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IDEXX Allergy Lab Trusted. Complete. Fast.

How to Order Immunotherapy from IDEXX Reference Laboratories

> Before You Start

Because the VMD (or the RCVS via the Practice Standards Scheme) may inspect your practice,

having the right paperwork with your immunotherapy orders is essential. There are three important things

to know about immunotherapy:

• The VMD regard immunotherapy as a pharmaceutical product

• There are no veterinary immunotherapy products with Marketing Authorisation in the UK which means

that vets must follow the “cascade” (1) when making choices

• The veterinary surgeon responsible for the case must obtain a VMD certificate before ordering and

using immunotherapy

Following the “cascade” method, veterinary surgeons should choose f irst a product that has Marketing

Authorisation from another EU member state. For any individual patient, alternatives may only be

considered if there is a specific clinical reason.

Required Import Certificates

No matter which immunotherapy you use, be sure to secure the appropriate certificate from the VMD before

placing any order. The table below shows the two types of import certificates available and when to use them:

Certificate Type When to Use The Process Cost

SIC

(Special Import

Certificate)

For products with Marketing

Authorisation from another

EU member state.

• G o on-line: it takes just two minutes

on the www. gov.uk website.

• Include with every immunotherapy

request.

Free

STC

(Special Treatment

Certificate)

For products with no Mar-

keting Authorisation within

the EU. Your clinical justifi-

cation must be detailed on

VMD application form.

• M ake the initial application by paper;

repeat STCs for that patient can be

obtained on-line.

• Include with each immunotherapy

request.

~ £30 for

initial

certificate

(payable to

the VMD)

IDEXX Immunotherapy

IDEXX Reference Laboratories offers an immunotherapy with Marketing Authorisation from the Netherlands,

so a free-of-charge SIC is required to be submitted with each request. In exceptional situations, we can supply

other types of immunotherapy. For these you will need a STC. If this is the case, please give us a

call and we’ll help you through the process.

> Ready to Start!

Assess Your Patient

IDEXX uses a proven and reliable serological allergy assessment. Alternatively, you may prefer to use

intradermal skin testing (IDT). Whichever assessment you use, our board-certified dermatology specialists

will be happy to help you select the appropriate allergens for immunotherapy.

Please turn over for our Step-by-Step Guide to obtaining your SIC from the VMD

(1) VMD guidance notes on the “prescribing cascade” can be found

at www.vmd.gov.uk/General/VMR/vmgn/VMGNote15.pdf

IDEXX Laboratories Ltd

Tel: 00800 1234 3399 · Fax: 01937 544001

labhelp@idexx.com · www.idexx.co.uk

>

Note: You can obtain an SIC by post and we’d be happy to supply a form, however, the VMD will charge ~£15 for this service.

Step-By-Step Guide → SIC from IDEXX Reference Laboratories

The VMD require that the MRCVS responsible for the case obtain the SIC before ordering the immunotherapy and it is their responsibility that the certificate conditions are met.

How to Obtain Your SIC

1. Go to www.gov.uk/apply-for-a-certificate-to-import-a-veterinary-medicine-into-the-uk

2. Select “Apply for Special Import Certificate”

3. Enter your RCVS membership number, click “Lookup RCVSNo” and select the correct practice for this patient.

Note: If you have not obtained an importation certificate from the VMD previously (on-line or paper) your membership number will not be recognised. You will need to either complete the “Online Vet Registration Form” or call the VMD Licensing Administration team on 01932 338442.

4. Select the product name you require from the drop down menu

5. Select the Country of Origin, choose “Netherlands”

6. Select the appropriate species: dog/cat/horse. Click “Next”.

There is no need to enter details in “Your Reference” box, but we recommend that you enter the pet’s name or the identification number from your practice management software.

7. For the “No of Animals”: Enter “1” – you will need an SIC for each individual patient.

8. “Total amount”:

1 to 8 allergens 10 millilitres 9 to 16 allergens 20 millilitres 17 to 24 allergens 30 millilitres

Click “Next”

9. Select “IDEXX Laboratories” as your proposed importer. The Wetherby address that appears is correct even if you use one of our other UK Laboratories.

