National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2013 (No. 4) (No. PB 14 of 2013) (Cth)
PB 14 of 2013
National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2013
(No. 4)1
National Health Act 1953
I, FELICITY McNEILL, First Assistant Secretary, Pharmaceutical Benefits Division, Department of Health and Ageing, delegate of the Minister for Health, make this Instrument under sections 84AF, 84AK, 85, 85A, 88 and 101 of the National Health Act 1953.
Dated 21 March 2013
FELICITY McNEILL
First Assistant Secretary
Pharmaceutical Benefits Division
Department of Health and Ageing
1 Name of Instrument
(1) This Instrument is the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2013 (No. 4).
(2) This Instrument may also be cited as PB 14 of 2013.
2 Commencement
This Instrument commences on 1 April 2013.
3 Amendment of National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012)
Schedule 1 amends the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012).
Schedule 1 Amendments
Schedule 1, entry for Albendazole in each of the forms: Tablet 200 mg; and Tablet 400 mg
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Alendronic Acid in the form Tablet 70 mg (as alendronate sodium)
omit:
| Alendronate Pfizer | FZ | MP NP | C4122 C4123 C4133 | 4 | 5 | 4 |
Schedule 1, entry for Amlodipine in the form Tablet 5 mg (as besylate)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amlo 5 | QA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Amlodipine
omit:
| Tablet 5 mg (as maleate) | Oral | Amlo 5 | ZP | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Amlodipine in the form Tablet 10 mg (as besylate)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amlo 10 | QA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Amlodipine
omit:
| Tablet 10 mg (as maleate) | Oral | Amlo 10 | ZP | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Amoxycillin in the form Capsule 250 mg (as trihydrate) [Maximum Quantity 20; Number of Repeats 0]
(a)omit from the column headed “Responsible Person” for the brand “Amoxil”: GK substitute: AS
(b)omit:
| Amoxycillin-PS | FZ | PDP | 20 | 0 | 20 |
Schedule 1, entry for Amoxycillin in the form Capsule 250 mg (as trihydrate) [Maximum Quantity 20; Number of Repeats 1]
(a)omit from the column headed “Responsible Person” for the brand “Amoxil”: GK substitute: AS
(b)omit:
| Amoxycillin-PS | FZ | MP NP MW | 20 | 1 | 20 |
Schedule 1, entry for Amoxycillin in the form Capsule 500 mg (as trihydrate) [Maximum Quantity 20; Number of Repeats 0]
(a)omit from the column headed “Responsible Person” for the brand “Amoxil”: GK substitute: AS
(b)omit:
| Amoxycillin-PS | FZ | PDP | 20 | 0 | 20 |
Schedule 1, entry for Amoxycillin in the form Capsule 500 mg (as trihydrate) [Maximum Quantity 20; Number of Repeats 1]
(a)omit from the column headed “Responsible Person” for the brand “Amoxil”: GK substitute: AS
(b)omit:
| Amoxycillin-PS | FZ | MP NP MW | 20 | 1 | 20 |
Schedule 1, entry for Amoxycillin in each of the forms: Powder for paediatric oral drops 100 mg (as trihydrate) per mL, 20 mL; Powder for oral suspension 125 mg (as trihydrate) per 5 mL, 100 mL; and Powder for oral suspension 250 mg (as trihydrate) per 5 mL, 100 mL
omit from the column headed “Responsible Person” for the brands “Amoxil” and “Amoxil Forte” (all instances): GK substitute: AS
Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Tablet containing 500 mg amoxycillin (as trihydrate) with 125 mg clavulanic acid (as potassium clavulanate)
omit from the column headed “Responsible Person” for the brand “Augmentin Duo” (all instances): GK substitute: AS
Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Tablet containing 875 mg amoxycillin (as trihydrate) with 125 mg clavulanic acid (as potassium clavulanate)
omit from the column headed “Responsible Person” for the brand “Augmentin Duo forte” (all instances): GK substitute: AS
Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Powder for oral suspension containing 125 mg amoxycillin (as trihydrate) with 31.25 mg clavulanic acid (as potassium clavulanate) per 5 mL, 75 mL
omit from the column headed “Responsible Person” for the brand “Augmentin” (all instances): GK substitute: AS
Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Powder for oral suspension containing 400 mg amoxycillin (as trihydrate) with 57 mg clavulanic acid (as potassium clavulanate) per 5 mL, 60 mL
omit from the column headed “Responsible Person” for the brand “Augmentin Duo 400” (all instances): GK substitute: AS
Schedule 1, entry for Anastrozole
omit:
| Anastrozole-PS | FZ | MP NP | C2213 | 30 | 5 | 30 |
Schedule 1, entry for Atenolol in the form Tablet 50 mg
omit:
| Atenolol-PS | FZ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Atovaquone
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Azathioprine in the form Tablet 50 mg
omit:
| Azathioprine-PS | FZ | MP NP | 100 | 5 | 100 |
Schedule 1, entry for Bisoprolol in each of the forms: Tablet containing bisoprolol fumarate 2.5 mg; Tablet containing bisoprolol fumarate 5 mg; and Tablet containing bisoprolol fumarate 10 mg
omit:
| Bisoprolol Pfizer | FZ | MP NP | C3234 | 28 | 5 | 28 |
Schedule 1, after entry for Bleomycin in the form Powder for injection containing bleomycin sulfate 15,000 I.U. [Hospira Pty Limited]
insert:
| Boceprevir | Capsule 200 mg | Oral | Victrelis | MK | MP See Note 1 | C4182 C4196 C4202 C4205 | See Note 3 | See Note 3 | 336 | D(100) |
Schedule 1, entry for Bupropion
omit from the column headed “Responsible Person” for the brand “Zyban” (all instances): GK substitute: AS
Schedule 1, entry for Calcitriol
omit:
| Calcitriol-PS | FZ | MP NP | C1165 C1166 C1167 C1467 C2636 | 100 | 3 | 100 |
Schedule 1, entry for Ceftriaxone in the form Powder for injection 1 mg (as sodium)
omit from the column headed “Pack Quantity” for the brand “Max Pharma Ceftriaxone”: 1 substitute: 5
Schedule 1, entry for Cefuroxime in the form Tablet 250 mg (as axetil)
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Cephalexin in the form Capsule 250 mg (anhydrous)
(a)omit:
| Cephalexin-PS | FZ | PDP | 20 | 0 | 20 |
(b)omit:
| Cephalexin-PS | FZ | MP NP MW | 20 | 1 | 20 |
Schedule 1, entry for Cephalexin in the form Capsule 500 mg (anhydrous)
(a)omit:
| Cephalexin-PS | FZ | PDP | 20 | 0 | 20 |
(b)omit:
| Cephalexin-PS | FZ | MP NP MW | 20 | 1 | 20 |
Schedule 1, entry for Ciprofloxacin in the form Tablet 500 mg (as hydrochloride)
omit:
| Ciprofloxacin-PS | FZ | MP NP | C1431 C1432 C1572 C1573 | 14 | 0 | 14 |
Schedule 1, entry for Ciprofloxacin in the form Tablet 750 mg (as hydrochloride)
(a)omit:
| Ciprofloxacin-PS | FZ | MP NP | C1431 C1432 C1572 C1573 | 14 | 0 | 14 |
(b)omit from the column headed “Pack Quantity” for the brand “Ciprol 750”: 1 substitute: 14
Schedule 1, entry for Ciprofloxacin in the form Eye drops 3 mg (as hydrochloride) per mL, 5 mL [CiloQuin]
(a)omit from the column headed “Circumstances”: C1031 substitute: C4195
(b)omit from the column headed “Circumstances”: C3830 substitute: C4181
Schedule 1, entry for Ciprofloxacin in the form Eye drops 3 mg (as hydrochloride) per mL, 5 mL [Ciloxan]
(a)omit from the column headed “Circumstances”: C1031 substitute: C4195
(b)omit from the column headed “Circumstances”: C3830 substitute: C4181
Schedule 1, entry for Citalopram in each of the forms: Tablet 20 mg (as hydrobromide); and Tablet 40 mg (as hydrobromide)
omit:
| Citalopram Pfizer | FZ | MP NP | C1211 | 28 | 5 | 28 |
Schedule 1, entry for Clarithromycin in the form Tablet 250 mg
omit:
| Clarithromycin-PS | FZ | MP NP | 14 | 1 | 14 |
Schedule 1, entry for Clopidogrel in the form Tablet 75 mg (as besilate)
omit:
| Clopidogrel-PS | FZ | MP NP | C1719 C1720 C1721 C1722 C1723 C1724 | 28 | 5 | 28 |
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg
(a)omit:
| Cyproterone-PS | FZ | MP | C1014 C1230 C1404 | P1230 | 20 | 5 | 20 |
(b)omit:
| Cyproterone-PS | FZ | MP | C1014 C1230 C1404 | P1014 P1404 | 100 | 5 | 50 |
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 100 mg
omit:
| Cyproterone-PS 100 | FZ | MP | C1014 C1404 | 50 | 5 | 50 |
Schedule 1, entry for Diltiazem in the form Tablet containing diltiazem hydrochloride 60 mg
omit:
| Diltiazem-PS | FZ | MP NP | 90 | 5 | 90 |
Schedule 1, entry for Donepezil
substitute:
| Donepezil | Tablet containing donepezil hydrochloride 5 mg | Oral | APO-Donepezil | TX | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 |
| Arazil | AF | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Aricept | PF | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Aridon 5 | QA | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Chem mart Donepezil | CH | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil-DRLA | RZ | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil-GA | GM | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil generichealth | GQ | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil RBX | RA | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil Sandoz | SZ | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil-Synthon | ZT | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| STADA Donepezil | TD | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Terry White Chemists Donepezil | TW | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Tablet containing donepezil hydrochloride 10 mg | Oral | APO-Donepezil | TX | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |
| Arazil | AF | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Aricept | PF | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Aridon 10 | QA | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Chem mart Donepezil | CH | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil-DRLA | RZ | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil-GA | GM | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil generichealth | GQ | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil RBX | RA | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil Sandoz | SZ | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Donepezil-Synthon | ZT | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| STADA Donepezil | TD | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 | |||
| Terry White Chemists Donepezil | TW | MP NP | C2934 C2938 C3875 C3876 | 28 | 5 | 28 |
Schedule 1, entry for Doxycycline in the form Tablet 100 mg (as monohydrate) [Maximum Quantity 21; Number of Repeats 0]
omit from the column headed “Pack Quantity” for the brand “GenRx Doxycycline”: 7 substitute: 21
Schedule 1, entry for Doxycycline in the form Capsule 100 mg (as hydrochloride) (containing enteric coated pellets)
[Maximum Quantity 21; Number of Repeats 0]
omit from the column headed “Pack Quantity” for the brands “Doryx” and “Mayne Pharma Doxycycline”: 7 substitute: 21
Schedule 1, entry for Duloxetine
substitute:
| Duloxetine | Capsule 30 mg (as hydrochloride) | Oral | Andepra | EL | MP NP | C1211 | 28 | 0 | 28 |
| APO-Duloxetine | TX | MP NP | C1211 | 28 | 0 | 28 | |||
| Chem mart Duloxetine | CH | MP NP | C1211 | 28 | 0 | 28 | |||
| Cymbalta | LY | MP NP | C1211 | 28 | 0 | 28 | |||
| Terry White Chemists Duloxetine | TW | MP NP | C1211 | 28 | 0 | 28 | |||
| Capsule 60 mg (as hydrochloride) | Oral | Andepra | EL | MP NP | C1211 | 28 | 5 | 28 | |
| APO-Duloxetine | TX | MP NP | C1211 | 28 | 5 | 28 | |||
| Chem mart Duloxetine | CH | MP NP | C1211 | 28 | 5 | 28 | |||
| Cymbalta | LY | MP NP | C1211 | 28 | 5 | 28 | |||
| Terry White Chemists Duloxetine | TW | MP NP | C1211 | 28 | 5 | 28 |
Schedule 1, entry for Enalapril in each of the forms: Tablet containing enalapril maleate 5 mg; Tablet containing enalapril maleate 10 mg; and Tablet containing enalapril maleate 20 mg
omit:
| Enalapril-PS | FZ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Epirubicin in the form Solution for injection containing epirubicin hydrochloride 50 mg in 25 mL
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Epirubicin SZ | HX | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Epirubicin in the form Solution for injection containing epirubicin hydrochloride 200 mg in 100 mL
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Epirubicin SZ | HX | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Famotidine in the form Tablet 20 mg
omit:
| Famotidine-PS | FZ | MP NP | 60 | 5 | 60 |
Schedule 1, entry for Famotidine in the form Tablet 40 mg
omit:
| Famotidine-PS | FZ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Fludarabine in the form Tablet containing fludarabine phosphate 10 mg
omit from the column headed “Pack Quantity”: 1 substitute: 20
Schedule 1, entry for Fludarabine in the form Powder for I.V. injection containing fludarabine phosphate 50 mg
omit from the column headed “Pack Quantity” for the brand “Fludara”: 1 substitute: 5
Schedule 1, entry for Fludarabine in the form Solution for I.V. injection 50 mg fludarabine phosphate in 2 mL
omit from the column headed “Pack Quantity” for the brand “AS-Fludarabine”: 5 substitute: 1
Schedule 1, entry for Fluoxetine in the form Capsule 20 mg (as hydrochloride)
omit:
| Fluoxetine-PS | FZ | MP NP | C1211 C1241 | 28 | 5 | 28 |
Schedule 1, entry for Flutamide
substitute:
| Flutamide | Tablet 250 mg | Oral | Flutamin | AF | MP NP | C3674 | 100 | 5 | 100 |
