National Health (Pharmaceutical Benefits) Regulations (Cth)
REGULATIONS UNDER THE NATIONAL HEALTH ACT 1953.*
Dated this twelfth
day of May
Deputy of the Governor-General.
By His Excellency’s Command,
Minister of State for Health.
National Health (Pharmaceutical Benefits) Regulations.
“authorized form” means a form authorized by the Director-General;
“authorized prescription form” means a paper, not less than five or more than six inches in length and not less than three or more than four inches in breadth, on which appear the name and address of a medical practitioner and at the top of which are written the letters “N.H.S.” and, in the case of a prescription written for a pensioner pharmaceutical benefit, the words “Pensioner Benefit”;
“entitlement card” means an entitlement card issued by the Commonwealth to a pensioner for the purposes of Part IV. and Part VII. of the Act;
“pensioner pharmaceutical benefit” means a pensioner pharmaceutical benefit under paragraph (
b ) of sub-section (1.) of section 85 of the Act as affected by regulations 9, 10 and 11 of these Regulations;“pension number”, in relation to a pensioner, means his pension number appearing on his entitlement card;
“the Act” means the
National Health Act 1953;
* Notified
in the
1441.—Price 10/5.5.1954.
“the Australian Pharmaceutical Formulary” means the latest edition for the time being of the hook called the Australian and New Zealand Pharmaceutical Formulary published by the Australian and New Zealand Pharmaceutical Association, or, if that edition has been added to or amended, that edition as affected by those additions or amendments;
“the British Pharmaceutical Codex” means the latest edition for the time being of the book called the British Pharmaceutical Codex published by direction of the Council of the Pharmaceutical Society of Great Britain, or, if that edition has been added to or amended, that edition as affected by those additions or amendments;
“the British Pharmacopoeia (1948)” means the edition of the book called the British Pharmacopoeia published under the direction of the General Medical Council of the United Kingdom in the year 1948 as affected by the additions or amendments contained in the 1951 Addendum to that book;
“the United States Pharmacopoeia” means the latest edition for the time being of the book called the Pharmacopoeia of the United States of America prepared by the Committee of Revision and published by authority of the United States Pharmacopoeia Convention, or, if that edition has been added to or amended, that edition as affected by those additions or amendments;
“trading hours”, in relation to an approved pharmaceutical chemist, means his trading hours established by or under the law of the State or Territory in which his premises are situated.
(2.) For the purposes of these Regulations—
(
a ) the abbreviations appearing in the columns headed “Strength” and “Form of Unit” in the First and Second Schedules have the following meanings:—
“amp.” means ampoule;
“cc.” means cubic centimetres;
“fl. oz.” means fluid ounces of 480 minims;
“G.” means grammes;
“γ” means microgrammes;
“gr.” means grains;
“hypo, tab.” means hypodermic tablet;
“I.M.” means intramuscular;
“I.U.” means international units determined in the year 1950 by the Expert Committee on Biological Standardisation of the World Health Organisation;
“I.V.” means intravenous;
“mg.” means milligrammes;
“M.” means millions of organisms;
“mil.” means millilitres;
“min.” means minims;
“U.” means units;
“U.S.P.” means the United States Pharmacopoeia; and
(
b )the letters appearing in the column headed “Brand” in the First and Second Schedules denote the manufacturer whose name is specified in relation to those letters in the following table:—
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(3.) In these Regulations, unless the contrary intention appears, a reference to prescribing or to the writing of a prescription shall be read as a reference to the writing of a prescription for the supply of a pharmaceutical benefit under Part VII. of the Act.
(4.) A disease or purpose specified in the column headed “Disease or Purpose” in the Second Schedule applies in relation to each form of the drug or medicinal preparation in relation to which that disease or purpose is specified.
(5.) Unless the contrary intention appears, weights and measures howsoever represented or expressed in these Regulations shall be deemed to relate to the table of weights and measures known as the “Apothecaries’ Table of Weights and Measures” that appears in the twelfth revision of the United States Pharmacopoeia.
(6.) In these Regulations, a reference to a Schedule by number shall be read as a reference to the Schedule to these Regulations so numbered, and a reference to a Form by letter shall be read as a reference to the Form so lettered in the Sixth Schedule.
(7.) Strict compliance with the Forms contained in the Sixth Schedule is not necessary and substantial compliance is sufficient.
(2.) A power or function so delegated may be exercised or performed by the delegate with respect to the matter or class of matters, or with respect to the State or part of the Commonwealth, specified in the instrument of delegation.
(3.) A delegation under this regulation is revocable at will and does not prevent the exercise of a power or the performance of a function by the Director-General.
is on and in accordance with Form A, Form B or Form C, whichever is appropriate, or in such form as the Director-General specially permits.
(2.) The last preceding sub-regulation does not apply to or in relation to a friendly society dispensary the approval of which is limited in accordance with sub-section (3.) of section 91 of the Act.
Penalty: Ten pounds.
(
a )shall, if the Director-General so requests, deliver up to the Director-General all documents and forms supplied to him by the Commonwealth with respect to the provision of pharmaceutical benefits other than documents or forms that he has parted with in accordance with Part VII. of the Act and these Regulations or the Regulations repealed by that Part; and(b) shall not display a sign indicating that he has been, or is, approved to supply pharmaceutical benefits.
Penalty: Fifty pounds.
(2.) Except as provided by the next succeeding sub-regulation, the general pharmaceutical benefits specified in the Second Schedule may be prescribed by a medical practitioner for the purposes of Part VII. of the Act only for the treatment of a disease or for a purpose specified in that Schedule in relation to the general pharmaceutical benefit.
(3.) A medical practitioner may, in respect of a pensioner, prescribe the following drugs for the treatment of any disease from which the pensioner is suffering:—
Quinine Bisulphate.
Quinine Dihydrochloride.
Quinine Hydrochloride.
Quinine Sulphate.
(4.) Water for Injection as prescribed in the First Schedule is not a general pharmaceutical benefit unless it is prescribed for supply in conjunction with and for administration with—
(
a )Injection of Penicillin as prescribed as a general pharmaceutical benefit;(b) Injection of Procaine Penicillin (Crystalline) as prescribed as a general pharmaceutical benefit;
(
c ) Dihydrostreptomycin as prescribed as a general pharmaceutical benefit;(
d ) Streptomycin as prescribed as a general pharmaceutical benefit; or(
e ) another drug or medicinal preparation that is prescribed as a general pharmaceutical benefit in the form of a hypodermic tablet.
(
a ) drugs and medicinal preparations that are medicinal gases;(
b ) drugs and medicinal preparations containing diamorphine hydrochloride;(
c ) drugs and medicinal preparations that are prescribed as general pharmaceutical benefits by the last preceding regulation.
(2.) A drug or medicinal preparation specified in the following list is not a pensioner pharmaceutical benefit unless it is an ingredient in, a medicinal compound that contains another drug or medicinal preparation that is a pensioner pharmaceutical benefit:—
Aether Anaestheticus.
Aether Vinylicus.
Aethylis Chloridum.
Alcohol.
Alcohol Tribromoethylicum.
Amyleni Hydras.
Bromethol.
Chloroformum.
Cyclopropanum.
Spiritus Methylatus Industrialis.
Thiopentonum Sodium.
Trichloroaethvlenum.
(
a ) is in the form of a cachet, capsule, cream, eye ointment, extract, glycerine, injection, linament, liquor, mixture, ointment, pill, suppository, syrup or tablet indicated in that Schedule in the name or formula of that drug or medicinal preparation; or(
b ) is an ingredient in a medicinal compound that contains another drug or medicinal preparation that is a pensioner pharmaceutical benefit.
(2.) The maximum quantity or number of units of a pensioner pharmaceutical benefit that may be prescribed for supply at any one time is, in respect of a form specified in the Fourth Schedule, such quantity or number of units as is specified in relation to that form in that Schedule.
(2.) Where more than one form of a unit is specified in the Fifth Schedule, the maximum quantity or number of units of each of the forms so specified may be obtained by a medical practitioner under this regulation.
(3.) Where in the First Schedule more than one strength is specified in relation to a form of a drug or medicinal preparation that is specified in the Fifth Schedule, a medical practitioner may, for the purpose of section 93 of the Act, obtain that form of the drug or medicinal preparation in all or any of those strengths if the quantity or number of units of each strength obtained by the medical practitioner is the quantity or number of units contained in a standard package.
(4.) The last preceding sub-regulation does not entitle a medical practitioner to obtain a total quantity or number of units of more than one strength of a particular form of a drug or medicinal preparation that exceeds the maximum quantity or number of units specified in relation to that form in the Fifth Schedule.
(5.) In this regulation “standard package” means a package containing such quantity or number of units as the Director-General determines in relation to a specified product of a specified manufacturer.
(2.) A medical practitioner is not entitled to obtain a pharmaceutical benefit for the purpose of section 93 of the Act more often than once in any one month.
(3.) Where a medical practitioner has obtained a pharmaceutical benefit in accordance with this regulation, he is not entitled to obtain any further supply of that pharmaceutical benefit while he has in his possession a quantity or number of units of that pharmaceutical benefit equal to or greater than the maximum quantity or number of units allowable under regulation 13 of these Regulations.
Penalty: Twenty pounds.
Penalty: Fifty pounds.
