Ashcombe — Dispensary Dashboard

Illustrative sample. A fictional dispensing practice (Ashcombe) with representative figures — exactly the live dashboard a real practice receives. Try it: click any Net cost, Tariff or Reimb figure for its 90-day price trend; a red-shaded cost cell means the cheapest line is out of stock (hover it); click a ▾ drug row for the full switch analysis.

Live switching opportunitieslive

The most profitable changes to what you already dispense, ranked by extra margin to the practice, from today's PSUK scrape. Click any ▾ drug row in the table below for the full per-line analysis (including brands we checked and found not worth it). Clinically verify suitability before switching.

Formulation switches

Same drug, cheaper form (capsule / tablet / orodispersible / modified-release).

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Manufacturer rebate switches

Switch a generic to its rebate-bearing brand, or claim a rebate on a brand you already dispense.

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Full opportunities report ↗

Lines shown

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Items / month

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Spend / month (priced)

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Margin / month (priced)

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Loss-making lines

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Cost coverage

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Rebate income (actual /mo)

£11,274

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff (DT)	Var vs tariff	Reimb/pk	Margin/pk	%marg	Margin/mo	Annual	Volatility	MDS

Most profitable after rebate: Viscotears Tri-Action PF (£4.23/pack) and Thealoz Duo (multidose PF) (£3.78). The practice's current Hylo-Forte / Hylo-Tear / Hylo-Dual sit at 15% rebate (≈£2.4–2.5/pack); switching equivalent patients to Thealoz Duo (30%) or Viscotears Tri-Action (35%) adds roughly £1.30–1.80/pack. Reconcile prescribing onto a preferred high-rebate lubricant where clinically appropriate.

Assumes NHS reimbursement = manufacturer list price (standard for endorsed OTC lubricants) and purchase price = AAH/PSUK trade price; rebate = AAH/PSUK MDS rate (exact). NHS reimb/pack = list × (1−11.18% clawback) + £2.09 dispensing fee. Total income = NHS reimb + MDS rebate. Net margin = total income − cost (cost = list/trade price the practice pays). Products are not clinically identical (HA vs trehalose+HA vs carbomer; PF vs preserved) — switch only where appropriate.

Product	Supplier	Pack	Cost/pack	NHS reimb/pack	Rebate%	Rebate £	Total income/pack	Net margin/pack
Viscotears Tri-Action PF	Bausch & Lomb	10ml	£8.99	£10.07	35%	£3.15	£13.22	£4.23
Thealoz Duo (multidose PF)	Thea	10ml	£8.99	£10.07	30%	£2.70	£12.77	£3.78
Thealoz Duo gel single-dose	Thea	30 SDU	£7.06	£8.36	30%	£2.12	£10.48	£3.42
Hylo-Dual Intense 0.2%	Scope	10ml	£9.95	£10.93	23%	£2.29	£13.22	£3.27
Vizidor Duo PF	Bausch & Lomb	5ml	£8.15	£9.33	25%	£2.04	£11.37	£3.22
Hyabak 0.15%	Thea	10ml	£7.46	£8.72	25%	£1.86	£10.58	£3.12
Vizidor PF	Bausch & Lomb	5ml	£7.10	£8.40	25%	£1.77	£10.17	£3.07
Zimed 0.3mg/ml PF	Medicom	3ml	£7.99	£9.19	20%	£1.60	£10.79	£2.80
Viscotears HA PF	Bausch & Lomb	10ml	£5.10	£6.62	25%	£1.27	£7.89	£2.79
VIZhyal 0.2% HA	East Midlands	10ml	£4.10	£5.73	25%	£1.02	£6.75	£2.65
Optive / Plus / Fusion	AbbVie	10ml	£7.49	£8.74	17%	£1.27	£10.01	£2.52
Hylo-Care 0.1%/2%	Scope	10ml	£10.30	£11.24	15%	£1.55	£12.79	£2.49
Hylo-Dual (current)	Scope	10ml	£9.95	£10.93	15%	£1.49	£12.42	£2.47
Evotears	Scope	3ml	£9.95	£10.93	15%	£1.49	£12.42	£2.47
Hylo-Forte 0.2% (current)	Scope	10ml	£9.50	£10.53	15%	£1.43	£11.96	£2.46
Hylo-Tear 0.1% (current)	Scope	10ml	£8.50	£9.64	15%	£1.27	£10.91	£2.41
Tear-Lac 0.3% hypromellose	Scope	10ml	£5.75	£7.20	15%	£0.86	£8.06	£2.31
Hylo-Fresh 0.03%	Scope	10ml	£4.95	£6.49	15%	£0.74	£7.23	£2.28
Evolve Carbomer 0.2% gel	Medicom	10g	£2.92	£4.68	10%	£0.29	£4.97	£2.05
Clinitas Multi 0.2%	Altacor	10ml	£5.99	£7.41	10%	£0.60	£8.01	£2.02
Evolve HA 0.2%	Medicom	10ml	£6.05	£7.46	10%	£0.60	£8.06	£2.01
Hypromellose 0.3% (generic)	generic	10ml	£1.20	£3.16	0%	£0.00	£3.16	£1.96
Carbomer 0.2% eye gel (generic)	generic	10g	£1.15	£3.11	0%	£0.00	£3.11	£1.96

