National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2014 (No. 9) (PB 61 of 2014) (Cth)
PB 61 of 2014
National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2014
(No. 9)
National Health Act 1953
I, FELICITY McNEILL, First Assistant Secretary, Pharmaceutical Benefits Division, Department of Health, 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 15 August 2014
FELICITY McNEILL
First Assistant Secretary
Pharmaceutical Benefits Division
Department of Health
1 Name of Instrument
(1) This Instrument is the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2014 (No. 9).
(2) This Instrument may also be cited as PB 61 of 2014.
2 Commencement
This Instrument commences on 1 September 2014.
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 Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled syringe [Maximum Quantity: 2; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled syringe [Maximum Quantity: 2; Number of Repeats: 3]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3502
(e)omit: P3751
(f)insert in numerical order: P4609 P4610 P4629
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled syringe [Maximum Quantity: 2; Number of Repeats: 4]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled syringe [Maximum Quantity: 2; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3752
(e)insert in numerical order: P4642 P4643
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen [Maximum Quantity: 2; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen [Maximum Quantity: 2; Number of Repeats: 3]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3502
(e)omit: P3751
(f)insert in numerical order: P4609 P4610 P4629
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen [Maximum Quantity: 2; Number of Repeats: 4]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen [Maximum Quantity: 2; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C3502
(b)omit: C3751 C3752
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3752
(e)insert in numerical order: P4642 P4643
Schedule 1, entry for Alendronic Acid in the form Tablet 70 mg (as alendronate sodium)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Alendronate AN | EA | MP NP | C4122 C4123 C4133 | 4 | 5 | 4 |
Schedule 1, entry for Amoxycillin in the form Capsule 250 mg (as trihydrate) [Maximum Quantity: 20; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxycillin AN | EA | PDP | 20 | 0 | 20 |
Schedule 1, entry for Amoxycillin in the form Capsule 250 mg (as trihydrate) [Maximum Quantity: 20; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxycillin AN | EA | 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]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxycillin AN | EA | PDP | 20 | 0 | 20 |
Schedule 1, entry for Amoxycillin in the form Capsule 500 mg (as trihydrate) [Maximum Quantity: 20; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxycillin AN | EA | MP NP MW | 20 | 1 | 20 |
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) [Maximum Quantity: 10; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxiclav AN 500/125 | EA | PDP | C1836 C1837 | 10 | 0 | 10 |
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) [Maximum Quantity: 10; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxiclav AN 500/125 | EA | MP NP MW | C1836 C1837 | 10 | 1 | 10 |
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) [Maximum Quantity: 10; Number of Repeats: 0]
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxiclav AN 875/125 | EA | PDP | C1836 C1837 | 10 | 0 | 10 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| AmoxyClav RBX 875/125 | RA | PDP | C1836 C1837 | 10 | 0 | 10 |
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) [Maximum Quantity: 10; Number of Repeats: 1]
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Amoxiclav AN 875/125 | EA | MP NP | C1836 C1837 | 10 | 1 | 10 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| AmoxyClav RBX 875/125 | RA | MP NP | C1836 C1837 | 10 | 1 | 10 |
Schedule 1, entry for Anastrozole
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Anastrozole AN | EA | MP NP | C2213 | 30 | 5 | 30 |
Schedule 1, entry for Aprepitant
omit from the column headed “Section 100/Prescriber Bag only”: C(100)
Schedule 1, entry for Atenolol in the form Tablet 50 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atenolol AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 10 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 10 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 20 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 20 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 40 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 40 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 80 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Atorvastatin in the form Tablet 80 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Atorvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Azathioprine in the form Tablet 50 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Azathioprine AN | EA | MP NP | 100 | 5 | 100 |
Schedule 1, entry for Bicalutamide
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Bicalutamide AN | EA | MP NP | C3674 | 28 | 5 | 28 |
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
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Bisoprolol AN | EA | MP NP | C3234 | 28 | 5 | 28 |
Schedule 1, entry for Calcitriol
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Calcitriol AN | EA | MP NP | C1165 C1166 C1167 C1467 C2636 | 100 | 3 | 100 |
Schedule 1, entry for Candesartan in each of the forms: Tablet containing candesartan cilexetil 4 mg; Tablet containing candesartan cilexetil 8 mg; Tablet containing candesartan cilexetil 16 mg; and Tablet containing candesartan cilexetil 32 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Candesartan AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 16 mg with hydrochlorothiazide 12.5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Candesartan HCTZ AN 16/12.5 | EA | MP NP | C4374 | 30 | 5 | 30 |
Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 12.5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Candesartan HCTZ AN 32/12.5 | EA | MP NP | C4374 | 30 | 5 | 30 |
Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 25 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Candesartan HCTZ AN 32/25 | EA | MP NP | C4374 | 30 | 5 | 30 |
Schedule 1, entry for Carboplatin in each of the forms: Solution for I.V. injection 50 mg in 5 mL; Solution for I.V. injection 150 mg
in 15 mL; and Solution for I.V. injection 450 mg in 45 mL
omit:
| Carboplatin Ebewe | SZ | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Carvedilol in the form Tablet 3.125 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Carvedilol AN | EA | MP NP | C1735 C3234 | 30 | 0 | 30 |
Schedule 1, entry for Carvedilol in each of the forms: Tablet 6.25 mg; Tablet 12.5 mg; and Tablet 25 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Carvedilol AN | EA | MP NP | C1735 C3234 | 60 | 5 | 60 |
Schedule 1, entry for Cephalexin in the form Capsule 250 mg (anhydrous) [Maximum Quantity: 20; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cephalexin AN | EA | PDP | 20 | 0 | 20 |
Schedule 1, entry for Cephalexin in the form Capsule 250 mg (anhydrous) [Maximum Quantity: 20; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cephalexin AN | EA | MP NP MW | 20 | 1 | 20 |
Schedule 1, entry for Cephalexin in the form Capsule 250 mg (anhydrous) [Maximum Quantity: 40; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cephalexin AN | EA | MP | P4243 | 40 | 2 | 20 |
Schedule 1, entry for Cephalexin in the form Capsule 500 mg (anhydrous) [Maximum Quantity: 20; Number of Repeats: 0]
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cephalex 500 | NJ | PDP | 20 | 0 | 20 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cephalexin AN | EA | PDP | 20 | 0 | 20 |
Schedule 1, entry for Cephalexin in the form Capsule 500 mg (anhydrous) [Maximum Quantity: 20; Number of Repeats: 1]
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cephalex 500 | NJ | MP NP MW | 20 | 1 | 20 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cephalexin AN | EA | MP NP MW | 20 | 1 | 20 |
Schedule 1, entry for Cephazolin in the form Powder for injection 1 g (as sodium)
omit:
| Cephazolin Alphapharm | AF | MP NP | C1169 C1846 C1847 C3132 | 10 | 0 | 10 |
Schedule 1, entry for Certolizumab pegol
insert in numerical order in the column headed “Circumstances”: C4605 C4606 C4614 C4642 C4643
Schedule 1, entry for Ciprofloxacin in each of the forms: Tablet 500 mg (as hydrochloride); and Tablet 750 mg (as hydrochloride)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ciprofloxacin AN | EA | MP NP | C1431 C1432 C1572 C1573 | 14 | 0 | 14 |
Schedule 1, entry for Citalopram in each of the forms: Tablet 20 mg (as hydrobromide); and Tablet 40 mg (as hydrobromide)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Citalopram AN | EA | MP NP | C1211 | 28 | 5 | 28 |
Schedule 1, entry for Clarithromycin in the form Tablet 250 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Clarithromycin AN | EA | MP NP | 14 | 1 | 14 |
Schedule 1, entry for Clopidogrel in the form Tablet 75 mg (as hydrogen sulfate)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Clopidogrel AN | EA | MP NP | C1719 C1720 C1721 C1722 C1723 C1724 C4165 C4166 | 28 | 5 | 28 |
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg [Maximum Quantity: 20;
Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cyproterone AN | EA | MP | C1014 C1230 C1404 | P1230 | 20 | 5 | 20 |
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg [Maximum Quantity: 100;
Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cyproterone AN | EA | MP | C1014 C1230 C1404 | P1014 P1404 | 100 | 5 | 50 |
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 100 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cyproterone AN | EA | MP | C1014 C1404 | 50 | 5 | 50 |
Schedule 1, entry for Darunavir
omit:
| Tablet 400 mg (as ethanolate) | Oral | Prezista | JC | MP See Note 1 | C4313 C4346 | 120 | 5 | 60 | D(100) |
Schedule 1, entry for Diltiazem in the form Tablet containing diltiazem hydrochloride 60 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Diltiazem AN | EA | MP NP | 90 | 5 | 90 |
Schedule 1, entry for Donepezil in each of the forms: Tablet containing donepezil hydrochloride 5 mg; and Tablet containing donepezil hydrochloride 10 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Donepezil AN | EA | MP NP | C4219 C4220 C4224 | 28 | 5 | 28 |
Schedule 1, entry for Dorzolamide with timolol
omit from the column headed “Determined Quantity” (twice occurring) : 1
Schedule 1, entry for Duloxetine in the form Capsule 30 mg (as hydrochloride)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Duloxetine AN | EA | MP NP | C1211 | 28 | 0 | 28 |
Schedule 1, entry for Duloxetine in the form Capsule 60 mg (as hydrochloride)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Duloxetine AN | EA | MP NP | C1211 | 28 | 5 | 28 |
Schedule 1, entry for Epirubicin in the form Solution for injection containing epirubicin hydrochloride 50 mg in 25 mL
(a)omit from the column headed “Brand”: Epirubicin Actavis 50 substitute: Epirubicin ACT
(b)omit from the column headed “Responsible Person”: UA substitute: VN
Schedule 1, entry for Epirubicin in the form Solution for injection containing epirubicin hydrochloride 200 mg in 100 mL
(a)omit from the column headed “Brand”: Epirubicin Actavis 200 substitute: Epirubicin ACT
(b)omit from the column headed “Responsible Person”: UA substitute: VN
Schedule 1, entry for Escitalopram in each of the forms: Tablet 10 mg (as oxalate); and Tablet 20 mg (as oxalate)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Escitalopram AN | EA | MP NP | C1211 | 28 | 5 | 28 |
Schedule 1, entry for Etanercept in the form Injection 50 mg in 1 mL single use auto-injector, 4 [Maximum Quantity: 1; Number of Repeats: 3]
(a)omit from the column headed “Circumstances”: C3510
(b)omit: C3774 C3775
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3510
(e)omit: P3774
(f)insert in numerical order: P4609 P4610 P4629
Schedule 1, entry for Etanercept in the form Injection 50 mg in 1 mL single use auto-injector, 4 [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C3510
(b)omit: C3774 C3775
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3775
(e)insert in numerical order: P4642 P4643
Schedule 1, entry for Etanercept in the form Injections 50 mg in 1 mL single use pre-filled syringes, 4 [Maximum Quantity: 1; Number of Repeats: 3]
(a)omit from the column headed “Circumstances”: C3510
(b)omit: C3774 C3775
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3510
(e)omit: P3774
(f)insert in numerical order: P4609 P4610 P4629
Schedule 1, entry for Etanercept in the form Injections 50 mg in 1 mL single use pre-filled syringes, 4 [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C3510
(b)omit: C3774 C3775
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3775
(e)insert in numerical order: P4642 P4643
Schedule 1, entry for Etanercept in the form Injection set containing 4 vials powder for injection 25 mg and 4 pre-filled syringes
solvent 1 mL [Maximum Quantity: 2; Number of Repeats: 3]
(a)omit from the column headed “Circumstances”: C3510
(b)omit: C3774 C3775
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3510
(e)omit: P3774
(f)insert in numerical order: P4609 P4610 P4629
Schedule 1, entry for Etanercept in the form Injection set containing 4 vials powder for injection 25 mg and 4 pre-filled syringes
solvent 1 mL [Maximum Quantity: 2; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C3510
(b)omit: C3774 C3775
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3775
(e)insert in numerical order: P4642 P4643
Schedule 1, entry for Everolimus
omit:
| Tablet 5 mg | Oral | Afinitor | NV | MP | C4334 C4351 C4557 | 30 | 5 | 30 |
| Tablet 10 mg | Oral | Afinitor | NV | MP | C4334 C4351 C4557 | 30 | 5 | 30 |
substitute:
| Tablet 5 mg | Oral | Afinitor | NV | MP | C4334 C4351 C4557 C4604 C4632 | P4604 | 30 | 2 | 30 |
| MP | C4334 C4351 C4557 C4604 C4632 | P4334 P4351 P4557 P4632 | 30 | 5 | 30 | ||||
| Tablet 10 mg | Oral | Afinitor | NV | MP | C4334 C4351 C4557 C4604 C4632 | P4604 | 30 | 2 | 30 |
| MP | C4334 C4351 C4557 C4604 C4632 | P4334 P4351 P4557 P4632 | 30 | 5 | 30 |
Schedule 1, entry for Exemestane in the form Tablet 25 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Exemestane AN | EA | MP | C1541 C2457 C4552 | 30 | 5 | 30 |
| NP | C1541 C2457 | 30 | 5 | 30 |
Schedule 1, entry for Famciclovir in the form Tablet 125 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famciclovir AN | EA | MP NP | C3624 | 40 | 1 | 40 |
Schedule 1, entry for Famciclovir in the form Tablet 250 mg [Maximum Quantity: 20; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famciclovir AN | EA | MP NP | C3622 C3623 C3624 | P3624 | 20 | 1 | 20 |
Schedule 1, entry for Famciclovir in the form Tablet 250 mg [Maximum Quantity: 21; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famciclovir AN | EA | MP NP | C3622 C3623 C3624 | P3622 | 21 | 0 | 21 |
Schedule 1, entry for Famciclovir in the form Tablet 250 mg [Maximum Quantity: 56; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famciclovir AN | EA | MP NP | C3622 C3623 C3624 | P3623 | 56 | 5 | 56 |
Schedule 1, entry for Famciclovir in the form Tablet 500 mg [Maximum Quantity: 30; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famciclovir AN | EA | MP NP | C3625 C3626 C3627 C3628 C3629 | P3625 | 30 | 0 | 30 |
Schedule 1, entry for Famciclovir in the form Tablet 500 mg [Maximum Quantity: 56; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famciclovir AN | EA | MP NP | C3625 C3626 C3627 C3628 C3629 | P3626 P3627 P3628 P3629 | 56 | 5 | 56 |
Schedule 1, entry for Famotidine in the form Tablet 20 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famotidine AN | EA | MP NP | 60 | 5 | 60 |
Schedule 1, entry for Famotidine in the form Tablet 40 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Famotidine AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Fludarabine in the form Powder for I.V. injection containing fludarabine phosphate 50 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Fludarabine ACT | VN | MP | C3887 | See Note 3 | See Note 3 | 1 | PB(100) |
Schedule 1, entry for Fluoxetine in the form Capsule 20 mg (as hydrochloride)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Fluoxetine AN | EA | MP NP | C1211 C1241 | 28 | 5 | 28 |
Schedule 1, entry for Frusemide in each of the forms: Tablet 20 mg; and Tablet 40 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Frusemide AN | EA | MP NP | 100 | 1 | 100 |
Schedule 1, entry for Gabapentin in each of the forms: Tablet 600 mg; and Tablet 800 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Gabapentin AN | EA | MP NP | C2664 | 100 | 5 | 100 |
Schedule 1, entry for Gemcitabine
omit:
| Solution concentrate for I.V. infusion 200 mg (as hydrochloride) in 5 mL | Injection | Gemcitabine Ebewe | SZ | MP | See Note 3 | See Note 3 | 1 | D(100) |
| Solution concentrate for I.V. infusion 1 g (as hydrochloride) in 25 mL | Injection | Gemcitabine Ebewe | SZ | MP | See Note 3 | See Note 3 | 1 | D(100) |
| Solution concentrate for I.V. infusion 2 g (as hydrochloride) in 50 mL | Injection | Gemcitabine Ebewe | SZ | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Glimepiride in each of the forms: Tablet 1 mg; Tablet 2 mg; Tablet 3 mg; and Tablet 4 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Glimepiride AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Glucose
(a)omit:
| I.V. infusion 69.5 mmol (anhydrous) per 250 mL, 250 mL | Injection | Glucose 5% Freeflex | PK | MP NP | 5 | 1 | 1 |
(b)omit:
| I.V. infusion 139 mmol (anhydrous) per 500 mL, 500 mL | Injection | Fresenius Kabi Australia Pty Limited | PK | PDP | 5 | 0 | 1 |
| Fresenius Kabi Australia Pty Limited | PK | MP NP | 5 | 1 | 1 | ||
| I.V. infusion 278 mmol (anhydrous) per 500 mL, 500 mL | Injection | Fresenius Kabi Australia Pty Limited | PK | MP NP | 5 | 1 | 1 |
Schedule 1, entry for Glucose Indicator—Blood
omit:
| Test strips, 50 (Glucocard 01 Sensor) | For external use | Glucocard 01 Sensor | OZ | MP NP | 2 | 5 | 1 |
| MP | P4241 | 2 | 11 | 1 |
Schedule 1, entry for Golimumab in the form Injection 50 mg in 0.5 mL single use pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 3]
(a)omit from the column headed “Circumstances”: C3516 C3518
(b)omit: C3786 C3787
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3516
(e)omit: P3786
(f)insert in numerical order: P4609 P4610 P4629
Schedule 1, entry for Golimumab in the form Injection 50 mg in 0.5 mL single use pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C3516 C3518
(b)omit: C3786 C3787
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3518
(e)omit: P3787
(f)insert in numerical order: P4642 P4643
Schedule 1, entry for Golimumab in the form Injection 50 mg in 0.5 mL single use pre-filled pen [Maximum Quantity: 1; Number of Repeats: 3]
(a)omit from the column headed “Circumstances”: C3516 C3518
(b)omit: C3786 C3787
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3516
(e)omit: P3786
(f)insert in numerical order: P4609 P4610 P4629
Schedule 1, entry for Golimumab in the form Injection 50 mg in 0.5 mL single use pre-filled pen [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C3516 C3518
(b)omit: C3786 C3787
