{"id":331984,"date":"2019-10-03T11:50:35","date_gmt":"2019-10-03T10:50:35","guid":{"rendered":"https:\/\/psnc.wpengine.com\/?page_id=331984"},"modified":"2025-07-31T14:57:56","modified_gmt":"2025-07-31T13:57:56","slug":"ssps","status":"publish","type":"page","link":"https:\/\/cpe.org.uk\/dispensing-and-supply\/supply-chain\/ssps\/","title":{"rendered":"Serious Shortage Protocols (SSPs)"},"content":{"rendered":"<p style=\"text-align: justify;\">SSPs are a potential way to help pharmacies to manage any serious shortages of medicines that may occur, without needing to refer patients back to prescribers. It is important to note that although legislation permits the issuing of SSPs from 1st July 2019, an SSP will only be considered and issued if there is a serious shortage of a specific medicine.<\/p>\n<p style=\"text-align: justify;\">If, in the Secretary of State for Health and Social Care\u2019s opinion, there is, or may be, a serious shortage of a medicine or appliance then he or she may consult, for instance with medical experts, and decide to issue an SSP. The SSP will specify an alternative product or quantity that may be supplied (an alternative strength or formulation, or generic or therapeutic alternative or less of the product) by community pharmacies. Community pharmacy contractors <strong>must consider the SSP<\/strong> and, if, in the supervising pharmacist\u2019s opinion \u2013 exercising his or her professional skill and judgment \u2013 the alternative product or quantity is reasonable and appropriate for the patient, they may supply the alternative product or quantity (only as specified in the SSP and subject to any conditions in the SSP), provided that the patient consents\/agrees to the alternative SSP supply.<\/p>\n<h3>Active SSPs<\/h3>\n<table style=\"width: 67.8022%; height: 174px;\">\n<tbody>\n<tr style=\"background-color: #659200;\">\n<td style=\"height: 10px; width: 44.4759%;\"><strong>SSP<\/strong><\/td>\n<td style=\"height: 10px; width: 22.9365%;\"><strong>Expiry Date<\/strong><\/td>\n<td style=\"width: 28.5969%; height: 10px;\"><strong>Supporting Information<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 44.4759%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\" target=\"_blank\" rel=\"noopener\">SSP082: Estradot<sup>\u00ae<\/sup> 25 microgram patches<\/a><\/td>\n<td style=\"width: 22.9365%; height: 24px;\">10 October 2025<\/td>\n<td style=\"width: 28.5969%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2025-04\/Endorsement%20guidance%20SSP082%20Estradot%2025%20Final%2003042025.pdf\">SSP082 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 44.4759%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\" target=\"_blank\" rel=\"noopener\">SSP081: Estradot<sup>\u00ae\u00a0<\/sup>100 microgram patches<\/a><\/td>\n<td style=\"width: 22.9365%; height: 24px;\">10 October 2025<\/td>\n<td style=\"width: 28.5969%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-12\/17122024%20Endorsement%20guidance%20SSP081%20Estradot%20100.pdf\">SSP081 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 44.4759%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP080: Estradot<sup>\u00ae\u00a0<\/sup>75 microgram patches<\/a><\/td>\n<td style=\"width: 22.9365%; height: 10px;\">10 October 2025<\/td>\n<td style=\"width: 28.5969%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-12\/17122024%20Endorsement%20guidance%20SSP080%20Estradot%2075.pdf\">SSP080 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 44.4759%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP079: Estradot<sup>\u00ae\u00a0<\/sup>50 microgram patches<\/a><\/td>\n<td style=\"width: 22.9365%; height: 10px;\">10 October 2025<\/td>\n<td style=\"width: 28.5969%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-12\/17122024%20Endorsement%20guidance%20SSP079%20Estradot%2050.pdf\">SSP079 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 44.4759%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-12\/SSP078%20Cefalexin%20250mg-5ml%20oral%20suspension.pdf\">SSP078: Cefalexin 250mg\/5ml oral suspension sugar free<\/a><\/td>\n<td style=\"width: 22.9365%; height: 24px;\">26 September 2025<\/td>\n<td style=\"width: 28.5969%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-12\/SSP078%20Endorsement%20guidance%20Cefalexin%20250mg-5ml%20oral%20susp%20SF.pdf\">SSP078 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 44.4759%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP077:\u00a0<span class=\"TrackChangeTextInsertion TrackedChange BCX0 SCXW194470501\"><span class=\"TextRun BCX0 SCXW194470501\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun BCX0 SCXW194470501\">Cefalexin 125mg\/5ml oral suspension sugar free\u00a0<\/span><\/span><\/span><\/a><\/td>\n<td style=\"width: 22.9365%; height: 24px;\">26 September 2025<\/td>\n<td style=\"width: 28.5969%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-12\/SSP077%20Endorsement%20guidance%20Cefalexin%20125mg-5ml%20oral%20susp%20SF.pdf\">SSP077 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 44.4759%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-05\/SSP061%20Creon%2025000%20restriction%20FINAL%2023052024%20-%20Signed.pdf\">SSP061: Creon\u00ae 25000 gastro-resistant capsules<\/a><\/td>\n<td style=\"width: 22.9365%; height: 24px;\">21 November 2025<\/td>\n<td style=\"width: 28.5969%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-05\/Endorsement%20Guidance%20SSP061%20Creon%2025000%20restriction%20FINAL%2024052024.pdf\">SSP061 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 44.4759%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-05\/SSP060%20Creon%2010000%20restriction%20FINAL%2023052024%20-%20Signed.pdf\">SSP060: Creon\u00ae 10000 gastro-resistant capsules<\/a><\/td>\n<td style=\"width: 22.9365%; height: 24px;\">21 November 2025<\/td>\n<td style=\"width: 28.5969%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-05\/Endorsement%20Guidance%20SSP060%20Creon%2010000%20restriction%20FINAL%2024052024.pdf\">SSP060 guide<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\">Details will be updated above as and when changes occur, but the most up-to-date information is available from the <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>NHS Business Services Authority (NHSBSA) website<\/strong><\/a>.<\/p>\n<p>Pharmacy teams will be notified of any new SSPs or changes to an existing SSP via NHSmail, the<strong>\u00a0<\/strong><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\"><strong>NHS Business Services Authority (NHSBSA)<\/strong><\/a>\u00a0website, via the Community Pharmacy England\u00a0<a href=\"https:\/\/cpe.org.uk\/latest-news\/email-sign-up\/\"><strong>newsletters<\/strong><\/a>, the\u00a0<a href=\"https:\/\/cpe.org.uk\/latest-news\/\"><strong>latest news<\/strong><\/a>\u00a0section of our website and you can also check the Community Pharmacy England\u00a0<a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/supply-chain\/live-ssps\/\"><strong>Live SSPs<\/strong><\/a>\u00a0page.<\/p>\n<div class=\"trigger the-trigger\">Endorsement &amp; PMR guidance<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\">To ensure correct payments (fees and reimbursement) are made for any supplies made against an SSP, community pharmacy contractors are required to endorse the paper prescription, or the electronic prescription (where the prescription is issued using the Electronic Prescription Service (EPS)) with the following information:<\/p>\n<ul style=\"text-align: justify;\">\n<li><strong>SSP [followed by the three-digit reference number applicable to the SSP] <\/strong>\u2013 to indicate that the supply was made in accordance with an SSP;<\/li>\n<li><strong>Details of product supplied in accordance with the SSP<\/strong>\u00a0(drug name, quantity, strength, formulation, supplier name or brand)*;<\/li>\n<li><strong>Quantity supplied<\/strong>*;<\/li>\n<li><strong>Pack size<\/strong>\u00a0\u2013 best practice where multiple pack sizes are available; and<\/li>\n<li><strong>Invoice price<\/strong>\u00a0\u2013 only if NHSBSA has no list-price available on dm+d.<\/li>\n<\/ul>\n<p><em style=\"text-align: justify;\">*The drug details and quantity supplied and endorsed will depend on the relevant SSP.<\/em><\/p>\n<p>In most cases, SSP endorsements for specific SSPs are shorter.<\/p>\n<p>In addition, to support pharmacy teams, Community Pharmacy England has also put together some helpful reminders and top tips on the correct SSP endorsement and submission requirements.<\/p>\n<p style=\"text-align: justify;\"><strong>General Top tips:<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>To ensure correct payment for SSP claims, contractors should ensure that endorsements reflect the requirements outlined in the corresponding SSP endorsing guidance available on\u00a0<strong><u>NHSBSA\u2019s website<\/u><\/strong>.<\/li>\n<li>For SSPs that allow for an alternative product or quantity to be supplied, endorse the details of the alternative product(s) or quantity supplied in accordance with\u00a0the SSP \u2013 not the details of the product or quantity that was originally prescribed.<\/li>\n<li>Only endorse strength(s)\/formulation(s) of products that are covered by the SSP.<\/li>\n<li>Pharmacy teams are advised to familiarise themselves with PMR guidance about SSPs. Community Pharmacy England&#8217;s SSPs webpage endorsement section includes links to PMR-specific guidance.<\/li>\n<li>Contractors are strongly advised to check if their PMR system supports correct and complete SSP endorsements. If there is any doubt on the correct use of the SSP endorsement functionality available on PMR systems, contractors should contact their system supplier for further guidance. Any suggestions about how system usability and functionality could be improved should also be <a href=\"https:\/\/cpe.org.uk\/digital-and-technology\/contingency-it\/reporting-it\/\"><strong>fed back to the system supplier<\/strong><\/a>.<\/li>\n<li>EPS tokens should not be used to make SSP claims. The electronic claim message created by the PMR system, including the electronic endorsements within it, is used to determine payment.<\/li>\n<li>Ensure your endorsement is accurate and clear \u2013 NHSBSA processing staff must be able to determine what has been supplied.<\/li>\n<li>If patient is exempt from prescription charges, the correct exemption reason should be selected.<\/li>\n<li>For patient\u2019s that normally pay for their prescriptions, usual charges apply except for supplies in accordance with SSPs for a reduced quantity. No prescription charge is payable if a patient receives a smaller quantity of the medicine than the quantity originally ordered on the prescription if it was supplied in accordance with a SSP for a reduced quantity. If a patient normally pays for their prescriptions, the <strong>paid<\/strong> status should be selected on the EPS claim message. Once submitted for payment, the NHSBSA will recognise the SSP endorsement and process the prescription as a no-charge item i.e. no prescription charges will be deducted by the NHSBSA.<\/li>\n<li>Where applicable, check that the correct number of patient charges are collected and declared on the end of month FP34C submission form.