Most profitable after rebate: Balneum Plus Cream (£5.66/pack) and E45 Cream pump (£3.97). The practice already earns ~£509/mo on Balneum, £166/mo on E45, £149/mo on Cetraben. No-rebate commodity emollients (Dermol 500, Doublebase) yield only ~£1.6/pack — moving suitable patients to Cetraben (20%), E45 or Balneum Plus (35%) lifts margin.

Trade-off: Balneum Plus / E45 carry the best practice margin but a higher list price (more NHS cost) — a value/formulary judgement, like branded-generic switching. Cetraben (20% on a modest £6.38) is a lower-NHS-cost middle option. Assumes reimbursement = list, cost = trade; NHS reimb = list×(1−clawback)+£2.09 fee; total income = reimb + rebate; net margin = total income − cost. Not clinically interchangeable in all cases.

Product	Supplier	Pack	Cost/pack	NHS reimb/pack	Rebate%	Rebate £	Total income/pack	Net margin/pack
Balneum Plus Cream	Almirall	500g	£14.99	£15.40	35%	£5.25	£20.65	£5.66
E45 Cream pump	Karo	500g	£7.89	£9.10	35%	£2.76	£11.86	£3.97
E45 Wash Cream	Karo	250ml	£4.47	£6.06	35%	£1.56	£7.62	£3.15
Oilatum Emollient bath	Thornton & Ross	500ml	£9.93	£10.91	20%	£1.99	£12.90	£2.97
E45 Itch Relief Cream	Karo	100g	£6.12	£7.53	25%	£1.53	£9.06	£2.94
Cetraben Emollient Cream pump	Thornton & Ross	500g	£6.38	£7.76	20%	£1.28	£9.04	£2.66
Cetraben Lotion	Thornton & Ross	500ml	£5.92	£7.35	20%	£1.18	£8.53	£2.61
Cetraben Ointment	Thornton & Ross	450g	£5.75	£7.20	20%	£1.15	£8.35	£2.60
Cetraben Cream pump	Thornton & Ross	150g	£4.23	£5.85	20%	£0.85	£6.70	£2.47
Aquamax Cream	Intrapharm	500g	£3.99	£5.63	20%	£0.80	£6.43	£2.44
Zerobase Cream pump	Thornton & Ross	500g	£5.66	£7.12	15%	£0.85	£7.97	£2.31
Zerocream	Thornton & Ross	500g	£4.36	£5.96	15%	£0.65	£6.61	£2.25
Zeroderm Ointment	Thornton & Ross	500g	£4.35	£5.95	15%	£0.65	£6.60	£2.25
E45 Moisturising Lotion	Karo	500ml	£6.74	£8.08	12%	£0.81	£8.89	£2.15
Doublebase Gel (no MDS)	Viatris	500g	£6.01	£7.43	0%	£0.00	£7.43	£1.42
Dermacool 1% (antipruritic)	Pern	500g	£18.64	£18.65	8%	£1.40	£20.05	£1.41
Dermol 500 Lotion (no MDS)	Dermal	500ml	£6.04	£7.45	0%	£0.00	£7.45	£1.41

