National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2017 (No. 5) (PB 45 of 2017) (Cth)
PB 45 of 2017
National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2017
(No. 5)
National Health Act 1953
I, PENNY SHAKESPEARE, 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 27 June 2017
PENNY SHAKEPEARE
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 2017 (No. 5).
(2) This Instrument may also be cited as PB 45 of 2017.
2 Commencement
This Instrument commences on 1 July 2017.
3 Amendment of National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012)
Schedule 1 amends the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012).
Schedule 1 Amendments
Schedule 1, entry for Abatacept in the form Injection 125 mg in 1 mL single dose autoinjector [Maximum Quantity: 4; Number of Repeats: 3]
omit from the column headed “Purposes”: C6874 substitute: P6874
Schedule 1, entry for Abiraterone
omit from the column headed “Circumstances”: C4654 substitute: C6944
Schedule 1, after entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre‑filled pen [Maximum Quantity: 2; Number of Repeats: 5]
insert in the columns in the order indicated:
| Injection 40 mg in 0.8 mL pre-filled pen, 4 | Injection | Humira | VE | MP | C6946 C6971 C6972 | P6946 | 1 | 2 | 1 |
| MP | C6946 C6971 C6972 | P6971 P6972 | 1 | 5 | 1 |
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen, 6
insert in numerical order in the column headed “Circumstances”: C6951 C6963
Schedule 1, entry for Amiodarone in the form Tablet containing amiodarone hydrochloride 200 mg
(a)omit:
| Chem mart Amiodarone | CH | MP NP | C5665 | 30 | 5 | 30 |
(b)omit:
| Terry White Chemists Amiodarone | TW | MP NP | C5665 | 30 | 5 | 30 |
Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Tablet containing 875 mg amoxycillin (as trihydrate) with 125 mg clavulanic acid (as potassium clavulanate) [Maximum Quantity: 10; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | AmoxyClav generichealth 875/125 | HQ | PDP | C5833 C5894 | 10 | 0 | 10 |
Schedule 1, entry for Amoxycillin with Clavulanic Acid in the form Tablet containing 875 mg amoxycillin (as trihydrate) with 125 mg clavulanic acid (as potassium clavulanate) [Maximum Quantity: 10; Number of Repeats: 1]
(a)omit from the column headed “Authorised Prescriber” for the brand “AlphaClav Duo Forte”: MW
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | AmoxyClav generichealth 875/125 | HQ | MP NP | C5832 C5893 | 10 | 1 | 10 |
Schedule 1, entry for Anastrozole
(a)omit:
| a | Chem mart Anastrozole | CH | MP NP | C5464 | 30 | 5 | 30 |
(b)omit:
| a | Terry White Chemists Anastrozole | TW | MP NP | C5464 | 30 | 5 | 30 |
Schedule 1, entry for Aripiprazole in each of the forms: Tablet 10 mg; Tablet 15 mg; Tablet 20 mg; and Tablet 30 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Abyraz | AF | MP NP | C4246 | 30 | 5 | 30 |
Schedule 1, entry for Azacitadine
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Celazadine | JU | MP | See Note 3 | See Note 3 | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Azithromycin in the form Tablet 500 mg (as dihydrate) [Maximum Quantity: 2; Number of Repeats: 0]
(a)insert in the column headed “Schedule Equivalent” for all brands: a
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Azithromycin Mylan | AF | MP NP | C5637 C5718 C5772 | P5718 P5772 | 2 | 0 | 2 |
Schedule 1, entry for Azithromycin in the form Tablet 500 mg (as dihydrate) [Maximum Quantity: 2; Number of Repeats: 2]
(a)insert in the column headed “Schedule Equivalent” for all brands: a
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Azithromycin Mylan | AF | MP NP | C5637 C5718 C5772 | P5637 | 2 | 2 | 2 |
Schedule 1, entry for Botulinum toxin type A purified neurotoxin complex
omit from the column headed “Circumstances”: C5333
insert in numerical order: C6953
Schedule 1, entry for Candesartan in the form Tablet containing candesartan cilexetil 8 mg
omit:
| a | Candesartan GH | GQ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Carbomer in the form Eye gel 2 mg per g, single dose units 0.6 mL, 30
omit from the column headed “Responsible Person”: AQ substitute: IV
Schedule 1, entry for Carbomer in the form Eye gel 2 mg per g, 10 g
(a)omit from the column headed “Responsible Person” for the brand “PAA” (twice occurring): IQ substitute: IA
(b)omit from the column headed “Responsible Person” for the brand “Viscotears” (twice occurring): AQ substitute: IV
Schedule 1, entry for Carvedilol in each of the forms: Tablet 12.5 mg; and Tablet 25 mg
omit:
| Carvedilol generichealth | GQ | MP NP | C5324 C5394 | 60 | 5 | 60 |
Schedule 1, entry for Cefaclor in the form Tablet (sustained release) 375 mg (as monohydrate)
(a)omit:
| Chem mart Cefaclor CD | CH | PDP | 10 | 0 | 10 |
(b)omit:
| Terry White Chemists Cefaclor CD | TW | PDP | 10 | 0 | 10 |
(c)omit:
| Chem mart Cefaclor CD | CH | MP | 10 | 1 | 10 |
