National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2023 (No. 1) (Cth)

Case

PB 1 of 2023

National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2023
(No. 1)

National Health Act 1953

I, NIKOLAI TSYGANOV, Assistant Secretary (Acting), Pricing and PBS Policy Branch, Technology Assessment and Access Division, Department of Health and Aged Care, delegate of the Minister for Health and Aged Care, make this Instrument under sections 84AF, 84AK, 85, 85A, 88 and 101 of the National Health Act 1953.

Dated   30 January 2023

NIKOLAI TSYGANOV

Assistant Secretary (Acting)

Pricing and PBS Policy Branch

Technology Assessment and Access Division

Contents

1......... Name............................................................................................................................... 1

2......... Commencement............................................................................................................... 1

3......... Authority......................................................................................................................... 1

4......... Schedules......................................................................................................................... 1

Schedule 1—Amendments  2

National Health (Listing of Pharmaceutical Benefits) Instrument 2012
(PB 71 of 2012).
   2

  1. Name

(1)This instrument is the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2023 (No. 1).

(2)This Instrument may also be cited as PB 1 of 2023.

  1. Commencement

(1)Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

Commencement information
Column 1 Column 2 Column 3
Provisions Commencement Date/Details
1. The whole of this instrument 1 February 2023 1 February 2023

Note:          This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

(2)Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

  1. Authority

This instrument is made under sections 84AF, 84AK, 85, 85A, 88 and 101 of the National Health Act 1953.

4       Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1—Amendments

National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012)

  1. Schedule 1, Part 1, entry for Acalabrutinib

omit from the column headed “Circumstances”: C12501

  1. Schedule 1, Part 1, entry for Acarbose in the form Tablet 100 mg

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

a Acarbose Viatris AL MP NP 90 5 90
  1. Schedule 1, Part 1, entry for Ambrisentan in the form Tablet 10 mg

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

a Ambrisentan Viatris AL MP See Note 3 See Note 3 See Note 3 See Note 3 30 D(100)
  1. Schedule 1, Part 1, after entry for Beclometasone with formoterol in the form Pressurised inhalation containing beclometasone dipropionate 100 micrograms and formoterol fumarate dihydrate 6 micrograms per dose,120 dose

insert:

Pressurised inhalation containing beclometasone dipropionate 200 micrograms and formoterol fumarate dihydrate 6 micrograms per dose, 120 doses Inhalation by mouth Fostair 200/6 EU MP NP C11057 1 5 1
  1. Schedule 1, Part 1, entry for Carbimazole

(a)insert in the column headed “Schedule Equivalent” for the brand “Neo-Mercazole”: a

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

a WP Carbimazole TN MP NP 200 2 100
  1. Schedule 1, Part 1, entry for Cinacalcet in the form Tablet 60 mg (as hydrochloride) [Maximum Quantity: 28; Number of Repeats: 5]

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

a Cinacalcet Viatris AL MP NP C10068 28 5 28
  1. Schedule 1, Part 1, entry for Cinacalcet in the form Tablet 60 mg (as hydrochloride) [Maximum Quantity: 56; Number of Repeats: 5]

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

a Cinacalcet Viatris AL MP C10063 C10067 C10073 56 5 28 C(100)
  1. Schedule 1, Part 1, entry for Dimethyl fumarate in the form Capsule (modified release) 120 mg

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

a APO-DIMETHYL FUMARATE XT MP C10139 C10140 28 0 14

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

a Dimethyl Fumarate MSN LR MP C10139 C10140 28 0 14
  1. Schedule 1, Part 1, entry for Dimethyl fumarate in the form Capsule (modified release) 240 mg

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

a APO-DIMETHYL FUMARATE XT MP C10139 56 5 56

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

a Dimethyl Fumarate MSN LR MP C10139 56 5 56
  1. Schedule 1, Part 1, entry for Domperidone 

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

a APO-DOMPERIDONE TX MP NP 25 0 25

(b)insert in the column headed “Schedule Equivalent” for the brand “Motilium”: a

  1. Schedule 1, Part 1, omit entry for Exenatide

  1. Schedule 1, Part 1, entry for Fingolimod in the form Capsule 500 micrograms (as hydrochloride)

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

a Fynod AF MP C10162 C10172 28 5 28
  1. Schedule 1, Part 1, entry for Flucloxacillin in the form Capsule 250 mg (as sodium monohydrate)

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

a Flopen Viatris MQ MP NP MW C5414 24 0 24
PDP C5298 24 0 24
  1. Schedule 1, Part 1, entry for Flucloxacillin in the form Capsule 500 mg (as sodium monohydrate) [Maximum Quantity: 24; Number of Repeats: 0]

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

a Flopen Viatris MQ MP C5414 C6169 P5414 24 0 24
NP MW C5414 24 0 24
PDP C5298 24 0 24
  1. Schedule 1, Part 1, entry for Flucloxacillin in the form Capsule 500 mg (as sodium monohydrate) [Maximum Quantity: 48; Number of Repeats: 1]

(a)omit from the column headed “Responsible Person” for the brand “Flopen”: AS           substitute: AL

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

a Flopen Viatris MQ MP C5414 C6169 P6169 48 1 24
  1. Schedule 1, Part 1, entry for Lenalidomide

substitute:

Lenalidomide Capsule 5 mg Oral Cipla Lenalidomide LR MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalide JU MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide Dr.Reddy's RI MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide Sandoz SZ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide-Teva TB MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Revlimid CJ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Capsule 10 mg Oral Cipla Lenalidomide LR MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalide JU MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide Dr.Reddy's RI MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide Sandoz SZ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide-Teva TB MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Revlimid CJ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Capsule 15 mg Oral Cipla Lenalidomide LR MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalide JU MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide Dr.Reddy's RI MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide Sandoz SZ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Lenalidomide-Teva TB MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Revlimid CJ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 28 D(100)
Capsule 25 mg Oral Cipla Lenalidomide LR MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
Lenalide JU MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
Lenalidomide Dr.Reddy's RI MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
Lenalidomide Sandoz SZ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
Lenalidomide-Teva TB MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
Revlimid CJ MP See Note 3 See Note 3 See Note 3 See Note 3 14 D(100)
MP See Note 3 See Note 3 See Note 3 See Note 3 21 D(100)
  1. Schedule 1, Part 1, entry for Molnupiravir

