National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2015 (No. 9) (PB 90 of 2015) (Cth)

Case

PB 90 of 2015

National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2015
(No. 9)

National Health Act 1953

I, KYLIE JONASSON, 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   24 September           2015

KYLIE JONASSON
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 2015 (No. 9).

(2)        This Instrument may also be cited as PB 90 of 2015.

2          Commencement

This Instrument commences on 1 October 2015.

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

  1. Schedule 1, entry for Abatacept in the form Injection 125 mg in 1 mL single dose pre-filled syringe [Maximum Quantity: 4;
    Number of Repeats: 3]

    (a)omit from the column headed “Circumstances”:               C4664  

    (b)omit from the column headed “Circumstances”:               C4739  C4745

    (c)insert in numerical order:       C5448  C5495  C5503  

    (d)omit from the column headed “Purposes”:      P4664 P4745

    (e)insert in numerical order:       P5448 P5495

  2. Schedule 1, entry for Abatacept in the form Injection 125 mg in 1 mL single dose pre-filled syringe [Maximum Quantity: 4;
    Number of Repeats: 5]

    (a)omit from the column headed “Circumstances”:               C4664  

    (b)omit from the column headed “Circumstances”:               C4739  C4745

    (c)insert in numerical order:       C5448  C5495  C5503  

    (d)omit from the column headed “Purposes”:      C4739  substitute:             P5503

  3. Schedule 1, entry for Aciclovir in the form Eye ointment 30 mg per g, 4.5 g

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

AciVision DZ MP NP AO C1715 1 0 1
  1. Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled syringe [Maximum Quantity: 2; Number of Repeats: 0]

    (a)omit from the column headed “Circumstances”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

  2. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

  3. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

    (e)omit from the column headed “Purposes”:      P4710  C4751

    (f)insert in numerical order:     P5441 P5514

  4. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

  5. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

    (e)omit from the column headed “Purposes”:      P4666

    (f)insert in numerical order:     P5515 

  6. Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen [Maximum Quantity: 2; Number of Repeats: 0]

    (a)omit from the column headed “Circumstances”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

  7. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

  8. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

    (e)omit from the column headed “Purposes”:      P4710  C4751

    (f)insert in numerical order:     P5441 P5514

  9. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

  10. 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”:               C4666  

    (b)omit from the column headed “Circumstances”:               C4710 

    (c)omit from the column headed “Circumstances”:               C4751

    (d)insert in numerical order:       C5441  C5514  C5515

    (e)omit from the column headed “Purposes”:      P4666

    (f)insert in numerical order:     P5515

  11. Schedule 1, entry for Aflibercept

    substitute:

Aflibercept Solution for intravitreal injection 4 mg in 100 microlitres (40 mg per mL) Injection Eylea BN MP C4153 C4154 C5453 C5467 C5468 C5521 P4153 P4154 P5467 P5521 1 2 1
MP C4153 C4154 C5453 C5467 C5468 C5521 P5453 P5468 1 5 1
  1. Schedule 1, entry for Alendronic Acid in the form Tablet 70 mg (as alendronate sodium)

    omit from the column headed “Responsible Person” for the brand “Alendronate-GA”:     GN          substitute:             ED

  2. Schedule 1, entry for Alendronic acid with colecalciferol in the form Tablet 70 mg (as alendronate sodium) with 70 micrograms colecalciferol

    (a)omit from the column headed “Responsible Person” for the brand “Alendronate D3 70 mg/70 microgram”:    UA      substitute:             EA

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

Alendronate Plus D3 Sandoz SZ MP NP C4070 C4087 C4110 4 5 4
  1. Schedule 1, entry for Alendronic acid with colecalciferol in the form Tablet 70 mg (as alendronate sodium) with 140 micrograms colecalciferol

    (a)omit from the column headed “Responsible Person” for the brand “Alendronate D3 70 mg/140 microgram”:  UA      substitute:             EA

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

Alendronate Plus D3 Sandoz SZ MP NP C4122 C4123 C4133 4 5 4
  1. Schedule 1, entry for Alendronic acid with colecalciferol and calcium

    omit from the column headed “Responsible Person” for the brand “Alendronate Plus D3 Calcium Actavis”:              UA                substitute:             EA

  2. Schedule 1, entry for Amiodarone in the form Tablet containing amiodarone hydrochloride 200 mg

    omit from the column headed “Responsible Person” for the brand “Amiodarone Actavis”:              GN          substitute:             EA

  3. Schedule 1, entry for Amlodipine in each of the forms: Tablet 5 mg (as besylate); and Tablet 10 mg (as besylate)

    omit from the column headed “Responsible Person” for the brand “Norvapine”:                               GN          substitute:             ED

  4. Schedule 1, entry for Amoxycillin in each of the forms: Capsule 250 mg (as trihydrate); and Capsule 500 mg (as trihydrate)

    omit from the column headed “Responsible Person” for the brand “Amoxycillin-GA” (all instances):           GN          substitute:                FM

  5. Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Tablet containing 500 mg amoxycillin (as trihydrate) with 125 mg clavulanic acid (as potassium clavulanate)

    omit from the column headed “Responsible Person” for the brand “GA‑Amclav 500/125” (twice occurring):             GN                substitute:             FM

  6. Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Tablet containing 875 mg amoxycillin (as trihydrate) with 125 mg clavulanic acid (as potassium clavulanate)

    omit from the column headed “Responsible Person” for the brand “GA‑Amclav Forte 875/125” (twice occurring):  GN                substitute:             FM

  7. Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Powder for oral suspension containing 125 mg amoxycillin (as trihydrate) with 31.25 mg clavulanic acid (as potassium clavulanate) per 5 mL, 75 mL

    omit from the column headed “Responsible Person” for the brand “GA-Amclav 125/31.25” (twice occurring):          GN                substitute:             FM

  1. Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Powder for oral suspension containing 400 mg amoxycillin (as trihydrate) with 57 mg clavulanic acid (as potassium clavulanate) per 5 mL, 60 mL

    omit from the column headed “Responsible Person” for the brand “GA-Amclav Forte 400/57” (twice occurring):     GN                substitute:             FM

  2. Schedule 1, entry for Ampicillin in each of the forms: Powder for injection 500 mg (as sodium); and Powder for injection 1 g (as sodium)

    omit from the column headed “Responsible Person” for the brand “Ibimicyn” (all instances):        GN          substitute:             EA

  3. Schedule 1, entry for Anakinra

    omit from the column headed “Circumstances”:       C4920   substitute:             C5450

  4. Schedule 1, entry for Anastrozole

    omit from the column headed “Circumstances” (all instances):           C4795   substitute:             C5464

  5. Schedule 1, entry for Atenolol in the form Tablet 50 mg

    omit from the column headed “Responsible Person” for the brand “Atenolol-GA”:            GN          substitute:             ED

  6. Schedule 1, entry for Atorvastatin in each of the forms: Tablet 10 mg (as calcium); Tablet 20 mg (as calcium); Tablet 40 mg (as calcium);and Tablet 80 mg (as calcium)

    omit from the column headed “Responsible Person” for the brand “Atorvachol” (all instances):   GN          substitute:             ED

  7. Schedule 1, entry for Azathioprine in the form Tablet 25 mg

    omit:

Azran FM MP NP 100 5 100
  1. Schedule 1, entry for Azathioprine in the form Tablet 50 mg

    (a)omit from the column headed “Responsible Person” for the brand “Azamun”:         GN          substitute:             ED

    (b)omit:

Azran FM MP NP 100 5 100
  1. Schedule 1, entry for Azithromycin in the form Tablet 500 mg (as dihydrate)

    omit from the column headed “Responsible Person” for the brand “Azithromycin-GA” (twice occurring):   UA          substitute:                EA

  2. Schedule 1, entry for Bicalutamide

    omit from the column headed “Responsible Person” for the brand “Bicalutamide-GA”:   GN          substitute:             ED

  3. Schedule 1, entry for Bisoprolol in the form Tablet containing bisoprolol fumarate 2.5 mg

    omit from the column headed “Responsible Person” for the brand “Biso 2.5”:    GN          substitute:             ED

  4. Schedule 1, entry for Bisoprolol in the form Tablet containing bisoprolol fumarate 5 mg

    omit from the column headed “Responsible Person” for the brand “Biso 5”:       GN          substitute:             ED

  5. Schedule 1, entry for Bisoprolol in the form Tablet containing bisoprolol fumarate 10 mg

    omit from the column headed “Responsible Person” for the brand “Biso 10”:     GN          substitute:             ED

  6. Schedule 1, entry for Bleomycin

    omit from the column headed “Responsible Person” for the brand “Bleo 15K”: GN          substitute:             EA

  7. Schedule 1, entry for Bupropion

    substitute:

Bupropion Tablet containing bupropion hydrochloride 150 mg (sustained release) Oral Zyban AS MP NP C5438 C5475 C5518 P5438 P5475 30 0 30
MP NP C5438 C5475 C5518 P5518 90 0 90
  1. Schedule 1, entry for Calcipotriol with betamethasone in the form Gel containing calcipotriol 50 micrograms with betamethasone 500 micrograms (as dipropionate) per g, 60 g

    omit from the column headed “Circumstances”:       C4506   substitute:             C5465

  2. Schedule 1, entry for Calcitriol

    omit from the column headed “Responsible Person” for the brand “Calcitriol-GA”:         UA          substitute:             ED

  3. 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

    omit from the column headed “Responsible Person” for the brand “Candesartan-GA”:    GN          substitute:             ED

  4. Schedule 1, entry for Candesartan with Hydrochlorothiazide in each of the forms: Tablet containing candesartan cilexetil 16 mg with hydrochlorothiazide 12.5 mg; Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 12.5 mg; and Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 25 mg

    omit from the column headed “Responsible Person” for the brands “Candesartan HCTZ-GA 16/12.5”, “Candesartan HCTZ-GA 32/12.5” and
    “Candesartan HCTZ-GA 32/25” respectively:             
    GN          substitute:             ED

  5. Schedule 1, entry for Capecitabine in each of the forms: Tablet 150 mg; and Tablet 500 mg

    omit from the column headed “Responsible Person” for the brand “Capecitabine Actavis”:           GN          substitute:             ED

  6. Schedule 1, entry for Carboplatin in each of the forms: Solution for I.V. injection 50 mg in 5 mL; and Solution for I.V. injection 150 mg
    in 15 mL

    omit from the column headed “Responsible Person” for the brand “Carbaccord”:            GN          substitute:             EA

  7. Schedule 1, entry for Carvedilol in each of the forms: Tablet 3.125 mg; Tablet 6.25 mg; Tablet 12.5 mg; and Tablet 25 mg

    omit from the column headed “Responsible Person” for the brand “GN-Carvedilol”:       GN          substitute:             ED

  8. Schedule 1, entry for Cefaclor in the form Tablet (sustained release) 375 mg (as monohydrate)

    omit from the column headed “Responsible Person” for the brand “Cefaclor-GA” (twice occurring):           GN          substitute:                EA

  9. Schedule 1, entry for Ceftriaxone in the form Powder for injection 1 g (as sodium)

    omit:

Ceftriaxone ICP PP MP NP C1169 C1846 C1847 5 0 1
  1. Schedule 1, entry for Celecoxib in each of the forms: Capsule 100 mg; and Capsule 200 mg

    omit from the column headed “Responsible Person” for the brand “Celecoxib Actavis”:  GN          substitute:             ED

  2. Schedule 1, entry for Cephalexin in each of the forms: Capsule 250 mg (anhydrous); and Capsule 500 mg (anhydrous)

    omit from the column headed “Responsible Person” for the brand “Cilex” (all instances):              GN          substitute:             ED

  3. Schedule 1, entry for Certolizumab pegol

    (a)omit from the column headed “Circumstances”:               C4696  C4697  

    (b)omit from the column headed “Circumstances”:               C4763

    (c)insert in numerical order:       C5442  C5458  C5486  

  4. Schedule 1, entry for Ciprofloxacin in each of the forms: Tablet 500 mg (as hydrochloride); and Tablet 750 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Ciprofloxacin-GA” (all instances)::      GN          substitute:                ED

  5. Schedule 1, entry for Citalopram in the form Tablet 10 mg (as hydrobromide)

    (a)omit from the column headed “Responsible Person” for the brand “Citalopram Actavis”:    UA          substitute:             EA

    (b)omit from the column headed “Responsible Person” for the brand “Citalopram-GA”:            GN          substitute:             ED