(d)omit:
| Terry White Chemists Cefaclor CD | TW | MP | 10 | 1 | 10 |
Schedule 1, entry for Cefuroxime
omit:
| Tablet 250 mg (as axetil) | Oral | Zinnat | AS | PDP | 14 | 0 | 14 |
| MP | 14 | 1 | 14 |
substitute:
| Tablet 250 mg (as axetil) | Oral | a | Pharmacor Cefuroxime | CR | PDP | 14 | 0 | 14 |
| a | Zinnat | AS | PDP | 14 | 0 | 14 | ||
| a | Pharmacor Cefuroxime | CR | MP | 14 | 1 | 14 | ||
| a | Zinnat | AS | MP | 14 | 1 | 14 |
Schedule 1, entry for Dasatinib in the form Tablet 20 mg [Maximum Quantity; 60; Number of Repeats: 2]
omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
Schedule 1, entry for Dasatinib in the form Tablet 20 mg [Maximum Quantity; 60; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
(b)omit from the column headed “Purposes”: P6785 P6797 P6798 substitute: P6947 P6959 P6968
Schedule 1, entry for Dasatinib in the form Tablet 50 mg [Maximum Quantity; 60; Number of Repeats: 2]
omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
Schedule 1, entry for Dasatinib in the form Tablet 50 mg [Maximum Quantity; 60; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
(b)omit from the column headed “Purposes”: P6785 P6797 P6798 substitute: P6947 P6959 P6968
Schedule 1, entry for Dasatinib in the form Tablet 70 mg [Maximum Quantity; 60; Number of Repeats: 2]
omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
Schedule 1, entry for Dasatinib in the form Tablet 70 mg [Maximum Quantity; 60; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
(b)omit from the column headed “Purposes”: P6785 P6797 P6798 substitute: P6947 P6959 P6968
Schedule 1, entry for Dasatinib in the form Tablet 100 mg [Maximum Quantity; 30; Number of Repeats: 2]
omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
Schedule 1, entry for Dasatinib in the form Tablet 100 mg [Maximum Quantity; 30; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C6785 C6797 C6798
insert in numerical order: C6947 C6959 C6968
(b)omit from the column headed “Purposes”: P6785 P6797 P6798 substitute: P6947 P6959 P6968
Schedule 1, entry for Degarelix in the form Powder for injection 80 mg (as acetate), injection set
omit from the column headed “Circumstances”: C5646 substitute: C6952
Schedule 1, entry for Degarelix in the form Powder for injection 120 mg (as acetate), 2, injection set
omit from the column headed “Circumstances”: C5786 substitute: C6976
Schedule 1, entry for Diclofenac in the form Tablet (enteric coated) containing diclofenac sodium 25 mg [Maximum Quantity: 100;
Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Diclofenac Amneal | ED | PDP | C6256 C6282 | 100 | 0 | 50 |
Schedule 1, entry for Diclofenac in the form Tablet (enteric coated) containing diclofenac sodium 25 mg [Maximum Quantity: 100;
Number of Repeats: 3]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Diclofenac Amneal | ED | MP NP | C6149 C6214 C6283 | 100 | 3 | 50 |
Schedule 1, entry for Diclofenac in the form Tablet (enteric coated) containing diclofenac sodium 50 mg [Maximum Quantity: 50;
Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Diclofenac Amneal | ED | PDP | C6256 C6282 | 50 | 0 | 50 |
Schedule 1, entry for Diclofenac in the form Tablet (enteric coated) containing diclofenac sodium 50 mg [Maximum Quantity: 50;
Number of Repeats: 3]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Diclofenac Amneal | ED | MP NP | C6149 C6214 C6283 | 50 | 3 | 50 |
Schedule 1, entry for Dipyridamole with Aspirin
omit:
| APO-Dipyridamole/ Aspirin 200/25 | TX | MP NP | C6424 | 60 | 5 | 60 |
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:
| Doxorubicin MYX | OC | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Epirubicin in each of the forms: Solution for injection containing epirubicin hydrochloride 50 mg in 25 mL; and Solution for injection containing epirubicin hydrochloride 100 mg in 50 mL
omit:
| Hospira Pty Limited | PF | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Epirubicin in the form Solution for injection containing epirubicin hydrochloride 200 mg in 100 mL
omit:
| DBL Epirubicin Hydrochloride Injection | PF | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Epoprostenol
(a)omit:
| Powder for I.V. infusion, 500 micrograms (as sodium) infusion administration set | Injection | Flolan Kit | GK | MP | See Note 3 | See Note 3 | See Note 3 | See Note 3 | 1 | D(100) |
(b)omit:
| Powder for I.V. infusion, 1.5 mg (as sodium) infusion administration set | Injection | Flolan Kit | GK | MP | See Note 3 | See Note 3 | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Exemestane
(a)insert in the column headed “Schedule Equivalent” for all brands: a
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Estamane | JU | MP | C4796 C5522 | 30 | 5 | 30 |
| NP | C5522 | 30 | 5 | 30 |
Schedule 1, entry for Fentanyl in the form Transdermal patch 2.1 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| APO-Fentanyl | TX | MP NP | C4952 | 5 | 0 | 5 |