(c)insert in numerical order: C4609 C4610 C4629 C4642 C4643
(d)omit from the column headed “Purposes”: P3518
(e)omit: P3787
(f)insert in numerical order: P4642 P4643
Schedule 1, entry for Indapamide in the form Tablet containing indapamide hemihydrate 2.5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Indapamide AN | EA | MP NP | 90 | 1 | 90 |
Schedule 1, entry for Irbesartan in the form Tablet 75 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan AN | EA | MP NP | 30 | 5 | 30 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan GH | GQ | MP NP | 30 | 5 | 30 |
(c)omit:
| Irbesat GH | GQ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Irbesartan in the form Tablet 150 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan AN | EA | MP NP | 30 | 5 | 30 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan GH | GQ | MP NP | 30 | 5 | 30 |
(c)omit:
| Irbesat GH | GQ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Irbesartan in the form Tablet 300 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan AN | EA | MP NP | 30 | 5 | 30 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan GH | GQ | MP NP | 30 | 5 | 30 |
(c)omit:
| Irbesat GH | GQ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Irbesartan with Hydrochlorothiazide in the form Tablet 150 mg-12.5 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan HCT GH 150/12.5 | GQ | MP NP | C4374 | 30 | 5 | 30 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan HCTZ AN 150/12.5 | EA | MP NP | C4374 | 30 | 5 | 30 |
(c)omit:
| Irbesatzide GH 150/12.5 | GQ | MP NP | C4374 | 30 | 5 | 30 |
Schedule 1, entry for Irbesartan with Hydrochlorothiazide in the form Tablet 300 mg-12.5 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan HCT GH 300/12.5 | GQ | MP NP | C4374 | 30 | 5 | 30 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan HCTZ AN 300/12.5 | EA | MP NP | C4374 | 30 | 5 | 30 |
(c)omit:
| Irbesatzide GH 300/12.5 | GQ | MP NP | C4374 | 30 | 5 | 30 |
Schedule 1, entry for Irbesartan with Hydrochlorothiazide in the form Tablet 300 mg-25 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan HCT GH 300/25 | GQ | MP NP | C4374 | 30 | 5 | 30 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Irbesartan HCTZ AN 300/25 | EA | MP NP | C4374 | 30 | 5 | 30 |
(c)omit:
| Irbesatzide GH 300/25 | GQ | MP NP | C4374 | 30 | 5 | 30 |
Schedule 1, entry for Irinotecan in the form I.V. injection containing irinotecan hydrochloride trihydrate 100 mg in 5 mL
omit:
| Irinotecan SZ | HX | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Isosorbide Mononitrate in the form Tablet 60 mg (sustained release)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Isosorbide AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Isotretinoin in the form Capsule 10 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Dermatane | ER | MP | C1354 | 60 | 3 | 60 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Isotretinoin AN | EA | MP | C1354 | 60 | 3 | 60 |
Schedule 1, entry for Isotretinoin in the form Capsule 20 mg
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Dermatane | ER | MP | C1354 | 60 | 3 | 60 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Isotretinoin AN | EA | MP | C1354 | 60 | 3 | 60 |
Schedule 1, entry for Isotretinoin in the form Capsule 40 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Dermatane | ER | MP | C1354 | 30 | 3 | 30 |
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 AN | EA | MP NP | 28 | 5 | 28 |
Schedule 1, entry for Letrozole
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Letrozole AN | EA | 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
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Levetiracetam AN | EA | MP NP | C2664 | 60 | 5 | 60 |
Schedule 1, entry for Levodopa with Carbidopa
omit:
| Intestinal gel 20 mg‑5 mg per mL, 100 mL | Intra-intestinal | Duodopa | VE | MP NP | C3703 | 56 | 5 | 7 |
| MP See Note 1 | C3704 C3705 | 56 | 5 | 7 | C(100) |
substitute:
| Intestinal gel 20 mg‑5 mg per mL, 100 mL | Intra-intestinal | Duodopa | VE | MP See Note 1 | C3703 C3704 C3705 | 56 | 5 | 7 |
| NP | C3703 | 56 | 5 | 7 |
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”:
| Evelyn 150/30 ED | GQ | 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
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Lisinopril AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, after entry for Losartan in the form Tablet containing losartan potassium 50 mg
insert:
| Macitentan | Tablet 10 mg | Oral | Opsumit | AT | MP See Note 1 | See Note 3 | See Note 3 | See Note 3 | 30 | D(100) |
Schedule 1, entry for Meloxicam in each of the forms: Tablet 7.5 mg; and Tablet 15 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Meloxicam AN | EA | MP NP | C1547 C1848 | 30 | 3 | 30 |
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 500 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Metformin AN | EA | MP NP | 100 | 5 | 100 |
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 850 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Metformin AN | EA | MP NP | 60 | 5 | 60 |
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 1 g
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Metformin AN | EA | MP NP | 90 | 5 | 90 |
Schedule 1, entry for Mirtazapine in the form Tablet 15 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Mirtazapine AN | EA | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 15 mg (orally disintegrating)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Mirtazapine AN ODT | EA | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 30 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Mirtazapine AN | EA | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 30 mg (orally disintegrating)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Mirtazapine AN ODT | EA | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 45 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Mirtazapine AN | EA | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Mirtazapine in the form Tablet 45 mg (orally disintegrating)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Mirtazapine AN ODT | EA | MP NP | C1211 | 30 | 5 | 30 |
Schedule 1, entry for Moclobemide in each of the forms: Tablet 150 mg; and Tablet 300 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Moclobemide AN | EA | MP NP | C1211 | 60 | 5 | 60 |
Schedule 1, entry for Montelukast in the form Tablet, chewable, 4 mg (as sodium)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Montelukast AN | EA | MP NP | C2617 | 28 | 5 | 28 |
Schedule 1, entry for Montelukast in the form Tablet, chewable, 5 mg (as sodium)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Montelukast AN | EA | MP NP | C2618 C3217 | 28 | 5 | 28 |
Schedule 1, entry for Norfloxacin
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Norfloxacin AN | EA | MP NP | C1002 C1070 | 14 | 1 | 14 |
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
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Olanzapine AN | EA | MP NP | C1589 C2044 | 28 | 5 | 28 |
Schedule 1, entry for Olanzapine in each of the forms: Tablet 5 mg (orally disintegrating); Tablet 10 mg (orally disintegrating);
Tablet 15 mg (orally disintegrating); and Tablet 20 mg (orally disintegrating)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Olanzapine AN ODT | EA | MP NP | C1589 C2044 | 28 | 5 | 28 |
Schedule 1, entry for Omeprazole in the form Tablet 20 mg [Maximum Quantity: 30; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Omeprazole AN | EA | MP NP | C4074 C4075 C4089 C4152 | P4074 | 30 | 1 | 30 |
Schedule 1, entry for Omeprazole in the form Tablet 20 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Omeprazole AN | EA | MP NP | C4074 C4075 C4089 C4152 | P4075 P4089 P4152 | 30 | 5 | 30 |
Schedule 1, omit entry for Omeprazole and Clarithromycin and Amoxycillin
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 4 mg [Maximum Quantity: 4; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN ODT | EA | MP NP See Note 1 | C3050 C3611 See Note 2 | P3050 See Note 2 | 4 See Note 2 | 0 See Note 2 | 4 |
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 4 mg [Maximum Quantity: 10; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN ODT | EA | MP NP | C3050 C3611 | P3611 | 10 | 1 | 10 |
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 8 mg [Maximum Quantity: 4; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN ODT | EA | MP NP See Note 1 | C3050 C3611 See Note 2 | P3050 See Note 2 | 4 See Note 2 | 0 See Note 2 | 4 |
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 8 mg [Maximum Quantity: 10; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN ODT | EA | MP NP | C3050 C3611 | P3611 | 10 | 1 | 10 |
Schedule 1, entry for Ondansetron in the form Tablet 4 mg (as hydrochloride dihydrate) [Maximum Quantity: 4; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN | EA | MP NP See Note 1 | C3050 C3611 See Note 2 | P3050 See Note 2 | 4 See Note 2 | 0 See Note 2 | 4 |
Schedule 1, entry for Ondansetron in the form Tablet 4 mg (as hydrochloride dihydrate) [Maximum Quantity: 10; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN | EA | MP NP | C3050 C3611 | P3611 | 10 | 1 | 10 |
Schedule 1, entry for Ondansetron in the form Tablet 8 mg (as hydrochloride dihydrate) [Maximum Quantity: 4; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN | EA | MP NP See Note 1 | C3050 C3611 See Note 2 | P3050 See Note 2 | 4 See Note 2 | 0 See Note 2 | 4 |
Schedule 1, entry for Ondansetron in the form Tablet 8 mg (as hydrochloride dihydrate) [Maximum Quantity: 10; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ondansetron AN | EA | MP NP | C3050 C3611 | P3611 | 10 | 1 | 10 |
Schedule 1, entry for Oxaliplatin in the form Powder for I.V. infusion 50 mg