<\/li>\n<li>If an electronic prescription has been endorsed incorrectly and before the claim is submitted for payment, where PMR systems allow, contractors may be able to retrieve any submitted EPS dispense notification messages by using the\u00a0<a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/eps\/dispensing-in-eps-release-2\/eps-dispensing-notifications-and-reimbursement-claim\/recalling-amending-an-eps-prescription-after-it-had-been-sent-to-the-pricing-authority\/\"><strong>claim amend facility<\/strong><\/a>.<\/li>\n<li>SSPs cannot be supplied after the period of SSP validity. Any other items on the prescription (such as an owing) can continue to be dispensed as usual but must be submitted for payment within three months of expiry of the SSP.<\/li>\n<\/ul>\n<p><strong>Top Tips for HRT SSPs:<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>Always double check that endorsements reflect the requirements outlined in the\u00a0<a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">supporting guidance<\/a>\u00a0published for each SSP on the dedicated page of the NHSBSA\u2019s website.<\/li>\n<li>Check whether your PMR system enables complete and correct SSP endorsements (please contact your system supplier if you are unsure of how to apply endorsements correctly). If you have suggestions about how system usability and functionality could be improved,\u00a0<a href=\"https:\/\/cpe.org.uk\/reportit\">feed these back to your PMR supplier<\/a>.<\/li>\n<li>When endorsing an SSP for a <strong>reduced quantity<\/strong> in line with an SSP ensure you endorse the SSP product dispensed and the <span style=\"text-decoration: underline;\">reduced quantity supplied<\/span><strong>.<\/strong><\/li>\n<li>When endorsing an SSP for a <strong>substitution<\/strong> with a specific alternative product in line with an SSP ensure you endorse the <span style=\"text-decoration: underline;\">specific alternative product dispensed<\/span> and the quantity supplied.<\/li>\n<li>When endorsing an SSP for a <strong>reduced quantity and substitution<\/strong> in line with an SSP ensure you endorse the <span style=\"text-decoration: underline;\">specific alternative product dispensed and the reduced quantity supplied<\/span>.<\/li>\n<li>When endorsing an SSP for a <strong>substitution <\/strong>or a <strong>reduced quantity and substitution <\/strong><span style=\"text-decoration: underline;\">where a specific alternative brand has been dispensed contractors must endorse the brand supplied<\/span> to ensure correct reimbursement. If a specific brand is supplied but the corresponding generic name is endorsed on the prescription, reimbursement would be in accordance with the price listed in Part VIIIA of the Drug Tariff which may result in underpayment.<\/li>\n<li>For SSPs involving substitution from gel\/spray to patch formulation, or from Ovestin cream to Estriol 0.1% cream, there should not be a need to mark the prescribed product as ND (Not Dispensed). Please speak to your system supplier if you are unable to select and endorse a different product to what was originally prescribed.<\/li>\n<li>Ensure your endorsements are accurate and clear \u2013 NHSBSA processing staff must be able to determine what has been supplied.<\/li>\n<li>No prescription charge is payable if a patient receives a smaller quantity of the medicine than the quantity originally ordered on the prescription if it was supplied in accordance with a SSP for a reduced quantity. Prescription charges apply as usual for supplies made in accordance with SSPs permitting substitution only (without quantity restriction).<\/li>\n<li>If a patient normally pays for their prescriptions, the\u00a0<strong>paid<\/strong>\u00a0status should be selected even though no charge is taken for the three months\u2019 worth of HRT medicine supplied in accordance with the SSP.\u00a0 Once submitted for payment, the NHSBSA will recognise the SSP endorsement and process the prescription as a no-charge item i.e. no prescription charges will be deducted by the NHSBSA.<\/li>\n<li>NHSBSA will continue to apply charge deductions for any other chargeable items dispensed on the same prescription form with mixed items (affected HRT medicine prescribed with other items).<\/li>\n<li>If patient is exempt from prescription charges, the correct exemption reason should be selected.<\/li>\n<li>If any claims for SSPs have been endorsed incorrectly and before a claim is submitted for payment, where PMR systems allow, contractors may be able to retrieve any submitted EPS dispense notification messages by using the <a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/eps\/dispensing-in-eps-release-2\/eps-dispensing-notifications-and-reimbursement-claim\/recalling-amending-an-eps-prescription-after-it-had-been-sent-to-the-pricing-authority\/\"><strong>claim amend facility<\/strong><\/a>.<\/li>\n<li><strong>SSPs cannot be supplied past the period of SSP validity<\/strong>. Any other items on the prescription (such as an owing) can continue to be dispensed as usual but must be submitted for payment within three months of expiry of the SSP.<\/li>\n<\/ul>\n<p><strong>Top tips for Combisal<sup>\u00ae<\/sup>125mcg\/25mcg inhalers SSP<br \/>\n<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"text-align: justify;\">To claim the correct reimbursement and remuneration for supply in accordance with SSP034, follow the endorsing requirements as outlined in\u00a0<a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-03\/Supporting%20endorsement%20guidance%20Salazopyrin%20500mg%20tablets%2010032022.pdf\">NHSBSA\u2019s supporting guidance<\/a>. See information on <a href=\"https:\/\/www.nhsbsa.nhs.uk\/endorsing-serious-shortage-protocols-ssps-0\">common SSPs endorsing errors<\/a> identified by the NHSBSA.<\/li>\n<li style=\"text-align: justify;\">Contractors should check with their system supplier on the correct method of adding the required\u00a0<span data-markjs=\"true\" data-ogac=\"\" data-ogab=\"\" data-ogsc=\"\" data-ogsb=\"\">SSP<\/span>\u00a0endorsements including how to endorse a spacer device, if one is supplied.<\/li>\n<li style=\"text-align: justify;\">When a spacer device is supplied in accordance with SSP034, contractors should endorse the brand and type of spacer supplied for example, Volumatic<sup><span class=\"TrackChangeTextInsertion TrackedChange BCX0 SCXW194470501\"><span class=\"TextRun BCX0 SCXW194470501\" lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun BCX0 SCXW194470501\">\u00ae<\/span><\/span><\/span><\/sup>\u00a0or Volumatic paediatric<sup><span class=\"TrackChangeTextInsertion TrackedChange BCX0 SCXW194470501\"><span class=\"TextRun BCX0 SCXW194470501\" lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun BCX0 SCXW194470501\">\u00ae<\/span><\/span><\/span><\/sup> with mask, if appropriate.<\/li>\n<li style=\"text-align: justify;\">If your PMR system does not allow endorsement of multiple products (inhaler and spacer) against a single prescribed item, contractors should endorse the alternative inhaler supplied along with the correct SSP endorsement. For the spacer device, the contractor would select the \u2018NCSO\u2019 endorsement and enter the brand\/type of spacer supplied in the text.<\/li>\n<li style=\"text-align: justify;\">If a spacer cannot be added to endorsement this will not be reimbursed. If your PMR system functionality does not support correct endorsement requirements, the patient should be referred back to their prescriber to obtain a new prescription for an alternative inhaler and a compatible spacer.<\/li>\n<\/ul>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 100%; background-color: #c3137b; text-align: center;\"><span style=\"color: #ffffff;\"><strong>When supplying in accordance with these SSPs, contractors should refer to the updated endorsement guidance for each SSP available on <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\"><span style=\"color: #ffffff;\">NHSBSA&#8217;s SSP page<\/span><\/a>. <\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\">Community Pharmacy England\u2019s support guidance to endorsing SSPs, click <a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/11\/PSNC-Briefing-011.21-Serious-Shortage-Protocols-SSPs-updated-endorsing-guidance-Feb-2022.pdf\"><strong>here<\/strong><\/a>.<\/p>\n<p style=\"text-align: justify;\">NHSBSA\u2019s support guidance to endorsing SSPs, click <a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-02\/SSP%20operational%20guidance%2001022022.pdf\" target=\"_blank\" rel=\"noopener\"><strong>here<\/strong><\/a>.<\/p>\n<p><strong>Pharmacy system-specific guidance<\/strong><\/p>\n<p>Pharmacy system suppliers have informed Community Pharmacy England that system-specific SSP endorsing guidance will be made available and Community Pharmacy England has offered its support to suppliers in producing such guidance including guides or how-to videos. Guidance currently available includes:<\/p>\n<ul>\n<li><strong><a href=\"https:\/\/aahtrainingroom.co.uk\/module\/serious-shortages-protocol\/\" target=\"_blank\" rel=\"noopener\" class=\"broken_link\">AAH ProScript Connect SSP guidance<\/a>\u00a0which links to sub-page:\u00a0<\/strong><a href=\"https:\/\/aahtrainingroom.co.uk\/endorsing-ssp-using-the-new-dispenser-endorsement\/\" target=\"_blank\" rel=\"noopener\"><strong>Using SSPs<\/strong><\/a>\u00a0(updated Feb 2022)<\/li>\n<li><a href=\"https:\/\/positive-solutions.co.uk\/analyst-pmr\" target=\"_blank\" rel=\"noopener\"><strong>Analyst (Positive Solutions) SSP e-learning<\/strong><\/a>. The updated Help file for this system also includes SSPs information.*<\/li>\n<li><strong><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2022\/05\/Endorsing-SSP-Using-the-New-Dispenser-Endorsement-EMIS-ProScript-Connect.pdf\">EMIS ProScript Connect SSP guide<\/a>\u00a0<\/strong>\u00a0\u2013 also available on the\u00a0<a href=\"https:\/\/supportcentre.emishealth.com\/endorsing-ssp-using-the-new-dispenser-endorsement\/\" target=\"_blank\" rel=\"noopener\" class=\"broken_link\">EMIS support website<\/a>.<\/li>\n<li><strong><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/06\/RxWeb-Serious-Shortage-Protocol-SSPs-Guide.pdf\">RxWeb (Clanwilliam) SSP guide<\/a><\/strong><\/li>\n<\/ul>\n<p>Notes:<\/p>\n<ul>\n<li>*Guidance with an asterix may not reflect the changes to endorsing requirements following the introduction of the new SSP endorsement from 1st June 2021.<\/li>\n<li><em>Note: Other suppliers not listed above should also provide guidance for the users of their system.<\/em><\/li>\n<li>It is recommended that contractors take up opporunities to update their system where this is recommended by the supplier in case later versions have improvements or new functionalities \u2013 including in relation to SSPs<\/li>\n<li>Contractors using the same system may be on different versions and guidance will show a specific version.<\/li>\n<\/ul>\n<p>Please speak to your system supplier for the latest system-specific SSP endorsing guidance, or if you suggestions about how to improve the SSP functionality available within your system.