  1. Schedule 1, entry for Citalopram in the form Tablet 20 mg (as hydrobromide)

    (a)omit from the column headed “Responsible Person” for the brand “Citalopram Actavis”:    VN          substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Citalopram-GA”:            GN          substitute:             EF

  2. Schedule 1, entry for Citalopram in the form Tablet 40 mg (as hydrobromide)

    (a)omit from the column headed “Responsible Person” for the brand “Citalopram Actavis”:    VN          substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Citalopram-GA”:            GN          substitute:             EF

  3. Schedule 1, entry for Clarithromycin in the form Tablet 250 mg

    omit from the column headed “Responsible Person” for the brand “Clarac”:      GN          substitute:             ED

  4. Schedule 1, entry for Clindamycin

    substitute:

Clindamycin Capsule 150 mg (as hydrochloride) Oral APO-Clindamycin TX MP NP MW C5470 24 0 24
PDP C5487 24 0 24
Calindamin QA MP NP MW C5470 24 0 24
PDP C5487 24 0 24
Chem mart Clindamycin CH MP NP MW C5470 24 0 24
PDP C5487 24 0 24
Cleocin FZ MP NP MW C5470 24 0 24
PDP C5487 24 0 24
Clindamycin BNM BZ MP NP MW C5470 24 0 24
PDP C5487 24 0 24
Clindamycin-Link LM MP NP MW C5470 24 0 24
PDP C5487 24 0 24
Dalacin C PF MP NP MW C5470 24 0 24
PDP C5487 24 0 24
Terry White Chemists Clindamycin TW MP NP MW C5470 24 0 24
PDP C5487 24 0 24
  1. Schedule 1, entry for Clobetasol

    omit from the column headed “Circumstances”:       C4507   substitute:             C5461

  2. Schedule 1, entry for Clopidogrel

    substitute:

Clopidogrel Tablet 75 mg Oral Clopidogrel-DRLA RZ MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Tablet 75 mg (as besilate) Oral Clopidogrel Actavis UA MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Clopidogrel-GA EA MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Clopidogrel GH GQ MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Clovix 75 QA MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Plidogrel FM MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Tablet 75 mg (as hydrogen sulfate) Oral APO-Clopidogrel TX MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Chem mart Clopidogrel CH MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Clopidogrel AN EA MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Clopidogrel RBX RA MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Clopidogrel Sandoz SZ MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Clopidogrel Winthrop WA MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Iscover AV MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Piax AF MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Plavicor 75 CR MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Plavix SW MP NP C4165 C4166 C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
Terry White Chemists Clopidogrel TW MP NP C5436 C5459 C5508 C5517 C5524 C5525 28 5 28
  1. Schedule 1, entry for Clopidogrel with aspirin

    substitute:

Clopidogrel with aspirin Tablet 75 mg (as hydrogen sulfate)-100 mg Oral

APO-Clopidogrel/

Aspirin 75/100

TX MP NP C5443 C5488 C5517 30 5 30

Chem mart Clopidogrel/

Aspirin 75/100

CH MP NP C5443 C5488 C5517 30 5 30
Clopidogrel Winthrop plus aspirin WA MP NP C5443 C5488 C5517 30 5 30

Clopidogrel/

Aspirin Actavis 75/100

EA MP NP C5443 C5488 C5517 30 5 30

Clopidogrel/

Aspirin Sandoz 75/100

SZ MP NP C5443 C5488 C5517 30 5 30
CoPlavix SW MP NP C5443 C5488 C5517 30 5 30
DuoCover AV MP NP C5443 C5488 C5517 30 5 30
DuoPlidogrel GZ MP NP C5443 C5488 C5517 30 5 30
Piax Plus Aspirin AF MP NP C5443 C5488 C5517 30 5 30

Terry White Chemists Clopidogrel/

Aspirin 75/100

TW MP NP C5443 C5488 C5517 30 5 30
  1. Schedule 1, entry for Cromoglycic Acid in the form Capsule containing powder for oral inhalation containing sodium cromoglycate 20 mg (for use in Intal Spinhaler or Intal Halermatic)

    omit from the column headed “Responsible Person” for the brand “Intal Spincaps”:        GN          substitute:             EA

  2. Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg [Maximum Quantity: 20; Number of Repeats: 5]

    (a)omit from the column headed “Circumstances” (all instances):    C1014  C1230  C1404    substitute:             C5532

    (b)omit from the column headed “Purposes” (all instances):          P1230  

    (c)omit from the column headed “Responsible Person” for the brand “Procur”:           GN          substitute:             ED

  3. Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg [Maximum Quantity: 100; Number of Repeats: 5]

    (a)omit from the column headed “Circumstances” (all instances):    C1014  C1230  C1404   

    (b)omit from the column headed “Purposes” (all instances):          P1014 P1404

    (c)omit from the column headed “Responsible Person” for the brand “Procur”:           GN          substitute:             ED

  4. Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 100 mg

    (a)omit from the column headed “Circumstances” (all instances):    C1014  C1404   

    (b)omit from the column headed “Responsible Person” for the brand “Procur 100”:   GN          substitute:             ED

  5. Schedule 1, after entry for Dapagliflozin

    insert:

Dapagliflozin with metformin Tablet (modified release) containing 5 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride Oral Xigduo XR 5/1000 AP MP NP C5455 C5527 56 5 56
Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 500 mg metformin hydrochloride Oral Xigduo XR 10/500 AP MP NP C5455 C5527 28 5 28
Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride Oral Xigduo XR 10/1000 AP MP NP C5455 C5527 28 5 28
  1. Schedule 1, entry for Desvenlafaxine in the form Tablet (modified release) 50 mg

    omit from the column headed “Responsible Person” for the brand “Desvenlafaxine Actavis”:        GN          substitute:             EA

  2. Schedule 1, entry for Desvenlafaxine in the form Tablet (modified release) 100 mg

    omit from the column headed “Responsible Person” for the brand “Desvenlafaxine Actavis”:        GN          substitute:             EA

  3. Schedule 1, entry for Diclofenac in each of the forms: Tablet (enteric coated) containing diclofenac sodium 25 mg; and Tablet (enteric coated) containing diclofenac sodium 50 mg

    omit from the column headed “Responsible Person” for the brand “Diclofenac-GA” (all instances):             GN          substitute:                ED

  4. Schedule 1, entry for Diltiazem in the form Tablet containing diltiazem hydrochloride 60 mg

    (a)omit from the column headed “Responsible Person” for the brand “Diltiazem Actavis”:        UA          substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Dilzem 60 mg”:               GN          substitute:             EF

  5. Schedule 1, entry for Docetaxel in the form Solution concentrate for I.V. infusion 140 mg in 7 mL

    omit from the column headed “Responsible Person” for the brand “Oncotaxel 140”:        GN          substitute:             EA

  6. Schedule 1, entry for Docetaxel in the form Solution concentrate for I.V. infusion 80 mg in 4 mL

    omit from the column headed “Responsible Person” for the brand “Oncotaxel 80”:          GN          substitute:             EA

  7. Schedule 1, entry for Donepezil in each of the forms: Tablet containing donepezil hydrochloride 5 mg; and Tablet containing donepezil hydrochloride 10 mg

    omit from the column headed “Responsible Person” for the brand “Donepezil-GA”:         GN          substitute:             ED

  8. Schedule 1, entry for Doxorubicin in the form Solution for I.V. injection or intravesical administration containing doxorubicin hydrochloride 200 mg in 100 mL single dose vial

    omit from the column headed “Responsible Person” for the brand “Accord Doxorubicin”:             GN          substitute:             EA

  9. Schedule 1, entry for Doxycycline in the form Tablet 50 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Doxy-50”:   GN          substitute:             ED

  10. Schedule 1, entry for Doxycycline in the form Tablet 100 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Doxy-100” (all instances):      GN          substitute:             ED

  11. Schedule 1, entry for Doxycycline in the form Tablet 100 mg (as hydrochloride) [Maximum Quantity: 28; Number of Repeats: 0]

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

Doxycycline AN EA MP NP P4514 28 0 7
  1. Schedule 1, entry for Duloxetine in each of the forms: Capsule 30 mg (as hydrochloride); and Capsule 60 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Drulox”:      GN          substitute:             ED

  2. Schedule 1, entry for Electrolyte Replacement, Oral

    omit from the column headed “Responsible Person” for the brand “restore O.R.S.”:          GN          substitute:             EA

  3. Schedule 1, entry for Enalapril in each of the forms: Tablet containing enalapril maleate 5 mg; Tablet containing enalapril maleate 10 mg; and Tablet containing enalapril maleate 20 mg

    omit from the column headed “Responsible Person” for the brand “Enalapril Actavis”:  UA          substitute:             ED

  4. Schedule 1, entry for Epirubicin in each of the forms: Solution for injection containing epirubicin hydrochloride 50 mg in 25 mL; Solution for injection containing epirubicin hydrochloride 100 mg in 50 mL; and Solution for injection containing epirubicin hydrochloride 200 mg
    in 100 mL

    omit from the column headed “Responsible Person” for the brand “Epirubicin ACT”:      VN          substitute:             EA

  5. Schedule 1, entry for Escitalopram in each of the forms: Tablet 10 mg (as oxalate); and Tablet 20 mg (as oxalate)

    omit from the column headed “Responsible Person” for the brand “Escitalopram GA”:   GN          substitute:             ED

  6. Schedule 1, entry for Esomeprazole in the form Tablet (enteric coated) 20 mg (as magnesium trihydrate)

    (a)omit:

Esomeprazole GH GQ MP NP C4988 C5029 C5030 C5039 P4988 30 1 30

(b)omit:

Esomeprazole GH GQ MP NP C4988 C5029 C5030 C5039 P5029 P5030 P5039 30 5 30
  1. Schedule 1, entry for Esomeprazole in the form Tablet (enteric coated) 40 mg (as magnesium trihydrate)

    (a)omit:

Esomeprazole GH GQ MP NP C5011 C5021 C5028 P5028 30 1 30

(b)omit:

Esomeprazole GH GQ MP NP C5011 C5021 C5028 P5011 P5021 30 5 30
  1. 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”:               C4777  C4778  C4782

    (b)insert in numerical order:       C5462  C5479  C5528  

    (c)omit from the column headed “Purposes”:      P4777 P4782

    (d)insert in numerical order:     P5462 P5479

  2. 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”:               C4777  C4778  C4782

    (b)insert in numerical order:       C5462  C5479  C5528 

    (c)omit from the column headed “Purposes”:      P4778

    (d)insert in numerical order:     P5528

  3. 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”:               C4777  C4778  C4782

    (b)insert in numerical order:       C5462  C5479  C5528  

    (c)omit from the column headed “Purposes”:      P4777 P4782

    (d)insert in numerical order:     P5462 P5479

  4. 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”:               C4777  C4778  C4782

    (b)insert in numerical order:       C5462  C5479  C5528 

    (c)omit from the column headed “Purposes”:      P4778

    (d)insert in numerical order:     P5528

  5. 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”:               C4777  C4778  C4782

    (b)insert in numerical order:       C5462  C5479  C5528  

    (c)omit from the column headed “Purposes”:      P4777 P4782

    (d)insert in numerical order:     P5462 P5479

  1. 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”:               C4777  C4778  C4782

    (b)insert in numerical order:       C5462  C5479  C5528 

    (c)omit from the column headed “Purposes”:      P4778

    (d)insert in numerical order:     P5528

  2. Schedule 1, entry for Exemestane

    omit from the column headed “Responsible Person” for the brand “Exemestane-GA”:      GN          substitute:             ED

  3. Schedule 1, entry for Exemestane

    (a)omit from the column headed “Circumstances” [Authorised Prescriber MP] (all instances):                C4802  C4808

    (b)insert in numerical order:     C5522

    (c)omit from the column headed “Circumstances” [Authorised Prescriber NP] (all instances): C4802  C4808    substitute:         C5522

  4. Schedule 1, entry for Exenatide in each of the forms: Injection solution 5 micrograms per dose in pre-filled pen, 60 doses; and Injection solution 10 micrograms per dose in pre-filled pen, 60 doses

    omit from the column headed “Circumstances”:       C4856  C4857    substitute:             C5469  C5478  C5500

  5. Schedule 1, entry for Famciclovir in each of the forms: Tablet 125 mg; and Tablet 250 mg

    omit from the column headed “Responsible Person” for the brand “Famciclovir-GA” (all instances):           GN          substitute:                ED