Schedule 1, entry for Frusemide in each of the forms: Tablet 20 mg; and Tablet 40 mg
omit:
| Frusemide-PS | FZ | MP NP | 100 | 1 | 100 |
Schedule 1, entry for Indapamide in the form Tablet containing indapamide hemihydrate 2.5 mg
omit:
| Indapamide-PS | FZ | MP NP | 90 | 1 | 90 |
Schedule 1, entry for Interferon Beta-1b
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Extavia | NV | MP | C1175 C1751 | 15 | 5 | 15 |
Schedule 1, entry for Irbesartan
substitute:
| Irbesartan | Tablet 75 mg | Oral | Abisart | AF | MP NP | 30 | 5 | 30 |
| APO-Irbesartan | TX | MP NP | 30 | 5 | 30 | |||
| Avapro | AV | MP NP | 30 | 5 | 30 | |||
| Chem mart Irbesartan | CH | MP NP | 30 | 5 | 30 | |||
| Irbesartan-DRLA | RZ | MP NP | 30 | 5 | 30 | |||
| Irbesartan-GA | GM | MP NP | 30 | 5 | 30 | |||
| Irbesartan RBX | RA | MP NP | 30 | 5 | 30 | |||
| Irbesartan Sandoz | SZ | MP NP | 30 | 5 | 30 | |||
| Irbesartan Winthrop | WA | MP NP | 30 | 5 | 30 | |||
| Irbesat | GQ | MP NP | 30 | 5 | 30 | |||
| Karbesat 75 | QA | MP NP | 30 | 5 | 30 | |||
| Karvea | SW | MP NP | 30 | 5 | 30 | |||
| Terry White Chemists Irbesartan | TW | MP NP | 30 | 5 | 30 | |||
| Tablet 150 mg | Oral | Abisart | AF | MP NP | 30 | 5 | 30 | |
| APO-Irbesartan | TX | MP NP | 30 | 5 | 30 | |||
| Avapro | AV | MP NP | 30 | 5 | 30 | |||
| Chem mart Irbesartan | CH | MP NP | 30 | 5 | 30 | |||
| Irbesartan-DRLA | RZ | MP NP | 30 | 5 | 30 | |||
| Irbesartan-GA | GM | MP NP | 30 | 5 | 30 | |||
| Irbesartan RBX | RA | MP NP | 30 | 5 | 30 | |||
| Irbesartan Sandoz | SZ | MP NP | 30 | 5 | 30 | |||
| Irbesartan Winthrop | WA | MP NP | 30 | 5 | 30 | |||
| Irbesat | GQ | MP NP | 30 | 5 | 30 | |||
| Karbesat 150 | QA | MP NP | 30 | 5 | 30 | |||
| Karvea | SW | MP NP | 30 | 5 | 30 | |||
| Terry White Chemists Irbesartan | TW | MP NP | 30 | 5 | 30 | |||
| Tablet 300 mg | Oral | Abisart | AF | MP NP | 30 | 5 | 30 | |
| APO-Irbesartan | TX | MP NP | 30 | 5 | 30 | |||
| Avapro | AV | MP NP | 30 | 5 | 30 | |||
| Chem mart Irbesartan | CH | MP NP | 30 | 5 | 30 | |||
| Irbesartan-DRLA | RZ | MP NP | 30 | 5 | 30 | |||
| Irbesartan-GA | GM | MP NP | 30 | 5 | 30 | |||
| Irbesartan RBX | RA | MP NP | 30 | 5 | 30 | |||
| Irbesartan Sandoz | SZ | MP NP | 30 | 5 | 30 | |||
| Irbesartan Winthrop | WA | MP NP | 30 | 5 | 30 | |||
| Irbesat | GQ | MP NP | 30 | 5 | 30 | |||
| Karbesat 300 | QA | MP NP | 30 | 5 | 30 | |||
| Karvea | SW | MP NP | 30 | 5 | 30 | |||
| Terry White Chemists Irbesartan | TW | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Irbesartan with Hydrochlorothiazide
substitute:
| Irbesartan with Hydrochlorothiazide | Tablet 150 mg-12.5 mg | Oral | Abisart HCT 150/12.5 | AF | MP NP | C3307 | 30 | 5 | 30 |
| APO-Irbesartan HCTZ | TX | MP NP | C3307 | 30 | 5 | 30 | |||
| Avapro HCT 150/12.5 | AV | MP NP | C3307 | 30 | 5 | 30 | |||
| Chem mart Irbesartan HCTZ | CH | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan/HCT Sandoz | SZ | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan HCT Winthrop 150/12.5 | WA | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan HCTZ-GA 150/12.5 | GM | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan/HCTZ RBX 150/12.5 | RA | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesatzide 150/12.5 | GQ | MP NP | C3307 | 30 | 5 | 30 | |||
| Karvezide 150/12.5 | SW | MP NP | C3307 | 30 | 5 | 30 | |||
| KSART HCT 150/12.5 | QA | MP NP | C3307 | 30 | 5 | 30 | |||
| STADA Irbesartan HCT 150/12.5 | TD | MP NP | C3307 | 30 | 5 | 30 | |||
| Terry White Chemists Irbesartan HCTZ | TW | MP NP | C3307 | 30 | 5 | 30 | |||
| Tablet 300 mg-12.5 mg | Oral | Abisart HCT 300/12.5 | AF | MP NP | C3307 | 30 | 5 | 30 | |
| APO-Irbesartan HCTZ | TX | MP NP | C3307 | 30 | 5 | 30 | |||
| Avapro HCT 300/12.5 | AV | MP NP | C3307 | 30 | 5 | 30 | |||
| Chem mart Irbesartan HCTZ | CH | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan/HCT Sandoz | SZ | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan HCT Winthrop 300/12.5 | WA | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan HCTZ-GA 300/12.5 | GM | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan/HCTZ RBX 300/12.5 | RA | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesatzide 300/12.5 | GQ | MP NP | C3307 | 30 | 5 | 30 | |||
| Karvezide 300/12.5 | SW | MP NP | C3307 | 30 | 5 | 30 | |||
| KSART HCT 300/12.5 | QA | MP NP | C3307 | 30 | 5 | 30 | |||
| STADA Irbesartan HCT 300/12.5 | TD | MP NP | C3307 | 30 | 5 | 30 | |||
| Terry White Chemists Irbesartan HCTZ | TW | MP NP | C3307 | 30 | 5 | 30 | |||
| Tablet 300 mg-25 mg | Oral | Abisart HCT 300/25 | AF | MP NP | C3307 | 30 | 5 | 30 | |
| APO-Irbesartan HCTZ | TX | MP NP | C3307 | 30 | 5 | 30 | |||
| Avapro HCT 300/25 | AV | MP NP | C3307 | 30 | 5 | 30 | |||
| Chem mart Irbesartan HCTZ | CH | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan/HCT Sandoz | SZ | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan HCT Winthrop 300/25 | WA | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan HCTZ-GA 300/25 | GM | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesartan/HCTZ RBX 300/25 | RA | MP NP | C3307 | 30 | 5 | 30 | |||
| Irbesatzide 300/25 | GQ | MP NP | C3307 | 30 | 5 | 30 | |||
| Karvezide 300/25 | SW | MP NP | C3307 | 30 | 5 | 30 | |||
| KSART HCT 300/25 | QA | MP NP | C3307 | 30 | 5 | 30 | |||
| STADA Irbesartan HCT 300/25 | TD | MP NP | C3307 | 30 | 5 | 30 | |||
| Terry White Chemists Irbesartan HCTZ | TW | MP NP | C3307 | 30 | 5 | 30 |
Schedule 1, entry for Irinotecan in each of the forms: I.V. injection containing irinotecan hydrochloride trihydrate 40 mg in 2 mL; and
I.V. injection containing irinotecan hydrochloride trihydrate 100 mg in 5 mL
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irinotecan SZ | HX | MP | C3184 | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Isosorbide Mononitrate in the form Tablet 60 mg (sustained release)
omit:
| Isosorbide-PS | FZ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Isotretinoin in the form Capsule 20 mg
omit:
| Isotretinoin-PS | FZ | MP | C1354 | 60 | 3 | 60 |
Schedule 1, entry for Lamivudine in the form Tablet 100 mg
omit from the column headed “Responsible Person” for the brand “Zeffix”: GK substitute: AS
Schedule 1, entry for Lamivudine in the form Oral solution 5 mg per mL, 240 mL
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Lamotrigine in the form Tablet 5 mg
omit from the column headed “Responsible Person” for the brand “Lamictal”: GK substitute: AS
Schedule 1, entry for Lamotrigine in each of the forms: Tablet 5 mg; Tablet 25 mg; Tablet 50 mg; Tablet 100 mg; and Tablet 200 mg
(a)omit from the column headed “Responsible Person” for the brand “Lamictal”: GK substitute: AS