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	Conc	Volatility	MDS
Monopost 50micrograms/ml eye drops 0.2ml unit dose		6	£51	£8.49	PSUK Apr26	£9.43	−£0.94	£13.23	£4.74	55%	£28	£336			Thea Pharma MDS 30%
Brinzolamide 10mg/ml / Timolol 5mg/ml eye drops	Category M	3	£1.82	£3.29	PSUK 31/5	£4.33	−£1.04	£6.46	£3.17	96%	£8	£96
Lotacryn 50micrograms/ml eye drops		4	£35	£7.99	PSUK (MDS report)	£7.99	£0.00	£11.15	£3.16	39%	£14	£168			Scope Eyecare MDS 22%
Tiopex 1mg/g eye gel 0.4g unit dose		4	£26	£6.04	PSUK Apr26	£7.49	−£1.45	£8.89	£2.85	47%	£12	£144
Timolol 0.5% eye drops	Category M	7	£33	£4.90	AAH	£1.52	£3.38	£4.91	£0.01	0%	£0	£0	May26	On concession this month
Timolol 0.25% eye drops	Category A	2	£8	£4.90	AAH	£2.83	£2.07	£4.25	−£0.65	-13%	−£1	−£12	May26	On concession this month

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	Conc	Volatility
Lansoprazole 15mg gastro-resistant capsules	Category M	100	£0.45	£0.40	PSUK 31/5	£0.76	−£0.36	£2.83	£2.43	607%	£243	£2,916
Omeprazole 40mg gastro-resistant capsules	Category M	12	£2.09	£0.27	PSUK 31/5	£0.60	−£0.33	£2.67	£2.40	888%	£28	£336
Lansoprazole 30mg gastro-resistant capsules	Category M	133	£0.78	£0.72	PSUK 31/5	£1.01	−£0.29	£3.11	£2.39	331%	£318	£3,816
Omeprazole 20mg gastro-resistant capsules	Category M	348	£0.52	£0.47	PSUK 31/5	£0.78	−£0.31	£2.85	£2.38	506%	£828	£9,936
Omeprazole 10mg gastro-resistant capsules	Category M	15	£0.43	£0.52	PSUK 31/5	£0.82	−£0.30	£2.90	£2.38	457%	£36	£432
Pantoprazole 20mg gastro-resistant tablets	Category M	17	£0.46	£0.66	PSUK 31/5	£0.76	−£0.10	£2.88	£2.22	336%	£38	£456
Rabeprazole 20mg gastro-resistant tablets	Category M	22	£10.14	£3.53	PSUK 31/5	£1.40	£2.13	£5.70	£2.17	61%	£48	£576	May26	On concession this month
Esomeprazole 20mg gastro-resistant tablets	Category M	12	£2.99	£2.60	PSUK 31/5	£1.76	£0.84	£4.68	£2.08	80%	£24	£288	May26	On concession this month
Pantoprazole 40mg gastro-resistant tablets	Category M	6	£0.60	£1.04	PSUK 31/5	£0.85	£0.19	£3.01	£1.97	189%	£12	£144
Esomeprazole 40mg gastro-resistant capsules	Category M	5	£2.12	£2.71	PSUK 31/5	£2.41	£0.30	£4.66	£1.95	72%	£10	£120
Esomeprazole 20mg gastro-resistant capsules	Category M	4	£2.16	£2.73	PSUK 31/5	£2.21	£0.52	£4.49	£1.76	64%	£7	£84
Omeprazole 20mg gastro-resistant tablets	Category M	10	£6.96	£7.34	PSUK 31/5	£5.92	£1.42	£8.51	£1.17	15%	£11	£132
Rabeprazole 10mg gastro-resistant tablets	Category M	10	£70	£7.00	AAH	£1.04	£5.96	£5.09	−£1.91	-27%	−£19	−£228	May26	On concession this month

Most profitable line: Colesevelam 625mg tablets at £5.47/pack. Lines ranked by margin/pack — reconcile toward the most profitable clinically-equivalent option. Hover a cost for its source; hover Reimb/pk for the build-up.

