EXPLANATORY STATEMENT
NATIONAL HEALTH ACT 1953
NATIONAL HEALTH (LISTING OF PHARMACEUTICAL BENEFITS) AMENDMENT INSTRUMENT 2019 (No. 12)
PB 104 of 2019
Purpose
The purpose of this legislative instrument, made under sections 84AF, 84AK, 85, 85A, 88 and 101 of the National Health Act 1953 (the Act), is to amend the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012) to make changes to the pharmaceutical benefits listed on the Pharmaceutical Benefits Scheme (PBS) and related matters.
PB 71 of 2012 determines the pharmaceutical benefits that are on the PBS through declarations of drugs and medicinal preparations, and determinations of forms, manners of administration and brands. It also provides for related matters (equivalent brands, responsible persons, prescribing circumstances, maximum quantities, number of repeats, determined quantity and pack quantity, section 100 only status and prescriber bag only status).
Authority
This Instrument exercises various powers in Part VII of the Act, as set out below:
Pharmaceutical benefits listed on the PBS
Subsection 85(2) provides that the Minister may declare drugs and medicinal preparations to which Part VII applies. A drug or medicinal preparation for which there is a declaration in force under subsection 85(2) is a ‘listed drug’ (subsection 84(1)). Subsections 85(3) and 85(5) respectively provide that the Minister may determine the form or forms of a listed drug and the manner of administration of a form of a listed drug. A listed drug in a determined form with a determined manner of administration for that form is a pharmaceutical item (section 84AB). Subsection 85(6) provides that the Minister may determine a brand of a pharmaceutical item.
The Minister may also determine the responsible person for a brand of a pharmaceutical item (subsection 84AF(1)). Under the provisions of section 84AK the Minister may determine the determined quantity and pack quantity for a brand of a pharmaceutical item.
Prescribing pharmaceutical benefits
Subsection 88(1) provides that a medical practitioner is authorised to prescribe a pharmaceutical benefit. Section 88 provides that the Minister may determine the pharmaceutical benefits that may be prescribed by different classes of prescribers, including participating dental practitioners (subsection 88(1A)), authorised optometrists (subsection 88(1C)), authorised midwives (subsection 88(1D)) and authorised nurse practitioners (subsection 88(1E)).
Subsection 85(7) provides that the Minister may determine the circumstances in which a prescription may be written for the supply of a pharmaceutical benefit.
Paragraph 85A(2)(a) allows the Minister to determine the maximum quantity or number of units of the pharmaceutical item in a pharmaceutical benefit (or of the pharmaceutical benefit where there is no pharmaceutical item) that may, in one prescription, be directed to be supplied on one occasion. Paragraph 85A(2)(b) also allows the Minister to determine the maximum number of occasions on which the supply of the pharmaceutical benefit may, in one prescription, be directed to be repeated. The maximum quantities and repeats may be determined for all purposes or for particular purposes.
Supplying pharmaceutical benefits
Subsection 85(2A) provides that the Minister must declare that a particular listed drug can only be provided under a special arrangement under section 100 if the Pharmaceutical Benefits Advisory Committee (PBAC) has recommended under subsection 101(4AAD) that the drug be made available only under special arrangements under section 100.
Subsection 85(2AA) provides that the Minister must declare that a particular listed drug can only be provided under one or more of the prescriber bag provisions if the PBAC has recommended under subsection 101(4AACA) that the drug be made available only under one or more of the prescriber bag provisions.
Subsection 85(6A) provides that the Minister may also determine for the purposes of paragraph 103(2A)(b) that a brand of a pharmaceutical item determined under subsection 85(6) is to be treated as equivalent to one or more other brands of pharmaceutical items.
Paragraph 85(7A) provides that the Minister may determine that a particular pharmaceutical benefit may only be supplied under one or more of the prescriber bag provisions.
Paragraph 85(8)(a) provides that the Minister may determine that a particular pharmaceutical benefit may only be supplied under special arrangements under section 100.