Schedule 1, entry for Fentanyl in the form Transdermal patch 4.2 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| APO-Fentanyl | TX | MP NP | C4952 | 5 | 0 | 5 |
Schedule 1, entry for Fentanyl in the form Transdermal patch 8.4 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| APO-Fentanyl | TX | MP NP | C4952 | 5 | 0 | 5 |
Schedule 1, entry for Fentanyl in the form Transdermal patch 12.6 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| APO-Fentanyl | TX | MP NP | C4952 | 5 | 0 | 5 |
Schedule 1, entry for Fentanyl in the form Transdermal patch 16.8 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| APO-Fentanyl | TX | MP NP | C4952 | 5 | 0 | 5 |
Schedule 1, entry for Fluconazole in the form Solution for I.V. infusion 200 mg in 100 mL
omit from the column headed “Circumstances” (twice occurring): C5978 C5989 C5996 C6002 C6023 C6030
substitute: C6956 C6960 C6965 C6969 C6974 C6978
Schedule 1, entry for Fluvoxamine in each of the forms: Tablet containing fluvoxamine maleate 50 mg; and Tablet containing fluvoxamine maleate 100 mg
(a)insert in the column headed “Schedule Equivalent” for all brands: a
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Fluvoxamine AN | ED | MP NP | C4755 C6277 | 30 | 5 | 30 |
Schedule 1, entry for Gabapentin in the form Capsule 300 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Gabapentin AN | EA | MP NP | C4928 | 100 | 5 | 100 |
Schedule 1, entry for Gabapentin in the form Capsule 400 mg
(a)insert in the column headed “Schedule Equivalent” for all brands: a
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Gabapentin AN | EA | MP NP | C4928 | 100 | 5 | 100 |
Schedule 1, entry for Gemcitabine in each of the forms: Powder for I.V. infusion 200 mg (as hydrochloride); Powder for I.V. infusion 1 g (as hydrochloride); and Powder for I.V. infusion 2 g (as hydrochloride)
omit:
| DBL Gemcitabine for Injection | PF | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Imatinib in the form Capsule 100 mg (as mesilate) [Maximum Quantity; 60; Number of Repeats: 2]
omit from the column headed “Circumstances” (all instances): C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
Schedule 1, entry for Imatinib in the form Capsule 100 mg (as mesilate) [Maximum Quantity; 60; Number of Repeats: 5]
(a)omit from the column headed “Circumstances” (all instances): C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
(b)omit from the column headed “Purposes” (all instances): P6703 P6743 P6744 substitute: P6948 P6949 P6973
Schedule 1, entry for Imatinib in the form Capsule 400 mg (as mesilate) [Maximum Quantity; 30; Number of Repeats: 2]
omit from the column headed “Circumstances” (all instances): C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
Schedule 1, entry for Imatinib in the form Capsule 400 mg (as mesilate) [Maximum Quantity; 30; Number of Repeats: 5]
(a)omit from the column headed “Circumstances” (all instances): C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
(b)omit from the column headed “Purposes” (all instances): P6703 P6743 P6744 substitute: P6948 P6949 P6973
Schedule 1, entry for Imatinib in the form Tablet 100 mg (as mesilate) [Maximum Quantity; 60; Number of Repeats: 2]
omit from the column headed “Circumstances” (all instances): C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
Schedule 1, entry for Imatinib in the form Tablet 100 mg (as mesilate) [Maximum Quantity; 60; Number of Repeats: 5; Brand: Glivec]
(a)omit from the column headed “Circumstances”: C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
(b)omit from the column headed “Purposes”: P6703 P6743 P6744
insert in numerical order: P6948 P6949 P6973
Schedule 1, entry for Imatinib in the form Tablet 100 mg (as mesilate) [Maximum Quantity; 60; Number of Repeats: 5;
Brands: IMATINIB RBX; Imatinib-Teva]
(a)omit from the column headed “Circumstances”: C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
(b)omit from the column headed “Purposes”: P6703 P6743 P6744 substitute: P6948 P6949 P6973
Schedule 1, entry for Imatinib in the form Tablet 400 mg (as mesilate) [Maximum Quantity; 30; Number of Repeats: 2]
omit from the column headed “Circumstances” (all instances): C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
Schedule 1, entry for Imatinib in the form Tablet 400 mg (as mesilate) [Maximum Quantity; 30; Number of Repeats: 5; Brand: Glivec]
(a)omit from the column headed “Circumstances”: C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
(b)omit from the column headed “Purposes”: P6703 P6743 P6744
insert in numerical order: P6948 P6949 P6973
Schedule 1, entry for Imatinib in the form Tablet 400 mg (as mesilate) [Maximum Quantity; 30; Number of Repeats: 5;
Brands: IMATINIB RBX; Imatinib-Teva]
(a)omit from the column headed “Circumstances”: C6703 C6743 C6744
insert in numerical order: C6948 C6949 C6973
