National Health (Highly specialised drugs program) Special Arrangement Amendment Instrument 2018 (No. 3) (PB 22 of 2018) (Cth)

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PB 22 of 2018

National Health (Highly specialised drugs program) Special Arrangement Amendment Instrument 2018 (No. 3)

National Health Act 1953

___________________________________________________________________________

I, KAREN HALL, Assistant Secretary (Acting), Private Health Insurance and Pharmacy Branch, Technology Assessment and Access Division, Department of Health, delegate of the Minister for Health, make this Amendment Instrument under subsection 100(2) of the National Health Act 1953.

Dated                  26 March 2018

KAREN HALL

Assistant Secretary (Acting)

Private Health Insurance and Pharmacy Branch

Technology Assessment and Access Division

Department of Health

___________________________________________________________________________

  1. Name of Instrument

(1)This Instrument is the National Health (Highly specialised drugs program) Special Arrangement Amendment Instrument 2018 (No. 3).

(2)This Instrument may also be cited as PB 22 of 2018.

  1. Commencement

This Instrument commences on 1 April 2018.

  1. Amendment of National Health (Highly specialised drugs program) Special Arrangement 2010 (PB 116 of 2010)

Schedule 1 amends the National Health (Highly specialised drugs program) Special Arrangement 2010 (PB 116 of 2010).

Schedule 1       Amendments

  1. Schedule 1, entry for Abacavir with Lamivudine in the form Tablet containing abacavir 600 mg (as sulfate) with lamivudine 300 mg

insert in the columns in the order indicated and in alphabetical order for the column headed “Brand”:

Abacavir/
Lamivudine Mylan
AF EMP C4527 C4528 60 5 D
  1. Schedule 1, entry for Ganciclovir

insert in the columns in the order indicated and in alphabetical order for the column headed “Brand”:

GANCICLOVIR SXP HN EMP C4972 C4990 C4999 C5025 10 1 D
  1. Schedule 1, entry for Ibandronic acid

omit from the column headed “Responsible Person”: RO                  substitute: IX

  1. Schedule 1, entry for Lanreotide in each of the forms: Injection 60 mg (as acetate) in single dose pre filled syringe; Injection 90 mg (as acetate) in single dose pre filled syringe; and Injection 120 mg (as acetate) in single dose pre filled syringe

insert in numerical order in the column headed “Circumstances”: C7509 C7532

  1. Schedule 2, details relevant to Responsible Person code GO

omit from the column headed “Responsible Person”: BGP Products Pty Ltd        substitute: Mylan Health Pty Ltd

  1. Schedule 2, after details relevant to Responsible Person code GZ

insert:

HN Horizon Hospital Healthcare Pty Ltd  60 148 910 883
  1. Schedule 3, entry for Lanreotide

insert in numerical order after existing text:

C7509

Functional carcinoid tumour

Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND
The condition must be causing intractable symptoms; AND
Patient must have experienced on average over 1 week, 3 or more episodes per day of diarrhoea and/or flushing, which persisted despite the use of anti-histamines, anti-serotonin agents and anti-diarrhoea agents; AND
Patient must be one in whom surgery or antineoplastic therapy has failed or is inappropriate; AND
The treatment must cease if there is failure to produce a clinically significant reduction in the frequency and severity of symptoms after 3 months' therapy at a dose of 120 mg every 28 days.
Dosage and tolerance to the drug should be assessed regularly and the dosage should be titrated slowly downwards to determine the minimum effective dose.

Compliance with Authority Required procedures - Streamlined Authority Code 7509
C7532

Acromegaly

Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND
The condition must be active; AND
Patient must have persistent elevation of mean growth hormone levels of greater than 2.5 micrograms per litre; AND
The treatment must be after failure of other therapy including dopamine agonists; OR
The treatment must be as interim treatment while awaiting the effects of radiotherapy and where treatment with dopamine agonists has failed; OR
The treatment must be in a patient who is unfit for or unwilling to undergo surgery and where radiotherapy is contraindicated; AND
The treatment must cease in a patient treated with radiotherapy if there is biochemical evidence of remission (normal IGF1) after lanreotide has been withdrawn for at least 4 weeks (8 weeks after the last dose); AND
The treatment must cease if IGF1 is not lower after 3 months of treatment; AND
The treatment must not be given concomitantly with PBS-subsidised pegvisomant.
In a patient treated with radiotherapy, lanreotide should be withdrawn every 2 years in the 10 years after radiotherapy for assessment of remission.

Compliance with Authority Required procedures - Streamlined Authority Code 7532
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