Click “Next”

10. Complete the declaration by checking the details, entering an e-mail address and ticking the box.

Click “Next”

11. Print the certificate and write the VMD reference number (e.g. VMDxxxx/2015/xxxxx) on the IDEXX Laboratories Immunotherapy Requisition Form. You will need to submit all the pages of the certificate with your completed Immunotherapy Requisition Form.

The vials of immunotherapy will be sent directly to your practice within 8 working days

Note: You can obtain an SIC by post and we are happy to supply a form; however, the VMD charge approximately £15 for this service.

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IDEXX Reference Laboratories IMMUNOTHERAPY ORDER FORM

:::::::::::::::::::::::::::: STANDARD :::::

For new and re-orders, please remember to include a copy

of all 5 pages of the relevant Special Import Certificate

(SIC) from the Veterinary Medicines Directorate (VMD).

This form is used with our allergy assessment programme. If you require an expanded selection of allergens, please call 00800 1234 3399.

FA X 01937 544 001

Date

DeliVerY aDDreSS

patient name SpeCieS

owner name

For re-orDerS: do not tick boxes, rather please provide the serial number from the side of the vial.

You must obtain a new SiC from the VmD.

/

iDeXX VetCoDe

VmD CertiFiCate number

VMD10235 / /

preSCribing VeterinarY Surgeon

Signature oF preSCribing VeterinarY Surgeon

You may select as many allergens as necessary. Please note that there are

four price bands: 1 to 4 allergens, 5 to 8, 9 to 12, and 13 to 16. For orders of

more than 8 allergens, the immunotherapy will be supplied in two vials.

To arrange a consultation with a board-certified dermatologist,

please call 00800 1234 3399

Grass Pollen IDEXX Code Mites IDEXX Code Mixtures IDEXX Code

Timothy (Phleum pratense) 110 House dust mite (D. farinae) L

Orchard (Dactylis glomerata) 106 House dust mite (D. pteronyssinus) I

Meadow (Poa pratensis) 111 Storage mite (Tyrophagus spp) O

Perennial rye grass (Lolium perenne) 109 Grain mite (Lepidoglyphus spp) N

For pricing purposes, the mixtures are considered to be

one allergen

Storage mite (Acarus spp) M Tree pollen mixture 1 B

Pollen from weeds and flowers Birch, Alder, Hazel

Sheep sorrel (Rumex acetosella) 206 Epithelia

English plantain (Plantago lanceolata) 205 Cat epithelium (Felis domesticus) R Tree pollen mixture 2 C

Stinging nettle (Urtica dioica) 209 Oak, Elm, Beech

Lamb’s quarter (Chenopodium album) 204 Fungi

Mugwort (Artemisia vulgaris) 203 Alternaria alternata 707 Tree pollen mixture 3 D

Ragweed, short (Ambrosia artemisifolia) 202 Cladosporium herbarum 708 Poplar, Sycamore, Willow, Olive/Ash

Wall pellitory (Parietaria officinalis) 219 Aspergillus fumigatus 706

Clover (Trifolium) 222 N/A Penicillium Weed pollen mixture 1 G

Stinging nettle, Mugwort (common)

Pollen from trees and hedges

Birch (Betula populifolia) 303 Insects Other Allergens

Alder (Alnus spp ) 330 N/A Black fly (Simulium spp) Please specify: N/A Oak (Quercus spp) See Tree pollen mix 2 Mosquito (Aedes communis; 909

Cypress (Cupressus spp) 345 subgenera of Culex)

Beech (Fagus sylvatica) 342 Cockroach (Periplaneta americana 908

Poplar (Populus spp) 328 subgenera of Blattaria)

Hazel (Corylus avellana) 327 N/A Horse fly (Tabanus spp)

Elm (Ulmus spp) 316 N/A Stable fly (Stomoxys spp)

Maple (Acer pseudoplantanus) 301 N/A Midges (Culicoides spp)

Willow (Salix caprea) 346

Olive/Ash (Olea europaea/Fraxinus excelsior) 310 Malassezia

N/A Cedar (Chameacyparis spp) Malassezia 777

N/A: not available; please consult with

our dermatologists for alternatives.