(b)omit from the column headed “Purposes”: P6703 P6743 P6744 substitute: P6948 P6949 P6973
Schedule 1, entry for Indapamide in the form Tablet containing indapamide hemihydrate 2.5 mg
(a)omit:
| Chem mart Indapamide | CH | MP NP | 90 | 1 | 90 |
(b)omit:
| Terry White Chemists Indapamide | TW | MP NP | 90 | 1 | 90 |
Schedule 1, after entry for Insect Allergen Extract—Honey Bee Venom in the form Injection set containing 550 micrograms
insert in the columns in the order indicated:
| Injection set containing 550 micrograms with diluent | Injection | Hymenoptera Honey Bee Venom | DE | MP | 1 | 0 | 1 |
Schedule 1, entry for Irinotecan in the form I.V. injection containing irinotecan hydrochloride trihydrate 100 mg in 5 mL
omit:
| Irinotecan MYX | OC | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Levetiracetam in the form Tablet 250 mg
(a)omit:
| a | Chem mart Levetiracetam | CH | MP NP | C4928 | 60 | 5 | 60 |
(b)omit:
| a | Terry White Chemists Levetiracetam | TW | MP NP | C4928 | 60 | 5 | 60 |
Schedule 1, entry for Levetiracetam in the form Tablet 500 mg
(a)omit:
| a | Chem mart Levetiracetam | CH | MP NP | C4928 | 60 | 5 | 60 |
(b)omit:
| a | Terry White Chemists Levetiracetam | TW | MP NP | C4928 | 60 | 5 | 60 |
Schedule 1, entry for Levetiracetam in the form Tablet 1 g
(a)omit:
| a | Chem mart Levetiracetam | CH | MP NP | C4928 | 60 | 5 | 60 |
(b)omit:
| a | Terry White Chemists Levetiracetam | TW | MP NP | C4928 | 60 | 5 | 60 |
Schedule 1, entry for Methotrexate in the form Injection 50 mg in 2 mL vial
(a)omit:
| a | Methotrexate MYX | OC | MP | 5 | 5 | 1 |
(b)omit:
| Methotrexate MYX | OC | MP | See Note 2 | See Note 2 | 1 | C(100) |
(c)omit:
| Methotrexate MYX | OC | MP | P6276 | See Note 2 | See Note 2 | 1 | C(100) |
Schedule 1, entry for Methotrexate in the form Solution concentrate for I.V. infusion 1000 mg in 10 mL vial
(a)omit:
| Methotrexate MYX | OC | MP | See Note 3 | See Note 3 | 1 | PB(100) |
(b)omit:
| Methotrexate MYX | OC | MP | P6276 | See Note 3 | See Note 3 | 1 | PB(100) |
Schedule 1, entry for Mitozantrone in the form Injection 20 mg (as hydrochloride) in 10 mL
omit:
| Hospira Pty Limited | PF | MP | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Modafinil
(a)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | APO-Modafinil | TX | MP | C6537 C6556 | 120 | 5 | 60 |
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Modafinil AN | EA | MP | C6537 C6556 | 120 | 5 | 60 |
(c)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Modafinil Sandoz | SZ | MP | C6537 C6556 | 120 | 5 | 60 |
Schedule 1, entry for Nilotinib in the form Capsule 150 mg (as hydrochloride monohydrate)
omit from the column headed “Circumstances”: C6701 C6759 C6770 substitute: C6958 C6966 C6967
Schedule 1, entry for Nilotinib in the form Capsule 200 mg (as hydrochloride monohydrate)
omit from the column headed “Circumstances”: C6742 C6796 substitute: C6954 C6977
Schedule 1, entry for Nintedanib in each of the forms: Capsule 100 mg; and Capsule 150 mg
omit from the column headed “Circumstances”: C6869 C6870 C6889 substitute: C6950 C6961 C6970 C6975
Schedule 1, entry for Pembrolizumab in the form Powder for injection 50 mg
omit from the column headed “Circumstances”: C6828 C6829
Schedule 1, after entry for Pembrolizumab in the form Powder for injection 50 mg
insert in the columns in the order indicated:
| Solution concentrate for I.V. infusion 100 mg in 4 mL | Injection | Keytruda | MK | MP | C6801 C6806 C6817 | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, after entry for Pioglitazone in the form Tablet 45 mg (as hydrochloride) [Brand: Vexazone]
insert:
| Pirfenidone | Capsule 267 mg | Oral | Esbriet | RO | MP | C6950 C6961 C6962 C6975 | 270 | 5 | 270 |
Schedule 1, entry for Raloxifene
(a)omit:
| Chem mart Raloxifene | CH | MP NP | C6314 | 28 | 5 | 28 |
(b)omit:
| Terry White Chemists Raloxifene | TW | MP NP | C6314 | 28 | 5 | 28 |
Schedule 1, after entry for Rotigotine in the form Transdermal patch 13.5 mg
insert in the columns in the order indicated:
| Transdermal patch 18 mg | Transdermal | Neupro | UC | MP | C4204 | 28 | 5 | 28 |
Schedule 1, entry for Salbutamol in the form Nebuliser solution 2.5 mg (as sulfate) in 2.5 mL single dose units, 20
omit from the column headed “Schedule Equivalent”: a
Schedule 1, entry for Sotalol in the form Tablet containing sotalol hydrochloride 80 mg
(a)insert in the column headed “Schedule Equivalent” for all brands: a
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Cardol | AF | MP NP | C5664 | 60 | 5 | 60 |
Schedule 1, entry for Topotecan
omit:
| Topotecan Agila | AF | MP | C6238 | See Note 3 | See Note 3 | 1 | D(100) |
Schedule 1, entry for Ursodeoxycholic Acid
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | APO-Ursodeoxycholic acid | TX | MP NP | C5757 | 200 | 2 | 100 |
Schedule 1, after entry for Voriconazole in the form Powder for oral suspension 40 mg per mL, 70 mL
