National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2020 (No. 9) (PB 89 of 2020) (Cth)
PB 89 of 2020
National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2020 (No. 9)
National Health Act 1953
________________________________________________________________________
I, THEA CONNOLLY, Assistant Secretary, Pricing and PBS Policy Branch, Technology Assessment and Access 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 28 September 2020
THEA CONNOLLY
Assistant Secretary
Pricing and PBS Policy Branch
Technology Assessment and Access Division
Department of Health
Name of Instrument
(1)This Instrument is the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2020 (No. 9).
(2)This Instrument may also be cited as PB 89 of 2020.
Commencement
This Instrument commences on 1 October 2020.
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 Acarbose in the form Tablet 50 mg
omit:
| a | Glucobay 50 | BN | MP NP | 90 | 5 | 90 |
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen, 4 [Maximum Quantity: 1; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C6971 C6972
(b)insert in numerical order in the column headed “Circumstances”: C10838
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen, 4 [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C6971 C6972
(b)insert in numerical order in the column headed “Circumstances”: C10838
(c)omit from the column headed “Purposes”: P6971 P6972 substitute: P10838
Schedule 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen, 6
(a)omit from the column headed “Circumstances”: C6951
(b)insert in numerical order in the column headed “Circumstances”: C10892
Schedule 1, entry for Aflibercept
insert as first entry:
| Solution for intravitreal injection 3.6 mg in 90 microlitres (40 mg per mL) pre-filled syringe | Injection | Eylea | BN | MP | C10708 C10715 C10716 C10783 C10789 C10818 C10826 C10827 C10862 C10911 | P10708 P10715 P10783 P10789 P10818 P10827 P10862 P10911 | 1 | 2 | 1 |
| MP | C10708 C10715 C10716 C10783 C10789 C10818 C10826 C10827 C10862 C10911 | P10716 P10826 | 1 | 5 | 1 |
Schedule 1, entry for Aflibercept in the form Solution for intravitreal injection 4 mg in 100 microlitres (40 mg per mL) [Maximum Quantity: 1; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C7517 C7536 C7553 C7564 C7570 C7571 C7587 C7592 substitute: C10708 C10715 C10716 C10783 C10789 C10818 C10826 C10827 C10862 C10911
(b)omit from the column headed “Purposes”: P7536 P7564 P7570 P7571 P7587 P7592 substitute: P10708 P10715 P10783 P10789 P10818 P10827 P10862 P10911
Schedule 1, entry for Aflibercept in the form Solution for intravitreal injection 4 mg in 100 microlitres (40 mg per mL) [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C7517 C7536 C7553 C7564 C7570 C7571 C7587 C7592 substitute: C10708 C10715 C10716 C10783 C10789 C10818 C10826 C10827 C10862 C10911
(b)omit from the column headed “Purposes”: P7517 P7553 substitute: P10716 P10826
Schedule 1, entry for Alectinib
omit from the column headed “Circumstances”: C7353
Schedule 1, entry for Alendronic acid with colecalciferol in the form Tablet 70 mg (as alendronate sodium) with 140 micrograms colecalciferol
omit:
| a | Dronalen Plus | AL | MP NP | C6306 C6319 C6325 | 4 | 5 | 4 |
Schedule 1, after entry for Amino acid formula with vitamins and minerals without phenylalanine in the form Sachets containing oral powder 27.8 g, 30 (PKU Lophlex)
insert:
| Sachets containing oral powder 28 g, 30 (PKU Lophlex) | Oral | PKU Lophlex | SB | MP NP | C4295 | 4 | 5 | 1 |
Schedule 1, entry for Apomorphine
substitute:
| Apomorphine | Injection containing apomorphine hydrochloride hemihydrate 20 mg in 2 mL | Injection | Movapo | TD | MP | C4833 C9561 | 360 | 5 | 5 | PB(100) |
| Injection containing apomorphine hydrochloride hemihydrate 50 mg in 5 mL | Injection | Movapo | TD | MP | C4833 C9561 | 180 | 5 | 5 | PB(100) | |
| Injection containing apomorphine hydrochloride hemihydrate 100 mg in 20 mL | Injection | Apomine Solution for Infusion | PF | MP NP | C10844 | 90 | 5 | 5 | ||
| MP | C10830 C10863 | 90 | 5 | 5 | C(100) | |||||
| Solution for subcutaneous infusion containing apomorphine hydrochloride hemihydrate 50 mg in 10 mL pre-filled syringe | Injection | Movapo PFS | TD | MP | C4833 C9561 | 180 | 5 | 5 | PB(100) | |
| Solution for subcutaneous injection containing apomorphine hydrochloride 30 mg in 3 mL pre-filled pen | Injection | a | Apomine Intermittent | PF | MP NP | C10844 | 100 | 5 | 5 | |
| MP | C10830 C10863 | 100 | 5 | 5 | C(100) | |||||
| a | Movapo Pen | TD | MP NP | C10844 | 100 | 5 | 5 | |||
| MP | C10830 C10863 | 100 | 5 | 5 | C(100) |
Schedule 1, entry for Brentuximab vedotin
(a)omit from the column headed “Circumstances”: C6903 C6936
(b)insert in numerical order in the column headed “Circumstances”: C10811 C10902
Schedule 1, entry for Buprenorphine
substitute:
| Buprenorphine | Injection (modified release) 8 mg in 0.16 mL pre-filled syringe | Injection | Buvidal Weekly | UR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) |
| Injection (modified release) 16 mg in 0.32 mL pre-filled syringe | Injection | Buvidal Weekly | UR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Injection (modified release) 24 mg in 0.48 mL pre-filled syringe | Injection | Buvidal Weekly | UR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Injection (modified release) 32 mg in 0.64 mL pre-filled syringe | Injection | Buvidal Weekly | UR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Injection (modified release) 64 mg in 0.18 mL pre-filled syringe | Injection | Buvidal Monthly | UR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Injection (modified release) 96 mg in 0.27 mL pre-filled syringe | Injection | Buvidal Monthly | UR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Injection (modified release) 100 mg in 0.5 mL pre-filled syringe | Injection | Sublocade | IR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Injection (modified release) 128 mg in 0.36 mL pre-filled syringe | Injection | Buvidal Monthly | UR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Injection (modified release) 300 mg in 1.5 mL pre-filled syringe | Injection | Sublocade | IR | MP NP | C9212 | See Note 3 | See Note 3 | 1 | PB(100) | |
| Transdermal patch 5 mg | Transdermal | a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 |
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| Transdermal patch 10 mg | Transdermal | a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 |
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| Transdermal patch 15 mg | Transdermal | a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 |
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| Transdermal patch 20 mg | Transdermal | a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 |
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Buprenorphine Sandoz | SZ | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| Transdermal patch 25 mg | Transdermal | a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 |
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| Transdermal patch 30 mg | Transdermal | a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 |
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| Transdermal patch 40 mg | Transdermal | a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 |
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P10748 P10752 P10755 | 2 | 0 | 2 | ||
| a | Bupredermal | TX | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| a | Norspan | MF | MP NP | C6151 C10748 C10752 C10755 | P6151 | 4 | 2 | 2 | ||
| Tablet (sublingual) 400 micrograms (as hydrochloride) | Sublingual | Subutex | IR | MP NP | C6451 | See Note 3 | See Note 3 | 7 | PB(100) | |
| Tablet (sublingual) 2 mg (as hydrochloride) | Sublingual | Subutex | IR | MP NP | C6451 | See Note 3 | See Note 3 | 7 | PB(100) | |
| Tablet (sublingual) 8 mg (as hydrochloride) | Sublingual | Subutex | IR | MP NP | C6451 | See Note 3 | See Note 3 | 7 | PB(100) |
Schedule 1, entry for Carfilzomib in each of the forms: Powder for injection 10 mg; Powder for injection 30 mg; and Powder for injection 60 mg
(a)omit from the column headed “Circumstances”: C7344
(b)omit from the column headed “Circumstances”: C7355
(c)insert in numerical order in the column headed “Circumstances”: C10855
Schedule 1, entry for Cladribine in the form Tablet 10 mg
omit from the column headed “Circumstances” (all instances): C10123
Schedule 1, entry for Codeine in the form Tablet containing codeine phosphate hemihydrate 30 mg [Authorised Prescriber: MP NP; Maximum Quantity: 10; Number of Repeats: 0]
(a)omit from the column headed “Circumstances”: C10442 C10444
(b)insert in numerical order in the column headed “Circumstances”: C10764 C10766 C10771 C10772
(c)omit from the column headed “Purposes”: P10442 substitute: P10766
Schedule 1, entry for Codeine in the form Tablet containing codeine phosphate hemihydrate 30 mg [Authorised Prescriber: PDP; Maximum Quantity: 10; Number of Repeats: 0]
(a)omit from the column headed “Circumstances”: C10442 C10446 substitute: C10766 C10768
(b)omit from the column headed “Purposes”: P10442 substitute: P10766
Schedule 1, entry for Codeine in the form Tablet containing codeine phosphate hemihydrate 30 mg [Authorised Prescriber: MP NP; Maximum Quantity: 20; Number of Repeats: 0]
(a)omit from the column headed “Circumstances”: C10442 C10444
(b)insert in numerical order in the column headed “Circumstances”: C10764 C10766 C10771 C10772
(c)omit from the column headed “Purposes”: P10444
(d)insert in numerical order in the column headed “Purposes”: P10764 P10771 P10772
Schedule 1, entry for Codeine in the form Tablet containing codeine phosphate hemihydrate 30 mg [Authorised Prescriber: PDP; Maximum Quantity: 20; Number of Repeats: 0]
(a)omit from the column headed “Circumstances”: C10442 C10446 substitute: C10766 C10768
(b)omit from the column headed “Purposes”: P10446 substitute: P10768
Schedule 1, entry for Codeine with paracetamol
substitute:
| Codeine with paracetamol | Tablet containing codeine phosphate hemihydrate 30 mg with paracetamol 500 mg | Oral | a | APO- Paracetamol/Codeine 500/30 | TX | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 |
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Codalgin Forte | AF | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Codapane Forte 500/30 | AL | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Comfarol Forte | SZ | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Panadeine Forte | SW | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Paracetamol/Codeine GH 500/30 | GQ | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Prodeine Forte | AV | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | APO- Paracetamol/Codeine 500/30 | TX | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Codalgin Forte | AF | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Codapane Forte 500/30 | AL | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Comfarol Forte | SZ | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Panadeine Forte | SW | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Paracetamol/Codeine GH 500/30 | GQ | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Prodeine Forte | AV | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 |
Schedule 1, omit entry for Daclatasvir
Schedule 1, omit entry for Danazol
Schedule 1, entry for Dexamethasone in the form Intravitreal injection 700 micrograms [Maximum Quantity: 1; Number of Repeats: 0]
(a)omit from the column headed “Circumstances”: C8020 C8023 C8032 C8033
(b)insert in numerical order in the column headed “Circumstances”: C10713 C10822 C10861 C10904
Schedule 1, entry for Dexamethasone in the form Intravitreal injection 700 micrograms [Maximum Quantity: 1; Number of Repeats: 1]
(a)omit from the column headed “Circumstances”: C8020 C8023 C8032 C8033
(b)insert in numerical order in the column headed “Circumstances”: C10713 C10822 C10861 C10904
(c)omit from the column headed “Purposes”: P8020 P8023 P8032 P8033
(d)insert in numerical order in the column headed “Purposes”: P10713 P10822 P10861 P10904
Schedule 1, entry for Dexamethasone
omit:
| Injection containing dexamethasone sodium phosphate equivalent to 4 mg dexamethasone phosphate in 1 mL | Injection | Dexamethasone Mylan | AF | MP NP | 5 | 0 | 5 |
| Injection containing dexamethasone sodium phosphate equivalent to 8 mg dexamethasone phosphate in 2 mL | Injection | Dexamethasone Mylan | AF | MP NP | 5 | 1 | 5 |
Schedule 1, omit entry for Dipyridamole
Schedule 1, entry for Dipyridamole with aspirin
(a) omit:
| a | Asasantin SR | BY | MP NP | C6424 | 60 | 5 | 60 |
(b) omit from the column headed “Schedule Equivalent” for the brand “Diasp SR”: a
Schedule 1, entry for Disopyramide
omit from the column headed “Responsible Person”: SW substitute: PB
Schedule 1, entry for Fentanyl in the form Transdermal patch 1.28 mg
omit from the column headed “Circumstances”: C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Fentanyl in each of the forms: Transdermal patch 2.063 mg; and Transdermal patch 2.1 mg
omit from the column headed “Circumstances” (all instances): C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Fentanyl in the form Transdermal patch 2.55 mg
omit from the column headed “Circumstances”: C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Fentanyl in each of the forms: Transdermal patch 4.125 mg; and Transdermal patch 4.2 mg
omit from the column headed “Circumstances” (all instances): C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Fentanyl in each of the forms: Transdermal patch 5.10 mg; and Transdermal patch 7.65 mg
