Therapeutic Goods (Medicines and OTG—Authorised Supply) Rules 2022 (Cth)
made under subsection 19(7A) of the
This is a compilation of the
The notes at the end of this compilation (the
The effect of uncommenced amendments is not shown in the text of the compiled law. The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. Any uncommenced amendments affecting the law are accessible on the Register ( saving and transitional provisions
If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. Any modifications affecting the law are accessible on the Register.
If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.
Contents
• • • • •
This instrument is the
Therapeutic Goods (Medicines and OTG—Authorised Supply) Rules 2022.
This instrument is made under subsection 19(7A) of the
Therapeutic Goods Act 1989 .
Note: A number of expressions used in this instrument are defined in subsection 3(1) of the Act, including the following:
(a) health practitioner;
(b) listed goods;
(c) medicine;
(d) Register;
(e) registered goods;
(f) sponsor;
(g) supply;
(h) therapeutic goods.
In this instrument:
Act means theTherapeutic Goods Act 1989 .
active ingredient has the same meaning as in the Regulations.
nurse practitioner means a person who is:
(a) registered under a law of a state or internal territory as a registered nurse; and
(b) endorsed as a nurse practitioner by the Nursing and Midwifery Board of Australia.
Note: The Nursing and Midwifery Board of Australia works in partnership with the Australian Health Practitioner Regulation Agency.
Regulations means theTherapeutic Goods Regulations 1990.
SAS Guidance means the document titledSpecial Access Scheme (SAS): Guidance for health practitioners accessing unapproved therapeutic goods (Version 3.0, October 2024) published by the Therapeutic Goods Administration, as in force or existing on 1 October 2024.Note: The SAS Guidance is published at Goods Administration has the same meaning as in the
Therapeutic Goods Regulations 1990 .
therapeutic vaping kit has the same meaning as in the Regulations.
therapeutic vaping pack has the same meaning as in Regulations.
therapeutic vaping substance has the same meaning as in the Regulations.
5 Authorisation
Supply by a medical practitioner (1) A health practitioner who is a medical practitioner is authorised to supply a medicine to a patient of that practitioner where:
(a) the medicine contains an active ingredient specified in column 2 of an item in the table in Schedule 1 and does not contain any other active ingredient; and
(b) the medicine only contains the active ingredient in the strength and concentration (if any) specified in column 2 of that item; and
(c) the medicine is in the dosage form specified in column 3 of that item; and
(d) the medicine is to be administered by the route specified in column 4 of that item; and
(e) the supply is for the indication specified in column 5 of that item; and
(f) the conditions specified in subsection (2) are satisfied.
(2) The medical practitioner must:
(a) inform the patient, or a parent or guardian of the patient, that the medicine is not a listed good or registered good; and
(b) obtain informed consent from the patient, or a parent or guardian of the patient, in relation to, and before, the supply of the medicine; and
(c) supply the medicine in accordance with good medical practice; and
(d) if the medical practitioner becomes aware that the patient has suffered an adverse event in relation to the medicine—notify the Therapeutic Goods Administration and the sponsor of the medicine about the adverse event in accordance with the reporting guidelines set out in the SAS Guidance; and
(e) if the medical practitioner becomes aware of a defect in the medicine—notify the Therapeutic Goods Administration and the sponsor of the medicine in accordance with the reporting guidelines set out in the SAS Guidance.
Supply to a patient of a medical practitioner (3) A health practitioner is authorised to supply a medicine to a patient of a medical practitioner (the
treating practitioner ) where:
(a) the medicine contains an active ingredient specified in column 2 of an item in the table in Schedule 1 and does not contain any other active ingredient; and
(b) the medicine only contains the active ingredient in the strength and concentration (if any) specified in column 2 of that item; and
(c) the supply is requested by the treating practitioner; and
(d) the medicine is in the dosage form specified in column 3 of that item; and
(e) the medicine is to be administered by the route specified in column 4 of that item; and
(f) the supply is for the indication specified in column 5 of that item; and
(g) the conditions specified in subsection (4) are satisfied.