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	Conc	Volatility
Colesevelam 625mg tablets	Category C	2	£237	£101.57	PSUK Apr26	£115.32	−£13.75	£107.04	£5.47	5%	£13	£156
Atorvastatin 30mg tablets	Category A	3	£2.39	£2.34	PSUK 31/5	£3.26	−£0.92	£5.05	£2.71	115%	£8	£96
Simvastatin 20mg tablets	Category M	28	£0.22	£0.25	PSUK 31/5	£0.69	−£0.44	£2.74	£2.49	996%	£69	£828
Simvastatin 10mg tablets	Category M	3	£0.19	£0.23	PSUK 31/5	£0.59	−£0.36	£2.65	£2.42	1052%	£8	£96
Ezetimibe 10mg tablets	Category M	225	£0.91	£0.60	PSUK 31/5	£0.94	−£0.34	£3.01	£2.41	401%	£541	£6,492
Simvastatin 40mg tablets	Category M	52	£0.56	£0.49	PSUK 31/5	£0.79	−£0.30	£2.87	£2.38	485%	£123	£1,476
Atorvastatin 10mg tablets	Category M	56	£0.28	£0.31	PSUK 31/5	£0.55	−£0.24	£2.63	£2.32	748%	£129	£1,548
Pravastatin 10mg tablets	Category M	9	£0.65	£0.79	PSUK 31/5	£0.99	−£0.20	£3.10	£2.31	292%	£20	£240
Pravastatin 20mg tablets	Category M	5	£0.72	£0.87	PSUK 31/5	£1.03	−£0.16	£3.14	£2.27	260%	£11	£132
Atorvastatin 40mg tablets	Category M	206	£0.71	£0.53	PSUK 31/5	£0.69	−£0.16	£2.78	£2.25	424%	£464	£5,568
Atorvastatin 20mg tablets	Category M	492	£0.49	£0.46	PSUK 31/5	£0.61	−£0.15	£2.70	£2.24	487%	£1,103	£13,236
Atorvastatin 80mg tablets	Category M	113	£1.31	£1.06	PSUK 31/5	£1.14	−£0.08	£3.27	£2.21	208%	£249	£2,988
Pravastatin 40mg tablets	Category M	10	£1.22	£1.26	PSUK 31/5	£1.26	£0.00	£3.41	£2.15	170%	£22	£264
Simvastatin 80mg tablets	Category M	4	£1.09	£1.38	PSUK 31/5	£1.30	£0.08	£3.45	£2.07	150%	£8	£96
Fenofibrate micronised 160mg tablets	Category M	2	£2.39	£2.96	PSUK 31/5	£2.41	£0.55	£4.70	£1.74	58%	£3	£36
Rosuvastatin 40mg tablets	Category M	6	£1.36	£2.09	PSUK 31/5	£1.24	£0.85	£3.58	£1.49	71%	£8	£96	May26	On concession this month
Rosuvastatin 5mg tablets	Category M	64	£1.15	£2.13	PSUK 31/5	£0.66	£1.47	£3.48	£1.35	63%	£86	£1,032	May26	On concession this month
Rosuvastatin 20mg tablets	Category M	28	£1.25	£3.28	PSUK 31/5	£0.86	£2.42	£3.97	£0.69	21%	£19	£228	May26	On concession this month
Rosuvastatin 10mg tablets	Category M	47	£2.11	£4.26	PSUK 31/5	£0.78	£3.48	£4.40	£0.14	3%	£7	£84	May26	On concession this month
Rosuvastatin 5mg capsules	Category C	2	£10.57	£10.57	PSUK 31/5	£8.52	£2.05	£9.92	−£0.65	-6%	−£1	−£12
Nustendi 180mg/10mg tablets		2	£55.43	£55.44	PSUK 31/5	£55.44	£0.00	£52.71	−£2.73	-4%	−£6	−£72
Fenofibrate micronised 267mg capsules	Category M	1	£17.25	£29.99	PSUK 31/5	£17.67	£12.32	£22.55	−£7.44	-24%	−£7	−£84

