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Veterinary Cascade
Ensuring the widest range of treatments are available for veterinary practices and their patients
Helping veterinary professionals protect their prescribing decisions
When a licensed medicine is not available to treat a condition, the veterinary cascade allows veterinary professionals to prescribe alternative options in a safe and legally compliant way. This prescribing system helps ensure that animals receive the best possible treatment, even when specific licensed products are unavailable.
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Since 2008, Raman Pharma has been dedicated solely to supporting practices with tailored procurement solutions. We understand how important it is for vets to feel confident in their prescribing decisions — that’s why we work across every level of the cascade, always aiming to support treatment as high up the system as possible.
Cascade steps: For vets in Great Britain
1
Veterinary medicine with a Marketing Authorisation valid in the UK for indicated species and condition, in accordance with a Special Import Certificate granted by the VMD.
2
If there is no veterinary medicine as described in step 1, or it is not available in Great Britain, then: a veterinary medicine with a Marketing Authorisation valid in GB, NI or UK wide for a different species or condition. For products not authorised in GB or UK wide a Special Import Certificate from the VMD is required.
3
If there is no veterinary medicine as described in step 1, or it is not available in Great Britain, then: a human medicine with a Marketing Authorisation valid in GB, NI or UK wide OR an authorised veterinary medicine from outside of the UK. For products not authorised in GB or UK wide a Special Import Certificate from the VMD is required.
4
If there is no veterinary medicine as described in step 1, or it is not available in Great Britain, then: An extemporaneous preparation prepared by a vet, pharmacist or person holding an appropriate Manufacturer’s Authorisation.
Exception
In exceptional circumstances, a human medicine may be imported from outside of the UK. For products not authorised in GB or UK wide a Special Import Certificate from the VMD is required.
Dedicated support when you need it
Raman Pharma is here when mainline suppliers can’t deliver. Whether it’s sourcing licensed veterinary medicines, suitable human alternatives, or imported products, we provide fast, reliable solutions to keep treatments on track.
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With over 17 years' experience importing medicines to support veterinary care in exceptional circumstances, we offer one of the UK’s largest ranges of readily available imports — all with exceptional value and fast turnaround times. We're also the UK’s primary choice for human medicines in the veterinary sector, providing expert advice and working quickly to find solutions.
Compounded Medications
As we continue to evolve, we’re expanding our offering through strategic partnerships — including our collaboration with Ascot Laboratories, who produce over 5,000 veterinary compounded products.
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Together, we’re working to develop and support the manufacture of veterinary compounded medications, giving practices even more options when licensed treatments aren’t available.
Cascade steps: For vets in Northern Ireland
Non-food producing animals
1
Veterinary medicine with a Marketing Authorisation valid in NI (under an NI or UK-wide authorisation) or authorised in the EU for the same species, for a different indication, or for a different species for the same or another indication. For products not authorised in NI (under an NI or a UK-wide licence), a Special Import Certificate from the VMD is required. Separate arrangements apply for GB authorised products, see Step 4.
2
If there is no authorised veterinary medicine as described in step 1, or those authorised are not available in Northern Ireland, then: A human medicine with a Marketing Authorisation valid in NI (under an NI or UK-wide authorisation) or the EU. For products not authorised in NI (either through an NI or UK-wide authorisation) a Special Import Certificate from the VMD is required.
3
If there is no authorised veterinary medicine as described in step 1 or 2 or those authorised are not available in Northern Ireland, then: Extemporaneous preparation prepared by a vet, pharmacist or person holding an appropriate Manufacturer’s Authorisation, in accordance with the terms of a veterinary prescription.
4
If there is no authorised veterinary medicine as described in step 1, 2 or 3, or it is not available in Northern Ireland, then: A non-immunological veterinary medicine authorised for the same animal species and indication in GB or outside the EU may be used/imported. For products not authorised in NI (under an NI or a UK-wide authorisation), a Special Import Certificate from the VMD is required. Products that are authorised veterinary medicines in Great Britain may be imported under the Veterinary Medicines Internal Market Scheme without the need for an additional import certificate.
For food producing species, please refer to the Gov website for the latest guidance.