(
a ) writes the prescription in his own handwriting, unless the Director-General otherwise allows, on an authorized prescription form;(
b ) writes the prescription in duplicate and marks that duplicate with the word “Duplicate”;(
c ) dates and signs the prescription;(
d ) states the name and address of the person for whom the pharmaceutical benefit is to be supplied;(
e ) where the prescription is for the supply of a general pharmaceutical benefit—identifies that benefit by its name as specified in the First or the Second Schedule or by the trade name of a manufacturer an abbreviation of whose name appears in the column headed “Brand” in that Schedule;(
f ) where the prescription is for the supply of a pensioner pharmaceutical benefit—(i) states the pension number of the pensioner to whom the pensioner pharmaceutical benefit is to be supplied; and
(ii) if the benefit to be supplied consists of a single drug, indicates the mode in which the benefit is to be used; and
(
g ) where the prescription is for the supply of a general pharmaceutical benefit specified in the Second Schedule—endorses the prescription in his own handwriting with the words “Restricted Drug”.
(2.) A prescription is not duly written if the prescription—
(
a )prescribes a general pharmaceutical benefit and a pensioner pharmaceutical benefit;(
b ) includes two prescriptions for the same pharmaceutical benefit;(
c ) prescribes pharmaceutical benefits for more than one person;(
d ) prescribes more than two general pharmaceutical benefits or more than two pensioner pharmaceutical benefits;(
e ) prescribes a pensioner pharmaceutical benefit by reference to a brand or in any other manner that indicates a brand; or(
f ) prescribes for the supply to a person of a pharmaceutical benefit for the supply of which to the same person another prescription has been written by the same medical practitioner on the same day.
(3.) For the
purposes of paragraph (
Oily Injection of Aurothioglucose.
Injection of Calcium Aurothiomalate.
Pertussis Vaccine (Phase 1).
Aqueous Injection of Sodium Aurothiomalate.
Oily Injection of Sodium Aurothiomalate.
(4.) A prescription for Cortisone Acetate shall be deemed not to be duly written—
(
a ) unless the medical practitioner who writes the prescription has applied to the Director-General in accordance with Form E for authority to write such a prescription and that authority has been given on a form issued and numbered by the Director-General; or(b) if he writes another prescription on the same authorized prescription form as that on which he prescribes Cortisone Acetate.
(
a ) in the case of a general pharmaceutical benefit—the number specified in the First or the Second Schedule in relation to that benefit; or(
b ) in the case of a pensioner pharmaceutical benefit—such number as is determined by the Director-General in respect of the pensioner pharmaceutical benefit in the form specified in the prescription.
(2.) The last preceding sub-regulation does not entitle a medical practitioner to direct a repeat unless—
(
a )in the case of a general pharmaceutical benefit—the quantity or number of units that he directs to be supplied on the first occasion is the maximum quantity or number of units specified in relation to that benefit in the First or the Second Schedule; or(
b ) in the case of a pensioner pharmaceutical benefit in respect of which a maximum quantity or number of units is specified in the Fourth Schedule—the quantity or number of units that he directs to be supplied on the first occasion is that maximum.
(2.) In this regulation, “dangerous drug” means a drug or medicinal preparation in respect of which the law of the State or Territory in which the prescription is written provides that a pharmaceutical chemist who dispenses that drug or medicinal preparation or who dispenses it on the last of a number of occasions of supply indicated in a prescription for its supply, shall take possession of the prescription and cancel it or deliver it to the authority administering that law.
(
a )subject to the next succeeding regulation, the prescription for its supply is surrendered to him;(
b ) the prescription for its supply is duly written in accordance with these Regulations and is accompanied by a duplicate of the prescription on an authorized prescription form;(
c ) where the prescription is for the supply of a pensioner pharmaceutical benefit—the entitlement card issued to the pensioner to whom the pensioner pharmaceutical benefit is to be supplied is produced; and(
d ) the prescription for its supply is dated within six months before the date of its presentation.
(2.) An approved pharmaceutical chemist, an approved hospital authority or an approved medical practitioner is not authorized to supply Cortisone Acetate as a pharmaceutical benefit unless the prescription for its supply is accompanied by a numbered authority given under sub-regulation (4.) of regulation 19 of these Regulations.
(2.) A medical practitioner who has communicated a prescription in the manner referred to in the last preceding sub-regulation shall reduce the communicated prescription to writing in accordance with regulation 19 of these Regulations and within twenty-four hours of the communication despatch the prescription so written to the approved pharmaceutical chemist or approved hospital authority who supplied the pharmaceutical benefit.
Penalty: Ten pounds.
(3.) This regulation does not apply to the following pharmaceutical benefits:—
Cortisone Acetate.
A pharmaceutical benefit that is a drug or medicinal preparation the prescription for which is required to be in writing by or under a law of the State or Territory of the Commonwealth in which the premises of the approved pharmaceutical chemist or approved hospital authority are situated.
(4.) In this regulation, “approved hospital authority” means a proprietor of a private hospital who is an approved hospital authority.
(
a ) he writes on the back of the authorized prescription form and on the back of the duplicate his name and the number of his approval (if any) under the Act;(
b ) if two pharmaceutical benefits have been prescribed on the authorized prescription form—he marks on that form and on the duplicate the first-written pharmaceutical benefit with the letter “A” and the other pharmaceutical benefit with the letter “B” and initials that marking; and(
c ) in the case of an approved pharmaceutical chemist—he allots a serial number to the prescription and writes that serial number on the authorized prescription form and on the duplicate.
(2.) Where a prescription directs that a pharmaceutical benefit is to be supplied more than once, that benefit shall not be supplied (whether by the same supplier or by different suppliers) more than once on the same day.
Penalty: Ten pounds.
(
a ) a prescription that contains a direction to supply that benefit more than once; or(
b ) a repeat authorization issued in accordance with this regulation,
shall, unless no further supply of the pharmaceutical benefit (after the supply that he is making) is authorized—
(
c ) issue, to the person presenting the prescription or repeat authorization, a repeat authorization, on and in accordance with an authorized form, in respect of each benefit the further supply of which is authorized;(
d ) write the repeat authorization in duplicate and mark that duplicate with the word “Duplicate”;(
e ) attach the repeat authorization to the duplicate of the prescription;(
f ) in the case of the supply of a pharmaceutical benefit on the first occasion—mark on the repeat authorization the number of his approval under the Act and the serial number allotted by him to the prescription; or(
g ) in the case of the supply of a pharmaceutical benefit on a subsequent occasion—mark on the repeat authorization that he issues the numbers marked, in pursuance of the last preceding sub-paragraph, on the repeat authorization presented to him.
(2.) A pharmaceutical benefit shall not be supplied upon surrender of the duplicate of a prescription unless—
(
a ) there is attached to that duplicate a repeat authorization—
(i) duly related to the duplicate prescription by a number or numbers;
(ii) where the prescription refers to two pharmaceutical benefits—referring to the first-written pharmaceutical benefit by the letter “A” and the second-written pharmaceutical benefit by the letter “B”; and
(iii) indicating that the pharmaceutical benefit to be supplied has not been supplied for the number of times directed in the prescription; and
(
b )the person obtaining the pharmaceutical benefit surrenders the repeat authorization to the person supplying the pharmaceutical benefit.
(3.) An approved pharmaceutical chemist who supplies a benefit on presentation of a repeat authorization shall write his name on the back of the repeat authorization.
Penalty: Ten pounds.
Penalty: Fifty pounds.
authorization form, as the case may be, his address and a statement that he is obtaining the benefit for and on behalf of the person for whose treatment the prescription was written.
(2.) An approved pharmaceutical chemist or an approved medical practitioner shall not demand a receipt for the supply of a pharmaceutical benefit to a person unless the approved pharmaceutical chemist or approved medical practitioner has supplied that pharmaceutical benefit to that person.
(3.) Where a pharmaceutical benefit is supplied by an approved pharmaceutical chemist or an approved medical practitioner through the post or by rail or other means of transport and it is impracticable for him to obtain a receipt in accordance with the preceding provisions of this regulation, the approved pharmaceutical chemist or approved medical practitioner shall certify on the back of the authorized prescription form or repeat authorization form that he has supplied the pharmaceutical benefit, stating the date on which the supply was made and also particulars of the means by which the pharmaceutical benefit was supplied.
Penalty: Twenty pounds.
(2.) Subject to the next succeeding regulation, a person is entitled on demand to be supplied with a pharmaceutical benefit from an approved pharmaceutical chemist only during trading hours.
(2.) Subject to the next succeeding sub-regulation, where a prescription referred to in the last preceding sub-regulation is so presented, the approved pharmaceutical chemist shall, as soon as practicable, supply the pharmaceutical benefit.
Penalty: Ten pounds.
(3.) An approved pharmaceutical chemist may refuse to supply a pharmaceutical benefit outside trading hours unless a special charge is paid in accordance with the next succeeding regulation.
(2.) Where two or more prescriptions are presented to an approved pharmaceutical chemist at the same time, being outside trading hours, for the supply of pharmaceutical benefits to the same person, the approved pharmaceutical chemist is entitled to make one special charge only.
practitioner carries on his practice or the hospital in respect of which an approved hospital authority is approved, as the case may he, the pharmaceutical chemist, medical practitioner or hospital authority is entitled to make a special charge equal to the cost of delivery and to refuse to deliver the pharmaceutical benefit unless the special charge is paid by or on behalf of the person to whom the pharmaceutical benefit is to he supplied.
(
a )in the case of prescriptions that do not bear instructions to supply pharmaceutical benefits more than once—the duplicates of those prescriptions;(
b ) in the case of prescriptions that bear instructions to supply pharmaceutical benefits more than once—the duplicates of repeat authorizations issued in accordance with regulation 28 of these Regulations;(
c ) where the pharmaceutical benefits are supplied on the last occasion on which supply is authorized—the duplicates of the prescriptions in respect of which repeat authorizations were issued; and(
d ) the duplicates of order forms lodged under regulation 15 of these Regulations.
