think you made is not the margin you kept.

§ 04

What's changing, and what to expect

Reimbursement is being steadily rebuilt around suppliers' real sales data. That means more accuracy for the NHS, and more frequent, harder-to-predict change for you.

March 2026 · live now

Category H arrives

The first multi-source products move from Category C into the new Category H, priced from sales data and updated quarterly (next change June 2026). Community Pharmacy England objected to the timing, warning it adds uncertainty to an already fragile supply chain, so expect early volatility as the list grows.

From 2024 · ongoing

Category A moves to quarterly, sales-based pricing

Category A reimbursement is transitioning from monthly supplier-list pricing to a quarterly basis driven by price-per-unit sales and volume data, smoothing some month-to-month noise but lagging the market by a quarter.

Direction of travel

More data-driven, more often

The common thread across Category M, the Category A reforms and now Category H is the same: prices set from real sales data, reviewed on quarterly cycles, with margin recovered more tightly. The net effect for a dispensary is less slack and more lines sitting close to the line between profit and loss, which is exactly where continuous, line-level monitoring earns its keep.

§ 05

Tariff Watch: the changes we are tracking

A dated read on the generic entries, concession trends and contract changes moving dispensing margin in 2026. General information, not advice. Confirm current figures against the Drug Tariff before acting. Last reviewed May 2026.

May 2026 · live now

Generic apixaban reaches the Drug Tariff

The UK patent on apixaban (Eliquis) was held invalid in 2023, and the protection that would have run to 19 May 2026 fell with it. Generic apixaban now sits in Part VIIIA: the March 2026 Tariff showed roughly £1.64 for 2.5mg (60) and £2.29 for 5mg (56), against branded Eliquis well above £50 a pack, with an April concession near £2.80 for 5mg (56). A very high-volume anticoagulant has moved from near-zero dispensing margin as a brand to a line where buying margin is possible once supply settles. Watch sourcing against the tariff month by month.

January 2026

Generic ticagrelor falls into Category A

Generic ticagrelor (Brilique) entered the Tariff at roughly £3.97 for 60mg (56) and £4.73 for 90mg (56), down from about £54.60. A steep drop that rewards good purchasing and penalises stock bought at brand prices.

September 2025

Dapagliflozin moves into Category M

Dapagliflozin (Forxiga) moved into Category M with a significant reimbursement cut after its patent was invalidated. As with the wider SGLT2 class, margin now depends on buying below tariff.

2024 onward

The DOAC and SGLT2 classes keep repricing

Rivaroxaban (Xarelto) has been generic since around September 2024; sitagliptin has been generic and low-priced sin