National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010 (No. PB 117 of 2010) (Cth)
PB 117 of 2010
National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010
as amended
made under subsections 100 (1) and (2) of the
National Health Act 1953
This compilation was prepared on 1 November 2011
taking into account amendments up to PB 78 of 2011Prepared by the Office of Legislative Drafting and Publishing,
Attorney-General’s Department, Canberra
Contents
Part 1Preliminary
Division 1General
1Name of Special Arrangement [see Note 1] 4
2Commencement 4
3Revocation 4
4Definitions 4
Division 2Chemotherapy pharmaceutical benefits
5Pharmaceutical benefits covered by this Special Arrangement 6
6Application of Part VII of the Act 6
7Responsible person 6
8Authorised prescriber 6
9Prescription circumstances 7
10Methods of prescribing a chemotherapy pharmaceutical benefit 7
11Information to be included in medication chart 7
Division 3Authority required procedures
12Authority required procedures 8
13Authority required procedures — submission of paragraph 10 (1) (a) prescription 9
14Authority required procedures — authorisation of paragraph 10 (1) (a) prescription 10
15Authority required procedures — submission of paragraph 10 (1) (b) medication chart 11
16Authority required procedures — authorisation of paragraph 10 (1) (b) medication chart 11
17Streamlined Authority Code 11
Division 4Maximum quantity and maximum number of repeats
18Maximum quantity 12
19Variation to maximum quantity or number of units 13
20Maximum number of repeats — paragraph 10 (1) (a) prescription 13
21Maximum number of repeats — paragraph 10 (1) (b) medication chart 14
Division 5Section 100 only
22Section 100 only supply 14
Part 2Supply of chemotherapy pharmaceutical benefits
23Entitlement to chemotherapy pharmaceutical benefits 16
24Supply of chemotherapy pharmaceutical benefits under this Special Arrangement 16
25Certain regulations not to apply to paragraph 10 (1) (b) medication charts 16
26Acknowledging receipt of supplied chemotherapy pharmaceutical benefits 16
Part 3Claims and payment
Division 1Claims for payment
27How claims to be made 17
28Claims for payment for supply of a chemotherapy pharmaceutical benefit — paragraph 10 (1) (b) medication chart 17
Division 2Payments to approved hospital authorities
29Payments to approved hospital authorities 17
30Method of working out dispensed price 18
Division 3Dispensed price
31Dispensed price for supply of a chemotherapy pharmaceutical benefit 18
32Where quantity is less than in manufacturers’ pack 18
33Lowest price to be applied 18
34Rounding of dispensed price 19
Part 4Patient contributions
35Patient contribution for chemotherapy pharmaceutical benefits mentioned in Schedule 4 20
36Patient contribution for chemotherapy pharmaceutical benefits not mentioned in Schedule 4 20
37Additional patient contributions 20
Schedule 1Pharmaceutical benefits covered by this Special Arrangement and related information 22
Schedule 2Responsible Person Codes 46
Schedule 3Circumstances and Purposes Codes 47
Schedule 4Patient contributions 59
Notes 60
Part 1 Preliminary
Division 1 General
1 Name of Special Arrangement [see Note 1]
(1) This Special Arrangement is the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010.
(2) This Special Arrangement may also be cited as PB 117 of 2010.
2 Commencement
This Special Arrangement commences on 1 December 2010.
3 Revocation
Instrument PB 55 of 2009 is revoked.
4 Definitions
In this Special Arrangement:
ABN has the same meaning as in the A New Tax System (Australian Business Number) Act 1999.
Act means the National Health Act 1953.
approved hospital means a public hospital that:
(a) has an approved hospital authority; and
(b) is participating in a Pharmaceutical Reform Arrangement within the meaning of the National Health Care Agreement.
approved hospital authority, for an approved hospital, means the hospital authority for the hospital that is approved by the Minister under section 94 of the Act.
authorised prescriber, for a chemotherapy pharmaceutical benefit, means a kind of person identified by a prescriber code mentioned in the column in Schedule 1 headed ‘Authorised Prescriber’ for the benefit.
benefit card means any of the following:
(a) a PBS Entitlement Card;
(b) a PBS Safety Net Concession Card;
(c) a Pensioner Concession Card;
(d) a Health Care Card (including Low Income Health Care Card and Foster Child Health Care Card);
(e) a Commonwealth Seniors Health Card;
(f) a Cleft Lip and Palate Card;
(g) a DVA Gold Card;
(h) a DVA White Card;
(i) a DVA Orange Card;
(j) War Widow/Widower Transport Card;
(k) a card or voucher approved by the Chief Executive Medicare for this paragraph.
chemotherapy pharmaceutical benefit means a pharmaceutical benefit mentioned in Schedule 1.
circumstances code means the letter ‘C’ followed by a number.
dispensed price, for the supply of a chemotherapy pharmaceutical benefit by an approved hospital authority, has the meaning given by section 31.
eligible medical practitioner, for the prescription of a chemotherapy pharmaceutical benefit under this Special Arrangement to an eligible patient, means a medical practitioner who is affiliated with the approved hospital at or from which the eligible patient is receiving treatment.
eligible patient means a person who:
(a) is, or is to be treated, as an eligible person within the meaning of the Health Insurance Act 1973; and
(b) is receiving medical treatment by an eligible medical practitioner at, or from, an approved hospital as:
(i) a non-admitted patient; or
(ii) a day admitted patient; or
(iii) a patient on discharge.
entitlement number, for an eligible patient, means the number listed on the patient’s benefit card.
hospital authority means the governing body of a public hospital.
manufacturers’ pack has the same meaning as in the determination made under paragraph 98B(1)(a) of the Act, as in force from time to time.
prescriber code has the meaning given by paragraph 8 (2) (b).
purposes code means the letter ‘P’ followed by a number.
Regulations means the National Health (Pharmaceutical Benefits) Regulations 1960.
Streamlined Authority Code means the code mentioned in section 17.
Note Terms used in this Special Arrangement have the same meaning as in the Act — see section 13 of the Legislative Instruments Act 2003. These terms include:
· Chief Executive Medicare
· pharmaceutical benefit
· pharmaceutical item
· public hospital
· Secretary.
Division 2 Chemotherapy pharmaceutical benefits
5 Pharmaceutical benefits covered by this Special Arrangement
(1) This Special Arrangement applies to each chemotherapy pharmaceutical benefit mentioned in Schedule 1.
(2) Each chemotherapy pharmaceutical benefit to which this Special Arrangement applies is a brand of a listed drug mentioned in Schedule 1:
(a) in the form mentioned in Schedule 1 for the listed drug; and
(b) with the manner of administration mentioned in Schedule 1 for the form of the listed drug.
Note Each listed drug mentioned in Schedule 1 has been declared by the Minister under subsection 85 (2) of the Act. The form, manner of administration and brand mentioned in Schedule 1 have been determined by the Minister under subsection 85 (3), (5) and (6) of the Act respectively.
6 Application of Part VII of the Act
(1) Each chemotherapy pharmaceutical benefit supplied in accordance with this Special Arrangement is supplied under Part VII of the Act.
(2) A provision of Part VII of the Act, or of regulations or other instruments made for Part VII of the Act, applies subject to this Special Arrangement.
Note See subsection 100 (3) of the Act.
7 Responsible person
(1) If a code is mentioned in the column in Schedule 1 headed ‘Responsible Person’ for a brand of a pharmaceutical item, the person mentioned in paragraph (2) (a) is the responsible person for the brand of the pharmaceutical item.
(2) For subsection (1):
(a) the person is the person mentioned in Schedule 2 for the code, with the ABN, if any, mentioned in Schedule 2 for the person; and
(b) the pharmaceutical item is the listed drug mentioned in Schedule 1:
(i) in the form mentioned in Schedule 1 for the listed drug; and
(ii) with the manner of administration mentioned in Schedule 1 for the form of the listed drug.
Note A person identified by a code in the column headed ‘Responsible Person’ in Schedule 1 has been determined by the Minister, under section 84AF of the Act, to be a responsible person for the brand of the pharmaceutical item.
8 Authorised prescriber
(1) Only an authorised prescriber may write a prescription for the supply of a chemotherapy pharmaceutical benefit to an eligible patient.
(2) For this Special Arrangement:
(a) only an eligible medical practitioner is an authorised prescriber; and
(b) the prescriber code for the authorised prescriber is the letters ‘EMP’.
(3) A reference in this Special Arrangement to an eligible medical practitioner is a reference to an authorised prescriber.
(4) For subsection (1), the chemotherapy pharmaceutical benefit is the brand of the listed drug mentioned in Schedule 1:
(a) in the form mentioned in Schedule 1 for the listed drug; and
(b) with the manner of administration mentioned in Schedule 1 for the form of the listed drug.
(5) Subsections 88(1), 88(1A), 88(1C), 88(1D) and 88(1E) of the Act do not apply to the supply of a chemotherapy pharmaceutical benefit under this Special Arrangement.
9 Prescription circumstances
(1) If at least 1 circumstance code is mentioned in the column in Schedule 1 headed ‘Circumstances’ for the chemotherapy pharmaceutical benefit, the circumstances mentioned in Schedule 3 for the code are the circumstances in which a prescription for the supply of the chemotherapy pharmaceutical benefit may be made.
(2) For subsection (1), the chemotherapy pharmaceutical benefit is the brand of the listed drug mentioned in Schedule 1:
(a) in the form mentioned in Schedule 1 for the listed drug; and
(b) with the manner of administration mentioned in Schedule 1 for the form of the listed drug.
Note Circumstances for a code mentioned in the column headed ‘Circumstances’ in Schedule 1 have been determined by the Minister under paragraph 85 (7) (b) of the Act.
10 Methods of prescribing a chemotherapy pharmaceutical benefit
(1) An eligible medical practitioner may prescribe a chemotherapy pharmaceutical benefit under this Special Arrangement by:
(a) writing a prescription for the chemotherapy pharmaceutical benefit in accordance with regulation 19 of the Regulations; or
(b) preparing a medication chart for the chemotherapy pharmaceutical benefit in accordance with section 11.
(2) A medication chart prepared in accordance with section 11 is taken to be a duly written prescription for regulation 19 of the Regulations.
