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What is BB in Pharmacy?

Published in Pharmacy Practice 2 mins read

In pharmacy, "BB" refers to a specific endorsement on a prescription that allows pharmacists to claim payment for a complete pack of a medication even when only a part of the pack has been dispensed.

Here's a more detailed explanation:

  • Part-Pack Dispensing: Normally, pharmacies are reimbursed for the exact quantity of medication dispensed. However, some medications are only available in specific pack sizes, and a patient's prescription might require less than the full pack.

  • The BB Endorsement's Purpose: The "BB" endorsement (often referred to as "Broken Bulk" or "Broken Pack") allows the pharmacy to claim payment for the entire pack if it's unlikely that the remaining medication in the pack will be dispensed within the next 6 months. This is intended to prevent wastage of medication and ensure pharmacies are fairly compensated when they cannot use the remaining portion of a pack.

  • Eligibility and Conditions:

    • Not all medications are eligible for BB claims. There is a list of medications where BB claims are permitted.
    • The pharmacist needs to be reasonably certain that the remaining medication won't be used within a specified timeframe (typically 6 months). This prevents pharmacies from routinely claiming for full packs when they anticipate dispensing the remaining medication soon.
    • The prescription needs to be endorsed correctly with "BB" for the claim to be valid.
  • Why is BB Important?

    • Reduces Medication Waste: By allowing pharmacies to claim for the full pack, it avoids situations where partially used packs are discarded, leading to medication wastage.
    • Fair Reimbursement: It compensates pharmacies for the cost of the full pack when they can't dispense the entire quantity.
    • Improved Stock Management: It allows pharmacies to manage their inventory more effectively by not being burdened with partially used packs that may expire before being fully dispensed.

In summary, the "BB" endorsement in pharmacy is a mechanism to ensure that pharmacies are appropriately compensated for medications dispensed in part-packs, reduce medication waste, and improve stock management.