National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment Instrument 2016 (No. 6) (PB No. 56 of 2016) (Cth)

Case

PB 56 of 2016

National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment Instrument 2016 (No. 6)

National Health Act 1953
___________________________________________________________________________

I, Tony Wynd, Acting Assistant Secretary, Pharmaceutical Access Branch, Pharmaceutical Benefits Division, Department of Health, delegate of the Minister for Health, make this instrument under subsections 100(1) and (2) of the National Health Act 1953.

Dated 27 June 2016           

TONY WYND
Acting Assistant Secretary
Pharmaceutical Access Branch
Pharmaceutical Benefits Division

Department of Health

___________________________________________________________________

1              Name of Instrument

(1)This Instrument is the National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment Instrument 2016 (No. 6).

(2)This Instrument may also be cited as PB 56 of 2016.

2             Commencement

This Instrument commences on 1 July 2016.

3              Amendments to PB 79 of 2011

Amends the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2011 (PB 79 of 2011).

Amendments

  1. Section 3, Definition for diluent fee

    omit:                    $5.07    substitute:      $5.14

  2. Section 3, Definition for dispensing fee

    omit:                    $6.93   substitute:      $7.02

  3. Section 3, Definition for distribution fee

    omit:                    $25.59   substitute:      $26.08

  4. Section 3, Repeal the Definition for preparation fee

    substitute: preparation fee means an amount of $83.22

  5. Section 3, Definition for start date

    omit:                    2015   substitute:      2016

  6. Schedule 1 Part 1 entry for Bleomycin in the form ‘Powder for injection containing bleomycin sulfate 15,000 I.U.’

    omit from the column headed ‘Circumstances’ (all instances): C1139 C1198      substitute: C6224 C6275

  7. Schedule 1 Part 1 entry for Cladribine in each of the forms ‘Injection 10 mg in 5 mL’ and ‘Solution for I.V. infusion 10 mg in 10 mL single use vial’

    omit from the column headed ‘Circumstances’ (all instances): C3180       substitute: C6265

  8. Schedule 1 Part 1 after entry for Epirubicin in the form ‘Solution for injection containing epirubicin hydrochloride 100 mg in 50 mL’ and brand ‘Hospira Pty Limited’

    insert:

Pharmorubicin PF MP D
  1. Schedule 1 Part 1 after entry for Epirubicin in the form ‘Solution for injection containing epirubicin hydrochloride 200 mg in 100 mL’ and brand ‘Epirubicin Kabi’

    insert:

Pharmorubicin PF MP D

[10]  Schedule 1 Part 1 after entry for Epirubicin in the form ‘Solution for injection containing epirubicin hydrochloride 50 mg in 25 mL’ and brand ‘Hospira Pty Limited’

insert:

Pharmorubicin PF MP D

[11]  Schedule 1 Part 1 entry for Fludarabine in each of the forms ‘Powder for I.V. injection containing fludarabine phosphate 50 mg’ and ‘Solution for I.V. injection 50 mg fludarabine phosphate in 2 mL’

omit from the column headed ‘Circumstances’ (all instances): C3887       substitute: C6248

[12]  Schedule 1 Part 1 entry for Fluorouracil in each of the forms ‘Injection 1000 mg in 20 mL’, ‘Injection 2500 mg in 50 mL’, ‘Injection 500 mg in 10 mL’, and ‘Injection 5000 mg in 100 mL’

omit from the column headed ‘Circumstances’ (all instances): C3923 C3924      substitute: C6266 C6297

[13]  Schedule 1 Part 1 entry for Fotemustine in the form ‘Powder for injection 208 mg with solvent’

omit from the column headed ‘Circumstances’: C3181  substitute: C6288

[14]  Schedule 1 Part 1 after entry for Gemcitabine in the form ‘Powder for I.V. infusion 1 g (as hydrochloride)’ and brand ‘Gemaccord’

omit:

Gemcitabine Actavis          GN   MP          D

[15]  Schedule 1 Part 1 entry for Idarubicin in each of the forms ‘Solution for I.V. injection containing idarubicin hydrochloride 10 mg in 10 mL’ and ‘Solution for I.V. injection containing idarubicin hydrochloride 5 mg in 5 mL’

omit from the column headed ‘Circumstances’ (all instances): C1006       substitute: C6247

[16]  Schedule 1 Part 1 entry for Methotrexate

substitute:

Methotrexate Injection 5 mg in 2 mL vial Injection Hospira Pty Limited HH MP
Pfizer Australia Pty Ltd PF MP
Injection 50 mg in 2 mL vial Injection Hospira Pty Limited HH MP
Methaccord EA MP
Methotrexate MYX OC MP D
Pfizer Australia Pty Ltd PF MP
Solution concentrate for I.V. infusion 1000 mg in 10 mL vial Injection Hospira Pty Limited HH MP PB
Methaccord EA MP PB
Methotrexate MYX OC MP D
Pfizer Australia Pty Ltd PF MP
Solution concentrate for I.V. infusion 500 mg in 20 mL vial Injection Hospira Pty Limited HH MP PB
Pfizer Australia Pty Ltd PF MP
Solution concentrate for I.V. infusion 5000 mg in 50 mL vial Injection Methotrexate Ebewe SZ MP PB
Pfizer Australia Pty Ltd PF MP

[17]  Schedule 1 Part 1 after entry for Pemetrexed and the form ‘Powder for I.V. infusion 500 mg (as disodium heptahydrate)’

insert:

Powder for I.V. infusion 1 g (as disodium) Injection

DBL Pemetrexed

HH MP

C4789

C4792

D
Pemetrexed MYX YN MP

C4789

C4792

D

[18]  Schedule 1 Part 1 entry for Raltitrexed in the form ‘Powder for I.V. infusion 2 mg in single use vial’

omit from the column headed ‘Circumstances’: C3185  substitute: C6228

[19]  Schedule 1 Part 1 entry for Topotecan in the form ‘Powder for I.V. infusion 4 mg (as hydrochloride)’

omit from the column headed ‘Circumstances’ (all instances): C3186       substitute: C6238

[20]  Schedule 1 Part 2 entry for Flourouracil

substitute:

Fluorouracil P6297 P6266 1000
5500
23
11

[21]  Schedule 1 Part 2 entry for Methotrexate

omit from the column headed ‘Purposes’: P3925     substitute: P6276

[22]  Schedule 2 entry for Trastuzumab

substitute:

Trastuzumab Solution for subcutaneous injection containing trastuzumab 600 mg in 5 mL Injection Herceptin SC RO MP C6059
C6060
C6061
C6062
P6059
P6060

1

0

C6059
C6060
C6061

C6062

P6061
P6062
1 3

[23]  Schedule 4 entry for Bleomycin

substitute:

Bleomycin C6224 Germ cell neoplasms
C6275 Lymphoma

[24]  Schedule 4 entry for Cladribine

substitute:

Cladribine C6265 Hairy cell leukaemia Compliance with Authority Required procedures ‑ Streamlined Authority Code 6265

[25]  Schedule 4 entry for Fludarabine

substitute:

Fludarabine C6248 B-cell chronic lymphocytic leukaemia
Patient must have advanced disease (Binet Stage B or C); OR
Patient must have evidence of progressive Stage A disease; AND
The treatment must be in combination with cyclophosphamide.
Stage A progressive disease is defined by at least one 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.
The diagnosis of chronic lymphocytic leukaemia (CLL) must have 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 cytometry.

Compliance with Authority Required procedures ‑ Streamlined Authority Code 6248

[26]  Schedule 4 entry for Fluorouracil

substitute:

Fluorouracil C6266 P6266 Patients requiring administration of fluorouracil by intravenous infusion
C6297 P6297 Patients requiring administration of fluorouracil by intravenous injection

[27]  Schedule 4 entry for Fotemustine

substitute:

Fotemustine C6288 P6288 Metastatic malignant melanoma Compliance with Authority Required procedures - Streamlined Authority Code 6288

[28]  Schedule 4 entry for Idarubicin

substitute:

Idarubicin C6247 Acute myelogenous leukaemia (AML)

[29]  Schedule 4 entry for Methotrexate

substitute:

Methotrexate P6276 Patients receiving treatment with a high dose regimen

[30]  Schedule 4 entry for Raltitrexed

substitute:

Raltitrexed C6228 Advanced colorectal cancer
The treatment must only be used as a single agent in the treatment of this condition.
Compliance with Authority Required procedures - Streamlined Authority Code 6228

[31]  Schedule 4 entry for Topotecan

substitute:

Topotecan C6238 Advanced metastatic ovarian cancer
Patient must have failed prior therapy which included a platinum compound.

Compliance with Authority Required procedures - Streamlined Authority Code 6238
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