Paragraph 85(8)(b) provides that the Minister may determine that a particular pharmaceutical benefit may only be supplied under special arrangements under section 100 for one or more of the circumstances determined for that pharmaceutical benefit under subsection 85(7).
Variation and revocation
Unless there is an express power to revoke or vary PB 71 of 2012 cited in this Instrument and explanatory statement, subsection 33(3) of the Acts Interpretation Act 1901 is relied upon to revoke or vary PB 71 of 2012.
Subsection 101(4AAA) allows the Minister to, by legislative instrument, revoke or vary a subsection 85(2) declaration in relation to a drug or medicinal preparation. Advice from the PBAC is required if the effect of the legislative instrument would be that a drug or medicinal preparation would cease to be a listed drug (subsection 101(4AAB)).
Changes to PB 71 of 2012 made by this Instrument
Schedule 1 to this Instrument provides for the addition of the new listed drug Abemaciclib and one additional form of the listed drug Primidone to the PBS. It also provides for the deletion of the listed drug Verteporfin, and one form of each of the listed drugs Fluconazole, Follitropin alfa with lutropin alfa, and Morphine. Additionally, it alters the circumstances in which a prescription may be written for the supply of the listed drugs Avelumab, Cobimetinib, Imatinib, Palbociclib, Ribociclib, Risperidone, Somatropin and Trametinib (including authority requirements).
Schedule 1 to this Instrument also provides for the following changes:
- the addition of thirteen new brands and deletion of seven existing brands of existing pharmaceutical items;
- the alteration of one brand name;
- the addition of one responsible person and deletion of two responsible persons; and
- the alteration of one hundred and seven responsible person codes.
These changes are summarised, by subject matter, in the Attachment.
Consultation
The involvement of interested parties through the membership of the PBAC constitutes a formal and ongoing process of consultation. The 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 to Australians as pharmaceutical benefits. The 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 the PBAC, and that would enable them to contribute meaningfully to the deliberations of the PBAC. In addition, an industry nominee has been appointed to the PBAC membership under the PBS Access and Sustainability Package of reforms announced in May 2015. When recommending the listing of a medicine on the PBS, 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 are consulted throughout the process of the listing of their medicines on the PBS and in relation to changes to those listings. This includes the company submission to the PBAC and involvement throughout the PBAC process, negotiations or consultation on price, guarantee of supply and agreement to final listing details.
It was considered that further consultation for this Instrument was unnecessary due to the nature of the consultation that had already taken place.
General
A provision-by-provision description of this Instrument is contained in the Attachment.
This Instrument commences on 1 January 2020.
This Instrument is a legislative instrument for the purposes of the Legislation Act 2003.
ATTACHMENT
PROVISION-BY-PROVISION DESCRIPTION OF NATIONAL HEALTH (LISTING OF PHARMACEUTICAL BENEFITS) AMENDMENT INSTRUMENT 2019 (No. 12)
Section 1 Name of Instrument
This section provides that the Instrument is the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2019 (No. 12) and may also be cited as PB 104 of 2019.
Section 2 Commencement
This section provides that this Instrument commences on 1 January 2020.
Section 3 Amendment of National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012)
This section provides that Schedule 1 amends the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012).
Schedule 1 Amendments
The amendments in Schedule 1 involve additions and deletions to drugs, forms, brands, responsible person codes and the alteration to circumstances for prescribing various pharmaceutical benefits available on the Pharmaceutical Benefits Scheme. These changes are summarised below.