omit:
| Oxaliplatin Alphapharm | AF | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Oxaliplatin in the form Powder for I.V. infusion 100 mg
omit:
| Oxaliplatin Alphapharm | AF | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Oxprenolol
omit:
| Tablet containing oxprenolol hydrochloride 20 mg | Oral | Corbeton 20 | AF | MP NP | 100 | 5 | 100 |
Schedule 1, entry for Pantoprazole in the form Tablet (enteric coated) 40 mg (as sodium sesquihydrate) [Maximum Quantity: 30;
Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pantoprazole AN | EA | MP NP | C1177 C1337 C1476 C1533 | P1177 | 30 | 2 | 30 |
Schedule 1, entry for Pantoprazole in the form Tablet (enteric coated) 40 mg (as sodium sesquihydrate) [Maximum Quantity: 30;
Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pantoprazole AN | EA | 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)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pantoprazole AN | EA | MP NP | C1337 C1476 C1533 | 30 | 5 | 30 |
Schedule 1, entry for Paroxetine in the form Tablet 20 mg (as hydrochloride)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Paroxetine AN | EA | 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)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pioglitazone AN | EA | MP NP | C4363 C4364 C4388 | 28 | 5 | 28 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 10 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 10 mg [Maximum Quantity: 30;
Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 20 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 20 mg [Maximum Quantity: 30;
Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 40 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 40 mg [Maximum Quantity: 30;
Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 80 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 80 mg [Maximum Quantity: 30;
Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Pravastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Prochlorperazine in the form Tablet containing prochlorperazine maleate 5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Prochlorperazine AN | EA | PDP MP NP | 25 | 0 | 25 |
Schedule 1, entry for Quetiapine in the form Tablet 25 mg (as fumarate)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Quetiapine AN | EA | MP NP | C4385 C4391 C4396 | 60 | 0 | 60 |
Schedule 1, entry for Quetiapine in the form Tablet 100 mg (as fumarate)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Quetiapine AN | EA | 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)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Quetiapine AN | EA | MP NP | C1589 C2044 C2765 | 60 | 5 | 60 |
Schedule 1, entry for Rabeprazole in the form Tablet containing rabeprazole sodium 10 mg (enteric coated)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rabeprazole AN | EA | MP NP | C1337 C1533 | 28 | 5 | 28 |
Schedule 1, entry for Rabeprazole in the form Tablet containing rabeprazole sodium 20 mg (enteric coated) [Maximum Quantity: 30; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rabeprazole AN | EA | MP NP | C1177 C1337 C1533 | P1177 | 30 | 2 | 30 |
Schedule 1, entry for Rabeprazole in the form Tablet containing rabeprazole sodium 20 mg (enteric coated) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rabeprazole AN | EA | MP NP | C1177 C1337 C1533 | P1337 P1533 | 30 | 5 | 30 |
Schedule 1, entry for Ramipril in the form Tablet 1.25 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ramipril AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Ramipril in the form Tablet 2.5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ramipril AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Ramipril in the form Tablet 5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ramipril AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Ramipril in the form Tablet 10 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ramipril AN | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Ramipril in the form Capsule 10 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Ramipril CH | EA | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Ranibizumab
insert as first item in the columns in the order indicated:
| Solution for intravitreal injection 1.65 mg in 0.165 mL | Injection | Lucentis | NV | MP | C4607 C4640 | 1 | 2 | 1 |
Schedule 1, entry for Ranibizumab in the form Solution for intravitreal injection 2.3 mg in 0.23 mL
omit from the column headed “Circumstances”: C2677 C3859 substitute: C4607 C4640
Schedule 1, entry for Risedronic Acid in the form Tablet containing risedronate sodium 35 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risedronate AN | EA | MP NP | C4122 C4123 C4133 | 4 | 5 | 4 |
Schedule 1, entry for Risperidone in the form Tablet 0.5 mg [Maximum Quantity: 60; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2061 C3083 | P2061 P3083 | 60 | 2 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 0.5 mg [Maximum Quantity: 60; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2061 C3083 | P1589 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 1 mg [Maximum Quantity: 60; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2061 C2272 C3083 | P2061 P3083 | 60 | 2 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 1 mg [Maximum Quantity: 60; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2061 C2272 C3083 | P1589 P2272 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 2 mg [Maximum Quantity: 60; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2272 C3083 | P3083 | 60 | 2 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 2 mg [Maximum Quantity: 60; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2272 C3083 | P1589 P2272 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 3 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2272 | 60 | 5 | 60 |
Schedule 1, entry for Risperidone in the form Tablet 4 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Risperidone AN | EA | MP NP | C1589 C2272 | 60 | 5 | 60 |
Schedule 1, entry for Rosuvastatin in the form Tablet 5 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4228 | P4228 | 30 | 5 | 30 |
| NP | C4228 | 30 | 5 | 30 |
Schedule 1, entry for Rosuvastatin in the form Tablet 5 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4228 | P4225 | 30 | 11 | 30 |
Schedule 1, entry for Rosuvastatin in the form Tablet 10 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4228 | P4228 | 30 | 5 | 30 |
| NP | C4228 | 30 | 5 | 30 |
Schedule 1, entry for Rosuvastatin in the form Tablet 10 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4228 | P4225 | 30 | 11 | 30 |
Schedule 1, entry for Rosuvastatin in the form Tablet 20 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4227 | P4227 | 30 | 5 | 30 |
| NP | C4227 | 30 | 5 | 30 |
Schedule 1, entry for Rosuvastatin in the form Tablet 20 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4227 | P4225 | 30 | 11 | 30 |
Schedule 1, entry for Rosuvastatin in the form Tablet 40 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4226 | P4226 | 30 | 5 | 30 |
| NP | C4226 | 30 | 5 | 30 |
Schedule 1, entry for Rosuvastatin in the form Tablet 40 mg (as calcium) [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rosuvastatin AN | EA | MP | C4225 C4226 | P4225 | 30 | 11 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 10 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 10 mg [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 20 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 20 mg [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 40 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 40 mg [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 80 mg [Maximum Quantity: 30; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P1540 | 30 | 5 | 30 |
| NP | C1540 | 30 | 5 | 30 |
Schedule 1, entry for Simvastatin in the form Tablet 80 mg [Maximum Quantity: 30; Number of Repeats: 11]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Simvastatin AN | EA | MP | C1540 C3047 | P3047 | 30 | 11 | 30 |
Schedule 1, entry for Sodium Chloride
omit:
| I.V. infusion 38.5 mmol per 250 mL, 250 mL | Injection | Sodium Chloride 0.9% Freeflex | PK | MP NP | 5 | 1 | 1 |
| I.V. infusion 77 mmol per 500 mL, 500 mL | Injection | Fresenius Kabi Australia Pty Limited | PK | PDP | 5 | 0 | 1 |
| Fresenius Kabi Australia Pty Limited | PK | MP NP | 5 | 1 | 1 |
Schedule 1, entry for Sodium Lactate Compound
omit:
| I.V. infusion containing approximately 65 mmol sodium (as lactate and chloride), 2.7 mmol potassium (as chloride), 0.9 mmol calcium (as chloride), 14 mmol bicarbonate (as lactate) and 56 mmol chloride per 500 mL, 500 mL | Injection | Fresenius Kabi Australia Pty Limited | PK | MP NP | 5 | 1 | 1 |
Schedule 1, entry for Sumatriptan in the form Tablet 50 mg (as succinate) [Maximum Quantity: 4; Number of Repeats: 5; Pack Quantity: 4]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Sumatriptan AN | EA | MP NP | C4558 | 4 | 5 | 4 |
Schedule 1, entry for Telmisartan
substitute:
| Telmisartan | Tablet 40 mg | Oral | APO-Telmisartan | TX | MP NP | 28 | 5 | 28 |
| Chem mart Telmisartan | CH | MP NP | 28 | 5 | 28 | |||
| Micardis | BY | MP NP | 28 | 5 | 28 | |||
| Mizart | AF | MP NP | 28 | 5 | 28 | |||
| Pharmacor Telmisartan 40 | CR | MP NP | 28 | 5 | 28 | |||
| Telmigen | GN | MP NP | 28 | 5 | 28 | |||
| Telmisartan AN | EA | MP NP | 28 | 5 | 28 | |||
| Telmisartan-DRLA | RZ | MP NP | 28 | 5 | 28 | |||
| Telmisartan GH | GQ | MP NP | 28 | 5 | 28 | |||
| Telmisartan Sandoz | SZ | MP NP | 28 | 5 | 28 | |||
| Teltartan | QA | MP NP | 28 | 5 | 28 | |||
| Terry White Chemists Telmisartan | TW | MP NP | 28 | 5 | 28 | |||
| Tablet 80 mg | Oral | APO-Telmisartan | TX | MP NP | 28 | 5 | 28 | |