insert:
| Vorinostat | Capsule 100 mg | Oral | Zolinza | MK | MP | C6957 C6964 | P6964 | 120 | 1 | 120 |
| MP | C6957 C6964 | P6957 | 120 | 2 | 120 |
Schedule 3
(a)omit:
| AQ | Alcon Laboratories (Australia) Pty Ltd | 88 000 740 830 |
(b)omit:
| IQ | Alcon Laboratories (Australia) Pty Ltd | 88 000 740 830 |
Schedule 4, Part 1, entry for Abiraterone
substitute:
| Abiraterone | C6944 | Castration resistant metastatic carcinoma of the prostate The treatment must be used in combination with a corticosteroid; AND | Compliance with Authority Required procedures |
Schedule 4, Part 1, entry for Adalimumab
insert in numerical order after existing text:
| C6946 | P6946 | Moderate to severe hidradenitis suppurativa Initial treatment 1 - New patient or Initial treatment 2 - Recommencement of treatment – balance of supply Patient must have received insufficient therapy with this drug for this condition under the Initial treatment 1 - New patient restriction to complete a maximum of 16 weeks treatment; OR | Compliance with Authority Required procedures |
| C6951 | Moderate to severe hidradenitis suppurativa Initial treatment 1 - New patient Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND | Compliance with Written Authority Required procedures | |
| C6963 | Moderate to severe hidradenitis suppurativa Initial treatment 2 - Recommencement of treatment Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND | Compliance with Written Authority Required procedures | |
| C6971 | P6971 | Moderate to severe hidradenitis suppurativa Continuing treatment Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND | Compliance with Written Authority Required procedures |
| C6972 | P6972 | Moderate to severe hidradenitis suppurativa Initial treatment 3 - Grandfathered patient Patient must have been receiving treatment with this drug for this condition prior to 1 July 2017; AND | Compliance with Written Authority Required procedures |
Schedule 4, Part 1, entry for Botulinum toxin type A purified neurotoxin complex
(a)omit:
| C5333 | Urinary incontinence The condition must be due to idiopathic overactive bladder; AND Patient must be aged 18 years or older Must be treated by a urologist; OR | Compliance with Authority Required procedures - Streamlined Authority Code 5333 |
(b)insert in numerical order after existing text:
| C6953 | Urinary incontinence The condition must be due to idiopathic overactive bladder; AND | Compliance with Authority Required procedures - Streamlined Authority Code 6953 |
Schedule 4, Part 1, entry for Dasatinib
(a)omit:
| C6785 | P6785 | Chronic Myeloid Leukaemia (CML) First continuing treatment The condition must be in the chronic phase; AND Patient must have received initial PBS-subsidised first line treatment with this drug for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised first line treatment with imatinib for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised first line treatment with nilotinib for this condition; AND Patient must have demonstrated a major cytogenic response; OR Patient must have demonstrated a peripheral blood level of BCR-ABL of less than 1%; AND The treatment must not exceed a total maximum of 24 weeks of therapy with a PBS-subsidised treatment with a tyrosine kinase inhibitor for this condition under this restriction; AND The treatment must be the sole PBS-subsidised therapy for this condition. First continuing applications for authorisation must be in writing and must include:(1) a completed authority prescription form; and(2) demonstration of continued response to treatment as evidenced by either:(a) a major cytogenetic response [see Note explaining requirements]; or(b) a peripheral blood level of BCR-ABL of less than 1% on the international scale [see Note explaining requirements].Where this has been supplied within the previous 12 months, only the date of the relevant pathology report need be provided. | Compliance with Written Authority Required procedures |
| C6797 | P6797 | Chronic Myeloid Leukaemia (CML) Initial treatment The condition must be a primary diagnosis; AND The condition must be in the chronic phase; AND The condition must be expressing the Philadelphia chromosome; OR The condition must have the transcript BCR-ABL tyrosine kinase; AND The treatment must be for first line therapy for this condition; AND Patient must not have previously experienced a failure of response to the PBS-subsidised first line treatment with this drug for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised first line treatment with imatinib for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised first line treatment with nilotinib for this condition; AND The treatment must not exceed a total maximum of 18 months of therapy with a PBS-subsidised treatment with a tyrosine kinase inhibitor for this