11 Information to be included in medication chart
For paragraph 10 (1) (b), a medication chart for an eligible patient must include the following information:
(a) the name and provider number of the hospital where the chart is prepared;
(b) the name, signature and prescriber number of the eligible medical practitioner;
(c) the Streamlined Authority Code for the chemotherapy pharmaceutical benefit, if applicable;
(d) the patient’s name and address;
(e) a patient’s entitlement number, if applicable;
(f) the letters ‘PBS’ or ‘RPBS’, as appropriate;
(g) the name of the chemotherapy pharmaceutical benefit;
(h) the strength of the chemotherapy pharmaceutical benefit;
(i) the quantity or dosage of the chemotherapy pharmaceutical benefit or both the quantity and dosage of the chemotherapy pharmaceutical benefit;
(j) if the dosage of the chemotherapy pharmaceutical benefit is provided under paragraph (i) — how often the chemotherapy pharmaceutical benefit is to be taken by the patient and the period that the chemotherapy pharmaceutical benefit is prescribed;
(k) the date the medication chart is prepared.
Division 3 Authority required procedures
12 Authority required procedures
(1) This section applies to a chemotherapy pharmaceutical benefit if the circumstances mentioned in Schedule 3 for a circumstances code mentioned in Schedule 1 for the chemotherapy pharmaceutical benefit include any of the following:
(a) Compliance with Authority Required procedures;
(b) Compliance with Written Authority Required procedures;
(c) Compliance with Telephone Authority Required procedures;
(d) Compliance with Written or Telephone Authority Required procedures.
(2) A prescription written in accordance with paragraph 10 (1) (a) for the supply of the chemotherapy pharmaceutical benefit must be:
(a) submitted by the eligible medical practitioner to the Chief Executive Medicare in accordance with section 13; and
(b) authorised by the Chief Executive Medicare in accordance with section 14.
(3) A medication chart prepared in accordance with paragraph 10 (1) (b) for the supply of the chemotherapy pharmaceutical benefit must be:
(a) submitted by a pharmacist employed by the approved hospital authority to the Chief Executive Medicare in accordance with section 15; and
(b) authorised by the Chief Executive Medicare in accordance with section 16.
13 Authority required procedures — submission of paragraph 10 (1) (a) prescription
(1) If subsection 12 (2) applies to a prescription for the supply of a chemotherapy pharmaceutical benefit, the eligible medical practitioner must:
(a) deliver or post to the Chief Executive Medicare a prescription for the supply of the chemotherapy pharmaceutical benefit, prepared and signed by the eligible medical practitioner:
(i) in a form approved by the Secretary and completed by the eligible medical practitioner in ink in his or her own handwriting; or
(ii) in a form, prepared by means of a computer, that is in accordance with the form approved by the Secretary under subparagraph (i); or
(iii) in a form, prepared by means of a computer, approved in writing for the purpose by the Secretary and in the format approved in writing by the Secretary; or
(iv) by a method approved in writing by the Secretary; or
(b) submit to the Chief Executive Medicare, by telephone, details of a prescription for the supply of the pharmaceutical benefit prepared and signed by the eligible medical practitioner in accordance with subparagraph (a) (i), (ii), (iii) or (iv); or
(c) if the eligible medical practitioner has attempted to give details of the prescription to the Chief Executive Medicare in accordance with paragraph (b) but has been unable to do so because the telephone system established by the Chief Executive Medicare for the provision of such authorisations was unavailable — submit the prescription in accordance with the instructions in an emergency telephone message provided to the eligible medical practitioner by the Chief Executive Medicare; or
(d) submit to the Chief Executive Medicare, by means of an electronic communication of a kind approved in writing by the Chief Executive Medicare, details of a prescription for the supply of the chemotherapy pharmaceutical benefit prepared and signed by the eligible medical practitioner in accordance with subparagraph (a) (i), (ii), (iii) or (iv).
(2) If a circumstance mentioned in Schedule 3 for a circumstances code applying to the chemotherapy pharmaceutical benefit includes Compliance with Written Authority Required procedures, the eligible medical practitioner must submit a prescription for the supply of the chemotherapy pharmaceutical benefit to the Chief Executive Medicare in accordance with paragraph (1) (a).
(3) If a circumstance mentioned in Schedule 3 for a circumstances code applying to the chemotherapy pharmaceutical benefit includes Compliance with Telephone Authority Required procedures, the eligible medical practitioner must submit a prescription for the supply of the chemotherapy pharmaceutical benefit to the Chief Executive Medicare in accordance with paragraph (1) (b) or (c).
(4) If a circumstance mentioned in Schedule 3 for a circumstances code applying to the chemotherapy pharmaceutical benefit includes Compliance with Written or Telephone Authority Required procedures, the eligible medical practitioner must submit a prescription for the supply of the chemotherapy pharmaceutical benefit to the Chief Executive Medicare in accordance with paragraph (1) (a), (b) or (c).
(5) For paragraph (1) (a), a prescription prepared and signed by the eligible medical practitioner in accordance with subsection (1) is taken to have been submitted by the eligible medical practitioner if it is submitted by his or her employee.
14 Authority required procedures — authorisation of paragraph 10 (1) (a) prescription
(1) A prescription submitted in accordance with paragraph 13 (1) (a) may be authorised by the Chief Executive Medicare:
(a) signing his or her authorisation on the prescription; and
(b) either:
(i) if the Chief Executive Medicare requires the eligible medical practitioner to alter the prescription — returning it to the eligible medical practitioner for alteration before the eligible medical practitioner gives it to the person in respect of whom it was prepared; or
(ii) in any other case:
(A) returning the authorised prescription to the eligible medical practitioner; or
(B) sending it to the person in respect of whom it was prepared.
(2) A prescription submitted in accordance with paragraph 13 (1) (b) may be authorised by the Chief Executive Medicare telling the eligible medical practitioner by telephone, at the time the Chief Executive Medicare is given details of the prescription, that the prescription is authorised.
(3) A prescription submitted in accordance with paragraph 13 (1) (d) may be authorised by the Chief Executive Medicare sending his or her authorisation by electronic communication, to the eligible medical practitioner.
(4) If the Chief Executive Medicare authorises a prescription under subsection (2) or (3):
(a) the Chief Executive Medicare must tell the eligible medical practitioner by telephone or by electronic communication the number given by the CEO to the prescription; and
(b) the eligible medical practitioner must:
(i) mark that number on the prescription; and
(ii) retain a copy of the prescription for 1 year from the date the prescription was authorised.
(5) A prescription submitted in accordance with paragraph 13 (1) (c) is taken to have been authorised by the Chief Executive Medicare if the eligible medical practitioner completes the prescription in accordance with the instructions given in the emergency telephone message.
15 Authority required procedures — submission of paragraph 10 (1) (b) medication chart
(1) If subsection 12 (3) applies to a medication chart prepared in accordance with paragraph 10 (1) (b) for the supply of a chemotherapy pharmaceutical benefit, a pharmacist employed by the approved hospital authority must, on behalf of the eligible medical practitioner, submit the information mentioned in section 11 to the Chief Executive Medicare by means of an electronic communication of a kind approved by the Chief Executive Medicare.
(2) If a circumstance mentioned in paragraph (3) (a) or (b) applies, an authorisation for the supply of the chemotherapy pharmaceutical benefit may be obtained if the eligible medical practitioner prepares a prescription in accordance with paragraph 10 (1) (a) and submits that prescription in accordance with section 13 for authorisation under section 14.
(3) For subsection (2), the circumstances are:
(a) the pharmacist attempted to submit the information in accordance with subsection (1) but was unable to do so because the system established by the Chief Executive Medicare for the provision of such authorisation was unavailable; or
(b) the pharmacist submitted the information in accordance with subsection (1) but the authorisation was not granted by the system established by the Chief Executive Medicare.
16 Authority required procedures — authorisation of paragraph 10 (1) (b) medication chart
If the information in the medication chart is submitted in accordance with subsection 15 (1), the supply of the chemotherapy pharmaceutical benefit is taken to have been authorised when:
(a) the pharmacist receives a message by electronic communication from the system established by the Chief Executive Medicare indicating that the authorisation has been granted; and
(b) the pharmacist completes the medication chart in accordance with the instructions given by the message mentioned in paragraph (a).
17 Streamlined Authority Code
(1) This section applies to a chemotherapy pharmaceutical benefit if the circumstances mentioned in Schedule 3 for a circumstances code applying to the chemotherapy pharmaceutical benefit include the words ‘Streamlined Authority Code’ followed by a number.
(2) The requirements of section 13 are taken to have been complied with, and the Chief Executive Medicare is taken to have authorised the prescription of the chemotherapy pharmaceutical benefit under section 14, if the eligible medical practitioner has:
(a) prepared and signed a prescription for the supply of the chemotherapy pharmaceutical benefit in accordance with subparagraph 13 (a) (i), (ii), (iii) or (iv); and
(b) has written the Streamlined Authority Code on the prescription.
(3) The requirements of section 15 are taken to have been complied with, and the supply of the chemotherapy pharmaceutical benefit is taken to be authorised under section 16, if the eligible medical practitioner has prepared a medication chart in accordance with paragraph 10 (1) (b).
Division 4 Maximum quantity and maximum number of repeats
18 Maximum quantity
(1) This section applies subject to section 19.
(2) The maximum quantity or number of units of the pharmaceutical item in a chemotherapy pharmaceutical benefit that may, in 1 prescription for the supply of the chemotherapy pharmaceutical benefit, be directed to be supplied by an eligible medical practitioner is the quantity or number of units mentioned in the column in Schedule 1 headed ‘Maximum Quantity’ for the chemotherapy pharmaceutical benefit.
(3) If at least 1 purposes code is mentioned in the column in Schedule 1 headed ‘Purposes’ for a chemotherapy pharmaceutical benefit, the quantity or number of the units mentioned in the column headed ‘Maximum Quantity’ is the maximum for the particular purposes mentioned in Schedule 3.
(4) If no purposes code is mentioned in the column in Schedule 1 headed ‘Purposes’, the quantity or number of units mentioned in the column in Schedule 1 headed ‘Maximum Quantity’ is the maximum for all purposes, other than a purpose for which a different maximum is mentioned for the same chemotherapy pharmaceutical benefit.