| Chem mart Telmisartan | CH | MP NP | 28 | 5 | 28 | |||
| Micardis | BY | MP NP | 28 | 5 | 28 | |||
| Mizart | AF | MP NP | 28 | 5 | 28 | |||
| Pharmacor Telmisartan 80 | CR | MP NP | 28 | 5 | 28 | |||
| Telmigen | GN | MP NP | 28 | 5 | 28 | |||
| Telmisartan AN | EA | MP NP | 28 | 5 | 28 | |||
| Telmisartan-DRLA | RZ | MP NP | 28 | 5 | 28 | |||
| Telmisartan GH | GQ | MP NP | 28 | 5 | 28 | |||
| Telmisartan Sandoz | SZ | MP NP | 28 | 5 | 28 | |||
| Teltartan | QA | MP NP | 28 | 5 | 28 | |||
| Terry White Chemists Telmisartan | TW | MP NP | 28 | 5 | 28 |
Schedule 1, entry for Telmisartan with Hydrochlorothiazide
substitute:
| Telmisartan with Hydrochlorothiazide | Tablet 40 mg-12.5 mg | Oral | APO-Telmisartan HCTZ 40/12.5 | TX | MP NP | C4374 | 28 | 5 | 28 |
| Chem mart Telmisartan HCTZ 40/12.5 | CH | MP NP | C4374 | 28 | 5 | 28 | |||
| Micardis Plus 40/12.5 mg | BY | MP NP | C4374 | 28 | 5 | 28 | |||
| Mizart HCT 40/12.5 | AF | MP NP | C4374 | 28 | 5 | 28 | |||
| Pritor Plus 40/12.5 mg | FI | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmigen HCT 40/12.5 | GN | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmisartan/HCT Sandoz | SZ | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmisartan HCTZ AN 40/12.5 | EA | MP NP | C4374 | 28 | 5 | 28 | |||
| Teltartan HCT 40/12.5 | QA | MP NP | C4374 | 28 | 5 | 28 | |||
| Terry White Chemists Telmisartan HCTZ 40/12.5 | TW | MP NP | C4374 | 28 | 5 | 28 | |||
| Tablet 80 mg-12.5 mg | Oral | APO-Telmisartan HCTZ 80/12.5 | TX | MP NP | C4374 | 28 | 5 | 28 | |
| Chem mart Telmisartan HCTZ 80/12.5 | CH | MP NP | C4374 | 28 | 5 | 28 | |||
| Micardis Plus 80/12.5 mg | BY | MP NP | C4374 | 28 | 5 | 28 | |||
| Mizart HCT 80/12.5 | AF | MP NP | C4374 | 28 | 5 | 28 | |||
| Pritor Plus 80/12.5 mg | FI | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmigen HCT 80/12.5 | GN | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmisartan/HCT Sandoz | SZ | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmisartan HCTZ AN 80/12.5 | EA | MP NP | C4374 | 28 | 5 | 28 | |||
| Teltartan HCT 80/12.5 | QA | MP NP | C4374 | 28 | 5 | 28 | |||
| Terry White Chemists Telmisartan HCTZ 80/12.5 | TW | MP NP | C4374 | 28 | 5 | 28 | |||
| Tablet 80 mg-25 mg | Oral | APO-Telmisartan HCTZ 80/25 | TX | MP NP | C4374 | 28 | 5 | 28 | |
| Chem mart Telmisartan HCTZ 80/25 | CH | MP NP | C4374 | 28 | 5 | 28 | |||
| Micardis Plus 80/25 mg | BY | MP NP | C4374 | 28 | 5 | 28 | |||
| Mizart HCT 80/25 | AF | MP NP | C4374 | 28 | 5 | 28 | |||
| Pritor Plus 80/25 mg | FI | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmigen HCT 80/25 | GN | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmisartan/HCT Sandoz | SZ | MP NP | C4374 | 28 | 5 | 28 | |||
| Telmisartan HCTZ AN 80/25 | EA | MP NP | C4374 | 28 | 5 | 28 | |||
| Teltartan HCT 80/25 | QA | MP NP | C4374 | 28 | 5 | 28 | |||
| Terry White Chemists Telmisartan HCTZ 80/25 | TW | MP NP | C4374 | 28 | 5 | 28 |
Schedule 1, entry for Temozolomide in the form Capsule 5 mg [Maximum Quantity: 5; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P1736 P1737 P2101 | 5 | 5 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 5 mg [Maximum Quantity: 15; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P4496 | 15 | 2 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 20 mg [Maximum Quantity: 5; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P1736 P1737 P2101 | 5 | 5 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 20 mg [Maximum Quantity: 15; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P4496 | 15 | 2 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 100 mg [Maximum Quantity: 5; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P1736 P1737 P2101 | 5 | 5 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 100 mg [Maximum Quantity: 15; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P4496 | 15 | 2 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 140 mg [Maximum Quantity: 5; Number of Repeats: 5]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P1736 P1737 P2101 | 5 | 5 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 140 mg [Maximum Quantity: 15; Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 C4496 | P4496 | 15 | 2 | 5 |
Schedule 1, entry for Temozolomide in the form Capsule 250 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Temozolomide AN | EA | MP | C1736 C1737 C2101 | 5 | 5 | 5 |
Schedule 1, entry for Terbinafine in the form Tablet 250 mg (as hydrochloride) [Maximum Quantity: 42; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Terbinafine Actavis | VN | MP NP | C2191 C2865 C3244 | P2865 P3244 | 42 | 0 | 42 |
Schedule 1, entry for Terbinafine in the form Tablet 250 mg (as hydrochloride) [Maximum Quantity: 42; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Terbinafine Actavis | VN | MP NP | C2191 C2865 C3244 | P2191 | 42 | 1 | 42 |
Schedule 1, entry for Testosterone
(a)omit:
| Subcutaneous implant 100 mg | Implantation | Merck Sharp & Dohme (Australia) Pty Ltd | MK | MP | C1021 C1022 C1226 | 6 | 0 | 1 |
(b)omit:
| Subcutaneous implant 200 mg | Implantation | Merck Sharp & Dohme (Australia) Pty Ltd | MK | MP | C1021 C1022 C1226 | 3 | 0 | 1 |
Schedule 1, entry for Topiramate in each of the forms: Tablet 25 mg; and Tablet 50 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Topiramate GH | GQ | MP NP | C2797 C2799 | 60 | 5 | 60 |
Schedule 1, entry for Topiramate in each of the forms: Tablet 100 mg; and Tablet 200 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Topiramate GH | GQ | MP NP | C2797 | 60 | 5 | 60 |
Schedule 1, entry for Tramadol in the form Capsule containing tramadol hydrochloride 50 mg [Maximum Quantity: 20;
Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Tramadol AN | EA | MP NP | C1497 C1615 | P1497 | 20 | 0 | 20 |
| PDP | C1497 C1615 | 20 | 0 | 20 |
Schedule 1, entry for Tramadol in the form Capsule containing tramadol hydrochloride 50 mg [Maximum Quantity: 20;
Number of Repeats: 2]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Tramadol AN | EA | MP NP | C1497 C1615 | P1615 | 20 | 2 | 20 |
Schedule 1, entry for Valaciclovir in the form Tablet 500 mg (as hydrochloride) [Maximum Quantity: 20; Number of Repeats: 0]
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Valaciclovir Actavis | VN | MP NP | C3622 C3623 C3624 C3631 C3632 | P3632 | 20 | 0 | 10 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Valaciclovir AN | EA | MP NP | C3622 C3623 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)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Valaciclovir Actavis | VN | MP NP | C3622 C3623 C3624 C3631 C3632 | P3623 P3624 | 30 | 5 | 30 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Valaciclovir AN | EA | MP NP | C3622 C3623 C3624 C3631 C3632 | P3623 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)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Valaciclovir Actavis | VN | MP NP | C3622 C3623 C3624 C3631 C3632 | P3622 P3631 | 42 | 0 | 42 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Valaciclovir AN | EA | MP NP | C3622 C3623 C3624 C3631 C3632 | P3622 P3631 | 42 | 0 | 42 |
Schedule 1, entry for Valsartan in the form Tablet 40 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| APO-Valsartan | TX | MP NP | 28 | 0 | 28 |
Schedule 1, entry for Valsartan in each of the forms: Tablet 80 mg; Tablet 160 mg; and Tablet 320 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| APO-Valsartan | TX | MP NP | 28 | 5 | 28 |
Schedule 1, entry for Venlafaxine in the form Capsule (modified release) 37.5 mg (as hydrochloride)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Venlafaxine AN SR | EA | MP NP | C1211 | 28 | 0 | 28 |
Schedule 1, entry for Venlafaxine in each of the forms: Capsule (modified release) 75 mg (as hydrochloride); and Capsule (modified release) 150 mg (as hydrochloride)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Venlafaxine AN SR | EA | MP NP | C1211 | 28 | 5 | 28 |
Schedule 3, after details relevant to Responsible Person code DV
insert:
| EA | Amneal Pharmaceuticals Pty Ltd | 11 163 167 851 |
Schedule 4, Part 1, entry for Adalimumab
(a)omit:
| C3502 | P3502 | Ankylosing spondylitis — initial treatment 1 Initial treatment with adalimumab commencing a treatment cycle, by a rheumatologist, of an adult with active ankylosing spondylitis who has radiographically (plain X‑ray) confirmed Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis, and: (a) who has not received any PBS‑subsidised treatment with a tumour necrosis factor (TNF)‑alfa antagonist, or, where the patient has previously received PBS‑subsidised TNF‑alfa antagonist treatment for this condition, has received no such treatment for a period of 5 years or more starting from the date the last course of PBS‑subsidised treatment was approved; and (b) who has at least 2 of the following: (i) low back pain and stiffness for 3 or more months that is relieved by exercise but not by rest; or (ii) limitation of motion of the lumbar spine in the sagittal and the frontal planes as determined by a score of at least 1 on each of the lumbar flexion and lumbar side flexion measurements of the Bath Ankylosing Spondylitis Metrology Index (BASMI); or (iii) limitation of chest expansion relative to normal values for age and gender; and (c) who has failed to achieve an adequate response following treatment with at least 2 non‑steroidal anti‑inflammatory drugs (NSAIDs), whilst completing an appropriate exercise program, for a total period of at least 3 months, unless the patient has had a break in PBS‑subsidised TNF‑alfa antagonist therapy of at least 5 years duration, in which case the patient is required to demonstrate failure to achieve an adequate response to treatment