(a)omit from the column headed “Circumstances”: C13760

(b)insert in numerical order in the column headed “Circumstances”: C13824

  1. Schedule 1, Part 1, entry for Morphine in the form Oral solution containing morphine hydrochloride trihydrate 2 mg per mL, 200 mL

substitute:

Oral solution containing morphine hydrochloride trihydrate 2 mg per mL, 1 mL Oral Ordine 2 MF MP NP C10764 C10770 C10777 200 0 200
PDP C10859 200 0 200
  1. Schedule 1, Part 1, entry for Morphine in the form Oral solution containing morphine hydrochloride trihydrate 5 mg per mL, 200 mL

substitute:

Oral solution containing morphine hydrochloride trihydrate 5 mg per mL, 1 mL Oral Ordine 5 MF MP NP C10764 C10770 C10777 C11697 P10764 P10770 P10777 200 0 200
PDP C10859 200 0 200
MP NP C10764 C10770 C10777 C11697 P11697 400 1 200
  1. Schedule 1, Part 1, entry for Morphine in the form Oral solution containing morphine hydrochloride trihydrate 10 mg per mL, 200 mL

substitute:

Oral solution containing morphine hydrochloride trihydrate 10 mg per mL, 1 mL Oral Ordine 10 MF MP NP C10764 C10770 C10777 C11697 P10764 P10770 P10777 200 0 200
PDP C10859 200 0 200
MP NP C10764 C10770 C10777 C11697 P11697 400 1 200
  1. Schedule 1, Part 1, entry for Mycobacterium bovis (Bacillus Calmette and Guerin (BCG)) Danish 1331 strain

omit from the column headed “Brand”: BCG Culture SSI                   substitute: VesiCulture

  1. Schedule 1, Part 1, entry for Nirmatrelvir and ritonavir

(a)omit from the column headed “Circumstances”: C13760       

(b)insert in numerical order in the column headed “Circumstances”: C13821

  1. Schedule 1, Part 1, entry for Nitrofurantoin in each of the forms: Capsule 50 mg; and Capsule 100 mg  

omit:

a ARX-Nitrofurantoin XT MP NP MW 30 1 30
  1. Schedule 1, Part 1 after entry for Ondansetron in the form Wafer 8 mg

insert:

Opicapone Capsule 50 mg Oral Ongentys XY MP NP C5133 30 5 30
  1. Schedule 1, Part 1 entry for Oxycodone in the form Oral solution containing oxycodone hydrochloride 1 mg per mL, 250 mL

substitute:

Oral solution containing oxycodone hydrochloride 1 mg per mL, 1 mL Oral OxyNorm Liquid 1mg/mL MF PDP C10768 250 0 250
MP NP C10764 C10771 C10772 250 0 250
  1. Schedule 1, Part 1, entry for Polyethylene glycol 400 with propylene glycol

substitute:

Polyethylene glycol 400 with propylene glycol Eye drops 4 mg-3 mg per mL, single dose units 0.8 mL, 28 Application to the eye Systane AQ AO MP NP C6172 2 5 1
Eye drops 4 mg-3 mg per mL, single dose units 0.8 mL, 30 Application to the eye Systane AQ AO MP NP C6172 2 5 1
Eye drops 4 mg-3 mg per mL, 15 mL Application to the eye a Optix PP AO C6120 1 5 1
MP C6073 C6098 P6073 1 5 1
NP C6073 1 5 1
a Systane AQ AO C6120 1 5 1
MP C6073 C6098 P6073 1 5 1
NP C6073 1 5 1
a Optix PP MP C6073 C6098 P6098 1 11 1
a Systane AQ MP C6073 C6098 P6098 1 11 1
  1. Schedule 1, Part 1, entry for Romosozumab

omit from the column headed “Circumstances”: C11496 C12475       substitute: C13819 C13820

  1. Schedule 1, Part 1, entry for Salbutamol in the form Nebuliser solution 5 mg (as sulfate) in 2.5 mL single dose units, 30

omit:

APO-Salbutamol TX MP NP C6815 C6825 2 5 1
  1. Schedule 1, Part 1, entry for Sitagliptin in each of the forms: Tablet 25 mg; Tablet 50 mg; and Tablet 100 mg

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

a Sitaglo CR MP C6346 C6363 C6376 C7505 C7541 28 5 28
NP C6346 C6363 C6376 C7505 28 5 28
  1. Schedule 1, Part 1, entry for Sumatriptan in the form Tablet (fast disintegrating) 50 mg (as succinate)

substitute:

Tablet (fast disintegrating) 50 mg (as succinate) Oral Imigran FDT AS MP NP C5259 4 5 4
  1. Schedule 1, Part 1, entry for Temozolomide in the form Capsule 5 mg [Maximum Quantity: 5; Number of Repeats: 5]

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

a Temizole 5 AL MP 5 5 5

(b)omit:

a Temozolomide Alphapharm AF MP 5 5 5
  1. Schedule 1, Part 1, entry for Temozolomide in the form Capsule 5 mg [Maximum Quantity: 15; Number of Repeats: 2]

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

a Temizole 5 AL MP P4897 15 2 5

(b)omit:

a Temozolomide Alphapharm AF MP P4897 15 2 5
  1. Schedule 1, Part 1, entry for Tenecteplase in the form Powder for injection 50 mg with solvent (s19A)

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

TNKase (Canada) Medsurge Healthcare Pty Ltd DZ MP NP C5783 1 0 1
  1. Schedule 1, Part 1, entry for Tenofovir with emtricitabine and efavirenz

(a)insert in the column headed “Schedule Equivalent” for the brand “Tenofovir Disoproxil/Emtricitabine/Efavirenz Mylan 300/200/600: a

