National Health Service (General Medical Services Contracts) (Prescription of Drugs etc.) Regulations 2004

Made: 8th March 2004

Laid before Parliament: 11th March 2004

Coming into force: 1st April 2004

The Secretary of State for Health in exercise of the powers conferred upon him by sections 28U and 126(4) of the National Health Service Act 1977 and of all other powers enabling him in that behalf, hereby makes the following Regulations:

Citation, commencement and application

1

• (1) These regulations may be cited as the National Health Service (General Medical Services Contracts) (Prescription of Drugs etc.) Regulations 2004 and shall come into force on 1st April 2004.

• (2) These Regulations apply to England only.

Drugs, medicines and other substances that may not be ordered

2

• (1) The following drugs, medicines and other substances may not be ordered for patients in the provision of medical services under a general medical services contract—

• (a) a drug, medicine or other substance which is listed in Schedule 1;

• (b) any gluten-free food; or

• (c) any very low gluten food.

• (2) But—

• (a) paragraph (1)(b) does not apply to gluten-free bread or a gluten-free food mix;

• (b) paragraph (1)(c) does not apply to very low gluten bread or a very low gluten food mix.

• (3) For the purposes of this regulation—

• (a) a food is gluten-free if the food, as sold to the final consumer—

• (i) contains no more than 20mg/kg of gluten, and

• (ii) where it contains oats has been specially produced, prepared and or processed in a way to avoid contamination by wheat, rye, barley or their crossbred varieties;

• (b) a food is very low gluten if the food, as sold to the final consumer, contains no more than 100mg/kg of gluten and consists of, or contains, one or more ingredients made from wheat, rye, barley, oats or their crossbred varieties which have been specially processed to reduce the gluten content, and where it contains oats—

• (i) it has been specially produced, prepared or processed in a way to avoid contamination by wheat, rye, barley or their crossbred varieties, and

• (ii) the gluten content of the oats does not exceed 20mg/kg.

• (4) In this regulation—

• “food mix” means a mixture of two or more ingredients which is to be—combined with any one or more additional ingredients; andbaked or otherwise cooked;

• “gluten” means a protein fraction from wheat, rye, barley, oats or their crossbred varieties and derivatives, which is insoluble in water and 0.5 M sodium chloride solution.

Drugs, medicines and other substances that may be ordered only in certain circumstances

3

A drug, medicine or other substance specified in an entry in column 1 of Schedule 2 may not be ordered for a patient in the provision of medical services under a general medical services contract unless—

• (a) that patient is a person of a description mentioned in column 2 of that entry; and

• (b) that drug, medicine or other substance is prescribed for that patient only for the purpose specified in column 3 of that entry.

SCHEDULE 1 — DRUGS, MEDICINES AND OTHER SUBSTANCES NOT TO BE ORDERED UNDER A GENERAL MEDICAL SERVICES CONTRACT

• 10.10 Cleaning and Disinfecting Solution

• 10.10 Rinsing and Neutralising Solution

• 10 Day Slimmer Tablets

• 10 Hour Capsules

• 4711 Cologne

• Abidec Capsules

• Acarosan Foam

• Acarosan Moist Powder

• Acclaim Flea Control Aerosol Plus

• Acnaveen Bar

• Acne Aid Bar

• Actal Suspension

• Actal Tablets

• Actifed Compound Linctus

• Actifed Cough Relief

• Actifed Expectorant

• Actifed Linctus with Codeine

• Actifed Syrup

• Actifed Tablets

• Actomite

• Actonorm Gel

• Actonorm Powder

• Actonorm Tablets

• Actron Tablets

• Adpack Europe Gamolenic Acid (GLA) Capsules

• Adreno-Lyph Plus Tablets

• Adult Cough Balsam (Cupal)

• Adult Meltus Cough and Catarrh Linctus

• Adult Tonic Mixture (Thornton and Ross)

• Advanced Nutrition Bee Pollen Granules

• Advanced Nutrition Bee Propolis Tablets

• Advanced Nutrition Chromium Compound Liquid

• Advanced Nutrition Ener-B NSL Gel

• Advanced Nutrition Herbal Aloe Juice

• Advanced Nutrition L-Arginine Capsules

• Advanced Nutrition Linseed Oil

• Advanced Nutrition Silica-Organic Capsules

• Advanced Nutrition Sulphur Capsules

• Advanced Nutrition Vitamin E Capsules

• Aerocide 2 Spray 400 ml

• Afrazine Nasal Drops

• Afrazine Nasal Spray

• Afrazine Paediatric Nasal Drops

• Agarol Emulsion

• Agiolax Granules

• Airbal Breathe Easy Vapour Inhaler

• AL Tablets

• Alagbin Tablets

• Alcin Tablets

• Alcon Salette Aerosol Saline Solution

• Aletres Cordial (Potters)