with at least 1 NSAID, at an adequate dose, for a minimum of 3 consecutive months; and where TNF‑alfa antagonist means adalimumab, etanercept, golimumab or infliximab; and where a treatment cycle is a period of treatment with successive TNF‑alfa antagonists which commences when an eligible patient (one who has not received PBS‑subsidised treatment with a TNF‑alfa antagonist for ankylosing spondylitis in at least the previous 5 years) receives an initial course of PBS‑subsidised therapy with 1 TNF‑alfa antagonist, and which continues until the patient has tried and either failed, or ceased to respond to, PBS‑subsidised treatment with 3 TNF‑alfa antagonists, at which point the patient is no longer eligible for treatment and the period of treatment ceases; and where the following conditions apply: failure to achieve an adequate response is demonstrated by: (a) a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of at least 4 on a 0‑10 scale, where the BASDAI score is determined at the completion of the 3 month NSAID and exercise trial, but prior to ceasing NSAID treatment, and is no more than 1 month old at the time of application; and (b) an elevated erythrocyte sedimentation rate (ESR) greater than 25 mm per hour or a C‑reactive protein (CRP) level greater than 10 mg per L; both ESR and CRP measurements are included in the authority application and are no more than 1 month old; if the requirement to demonstrate an elevated ESR or CRP cannot be met, the authority application includes the reason why this criterion cannot be satisfied; the authority application includes details of the NSAIDs trialled, their doses and duration of treatment; if the NSAID dose is less than the maximum recommended dose in the relevant Therapeutic Goods Administration (TGA)‑approved Product Information, the authority application includes the reason why a higher dose cannot be used; if treatment with NSAIDs is contraindicated according to the relevant TGA‑approved Product Information, the authority application includes details of the contraindication; if intolerance to NSAID treatment develops during the relevant period of use and is of a severity necessitating permanent treatment withdrawal, the authority application includes details of the nature and severity of this intolerance; an appropriate minimum exercise program includes stretch and range of motion exercises at least 5 times per week, and either aerobic exercise of at least 20 minutes duration at least 3 times per week or a group exercise class at least once per week; if a patient is unable to complete the minimum exercise program, the authority application includes the clinical reasons for this and details what, if any, exercise program has been followed; the authority application is made in writing and includes a completed copy of the appropriate Ankylosing Spondylitis PBS Authority Application ‑ Supporting Information Form which includes the following: (i) a copy of the radiological report confirming Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis; and (ii) a completed BASDAI Assessment Form; and (iii) a signed patient acknowledgment form; and (iv) a completed Exercise Program Self Certification Form detailing the program followed and the dates over which it was followed, and including confirmation by the prescribing doctor that, to the best of their knowledge, the patient has followed the exercise program detailed; a course of initial treatment commencing a treatment cycle is limited to a maximum of 16 weeks of treatment | Compliance with Written Authority Required procedures |
| Continuation of a course of initial treatment with adalimumab in a treatment cycle, by a rheumatologist, of an adult with active ankylosing spondylitis who has radiographically (plain X‑ray) confirmed Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis, and who, qualifying under the criteria specified above, has previously been issued with an authority prescription for initial treatment with this drug for a period of less than 16 weeks, and where approval of the application would enable the patient to complete a course of 16 weeks of treatment in total | Compliance with Written or Telephone Authority Required procedures |
Schedule 4, Part 1, entry for Everolimus [Circumstances Code: C4334; C4351 and C4557]
insert in the column headed “Purposes Code”respectively:
P4334
P4351
P4557
Schedule 4, Part 1, entry for Everolimus
insert in numerical order following existing text:
| C4604 | P4604 | Stage IV clear cell variant renal cell carcinoma (RCC) Initial treatment Patient must have progressive disease according to the Response Evaluation Criteria In Solid Tumours (RECIST) following first-line treatment with a tyrosine kinase inhibitor; AND Patients who have developed intolerance to a tyrosine kinase inhibitor of a severity necessitating permanent treatment withdrawal are eligible to receive PBS-subsidised everolimus Patients who have progressive disease with everolimus are no longer eligible for PBS-subsidised everolimus | Compliance with Authority Required procedures |
| C4632 | P4632 | Stage IV clear cell variant renal cell carcinoma (RCC) Continuing treatment beyond 3 months Patient must have previously been issued with an authority prescription for this drug for this condition; AND Patients who have progressive disease with everolimus are no longer eligible for PBS-subsidised everolimus | Compliance with Authority Required procedures |
Schedule 4, Part 1, entry for Golimumab
(a)omit:
| C3516 | P3516 | Ankylosing spondylitis — initial treatment 1 Initial treatment with golimumab commencing a treatment cycle, by a rheumatologist, of an adult with active ankylosing spondylitis who has radiographically (plain X‑ray) confirmed Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis, and: (a) who has not received any PBS‑subsidised treatment with a tumour necrosis factor (TNF)‑alfa antagonist, or, where the patient has previously received PBS‑subsidised TNF‑alfa antagonist treatment for this condition, has received no such treatment for a period of 5 years or more starting from the date the last course of PBS‑subsidised treatment was approved; and (b) who has at least 2 of the following: (i) low back pain and stiffness for 3 or more months that is relieved by exercise but not by rest; or (ii) limitation of motion of the lumbar spine in the sagittal and the frontal planes as determined by a score of at least 1 on each of the lumbar flexion and lumbar side flexion measurements of the Bath Ankylosing Spondylitis Metrology Index (BASMI); or (iii) limitation of chest expansion relative to normal values for age and gender; and (c) who has failed to achieve an adequate response following treatment with at least 2 non‑steroidal anti‑inflammatory drugs (NSAIDs), whilst completing an appropriate exercise program, for a total period of at least 3 months, unless the patient has had a break in PBS‑subsidised TNF‑alfa antagonist therapy of at least 5 years duration, in which case the patient is required to demonstrate failure to achieve an adequate response to treatment with at least 1 NSAID, at an adequate dose, for a minimum of 3 consecutive months; and where TNF‑alfa antagonist means adalimumab, etanercept, golimumab or infliximab; and where a treatment cycle is a period of treatment with successive TNF‑alfa antagonists which commences when an eligible patient (one who has not received PBS‑subsidised treatment with a TNF‑alfa antagonist for ankylosing spondylitis in at least the previous 5 years) receives an initial course of PBS‑subsidised therapy with 1 TNF‑alfa antagonist, and which continues until the patient has tried and either failed, or ceased to respond to, PBS‑subsidised treatment with 3 TNF‑alfa antagonists, at which point the patient is no longer eligible for treatment and the period of treatment ceases; and where the following conditions apply: failure to achieve an adequate response is demonstrated by: (a) a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of at least 4 on a 0‑10 scale, where the BASDAI score is determined at the completion of the 3 month NSAID and exercise trial, but prior to ceasing NSAID treatment, and is no more than 1 month old at the time of application; and (b) an elevated erythrocyte sedimentation rate (ESR) greater than 25 mm per hour or a C‑reactive protein (CRP) level greater than 10 mg per L; both ESR and CRP measurements are included in the authority application and are no more than 1 month old; if the requirement to demonstrate an elevated ESR or CRP cannot be met, the authority application includes the reason why this criterion cannot be satisfied; the authority application includes details of the NSAIDs trialled, their doses and duration of treatment; if the NSAID dose is less than the maximum recommended dose in the relevant Therapeutic Goods Administration (TGA)‑approved Product Information, the authority application includes the reason why a higher dose cannot be used; if treatment with NSAIDs is contraindicated according to the relevant TGA‑approved Product Information, the authority application includes details of the contraindication; if intolerance to NSAID treatment develops during the relevant period of use and is of a severity necessitating permanent treatment withdrawal, the authority application includes details of the nature and severity of this intolerance; an appropriate minimum exercise program includes stretch and range of motion exercises at least 5 times per week, and either aerobic exercise of at least 20 minutes duration at least 3 times per week or a group exercise class at least once per week; if a patient is unable to complete the minimum exercise program, the authority application includes the clinical reasons for this and details what, if any, exercise program has been followed; the authority application is made in writing and includes a completed copy of the appropriate Ankylosing Spondylitis PBS Authority Application ‑ Supporting Information Form which includes the following: (i) a copy of the radiological report confirming Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis; and (ii) a completed BASDAI Assessment Form; and (iii) a signed patient acknowledgment form; and (iv) a completed Exercise Program Self Certification Form detailing the program followed and the dates over which it was followed, and including confirmation by the prescribing doctor that, to the best of their knowledge, the patient has followed the exercise program detailed; a course of initial treatment commencing a treatment cycle is limited to a maximum of 16 weeks of treatment | Compliance with Written Authority Required procedures |