omit from the column headed “Circumstances”: C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Fentanyl in each of the forms: Transdermal patch 8.25 mg; and Transdermal patch 8.4 mg
omit from the column headed “Circumstances” (all instances): C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Fentanyl in the form Transdermal patch 10.20 mg
omit from the column headed “Circumstances”: C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Fentanyl in each of the forms: Transdermal patch 12.375 mg; Transdermal patch 12.6 mg; Transdermal patch 16.5 mg; and Transdermal patch 16.8 mg
omit from the column headed “Circumstances” (all instances): C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Gefitinib
(a) insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Cipla Gefitinib | LR | MP | C4473 C7447 | 30 | 3 | 30 |
(b) insert in the column headed “Schedule Equivalent” for the brand “Iressa”: a
Schedule 1, entry for Guselkumab
(a)omit from the column headed “Circumstances”: C8496
(b)omit from the column headed “Circumstances”: C8909 C8938 C8957 C8958 C8976 C8977 C9903 C9996 C10322 C10327
(c)insert in numerical order in the column headed “Circumstances: C10742 C10743 C10806 C10807 C10810 C10875 C10889 C10900 C10901
Schedule 1, entry for Hydromorphone
substitute:
| Hydromorphone | Injection containing hydromorphone hydrochloride 2 mg in 1 mL | Injection | a | Dilaudid | MF | MP NP | C10764 C10770 C10777 | 5 | 0 | 5 |
| a | HYDROMORPHONE JUNO | JU | MP NP | C10764 C10770 C10777 | 5 | 0 | 5 | |||
| a | MEDSURGE HYDROMORPHONE 2 mg/1 mL | DZ | MP NP | C10764 C10770 C10777 | 5 | 0 | 5 | |||
| Injection containing hydromorphone hydrochloride 10 mg in 1 mL | Injection | a | Dilaudid-HP | MF | MP NP | C10764 C10770 C10777 | 5 | 0 | 5 | |
| a | HYDROMORPHONE JUNO-HP | JU | MP NP | C10764 C10770 C10777 | 5 | 0 | 5 | |||
| a | MEDSURGE HYDROMORPHONE HP 10 mg/1 mL | DZ | MP NP | C10764 C10770 C10777 | 5 | 0 | 5 | |||
| Oral liquid containing hydromorphone hydrochloride 1 mg per mL, 200 mL | Oral | Dilaudid | MF | MP NP | C10764 C10770 C10777 | 1 | 0 | 1 | ||
| PDP | C10859 | 1 | 0 | 1 | ||||||
| Tablet containing hydromorphone hydrochloride 2 mg | Oral | Dilaudid | MF | MP NP | C10758 C10764 C10770 C10777 | P10758 | 10 | 0 | 20 | |
| PDP | C10758 C10859 | P10758 | 10 | 0 | 20 | |||||
| MP NP | C10758 C10764 C10770 C10777 | P10764 P10770 P10777 | 20 | 0 | 20 | |||||
| PDP | C10758 C10859 | P10859 | 20 | 0 | 20 | |||||
| Tablet containing hydromorphone hydrochloride 4 mg | Oral | Dilaudid | MF | MP NP | C10758 C10764 C10770 C10777 | P10758 | 10 | 0 | 20 | |
| PDP | C10758 C10859 | P10758 | 10 | 0 | 20 | |||||
| MP NP | C10758 C10764 C10770 C10777 | P10764 P10770 P10777 | 20 | 0 | 20 | |||||
| PDP | C10758 C10859 | P10859 | 20 | 0 | 20 | |||||
| Tablet containing hydromorphone hydrochloride 8 mg | Oral | Dilaudid | MF | MP NP | C10758 C10764 C10770 C10777 | P10758 | 10 | 0 | 20 | |
| PDP | C10758 C10859 | P10758 | 10 | 0 | 20 | |||||
| MP NP | C10758 C10764 C10770 C10777 | P10764 P10770 P10777 | 20 | 0 | 20 | |||||
| PDP | C10758 C10859 | P10859 | 20 | 0 | 20 | |||||
| Tablet (modified release) containing hydromorphone hydrochloride 4 mg | Oral | Jurnista | JC | MP NP | C10752 C10753 C10754 | 14 | 0 | 14 | ||
| Tablet (modified release) containing hydromorphone hydrochloride 8 mg | Oral | Jurnista | JC | MP NP | C10752 C10753 C10754 | 14 | 0 | 14 | ||
| Tablet (modified release) containing hydromorphone hydrochloride 16 mg | Oral | Jurnista | JC | MP NP | C10752 C10753 C10754 | 14 | 0 | 14 | ||
| Tablet (modified release) containing hydromorphone hydrochloride 32 mg | Oral | Jurnista | JC | MP NP | C10752 C10753 C10754 | 14 | 0 | 14 | ||
| Tablet (modified release) containing hydromorphone hydrochloride 64 mg | Oral | Jurnista | JC | MP NP | C10752 C10753 C10754 | 14 | 0 | 14 |
Schedule 1, entry for Hydroxycarbamide
(a)insert in the column headed “Schedule Equivalent” for the brand “Hydrea”: a
(b)insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | HYDROXYCARBAMIDE MEDSURGE | DZ | MP | 100 | 3 | 100 |
Schedule 1, entry for Ibrutinib in the form Capsule 140 mg [Maximum Quantity: 90; Number of Repeats: 5]
omit from the column headed “Circumstances”: C7806
Schedule 1, entry for Ibrutinib in the form Capsule 140 mg [Maximum Quantity: 120; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C7806
(b)omit from the column headed “Purposes”: P7806
Schedule 1, entry for Icatibant
(a) insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Cipla Icatibant | LR | MP | C7273 C7274 | 1 | 1 | 1 |
(b) omit:
| Firazyr | TK | MP | C7273 C7274 | 1 | 1 | 1 |
Schedule 1, entry for Inotuzumab ozogamicin
omit from the column headed “Circumstances”: C9600
Schedule 1, entry for Ipilimumab in the form Injection concentrate for I.V. infusion 50 mg in 10 mL
omit from the column headed “Circumstances”: C8569
Schedule 1, entry for Lenvatinib in the form Capsule 4 mg (as mesilate) [Maximum Quantity: 30; Number of Repeats: 2]
omit from the column headed “Circumstances”: C8618
Schedule 1, entry for Lenvatinib in the form Capsule 4 mg (as mesilate) [Maximum Quantity: 90; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C8618
(b)omit from the column headed “Purposes”: P8618
Schedule 1, entry for Levodopa with carbidopa and entacapone in each of the forms: Tablet 50 mg-12.5 mg (as monohydrate)-200 mg; Tablet 75 mg-18.75 mg (as monohydrate)-200 mg; and Tablet 100 mg-25 mg (as monohydrate)-200 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Carlevent | TX | MP NP | C5212 C5288 | 200 | 4 | 100 |
Schedule 1, entry for Levodopa with carbidopa and entacapone in each of the forms: Tablet 125 mg-31.25 mg (as monohydrate)-200 mg; Tablet 150 mg-37.5 mg (as monohydrate)-200 mg; and Tablet 200 mg-50 mg (as monohydrate)-200 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Carlevent | TX | MP NP | C5212 C5288 | 200 | 4 | 100 |
Schedule 1, entry for Methadone in the form Injection containing methadone hydrochloride 10 mg in 1 mL
omit from the column headed “Circumstances”: C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Methadone in the form Tablet containing methadone hydrochloride 10 mg
omit from the column headed “Circumstances”: C10441 substitute: C10745 C10747 C10751
Schedule 1, entry for Mirtazapine in the form Tablet 45 mg (orally disintegrating)
omit:
| a | Remeron SolTab | AF | MP NP | C5650 | 30 | 5 | 30 |
Schedule 1, entry for Morphine
substitute:
| Morphine | Capsule containing morphine sulfate pentahydrate 10 mg (containing sustained release pellets) | Oral | Kapanol | YN | MP NP | C9248 C10748 C10752 C10755 | 28 | 0 | 28 |
| Capsule containing morphine sulfate pentahydrate 20 mg (containing sustained release pellets) | Oral | Kapanol | YN | MP NP | C9248 C10748 C10752 C10755 | 28 | 0 | 28 | |
| Capsule containing morphine sulfate pentahydrate 30 mg (controlled release) | Oral | MS Mono | MF | MP NP | C10748 C10752 C10755 | 14 | 0 | 14 | |
| Capsule containing morphine sulfate pentahydrate 50 mg (containing sustained release pellets) | Oral | Kapanol | YN | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Capsule containing morphine sulfate pentahydrate 60 mg (controlled release) | Oral | MS Mono | MF | MP NP | C10748 C10752 C10755 | 14 | 0 | 14 | |
| Capsule containing morphine sulfate pentahydrate 90 mg (controlled release) | Oral | MS Mono | MF | MP NP | C10748 C10752 C10755 | 14 | 0 | 14 | |
| Capsule containing morphine sulfate pentahydrate 100 mg (containing sustained release pellets) | Oral | Kapanol | YN | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Capsule containing morphine sulfate pentahydrate 120 mg (controlled release) | Oral | MS Mono | MF | MP NP | C10748 C10752 C10755 | 14 | 0 | 14 | |
| Injection containing morphine hydrochloride trihydrate 10 mg in 1 mL | Injection | Morphine Juno | JU | MP NP MW | C10762 C10764 C10765 | 5 | 0 | 5 | |
| PDP | C10839 | 5 | 0 | 5 | |||||
| Injection containing morphine hydrochloride trihydrate 20 mg in 1 mL | Injection | Morphine Juno | JU | MP NP | C10762 C10764 C10765 | 5 | 0 | 5 | |
| PDP | C10839 | 5 | 0 | 5 | |||||
| Injection containing morphine hydrochloride trihydrate 50 mg in 5 mL | Injection | Morphine Juno | JU | MP NP | C10762 C10764 C10765 | 5 | 0 | 5 | |
| Injection containing morphine hydrochloride trihydrate 100 mg in 5 mL | Injection | Morphine Juno | JU | MP NP | C10762 C10764 C10765 | 5 | 0 | 5 | |
| Injection containing morphine sulfate pentahydrate 10 mg in 1 mL | Injection | DBL Morphine Sulfate Pentahydrate | PF | MP NP MW | C10762 C10764 C10765 | 5 | 0 | 5 | |
| PDP | C10839 | 5 | 0 | 5 | |||||
| MORPHINE SULFATE 10 mg/1 mL MEDSURGE | DZ | MP NP MW | C10762 C10764 C10765 | 5 | 0 | 5 | |||
| PDP | C10839 | 5 | 0 | 5 | |||||
| Injection containing morphine sulfate pentahydrate 15 mg in 1 mL | Injection | a | DBL Morphine Sulfate Pentahydrate | PF | MP NP MW | C10762 C10764 C10765 | 5 | 0 | 5 |
| PDP | C10839 | 5 | 0 | 5 | |||||
| a | MORPHINE SULFATE 15 mg/1 mL MEDSURGE | DZ | MP NP MW | C10762 C10764 C10765 | 5 | 0 | 5 | ||
| PDP | C10839 | 5 | 0 | 5 | |||||
| Injection containing morphine sulfate pentahydrate 30 mg in 1 mL | Injection | a | DBL Morphine Sulfate Pentahydrate | PF | MP NP | C10762 C10764 C10765 | 5 | 0 | 5 |
| PDP | C10839 | 5 | 0 | 5 | |||||
| a | MORPHINE SULFATE 30 mg/1 mL MEDSURGE | DZ | MP NP | C10762 C10764 C10765 | 5 | 0 | 5 | ||
| PDP | C10839 | 5 | 0 | 5 | |||||
| Oral solution containing morphine hydrochloride trihydrate 2 mg per mL, 200 mL | Oral | Ordine 2 | MF | MP NP | C10764 C10770 C10777 | 1 | 0 | 1 | |
| PDP | C10859 | 1 | 0 | 1 | |||||
| Oral solution containing morphine hydrochloride trihydrate 5 mg per mL, 200 mL | Oral | Ordine 5 | MF | MP NP | C10764 C10770 C10777 | 1 | 0 | 1 | |
| PDP | C10859 | 1 | 0 | 1 | |||||
| Oral solution containing morphine hydrochloride trihydrate 10 mg per mL, 200 mL | Oral | Ordine 10 | MF | MP NP | C10764 C10770 C10777 | 1 | 0 | 1 | |
| PDP | C10859 | 1 | 0 | 1 | |||||
| Sachet containing controlled release granules for oral suspension, containing morphine sulfate pentahydrate 20 mg per sachet | Oral | MS Contin Suspension 20 mg | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Sachet containing controlled release granules for oral suspension, containing morphine sulfate pentahydrate 30 mg per sachet | Oral | MS Contin Suspension 30 mg | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Sachet containing controlled release granules for oral suspension, containing morphine sulfate pentahydrate 60 mg per sachet | Oral | MS Contin Suspension 60 mg | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Sachet containing controlled release granules for oral suspension, containing morphine sulfate pentahydrate 100 mg per sachet | Oral | MS Contin Suspension 100 mg | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Sachet containing controlled release granules for oral suspension, containing morphine sulfate pentahydrate 200 mg per sachet | Oral | MS Contin Suspension 200 mg | MF | MP NP | C10756 C10814 C10836 C10858 | 28 | 0 | 28 | |
| Tablet containing morphine sulfate pentahydrate 5 mg (controlled release) | Oral | MS Contin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Tablet containing morphine sulfate pentahydrate 10 mg | Oral | Sevredol | MF | MP NP | C6168 C10775 C10837 C10891 | P10775 P10837 P10891 | 20 | 0 | 20 |
| MP NP | C6168 C10775 C10837 C10891 | P6168 | 20 | 2 | 20 | ||||
| Tablet containing morphine sulfate pentahydrate 10 mg (controlled release) | Oral | a | Momex SR 10 | RW | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 |
| a | Morphine MR AN | EA | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MORPHINE MR APOTEX | TX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Morphine MR Mylan | AF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MS Contin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| Tablet containing morphine sulfate pentahydrate 15 mg (controlled release) | Oral | MS Contin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |
| Tablet containing morphine sulfate pentahydrate 20 mg | Oral | Sevredol | MF | MP NP | C6168 C10775 C10837 C10891 | P10775 P10837 P10891 | 20 | 0 | 20 |
| MP NP | C6168 C10775 C10837 C10891 | P6168 | 20 | 2 | 20 | ||||
| Tablet containing morphine sulfate pentahydrate 30 mg | Oral | Anamorph | RW | MP NP | C10758 C10764 C10770 C10777 | P10758 | 10 | 0 | 20 |
| PDP | C10758 C10859 | P10758 | 10 | 0 | 20 | ||||
| MP NP | C10758 C10764 C10770 C10777 | P10764 P10770 P10777 | 20 | 0 | 20 | ||||
| PDP | C10758 C10859 | P10859 | 20 | 0 | 20 | ||||
| Tablet containing morphine sulfate pentahydrate 30 mg (controlled release) | Oral | a | Momex SR 30 | RW | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 |
| a | Morphine MR AN | EA | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MORPHINE MR APOTEX | TX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Morphine MR Mylan | AF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MS Contin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| Tablet containing morphine sulfate pentahydrate 60 mg (controlled release) | Oral | a | Momex SR 60 | RW | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 |
| a | Morphine MR AN | EA | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MORPHINE MR APOTEX | TX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Morphine MR Mylan | AF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MS Contin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| Tablet containing morphine sulfate pentahydrate 100 mg (controlled release) | Oral | a | Momex SR 100 | RW | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 |