(4) The health practitioner supplying the medicine must:
(a) if the health practitioner becomes aware that the patient has suffered an adverse event in relation to the medicine—notify the Therapeutic Goods Administration and the sponsor of the medicine about the adverse event in accordance with the reporting guidelines set out in the SAS Guidance; and
(b) if the health practitioner becomes aware of a defect in the medicine—notify the Therapeutic Goods Administration and the sponsor of the medicine in accordance with the reporting guidelines set out in the SAS Guidance.
5A
Authorisation—therapeutic vaping goods
Supply by a medical practitioner or nurse practitioner (1) A health practitioner who is a medical practitioner or a nurse practitioner is authorised to supply a therapeutic good to a patient of that practitioner where:
(a) the therapeutic good is within the class of therapeutic goods specified in column 2 of an item in the table in Schedule 1A; and
(b) the therapeutic good is in the dosage form specified in column 3 of that item; and
(c) the therapeutic good is to be administered by the route specified in column 4 of that item; and
(d) the supply is for the indication specified in column 5 of that item; and
(e) the supply is to a patient who is 16 years of age or over; and
(f) the conditions specified in subsection (2) are satisfied.
(2) The medical practitioner or nurse practitioner must:
(a) inform the patient, or a parent or a guardian of the patient, that the therapeutic good is not a listed good or registered good; and
(b) obtain informed consent from the patient, or a parent or a guardian of the patient, in relation to, and before, the supply of the therapeutic good; and
(c) supply the therapeutic good in accordance with good medical practice or good nursing practice (as the case requires); and
(d) if the medical practitioner or nurse practitioner becomes aware that the patient has suffered an adverse event in relation to the therapeutic good—notify the Therapeutic Goods Administration and the sponsor of the therapeutic good about the adverse event in accordance with the reporting guidelines set out in the SAS Guidance; and
(e) if the medical practitioner or nurse practitioner becomes aware of a defect in the therapeutic good—notify the Therapeutic Goods Administration and the sponsor of the therapeutic good in accordance with the reporting guidelines set out in the SAS Guidance.
Supply by a pharmacist—with prescription (3) A pharmacist is authorised to supply a therapeutic good to a patient of a medical practitioner or a nurse practitioner (the
treating practitioner ) where:
(a) the therapeutic good is within the class of therapeutic goods specified in column 2 of an item in the table in Schedule 1A; and
(b) the supply is requested by the treating practitioner; and
(c) the therapeutic good is in the dosage form specified in column 3 of that item; and
(d) the therapeutic good is to be administered by the route specified in column 4 of that item; and
(e) the supply is for the indication specified in column 5 of that item; and
(f) the supply is to a patient who is 16 years of age or over; and
(g) the conditions specified in subsection (4) are satisfied.
(4) The pharmacist supplying the therapeutic good must:
(a) if the pharmacist becomes aware that the patient has suffered an adverse event in relation to the therapeutic good—notify the Therapeutic Goods Administration and the sponsor of the therapeutic good about the adverse event in accordance with the reporting guidelines set out in the SAS Guidance; and
(b) if the pharmacist becomes aware of a defect in the therapeutic good—notify the Therapeutic Goods Administration and the sponsor of the therapeutic good in accordance with the reporting guidelines set out in the SAS Guidance.
Supply by a pharmacist —without prescription (5) A pharmacist is authorised to supply a therapeutic good to a patient where:
(a) the therapeutic good is within the class of therapeutic goods specified in column 2 of an item in the table in Schedule 1A; and
(b) the therapeutic good is in the dosage form specified in column 3 of that item; and
(c) the therapeutic good is to be administered by the route specified in column 4 of that item; and
(d) the supply is for the indication specified in column 5 of that item; and
(e) the supply is to a patient who is 18 years of age or over; and
(f) the pharmacist requests and sights evidence of the patient’s identity and age; and
(g) the quantity of the goods does not exceed the quantity that is reasonably required for a patient’s therapeutic use for 1 month and that quantity is supplied to the patient only once in a month; and
(h) the concentration of nicotine in the goods does not exceed 20 mg/mL; and
(i) the conditions specified in subsections (6) and (7) are satisfied.