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

a Tenofovir Disoproxil Emtricitabine Efavirenz Viatris 300/200/600 AL MP NP C4470 C4522 60 5 30 D(100)
  1. Schedule 1, Part 1, entry for Tetrabenazine

(a)insert in the column headed “Schedule Equivalent” for the brand “iNova Pharmaceuticals (Australia) Pty Ltd: a

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

a Tetrabenazine SUN RA MP NP C5340 112 5 112
  1. Schedule 1, Part 1, entry for Tobramycin in the form Injection 80 mg in 2 mL

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

a Tobramycin Viatris AL MP NP C5446 C5490 C5519 10 1 5
  1. Schedule 1, Part 1, entry for Upadacitinib in the form Tablet 15 mg [Maximum Quantity: 28; Number of Repeats: 3]

(a)omit from the column headed “Circumstances”: C12496

(b)omit from the column headed “Circumstances”: C12502

  1. Schedule 1, Part 1, entry for Upadacitinib in the form Tablet 15 mg [Maximum Quantity: 28; Number of Repeats: 4] 

(a)omit from the column headed “Circumstances”: C12496

(b)omit from the column headed “Circumstances”: C12502 

  1. Schedule 1, Part 1, entry for Upadacitinib in the form Tablet 15 mg [Maximum Quantity: 28; Number of Repeats: 5]

(a)omit from the column headed “Circumstances”: C12496

(b)omit from the column headed “Circumstances”: C12502  

(c)omit from the column headed “Purposes”: P12496 P12502

  1. Schedule 1, Part 1, entry for Upadacitinib in the form Tablet 30 mg [Maximum Quantity: 28; Number of Repeats: 3]

(a)omit from the column headed “Circumstances”: C12496

(b)omit from the column headed “Circumstances”: C12502  

  1. Schedule 1, Part 1, entry for Upadacitinib in the form Tablet 30 mg [Maximum Quantity: 28; Number of Repeats: 4]

(a)omit from the column headed “Circumstances”: C12496

(b)omit from the column headed “Circumstances”: C12502   

  1. Schedule 1, Part 1, entry for Upadacitinib in the form Tablet 30 mg [Maximum Quantity: 28; Number of Repeats: 5]

(a)omit from the column headed “Circumstances”: C12496

(b)omit from the column headed “Circumstances”: C12502   

(c)omit from the column headed “Purposes”: P12496 P12502

  1. Schedule 1, Part 1, entry for Vancomycin in the form Capsule 125 mg (125,000 I.U.) (as hydrochloride)

(a)insert in the column headed “Schedule Equivalent” for the brand “Vancocin: a

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

a Vancomycin BNM 125mg BZ MP C5636 C5660 40 0 20
  1. Schedule 1, Part 1, entry for Vancomycin in the form Capsule 250 mg (250,000 I.U.) (as hydrochloride)

(a)insert in the column headed “Schedule Equivalent” for the brand “Vancocin: a

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

a Vancomycin BNM 250mg BZ MP C5636 C5660 40 0 20
  1. Schedule 1, Part 2, omit entry for Amino acid formula with vitamins and minerals without phenylalanine

  1. Schedule 1, Part 2, entry for Cromoglycic acid

omit:

Pressurised inhalation containing sodium cromoglycate 1 mg per dose, 200 doses (CFC‑free formulation) Inhalation by mouth Intal CFC‑Free SW MP NP 1 5 1
  1. Schedule 1, Part 2, omit entry for Glycomacropeptide and essential amino acids with vitamins and minerals

  1. Schedule 1, Part 2, omit entry for Ledipasvir with sofosbuvir

  1. Schedule 3, after details relevant for Responsible Person code TM

insert:

TN Medtas Pty Ltd 72 644 270 860
  1. Schedule 3, after details relevant for Responsible Person code XW

insert:

XY MAXX PHARMA PTY LTD 33 629 622 224
  1. Schedule 4, Part 1, entry for Acalabrutinib

omit:

C12501 Mantle cell lymphoma
Transitioning from non-PBS to PBS-subsidised supply - Grandfather arrangements
Patient must have received treatment with this drug prior to 1 February 2022; AND
The condition must have relapsed or be refractory to at least one prior therapy prior to initiating non-PBS-subsidised treatment with this drug for this condition; AND
Patient must have had a WHO performance status of 0 or 1 at the time non-PBS-subsidised treatment with this drug for this condition was initiated; AND
The treatment must be the sole PBS-subsidised therapy for this condition; AND
Patient must have been untreated with Bruton's tyrosine kinase inhibitor therapy at treatment initiation with this drug; OR
Patient must have developed intolerance to another Bruton's tyrosine kinase inhibitor of a severity necessitating permanent treatment withdrawal, when treated for this PBS indication; AND
Patient must not have developed disease progression while being treated with this drug for this condition.
Compliance with Authority Required procedures
  1. Schedule 4, Part 1, omit entry for Exenatide

  1. Schedule 4, Part 1, omit entry for Ledipasvir with sofosbuvir

  1. Schedule 4, Part 1, entry for Molnupiravir

(a)omit:

C13760 SARS-CoV-2 infection
Patient must have received a positive polymerase chain reaction (PCR) test result; OR
Patient must have received a positive rapid antigen test (RAT) result; AND
Patient must have at least one sign or symptom attributable to COVID-19; AND
Patient must not require hospitalisation for COVID-19 infection at the time of prescribing; AND
Patient must be moderately to severely immunocompromised; AND
Patient must be at risk of progression to severe disease due to immunocompromised status; AND
The treatment must be initiated within 5 days of symptom onset.
Patient must be at least 18 years of age.
For the purpose of administering this restriction, 'moderately to severely immunocompromised' patients are those with:
1. Any primary or acquired immunodeficiency including:
a. Haematologic neoplasms: leukaemias, lymphomas, myelodysplastic syndromes, multiple myeloma and other plasma cell disorders,
b. Post-transplant: solid organ (on immunosuppressive therapy), haematopoietic stem cell transplant (within 24 months),
c. Immunocompromised due to primary or acquired (HIV/AIDS) immunodeficiency; OR
2. Any significantly immunocompromising condition(s) where, in the last 3 months the patient has received:
a. Chemotherapy or whole body radiotherapy,
b. High-dose corticosteroids (at least 20 mg of prednisone per day, or equivalent) for at least 14 days in a month, or pulse corticosteroid therapy,
c. Biological agents and other treatments that deplete or inhibit B cell or T cell function (abatacept, anti-CD20 antibodies, BTK inhibitors, JAK inhibitors, sphingosine 1-phosphate receptor modulators, anti-CD52 antibodies, anti-complement antibodies, anti-thymocyte globulin),
d. Selected conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs) including mycophenolate, methotrexate, leflunomide, azathioprine, 6-mercaptopurine (at least 1.5mg/kg/day), alkylating agents (e.g. cyclophosphamide, chlorambucil), and systemic calcineurin inhibitors (e.g. cyclosporin, tacrolimus); OR
3. Any significantly immunocompromising condition(s) where, in the last 12 months the patient has received an anti-CD20 monoclonal antibody treatment, but criterion 2c above is not met; OR
4. Others with very high-risk conditions including Down Syndrome, cerebral palsy, congenital heart disease, thalassemia, sickle cell disease and other haemoglobinopathies; OR
5. People with disability with multiple comorbidities and/or frailty.
Details of the patient's medical condition necessitating use of this drug must be recorded in the patient's medical records
For the purpose of administering this restriction, signs or symptoms attributable to COVID-19 are: fever greater than 38 degrees Celsius, chills, cough, sore throat, shortness of breath or difficulty breathing with exertion, fatigue, nasal congestion, runny nose, headache, muscle or body aches, nausea, vomiting, diarrhea, loss of taste, loss of smell.
Access to this drug through this restriction is permitted irrespective of vaccination status.
Where PCR is used to confirm diagnosis, the result, testing date, location and test provider must be recorded on the patient record.
Where a RAT is used to confirm diagnosis, available information about the test result, testing date, location and test provider (where relevant) must be recorded on the patient record.
This drug is not PBS-subsidised for pre-exposure or post-exposure prophylaxis for the prevention of SARS-CoV-2 infection.
Compliance with Authority Required procedures - Streamlined Authority Code 13760

(b)insert in numerical order after existing text:

C13824 SARS-CoV-2 infection
Patient must have received a positive polymerase chain reaction (PCR) test result; OR
Patient must have received a positive rapid antigen test (RAT) result; AND
Patient must have at least one sign or symptom attributable to COVID-19; AND
Patient must not require hospitalisation for COVID-19 infection at the time of prescribing; AND
Patient must satisfy at least one of the following criteria: (i) be moderately to severely immunocompromised with risk of progression to severe COVID-19 disease due to the immunocompromised status, (ii) has experienced past COVID-19 infection resulting in hospitalisation; AND
The treatment must be initiated within 5 days of symptom onset.
Patient must be at least 18 years of age.
For the purpose of administering this restriction, 'moderately to severely immunocompromised' patients are those with:
1. Any primary or acquired immunodeficiency including:
a. Haematologic neoplasms: leukaemias, lymphomas, myelodysplastic syndromes, multiple myeloma and other plasma cell disorders,
b. Post-transplant: solid organ (on immunosuppressive therapy), haematopoietic stem cell transplant (within 24 months),
c. Immunocompromised due to primary or acquired (HIV/AIDS) immunodeficiency; OR
2. Any significantly immunocompromising condition(s) where, in the last 3 months the patient has received:
a. Chemotherapy or whole body radiotherapy,
b. High-dose corticosteroids (at least 20 mg of prednisone per day, or equivalent) for at least 14 days in a month, or pulse corticosteroid therapy,
c. Biological agents and other treatments that deplete or inhibit B cell or T cell function (abatacept, anti-CD20 antibodies, BTK inhibitors, JAK inhibitors, sphingosine 1-phosphate receptor modulators, anti-CD52 antibodies, anti-complement antibodies, anti-thymocyte globulin),
d. Selected conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs) including mycophenolate, methotrexate, leflunomide, azathioprine, 6-mercaptopurine (at least 1.5mg/kg/day), alkylating agents (e.g. cyclophosphamide, chlorambucil), and systemic calcineurin inhibitors (e.g. cyclosporin, tacrolimus); OR
3. Any significantly immunocompromising condition(s) where, in the last 12 months the patient has received an anti-CD20 monoclonal antibody treatment, but criterion 2c above is not met; OR
4. Others with very high-risk conditions including Down Syndrome, cerebral palsy, congenital heart disease, thalassemia, sickle cell disease and other haemoglobinopathies; OR
5. People with disability with multiple comorbidities and/or frailty.
Details of the patient's medical condition necessitating use of this drug must be recorded in the patient's medical records
For the purpose of administering this restriction, signs or symptoms attributable to COVID-19 are: fever greater than 38 degrees Celsius, chills, cough, sore throat, shortness of breath or difficulty breathing with exertion, fatigue, nasal congestion, runny nose, headache, muscle or body aches, nausea, vomiting, diarrhea, loss of taste, loss of smell.
Access to this drug through this restriction is permitted irrespective of vaccination status.
Where PCR is used to confirm diagnosis, the result, testing date, location and test provider must be recorded on the patient record.
Where a RAT is used to confirm diagnosis, available information about the test result, testing date, location and test provider (where relevant) must be recorded on the patient record.
This drug is not PBS-subsidised for pre-exposure or post-exposure prophylaxis for the prevention of SARS-CoV-2 infection.
Compliance with Authority Required procedures - Streamlined Authority Code 13824
  1. Schedule 4, Part 1, entry for Nirmatrelvir and ritonavir

(a)omit:

C13760 SARS-CoV-2 infection
Patient must have received a positive polymerase chain reaction (PCR) test result; OR
Patient must have received a positive rapid antigen test (RAT) result; AND
Patient must have at least one sign or symptom attributable to COVID-19; AND
Patient must not require hospitalisation for COVID-19 infection at the time of prescribing; AND
Patient must be moderately to severely immunocompromised; AND
Patient must be at risk of progression to severe disease due to immunocompromised status; AND
The treatment must be initiated within 5 days of symptom onset.
Patient must be at least 18 years of age.
For the purpose of administering this restriction, 'moderately to severely immunocompromised' patients are those with:
1. Any primary or acquired immunodeficiency including:
a. Haematologic neoplasms: leukaemias, lymphomas, myelodysplastic syndromes, multiple myeloma and other plasma cell disorders,
b. Post-transplant: solid organ (on immunosuppressive therapy), haematopoietic stem cell transplant (within 24 months),
c. Immunocompromised due to primary or acquired (HIV/AIDS) immunodeficiency; OR
2. Any significantly immunocompromising condition(s) where, in the last 3 months the patient has received:
a. Chemotherapy or whole body radiotherapy,
b. High-dose corticosteroids (at least 20 mg of prednisone per day, or equivalent) for at least 14 days in a month, or pulse corticosteroid therapy,
c. Biological agents and other treatments that deplete or inhibit B cell or T cell function (abatacept, anti-CD20 antibodies, BTK inhibitors, JAK inhibitors, sphingosine 1-phosphate receptor modulators, anti-CD52 antibodies, anti-complement antibodies, anti-thymocyte globulin),
d. Selected conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs) including mycophenolate, methotrexate, leflunomide, azathioprine, 6-mercaptopurine (at least 1.5mg/kg/day), alkylating agents (e.g. cyclophosphamide, chlorambucil), and systemic calcineurin inhibitors (e.g. cyclosporin, tacrolimus); OR
3. Any significantly immunocompromising condition(s) where, in the last 12 months the patient has received an anti-CD20 monoclonal antibody treatment, but criterion 2c above is not met; OR
4. Others with very high-risk conditions including Down Syndrome, cerebral palsy, congenital heart disease, thalassemia, sickle cell disease and other haemoglobinopathies; OR
5. People with disability with multiple comorbidities and/or frailty.
Details of the patient's medical condition necessitating use of this drug must be recorded in the patient's medical records
For the purpose of administering this restriction, signs or symptoms attributable to COVID-19 are: fever greater than 38 degrees Celsius, chills, cough, sore throat, shortness of breath or difficulty breathing with exertion, fatigue, nasal congestion, runny nose, headache, muscle or body aches, nausea, vomiting, diarrhea, loss of taste, loss of smell.
Access to this drug through this restriction is permitted irrespective of vaccination status.
Where PCR is used to confirm diagnosis, the result, testing date, location and test provider must be recorded on the patient record.
Where a RAT is used to confirm diagnosis, available information about the test result, testing date, location and test provider (where relevant) must be recorded on the patient record.
This drug is not PBS-subsidised for pre-exposure or post-exposure prophylaxis for the prevention of SARS-CoV-2 infection.
Compliance with Authority Required procedures - Streamlined Authority Code 13760

(b)insert in numerical order after existing text:

C13821 SARS-CoV-2 infection
Patient must have received a positive polymerase chain reaction (PCR) test result; OR
Patient must have received a positive rapid antigen test (RAT) result; AND
Patient must have at least one sign or symptom attributable to COVID-19; AND
Patient must not require hospitalisation for COVID-19 infection at the time of prescribing; AND
Patient must satisfy at least one of the following criteria: (i) be moderately to severely immunocompromised with risk of progression to severe COVID-19 disease due to the immunocompromised status, (ii) has experienced past COVID-19 infection resulting in hospitalisation; AND
The treatment must be initiated within 5 days of symptom onset.
Patient must be at least 18 years of age.
For the purpose of administering this restriction, 'moderately to severely immunocompromised' patients are those with:
1. Any primary or acquired immunodeficiency including:
a. Haematologic neoplasms: leukaemias, lymphomas, myelodysplastic syndromes, multiple myeloma and other plasma cell disorders,
b. Post-transplant: solid organ (on immunosuppressive therapy), haematopoietic stem cell transplant (within 24 months),
c. Immunocompromised due to primary or acquired (HIV/AIDS) immunodeficiency; OR
2. Any significantly immunocompromising condition(s) where, in the last 3 months the patient has received:
a. Chemotherapy or whole body radiotherapy,
b. High-dose corticosteroids (at least 20 mg of prednisone per day, or equivalent) for at least 14 days in a month, or pulse corticosteroid therapy,
c. Biological agents and other treatments that deplete or inhibit B cell or T cell function (abatacept, anti-CD20 antibodies, BTK inhibitors, JAK inhibitors, sphingosine 1-phosphate receptor modulators, anti-CD52 antibodies, anti-complement antibodies, anti-thymocyte globulin),
d. Selected conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs) including mycophenolate, methotrexate, leflunomide, azathioprine, 6-mercaptopurine (at least 1.5mg/kg/day), alkylating agents (e.g. cyclophosphamide, chlorambucil), and systemic calcineurin inhibitors (e.g. cyclosporin, tacrolimus); OR
3. Any significantly immunocompromising condition(s) where, in the last 12 months the patient has received an anti-CD20 monoclonal antibody treatment, but criterion 2c above is not met; OR
4. Others with very high-risk conditions including Down Syndrome, cerebral palsy, congenital heart disease, thalassemia, sickle cell disease and other haemoglobinopathies; OR
5. People with disability with multiple comorbidities and/or frailty.
Details of the patient's medical condition necessitating use of this drug must be recorded in the patient's medical records
For the purpose of administering this restriction, signs or symptoms attributable to COVID-19 are: fever greater than 38 degrees Celsius, chills, cough, sore throat, shortness of breath or difficulty breathing with exertion, fatigue, nasal congestion, runny nose, headache, muscle or body aches, nausea, vomiting, diarrhea, loss of taste, loss of smell.
Access to this drug through this restriction is permitted irrespective of vaccination status.
Where PCR is used to confirm diagnosis, the result, testing date, location and test provider must be recorded on the patient record.
Where a RAT is used to confirm diagnosis, available information about the test result, testing date, location and test provider (where relevant) must be recorded on the patient record.
This drug is not PBS-subsidised for pre-exposure or post-exposure prophylaxis for the prevention of SARS-CoV-2 infection.
Compliance with Authority Required procedures - Streamlined Authority Code 13821
  1. Schedule 4, Part 1, after entry for Ondansetron

insert:

Opicapone C5133 Parkinson disease
The treatment must be as adjunctive therapy to a levodopa-decarboxylase inhibitor combination; AND
Patient must be experiencing fluctuations in motor function due to end-of-dose effect.
  1. Schedule 4, Part 1, entry for Romosozumab

substitute:

Romosozumab C13819 Severe established osteoporosis
Initial treatment
Patient must be at very high risk of fracture; AND
Patient must have a bone mineral density (BMD) T-score of -3.0 or less; AND
Patient must have had 2 or more fractures due to minimal trauma; AND
Patient must have experienced at least 1 symptomatic new fracture after at least 12 months continuous therapy with an anti-resorptive agent at adequate doses; AND
The treatment must be the sole PBS-subsidised therapy for this condition; AND
The treatment must not exceed a lifetime maximum of 12 months therapy; AND
Patient must not have received treatment with PBS-subsidised teriparatide; OR
Patient must have developed intolerance to teriparatide of a severity necessitating permanent treatment withdrawal within the first 6 months of therapy.
Must be treated by a consultant physician.
A vertebral fracture is defined as a 20% or greater reduction in height of the anterior or mid portion of a vertebral body relative to the posterior height of that body, or, a 20% or greater reduction in any of these heights compared to the vertebral body above or below the affected vertebral body.
If treatment with anti-resorptive therapy is contraindicated according to the relevant TGA-approved Product Information, details of the contraindication must be documented in the patient's medical record at the time treatment with this drug is initiated.
If an intolerance of a severity necessitating permanent treatment withdrawal develops during the relevant period of use of one anti-resorptive agent, alternate anti-resorptive agents must be trialled so that the patient achieves the minimum requirement of 12 months continuous therapy. Details must be documented in the patient's medical record at the time treatment with this drug is initiated.
Anti-resorptive therapies for osteoporosis and their adequate doses which will be accepted for the purposes of administering this restriction are alendronate sodium 10 mg per day or 70 mg once weekly, risedronate sodium 5 mg per day or 35 mg once weekly or 150 mg once monthly, raloxifene hydrochloride 60 mg per day (women only), denosumab 60 mg once every 6 months and zoledronic acid 5 mg per annum.
Details of prior anti-resorptive therapy, fracture history including the date(s), site(s), the symptoms associated with the fracture(s) which developed after at least 12 months continuous anti-resorptive therapy and the score of the qualifying BMD measurement must be provided at the time of application.
Compliance with Authority Required procedures
C13820 Severe established osteoporosis
Continuing treatment
Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND
The treatment must not exceed a lifetime maximum of 12 months therapy.
Must be treated by a medical practitioner identifying as either: (i) a consultant physician, (ii) a general practitioner.
Compliance with Authority Required procedures
  1. Schedule 4, Part 1, entry for Upadacitinib

(a)omit:

C12496 P12496 Chronic severe atopic dermatitis
Transitioning from non-PBS to PBS-subsidised supply (treatment of the face and/or hands) - Grandfather arrangements
Patient must have been receiving treatment with this therapy for chronic severe atopic dermatitis prior to 1 February 2022; AND
The condition must have had at least 2 of the following Eczema Area and Severity Index (EASI) symptom sub-scores for erythema, oedema/papulation, excoriation, lichenification rated as severe despite treatment with daily topical therapy (corticosteroid of medium to high potency/calcineurin inhibitor), for at least 28 days, prior to commencing non-PBS-subsidised treatment with this therapy; OR
The condition must have affected at least 30% of the face/hands surface area despite treatment with daily topical therapy (corticosteroid of medium to high potency/calcineurin inhibitor), for at least 28 days, prior to commencing non-PBS-subsidised treatment with this therapy; AND
Patient must have an age appropriate Dermatology Life Quality Index (DLQI) baseline score (of any value) measured following treatment with daily topical therapy (corticosteroid of medium to high potency/calcineurin inhibitor), for at least 28 days, prior to having commenced non-PBS-subsidised treatment with this therapy; OR
Patient must have, where the above baseline DLQI was not recorded in the patient's medical records, a current age-appropriate DLQI score (of any value) measured; AND
The condition must have had lesions for at least 6 months from the time of the initial diagnosis of chronic severe atopic dermatitis affecting either of: (i) the whole body, (ii) face/hands, prior to commencing non-PBS-subsidised treatment with this therapy; AND
Patient must not be experiencing an inadequate response to non-PBS-subsidised treatment with this therapy; AND
Patient must not have experienced an inadequate response to this therapy in this indication, prior to commencing non-PBS-subsidised treatment with this therapy.
Must be treated by a dermatologist; OR
Must be treated by a clinical immunologist; AND
Patient must be undergoing treatment with this drug as the sole PBS-subsidised therapy with this PBS indication (combination with oral corticosteroids is permitted as these are not listed with the PBS indication: chronic severe atopic dermatitis).
Patient must be 12 years of age or older.
State each of the 4 Eczema Area and Severity Index (EASI) symptom sub-score ratings (0 = none, 1 = mild, 2 = moderate, 3 = severe) for:
(i) erythema,
(ii) oedema/papulation,
(iii) excoriation,
(iv) lichenification
Acceptable scores can be:
(a) current scores; or
(b) past scores, including those previously quoted in a PBS authority application for another drug listed for this indication.
State the percentage face/hand surface area affected by the condition (must be at least 30%) where EASI symptom sub-scores are not provided. This percentage surface area can also be stated in addition to the EASI symptom sub-scores.
The EASI/percentage surface area and DLQI baseline measurements are to form the basis of determining if an adequate response to treatment has been achieved under the Continuing treatment restriction. In addition to stating them in this authority application, document them in the patient's medical records.
Document the details of the medium to high potency topical corticosteroids (or calcineurin inhibitors) initially trialled are in the patient's medical records.
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 Written Authority Required procedures