| a | Morphine MR AN | EA | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MORPHINE MR APOTEX | TX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Morphine MR Mylan | AF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | MS Contin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| Tablet containing morphine sulfate pentahydrate 200 mg (controlled release) | Oral | MS Contin | MF | MP NP | C6151 C10756 C10814 C10836 C10858 | P10756 P10814 P10836 P10858 | 28 | 0 | 28 |
| MP NP | C6151 C10756 C10814 C10836 C10858 | P6151 | 28 | 2 | 28 |
Schedule 1, entry for Naloxone in the form Injection containing naloxone hydrochloride 400 micrograms in 1 mL ampoule
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | NALOXONE SXP | XC | MP NP PDP | 5 | 0 | 5 |
Schedule 1, entry for Nivolumab in each of the forms: Injection concentrate for I.V. infusion 40 mg in 4 mL; and Injection concentrate for I.V. infusion 100 mg in 10 mL
(a)omit from the column headed “Circumstances”: C8571
(b)omit from the column headed “Circumstances”: C9253
Schedule 1, entry for Olmesartan with amlodipine and hydrochlorothiazide in the form Tablet containing olmesartan medoxomil 20 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 12.5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Olmekar HCT 20/5/12.5 | RF | MP NP | C4311 | 30 | 5 | 30 |
Schedule 1, entry for Olmesartan with amlodipine and hydrochlorothiazide in the form Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 12.5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Olmekar HCT 40/5/12.5 | RF | MP NP | C4311 | 30 | 5 | 30 |
Schedule 1, entry for Olmesartan with amlodipine and hydrochlorothiazide in the form Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 25 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Olmekar HCT 40/5/25 | RF | MP NP | C4311 | 30 | 5 | 30 |
Schedule 1, entry for Olmesartan with amlodipine and hydrochlorothiazide in the form Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate) and hydrochlorothiazide 12.5 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Olmekar HCT 40/10/12.5 | RF | MP NP | C4311 | 30 | 5 | 30 |
Schedule 1, entry for Olmesartan with amlodipine and hydrochlorothiazide in the form Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate) and hydrochlorothiazide 25 mg
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | Olmekar HCT 40/10/25 | RF | MP NP | C4311 | 30 | 5 | 30 |
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 4 mg [Maximum Quantity: 4; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Zotren ODT | RF | MP NP | C5618 C10498 | P5618 | 4 | 0 | 4 |
| MP | C5743 | 4 | 0 | 4 | C(100) |
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 4 mg [Maximum Quantity: 10; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Zotren ODT | RF | MP NP | C5618 C10498 | P10498 | 10 | 1 | 10 |
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 8 mg [Maximum Quantity: 4; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Zotren ODT | RF | MP NP | C5618 C10498 | P5618 | 4 | 0 | 4 |
| MP | C5743 | 4 | 0 | 4 | C(100) |
Schedule 1, entry for Ondansetron in the form Tablet (orally disintegrating) 8 mg [Maximum Quantity: 10; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Zotren ODT | RF | MP NP | C5618 C10498 | P10498 | 10 | 1 | 10 |
Schedule 1, entry for Oxycodone
substitute:
| Oxycodone | Capsule containing oxycodone hydrochloride 5 mg | Oral | a | Oxycodone BNM | LI | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 |
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | OxyNorm | MF | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Oxycodone BNM | LI | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | OxyNorm | MF | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| Capsule containing oxycodone hydrochloride 10 mg | Oral | a | Oxycodone BNM | LI | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | OxyNorm | MF | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Oxycodone BNM | LI | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | OxyNorm | MF | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| Capsule containing oxycodone hydrochloride 20 mg | Oral | a | Oxycodone BNM | LI | MP NP | C10764 C10771 C10772 | 20 | 0 | 20 | ||
| a | OxyNorm | MF | MP NP | C10764 C10771 C10772 | 20 | 0 | 20 | ||||
| Oral solution containing oxycodone hydrochloride 1 mg per mL, 250 mL | Oral | OxyNorm Liquid 1mg/mL | MF | MP NP | C10764 C10771 C10772 | 1 | 0 | 1 | |||
| PDP | C10768 | 1 | 0 | 1 | |||||||
| Suppository 30 mg (as pectinate) | Rectal | Proladone | FF | MP NP | C10764 C10890 C10910 | 12 | 0 | 12 | |||
| PDP | C10860 | 12 | 0 | 12 | |||||||
| Tablet containing oxycodone hydrochloride 5 mg | Oral | a | Endone | AF | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Mayne Pharma Oxycodone IR | YN | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Oxycodone Aspen | AL | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Endone | AF | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Mayne Pharma Oxycodone IR | YN | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Oxycodone Aspen | AL | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| Tablet containing oxycodone hydrochloride 10 mg (controlled release) | Oral | a | Novacodone | HX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Oxycodone Sandoz | SZ | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||||
| a | OxyContin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||||
| Tablet containing oxycodone hydrochloride 15 mg (controlled release) | Oral | OxyContin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |||
| Tablet containing oxycodone hydrochloride 20 mg (controlled release) | Oral | a | Novacodone | HX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Oxycodone Sandoz | SZ | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||||
| a | OxyContin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||||
| Tablet containing oxycodone hydrochloride 30 mg (controlled release) | Oral | OxyContin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | |||
| Tablet containing oxycodone hydrochloride 40 mg (controlled release) | Oral | a | Novacodone | HX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Oxycodone Sandoz | SZ | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||||
| a | OxyContin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||||
| Tablet containing oxycodone hydrochloride 80 mg (controlled release) | Oral | a | Novacodone | HX | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||
| a | Oxycodone Sandoz | SZ | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 | ||||
| a | OxyContin | MF | MP NP | C10748 C10752 C10755 | 28 | 0 | 28 |
Schedule 1, entry for Oxycodone with naloxone in each of the forms: Tablet (controlled release) containing oxycodone hydrochloride 2.5 mg with naloxone hydrochloride 1.25 mg; and Tablet (controlled release) containing oxycodone hydrochloride 5 mg with naloxone hydrochloride 2.5 mg
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Oxycodone with naloxone in each of the forms: Tablet (controlled release) containing oxycodone hydrochloride 10 mg with naloxone hydrochloride 5 mg; and Tablet (controlled release) containing oxycodone hydrochloride 15 mg with naloxone hydrochloride 7.5 mg
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Oxycodone with naloxone in each of the forms: Tablet (controlled release) containing oxycodone hydrochloride 20 mg with naloxone hydrochloride 10 mg; and Tablet (controlled release) containing oxycodone hydrochloride 30 mg with naloxone hydrochloride 15 mg
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Oxycodone with naloxone in each of the forms: Tablet (controlled release) containing oxycodone hydrochloride 40 mg with naloxone hydrochloride 20 mg; and Tablet (controlled release) containing oxycodone hydrochloride 60 mg with naloxone hydrochloride 30 mg
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Oxycodone with naloxone in the form Tablet (controlled release) containing oxycodone hydrochloride 80 mg with naloxone hydrochloride 40 mg
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Palbociclib in each of the forms: Capsule 75 mg; Capsule 100 mg; and Capsule 125 mg
(a)omit from the column headed “Circumstances”: C10013
(b)omit from the column headed “Circumstances”: C10043
(c)insert in numerical order in the column headed “Circumstances”: C10735
Schedule 1, entry for Pembrolizumab
(a)omit from the column headed “Circumstances”: C9897
(b)omit from the column headed “Circumstances”: C9966
(c)omit from the column headed “Circumstances”: C10675
(d)omit from the column headed “Circumstances”: C10685
(e)insert in numerical order in the column headed “Circumstances”: C10809 C10888
Schedule 1, entry for Ponatinib in the form Tablet 15 mg (as hydrochloride) [Maximum Quantity: 60; Number of Repeats: 2]
(a)omit from the column headed “Responsible Person”: TS substitute: TK
(b)omit from the column headed “Circumstances”: C9466
(c)omit from the column headed “Purposes”: P9466
Schedule 1, entry for Ponatinib in the form Tablet 15 mg (as hydrochloride) [Maximum Quantity: 60; Number of Repeats: 5]
omit from the column headed “Circumstances”: C9466
Schedule 1, entry for Ponatinib in the form Tablet 45 mg (as hydrochloride) [Maximum Quantity: 30; Number of Repeats: 2]
(a)omit from the column headed “Responsible Person”: TS substitute: TK
(b)omit from the column headed “Circumstances”: C9466
(c)omit from the column headed “Purposes”: P9466
Schedule 1, entry for Ponatinib in the form Tablet 45 mg (as hydrochloride) [Maximum Quantity: 30; Number of Repeats: 5]
omit from the column headed “Circumstances”: C9466
Schedule 1, entry for Pravastatin in the form Tablet containing pravastatin sodium 10 mg
(a) omit:
| a | Pravastatin generichealth | GQ | MP NP | 30 | 5 | 30 |
(b) omit:
| a | Pravastatin generichealth | GQ | MP | P7598 | 30 | 11 | 30 |
Schedule 1, entry for Ranibizumab in the form Solution for intravitreal injection 1.65 mg in 0.165 mL pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C7511 C7514 C7515 C7551 C7552 C7560 C7561 C7562 C8012 C8017 C8026 C8027 C8029 substitute: C10708 C10710 C10714 C10780 C10785 C10786 C10787 C10818 C10819 C10881 C10882 C10893
(b)omit from the column headed “Purposes”: P7515 P7551 P7552 P7560 P7561 P7562 P8012 P8017 P8026 P8027 P8029 substitute: P10708 P10710 P10714 P10780 P10786 P10787 P10818 P10819 P10881 P10893
Schedule 1, entry for Ranibizumab in the form Solution for intravitreal injection 1.65 mg in 0.165 mL pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C7511 C7514 C7515 C7551 C7552 C7560 C7561 C7562 C8012 C8017 C8026 C8027 C8029 substitute: C10708 C10710 C10714 C10780 C10785 C10786 C10787 C10818 C10819 C10881 C10882 C10893
(b)omit from the column headed “Purposes”: P7511 P7514 substitute: P10785 P10882
Schedule 1, entry for Ranibizumab in the form Solution for intravitreal injection 2.3 mg in 0.23 mL [Maximum Quantity: 1; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C7511 C7514 C7515 C7551 C7552 C7560 C7561 C7562 C8012 C8017 C8026 C8027 C8029 substitute: C10708 C10710 C10714 C10780 C10785 C10786 C10787 C10818 C10819 C10881 C10882 C10893
(b)omit from the column headed “Purposes”: P7515 P7551 P7552 P7560 P7561 P7562 P8012 P8017 P8026 P8027 P8029 substitute: P10708 P10710 P10714 P10780 P10786 P10787 P10818 P10819 P10881 P10893
Schedule 1, entry for Ranibizumab in the form Solution for intravitreal injection 2.3 mg in 0.23 mL [Maximum Quantity: 1; Number of Repeats: 5]
(a)omit from the column headed “Circumstances”: C7511 C7514 C7515 C7551 C7552 C7560 C7561 C7562 C8012 C8017 C8026 C8027 C8029 substitute: C10708 C10710 C10714 C10780 C10785 C10786 C10787 C10818 C10819 C10881 C10882 C10893
(b)omit from the column headed “Purposes”: P7511 P7514 substitute: P10785 P10882
Schedule 1, entry for Ranitidine in the form Tablet 150 mg (as hydrochloride)
omit:
| a | Ranitidine GH | GQ | MP NP MW | 60 | 5 | 60 |
Schedule 1, entry for Ranitidine in the form Tablet 300 mg (as hydrochloride)
omit:
| a | Ranitidine GH | GQ | MP NP | 30 | 5 | 30 |
Schedule 1, entry for Risperidone in the form Oral solution 1 mg per mL, 100 mL [Maximum Quantity: 1; Number of Repeats: 2]
(a)omit from the column headed “Circumstances” (all instances): C10052
(b)omit from the column headed “Purposes” (all instances): P10052
Schedule 1, entry for Risperidone in the form Oral solution 1 mg per mL, 100 mL [Maximum Quantity: 1; Number of Repeats: 5]
omit from the column headed “Circumstances” (all instances): C10052
Schedule 1, entry for Risperidone in the form Tablet 0.5 mg [Maximum Quantity: 60; Number of Repeats: 2]
(a)omit from the column headed “Circumstances” (all instances): C10052
(b)omit from the column headed “Purposes” (all instances): P10052
Schedule 1, entry for Risperidone in the form Tablet 0.5 mg [Maximum Quantity: 60; Number of Repeats: 5]
omit from the column headed “Circumstances” (all instances): C10052
Schedule 1, entry for Risperidone in the form Tablet 1 mg [Maximum Quantity: 60; Number of Repeats: 2]
(a)omit from the column headed “Circumstances” (all instances): C10052
(b)omit from the column headed “Purposes” (all instances): P10052
Schedule 1, entry for Risperidone in the form Tablet 1 mg [Maximum Quantity: 60; Number of Repeats: 5]
omit from the column headed “Circumstances” (all instances): C10052
Schedule 1, entry for Rizatriptan in the form Tablet (orally disintegrating) 10 mg (as benzoate)
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Rizatriptan-AU | DZ | MP NP | C5708 | 4 | 5 | 2 |
Schedule 1, entry for Tadalafil