(b)omit:
| Lamotrigine-PS | FZ | MP NP | C1426 | 56 | 5 | 56 |
Schedule 1, entry for Lercanidipine in each of the forms: Tablet containing lercanidipine hydrochloride 10 mg; and Tablet containing lercanidipine hydrochloride 20 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Lercanidipine GH | GQ | MP NP | 28 | 5 | 28 |
Schedule 1, entry for Letrozole
omit:
| Letara | FZ | MP NP | C1608 C2691 C2692 | 30 | 5 | 30 |
Schedule 1, entry for Levetiracetam in each of the forms: Tablet 250 mg; Tablet 500 mg; and Tablet 1 g
omit:
| Levetiracetam Pfizer | FZ | MP NP | C2664 | 60 | 5 | 60 |
Schedule 1, entry for Levonorgestrel with Ethinyloestradiol
insert as first entry in the columns in the order indicated:
| Pack containing 21 tablets 100 micrograms-20 micrograms and 7 inert tablets | Oral | Femme-Tab ED 20/100 | AE | MP NP | 4 | 2 | 4 |
Schedule 1, entry for Levonorgestrel with Ethinyloestradiol in the form Pack containing 21 tablets 150 micrograms-30 micrograms
and 7 inert tablets
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Femme-Tab ED 30/150 | AE | MP NP | 4 | 2 | 4 |
Schedule 1, entry for Lisinopril in each of the forms: Tablet 5 mg; Tablet 10 mg; and Tablet 20 mg
omit:
| Lisinopril-PS | FZ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Lithium in the form Tablet containing lithium carbonate 450 mg (slow release)
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Mesalazine in the form Tablet 250 mg (enteric coated)
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Meloxicam in each of the forms: Tablet 7.5 mg; and Tablet 15 mg
omit:
| Meloxicam-PS | FZ | MP NP | C1547 C1848 | 30 | 3 | 30 |
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 500 mg
omit:
| Metformin Pfizer | FZ | MP NP | 100 | 5 | 100 |
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 850 mg
omit:
| Metformin Pfizer | FZ | MP NP | 60 | 5 | 60 |
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 1 g
omit:
| Metformin Pfizer | FZ | MP NP | 90 | 5 | 90 |
Schedule 1, entry for Mirtazapine in the form Tablet 15 mg
omit:
| Mirtazapine Pfizer | FZ | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 15 mg (orally disintegrating)
omit:
| Mirtazapine Dispersible Pfizer | FZ | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 30 mg
omit:
| Mirtazapine Pfizer | FZ | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 30 mg (orally disintegrating)
omit:
| Mirtazapine Dispersible Pfizer | FZ | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 45 mg
omit:
| Mirtazapine Pfizer | FZ | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 45 mg (orally disintegrating)
omit:
| Mirtazapine Dispersible Pfizer | FZ | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Moclobemide in each of the forms: Tablet 150 mg; and Tablet 300 mg
omit:
| Moclobemide-PS | FZ | MP NP | C1211 | 60 | 5 | 60 |
Schedule 1, entry for Mometasone in each of the forms: Ointment containing mometasone furoate 1 mg per g, 15 g; and Lotion containing mometasone furoate 1 mg per g, 30 mL
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Zatamil | EO | MP NP | C1422 | 1 | 0 | 1 |
Schedule 1, entry for Morphine in the form Injection containing morphine sulphate 10 mg in 1 mL (with preservative)
(a)omit from the column headed “Maximum Quantity”: 1 substitute: 10
(b)omit from the column headed “Pack Quantity”: 1 substitute: 10
Schedule 1, entry for Naratriptan
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Norfloxacin
omit:
| Norfloxacin-PS | FZ | MP NP | C1002 C1070 | 14 | 1 | 14 |
Schedule 1, entry for Ofloxacin
(a)omit from the column headed “Circumstances”: C1031 substitute: C4195
(b)omit from the column headed “Circumstances”: C3830 substitute: C4181
Schedule 1, entry for Olanzapine in each of the forms: Tablet 2.5 mg; Tablet 5 mg; Tablet 7.5 mg; and Tablet 10 mg
omit:
| Olanzapine-PS | FZ | MP NP | C1589 C2044 | 28 | 5 | 28 |
Schedule 1, entry for Olanzapine in each of the forms: Tablet 5 mg (orally disintegrating); and Tablet 10 mg (orally disintegrating)
omit:
| PS Olanzapine ODT | FZ | MP NP | C1589 C2044 | 28 | 5 | 28 |
Schedule 1, entry for Omeprazole in the form Tablet 20 mg
(a)omit:
| Omeprazole-PS | FZ | MP NP | C4074 C4075 C4089 C4152 | P4074 | 30 | 1 | 30 |
(b)omit:
| Omeprazole-PS | FZ | MP NP | C4074 C4075 C4089 C4152 | P4075 P4089 P4152 | 30 | 5 | 30 |
Schedule 1, entry for Ondansetron in the form Tablet 4 mg (as hydrochloride dihydrate) [Maximum Quantity 4; Number of Repeats 0]
omit from the column headed “Responsible Person” for the brand “Zofran”: GK substitute: AS
Schedule 1, entry for Ondansetron in the form Tablet 4 mg (as hydrochloride dihydrate)
[Maximum Quantity 10; Number of Repeats 1]
(a)omit:
| Ondansetron Tabs Pfizer | FZ | MP NP | C3050 C3611 | P3611 | 10 | 1 | 10 |
(b)omit from the column headed “Responsible Person” for the brand “Zofran”: GK substitute: AS
Schedule 1, entry for Ondansetron in the form Tablet 8 mg (as hydrochloride dihydrate) [Maximum Quantity 4; Number of Repeats 0]
omit from the column headed “Responsible Person” for the brand “Zofran”: GK substitute: AS
Schedule 1, entry for Ondansetron in the form Tablet 8 mg (as hydrochloride dihydrate) [Maximum Quantity 10; Number of Repeats 1]
(a)omit:
| Ondansetron Tabs Pfizer | FZ | MP NP | C3050 C3611 | P3611 | 10 | 1 | 10 |
(b)omit from the column headed “Responsible Person” for the brand “Zofran”: GK substitute: AS
Schedule 1, entry for Ondansetron in each of the forms: Wafer 4 mg; and Wafer 8 mg
omit from the column headed “Responsible Person” for the brand “Zofran Zydis” (all instances): GK substitute: AS
Schedule 1, entry for Ondansetron in the form Syrup 4 mg (as hydrochloride dihydrate) per 5 mL, 50 mL
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Ondansetron in each of the forms: I.V. injection 4 mg (as hydrochloride dihydrate) in 2 mL; and I.V. injection 8 mg (as hydrochloride dihydrate) in 4 mL
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron Kabi | PK | MP NP See Note 1 | C3050 C3611 See Note 2 | See Note 2 | 1 See Note 2 | 0 See Note 2 | 1 |
(b)omit from the column headed “Responsible Person” for the brand “Zofran”: GK substitute: AS
Schedule 1, entry for Oxaliplatin in the form Solution concentrate for I.V. infusion 100 mg in 20 mL
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Oxaliplatin SZ | HX | MP | C3900 C3901 C3930 C3939 | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Pamidronic Acid
omit:
| Concentrated injection containing disodium pamidronate 30 mg in 10 mL | Injection | Pamisol | HH | MP NP | C3256 | 2 | 0 | 1 |
| MP See Note 1 | C1500 C3341 | 2 | 2 | 1 | C(100) |
