National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2010 (No. 1) (No. PB 123 of 2010) (Cth)

Case

PB 123 of 2010

National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2010 (No. 1)

National Health Act 1953

___________________________________________________________________________

I, FELICITY MCNEILL, Acting First Assistant Secretary, Pharmaceutical Benefits Division, Department of Health and Ageing, delegate of the Minister for Health and Ageing, make this instrument under subsections 100(1) and (2) of the National Health Act 1953.

Dated     15   December 2010

FELICITY MCNEILL

Acting First Assistant Secretary

Pharmaceutical Benefits Division

Department of Health and Ageing

___________________________________________________________________

1              Name of Amendment Instrument

(1)This Amendment Instrument is the National Health (Chemotherapy Pharmaceuticals Access Program) Special Arrangement Amendment Instrument 2010 (No.1).

(2)This instrument may also be cited as PB 123 of 2010.

2                Commencement

    This Amendment Instrument commences on 1 January 2011.

3              Amendments to PB 117 of 2010

            Schedule 1 amends PB 117 of 2010.

Schedule 1                   Amendments

  1. section 4, definition of manufacturer’s pack

  omit:

subsection 6 (2) of the Commonwealth price (Pharmaceutical benefits supplied by approved pharmacists) Determination 2010

and insert:

the determination made under paragraph 98B(1)(a) of the Act

[2]        after subsection 11(e)

substitute:

(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.

[3]        paragraph 28(2)(b)

omit:

under Schedules 1, 2 or 3 of the National Health Act 1953 Pharmaceutical Benefits Rules under Subsection 99AAA(8)

and insert:

in accordance with the rules determined by the Minister under subsection 99AAA(8)

[4]        Schedule 1, entry for Aprepitant

omit from the column headed “Circumstances”:

 C2071  C2330  C3446

and insert:

C3619  C3620  C3621

[5]        Schedule 1, after entry for Docetaxel in the form Injection set containing 1 single use vial concentrate for I.V. infusion 80 mg (anhydrous) in 2 mL

with solvent

insert in the columns in the order indicated:

Solution concentrate for I.V. infusion 20 mg in 1 mL 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 80 mg in 4 mL Injection Taxotere SW EMP C1194 C1742 C2416 C2439 C2732 C3051 C3292 C3428 1 0

[6]        Schedule 1, entry for Gemcitabine the form Powder for I.V. infusion 200 mg (as hydrochloride)

(a)    insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Gemcitabine Kabi PK EMP

C1193 C1194 C1740 C2069 C2141 4 2

(b)    insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Gemcitabine Sun ZF EMP

C1193 C1194 C1740 C2069 C2141 4 2

[7]        Schedule 1, entry for Gemcitabine in the form Powder for I.V. infusion 1 g (as hydrochloride)

(a)    insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Gemcitabine Kabi PK EMP

C1193 C1194 C1740 C2069 C2141 2 2

(b)    insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Gemcitabine Sun ZF EMP

C1193 C1194 C1740 C2069 C2141 2 2

[8]        Schedule 1, entry for Gemcitabine in the form Powder for I.V. infusion 2 g (as hydrochloride)

insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:   

Gemcitabine Kabi PK EMP

C1193 C1194 C1740 C2069 C2141 1 2

[9]       Schedule 1, entry for Oxaliplatin in the form Solution concentrate for I.V. infusion 50 mg in 10 mL

insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Oxaliplatin Kabi PK EMP C2717 C3449 C3450 1 2

[10]     Schedule 1, entry for Oxaliplatin in the forms Powder for I.V. infusion 50 mg; and Powder for I.V. infusion 100 mg

insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Xalox WQ EMP C2717 C3449 C3450 1 2

[11]     Schedule 1, entry for Paclitaxel in the form Solution concentrate for I.V. infusion 30 mg in 5 mL

insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Paclitaxel Kabi PK EMP C1194
C1293
C1742
C2417
C2439
C3428
5 0

[12]     Schedule 1, entry for Paclitaxel in the form Solution concentrate for I.V. infusion 100 mg in 16.7 mL

insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Paclitaxel Kabi PK EMP C1194
C1293
C1742
C2417
C2439
C3428
2 0

[13]     Schedule 1, entry for Paclitaxel in the form Solution concentrate for I.V. infusion 300 mg in 50 mL

          insert in the columns in the order indicated, and in alphabetical order for the column headed ‘Brand’:

Paclitaxel Kabi PK EMP C1194
C1293
C1742
C2417
C2439
C3428
1 0

[14]      Schedule 2, after

WQ Willow Pharmaceuticals Pty Ltd 80 118 534 704

insert in the columns in the order indicated:

ZF Sun Pharmaceutical Industries Pty Ltd 64 130 119 603

[15]      Schedule 3, entry for Aprepitant

substitute: 

Aprepitant 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 chemotherapy
Compliance 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 cycle
Compliance with Authority Required procedures - Streamlined Authority Code 3621


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All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003.

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