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| Tadalca | CR | MP | See Note 3 | See Note 3 | See Note 3 | See Note 3 | 56 | D(100) |
Schedule 1, entry for Tapentadol in each of the forms: Tablet (modified release) 50 mg (as hydrochloride); and Tablet (modified release) 100 mg (as hydrochloride)
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Tapentadol in each of the forms: Tablet (modified release) 150 mg (as hydrochloride); and Tablet (modified release) 200 mg (as hydrochloride)
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Tapentadol in the form Tablet (modified release) 250 mg (as hydrochloride)
omit from the column headed “Circumstances”: C10445 substitute: C10748 C10752 C10755
Schedule 1, entry for Tenofovir with emtricitabine and efavirenz
omit:
| Tablet containing tenofovir disoproxil fumarate 300 mg with emtricitabine 200 mg and efavirenz 600 mg | Oral | Atripla | GI | MP NP | C4470 C4522 | 60 | 5 | 30 | D(100) |
Schedule 1, entry for Terbinafine in the form Tablet 250 mg (as hydrochloride) [Maximum Quantity: 42; Number of Repeats: 0]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | NOUMED TERBINAFINE | VO | MP NP | C6395 C6404 C6453 | P6404 P6453 | 42 | 0 | 42 |
Schedule 1, entry for Terbinafine in the form Tablet 250 mg (as hydrochloride) [Maximum Quantity: 42; Number of Repeats: 1]
insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:
| a | NOUMED TERBINAFINE | VO | MP NP | C6395 C6404 C6453 | P6395 | 42 | 1 | 42 |
Schedule 1, entry for Tildrakizumab in the form Injection 100 mg in 1 mL single dose pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 1]
(a)omit from the column headed “Circumstances”: C8475 C8872 C8908 C8933 C8953 C8970 C8972 C8994 C8995 C8996 C9947 C9997 substitute: C10802 C10806 C10807 C10832 C10833 C10852 C10853 C10854 C10873 C10889
(b)omit from the column headed “Purposes”: P8475 P8933 P8953 P8970 P8994 substitute: P10806 P10807 P10889
Schedule 1, entry for Tildrakizumab in the form Injection 100 mg in 1 mL single dose pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 2]
(a)omit from the column headed “Circumstances”: C8475 C8872 C8908 C8933 C8953 C8970 C8972 C8994 C8995 C8996 C9947 C9997 substitute: C10802 C10806 C10807 C10832 C10833 C10852 C10853 C10854 C10873 C10889
(b)omit from the column headed “Purposes”: P8872 P8908 P8972 P8995 P8996 P9947 P9997 substitute: P10802 P10832 P10833 P10852 P10853 P10854 P10873
Schedule 1, entry for Tramadol
substitute:
| Tramadol | Capsule containing tramadol hydrochloride 50 mg | Oral | a | APO-Tramadol | TX | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 |
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Tramadol AMNEAL | EF | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Tramadol AN | EA | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Tramadol Sandoz | SZ | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Tramadol SCP | CR | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Tramal | CS | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Tramedo | AF | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | Zydol | RW | MP NP | C10764 C10766 C10771 C10772 | P10766 | 10 | 0 | 20 | |||
| PDP | C10766 C10768 | P10766 | 10 | 0 | 20 | ||||||
| a | APO-Tramadol | TX | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Tramadol AMNEAL | EF | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Tramadol AN | EA | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Tramadol Sandoz | SZ | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Tramadol SCP | CR | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Tramal | CS | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Tramedo | AF | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| a | Zydol | RW | MP NP | C10764 C10766 C10771 C10772 | P10764 P10771 P10772 | 20 | 0 | 20 | |||
| PDP | C10766 C10768 | P10768 | 20 | 0 | 20 | ||||||
| Injection containing tramadol hydrochloride 100 mg in 2 mL | Injection | a | Tramadol ACT | JO | MP NP | C10764 C10771 C10772 | 5 | 0 | 5 | ||
| PDP | C10768 | 5 | 0 | 5 | |||||||
| a | Tramadol AN | JU | MP NP | C10764 C10771 C10772 | 5 | 0 | 5 | ||||
| PDP | C10768 | 5 | 0 | 5 | |||||||
| a | Tramadol Sandoz | SZ | MP NP | C10764 C10771 C10772 | 5 | 0 | 5 | ||||
| PDP | C10768 | 5 | 0 | 5 | |||||||
| a | Tramal 100 | CS | MP NP | C10764 C10771 C10772 | 5 | 0 | 5 | ||||
| PDP | C10768 | 5 | 0 | 5 | |||||||
| Oral drops containing tramadol hydrochloride 100 mg per mL, 10 mL | Oral | Tramal | CS | MP NP | C10764 C10771 C10772 | 1 | 0 | 1 | |||
| PDP | C10768 | 1 | 0 | 1 | |||||||
| Tablet (sustained release) containing tramadol hydrochloride 50 mg | Oral | Tramal SR 50 | CS | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | |||
| Tablet (sustained release) containing tramadol hydrochloride 100 mg | Oral | a | APO-Tramadol SR | TX | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||
| a | Tramadol AN SR | EA | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramadol Sandoz SR | SZ | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramadol SR generichealth | GQ | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramal SR 100 | CS | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramedo SR | AL | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Zydol SR 100 | RW | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| Tablet (sustained release) containing tramadol hydrochloride 150 mg | Oral | a | APO-Tramadol SR | TX | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||
| a | Tramadol AN SR | EA | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramadol Sandoz SR | SZ | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramadol SR generichealth | GQ | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramal SR 150 | CS | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramedo SR | AL | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Zydol SR 150 | RW | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| Tablet (sustained release) containing tramadol hydrochloride 200 mg | Oral | a | APO-Tramadol SR | TX | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||
| a | Tramadol AN SR | EA | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramadol Sandoz SR | SZ | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramadol SR generichealth | GQ | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramal SR 200 | CS | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Tramedo SR | AL | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 | ||||
| a | Zydol SR 200 | RW | MP NP | C10748 C10752 C10755 | 20 | 0 | 20 |
Schedule 1, entry for Venetoclax in the form Tablet 100 mg
omit from the column headed “Circumstances”: C8579
Schedule 4, Part 1, entry for Adalimumab
(a) omit:
| 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 Patient must have failed to achieve an adequate response to 2 courses of different antibiotics each for 3 months prior to initiation of PBS subsidised treatment with this drug for this condition; OR Patient must have had an adverse reaction to an antibiotic of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; OR Patient must be contraindicated to treatment with an antibiotic due to an allergic reaction of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; AND The treatment must be limited to a maximum duration of 16 weeks. Must be treated by a dermatologist. Assessment of disease severity must be no more than 1 month old at the time of application. An assessment of the patient's response to this recommencement course of treatment must be made following a minimum of 12 weeks of treatment. At the time of authority application the prescriber must request the first 4 weeks of treatment under this restriction; and weeks 5 to 16 of treatment under Initial treatment 1 - New patient or Initial treatment 2 - Recommencement of treatment - balance of supply The authority application must be made in writing and must include: (a) a completed authority prescription form; and (b) a completed hidradenitis suppurativa PBS authority application supporting Information form which must include: (i) the Hurley stage grading; and (ii) the AN count; and (iii) the name of the antibiotic/s received for two separate courses each of three months; or (iv) confirmation that the adverse reaction or allergy to an antibiotic necessitated permanent treatment withdrawal resulting in the patient being unable to complete a three month course of antibiotics. The name of the one course of antibiotics of three months duration must be provided. Where the patient is unable to be treated with any courses of antibiotics the prescriber must confirm that the patient has a history of adverse reaction or allergy necessitating permanent treatment withdrawal to two different antibiotics (v) a signed patient acknowledgement. | Compliance with Authority Required procedures |
(b) omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)” for Circumstances Code “C6963”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures
(c) omit:
| C6971 | P6971 | Moderate to severe hidradenitis suppurativa Continuing treatment Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND Patient must have demonstrated a response to treatment with this drug for this condition. Must be treated by a dermatologist. A response to treatment is defined as: Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae. For the first application for continuing treatment a Hidradenitis Suppurativa Clinical Response (HiSCR) assessment must be made following a minimum of 12 weeks of treatment. For subsequent continuing treatment a HiSCR assessment must be made every 24 weeks. The assessment of the patient's response to a continuing course of therapy must be made within the 4 weeks prior to completion of that course and provided to the Department of Human Services no less than 2 weeks prior to the date the next dose is scheduled, in order to ensure continuity of treatment for those patients who meet the continuation criterion. Where an assessment is not submitted to the Department of Human Services within these timeframes, patients will be deemed to have failed to respond, or to have failed to sustain a response, to treatment with this drug. A maximum of 24 weeks treatment will be authorised under this restriction per continuing treatment. The authority application must be made in writing and must include: (a) a completed authority prescription form; and (b) a completed hidradenitis suppurativa PBS authority application supporting Information form which must include the Hidradenitis Suppurativa Clinical Response (HiSCR) result. | Compliance with 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 Patient must have had a Hurley stage II or III with an abscess and inflammatory nodule (AN) count greater than or equal to 3 prior to starting treatment with this drug; AND Patient must have demonstrated a response to treatment by achieving Hidradenitis Suppurativa Clinical Response (HiSCR) after 12 weeks of treatment if the patient has been treated with this drug for this condition for 12 weeks or longer; AND Patient must have failed to achieve an adequate response to 2 courses of different antibiotics each for 3 months prior to initiation of PBS subsidised treatment with this drug for this condition; OR Patient must have had an adverse reaction to an antibiotic of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; OR Patient must be contraindicated to treatment with an antibiotic due to an allergic reaction of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition. Must be treated by a dermatologist. A response to treatment is defined as: Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae. For the first application for continuing treatment a Hidradenitis Suppurativa Clinical Response (HiSCR) assessment must be made following a minimum of 12 weeks of treatment. For subsequent continuing treatment a HiSCR assessment must be made every 24 weeks. The assessment of the patient's response to a continuing course of therapy must be made within the 4 weeks prior to completion of that course and provided to the Department of Human Services no less than 2 weeks prior to the date the next dose is scheduled, in order to ensure continuity of treatment for those patients who meet the continuation criterion. Where an assessment is not submitted to the Department of Human Services within these timeframes, patients will be deemed to have failed to respond, or to have failed to sustain a response, to treatment with this drug. Assessment of disease severity must be no more than 1 month old at the time treatment with this drug was initiated. A maximum of 24 weeks treatment will be authorised under this restriction. A patient may qualify for PBS-subsidised treatment under this restriction once only. For continuing PBS-subsidised treatment, a Grandfathered patient must qualify under the continuing treatment criteria or recommencement of treatment criteria where there is a break in treatment. The authority application must be made in writing and must include: (a) a completed authority prescription form; and (b) completed hidradenitis suppurativa PBS authority application supporting Information form which must include: (i) the Hurley stage grading; and (ii) the AN count; and (iii) the name of the antibiotic/s received for two separate courses each of three months; or (iv) confirmation that the adverse reaction or allergy to an antibiotic necessitated permanent treatment withdrawal resulting in the patient being unable to complete a three month course of antibiotics. The name of the one course of antibiotics of three months duration must be provided. Where the patient is unable to be treated with any courses of antibiotics the prescriber must confirm that the patient has a history of adverse reaction or allergy necessitating permanent treatment withdrawal to two different antibiotics (v) the Hidradenitis Suppurativa Clinical Response (HiSCR) result if the patient has received 12 weeks or more of treatment (vi) a signed patient acknowledgement. | Compliance with Authority Required procedures |