(b)omit:

C12502 P12502 Chronic severe atopic dermatitis
Transitioning from non-PBS to PBS-subsidised supply (treatment of the whole body) - Grandfather arrangements
Patient must have been receiving treatment with this therapy for chronic severe atopic dermatitis prior to 1 February 2022; AND
Patient must have had a Physicians Global Assessment (PGA) baseline score of at least 4 as evidence of severe disease despite treatment with daily topical therapy (corticosteroid of medium to high potency/calcineurin inhibitor), for at least 28 days prior to commencing non-PBS-subsidised treatment with this therapy; AND
Patient must have had an Eczema Area and Severity Index (EASI) baseline score of at least 20 despite treatment with daily topical therapy (corticosteroid of medium to high potency/calcineurin inhibitor), for at least 28 days prior to having commenced non-PBS-subsidised treatment with this therapy; AND
Patient must have an age appropriate Dermatology Life Quality Index (DLQI) baseline score (of any value) measured following treatment with daily topical therapy (corticosteroid of medium to high potency/calcineurin inhibitor), for at least 28 days, prior to having commenced non-PBS-subsidised treatment with this therapy; OR
Patient must have, where the above baseline DLQI was not recorded in the patient's medical records, a current age-appropriate DLQI score (of any value) measured; AND
The condition must have had lesions for at least 6 months from the time of the initial diagnosis of chronic severe atopic dermatitis affecting either of: (i) the whole body, (ii) face/hands, prior to commencing non-PBS-subsidised treatment with this therapy; AND
Patient must not be experiencing an inadequate response to non-PBS-subsidised treatment with this therapy; AND
Patient must not have experienced an inadequate response to this therapy in this indication, prior to commencing non-PBS-subsidised treatment with this therapy.
Must be treated by a dermatologist; OR
Must be treated by a clinical immunologist; AND
Patient must be undergoing treatment with this drug as the sole PBS-subsidised therapy with this PBS indication (combination with oral corticosteroids is permitted as these are not listed with the PBS indication: chronic severe atopic dermatitis).
Patient must be 12 years of age or older.
State each of the qualifying (i) PGA, (ii) EASI and (iii) DLQI scores in the authority application.
Acceptable scores can be:
(a) current scores; or
(b) past scores, including those previously quoted in a PBS authority application for another drug listed for this indication.
The EASI and DLQI baseline measurements are to form the basis of determining if an adequate response to treatment has been achieved under the Continuing treatment restriction. In addition to stating them in this authority application, document them in the patient's medical records.
Document the details of the medium to high potency topical corticosteroids (or calcineurin inhibitors) initially trialled in the patient's medical records.
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 Written Authority Required procedures
  1. Schedule 4, Part 3, General statement for drugs for the treatment of hepatitis C

substitute:

Part 3—General statement for drugs for the treatment of hepatitis C

1        Criteria for eligibility for drugs for the treatment of chronic hepatitis C

The criteria for patient eligibility for drugs for the treatment of chronic hepatitis C are that:

(1)     the patient has been assessed in accordance with paragraph 2 of this Part; and

(2)     the patient is:

(a)       treated by a medical practitioner or an authorised nurse practitioner who is experienced in the treatment of patients with chronic hepatitis C infection; or

(b)       treated by a medical practitioner or an authorised nurse practitioner in consultation with:

(i)       a gastroenterologist; or

(ii)      a hepatologist; or

(iii)     an infectious diseases physician.

2        Assessment of patient

For the purpose of subparagraph 1(2) of this Part, the patient has been assessed if the treating medical practitioner has:

(1)     documented the following information in the patient’s medical records:

(a)       evidence of chronic hepatitis C infection; and

(b)       where possible, evidence of the patient’s hepatitis C virus genotype; and

(2)     chosen a regimen in accordance with paragraph 3 of this Part; and

(3)     collected the following information for the purposes of the authority application:

(a)       whether the patient is:

(i)       cirrhotic; or

(ii)      non-cirrhotic

(b)       details of the previous treatment regimen (only for requests for sofosbuvir with velpatasvir and voxilaprevir or glecaprevir with pibrentasvir for treatment in patients who have previously failed a treatment with a regimen containing an NS5A inhibitor).

(4)     In this paragraph, evidence of chronic hepatitis C infection is documentation of:

(a)       repeat test results showing antibody to hepatitis C virus (anti-HCV) positive; and

(b)       test result showing hepatitis C virus ribonucleic acid (RNA) positive.

3        Treatment regimen

For the purpose of subparagraph 2(2) of this Part, the treating medical practitioner has chosen a regimen in accordance with this paragraph if the patient:

(1)     is a kind of patient mentioned for an Item in column 2 of the following table; and

(2)     is to receive one of the regimens mentioned in column 3 of the same Item of the following table.

Item Kind of patient Regimen
1

Patient:

(a)    all genotypes (pan-genotypic); and

(b)    who is treatment naïve; and

(c)    who is non-cirrhotic.

Either:

(a)    SOFOSBUVIR with VELPATASVIR for 12 weeks; or

(b)    GLECAPREVIR with PIBRENTASVIR for 8 weeks.

2

Patient:

(a)    all genotypes (pan-genotypic); and

(b)    who is treatment experienced; and

(c)    who is non-cirrhotic.

Either:

(a)    SOFOSBUVIR with VELPATASVIR for 12 weeks; or

(b)    SOFOSBUVIR with VELPATASVIR and VOXILAPREVIR for 12 weeks; or

(c)    GLECAPREVIR with PIBRENTASVIR for 8 weeks; or

(d)    GLECAPREVIR with PIBRENTASVIR for 12 weeks; or

(e)    GLECAPREVIR with PIBRENTASVIR 16 weeks.