(5) For subsection (2), the pharmaceutical item is the listed drug mentioned in Schedule 1:
(a) in the form mentioned in Schedule 1 for the listed drug; and
(b) with the manner of administration mentioned in Schedule 1 for the form of the listed drug.
(6) For this section, the chemotherapy pharmaceutical benefit is the brand of the listed drug mentioned in Schedule 1:
(a) in the form mentioned in Schedule 1 for the listed drug; and
(b) with the manner of administration mentioned in Schedule 1 for the form of the listed drug.
Note The maximum quantities and numbers of units mentioned in the column headed ‘Maximum quantity’ in Schedule 1 have been determined by the Minister under paragraph 85A (2) (a) of the Act.
19 Variation to maximum quantity or number of units
If an eligible medical practitioner prescribes a supply of a chemotherapy pharmaceutical benefit that is greater than the maximum quantity or number of units permitted under section 18, the supply of a chemotherapy pharmaceutical benefit must be:
(a) if the prescription was written in accordance with paragraph 10 (1) (a) — authorised in accordance with the procedures mentioned in regulation 13 of the Regulations; and
(b) if a medication chart was prepared in accordance with paragraph 10 (1) (b) — authorised in accordance with the procedures mentioned in section 15.
20 Maximum number of repeats — paragraph 10 (1) (a) prescription
(1) If a prescription for the supply of a chemotherapy pharmaceutical benefit is written in accordance with paragraph 10 (1) (a), the maximum number of occasions an eligible medical practitioner may, in 1 prescription, direct that the supply of the chemotherapy pharmaceutical benefit be repeated is the number in the column in Schedule 1 headed ‘Number of Repeats’ for the chemotherapy pharmaceutical benefit.
(2) If at least 1 purposes code is mentioned in the column in Schedule 1 headed ‘Purposes’ for the pharmaceutical benefit, the number of repeats mentioned in the column in Schedule 1 headed ‘Number of Repeats’ is the maximum number for the particular purposes mentioned in Schedule 3 for each code.
(3) If no purposes code is mentioned in the column headed ‘Purposes’, the number of repeats mentioned in the column headed ‘Number of Repeats’ is the maximum number for all purposes, other than a purpose for which a different maximum is mentioned for the same pharmaceutical benefit.
(4) If a prescription is written in accordance with paragraph 10 (1) (a) for the repeat supply of a chemotherapy pharmaceutical benefit that is greater than the maximum number of occasions an eligible medical practitioner may, in 1 prescription, direct the repeat supply of a chemotherapy pharmaceutical benefit under this section, the prescription must be authorised in accordance with the procedures mentioned in regulation 13 of the Regulations.
(5) Nothing in this Special Arrangement is intended to modify the operation of regulation 24 in relation to a prescription written in accordance with paragraph 10 (1) (a).
(6) For this section, the chemotherapy pharmaceutical benefit is the brand of the listed drug mentioned in Schedule 1:
(a) in the form mentioned in Schedule 1 for the listed drug; and
(b) with the manner of administration mentioned in Schedule 1 for the form of the listed drug.
Note The numbers of repeats mentioned in the column headed ‘Number of Repeats’ have been determined by the Minister under paragraph 85A (2) (b) of the Act.
21 Maximum number of repeats — paragraph 10 (1) (b) medication chart
(1) If an eligible medical practitioner prescribes a chemotherapy pharmaceutical benefit in a medication chart in accordance with paragraph 10 (1) (b), the eligible medical practitioner may not direct the repeat supply of the chemotherapy pharmaceutical benefit in 1 prescription.
(2) If the medication chart contains a direction that the supply of a chemotherapy pharmaceutical benefit be repeated, the direction is invalid.
Division 5 Section 100 only
22 Section 100 only supply
(1) If the letter ‘D’ is mentioned in the column in Schedule 1 headed ‘Section 100 only’ for a listed drug, the listed drug may be supplied only in accordance with this Special Arrangement and any other Special Arrangement relating to the listed drug.
(2) A chemotherapy pharmaceutical benefit that has a drug mentioned in subsection (1) is not available for general supply on the Pharmaceutical Benefits Scheme.
Note The Minister has declared, under subsection 85 (2A) of the Act, that the listed drug can only be supplied under a section 100 Special Arrangement.
(3) If the letters ‘PB’ are mentioned in the column in Schedule 1 headed ‘Section 100 only’ for a chemotherapy pharmaceutical benefit, the chemotherapy pharmaceutical benefit may be supplied only in accordance with this Special Arrangement and any other Special Arrangement relating to the chemotherapy pharmaceutical benefit.
(4) A chemotherapy pharmaceutical benefit mentioned in subsection (3) is not available for general supply on the Pharmaceutical Benefits Scheme.
Note The Minister has determined, under paragraph 85 (8) (a) of the Act, that this chemotherapy pharmaceutical benefit can only be supplied under a section 100 Special Arrangement.
(5) If the letter ‘C’ is mentioned in the column in Schedule 1 headed ‘Section 100 only’ for a chemotherapy pharmaceutical benefit, the chemotherapy pharmaceutical benefit may be supplied in the circumstances mentioned in Schedule 3 for the circumstances code in the column headed ‘Circumstances’ only in accordance with this Special Arrangement and any other Special Arrangement relating to the chemotherapy pharmaceutical benefit.
(6) A chemotherapy pharmaceutical benefit mentioned in subsection (5) is not available in the circumstances mentioned in subsection (5) for general supply on the Pharmaceutical Benefits Scheme.
Part 2 Supply of chemotherapy pharmaceutical benefits
23 Entitlement to chemotherapy pharmaceutical benefits
Subject to this Special Arrangement, a person who is an eligible patient is entitled to receive a chemotherapy pharmaceutical benefit under this Special Arrangement without payment or other consideration, other than a charge made under Part 4.
24 Supply of chemotherapy pharmaceutical benefits under this Special Arrangement
This Special Arrangement only applies to the supply of a chemotherapy pharmaceutical benefit to an eligible patient by an approved hospital authority of an approved hospital.
25 Certain regulations not to apply to paragraph 10 (1) (b) medication charts
If the supply of a chemotherapy pharmaceutical benefit is prescribed in accordance with paragraph 10 (1) (b), regulations 22, 26A and 31 and subregulations 25 (2), (3) and (4) of the Regulations do not apply to the supply of the chemotherapy pharmaceutical benefit.
26 Acknowledging receipt of supplied chemotherapy pharmaceutical benefits
If the supply of a chemotherapy pharmaceutical benefit is prescribed in accordance with paragraph 10 (1) (b), the eligible medical practitioner or an employee of the approved hospital authority must on the eligible patient’s medication chart:
(a) record the date that the chemotherapy pharmaceutical benefit was supplied to the eligible patient; and
(b) sign his or her name.
Part 3 Claims and payment
Division 1 Claims for payment
27 How claims to be made
An approved hospital authority of an approved hospital may make a claim for payment for the supply of the chemotherapy pharmaceutical benefit to an eligible patient under this Special Arrangement in accordance with section 99AAA of the Act, as modified by this Division.
28 Claims for payment for supply of a chemotherapy pharmaceutical benefit — paragraph 10 (1) (b) medication chart
(1) Subject to subsection (2), if an eligible medical practitioner prescribes a chemotherapy pharmaceutical benefit in a medication chart prepared in accordance with paragraph 10 (1) (b), the approved hospital authority must make a claim for the payment of the supply of the chemotherapy pharmaceutical benefit in accordance with section 99AAA and the rules determined by the Minister under subsection 99AAA (8) of the Act.
(2) For a claim mentioned in subsection (1), the requirements in section 99AAA and the rules determined by the Minister under subsection 99AAA (8) of the Act are modified by the following requirements:
(a) the approved hospital authority is not required to supply the medication chart prepared in accordance with paragraph 10 (1) (b) with the claim;
(b) the approved hospital authority must keep an electronic version of the information supplied with the claim in accordance with the rules determined by the Minister under subsection 99AAA(8) for 1 years from the date the chemotherapy pharmaceutical benefit is supplied;
(c) if requested by the Chief Executive Medicare — the approved hospital authority must give the Chief Executive Medicare a copy of:
(i) the medication chart mentioned in paragraph (a); and
(ii) the information mentioned in paragraph (b).
Division 2 Payments to approved hospital authorities
29 Payments to approved hospital authorities
An approved hospital authority is entitled to be paid by the Commonwealth the amount, if any, by which the dispensed price for the supply of the chemotherapy pharmaceutical benefit is greater than the amount that the approved hospital authority was entitled to charge under Part 4.
30 Method of working out dispensed price
The dispensed price for the supply of a chemotherapy pharmaceutical benefit by an approved hospital authority is to be worked out under Division 3.
Division 3 Dispensed price
31 Dispensed price for supply of a chemotherapy pharmaceutical benefit
Subject to section 33, the dispensed price for the supply of the chemotherapy pharmaceutical benefit by an approved hospital authority is as follows:
(a) if the quantity of the chemotherapy pharmaceutical benefit that is ordered and supplied is equal to the quantity contained in the manufacturers’ pack — the price ex-manufacturer for the pack;
(b) if the quantity of the chemotherapy pharmaceutical benefit that is ordered and supplied is less than the quantity contained in the manufacturers’ pack — the amount calculated in accordance with section 32.
(c) if the quantity of the chemotherapy pharmaceutical benefit that is ordered and supplied is more than the quantity contained in the manufacturers’ pack — the sum of:
(i) the price ex-manufacturer for each complete pack contained in the quantity supplied; and
(ii) the amount calculated in accordance with section 32 for the quantity supplied that is less than the quantity contained in the manufacturers’ pack.
32 Where quantity is less than in manufacturers’ pack
If the quantity of a chemotherapy pharmaceutical benefit that is ordered and supplied is less than the quantity contained in the manufacturers’ pack (a broken quantity), the amount mentioned in paragraph 31 (b) and subparagraph 31 (c) (ii) is to be calculated by:
(a) dividing the quantity or number of units in the broken quantity by the quantity or number of units in the manufacturers’ pack, expressed as a percentage of 2 decimal places; and
(b) applying that percentage to the price ex-manufacturer for each complete pack.