(d) insert in numerical order after existing text:
| C10838 | P10838 | Moderate to severe hidradenitis suppurativa Continuing treatment Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND Patient must have demonstrated a response to treatment with this drug for this condition. Must be treated by a dermatologist. A response to treatment is defined as: Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae. For the first application for continuing treatment a Hidradenitis Suppurativa Clinical Response (HiSCR) assessment must be made following a minimum of 12 weeks of treatment. For subsequent continuing treatment a HiSCR assessment must be made every 24 weeks. The assessment of the patient's response to a continuing course of therapy must be made within the 4 weeks prior to completion of that course and must be provided no less than 2 weeks prior to the date the next dose is scheduled, in order to ensure continuity of treatment for those patients who meet the continuation criterion. Where an assessment is not submitted within these timeframes, patients will be deemed to have failed to respond, or to have failed to sustain a response, to treatment with this drug. A maximum of 24 weeks treatment will be authorised under this restriction per continuing treatment. The authority application must be made in writing and must include: (a) a completed authority prescription form; and (b) a completed hidradenitis suppurativa PBS authority application supporting Information form which must include the Hidradenitis Suppurativa Clinical Response (HiSCR) result. | Compliance with Written Authority Required procedures |
| C10892 | 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 Patient must have failed to achieve an adequate response to 2 courses of different antibiotics each for 3 months prior to initiation of PBS subsidised treatment with this drug for this condition; OR Patient must have had an adverse reaction to an antibiotic of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; OR Patient must be contraindicated to treatment with an antibiotic due to an allergic reaction of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; AND The treatment must be limited to a maximum duration of 16 weeks. Must be treated by a dermatologist. Assessment of disease severity must be no more than 1 month old at the time of application. An assessment of the patient's response to this recommencement course of treatment must be made following a minimum of 12 weeks of treatment. At the time of authority application the prescriber must request the first 4 weeks of treatment under this restriction; and weeks 5 to 16 of treatment under Initial treatment 1 - New patient or Initial treatment 2 - Recommencement of treatment - balance of supply The authority application must be made in writing and must include: (a) a completed authority prescription form; and (b) a completed hidradenitis suppurativa PBS authority application supporting Information form which must include: (i) the Hurley stage grading; and (ii) the AN count; and (iii) the name of the antibiotic/s received for two separate courses each of three months; or (iv) confirmation that the adverse reaction or allergy to an antibiotic necessitated permanent treatment withdrawal resulting in the patient being unable to complete a three month course of antibiotics. The name of the one course of antibiotics of three months duration must be provided. Where the patient is unable to be treated with any courses of antibiotics the prescriber must confirm that the patient has a history of adverse reaction or allergy necessitating permanent treatment withdrawal to two different antibiotics. | Compliance with Written Authority Required procedures |
Schedule 4, Part 1, entry for Aflibercept
substitute:
| Aflibercept | C10708 | P10708 | Subfoveal choroidal neovascularisation (CNV) Initial treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. The condition must be due to pathologic myopia (PM); AND The condition must be diagnosed by optical coherence tomography; OR The condition must be diagnosed by fluorescein angiography; AND The treatment must be the sole PBS-subsidised therapy for this condition. Authority approval for initial treatment of each eye must be sought. The first authority application for each eye must be made in writing. A written application must include: a) a completed authority prescription form; b) a completed Subfoveal Choroidal Neovascularisation (CNV) - PBS Supporting Information Form; and c) a copy of the optical coherence tomography or fluorescein angiogram report. | Compliance with Written Authority Required procedures |
| C10715 | P10715 | Subfoveal choroidal neovascularisation (CNV) Initial treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. The condition must be due to age-related macular degeneration (AMD); AND The condition must be diagnosed by optical coherence tomography; OR The condition must be diagnosed by fluorescein angiography; AND The treatment must be the sole PBS-subsidised therapy for this condition. Authority approval for initial treatment of each eye must be sought. The first authority application for each eye must be made in writing. A written application must include: a) a completed authority prescription form; b) a completed Subfoveal Choroidal Neovascularisation (CNV) - PBS Supporting Information Form; and c) a copy of the optical coherence tomography or fluorescein angiogram report. | Compliance with Written Authority Required procedures | |
| C10716 | P10716 | Diabetic macular oedema (DMO) Initial treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. Patient must have visual impairment due to diabetic macular oedema; AND Patient must have documented visual impairment defined as a best corrected visual acuity score between 78 and 39 letters based on the early treatment diabetic retinopathy study chart administered at a distance of 4 metres (approximate Snellen equivalent 20/32 to 20/160), in the eye proposed for treatment; AND The condition must be diagnosed by optical coherence tomography; OR The condition must be diagnosed by fluorescein angiography; AND The treatment must be as monotherapy; OR The treatment must be in combination with laser photocoagulation; AND The treatment must be the sole PBS-subsidised therapy for this condition. Authority approval for initial treatment of each eye must be sought. The first authority application for each eye must be made in writing. A written application must include: a) a completed authority prescription form; b) a completed Diabetic Macular Oedema (DMO) - PBS Supporting Information Form; and c) a copy of the optical coherence tomography or fluorescein angiogram report. | Compliance with Written Authority Required procedures | |
| C10783 | P10783 | Central retinal vein occlusion with macular oedema Initial treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. Patient must have visual impairment due to macular oedema secondary to central retinal vein occlusion (CRVO); AND Patient must have documented visual impairment defined as a best corrected visual acuity score between 73 and 24 letters based on the early treatment diabetic retinopathy study chart administered at a distance of 4 metres (approximate Snellen equivalent 20/40 to 20/320), in the eye proposed for treatment; AND The condition must be diagnosed by optical coherence tomography; OR The condition must be diagnosed by fluorescein angiography; AND The treatment must be the sole PBS-subsidised therapy for this condition. Authority approval for initial treatment of each eye must be sought. The first authority application for each eye must be made in writing. A written application must include: a) a completed authority prescription form; b) a completed Retinal Vein Occlusion Initial PBS authority application Supporting information form; and c) a copy of the optical coherence tomography or fluorescein angiogram report. | Compliance with Written Authority Required procedures | |
| C10789 | P10789 | Branch retinal vein occlusion with macular oedema Continuing treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. Patient must have previously been issued with an authority prescription for this drug for the same eye; AND The treatment must be the sole PBS-subsidised therapy for this condition. | Compliance with Authority Required procedures | |
| C10818 | P10818 | Subfoveal choroidal neovascularisation (CNV) Continuing treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. The condition must be due to pathologic myopia (PM); AND The treatment must be the sole PBS-subsidised therapy for this condition; AND Patient must have previously received PBS-subsidised treatment with this drug for this condition for the same eye. | Compliance with Authority Required procedures | |
| C10826 | P10826 | Diabetic macular oedema (DMO) Continuing treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. Patient must have previously been issued with an authority prescription for this drug for the same eye; AND The treatment must be as monotherapy; OR The treatment must be in combination with laser photocoagulation; AND The treatment must be the sole PBS-subsidised therapy for this condition. | Compliance with Authority Required procedures | |
| C10827 | P10827 | Central retinal vein occlusion with macular oedema Continuing treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. Patient must have previously been issued with an authority prescription for this drug for the same eye; AND The treatment must be the sole PBS-subsidised therapy for this condition. | Compliance with Authority Required procedures | |
| C10862 | P10862 | Subfoveal choroidal neovascularisation (CNV) Continuing treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. The condition must be due to age-related macular degeneration (AMD); AND The treatment must be the sole PBS-subsidised therapy for this condition; AND Patient must have previously been granted an authority prescription for the same eye. | Compliance with Authority Required procedures | |
| C10911 | P10911 | Branch retinal vein occlusion with macular oedema Initial treatment Must be treated by an ophthalmologist or by an accredited ophthalmology registrar in consultation with an ophthalmologist. Patient must have visual impairment due to macular oedema secondary to branched retinal vein occlusion (BRVO); AND Patient must have documented visual impairment defined as a best corrected visual acuity score between 73 and 20 letters based on the early treatment diabetic retinopathy study chart administered at a distance of 4 metres (approximate Snellen equivalent 20/40 to 20/400), in the eye proposed for treatment; AND The condition must be diagnosed by optical coherence tomography; OR The condition must be diagnosed by fluorescein angiography; AND The treatment must be the sole PBS-subsidised therapy for this condition. Authority approval for initial treatment of each eye must be sought. The first authority application for each eye must be made in writing. A written application must include: a) a completed authority prescription form; b) a completed Retinal Vein Occlusion Initial PBS authority application Supporting information form; and c) a copy of the optical coherence tomography or fluorescein angiogram report. | Compliance with Written Authority Required procedures |
Schedule 4, Part 1, entry for Alectinib
omit:
| C7353 | Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer (NSCLC) Grandfathering treatment Patient must have previously received non-PBS-subsidised treatment with this drug for this condition prior to 1 January 2018; AND The treatment must be as monotherapy; AND The condition must be non-squamous type non-small cell lung cancer (NSCLC) or not otherwise specified type NSCLC; AND Patient must have a WHO performance status of 2 or less; AND Patient must not have progressive disease while receiving treatment with this drug for this condition. Patient must have evidence of an anaplastic lymphoma kinase (ALK) gene rearrangement in tumour material, defined as 15% (or greater) positive cells by fluorescence in situ hybridisation (FISH) testing. A patient may qualify for PBS-subsidised treatment under this restriction once only. For continuing PBS-subsidised treatment, a Grandfathered patient must qualify under the Continuing treatment criteria. | Compliance with Authority Required procedures |
Schedule 4, Part 1, entry for Apomorphine
(a) omit:
| C6813 | Parkinson disease Patient must have experienced severely disabling motor fluctuations which have not responded to other therapy. | Compliance with Authority Required procedures - Streamlined Authority Code 6813 |
(b) insert in numerical order after existing text:
| C10830 | Parkinson disease Patient must have experienced severely disabling motor fluctuations which have not responded to other therapy; AND The treatment must be commenced in a specialist unit in a hospital setting. | Compliance with Authority Required procedures - Streamlined Authority Code 10830 |
| C10844 | Parkinson disease Maintenance therapy Patient must have experienced severely disabling motor fluctuations which have not responded to other therapy; AND Patient must have been commenced on treatment in a specialist unit in a hospital setting. | Compliance with Authority Required procedures - Streamlined Authority Code 10844 |
