EPS Ongoing Allowance Claim Form

1 April 2009

Where a pharmacy contractor in England is in a position tooperate the Electronic Prescription Service if an appropriate prescription is presented or requested, the pharmacy can claim £200/month from their PCT using the 'EPS Ongoing Allowance' Claim Form. Click on the links below to download the forms in PDF or Microsoft Word e-form format.

If a contractor becomes unable to operate the Electronic Prescription Service, they are required to alert their PCT in writing so that payment of the ongoing allowance can be stopped. A template letter that can be used for this purpose can also be downloaded by clicking on the relevant link below.

The ETP1 Claim Form in use in Wales can be downloaded from the Community Pharmacy Wales website (www.cpwales.org.uk)

Downloads

Some publications downloads require Adobe Reader or Microsoft Word.

ETP Monthly Allowance claim form (pdf) (97 KB)
ETP Monthly Allowance claim form (doc) (82 KB)
Template Letter: Ceasing operation of the EPS (28 KB)