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The BritUn blog

Specials, explained.

Plain-English articles about unlicensed specials — for pharmacies, patients and carers, prescribers and care homes. Clear, careful, and written for whoever needs them.

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For pharmacies

What is a specials head office?

The job a chain's head office quietly does for specials — buying, compliance, reimbursement and growth — and what changes when an independent carries all of it alone at the counter.

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Patients & carers

Why some medicines have to be specially made

When a licensed medicine doesn't fit a person's clinical needs, a special can be made or sourced to meet them. A plain-English look at why — and who decides.

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Care homes

Specials in care homes: what good looks like

Reliable supply, complete records and safe handling when a resident can't take a medicine the usual way. What CQC and NICE guidance point to.

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Reimbursement

Getting specials endorsements right

Specials endorsing is fiddly and easy to get wrong — and mistakes cost real money. The common pitfalls, and how to avoid leaving fees on the table.

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Reimbursement

Clawbacks on specials — and how to defend them

A clawback isn't always the end of the story. What the evidence needs to show, and how a clear factual record helps you challenge one.

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Prescribers

A reliable specials route for your patients

What to expect from a Specials Ready pharmacy: sourcing through licensed routes, documentation, safety checks and continuity of supply.

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Compliance

Keeping your specials records inspection-ready

Certificates, traceability and a no-licensed-alternative trail — the records a pharmacy should keep for specials, and for how long.

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