| Continuation of a course of initial treatment with golimumab in a treatment cycle, by a rheumatologist, of an adult with active ankylosing spondylitis who has radiographically (plain X‑ray) confirmed Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis, and who, qualifying under the criteria specified above, has previously been issued with an authority prescription for initial treatment with this drug for a period of less than 16 weeks, and where approval of the application would enable the patient to complete a course of 16 weeks of treatment in total | Compliance with Written or Telephone Authority Required procedures | ||
| C3518 | P3518 | Ankylosing spondylitis — initial treatment 3 Commencement of a treatment cycle with an initial PBS‑subsidised course of golimumab for continuing treatment, by a rheumatologist, of an adult with a documented history of active ankylosing spondylitis who has radiographically (plain X‑ray) confirmed Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis, who was receiving treatment with golimumab prior to 1 March 2010; and (a) who has demonstrated a response as specified in the criteria for continuing PBS‑subsidised treatment with golimumab; and (b) who is receiving treatment with golimumab at the time of application; and where TNF‑alfa antagonist means adalimumab, etanercept, golimumab or infliximab; and where a treatment cycle is a period of treatment with successive TNF‑alfa antagonists which commences when an eligible patient (one who has not received PBS‑subsidised treatment with a TNF‑alfa antagonist for ankylosing spondylitis in at least the previous 5 years) receives an initial course of PBS‑subsidised therapy with 1 TNF‑alfa antagonist, and which continues until the patient has tried and either failed, or ceased to respond to, PBS‑subsidised treatment with 3 TNF‑alfa antagonists, at which point the patient is no longer eligible for treatment and the period of treatment ceases; and where the following conditions apply: the authority application is made in writing and includes a completed copy of the appropriate Ankylosing Spondylitis PBS Authority Application ‑ Supporting Information Form which includes the following: (i) a copy of the radiological report confirming Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis; and (ii) a completed BASDAI Assessment Form; and (iii) a signed patient acknowledgment form; the BASDAI assessment and the ESR and/or CRP measurements provided are no more than 1 month old at the time of application; the course of treatment is limited to a maximum of 24 weeks of treatment; patients are eligible for PBS‑subsidised treatment under the above criteria once only | Compliance with Written Authority Required procedures |
| Continuation of a course of initial PBS‑subsidised treatment with golimumab commencing a treatment cycle, by a rheumatologist, of an adult with a documented history of active ankylosing spondylitis who was receiving non‑PBS‑subsidised treatment with golimumab prior to 1 March 2010 and at the time of the initial application for PBS‑subsidised therapy and who, qualifying under the criteria specified above, has previously been issued with an authority prescription for initial PBS‑subsidised treatment with this drug for a period of less than 24 weeks, and where approval of the application would enable the patient to complete a course of 24 weeks of treatment in total | Compliance with Written or Telephone Authority Required procedures |
(b)omit:
| C3786 | P3786 | Ankylosing spondylitis — initial treatment 2 Initial treatment, or recommencement of treatment, with golimumab within an ongoing treatment cycle, by a rheumatologist, of an adult with a documented history of active ankylosing spondylitis who, in this treatment cycle, has received prior PBS‑subsidised tumour necrosis factor (TNF)‑alfa antagonist treatment for this condition and is eligible to receive further TNF‑alfa antagonist therapy, and has not failed PBS‑subsidised therapy with golimumab in the current treatment cycle; and where TNF‑alfa antagonist means adalimumab, etanercept, golimumab or infliximab; and where a treatment cycle is a period of treatment with successive TNF‑alfa antagonists which commences when an eligible patient (one who has not received PBS‑subsidised treatment with a TNF‑alfa antagonist for ankylosing spondylitis in at least the previous 5 years) receives an initial course of PBS‑subsidised therapy with 1 TNF‑alfa antagonist, and which continues until the patient has tried and either failed, or ceased to respond to, PBS‑subsidised treatment with 3 TNF‑alfa antagonists, at which point the patient is no longer eligible for treatment and the period of treatment ceases; and where the following conditions apply: a patient is eligible to receive further therapy with a TNF‑alfa antagonist within this treatment cycle provided they have not already failed, or ceased to respond to, PBS‑subsidised treatment with 3 TNF‑alfa antagonists within this treatment cycle; the authority application is made in writing and includes a completed copy of the appropriate Ankylosing Spondylitis PBS Authority Application ‑ Supporting Information Form; an assessment of response to the patient’s most recent course of PBS‑subsidised TNF‑alfa antagonist treatment is provided to the Chief Executive Medicare no later than 4 weeks from the date that course was ceased; where the most recent course of TNF‑antagonist treatment is an initial treatment course, the assessment of response is made following a minimum of 12 weeks of treatment; if the response assessment to the previous course of TNF‑alfa antagonist treatment is not submitted to the Chief Executive Medicare within the timeframes specified above, the patient will be deemed to have failed that course of treatment; a course of initial treatment within an ongoing treatment cycle is limited to a maximum of 16 weeks of treatment | Compliance with Written Authority Required procedures |
| Continuation of a course of initial treatment, or of a course which recommences treatment, with golimumab within an ongoing treatment cycle, by a rheumatologist, of an adult with a documented history of active ankylosing spondylitis who, qualifying under the criteria specified above, has previously been issued with an authority prescription for initial treatment or recommencement of treatment with this drug for a period of less than 16 weeks, and where approval of the application would enable the patient to complete a course of 16 weeks of treatment in total | Compliance with Written or Telephone Authority Required procedures | ||
| C3787 | P3787 | Ankylosing spondylitis — continuing treatment Continuing treatment with golimumab within an ongoing treatment cycle, by a rheumatologist, of an adult with a documented history of active ankylosing spondylitis who has demonstrated an adequate response to treatment with golimumab, and whose most recent course of PBS‑subsidised therapy in this treatment cycle was with golimumab; and where TNF‑alfa antagonist means adalimumab, etanercept, golimumab or infliximab; and where a treatment cycle is a period of treatment with successive TNF‑alfa antagonists which commences when an eligible patient (one who has not received PBS‑subsidised treatment with a TNF‑alfa antagonist for ankylosing spondylitis in at least the previous 5 years) receives an initial course of PBS‑subsidised therapy with 1 TNF‑alfa antagonist, and which continues until the patient has tried and either failed, or ceased to respond to, PBS‑subsidised treatment with 3 TNF‑alfa antagonists, at which point the patient is no longer eligible for treatment and the period of treatment ceases; and where the following conditions apply: an adequate response is defined as an improvement from baseline of at least 2 in the patient’s Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score and 1 of the following: (a) an erythrocyte sedimentation rate (ESR) measurement no greater than 25 mm per hour; or (b) a C‑reactive protein (CRP) measurement no greater than 10 mg per L; or (c) an ESR or CRP measurement reduced by at least 20% from baseline; all measurements provided are no more than 1 month old at the time of application; where only 1 acute phase reactant measurement is supplied to establish baseline in the first application for PBS‑subsidised treatment, that same marker is measured and supplied in all subsequent continuing treatment applications; the authority application is made in writing and includes a completed copy of the appropriate Ankylosing Spondylitis PBS Authority Application ‑ Supporting Information Form, and a measurement of response to the most recent prior course of therapy with golimumab; the response assessment included in the application is provided to the Chief Executive Medicare no later than 4 weeks from the cessation of the treatment course; if the most recent course of golimumab therapy is a 16‑week initial treatment course, the application for continuing treatment is accompanied by an assessment of response to a minimum of 12 weeks of treatment with that course; if the response assessment to a course of treatment is not submitted to the Chief Executive Medicare within the timeframes specified above, the patient will be deemed to have failed that course of treatment; a course of continuing treatment within an ongoing treatment cycle is limited to a maximum of 24 weeks of treatment | Compliance with Written Authority Required procedures |