  6. Schedule 1, entry for Famciclovir in the form Tablet 500 mg [Maximum Quantity: 56; Number of Repeats: 5]

    (a)omit from the column headed “Purposes” for the brands “Auro-Famciclovir 500” and “Ezovir”:       P3626 P3627 P3628 P3629

    (b)omit from the column headed “Responsible Person” for the brand “Famciclovir-GA”:           GN          substitute:             ED

    (c)omit from the column headed “Purposes” for the brands “Famciclovir-GA” and, “Famciclovir generichealth 500”:      P3626 P3627 P3628 P3629

    (d)insert in numerical order in the column headed “Circumstances” for the brand “Famciclovir Sandoz”:            C3625  

  7. Schedule 1, entry for Famotidine in each of the forms: Tablet 20 mg; and Tablet 40 mg

    omit from the column headed “Responsible Person” for the brand “Pepzan”:     GN          substitute:             ED

  8. Schedule 1, entry for Fentanyl in each of the forms: Lozenge 200 micrograms (as citrate); Lozenge 400 micrograms (as citrate); Lozenge 600 micrograms (as citrate); Lozenge 800 micrograms (as citrate); Lozenge 1200 micrograms (as citrate); and Lozenge 1600 micrograms
    (as citrate)

    omit from the column headed “Responsible Person”:                 OA          substitute:             TB

  1. Schedule 1, entry for Fentanyl in each of the forms: Transdermal patch 2.063 mg; Transdermal patch 4.125 mg; Transdermal patch 8.25 mg; Transdermal patch 12.375 mg; and Transdermal patch 16.5 mg

    omit from the column headed “Responsible Person” for the brands “Dutran 12”, “Dutran 25”, “Dutran 50”, “Dutran 75” and “Dutran 100” respectively: GN
    substitute:             EA

  2. Schedule 1, entry for Filgrastim in the form Injection 300 micrograms in 0.5 mL single use pre-filled syringe (TevaGrastim)

    omit from the column headed “Responsible Person”:                 AS          substitute:             TB

  3. Schedule 1, entry for Filgrastim in the form Injection 480 micrograms in 0.8 mL single use pre-filled syringe (TevaGrastim)

    omit from the column headed “Responsible Person”:                 AS          substitute:             TB

  4. Schedule 1, entry for Flucloxacillin in each of the forms: Powder for injection 500 mg (as sodium); and Powder for injection 1 g (as sodium)

    omit from the column headed “Responsible Person” for the brand “Flubiclox” (all instances):      GN       substitute:             EA

  5. Schedule 1, entry for Fluoxetine in the form Capsule 20 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Fluoxetine-GA”:        GN          substitute:             ED

  6. Schedule 1, entry for Fluvastatin

    omit:

Capsule 20 mg (as sodium) Oral Lescol NV MP C1540 C3047 P1540 28 5 28
NP C1540 28 5 28
Vastin NM MP C1540 C3047 P1540 28 5 28
NP C1540 28 5 28
Lescol NV MP C1540 C3047 P3047 28 11 28
Vastin NM MP C1540 C3047 P3047 28 11 28
Capsule 40 mg (as sodium) Oral Lescol NV MP C1540 C3047 P1540 28 5 28
NP C1540 28 5 28
Vastin NM MP C1540 C3047 P1540 28 5 28
NP C1540 28 5 28
Lescol NV MP C1540 C3047 P3047 28 11 28
Vastin NM MP C1540 C3047 P3047 28 11 28
  1. Schedule 1, entry for Fluvoxamine in each of the forms: Tablet containing fluvoxamine maleate 50 mg; and Tablet containing fluvoxamine maleate 100 mg

    omit from the column headed “Responsible Person” for the brand “Fluvoxamine GA”:    GN          substitute:             EA

  2. Schedule 1, entry for Fosinopril with Hydrochlorothiazide in the form Tablet containing fosinopril sodium 20 mg with hydrochlorothiazide 12.5 mg

    omit from the column headed “Responsible Person” for the brand “Fosinopril/HCT Actavis 20/12.5”:        UA          substitute:                EA

  3. Schedule 1, entry for Frusemide in the form Tablet 20 mg

    omit from the column headed “Responsible Person” for the brand “Frusid”:      GN          substitute:             EA

  4. Schedule 1, entry for Frusemide in the form Tablet 40 mg

    omit from the column headed “Responsible Person” for the brand “Frusid”:      UA          substitute:             EA

  5. Schedule 1, entry for Gabapentin in each of the forms: Capsule 300 mg; and Capsule 400 mg

    omit from the column headed “Responsible Person” for the brand “Gantin”:      GN          substitute:             EA

  6. Schedule 1, entry for Gabapentin in the form Tablet 800 mg

    omit from the column headed “Responsible Person” for the brand “Gantin”:      GN          substitute:             ED

  7. Schedule 1, entry for Gemcitabine in the form Powder for I.V. infusion 200 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Gemaccord”:              GN          substitute:             EA

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

    omit from the column headed “Responsible Person” for the brand “Gemaccord”:              GN          substitute:             EA

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

    omit from the column headed “Responsible Person” for the brand “Gemcitabine Actavis 2000”:   GN          substitute:             EA

  10. Schedule 1, entry for Gentamicin in the form Eye drops 3 mg (as sulfate) per mL, 5 mL

    (a)omit from the column headed “Circumstances” [Authorised Prescriber MP]:C1188  C1391  C1714    substitute:    C5451  C5483  C5499

    (b)omit from the column headed “Circumstances” [Authorised Prescriber AO]:            C1391  C1714    substitute:    C5476  C5477

  11. Schedule 1, entry for Glimepiride in each of the forms: Tablet 1 mg; Tablet 2 mg; Tablet 3 mg; and Tablet 4 mg

    omit from the column headed “Responsible Person” for the brands “Glimepiride GA 1”, “Glimepiride GA 2”, “Glimepiride GA 3”, and “Glimepiride GA 4” respectively:    GN       substitute:             ED

  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”:               C4702  C4744  C4754  

    (b)insert in numerical order:       C5457  C5463  C5513  

    (c)omit from the column headed “Purposes”:      P4702 P4754

    (d)insert in numerical order:     P5457 P5513

  2. 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”:               C4702  C4744  C4754 

    (b)insert in numerical order:       C5457  C5463  C5513 

    (c)omit from the column headed “Purposes”:      P4744

    (d)insert in numerical order:     P5463 

  3. 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”:               C4702  C4744  C4754  

    (b)insert in numerical order:       C5457  C5463  C5513  

    (c)omit from the column headed “Purposes”:      P4702 P4754

    (d)insert in numerical order:     P5457 P5513

  4. 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”:               C4702  C4744  C4754 

    (b)insert in numerical order:       C5457  C5463  C5513 

    (c)omit from the column headed “Purposes”:      P4744

    (d)insert in numerical order:     P5463 

  5. Schedule 1, entry for Goserelin in the form Subcutaneous implant 3.6 mg (as acetate) in pre-filled injection syringe

    (a)omit from the column headed “Circumstances”:           C4874 

    (b)omit from the column headed “Circumstances”:           C4891

    (c)insert in numerical order:     C5437

  6. Schedule 1, entry for Hydroxychloroquine

    omit from the column headed “Responsible Person” for the brand “Hydroxychloroquine Actavis”:              GN          substitute:                ED

  1. Schedule 1, entry for Indapamide in the form Tablet containing indapamide hemihydrate 2.5 mg

    omit from the column headed “Responsible Person” for the brand “Indapamide-GA”:      GN          substitute:             ED

  2. Schedule 1, entry for Irbesartan in the form Tablet 75 mg

    (a)omit from the column headed “Responsible Person” for the brand “Irbesartan Actavis 75”:                 UA          substitute:      ED

    (b)omit from the column headed “Responsible Person” for the brand “Irbesartan-GA”:              GN          substitute:             EF

  3. Schedule 1, entry for Irbesartan in the form Tablet 150 mg

    (a)omit from the column headed “Responsible Person” for the brand “Irbesartan Actavis 150”:              UA          substitute:      ED

    (b)omit from the column headed “Responsible Person” for the brand “Irbesartan-GA”:              GN          substitute:             EF

  4. Schedule 1, entry for Irbesartan in the form Tablet 300 mg

    (a)omit from the column headed “Responsible Person” for the brand “Irbesartan Actavis 300”:              UA          substitute:      ED

    (b)omit from the column headed “Responsible Person” for the brand “Irbesartan-GA”:              GN          substitute:             EF

  5. Schedule 1, entry for Irbesartan with Hydrochlorothiazide in the form Tablet 150 mg-12.5 mg

    (a)omit from the column headed “Responsible Person” for the brand “Irbesartan HCT Actavis 150/12.5”:                            UA      substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Irbesartan HCTZ-GA 150/12.5”:                 GN      substitute:             EF

  6. Schedule 1, entry for Irbesartan with Hydrochlorothiazide in the form Tablet 300 mg-12.5 mg

    (a)omit from the column headed “Responsible Person” for the brand “Irbesartan HCT Actavis 300/12.5”:                            UA      substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Irbesartan HCTZ-GA 300/12.5”:                 GN      substitute:             EF

  7. Schedule 1, entry for Irbesartan with Hydrochlorothiazide in the form Tablet 300 mg-25 mg

    (a)omit from the column headed “Responsible Person” for the brand “Irbesartan HCT Actavis 300/25”:                               UA      substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Irbesartan HCTZ-GA 300/25”:    GN          substitute:      EF

  8. Schedule 1, entry for Irinotecan in each of the forms: I.V. injection containing irinotecan hydrochloride trihydrate 40 mg in 2 mL; and I.V. injection containing irinotecan hydrochloride trihydrate 100 mg in 5 mL

    omit from the column headed “Responsible Person” for the brand “Irinoccord”:               GN          substitute:             EA

  9. Schedule 1, entry for Irinotecan in the form I.V. injection containing irinotecan hydrochloride trihydrate 500 mg in 25 mL

    (a)omit from the column headed “Responsible Person” for the brand “Irinotecan Actavis 500”:              UA          substitute:      EA

    (b)omit from the column headed “Responsible Person” for the brand “Tecan”:             GN          substitute:             ED

  1. Schedule 1, entry for Isosorbide Mononitrate in the form Tablet 60 mg (sustained release)

    omit from the column headed “Responsible Person” for the brand “Imtrate 60 mg”:         GN          substitute:             ED

  2. Schedule 1, entry for Lamotrigine in each of the forms: Tablet 25 mg; Tablet 50 mg; Tablet 100 mg; and Tablet 200 mg

    omit from the column headed “Responsible Person” for the brand “Lamotrigine-GA”:     GN          substitute:             ED

  3. Schedule 1, entry for Lanthanum

    substitute:

Lanthanum Tablet, chewable, 500 mg (as carbonate hydrate) Oral Fosrenol ZI MP C5454 C5491 C5530 P5491 90 5 90
NP C5491 90 5 90
MP C5454 C5491 C5530 P5454 P5530 180 5 90
Tablet, chewable, 750 mg (as carbonate hydrate) Oral Fosrenol ZI MP C5454 C5491 C5530 P5491 90 5 90
NP C5491 90 5 90
MP C5454 C5491 C5530 P5454 P5530 180 5 90
Tablet, chewable, 1000 mg (as carbonate hydrate) Oral Fosrenol ZI MP C5454 C5491 C5530 P5491 90 5 90
NP C5491 90 5 90
MP C5454 C5491 C5530 P5454 P5530 180 5 90
  1. Schedule 1, entry for Latanoprost

    omit from the column headed “Responsible Person” for the brand “Latanoprost Actavis”:              GN          substitute:             EA

  2. Schedule 1, entry for Leflunomide in each of the forms: Tablet 10 mg; and Tablet 20 mg

    omit from the column headed “Responsible Person” for the brand “Leflunomide-GA”:     GN          substitute:             ED

  3. Schedule 1, entry for Lercanidipine in each of the forms: Tablet containing lercanidipine hydrochloride 10 mg; and Tablet containing lercanidipine hydrochloride 20 mg

    omit from the column headed “Responsible Person” for the brand “Lercadip”:  GN          substitute:             EA

  4. Schedule 1, entry for Letrozole

    (a)omit from the column headed “Circumstances” (all instances):    C4795  C4801    substitute:             C5464