33 Lowest price to be applied
If there are 2 or more chemotherapy pharmaceutical benefits mentioned in Schedule 1 that are different brands but have the same drug in the same form with the same manner of administration, the dispensed price of those chemotherapy pharmaceutical benefits is to be based on the price ex-manufacturer of the chemotherapy pharmaceutical benefit with the lowest dispensed price.
34 Rounding of dispensed price
The dispensed price for the supply of a chemotherapy pharmaceutical benefit will in each case be taken to the nearest cent, one half cent being counted as one cent.
Part 4 Patient contributions
35 Patient contribution for chemotherapy pharmaceutical benefits mentioned in Schedule 4
(1) This section applies if the chemotherapy pharmaceutical benefit supplied by an approved hospital authority to an eligible patient is:
(a) a listed drug mentioned in the column in Schedule 4 headed ‘Listed Drug’; and
(b) in the form mentioned in the column in Schedule 4 headed ‘Form’ for the listed drug mentioned in paragraph (a); and
(c) administered in a manner mentioned in the column in Schedule 4 headed ‘Manner of ‘Manner of Administration’ for the listed drug mentioned in paragraph (a); and
(d) marketed under the brand mentioned in the column in Schedule 4 headed ‘Brand’ for the listed drug mentioned in paragraph (a).
(2) The approved hospital authority may charge the eligible patient:
(a) an amount not exceeding the amount that the patient could have been required to pay in accordance with subsection 87(2) of the Act if the patient had obtained the chemotherapy pharmaceutical benefit from an approved pharmacist; and
(b) an amount not exceeding the amount mentioned in subsection 37 (1).
36 Patient contribution for chemotherapy pharmaceutical benefits not mentioned in Schedule 4
(1) This section applies if the chemotherapy pharmaceutical benefit supplied by an approved hospital authority to an eligible patient is not mentioned in Schedule 4.
(2) The approved hospital authority may charge the eligible patient an amount not exceeding the amount that the patient could have been required to pay in accordance with subsection 87(2) of the Act if the patient had obtained the chemotherapy pharmaceutical benefit from an approved pharmacist.
37 Additional patient contributions
(1) For paragraph 35 (2) (b), the amount is the amount calculated by subtracting the amount for the chemotherapy pharmaceutical benefit mentioned in the column in Schedule 4 headed ‘Approved Ex-manufacturer Price’ from the amount mentioned for the chemotherapy pharmaceutical benefit in the column in Schedule 4 headed ‘Claimed Ex-manufacturer Price’.
(2) However, if the quantity of the chemotherapy pharmaceutical benefit being supplied is for more or less than the quantity mentioned in the column in Schedule 4 headed ‘Quantity or Number of Units’, the amounts mentioned in the columns in Schedule 4 headed ‘Approved Ex-manufacturer Price’ and ‘Claimed Ex-manufacturer Price’ must be adjusted proportionally.
Schedule 1 Pharmaceutical benefits covered by this Special Arrangement and related information
(sections 5, 7, 8, 9, 12, 17, 18, 20 and 22)
Listed Drug Form Manner of Administration Brand Responsible Person Authorised Prescriber Circumstances Purposes Maximum Quantity Number of Repeats Section 100 only Aprepitant Pack containing 1 capsule 125 mg and 2 capsules 80 mg Oral Emend MK EMP C3619 C3620 C3621 1 5 Arsenic Injection concentrate containing arsenic trioxide 10 mg in 10 mL Injection Phenasen PL EMP C3150 60 2 "BCG Immunotherapeutic" (Bacillus Calmette-Guérin/ Connaught strain) Powder for intravesical administration containing 6.6 to 19.2 x 10 8 CFU Intravesical ImmuCyst SW EMP C1419 3 1 "BCG-Tice" (Bacillus Calmette-Guérin/ Tice strain) Vial containing powder for intravesical administration approximately 5 x 10 8 CFU Intravesical OncoTICE MK EMP C1290 3 1 Bevacizumab Solution for I.V. infusion 100 mg in 4 mL Injection Avastin RO EMP C3430 C3431 1 0 Solution for I.V. infusion 400 mg in 16 mL Injection Avastin RO EMP C3430 C3431 1 0 Bleomycin Powder for injection containing bleomycin sulfate 15,000 I.U. (with any determined brand of sodium chloride injection as the required solvent) Injection Hospira Pty Limited HH EMP C1139 C1198 10 0 Carboplatin Solution for I.V. injection 50 mg in 5 mL Injection Carboplatin Ebewe SZ EMP 2 0 Hospira Pty Limited HH EMP 2 0 Pfizer Australia Pty Ltd PF EMP 2 0 Solution for I.V. injection 150 mg in 15 mL Injection Carboplatin Ebewe SZ EMP 6 0 Hospira Pty Limited HH EMP 6 0 Pfizer Australia Pty Ltd PF EMP 6 0 Solution for I.V. injection 450 mg in 45 mL Injection Carboplatin Ebewe SZ EMP 2 0 Hospira Pty Limited HH EMP 2 0 Pfizer Australia Pty Ltd PF EMP 2 0 Cetuximab Solution for I.V. infusion 100 mg in 20 mL Injection Erbitux SG EMP C2713 C2714 C2715 C3843 C3844 P2713 P2714 P3843 P3844 1 0 Erbitux SG EMP C2713 C2714 C2715 C3843 C3844 P2715 1 6 Solution for I.V. infusion 500 mg in 100 mL Injection Erbitux SG EMP C2713 C2714 C2715 C3843 C3844 P2713 P2714 P3843 P3844 1 0 Erbitux SG EMP C2713 C2714 C2715 C3843 C3844 P2715 1 6 Cisplatin I.V. injection 10 mg in 10 mL Injection Pfizer Australia Pty Ltd PF EMP 1 0 I.V. injection 50 mg in 50 mL Injection Hospira Pty Limited HH EMP 1 0 Pfizer Australia Pty Ltd PF EMP 1 0 I.V. injection 100 mg in 100 mL Injection Cisplatin Ebewe SZ EMP 1 0 Hospira Pty Limited HH EMP 1 0 Pfizer Australia Pty Ltd PF EMP 1 0 Cladribine Injection 10 mg in 5 mL Injection Litak OA EMP C3180 7 0 Solution for I.V. infusion 10 mg in 10 mL single use vial Injection Leustatin JC EMP C3180 7 0 Cyclophosphamide Powder for injection 500 mg (anhydrous) (with any determined brand of sodium chloride injection as the required solvent) Injection Endoxan BX EMP 2 0 Powder for injection 1 g (anhydrous) (with any determined brand of sodium chloride injection as the required solvent) Injection Endoxan BX EMP 1 0 Powder for injection 2 g (anhydrous) (with any determined brand of sodium chloride injection as the required solvent) Injection Endoxan BX EMP 1 0 Cytarabine Injection 100 mg in 5 mL vial Injection Pfizer Australia Pty Ltd PF EMP 10 1 Docetaxel Injection set containing 1 single use vial concentrate for I.V. infusion 20 mg (anhydrous) in 0.5 mL with solvent Injection Taxotere SW EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 P3051 1 0 Taxotere SW EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 P1194 P1742 P2416 P2439 P2732 P3292 P3428 2 0 Solution concentrate for I.V. infusion 20 mg in 1 mL Injection Oncotaxel 20 TA EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 P3051 1 0 Taxotere SW EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 P3051 1 0 Oncotaxel 20 TA EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 P1194 P1742 P2416 P2439 P2732 P3292 P3428 2 0 Taxotere SW EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 P1194 P1742 P2416 P2439 P2732 P3292 P3428 2 0 Solution concentrate for I.V. infusion 20 mg in 2 mL Injection DBL Docetaxel Concentrated Injection HH EMP C1194 C1742 C2416 C2439 C2732 C3051 C3428 P3051 1 0 Docetaxel Ebewe HX EMP C1194 C1742 C2416 C2732 C3051 C3428 P3051 1 0 Docetaxel Sandoz SZ EMP C1194 C1742 C2416 C2439 C2732 C3051 C3428 P3051 1 0 DBL Docetaxel Concentrated Injection HH EMP C1194 C1742 C2416 C2439 C2732 C3051 C3428 P1194 P1742 P2416 P2439 P2732 P3428 2 0 Docetaxel Ebewe HX EMP C1194 C1742 C2416 C2732 C3051 C3428 P1194 P1742 P2416 P2732 P3428 2 0 Docetaxel Sandoz SZ EMP C1194 C1742 C2416 C2439 C2732 C3051 C3428 P1194 P1742 P2416 P2439 P2732 P3428 2 0 Solution concentrate for I.V. infusion 80 mg in 4 mL Injection Oncotaxel 80 TA EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 1 0 Taxotere SW EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 1 0 Solution concentrate for I.V. infusion 80 mg in 8 mL Injection DBL Docetaxel Concentrated Injection HH EMP C1194 C1742 C2416 C2439 C2732 C3051 C3428 1 0 Docetaxel Ebewe HX EMP C1194 C1742 C2416 C2732 C3051 C3428 1 0 Docetaxel Sandoz SZ EMP C1194 C1742 C2416 C2439 C2732 C3051 C3428 1 0 Solution concentrate for I.V. infusion 140 mg in 7 mL Injection Oncotaxel 140 TA EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 1 0 Solution concentrate for I.V. infusion 160 mg in 16 mL Injection DBL Docetaxel Concentrated Injection HH EMP C1194 C1742 C2416 C2439 C2732 C3051 C3428 1 0 Powder for I.V. infusion 20 mg with solvent Injection Docetaxel SUN ZF EMP C1194 C1742 C2732 C3428 2 0 Powder for I.V. infusion 80 mg with solvent Injection Docetaxel SUN ZF EMP C1194 C1742 C2732 C3428 1 0 Injection set containing 1 single use vial concentrate for I.V. infusion 80 mg (anhydrous) in 2 mL with solvent Injection Taxotere SW EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 1 0 Doxorubicin Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 10 mg in 5 mL single dose vial Injection/