Most profitable line: Symbicort 400/12 Turbohaler at £30.19/pack. Lines ranked by margin/pack — reconcile toward the most profitable clinically-equivalent option. Hover a cost for its source; hover Reimb/pk for the build-up.

Drug	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	MDS
Symbicort 400/12 Turbohaler	6	£28.00	£28.00	PSUK 31/5	£52.71	−£24.71	£58.19	£30.19	107%	£171	£2,052	AstraZeneca MDS 31%
Fostair NEXThaler 100microg/dose / 6microg/dose dry pdr inh	31	£899	£29.32	PSUK Apr26	£31.23	−£1.91	£44.34	£15.02	51%	£461	£5,532	Chiesi MDS 47%
Fostair 200micrograms/dose / 6micrograms/dose inhaler	12	£29.32	£29.32	PSUK 31/5	£30.11	−£0.79	£44.22	£14.90	50%	£184	£2,208	Chiesi MDS 50%
Fostair 100micrograms/dose / 6micrograms/dose inhaler	96	£2,805	£29.32	PSUK 31/5	£29.83	−£0.51	£43.98	£14.66	50%	£1,402	£16,824	Chiesi MDS 50%
Trimbow 87microg/dose / 5microg/dose / 9microg/dose inh	11	£44.50	£44.50	PSUK 31/5	£44.50	£0.00	£58.29	£13.79	31%	£156	£1,872	Chiesi MDS 35%
Trimbow NEXThaler 88microg/5microg/9microg/dose dry pdr inh	10	£460	£44.50	PSUK Apr26	£44.50	£0.00	£57.96	£13.46	30%	£139	£1,668	Chiesi MDS 34%
Fostair NEXThaler 200microg/dose / 6microg/dose dry pdr inh	6	£176	£29.32	PSUK Apr26	£29.32	£0.00	£42.64	£13.32	45%	£80	£960	Chiesi MDS 47%
Symbicort 200/6 Turbohaler	22	£28.00	£28.00	PSUK 31/5	£29.67	−£1.67	£37.72	£9.72	34%	£217	£2,604	AstraZeneca MDS 31%
Symbicort 100/6 Turbohaler	18	£28.00	£28.00	PSUK 31/5	£28.51	−£0.51	£36.69	£8.69	31%	£159	£1,908	AstraZeneca MDS 31%
Trelegy Ellipta 92microg/55microg/22microg/dose dry pdr inh	5	£222	£44.50	PSUK Apr26	£44.50	£0.00	£52.51	£8.01	18%	£40	£480	GSK MDS 22%
Anoro Ellipta 55microg/dose / 22microg/dose dry pdr inh	11	£347	£32.50	PSUK (MDS report)	£32.50	£0.00	£38.92	£6.42	19%	£68	£816	GSK MDS 22%
Tiogiva 18microgram inhalation powder capsules with device	3	£60	£19.99	PSUK (MDS report)	£19.99	£0.00	£26.35	£6.36	31%	£19	£228	Glenmark MDS 30%
Incruse Ellipta 55micrograms/dose dry powder inhaler	3	£73	£27.50	PSUK Apr26	£27.50	£0.00	£33.25	£5.75	20%	£15	£180	GSK MDS 22%
Sereflo 25micrograms/dose / 125micrograms/dose inhaler	2	£35	£14.99	PSUK Apr26	£14.99	£0.00	£20.27	£5.28	35%	£12	£144	Cipla MDS 30%
Symbicort 100microg/dose / 3microg/dose pressurised inh	2	£28	£14.00	PSUK Mar26	£14.00	£0.00	£19.16	£5.16	36%	£10	£120	AstraZeneca MDS 31%
Relvar Ellipta 92microg/dose / 22microg/dose dry pdr inh	3	£59	£22.00	PSUK Apr26	£22.00	£0.00	£27.02	£5.02	22%	£13	£156	GSK MDS 22%
Spiolto Respimat 2.5microg/dose / 2.5microg/dose soln refill	2	£65	£32.50	PSUK Apr26	£32.50	£0.00	£36.65	£4.15	12%	£8	£96	Boehringer-Ingelheim MDS 15%
Clenil Modulite 100micrograms/dose inhaler	9	£64	£7.42	PSUK Apr26	£7.42	£0.00	£11.09	£3.67	49%	£32	£384	Chiesi MDS 30%
Spiriva Respimat 2.5microg/dose inhalation soln refill cart	3	£69	£23.00	PSUK Apr26	£23.00	£0.00	£26.54	£3.54	15%	£11	£132	Boehringer-Ingelheim MDS 15%
Spiriva Respimat 2.5microg/dose inhalation soln	2	£54	£23.00	PSUK Apr26	£23.00	£0.00	£26.54	£3.54	15%	£8	£96	Boehringer-Ingelheim MDS 15%
Clenil Modulite 50micrograms/dose inhaler	2	£9	£3.70	PSUK Apr26	£3.70	£0.00	£6.58	£2.88	77%	£7	£84	Chiesi MDS 30%
Ventolin 100micrograms/dose Evohaler	10	£1.50	£1.50	PSUK 31/5	£2.05	−£0.55	£3.95	£2.45	163%	£24	£288
Easyhaler Salbutamol sulfate 100micrograms/dose dry pdr inh	2	£7	£3.31	PSUK Apr26	£3.31	£0.00	£5.11	£1.80	54%	£4	£48
Braltus 10microgram inhalation pdr caps with Zonda inhaler	3	£86	£25.80	PSUK Apr26	£25.80	£0.00	£25.65	−£0.15	0%	£0	£0
Fusacomb Easyhaler 50microg / 500microg/dose dry pdr inh	1	£27	£26.99	PSUK Apr26	£26.99	£0.00	£26.73	−£0.26	-1%	£0	£0