    (b)omit from the column headed “Responsible Person” for the brand “Lezole”:            UA          substitute:             ED

  5. Schedule 1, entry for Levetiracetam in each of the forms: Tablet 250 mg; Tablet 500 mg; and Tablet 1 g

    omit from the column headed “Responsible Person” for the brand “Kepcet”:      GN          substitute:             ED

  6. Schedule 1, entry for Levodopa with Carbidopa in the form Intestinal gel 20 mg-5 mg per mL, 100 mL

    (a)omit from the column headed “Circumstances” [Authorised Prescriber MP]:C3703 

    (b)insert in numerical order: C5473

    (c)omit from the column headed “Circumstances” [Authorised Prescriber NP]:C3703   substitute:         C5473

  7. Schedule 1, entry for Lisinopril in each of the forms: Tablet 5 mg; Tablet 10 mg; and Tablet 20 mg

    omit from the column headed “Responsible Person” for the brand “Lisinopril-GA”:         GN          substitute:             ED

  8. Schedule 1, entry for Macrogol 3350 in the form Sachets containing powder for oral solution 13.125 g with electrolytes, 30

    omit from the column headed “Responsible Person” for the brand “LaxaCon” (all instances):       GN          substitute:             EA

  9. Schedule 1, entry for Magnesium

    omit from the column headed “Circumstances” (twice occurring):      C5434  C5435    substitute:             C5466  C5506

  10. Schedule 1, entry for Meloxicam in each of the forms: Tablet 7.5 mg; and Tablet 15 mg

    omit from the column headed “Responsible Person” for the brand “Meloxicam-GA”:       GN          substitute:             ED

  11. Schedule 1, entry for Meloxicam in each of the forms: Capsule 7.5 mg; and Capsule 15 mg

    omit from the column headed “Responsible Person” for the brands “Melox 7.5” and “Melox 15” respectively:         GN                substitute:             EA

  12. Schedule 1, entry for Metformin in each of the forms: Tablet containing metformin hydrochloride 500 mg; Tablet containing metformin hydrochloride 850 mg; and Tablet containing metformin hydrochloride 1 g

    omit from the column headed “Responsible Person” for the brand “Metformin-GA”:        GN          substitute:             ED

  13. Schedule 1, entry for Methotrexate in each of the forms: Injection 50 mg in 2 mL vial; and Solution concentrate for I.V. infusion 1000 mg
    in 10 mL vial

    omit from the column headed “Responsible Person” for the brand “Methaccord” (all instances):  GN          substitute:             EA

  14. Schedule 1, entry for Metoclopramide in the form Tablet containing metoclopramide hydrochloride 10 mg

    omit from the column headed “Responsible Person” for the brand “Metoclopramide Actavis”:      GN          substitute:             ED

  15. Schedule 1, entry for Metoprolol in each of the forms: Tablet containing metoprolol tartrate 50 mg; and Tablet containing metoprolol tartrate 100 mg

    omit from the column headed “Responsible Person” for the brand “Metoprolol Actavis”:                               GN          substitute:                ED

  16. Schedule 1, entry for Milk powder—lactose free formula in the form Oral powder 900 g (Karicare Aptamil Gold De-Lact)

    (a)omit from the column headed “Form”:  (Karicare Aptamil Gold De-Lact)           substitute:      (Aptamil Gold+ De-Lact)

    (b)omit from the column headed “Brand”:          Karicare Aptamil Gold De-Lact substitute:             Aptamil Gold+ De-Lact

  17. Schedule 1, entry for Mirtazapine in each of the forms: Tablet 30 mg; and Tablet 45 mg

    omit from the column headed “Responsible Person” for the brand “Mirtazapine-GA”:     GN          substitute:             ED

  18. Schedule 1, entry for Moclobemide in each of the forms: Tablet 150 mg; and Tablet 300 mg

    omit from the column headed “Responsible Person” for the brand “Clobemix”:                 GN          substitute:             ED

  19. Schedule 1, entry for Modafinil

    omit from the column headed “Responsible Person”:                 CS          substitute:             TB

  20. Schedule 1, entry for Montelukast in each of the forms: Tablet, chewable, 4 mg (as sodium); and Tablet, chewable, 5 mg (as sodium)

    omit from the column headed “Responsible Person” for the brands “Montair 4” and “Montair 5” respectively:   GN                substitute:             ED

  21. Schedule 1, entry for Morphine in the form Tablet containing morphine sulfate 100 mg (controlled release)

    omit from the column headed “Brand”:      APOTEX-MORPHINE MR          substitute:             MORPHINE MR APOTEX

  22. Schedule 1, entry for Nevirapine in the form Tablet 200 mg

    omit from the column headed “Responsible Person” for the brand “Nevipin”:    GN          substitute:             EA

  23. Schedule 1, entry for Olanzapine in each of the forms: Tablet 2.5 mg; Tablet 5 mg; Tablet 7.5 mg; and Tablet 10 mg

    omit from the column headed “Responsible Person” for the brand “Olanzapine-GA”:      GN          substitute:             ED

  24. Schedule 1, entry for Olanzapine in each of the forms: Tablet 5 mg (orally disintegrating); and Tablet 10 mg (orally disintegrating)

    omit from the column headed “Responsible Person” for the brand “Olanzapine-GA ODT”:             GN          substitute:             ED

  25. Schedule 1, entry for Omeprazole in the form Tablet 20 mg

    omit from the column headed “Responsible Person” for the brand “Omeprazole-GA” (twice occurring):     GN          substitute:                ED

  26. Schedule 1, entry for Omeprazole in the form Capsule 20 mg

    omit from the column headed “Responsible Person” for the brand “Omepro-GA” (twice occurring):             GN          substitute:                EA

  27. Schedule 1, entry for Ondansetron in each of the forms: Tablet (orally disintegrating) 4 mg; and Tablet (orally disintegrating) 8 mg

    omit from the column headed “Responsible Person” for the brands “Onsetron ODT 4” and “Onsetron ODT 8” (all instances):                GN          substitute:             ED

  28. Schedule 1, entry for Oxaliplatin in the form Solution concentrate for I.V. infusion 100 mg in 20 mL

    omit from the column headed “Responsible Person” for the brand “Oxaliccord”:              GN          substitute:             EA

  29. Schedule 1, entry for Oxycodone

    omit:

Tablet containing oxycodone hydrochloride 5 mg Oral Endone QA MP NP PDP C4926 C4959 20 0 20
Oxycodone Aspen FM MP NP PDP C4926 C4959 20 0 20
Capsule containing oxycodone hydrochloride 5 mg Oral OxyNorm MF MP NP PDP C4926 C4959 20 0 20
Capsule containing oxycodone hydrochloride 10 mg Oral OxyNorm MF MP NP PDP C4926 C4959 20 0 20
Capsule containing oxycodone hydrochloride 20 mg Oral OxyNorm MF MP NP C4959 20 0 20
Oral solution containing oxycodone hydrochloride 5 mg per 5 mL, 250 mL Oral OxyNorm Liquid 5mg/5mL MF MP NP PDP C4926 C4959 1 0 1

substitute:

Tablet containing oxycodone hydrochloride 5 mg Oral Endone QA MP NP C4959 20 0 20
PDP C4926 20 0 20
Mayne Pharma Oxycodone IR YN MP NP C4959 20 0 20
PDP C4926 20 0 20
Oxycodone Aspen FM MP NP C4959 20 0 20
PDP C4926 20 0 20
Capsule containing oxycodone hydrochloride 5 mg Oral OxyNorm MF MP NP C4959 20 0 20
PDP C4926 20 0 20
Capsule containing oxycodone hydrochloride 10 mg Oral OxyNorm MF MP NP C4959 20 0 20
PDP C4926 20 0 20
Capsule containing oxycodone hydrochloride 20 mg Oral OxyNorm MF MP NP C4959 20 0 20
Oral solution containing oxycodone hydrochloride 5 mg per 5 mL, 250 mL Oral OxyNorm Liquid 5mg/5mL MF MP NP C4959 1 0 1
PDP C4926 1 0 1
  1. Schedule 1, entry for Oxycodone

    omit:

Suppository 30 mg (as pectinate) Rectal Proladone PL MP NP PDP C4926 C4959 12 0 12

substitute:

Suppository 30 mg (as pectinate) Rectal Proladone PL MP NP C4959 12 0 12
PDP C4926 12 0 12
  1. Schedule 1, entry for Paclitaxel in the form Solution concentrate for I.V. infusion 30 mg in 5 mL

    (a)omit from the column headed “Responsible Person” for the brand “Paclitaxel Actavis”:       UA          substitute:             EA

    (b)omit from the column headed “Responsible Person” for the brand “Plaxel”:            GN          substitute:             ED

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

    (a)omit from the column headed “Responsible Person” for the brand “Paclitaxel Actavis”:       UA          substitute:             EA

    (b)omit from the column headed “Responsible Person” for the brand “Plaxel”:            GN          substitute:             ED

  3. Schedule 1, entry for Paclitaxel in the form Solution concentrate for I.V. infusion 150 mg in 25 mL

    (a)omit from the column headed “Responsible Person” for the brand “Paclitaxel Actavis”:       UA          substitute:             EA

    (b)omit from the column headed “Responsible Person” for the brand “Plaxel”:            GN          substitute:             ED

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

    (a)omit from the column headed “Responsible Person” for the brand “Paclitaxel Actavis”:       UA          substitute:             EA

    (b)omit from the column headed “Responsible Person” for the brand “Plaxel”:            GN          substitute:             ED

  1. Schedule 1, entry for Panitumumab in each of the forms: Solution concentrate for I.V. infusion 100 mg in 5 mL; and Solution concentrate for I.V. infusion 400 mg in 20 mL

    (a)omit from the column headed “Circumstances”:           C4783  C4784    substitute:             C5439  C5447  C5452  C5526

    (b)omit from the column headed “Purposes”:      See Note 3

  2. Schedule 1, entry for Pantoprazole

    substitute:

Pantoprazole Sachet containing granules 40 mg (as sodium sesquihydrate) Oral Somac NQ MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Tablet (enteric coated) 20 mg (as sodium sesquihydrate) Oral APO-Pantoprazole TX MP NP C5444 C5512 C5529 30 5 30
APOTEX-Pantoprazole GX MP NP C5444 C5512 C5529 30 5 30
Chem mart Pantoprazole CH MP NP C5444 C5512 C5529 30 5 30
I-Pantoprazole CR MP NP C5444 C5512 C5529 30 5 30
Ozpan RA MP NP C5444 C5512 C5529 30 5 30
Panthron ER MP NP C5444 C5512 C5529 30 5 30
Panto TK MP NP C5444 C5512 C5529 30 5 30
Pantofast 20 RZ MP NP C5444 C5512 C5529 30 5 30
Pantoprazole AN EA MP NP C5444 C5512 C5529 30 5 30
Pantoprazole Sandoz SZ MP NP C5444 C5512 C5529 30 5 30
Pantoprazole generichealth GQ MP NP C5444 C5512 C5529 30 5 30
Pantoprazole-GA EF MP NP C5444 C5512 C5529 30 5 30
Salpraz AF MP NP C5444 C5512 C5529 30 5 30
Somac NQ MP NP C5444 C5512 C5529 30 5 30
Sozol QA MP NP C5444 C5512 C5529 30 5 30
Terry White Chemists Pantoprazole TW MP NP C5444 C5512 C5529 30 5 30
Torzole 20 VN MP NP C5444 C5512 C5529 30 5 30
Tablet (enteric coated) 40 mg (as sodium sesquihydrate) Oral APO-Pantoprazole TX MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
APOTEX-Pantoprazole GX MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Chem mart Pantoprazole CH MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
I-Pantoprazole CR MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Ozpan RA MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Panthron ER MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Panto TK MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Pantofast 40 RZ MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Pantoprazole AN EA MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Pantoprazole Actavis ED MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Pantoprazole Sandoz SZ MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Pantoprazole generichealth GQ MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Pantoprazole-GA EF MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Salpraz AF MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Somac NQ MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Sozol QA MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Terry White Chemists Pantoprazole TW MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Topra 40 DO MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
Torzole 40 VN MP NP C5444 C5445 C5512 C5529 P5445 30 2 30
APO-Pantoprazole TX MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
APOTEX-Pantoprazole GX MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Chem mart Pantoprazole CH MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
I-Pantoprazole CR MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Ozpan RA MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Panthron ER MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Panto TK MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Pantofast 40 RZ MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Pantoprazole AN EA MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Pantoprazole Actavis ED MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Pantoprazole Sandoz SZ MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Pantoprazole generichealth GQ MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Pantoprazole-GA EF MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Salpraz AF MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Somac NQ MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Sozol QA MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Terry White Chemists Pantoprazole TW MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Topra 40 DO MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
Torzole 40 VN MP NP C5444 C5445 C5512 C5529 P5444 P5512 P5529 30 5 30
  1. Schedule 1, entry for Paracetamol in the form Tablet 500 mg

    omit from the column headed “Responsible Person” for the brand “Febridol” (all instances):        GN          substitute:             EA

