A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
YORKSHIRE AND HUMBER NHS PHARMACEUTICALS
PURCHASING CONSORTIA
Pre-Qualification Questionnaire
(PQQ)
A service framework agreement for a service to supply UK
unlicensed medicines imports
Ref: DNWD-83MEZE
March 2010
Name of Applicant: ……………………………………..
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 1 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Contents
1
ORGANISATIONAL BACKGROUND ...................................................... 3
2
OUR VISION AND VALUES .................................................................... 3
3
SUMMARY OF REQUIREMENTS ........................................................... 3
4
SUMMARY OF PRE-QUALIFICATION PROCESS ................................. 5
4.1
Scoring Matrix .................................................................................... 5
4.2
Completion of Application (PQQ) ....................................................... 6
4.3
Submission of your Bid (PQQ) ........................................................... 6
4.4
Procurement Timetable ..................................................................... 8
5
APPLICATION ......................................................................................... 9
5.1
Details and History............................................................................. 9
5.2
Financial and Insurance Details ....................................................... 11
5.3
Experience, Track record & Technical CapacityError! Bookmark not
defined.
5.4
Quality Assurance ........................................................................... 16
6
SUBMISSION ......................................................................................... 17
Schedule 1 - Compliance............................................................................. 18
Schedule 2 - Bank Details ........................................................................... 19
Appendix 1 - List of products historically used by the consortia
…… 20
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 2 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
1
ORGANISATIONAL BACKGROUND
The Yorkshire and Humber NHS Pharmaceuticals Purchasing Consortia
(YHPPC) is responsible for the procurement of medicines and medicines
services for fourteen acute trusts in the Yorkshire and Humber Strategic
Health Authority region. YHPPC is operated by the Leeds Teaching Hospitals
NHS Trust, Medicines Management and Pharmacy Services under a Service
Level Agreement between the member trusts
Member trusts are:
Airedale NHS Trust
Bradford Teaching Hospitals NHS Foundation Trust
Calderdale and Huddersfield NHS Foundation Trust
Mid Yorkshire Hospitals NHS Trust
Leeds Teaching Hospitals NHS Trust
York Hospitals NHS Foundation Trust
Harrogate and District NHS Foundation Trust
Scarborough and North East Yorkshire Healthcare NHS Trust
Hull and East Yorkshire Hospitals NHS Trust
City Health Care Partnership (Hull)
North Lincolnshire and Goole Hospitals NHS Foundation Trust
Barnsley Hospital NHS Foundation Trust
The Rotherham NHS Foundation Trust
Sheffield Childrens Hospital NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
2
OUR VISION AND VALUES
Our Aim is to support local trusts in delivery of savings on medicines
expenditure whilst ensuring only quality medicines are procured.
3
SUMMARY OF REQUIREMENTS
The service framework agreement is for a service to supply unlicensed
medicines imports ie. medicines that do not have a UK license but are
licensed elsewhere in the world. A list of products that have been previously
used by the Consortia is in Appendix 1.
The agreement period will be 36 months with an option to extend for up to a
further 24 months commencing late 2010.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 3 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
NOTE TO BIDDER: ALL COMMUNICATION WILL BE UNDERTAKEN VIA
THE E TENDERING PORTAL - DUE NORTH (PRO-CONTRACT), THIS
INCLUDES THE PQQ, ITT AND ALCATEL STANDSTILL PERIOD.
YOU ARE REQUIRED TO COMPLETE THIS DOCUMENT IN FULL. IF YOU
ARE REGISTERED WITH SID4HEALTH THERE IS NOT A REQUIREMENT
TO COMPLETE THIS WHOLE DOCUMENT BUT ONLY PART OF IT. YOU
SHOULD HOWEVER MAKE REFERENCE TO THE RELEVANT SECTION
OF YOUR SID4HEALTH PROFILE IN THE RELEVANT SECTION OF THIS
PQQ DOCUMENT.
WHEN PROVIDING YOUR SID4HEALTH REFERENCE YOU MUST ALSO
COMPLETE SECTIONS 5.3 AND 5.4 ASWELL AS COMPLETING
SCHEDULES 1 AND 2.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 4 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
4
SUMMARY OF PRE-QUALIFICATION PROCESS
This Pre-Qualification Questionnaire (PQQ) has been developed to allow
bidders to be evaluated in relation to their organisational capability, relevant
experience, technical capacity and ability to meet the specified requirements
as set out above in section 3.