• Alexitol Sodium Suspension 360 mg/5 ml

• Alexitol Sodium Tablets

• Algipan Rub

• Algipan Tablets

• Alka-Donna P Mixture

• Alka-Donna P Tablets

• Alka-Donna Suspension

• Alka-Donna Tablets

• Alka-Seltzer Tablets

• Alka Mints

• Alket Powders

• All Clear Shampoo

• All Fours Cough Mixture (Harwood)

• All Fours Mixture (Glynwed Wholesale Chemists)

• All Fours Mixture (Roberts Laboratories)

• Allbee with C Capsules

• Allbee with C Elixir

• Aller-eze Plus Tablets

• Aller-eze Tablets

• Allinson’s Wholemeal Flour

• Almasilate Tablets 500 mg

• Almay Aftersun Soother

• Almay Face Powder

• Almay Sun Protection Cream SPF 12

• Almay Ultra Protection Lotion SPF 12

• Almazine Tablets 1 mg

• Almazine Tablets 2.5 mg

• Aloin Tablets 40 mg

• Alophen Pills

• Alpine Tea

• Alprazolam Tablets 0.25 mg

• Alprazolam Tablets 0.5 mg

• Alprazolam Tablets 1 mg

• Altacaps

• Altacite Plus Tablets

• Altacite Suspension

• Altacite Tablets

• Altelave Liquid

• Aludrox Gel

• Aludrox Liquid

• Aludrox M H Suspension

• Aludrox S A Suspension

• Aludrox Tablets

• Aluhyde Tablets

• Aluminium Hydroxide & Silicone Suspension

• Aluminium Phosphate Gel

• Aluminium Phosphate Tablets 400 mg

• Alupent Expectorant Mixture

• Alupent Expectorant Tablets

• Aluphos Gel

• Aluphos Tablets

• Alupram Tablets 2 mg

• Alupram Tablets 5 mg

• Alupram Tablets 10 mg

• Aluzyme Tablets

• Alzed Tablets

• Ambre Solaire Cream Factor 8

• Ambre Solaire Cream Factor 10

• Ambre Solaire High Protection Cream SPF10

• Ambre Solaire High Protection Milk SPF 12

• American Nutrition Strezz B-Vite Tablets

• Ami-10 Rinsing and Storage Solution

• Amiclear Contact Lens Cleanser Tablets

• Amidose Saline Solution 30 ml

• Amin-Aid

• Amisyn Tablets

• Ammonium Chloride and Morphine Mixture BP

• Amplex Mint Capsules

• Amplex Mouthwash

• Amplex Original Capsules

• Anadin Analgesic Capsules Maximum Strength

• Anadin Analgesic Tablets

• Anadin Extra Analgesic Tablets

• Anadin Extra Soluble

• Anadin Ibuprofen Tablets

• Anadin Paracetamol Tablets

• Anadin Tablets Soluble

• Anaflex Cream

• Andrews Answer

• Andrews Antacid Tablets

• Andrews Liver Salts Effervescent Powder

• Andrews Liver Salts (Diabetic Formula)

• Effervescent Powder

• Andursil Liquid

• Andursil Tablets

• Anestan Bronchial Tablets

• Anethaine Cream

• Aneurone Mixture

• Angiers Junior Aspirin Tablets

• Angiers Junior Paracetamol Tablets

• Anorvit Tablets

• Antasil Liquid

• Antasil Tablets

• Anthisan Cream

• Antistin-Privine Nasal Drops

• Antistin-Privine Nasal Spray

• Antitussive Linctus (Cox)

• Antoin Tablets

• Antussin Liquid (Sterling Winthrop)

• Anxon Capsules 15 mg

• Anxon Capsules 30 mg

• Anxon Capsules 45 mg

• Aperient Tablets (Brome and Schimmer)

• Aperient Tablets (Kerbina)