substitute:
| Concentrated injection containing disodium pamidronate 30 mg in 10 mL | Injection | Pamidronate Strides | YA | MP NP | C3256 | 2 | 0 | 1 |
| MP See Note 1 | C1500 C3341 | 2 | 2 | 1 | C(100) | |||
| Pamisol | HH | MP NP | C3256 | 2 | 0 | 1 | ||
| MP See Note 1 | C1500 C3341 | 2 | 2 | 1 | C(100) |
Schedule 1, entry for Pamidronic Acid in the form Concentrated injection containing disodium pamidronate 90 mg in 10 mL
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pamidronate Strides | YA | MP See Note 1 | C1035 C1233 C1500 C3341 C3342 C3343 | 1 | 11 | 1 | PB(100) |
Schedule 1, entry for Pantoprazole in the form Tablet (enteric coated) 40 mg (as sodium sesquihydrate)
(a)omit:
| Pantoprazole-PS | FZ | MP NP | C1177 C1337 C1476 C1533 | P1177 | 30 | 2 | 30 |
(b)omit:
| Pantoprazole-PS | FZ | MP NP | C1177 C1337 C1476 C1533 | P1337 P1476 P1533 | 30 | 5 | 30 |
Schedule 1, entry for Pantoprazole in the form Tablet (enteric coated) 20 mg (as sodium sesquihydrate)
omit:
| Pantoprazole-PS | FZ | MP NP | C1337 C1476 C1533 | 30 | 5 | 30 |
Schedule 1, entry for Paroxetine in the form Tablet 20 mg (as hydrochloride)
(a)omit from the column headed “Responsible Person” for the brand “Aropax”: GK substitute: AS
(b)omit:
| Paroxetine-PS | FZ | MP NP | C1211 C1241 C1862 | 30 | 5 | 30 |
Schedule 1, entry for Pioglitazone in each of the forms: Tablet 15 mg (as hydrochloride); Tablet 30 mg (as hydrochloride);
and Tablet 45 mg (as hydrochloride)
omit:
| Pioglitazone Pfizer | FZ | MP NP | C3540 C3541 C3542 | 28 | 5 | 28 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 10 mg
(a)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 20 mg
(a)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 40 mg
(a)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 80 mg
(a)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Pravastatin-PS | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Prochlorperazine in the form Tablet containing prochlorperazine maleate 5 mg
omit:
| Prochlorperazine-PS | FZ | PDP MP NP | 25 | 0 | 25 |
Schedule 1, entry for Pyrimethamine
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Quetiapine in the form Tablet 25 mg (as fumarate)
omit:
| Quetiapine Pfizer | FZ | MP NP | C1589 C2044 C2765 | 60 | 5 | 60 |
Schedule 1, entry for Quetiapine in the form Tablet 100 mg (as fumarate)
omit:
| Quetiapine Pfizer | FZ | MP NP | C1589 C2044 C2765 | 90 | 5 | 90 |
Schedule 1, entry for Quetiapine in each of the forms: Tablet 200 mg (as fumarate); and Tablet 300 mg (as fumarate)
omit:
| Quetiapine Pfizer | FZ | MP NP | C1589 C2044 C2765 | 60 | 5 | 60 |
Schedule 1, entry for Rabeprazole in the form Tablet containing rabeprazole sodium 10 mg (enteric coated)
omit:
| Rabeprazole Pfizer | FZ | MP NP | C1337 C1533 | 28 | 5 | 28 |
Schedule 1, entry for Rabeprazole in the form Tablet containing rabeprazole sodium 20 mg (enteric coated)
(a)omit:
| Rabeprazole Pfizer | FZ | MP NP | C1177 C1337 C1533 | P1177 | 30 | 2 | 30 |
(b)omit:
| Rabeprazole Pfizer | FZ | MP NP | C1177 C1337 C1533 | P1337 P1533 | 30 | 5 | 30 |
Schedule 1, entry for Ramipril in each of the forms: Tablet 1.25 mg; Tablet 2.5 mg; Tablet 5 mg; and Tablet 10 mg
omit:
| Ramipril Tabs Pfizer | FZ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Ramipril in the form Capsule 10 mg
omit:
| Ramipril-PS | FZ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Ranitidine in the form Tablet 150 mg (as hydrochloride)
(a)omit:
| Ranitidine-PS | FZ | MP NP MW | 60 | 5 | 60 |
(b)omit from the column headed “Responsible Person” for the brand “Zantac”: GK substitute: AS
Schedule 1, entry for Ranitidine in the form Tablet, effervescent, 150 mg (as hydrochloride)
(a)omit from the column headed “Responsible Person”: GK substitute: AS
(b)omit from the column headed “Pack Quantity”: 60 substitute: 30
Schedule 1, entry for Ranitidine in the form Tablet 300 mg (as hydrochloride)
omit from the column headed “Responsible Person” for the brand “Zantac”: GK substitute: AS
Schedule 1, entry for Ranitidine in the form Syrup 150 mg (as hydrochloride) per 10 mL, 300 mL
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2a
omit from the column headed “Circumstances” (all instances):
C3053 C3055 C3413 C3414
substitute:
C4184 C4185 C4187 C4188 C4193 C4197 C4206 C4207
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 112 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 50 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3414 C3948 C3949
substitute:
C4184 C4185 C4187 C4188 C4189 C4192 C4193 C4197 C4198 C4199 C4200 C4203 C4206 C4207 C4208 C4209
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 84 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 80 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3414 C3948 C3949
substitute:
C4184 C4185 C4187 C4188 C4189 C4192 C4193 C4197 C4198 C4199 C4200 C4203 C4206 C4207 C4208 C4209
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 140 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 80 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3055 C3413 C3414
substitute:
C4184 C4185 C4187 C4188 C4193 C4197 C4206 C4207
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 112 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 100 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3414 C3948 C3949
substitute:
C4184 C4185 C4187 C4188 C4189 C4192 C4193 C4197 C4198 C4199 C4200 C4203 C4206 C4207 C4208 C4209
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 140 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 120 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3055 C3413 C3414
substitute:
C4184 C4185 C4187 C4188 C4193 C4197 C4206 C4207
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 140 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 150 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3055 C3413 C3414
substitute:
C4184 C4185 C4187 C4188 C4193 C4197 C4206 C4207
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 168 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 150 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3055 C3413 C3414
substitute:
C4184 C4185 C4187 C4188 C4193 C4197 C4206 C4207
Schedule 1, entry for Ribavirin and Peginterferon Alfa-2b in the form Pack containing 196 capsules ribavirin 200 mg
and 4 single use injection pens containing peginterferon alfa-2b powder for injection 150 micrograms with diluent
omit from the column headed “Circumstances”:
C3053 C3055 C3413 C3414
substitute:
C4184 C4185 C4187 C4188 C4193 C4197 C4206 C4207
Schedule 1, entry for Risperidone in the form Tablet 0.5 mg
(a)omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2061 C3083 | P2061 P3083 | 60 | 2 | 60 |
