National Health (Originator Brand) Amendment Determination (August Update) 2026

Administered by Department of Health, Disability and Ageing

Legislation au F2026L01014 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

National Health Act 1953

National Health (Originator Brand) Amendment Determination (August Update) 2026

PB 93 of 2026

Authority

This legislative instrument is made pursuant to subsection 99ADB(6B) of the National Health Act 1953 (the Act).

Purpose

This legislative instrument amends the National Health (Originator Brand) Determination 2025 (PB 114 of 2025)(the Principal Instrument) to determine originator brand status for pharmaceutical items of five drugs included on the Pharmaceutical Benefits Scheme (PBS) F2 formulary on1 August 2026.

The Principal Instrument determines originator brands of pharmaceutical items that have a drug on the F2 formulary. On meeting certain criteria, drugs move from the F1 formulary (s85AB of the Act), or the single brand Combination Drug List (CDL), to F2. All drugs on F2 are subject to price disclosure. This instrument is necessary to implement the removal of originator brand data from price disclosure calculations (originator removal) in certain circumstances as set out in the National Health (Pharmaceutical Benefits) Regulations 2017 (the Regulations). Originator removal will potentially increase price disclosure related price reductions because originator brands tend to maintain higher prices than other brands.

Amendment

An amendment to the originator brand determination is set out in Schedule 1 of this amending instrument for the drugs that are moving from F1 to F2 (apixaban, benzylpenicillin, guanfacine, ivermectin and levonorgestrel on 1 August 2026). Subsection 99ADB(6C) of the Act provides that when deciding whether to determine originator brands, the Minister (or delegate) must have regard to whether the brand was on F1 or CDL when it was first determined as a brand of pharmaceutical item under subsection 85(6) of the Act.

Basis for amendments

Subsection 33(3) of the Act’s Interpretation Act 1901 is relied upon to vary or revoke the determination made under subsection 99ADB(6B) for the medicines affected by this amending instrument.

Consultation

The companies with a PBS listed brand of the drugs moving from F1 to F2 were consulted on the potential originator brand determination. No comments were received from the affected companies. No additional consultation with experts was undertaken regarding this determination because consultation with the affected companies drew on the knowledge of persons with relevant expertise.

This instrument commences on 1 August 2026.

This instrument is a legislative instrument for the purposes of the Legislation Act 2003.


Statement of Compatibility with Human Rights

Prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011

National Health (Originator Brand) Amendment Determination (August Update) 2026 (PB 93 of 2026)

This legislative 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 Legislative Instrument

This legislative instrument amends the National Health (Originator Brand) Determination 2025 (PB 114 of 2025) (the Principal Instrument) to determine originator brands of pharmaceutical items for five drugs new to the PBS F2 formulary on
1 August 2026.

The instrument is necessary to implement removal of originator brand data for price disclosure calculations in certain circumstances as set out in the National Health (Pharmaceutical Benefits) Regulations 2017 (the Regulations). Originator brand removal from price disclosure calculations will potentially increase PBS price reductions, as originator brands tend to maintain higher prices than other brands. Originator brand removal means that the Government price would more closely reflect the prices at which generic brands of the medicine are being sold in the market, not the prices of all brands.

The PBS provides Australians with timely, reliable and affordable access to necessary and
cost-effective medicines. The PBS operates under Part VII of the National Health Act 1953, which regulates the listing, prescribing, pricing, charging and payment of subsidies for supply of drugs and medicinal preparations as pharmaceutical benefits. The Regulations prescribe matters and set out details in relation to the operation of the PBS.

Human rights implications

This legislative 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 benefits scheme that assists with providing subsidised access to medicines for people. This is a positive and supportive step towards attaining the highest standard of health for all Australians.

Determining an originator brand will improve the operation of the PBS by delivering better value for money for PBS medicines through price disclosure reductions. This will assist consumers by reducing out-of-pocket costs for some PBS medicines.

Conclusion

This legislative instrument is compatible with human rights as it advances the protection of human rights.