SUMMARY OF CHANGES
TO THE PHARMACEUTICAL BENEFITS SCHEME MADE BY THIS INSTRUMENT
Listed Drug Added
Listed Drug |
Abemaciclib |
Listed Drug Deleted
Listed Drug |
Verteporfin |
Forms Added
Listed Drug | Form |
Primidone | Tablet 250 mg (USP) |
Forms Deleted
Listed Drug | Form |
Fluconazole | Solution for I.V. infusion 100 mg in 50 mL |
Follitropin alfa with lutropin alfa | Powder for injection 150 I.U.-75 I.U. with solvent |
Morphine | Injection containing morphine tartrate 120 mg in 1.5 mL |
Brands Added
Listed Drug | Form and Brand |
Azacitidine | Powder for injection 100 mg (Azacitidine-Teva) |
Ezetimibe with simvastatin | Tablet 10 mg-10 mg (EzSimva GH 10/10) |
Tablet 10 mg-20 mg (EzSimva GH 10/20) | |
Tablet 10 mg-40 mg (EzSimva GH 10/40) | |
Tablet 10 mg-80 mg (EzSimva GH 10/80) | |
Insulin glargine | Injections (human analogue), cartridges, 100 units per mL, 3 mL, 5 (Optisulin; Optisulin SoloStar) |
Metformin | Tablet containing metformin hydrochloride 500 mg (Metformin GH) |
Rituximab | Solution for I.V. infusion 100 mg in 10 mL (Truxima) |
Solution for I.V. infusion 500 mg in 50 mL (Truxima) | |
Teriflunomide | Tablet 14 mg (Pharmacor Teriflunomide; Teriflunomide GH) |
Trastuzumab | Powder for I.V. infusion 150 mg (Ontruzant) |
Brands Deleted
Listed Drug | Form and Brand |
Abacavir with lamivudine | Tablet containing abacavir 600 mg (as sulfate) with lamivudine 300 mg (Abacavir/Lamivudine 600/300 APOTEX) |
Atorvastatin | Tablet 10 mg (as calcium) (Atorvastatin Sandoz) |
Tablet 20 mg (as calcium) (Atorvastatin Sandoz) | |
Tablet 40 mg (as calcium) (Atorvastatin Sandoz) | |
Tablet 80 mg (as calcium) (Atorvastatin Sandoz) | |
Capecitabine | Tablet 500 mg (Capecitabine Apotex) |
Nevirapine | Tablet 200 mg (Viramune) |
Alteration of Brand Name
Listed Drug | Form | Brand Name |
Methylprednisolone | Fatty ointment containing methylprednisolone aceponate 1 mg per g, 15 g | From: Advantan To: Advantan (Fatty) |
Addition of Responsible Person Code
Dr Falk Pharma Australia Pty Ltd (FD) |
Deletion of Responsible Person Code
Fawns and McAllan Proprietary Limited (FM) |
Orphan Australia Pty Ltd (OA) |
Alteration of Responsible Person Code
Listed Drug | Form | Brand Name | Responsible Person |
Alprazolam | Tablet 500 micrograms | Alprax 0.5 | From: QA To: AS |
Tablet 1 mg | Alprax 1 | From: QA To: AS | |
Amoxicillin with clavulanic acid | Tablet containing 500 mg amoxicillin (as trihydrate) with | Moxiclav Duo 500/125 | From: QA To: LN |
Tablet containing 875 mg amoxicillin (as trihydrate) with | Moxiclav Duo Forte 875/125 | From: QA To: LN | |
Amphotericin B | Lozenge 10 mg | Fungilin | From: QA To: AS |
Anastrozole | Tablet 1 mg | Anastrol | From: QA To: AS |
Atropine | Eye drops containing atropine sulfate monohydrate 10 mg per mL, 15 mL | Atropt | From: QA To: AS |
Betamethasone | Cream 200 micrograms (as valerate) per g, 100 g | Betnovate 1/5 | From: QA To: AS |
Cortival 1/5 | From: FM To: LN | ||
Cream 500 micrograms (as valerate) per g, 15 g | Betnovate 1/2 | From: QA To: AS | |
Cortival 1/2 | From: FM To: LN | ||
Bicalutamide | Tablet 50 mg | Calutex | From: QA To: AS |
Bimatoprost | Eye drops 300 micrograms per mL, 3 mL | Bimtop | From: QA To: AS |
Budesonide | Rectal foam 2 mg per application, 14 applications, aerosol 16.8 g, 2 | Budenofalk | From: OA To: FD |
Capecitabine | Tablet 500 mg | Xelabine | From: QA To: AS |
