Each of the 14 health boards will have their gluten-free formulary which is taken from information supplied from a National Scottish formulary. This national list is sent out annually and contains information of all the gluten-free foods currently available on the UK Advisory Committee of Borderline Substances (ACBS) within Scotland. A PCA is distributed when a new Scottish list becomes available. Local arrangements then dictate who is responsible for updating the local list.
The National formulary gives key information including product description, PIP code, pack size and unit value.
Additionally, it gives information regarding which pharmacy wholesalers stock the product or whether the product needs to be ordered directly from the manufacturer or distributor. It is important that this information is adhered to so that OOPEs are not incurred. If these expenses have been incurred due to following the incorrect ordering process, some health boards may choose not to reimburse the pharmacy.
For fresh bread products, it also gives the staff ordering the products key information as to when orders need to be processed by and when the delivery should be expected. For fresh bread, it is imperative that patients are contacted on the day of delivery into pharmacy so that the bread can be collected and enjoyed fresh.
Fresh breads are delivered in unit sizes ranging from four loaves, up to eight loaves. When received into the pharmacy the bread should have a 3-5 day use by date so that some can be enjoyed fresh before freezing the remainder.
Patients need to have appropriate freezing space so that the remaining order can be stored correctly and is not wasted.
If patients do not have adequate freezer space, they should be directed to the much longer life bread that is available on the formulary.
Some companies (Juvela and Lifestyle) also supply freshly mixed cases. This can be very useful for people so that they can get a variety within their unit allocation.