Penalty: Fifty pounds.
Penalty: Ten pounds.
(2.) A drug or medicinal preparation that is a general pharmaceutical benefit specified in the First or the Second Schedule shall conform to such standards of composition and purity as are specified in relation to that drug or medicinal preparation in the British Pharmacopoeia, the British Pharmaceutical Codex or the Australian Pharmaceutical Formulary, as the case may be.
(3.) A drug or
medicinal preparation that is a pensioner pharmaceutical benefit referred to in
sub-paragraph (i) of paragraph (
of composition and purity constituted by the statements in the monograph in the British Pharmacopoeia relating to that drug or medicinal preparation.
(4.) A drug or medicinal preparation that is a pensioner pharmaceutical benefit specified in the Third Schedule shall—
(
a ) where the letters “A.P.F.” appear after the name or formula of the drug or medicinal preparation—conform to the standards of composition and purity constituted by the description of that drug or medicinal preparation in the Australian Pharmaceutical Formulary;(
b ) where the letters “B.P.C.” appear after the name or formula of the drug or medicinal preparation—conform to the standards of composition and purity constituted by the statements in the monograph relating to that drug or medicinal preparation in the British Pharmaceutical Codex; and(
c ) where no letters appear after the name or formula of the drug or medicinal preparation—conform to the standards of composition and purity constituted by the statements in the monograph relating to that drug or medicinal preparation in the British Pharmacopoeia (1948).
(2.) A person upon whom a notice given in pursuance of the last preceding sub-regulation is served shall comply with that notice.
Penalty: Ten pounds.
FIRST SCHEDULE. Reg. 8.
Drugs and Medicinal Preparations that may be Prescribed for Supply, Supplied and Received as General Pharmaceutical Benefits.
Item Number. | Name or Formula | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
1 | Acetarsol Soluble, Injection of | .................................................. | 2 cc. amp................................... | MB ........................................... | 10 | 1 |
.................................................. | 3 cc. amp................................... | MB ........................................... . | 10 | 1 | ||
2 | Adrenalin Hydrochloride, | 1 in 1,000 .................................. | 0.5 cc. amp................................ | DH, PD ..................................... | 6 | 1 |
Solution of | 1 in 1,000 .................................. | 1 cc. amp................................... | DH, KL, PD .............................. | 6 | 1 | |
1 in 1,000 .................................. | 10 cc. vial.................................. | FA, PD ..................................... | 1 | 1 | ||
1 in 1,000 .................................. | 1 fl. oz. bottle ........................... | DH, RT ..................................... | 1 | .. | ||
1 in 1,000................................... | 1 fl. oz. vial .............................. | DH, FA, KL, PD, RT ................. | 1 | .. | ||
1 in 100 ..................................... | 6 cc. vial ................................... | PD ............................................ | 1 | 1 | ||
1 in 100 ..................................... | 10 cc. vial ................................. | DH, FA..................................... ................................................. | 1 | |||
3 | Adrenalin in Oil, Injection of | 2 mg. per cc................................ | 1 cc. amp................................... | AH, DH, PD ............................. | 6 | 1 |
4 | Adrenalin Tartrate, Solution of | 1 in 1,000 .................................. | 1 cc, amp................................... | AH, BL, BW, DH | 6 | 1 |
1 in 1,000 .................................. | 10 cc. amp................................. | BW ........................................... | 1 | 1 | ||
1 in 1,000 .................................. | 25 cc. bottle .............................. | BW ........................................... . | 1 | .. | ||
1 in 1,000 .................................. | 30 cc. vial ................................. | BT ............................................ | 1 | .. | ||
1 in 1,000 .................................. | 1 fl. oz. bottle ........................... . | AH ........................................... | 1 | .. | ||
1 in 100 ..................................... | 7 cc. vial ................................... | BW ........................................... | 1 | 1 | ||
5 | Aloxidone .................................. | 0.3 G.......................................... | capsule ..................................... | BS ............................................ . | 100 | 1 |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
6 | Amidone ................................... | 5 mg. per cc................................ | 2 cc. amp................................... | BA ........................................... | 6 | .. |
5 mg. per cc................................ | 10 cc. vial .................................. | BA ........................................... | 1 | .. | ||
10 mg. per cc.............................. | 1 cc. amp................................... | BW, CM .................................. | 6 | .. | ||
10 mg. per cc.............................. | 10 cc. vial .................................. | CM .......................................... | 1 | .. | ||
10 mg. per cc.............................. | 20 cc. vial .................................. | BA ........................................... | 1 | .. | ||
2.5 mg........................................ | tablet ......................................... | BA ........................................... | 25 | .. | ||
5 mg........................................... | tablet ......................................... | BA, BW, CM, ST ..................... | 25 | .. | ||
7.5 mg........................................ | tablet ......................................... | BA ........................................... | 25 | .. | ||
10 mg......................................... | tablet ......................................... | BA ........................................... | 25 | .. | ||
7 | Amyl Nitrite ........................... | 2 min.......................................... | capsule ...................................... | DH ........................................... | 12 | 1 |
3 min.......................................... | capsule ...................................... .................................................. | AH, DH ................................... | 12 | 1 | ||
4 min.......................................... | capsule ...................................... | AH, DH ................................... | 12 | 1 | ||
5 min.......................................... | capsule ...................................... .................................................. | AH, DH ................................... | 12 | 1 | ||
8 | Anahaemin .............................. | .................................................. | 2 cc. amp................................... | BD ........................................... | 12 | 1 |
9 | Anahepol ................................. | .................................................. | 2 cc. amp................................... | AH ........................................... | 12 | 1 |
10 | Antazoline, Injection of ........ | 0.1 G. per 2 cc............................ | 2 cc. amp. .................................. | BT, CB ..................................... | 10 | .. |
11 | Atropine Sulphate .................. | 1/150 gr. per cc........................... | 1 cc. amp. .................................. | AH, BL, DH, KL....................... | 6 | 1 |
1/100 gr. per cc........................... | 1 cc. amp................................... | AH, BL, BT, DH, KL................ | 6 | 1 | ||
1/100 gr. per cc........................... | 10 cc. vial .................................. | FA ........................................... | 1 | .. | ||
1/50 gr. per cc............................. | 1 cc. amp................................... | BL, DH, KL ............................. | 6 | 1 | ||
1/200 gr ..................................... | hypo. tab. .................................. | BW, HY, PD ............................ | 20 | 1 | ||
1/150 gr ..................................... | hypo. tab.................................... | BT, BW, DH, FA, HY, PD......... | 20 | 1 | ||
1/100 gr ..................................... | hypo. tab.................................... | BT, BW, DH, FA, HY, PD......... | 20 | 1 |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
12 | Aurothiglucose, Oily | 0.01 G. ..................................... | amp................................................. | SC ........................................... | 1 | 3 |
Injection of | 0.025 G.................................... | amp................................................. | SC ........................................... | 1 | 3 | |
0.05 G. ..................................... | amp. ................................................. | SC ........................................... | 6 | .. | ||
0.1 G. ....................................... | amp. ................................................. | SC ........................................... | 6 | .. | ||
0.01 G. per cc. .......................... | 10 cc. vial ................................................. | SC ........................................... | 1 | .. | ||
0.1 G. per cc. ............................ | 10 cc. vial ................................................. | SC ........................................... | 1 | .. | ||
13 | Benzhexol Hydrochloride | 2 mg. ........................................ | tablet ................................................. | LE, ST ..................................... | 100 | 1 |
5 mg. ........................................ | tablet ................................................. | LE ........................................... | 100 | 1 | ||
14 | Bismuth, Aqueous Injection of | ................................................. | 5 cc. amp................................................. | BT ........................................... | 2 | .. |
................................................ | 10 cc. amp. ................................................. | BT ........................................... | 1 | .. | ||
................................................. | 25 cc. bottle ................................................. | BW, MB................................... | 1 | .. | ||
................................................ | 1 fl. oz. bottle .................................................. | BT ........................................... | 1 | .. | ||
15 | Bismuth Oxychloride, Aqueous | ................................................ | 1 cc. amp................................................. | BD, BT .................................... | 12 | .. |
Injection of | ................................................ | 2 cc. amp. ................................................. | BD ........................................... | 12 | .. | |
................................................ | 3 cc. amp.................................................. | BD ........................................... | 12 | .. | ||
................................................ | 25 cc. bottle ................................................. | BW .......................................... | 1 | .. | ||
................................................ | 30 cc. bottle ................................................. | BD, EV .................................... | 1 | .. | ||
16 | Bismuth Oxychloride, Oily | ................................................. | 2 cc. amp. ................................................. | DH ........................................... | 12 | .. |
Injection of | ................................................ | 3 cc. amp. ................................................. | DH ........................................... | 12 | .. | |
17 | Bismuth Salicylate, Oily | ................................................. | 1 cc. amp. ................................................. | AH, DH, KL ............................. | 12 | .. |
Injection of | ................................................. | 10 cc. amp. ................................................. | DH, KL .................................... | 6 | .. | |
................................................ | 25 cc. bottle | EV, KL .................................... | 1 | .. | ||
................................................. | 50 cc. bottle | MB .......................................... | 1 | .. | ||
................................................. | 60 cc. bottle ................................................. | DH, KL .................................... | 1 | .. | ||
................................................ | 2 fl. oz. bottle ................................................. | PD ........................................... | 1 | .. |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
18 | Calcium Aurothiomalate, | 10 mg........................................ | amp. ......................................... | CK ........................................... | 1 | 3 |
Injection of | 25 mg........................................ | amp. ......................................... | CK ........................................... | 1 | 3 | |
50 mg........................................ | amp.......................................... | CK ........................................... | 6 | .. | ||