| C10863 | Parkinson disease Patient must have experienced severely disabling motor fluctuations which have not responded to other therapy; AND The treatment must be commenced in a specialist unit in a hospital setting. | Compliance with Authority Required procedures - Streamlined Authority Code 10863 |
Schedule 4, Part 1, entry for Brentuximab vedotin
(a) omit:
| C6903 | Relapsed or Refractory Hodgkin lymphoma Initial treatment Patient must not have undergone an autologous stem cell transplant (ASCT) for this condition; AND Patient must not be suitable for ASCT for this condition; OR Patient must not be suitable for treatment with multi-agent chemotherapy for this condition; AND Patient must have experienced a relapsed CD30+ Hodgkin lymphoma following at least two prior treatments for this condition; OR Patient must have experienced a refractory CD30+ Hodgkin lymphoma following at least two prior treatments for this condition; AND Patient must not receive more than 4 cycles of treatment under this restriction. Applications for authorisation of initial treatment must be in writing and must include: (a) a completed authority prescription form; (b) a completed Hodgkin lymphoma brentuximab PBS Authority Application; and (c) a signed patient acknowledgement. | Compliance with Authority Required procedures |
| C6936 | Relapsed or Refractory Hodgkin lymphoma Initial treatment Patient must have undergone a primary autologous stem cell transplant (ASCT); AND Patient must have experienced a relapsed CD30+ Hodgkin lymphoma post ASCT; OR Patient must have experienced a refractory CD30+ Hodgkin lymphoma post ASCT; AND Patient must not receive more than 4 cycles of treatment under this restriction. Applications for authorisation of initial treatment must be in writing and must include: (a) a completed authority prescription form; (b) a completed Hodgkin lymphoma brentuximab PBS Authority Application; and (c) a signed patient acknowledgement. | Compliance with Authority Required procedures |
(b) insert in numerical order after existing text:
| C10811 | Relapsed or Refractory Hodgkin lymphoma Initial treatment Patient must have undergone a primary autologous stem cell transplant (ASCT); AND Patient must have experienced a relapsed CD30+ Hodgkin lymphoma post ASCT; OR Patient must have experienced a refractory CD30+ Hodgkin lymphoma post ASCT; AND Patient must not receive more than 4 cycles of treatment under this restriction. Applications for authorisation of initial treatment must be in writing and must include: (a) a completed authority prescription form; and (b) a completed Hodgkin lymphoma brentuximab PBS Authority Application. | Compliance with Written Authority Required procedures |
| C10902 | Relapsed or Refractory Hodgkin lymphoma Initial treatment Patient must not have undergone an autologous stem cell transplant (ASCT) for this condition; AND Patient must not be suitable for ASCT for this condition; OR Patient must not be suitable for treatment with multi-agent chemotherapy for this condition; AND Patient must have experienced a relapsed CD30+ Hodgkin lymphoma following at least two prior treatments for this condition; OR Patient must have experienced a refractory CD30+ Hodgkin lymphoma following at least two prior treatments for this condition; AND Patient must not receive more than 4 cycles of treatment under this restriction. Applications for authorisation of initial treatment must be in writing and must include: (a) a completed authority prescription form; and (b) a completed Hodgkin lymphoma brentuximab PBS Authority Application. | Compliance with Written Authority Required procedures |
Schedule 4, Part 1, entry for Buprenorphine
(a) omit:
| C10445 | P10445 | Chronic severe pain The condition must require daily, continuous, long term therapy with this treatment; AND Patient must have pain directly attributable to cancer; OR Patient must have previously experienced inadequate management of pain relief following maximum tolerated doses of non-opioid or other opioid analgesics; OR The condition must be such that maximum tolerated doses of non-opioid or other opioid analgesics would provide inadequate management of pain relief; OR Patient must be unable to use non-opioid or other opioid analgesics due to contraindications, adverse effects or intolerance. Authorities for increased maximum quantities and/or repeats must only be considered for: (i) chronic severe disabling pain where the total duration of non-PBS and PBS-subsidised opioid analgesic treatment is less than 12 months; or (ii) chronic severe disabling pain where the total duration of non-PBS and PBS-subsidised opioid analgesic treatment will or has exceeded 12 months and the patient's pain management has been reviewed through consultation with the patient by another medical practitioner, and the clinical need for continuing opioid analgesic treatment has been confirmed immediately prior to the first application or at least once in the past 12 months for subsequent applications. The full name of the medical practitioner consulted and the date of the most recent consultation are to be provided at the time of each application; or (iii) chronic severe disabling pain where the total duration of non-PBS and PBS-subsidised opioid analgesic treatment has exceeded 12 months prior to 1 June 2020 and the patient's pain management has not been reviewed through consultation with the patient by another medical practitioner to confirm the clinical need for continuing opioid analgesic treatment. A review must have been planned to take place within 3 months from the date of this application. The full name of the medical practitioner consulted and the date of the consultation are to be provided at the time of the application. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and up to 2 repeats). | Compliance with Authority Required procedures - Streamlined Authority Code 10445 |
Schedule 4, Part 1, entry for Risperidone
omit:
| C10052 | P10052 | Behavioural disturbances Grandfather treatment for the trial of dose reduction or cessation of treatment in a patient prescribed risperidone prior to 1 January 2020 The condition must be characterised by psychotic symptoms and aggression; AND Patient must have dementia of the Alzheimer type; AND Patient must have received PBS-subsidised treatment with this drug for this condition prior to 1 January 2020; AND Patient must have responded to PBS-subsidised treatment with this drug for this condition; AND Patient must have failed to respond to non-pharmacological methods of treatment; AND Patient must be optimised on non-pharmacological methods of treatment; AND The treatment must be for dose tapering purposes as part of a trial of treatment reduction or cessation; OR Patient must have trialled a period of treatment reduction or cessation with this drug for this condition and experienced worsening or re-emergence of symptoms during this trial, and retrials are considered periodically; AND Patient must not receive more than 12 weeks of treatment under this restriction. A patient may only qualify for PBS-subsidised treatment under this restriction once in a lifetime. The patient's response to treatment and a trial of treatment reduction or cessation must be discussed formally with a psychiatrist or geriatrician or in a documented clinical review process involving a least one other medical practitioner, or be reviewed by a psychiatrist or geriatrician. Response to treatment is defined as a significant reduction in symptoms of psychosis or aggression. Patients must cease treatment if there is no improvement in symptoms of psychosis and aggression, or worsening of symptoms with therapy. Patients must be monitored for adverse effects such as falls, drowsiness leading to reduced self-care, incontinence, reduced nutrition, reduced ability to communicate needs/wishes and take part in activities. Therapy must be ceased if harms of therapy outweigh benefits. Trials of reduction or cessation of therapy should be considered periodically with the intention of maintaining symptom control through non-pharmacological measures wherever possible and/or lowest effective dose therapy. | Compliance with Authority Required procedures - Streamlined Authority Code 10052 |
Schedule 4, Part 1, entry for Tapentadol
substitute:
| Tapentadol | C10748 | Chronic severe pain Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for more than 12 months The condition must require daily, continuous, long term opioid treatment; AND Patient must have cancer pain; OR Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid or other opioid analgesics; OR Patient must be unable to use non-opioid or other opioid analgesics due to contraindications or intolerance. Authorities for increased maximum quantities and/or repeats must only be considered for chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment: (i) exceeds 12 months and the palliative care patient is unable to have annual pain management review due to their clinical condition; or (ii) exceeds 12 months and the patient's clinical need for continuing opioid treatment has been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months; or (iii) has exceeded 12 months prior to 1 June 2020 and the patient's clinical need for continuing opioid treatment has not been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months, but is planned in the next 3 months. Palliative care nurses may conduct annual review under this item for the treatment of palliative care patients only. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | Compliance with Authority Required procedures - Streamlined Authority Code 10748 |
| C10752 | Chronic severe pain Continuing PBS treatment after 1 June 2020 Patient must have previously received PBS-subsidised treatment with this form of this drug for this condition after 1 June 2020. Authorities for increased maximum quantities and/or repeats must only be considered for chronic severe disabling pain where the patient has received initial authority approval and the total duration of non-PBS and PBS opioid analgesic treatment: (i) is less than 12 months; or (ii) exceeds 12 months and the palliative care patient is unable to have annual pain management review due to their clinical condition; or (iii) exceeds 12 months and the patient's clinical need for continuing opioid treatment has been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months; or (iv) has exceeded 12 months prior to 1 June 2020 and the patient's pain management and clinical need for continuing opioid treatment has not been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months, but is planned in the next 3 months. Palliative care nurses may conduct annual review under this item for the treatment of palliative care patients only. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | Compliance with Authority Required procedures - Streamlined Authority Code 10752 | |
| C10755 | Chronic severe pain Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for less than 12 months The condition must require daily, continuous, long term opioid treatment; AND Patient must have cancer pain; OR Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid or other opioid analgesics; OR Patient must be unable to use non-opioid or other opioid analgesics due to contraindications or intolerance. Authorities for increased maximum quantities and/or repeats under this restriction must only be considered for chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment is less than 12 months. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | Compliance with Authority Required procedures - Streamlined Authority Code 10755 |
Schedule 4, Part 1, entry for Tildrakizumab
substitute:
| Tildrakizumab | C10802 | P10802 | Severe chronic plaque psoriasis Initial treatment - Initial 3, Whole body (re-commencement of treatment after a break in biological medicine of more than 5 years) Patient must have previously received PBS-subsidised treatment with a biological medicine for this condition; AND Patient must have a break in treatment of 5 years or more from the most recently approved PBS-subsidised biological medicine for this condition; AND The condition must have a current Psoriasis Area and Severity Index (PASI) score of greater than 15; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 28 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. The most recent PASI assessment must be no more than 4 weeks old at the time of application. The authority application must be made in writing and must include: (a) a completed authority prescription form(s); and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition. To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. 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 within this treatment cycle. | Compliance with Written Authority Required procedures |