• Apodorm Tablets 2.5 mg

• Apodorm Tablets 5 mg

• APP Stomach Powder

• APP Stomach Tablets

• Appleford’s Gluten-Free Rice Cakes

• Arnica Lotion

• Arocin Capsules

• Arret Capsules

• Ascorbef Tablets

• Ascorbic Acid and Hesperidin Capsules (Regent Laboratories)

• Asilone Antacid Liquid

• Asilone Antacid Tablets

• Asilone Orange Tablets

• Askit Capsules

• Askit Powders

• Askit Tablets

• Aspergum Chewing Gum Tablets 227 mg

• Aspirin Chewing-Gum Tablets 227 mg

• Aspirin Tablets, Effervescent Soluble 300 mg

• Aspirin Tablets, Effervescent Soluble 500 mg

• Aspirin Tablets, Slow (Micro-Encapsulated) 648 mg

• Aspro Clear Extra Tablets

• Aspro Clear Tablets

• Aspro Extra Strength Tablets 500 mg

• Aspro Junior Tablets

• Aspro Microfined Tablets

• Aspro Paraclear Junior Tablets

• Aspro Paraclear Tablets

• Asthma Tablets (Cathay)

• Astral Moisturising Cream

• Astroplast Analgesic Capsules

• Atensine Tablets 2 mg

• Atensine Tablets 5 mg

• Atensine Tablets 10 mg

• Ativan Tablets 1 mg

• Ativan Tablets 2.5 mg

• Atrixo

• Audax Ear Drops

• Autan Insect Repellent

• Aveeno Baby

• Aveeno Bar

• Aveeno Bar Oilated

• Aveeno Emulave Bar

• Aveenobar

• Ayrtons Analgesic Balm

• Ayrtons Macleans Formula Tablets

• B Complex Capsules (Rodale)

• B Complex Super Capsules (Rodale)

• B Extra Tablets (British Chemotherapeutic Products)

• Babezone Syrup

• Baby Chest Rub Ointment (Cupal)

• Babylix Syrup

• Babysafe Tablets

• Badedas Bath Gelee

• Balm of Gilead (Robinsons)

• Balm of Gilead Cough Mixture (Wicker Herbal Stores)

• Balm of Gilead Liquid (Culpeper)

• Balm of Gilead Mixture (Potters)

• Balneum Bath Treatment 150ml pack

• Balneum Plus Bath Treatment 150ml pack

• Banfi Hungarian Hair Tonic

• Banimax Tablets

• Barker’s Liquid of Life Solution

• Barker’s Liquid of Life Tablets

• Barkoff Cough Syrup

• Barnes-Hind Cleaning and Soaking Solution

• Barnes-Hind Intensive Cleaner

• Barnes-Hind No 4 Cleaner

• Barnes-Hind Wetting and Soaking Solution

• Bausch and Lomb Cleaning Tablets

• Bausch and Lomb Concentrated Cleaner (for Hard Lenses)