100 mg...................................... | amp.......................................... | CK ........................................... | 6 | .. | ||
19 | Calf Lymph.................................. | ................................................. | capillary tube ............................ | CS ............................................ | 1 | .. |
20 | Camoquin Hydrochloride......... | 0.2 G. ....................................... | tablet ........................................ | PD ............................................ | 25 | .. |
21 | Campolon.................................... | ................................................. | 2 cc. amp.................................. | BA ........................................... | 5 | 1 |
................................................ | 5 cc. amp.................................. | BA ........................................... | 6 | 1 | ||
................................................ | 10 cc. vial ................................. | BA ........................................... | 1 | 1 | ||
22 | Campolon Forte.......................... | ................................................ | 1 cc. amp.................................. | BA ........................................... | 6 | 1 |
................................................ | 5 cc. vial ................................... | BA ........................................... | 1 | 1 | ||
................................................ | 10 cc. vial ................................. | BA ........................................... | 1 | 1 | ||
23 | Carbachol................................... | 0.25 mg. per cc.......................... | 1 cc. amp.................................. | AH, SY .................................... | 6 | .. |
2 mg. ........................................ | tablet ........................................ | BD, HY, MB, SY ...................... | 25 | 3 | ||
24 | Carbarsone................................. | 0.25 G. ..................................... | capsule ..................................... | LY ........................................... | 20 | 1 |
0.25 G. ..................................... | tablet ........................................ | BW, HY, MB ............................ | 20 | 1 | ||
25 | Casydrol..................................... | 2½% .. ...................................... | 500 cc. bottle ............................ | FC ............................................ | 1 | .. |
5% ........................................... . | 500 cc. bottle ............................ | FC ............................................ | 1 | .. | ||
26 | Chiniofon..................................... | 0.25 G....................................... | pill ........................................... | BA ........................................... | 25 | 1 |
0.25 G. ..................................... | tablet ........................................ | HY, IC ..................................... | 25 | 1 | ||
0.5 G .. ..................................... | tablet ........................................ | IC ............................................. | 25 | 1 | ||
27 | Chloroquine................................ | 0.2 G .. ..................................... | tablet ........................................ | MB .......................................... | 100 | 1 |
250 mg...................................... | tablet ........................................ | AN, BA .................................... | 100 | 1 |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
28 | Cholera Vaccine ..................... | 4,000 M. per cc......................... | 1 cc. amp.................................. | CS ................................................ | 3 | .. |
4,000 M. per cc. ........................ | 10 cc. vial ................................. | CS ................................................ | 1 | .. | ||
8,000 M. per cc. ........................ | 1 cc. amp. ................................. | CS ................................................ | 2 | .. | ||
8,000 M. per cc. ........................ | 10 cc. vial ................................. | CS ................................................ | 1 | .. | ||
29 | Dapsone ................................... | 50 mg. ...................................... | tablet ........................................ | AN ................................................ | 100 | .. |
100 mg. .................................... | tablet ........................................ | IC ................................................ | 100 | .. | ||
30 | Darrow’s Solution .................. | ................................................ | 1 litre bottle .............................. | DH ................................................ | 2 | 1 |
31 | Dextrose, Aqueous Injection of | 5% ........................................... | 1 litre bottle .............................. | DH ................................................ | 6 | 1 |
10% ......................................... | 1 litre bottle .............................. | DH ................................................ | 2 | 1 | ||
20% ......................................... | 1 litre bottle .............................. | DH ................................................ | 2 | 1 | ||
25% ......................................... | 1 litre bottle .............................. | DH ................................................ | 2 | 1 | ||
50% ......................................... | 25 cc. amp................................ | DH ................................................ | 6 | 1 | ||
50% ......................................... | 50 cc. amp................................ | DH, PD ................................................ | 6 | 1 | ||
32 | Dextrose in 1/5 Normal Saline for Injection | 4% ........................................... | 1 litre bottle .............................. | DH ................................................ | 6 | 1 |
33 | Dextrose in Ringer’s Solution | 5% ........................................... | 1 litre bottle .............................. | DH ................................................ | 6 | 1 |
for Injection | 10% ......................................... | 1 litre bottle .............................. | DH ................................................ | 3 | 1 | |
34 | Diasone .................................... | 0.33 G. ..................................... | tablet ........................................ | PD ................................................ | 200 | 1 |
35 | Dicoumarol .............................. | 100 mg. .................................... | amp. ......................................... | OR ................................................. | 3 | |
50 mg........................................ | capsule .. .................................. | AB, LY ................................................ | 50 | 1 | ||
100 mg. .................................... | capsule .. .................................. | AB, LY ................................................ | 50 | 1 | ||
50 mg. ...................................... | tablet ........................................ | OR ................................................ | 50 | 1 |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
36 | Diethazine Hydrochloride | 0.05 G....................................... | tablet ........................................ | MB .......................................... | 100 | 1 |
0.25 G....................................... | tablet ........................................ | MB .......................................... | 100 | 1 | ||
37 | Diethylcarbamazine | 50 mg........................................ | tablet ........................................ | BD, BW, LB ............................. | 20 | 1 |
38 | Digifortis | 1/2 gr ........................................ | tablet ........................................ | PD ............................................ | 50 | 1 |
1 gr. ......................................... | tablet ........................................ | PD ............................................ | 50 | 1 | ||
39 | Digitalis ................................. | 1/2 gr ........................................ | tablet ........................................ | BW, DH, FA, HY, RT, SI........... | 100 | 1 |
1 gr. ......................................... | tablet ........................................ | BW, DH, FA, HY, RT, SI........... | 100 | 1 | ||
40 | Digitoxin ................................ | 1/100 gr.................................... | hypo. tab. ................................. | BW .......................................... | 20 | 1 |
0.1 mg. ..................................... | tablet ........................................ | BW, CM, KL, NA, SI, ST, WY... | 100 | 1 | ||
0.2 mg....................................... | tablet ........................................ . | CM, LY, ST, WY .. ................... | 100 | 1 | ||
0.25 mg..................................... | tablet ........................................ | KL ........................................... | 100 | 1 | ||
41 | Digoxin ................................... .. | 0.5 mg. per cc. .......................... | 1 cc. amp. ................................. | BW .......................................... | 12 | 1 |
0.5 mg. per cc. .......................... | 30 cc. bottle .............................. | BW .......................................... | 1 | 1 | ||
0.25 mg..................................... | tablet ........................................ | BW .......................................... | 100 | 1 | ||
42 | Dihydroergotamine, injection of | 1 mg. per cc............................... | 1 cc. amp. ................................. | SZ .. ................................................. .. | 6 | .. |
43 | Dihydromorphinone ............. | ................................................ | 1.1 cc. amp. .............................. | KN ........................................... | 4 | .. |
1/32 gr...................................... | hypo. tab. ................................. . | KN ........................................... | 20 | .. | ||
1/20 gr ...................................... | hypo. tab. ................................. | KN ........................................... | 20 | .. | ||
1/25 gr ...................................... | tablet ........................................ | KN ........................................... | 20 | .. |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
44 | Diiodohydroxyquinoline .. | 0.21 G....................................... | tablet ........................................ | SY ................................................. | 100 | 1 |
0.3 G. ....................................... | tablet ........................................ | MB ................................................. | 100 | 1 | ||
45 | Dimercaprol, Injection of .. | ................................................ | 2 cc. amp.................................. | BT ................................................. | 12 | .. |
46 | Diphenhydramine Hydro-chloride, Injection of | 10 mg. per cc. ........................... | 10 cc. vial ................................. | PD ................................................. | 1 | 1 |
47 | Diphtheria and tetanus Toxoids | ................................................ | 1 cc. amp.................................. | CS ................................................. | 3 | .. |
Combined | ................................................. | 5 cc. amp.................................. | CS ................................................. | 1 | .. | |
48 | Diphtheria Antitoxin .. | 1,000 U. ................................... | amp. ......................................... | CS ................................................. | 2 | 1 |
2,000 U. ................................... | amp. ......................................... | BW, CS ................................................. | 2 | 1 | ||
4,000 U. ................................... | amp. ......................................... | BW, CS ................................................. | 2 | 1 | ||
6,000 U. ................................... | amp. .. ...................................... | CS ................................................. | 2 | 1 | ||
8,000 U..................................... | amp. ......................................... | BW, CS ................................................. | 2 | 1 | ||
10,000 U. ................................. | amp. ......................................... | BW, CS ................................................. | 2 | 1 | ||
20,000 U. ................................. | amp. ......................................... | BW, CS ................................................. | 2 | 1 | ||
49 | Diphtheria Pertussis Antigen | ................................................. | 1 cc. amp.................................. | CS, GL ................................................. | 3 | .. |
................................................. | 5 cc. amp.................................. | CS ................................................. | 1 | .. | ||
................................................. | 5 cc. vial ................................... | GL ................................................. | 1 | .. | ||
................................................. | 7.5 cc. vial ................................ | PD ................................................. | 1 | .. | ||
................................................. | 10 cc. vial ................................. | GL ................................................. | 1 | .. | ||
50 | Diphtheria, Pertussis and.. | ................................................. | 1 cc. amp. ................................. | BW, CS, GL ................................................. . | 3 | .. |