(b)omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2061 C3083 | P1589 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 1 mg
(a)omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2061 C2272 C3083 | P2061 P3083 | 60 | 2 | 60 |
(b)omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2061 C2272 C3083 | P1589 P2272 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 2 mg
(a)omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2272 C3083 | P3083 | 60 | 2 | 60 |
(b)omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2272 C3083 | P1589 P2272 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 3 mg
omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2272 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 3 mg (orally disintegrating)
omit from the column headed “Pack Quantity”: 60 substitute: 28
Schedule 1, entry for Risperidone in the form Tablet 4 mg
omit:
| Risperidone Pfizer | FZ | MP NP | C1589 C2272 | 60 | 5 | 60 |
Schedule 1, after entry for Rosuvastatin in the form Tablet 40 mg (as calcium)
insert:
| Rotigotine | Transdermal patch 4.5 mg | Transdermal | Neupro | UC | MP | C4190 | 28 | 5 | 28 |
| Transdermal patch 9 mg | Transdermal | Neupro | UC | MP | C4204 | 28 | 5 | 28 | |
| Transdermal patch 13.5 mg | Transdermal | Neupro | UC | MP | C4204 | 28 | 5 | 28 |
Schedule 1, entry for Roxithromycin in the form Tablet 150 mg
(a)omit:
| Roxithromycin-PS | FZ | PDP | 10 | 0 | 10 |
(b)omit:
| Roxithromycin-PS | FZ | MP NP | 10 | 1 | 10 |
Schedule 1, entry for Roxithromycin in the form Tablet 300 mg
(a)omit:
| Roxithromycin-PS | FZ | PDP | 5 | 0 | 5 |
(b)omit:
| Roxithromycin-PS | FZ | MP NP | 5 | 1 | 5 |
Schedule 1, entry for Simvastatin in the form Tablet 10 mg
(a)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 20 mg
(a)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 40 mg
(a)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 80 mg
(a)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
(b)omit:
| Simvastatin Pfizer | FZ | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, after entry for Sitagliptin with metformin in the form Tablet containing 50 mg sitagliptin (as phosphate monohydrate) with 1000 mg metformin hydrochloride
insert:
| Sitagliptin with simvastatin | Tablet 100 mg (as phosphate monohydrate)-10 mg | Oral | Juvicor | MK | MP NP | C4183 | 28 | 5 | 28 |
| Tablet 100 mg (as phosphate monohydrate)-20 mg | Oral | Juvicor | MK | MP NP | C4183 | 28 | 5 | 28 | |
| Tablet 100 mg (as phosphate monohydrate)-40 mg | Oral | Juvicor | MK | MP NP | C4183 | 28 | 5 | 28 |
Schedule 1, entry for Sumatriptan
substitute:
| Sumatriptan | Tablet 50 mg (as succinate) | Oral | APO-Sumatriptan | TX | MP NP | C3233 | 4 | 5 | 2 |
| Chem mart Sumatriptan | CH | MP NP | C3233 | 4 | 5 | 2 | |||
| Imigran | LN | MP NP | C3233 | 4 | 5 | 2 | |||
| Sumagran 50 | QA | MP NP | C3233 | 4 | 5 | 2 | |||
| Sumagran Aspen 50 | AS | MP NP | C3233 | 4 | 5 | 2 | |||
| Sumatab | AF | MP NP | C3233 | 4 | 5 | 2 | |||
| Terry White Chemists Sumatriptan | TW | MP NP | C3233 | 4 | 5 | 2 | |||
| APO-Sumatriptan | TX | MP NP | C3233 | 4 | 5 | 4 | |||
| Chem mart Sumatriptan | CH | MP NP | C3233 | 4 | 5 | 4 | |||
| Pharmacor Sumatriptan 50 | CR | MP NP | C3233 | 4 | 5 | 4 | |||
| Sumatriptan-GA | GM | MP NP | C3233 | 4 | 5 | 4 | |||
| Sumatriptan generichealth | GQ | MP NP | C3233 | 4 | 5 | 4 | |||
| Sumatriptan RBX | RA | MP NP | C3233 | 4 | 5 | 4 | |||
| Terry White Chemists Sumatriptan | TW | MP NP | C3233 | 4 | 5 | 4 | |||
| Tablet (fast disintegrating) 50 mg (as succinate) | Oral | Imigran FDT | AS | MP NP | C3233 | 4 | 5 | 2 | |
| Nasal spray 20 mg in 0.1 mL single dose unit | Nasal | Imigran | AS | MP NP | C3233 | 2 | 5 | 2 |
Schedule 1, entry for Strontium
omit from the column headed “Circumstances”:
C4071 C4107
substitute:
C4117 C4123
Schedule 1, after entry for Tamoxifen in the form Tablet 20 mg (as citrate) [Tamoxifen Sandoz]
insert:
| Telaprevir | Tablet 375 mg | Oral | Incivo | JC | MP See Note 1 | C4186 C4191 C4194 C4201 | See Note 3 | See Note 3 | 42 | D(100) |
Schedule 1, entry for Thiamine
(a)omit from the column headed “Brand”: Betamin substitute: Betavit
(b)omit from the column headed “Responsible Person”: SW substitute: PP
Schedule 1, entry for Ticarcillin with Clavulanic Acid
omit from the column headed “Responsible Person”: GK substitute: AS
Schedule 1, entry for Topotecan in the form Powder for I.V. infusion 4 mg (as hydrochloride)
omit from the column headed “Pack Quantity” for the brand “Topotecan Agila”: 5 substitute: 1
Schedule 1, entry for Tropisetron in the form I.V. injection 5 mg (as hydrochloride) in 5 mL
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Tropisetron-AFT | AE | MP NP See Note 1 | C3050 | 1 | 0 | 1 |
Schedule 1, entry for Valaciclovir in the form Tablet 500 mg (as hydrochloride) [Maximum Quantity 20; Number of Repeats 0]
(a)omit:
| Valaciclovir Pfizer | FZ | MP NP | C3622 C3623 C3624 C3631 C3632 | P3632 | 20 | 0 | 10 |
(b)omit from the column headed “Responsible Person” for the brand “Valtrex”: GK substitute: AS
(c)omit:
| Valvala | NV | MP NP | C3622 C3624 C3631 C3632 | P3632 | 20 | 0 | 10 |
Schedule 1, entry for Valaciclovir in the form Tablet 500 mg (as hydrochloride) [Maximum Quantity 30; Number of Repeats 5]
(a)omit:
| Valaciclovir Pfizer | FZ | MP NP | C3622 C3623 C3624 C3631 C3632 | P3623 P3624 | 30 | 5 | 30 |
(b)omit from the column headed “Responsible Person” for the brand “Valtrex”: GK substitute: AS
(c)omit:
| Valvala | NV | MP NP | C3622 C3624 C3631 C3632 | P3624 | 30 | 5 | 30 |
Schedule 1, entry for Valaciclovir in the form Tablet 500 mg (as hydrochloride) [Maximum Quantity 42; Number of Repeats 0]
(a)omit:
| Valaciclovir Pfizer | FZ | MP NP | C3622 C3623 C3624 C3631 C3632 | P3622 P3631 | 42 | 0 | 42 |
(b)omit from the column headed “Responsible Person” for the brand “Valtrex”: GK substitute: AS
(c)omit:
| Valvala | NV | MP NP | C3622 C3624 C3631 C3632 | P3622 P3631 | 42 | 0 | 42 |
Schedule 1, entry for Valaciclovir in the form Tablet 500 mg (as hydrochloride) [Maximum Quantity 500; Number of Repeats 2]
(a)omit from the column headed “Responsible Person” for the brand “Valtrex”: GK substitute: AS
(b)omit:
| Valvala | NV | MP See Note 1 | C1494 C3419 | 500 | 2 | 100 | C(100) |
Schedule 3, after details relevant to Responsible person code EL
insert:
| EO | Ego Pharmaceuticals Proprietary Limited | 86 005 142 361 |
Schedule 4, Part 1, after entry for Bleomycin
insert:
| Boceprevir | C4182 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must have received no more than one prior treatment with interferon alfa or peginterferon alfa for hepatitis C; Patient must be 18 years or older Chronic genotype 1 hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4182 |
| C4196 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be 18 years or older; Evidence of chronic genotype 1 hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4202 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must not be pregnant or breastfeeding. Female partners of male patients must not be pregnant. Patients and their partners must each be using an effective form of contraception if of child-bearing age Evidence of chronic genotype 1 hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4202 | |
| C4205 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be 18 years or older; Chronic genotype 1 hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures |
Schedule 4, Part 1, entry for Ciprofloxacin
(a)omit:
| C1031 | Bacterial keratitis | Compliance with Authority Required procedures |
(b)omit:
| C3830 | Bacterial keratitis under the supervision and direction of an ophthalmologist | Compliance with Authority Required procedures |
(c)insert in numerical order after existing text:
| C4181 | Bacterial keratitis Must be treated by an ophthalmologist or in consultation with an ophthalmologist | Compliance with Authority Required procedures |
| C4195 | Bacterial keratitis Must be treated by an ophthalmologist or in consultation with an ophthalmologist | Compliance with Authority Required procedures |
Schedule 4, Part 1, entry for Ofloxacin
substitute:
| Ofloxacin | C4181 | Bacterial keratitis Must be treated by an ophthalmologist or in consultation with an ophthalmologist | Compliance with Authority Required procedures |
| C4195 | Bacterial keratitis Must be treated by an ophthalmologist or in consultation with an ophthalmologist | Compliance with Authority Required procedures |
Schedule 4, Part 1, entry for Ribavirin and Peginterferon Alfa-2a
substitute:
| Ribavirin and Peginterferon Alfa-2a | C4184 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must have compensated liver disease Patient must have received prior treatment with interferon alfa or peginterferon alfa for hepatitis C if using peginterferon and ribavirin in triple combination therapy with telaprevir The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir who were prior treatment relapsers and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR The treatment must cease in patients using peginterferon and ribavirin in combination with telaprevir if HCV RNA is detectable by an HCV RNA qualitative assay at week 12; The treatment must cease in patients using peginterferon and ribavirin in combination with telaprevir if HCV RNA is detectable by an HCV RNA qualitative assay at week 24 Patient must be aged 18 years or older; Patient must not be pregnant or breastfeeding. Female partners of male patients must not be pregnant. Patients and their partners must each be using an effective form of contraception if of child-bearing age Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records. | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4184 |
| C4185 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4187 | Where the patient is receiving treatment at/from a public hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be the sole PBS-subsidised treatment for hepatitis C; The treatment must be limited to a maximum duration of 24 weeks for patients with genotype 2 or 3 hepatitis C without hepatic cirrhosis or bridging fibrosis; OR Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4187 | |
| C4188 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir who were prior treatment relapsers and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR Patient must be aged 18 years or older; Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4193 | Where the patient is receiving treatment at/from a private hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 48 weeks; Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4197 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4197 | |
| C4206 | Where the patient is receiving treatment at/from a public hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4206 | |
| C4207 | Where the patient is receiving treatment at/from a private hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must cease in patients with genotype 4, 5, or 6 hepatitis C unless the results of an HCV RNA quantitative assay at week 12 (performed at the same laboratory using the same test) shows that plasma HCV RNA has become undetectable or the viral load has decreased by at least a 2 log drop; Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures |
Schedule 4, Part 1, entry for Ribavirin and Peginterferon Alfa-2b
substitute:
| Ribavirin and Peginterferon Alfa-2b | C4184 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must have compensated liver disease Patient must have received prior treatment with interferon alfa or peginterferon alfa for hepatitis C if using peginterferon and ribavirin in triple combination therapy with telaprevir The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir who were prior treatment relapsers and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR The treatment must cease in patients using peginterferon and ribavirin in combination with telaprevir if HCV RNA is detectable by an HCV RNA qualitative assay at week 12; The treatment must cease in patients using peginterferon and ribavirin in combination with telaprevir if HCV RNA is detectable by an HCV RNA qualitative assay at week 24 Patient must be aged 18 years or older; Patient must not be pregnant or breastfeeding. Female partners of male patients must not be pregnant. Patients and their partners must each be using an effective form of contraception if of child-bearing age Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4184 |
| C4185 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4187 | Where the patient is receiving treatment at/from a public hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be the sole PBS-subsidised treatment for hepatitis C; The treatment must be limited to a maximum duration of 24 weeks for patients with genotype 2 or 3 hepatitis C without hepatic cirrhosis or bridging fibrosis; OR Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4187 | |
| C4188 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir who were prior treatment relapsers and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR Patient must be aged 18 years or older; Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4189 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 48 weeks; Patient must weigh at least 27 kg; Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4189 | |