• Bausch and Lomb Daily Lens Cleaner

• Bausch and Lomb Saline Solution

• Bausch and Lomb Soaking and Wetting Solution

• Bayer Aspirin Tablets 300 mg

• BC500 Tablets

• BC500 with Iron Tablets

• BC500 Vitamin Sachets effervescent

• Becosym Forte Tablets

• Becosym Syrup

• Becosym Tablets

• Becotab Tablets

• Bee Health Propolis Capsules

• Beecham Analgesic Cream

• Beechams Catarrh Capsules

• Beechams Day Nurse Capsules

• Beechams Day Nurse Syrup

• Beechams Night Nurse Capsules

• Beechams Night Nurse Cold Remedy

• Beechams Pills

• Beechams Powders

• Beechams Powders Capsule Form

• Beechams Powders Mentholated

• Beechams Powders Tablet Form

• Beehive Balsam

• Bekovit Tablets

• Belladonna and Ephedrine Mixture,

• Paediatric, BPC

• Bellocarb Tablets

• Bemax Natural Wheatgerm

• Benadon Tablets 20 mg

• Benadon Tablets 50 mg

• Benafed Linctus

• Benerva Compound Tablets

• Benerva Injection 25 mg/ ml

• Benerva Injection 100 mg/ ml

• Benerva Tablets 3 mg

• Benerva Tablets 10 mg

• Benerva Tablets 25 mg

• Benerva Tablets 50 mg

• Benerva Tablets 100 mg

• Benerva Tablets 300 mg

• Bengers Food

• Bengue’s Balsam

• Benylin Chesty Coughs Original

• Benylin Children’s Cough Linctus

• Benylin Children’s Coughs

• Benylin Cough & Congestion

• Benylin Day & Night Cold Treatment

• Benylin Day & Night Tablets

• Benylin Dry Coughs Original

• Benylin Expectorant

• Benylin Fortified Linctus

• Benylin Mentholated Cough & Decongestant Linctus

• Benylin Non-Drowsy Cough Linctus

• Benylin Paediatric

• Benylin with Codeine

• Benzedrex Inhaler

• Benzoin Inhalation BP

• Bepro Cough Syrup

• Beres Drops Plus

• Bergasol After Sun Soother

• Bergasol Ultra Protection Tanning Lotion

• Best Royal Jelly Capsules

• Beta Carotene Capsules (Nutri Imports & Exports)

• Biactol Anti-Bacterial Face Wash

• Bile Beans Formula 1 Pill

• Bio-Antioxidant Tablets

• Biocare Acidophilus Powder

• Biocare AD206 (Adreno-Zyme) Capsules

• Biocare Allicin Compound Capsules

• Biocare Amino-Plex Capsules

• Biocare Artemisia Compound Capsules

• Biocare ATP Factor Capsules

• Biocare Beetroot Concentrate (Bioflavour Complex) Capsules

• Biocare Beta-Carotene Capsules

• Biocare Betaine HCL/Pepsin Capsules 200/100 mg

• Biocare BGF Bifidophilus Growth Factor Powder

• Biocare Bio Acidophilus Milk Free Capsules

• Biocare Bio-A Emulsifying Liquid

• Biocare Bio-Cysteine Capsules

• Biocare Biogard Capsules

• Biocare Bio-Magnesium Capsules 100 mg

• Biocare Bio-Manganese Capsules

• Biocare Bio-Plex Powder

• Biocare Butyric Acid Compound Capsules

• Biocare Calcidophilus Capsules

• Biocare Calcium EAP2 Capsules

• Biocare Candistatin Capsules

• Biocare Catalase Compound Liquid

• Biocare Cervagyn Vaginal Cream

• Biocare Cellguard Forte Capsules

• Biocare CG233 Capsules

• Biocare Children’s Multi Vitamin/Mineral Capsules

• Biocare Cholesteraze Capsules

• Biocare Chromium Polynicotinate Liquid

• Biocare Colleginase Capsules

• Biocare Colon Care Capsules

• Biocare Cystoplex Powder

• Biocare Dermasorb Skin Cream

• Biocare Digestaid Capsules

• Biocare DMSA Capsules

• Biocare Efaplex Linseed/GLA Blend Capsules

• Biocare Enteroplex Powder

• Biocare Eradicin Forte Capsules

• Biocare Femforte Capsules

• Biocare Garlicin Capsules

• Biocare GLA Complex Tablets

• Biocare GLA/Co Q10 Catalase Capsules

• Biocare Glutenzyme Capsules

• Biocare HCL Pepsin Capsules

• Biocare Hep 194 (Hepaguard) Capsules

• Biocare Histazyme Capsules

• Biocare IMU Power Pack

• Biocare Int B2 Bifidophilus Bacterium Powder

• Biocare Iron EAP2 Capsules

• Biocare Kalmar Capsules

• Biocare Lactase Enzyme Liquid

• Biocare Ligazyme Capsules

• Biocare Linseed Oil Emulsifying Capsules

• Biocare Lipazyme Capsules

• Biocare Lipo-Plex Capsules

• Biocare Lipo-Plex Co-Q10 EPA/DHA Capsules

• Biocare Magnesium Calcium 2:1 Capsules

• Biocare Magnesium EAP2 Capsules

• Biocare Mega GLA Complex Capsules 163 mg

• Biocare Molybdenum Liquid

• Biocare Multi-Mineral Complex Capsules

• Biocare Multivitamin Mineral Capsules

• Biocare Mycopryl 250 Junior Strength Capsules

• Biocare Mycopryl 400 Capsules

• Biocare Mycopryl 680 Capsules

• Biocare N-Acetyl Glucosamine Capsules

• Biocare NT 188 (Neurotone) Capsules

• Biocare Organic Selenium Capsules 100mcg

• Biocare Oxy-B15 Complex Capsules