We will apply the following objective criteria to the selection process:

Economic and Financial Standing - the bidder must be of a financial
standing to participate in a procurement of this size.

Track record - the bidder can demonstrate that it has delivered similar
goods/services in similar circumstances to those detailed in the
Summary of Requirements section above.

Capacity and Capability - assessment of the totality of resources and
core competences available to the organisation.

Completeness and Compliance - full completion and submission in
accordance with the requirements of the PQQ.
4.1
Scoring Matrix
Score Definition
An exceptional response, indicating all the features, attributes
behaviours and strengths over and above that you would normally
5
expect from a winning bidder. Contractors scoring 5 will progress to
the next stage of the tender.
4
3
A very good response, including all the features, attributes behaviours
and strengths that you would expect from a winning bidder.
Contractors scoring 4 will progress to the next stage of the tender.
A satisfactory response to the extent that it meets the required
standards and provides a full response. This may not be the standard
you expect from a winning bidder and have limitations in their
response. Contractors scoring 3 will progress to the next stage of the
tender
2
Unsatisfactory response but has some merit. Contractors scoring 2
will not progress to the next stage of the tender.
1
A poor response with little merit. Contractors scoring1 will not
progress to the next stage of the tender
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 5 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Submissions will be evaluated on the basis of the information provided within
your response to this PQQ together with any supporting documentation
requested, such as SID4HEALTH profile. Contractors must ensure that all
documentation submitted as part of the PQQ is relevant to the service being
tendered.
Bidders who fail to complete this PQQ in full or to provide any of the
documents requested may have their applications rejected and may not be
considered further for inclusion in the list of organisations invited to submit a
response to the Invitation to Tender (ITT).
4.2
Completion of Application (PQQ)
Please answer all questions (write N/A where appropriate) and ensure that all
documents requested are clearly marked and submitted with your completed
PQQ.
Any information/documents submitted in response to this PQQ must relate to
the bidding organisation and not to other legal persons or organisation[s]. The
bidder is the organisation that you propose will enter into a formal contract
with Leeds Teaching Hospitals NHS Trust for the supply of goods or services.
4.3
Submission of your Bid (PQQ)
Completed PQQs should be submitted via the Due North e-tendering portal.
Contact
Queries relating to the use of the e-tendering portal should be directed to:
Email:
Support@due-north.com
Telephone: 01670 597136
Queries relating to the content of this PQQ:
Please use the messaging service available on the Due North e-tendering
portal.
This document
This word document (PQQ) must be completed by every applicant who
wishes to express an interest and submit a bid. It must be attached and
uploaded back into the PQQ section of the portal as an attachment.
You must also complete the two incorporated schedules at the end of this
document. Failure to do so may jeopardise the validity of your submission.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 6 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Responses should be compatible with Word 2003; any later versions may not
be accessible by the Trust.
When uploading attachments please use a filename that includes your
organisations name, the version number of the document and the date.
E.g. ACME_Trading_v1_20090323
It is possible to go and amend and replace the uploaded documents until the
published deadline for Expressions of Interest and the PQQ, but please only
upload one revision and change the filename to v2.
Answering the questions
Please enter your response text in the area specified for each question.
DO NOT ALTER ANY OF THE CONTENT OF THE QUESTIONS.
You may enter diagrams or photos or other items into the answer areas in
support of your bid.
Please limit any one answer to 500 words.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 7 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
4.4
Procurement Timetable
The deadline for submission is 12:00 on 23 April 2010.
It is proposed that the following procurement timetable is for guidance only.
Please note that we reserve the right to amend this timetable dependent on
changes in circumstances at any time.
