National Health (Price and Special Patient Contribution) Amendment Determination 2021 (No. 5) (Cth)

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PB 83 of 2021

National Health (Price and Special Patient Contribution) Amendment Determination 2021 (No. 5)

I, Nikolai Tsyganov, Acting Assistant Secretary, Pricing and PBS Policy Branch, Technology Assessment and Access Division, Department of Health, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated               27 July 2021               

NIKOLAI TSYGANOV

Acting Assistant Secretary

Pricing and PBS Policy Branch

Technology Assessment and Access Division

Department of Health

Contents

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

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

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

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

Schedule 1—Amendments  2

National Health (Price and Special Patient Contribution) Determination 2021 (PB 35 of 2021) 2

1  Name

This instrument is the National Health (Price and Special Patient Contribution) Amendment Determination 2021 (No. 5).

This instrument may also be cited as PB 83 of 2021.

2  Commencement

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

Commencement information
Column 1 Column 2 Column 3
Provisions Commencement Date/Details
1.  The whole of this instrument 1 August 2021.

Note:          This table relates only to the provisions of this instrument as originally made.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

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

3  Authority

This instrument is made under section 85B of the National Health Act 1953.

4  Schedules

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

Schedule 1—Amendments

National Health (Price and Special Patient Contribution) Determination 2021 (PB 35 of 2021)

1  Schedule 1, entry for Amoxicillin

Omit

Amoxicillin Capsule 250 mg (as trihydrate) Oral Amoxil 20 1.37 4.61
Capsule 500 mg (as trihydrate) Oral Amoxil 20 1.63 5.12
Powder for oral suspension 125 mg (as trihydrate) per 5 mL, 100 mL Oral Amoxil 1 1.28 4.50
Powder for oral suspension 250 mg (as trihydrate) per 5 mL, 100 mL Oral Amoxil Forte 1 1.59 4.90
Powder for paediatric oral drops 100 mg (as trihydrate) per mL, 20 mL Oral Amoxil 1 5.88 6.37
Tablet 1 g (as trihydrate) Oral Maxamox 14 1.47 2.47

Substitute

Amoxicillin Capsule 250 mg (as trihydrate) Oral Amoxil 20 1.37 4.61
Capsule 500 mg (as trihydrate) Oral Amoxil 20 1.63 5.12
Powder for oral suspension 125 mg (as trihydrate) per 5 mL, 100 mL Oral Amoxil 1 1.28 4.50
Powder for oral suspension 250 mg (as trihydrate) per 5 mL, 100 mL Oral Amoxil Forte
APO-Amoxycillin
1
1

1.59
1.59

4.90
2.29
Powder for paediatric oral drops 100 mg (as trihydrate) per mL, 20 mL Oral Amoxil 1 5.88 6.37
Tablet 1 g (as trihydrate) Oral Maxamox 14 1.47 2.47

2  Schedule 1, after entry for Amoxicillin with Clavulanic Acid in the form Tablet containing 875 mg amoxicillin (as trihydrate) with 125 mg clavulanic acid (as potassium clavulanate)

Insert

Anastrozole Tablet 1 mg Oral Arimidex 30 11.43 16.08

3  Schedule 1, after entry for Atenolol in the form Tablet 50 mg

Insert

Atomoxetine Capsule 10 mg (as hydrochloride) Oral Strattera 28 36.16 38.49
Capsule 18 mg (as hydrochloride) Oral Strattera 28 36.16 38.49
Capsule 25 mg (as hydrochloride) Oral Strattera 28 36.16 38.49
Capsule 40 mg (as hydrochloride) Oral Strattera 28 36.16 38.49
Capsule 60 mg (as hydrochloride) Oral Strattera 28 36.16 38.49
Capsule 80 mg (as hydrochloride) Oral Strattera 28 47.01 51.66
Capsule 100 mg (as hydrochloride) Oral Strattera 28 47.01 51.66

4  Schedule 1, entry for Cefalexin

Omit

Cefalexin Capsule 250 mg (as monohydrate) Oral Keflex 20 1.59 5.09
Capsule 500 mg (as monohydrate) Oral Keflex 20 1.73 6.82
Granules for oral suspension 125 mg (as monohydrate) per 5 mL, 100 mL Oral Keflex 1 1.82 5.68
Granules for oral suspension 250 mg (as monohydrate) per 5 mL, 100 mL Oral Keflex 1 2.10 7.39

Substitute

Cefalexin Capsule 250 mg (as monohydrate) Oral APO-Cephalexin
Keflex
20
20
1.59
1.59
2.29
5.09
Capsule 500 mg (as monohydrate) Oral APO-Cephalexin
Keflex
20
20
1.73
1.73
2.43
6.82
Granules for oral suspension 125 mg (as monohydrate) per 5 mL, 100 mL Oral Keflex 1 1.82 5.68
Granules for oral suspension 250 mg (as monohydrate) per 5 mL, 100 mL Oral Keflex 1 2.10 7.39