Tetanus Antigen | ................................................. | 5 cc. amp. ................................. | CS ................................................. | 1 | .. | |
................................................. | 7.5 cc. vial ................................ | PD, SD ................................................. | 1 | .. | ||
................................................. | 10 cc. vial ................................. | BW, GL ................................................. | 1 | .. |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
51 | Diphtheria Prophylactic (Formalinized Toxiod).................... | ................................................. | set containing 3 amps, each
| CS ................................................ | 1 | 1 |
................................................. | set containing 9 amps each
| CS ................................................ | 1 | .. | ||
52 | Diphtheria Prophylactic | ................................................. | 1 cc. amp.................................. | CS ................................................ | 2 | 1 |
| ................................................. | 5 cc. vial ................................... | CS, GL ................................................ | 1 | .. | |
................................................. | 10 cc. vial ................................. | PD ................................................ | 1 | .. | ||
................................................. | set containing 2 amps, each
| CS ................................................ | 1 | .. | ||
53 |
| ................................................. | 1 cc. amp.................................. | CS................................................ | 1 | .. |
54 | Emetine Hydrochloride ............ | 20 mg. per cc. ........................... | 1 cc. amp.................................. | DH, KL .................................................. | 12 | .. |
30 mg. per cc............................. | 1 cc. amp.................................. | BW, DH, KL ................................................ | 12 | .. | ||
65 mg. per cc. ........................... | 1 cc. amp.................................. | BW, DH, KL................................................ | 6 | .. | ||
1/2 gr. ....................................... | tablet ........................................ | BW ................................................ | 12 | .. | ||
55 | Emetine Bismuth Iodide .............. | 1 gr........................................... | tablet ........................................ | DH ................................................ | 25 | 1 |
2 gr. ......................................... | tablet ........................................ | DH ................................................ | 25 | 1 | ||
56 | Entero-vioform.......................... | 0.25 G. ..................................... | tablet ........................................ | CB ................................................ | 100 | 1 |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
57 | Ephedrine Hydrochloride .......... | 1/2 gr. per cc............................. | 1 cc. amp.................................. | AH, BD, BL, BW, DH, KL | 6 | 1 |
3/4 gr. per cc. ............................ | 1 cc. amp. ................................. | AH, BL, DH, KL ................................................. | 6 | 1 | ||
1/2 gr ........................................ | hypo. Tab.................................. | FA ................................................. | 20 | 1 | ||
1/4 gr........................................ | tablet ........................................ | AB, BW, DH, FA, HY, KL, RT, SI | 100 | 1 | ||
1/2 gr ........................................ | tablet ........................................ | AB, BT, BW, DH, FA, HY, KL, PD, RT, SI................................................. | 100 | 1 | ||
1 gr. ......................................... . | tablet ........................................ | BT, HY, KL ................................................. | 100 | 1 | ||
58 | Ephedrine Sulphate ..................... | 1/2 gr. per cc............................. | 1 cc. amp.................................. | AH ................................................. | 6 | 1 |
5% ........................................... | 1 cc. amp. ................................. | LY ................................................. | 6 | 1 | ||
3/8 gr ........................................ | capsule ..................................... | FA ................................................. | 40 | 1 | ||
3/4 gr ........................................ | capsule ..................................... | LY ................................................. | 40 | 1 | ||
1/2 gr ........................................ | hypo. Tab.................................. | LY ................................................. | 20 | 1 | ||
1/4 gr ........................................ | tablet ........................................ | HY, PD, RT ................................................. | 100 | 1 | ||
1/2 gr ........................................ | tablet ........................................ | FA, HY, PD, RT ................................................. . | 100 | 1 | ||
59 | Ergometrine Maleate.................. | 0.2 mg. per cc............................ .. | 1 cc. amp.................................. | LY ................................................. | 6 | .. |
0.5 mg. per cc. .......................... | 1 cc. I.M. amp........................... | AH, BD, BL, BW, FM ................................................. | 6 | .. | ||
0.125 mg. per cc. ...................... | 1 cc. I.V. amp............................ | BD, BW ................................................. | 6 | .. | ||
0.2 mg....................................... | tablet ........................................ | LY ................................................. | 25 | .. | ||
0.5 mg. ..................................... | tablet ........................................ | BD, BT, BW ................................................. | 25 | .. | ||
60 | Ergot (Prepared)............................ | ................................................ | 1 cc. amp.................................. .. | PD ................................................. | 6 | .. |
2½ gr......................................... | capsule ..................................... | OP ................................................. | 25 | 1 | ||
2½ gr. ....................................... | tablet ........................................ | DH ................................................. | 25 | 1 | ||
4 gr. ......................................... | tablet ........................................ | DH, HY ................................................. | 25 | 1 | ||
61 | Ergotamine Tartrate.................. | ................................................ | 0.5 cc. amp............................... | SZ ................................................. | 6 | .. |
................................................ | 1 cc. amp.................................. | SZ ................................................. | 6 | .. | ||
1 mg. ........................................ . | tablet ........................................ | SZ ................................................. | 15 | 1 |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
62 | Ergotoxine Ethanesulphonate | 0.5 mg....................................... | tablet ........................................ | BW .......................................... | 25 | .. |
63 | Ethopropazine Hydro chloride | 50 mg........................................ | tablet ........................................ | MB .......................................... | 100 | 1 |
64 | Ethyl Biscoumacetate .......... | 300 mg...................................... | tablet ........................................ | GE ........................................... | 100 | .. |
65 | Ethylidene Dicoumarin ........ | 100 mg...................................... | tablet ........................................ | NS ............................................ | 50 | 1 |
66 | Examen ................................... | ................................................ | 1 cc. amp.................................. | GL ........................................... | 12 | 1 |
................................................. | 5 cc. amp.................................. | GL ........................................... | 1 | 1 | ||
67 | Exatrope ................................ | ................................................. | 2 cc. amp. ................................. | GL ........................................... | 12 | 1 |
................................................. | 12 cc. amp................................ | GL ........................................... | 1 | 1 | ||
68 | Gas Gangrene Antitoxin (Oedematiens) | 10,000 U................................... | amp. ......................................... | CS ............................................ | 3 | 1 |
69 | Gas Gangrene Antitoxin | 4,000 U..................................... | amp. ......................................... | CS ............................................ | 3 | 1 |
| 10,000 U................................... | amp.......................................... | BW, CS .................................... | 10 | 1 | |
70 | Gas Gangrene Antitoxin | 3,000 U. perfringens.................. | ................................................. | |||
| 1,500 U. septique...................... | 1 amp. ...................................... | CS ............................................ | 2 | 1 | |
1,000 U. oedematiens................ | ||||||
7,500 U. perfringens.................. | ||||||
3,750 U. septique...................... | 1 amp. ...................................... | CS ............................................ | 2 | 1 | ||
2,500 U. oedematiens................ | ||||||
71 | Gas Gangrene Antitoxin (Septique) | 5,000 U..................................... | amp. ......................................... | CS ............................................ | 2 | 1 |
First Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. |
72 | Glyceryl Trinitrate................... | 1/100 gr .................................... | hypo. tab................................... | PD ................................................. | 50 | 1 |
1/200 gr .................................... | tablet ........................................ | DH, FA, HY, SI ................................................. | 50 | 1 | ||
1/150 gr .................................... | tablet ........................................ | HY ................................................. | 50 | 1 | ||
1/130 gr .................................... | tablet ........................................ | DH, SI ................................................. | 50 | 1 | ||
1/100 gr .................................... | tablet ........................................ | BW, DH, FA, HY, SI ................................................. | 50 | 1 | ||
1/65 gr...................................... | tablet ........................................ | DH, SI ................................................. .. | 50 | 1 | ||
1/50 gr ...................................... | tablet ........................................ | HY ................................................. | 50 | 1 | ||
73 | Hartmann’s Solution ........... | ................................................ | 1 litre bottle .............................. | DH ................................................. | 2 | 1 |
74 | Hartmann’s Solution with | 5% ........................................... | 1 litre bottle .............................. | DH ................................................. | 2 | 1 |
Dextrose | 10% ......................................... | 1 litre bottle .............................. | DH ................................................. | 2 | 1 | |
75 | Heparin, Injection of ............. | 1,000 U, per cc.......................... | 5 cc. vial ................................... | BD, BT, EV, RO ................................................. | 5 | .. |
1,000 U. per cc.......................... | 10 cc. vial ................................. | AB ................................................. | 1 | |||
5,000 U. per cc. ........................ | 5 cc. vial ................................... | BD, BT. EV, RO ................................................. | 1 | .. | ||
25,000 U. per cc........................ | 5 cc. vial ................................... | BT, EV ................................................. | 1 | .. | ||
76 | Heparin Retard, Injection of | 20,000 U. per 2 mil. .................. | 2 mil. amp................................. | BT ................................................. |
capsule ................................ | LE ............................ | 16 | .. |
| |||
100 mg...................... | vial................................ | LE ............................ | 6 | .. |
| ||
| |||||||
| |||||||
Psittacosis | |||||||
| |||||||
2 | Calcium Para-aminosalicylate | 1.5 G......................... | cachet ................................. | KL, WA .............................. | 200 | 1 | Tuberculosis |
2.0 G. ....................... | cachet ................................ | WA ............................ | 200 | 1 | |||
5 gr ........................... | tablet ................................ | WA ............................ | 200 | 1 | |||
7½ gr ........................ | tablet ................................ | KL, WA ............................. | 200 | 1 | |||