<\/p>\n<p>Read more about how to request guidance or improved features:\u00a0<a href=\"https:\/\/cpe.org.uk\/digital-and-technology\/system-suppliers\/making-your-pharmacy-system-work-for-you\/\">Making your system work for you<\/a>\u00a0and\u00a0<a href=\"https:\/\/cpe.org.uk\/briefings\/psnc-briefing-02416-reporting-eps-issues-april-2016\/\" target=\"_blank\" rel=\"noopener\">Feeding back or reporting about EPS<\/a>.<\/div>\n<p style=\"text-align: justify;\"><div class=\"trigger the-trigger\">To claim for an SSPs using the Electronic Prescription Service (EPS):<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<ul style=\"text-align: justify;\">\n<li>Select the SSP endorsement.<\/li>\n<li>Input the appropriate 3-digit reference number of the SSP.<\/li>\n<li>Follow the specific <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\"><strong>supporting endorsement guidance<\/strong><\/a> for the applicable SSP &#8211; often this will require contractors to select and endorse the SSP product and quantity supplied to the patient.<\/li>\n<li>Contractors should check with their system supplier on the correct use of the SSP endorsement functionality particularly where the dispensed item is different to the prescribed item. Contractors should note that only the correct endorsements contained in the electronic message are used to price electronic prescriptions (i.e. handwritten endorsements on the corresponding EPS Tokens are not referred to by the NHSBSA when pricing SSP claims).<\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"trigger the-trigger\">To claim for an SSPs using FP10 paper prescriptions:<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<ul style=\"text-align: justify;\">\n<li>Endorse SSP and the appropriate 3-digit reference number<\/li>\n<li>Follow the specific <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\"><strong>supporting endorsement guidance<\/strong><\/a> for the applicable SSP &#8211; often this will require contractors to endorse the relevant SSP product dispensed including strength, pharmaceutical form, and quantity supplied to the patient.<\/li>\n<li>Place the prescription in the red separator.<strong><\/div><\/strong><\/li>\n<\/ul>\n<div class=\"trigger the-trigger\">Submission guidance<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\">To ensure correct reimbursement, pharmacy teams should ensure that all Electronic Reimbursement Endorsement Messages (EREMs) or EPS claim notification messages and\/or paper FP10 forms with SSP claims are<strong>\u00a0submitted to NHSBSA in a timely manner.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>If SSP claims are submitted electronically, the Dispense Notification (DN) message should be submitted during the period of SSP validity.\u00a0<\/strong>Pharmacy teams should take into account the EPS\u00a0<a href=\"https:\/\/cpe.org.uk\/timeeps\"><strong>5 day window and EPS submission timing<\/strong><\/a><strong>\u00a0<\/strong>when sending the EREMs i.e. submit claim message no later than the 5th of the month following supply. Any paper prescriptions with SSP claims must be placed in a <span style=\"color: #ff0000;\"><strong>red separator<\/strong><\/span> and dispatched to the relevant division of the NHSBSA by the 5th<sup>\u00a0<\/sup>of the month following that in which supply was made.<\/p>\n<p style=\"text-align: justify;\"><strong>Submission of prescriptions containing both SSP(s) and non-SSP(s)<\/strong><\/p>\n<p style=\"text-align: justify;\">Contractors have to submit claims for SSPs in the usual manner, i.e. by the 5th of the month following that in which supply was made . However, any prescriptions with mixed (SSP and non-SSP items) may be claimed up to three months after the SSP expires to help deal with claims for any owings on the prescription. Using the example of SSP 009 which expired 17 May 2021, the final cut-off for submission to be reimbursed for this SSP would be with your July bundle (submitted by the 5th of August).<\/p>\n<p style=\"text-align: justify;\">Please note that\u00a0<u>SSPs cannot be supplied past the period of SSP validity<\/u>. Any other items on the prescription (such as an owing) can continue to be dispensed as usual but must be submitted for payment within three months of expiry of the SSP.<\/p>\n<p style=\"text-align: justify;\"><strong>Declaration of monthly SSP claims using the FP34C form on MYS<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>There is a separate declaration of monthly SSP claims on the digital FP34C submission form via the <a href=\"https:\/\/services.nhsbsa.nhs.uk\/nhs-prescription-services-submissions\/login\"><strong>Manage Your Service (MYS) portal<\/strong><\/a> for contractors to declare the correct number of SSP claims made each month.<\/li>\n<li>Separately, contractors should also include the number of items supplied in accordance with SSPs with the usual item totals.<\/li>\n<li>Please note that the NHSBSA will not be using the SSP declaration made on the FP34Cs for reimbursement purposes. Instead, the SSP declaration is to provide the NHSBSA with an indication that SSP claim(s) are expected in that month<\/li>\n<\/ul>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 100%; background-color: #c3137b; text-align: center;\"><span style=\"color: #ff0000;\"><strong>All paper FP10 forms should be placed in the front of the red separator for the end-of-month submission bundle<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><\/div>\n<p style=\"text-align: justify;\"><div class=\"trigger the-trigger\">Common reasons for incorrect\/invalid SSP claims<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<ul style=\"text-align: justify;\">\n<li><strong>Incorrect dispensed item endorsed\u00a0<\/strong>\u2013 for SSPs that require substitution to an alternative product, the item endorsed was very often the same as original prescribed item.<\/li>\n<li><strong>Claims made against items without an active SSP\u00a0<\/strong>\u2013 SSP endorsement applied against items for which a valid SSP does not exist.<\/li>\n<li><strong>Reduced quantity not endorsed<\/strong>\u2013 for SSPs that require a reduced quantity to be endorsed, often the endorsed quantity matched the prescribed quantity.<\/li>\n<li><strong>Claims for supplies made in accordance with an expired SSP:<\/strong>\n<ul>\n<li>No active SSP in place at the time of supply \u2013 i.e., SSP claimed for items after expiry of SSP.<\/li>\n<li>Alternative item correctly supplied during the period of SSP validity, but Dispense Notification message submitted after the period of SSP validity.<\/li>\n<li>Alternative item correctly supplied during the period of SSP validity and the Dispense Notification message submitted during the period of SSP validity but the EREM or Claim Notification message submitted after the 3-month claiming window (where multiple items are ordered on the same prescription).<\/li>\n<\/ul>\n<\/li>\n<li><strong>Invalid or incorrect SSP reference number endorsed\u00a0<\/strong>\u2013 The endorsed SSP number does not match the actual SSP number. For example, SSP470 (this SSP number does not exist); SSP<em>(blank) <\/em>(missing reference number); and SSP47 (two instead of three digits).<strong><\/div><\/strong><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"trigger the-trigger\">Reconciling SSPs: Steps to check your Serious Shortage Protocols (SSPs) totals <div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 12pt;\">We recommend pharmacy teams spot check the number of SSPs performed and declared versus the number NHSBSA priced (using these steps).<\/span><\/p>\n<p style=\"text-align: justify;\">These are outlined within a <a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Briefing-factsheet-Seven-steps-to-check-your-Serious-Shortage-Protocols-SSPs-totals.pdf\">one-page factsheet<\/a>\u00a0and are also seen below:<\/p>\n<p><strong>1. Use endorsing guidance: <\/strong>Use Community Pharmacy England SSP endorsing guidance and your Patient Medical Record system specific guidance (<a href=\"https:\/\/cpe.org.uk\/reportit\"><strong>queries to suppliers about SSPs can be raised in the usual way<\/strong><\/a>). Ensure that SSP endorsements are only added if the relevant criteria is fulfilled.<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 12pt;\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"124\" class=\"alignright size-medium wp-image-564488\" src=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-02-250x124.jpg\" alt=\"\" srcset=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-02-250x124.jpg 250w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-02-700x348.jpg 700w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-02-120x60.jpg 120w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-02-528x260.jpg 528w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-02.jpg 766w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><strong>2. Tally your SSP totals: <\/strong>Tally the genuine SSPs carried out, as you do these. This tally could differ from your PMR total (if your team or system inadvertently endorses SSP without intending to carry out an SSP). NHSBSA will only price valid SSPs.<br \/>\n<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 12pt;\"><strong>3. Submit your SSP total: Enter onto your monthly submission the tally number of SSPs (see \u2018Figure 1\u2019) on the Manage Your Service (MYS) portal.\u00a0<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 12pt;\"><strong>4. Digitally file your MYS confirmation email and records of totals submitted: This is saved into your MYS portal history (see \u2018Figure 2\u2019).<\/strong><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"219\" class=\"size-medium wp-image-564487 alignleft\" src=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-01-250x219.jpg\" alt=\"\" srcset=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-01-250x219.jpg 250w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-01-700x614.jpg 700w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-01-768x674.jpg 768w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-01-120x105.jpg 120w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-01.jpg 797w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><strong>5. Await pricing of the month and compare priced to declared totals: <\/strong>Await your Schedule of Payment and after receipt of it compare totals. The priced totals are in the \u2018Details of Other Amounts Authorised\u2019 section typically<\/p>\n<p style=\"text-align: justify;\"><strong>found on page 2 or 3 (see \u2018Figure 3\u2019). Check the priced totals compared to your MYS email totals.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>6. Spotting a discrepancy:\u00a0 <\/strong>If you can identify specific SSPs, check whether these will have gone into the dispensing month in question (further info: <a href=\"https:\/\/cpe.org.uk\/digital-and-technology\/eps\/claiming-eps-scripts-in-time\/\"><strong>EPS submission timing<\/strong><\/a>). Consider whether the SSPs in question were endorsed correctly \u2013 you can view the previous prescriptions within your PMR. If you suspect the PMR system supplier needs to be made aware of an issue, use the <a href=\"https:\/\/cpe.org.uk\/reportit\"><strong>PMR escalation route<\/strong><\/a>.