| C10806 | P10806 | Severe chronic plaque psoriasis Continuing treatment, Whole body Patient must have received this drug as their most recent course of PBS-subsidised biological medicine treatment for this condition; AND Patient must have demonstrated an adequate response to treatment with this drug; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 24 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. An adequate response to treatment is defined as: A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle. The authority application must be made in writing and must include: (a) a completed authority prescription form(s); and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the completed Psoriasis Area and Severity Index (PASI) calculation sheet including the date of the assessment of the patient's condition. The most recent PASI assessment must be no more than 4 weeks old at the time of application. Approval will be based on the PASI assessment of response to the most recent course of treatment with this drug. An application for the continuing treatment must be accompanied with the assessment of response conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of treatment. This will enable ongoing treatment for those who meet the continuing restriction for PBS-subsidised treatment. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. 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 within this treatment cycle. A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction. | Compliance with Written Authority Required procedures | |
| C10807 | P10807 | Severe chronic plaque psoriasis Continuing treatment, Whole body or Continuing treatment, Face, hand, foot - balance of supply Patient must have received insufficient therapy with this drug under the continuing treatment, Whole body restriction to complete 24 weeks treatment; OR Patient must have received insufficient therapy with this drug under the continuing treatment, Face, hand, foot restriction to complete 24 weeks treatment; AND The treatment must be as systemic monotherapy (other than methotrexate); AND The treatment must provide no more than the balance of up to 24 weeks treatment available under the above restrictions. Must be treated by a dermatologist. | Compliance with Authority Required procedures | |
| C10832 | P10832 | Severe chronic plaque psoriasis Initial treatment - Initial 2, Whole body (change or recommencement of treatment after a break in biological medicine of less than 5 years) Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 28 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. An adequate response to treatment is defined as: A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle. An 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. To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. The authority application must be made in writing and must include: (a) a completed authority prescription form(s); and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following: (i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and (ii) details of prior biological treatment, including dosage, date and duration of treatment. 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 within this treatment cycle. A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction. At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 100 mg for weeks 0 and 4, then 100 mg every 12 weeks thereafter. | Compliance with Written Authority Required procedures | |
| C10833 | P10833 | Severe chronic plaque psoriasis Initial treatment - Initial 1, Face, hand, foot (new patient) Patient must have severe chronic plaque psoriasis of the face, or palm of a hand or sole of a foot where the plaque or plaques have been present for at least 6 months from the time of initial diagnosis; AND Patient must not have received PBS-subsidised treatment with a biological medicine for this condition; AND Patient must have failed to achieve an adequate response, as demonstrated by a Psoriasis Area and Severity Index (PASI) assessment, to at least 2 of the following 4 treatments: (i) phototherapy (UVB or PUVA) for 3 treatments per week for at least 6 weeks; and/or (ii) methotrexate at a dose of at least 10 mg weekly for at least 6 weeks; and/or (iii) cyclosporin at a dose of at least 2 mg per kg per day for at least 6 weeks; and/or (iv) acitretin at a dose of at least 0.4 mg per kg per day for at least 6 weeks; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 28 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. Where treatment with methotrexate, cyclosporin or acitretin is contraindicated according to the relevant TGA-approved Product Information, or where phototherapy is contraindicated, details must be provided at the time of application. Where intolerance to treatment with phototherapy, methotrexate, cyclosporin or acitretin developed during the relevant period of use, which was of a severity to necessitate permanent treatment withdrawal, details of the degree of this toxicity must be provided at the time of application. Regardless of if a patient has a contraindication to treatment with either methotrexate, cyclosporin, acitretin or phototherapy, the patient is still required to trial 2 of these prior therapies until a failure to achieve an adequate response is met. The following criterion indicates failure to achieve an adequate response to prior treatment and must be demonstrated in the patient at the time of the application: (a) Chronic plaque psoriasis classified as severe due to a plaque or plaques on the face, palm of a hand or sole of a foot where: (i) at least 2 of the 3 Psoriasis Area and Severity Index (PASI) symptom subscores for erythema, thickness and scaling are rated as severe or very severe, as assessed, preferably whilst still on treatment, but no longer than 4 weeks following cessation of the most recent prior treatment; or (ii) the skin area affected is 30% or more of the face, palm of a hand or sole of a foot, as assessed, preferably whilst still on treatment, but no longer than 4 weeks following cessation of the most recent prior treatment; (b) A PASI assessment must be completed for each prior treatment course, preferably whilst still on treatment, but no longer than 4 weeks following cessation of each course of treatment. (c) The most recent PASI assessment must be no more than 4 weeks old at the time of application. The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline. The authority application must be made in writing and must include: (a) a completed authority prescription form(s); and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following: (i) the completed current and previous Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and (ii) details of previous phototherapy and systemic drug therapy [dosage (where applicable), date of commencement and duration of therapy]. To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. 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 within this treatment cycle. At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 100 mg for weeks 0 and 4, then 100 mg every 12 weeks thereafter. | Compliance with Written Authority Required procedures | |
| C10852 | P10852 | Severe chronic plaque psoriasis Initial treatment - Initial 2, Face, hand, foot (change or recommencement of treatment after a break in biological medicine of less than 5 years) Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 28 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing: (i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or (ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle. The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline. An 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. To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. The authority application must be made in writing and must include: (a) a completed authority prescription form; and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following: (i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and (ii) details of prior biological treatment, including dosage, date and duration of treatment. 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 within this treatment cycle. A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction. At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 100 mg for weeks 0 and 4, then 100 mg every 12 weeks thereafter. | Compliance with Written Authority Required procedures | |
| C10853 | P10853 | Severe chronic plaque psoriasis Initial treatment - Initial 3, Face, hand, foot (re-commencement of treatment after a break in biological medicine of more than 5 years) Patient must have previously received PBS-subsidised treatment with a biological medicine for this condition; AND Patient must have a break in treatment of 5 years or more from the most recently approved PBS-subsidised biological medicine for this condition; AND The condition must be classified as severe due to a plaque or plaques on the face, palm of a hand or sole of a foot where: (i) at least 2 of the 3 Psoriasis Area and Severity Index (PASI) symptom subscores for erythema, thickness and scaling are rated as severe or very severe; or (ii) the skin area affected is 30% or more of the face, palm of a hand or sole of a foot; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 28 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. The most recent PASI assessment must be no more than 4 weeks old at the time of application. The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline. The authority application must be made in writing and must include: (a) a completed authority prescription form(s); and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition. To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. 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 within this treatment cycle. | Compliance with Written Authority Required procedures | |
| C10854 | P10854 | Severe chronic plaque psoriasis Initial 1, Whole body or Face, hand, foot (new patient) or Initial 2, Whole body or Face, hand, foot (change or recommencement of treatment after a break in biological medicine of less than 5 years) or Initial 3, Whole body or Face, hand, foot (recommencement of treatment after a break in biological medicine of more than 5 years) - balance of supply Patient must have received insufficient therapy with this drug for this condition under the Initial 1, Whole body (new patient) restriction to complete 28 weeks treatment; OR Patient must have received insufficient therapy with this drug for this condition under the Initial 2, Whole body (change or recommencement of treatment after a break in biological medicine of less than 5 years ) restriction to complete 28 weeks treatment; OR Patient must have received insufficient therapy with this drug for this condition under the Initial 3, Whole body (recommencement of treatment after a break in biological medicine of more than 5 years) restriction to complete 28 weeks treatment; OR Patient must have received insufficient therapy with this drug for this condition under the Initial 1, Face, hand, foot (new patient) restriction to complete 28 weeks treatment; OR Patient must have received insufficient therapy with this drug for this condition under the Initial 2, Face, hand, foot (change or recommencement of treatment after a break in biological medicine of less than 5 years) restriction to complete 28 weeks treatment; OR Patient must have received insufficient therapy with this drug for this condition under the Initial 3, Face, hand, foot (recommencement of treatment after a break in biological medicine of more than 5 years) restriction to complete 28 weeks treatment; AND The treatment must be as systemic monotherapy (other than methotrexate); AND The treatment must provide no more than the balance of up to 28 weeks treatment available under the above restriction. Must be treated by a dermatologist. | Compliance with Authority Required procedures | |
| C10873 | P10873 | Severe chronic plaque psoriasis Initial treatment - Initial 1, Whole body (new patient) Patient must have severe chronic plaque psoriasis where lesions have been present for at least 6 months from the time of initial diagnosis; AND Patient must not have received PBS-subsidised treatment with a biological medicine for this condition; AND Patient must have failed to achieve an adequate response, as demonstrated by a Psoriasis Area and Severity Index (PASI) assessment, to at least 2 of the following 4 treatments: (i) phototherapy (UVB or PUVA) for 3 treatments per week for at least 6 weeks; and/or (ii) methotrexate at a dose of at least 10 mg weekly for at least 6 weeks; and/or (iii) cyclosporin at a dose of at least 2 mg per kg per day for at least 6 weeks; and/or (iv) acitretin at a dose of at least 0.4 mg per kg per day for at least 6 weeks; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 28 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. Where treatment with methotrexate, cyclosporin or acitretin is contraindicated according to the relevant TGA-approved Product Information, or where phototherapy is contraindicated, details must be provided at the time of application. Where intolerance to treatment with phototherapy, methotrexate, cyclosporin or acitretin developed during the relevant period of use, which was of a severity to necessitate permanent treatment withdrawal, details of the degree of this toxicity must be provided at the time of application. Regardless of if a patient has a contraindication to treatment with either methotrexate, cyclosporin, acitretin or phototherapy, the patient is still required to trial 2 of these prior therapies until a failure to achieve an adequate response is met. The following criterion indicates failure to achieve an adequate response to prior treatment and must be demonstrated in the patient at the time of the application: (a) A current Psoriasis Area and Severity Index (PASI) score of greater than 15, as assessed, preferably whilst still on treatment, but no longer than 4 weeks following cessation of the most recent prior treatment. (b) A PASI assessment must be completed for each prior treatment course, preferably whilst still on treatment, but no longer than 4 weeks following cessation of each course of treatment. (c) The most recent PASI assessment must be no more than 4 weeks old at the time of application. The authority application must be made in writing and must include: (a) a completed authority prescription form(s); and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following: (i) the completed current and previous Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and (ii) details of previous phototherapy and systemic drug therapy [dosage (where applicable), date of commencement and duration of therapy]. To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. 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 within this treatment cycle. At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 100 mg for weeks 0 and 4, then 100 mg every 12 weeks thereafter. | Compliance with Written Authority Required procedures | |