................................. | 100 G. tin ................................ | WA ............................ | 1 | 1 | |||
................................. | 400 G. tin ................................ | WA ............................ | 1 | 1 | |||
3 | Caramiphen Hydrochloride | 0.05 G....................... | tablet ................................ | GE ............................ | 100 | 1 | Parkinsonism |
4 | Chloramphenicol .................. | 0.125 G. ................... | capsule ................................ | PD ............................. | 12 | .. | Typhoid fever |
0.25 G....................... | capsule ................................ | PD............................ | 12 | .. | Brucellosis | ||
Typhus and other rickettsial diseases | |||||||
Influenzal meningitis | |||||||
Granuloma inguinale |
Second Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. | Disease or Purpose. |
4— | Chloramphenicol— | ||||||
Lymphogranuloma venereum | |||||||
Whooping cough (haemophilus pertussis) | |||||||
Infections due to haemophilus influenza | |||||||
| |||||||
Severe gastro-enteritis in children | |||||||
| |||||||
| |||||||
| |||||||
5 | Chloramphenicol Palmitate | 0.125 G. per 4 cc. | 60 cc. bottle | PD ................................... | 1 | .. |
|
6 | Cortisone Acetate ................ | 25 mg............................... | tablet ......................... | AN, BD, BT, DH, RL, SC | 40 | 1 | Acute rheumatic carditis Addison’s disease |
25 mg. per cc............................... | 20 cc. vial ......................... | DH, SO ................................... | 1 | .. | Total adrenalectomy | ||
50 mg. per cc............................... | 10 cc. vial ......................... | SC ................................... | 1 | .. | |||
7 | Deoxycortone Acetate, Aqueous Injection of | 5 mg............................... | amp......................... | CB, SC ................................... | 4 | .. | Addison’s disease |
50 mg............................... | amp......................... | CB, SC ................................... | 1 | .. |
Second Schedule—
Item Number | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. | Disease or Purpose. |
8 | Deoxycortone Acetate, | 25 mg........................ | amp........................... | CB .................................. | 1 | .. | Addison’s disease |
Aqueous Suspension of | 50 mg........................ | amp........................... | CB .................................. | 1 | .. | ||
9 | Deoxycortone Acetate, Oily | 2 mg. ......................... | amp........................... | OR .................................. | 4 | .. | Addison’s disease |
Injection of | 5 mg. ......................... | amp........................... | BD, CB, OR, SC .................................. | 4 | .. | ||
10 mg........................ | amp........................... | BD, CB, OR, SC .................................. | 4 | .. | |||
50 mg........................ | implant.......................... | BD, OR .................................. | 1 | .. | |||
100 mg................................... . | implant.......................... | BD, CB, OR, SC .................................. | 1 | .. | |||
5 mg. per cc............... | 5 cc. vial.......................... | OR .................................. | 1 | .. | |||
10 mg. per cc............. | 10 cc. vial.......................... | CB, OR.................................. | 1 | .. | |||
10 | Dienoestrol ........................... | 5 mg. .................................. . | tablet .......................... | AN, BD, DH, KL.................................. | 100 | 1 | Carcinoma of the prostate |
10 mg........................ | tablet .......................... | KL .................................. | 100 | 1 | Mammary carcinoma | ||
11 | Dihydrostreptomycin .......... | 1 G............................ | vial .......................... |
| 5 | 3 |
|
12 | Folic Acid ............................... | 15 mg. per cc............. | 1 cc. amp........................... | AN, KL, LE .................................. | 12 | .. | Sprue or the sprue-like syndrome |
5 mg.......................... | tablet .......................... | AN, CM, HY, KL, PD, SI | 100 | 1 | |||
13 | Isoniazid ................................. | 50 mg. ....................... | tablet .......................... | AN, DH, HA, HT, HY. KL, MB, NS, RO, SC, SI | 100 | 1 | Tuberculosis |
100 mg. ..................... | tablet .......................... | MB, RO .................................. | 100 | 1 |
Second Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. | Disease or Purpose. |
14 | Pancreatin ............................. | 5 gr............................ | tablet ................. | OP, PD ................................. | 100 | .. | Fibrocystic disease of the pancreas |
15 | Para-aminosalicylic Acid .... | 0.3 G.......................... | tablet ................. | CO, DH, HY, KL SI................................. | 200 | 1 | Tuberculosis |
0.5 G.......................... | tablet ................. |
| 200 | 1 | |||
16 | Phenindamine Tartrate......... | 25 mg......................... | tablet ................. | RO................................. | 100 | 1 | Parkinsonism |
17 | Progesterone, Injection of... | 5 mg. ......................... | Amp.................. |
| 6 | .. | Threatened abortion |
10 mg......................... | amp. ................. |
| 6 | .. | |||
20 mg......................... | I. V. amp............ | SC................................. | 3 | .. | |||
18 | Quinine Bisulphate................ | 5 gr............................ | tablet ................. | BW, DH, FA, HY, PD | 100 | 1 | Malaria |
19 | Quinine Hydrochloride......... | 3 gr. per cc................. | 1 cc. amp........... | DH................................. | 6 | 1 | Malaria |
6¼ gr. per cc.............. | 1 cc. amp........... | DH................................. | 6 | 1 | |||
9¼ gr. per 2 cc............ | 2 cc. amp........... | DH................................. | 6 | 1 | |||
15½ gr. per 2 cc.......... | 2 cc. amp........... | DH................................. | 6 | 1 | |||
5 gr. .......................... | capsule ............. | PD ................................. | 100 | 1 | |||
5 gr. .......................... | tablet ................. | DH................................. | 100 | 1 | |||
20 | Quinine Hydrochloride ........ | 5 gr............................ | tablet ................. | BW, DH ................................. | 100 | 1 | Malaria |
21 | Quinine Sulphate ................... | 5 gr............................ | tablet ................. | DH, HY, SI ................................. | 100 | 1 | Malaria |
Second Schedule—
Item Number. | Name or Formula. | Strength. | Form or Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. | Disease or Purpose. |
| Sodium Para-aminosalicylate | 1.5 G....................... | cachet ....................... | AN, BT, HT, KL, WA, WB |
|
| Tuberculosis |
2.0 G....................... | cachet....................... | WA .............................. |
|
| |||
0.5 G....................... | capsule....................... | HA ............................... |
|
| |||
5 gr......................... | tablet ....................... | CB, CM, DH, HY, KL, SI, WA |
|
| |||
7½ gr ...................... | tablet ....................... | AN, BT, CB, CM, DH, HA, HT, HY, KL, SI, WA |
|
| |||
20% ....................... | 10 cc. vial....................... | AN, HT, KL, WA |
|
| |||
| Stilboestrol .......................... | 1 mg........................ | amp....................... | AH, BD, DH .. |
|
| Carcinoma of the prostate |
5 mg........................ | amp....................... | AH, BD, BW, DH, KL |
|
| Mammary carcinoma | ||
1 mg........................ | Tablet....................... | AN, BD, BW, DH, FA, HA, HY, RT, SI |
|
| |||
5 mg................................ .. | tablet ....................... | AN, BD, BW, DH, FA, HA, HY, KL, RT, SI |
|
| |||
10 mg...................... | tablet ....................... | CM, KL ........................ |
|
| |||
| Streptomycin ......................... | 1 G ......................... . | vial ....................... | AH, AN, BD, BW, DN, EV, GL, IC, MB, ST |
|
| Infections due to haemophilus influenza |
Chancroid | |||||||
Pneumonia due to bacillus Friedlander | |||||||
Acute tuberculosis | |||||||
Acute exacerbations in chronic tuberculosis | |||||||
Salmonella infections |
Second Schedule—
Item Number. | Name or Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. | Disease or Purpose. |
24— | Streptomycin— |
| |||||
| |||||||
Tularaemia | |||||||
Infections due to pseudomonas pyocyaneus | |||||||
25 | Terramycin................................. | 50 mg........................ | capsule .......................... | PF .................................. | 25 | .. | Acute amoebic dysentery |
100 mg...................... | capsule .......................... | PF.................................. | 25 | .. |
| ||
250 mg...................... | capsule .......................... | PF.................................. | 16 | .. |
| ||
50 mg. ...................... | tablet .......................... | PF.................................. | 25 | .. |
| ||
100 mg...................... | tablet .......................... | PF .................................. | 25 | .. | Psittacosis | ||
250 mg...................... | tablet .......................... | PF.................................. | 16 | .. |
| ||
100 mg...................... | vial.......................... | PF.................................. | 6 | .. | |||
250 mg. per 10 cc. | 10 cc. vial .......................... | PF.................................. | 6 | .. | |||
26 | Terramycin Oral Suspension | 0.25 G. per 5 cc. | 1 fl. oz. bottle.......................... | PF.................................. | 1 | .. |
|
27 | Testosterone............................... | 100 mg...................... | implant .......................... | BD, CB, OR, SC .................................. | 1 | .. | Mammary carcinoma |
150 mg...................... | implant .......................... | OR .................................. | 1 | .. | Castration | ||
200 mg...................... | implant .......................... | OR.................................. | 1 | .. |
Second Schedule—
Item Number. | Name of Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. | Disease or Purpose. |
| Testosterone, Methyl .......... | 25 mg. ............................... | tablet ................. | AN, BD, BS, BT, CS, HY, KL, OR, SC | 25 |
| Mammary carcinoma Castration |
50 mg............................... | tablet ................. | AN, BD, BS, BT, HY, KL, OR, SC | 25 |
| |||
| Testosterone Oenanthate, Injection of | 250 mg. per cc. ............................... | 1 cc. amp........... | SC ................................ | 1 |
| Mammary carcinoma Castration |
| Testosterone Phenyl Propionate, Injection of | 50 mg. per cc................................ | 1 cc. amp........................... . | OR................................ | 3 |
| Mammary carcinoma |
50 mg. per cc................................ | 5 cc. vial ........... | OR ................................ | 1 |
| Castration | ||
| Testosterone Propionate, Injection of | 25 mg. per cc................................ | 1 cc. amp........... | AH, AN, BD, BS, BT, BW, CB, FM, KL, OR, SC.. | 12 |
| Mammary carcinoma Castration |
50 mg. per cc................................ | 1 cc. amp. ......... |
| 12 |
| |||
50 mg. per cc................................ | 10 cc. vial ......... | CB, KL, OR, SC ............ | 1 |
| |||
100 mg. per 2 mil............................... . | 2 mil. amp.......... | BD, PM, OR, SC ........... | 1 |
| |||
100 mg............................... | implant ............. | BD ................................ | 1 | ||||
|
| 50 mg............................... | capsule ............. | LE ................................ | 25 |
|
|
100 mg................................ | capsule ............. | LE ................................ | 25 |
| |||
250 mg. ................................. | capsule ............. | LE ................................ | 16 |
| |||
50 mg............................... | tablet ................. | PF ................................. | 25 |
| |||
100 mg............................... | tablet ................. | PF ................................. | 25 |
| |||
250 mg............................... | tablet ................. | PF ................................. | 16 |
| |||
100 mg............................... | vial.................... | LE ................................ | 6 |
|
Second Schedule—
Item Number. | Name of Formula. | Strength. | Form of Unit. | Brand. | Maximum Quantity or Number of Units. | Number of Repeats. | Disease or Purpose. |
33 |
| 10γ per cc.................. | 1 cc. amp. .......................... | BD, DH ................................. | 12 |
| Established megalocytic anaemias |
15γ per cc.................. | 1 cc. amp.......................... | PD ................................. | 12 |
| |||
20γ per cc.................. | 1 cc. amp.......................... |
| 12 |
| |||
50γ per cc. ................ | 1 cc. amp.......................... |
| 6 |
| |||
100γ per cc................ | 1 cc. amp.......................... |
| 1 |
| |||
100γ per cc................ | 10 cc. vial.......................... | CM ................................. | 1 |
| |||
200γ per cc ............... | 1 cc. amp........................... | BT .................................. | 1 |
| |||
1,000γ per cc............. | 1 cc. amp........................... | AN, CM, GL ................................. . | 1 |
| |||
1,000γ per cc............. | 10 cc. vial.......................... | CM ................................. | 1 |
|
THIRD SCHEDULE.