(6) The pharmacist must:
(a) inform the patient, or a parent or a guardian of the patient, that the therapeutic good is not a listed good or registered good; and
(b) obtain informed consent from the patient, or a parent or a guardian of the patient, in relation to, and before, the supply of the therapeutic good; and
(c) supply the therapeutic good in accordance with good pharmacy practice; and
(d) provide professional advice to the patient on alternative cessation supports and therapies, appropriate dose and frequency depending on age, weight and severity of condition, length of treatment, suitable titration, and interactions with other medicines; and
(e) provide contact details about smoking cessation support services to the patient; and
(f) if the pharmacist becomes aware that the patient has suffered an adverse event in relation to the therapeutic good—notify the Therapeutic Goods Administration and the sponsor of the therapeutic good about the adverse event in accordance with the reporting guidelines set out in the SAS Guidance; and
(g) if the pharmacist becomes aware of a defect in the therapeutic good—notify the Therapeutic Goods Administration and the sponsor of the therapeutic good in accordance with the reporting guidelines set out in the SAS Guidance.
(7) The pharmacist must store the therapeutic good in a part of the pharmacy premises to which the public does not have access.
Schedule 1— Medicines authorised for supply Note: See section 5.
Specified therapeutic goods
Column 1
Column 2
Column 3
Column 4
Column 5
Item
Active ingredient
Dosage form
Route of administration
Indication 1
allergens—multiple, various (including control solutions)
drops
intradermal
confirmation of suspected allergic reactions
2
allergens – multiple, various (including control solutions)
drops
skin prick
confirmation of suspected allergic reactions
3
amiloride
tablet
oral
treatment of hypokalemia
4
betaxolol 0.25%
(preservative free)
eye drops
ophthalmic
treatment of elevated intraocular pressure where other treatments are inappropriate
5
bismuth subcitrate
tablet
oral
treatment of resistant
Helicobacter Pylori infection6
buspirone
tablet
oral
treatment of generalised anxiety disorders
7
calcitriol
liquid
oral
prevention of hypophosphatemic rickets in children; or
treatment of hypoparathyroidism (with severe hypocalcaemia)
8
carbidopa
tablet
oral
premedication for F‑18 DOPA imaging
9
ciclosporin, 0.05%
eye drops, emulsion
ophthalmic
treatment of suppressed tear production due to ocular inflammation associated with keratoconjunctivitis sicca (dry eye syndrome)
10
cinnarizine
tablet
oral
treatment of vestibular disorders such as vertigo, tinnitus, nausea and vomiting (including Meniere’s disease)
11
clobetasol propionate 0.05%
cream
topical
treatment, or prolongation of flare‑free intervals, of dermatitis/eczema where other treatments have failed
12
clobetasol propionate 0.05%
lotion
topical
treatment, or prolongation of flare‑free intervals, of dermatitis/eczema where other treatments have failed
13
clobetasol propionate 0.05%
ointment
topical
treatment, or prolongation of flare‑free intervals, of dermatitis/eczema where other treatments have failed
14
clofazimine
capsule
oral
treatment of Leprosy, granulomatous cheilitis, Melkersson Rosenthal Syndrome, confirmed
mycobacterium avium paratuberculosis in immunocompromised patients recommended by an infectious disease specialist, erythema nodosum leprosum, drug resistant tuberculosis, non‑tuberculosis mycobacterial infections or other infections as recommended by an infectious diseases specialist15
colecalciferol
capsule
oral
treatment of severe vitamin D deficiency and prevention of osteoporosis
16
colecalciferol
injection
intramuscular
treatment of severe vitamin D deficiency and prevention of osteoporosis
17
cyclopentolate, 0.2%, and phenylephrine, 1%
eye drops
ophthalmic
production of mydriasis
18
deflazacort