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	Conc	Volatility	MDS
Lenzetto 1.53mg/dose transdermal spray		7	£72	£9.76	PSUK Apr26	£13.49	−£3.73	£16.26	£6.50	66%	£48	£576			Gedeon Richter MDS 20%
Raloxifene 60mg tablets	Category A	2	£4.13	£5.08	PSUK 31/5	£4.86	£0.22	£6.54	£1.46	28%	£3	£36
Estradot 75micrograms/24hours patches		3	£30	£9.97	AAH	£9.97	£0.00	£11.20	£1.23	12%	£4	£48
Progynova 2mg tablets		2	£15	£7.30	AAH	£5.68	£1.62	£7.31	£0.01	0%	£0	£0
Elleste Solo 1mg tablets		1	£5.06	£9.20	PSUK (MDS report)	£5.06	£4.14	£8.65	−£0.55	-6%	−£1	−£12			Exeltis MDS 20%
Elleste Solo 2mg tablets		1	£5.06	£9.20	PSUK (MDS report)	£5.06	£4.14	£8.65	−£0.55	-6%	−£1	−£12			Exeltis MDS 20%
Tibolone 2.5mg tablets	Category M	2	£6.26	£10.20	PSUK 31/5	£2.61	£7.59	£8.37	−£1.83	-17%	−£4	−£48	May26	On concession this month
Progynova 1mg tablets		1	£10	£7.30	AAH	£2.43	£4.87	£4.43	−£2.87	-39%	−£4	−£48

Most profitable line: Venlafaxine 150mg modified-release capsules at £20.56/pack. Lines ranked by margin/pack — reconcile toward the most profitable clinically-equivalent option. Hover a cost for its source; hover Reimb/pk for the build-up.

