Seasonal Flu Vaccine Offers 2015/16

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Seasonal Flu Vaccine Offers 2015/16 The LMC Buying Groups Federation has concluded negotiations with flu vaccine companies for the 2015/16 season and we can now announce that our 1 st preferred supplier for 2015/16 is once again Pfizer. Our joint second preferred suppliers are Abbott and MASTA and our third preferred supplier is GSK. Given the occasional occurrence of problems in the manufacture and delivery of vaccines we are pleased to be able to offer Buying Group Members the widest possible choice of reliable suppliers as well as the best profit per dose in the market. Pfizer is offering a discount of 54.5% on orders confirmed before 22 December 2014 and 53.5% thereafter. When taken together with additional potential discounts of 1.25% if practices opt for a lower level of sale or return and an additional 1.25% if they agree to a no cancellation agreement the maximum potential discount on orders confirmed before 22 December is 57%. Pfizer also offer excellent profit per dose on a lower priced alternative vaccine (Enzira) which is 43% on orders confirmed before 22 December 2014 and 42% thereafter. The deal offered includes options on sale or return and a reserve facility but guarantees a generous credit period and delivery arrangement flexibility. Please note Pfizer vaccines are not suitable for children under 5 years. Our 2 nd preferred suppliers are Abbott and MASTA. Both are offering a 54% discount on orders throughout the season in the case of Abbott, and on orders confirmed by 30 January 2015 and 53% thereafter in the case of MASTA. Abbott offers a lower priced alternative, Influvac. MASTA offer a choice of higher priced vaccines from different manufacturers plus a lower priced alternative (see tables attached). GSK brought their new quadrivalent vaccine to the market last year. Quadrivalent vaccines contain two A strains and strains from each of the possible B lineages whereas trivalent vaccines include two A strains and only one of the possible B lineages. The NHS price of the GSK vaccine is accordingly significantly higher than its trivalent competitors, but the 36% discount means that it offers a profit per dose which is slightly higher than our 2 nd preferred suppliers. Details of each of our approved suppliers offers, including tables describing how profit per dose is calculated can be found in the pages attached. More information is available on our website www.lmcbuyinggroups.co.uk/members. You will have to log in to access this information. Please note that the offers are available while stocks last, so please place your orders at your earliest convenience. Once again, we would urge practices to consider splitting their vaccine orders between at least two companies to mitigate the risk of problems arising with supply and delivery of vaccines.

Practices should note that we no longer make reference to clawback from reimbursement claims from the PPA based on assumed levels of discount. This is because we have been reliably informed that these are no longer being applied routinely to non-dispensing practices. With best wishes for a productive flu season in 2015/16. Your LMC Buying Group PS. If you did not use LMC Buying Group approved suppliers for the present flu season it would certainly be worth your while taking the time to look at the invoices for payment you receive from your current vaccine supplier to see if the discounted price matches that which you were promised when you placed your orders. You may be surprised and/or disappointed to find that the profit per dose (which you can calculate using the ready reckoner on our website) does not match or even come close to that which you would have earned had you used our approved suppliers. You need have no such fears when using the suppliers we recommend.

Pfizer Vaccines (1 st Preferred Supplier) CSL GENERIC INFLUENZA VACCINE Ordered before 22 Dec + base discount (54.5%) Ordered before 22 Dec + max discount (57%) Ordered after 22 Dec + base discount (53.5%) Ordered after 22 Dec + max discount (55%) NHS Price 6.59 6.59 6.59 6.59 Dispensing Fee* 2.283 2.283 2.283 2.283 VAT (20%) 1.32 1.32 1.32 1.32 TOTAL NHS 10.19 10.19 10.19 10.19 REIMBURSEMENT Actual cost after 3.00 2.83 3.06 2.97 discount VAT (20%) 0.60 0.57 0.62 0.59 Total cost to practice 3.60 3.40 3.68 3.56 TOTAL PROFIT PER DOSE (PPD) 6.59 6.79 6.51 6.63 The Company s offer (on both the generic vaccine and Enzira) also includes the following: An additional 1.25% discount if No Cancellation is agreed. (Only available on orders placed before 22.12.14). On orders placed after 22.12.14 an extra 0.75% discount will be applied if no cancellation is agreed. Orders can be varied +/- 15% up to 4 weeks prior to delivery If No Cancellation option is not taken orders can be cancelled up to 28 February 2016 Sale or return 20% on full orders, 10% on orders split with another company. An additional 1.25% discount will be offered if customer opts to accept 10% on full orders or 5% on split orders. On orders placed after 22.12.14 customers will be offered an additional 0.75% if they accept a 10% sale or return. Any sale or return vaccine must be notified to Pfizer by 28 February 2016 Named day cold chain delivery Personal nominated account manager 100 dose minimum delivery volume Range of support materials 120 days credit from each invoice date Reserve option 10% up to a maximum 200 doses if ordering by 22.12.14. Any reserve vaccines will be held until 31 st October 2015 Tel: 0800 089 4033; Email: vaccinesuk@pfizer.com

Pfizer Vaccines (1 st Preferred Supplier) ENZIRA (low cost alternative) Ordered before 22 Dec + base discount (43%) Ordered before 22 Dec + max discount (45.5%) Ordered after 22 Dec + base discount (42%) Ordered after 22 Dec + max discount (43.5%) NHS Price 5.25 5.25 5.25 5.25 Dispensing Fee* 2.283 2.283 2.283 2.283 VAT (20%) 1.05 1.05 1.05 1.05 TOTAL NHS 8.57 8.57 8.57 8.57 REIMBURSEMENT Actual cost after 2.99 2.86 3.05 2.97 discount VAT (20%) 0.60 0.57 0.60 0.59 Total cost to practice 3.59 3.43 3.65 3.56 TOTAL PROFIT PER DOSE (PPD) 4.99 5.15 4.93 5.02 * The dispensing fee illustrated is for guidance purposes only and is based on a non-dispensing practice dispensing up to 449 items a month under rules applying from 1st October 2014 (see separate table). The terms are as per the generic vaccine above. Tel: 0800 089 4033; Email: vaccinesuk@pfizer.com