intravesicalAdriamycin Solution PF EMP 4 0 Doxorubicin Ebewe SZ EMP 4 0 Hospira Pty Limited HH EMP 4 0 Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 20 mg in 10 mL single dose vial Injection/
intravesicalAdriamycin Solution PF EMP 4 0 Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 50 mg in 25 mL single dose vial Injection/
intravesicalAdriamycin Solution PF EMP 3 0 Doxorubicin Ebewe SZ EMP 3 0 Hospira Pty Limited HH EMP 3 0 Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 100 mg in 50 mL single dose vial Injection/
intravesicalDoxorubicin Ebewe SZ EMP 1 0 Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 200 mg in 100 mL single dose vial Injection/
intravesicalAdriamycin PF EMP 1 0 Doxorubicin Ebewe SZ EMP 1 0 Doxorubicin - Pegylated Liposomal Suspension for I.V. infusion containing pegylated liposomal doxorubicin hydrochloride 20 mg in 10 mL Injection Caelyx JC EMP C1568 C1795 C1796 1 0 Suspension for I.V. infusion containing pegylated liposomal doxorubicin hydrochloride 50 mg in 25 mL Injection Caelyx JC EMP C1568 C1795 C1796 1 0 Epirubicin Solution for injection containing epirubicin hydrochloride 10 mg in 5 mL Injection/
intravesicalEpirubicin Ebewe SZ EMP 4 0 Pharmorubicin Solution PF EMP 4 0 Solution for injection containing epirubicin hydrochloride 20 mg in 10 mL Injection/
intravesicalPharmorubicin Solution PF EMP 4 0 Solution for injection containing epirubicin hydrochloride 50 mg in 25 mL Injection/
intravesicalEpirubicin Ebewe SZ EMP 4 0 Hospira Pty Limited HH EMP 4 0 Pharmorubicin Solution PF EMP 4 0 Solution for injection containing epirubicin hydrochloride 100 mg in 50 mL Injection/
intravesicalEpirubicin Ebewe SZ EMP 2 0 Hospira Pty Limited HH EMP 2 0 Solution for injection containing epirubicin hydrochloride 200 mg in 100 mL Injection/ intravesical DBL Epirubicin Hydrochloride Injection HH EMP 1 0 Epirubicin Ebewe SZ EMP 1 0 Etoposide Solution for I.V. infusion 100 mg in 5 mL vial Injection Etoposide Ebewe SZ EMP 5 0 Hospira Pty Limited HH EMP 5 0 Powder for I.V. infusion 100 mg (as phosphate) Injection Etopophos BQ EMP 5 0 Powder for I.V. infusion 1 g (as phosphate) Injection Etopophos BQ EMP 1 0 Fludarabine Powder for I.V. injection containing fludarabine phosphate 50 mg Injection Farine WQ EMP C3015 5 3 Fludara GZ EMP C3015 5 3 Fludarabine Actavis TA EMP C3015 5 3 Solution for I.V. injection 50 mg fludarabine phosphate in 2 mL Injection Fludarabine Ebewe SZ EMP C3015 5 3 Fluorouracil Injection 500 mg in 10 mL Injection Fluorouracil Ebewe SZ EMP 10 0 Hospira Pty Limited HH EMP 10 0 Injection 1000 mg in 20mL Injection DBL Fluorouracil Injection BP HH EMP 5 0 Fluorouracil Ebewe SZ EMP 5 0 Injection 2500 mg in 50 mL Injection DBL Fluorouracil Injection BP HH EMP 2 0 Fluorouracil Ebewe SZ EMP 2 0 Injection 5000 mg in 100 mL Injection Fluorouracil Ebewe SZ EMP 1 0 Folinic acid Tablet containing calcium folinate equivalent to 15 mg folinic acid Oral Leucovorin Calcium (Hospira Pty Limited) HH EMP C1028 10 0 Injection containing calcium folinate equivalent to 50 mg folinic acid in 5 mL Injection Calcium Folinate Ebewe SZ EMP 5 5 Leucovorin Calcium (Hospira Pty Limited) HH EMP 5 5 Leucovorin Calcium (Pfizer Australia Pty Ltd) PF EMP 5 5 Injection containing calcium folinate equivalent to 100 mg folinic acid in 10 mL Injection Calcium Folinate Ebewe SZ EMP 10 1 Leucovorin Calcium (Pfizer Australia Pty Ltd) PF EMP 10 1 Injection containing calcium folinate equivalent to 300 mg folinic acid in 30 mL Injection Calcium Folinate Ebewe SZ EMP 4 1 Leucovorin Calcium (Hospira Pty Limited) HH EMP 4 1 Fotemustine Powder for injection 208 mg with solvent Injection Muphoran SE EMP C3181 1 4 Gemcitabine Powder for I.V. infusion 200 mg (as hydrochloride) Injection DBL Gemcitabine for Injection HH EMP C1193 C1194 C1740 C2069 C2141 4 2 Gemcitabine Actavis TA EMP C1193 C1194 C1740 C2069 C2141 4 2 Gemcitabine Ebewe SZ EMP C1193 C1194 C1740 C2069 C2141 4 2 Gemcitabine Kabi PK EMP
C1193 C1194 C1740 C2069 C2141 4 2 Gemcitabine Sun ZF EMP
C1193 C1194 C1740 C2069 C2141 4 2 Gemcite ZP EMP C1193 C1194 C1740 C2069 C2141 4 2 Gemzar LY EMP C1193 C1194 C1740 C2069 C2141 4 2 Solution concentrate for I.V. infusion 200 mg (as hydrochloride) in 20 mL Injection Gemcitabine Ebewe SZ EMP C1193 C1194 C1740 C2069 C2141 4 2 Solution concentrate for I.V. infusion 500 mg (as hydrochloride) in 50 mL Injection Gemcitabine Ebewe SZ EMP C1193 C1194 C1740 C2069 C2141 4 2 Powder for I.V. infusion 1 g (as hydrochloride) Injection DBL Gemcitabine for Injection HH EMP C1193 C1194 C1740 C2069 C2141 2 2 Gemcitabine Actavis TA EMP C1193 C1194 C1740 C2069 C2141 2 2 Gemcitabine Ebewe SZ EMP C1193 C1194 C1740 C2069 C2141 2 2 Gemcitabine Kabi PK EMP
C1193 C1194 C1740 C2069 C2141 2 2 Gemcitabine Sun ZF EMP
C1193 C1194 C1740 C2069 C2141 2 2 Gemcite ZP EMP C1193 C1194 C1740 C2069 C2141 2 2 Gemzar LY EMP C1193 C1194 C1740 C2069 C2141 2 2 Solution concentrate for I.V. infusion 1000 mg (as hydrochloride) in 100 mL Injection Gemcitabine Ebewe SZ EMP C1193 C1194 C1740 C2069 C2141 2 2 Powder for I.V. infusion 2 g (as hydrochloride) Injection DBL Gemcitabine for Injection HH EMP C1193 C1194 C1740 C2069 C2141 1 2 Gemcitabine Kabi PK EMP
C1193 C1194 C1740 C2069 C2141 1 2 Granisetron Tablet 2 mg (as hydrochloride) Oral Kytril HH EMP C3050 2 0 Concentrated injection 3 mg (as hydrochloride) in 3 mL Injection Granisetron Kabi PK EMP C3050
1
0
Idarubicin Solution for I.V. injection containing idarubicin hydrochloride 5 mg in 5 mL Injection Idarubicin Ebewe SZ EMP C1006 3 0 Zavedos Solution PF EMP C1006 3 0 Solution for I.V. injection containing idarubicin hydrochloride 10 mg in 10 mL Injection Idarubicin Ebewe SZ EMP C1006 6 0 Zavedos Solution PF EMP C1006 6 0 Ifosfamide Powder for I.V. injection 1 g in single dose vial Injection Holoxan BX EMP C1325 C1327 5 5 Powder for I.V. injection 2 g in single dose vial Injection Holoxan BX EMP C1325 C1327 5 5 Interferon Alfa-2a Injection 3,000,000 I.U. in 0.5 mL single dose pre-filled syringe Injection Roferon-A RO EMP C1149 C1196 C1234 P1149 P1234 15 4 EMP C1149 C1196 C1234 P1196 15 5 Injection 4,500,000 I.U. in 0.5 mL single dose pre-filled syringe Injection Roferon-A RO EMP C1196 C1234 P1234 5 4 EMP C1196 C1234 P1196 5 5 Injection 6,000,000 I.U. in 0.5 mL single dose pre-filled syringe Injection Roferon-A RO EMP C1196 C1234 P1234 5 4 EMP C1196 C1234 P1196 5 5 Injection 9,000,000 I.U. in 0.5 mL single dose pre-filled syringe Injection Roferon-A RO EMP C1196 C1234 P1234 5 4 EMP C1196 C1234 P1196 5 5 Interferon Alfa-2b Solution for injection 18,000,000 I.U. in 1.2 mL multi-dose injection pen Injection Intron A Redipen MK EMP C1149 C1196 C1206 P1149 3 4 EMP C1149 C1196 C1206 P1196 P1206 3 5 Solution for injection 30,000,000 I.U. in 1.2 mL multi-dose injection pen Injection Intron A Redipen MK EMP C1196 C1206 3 5 Irinotecan I.V. injection containing irinotecan hydrochloride trihydrate 40 mg in 2 mL Injection Camptosar PF EMP C3184 1 3 Hospira Pty Limited HH EMP C3184 1 3 Irinotecan Actavis TA EMP C3184 1 3 Irinotecan Alphapharm AF EMP C3184 1 3 Irinotecan Ebewe SZ EMP C3184 1 3 Irinotecan Kabi PK EMP C3184 1 3 Omegapharm Irinotecan OE EMP C3184 1 3 Tecan WQ EMP C3184 1 3 I.V. injection containing irinotecan hydrochloride trihydrate 100 mg in 5 mL Injection Camptosar PF EMP C3184 2 3 Hospira Pty Limited HH EMP C3184 2 3 Irinotecan Actavis TA EMP C3184 2 3 Irinotecan Alphapharm AF EMP C3184 2 3 Irinotecan Ebewe SZ EMP C3184 2 3 Irinotecan Kabi PK EMP C3184 2 3 Omegapharm Irinotecan OE EMP C3184 2 3 Tecan WQ EMP C3184 2 3 I.V. injection containing irinotecan hydrochloride trihydrate 300 mg in 15 mL Injection Camptosar PF EMP C3184 1 3 Irinotecan Ebewe SZ EMP C3184 1 3 I.V. injection containing irinotecan hydrochloride trihydrate 500 mg in 25 mL Injection Hospira Pty Limited HH EMP C3184 1 3 Irinotecan Actavis 500 TA EMP C3184 1 3 Irinotecan Ebewe SZ EMP C3184 1 3 Mesna Solution for I.V. injection 400 mg in 4 mL ampoule Injection Uromitexan BX EMP C1618 15 5 Solution for I.V. injection 1 g in 10 mL ampoule Injection Uromitexan BX EMP C1618 15 5 Methotrexate Injection 5 mg in 2 mL vial Injection Hospira Pty Limited HH EMP 5 0 Injection 50 mg in 2 mL vial Injection Hospira Pty Limited HH EMP 5 5 Pfizer Australia Pty Ltd PF EMP 5 5 Solution concentrate for I.V. infusion 500 mg in 20 mL vial Injection Hospira Pty Limited HH EMP 1 0 Solution concentrate for I.V. infusion 1000 mg in 10 mL vial Injection Hospira Pty Limited HH EMP 1 0 Methotrexate Ebewe SZ EMP 1 0 Solution concentrate for I.V. infusion 5000 mg in 50 