3

Patient:

(a)    with Genotype 1; and

(b)    who is treatment naïve; and

(c)    who is non-cirrhotic.

Refer to item 1 above (pan-genotypic, treatment naïve and non-cirrhotic regimens).
4

Patient:

(a)    with Genotype 1; and

(b)    who is treatment experienced; and

(c)    who is non-cirrhotic.

Refer to item 2 above (pan-genotypic, treatment experienced and non-cirrhotic regimens).

5

Patient:

(a)    with Genotype 2; and

(b)    who is treatment naïve; and

(c)    who is non-cirrhotic.

Refer to item 1 above (pan-genotypic, treatment naïve and non-cirrhotic regimens).
6

Patient:

(a)    with Genotype 2; and

(b)    who is treatment experienced; and

(c)    who is non-cirrhotic.

Refer to item 2 above (pan-genotypic, treatment experienced and non-cirrhotic regimens).
7

Patient:

(a)    with Genotype 3; and

(b)    who is treatment naïve; and

(c)    who is non-cirrhotic.

Refer to item 1 above (pan-genotypic, treatment naïve and non-cirrhotic regimens).
8

Patient:

(a)    with Genotype 3; and

(b)    who is treatment experienced; and

(c)    who is non-cirrhotic.

Refer to item 2 above (pan-genotypic, treatment experienced and non-cirrhotic regimens).
9

Patient:

(a)    with Genotype 4; and

(b)    who is treatment naïve; and

(c)    who is non-cirrhotic.

Refer to item 1 above (pan-genotypic, treatment naïve and non-cirrhotic regimens).
10

Patient:

(a)    with Genotype 4; and

(b)    who is treatment experienced; and

(c)    who is non-cirrhotic.

Refer to item 2 above (pan-genotypic, treatment experienced and non-cirrhotic regimens).
11

Patient:

(a)    with:

   (i)   Genotype 5; or

   (ii)  Genotype 6; and

(b)    who is treatment naïve; and

(c)    who is non-cirrhotic.

Refer to item 1 above (pan-genotypic, treatment naïve and non-cirrhotic regimens).
12

Patient:

(a)    with:

   (i)   Genotype 5; or

   (ii)  Genotype 6; and

(b)    who is treatment experienced; and

(c)    who is non-cirrhotic.

Refer to item 2 above (pan-genotypic, treatment experienced and non-cirrhotic regimens).
13

Patient:

(a)    all genotypes (pan-genotypic); and

(b)    who is treatment naïve; and

(c)    who is cirrhotic.

Either:

(a)    SOFOSBUVIR with VELPATASVIR for 12 weeks; or

(b)    GLECAPREVIR with PIBRENTASVIR for 8 weeks; or

(c)    GLECAPREVIR with PIBRENTASVIR for 12 weeks

14

Patient:

(a)    all genotypes (pan-genotypic); and

(b)    who is treatment experienced; and

(c)    who is cirrhotic.

Either:

(a)    SOFOSBUVIR with VELPATASVIR for 12 weeks; or

(b)    SOFOSBUVIR with VELPATASVIR and VOXILAPREVIR for 12 weeks; or

(c)    GLECAPREVIR with PIBRENTASVIR for 12 weeks; or

(d)    GLECAPREVIR with PIBRENTASVIR for 16 weeks.

15

Patient:

(a)    with Genotype 1; and

(b)    who is treatment naïve; and

(c)    who is cirrhotic.

Refer to item 13 above (pan-genotypic, treatment naïve and cirrhotic regimens).

16

Patient:

(a)    with Genotype 1; and

(b)    who is treatment experienced; and

(c)    who is cirrhotic.

Refer to item 14 above (pan-genotypic, treatment experienced and cirrhotic regimens).

17

Patient:

(a)    with Genotype 2; and

(b)    who is treatment naïve; and

(c)    who is cirrhotic.

Refer to item 13 above (pan-genotypic, treatment naïve and cirrhotic regimens).
18

Patient:

(a)    with Genotype 2; and

(b)    who is treatment experienced; and

(c)    who is cirrhotic.

Refer to item 14 above (pan-genotypic, treatment experienced and cirrhotic regimens).
19

Patient:

(a)    with Genotype 3; and

(b)    who is treatment naïve; and

(c)    who is cirrhotic.

Refer to item 13 above (pan-genotypic, treatment naïve and cirrhotic regimens).
20

Patient:

(a)    with Genotype 3; and

(b)    who is treatment experienced; and

(c)    who is cirrhotic.

Refer to item 14 above (pan-genotypic, treatment experienced and cirrhotic regimens).
21

Patient:

(a)    with Genotype 4; and

(b)    who is treatment naïve; and

(c)    who is cirrhotic.

Refer to item 13 above (pan-genotypic, treatment naïve and cirrhotic regimens).
22

Patient:

(a)    with Genotype 4; and

(b)    who is treatment experienced; and

(c)    who is cirrhotic.

Refer to item 14 above (pan-genotypic, treatment experienced and cirrhotic regimens).
23

Patient:

(a)    with:

   (i)   Genotype 5; or

   (ii)  Genotype 6; and

(b)    who is treatment naïve; and

(c)    who is cirrhotic.

Refer to item 13 above (pan-genotypic, treatment naïve and cirrhotic regimens).
24

Patient:

(a)    with:

   (i)   Genotype 5; or

   (ii)  Genotype 6; and

(b)    who is treatment experienced; and

(c)    who is cirrhotic.

Refer to item 14 above (pan-genotypic, treatment experienced and cirrhotic regimens).
  1. Schedule 5, entry for Salbutamol in the form Nebuliser solution 5 mg (as sulfate) in 2.5 mL single dose units, 30 [GRP-21361]

omit from the column headed “Brand”: APO-Salbutamol

  1. Schedule 5, entry for Tenecteplase in the form Powder for injection 50 mg with solvent (s19A)

insert in alphabetical order in the column headed “Brand”: TNKase (Canada) Medsurge Healthcare Pty Ltd

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