tablet
oral
treatment of Duchenne muscular dystrophy
19
dehydrated ethanol (alcohol) 96% ‑ 100%
ampoule
topical
treatment of progressive keratoconus and intra‑operative use in superficial keratectomy (single use per procedure)
20
dexamethasone (preservative free)
eye drops
ophthalmic
treatment of inflammatory conditions of the eye that are non‑infected and steroid responsive in patients sensitive to preservative‑containing formulations
21
diazoxide
capsule
oral
treatment of hypoglycaemia, hyperinsulinaemia, Beckwith‑Weiderman Syndrome or insulinoma
22
diazoxide
suspension
oral
treatment of hypoglycaemia, hyperinsulinaemia, Beckwith‑Weiderman Syndrome or insulinoma
23
diazoxide
tablet
oral
treatment of hypoglycaemia, hyperinsulinaemia, Beckwith‑Weiderman Syndrome or insulinoma
24
diflunisal
tablet
oral
treatment of amyloidosis
25
dimethyl sulfoxide (DMSO)
solution
intravesical
symptomatic relief of interstitial cystitis
27
doxycycline
injection
intralesional
sclerotherapy of lymphatic malformations
27A
escherichia coli/klebsiella pneumoniae/enterococcus faecalis/proteus vulgaris
spray
sublingual
management of recurrent urinary tract infections
28
F‑18 DCFPyl (PSMA)
injection
intravenous
prostate cancer imaging study
29
F‑18 myocardial perfusion tracer (18F flurpiridaz)
injection
intravenous
myocardial perfusion study
30
F‑18 NaF (sodium fluoride)
injection
intravenous
bone study
31
flunarizine
capsule
oral
treatment of vestibular disorders or prophylactic treatment of migraine
32
flunarizine
tablet
oral
treatment of vestibular disorders or prophylactic treatment of migraine
33
furazolidone
tablet
oral
treatment of resistant
Helicobacter Pylori infection33A
gallium-68 DOTA (Tyr3) octreotate
injection
intravenous
PET imaging for localisation of somatostatin receptor positive neuroendocrine tumours (NETs)
34
gallium-68 (Ga-68)
aerosol
inhalation
lung ventilation study
35
gallium‑68 (Ga‑68) - MAA
injection
intravenous
lung perfusion study
37
ganciclovir
gel
ophthalmic
treatment of cytomegalovirus
38
glycopyrronium bromide
tablet
oral
treatment of excessive salivation in patients with neurological conditions
39
hyoscine hydrobromide
patch
transdermal
treatment of excessive salivation
40
hypertonic sodium chloride, 5%
eye drops
ophthalmic
temporary relief of corneal oedema (hypertonicity)
41
hypertonic sodium chloride, 5%
eye ointment
ophthalmic
temporary relief of corneal oedema (hypertonicity)
42
iloprost
injection
intravenous infusion
treatment of patients with severe disabling Raynaud’s phenomenon; or
treatment of peripheral ischaemia
42A
imipenem/cilastatin
injection
intravenous
treatment of non-tuberculosis mycobacteria
43
indigo carmine
injection
intravenous
intraoperative detection of suspected urethral injuries during abdominal and pelvic surgical procedures
44
indocyanine green dye
injection
intravenous
intra‑operative diagnostic use
45
interferon alpha-2b
eye drops
ophthalmic
treatment of ocular surface squamous neoplasia
45A
isoniazid/rifampicin
dispersible tablets
oral
treatment of latent tuberculosis infection
45B
isoniazid/rifampicin
tablets
oral
treatment of latent tuberculosis infection
45C
isoniazid/rifapentine
tablets
oral
treatment of latent tuberculosis infection
46
ketotifen
tablet
oral
treatment of allergic conditions
47
levofloxacin
tablet
oral
treatment of resistant
Helicobacter Pylori infection or drug resistant tuberculosis48
levomepromazine
injection
subcutaneous
treatment of nausea and vomiting or agitation
49
levomepromazine
tablet
oral
treatment of nausea and vomiting or agitation
50
lifitegrast
eye drops
ophthalmic
treatment of dry eye disease
53
melatonin
lozenge
oral
treatment of sleep disorders
55
metolazone
tablet
oral
treatment of fluid overload
56
mexiletine
capsule
oral
treatment of ventricular arrhythmia or myotonic disorders
57
mexiletine
tablet
oral
treatment of ventricular arrhythmia or myotonic disorders