  2. Schedule 1, entry for Paroxetine in the form Tablet 20 mg (as hydrochloride)

    (a)omit from the column headed “Responsible Person” for the brand “Paroxetine Actavis”:     UA          substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Paroxetine-GA”:             GN          substitute:             FM

  3. Schedule 1, entry for Perindopril in the form Tablet containing perindopril erbumine 2 mg

    omit from the column headed “Responsible Person” for the brand “Perindopril Actavis 2”:           UA          substitute:             EA

  4. Schedule 1, entry for Perindopril in each of the forms: Tablet containing perindopril erbumine 4 mg; and Tablet containing perindopril erbumine 8 mg

    omit from the column headed “Responsible Person” for the brands “Perindopril Actavis 4” and “Perindopril Actavis 8” respectively:                         UA         
    substitute:            
    ED

  5. Schedule 1, entry for Perindopril with Indapamide in the form Tablet containing perindopril erbumine 4 mg with indapamide hemihydrate 1.25 mg

    omit from the column headed “Responsible Person” for the brand “Perindopril Combi Actavis 4/1.25”:     GN          substitute:                ED

  6. Schedule 1, entry for Pimecrolimus

    omit from the column headed “Circumstances”:       C2455  C2456    substitute:             C5472  C5482

  7. Schedule 1, entry for Pioglitazone in each of the forms: Tablet 15 mg (as hydrochloride); Tablet 30 mg (as hydrochloride); and
    Tablet 45 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Pioglitazone-GA”:    GN          substitute:             ED

  8. Schedule 1, entry for Pravastatin in each of the forms: Tablet containing pravastatin sodium 10 mg; Tablet containing pravastatin sodium 20 mg; Tablet containing pravastatin sodium 40 mg; and Tablet containing pravastatin sodium 80 mg

    omit from the column headed “Responsible Person” for the brands “Pravastatin-GA 10”, “Pravastatin-GA 20”, “Pravastatin-GA 40” and “Pravastatin-GA 80” respectively (all instances):       GN          substitute:             ED

  9. Schedule 1, entry for Prochlorperazine in the form Tablet containing prochlorperazine maleate 5 mg

    omit from the column headed “Responsible Person” for the brand “Prochlorperazine‑GA”:           GN          substitute:             ED

  10. Schedule 1, entry for Protein hydrolysate formula with medium chain triglycerides

    (a)omit from the column headed “Form”:  (Karicare Aptamil Pepti-Junior Gold)    substitute:      (Aptamil Gold+ Pepti-Junior)

    (b)omit from the column headed “Brand”:          Karicare Aptamil Pepti-Junior Gold      substitute:             Aptamil Gold+ Pepti-Junior

  11. Schedule 1, entry for Quetiapine in the form Tablet 25 mg (as fumarate)

    (a)omit from the column headed “Responsible Person” for the brand “Quetiaccord”:                 UA          substitute:             EF

    (b)omit from the column headed “Responsible Person” for the brand “Quetiapine Actavis 25”:                               VN      substitute:             ED

  12. Schedule 1, entry for Quetiapine in the form Tablet 100 mg (as fumarate)

    (a)omit from the column headed “Responsible Person” for the brand “Quetiaccord”:                 UA          substitute:             EF

    (b)omit from the column headed “Responsible Person” for the brand “Quetiapine Actavis 100”:             VN          substitute:      ED

  13. Schedule 1, entry for Quetiapine in the form Tablet 200 mg (as fumarate)

    (a)omit from the column headed “Responsible Person” for the brand “Quetiaccord”:                 UA          substitute:             EF

    (b)omit from the column headed “Responsible Person” for the brand “Quetiapine Actavis 200”:                             VN      substitute:             ED

  1. Schedule 1, entry for Quetiapine in the form Tablet 300 mg (as fumarate)

    (a)omit from the column headed “Responsible Person” for the brand “Quetiaccord”:                 UA          substitute:             EF

    (b)omit from the column headed “Responsible Person” for the brand “Quetiapine Actavis 300”:                             VN      substitute:             ED

  2. Schedule 1, entry for Quinapril in each of the forms: Tablet 5 mg (as hydrochloride); Tablet 10 mg (as hydrochloride); and Tablet 20 mg
    (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Aquinafil”:    GN          substitute:             EA

  3. Schedule 1, entry for Rabeprazole in the form Tablet containing rabeprazole sodium 20 mg (enteric coated)

    omit from the column headed “Responsible Person” for the brand “Rabeprazole Actavis 20” (twice occurring):       UA                substitute:             ED

  4. Schedule 1, entry for Ramipril in the form Capsule 2.5 mg

    omit from the column headed “Responsible Person” for the brand “Ramipril-GA”:           GN          substitute:             EA

  5. Schedule 1, entry for Ramipril in the form Capsule 5 mg

    omit from the column headed “Responsible Person” for the brand “Ramipril-GA”:           GN          substitute:             EA

  6. Schedule 1, entry for Ramipril in the form Capsule 10 mg

    omit from the column headed “Responsible Person” for the brand “Ramipril-GA”:           GN          substitute:             ED

  7. Schedule 1, entry for Ranitidine in each of the forms: Tablet 150 mg (as hydrochloride); and Tablet 300 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Ranoxyl”:   GN          substitute:             FM

  8. Schedule 1, entry for Riluzole

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

Riluzole Winthrop WA MP NP C5341 C5365 56 5 56
  1. Schedule 1, entry for Risperidone in the form Tablet 0.5 mg

    (a)omit from the column headed “Responsible Person” for the brand “Risperidone Actavis 0.5” (twice occurring):            UA      substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Risperidone-GA” (twice occurring):          GN      substitute:             EF

  2. Schedule 1, entry for Risperidone in the form Tablet 1 mg

    (a)omit from the column headed “Responsible Person” for the brand “Risperidone Actavis 1” (twice occurring):                UA      substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Risperidone-GA” (twice occurring):          GN      substitute:             EF

  1. Schedule 1, entry for Risperidone in the form Tablet 2 mg

    (a)omit from the column headed “Responsible Person” for the brand “Risperidone Actavis 2” (twice occurring):                UA      substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Risperidone-GA” (twice occurring):          GN      substitute:             EF

  2. Schedule 1, entry for Risperidone in the form Tablet 3 mg

    (a)omit from the column headed “Responsible Person” for the brand “Risperidone Actavis 3”:                                UA      substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Risperidone-GA”:           GN          substitute:             EF

  3. Schedule 1, entry for Risperidone in the form Tablet 4 mg

    omit from the column headed “Responsible Person” for the brand “Risperidone-GA”:     GN          substitute:             EF

  4. Schedule 1, entry for Rosuvastatin in each of the forms: Tablet 5 mg (as calcium); Tablet 10 mg (as calcium); Tablet 20 mg (as calcium); and Tablet 40 mg (as calcium)

    omit from the column headed “Responsible Person” for the brands “Rosuvastatin Actavis 5”, “Rosuvastatin Actavis 10”, “Rosuvastatin Actavis 20” and “Rosuvastatin Actavis 40” respectively (all instances):    GN          substitute:             ED

  5. Schedule 1, entry for Roxithromycin in each of the forms: Tablet 150 mg; and Tablet 300 mg

    omit from the column headed “Responsible Person” for the brand “Roxithromycin-GA” (all instances):      GN          substitute:                ED

  6. Schedule 1, entry for Salbutamol in each of the forms: Nebuliser solution 2.5 mg (as sulfate) in 2.5 mL single dose units, 30; and Nebuliser solution 5 mg (as sulfate) in 2.5 mL single dose units, 30

    omit from the column headed “Responsible Person” for the brand “Salbutamol Actavis”:                               UA          substitute:                EA

  7. Schedule 1, entry for Sertraline in the form Tablet 50 mg (as hydrochloride)

    (a)omit from the column headed “Responsible Person” for the brand “Sertraline Actavis”:       UA          substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Xydep 50”:       GN          substitute:             EF

  8. Schedule 1, entry for Sertraline in the form Tablet 100 mg (as hydrochloride)

    (a)omit from the column headed “Responsible Person” for the brand “Sertraline Actavis”:       UA          substitute:             ED

    (b)omit from the column headed “Responsible Person” for the brand “Xydep 100”:    GN          substitute:             EF

  9. Schedule 1, entry for Sevelamer

    substitute:

Sevelamer Tablet containing sevelamer hydrochloride 800 mg Oral Renagel GZ MP C5454 C5491 C5530 P5491 180 5 180
NP C5491 180 5 180
MP C5454 C5491 C5530 P5454 P5530 360 5 180
  1. Schedule 1, entry for Simvastatin in each of the forms: Tablet 10 mg; Tablet 20 mg; Tablet 40 mg; and Tablet 80 mg

    omit from the column headed “Responsible Person” for the brands “Simvastatin-GA 10”, “Simvastatin-GA 20”, “Simvastatin-GA 40” and “Simvastatin-GA 80” respectively (all instances):       GN          substitute:             ED

  2. Schedule 1, entry for Sucroferric oxyhydroxide

    substitute:

Sucroferric oxyhydroxide Tablet, chewable, 2.5 g  (equivalent to 500 mg iron) Oral Velphoro FN MP C5454 C5491 C5530 P5491 90 5 90
NP C5491 90 5 90
MP C5454 C5491 C5530 P5454 P5530 180 5 90
  1. Schedule 1, entry for Sumatriptan in the form Tablet 50 mg (as succinate)

    omit from the column headed “Responsible Person” for the brand “Sumatriptan-GA”:     GN          substitute:             ED

  2. Schedule 1, entry for Tamoxifen in the form Tablet 20 mg (as citrate)

    omit from the column headed “Responsible Person” for the brand “Tamoxen 20 mg”:      GN          substitute:             EA

  3. Schedule 1, entry for Telmisartan in each of the forms: Tablet 40 mg; and Tablet 80 mg

    omit from the column headed “Responsible Person” for the brand “Telmigen”:                  GN          substitute:             ED

  4. Schedule 1, entry for Telmisartan with Hydrochlorothiazide in each of the forms: Tablet 40 mg-12.5 mg; Tablet 80 mg-12.5 mg; and
    Tablet 80 mg-25 mg

    omit from the column headed “Responsible Person” for the brands “Telmigen HCT 40/12.5”, “Telmigen HCT 80/12.5” and “Telmigen HCT 80/25” respectively: GN       substitute:             ED

  5. Schedule 1, entry for Temozolomide in each of the forms: Capsule 5 mg; Capsule 20 mg; Capsule 100 mg; and Capsule 140 mg

    omit from the column headed “Responsible Person” for the brand “Astromide” (all instances):     GN          substitute:             ED

  1. Schedule 1, entry for Temozolomide in the form Capsule 180 mg

    omit from the column headed “Responsible Person” for the brand “Astromide” (twice occurring):   GN                substitute:             EA

  2. Schedule 1, entry for Temozolomide in the form Capsule 250 mg

    omit from the column headed “Responsible Person” for the brand “Astromide”:   GN          substitute:             ED

  3. Schedule 1, entry for Terbinafine in the form Tablet 250 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Terbinafine Actavis”:               VN          substitute:             ED

  4. Schedule 1, entry for Testosterone in each of the forms: Capsule containing testosterone undecanoate 40 mg; Injection containing testosterone enanthate 250 mg in 1 mL; I.M. injection containing testosterone undecanoate 1,000 mg in 4 mL; Transdermal cream 50 mg
    per mL, 50 mL, Transdermal gel 50 mg in 5 g sachet, 30; Transdermal gel (pump pack) 12.5 mg per 1.25 g dose, 60 doses, 2; Transdermal patches 12.2 mg, 60; Transdermal patches 24.3 mg, 30; and Transdermal solution (pump pack) 30 mg per 1.5 mL dose, 60 doses

    omit from the column headed “Circumstances”:       C4866  C4867  C4868  C4869  C4870      substitute:             C5449  C5460  C5471  C5474  C5511

