01 AUG 2026CPE
Price concession £5.75 for pack size 10
START DATE AS PUBLISHED BY THE SOURCE · APPLIES IN ENG
cpe.org.uk · PUBLISHED 28 AUG 2026
Morphine sulfate 10mg/1ml solution for injection ampoules
VMP 36128211000001109 · SOLUTION FOR INJECTION · 10MG/1ML
NAME FROM dm+d 7.3.0__F_VMP2_3230726.XML · THE CODE IS THE IDENTITY
TIER LADDERA TIER IS A GOVERNMENT ACT, NOT OUR OPINION. EVERY RUNG NAMES THE ACT THAT PUTS IT IN FORCE.
WATCHNOT IN FORCEMEDICINE SUPPLY NOTIFICATION IN FORCE · DHSC
CONCERNNOT IN FORCELISTED ON THE RESTRICTED MEDICINES (PARALLEL-EXPORT / HOARDING) LIST · DHSC / MHRA
CRITICALNOT IN FORCESERIOUS SHORTAGE PROTOCOL IN FORCE · NHSBSA
NO RUNG IS IN FORCE FOR THIS MEDICINE. A PRICE CONCESSION IS NOT A RUNG — IT IS A SIGNAL, AND SIGNALS NEVER MOVE A TIER.
SIGNALS
SLIPPAGEn/aSSP expiry revisions — a Serious Shortage Protocol re-dated to a later expiry, the earliest honest sign a shortage is lasting longer than first stated. One row per revision (prior_date → revised_date, signed slip_days), published at /api/v1/slippage.json. Computed from the append-only ledger, which keeps every expiry as its own immutable observation.
MARKET STRESSn/aPrice-concession presence and month-on-month movement. Concession churn often runs ahead of formal notices.
DURATION PERCENTILESn/aHistorical resolution times for comparable shortages. Computed from accumulated history, never predicted.
CRITICALITY WHO EMLn/aPresence on the WHO Model List of Essential Medicines.
CRITICALITY EU CRITICALn/aPresence on the EU Union list of critical medicines. Published independently of WHO EML — where the two disagree, the disagreement is displayed rather than resolved.
CROSS JURISDICTION STRESSn/aCount of other regulators reporting a shortage of the same MOLECULE. Reported at molecule level via ATC/INN — never implying product equivalence across jurisdictions.
EVERY SIGNAL IS DEFINED IN THE PUBLISHED CONTRACT. MARKET STRESS IS COMPUTED WHERE A TIER IS IN FORCE; THE OTHERS ARE NOT COMPUTED YET AND READ n/a RATHER THAN ZERO — A ZERO WOULD CLAIM WE MEASURED.
PRESCRIBING VOLUME — ENGLAND20,644ITEMS · JUN 2026 · NHSBSA EPD
NHS NORTH EAST AND NORTH CUMBRIA INTEGRATED CARE BOARDQHM1,201
NHS SURREY AND SUSSEX INTEGRATED CARE BOARDS9B9J1,197
NHS CENTRAL EAST INTEGRATED CARE BOARDS1Y5D1,178
NHS CHESHIRE AND MERSEYSIDE INTEGRATED CARE BOARDQYG1,053
NHS LANCASHIRE AND SOUTH CUMBRIA INTEGRATED CARE BOARDQE1859
NHS HAMPSHIRE AND ISLE OF WIGHT INTEGRATED CARE BOARDQRL855
NHS KENT AND MEDWAY INTEGRATED CARE BOARDQKS825
NHS HUMBER AND NORTH YORKSHIRE INTEGRATED CARE BOARDQOQ785
TOP 8 OF 37 ICBS BY VOLUME. ONE MONTH ONLY — NOT A TREND. FULL BREAKDOWN IN DEMAND.JSON.
SAME-VTM SIBLINGS
NO EPD ROW
NO EPD ROW
1 ITEMS
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
19 ITEMS
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
41 ITEMS
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
19 ITEMS
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
103 ITEMS
104 ITEMS
10,640 ITEMS
8,108 ITEMS
23 ITEMS
2 ITEMS
3,831 ITEMS
3 ITEMS
NO EPD ROW
NO EPD ROW
4,528 ITEMS
2,897 ITEMS
NO EPD ROW
10,433 ITEMS
842 ITEMS
633 ITEMS
15 ITEMS
122,965 ITEMS
52 ITEMS
111 ITEMS
493 ITEMS
12 ITEMS
NO EPD ROW
NO EPD ROW
23 ITEMS
NO EPD ROW
NO EPD ROW
220 ITEMS
109 ITEMS
665 ITEMS
55 ITEMS
21 ITEMS
791 ITEMS
NO EPD ROW
NO EPD ROW
NO EPD ROW
4,005 ITEMS
737 ITEMS
79 ITEMS
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
NO EPD ROW
SAME VTM IN dm+d — A CLASSIFICATION FACT, NOT A SUBSTITUTION RECOMMENDATION. LINKED ONLY WHERE PHARMASYNC HOLDS A RECORD FOR THAT CODE.
1 RECORD · SINCE 01 AUG 2026LEFT = ACT, RIGHT = PUBLISHER
EVERY RECORD PHARMASYNC HOLDS FOR THIS MEDICINE IS ABOVE — THE LEDGER IS APPEND-ONLY, SO A REVISION APPEARS AS A FURTHER RECORD RATHER THAN AN EDIT. DATA AS OF 11:42 · 15 SEP 2026.
SUBSTITUTION AND DOSING SIT WITH — OPEN SPS