condition; AND The treatment must be the sole PBS-subsidised therapy for this condition. Applications under this restriction will be limited to provide patients with a maximum of 18 months of therapy with dasatinib, imatinib or nilotinib from the date the first application for initial treatment was approved. Patients should be commenced on a dose of dasatinib of 100 mg (base) daily. Continuing therapy is dependent on patients demonstrating a response to dasatinib therapy following the initial 18 months of treatment and at 12 monthly intervals thereafter. Applications for authorisation must be in writing and must include: (1) a completed authority prescription form; and (2) a completed Chronic Myeloid Leukaemia - Chronic Phase, First Line - Supporting Information form; and (3) a pathology cytogenetic report conducted on peripheral blood or bone marrow supporting the diagnosis of chronic myeloid leukaemia to confirm eligibility for treatment, or a qualitative PCR report documenting the presence of the BCR-ABL transcript in either peripheral blood or bone marrow; and (4) a signed patient acknowledgement form | Compliance with Written Authority Required procedures |
| C6798 | P6798 | Chronic Myeloid Leukaemia (CML) Subsequent continuing treatment The condition must be in the chronic phase; AND Patient must have received the First continuing PBS-subsidised treatment with this drug as a first line therapy for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised first line treatment with imatinib as a first line therapy for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised first line treatment with nilotinib as a first line therapy for this condition; AND Patient must have maintained a major cytogenic response; OR Patient must have maintained a peripheral blood level of BCR-ABL of less than 1%; AND The treatment must not exceed a total maximum of 24 weeks of therapy with a PBS-subsidised treatment with a tyrosine kinase inhibitor for this condition under this restriction; AND The treatment must be the sole PBS-subsidised therapy for this condition. Subsequent authority applications for continuing therapy with this drug may be made by telephoning the Department of Human Services on 1800 700 270 (hours of operation 8 a.m. to 5 p.m. EST Monday to Friday). | Compliance with Authority Required procedures |
(b)insert in numerical order after existing text:
| C6947 | P6947 | Chronic Myeloid Leukaemia (CML) First continuing treatment The condition must be in the chronic phase; AND | Compliance with Written Authority Required procedures |
| C6959 | P6959 | Chronic Myeloid Leukaemia (CML) Initial treatment The condition must be a primary diagnosis; AND | Compliance with Written Authority Required procedures |
| C6968 | P6968 | Chronic Myeloid Leukaemia (CML) Subsequent continuing treatment The condition must be in the chronic phase; AND | Compliance with Authority Required procedures |
Schedule 4, Part 1, entry for Degarelix
substitute:
| Degarelix | C6952 | Locally advanced (equivalent to stage C) or metastatic (equivalent to stage D) carcinoma of the prostate |
| C6976 | Locally advanced (equivalent to stage C) or metastatic (equivalent to stage D) carcinoma of the prostate |
Schedule 4, Part 1, entry for Fluconazole
insert in numerical order after existing text:
| C6956 | Cryptococcal meningitis |
| C6960 | Candida infections The condition must be serious or life-threatening. |
| C6965 | Oropharyngeal candidiasis The treatment must be for prophylaxis; AND |
| C6969 | Oesophageal candidiasis Patient must be immunosuppressed. |
| C6974 | Oropharyngeal candidiasis Patient must be immunosuppressed. |
| C6978 | Cryptococcal meningitis The treatment must be maintenance therapy; AND |
Schedule 4, Part 1, entry for Imatinib
(a)omit:
| C6703 | P6703 | Chronic Myeloid Leukaemia (CML) Subsequent continuing The condition must be in the chronic phase of chronic myeloid leukaemia; AND Patient must have received initial continuing PBS-subsidised treatment with this drug as a first line therapy for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised treatment with dasatinib as a first line therapy for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised treatment with nilotinib as a first line therapy for this condition; AND Patient must have maintained a major cytogenic response; OR Patient must have maintained a peripheral blood level of BCR-ABL of less than 1%; AND The treatment must not exceed a total maximum of 24 weeks of therapy with a PBS-subsidised treatment with a tyrosine kinase inhibitor for this condition under this restriction; AND The treatment must be the sole PBS-subsidised therapy for this condition. Second and subsequent authority applications for continuing therapy with imatinib mesilate may be made on the telephone by contacting the Department of Human Services on 1800 700 270 (hours of operation 8 a.m. to 5 p.m. EST Monday to Friday). | Compliance with Authority Required procedures |
