National Health (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2014 (No. 10) (No. PB 102 of 2014)

Administered by Department of Health, Disability and Ageing

Legislation au F2014L01834 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

NATIONAL HEALTH ACT 1953

 

NATIONAL HEALTH (HIGHLY SPECIALISED DRUGS PROGRAM FOR HOSPITALS) SPECIAL ARRANGEMENT AMENDMENT INSTRUMENT 2014 (No. 10)

 

PB 102 of 2014

 

Authority

Subsection 100(1) of the National Health Act 1953 (the Act) enables the Minister to make special arrangements for the supply of pharmaceutical benefits. Subsection 100(2) of the Act provides that the Minister may vary or revoke a special arrangement made under subsection 100(1).

Subsection 100(3) of the Act provides that Part VII of the Act, and instruments made for the purposes of Part VII have effect subject to a special arrangement made under subsection 100(1).

Purpose

The purpose of this legislative instrument, made under subsections 100(1) and 100(2) of the the Act, is to amend the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010 (PB 116 of 2010) (the Special Arrangement), to make changes to the Special Arrangement relating to the highly specialised drugs program for hospitals.

The pharmaceutical benefits supplied under the Special Arrangement are for the treatment of chronic conditions which, because of their clinical use or other special features, may only be supplied to patients receiving treatment at or from a public or private hospital having access to appropriate specialised facilities.

The amendment made by this Instrument reflects changes to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012, which commence on the same day.

The amendments in PB 102 of 2014 involve the addition of a new brand for the drug Sildenafil, and changes to the Responsible Person Codes for the drugs Clarithromycin, and Epoetin Lambda.

A provision by provision Description of this instrument is contained in the Attachment.

 

Consultation

The amendments made by this Instrument accord with recommendations made by the Pharmaceutical Benefits Advisory Committee (PBAC). 

An ongoing and formal process of consultation in relation to matters relevant to the Special Arrangement includes the involvement of interested parties through the membership of the PBAC. 

PBAC is an independent expert body established by section 100A of the Act which makes recommendations to the Minister about which drugs and medicinal preparations should be available as pharmaceutical benefits. PBAC members are appointed following nomination by prescribed organisations and associations from consumers, health economists, practising community pharmacists, general practitioners, clinical pharmacologists and specialists, with at least one member selected from each of those interests or professions. Remaining members are persons whom the Minister is satisfied have qualifications and experience in a field relevant to the functions of PBAC, and that would enable them to contribute meaningfully to the deliberations of PBAC. When recommending the listing of a medicine on the Pharmaceutical Benefits Scheme (PBS), the PBAC takes into account the medical conditions for which the medicine has been approved for use in Australia, its clinical effectiveness, safety and cost-effectiveness compared with other treatments.

Pharmaceutical companies were consulted throughout the process of changes to the listings on the PBS and for this Instrument. This includes consultation through the PBAC process, and agreement to final listing details.

This Instrument commences on 1 January 2015.

This Instrument is a legislative instrument for the purposes of the Legislative Instruments Act 2003.

 

 


 

 


ATTACHMENT

 

PROVISION BY PROVISION DESCRIPTION OF THE NATIONAL HEALTH (HIGHLY SPECIALISED DRUGS PROGRAM FOR HOSPITALS) SPECIAL ARRANGEMENT AMENDMENT INSTRUMENT 2014 (No.10)

 

Section 1 Name of Instrument

This section provides that this instrument is the National Health (Highly specialised drugs program for hospitals) Special Arrangement Amendment Instrument 2014 (No.10) and that it may also be cited as PB 102 of 2014.

Section 2 Commencement

This section provides that this instrument commences on 1 January 2015.

Section 3 Amendments to PB 116 of 2010

This section provides that Schedule 1 amends the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010 (PB 116 of 2010) (the Special Arrangement).

Schedule 1  Amendments

Item 1 Schedule 1, entry for Clarithromycin

 This item amends the Responsible Person for Clarithromycin (all forms) from Abbott Australasia Pty Ltd to BGP Products Pty Ltd.