  5. Schedule 1, after entry for Tiotropium in the form Capsule containing powder for oral inhalation 18 micrograms (as bromide monohydrate) (for use in HandiHaler)

    insert in the columns in the order indicated:

Solution for oral inhalation 2.5 micrograms (as bromide monohydrate) per actuation (60 doses) Inhalation by mouth Spiriva Respimat BY MP C5509 1 5 1
  1. Schedule 1, entry for Tobramycin in each of the forms: Injection 80 mg (as sulfate) in 2 mL; and Injection 80 mg (as sulfate) in 2 mL (without preservative)

    omit from the column headed “Circumstances”:       C1169  C1846  C1847    substitute:             C5446  C5490  C5519

  2. Schedule 1, entry for Tobramycin in the form Injection 500 mg (as sulfate) in 5 mL (without preservative)

    omit from the column headed “Circumstances”:       C3190   substitute:             C5498

  3. Schedule 1, entry for Tobramycin in the form Solution for inhalation 300 mg in 5 mL

    omit from the column headed “Circumstances”:       C3842   substitute:             C5520

  4. Schedule 1, entry for Tobramycin in each of the forms: Eye drops 3 mg per mL, 5 mL; and Eye ointment 3 mg per g, 3.5 g

    (a)omit from the column headed “Circumstances” [Authorised Prescriber MP]:C1188  C1391  C1714    substitute:    C5451  C5483  C5499

    (b)omit from the column headed “Circumstances” [Authorised Prescriber AO]:            C1391  C1714    substitute:    C5476  C5477

  5. Schedule 1, after entry for Tocilizumab in the form Concentrate for injection 400 mg in 20 mL

    insert:

Tofacitinib Tablet 5 mg Oral Xeljanz PF MP C5480 C5496 C5504 C5510 P5480 P5496 P5510 56 3 56
MP C5480 C5496 C5504 C5510 P5504 56 5 56
  1. Schedule 1, entry for Topiramate in each of the forms: Tablet 25 mg; and Tablet 50 mg

    (a)omit from the column headed “Circumstances” (all instances):    C5290 

    (b)insert in numerical order:     C5516

  2. Schedule 1, entry for Topiramate in each of the forms: Tablet 100 mg; and Tablet 200 mg

    omit from the column headed “Circumstances” (all instances):           C5290   substitute:             C5516

  3. Schedule 1, entry for Tramadol in the form Capsule containing tramadol hydrochloride 50 mg

    omit from the column headed “Responsible Person” for the brand “Tramadol Actavis”:  UA          substitute:             ED

  4. Schedule 1, entry for Tramadol in each of the forms: Tablet (sustained release) containing tramadol hydrochloride 100 mg; Tablet (sustained release) containing tramadol hydrochloride 150 mg; and Tablet (sustained release) containing tramadol hydrochloride 200 mg

    omit from the column headed “Responsible Person” for the brands “GA Tramadol SR 100mg”, “GA Tramadol SR 150mg” and “GA Tramadol SR 200mg” respectively:        GN          substitute:             ED

  5. Schedule 1, entry for Tramadol in the form Injection containing tramadol hydrochloride 100 mg in 2 mL

    omit from the column headed “Responsible Person” for the brand “Tramadol ACT”:        GN          substitute:             EA

  6. Schedule 1, entry for Valaciclovir

    omit from the column headed “Responsible Person” for the brand “Valaciclovir Actavis” (all instances):   VN          substitute:                ED

  7. Schedule 1, entry for Vancomycin in the form Powder for injection 1 g (1,000,000 I.U.) (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Vycin IV” (twice occurring):   GN          substitute:             EA

  8. Schedule 1, entry for Venlafaxine in each of the forms: Capsule (modified release) 37.5 mg (as hydrochloride); Capsule (modified release) 75 mg (as hydrochloride); and Capsule (modified release) 150 mg (as hydrochloride)

    omit from the column headed “Responsible Person” for the brand “Venlafaxine Actavis XR”:        UA          substitute:             ED

  1. Schedule 1, entry for Zolmitriptan

    omit from the column headed “Circumstances” (all instances):           C4573   substitute:             C5489

  2. Schedule 2, Part 1, entry for Aqueous Cream APF

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  3. Schedule 2, Part 1, entry for Ascorbic Acid BP

    insert in the column headed “Circumstances”:            For use only as an ingredient of ferrous sulfate mixtures

  4. Schedule 2, Part 1, entry for Cetomacrogol Cream, Aqueous APF

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  5. Schedule 2, Part 1, entry for Cetrimide Cream, Aqueous APF

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  6. Schedule 2, Part 1, entry for Chlorhexidine Cream, Aqueous APF

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  7. Schedule 2, Part 1, entry for Codeine Phosphate BP

    insert in the column headed “Circumstances”:            May only be prescribed in linctuses, mixtures and mixtures for children

  8. Schedule 2, Part 1, entry for Emulsifying Ointment BP

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  9. Schedule 2, Part 1, entry for Ephedrine Hydrochloride BP

    insert in the column headed “Circumstances”:            May only be prescribed in nasal instillations

  10. Schedule 2, Part 1, entry for Magnesium Sulfate BP

    insert in the column headed “Circumstances”:            May only be prescribed for other than oral use

  11. Schedule 2, Part 1, entry for Paraffin, Liquid BP

    insert in the column headed “Circumstances”:            May only be prescribed for other than oral use

  12. Schedule 2, Part 1, entry for Phenobarbitone Sodium BP

    insert in the column headed “Circumstances”:            May only be prescribed for the treatment of epilepsy

  1. Schedule 2, Part 1, entry for Phenol, Liquefied BP

    insert in the column headed “Circumstances”:            Not available for ear drops

  2. Schedule 2, Part 1, entry for Simple Ointment (white) BP

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  3. Schedule 2, Part 1, entry for Simple Ointment (yellow) BP

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  4. Schedule 2, Part 1, entry for Water For Injections, sterilised BP

    insert in the column headed “Circumstances”:            May only be prescribed in eye drops and eye lotions

  5. Schedule 2, Part 1, entry for Wool Alcohols Ointment (white) BP

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  6. Schedule 2, Part 1, entry for Wool Alcohols Ointment (yellow) BP

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  7. Schedule 2, Part 1, entry for Zinc Cream BP

    insert in the column headed “Circumstances”:            For use only as a base combined with active ingredients

  8. Schedule 3, after details relevant to Responsible Person code DV

    insert:

DZ Medsurge Healthcare Pty Ltd  92 124 728 892
  1. Schedule 3, after details relevant to Responsible Person code EA

    insert:

ED Amneal Pharmaceuticals Pty Ltd  11 163 167 851
EF Amneal Pharmaceuticals Pty Ltd  11 163 167 851
  1. Schedule 4, Part 1, entry for Abatacept

    (a)omit:

C4664 P4664

Severe active rheumatoid arthritis

Initial treatment - Initial 1 (new patient or patient recommencing treatment after a break of more than 24 months)

Patient must have severe active rheumatoid arthritis; AND
Patient must have received no PBS-subsidised treatment with a biological disease modifying anti-rheumatic drug (bDMARD) for this condition in the previous 24 months; AND
Patient must not have failed previous PBS-subsidised treatment with this drug for this condition, and have not already failed, or ceased to respond to, PBS-subsidised bDMARD treatment for this condition 5 times; AND
Patient must have failed, in the 24 months immediately prior to the date of the application, to achieve an adequate response to a trial of at least 6 months of intensive treatment with disease modifying anti-rheumatic drugs (DMARDs) which must include at least 3 months continuous treatment with each of at least 2 DMARDs, one of which must be methotrexate at a dose of at least 20 mg weekly and one of which must be: (i) hydroxychloroquine at a dose of at least 200 mg daily; or (ii) leflunomide at a dose of at least 10 mg daily; or (iii) sulfasalazine at a dose of at least 2 g daily; OR
Patient must have failed, in the 24 months immediately prior to the date of the application, to achieve an adequate response to a trial of at least 6 months of intensive treatment with DMARDs which, if methotrexate is contraindicated according to the Therapeutic Goods Administration (TGA)-approved Product Information or cannot be tolerated at a 20 mg weekly dose, must include at least 3 months continuous treatment with each of at least 2 of the following DMARDs: (i) hydroxychloroquine at a dose of at least 200 mg daily; and/or (ii) leflunomide at a dose of at least 10 mg daily; and/or (iii) sulfasalazine at a dose of at least 2 g daily; OR
Patient must have failed, in the 24 months immediately prior to the date of the application, to achieve an adequate response to a trial of at least 6 months of intensive treatment with DMARDs which, if 3 or more of methotrexate, hydroxychloroquine, leflunomide and sulfasalazine are contraindicated according to the relevant TGA-approved Product Information or cannot be tolerated at the doses specified above, must include at least 3 months continuous treatment with each of at least 2 DMARDs, with one or more of the following DMARDs being used in place of the DMARDS which are contraindicated or not tolerated: (i) azathioprine at a dose of at least 1 mg/kg per day; and/or (ii) cyclosporin at a dose of at least 2 mg/kg/day; and/or (iii) sodium aurothiomalate at a dose of 50 mg weekly; AND
Patient must not receive more than 16 weeks of treatment under this restriction; AND
The treatment must be given concomitantly with methotrexate at a dose of at least 7.5 mg weekly

Patient must be aged 18 years or older

Must be treated by a rheumatologist; OR
Must be treated by a clinical immunologist with expertise in the management of rheumatoid arthritis

For the purposes of this restriction bDMARD means abatacept, adalimumab, certolizumab pegol, etanercept, golimumab, infliximab, rituximab or tocilizumab

If methotrexate is contraindicated according to the TGA-approved Product Information or cannot be tolerated at a 20 mg weekly dose, the application must include details of the contraindication or intolerance to methotrexate. The maximum tolerated dose of methotrexate must be documented in the application, if applicable

The application must include details of the DMARDs trialled, their doses and duration of treatment, and all relevant contraindications and/or intolerances

The requirement to trial at least 2 DMARDs for periods of at least 3 months each can be met using single agents sequentially or by using one or more combinations of DMARDs

If the requirement to trial 6 months of intensive DMARD therapy with at least 2 DMARDs cannot be met because of contraindications and/or intolerances of a severity necessitating permanent treatment withdrawal to all of the DMARDs specified above, details of the contraindication or intolerance and dose for each DMARD must be provided in the authority application

The authority application must be made in writing and must include:
(1) completed authority prescription forms; and
(2) a completed Rheumatoid Arthritis PBS Authority Application - Supporting Information Form; and
(3) a signed patient acknowledgement

Initial treatment with an I.V. loading dose: Two completed authority prescriptions must be submitted with the initial application. One prescription must be for the I.V. loading dose for sufficient vials for one dose based on the patient's weight with no repeats. The second prescription must be written for the pre-filled syringes, with a maximum quantity of 4 and up to 3 repeats

Initial treatment with no loading dose: One completed authority prescription must be submitted with the initial application. The prescription must be written with a maximum quantity of 4 and up to 3 repeats

Assessment of a patient's response to an initial course of treatment must be made after at least 12 weeks of treatment so that there is adequate time for a response to be demonstrated. This assessment, which will be used to determine eligibility for continuing treatment, must be submitted no later than 1 month from the date of completion of this initial course of treatment

Where a response assessment is not undertaken and submitted within these timeframes, the patient will be deemed to have failed to respond to treatment with this drug

Applications for a patient who has received PBS-subsidised treatment with this drug and who wishes to re-commence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment, within the timeframes specified below

Where the most recent course of PBS-subsidised treatment with this drug was approved under either of the initial 1 or 2 treatment restrictions, the patient must have been assessed for response following a minimum of 12 weeks of therapy. This assessment must be submitted no later than 4 weeks from the date that course was ceased

Where the most recent course of PBS-subsidised treatment with this drug was approved under the continuing treatment criteria, the patient must have been assessed for response, and the assessment must be submitted no later than 4 weeks from the date that course was ceased