| C10889 | P10889 | Severe chronic plaque psoriasis Continuing treatment, Face, hand, foot Patient must have received this drug as their most recent course of PBS-subsidised biological medicine treatment for this condition; AND Patient must have demonstrated an adequate response to treatment with this drug; AND The treatment must be as systemic monotherapy (other than methotrexate); AND Patient must not receive more than 24 weeks of treatment under this restriction. Patient must be aged 18 years or older. Must be treated by a dermatologist. An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing: (i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or (ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle. The authority application must be made in writing and must include: (a) a completed authority prescription form(s); and (b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the completed Psoriasis Area and Severity Index (PASI) calculation sheet and face, hand, foot area diagrams including the date of the assessment of the patient's condition. The most recent PASI assessment must be no more than 4 weeks old at the time of application. Approval will be based on the PASI assessment of response to the most recent course of treatment with this drug. The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline. An application for the continuing treatment must be accompanied with the assessment of response conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of treatment. This will enable ongoing treatment for those who meet the continuing restriction for PBS-subsidised treatment. Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment. 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 within this treatment cycle. A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction. | Compliance with Written Authority Required procedures |
Schedule 4, Part 1, entry for Tramadol
substitute:
| Tramadol | C10748 | Chronic severe pain Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for more than 12 months The condition must require daily, continuous, long term opioid treatment; AND Patient must have cancer pain; OR Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid or other opioid analgesics; OR Patient must be unable to use non-opioid or other opioid analgesics due to contraindications or intolerance. Authorities for increased maximum quantities and/or repeats must only be considered for chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment: (i) exceeds 12 months and the palliative care patient is unable to have annual pain management review due to their clinical condition; or (ii) exceeds 12 months and the patient's clinical need for continuing opioid treatment has been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months; or (iii) has exceeded 12 months prior to 1 June 2020 and the patient's clinical need for continuing opioid treatment has not been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months, but is planned in the next 3 months. Palliative care nurses may conduct annual review under this item for the treatment of palliative care patients only. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | Compliance with Authority Required procedures - Streamlined Authority Code 10748 |
| C10752 | Chronic severe pain Continuing PBS treatment after 1 June 2020 Patient must have previously received PBS-subsidised treatment with this form of this drug for this condition after 1 June 2020. Authorities for increased maximum quantities and/or repeats must only be considered for chronic severe disabling pain where the patient has received initial authority approval and the total duration of non-PBS and PBS opioid analgesic treatment: (i) is less than 12 months; or (ii) exceeds 12 months and the palliative care patient is unable to have annual pain management review due to their clinical condition; or (iii) exceeds 12 months and the patient's clinical need for continuing opioid treatment has been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months; or (iv) has exceeded 12 months prior to 1 June 2020 and the patient's pain management and clinical need for continuing opioid treatment has not been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months, but is planned in the next 3 months. Palliative care nurses may conduct annual review under this item for the treatment of palliative care patients only. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | Compliance with Authority Required procedures - Streamlined Authority Code 10752 | |
| C10755 | Chronic severe pain Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for less than 12 months The condition must require daily, continuous, long term opioid treatment; AND Patient must have cancer pain; OR Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid or other opioid analgesics; OR Patient must be unable to use non-opioid or other opioid analgesics due to contraindications or intolerance. Authorities for increased maximum quantities and/or repeats under this restriction must only be considered for chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment is less than 12 months. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | Compliance with Authority Required procedures - Streamlined Authority Code 10755 | |
| C10764 | P10764 | Severe pain Continuing PBS treatment after 1 June 2020 Patient must have previously received PBS-subsidised treatment with this form of this drug for this condition after 1 June 2020. Authorities for increased maximum quantities and/or repeats must only be considered where the patient has received initial authority approval for: (i) severe disabling pain associated with malignant neoplasia; or (ii) chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment is less than 12 months; or (iii) palliative care patients with chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment exceeds 12 months and the patient is unable to have annual pain management review due to their clinical condition; or (iv) chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment exceeds 12 months and the patient's clinical need for continuing opioid treatment has been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months; or (v) chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment has exceeded 12 months prior to 1 June 2020 and the patient's clinical need for continuing opioid treatment has not been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months, but is planned in the next 3 months. Palliative care nurses may conduct annual review under this item for the treatment of palliative care patients only. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | |
| C10766 | P10766 | Severe pain The treatment must be for short term therapy of acute severe pain; AND Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid analgesics; OR Patient must be unable to use non-opioid analgesics due to contraindications or intolerance. | |
| C10768 | P10768 | Severe pain Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid analgesics; OR Patient must be unable to use non-opioid analgesics due to contraindications or intolerance. | |
| C10771 | P10771 | Severe pain Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for less than 12 months Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid analgesics; OR Patient must be unable to use non-opioid analgesics due to contraindications or intolerance. Authorities for increased maximum quantities and/or repeats under this restriction must only be considered for severe disabling pain associated with malignant neoplasia or chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment is less than 12 months. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). | |
| C10772 | P10772 | Severe pain Initial PBS treatment after 1 June 2020 where patient has been treated with opioids for more than 12 months Patient must have had or would have inadequate pain management with maximum tolerated doses of non-opioid analgesics; OR Patient must be unable to use non-opioid analgesics due to contraindications or intolerance. Authorities for increased maximum quantities and/or repeats must only be considered for: (i) severe disabling pain associated with proven malignant neoplasia; or (ii) palliative care patients with chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment exceeds 12 months and the patient is unable to have annual pain management review due to their clinical condition; or (iii) chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment exceeds 12 months and the patient's clinical need for continuing opioid treatment has been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months; or (iv) chronic severe disabling pain where the total duration of non-PBS and PBS opioid analgesic treatment has exceeded 12 months prior to 1 June 2020 and the patient's clinical need for continuing opioid treatment has not been confirmed through consultation with the patient by another medical practitioner or a palliative care nurse practitioner in the past 12 months, but is planned in the next 3 months. Palliative care nurses may conduct annual review under this item for the treatment of palliative care patients only. Authority requests extending treatment duration up to 1 month may be requested through the Online PBS Authorities system or by calling Services Australia. Authority requests extending treatment duration beyond 1 month may be requested through the Online PBS Authorities system or in writing and must not provide a treatment duration exceeding 3 months (quantity sufficient for up to 1 month treatment and sufficient repeats). |
Schedule 4, Part 1, entry for Venetoclax
omit:
| C8579 | Chronic lymphocytic leukaemia (CLL) Grandfathered treatment Patient must have received non-PBS subsidised treatment with this drug for this condition prior to 1 March 2019; AND Patient must have been considered unsuitable for treatment or retreatment with a purine analogue prior to initiating non-PBS-subsidised treatment with this drug for this condition; AND The condition must have relapsed or be refractory to at least one prior therapy; AND Patient must have had a WHO performance status of 0 or 1 prior to initiation of non-PBS-subsidised treatment with this drug for this condition; AND The treatment must be in combination with rituximab for up to a maximum of 6 cycles, followed by monotherapy; AND The treatment must be ceased on disease progression or on completion of 24 months of PBS-subsidised treatment with this drug for this condition, whichever comes first. A Grandfathered patient may qualify for PBS-subsidised treatment under this restriction once only. For continuing PBS-subsidised treatment, a Grandfathered patient must qualify under the continuing treatment criteria. | Compliance with Authority Required procedures |
Schedule 5, after entry for Abacavir with lamivudine [GRP-21981]
insert:
| Aflibercept | GRP-24277 | Solution for intravitreal injection 3.6 mg in 90 microlitres (40 mg per mL) pre-filled syringe | Injection | Eylea |
| Solution for intravitreal injection 4 mg in 100 microlitres (40 mg per mL) | Injection | Eylea |
Schedule 5, after entry for Aflibercept [GRP-24277]
insert:
| Amino acid formula with vitamins and minerals without phenylalanine | GRP-24285 | Sachets containing oral powder 27.8 g, 30 (PKU Lophlex) | Oral | PKU Lophlex |
| Sachets containing oral powder 28 g, 30 (PKU Lophlex) | Oral | PKU Lophlex |
Schedule 5, entry for Morphine in the form Injection containing morphine sulfate pentahydrate 10 mg in 1 mL [GRP-20890]
omit from the column headed “Brand”: DBL Morphine Pentahydrate substitute: DBL Morphine Sulphate Pentahydrate
Schedule 5, entry for Ondansetron in the form Tablet (orally disintegrating) 8 mg [GRP-15402]
insert in alphabetical order in the column headed “Brand”: Zotren ODT
Schedule 5, entry for Ondansetron in the form Tablet (orally disintegrating) 4 mg [GRP-15983]
insert in alphabetical order in the column headed “Brand”: Zotren ODT
Schedule 5, entry for Ondansetron in the form Tablet (orally disintegrating) 4 mg [GRP-16933]
insert in alphabetical order in the column headed “Brand”: Zotren ODT
Schedule 5, entry for Ondansetron in the form Tablet (orally disintegrating) 8 mg [GRP-17042]
insert in alphabetical order in the column headed “Brand”: Zotren ODT
Schedule 5, entry for Rizatriptan in the form Tablet (orally disintegrating) 10 mg (as benzoate) [GRP-17623]
insert in alphabetical order in the column headed “Brand”: Rizatriptan-AU
Schedule 5, omit entry for Tenofovir with emtricitabine and efavirenz
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0
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