MASTA (Joint 2 nd Preferred Supplier) A choice of three vaccines+ Orders before 30 January 2015 Orders after 30 January 2015 NHS Price 6.59 6.59 Dispensing fee* 2.283 2.283 VAT (20%) 1.32 1.32 TOTAL NHS REIMBURSEMENT 10.19 10.19 Actual cost after discount (54% before 30.1.15 and 53% 3.03 3.10 after) VAT (20%) 0.61 0.62 Total cost to practice 3.64 3.72 TOTAL PROFIT PER DOSE (PPD) 6.55 6.47 + The company offers a portfolio of seasonal flu vaccines from different manufacturers of proven reliability. Customers can order just one brand of vaccine or have the unique opportunity to split their order across MASTA s portfolio of vaccines to ensure continuity of supply in the event of any manufacturing problems. Within the portfolio will be a choice of higher priced vaccines plus a lower priced alternative. There will be vaccines suitable for all age categories from 6 months and upwards available in both single and 10 x 1 dose presentation. * The dispensing fee illustrated is for guidance purposes only and is based on a non-dispensing practice dispensing up to 449 items a month under rules applying from 1st October 2014 (see separate table). The Company s offer also includes: Sale or return 20% on orders where MASTA is the sole supplier to the practice and 10% if the order is split between MASTA and another supplier( Returns must be back with MASTA by 26 th February 2016 to be eligible for credit) Orders confirmed by MASTA in writing can be cancelled up until 31 st March 2015 Order volumes can be amended up to July 31 st 2015 Deliveries available from w/c 15 th September 2015 with delivery dates scheduled in line with order placed date Delivery dates and volumes per delivery can be changed with just 72 hrs notice to MASTA Named day cold chain deliveries to as many sites as required 50 doses and over are delivered carriage free within the couriers designated postcode area. Deliveries outside of this will be POA 120 days payment terms from the date of each invoice Reserve doses can be placed up to 10% of confirmed order volume. This will be held until 31 October 2015 after which it will be released to the market Full support materials will be provided free of charge Tel: 0113 238 7500 (option 1); Email: fluteam@masta.org

Abbott (Joint 2 nd Preferred Supplier) Imuvac From 1.10.14 NHS Price 6.59 Dispensing Fee* 2.283 VAT (20%) 1.32 TOTAL NHS REIMBURSEMENT 10.19 Actual cost after discount (54%) 3.03 VAT (20%) 0.61 Total cost to practice 3.64 TOTAL PROFIT PER DOSE (PPD) 6.55 * The dispensing fee illustrated is for guidance purposes only and is based on a non-dispensing practice dispensing up to 449 items a month under rules applying at 1 st October 2014 (see separate table). The company s offer (for both Imuvac and Influvac) also includes: Sale or return 10% Vaccines suitable for adults and children over 6 months Full support materials No cancellation policy, however quantities can be changed by a maximum of up to 20% up to 6 weeks prior to delivery. Influvac (low cost alternative) From 1.10.14 NHS Price 5.22 Dispensing Fee* 2.283 VAT (20%) 1.04 TOTAL NHS REIMBURSEMENT 8.55 Actual cost after discount (43%) 2.98 VAT (20%) 0.59 Total cost to practice 3.57 TOTAL PROFIT PER DOSE (PPD) 4.98 Tel: 0800 358 7468; Email: abbott@trgworld.com

GSK (3 rd Preferred Supplier) Fluarix Tetra From 1.10.14 NHS Price 9.94 Dispensing Fee* 2.283 VAT (20%) 1.99 TOTAL NHS REIMBURSEMENT 14.21 Actual cost after discount (36%) 6.36 VAT (20%) 1.27 Total cost to practice 7.63 TOTAL PROFIT PER DOSE (PPD) 6.58 *The dispensing fee illustrated is for guidance purposes only and is based on a non-dispensing practice dispensing up to 449 items a month under rules applying at October 2014 (see separate table). 90 days free extended credit Sale or Return - Up to 20% of total order quantity Flu Disease Awareness Materials including posters, leaflets, appointment cards and bunting Best practice guide for getting the most out of your flu clinics Deliveries dates available from 14th September 2015 Suitable for adults and children aged 3 and above Tel: 0800 7830 470; Email: uk.flu@gsk.com

Dispensing payments Discount scale (from October 2014) Table 1: Dispensing Feescale for Contractors that are authorised or required to provide dispensing services Total prescriptions calculated separately for each individual dispensing practitioner, in bands Up to 449 219.1 450-560 216.0 561-673 213.2 674-785 210.5 786-898 207.9 899-1009 205.8 1010-1402 203.6 1403-1962 201.7 1963-2243 199.9 2244-2804 198.3 2805-3364 197.0 3365-3925 195.8 3926-4485 194.8 4486 over 194.0 Prices per prescription in pence Table 2: Dispensing Feescale for Contractors that are not authorised or required to provide dispensing services* Total prescriptions calculated separately for each individual dispensing practitioner, in bands Prices per prescription in pence Up to 449 228.3 450-560 225.2 561-673 222.4 674-785 219.7 786-898 217.2 899-1009 214.9 1010-1402 212.8 1403-1962 210.9 1963-2243 209.1 2244-2804 207.5 2805-3364 206.2 3365-3925 205.0 3926-4485 204.0 4486 over 203.2 * This includes prescribing doctors or non-dispensing doctors personal administration drugs.