Activity
Stage 1 - Pre-Qualification
Questionnaire (PQQ)
OJEU Notice
PQQ Documents available
Closing Date for Expressions of Interest
(PQQ)
Evaluation Period
Organisations Notified of Outcome
Stage 2 - Invitation to Tender (ITT)
Tender Documents available
Closing Date for Submission
Evaluation Period
Presentation (if applicable)
Organisations Notified of Outcome
Alcatel standstill period
Contract Award
Contract commences
Dates
18/3/2010
18/3/2010
16/04/2010
23/4/2010 - 14/5/2010
17/5/2010
24/5/2010
30/6/2010
28/6/2010 - 26/8/2010
Tbc
27/8/2010
27/8/2010 - 7/9/2010
10/9/2010
1/10/2010
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 8 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
5
APPLICATION
5.1
Details and History
Is your organisation: (a) Public Limited Company; (b) Limited Company;
5.1.1 (c) Partnership; (d) Sole Trader; (e) Other.
(Please specify)
Date of Organisations formation and brief history
5.1.2
DD/MM/YYYY (Please complete)
History:
What is your business entity’s trading name and address in respect of this application?
5.1.3 (for consortia applications please enter “lead” entity)
Name:
Address:
Post Code:
Contact Name:
Position:
Telephone:
Mobile:
Fax:
E-mail:
Address for correspondence relating to this application if different from 5.1.3 above:
5.1.4
Name:
Address:
Post Code:
Contact Name:
Position:
Telephone:
Mobile:
Fax:
E-mail:
Details of the authorised person who completed this form if different from 5.1.3 above:
5.1.5
Contact Name:
Position:
Telephone:
Mobile:
Fax:
E-mail:
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 9 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
5.1.6 Registration number (if any) and registered address:
Company Registration No:
MHRA Licence No:
+ Wholesaler Dealer:
+ Import:
D & B No:
Sid4Health No:
Address:
Post Code:
5.1.7 If awarded the contract do you plan to sub-contract any part of the services under the
contract?
Yes/No?
If yes, please set out here or on a separate sheet the proportion of the contract which
you intend to sub-contract, your proposed sub-contractors and the roles they would be
fulfilling. Please also provide details of their company registration numbers and
addresses.
Please give details here
5.1.8 Is your organisation a:
(a) Manufacturer;
(b) Distributor;
(c) Service Provider.
5.1.9 Enter the number of full-time equivalent persons employed on the provision of the
goods or services comparable to those required by the Consortia during each of the
last three years:
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 10 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
5.2
Financial and Insurance Details
5.2.1 Economic and financial Capacity
Evidence of the contracting companies Employment Liability,
Professional indemnity and Public Liability Insurance is required.
Organisations that are NOT registered with Companies House are
required to provide extracts of 2 years balance and profit and loss
sheets.
Based on the above you are required to attach the following documents
when you attach this word document into the PQQ section of Due North.
Please attach:



Extracts of your balance sheets for the last 2 years, if applicable.
Extracts of your profit and loss sheet for the last 2 years, if
applicable.
Copies of your current insurance certificates.
These documents will need to be in electronic format in order to be able
to upload.
Attached
Yes/No?
If you are having problems uploading these documents please contact
us. Contact details are provided in section 4.3 of this document.
By omitting these documents from your submission your bid maybe
adversely affected.
If you wish to add any comments relating to these documents please do
so in the space provided below.
Comments
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 11 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Please give the names and responsibilities of key individuals within your organisation (e.g.
5.2.2 directors, partners) below.
Please give details here
Please indicate below if your organisation or any of the key individuals described in 5.2.2
5.2.3 has been convicted of an offence in connection with its business or profession including:
 Organised crime
 Conspiracy
 Bribery
 Corruption
 Fraud
 Money Laundering
 Other
This question relates to The Public Contracts Regulations 2006 (SI 2004/18/EC) Part IV,
Regulation 23, as set out.
Please answer giving thought to sub-contractors or consortia members.
Please give details here
5.2.4
Please indicate if your organisation or any of the key individuals described in 5.2.2 is/has:
 bankrupt/ being wound up/ in administration/ in creditor arrangement/ has
suspended business activities or is in any analogous situation arising from a
similar procedure.
 been the subject of proceedings for a declaration of bankruptcy or of any other
similar proceedings under national laws and regulations.
 or has been convicted of any offence concerning his or her professional conduct.
 not fulfilled obligations relating to the payment of tax/social security contributions in
accordance with the legal provisions of the country in which he is established or in
the UK.