Chloramphenicol | Eye drops 5 mg per mL, 10 mL | Chlorsig | From: QA To: AS |
Cladribine | Injection 10 mg in 5 mL | Litak | From: OA To: AS |
Codeine | Tablet containing codeine phosphate hemihydrate 30 mg | Aspen Pharma Pty Ltd | From: QA To: AS |
Cyproterone | Tablet containing cyproterone acetate 50 mg | Cyprocur 50 | From: QA To: AS |
| Tablet containing cyproterone acetate 100 mg | Cyprocur 100 | From: QA To: AS |
Dexamfetamine | Tablet containing dexamfetamine sulfate 5 mg | Aspen Pharma Pty Ltd | From: QA To: AS |
Digoxin | Paediatric oral solution 50 micrograms per mL, 60 mL | Lanoxin | From: QA To: AS |
Tablet 62.5 micrograms | Lanoxin-PG | From: QA To: AS | |
Sigmaxin-PG | From: FM To: LN | ||
Tablet 250 micrograms | Lanoxin | From: QA To: AS | |
Sigmaxin | From: FM To: LN | ||
Dorzolamide | Eye drops 20 mg (as hydrochloride) per mL, 5 mL | Trusamide | From: QA To: AS |
Dorzolamide with timolol | Eye drops containing dorzolamide 20 mg (as hydrochloride) with timolol 5 mg (as maleate) per mL, | Cosdor | From: QA To: AS |
Fludrocortisone | Tablet containing fludrocortisone acetate 100 micrograms | Florinef | From: QA To: AS |
Griseofulvin | Tablet 125 mg | Grisovin | From: QA To: AS |
Tablet 500 mg | Grisovin 500 | From: QA To: AS | |
Haloperidol | Injection 5 mg in 1 mL | Serenace | From: QA To: AS |
Oral solution 2 mg per mL, 100 mL | Serenace | From: QA To: AS | |
Tablet 500 micrograms | Serenace | From: QA To: AS | |
Tablet 1.5 mg | Serenace | From: QA To: AS | |
Tablet 5 mg | Serenace | From: QA To: AS | |
Hydrocortisone | Cream containing hydrocortisone acetate 10 mg per g, 50 g | Cortic-DS 1% | From: FM To: LN |
Sigmacort | From: QA To: AS | ||
Eye ointment containing hydrocortisone acetate 10 mg per g, 5 g | Hycor | From: QA To: AS |
| Ointment containing hydrocortisone acetate 10 mg per g, 50 g | Cortic-DS 1% | From: FM To: LN |
| Sigmacort | From: QA To: AS | |
Hypromellose | Eye drops 5 mg per mL, 15 mL | Methopt | From: QA To: AS |
Ipratropium | Nebuliser solution containing ipratropium bromide 250 micrograms (as monohydrate) in | Aeron 250 | From: QA To: AS |
Nebuliser solution containing ipratropium bromide 500 micrograms (as monohydrate) in | Aeron 500 | From: QA To: AS | |
Labetalol | Tablet containing labetalol hydrochloride 100 mg | Trandate | From: QA To: AS |
Tablet containing labetalol hydrochloride 200 mg | Trandate | From: QA To: AS | |
Latanoprost | Eye drops 50 micrograms per mL, 2.5 mL | Xalaprost | From: QA To: AS |
Latanoprost with timolol | Eye drops 50 micrograms latanoprost with timolol 5 mg (as maleate) per mL, 2.5 mL | Xalamol 50/5 | From: QA To: AS |
Letrozole | Tablet 2.5 mg | Fera | From: QA To: AS |
Levothyroxine | Tablet containing 50 micrograms anhydrous levothyroxine sodium | Eutroxsig | From: FM To: LN |
Oroxine | From: QA To: AS | ||
Tablet containing 75 micrograms anhydrous levothyroxine sodium | Eutroxsig | From: FM To: LN | |
Oroxine | From: QA To: AS | ||
Tablet containing 100 micrograms anhydrous levothyroxine sodium | Eutroxsig | From: FM To: LN | |
Oroxine | From: QA To: AS | ||
Tablet containing 200 micrograms anhydrous levothyroxine sodium | Eutroxsig | From: FM To: LN | |
Oroxine | From: QA To: AS | ||
Liothyronine | Tablet containing liothyronine sodium 20 micrograms | Tertroxin | From: QA To: AS |