mL vial Injection Methotrexate Ebewe SZ EMP 1 0 Mitozantrone Injection 10 mg (as hydrochloride) in 5 mL Injection Pfizer Australia Pty Ltd PF EMP 1 0 Injection 20 mg (as hydrochloride) in 10 mL Injection Hospira Pty Limited HH EMP 1 0 Mitozantrone Ebewe SZ EMP 1 0 Onkotrone BX EMP 1 0 Pfizer Australia Pty Ltd PF EMP 1 0 Injection 25 mg (as hydrochloride) in 12.5 mL Injection Onkotrone BX EMP 1 0 Pfizer Australia Pty Ltd PF EMP 1 0 Ondansetron Tablet (orally disintegrating) 4 mg Oral Ondansetron ODT-DRLA RZ EMP C3050 4 0 Tablet (orally disintegrating) 8 mg Oral Ondansetron ODT-DRLA RZ EMP C3050 4 0 Tablet 4 mg (as hydrochloride dihydrate) Oral APO-Ondansetron TX EMP C3050 4 0 Ondansetron-DRLA RZ EMP C3050 4 0 Ondaz SZ EMP C3050 4 0 Onsetron 4 ZP EMP C3050 4 0 Zofran GK EMP C3050 4 0 Tablet 8 mg (as hydrochloride dihydrate) Oral APO-Ondansetron TX EMP C3050 4 0 Ondansetron-DRLA RZ EMP C3050 4 0 Ondaz SZ EMP C3050 4 0 Onsetron 8 ZP EMP C3050 4 0 Zofran GK EMP C3050 4 0 Wafer 4 mg Oral Ondaz Zydis SZ EMP C3050 4 0 Zofran Zydis GK EMP C3050 4 0 Wafer 8 mg Oral Ondaz Zydis SZ EMP C3050 4 0 Zofran Zydis GK EMP C3050 4 0 Syrup 4 mg (as hydrochloride dihydrate) per 5 mL, 50 mL Oral Zofran syrup 50 mL GK EMP C3050 1 0 I.V. injection 4 mg (as hydrochloride dihydrate) in 2 mL Injection Ondansetron Alphapharm AF EMP C3050 1 0 Ondansetron-Claris AE EMP C3050 1 0 Ondaz SZ EMP C3050 1 0 Onsetron ZP EMP C3050 1 0 Pfizer Australia Pty Ltd PF EMP C3050 1 0 Zofran GK EMP C3050 1 0 I.V. injection 8 mg (as hydrochloride dihydrate) in 4 mL Injection Ondansetron Alphapharm AF EMP C3050 1 0 Ondansetron-Claris AE EMP C3050 1 0 Ondaz SZ EMP C3050 1 0 Onsetron ZP EMP C3050 1 0 Pfizer Australia Pty Ltd PF EMP C3050 1 0 Zofran GK EMP C3050 1 0 Oxaliplatin Solution concentrate for I.V. infusion 50 mg in 10 mL Injection DBL Oxaliplatin Concentrate HH EMP C2717 C3449 C3450 1 2 Eloxatin SW EMP C2717 C3449 C3450 1 2
Oxaliplatin Kabi PK EMP C2717 C3449 C3450 1 2 Oxaliplatin SUN ZF EMP C2717 C3449 C3450 1 2 Powder for I.V. infusion 50 mg Injection Hospira Pty Limited HH EMP C2717 C3449 C3450 1 2 Oxalatin ZP EMP C2717 C3449 C3450 1 2 Oxaliplatin Actavis TA EMP C2717 C3449 C3450 1 2 Oxaliplatin Alphapharm AF EMP C2717 C3449 C3450 1 2 Oxaliplatin Ebewe SZ EMP C2717 C3449 C3450 1 2 Oxaliplatin Link PK EMP C2717 C3449 C3450 1 2 Xalox WQ EMP C2717 C3449 C3450 1 2 Solution concentrate for I.V. infusion 100 mg in 20 mL Injection DBL Oxaliplatin Concentrate HH EMP C2717 C3449 C3450 1 2 Eloxatin SW EMP C2717 C3449 C3450 1 2 Oxaliplatin Kabi PK EMP C2717 C3449 C3450 1 2 Oxaliplatin SUN ZF EMP C2717 C3449 C3450 1 2 Powder for I.V. infusion 100 mg Injection Hospira Pty Limited HH EMP C2717 C3449 C3450 1 2 Oxalatin ZP EMP C2717 C3449 C3450 1 2 Oxaliplatin Actavis TA EMP C2717 C3449 C3450 1 2 Oxaliplatin Alphapharm AF EMP C2717 C3449 C3450 1 2 Oxaliplatin Ebewe SZ EMP C2717 C3449 C3450 1 2 Oxaliplatin Link PK EMP C2717 C3449 C3450 1 2 Winthrop Oxaliplatin WA EMP C2717 C3449 C3450 1 2 Xalox WQ EMP C2717 C3449 C3450 1 2 Solution concentrate for I.V. infusion 200 mg in 40 mL Injection Eloxatin SW EMP C2717 C3449 C3450 1 2 Oxaliplatin SUN ZF EMP C2717 C3449 C3450 1 2 Paclitaxel Solution concentrate for I.V. infusion 30 mg in 5 mL Injection Anzatax HH EMP C1194 C1293 C1742 C2417 C2439 C3428 5 0 Paclitaxel Actavis TA EMP C1194 C1293 C1742 C2417 C2439 C3428 5 0 Paclitaxel Ebewe SZ EMP C1194 C1293 C1742 C2417 C2439 C3428 5 0 Paclitaxel Kabi PK EMP C1194 C1293 C1742 C2417 C2439 C3428 5 0 Plaxel WQ EMP C1194 C1293 C1742 C2417 C2439 C3428 5 0 Taxol BQ EMP C1194 C1293 C1742 C2417 C2439 C3428 5 0 Solution concentrate for I.V. infusion 100 mg in 16.7 mL Injection Anzatax HH EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Paclitaxel Actavis TA EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Paclitaxel Ebewe SZ EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Paclitaxel Kabi PK EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Plaxel WQ EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Taxol BQ EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Solution concentrate for I.V. infusion 150 mg in 25 mL Injection Anzatax HH EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Paclitaxel Actavis TA EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Paclitaxel Ebewe SZ EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Plaxel WQ EMP C1194 C1293 C1742 C2417 C2439 C3428 2 0 Solution concentrate for I.V. infusion 300 mg in 50 mL Injection Anzatax HH EMP C1194 C1293 C1742 C2417 C2439 C3428 1 0 Paclitaxel Actavis TA EMP C1194 C1293 C1742 C2417 C2439 C3428 1 0 Paclitaxel Ebewe SZ EMP C1194 C1293 C1742 C2417 C2439 C3428 1 0 Paclitaxel Kabi PK EMP C1194 C1293 C1742 C2417 C2439 C3428 1 0 Plaxel WQ EMP C1194 C1293 C1742 C2417 C2439 C3428 1 0 Taxol BQ EMP C1194 C1293 C1742 C2417 C2439 C3428 1 0 Paclitaxel, nanoparticle albumin-bound Powder for I.V. injection containing 100 mg paclitaxel Injection Abraxane TS EMP C3432 1 0 Palonosetron Injection 250 micrograms (as hydrochloride) in 5 mL Injection Aloxi TS EMP C3545 1 0 Pemetrexed Powder for I.V. infusion 100 mg (as disodium heptahydrate) Injection Alimta LY EMP C2957 C2958 1 3 Powder for I.V. infusion 500 mg (as disodium heptahydrate) Injection Alimta LY EMP C2957 C2958 1 3 Raltitrexed Powder for I.V. infusion 2 mg in single use vial Injection Tomudex HH EMP C3185 3 2 Rituximab Solution for I.V. infusion 100 mg in 10 mL Injection Mabthera RO EMP C1744 C1745 C2068 C2386 P1744 P1745 2 3 Mabthera RO EMP C1744 C1745 C2068 C2386 P2068 P2386 2 7 Solution for I.V. infusion 500 mg in 50 mL Injection Mabthera RO EMP C1744 C1745 C2068 C2386 P1744 P1745 1 3 Mabthera RO EMP C1744 C1745 C2068 C2386 P2068 P2386 1 7 Thiotepa Powder for injection 15 mg Injection/
intravesicalAspen Pharma Pty Ltd QA EMP 2 1 Topotecan Powder for I.V. infusion 4 mg (as hydrochloride) Injection Hycamtin GK EMP C3186 5 1 Tropisetron Capsule 5 mg (as hydrochloride) Oral Navoban NV EMP C3050 2 0 I.V. injection 5 mg (as hydrochloride) in 5 mL Injection Navoban NV EMP C3050 1 0 Vinblastine Solution for I.V. injection containing vinblastine sulfate 10 mg in 10 mL Injection Hospira Pty Limited HH EMP 5 0 Vincristine I.V. injection containing vincristine sulfate 1 mg in 1 mL Injection Hospira Pty Limited HH EMP 10 0 Pfizer Australia Pty Ltd PF EMP 10 0 Vinorelbine Solution for I.V. infusion 10 mg (as tartrate) in 1 mL Injection Hospira Pty Limited HH EMP C1194 C1741 16 2 Navelbine FB EMP C1194 C1741 16 2 Vinorelbine Ebewe SZ EMP C1194 C1741 16 2 Solution for I.V. infusion 50 mg (as tartrate) in 5 mL Injection Hospira Pty Limited HH EMP C1194 C1741 4 2 Navelbine FB EMP C1194 C1741 4 2 Vinorelbine Ebewe SZ EMP C1194 C1741 4 2 Vinorelbine Kabi PK EMP C1194 C1741 4 2
Schedule 2 Responsible Person Codes
(section 7)
Code Responsible Person Australian Business Number AE AFT Pharmaceuticals Pty Ltd 29 105 636 413 AF Alphapharm Pty Ltd 93 002 359 739 BQ Bristol-Myers Squibb Australia Pty Ltd 33 004 333 322 BX Baxter Healthcare Pty Ltd 43 000 392 781 FB Pierre Fabre Medicament Australia Pty Ltd 30 098 999 850 GK GlaxoSmithKline Australia Pty Ltd 47 100 162 481 GZ Genzyme Australasia Pty Ltd 24 083 420 526 HH Hospira Pty Limited 13 107 058 328 HW Sandoz Pty Ltd 60 075 449 553 JC Janssen-Cilag Pty Ltd 47 000 129 975 LY Eli Lilly Australia Pty Ltd 39 000 233 992 MK Merck Sharp & Dohme (Australia) Pty Ltd 14 000 173 508 NV Novartis Pharmaceuticals Australia Pty Limited 18 004 244 160 OA Orphan Australia Pty Ltd 11 067 189 342 OE Omegapharm Pty Ltd 86 128 078 151 PF Pfizer Australia Pty Ltd 50 008 422 348 PK Fresenius Kabi Australia Pty Limited 39 109 383 593 PL The Trustee for Virgo Unit Trust (trading as Phebra) 77 695 661 635 QA Aspen Pharma Pty Ltd 88 004 118 594 RO Roche Products Pty Ltd 70 000 132 865 SE Servier Laboratories (Aust.) Pty Ltd 54 004 838 500 SG Merck Serono Australia Pty Ltd 72 006 900 830 SW sanofi-aventis Australia Pty Ltd 31 008 558 807 SZ Sandoz Pty Ltd 60 075 449 553 TA Actavis Australia Pty Ltd 43 122 896 468 TS Specialised Therapeutics Australia Pty Ltd 73 124 031 241 TX Apotex Pty Ltd 52 096 916 148 WA sanofi-aventis Australia Pty Ltd 31 008 558 807 WQ Willow Pharmaceuticals Pty Ltd 80 118 534 704 ZF Sun Pharmaceutical Industries Pty Ltd 64 130 119 603 ZP Spirit Pharmaceuticals Pty Ltd 67 109 225 747
Schedule 3 Circumstances and Purposes Codes
(sections 9, 18 and 20)
Listed Drug Circumstances Code Purposes Code Circumstances and Purposes
Authority Requirements
- Part of CircumstancesAprepitant C3619 Management of nausea and vomiting associated with cytotoxic chemotherapy being used to treat malignancy, in combination with a 5-hydroxytryptamine type 3 receptor antagonist and dexamethasone, where any 1 of the following chemotherapy agents are to be administered:
(a) altretamine;
(b) carmustine;
(c) cisplatin, when a single dose constitutes a cycle of chemotherapy;
(d) cyclophosphamide, at a dose of 1500 mg per square metre per day or greater;
(e) dacarbazine;
(f) procarbazine, when a single dose constitutes a cycle of chemotherapy;
(g) streptozocin; and
where treatment with aprepitant is limited to an initial dose of 125 mg and 2 subsequent doses of 80 mg per cycle of cytotoxic chemotherapyCompliance with Authority Required procedures – Streamlined Authority Code 3619
C3620 Management of nausea and vomiting associated with cytotoxic chemotherapy being used to treat breast cancer, in combination with a 5-hydroxytryptamine type 3 receptor antagonist and dexamethasone, where cyclophosphamide and an anthracycline are to be co-administered, and where treatment with aprepitant is limited to an initial dose of 125 mg and 2 subsequent doses of 80 mg per cycle of cytotoxic chemotherapy Compliance with Authority Required procedures – Streamlined Authority Code 3620 C3621 Management of nausea and vomiting associated with moderately emetogenic cytotoxic chemotherapy being used to treat malignancy, in combination with a 5-hydroxytryptamine type 3 receptor (5HT3) antagonist and dexamethasone on day 1, where the patient has had a prior episode of chemotherapy induced nausea or vomiting where any 1 of the following intravenous chemotherapy agents is to be administered:
(a) arsenic trioxide;
(b) azacitidine;
(c) carboplatin;
(d) cyclophosphamide, at a dose of less than 1500 mg per square metre per day;
(e) cytarabine, at a dose of greater than 1 g per square metre per day;
(f) dactinomycin;
(g) daunorubicin;
(h) doxorubicin;
(i) epirubicin;
(j) fotemustine;
(k) idarubicin;
(l) ifosfamide;
(m) irinotecan;
(n) melphalan;
(o) methotrexate, at a dose of 250 mg to 1 g per square metre;
(p) oxaliplatin;
(q) raltitrexed; and
where treatment with aprepitant is limited to an initial dose of 125 mg and 2 subsequent doses of 80 mg per cycle of cytotoxic chemotherapy, and where concomitant use of a 5HT3 antagonist should not occur with aprepitant on days 2 and 3 of any chemotherapy cycleCompliance with Authority Required procedures - Streamlined Authority Code 3621
Arsenic C3150 Induction and consolidation treatment of relapsed acute promyelocytic leukaemia (characterised by the presence of the t(15:17) translocation or PML/RAR-alpha fusion gene transcript) in a patient who is arsenic naive at induction Compliance with Authority Required procedures "BCG Immunotherapeutic" (Bacillus Calmette-Guérin/ Connaught strain) C1419 Treatment of carcinoma in situ of the urinary bladder "BCG-Tice" (Bacillus Calmette-Guérin/ Tice strain) C1290 Primary and relapsing superficial urothelial carcinoma of the bladder Bevacizumab C3430 Initial PBS-subsidised treatment, in combination with first-line chemotherapy, of a patient with previously untreated metastatic colorectal cancer with a World Health Organisation performance status of 0 or 1, and where the patient's dose of bevacizumab does not exceed 5 mg per kg every 2 weeks or 7.5 mg per kg every 3 weeks Compliance with Authority Required procedures C3431 Continuing PBS-subsidised treatment, in combination with first-line chemotherapy, of a patient with metastatic colorectal cancer who has previously been issued with an authority prescription for bevacizumab and who does not have progressive disease and who remains on first-line chemotherapy, and where the patient's dose of bevacizumab does not exceed 5 mg per kg every 2 weeks or 7.5 mg per kg every 3 weeks Compliance with Authority Required procedures Bleomycin C1139 Germ cell neoplasms C1198 Lymphoma Cetuximab C2713 P2713 Initial treatment of stage III, IVa or IVb squamous cell cancer of the larynx, oropharynx or hypopharynx for the week prior to radiotherapy, where cisplatin is contraindicated according to the Therapeutic Goods Administration-approved Product Information Compliance with Authority Required procedures C2714 P2714 Initial treatment of stage III, IVa or IVb squamous cell cancer of the larynx, oropharynx or hypopharynx, in combination with radiotherapy, where cisplatin is not tolerated Compliance with Authority Required procedures C2715 P2715 Continuing treatment of stage III, IVa or IVb squamous cell cancer of the larynx, oropharynx or hypopharynx, in combination with radiotherapy, where cisplatin is either contraindicated or not tolerated Compliance with Authority Required procedures C3843 P3843 Initial PBS-subsidised treatment, as monotherapy or in combination with an irinotecan based therapy, of a patient with a World Health Organisation performance status of 2 or less and with K-RAS wild type metastatic colorectal cancer after failure of first-line chemotherapy Compliance with Authority Required procedures C3844 P3844 Continuing PBS-subsidised treatment, as monotherapy or in combination with an irinotecan based therapy, of a patient with K-RAS wild type metastatic colorectal cancer who has previously been issued with an authority prescription for cetuximab and who does not have progressive disease. Compliance with Authority Required procedures Cladribine C3180 Hairy cell leukaemia Compliance with Authority Required procedures - Streamlined Authority Code 3180 Docetaxel C1194 P1194 Locally advanced or metastatic non-small cell lung cancer Compliance with Authority Required procedures C1742 P1742 Advanced metastatic ovarian cancer after failure of prior therapy which includes a platinum compound Compliance with Authority Required procedures C2416 P2416 Adjuvant treatment of node-positive breast cancer in combination with an anthracycline and cyclophosphamide Compliance with Authority Required procedures C2439 P2439 Treatment of HER2 positive early breast cancer in combination with trastuzumab Compliance with Authority Required procedures C2732 P2732 Treatment of androgen independent (hormone refractory) metastatic carcinoma of the prostate in a patient with a Karnofsky performance-status score of at least 60%, where docetaxel is used as first-line chemotherapy and administered in three weekly cycles Compliance with Authority Required procedures C3051 P3051 Neoadjuvant treatment of a patient with a World Health Organisation performance status of 1 or less, with inoperable Stage III, IVa or IVb squamous cell carcinoma of the oral cavity, larynx, oropharynx or hypopharynx, in combination with cisplatin and fluorouracil Compliance with Authority Required procedures C3292 P3292 Adjuvant treatment of operable breast cancer in combination with cyclophosphamide Compliance with Authority Required procedures C3428 P3428 Advanced breast cancer after failure of prior therapy Compliance with Authority Required procedures Doxorubicin - Pegylated Liposomal C1568 Advanced epithelial ovarian cancer in women who have failed a first-line platinum-based chemotherapy regimen Compliance with Authority Required procedures C1795 Metastatic breast cancer, as monotherapy, after failure of prior therapy which includes capecitabine and a taxane Compliance with Authority Required procedures C1796 Metastatic breast cancer, as monotherapy, where therapy with capecitabine or a taxane is contraindicated Compliance with Authority Required procedures Fludarabine C3015 B-cell chronic lymphocytic leukaemia in combination with cyclophosphamide where the patient has advanced disease (Binet Stage B or C) or evidence of progressive Stage A disease, and where:
(1) Stage A progressive disease is defined by at least 1 of the following:
— persistent rise in lymphocyte count with doubling time less than 12 months;
— a downward trend in haemoglobin or platelets, or both;
— more than 50% increase in the size of liver, spleen, or lymph nodes, or appearance of these signs if not previously present;
— constitutional symptoms attributable to disease; and
(2) the diagnosis of chronic lymphocytic leukaemia has been established based on:
(a) a lymphocytosis, with more than 5,000 million lymphocytes per L in the peripheral blood; and