58
moxifloxacin 0.5%
eye drops
ophthalmic
treatment of refractory bacterial conjunctivitis
58A
mycobacterium bovis (bacillus calmette and guerin (BCG) strain)
injection
intradermal
immunisation against tuberculosis
59
nadolol
tablet
oral
treatment of ventricular tachycardia or long QT Syndrome
60
natamycin 5%
eye drops
ophthalmic
treatment of refractory fungal blepharitis, conjunctivitis or keratitis
61
neomycin
tablet
oral
sepsis prevention for colorectal operation
62
nitazoxanide
suspension
oral
treatment of giardiasis, cryptosporidiosis or blastocystis
63
nitazoxanide
tablet
oral
treatment of giardiasis, cryptosporidiosis or blastocystis
64
paromomycin
capsule
oral
antiprotozoal treatment of any of the following amoebic infections:
(a)
blastocystis hominis ;(b)
dientomoeba fragilis ;(c)
entamoeba histolytica ;(d) parasite infection
65
pimozide
tablet
oral
treatment of schizophrenia, chronic psychosis or Tourette syndrome
66
pristinamycin
tablet
oral
treatment of confirmed methicillin‑resistant
Staphylococcus aureus or vancomycin‑resistantenterococci infection where there is history of failed therapy with the other available antibiotics, at sites in relation to bone/joint/prosthesis; ortreatment of refractory or resistant
mycoplasma genitalium infections; ortreatment of other infections as prescribed by an infectious disease specialist
69
pyrazinamide
tablet
oral
treatment of tuberculosis
70
riboflavin, 0.1% in 1.1% hydroxylpropyl methylcellulose (HPMC)
eye drops
ophthalmic
intraoperative use in corneal collagen crosslinking (CXL) procedures for the treatment of progressive keratoconus
71
riboflavin, 0.1% in 20% dextran
eye drops
ophthalmic
intraoperative use in corneal collagen crosslinking (CXL) procedures for the treatment of progressive keratoconus
72
riboflavin, 0.1% in sodium chloride
eye drops
ophthalmic
intraoperative use in corneal collagen crosslinking (CXL) procedures for the treatment of progressive keratoconus
73
riboflavin, 0.22% in sodium chloride
eye drops
ophthalmic
intraoperative use in corneal collagen crosslinking (CXL) procedures for the treatment of progressive keratoconus
74 | ripasudil 0.4% | eye drops | ophthalmic | treatment of refractory corneal oedema or refractory glaucoma |
75 | sodium benzoate | tablet | oral | treatment of urea cycle disorders |
76 | tacrolimus 0.03% | ointment | topical | treatment, or prolongation of flare‑free intervals, of moderate to severe atopic dermatitis/eczema in children |
77 | tacrolimus 0.1% | ointment | topical | treatment, or prolongation of flare‑free intervals, of moderate to severe atopic dermatitis/eczema in adults |
78 | technetium-99m (99m Tc) prostate specific membrane antigen (PSMA)-I&S | injection | intravenous | prostate cancer imaging study |
79 | tetracycline | capsule | oral | treatment of resistant |
80 | tetracycline | tablet | oral | treatment of resistant |
81 | tick‑borne encephalitis vaccine | injection | intramuscular | prevention of tick‑borne encephalitis |
82 | tinidazole | tablet | oral | treatment of treatment of acute giardiasis, acute amoebic dysentery or amoebic liver disease in children; or prevention of infection of the surgical site |
83 | tizanidine | capsule | oral | treatment of spasticity where other treatments have failed |
84 | tizanidine | tablet | oral | treatment of spasticity where other treatments have failed |
85 | triamcinolone acetonide | suspension for injection | ophthalmic | treatment of non‑infectious uveitis, visualisation during vitrectomy, diabetic macular oedema, cystoid macular oedema secondary to retinal vein occlusion, uveitic macular oedema or post‑operative macular oedema (cataract surgery) |
86 | verteporfin | powder for injection | intravenous infusion | photosensitisation for photodynamic therapy |
87 | yttrium‑90 (Y‑90) citrate | injection | intraarticular | radiosynovectomy treatment |
Note: See section 5A.