 

Mike Pope

Assistant Secretary

PBS Listing, Pricing and Policy Branch

Technology Assessment and Access Division

Department of Health, Disability and Ageing

Overview

The National Health (Originator Brand) Amendment Determination (August Update) 2026 is a legislative instrument made under the authority of the National Health Act 1953. It was introduced to address the need to update the originator brand status of certain pharmaceutical items on the Pharmaceutical Benefits Scheme (PBS) F2 formulary, effective from 1 August 2026. This determination aligns with the policy objective of ensuring the PBS operates effectively by providing more affordable access to necessary medicines. The amendment is necessary to implement the removal of originator brand data from price disclosure calculations, potentially increasing price reductions for certain medications, thereby reducing out-of-pocket costs for consumers. The instrument has been assessed for compatibility with human rights, recognising its role in progressively realising the right to the highest attainable standard of physical and mental health.

Scope and Application

The National Health (Originator Brand) Amendment Determination (August Update) 2026 applies to pharmaceutical items listed on the Pharmaceutical Benefits Scheme (PBS) F2 formulary, specifically for five drugs: apixaban, benzylpenicillin, guanfacine, ivermectin, and levonorgestrel, which will be moved from the F1 formulary to F2 on 1 August 2026. The Act regulates the listing, prescribing, pricing, charging, and payment of subsidies for drugs and medicinal preparations as pharmaceutical benefits under the PBS, which is a key component of the National Health Act 1953. This amendment ensures the correct determination of originator brands for these drugs, which is essential for implementing the removal of originator brand data from price disclosure calculations as outlined in the National Health (Pharmaceutical Benefits) Regulations 2017. The purpose of this amendment is to potentially increase price disclosure-related price reductions for PBS medicines by ensuring that government prices more closely reflect the prices at which generic brands are sold in the market, thereby providing better value for money and reducing out-of-pocket costs for consumers. This legislative instrument is made under the authority of the National Health Act 1953 and commences on 1 August 2026.

Key Provisions

The key provisions of the National Health (Originator Brand) Amendment Determination (August Update) 2026 (PB 93 of 2026) are centred around the amendment of the National Health (Originator Brand) Determination 2025 (PB 114 of 2025). This legislative instrument specifically determines originator brands for pharmaceutical items of five drugs—apixaban, benzylpenicillin, guanfacine, ivermectin, and levonorgestrel—which are moving from the F1 formulary to the F2 formulary on 1 August 2026 (Schedule 1). The amendment is necessary to implement the removal of originator brand data from price disclosure calculations as outlined in the National Health (Pharmaceutical Benefits) Regulations 2017. This removal of originator brand data aims to potentially increase price disclosure-related price reductions, as originator brands often maintain higher prices than generic brands. The National Health (Originator Brand) Amendment Determination imposes obligations on the parties involved, primarily concerning the accurate determination of originator brands for the specified pharmaceutical items. The Minister, or a delegate, must consider whether the brand was on the F1 formulary or the Combination Drug List (CDL) when it was first determined as a brand of pharmaceutical item under the National Health Act 1953. Additionally, the instrument requires that the companies with a PBS listed brand of the drugs moving from F1 to F2 be consulted on the potential originator brand determination, although in this case, no comments were received from the affected companies. In terms of consequences, there are no specific offences or penalties outlined in the instrument itself. However, the National Health (Pharmaceutical Benefits) Regulations 2017 may contain provisions related to non-compliance or breaches, which could lead to civil or criminal consequences. The Regulations detail the operation of the Pharmaceutical Benefits Scheme (PBS) and the requirements for price disclosure and originator brand determination. While the amending instrument does not specify maximum penalties, non-compliance with the Regulations could result in fines or other penalties as stipulated within those regulations. This legislative instrument is designed to enhance the PBS by ensuring that the prices of PBS medicines reflect the actual market prices of generic brands, rather than the higher prices of originator brands. By removing originator brand data from price disclosure calculations, the instrument aims to deliver better value for money for PBS medicines, thereby reducing out-of-pocket costs for consumers. This aligns with the broader goal of the PBS to provide Australians with timely, reliable, and affordable access to necessary and cost-effective medicines.

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Sourced from the Federal Register of Legislation at 26 August 2026. For the latest information on Australian Government law please go to https://www.legislation.gov.au.