| C6743 | P6743 | Chronic Myeloid Leukaemia (CML) Initial Patient must have a primary diagnosis of chronic myeloid leukaemia; AND The condition must be in the chronic phase of chronic myeloid leukaemia; AND The condition must be expressing the Philadelphia chromosome; OR The condition must have the transcript BCR-ABL tyrosine kinase; AND The treatment must be for first line therapy for this condition; AND Patient must not have previously experienced a failure of response to the PBS-subsidised treatment with this drug for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised treatment with dasatinib as a first line therapy for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised treatment with nilotinib as a first line therapy for this condition; AND The treatment must not exceed a total maximum of 18 months of therapy with a PBS-subsidised treatment with a tyrosine kinase inhibitor for this condition; AND The treatment must be the sole PBS-subsidised therapy for this condition. Applications for authorisation must be in writing and must include:(1) a completed authority prescription form; and(2) a completed Chronic Myeloid Leukaemia - Chronic Phase, First Line - Supporting Information form; and(3) a pathology cytogenetic report conducted on peripheral blood or bone marrow supporting the diagnosis of chronic myeloid leukaemia to confirm eligibility for treatment, or a qualitative PCR report documenting the presence of the BCR-ABL transcript in either peripheral blood or bone marrow; and(4) a signed patient acknowledgement form Applications under this restriction will be limited to provide patients with a maximum of 18 months of therapy with dasatinib, imatinib or nilotinib from the date the first application for initial treatment was approved. Patients should be commenced on a dose of imatinib mesilate of 400 mg (base) daily. Continuing therapy is dependent on patients demonstrating a response to imatinib mesilate therapy following the initial 18 months of treatment and at 12 monthly intervals thereafter. | Compliance with Written Authority Required procedures |
| C6744 | P6744 | Chronic Myeloid Leukaemia (CML) First Continuing The condition must be in the chronic phase of chronic myeloid leukaemia; AND Patient must have received initial PBS-subsidised treatment with this drug as a first line therapy for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised treatment with dasatinib as a first line therapy for this condition; OR Patient must have experienced intolerance, not a failure of response, to PBS-subsidised treatment with nilotinib as a first line therapy for this condition; AND Patient must have demonstrated a major cytogenic response; OR Patient must have demonstrated a peripheral blood level of BCR-ABL of less than 1%; AND The treatment must not exceed a total maximum of 24 weeks of therapy with a PBS-subsidised treatment with a tyrosine kinase inhibitor for this condition under this restriction; AND The treatment must be the sole PBS-subsidised therapy for this condition. First continuing applications for authorisation must be in writing and must include: (1) a completed authority prescription form; and (2) a response to treatment as evidenced by either: (a) a major cytogenetic response [see Note explaining requirements]; or (b) a peripheral blood level of BCR-ABL of less than 1% on the international scale [see Note explaining requirements]. | Compliance with Written Authority Required procedures |
(b)insert in numerical order after existing text:
| C6948 | P6948 | Chronic Myeloid Leukaemia (CML) Initial treatment Patient must have a primary diagnosis of chronic myeloid leukaemia; AND | Compliance with Written Authority Required procedures |
| C6949 | P6949 | Chronic Myeloid Leukaemia (CML) Subsequent continuing The condition must be in the chronic phase of chronic myeloid leukaemia; AND | Compliance with Authority Required procedures |
| C6973 | P6973 | Chronic Myeloid Leukaemia (CML) First Continuing The condition must be in the chronic phase of chronic myeloid leukaemia; AND | Compliance with Written Authority Required procedures |
Schedule 4, Part 1, entry for Nicotine
omit:
| C6879 | Nausea and vomiting The condition must must be associated with moderately emetogenic cytotoxic chemotherapy being used to treat malignancy; AND | Compliance with Authority Required procedures - Streamlined Authority Code 6879 |
substitute:
| C6848 | Nicotine dependence The treatment must be as an aid to achieving abstinence from smoking; AND |
Schedule 4, Part 1, entry for Nilotinib
substitute:
| Nilotinib | C6954 | Chronic Myeloid Leukaemia (CML) Continuing treatment Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND | Compliance with Written Authority Required procedures |