| Continuation of a course of continuing treatment with golimumab within an ongoing treatment cycle, by a rheumatologist, of an adult with a documented history of active ankylosing spondylitis who, qualifying under the criteria specified above, has previously been issued with an authority prescription for continuing treatment with this drug for a period of less than 24 weeks, and where approval of the application would enable the patient to complete a course of 24 weeks of treatment in total | Compliance with Written or Telephone Authority Required procedures |
(c)insert in numerical order following existing text:
| C4609 | P4609 | Active ankylosing spondylitis Initial treatment – Initial 1 (new patients) The condition must be radiographically (plain X-ray) confirmed Grade II bilateral sacroiliitis or Grade III unilateral sacroiliitis; AND Patient must be an adult Must be treated by a rheumatologist The application must include details of the NSAIDs trialled, their doses and duration of treatment If the NSAID dose is less than the maximum recommended dose in the relevant TGA-approved Product Information, the application must include the reason a higher dose cannot be used If treatment with NSAIDs is contraindicated according to the relevant TGA-approved Product Information, the application must provide details of the contraindication If intolerance to NSAID treatment develops during the relevant period of use which is of a severity to necessitate permanent treatment withdrawal, the application must provide details of the nature and severity of this intolerance The following criteria indicate failure to achieve an adequate response and must be demonstrated at the time of the initial application: The BASDAI must be determined at the completion of the 3 month NSAID and exercise trial, but prior to ceasing NSAID treatment The BASDAI must be no more than 1 month old at the time of initial application Both ESR and CRP measures should be provided with the initial treatment application and both must be no more than 1 month old. If the above requirement to demonstrate an elevated ESR or CRP cannot be met, the application must state the reason this criterion cannot be satisfied The authority application must be made in writing and must include: The assessment of the patient's response to the initial course of treatment must be made following a minimum of 12 weeks of treatment and submitted no later than 4 weeks from the cessation of that treatment course. If the response assessment is not submitted within these timeframes, the patient will be deemed to have failed this course of treatment A maximum of 16 weeks of treatment with this drug will be approved under this criterion Patients who fail to demonstrate a response to treatment with this drug under this restriction will not be eligible to receive further PBS-subsidised treatment with this drug in this treatment cycle. Patients may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological disease modifying anti-rheumatic drug (bDMARD) was approved in this cycle and the date of the first application under a new cycle | Compliance with Written Authority Required procedures |
| C4610 | P4610 | Ankylosing spondylitis Initial treatment – Initial 1 (new patients) or Initial 2 (change or recommencement for all patients) – balance of supply Patient must have active, or a documented history of active, ankylosing spondylitis; AND Patient must be an adult Must be treated by a rheumatologist | Compliance with Written or Telephone Authority Required procedures |
| C4629 | P4629 | Ankylosing spondylitis Initial treatment – Initial 2 (change or recommencement for all patients) Patient must have a documented history of active ankylosing spondylitis; AND Patient must be an adult Must be treated by a rheumatologist Where the most recent course of PBS-subsidised bDMARD treatment was approved under either of the initial treatment restrictions (i.e. for patients with no prior PBS-subsidised bDMARD therapy or, under this restriction, for patients who have received previous PBS-subsidised bDMARD therapy) the patient must have been assessed for response to that course following a minimum of 12 weeks of treatment. These assessments must be provided to the Department of Human Services no later than 4 weeks from the date the course was ceased. If the response assessment is not submitted within these timeframes, the patient will be deemed to have failed this course of treatment Where the most recent course of PBS-subsidised treatment with this drug was approved under the continuing treatment criteria, patients must have been assessed for response, and the assessment must be submitted to the Department of Human Services no later than 4 weeks from the date that course was ceased The authority application must be made in writing and must include: A maximum of 16 weeks of treatment with this drug will be approved under this criterion Patients who fail to demonstrate a response to treatment with this drug under this restriction will not be eligible to receive further PBS-subsidised treatment with this drug in this treatment cycle. Patients may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised bDMARD was approved in this cycle and the date of the first application under a new cycle | Compliance with Written Authority Required procedures |
| C4642 | P4642 | Ankylosing spondylitis Continuing treatment Patient must have a documented history of active ankylosing spondylitis; AND Patient must be an adult Must be treated by a rheumatologist An adequate response is defined as an improvement from baseline of at least 2 of the BASDAI and 1 of the following: Where only 1 acute phase reactant measurement is supplied in the first application for PBS-subsidised treatment, that same marker must be measured and supplied in all subsequent continuing treatment applications The authority application must be made in writing and must include: All measurements provided must be no more than 1 month old at the time of application A maximum of 24 weeks of treatment with this drug will be authorised under this criterion All applications for continuing treatment with this drug must include a measurement of response to the prior course of therapy. This assessment must be submitted no later than 4 weeks from the cessation of that treatment course. If the application is the first application for continuing treatment following an initial treatment course it must be made following a minimum of 12 weeks of treatment with this drug. If the response assessment is not submitted within these timeframes, the patient will be deemed to have failed this course of treatment Patients who fail to demonstrate a response to treatment with this drug under this restriction will not be eligible to receive further PBS-subsidised treatment with this drug in this treatment cycle. Patients may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised bDMARD was approved in this cycle and the date of the first application under a new cycle | Compliance with Written Authority Required procedures |
| C4643 | P4643 | Ankylosing spondylitis Continuing treatment – balance of supply Patient must have a documented history of active ankylosing spondylitis; AND Patient must be an adult Must be treated by a rheumatologist | Compliance with Written or Telephone Authority Required procedures |
Schedule 4, Part 1, omit entry for Omeprazole and Clarithromycin and Amoxycillin
Schedule 4, Part 1, entry for Ranibizumab
substitute:
| Ranibizumab | C4607 | Subfoveal choroidal neovascularisation (CNV) Continuing treatment The condition must be due to age-related macular degeneration (AMD); AND Must be treated by an ophthalmologist | Compliance with Written or Telephone Authority Required procedures |
| C4640 | Subfoveal choroidal neovascularisation (CNV) Initial treatment The condition must be due to age-related macular degeneration (AMD); AND Must be treated by an ophthalmologist Authority approval for initial treatment of each eye must be sought The first authority application for each eye must be made in writing or by telephone A written application must include: A telephone application must be made following submission by facsimile of a copy of a completed Subfoveal Choroidal Neovascularisation (CNV) - PBS Supporting Information Form and a copy of the fluorescein angiogram. The original documentation must be submitted to the Chief Executive Medicare by post after the application has been authorised Where a fluorescein angiogram cannot be performed due to a contraindication as listed in the TGA-approved product information, details of the contraindication must be provided. A copy of the report of an alternative method of diagnosis must be included in the application, for example, optical coherence tomography (OCT) or red free photography | Compliance with Written or Telephone Authority Required procedures |
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