1 | therapeutic vaping substances or therapeutic vaping substance accessories that:
| liquid or solid | inhalation | any one or more of the following: (a) use for smoking cessation; (b) management of nicotine dependence |
2 | therapeutic vaping substances or therapeutic vaping substance accessories that: (a) do not contain any active ingredients;
| liquid or solid | inhalation | any one or more of the following: (a) use for smoking cessation; (b) management of nicotine dependence |
3 | therapeutic vaping kits that:
| liquid or solid | inhalation | any one or more of the following: (a) use for smoking cessation; (b) management of nicotine dependence |
4 | goods in a therapeutic vaping pack that:
| liquid or solid | inhalation | any one or more of the following: (a) use for smoking cessation; (b) management of nicotine dependence |
The endnotes provide information about this compilation and the compiled law.
The following endnotes are included in every compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
The abbreviation key sets out abbreviations that may be used in the endnotes.
Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.
A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section 15V of the
If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and “(md not incorp)” is added to the amendment history.
ad = added or inserted | orig = original |
am = amended | p = page(s) |
amdt = amendment | para = paragraph(s)/subparagraph(s) |
C[x] = Compilation No. x | /sub‑subparagraph(s) |
ch = Chapter(s) | pres = present |
cl = clause(s) | prev = previous |
cont. = continued | (prev…) = previously |
def = definition(s) | pt = Part(s) |
Dict = Dictionary | r = regulation(s)/Court rule(s) |
disallowed = disallowed by Parliament | reloc = relocated |
div = Division(s) | renum = renumbered |
exp = expires/expired or ceases/ceased to have | rep = repealed |
effect | rs = repealed and substituted |
gaz = gazette | s = section(s)/subsection(s) |
LA = | /rule(s)/subrule(s)/order(s)/suborder(s) |
LIA = | sch = Schedule(s) |
(md not incorp) = misdescribed amendment | SLI = Select Legislative Instrument |
cannot be given effect | SR = Statutory Rules |
mod = modified/modification | sub ch = Sub‑Chapter(s) |
No. = Number(s) | sub div = Subdivision(s) |
Ord = Ordinance | sub pt = Subpart(s) |
commenced or to be commenced |
23 Dec 2022 (F2022L01766) | 24 Dec 2022 | — | |
15 Dec 2023 (F2023L01683) | 1 Jan 2024 | — | |
6 Jun 2024 (F2024L00639) | 5 Jun 2024 | — | |
16 Oct 2024 (F2024L01321) | 17 Oct 2024 | — | |
20 Aug 2025 (F2025L00947) | Sch 1, Part 1: 21 Aug 2025 (s 2(1) item 2) Sch 1, Part 2: | — |
Therapeutic Goods and Other Legislation Amendment (Vaping Reforms) Act 2024 | 50, 2024 | 27 June 2024 | Sch 4 (items 6-11, 18): 1 Oct 2024 (s 2(1) item 5) | Sch 4 (item 18) | |
s 1………………………………. | am F2023L01683 |
s 2………………………………. | rep LA s 48D |
s 4………………………………. | am F2023L01683; F2024L00639; F2024L01321; |
s 5………………………………. | am |
s 5A…………………………….. | ad F2023L01683 am Act No. 50, 2024; |
s 6………………………………. | rep LA s 48C |
Schedule 1……………………… | am F2024L00639; F2025L00947 |
Schedule 1A……………………. | ad F2023L01683 |
Schedule 2……………………… | rep LA s 48C |
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