(b) a clonal population of B-cells (CD5/CD19) documented by flow cytometryCompliance with Authority Required procedures Folinic acid C1028 Antidote to folic acid antagonists Fotemustine C3181 Metastatic malignant melanoma Compliance with Authority Required procedures - Streamlined Authority Code 3181 Gemcitabine C1193 Locally advanced or metastatic adenocarcinoma of the pancreas Compliance with Authority Required procedures C1194 Locally advanced or metastatic non-small cell lung cancer Compliance with Authority Required procedures C1740 Locally advanced or metastatic bladder cancer, when used in combination with cisplatin Compliance with Authority Required procedures C2069 Advanced breast cancer in combination with paclitaxel after failure of prior therapy which includes an anthracycline Compliance with Authority Required procedures C2141 Advanced epithelial ovarian cancer, in combination with carboplatin, in patients who relapse more than 6 months after platinum-based therapy Compliance with Authority Required procedures Granisetron C3050 Management of nausea and vomiting associated with cytotoxic chemotherapy being used to treat malignancy which occurs within 48 hours of chemotherapy administration Idarubicin C1006 Acute myelogenous leukaemia Ifosfamide C1325 Relapsed or refractory germ cell tumours following first-line chemotherapy C1327 Relapsed or refractory sarcomas following first-line chemotherapy Interferon Alfa-2a C1149 P1149 Hairy cell leukaemia Compliance with Authority Required procedures C1196 P1196 Low grade non-Hodgkin's lymphoma with clinical features suggestive of a poor prognosis, in combination with anthracycline-based chemotherapy Compliance with Authority Required procedures C1234 P1234 Myeloproliferative disease with excessive thrombocytosis Compliance with Authority Required procedures Interferon Alfa-2b C1149 P1149 Hairy cell leukaemia Compliance with Authority Required procedures C1196 P1196 Low grade non-Hodgkin's lymphoma with clinical features suggestive of a poor prognosis, in combination with anthracycline-based chemotherapy Compliance with Authority Required procedures C1206 P1206 Maintenance treatment of multiple myeloma once remission has been achieved with chemotherapy Compliance with Authority Required procedures Irinotecan C3184 Metastatic colorectal cancer in patients with a World Health Organisation performance status of 2 or less Compliance with Authority Required procedures - Streamlined Authority Code 3184 Mesna C1618 Adjunctive therapy for use with ifosfamide or high dose cyclophosphamide Ondansetron C3050 Management of nausea and vomiting associated with cytotoxic chemotherapy being used to treat malignancy which occurs within 48 hours of chemotherapy administration Oxaliplatin C2717 Adjuvant treatment of stage III (Dukes C) colon cancer, in combination with fluorouracil and folinic acid, following complete resection of the primary tumour Compliance with Authority Required procedures C3449 Metastatic colorectal cancer in a patient with a World Health Organisation performance status of 2 or less, when used in combination with capecitabine Compliance with Authority Required procedures C3450 Metastatic colorectal cancer in a patient with a World Health Organisation performance status of 2 or less, when used in combination with fluorouracil and folinic acid Compliance with Authority Required procedures Paclitaxel C1194 Locally advanced or metastatic non-small cell lung cancer Compliance with Authority Required procedures C1293 Primary treatment of ovarian cancer in combination with a platinum compound Compliance with Authority Required procedures C1742 Advanced metastatic ovarian cancer after failure of prior therapy which includes a platinum compound Compliance with Authority Required procedures C2417 Adjuvant treatment of node-positive breast cancer administered sequentially to an anthracycline and cyclophosphamide Compliance with Authority Required procedures C2439 Treatment of HER2 positive early breast cancer in combination with trastuzumab Compliance with Authority Required procedures C3428 Advanced breast cancer after failure of prior therapy Compliance with Authority Required procedures Paclitaxel, nanoparticle albumin-bound C3432 Metastatic breast cancer after failure of prior therapy Compliance with Authority Required procedures Palonosetron C3545 Management of nausea and vomiting associated with cytotoxic chemotherapy being used to treat malignancy which occurs within 48 hours of chemotherapy administration Pemetrexed C2957 Locally advanced or metastatic non-small cell lung cancer, after prior platinum-based chemotherapy, where the dose per treatment cycle does not exceed 500 mg per metre squared body surface area (BSA) and where the patient's BSA is included in the authority application Compliance with Authority Required procedures C2958 Mesothelioma, in combination with cisplatin, where the dose per treatment cycle does not exceed 500 mg per metre squared body surface area (BSA) and where the patient's BSA is included in the authority application Compliance with Authority Required procedures Raltitrexed C3185 For use as a single agent in the treatment of advanced colorectal cancer Compliance with Authority Required procedures - Streamlined Authority Code 3185 Rituximab C1744 P1744 Relapsed or refractory low-grade B-cell non-Hodgkin's lymphoma Compliance with Authority Required procedures C1745 P1745 Relapsed or refractory follicular B-cell non-Hodgkin's lymphoma Compliance with Authority Required procedures C2068 P2068 Treatment of previously untreated, CD20 positive, diffuse large B-cell non-Hodgkin's lymphoma, in combination with chemotherapy Compliance with Authority Required procedures C2386 P2386 Treatment of symptomatic patients with previously untreated, CD20 positive, Stage III or IV, follicular, B-cell non-Hodgkin's lymphoma, in combination with chemotherapy Compliance with Authority Required procedures Topotecan C3186 Advanced metastatic ovarian cancer after failure of prior therapy which includes a platinum compound Compliance with Authority Required procedures - Streamlined Authority Code 3186 Tropisetron C3050 Management of nausea and vomiting associated with cytotoxic chemotherapy being used to treat malignancy which occurs within 48 hours of chemotherapy administration Vinorelbine C1194 Locally advanced or metastatic non-small cell lung cancer Compliance with Authority Required procedures C1741 Advanced breast cancer after failure of prior therapy which includes an anthracycline Compliance with Authority Required procedures
Schedule 4 Patient contributions
(sections 35 to 37)
| Listed Drug | Form | Manner of Administration | Brand | Quantity or Number of Units | Approved Ex-manufacturer Price | Claimed Ex-manufacturer Price |
| Bleomycin | Powder for injection containing bleomycin sulfate 15,000 I.U. (with any determined brand of sodium chloride injection as the required solvent) | Injection | Hospira Pty Ltd | 1 | $40.89 | $77.67 |
Notes to the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010 (PB 117 of 2010)
Note 1
The National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement 2010 (PB 117 of 2010) (in force under subsections 100 (1) and (2) of the National Health Act 1953) as shown in this compilation is amended as indicated in the Tables below.
Table of Instruments
Title
Date of FRLI registration
Date of
commencementApplication, saving or
transitional provisionsPB 117 of 2010 30 Nov 2010 (see F2010L03139) 1 Dec 2010 PB 123 of 2010 17 Dec 2010 (see F2010L03311) 1 Jan 2011 — PB 3 of 2011 31 Jan 2011 (see F2011L00169) 1 Feb 2011 — PB 17 of 2011 28 Feb 2011 (see F2011L00321) 1 Mar 2011 — PB 29 of 2011 30 Mar 2011 (see F2011L00531) 1 Apr 2011 — PB 35 of 2011 27 Apr 2011 (see F2011L00642) 1 May 2011 — PB 39 of 2011 31 May 2011 (see F2011L00892) 1 June 2011 — PB 47 of 2011 23 June 2011 (see F2011L01202) 1 July 2011 — PB 54 of 2011 27 July 2011 (see F2011L01545) 1 Aug 2011 — PB 63 of 2011 31 Aug 2011 (see F2011L01776) 1 Sept 2011 — PB 70 of 2011 30 Sept 2011 (see F2011L02000) 1 Oct 2011 — PB 78 of 2011 31 Oct 2011 (see F2011L02161) 1 Nov 2011 —
Table of Amendments
ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted Provision affected
How affected
Part 1 Division 1 S. 4......................................... am. PB 123 of 2010; PB 63 of 2011 Division 2 S. 11....................................... am. PB 123 of 2010 Division 3 S. 12....................................... am. PB 63 of 2011 S. 13....................................... am. PB 63 of 2011 S. 14....................................... am. PB 63 of 2011 S. 15....................................... am. PB 63 of 2011 S. 16....................................... am. PB 63 of 2011 S. 17....................................... am. PB 63 of 2011 Part 3 Division 1 S. 28....................................... am. PB 123 of 2010; PB 63 of 2011 Schedule 1 Schedule 1............................ am. PB 123 of 2010; PB 3, 17, 29, 35, 39, 47, 54, 63, 70 and 78 of 2011 Schedule 2 Schedule 2............................ am. PB 123 of 2010; PB 3, 39, 47 and 70 of 2011 Schedule 3 Schedule 3............................ am. PB 123 of 2010; PB 54 and 63 of 2011 Schedule 4 Schedule 4 am. PB 54 of 2011
0
0
0