| C4192 | Where the patient is receiving treatment at/from a public hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks for patients with genotype 2 or 3 hepatitis C without hepatic cirrhosis or bridging fibrosis; OR Patient must weigh at least 27 kg; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4192 | |
| C4193 | Where the patient is receiving treatment at/from a private hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 48 weeks; Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4197 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks in patients using peginterferon and ribavirin in triple combination therapy with telaprevir and in whom plasma HCV RNA is undetectable by an HCV RNA qualitative assay at weeks 4 and 12; OR Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4197 | |
| C4198 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 48 weeks; Patient must weigh at least 27 kg; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4198 | |
| C4199 | Where the patient is receiving treatment at/from a public hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 48 weeks; Patient must weigh at least 27 kg; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4199 | |
| C4200 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 48 weeks; Patient must weigh at least 27 kg, Patient must not be pregnant or breastfeeding. Female partners of male patients must not be pregnant. Patients and their partners must each be using an effective form of contraception if of child-bearing age Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4203 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 48 weeks; Patient must weigh at least 27 kg; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4206 | Where the patient is receiving treatment at/from a public hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4206 | |
| C4207 | Where the patient is receiving treatment at/from a private hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must cease in patients with genotype 4, 5, or 6 hepatitis C unless the results of an HCV RNA quantitative assay at week 12 (performed at the same laboratory using the same test) shows that plasma HCV RNA has become undetectable or the viral load has decreased by at least a 2 log drop; Patient must be aged 18 years or older; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4208 | Where the patient is receiving treatment at/from a private hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must have received no more than one prior treatment with interferon alfa or peginterferon alfa for hepatitis C The treatment must be limited to a maximum duration of 48 weeks; Patient must weigh at least 27 kg; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4209 | Where the patient is receiving treatment at/from a private hospital Chronic non-genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; The treatment must be limited to a maximum duration of 24 weeks for patients with genotype 2 or 3 hepatitis C without hepatic cirrhosis or bridging fibrosis; OR Patient must weigh at least 27 kg; Evidence of chronic hepatitis C infection (repeated anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures |
Schedule 4, Part 1, after entry for Rosuvastatin
insert:
| Rotigotine | C4190 | Parkinson disease The treatment must be as adjunctive therapy to a levodopa-decarboxylase inhibitor combination |
| C4204 | Parkinson disease The treatment must be as adjunctive therapy to a levodopa-decarboxylase inhibitor combination |
Schedule 4, Part 1, after entry for Sitagliptin with metformin
insert:
| Sitagliptin with simvastatin | C4183 | Diabetes mellitus type 2 and hypercholesterolaemia Patient must meet the criteria set out in the General Statement for Lipid-Lowering Drugs; The date and level of the qualifying HbA1c measurement must be, or must have been, documented in the patient's medical records at the time treatment with a gliptin, a glitazone or a glucagon-like peptide-1 is initiated | Compliance with Authority Required procedures - Streamlined Authority Code 4183 |
Schedule 4, Part 1, entry for Strontium
substitute:
| Strontium | C4117 | Osteoporosis Patient must be aged 70 years or older; Patient must have a Bone Mineral Density (BMD) T-score of -3.0 or less; The date, site (femoral neck or lumbar spine) and score of the qualifying BMD measurement must be documented in the patient's medical records when treatment is initiated | Compliance with Authority Required procedures - Streamlined Authority Code 4117 |
| C4123 | Established osteoporosis Patient must have fracture due to minimal trauma; Patient must not receive concomitant treatment with any other PBS-subsidised anti-resorptive agent for this condition The fracture must have been demonstrated radiologically and the year of plain x-ray or computed tomography (CT) scan or magnetic resonance imaging (MRI) scan must be documented in the patient's medical records when treatment is initiated A vertebral fracture is defined as a 20% or greater reduction in height of the anterior or mid portion of a vertebral body relative to the posterior height of that body, or, a 20% or greater reduction in any of these heights compared to the vertebral body above or below the affected vertebral body | Compliance with Authority Required procedures - Streamlined Authority Code 4123 |
Schedule 4, Part 1, after entry for Tamoxifen
insert:
| Telaprevir | C4186 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be 18 years or older; Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4186 |
| C4191 | Where the patient is receiving treatment at/from a public hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be 18 years or older; Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 4191 | |
| C4194 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be 18 years or older; Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures | |
| C4201 | Where the patient is receiving treatment at/from a private hospital Chronic genotype 1 hepatitis C infection Must be treated in an accredited treatment centre; Patient must be 18 years or older; Evidence of chronic genotype 1 hepatitis C infection (repeatedly anti-HCV positive and HCV RNA positive) must be documented in the patient's medical records | Compliance with Written or Telephone Authority Required procedures |
1Note
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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