<\/p>\n<p><strong>7. Still worried? <\/strong>If there is a payment discrepancy and it is believed that the correct SSP endorsing guidance was followed, pharmacy owners may consider requesting a re-check of relevant prescriptions and the NHSBSA will be able to either rectify the payment or explain why the claim was unpaid incorrectly or if appropriate to rectify the payment (cpe.org.uk\/recheck). We have not yet had evidence that valid EPS SSP endorsements have gone \u2018unpriced\u2019.<img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"125\" class=\"alignright size-medium wp-image-570679\" src=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-03-1-250x125.jpg\" alt=\"\" srcset=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-03-1-250x125.jpg 250w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-03-1-120x60.jpg 120w, https:\/\/cpe.org.uk\/wp-content\/uploads\/2023\/08\/Checking-SSP-totals-03-1.jpg 650w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/p>\n<p><strong>SSPs and VAT<\/strong><\/p>\n<p style=\"text-align: justify;\">The Department of Health and Social Care (DHSC) has provided clarification from HMRC that VAT is not applicable on products supplied in accordance with serious shortage protocols (SSPs). From 1 June 2023, the allowance for VAT currently paid alongside product reimbursement will stop being paid when reimbursing for products supplied in accordance with SSPs. Until the end of May 2023, for products supplied in accordance with a SSP, a VAT allowance will continue to be paid. This change will be reflected from the June 2023 Drug Tariff.<\/p>\n<p style=\"text-align: justify;\">This change in VAT status for SSPs was initially communicated by Department of Health and Social Care (DHSC) and NHS England in the letter to community pharmacy owners published on 12 May 2023. Our members will need to reclaim VAT paid on the purchase of medicines supplied in accordance with an SSP, as they ordinarily do for medicines dispensed against prescriptions. HMRC will be updating their guidance on the correct VAT liability of SSP shortly.<\/p>\n<p><strong><\/div><\/strong><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><div class=\"trigger the-trigger\">Regulatory FAQs<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\"><strong>Q. When may supply in accordance with an SSP be refused?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Contractors may refuse to supply an alternative product or quantity in accordance with the SSP, if the supervising pharmacist considers that supply of the different or alternative product or quantity is unreasonable or inappropriate. Contractors must refuse to supply an alternative product or quantity in accordance with the SSP, if such a supply has already been made in accordance with the presented prescription.<\/p>\n<p><strong>Q. Do the SSPs for apply to private prescriptions?<\/strong><\/p>\n<p>A. Yes. The scope of the SSPs applies to valid prescriptions that meets the requirements of the Human Medicine Regulations 2012, so it would cover both NHS and private prescriptions, unless where it stated otherwise on the SSP itself.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Do patients have to consent\/agree to SSP supplies?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes, patient consent\/agreement is required for supply of an alternative product or quantity in accordance with an SSP.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Do patients pay prescription charges for SSP supplies?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Generally, prescription charges are payable for the supply of alternative products in accordance with SSPs, if they were payable for supply under the original prescription. The exception to this is that no prescription charge is payable if the patient is supplied with a smaller quantity of drug or fewer appliances than originally prescribed. This exception was proposed by Community Pharmacy England and accepted by DHSC Ministers in order that patients that pay the prescription charge are not disadvantaged by the use of an SSP.<\/p>\n<p><strong>Q. Do prescription charges apply for quantity restriction SSPs?<\/strong><\/p>\n<p>A. No prescription charge is payable if a patient receives a smaller quantity of the medicine than the quantity originally ordered on the prescription if it was supplied in accordance with an SSP for reduced quantity.<\/p>\n<p>If patient is exempt from prescription charges, the correct exemption reason should be selected.<\/p>\n<p>If a patient normally pays for their prescriptions, the paid status should be selected even though no charge is taken.\u00a0 Once submitted for payment, the NHSBSA will recognise the SSP endorsement and process the prescription as a no-charge item i.e. no prescription charges will be deducted by the NHSBSA.<\/p>\n<p>NHSBSA will continue to apply charge deductions for any other chargeable items dispensed on the same prescription form with mixed items.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. If the prescribed item cannot be obtained after the expiry of an SSP, can I continue to make supplies of the alternative(s) specified in the expired SSP until stock of the prescribed item becomes available?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. No. Once an SSP has expired\/been withdrawn it is no longer valid for use and you must dispense in accordance with the prescription. If the prescribed item remains unavailable, the patient should be referred back to the prescriber for an alternative.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Do the other provisions of the terms of service apply to SSP supplies?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes. SSPs are now part of the Essential Dispensing Service, part of Schedule 4 of the NHS Pharmaceutical Regulations and, broadly, the terms of service apply; including, for example, that contractors must provide appropriate advice as required and maintain appropriate records.<\/p>\n<p style=\"text-align: justify;\">Specific amendments in the NHS (Amendments Relating to Serious Shortage Protocols) Regulations 2019, to ensure the terms of service are relevant to SSPs, include:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Measuring and fitting for appliances (Reg. 8 (4))<\/li>\n<li>Relevant standards and formula (Reg. 8 (5))<\/li>\n<li>Original pack dispensing (Reg. 8 (10))<\/li>\n<li>Suitable containers (Reg. 8 (15))<\/li>\n<li>Alternative to referral for an appliance (Reg. 10 (2)(b)<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><\/div><div class=\"trigger the-trigger\">Endorsement FAQs<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\"><b><span data-contrast=\"none\">Q. When endorsing a prescription for an SSP, does the SSP number need to be included?<\/span><\/b><\/p>\n<p style=\"text-align: justify;\">A. Yes. When endorsing using EPS, select the SSP endorsement on your system and input the correct three-digit reference number. If present, remember to insert the leading zero in the three-digit reference number for example SSP022.<\/p>\n<p style=\"text-align: justify;\"><b><span data-contrast=\"auto\">Q. When endorsing a prescription for an SSP do I have to endorse the pack size?<\/span><\/b><\/p>\n<p style=\"text-align: justify;\">A. Pharmacy teams should endorse the prescription in line with the endorsement requirements specified in the protocol which may indicate whether a pack size endorsement is required.<\/p>\n<p style=\"text-align: justify;\"><b><span data-contrast=\"none\">Q. What <\/span><\/b><b><span data-contrast=\"none\">are <\/span><\/b><b><span data-contrast=\"none\">the correct\u00a0<\/span><\/b><b><span data-contrast=\"none\">requirements for<\/span><\/b><b><span data-contrast=\"none\">\u00a0SSP<\/span><\/b><b><span data-contrast=\"none\">\u00a0endorsements<\/span><\/b><b><span data-contrast=\"none\">?\u202f<\/span><\/b><\/p>\n<p style=\"text-align: justify;\">A. Pharmacy teams are advised to refer to the individual protocol for specific endorsement requirements. Pharmacy teams are required to endorse the prescription with \u2018SSP\u2019 to indicate that a supply was made in accordance with an SSP. The use of the SSP endorsement will indicate to the NHSBSA that an SSP was used, i.e. that the originally prescribed product was not dispensed by the pharmacy and a different quantity or product was supplied in accordance with an SSP.<\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">To ensure correct payments (fees and reimbursement) for products supplied under an SSP, pharmacy teams are generally required to endorse\u202fthe following information on the paper prescription or where issued using EPS, using either the original electronic prescription (as outlined in Part II of the Drug Tariff):\u202f\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span data-contrast=\"none\">\u202f\u202f\u202f<\/span><b><span data-contrast=\"none\">SSP (followed by the three-digit reference number applicable to the SSP)\u202f<\/span><\/b><span data-contrast=\"none\">\u2013 to indicate that the supply was\u202fmade in accordance with an SSP;\u202f<\/span><\/li>\n<li><span data-contrast=\"none\">\u202f\u202f\u202f<\/span><b><span data-contrast=\"none\">Details of product supplied in accordance with the SSP<\/span><\/b><span data-contrast=\"none\">\u202f(drug name,\u202fquantity, strength,\u202fformulation, supplier\u202fname or brand)\u202f*;\u202f<\/span><\/li>\n<li><span data-contrast=\"none\">\u202f\u202f\u202f<\/span><b><span data-contrast=\"none\">Quantity supplied*<\/span><\/b><span data-contrast=\"none\">;\u202f<\/span><\/li>\n<li><span data-contrast=\"none\">\u202f\u202f\u202f<\/span><b><span data-contrast=\"none\">Pack size<\/span><\/b><span data-contrast=\"none\">\u202f\u2013 best practice where multiple\u202fpack sizes are available; and\u202f<\/span><\/li>\n<li><span data-contrast=\"none\">\u202f\u202f\u202f<\/span><b><span data-contrast=\"none\">Invoice price<\/span><\/b><span data-contrast=\"none\">\u202f\u2013 only if NHSBSA has no list price available on\u202fdm+d.\u202f<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">\u202f<\/span><i><span data-contrast=\"none\">* The drug details and quantity supplied and endorsed will depend on the specific SSP.<\/span><\/i><span data-contrast=\"none\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Q.I have received a prescription for \u2018Drug X\u2019 28 tablets. I only have 14 tablets in stock, however, there is a valid SSP in place for \u2018Drug X\u2019 allowing substitution of tablets to capsules. Can I dispense the 14 tablets of \u2018Drug X\u2019 that I have in stock and use the SSP to supply the remaining balance as capsules?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. No. Should you wish to use the stock you currently have on your shelf you should dispense the prescription as per usual processes, clearly endorsing the quantity to show that 14 tablets only were dispensed. Alternatively you can consider supply of the capsules in accordance with the SSP for &#8216;Drug X&#8217; .