| C6958 | Chronic Myeloid Leukaemia (CML) Subsequent continuing treatment The condition must be in the chronic phase; AND | Compliance with Authority Required procedures | |
| C6966 | Chronic Myeloid Leukaemia (CML) Initial treatment The condition must be a primary diagnosis; AND | Compliance with Written Authority Required procedures | |
| C6967 | Chronic Myeloid Leukaemia (CML) First continuing treatment The condition must be in the chronic phase; AND | Compliance with Written Authority Required procedures | |
| C6977 | Chronic Myeloid Leukaemia (CML) Initial treatment The condition must be in the chronic phase; OR | Compliance with Written Authority Required procedures |
Schedule 4, Part 1, entry for Nintedanib
substitute:
| Nintedanib | C6950 | Idiopathic pulmonary fibrosis Initial treatment 1 - new patient The condition must be diagnosed through a multidisciplinary team; AND | Compliance with Written Authority Required procedures |
| C6961 | Idiopathic pulmonary fibrosis Continuing treatment Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND | Compliance with Authority Required procedures |
| C6970 | Idiopathic pulmonary fibrosis Initial treatment 3 - Grandfathering treatment Patient must have previously received non-PBS-subsidised treatment with this drug for this condition prior to 1 May 2017; AND | Compliance with Written Authority Required procedures |
| C6975 | Idiopathic pulmonary fibrosis Initial treatment 2 - change or re-commencement of treatment Patient must have previously received PBS-subsidised treatment with nintedanib or pirfenidone for this condition; AND | Compliance with Authority Required procedures |
Schedule 4, Part 1, entry for Pembrolizumab
omit:
| C6828 | Unresectable Stage III or Stage IV malignant melanoma Grandfathering treatment 2 The condition must be negative for a BRAF V600 mutation; AND | Compliance with Authority Required procedures - Streamlined Authority Code 6828 |
| C6829 | Unresectable Stage III or Stage IV malignant melanoma Grandfathering treatment 1 The condition must be positive for a BRAF V600 mutation; AND | Compliance with Authority Required procedures - Streamlined Authority Code 6829 |
Schedule 4, Part 1, after entry for Pioglitazone
insert:
| Pirfenidone | C6950 | Idiopathic pulmonary fibrosis Initial treatment 1 - new patient The condition must be diagnosed through a multidisciplinary team; AND | Compliance with Written Authority Required procedures |
| C6961 | Idiopathic pulmonary fibrosis Continuing treatment Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND | Compliance with Authority Required procedures |
| C6962 | Idiopathic pulmonary fibrosis Initial treatment 3 - Grandfathering treatment Patient must have previously received non-PBS-subsidised treatment with this drug for this condition prior to 1 July 2017; AND | Compliance with Written Authority Required procedures |
| C6975 | Idiopathic pulmonary fibrosis Initial treatment 2 - change or re-commencement of treatment Patient must have previously received PBS-subsidised treatment with nintedanib or pirfenidone for this condition; AND | Compliance with Authority Required procedures |
Schedule 4, Part 1, after entry for Voriconazole
insert:
| Vorinostat | C6957 | P6957 | Cutaneous T-cell lymphoma Initial treatment Patient must have received systemic treatment with chemotherapy; AND | Compliance with Written Authority Required procedures |
| C6964 | P6964 | Cutaneous T-cell lymphoma Continuing treatment Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND | Compliance with Authority Required procedures |
Schedule 5, after entry for Esomeprazole and clarithromycin and amoxycillin
insert:
| Fentanyl | GRP-15510 | Transdermal patch 7.65 mg | Transdermal | Denpax |
| Transdermal patch 12.375 mg | Transdermal | Dutran 75 Fenpatch 75 | ||
| Transdermal patch 12.6 mg | Transdermal | APO-Fentanyl Durogesic 75 Fentanyl Sandoz | ||
| GRP-15577 | Transdermal patch 2.55 mg | Transdermal | Denpax | |
| Transdermal patch 4.125 mg | Transdermal | Dutran 25 Fenpatch 25 | ||
| Transdermal patch 4.2 mg | Transdermal | APO-Fentanyl Durogesic 25 Fentanyl Sandoz | ||
| GRP-15659 | Transdermal patch 5.10 mg | Transdermal | Denpax | |
| Transdermal patch 8.25 mg | Transdermal | Dutran 50 Fenpatch 50 | ||
| Transdermal patch 8.4 mg | Transdermal | APO-Fentanyl Durogesic 50 Fentanyl Sandoz | ||
| GRP-15747 | Transdermal patch 10.20 mg | Transdermal | Denpax | |
| Transdermal patch 16.5 mg | Transdermal | Dutran 100 Fenpatch 100 | ||
| Transdermal patch 16.8 mg | Transdermal | APO-Fentanyl Durogesic 100 Fentanyl Sandoz | ||
| GRP-15898 | Transdermal patch 1.28 mg | Transdermal | Denpax | |
| Transdermal patch 2.063 mg | Transdermal | Dutran 12 Fenpatch 12 | ||
| Transdermal patch 2.1 mg | Transdermal | APO-Fentanyl Durogesic 12 Fentanyl Sandoz |
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