Mesalazine | Enemas 2 g in 60 mL, 7 | Salofalk | From: OA To: FD |
Enemas 4 g in 60 mL, 7 | Salofalk | From: OA To: FD | |
Rectal foam 1 g per applicatorful, 14 applications, aerosol 80 g | Salofalk | From: OA To: FD | |
Sachet containing granules, 500 mg per sachet | Salofalk | From: OA To: FD | |
Sachet containing granules, 1 g per sachet | Salofalk | From: OA To: FD | |
Sachet containing granules, 1.5 g per sachet | Salofalk | From: OA To: FD | |
Sachet containing granules, 3 g per sachet | Salofalk | From: OA To: FD | |
Suppository (moulded) 1 g | Salofalk | From: OA To: FD | |
Tablet 500 mg (enteric coated) | Salofalk | From: OA To: FD | |
Tablet 1 g (enteric coated) | Salofalk | From: OA To: FD | |
Methadone | Injection containing methadone hydrochloride 10 mg in 1 mL | Physeptone | From: QA To: AS |
Oral liquid containing methadone hydrochloride 25 mg per 5 mL, 1 L | Aspen Methadone Syrup | From: QA To: AS | |
Oral liquid containing methadone hydrochloride 25 mg per 5 mL, | Aspen Methadone Syrup | From: QA To: AS | |
Tablet containing methadone hydrochloride 10 mg | Physeptone | From: QA To: AS | |
Minocycline | Tablet 50 mg (as hydrochloride) | Minomycin-50 | From: QA To: AS |
Mometasone | Cream containing mometasone furoate 1 mg per g, 15 g | Momasone | From: QA To: AS |
Lotion containing mometasone furoate 1 mg per g, 30 mL | Momasone | From: QA To: AS | |
Ointment containing mometasone furoate 1 mg per g, 15 g | Momasone | From: QA To: AS | |
Nicorandil | Tablets 10 mg, 60 | Ikotab | From: QA To: AS |
Tablets 20 mg, 60 | Ikotab | From: QA To: AS |
Nystatin | Capsule 500,000 units | Nilstat | From: QA To: AS |
Cream 100,000 units per g, 15 g | Mycostatin | From: FM To: LN | |
Tablet 500,000 units | Nilstat | From: QA To: AS | |
Oxazepam | Tablet 15 mg | Serepax | From: QA To: AS |
Tablet 30 mg | Serepax | From: QA To: AS | |
Perhexiline | Tablet containing perhexiline maleate 100 mg | Pexsig | From: QA To: AS |
Phenobarbital | Injection 200 mg (as sodium) in | Fawns and McAllan Proprietary Limited | From: FM To: AS |
Phenoxymethyl-penicillin | Oral suspension 150 mg (as benzathine) per 5 mL, 100 mL | Cilicaine V | From: FM To: AS |
Prednisolone | Suppositories 5 mg (as sodium phosphate), 10 | Predsol | From: QA To: AS |
Enema, retention, 20 mg (as sodium phosphate) in 100 mL | Predsol | From: QA To: AS | |
Tamoxifen | Tablet 20 mg (as citrate) | Tamosin | From: QA To: AS |
Temazepam | Tablet 10 mg | Normison | From: QA To: AS |
Temtabs | From: FM To: LN | ||
Temozolomide | Capsule 5 mg | Temizole 5 | From: QA To: AS |
Capsule 20 mg | Temizole 20 | From: QA To: AS | |
Capsule 100 mg | Temizole 100 | From: QA To: AS | |
Capsule 140 mg | Temizole 140 | From: QA To: AS | |
Capsule 250 mg | Temizole 250 | From: QA To: AS | |
Triamcinolone | Cream containing triamcinolone acetonide 200 micrograms per g, 100 g | Aristocort 0.02% | From: QA To: AS |
Tricortone | From: FM To: LN | ||
Injection containing triamcinolone acetonide 10 mg in 1 mL | Kenacort-A10 | From: QA To: AS | |
Ointment containing triamcinolone acetonide 200 micrograms per g, 100 g | Aristocort 0.02% | From: QA To: AS | |
| Tricortone | From: FM To: LN | |
Triamcinolone with neomycin, gramicidin and nystatin | Ear drops containing triamcinolone acetonide 0.9 mg with neomycin 2.25 mg (as sulfate), gramicidin | Kenacomb Otic | From: QA To: AS |
Otocomb Otic | From: FM To: LN | ||