<\/p>\n<p style=\"text-align: justify;\"><\/div><div class=\"trigger the-trigger\">Submission FAQs<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\"><b><span data-contrast=\"auto\">Q. I have a prescription for two items; one item covered by an active SSP and the other for a non-SSP item. The item covered by SSP is supplied within the period of SSP validity but the non-SSP item is only part-dispensed with an owing for the patient. The balance of the non-SSP item is not dispensed to the patient until after the expiry of the SSP. Will I be reimbursed for an SSP if the prescription is submitted for payment after the SSP expiry date?<\/span><\/b><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"auto\">A. Pharmacy teams<\/span><span data-contrast=\"auto\">\u00a0have to\u00a0submit their claim for the SSPs in the usual manner, i.e. by the 5<\/span><span data-contrast=\"auto\">th<\/span><span data-contrast=\"auto\">\u202fof the month following that in which supply was made. However, any prescriptions with mixed (SSP and non-SSP items) may be claimed up to three months after the SSP expires to help deal with claims for any\u00a0owings\u00a0on the prescription. Using the example of SSP01 which expired 25 October, the final cut-off for submission to be reimbursed for this SSP would be with your December bundle (submitted by the 5<\/span><span data-contrast=\"auto\">th<\/span><span data-contrast=\"auto\">\u202fof January).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"auto\">Please note that\u202f<\/span><span style=\"text-decoration: underline;\">SSPs cannot be supplied past the period of SSP validity<\/span><span data-contrast=\"auto\">. Any other items on the prescription (such as an owing) can continue to be dispensed as usual but must be submitted for payment within three months of expiry of the SSP.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"><strong>Q.<\/strong> <\/span><b><span data-contrast=\"auto\">How can I ensure that the <\/span><\/b><b><span data-contrast=\"auto\">paper <\/span><\/b><b><span data-contrast=\"auto\">prescriptions <\/span><\/b><b><span data-contrast=\"auto\">with\u00a0<\/span><\/b><b><span data-contrast=\"auto\">SSP claims<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">are<\/span><\/b><b><span data-contrast=\"auto\">\u00a0seen by an exception handler at NHSBSA?<\/span><\/b><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"auto\">A. All <\/span><span data-contrast=\"auto\">paper <\/span><span data-contrast=\"auto\">prescriptions which<\/span><span data-contrast=\"auto\">\u00a0SSP claims must<\/span><span data-contrast=\"auto\">\u00a0be placed<\/span><span data-contrast=\"auto\">\u00a0in<\/span><span data-contrast=\"auto\">\u00a0the\u00a0red-separator<\/span><span data-contrast=\"auto\">\u00a0on top of the bundle before submitting to the NHSBSA in the usual wa<\/span><span data-contrast=\"auto\">y<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><\/div><div class=\"trigger the-trigger\">Payment FAQs<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\"><b><span data-contrast=\"auto\">Q. If a prescription with an SSP claim is <\/span><\/b><b><span data-contrast=\"auto\">not endorsed with a <\/span><\/b><b><span data-contrast=\"auto\">formulation, quantity\u00a0<\/span><\/b><b><span data-contrast=\"auto\">or<\/span><\/b><b><span data-contrast=\"auto\">\u00a0strength<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\">\u00a0would the prescription (or a copy of) be returned to the contractor for clarification?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0A. <\/span><span data-contrast=\"auto\">Where insufficient information is available to enable the NHSBSA to process an SSP claim, the prescription or shall be returned to the contractor to endorse the prescription form (or copy of the original form) with the information requested. Returned prescriptions shall be priced using the Drug Tariff relevant to the month in which the prescription form (or copy) is returned to the NHSBSA. <\/span><span data-contrast=\"auto\">If the\u00a0<\/span><span data-contrast=\"auto\">initials \u2018SSP\u2019 are missing on <\/span><span data-contrast=\"auto\">an<\/span><span data-contrast=\"auto\">y<\/span><span data-contrast=\"auto\"> SSP claim, the prescription will not be returned to the contractor and any reimbursement will be based on the original prescribed order.<\/span><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Q. <\/strong><b><span data-contrast=\"auto\">I have submitted a prescription with an SSP claim to NHSBSA but omitted the endorsement of \u2018SSP\u2019; will NHSBSA return the prescription to us for clarification?<\/span><\/b><\/p>\n<p style=\"text-align: justify;\">A. No. To be reimbursed for supplies made against an SSP, the endorsement \u2018SSP\u2019 must be present. Failure to endorse \u2018SSP\u2019 would result in the prescription being reimbursed based on the original prescribed order.<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"><strong>Q.<\/strong> <\/span><b><span data-contrast=\"auto\">How will payments for SSPs claimed appear on my Schedule of Payments?<\/span><\/b><\/p>\n<p style=\"text-align: justify;\">A. The Schedule of Payment will include two single lines \u2013 one for total VAT and other for fees (if applicable).<\/p>\n<p><\/div><div class=\"trigger the-trigger\">HRT SSP FAQs<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\"><strong>Q. Do the SSPs for HRT apply to cross-border prescriptions?<br \/>\n<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes. Patients from England, Scotland, Wales or Northern Ireland who present their prescriptions for either Premique\u00ae Low Dose 0.3mg\/1.5mg modified-release tablet, Ovestin\u00ae 1mg cream, Oestrogel\u00ae Pump-Pack 0.06% gel, Lenzetto\u00ae 1.53mg\/dose transdermal spray or Sandrena\u00ae 0.5mg and 1mg gel sachets are eligible to receive supply under the terms of the specific appropriate SSP.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Do patients have to consent\/agree to SSP supplies?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes, patient consent\/agreement is required for supply of an alternative product and\/or quantity in accordance with an SSP.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Do the SSPs for HRT apply to private prescriptions?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes. The scope of the SSPs for HRT applies to valid prescriptions that meets the requirements of the Human Medicine Regulations 2012, so it would cover both NHS and private prescriptions, unless where it stated otherwise on the SSP itself.<\/p>\n<h3>Quantity restriction SSPs<\/h3>\n<p style=\"text-align: justify;\"><strong>Q. Will prescription charges apply for quantity restriction SSPs?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. No prescription charge is payable if a patient receives a smaller quantity of the medicine than the quantity originally ordered on the prescription if it was supplied in accordance with an SSP for reduced quantity.<\/p>\n<p style=\"text-align: justify;\">If patient is exempt from prescription charges, the correct exemption reason should be selected.<\/p>\n<p style=\"text-align: justify;\">If a patient normally pays for their prescriptions, the\u00a0paid\u00a0status should be selected even though no charge is taken for the three months\u2019 worth of HRT medicine supplied in accordance with the SSP.\u00a0 Once submitted for payment, the NHSBSA will recognise the SSP endorsement and process the prescription as a no-charge item i.e. no prescription charges will be deducted by the NHSBSA.<br \/>\nNHSBSA will continue to apply charge deductions for any other chargeable items dispensed on the same prescription form with mixed items (affected HRT medicine prescribed with other items).<\/p>\n<p style=\"text-align: justify;\"><strong>Q. How would pharmacists determine a three-month supply?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Where it is not clear from the prescription what constitutes a three-month supply, the pharmacist will need to discuss with the patient <strong>and<\/strong> use their professional judgment.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. If the prescription states less than three months\u2019 supply should be dispensed does it fall within scope of a quantity restriction SSP?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. No. If the prescription states that either three months\u2019 supply or less is to be supplied to the patient, this would not fall within scope of a quantity restriction SSP. The pharmacist should dispense the medication in accordance with the prescription.<\/p>\n<h3>Substitution SSPs<\/h3>\n<p style=\"text-align: justify;\"><strong>Q. Will prescription charges apply for substitution SSPs?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes, for prescriptions with a quantity less than three-months, patients who are not exempt from prescription charges would continue to pay for this as usual.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Can pharmacists supply more than three months\u2019 supply for a substitution SSP?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. No, in accordance with the substitution SSPs, pharmacists will only be able to dispense the substituted product when the prescribed duration of treatment is three months\u2019 or less.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Is there any difference between the substituted products recommended?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes. Pharmacists should be mindful of the different dosing regimens of the substituted products specified on the <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">supporting guidance<\/a>. For example, whether the patches are administered once or twice weekly.<\/p>\n<p style=\"text-align: justify;\">Pharmacists should use their professional judgement to select the appropriate substitution on the basis of the brands available to them.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. How will I be reimbursed when supplying a substitution<span style=\"text-align: justify;\"> with a specific alternative product in line with an SSP?<\/span><\/strong><\/p>\n<p style=\"text-align: justify;\">A. Reimbursement will be for the the medicine supplied in accordance with an SSP, not the originally prescribed medicine.<\/p>\n<p>Where a specific alternative brand has been dispensed contractors must endorse the brand supplied to ensure correct reimbursement. If a specific brand is supplied but the corresponding generic name is endorsed on the prescription, reimbursement would be in accordance with the price listed in Part VIIIA of the Drug Tariff which may result in underpayment.<\/p>\n<h3>Substitution AND quantity restriction SSPs<\/h3>\n<p style=\"text-align: justify;\"><strong>Q. Will prescription charges apply for substitution and quantity restriction SSPs?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. No prescription charge is payable if a patient receives a smaller quantity of the medicine than the quantity originally ordered on the prescription if it was supplied in accordance with an SSP for reduced quantity.