01 AUG 2026CPE
Price concession £5.95 for pack size 50
START DATE AS PUBLISHED BY THE SOURCE · APPLIES IN ENG
cpe.org.uk · PUBLISHED 28 AUG 2026
Cyanocobalamin 50microgram tablets
VMP 41984111000001100 · TABLETS · 50MCG
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 — ENGLAND130,015ITEMS · JUN 2026 · NHSBSA EPD
NHS WEST AND NORTH LONDON INTEGRATED CARE BOARDZ9B2Z9,815
NHS WEST YORKSHIRE INTEGRATED CARE BOARDQWO7,579
NHS NORTH EAST AND NORTH CUMBRIA INTEGRATED CARE BOARDQHM7,570
NHS HUMBER AND NORTH YORKSHIRE INTEGRATED CARE BOARDQOQ7,230
NHS BLACK COUNTRY INTEGRATED CARE BOARDQUA6,939
NHS CHESHIRE AND MERSEYSIDE INTEGRATED CARE BOARDQYG6,632
NHS GREATER MANCHESTER INTEGRATED CARE BOARDQOP6,479
NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE INTEGRATED CARE BOARDQUY6,294
TOP 8 OF 37 ICBS BY VOLUME. ONE MONTH ONLY — NOT A TREND. FULL BREAKDOWN IN DEMAND.JSON.
SAME-VTM SIBLINGS
36 ITEMS
31,060 ITEMS
34,321 ITEMS
2 ITEMS
1,140 ITEMS
NO EPD ROW
NO EPD ROW
16,023 ITEMS
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