Health (Pricing and Supply of Medical Goods) Act 2013

20.

Conditional supply of listed items.

20.— (1) The Executive may attach conditions to the supply or reimbursement, under F1 [ section 59 or 62A ] of the Act of 1970, of listed items (including classes of listed items) in the interests of one or more of the following:

( a) patient safety;

( b) cost-effectiveness;

( c) maximising appropriate use of the listed items concerned;

( d) appropriately applying the resources available to the Executive.

(2) Without prejudice to the generality of the Executive’s power under subsection (1) to attach conditions to the supply or reimbursement, under F1 [ section 59 or 62A ] of the Act of 1970, of listed items (including classes of listed items), such conditions may include one or more of the following:

( a) protocols for the supply of the listed items;

( b) the quantity of listed items which may be supplied or reimbursed, or both, during a specified period, in respect of a patient or a class of patients, or both, or in respect of patients in general;

( c) the period during which listed items may be supplied or reimbursed, or both;

( d) restrictions on the purposes for which listed items may be supplied;

( e) restrictions on the classes of prescribers who may prescribe the listed items;

( f) restrictions on the classes of patients who may be supplied with, or reimbursed under that section for, the listed items.

(3) The Executive shall, as soon as is practicable after the commencement of this section, establish and keep under review procedures designed to ensure that listed items are supplied or reimbursed, under F1 [ section 59 or 62A ] of the Act of 1970, only if the conditions (if any) attached under this section to such supply or reimbursement, as the case may be, are complied with.