<\/p>\n<p style=\"text-align: justify;\">If patient is exempt from prescription charges, the correct exemption reason should be selected.<\/p>\n<p style=\"text-align: justify;\">If a patient normally pays for their prescriptions, the\u00a0paid\u00a0status should be selected even though no charge is taken for the three months\u2019 worth of HRT medicine supplied in accordance with the SSP.\u00a0 Once submitted for payment, the NHSBSA will recognise the SSP endorsement and process the prescription as a no-charge item i.e. no prescription charges will be deducted by the NHSBSA.<br \/>\nNHSBSA will continue to apply charge deductions for any other chargeable items dispensed on the same prescription form with mixed items (affected HRT medicine prescribed with other items).<\/p>\n<p style=\"text-align: justify;\"><strong>Q. Is there any difference between the substituted products recommended?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Yes. Pharmacists should be mindful of the different dosing regimens of the substituted products specified on the <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">supporting guidance<\/a>. For example, whether the patches are administered once or twice weekly.<\/p>\n<p style=\"text-align: justify;\">Pharmacists should use their professional judgement to select the appropriate substitution on the basis of the brands available to them.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. How would pharmacists determine a three-month supply?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. Where it is not clear from the prescription what constitutes a three-month supply, the pharmacist will need to discuss with the patient <strong>and<\/strong> use their professional judgment.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. If the prescription states less than three months\u2019 supply should be dispensed does it fall within scope of a substitution and quantity restriction SSP?<\/strong><\/p>\n<p style=\"text-align: justify;\">A. No. If the prescription states that either three months\u2019 supply or less is to be supplied to the patient, this would not fall within scope of a substitution and quantity restriction SSP. The pharmacist should dispense the medication in accordance with the prescription.<\/p>\n<p style=\"text-align: justify;\"><strong>Q. How will I be reimbursed when supplying a substitution<span style=\"text-align: justify;\"> with a specific alternative product in line with an SSP?<\/span><\/strong><\/p>\n<p style=\"text-align: justify;\">A. Reimbursement will be for the the medicine supplied in accordance with an SSP, not the originally prescribed medicine.<\/p>\n<p>Where a specific alternative brand has been dispensed contractors must endorse the brand supplied to ensure correct reimbursement. If a specific brand is supplied but the corresponding generic name is endorsed on the prescription, reimbursement would be in accordance with the price listed in Part VIIIA of the Drug Tariff which may result in underpayment.<\/p>\n<p><\/div><\/p>\n<hr \/>\n<div class=\"trigger the-trigger\">Further Information<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\">\n<p><strong><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/11\/PSNC-Briefing-011.21-Serious-Shortage-Protocols-SSPs-updated-endorsing-guidance-Feb-2022.pdf\">Community Pharmacy England Briefing 011\/21: Serious Shortage Protocols (SSPs) updated endorsing guidance<\/a><\/strong><\/p>\n<p data-eqcss-1-4-parent=\"\"><strong style=\"text-align: justify;\"><a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/psnc-briefings-dispensing-and-supply\/psnc-briefing-023-19-serious-shortage-protocols-ssps-a-guide-for-community-pharmacy-teams-june-2019\/\" target=\"_blank\" rel=\"noopener noreferrer\">Community Pharmacy England Briefing 023\/19: Serious Shortage Protocols \u2013 A guide for community pharmacy teams<\/a><\/strong><\/p>\n<p data-eqcss-1-4-parent=\"\"><strong><a class=\"ckfile pdf\" href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2019-10\/SSP%20operational%20guidance.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">NHSBSA Serious Shortage Protocols Operational Guidance<\/a><\/strong><\/p>\n<p data-eqcss-1-5-parent=\"\"><strong><a class=\"ckfile pdf\" href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2019-10\/SSP%20Q%2BA.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">NHSBSA Serious Shortage Protocols Questions &amp; Answers<\/a><\/strong><\/p>\n<p><\/div><div class=\"trigger the-trigger\">Archive of revoked\/expired SSPs<div class=\"icon\"><\/div><\/div><div class=\"toggle_container\"><\/p>\n<p style=\"text-align: justify;\">If and when an SSP is revoked\/expired, it will be removed from the live table above and instead placed below for historical reference.<\/p>\n<table style=\"width: 80.668%; height: 1194px;\">\n<tbody>\n<tr style=\"background-color: #659200;\">\n<td style=\"height: 24px; width: 48.907%;\"><span style=\"color: #0f6b61;\"><strong>SSP<\/strong><\/span><\/td>\n<td style=\"height: 24px; width: 21.5379%;\"><span style=\"color: #0f6b61;\"><strong>Date expired<\/strong><\/span><\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><span style=\"color: #0f6b61;\"><strong>Supp<\/strong><strong>orting Information<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP083: Venlafaxine 37.5mg modified-release tablets<\/a><\/td>\n<td style=\"width: 21.5379%;\">01 August 2025<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2025-06\/Endorsement%20guidance%20SSP083%20Venlafaxine%2037.5mg%20MR%20tablets.pdf\">SSP083 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP078: Cefalexin 250mg\/5ml oral suspension sugar free<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">31 January 2025<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-12\/SSP078%20Endorsement%20guidance%20Cefalexin%20250mg-5ml%20oral%20susp%20SF.pdf\">SSP078 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 19px;\">\n<td style=\"width: 48.907%; height: 19px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP075: Monomil\u00ae XL 60mg tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 19px;\">17 January 2025<\/td>\n<td style=\"width: 16.2344%; height: 19px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-09\/Endorsement%20guidance%20SSP075%20Monomil%20XL%2060mg.pdf\">SSP075 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP071: Ramipril 2.5mg tablets<\/a><\/td>\n<td style=\"width: 21.5379%;\">29 November 2024<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-08\/Endorsement%20guidance%20SSP071%20Ramipril%202.5mg%20tablets.pdf\">SSP071 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP074: Monomax\u00ae XL 60mg tablets<\/a><\/td>\n<td style=\"width: 21.5379%;\">15 November 2024<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-09\/Endorsement%20guidance%20SSP074%20Monomax%20XL%2060mg.pdf\">SSP074 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP076: Nyzamac<sup>\u00ae\u00a0<\/sup>SR 60mg capsule<\/a><\/td>\n<td style=\"width: 21.5379%;\">8 November 2024<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-09\/Endorsement%20guidance%20SSP076%20Nyzamac%20SR%2060mg%20caps.pdf\">SSP076 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP073: Chemydur<sup>\u00ae\u00a0<\/sup>60XL tablets<\/a><\/td>\n<td style=\"width: 21.5379%;\">11 October 2024<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-09\/Endorsement%20guidance%20SSP073%20Chemydur%2060XL.pdf\">SSP073 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP072: Cefalexin 500mg tablets<\/a><\/td>\n<td style=\"width: 21.5379%;\">27 September 2024<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-08\/Endorsement%20guidance%20SSP072%20Cefalexin%20500mg%20tablets.pdf\">SSP072 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP070%20Quetiapine%20300%20substitution%20and%20restriction%20SIGNED.pdf\">SSP070 Quetiapine 300mg tablets substitution and restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP070%20Quetiapine%20300mg%20substitution%20and%20restriction.pdf\">SSP070 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP069%20Quetiapine%20300%20restriction%20SIGNED.pdf\">SSP069 Quetiapine 300mg tablets restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP069%20Quetiapine%20300mg%20restriction.pdf\">SSP069 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP068%20Quetiapine%20300%20substitution%2002072024%20SIGNED.pdf\">SSP068 Quetiapine 300mg tablets substitution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP068%20Quetiapine%20300mg%20substitution.pdf\">SSP068 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP067%20Quetiapine%20200%20substitution%20and%20restriction%20%20SIGNED.pdf\">SSP067 Quetiapine 200mg tablets substitution and restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP067%20Quetiapine%20200mg%20substitution%20and%20restriction.pdf\">SSP067 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP066%20Quetiapine%20200%20restriction%20SIGNED.pdf\">SSP066 Quetiapine 200mg tablets restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP066%20Quetiapine%20200mg%20restriction.pdf\">SSP066 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP065%20Quetiapine%20200%20substitution%20SIGNED.pdf\">SSP065 Quetiapine 200mg tablets substitution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP065%20Quetiapine%20200mg%20substitution.pdf\">SSP065 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP064%20Quetiapine%20150%20substitution%20and%20restriction%20SIGNED.pdf\">SSP064 Quetiapine 150mg tablets substitution and restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP064%20Quetiapine%20150mg%20substitution%20and%20restriction.pdf\">SSP064 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP063%20Quetiapine%20150%20restriction%20SIGNED.pdf\">SSP063 Quetiapine 150mg tablets restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP063%20Quetiapine%20150mg%20restriction.pdf\">SSP063 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/SSP062%20Quetiapine%20150%20substitution%20SIGNED.pdf\">SSP062 Quetiapine 150mg tablets substitution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">13 September 2024<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-07\/11072024%20Endorsement%20guidance%20SSP062%20Quetiapine%20150mg%20substitution.pdf\">SSP062 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP053: Clarithromycin 125mg\/5ml oral suspension<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">19 July 2024<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-04\/Endorsement%20guidance%20Clarithromycin%20125mg-5ml%20oral%20susp.pdf\" target=\"_blank\" rel=\"noopener\">SSP053 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP054: Clarithromycin 250mg\/5ml oral suspension<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">19 July 2024<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-04\/Endorsement%20guidance%20Clarithromycin%20250mg-5ml%20oral%20susp.pdf\" target=\"_blank\" rel=\"noopener\">SSP054 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP059: Monomil\u00ae XL 60mg tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">7 June 2024<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2024-03\/Endorsement%20guidance%20SSP059%20Monomil%20XL%2060mg%2026032024.pdf\">SSP059 