This question relates to The Public Contracts Regulations 2006 (SI 2004/18/EC) Part IV,
Regulation 23, as set out.
Please answer giving thought to sub-contractors or consortia members.
Please give details here
Has your organisation been involved in any court action and/or industrial tribunals over the
5.2.5 last 3 years? If so, please give details below.
Please give details here
Is your organisation affiliated or associated with any other company which would be
5.2.6 capable of tendering for these goods or services? If so, please provide the name and
registered office full address.
Please give details here
Please provide details of any discussions that are taking place regarding take-overs,
5.2.7 mergers, acquisitions and distribution arrangements that your organisation is currently
involved in that may impact on this particular contract.
Please give details here
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 12 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
What is your organisations gross annual
5.2.8 turnover for each of the last three financial
years?
In respect of the goods or services the
5.2.9 contract relates, what is your
organisations gross annual turnover for
each of the last three financial years?
What is your organisations net profit for
5.2.10 each of the last three financial years?
Year
£
Year
£
Year
£
Year
£
Year
£
Year
£
Year
£
Year
£
Year
£
5.3 Experience, Track record & Technical Capacity
5.3.1
What are your organisation’s principal fields of activity?
Please give details here
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 13 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
5.3.2
Please provide details in the table below of contracts relevant to this current proposal
held during the last three years (including contracts still held and those which have
expired).
Please also provide contact details of the client and confirm that these maybe contacted
or otherwise, if required by the Trust.
Client
Nature of contract
(including where
carried out)
Annual
Value
Start
Date
End
Date
Where you are prohibited from disclosing the information requested in sections 8.1, 8.2
and/or 8.3 by Confidentiality Agreements and such Contracts are the only ones that
relate, you should signify this fact and seek permission from the other party to release
such information. The Trust will only use this information to assess your PQQ
submission. Once such information is available you must then provide it. The Trust is
willing to speak to other parties where they signify that they will not release you from
the Confidentiality Agreement but are willing to divulge this information to the Trust if
approached.
The onus is solely with the company applying for the PQQ documents to speak to the
other party to seek release from the Confidentiality Agreement and then to provide
relevant information to the Trust. The Trust will not contact the relevant parties where a
Confidentiality Agreement exists unless you have taken the initial step.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 14 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
5.3.3
5.3.4
By reference to a relevant case study, demonstrate and evidence a successful track record
in providing similar goods and services to that required by the Consortia as described in
Section 3 - Summary of Requirements.
.
Please state the names, qualifications and experience of the members of staff of your
organisation, and any other persons, whom you plan to use on this contract if you are
successful.
Please state where the staff that will be working on this contract will be based.
Please also state which professional or trade bodies your organisation belongs.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 15 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
5.4 Quality Assurance
Please provide details of any recognised quality management certification for
5.2.11 example BS/EN/ISO 9000 or equivalent. If no such certifications are held,
please state whether your organisation has a quality management
system/methodology. If no such system is in place please explain why.
Please give details here
Please give details of any quality assurance accreditation for which you have
5.2.12 applied.
Please give details here
If your company provides Web based hosted solutions, please confirm that
5.2.13 your company is compliant with appropriate sections of ISO 17799:2005;
ISO 27001 and SAS 70.
The Consortia’s purchasing activity will contribute to the achievement of
5.2.14 Government sustainable development objectives, by seeking to optimise the
wider social and environmental benefits to society that can derive from
effective purchasing decisions and efficient purchasing procedures.
How will your organisation support in the delivery of this strategy?
Please give details here
Do you agree that your premises, procedures and quality assurance
5.2.15 agreements may be inspected?
Has your organisation been awarded Investors in People status or
5.2.16 something similar? If so, please provide details including dates and other
information you feel necessary.
Please give details here
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 16 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
6
SUPPLIER SUBMISSION
By completing this submission page you are confirming you have appropriate
authority within your organisation to express interest on their behalf and that
all the information provided is a true and accurate representation.
Form completed by:
Position/Department:
Date:
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 17 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Schedule 1 - Compliance
1.
Is your organisation registered under the Data Protection Act 1984? If so,
what is your DPA registration number?