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition

The following criteria indicate failure to achieve an adequate response and must be demonstrated in all patients at the time of the initial application:
an elevated erythrocyte sedimentation rate (ESR) greater than 25 mm per hour or a C-reactive protein (CRP) level greater than 15 mg per L; AND either
(a) a total active joint count of at least 20 active (swollen and tender) joints; or
(b) at least 4 active joints from the following list of major joints:
(i) elbow, wrist, knee and/or ankle (assessed as swollen and tender); and/or
(ii) shoulder and/or hip (assessed as pain in passive movement and restriction of passive movement, where pain and limitation of movement are due to active disease and not irreversible damage such as joint destruction or bony overgrowth)

The joint count and ESR and/or CRP must be determined at the completion of the 6 month intensive DMARD trial, but prior to ceasing DMARD therapy. All measures must be no more than one month old at the time of initial application

If the above requirement to demonstrate an elevated ESR or CRP cannot be met, the application must state the reasons why this criterion cannot be satisfied

Where the baseline joint count is based on total active joints (i.e. more than 20 active joints), response will be determined according to the reduction in the total number of active joints. Where the baseline is determined on total number of major joints, the response must be demonstrated on the total number of major joints. If only an ESR or CRP is provided with the initial application, the same marker will be used to determine response

Compliance with Written Authority Required procedures


  1. Schedule 4, Part 1, entry for Pantoprazole

    substitute:

Pantoprazole C5444 P5444 Gastro-oesophageal reflux disease
C5445 P5445

Peptic ulcer

Initial treatment

C5512 P5512 Scleroderma oesophagus
C5529 P5529 Zollinger-Ellison syndrome
  1. Schedule 4, Part 1, entry for Pimecrolimus

    substitute:

Pimecrolimus C5472

Atopic dermatitis

Short-term (up to 3 weeks) intermittent treatment

The condition must be on the patient's face; OR
The condition must be on the patient's eyelid; AND
Patient must have failed to achieve satisfactory disease control with intermittent topical corticosteroid therapy; AND
The condition must have been initially diagnosed more than three months prior to this treatment; AND
Patient must not receive more than two 15 g packs of PBS-subsidised pimecrolimus per 6-month period.
Patient must be at least 3 months of age.
Failure to achieve satisfactory disease control with intermittent topical corticosteroid therapy is manifest by:
(i) failure of the facial skin to clear despite at least 2 weeks of topical hydrocortisone 1% applied every day; or
(ii) failure of the facial skin to clear despite at least 1 week of a moderate or potent topical corticosteroid applied every day; or
(iii) clearing of the facial skin with at least 2 weeks of topical hydrocortisone 1% applied every day, but almost immediate and significant flare in facial disease (within 48 hours) upon stopping topical corticosteroids, occurring on at least 2 consecutive occasions; or
(iv) clearing of the facial skin with at least 1 week of a moderate or potent topical corticosteroid applied every day, but almost immediate and significant flare in facial disease (within 48 hours) upon stopping topical corticosteroids, occurring on at least 2 consecutive occasions.

Compliance with Authority Required procedures - Streamlined Authority Code 5472
C5482

Atopic dermatitis

The condition must be on the patient's face; OR
The condition must be on the patient's eyelid; AND
Patient must have 1 or more of the following contraindications to topical corticosteroids: (i) perioral dermatitis; (ii) periorbital dermatitis; (iii) rosacea; (iv) epidermal atrophy; (v) dermal atrophy; (vi) allergy to topical corticosteroids; (vii) cataracts; (viii) glaucoma; (ix) raised intraocular pressure; AND
Patient must not receive more than two 15 g packs of PBS-subsidised pimecrolimus per 6-month period.
Patient must be at least 3 months of age.

Compliance with Authority Required procedures - Streamlined Authority Code 5482
  1. Schedule 4, Part 1, entry for Ranibizumab [Circumstances Code C5054]

    omit from the column headed “Circumstances and Purposes”:

    Patient must have documented visual impairment defined as a best corrected visual acuity score between 73 and 39 letters

    substitute:

    Patient must have documented visual impairment defined as a best corrected visual acuity score between 73 and 24 letters

  2. Schedule 4, Part 1, entry for Sevelamer

    substitute:

Sevelamer C5454 P5454

Where the patient is receiving treatment at/from a private hospital

Hyperphosphataemia

Initiation and stabilization

The condition must not be adequately controlled by calcium; AND
Patient must have a serum phosphate of greater than 1.6 mmol per L at the commencement of therapy; OR
The condition must be where a serum calcium times phosphate product is greater than 4 at the commencement of therapy; AND
The treatment must not be used in combination with any other non-calcium phosphate binding agents.
Patient must be undergoing dialysis for chronic kidney disease.

Compliance with Written or Telephone Authority Required procedures
C5491 P5491

Hyperphosphataemia

Maintenance following initiation and stabilization

The condition must not be adequately controlled by calcium; AND
Patient must have a serum phosphate of greater than 1.6 mmol per L at the commencement of therapy; OR
The condition must be where a serum calcium times phosphate product is greater than 4 at the commencement of therapy; AND
The treatment must not be used in combination with any other non-calcium phosphate binding agents.
Patient must be undergoing dialysis for chronic kidney disease.

Compliance with Authority Required procedures - Streamlined Authority Code 5491
C5530 P5530

Where the patient is receiving treatment at/from a public hospital

Hyperphosphataemia

Initiation and stabilization

The condition must not be adequately controlled by calcium; AND
Patient must have a serum phosphate of greater than 1.6 mmol per L at the commencement of therapy; OR
The condition must be where a serum calcium times phosphate product is greater than 4 at the commencement of therapy; AND
The treatment must not be used in combination with any other non-calcium phosphate binding agents.
Patient must be undergoing dialysis for chronic kidney disease.

Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 5530
  1. Schedule 4, Part 1, entry for Sucroferric oxyhydroxide

    substitute:

Sucroferric oxyhydroxide C5454

Where the patient is receiving treatment at/from a private hospital

Hyperphosphataemia

Initiation and stabilization

The condition must not be adequately controlled by calcium; AND
Patient must have a serum phosphate of greater than 1.6 mmol per L at the commencement of therapy; OR
The condition must be where a serum calcium times phosphate product is greater than 4 at the commencement of therapy; AND
The treatment must not be used in combination with any other non-calcium phosphate binding agents.
Patient must be undergoing dialysis for chronic kidney disease.

Compliance with Written or Telephone Authority Required procedures
C5491

Hyperphosphataemia

Maintenance following initiation and stabilization

The condition must not be adequately controlled by calcium; AND
Patient must have a serum phosphate of greater than 1.6 mmol per L at the commencement of therapy; OR
The condition must be where a serum calcium times phosphate product is greater than 4 at the commencement of therapy; AND
The treatment must not be used in combination with any other non-calcium phosphate binding agents.
Patient must be undergoing dialysis for chronic kidney disease.

Compliance with Authority Required procedures - Streamlined Authority Code 5491
C5530

Where the patient is receiving treatment at/from a public hospital

Hyperphosphataemia

Initiation and stabilization

The condition must not be adequately controlled by calcium; AND
Patient must have a serum phosphate of greater than 1.6 mmol per L at the commencement of therapy; OR
The condition must be where a serum calcium times phosphate product is greater than 4 at the commencement of therapy; AND
The treatment must not be used in combination with any other non-calcium phosphate binding agents.
Patient must be undergoing dialysis for chronic kidney disease.

Compliance with Written or Telephone Authority Required procedures - Streamlined Authority Code 5530
  1. Schedule 4, Part 1, entry for Testosterone

    substitute:

Testosterone C5449

Micropenis

Patient must be under 18 years of age.
Must be treated by a specialist paediatric endocrinologist, specialist urologist, specialist endocrinologist or a registered member of the Australasian Chapter of Sexual Health Medicine; or in consultation with one of these specialists; or have an appointment to be assessed by one of these specialists.
The name of the specialist must be included in the authority application.

Compliance with Authority Required procedures
C5460

Pubertal induction

Patient must be under 18 years of age.
Must be treated by a specialist paediatric endocrinologist, specialist urologist, specialist endocrinologist or a registered member of the Australasian Chapter of Sexual Health Medicine; or in consultation with one of these specialists; or have an appointment to be assessed by one of these specialists.
The name of the specialist must be included in the authority application.

Compliance with Authority Required procedures
C5471

Constitutional delay of growth or puberty

Patient must be under 18 years of age.
Must be treated by a specialist paediatric endocrinologist, specialist urologist, specialist endocrinologist or a registered member of the Australasian Chapter of Sexual Health Medicine; or in consultation with one of these specialists; or have an appointment to be assessed by one of these specialists.
The name of the specialist must be included in the authority application.

Compliance with Authority Required procedures
C5474

Androgen deficiency

Patient must not have an established pituitary or testicular disorder; AND
The condition must not be due to age, obesity, cardiovascular diseases, infertility or drugs.
Patient must be aged 40 years or older.
Must be treated by a specialist urologist, specialist endocrinologist or a registered member of the Australasian Chapter of Sexual Health Medicine; or in consultation with one of these specialists; or have an appointment to be assessed by one of these specialists.
Androgen deficiency is defined as:
(i) testosterone level of less than 6 nmol per litre; OR
(ii) testosterone level between 6 and 15 nmol per litre with high luteinising hormone (LH) (greater than 1.5 times the upper limit of the eugonodal reference range for young men, or greater than 14 IU per litre, whichever is higher).
Androgen deficiency must be confirmed by at least two morning blood samples taken on different mornings.
The dates and levels of the qualifying testosterone and LH measurements must be, or must have been provided in the authority application when treatment with this drug is or was initiated.
The name of the specialist must be included in the authority application.

Compliance with Authority Required procedures
C5511

Androgen deficiency

Patient must have an established pituitary or testicular disorder.

Must be treated by a specialist paediatric endocrinologist, specialist urologist, specialist endocrinologist or a registered member of the Australasian Chapter of Sexual Health Medicine; or in consultation with one of these specialists; or have an appointment to be assessed by one of these specialists.
The name of the specialist must be included in the authority application.

Compliance with Authority Required procedures
  1. Schedule 4, Part 1, entry for Tiotropium

    insert in numerical order:

C5509

Bronchospasm and dyspnoea associated with chronic obstructive pulmonary disease

Long-term maintenance treatment

  1. Schedule 4, Part 1, entry for Tobramycin

    (a)omit:

C1169 Infections where positive bacteriological evidence confirms that this antibiotic is an appropriate therapeutic agent
C1188 Invasive ocular infection
C1391 Suspected pseudomonal eye infection
C1714 Perioperative use in ophthalmic surgery
C1846 Septicaemia, suspected
C1847 Septicaemia, proven
C3190 Systemic treatment of Pseudomonas aeruginosa infection in a patient with cystic fibrosis
C3842 Management of a proven Pseudomonas aeruginosa infection in a patient with cystic fibrosis Compliance with Authority Required procedures – Streamlined Authority Code 3842

(b)insert in numerical order after existing text:

C5446 Septicaemia, suspected
C5451 Perioperative use in ophthalmic surgery
C5476 Perioperative use in ophthalmic surgery
C5477 Suspected Pseudomonal eye infection
C5483 Invasive ocular infection
C5490 Septicaemia, proven
C5498

Pseudomonas aeruginosa infection

Patient must have cystic fibrosis; AND
The treatment must be systemic.

C5499 Suspected Pseudomonal eye infection
C5519 Infection where positive bacteriological evidence confirms that this antibiotic is an appropriate therapeutic agent
C5520

Proven Pseudomonas aeruginosa infection

Patient must have cystic fibrosis; AND
The treatment must be for management.

Compliance with Authority Required procedures - Streamlined Authority Code 5520
  1. Schedule 4, Part 1, after entry for Tobramycin

    insert:

Tofacitinib C5480 P5480

Severe active rheumatoid arthritis

Initial treatment - Initial 3 (Grandfather patients)

Patient must have a documented history of severe active rheumatoid arthritis; AND
Patient must have been receiving treatment with this drug for this condition prior to 1 October 2015; AND
Patient must be receiving treatment with this drug for this condition at the time of application; AND
Patient must not receive more than 16 weeks of treatment under this restriction.
Patient must be aged 18 years or older.
Must be treated by a rheumatologist; OR
Must be treated by a clinical immunologist with expertise in the management of rheumatoid arthritis.
The authority application must be made in writing and must include:
(a) a completed authority prescription form; and
(b) a completed Rheumatoid Arthritis PBS Authority Application - Supporting Information Form; and
(c) a signed patient acknowledgement.
All applications for treatment with this drug for this condition under this restriction must include baseline joint count and ESR and/or CRP as determined at the completion of a 6 month intensive DMARD trial but prior to ceasing DMARD therapy.
If the requirement to demonstrate an elevated ESR or CRP cannot be met, the application must state the reasons why this criterion cannot be satisfied.
A patient may qualify for PBS-subsidised treatment under this restriction once only.