5  Schedule 1, entry for Colchicine

(a)omit from the column headed “Determined Price”:   3.70        substitute:             2.78

(b)omit from the column headed “Claimed Price”:   6.40        substitute:             4.80

6  Schedule 1, entry for Duloxetine in the form Capsule 30 mg (as hydrochloride)

omit from the column headed “Claimed Price”:   11.30      substitute:                15.95

7  Schedule 1, entry for Duloxetine in the form Capsule 60 mg (as hydrochloride)

omit from the column headed “Claimed Price”:   12.95      substitute:                17.60

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

omit from the column headed “Claimed Price”:   9.20        substitute:                10.52

9  Schedule 1, entry for Esomeprazole in the form Tablet (enteric coated) 40 mg (as magnesium  trihydrate)

omit from the column headed “Claimed Price”:   13.30      substitute:                14.62

10  Schedule 1, entry for Furosemide

Omit

Furosemide Tablet 20 mg Oral Lasix‑M 50 0.78 1.90
Tablet 40 mg Oral Lasix 100 1.56 3.79

Substitute

Furosemide Tablet 20 mg Oral Lasix‑M
Frusemix-M
50
100
0.78 1.90
2.55
Tablet 40 mg Oral Lasix 100 1.56 3.79

11  Schedule 1, after entry for Lercanidipine in the form Tablet containing lercanidipine hydrochloride 20 mg

Insert

Letrozole Tablet 2.5 mg Oral Femara 2.5 mg 30 18.41 23.06

12  Schedule 1, after entry for Meloxicam in the form Tablet 15 mg

Insert

Mercaptopurine Tablet containing mercaptopurine monohydrate 50 mg Oral Purinethol 25 40.15 42.01

13  Schedule 1, entry for Metoprolol in the form Tablet containing metoprolol tartrate 50 [Brand: Betaloc]

omit from the column headed “Claimed Price”:   9.66        substitute:                11.52

14  Schedule 1, entry for Nizatidine in the form Capsule 150 mg

omit from the column headed “Claimed Price”:   15.86      substitute:                16.77

15  Schedule 1, entry for Nizatidine in the form Capsule 300 mg

omit from the column headed “Claimed Price”:   15.86      substitute:                16.77

16  Schedule 1, after entry for Norethisterone with Ethinylestradiol in the form Pack containing 21 tablets 1 mg‑35 micrograms and 7 inert tablets

Insert

Nortriptyline Tablet 10 mg (as hydrochloride) Oral Allegron 50 3.55 4.05
Tablet 25 mg (as hydrochloride) Oral Allegron 50 4.46 5.46

17  Schedule 1, entry for Olanzapine in the form Tablet 2.5 mg

omit from the column headed “Claimed Price”:   5.37        substitute:                10.03

18  Schedule 1, entry for Olanzapine in the form Tablet 5 mg

omit from the column headed “Claimed Price”:   7.89        substitute:                12.54

19  Schedule 1, entry for Olanzapine in the form Tablet 7.5 mg

omit from the column headed “Claimed Price”:   10.52      substitute:                15.17

20  Schedule 1, entry for Olanzapine in the form Tablet 10 mg

omit from the column headed “Claimed Price”:   13.09      substitute:                17.74

21  Schedule 1, entry for Olanzapine in the form Wafer 5 mg

omit from the column headed “Claimed Price”:   7.89        substitute:                12.54

22  Schedule 1, entry for Olanzapine in the form Wafer 10 mg

omit from the column headed “Claimed Price”:   13.09      substitute:                17.74

23  Schedule 1, entry for Olanzapine in the form Wafer 15 mg

omit from the column headed “Claimed Price”:   18.24      substitute:                22.89

24  Schedule 1, entry for Olanzapine in the form Wafer 20 mg

omit from the column headed “Claimed Price”:   23.39      substitute:                28.04

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

Insert

Raloxifene Tablet containing raloxifene hydrochloride 60 mg Oral Evista 28 19.12 23.77

26  Schedule 1, entry for Spironolactone in the form Tablet 25 mg

omit from the column headed “Claimed Price”:   8.73        substitute:                10.61

27  Schedule 1, entry for Spironolactone in the form Tablet 100 mg

omit from the column headed “Claimed Price”:   19.00      substitute:                20.75

28  Schedule 1, after entry for Sumatriptan in the form Tablet (fast disintegrating) 50 mg (as succinate) [Pricing quantity/pack quantity 4]

Insert

Tamoxifen Tablet 20 mg (as citrate) Oral Nolvadex-D 30 7.22 10.94

29  Schedule 1, entry for Zolmitriptan in the form Tablet 2.5 mg

omit from the column headed “Claimed Price”:   6.81        substitute:                7.62

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