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP057: <span class=\"TrackChangeTextInsertion TrackedChange BCX0 SCXW194470501\"><span class=\"TextRun BCX0 SCXW194470501\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun BCX0 SCXW194470501\">Estradot<sup>\u00ae<\/sup>\u00a0100micrograms\/24hours patches<\/span><\/span><\/span><\/a><\/td>\n<td style=\"width: 21.5379%;\">9 December 2023<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP057 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP058:<\/a><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\"> Jext<sup>\u00ae<\/sup>\u00a0300micrograms\/0.3ml (1 in 1000) solution for injection auto-injector pen<\/a><\/td>\n<td style=\"width: 21.5379%;\">20 October 2023<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP058 guide<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP056: Utrogestan 100mg capsules<\/a><\/td>\n<td style=\"width: 21.5379%;\">29 September 2023<\/td>\n<td style=\"width: 16.2344%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP056 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 48.907%; height: 16px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP052<\/a> <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">Progynova<sup>\u00ae<\/sup> TS 100micrograms\/24hours transdermal patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 16px;\">25 August 2023<\/td>\n<td style=\"width: 16.2344%; height: 16px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-03\/Progynova%20endorsement%20guidance%2028032023.pdf\">SSP052 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP029 Sandrena<sup>\u00ae <\/sup>\u00a00.5mg and 1mg gel sachets &#8211; restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP029%20Sandrena%20restriction%2023052022.pdf\">SSP029 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP030 Sandrena<sup>\u00ae <\/sup>\u00a00.5mg and 1mg gel sachets &#8211;\u00a0 substitution <\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP030%20Sandrena%20substitution%2023052022.pdf\">SSP030 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP031 Sandrena<sup>\u00ae<\/sup> 0.5mg and 1mg gel sachets &#8211;\u00a0 substitution and restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP031%20Sandrena%20substitution%20and%20restriction%2023052022.pdf\">SSP031 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP032 Lipitor<sup>\u00ae<\/sup> 10mg chewable tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP032%20Atorvastatin%20Chewable%2031052022.pdf\">SSP032 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP040 Phenoxymethylpenicillin 125mg\/5ml oral solution sugar free<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-12\/Endorsement%20guidance%20SSP040%20Penicillin%20125mg-5ml%20oral%20soln%20SF.pdf\">SSP040 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP041 Phenoxymethylpenicillin 250mg\/5ml oral solution sugar free<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-12\/Endorsement%20guidance%20SSP041%20Penicillin%20250mg-5ml%20oral%20soln%20SF.pdf\">SSP041 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP042 Phenoxymethylpenicillin 250mg\/5ml oral solution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-12\/Endorsement%20guidance%20SSP042%20Penicillin%20250mg-5ml%20oral%20soln.pdf\">SSP042 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP043 Phenoxymethylpenicillin 125mg\/5ml oral solution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-01\/240120~1.PDF\">SSP043 guide<\/a> (SSP updated 31\/01\/2023)<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP044 Phenoxymethylpenicillin 125mg\/5ml oral solution sugar free<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-01\/240120~2.PDF\">SSP044 guide<\/a> (SSP updated 31\/01\/2023)<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP045 Phenoxymethylpenicillin 250mg\/5ml oral solution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-01\/240120~3.PDF\">SSP045 guide<\/a> (SSP updated 31\/01\/2023)<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP046 Phenoxymethylpenicillin 250mg\/5ml oral solution sugar free<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-01\/240120~4.PDF\">SSP046 guide<\/a> (SSP updated 31\/01\/2023)<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 48.907%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP047 Phenoxymethylpenicillin 250mg tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 48px;\">12 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 48px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-01\/24012023%20Endorsement%20guidance%20SSP047%20Penicillin%20250mg%20tabs.pdf\">SSP047 guide<\/a> (SSP updated 31\/01\/2023)<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP050 Paracetamol 120mg suppositories<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">5 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-02\/Endorsement%20guidance%20SSP050%20Paracetamol%20120mg%20suppositories%2016022023.pdf\">SSP050 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP051 Paracetamol 240mg suppositories<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">5 May 2023<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-03\/Endorsement%20guidance%20SSP051%20Paracetamol%20240mg%20suppositories%2016032023.pdf\">SSP051 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 48.907%; height: 23px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP005: Fluoxetine 10mg tablets<\/a><strong><br \/>\n<\/strong><\/td>\n<td style=\"width: 21.5379%; height: 23px;\">31 March 2023<\/td>\n<td style=\"width: 16.2344%; height: 23px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-02\/Supporting%20endorsement%20guidance%20fluoxetine%2010mg%20tablets%2001022022.pdf\" target=\"_blank\" rel=\"noopener\">SSP005 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP049 Estradot\u00ae 100mcg patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">17 March 2023<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-01\/Endorsement%20guidance%20SSP049%20Estradot%20100%2025012023.pdf\">SSP049 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP048 Estradot\u00ae 50mcg patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">24 February 2023<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2023-01\/Endorsement%20guidance%20SSP048%20Estradot%2050%2025012023.pdf\">SSP048 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 28px;\">\n<td style=\"width: 48.907%; height: 28px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP036 Estraderm MX<sup><i>\u00ae<\/i><\/sup>\u00a0100mcg patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 28px;\">27 January 2023<\/td>\n<td style=\"width: 16.2344%; height: 28px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-09\/Endorsement%20guidance%20SSP036%20Estraderm%20MX%20100%2007092022.pdf\">SSP036 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 28px;\">\n<td style=\"width: 48.907%; height: 28px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP038 Estraderm MX<sup>\u00ae<\/sup>\u00a075mcg patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 28px;\">27 January 2023<\/td>\n<td style=\"width: 16.2344%; height: 28px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-11\/Endorsement%20guidance%20SSP038%20Estraderm%20MX%2075%2015112022.pdf\" target=\"_blank\" rel=\"noopener\">SSP038 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 28px;\">\n<td style=\"width: 48.907%; height: 28px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP039 Lipitor<sup>\u00ae<\/sup> 20mg chewable tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 28px;\">27 January 2023<\/td>\n<td style=\"width: 16.2344%; height: 28px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-11\/Endorsement%20guidance%20SSP039%20Atorvastatin%2020mg%20Chewable%2022112022.pdf\">SSP039 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP026 Lenzetto<sup>\u00ae <\/sup>1.53mg\/dose transdermal spray &#8211;\u00a0 restriction <\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">13 January 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP026%20Lenzetto%20restriction%2023052022.pdf\">SSP026 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP027 Lenzetto<sup>\u00ae <\/sup>1.53mg\/dose transdermal spray &#8211;\u00a0 substitution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">13 January 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP027%20Lenzetto%20substitution%2023052022.pdf\">SSP027 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP028 Lenzetto<sup>\u00ae <\/sup>1.53mg\/dose transdermal spray &#8211; substitution and restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">13 January 2023<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP028%20Lenzetto%20substitution%20and%20restriction%2023052022.pdf\">SSP028 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP019 Oestrogel<sup>\u00ae<\/sup> Pump-Pack 0.06% gel &#8211; <\/a><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">30 November 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-04\/Supporting%20endorsement%20guidance%20Oestrogel%20.pdf\">SSP019 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP020 Ovestin<sup>\u00ae<\/sup> 1mg cream &#8211; <\/a><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">30 November 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-04\/Supporting%20endorsement%20guidance%20Ovestin.pdf\">SSP020 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 51px;\">\n<td style=\"width: 48.907%; height: 51px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP022 Oestrogel<sup>\u00ae<\/sup> Pump-Pack 0.06% gel (750microgram per actuation) &#8211; substitution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 51px;\">30 November 2022<\/td>\n<td style=\"width: 16.2344%; height: 51px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP022%20Oestrogel%20substitution%2023052022.pdf\">SSP022 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 51px;\">\n<td style=\"width: 48.907%; height: 51px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP023 Oestrogel<sup>\u00ae<\/sup> Pump-Pack 0.06% gel (750microgram per actuation) &#8211; substitution and restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 51px;\">30 November 2022<\/td>\n<td style=\"width: 16.2344%; height: 51px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP023%20Oestrogel%20substitution%20and%20restriction%2023052022.pdf\">SSP023 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP024 Ovestin<sup>\u00ae<\/sup> 1mg cream &#8211; substitution<\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">30 November 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-07\/Endorsement%20guidance%20SSP024%20Ovestin%20substitution%2028072022.pdf\">SSP024 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP025 Ovestin<sup>\u00ae<\/sup> 1mg cream &#8211; substitution and restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">30 November 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-07\/Endorsement%20guidance%20SSP025%20Ovestin%20substitution%20and%20restriction%2028072022.pdf\">SSP025 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP037 Estraderm MX<sup>\u00ae<\/sup>\u00a050mcg patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">23 November 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-11\/Endorsement%20guidance%20SSP037%20Estraderm%20MX%2050%2015112022.pdf\" target=\"_blank\" rel=\"noopener\">SSP037 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP036:\u00a0<\/a><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">Estraderm MX<sup>\u00ae<\/sup>\u00a0100mcg patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">14 October 2022<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-09\/Endorsement%20guidance%20SSP036%20Estraderm%20MX%20100%2007092022.pdf\">SSP036 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP035: Estraderm MX<sup>\u00ae<\/sup>\u00a025mcg patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">14 October 2022<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-09\/Endorsement%20guidance%20SSP035%20Estraderm%20MX%2025%2007092022.pdf\">SSP035 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP034 Combisal<sup>\u00ae<\/sup>125mcg\/25mcg inhalers<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">7 October 2022<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-07\/Endorsement%20guidance%20SSP034%20Combisal%2028072022%20FINAL.pdf\">SSP034 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP032 Lipitor<sup>\u00ae<\/sup> 10mg chewable tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">9 September 2022<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP032%20Atorvastatin%20Chewable%2031052022.pdf\">SSP032 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 11px;\">\n<td style=\"width: 48.907%; height: 11px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP033 Paracetamol 120mg suppositories<\/a><\/td>\n<td style=\"width: 21.5379%; height: 11px;\">26 August 2022<\/td>\n<td style=\"width: 16.2344%; height: 11px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-05\/Endorsement%20guidance%20SSP033%20Paracetamol%20120mg%20suppositories%2031052022.pdf\">SSP033 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 32px;\">\n<td style=\"width: 48.907%; height: 32px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP021 Premique<sup>\u00ae<\/sup> low dose 0.3mg\/1.5mg modified-release tablets &#8211; <\/a><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">restriction<\/a><\/td>\n<td style=\"width: 21.5379%; height: 32px;\">29 July 2022<\/td>\n<td style=\"width: 16.2344%; height: 32px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-04\/Supporting%20endorsement%20guidance%20Premique%20low%20dose%20tablets.pdf\">SSP021 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP017: Lipitor<sup>\u00ae<\/sup> 20mg chewable tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">5 April 2022<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-02\/Supporting%20endorsement%20guidance%20SSP017%20atorvastatin%2020mg%20chewable%20tablets%2014022022.pdf\">SSP017 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP014: Salazopyrin\u00ae EN-Tabs 500mg<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">1 April 2022<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-02\/SSP014%20Reactivated%20Supporting%20endorsement%20guidance%20Salazopyrin%20EN-Tabs%20500mg.pdf\">SSP014 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP018: <span class=\"TrackChangeTextInsertion TrackedChange BCX0 SCXW194470501\"><span class=\"TextRun BCX0 SCXW194470501\" lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun BCX0 SCXW194470501\">Salazopyrin<sup>\u00ae<\/sup> 500mg tablets<\/span><\/span><\/span><\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">25 March 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-03\/Supporting%20endorsement%20guidance%20Salazopyrin%20500mg%20tablets%2010032022.pdf\">SSP018 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP016: Lipitor<sup>\u00ae<\/sup>\u00a010mg chewable tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">18 March 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-02\/Supporting%20endorsement%20guidance%20SSP016%20atorvastatin%2010mg%20chewable%20tablets%2014022022.pdf\">SSP016 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 48.907%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP015: Paracetamol 120mg &amp; 240mg suppositories<\/a><\/td>\n<td style=\"width: 21.5379%; height: 24px;\">04 March 2022<\/td>\n<td style=\"width: 16.2344%; height: 24px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2022-01\/SSP015 endorsement guidance 250122_1.pdf\">SSP015 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"width: 48.907%; height: 27px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\"><span style=\"text-decoration: underline;\">SSP013: Lipitor<sup>\u00ae<\/sup> 20mg chewable tablets\u00a0<\/span><\/a><\/td>\n<td style=\"width: 21.5379%; height: 27px;\">12th January 2022<\/td>\n<td style=\"width: 16.2344%; height: 27px;\"><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/11\/PSNC-Briefing-048.21-Serious-Shortage-Protocols-SSPs-SSP013-Atorvastatin-20mg-chewable-tablets.pdf\">SSP013 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 48.907%; height: 23px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP007: Fluoxetine 30mg capsules<\/a><\/td>\n<td style=\"width: 21.5379%; height: 23px;\">28th July 2021<\/td>\n<td style=\"width: 16.2344%; height: 23px;\"><a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/psnc-briefings-dispensing-and-supply\/psnc-briefing-036-20-serious-shortage-protocol-ssp-ssp07-fluoxetine-30mg-capsules\/\">SSP007 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP012: Estradot\u00ae 75 microgram patches<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">11th June 2021<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/05\/PSNC-Briefing-009.21-Serious-Shortage-Protocols-SSPs-SSP012-Estradot-75mcg-patch-Updated-June-2021.pdf\">SSP012 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP009: Fluoxetine 40mg capsules<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">17th May 2021<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/01\/PSNC-Briefing-002.21-Serious-Shortage-Protocols-SSPs-SSP09-Fluoxetine-40mg-caps.pdf\">SSP009 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP011:\u00a0<span class=\"TrackChangeTextInsertion TrackedChange BCX0 SCXW194470501\"><span class=\"TextRun BCX0 SCXW194470501\" lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun BCX0 SCXW194470501\">Competact<sup>\u00ae<\/sup>\u00a015mg\/850mg tablets<\/span><\/span><\/span><\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">14th May 2021<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/03\/PSNC-Briefing-007.21-Serious-Shortage-Protocols-SSPs-SSP011-Competact-15mg.850mg-tablet.pdf\">SSP011 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP010: Levothyroxine 12.5mcg tablets<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">1st April 2021<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2021\/02\/PSNC-Briefing-004.21-Serious-Shortage-Protocols-SSPs-SSP10-Levothyroxine-12.5mcg-tabs.pdf\">SSP010 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 26px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/serious-shortage-protocols-ssps\">SSP08: Salazopyrin<sup>\u00ae<\/sup>\u00a0EN-Tabs 500mg<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">8th March 2021<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/psnc-briefings-dispensing-and-supply\/psnc-briefing-037-20-serious-shortage-protocol-ssp-ssp08-salazopyrin-en-tabs-500mg\/\">SSP008 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2020-05\/SSP%20Fluoxetine%2040mg%20capsules%20final%2020052020.pdf\">SSP06: Fluoxetine 40mg capsules<\/a><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">2nd October 2020<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/psnc-briefings-dispensing-and-supply\/psnc-briefing-017-20-serious-shortage-protocol-ssp-ssp06-fluoxetine-40mg-capsules\/\">SSP06 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 48.907%; height: 10px;\"><span style=\"color: #ffffff;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2019-12\/SSP%20Haloperidol%20500%20microgram%20capsules.pdf\">SSP04: Haloperidol 500mcg capsules<\/a> <span style=\"color: #0000ff;\"><span style=\"color: #000000;\">(Serenace\u00ae)<\/span><\/span><\/span><\/td>\n<td style=\"width: 21.5379%; height: 10px;\">23rd March 2020<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/wp-content\/uploads\/2019\/12\/PSNC-Briefing-062.19-Serious-Shortage-Protocols-SSPs-SSP04-Haloperidol-500mcg-Caps.pdf\">SSP04 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 10px; width: 48.907%;\"><span style=\"color: #ffffff;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2019-11\/SSP%20Fluoxetine%2030mg%20capsule%20201119%20-%20TM_.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">SSP02: Fluoxetine 30mg capsules<\/a><\/span><\/td>\n<td style=\"height: 10px; width: 21.5379%;\">18th December 2019<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/psnc-briefings-dispensing-and-supply\/psnc-briefing-046-19-serious-shortage-protocols-ssps-ssp01-ssp02-ssp03-fluoxetine-10mg-30mg-40mg-capsules\/\">SSP02 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 10px; width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2019-10\/SSP%20Fluoxetine%2040mg%20capsules.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">SSP03: Fluoxetine 40mg capsules<\/a><\/td>\n<td style=\"height: 10px; width: 21.5379%;\">20th November 2019<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/psnc-briefings-dispensing-and-supply\/psnc-briefing-046-19-serious-shortage-protocols-ssps-ssp01-ssp02-ssp03-fluoxetine-10mg-30mg-40mg-capsules\/\">SSP03 guide<\/a><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 10px; width: 48.907%;\"><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sites\/default\/files\/2019-10\/SSP%20Fluoxetine%2010mg%20capsules_0.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">SSP01: Fluoxetine 10mg capsules<\/a><\/td>\n<td style=\"height: 10px; width: 21.5379%;\">25th October 2019<\/td>\n<td style=\"width: 16.2344%; height: 10px;\"><a href=\"https:\/\/cpe.org.uk\/dispensing-supply\/psnc-briefings-dispensing-and-supply\/psnc-briefing-046-19-serious-shortage-protocols-ssps-ssp01-ssp02-ssp03-fluoxetine-10mg-30mg-40mg-capsules\/\">SSP01 guide<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"excerpt","protected":false},"author":12,"featured_media":11940,"parent":2106,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"no","_lmt_disable":"","episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","filesize_raw":"","footnotes":""},"tags":[],"class_list":["post-331984","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Serious Shortage Protocols (SSPs) - Community Pharmacy England<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cpe.org.uk\/dispensing-and-supply\/supply-chain\/ssps\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Serious Shortage Protocols (SSPs) - Community Pharmacy England\" \/>\n<meta property=\"og:description\" content=\"SSPs are a potential way to help pharmacies to manage any serious shortages of medicines that may occur, without needing to refer patients back to prescribers. 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