Compliance with Written Authority Required procedures
C5496 P5496

Severe active rheumatoid arthritis

Initial treatment - Initial 2 (change or re-commencement of treatment after break of less than 24 months)

Patient must have a documented history of severe active rheumatoid arthritis; AND
Patient must have received prior PBS-subsidised biological disease modifying anti-rheumatic drug (bDMARD) treatment for this condition and are eligible to receive further bDMARD therapy; AND
Patient must not receive more than 16 weeks of treatment under this restriction.
Patient must be aged 18 years or older.
Must be treated by a rheumatologist; OR
Must be treated by a clinical immunologist with expertise in the management of rheumatoid arthritis.
For the purposes of this restriction bDMARD means abatacept, adalimumab, certolizumab pegol, etanercept, golimumab, infliximab, rituximab, tocilizumab or tofacitinib.
The authority application must be made in writing and must include:
(a) a completed authority prescription form and
(b) a completed Rheumatoid Arthritis PBS Authority Application - Supporting Information Form.
Application for a patient who has received PBS-subsidised treatment with this drug and who wishes to re-commence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.
Where the most recent course of PBS-subsidised treatment with this drug was approved under either of the initial 1 or 2 treatment restrictions, the patient must have been assessed for response following a minimum of 12 weeks of therapy. This assessment must be submitted no later than 4 weeks from the date that course was ceased.
Where the most recent course of PBS-subsidised treatment with this drug was approved under the continuing treatment criteria, the patient must have been assessed for response, and the assessment must be submitted no later than 4 weeks from the date that course was ceased.
If a patient fails 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 for this condition.
Where a response assessment is not undertaken and submitted within these timeframes, the patient will be deemed to have failed to respond to treatment with this drug.
If a patient who has demonstrated a response to a course of rituximab must have a PBS-subsidised biological therapy treatment-free period of at least 22 weeks, immediately following the second infusion, before swapping to an alternate bDMARD.
An adequate response to treatment is defined as:
an ESR no greater than 25 mm per hour or a CRP level no greater than 15 mg per L or either marker reduced by at least 20% from baseline;
AND either of the following:
(a) a reduction in the total active (swollen and tender) joint count by at least 50% from baseline, where baseline is at least 20 active joints; or
(b) a reduction in the number of the following active joints, from at least 4, by at least 50%:
(i) elbow, wrist, knee and/or ankle (assessed as swollen and tender); and/or
(ii) shoulder and/or hip (assessed as pain in passive movement and restriction of passive movement, where pain and limitation of movement are due to active disease and not irreversible damage such as joint destruction or bony overgrowth).

Compliance with Written Authority Required procedures
C5504 P5504

Severe active rheumatoid arthritis

Continuing treatment

Patient must have a documented history of severe active rheumatoid arthritis; AND
Patient must have demonstrated an adequate response to treatment with this drug; AND
Patient must have received this drug as their most recent course of PBS-subsidised biological disease modifying anti-rheumatic drug (bDMARD) treatment; AND
Patient must not receive more than 24 weeks of treatment per continuing treatment course authorised under this restriction.
Patient must be aged 18 years or older.
Must be treated by a rheumatologist; OR
Must be treated by a clinical immunologist with expertise in the management of rheumatoid arthritis.
For the purposes of this restriction bDMARD means abatacept, adalimumab, certolizumab pegol, etanercept, golimumab, infliximab, rituximab, tocilizumab or tofacitinib.
An adequate response to treatment is defined as:
an ESR no greater than 25 mm per hour or a CRP level no greater than 15 mg per L or either marker reduced by at least 20% from baseline;
AND either of the following:
(a) a reduction in the total active (swollen and tender) joint count by at least 50% from baseline, where baseline is at least 20 active joints; or
(b) a reduction in the number of the following active joints, from at least 4, by at least 50%:
(i) elbow, wrist, knee and/or ankle (assessed as swollen and tender); and/or
(ii) shoulder and/or hip (assessed as pain in passive movement and restriction of passive movement, where pain and limitation of movement are due to active disease and not irreversible damage such as joint destruction or bony overgrowth).
Where the baseline active joint count is based on total active joints (i.e. more than 20 active joints), response will be determined according to the reduction in the total number of active joints. Where the baseline is determined on total number of major joints, the response must be demonstrated on the total number of major joints. If only an ESR or CRP level is provided with the initial application, the same marker will be used to determine response.
The authority application must be made in writing and must include:
(1) a completed authority prescription form; and
(2) a completed Rheumatoid Arthritis PBS Authority Application - Supporting Information Form.
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 with this drug, it must be accompanied by an assessment of response to a minimum of 12 weeks of treatment with an initial treatment course.
Where a response assessment is not undertaken and submitted within these timeframes, the patient will be deemed to have failed to respond to treatment with this drug.
If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition.

Compliance with Written Authority Required procedures
C5510 P5510

Severe active rheumatoid arthritis

Initial treatment - Initial 1 (new patient or patient recommencing treatment after a break of more than 24 months)

Patient must have severe active rheumatoid arthritis; AND
Patient must have received no PBS-subsidised treatment with a biological disease modifying anti-rheumatic drug (bDMARD) for this condition in the previous 24 months; AND
Patient must not have failed previous PBS-subsidised treatment with this drug for this condition, and have not already failed, or ceased to respond to, PBS-subsidised bDMARD treatment for this condition 5 times; AND
Patient must have failed, in the 24 months immediately prior to the date of the application, to achieve an adequate response to a trial of at least 6 months of intensive treatment with disease modifying anti-rheumatic drugs (DMARDs) which must include at least 3 months continuous treatment with each of at least 2 DMARDs, one of which must be methotrexate at a dose of at least 20 mg weekly and one of which must be: (i) hydroxychloroquine at a dose of at least 200 mg daily; or (ii) leflunomide at a dose of at least 10 mg daily; or (iii) sulfasalazine at a dose of at least 2 g daily; OR
Patient must have failed, in the 24 months immediately prior to the date of the application, to achieve an adequate response to a trial of at least 6 months of intensive treatment with DMARDs which, if methotrexate is contraindicated according to the Therapeutic Goods Administration (TGA)-approved Product Information or cannot be tolerated at a 20 mg weekly dose, must include at least 3 months continuous treatment with each of at least 2 of the following DMARDs: (i) hydroxychloroquine at a dose of at least 200 mg daily; and/or (ii) leflunomide at a dose of at least 10 mg daily; and/or (iii) sulfasalazine at a dose of at least 2 g daily; OR
Patient must have failed, in the 24 months immediately prior to the date of the application, to achieve an adequate response to a trial of at least 6 months of intensive treatment with DMARDs which, if 3 or more of methotrexate, hydroxychloroquine, leflunomide and sulfasalazine are contraindicated according to the relevant TGA-approved Product Information or cannot be tolerated at the doses specified above, must include at least 3 months continuous treatment with each of at least 2 DMARDs, with one or more of the following DMARDs being used in place of the DMARDS which are contraindicated or not tolerated: (i) azathioprine at a dose of at least 1 mg/kg per day; and/or (ii) cyclosporin at a dose of at least 2 mg/kg/day; and/or (iii) sodium aurothiomalate at a dose of 50 mg weekly; AND
Patient must not receive more than 16 weeks of treatment under this restriction.
Patient must be aged 18 years or older.
Must be treated by a rheumatologist; OR
Must be treated by a clinical immunologist with expertise in the management of rheumatoid arthritis.
For the purposes of this restriction bDMARD means abatacept, adalimumab, certolizumab pegol, etanercept, golimumab, infliximab, rituximab, tocilizumab or tofacitinib.
If methotrexate is contraindicated according to the TGA-approved product information or cannot be tolerated at a 20 mg weekly dose,the application must include details of the contraindication or intolerance including severity to methotrexate. The maximum tolerated dose of methotrexate must be documented in the application, if applicable.
The application must include details of the DMARDs trialled, their doses and duration of treatment, and all relevant contraindications and/or intolerances including severity.
The requirement to trial at least 2 DMARDs for periods of at least 3 months each can be met using single agents sequentially or by using one or more combinations of DMARDs.
If the requirement to trial 6 months of intensive DMARD therapy with at least 2 DMARDs cannot be met because of contraindications and/or intolerances of a severity necessitating permanent treatment withdrawal to all of the DMARDs specified above, details of the contraindication or intolerance including severity and dose for each DMARD must be provided in the authority application.
The authority application must be made in writing and must include:
(1) a completed authority prescription form; and
(2) a completed Rheumatoid Arthritis PBS Authority Application - Supporting Information Form; and
(3) a signed patient acknowledgement.
Assessment of a patient's response to an initial course of treatment must be made after at least 12 weeks of treatment so that there is adequate time for a response to be demonstrated. This assessment, which will be used to determine eligibility for continuing treatment, must be submitted no later than 1 month from the date of completion of this initial course of treatment. Where a response assessment is not undertaken and submitted within these timeframes, the patient will be deemed to have failed to respond to treatment with this drug.
Applications for a patient who has received PBS-subsidised treatment with this drug and who wishes to re-commence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.
Where the most recent course of PBS-subsidised treatment with this drug was approved under either of the initial 1 or 2 treatment restrictions, the patient must have been assessed for response following a minimum of 12 weeks of therapy. This assessment must be submitted no later than 4 weeks from the date that course was ceased.
Where the most recent course of PBS-subsidised treatment with this drug was approved under the continuing treatment criteria, the patient must have been assessed for response, and the assessment must be submitted no later than 4 weeks from the date that course was ceased.
If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition.
The following criteria indicate failure to achieve an adequate response and must be demonstrated in all patients at the time of the initial application:
an elevated erythrocyte sedimentation rate (ESR) greater than 25 mm per hour or a C-reactive protein (CRP) level greater than 15 mg per L; AND either
(a) a total active joint count of at least 20 active (swollen and tender) joints; or
(b) at least 4 active joints from the following list of major joints:
(i) elbow, wrist, knee and/or ankle (assessed as swollen and tender); and/or
(ii) shoulder and/or hip (assessed as pain in passive movement and restriction of passive movement, where pain and limitation of movement are due to active disease and not irreversible damage such as joint destruction or bony overgrowth).
The joint count and ESR and/or CRP must be determined at the completion of the 6 month intensive DMARD trial, but prior to ceasing DMARD therapy. All measures must be no more than one month old at the time of initial application.
If the above requirement to demonstrate an elevated ESR or CRP cannot be met, the application must state the reasons why this criterion cannot be satisfied.
Where the baseline joint count is based on total active joints (i.e. more than 20 active joints), response will be determined according to the reduction in the total number of active joints. Where the baseline is determined on total number of major joints, the response must be demonstrated on the total number of major joints. If only an ESR or CRP is provided with the initial application, the same marker will be used to determine response.

Compliance with Written Authority Required procedures
  1. Schedule 4, Part 1, entry for Topiramate

    (a)omit:

C5290

Seizures

Patient must have partial epileptic seizures; OR
Patient must have primary generalised tonic-clonic seizures; OR
Patient must have seizures of the Lennox-Gastaut syndrome; AND
The condition must have failed to be controlled satisfactorily by other anti-epileptic drugs; AND
Patient must be unable to take a solid dose form of topiramate

Compliance with Authority Required procedures - Streamlined Authority Code 5290

(b)insert in numerical order after existing text:

C5516

Seizures

Patient must have partial epileptic seizures; OR
Patient must have primary generalised tonic-clonic seizures; OR
Patient must have seizures of the Lennox-Gastaut syndrome; AND
The condition must have failed to be controlled satisfactorily by other anti-epileptic drugs.

Compliance with Authority Required procedures - Streamlined Authority Code 5516
  1. Schedule 4, Part 1, entry for Zolmitriptan

    substitute:

Zolmitriptan C5489

Migraine attack

The condition must have usually failed to respond to analgesics in the past.

Actions
Download as PDF Download as Word Document


Cases Citing This Decision

0

Cases Cited

0

Statutory Material Cited

0