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	Conc	Brand switch	Volatility
Venlafaxine 150mg modified-release capsules	Category C	5	£2.23	£2.92	PSUK 31/5	£24.00	−£21.08	£23.48	£20.56	704%	£103	£1,236
Dosulepin 25mg capsules	Category A	2	£3.03	£3.90	PSUK 31/5	£7.32	−£3.42	£8.69	£4.79	122%	£10	£120
Nortriptyline 10mg tablets	Category M	3	£2.24	£1.87	PSUK 31/5	£2.74	−£0.87	£4.82	£2.95	157%	£8	£96
Sertraline 100mg tablets	Category M	78	£1.23	£0.63	PSUK 31/5	£0.96	−£0.33	£3.28	£2.65	420%	£207	£2,484	May26	HFA branded sertraline	On concession this month
Sertraline 50mg tablets	Category M	113	£1.02	£0.48	PSUK 31/5	£0.81	−£0.33	£3.11	£2.63	547%	£298	£3,576	May26	HFA branded sertraline	On concession this month
Amitriptyline 10mg tablets	Category M	87	£0.14	£0.15	PSUK 31/5	£0.55	−£0.40	£2.60	£2.45	1633%	£214	£2,568
Citalopram 40mg tablets	Category M	15	£0.38	£0.45	PSUK 31/5	£0.79	−£0.34	£2.86	£2.41	535%	£35	£420
Amitriptyline 25mg tablets	Category M	12	£0.24	£0.25	PSUK 31/5	£0.60	−£0.35	£2.66	£2.41	964%	£30	£360
Amitriptyline 50mg tablets	Category M	14	£0.38	£0.38	PSUK 31/5	£0.68	−£0.30	£2.75	£2.37	623%	£32	£384
Citalopram 10mg tablets	Category M	37	£0.29	£0.39	PSUK 31/5	£0.65	−£0.26	£2.73	£2.34	600%	£87	£1,044
Citalopram 20mg tablets	Category M	59	£0.36	£0.45	PSUK 31/5	£0.68	−£0.23	£2.76	£2.31	513%	£136	£1,632
Escitalopram 10mg tablets	Category M	8	£0.68	£0.82	PSUK 31/5	£1.02	−£0.20	£3.13	£2.31	281%	£19	£228
Escitalopram 20mg tablets	Category M	2	£0.77	£0.93	PSUK 31/5	£1.07	−£0.14	£3.18	£2.25	241%	£5	£60
Trazodone 100mg capsules	Category M	3	£1.60	£1.65	PSUK 31/5	£1.73	−£0.08	£3.89	£2.24	135%	£6	£72
Escitalopram 5mg tablets	Category M	4	£0.89	£1.08	PSUK 31/5	£1.09	−£0.01	£3.23	£2.15	199%	£9	£108
Venlafaxine 75mg modified-release capsules	Category M	4	£1.22	£2.00	PSUK 31/5	£1.95	£0.05	£4.14	£2.14	107%	£9	£108
Paroxetine 20mg tablets	Category M	3	£1.17	£1.10	PSUK 31/5	£1.05	£0.05	£3.20	£2.10	190%	£7	£84
Venlafaxine 37.5mg modified-release capsules	Category M	6	£2.77	£3.66	PSUK 31/5	£3.41	£0.25	£5.70	£2.04	55%	£12	£144
Mirtazapine 15mg tablets	Category M	25	£0.83	£0.99	PSUK 31/5	£0.84	£0.15	£2.99	£2.00	202%	£51	£612
Mirtazapine 30mg tablets	Category M	18	£0.83	£1.17	PSUK 31/5	£0.95	£0.22	£3.12	£1.95	166%	£35	£420
Paroxetine 30mg tablets	Category M	3	£1.21	£1.52	PSUK 31/5	£1.23	£0.29	£3.42	£1.90	125%	£5	£60
Mirtazapine 45mg tablets	Category M	11	£1.25	£1.50	PSUK 31/5	£1.19	£0.31	£3.39	£1.89	126%	£21	£252
Fluoxetine 20mg capsules	Category M	42	£0.71	£1.44	PSUK 31/5	£0.82	£0.62	£3.11	£1.67	116%	£70	£840	May26		On concession this month
Venlafaxine 75mg modified-release tablets	Category C	6	£1.22	£3.60	PSUK 31/5	£2.91	£0.69	£4.76	£1.16	32%	£7	£84
Duloxetine 60mg gastro-resistant capsules	Category M	19	£77	£4.00	AAH	£1.78	£2.22	£4.36	£0.36	9%	£7	£84	May26		On concession this month
Venlafaxine 150mg modified-release tablets	Category A	4	£44	£11.00	AAH	£6.79	£4.21	£8.39	−£2.61	-23%	−£10	−£120
Venlafaxine 225mg modified-release capsules	Category M	3	£22.26	£20.27	PSUK 31/5	£10.77	£9.50	£14.88	−£5.39	-26%	−£14	−£168