Ear ointment containing triamcinolone acetonide 1 mg with neomycin 2.5 mg (as sulfate), gramicidin 250 micrograms and nystatin 100,000 units per g, 5 g | Kenacomb Otic | From: QA To: AS | |
Otocomb Otic | From: FM To: LN | ||
Ursodeoxycholic acid | Capsule 250 mg | Ursofalk | From: OA To: FD |
Tablet 500 mg | Ursofalk | From: OA To: FD |
Alteration of Circumstances in Which a Prescription May be Written
Listed Drug |
Avelumab |
Cobimetinib |
Imatinib |
Palbociclib |
Ribociclib |
Risperidone |
Somatropin |
Trametinib |
Document/s incorporated by reference
Listed Drug | Document incorporated | Document access |
Palbociclib | The Response Evaluation Criteria in Solid Tumours (RECIST) guidelines. The document is incorporated as in force on the day this Instrument takes effect, pursuant to paragraph 14(1)(b) of the Legislation Act 2003. The RECIST guidelines are a tool used widely for defining when tumours in cancer patients respond, stabilise and/or progress during treatment. | The RECIST guidelines are available for download for free from the RECIST Working Group website: https://recist.eortc.org/ |
Statement of Compatibility with Human Rights
Prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011
National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2019 (No. 12)
(PB 104 of 2019)
This Instrument is compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011.
Overview of the Instrument
The National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2019 (No. 12) amends the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (the Principal Instrument) which determines the pharmaceutical benefits that are on the Pharmaceutical Benefits Scheme (PBS) through declarations of drugs and medicinal preparations, and determinations of forms, manners of administration and brands. It also provides for related matters (responsible persons, prescribing circumstances, schedule equivalence, maximum quantities, number of repeats, determined quantities, pack quantities, section 100 only status and prescriber bag only status).
Schedule 1 to this Instrument provides for additions, deletions and changes to drugs, forms, brands, schedule equivalence, responsible person codes, maximum quantities, the circumstances for prescribing various pharmaceutical benefits (including authority requirements), determined quantities, pack quantities, section 100 only status and prescriber bag only status.
Human rights implications
This Instrument engages Articles 2 and 12 of the International Covenant on Economic, Social and Cultural Rights by assisting with the progressive realisation by all appropriate means of the right of everyone to the enjoyment of the highest attainable standard of physical and mental health.
The PBS is a benefit scheme which assists with advancement of this human right by providing for subsidised access by patients to medicines. The recommendatory role of the Pharmaceutical Benefits Advisory Committee (PBAC) ensures that decisions about subsidised access to medicines on the PBS are evidence-based. The pharmaceutical industry now has a nominee on the PBAC membership.
Conclusion
This Instrument is compatible with human rights because it advances the protection of human rights.
Thea Daniel
Assistant Secretary
Pricing and PBS Policy Branch
Technology Assessment and Access Division
Department of Health