Reg. 10.
Pensioner Benefits Additional to those Covered by Monograph in the British Pharmacopoeia.
Item No. | Name or Formula of Drug or Medicinal Preparation. |
1 | Acetonum B.P.C. |
2 | Acetum Scillae |
3 | Acid Hydrocyanicum Dilutum B.P.C. |
4 | Acid Sulphuricum Dilutum B.P.C. |
5 | Acidum Hypophosphorosum Dilutum |
6 | Acriflavina |
7 | Adeps |
8 | Adeps Benzoinatus |
9 | Aethylenum |
10 | Agar |
11 | Amidopyrina |
12 | Ammonii Bromidum B.P.C. |
13 | Aqua (Potable Water) |
14 | Aqua Anisi B.P.C. |
15 | Aqua Chlorbutolis A.P.F. |
16 | Argentoproteinum Mite B.P.C. |
17 | Balsamum Peruvianum |
18 | Betanaphthol |
19 | Caffeina Citrata B.P.C. |
20 | Caffeina et Sodii Benzoas |
21 | Calcii Mandelas |
22 | Cera Flava |
23 | Chiniofonum |
24 | Chromii Trioxidum |
25 | Codeina |
26 | Cremor Penicillini Sterilisatus |
27 | Dicoumarol |
28 | Ephedrinae Sulphas B.P.C. |
29 | Extractum Colchici Siccum |
30 | Extractum Colocynthidis Compositum |
31 | Extractum Ergotae Liquidum |
32 | Extractum Fellis Bovini |
33 | Extractum Glycyrrhizae |
34 | Extractum Hepatis Liquidum |
35 | Extractum Krameriae Siccum |
36 | Extractum Senegae Liquidum |
37 | Ferri Carbonas Saccharatus |
38 | Glycerinum Acidi Borici |
39 | Glycerinum Boracis |
40 | Hexoestrol |
41 | Hydrargyrum cum Creta |
42 | Infusum Aurantii |
43 | Infusum Aurantii Concentratum |
44 | Infusum Buchu B.P.C. |
45 | Infusum Calumbae |
46 | Infusum Calumbae Concentratum |
47 | Infusum Calumbae Recens |
48 | Infusum Caryophylli |
49 | Infusum Caryophylli Concentratum |
50 | Infusum Senegae |
51 | Infusum Senegae Concentratum |
52 | Infusum Sennae |
53 | Infusum Sennae Concentratum |
54 | Injectio Bismuthi Salicylatis |
55 | Injectio Caffeinae et Sodii Benzoatis |
56 | Injectio Oestradiolis Dipropionatis |
57 | Injectio Penicillini Oleosa |
Item No. | Name or Formula of Drug or Medicinal Preparation. |
58 | Injectio Physostigminae Salicylatis |
59 | Injectio Pituitarii Posterioris |
60 | Injectio Procainae et Adrenalinae Mitis |
61 | Injectio Sodii Citratis Anticoagulans |
62 | Injectio Sodii Citratis cum Dextroso |
63 | Injectio Strychninae Hydroehloridi |
64 | Injectio Sulphadiazinae Sodii |
65 | Iodoformum |
66 | Ipomoeae Resina |
67 | Laevulosum |
68 | Linimentum Aconiti |
69 | Linimentum Belladonnae |
70 | Liquor Ammoniae Aromaticus B.P.C. |
71 | Liquor Glycerylis Trinitratis B.P.C. |
72 | Liquor Magnesii Bicarbonatis |
73 | Magenta B.P.C. |
74 | Magnesii Phosphas B.P.C. |
75 | Mistura Aluminii Hydroxidi A.P.F. |
76 | Mel Depuratum |
77 | Mistura Sennae Composita |
78 | Oestradiolia Dipropionas |
79 | Oestronum |
80 | Oculentum Cocainae |
81 | Oculentum Physostigminae |
82 | Oleum Cajuputi |
83 | Oleum Cari |
84 | Oleum Citronellae B.P.C. |
85 | Oleum Cocois B.P.C. |
86 | Oleum Pini B.P.C. |
87 | Oxymel Scillae |
88 | Pelletierinae Tannas |
89 | Phenazonum |
90 | Pilula Aloes |
91 | Pilula Colocynthidis et Hyoscyami |
92 | Pilula Digitalis Co. B.P.C. |
93 | Pilula Ferri Carbonatis |
94 | Pilula Hydrargyri |
95 | Pilula Rhei Composita |
96 | Pilula Sodii Oleatis Co. A.P.F. |
97 | Pix Carbonis B.P.C. |
98 | Potassii Acetas |
99 | Potassii Chloras |
100 | Quininae et Aethylis Carbonas |
101 | Sapo Animalis |
102 | Sapo Durus |
103 | Sodii Carbonas Exsiccatus |
104 | Sodii Nitris |
105 | Sodii Phosphas Exsiccatus |
106 | Sodii Sulphas Exsiccatus |
107 | Spiritus Aetheris Nitrosi |
108 | Spiritus Cajuputi |
109 | Spiritus Camphorae |
110 | Strychnina B.P.C. |
111 | Sulphacetamidum |
112 | Sulphadiazina Sodium |
113 | Sulphonal |
114 | Suppositoria Acidi Tannici |
115 | Suppositoria Belladonnae |
116 | Suppositoria Bismuthi Subgallatis |
117 | Suppositoria Cocainae |
118 | Suppositoria Hamamelidis et Zinci Oxidi |
Third Schedule—
Item No. | Name or Formula of Drug or Medicinal Preparation. |
119 | Suppositoria Iodoformi |
120 | Suppositoria Morphinae |
121 | Suppositoria Phenolis |
122 | Syrupus Ferri Phosphatis Compositus |
123 | Syrupus Glucosi Liquidi |
124 | Syrupus Glyeerophosphatum Compositus A.P.F. |
125 | Syrupus Limonis Neutralis A.P.F. |
126 | Syrupus Pruni Serotinae |
127 | Syrupus Ruber A.P.F. |
128 | Syrupus Scillae |
129 | Tabellae Hexoestrolis |
130 | Tabellae Hydrargyri cum Creta |
131 | Tabellae Oestroni |
132 | Tabellae Phenazoni |
133 | Tabellae Potassii Chloratis |
134 | Tabellae Sodii Salicylatis |
135 | Tabellae Theobrominae Compositae B.P.C. |
136 | Tabellae Thiouracili |
137 | Theophyllina et Sodii Acetas |
138 | Talcum Purificatum B.P.C. |
139 | Thiouracilum |
140 | Tinctura Calumbae |
141 | Tinctura Capsici |
142 | Tinctura Catechu |
143 | Tinctura Cocci |
144 | Tinctura Gelsemii B.P.C. |
145 | Tinctura Lobeliae Aetherae |
146 | Tinctura Myrrhae |
147 | Tinctura Persionis A.P.F. |
148 | Tinctura Quassiae |
149 | Tinctura Scillae |
150 | Tinctura Senegae |
151 | Tinctura Strophanthi |
152 | Tinctura Tolutana |
153 | Tinctura Valerianae Ammoniata |
154 | Triethanolamina B.P.C. |
155 | Unguentum Capsici |
156 | Unguentum Gallae cum Opio B.P.C. |
157 | Unguentum Hydrargyri Compositum |
158 | Unguentum Hydrargyri Subchloridi |
159 | Unguentum Phenolis |
160 | Unguentum Zinci Oleatis |
161 | Unguentum Zinci Oxidi Aquosum |
162 | Xylenum B.P.C. |
FOURTH SCHEDULE.