2.
Is it your policy as an employer to comply with your statutory obligations under
the Race Relations Act 1976 and Race Relations (Amendment) Act 2000?
Is it your practice not to discriminate directly or indirectly on grounds of colour,
race, nationality or ethnic or national origins in relation to decisions to recruit,
select, remunerate, train, transfer and promote employees?
3.
In the last three years, has any finding of unlawful racial discrimination been
made against your organisation by any court or industrial tribunal?
4.
In the last three years, has your organisation been the subject of formal
investigation by the Commission for Racial Equality (CRE) on the grounds of
alleged unlawful discrimination?
5.
If the answer to question 3 is yes, or in relation to question 4 the CRE made a
finding adverse to your organisation, what steps did you take as a result of
that finding?
Please give details here (Maximum 150 words)
6.
Is it your policy as an employer to comply with your statutory obligations under
the Sex Discrimination Act 1975, as amended, the Equal Pay Act 1970, and
the Disability Discrimination Act 1995 – all of which apply in Great Britain – or
equivalent legislation in the countries in which you employ staff?
7.
In the last 3 years, has any finding of unlawful sex or disability discrimination
in the employment field been made against your organisation by the
employment tribunal, the employment appeal tribunal, or any court, or in
comparable proceedings in any other jurisdiction?
8.
If the answer to question 7 is yes, what steps have you taken as a result of
that finding?
Please give details here (Maximum 150 words)
9.
Please provide details of your organisation’s Health & Safety at Work Policy
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 18 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Schedule 2 - Bank Details
Please give details of your bankers:
Name:
Branch full address:
Account number:
Sort code:
Number of years this account has been open:
May bankers be approached for a reference?
If the bank can be approached for a reference, please provide the following
information:
Contact:
Tel No:
Fax:
E-mail:
Please provide a brief outline of how your organisation would obtain
any required funding for this contract (only if third party finance is being
specifically provided for this contract).
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 19 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Appendix 1
UK unlicensed medicines historically used by the Yorkshire and
Humber NHS Pharmaceuticals Purchasing Consortia
Unlicensed medicine
Pack
Historical 12
size
month usage1
8-Methoxypsoralen 10mg tablets
50
258
8-Methoxypsoralen 1.2 % Bath Lotion 30mL
1
328
Acetic acid 5% solution 100ml
1
82
Acetic Acid 3 % Solution 100mL
1
9
Acetic Acid 5 % Spray 100mL
1
367
Acetylcysteine 600mg effervescent tablets
10
2,396
Actrapid Human Soluble Insulin 500 units/ml 10ml
1
158
Albendazole 400mg chewable tablets
3
81
Armour thyroid 120mg tablets
100
35
Benzathine benzylpenicillin 2.4 megaunits solution for injection vials
1
303
Benzbromarone 50mg tablets
100
6
Benzbromarone 100 mg tablets
30
32
Bretylium tosylate injection 50mg in 1ml (10ml)
5
42
Bupivacaine 0.25% with Adrenaline 1:200,000 Injection (20ml)
1
3,165
Bupivacaine 0.5% with Adrenaline 1:200,000 Injection (20ml)
1
2,287
C1 esterase inhibitor 500 units in 10ml powder for solution for injection
1
263
Caffeine citrate 10mg in 1ml solution for injection ampoules
10
34
Ciclosporin opthalmic emulsion 0.05% 0.4ml
32
100
Ciclosporin A 0.2 % Eye Ointment 3.5g
1
72
Clindamycin 75mg in 5ml oral suspension 80ml
1
128
Clonazepam 2mg in 5ml oral solution 150ml
1
1