Item 2  Schedule 1, entry for Epoetin Lambda

 This item amends the Responsible Person for Epoetin Lambda (all forms) from Novartis Pharmaceuticals Australia Pty Limited to Sandoz Pty Ltd.

Item 3  Schedule 1, entry for Sildenafil

 This item adds the brand SILDENAFIL-DRx for Sildenafil in the form Tablet 20 mg (as citrate) with the responsible person Dr Reddy’s Laboratories Australia Pty Ltd (RZ).

Item 4-6 Schedule 2, Responsible Person Codes

 These items provide for the deletion of the Responsible Person Abbott Australasia Pty Ltd (AB) and the addition of BGP Products Pty Ltd (GO) and Dr Reddy’s Laboratories Australia Pty Ltd (RZ).


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Overview

The National Health Act 1953 was enacted to provide a framework for the administration of public health services and benefits in Australia. This Act, as amended by the National Health (Highly Specialised Drugs Program for Hospitals) Special Arrangement Amendment Instrument 2014 (No. 10), addresses specific needs within the highly specialised drugs program for hospitals. This amendment was introduced by the Commonwealth Parliament and aims to ensure the availability of pharmaceutical benefits for the treatment of chronic conditions in hospital settings, aligning with changes to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012. The legislative instrument amends the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010 to update the list of drugs and their responsible suppliers, ensuring the continuity and effectiveness of the program. The policy objective is to maintain the integrity and accessibility of essential pharmaceutical benefits for patients requiring specialised treatment within hospitals.

Scope and Application

The National Health (Highly Specialised Drugs Program for Hospitals) Special Arrangement Amendment Instrument 2014 (No. 10) amends the existing special arrangement under the National Health Act 1953 to update the supply of highly specialised drugs for hospital treatment. This amendment applies to pharmaceutical benefits provided for the treatment of chronic conditions requiring specialised facilities, available exclusively to patients in public or private hospitals. The amendment, effective from 1 January 2015, alters the Responsible Persons for certain drugs, specifically updating the entries for Clarithromycin, Epoetin Lambda, and introducing a new brand for Sildenafil, along with the associated Responsible Person Codes. These changes reflect the recommendations from the Pharmaceutical Benefits Advisory Committee and align with modifications to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012. The amendments are part of a formal consultation process that involves the PBAC and relevant stakeholders, ensuring that the changes are clinically effective, safe, and cost-effective.

Key Provisions

The National Health (Highly Specialised Drugs Program for Hospitals) Special Arrangement Amendment Instrument 2014 (No. 10) amends the National Health (Highly specialised drugs program for hospitals) Special Arrangement 2010 (PB 116 of 2010). This amendment primarily involves updates to the drugs covered under the Special Arrangement, specifically related to their responsible persons and the addition of a new brand of a drug. According to Section 3, the amendment changes the Responsible Person for Clarithromycin from Abbott Australasia Pty Ltd to BGP Products Pty Ltd, and for Epoetin Lambda from Novartis Pharmaceuticals Australia Pty Limited to Sandoz Pty Ltd. Additionally, the amendment introduces the brand SILDENAFIL-DRx for Sildenafil in the form Tablet 20 mg (as citrate), with Dr Reddy’s Laboratories Australia Pty Ltd (RZ) as the responsible person. These changes are detailed in Schedule 1 and Schedule 2, which modify the relevant entries in the Special Arrangement. The obligations imposed by this Instrument on the relevant parties include the responsibility to update their records and processes to reflect the changes in the responsible persons for the drugs listed. This includes notifying stakeholders of the new responsible persons and ensuring that all transactions related to these drugs are correctly attributed to the new entities. The Pharmaceutical Benefits Advisory Committee (PBAC) plays a significant role in this process, providing recommendations and ensuring that the amendments align with broader health policy objectives. There are no specific offences, penalties, or civil/criminal consequences mentioned in the Instrument for breaches of the amended Special Arrangement. However, failure to comply with the changes or any subsequent obligations could potentially lead to issues in the supply chain of these drugs, affecting patient care and potentially leading to administrative or regulatory scrutiny. The amendments themselves are designed to ensure that the drugs continue to be supplied under the Special Arrangement without disruption, reflecting the necessary updates to maintain the integrity and effectiveness of the program.

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