Reg. 12.
Maximum Quantities or Numbers of Units of Pensioner Pharmaceutical Benefits.
Form of Pensioner Pharmaceutical Benefit. | Maximum Quantity or Number of Units. |
Applications ................................................................................................... | 4 fl. oz. |
Capsules ......................................................................................................... | 12 |
Collodions ...................................................................................................... | 120 min. |
Fourth Schedule—continued
Form of Pensioner Pharmaceutical Benefit. | Maximum Quantity or Number of Units. |
Creams— | |
Creams of penicillin .................................................................................... | ½ oz. |
Other creams .............................................................................................. | 4 oz. |
Draughts ......................................................................................................... | 4 fl. oz. |
Dusting powders ............................................................................................. | 4 oz. |
Ear drops ........................................................................................................ | 1 fl. oz. |
Elixirs ............................................................................................................. | 4 fl. oz. |
Emulsions ...................................................................................................... | 16 fl. oz. |
Enemas........................................................................................................... | 4 fl. oz. |
Extracts, fluid ................................................................................................. | 4 fl. oz. |
Extracts of malt .............................................................................................. | 1 lb. |
Extracts of malt with cod liver oil .................................................................... | 1 lb. |
Eye drops ....................................................................................................... | 120 min. |
Eye lotions ..................................................................................................... | 6 fl. oz. |
Eye ointments— | |
Eye ointments of penicillin .......................................................................... | 60 gr. |
Other eye ointments .................................................................................... | ¼ oz. |
Gargles and mouth washes .............................................................................. | 8 fl. oz. |
Gelatins .......................................................................................................... | 4 oz. |
Glycanths ....................................................................................................... | ½ oz. |
Glycerines ...................................................................................................... | 2 fl. oz. |
Inhalations ...................................................................................................... | 2 fl. oz. |
Injections— | |
Ampoules ................................................................................................... | 6 |
Vials ........................................................................................................... | 1 |
Irrigations ....................................................................................................... | 8 fl. oz. |
Insufflations ................................................................................................... | 1 oz. |
Linctuses ........................................................................................................ | 3 fl. oz. |
Liniments ....................................................................................................... | 4 fl. oz. |
Lotions ........................................................................................................... | 8 fl. oz. |
Lozenges ........................................................................................................ | 25 |
Mixtures ......................................................................................................... | 8 fl. oz. |
Nasal drops .................................................................................................... | ½ fl. oz. |
Ointments— | |
Ointments of penicillin ................................................................................ | 1 oz. |
Other ointments .......................................................................................... | 2 oz. |
Paints ............................................................................................................. | 1 fl. oz. |
Pastes ............................................................................................................. | 2 oz. |
Pessaries ......................................................................................................... | 6 |
Pills ................................................................................................................ | 50 |
Poultices ......................................................................................................... | 1 lb. |
Powders for internal use .................................................................................. | 4 oz. |
Powders, individually wrapped ........................................................................ | 12 |
Soaps ............................................................................................................. | 4 fl. oz. |
Solutions for internal use ................................................................................. | 1 fl. oz. |
Solutions for external use ................................................................................ | 4 fl. oz. |
Sprays ............................................................................................................ | ½ fl. oz. |
Suppositories .................................................................................................. | 12 |
Syrups ............................................................................................................ | 8 fl. oz. |
Tablets— | |
Tablets of phenobarbitone ............................................................................ | 100 |
Tablets of phenobarbitone sodium ................................................................ | 100 |
Other tablets ............................................................................................... | 25 |
Tinctures ........................................................................................................ | 1 fl. oz. |
FIFTH SCHEDULE.
Reg. 13.
Pharmaceutical Benefits that may be obtained by Medical Practitioners for purpose of Section 93.
Number of Pharmaceutical Benefit Corresponding to Number in First Schedule. | Name or Formula of Pharmaceutical Benefit. | Form of Unit. | Maximum Quantity or Number of Units. |
2 | Adrenalin Hydrochloride, Solution | Ampoule ................................................................................................................ | 6 |
of | Bottle ................................................................................................................ | 1 | |
41 | Digoxin ......................................................... | Ampoule ................................................................................................................ | 12 |
Bottle ................................................................................................................ | 1 | ||
Tablet ................................................................................................................ | 100 | ||
43 | Dihydromorphinone ......................................................... | Ampoule ................................................................................................................ | 4 |
Hypodermic Tablet ................................................................................................................ | 20 | ||
Tablet ................................................................................................................ | 20 | ||
48 | Diphtheria Antitoxin ......................................................... | Ampoule ................................................................................................................ | 6 |
107 | Morphine Sulphate ......................................................... | Ampoule ................................................................................................................ | 6 |
Hypodermic Tablet ................................................................................................................ | 40 | ||
108 | Morphine with Atropine ......................................................... | Ampoule ................................................................................................................ | 6 |
Hypodermic Tablet ................................................................................................................ | 40 | ||
126 | Penicillin, Procaine, Aqueous Suspension of | Vial ................................................................................................................ | 12 |
133 | Pethidine Hydrochloride ......................................................... | Ampoule ................................................................................................................ | 6 |
Tablet ................................................................................................................ | 25 | ||
145 | Pituitary (Posterior Lobe), Injection of | Ampoule ................................................................................................................ | 12 |
177 | Sulphonamides, Mixed, (B)—Three Sulphonamides | Tablet ................................................................................................................ | 100 |
SIXTH SCHEDULE.
Form A.
Reg. 5.
Commonwealth or Australia.
APPLICATION FOR APPROVAL AS A PHARMACEUTICAL CHEMIST.
(By a Registered Pharmaceutical Chemist.)
*I, | of , | ||||||
We, | |||||||
trading as | , hereby apply for approval as a | ||||||
pharmaceutical chemist under the | |||||||
*I, | hereby declare that | *I am | are a pharmaceutical | *chemist | registered as such | ||
We, | we are | *chemists | |||||
under the law of the *State of | *Territory. | ||||||
*I | further declare that | *I am | willing to supply on demand, at or from the | ||||
We | we are | ||||||
premises specified above, pharmaceutical benefits in accordance with
Part VII of the | |||||||
| |||||||
Dated this day of , 19
(Signature of Applicant).
To the Director-General of Health,
Commonwealth of Australia.
* Strike out whichever is inapplicable.
Fifth Schedule—
Form B.
Reg. 5.
Commonwealth of Australia.
APPLICATION FOR APPROVAL AS A PHARMACEUTICAL CHEMIST.
(By a Friendly Society, &c.)
I, of
the person authorized to make this application by
, which is a Friendly Society or body carrying
on business for the benefit of members of a friendly society or friendly
societies, hereby apply for approval of that Friendly Society or body as a
pharmaceutical chemist under the
The Friendly Society or body
is prepared to supply on demand, at or from its premises specified above,
pharmaceutical benefits in accordance with Part VII. of the
*I declare that the Friendly Society or body was carrying on the business of a pharmaceutical chemist on the first day of August, 1945.
Dated this day of , 19 .
(Signature of person authorized to make application).
To the Director-General of Health,
Commonwealth of Australia.
* Strike out if inapplicable.
Form C.
Reg. 5.
Commonwealth of Australia.
APPLICATION FOR APPROVAL AS A HOSPITAL AUTHORITY.
I, of ,
the person authorized to make this application by the *governing body / the proprietor of the
Hospital, which is a
hereby apply under the
The hospital authority is
prepared to supply pharmaceutical benefits in accordance with Part VII. of the
The dispensing of drugs and medicinal preparations at the hospital is performed by or under the direct supervision of. who
is a *medical practitioner./pharmaceutical chemist.
Dated this day of , 19 .
(Signature of person authorized to make application).
To the Director-General of Health,
Commonwealth of Australia.
* Strike out whichever is inapplicable.
Fifth Schedule—
Form D.
Reg. 6.
Department of Health.
APPROVED
PHARMACEUTICAL
CHEMIST.
Form E.
Reg. 19 (4.).
Commonwealth of Australia.
APPLICATION FOR AUTHORITY TO PRESCRIBE CORTISONE ACETATE.
(By a Medical Practitioner.)
I, of ,
hereby apply under sub-regulation (4.) of regulation 19 of the National Health. (Pharmaceutical Benefits) Regulations for authority to write a prescription for Cortisone Acetate as prescribed as a general pharmaceutical benefit in the Second Schedule to those Regulations in the following strength, form of unit, brand and quantity or number of units:—
, who is suffering from , being a disease or purpose specified in that Schedule in relation to that pharmaceutical benefit, and that in my opinion there is no other drug available that would be equally effective in this case.
Dated this day of , 19 .
(Signature of Medical Practitioner).
To the Director-General of Health,
Commonwealth of Australia.
By Authority : L.F.Johnston, Commonwealth Government Printer, Canberra.
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