Clonazepam (Sugar Free) 0.5 mg in 5mL Solution 150mL
1
57
Danaparoid injection 750 units in 0.6ml
10
200
Diaminopyridine tablets 20mg
100
36
Diazoxide tablets 20mg
100
12
Diazoxide 50 mg in 1mL Suspension 30mL
1
100
Dimethyl sulfoxide 50% solution for instillation 50ml
1
421
Disofrol tablets
20
1,000
Dronabinol capsules 2.5mg
60
120
Ethionamide tablets 250mg
100
12
Felbamate tablets 400mg
100
100
Fluorescein 20% solution for injection 5ml ampoules
10
334
Fosfomycin infusion 2g in 100ml
10
90
Fosfomycin infusion 5g in 100ml
10
40
Fumaric Acid Ester EC 30mg tablets (Fumaderm)
40
23
Fumaric Acid Ester EC tablets 120mg (Fumaderm)
70
178
Glycopyrronium bromide 1mg tablets
100
176
Glycopyrronium bromide 2mg tablets
100
99
Griseofulvin 125mg in 5ml oral suspension 100ml
1
250
Hydroxocobalamin injection 5mg in 2ml
2
18
Iloprost 50micrograms in 0.5ml solution for injection ampoules
1
2,148
Indigo carmine 20mg in 5ml solution for injection ampoules
1
100
Indigo Carmine Injection 40mg in 5ml (0.8%)
10
101
Isoniazid 50mg in 5ml oral solution 500ml
1
181
Ivermectin 3mg tablets
4
78
Note 1 : Historical 12 month usage information reflects the approximate combined total usage of the
medicines for one or more patients, each of whom were supplied the medicines following the
requirements of Guidance Note 14.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 20 of 21
A service framework agreement for a service to supply UK unlicensed medicines imports
Pre-Qualification Questionnaire
Unlicensed medicine
Pack
Historical 12
size
month usage1
K-phos no 2
100
52
Magnesium glycerophosphate 97.2mg (magnesium 4mmol) tablets
100
1,060
Magnesium Glycerophosphate Liquid 1mmol in 1ml (200ml)
1
1,576
Magnesium Oxide capsules 400mg
300
185
Melatonin 2.5mg capsules
100
100
Melatonin 2mg capsules
100
605
Melatonin 3mg capsules
60
1,335
Mercaptopurine 100mg in 5ml oral suspension 50ml
1
225
Mercaptopurine 10mg tablets
100
600
Metacholine Chloride USP Powder For Nebuliser Solution 100mg
6
17
Metaraminol 10mg in 1ml solution for injection ampoules
10
2,154
Midazolam 50mg in 5ml oral solution sugar free 5ml
1
1,140
Midodrine 2.5mg tablets
100
507
Midodrine 5 mg tablets
50
198
Miltefosine capsules 50mg
56
11
Patent Blue Injection
5
83
Pentosan polysulphate sodium capsules 50mg
50
67
Pentosan polysulphonate capsules 100 g
100
285
Phenylbutazone 100mg gastro-resistant tablets
100
190
Pirenzepine 50mg tablets
50
54
Primaquine 7.5mg tablets
100
19
Probenecid 500mg tablets
100
57
Prothionamide 250mg tablets
100
29
Pyrazinamide 500mg tablets
60
921
Pyrazinamide 500 mg in 5mL Suspension 150ml
1
22
Pyridostigmine MR tablets 180mg
30
36
Rifamixin 200 mg
12
370
Sincalide Injection 5 micrograms
10
16
Sitaxentan tablets 100mg
30
18
Spironolactone 25 mg in 5mL Sugar-Free Suspension 125mL
1
92
Spironolactone 50mg in 5ml oral suspension 125ml
1
897
Spironolactone 5mg in 5ml oral suspension 125 ml
1
20
Stiripentol capsules 250mg
90
52
Stiripentol capsules 500mg
60
96
Stiripentol sachets 500mg
50
40
Streptomycin 1g powder for solution for injection vials
10
26
Streptozocin 1 g Injection
1
19
Sultiame tablets 200mg
60
6
Tegaserod tablets 2mg
60
32
Tetrahydrobiopterin tablets 10mg
100
24
Theophylline 60mg in 5ml oral solution 300ml
1
57
Vasopressin (Argipressin) 20 Units in 1ml Injection (Pitressin)
10
18
Vitamin A injection 100,000 units in 2ml
10
5
Note 1 : Historical 12 month usage information reflects the approximate combined total usage of the
medicines for one or more patients, each of whom were supplied the medicines following the
requirements of Guidance Note 14.
The Leeds Teaching Hospitals NHS Trust
Yorkshire and Humber Pharmaceuticals Purchasing Consortia
Page 21 of 21