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	Conc	Volatility
Warfarin 1mg tablets	Category M	8	£8.33	£0.47	PSUK 31/5	£0.82	−£0.35	£3.93	£3.46	736%	£28	£336	May26	On concession this month
Rivaroxaban 20mg tablets	Category M	15	£1.11	£1.09	PSUK 31/5	£0.89	£0.20	£3.78	£2.69	246%	£40	£480	May26	On concession this month
Apixaban 5mg tablets	Category M	84	£3.62	£4.52	PSUK 31/5	£1.03	£3.49	£7.07	£2.55	56%	£215	£2,580	May26	Off-patent May 2026
Warfarin 5mg tablets	Category M	4	£0.45	£0.52	PSUK 31/5	£0.98	−£0.46	£3.04	£2.52	484%	£10	£120
Warfarin 3mg tablets	Category M	10	£0.60	£0.44	PSUK 31/5	£0.82	−£0.38	£2.89	£2.45	556%	£24	£288
Rivaroxaban 10mg tablets	Category M	6	£1.02	£1.05	PSUK 31/5	£1.32	−£0.27	£3.43	£2.38	226%	£15	£180
Rivaroxaban 15mg tablets	Category M	4	£1.11	£1.11	PSUK 31/5	£0.90	£0.21	£3.07	£1.96	176%	£8	£96
Apixaban 2.5mg tablets	Category M	35	£2.96	£3.71	PSUK 31/5	£0.99	£2.72	£5.43	£1.72	46%	£60	£720	May26	Off-patent May 2026
Rivaroxaban 2.5mg tablets	Category M	4	£1.37	£2.36	PSUK 31/5	£1.00	£1.36	£3.36	£1.00	42%	£4	£48
Dabigatran etexilate 110mg capsules	Category M	2	£3.20	£10.33	PSUK 31/5	£5.34	£4.99	£8.47	−£1.86	-18%	−£4	−£48

Drug	Cat	Items/mo	Spend/mo	Net cost/pk	Src	Tariff/list	Var vs tariff	Reimb/pk	Margin/pk	%	Margin/mo	Annual	MDS
Mometasone 50micrograms/dose nasal spray	Category M	13	£3.20	£2.60	PSUK 31/5	£3.30	−£0.70	£5.43	£2.83	108%	£38	£456
Avamys 27.5micrograms/dose nasal spray		6	£41	£6.44	PSUK (MDS report)	£6.78	−£0.34	£9.04	£2.60	40%	£16	£192	GSK MDS 12%
Flixonase 50micrograms/dose aqueous nasal spray		2	£22	£11.01	PSUK (MDS report)	£11.01	£0.00	£13.46	£2.45	22%	£5	£60	GSK MDS 12%
Beconase Aqueous 50micrograms/dose nasal spray		4	£11	£2.63	PSUK (MDS report)	£2.63	£0.00	£4.82	£2.19	83%	£9	£108	GSK MDS 12%
Beclometasone 50micrograms/dose nasal spray	Category C	15	£3.68	£3.19	PSUK 31/5	£2.63	£0.56	£4.51	£1.32	41%	£19	£228