National Health (Pharmaceutical Benefits) Regulations (Amendment)

Administered by Department of Health, Disability and Ageing

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Statutory Rules

1979 No. 250

REGULATIONS UNDER THE NATIONAL HEALTH ACT
19531

 WHEREAS it is provided by sub-section 101 (4) of the National Health Act 1953 that a drug or medicinal preparation that was not a pharmaceutical benefit under that Act immediately before the commencement of that sub-section shall not be prescribed as a pharmaceutical benefit in accordance with section 85 of that Act unless the Pharmaceutical Benefits Advisory Committee has recommended to the Minister that it be so prescribed:

 AND WHEREAS the Pharmaceutical Benefits Advisory Committee has recommended to the Minister that each drug and medicinal preparation the name of which is specified in Schedule 3 to the following Regulations be prescribed as a pharmaceutical benefit in accordance with section 85 of the National Health Act 1953:

 AND WHEREAS it is desirable, amongst other things, to prescribe, for the purposes of section 85 of the National Health Act 1953, each drug and medicinal preparation so recommended by the Pharmaceutical Benefits Advisory Committee:

 NOW THEREFORE I, the Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the National Health Act 1953.

 Dated this twenty-seventh day of November 1979.

 ZELMAN COWEN

 Governor-General

 By His Excellency’s Command,

 

 

RALPH J. HUNT

Minister of State for Health

_______________

AMENDMENTS OF THE NATIONAL HEALTH
(PHARMACEUTICAL BENEFITS) REGULATIONS2

1 Commencement

  These Regulations shall come into operation on 1 December 1979.

2 Interpretation

  Regulation 5 of the National Health (Pharmaceutical Benefits) Regulations is amended by inserting after the definition of “approved pharmaceutical chemist” in subregulation (1) the following definitions:

“‘participating dental practitioner’ has the same meaning as in Part VII of the Act;

“‘pharmaceutical benefit’ has the same meaning as in Part VII of the Act;”.

3 Heading to Part III

  The heading to Part III of the National Health (Pharmaceutical Benefits) Regulations is amended by omitting “UNDER SECTION 85 OF THE ACT”.

4 Pharmaceutical benefits that may be prescribed only for specified persons, diseases, &c.

  Regulation 14 of the National Health (Pharmaceutical Benefits) Regulations is amended–

 (a) by omitting sub-regulation (1) and substituting the following sub-regulation:

 “(1) Each pharmaceutical benefit the name of which is specified in column 2 of an item in Schedule 5 may be prescribed by a medical practitioner or a participating dental practitioner for supply under Part VII of the Act only–

 (a) where a class of persons is specified in column 3 of that item–for the treatment of a person included in that class of persons;

 (b) where a disease or condition is specified in column 3 of that item–

 (i) if sub-paragraph (ii) does not apply–for the treatment of that disease or condition in relation to any person; or

 (ii) if the disease or condition is specified in relation to a specified class of persons–for the treatment of that disease or condition in relation to a person included in that class of persons;

 (c) where a purpose is specified in column 3 of that item–for that purpose; or

 (d) where a condition is specified in column 3 of that item–subject to that condition.”;

 (b) by inserting in sub-regulation (2) “or a participating dental practitioner” after “medical practitioner”;

 (c) by inserting in sub-regulation (3) “or participating dental practitioner” after “medical practitioner”;

 (d) by inserting in sub-regulation (4) “, or a participating dental practitioner,” after “medical practitioner” (first occurring);

 (e) by inserting in sub-regulation (4) “(if any)” after “determination”;

 (f) by inserting in sub-regulation (4) “in relation to medical practitioners or participating dental practitioners, as the case may be” after “Act”;

 (g) by inserting in sub-regulation (4) “or participating dental practitioner” after “medical practitioner” (last occurring); and

 (h) by omitting sub-regulation (5).

5 Heading to Part IV

  The heading to Part IV of the National Health (Pharmaceutical Benefits) Regulations is omitted and the following heading substituted:

“PART IV–SUPPLY OF PHARMACEUTICAL BENEFITS BY MEDICAL PRACTITIONERS”.

6 Schedule 1

  Schedule 1 to the National Heath (Pharmaceutical Benefits) Regulations is amended as set out in Schedule 1.

7 Schedule 2

  Schedule 2 to the National Health (Pharmaceutical Benefits) Regulations is amended as set out in Schedule 2.

8 Schedule 3

  Schedule 3 to the National Health (Pharmaceutical Benefits) Regulations is amended as set out in Schedule 3.

9 Schedule 5

  Schedule 5 to the National Health (Pharmaceutical Benefits) Regulations is amended as set out in Schedule 4.

_______________

 SCHEDULE 1 Regulation 6

AMENDMENTS OF SCHEDULE 1 TO THE NATIONAL HEALTH (PHARMACEUTICAL BENEFITS) REGULATIONS

 1. After item 166 insert the following item:

 “166A Demeclocycline Capsules”.

 2. Omit item 232

 3. After item 367 insert the following item:

 “367A Isoprenaline Sulphate”.

_______________

 SCHEDULE 2 Regulation 7

AMENDMENTS OF SCHEDULE 2 TO THE NATIONAL HEALTH (PHARMACEUTICAL BENEFITS) REGULATIONS

 1. Omit item 12.

 2. Omit item 44.

 3. Omit item 51, substitute the following item:

“51

Chloramphenicol, B.P.

Polymyxin B Sulphate with Chloramphenicol B.P.”.

 4. Omit item 53.

 5. Omit item 111, substitute the following items:

“110A

Glucose Indicator–Blood

“111

Glucose Indicator–Urine

–”.

 6. Omit item 126.

 7. Omit item 127, substitute the following items:

“127

Isopropyl Alcohol B.P.

Butyl Monoester Polymer with Isopropyl Alcohol B.P.

Isopropyl Monoester Polymer with Isopropyl Alcohol B.P.

“127A

Isopropyl Monoester Polymer

Isopropyl Alcohol B.P. with Isopropyl Monoester Polymer”.

 8. Omit item 144.

 9. After item 165 insert the following item:

“165A

Pectin

Kaolin Light B.P. or Light Kaolin (Natural) B.P. with Pectin”.

 10. omit item 208, substitute the following item:

“208

Tacrine Hydrochloride

Morphine Hydrochloride with Tacrine Hydrochloride

Morphine Sulphate with Tacrine Hydrochloride”.

_______________

 SCHEDULE 3 Regulation 8

AMENDMENTS OF SCHEDULE 3 TO THE NATIONAL HEALTH (PHARMACEUTICAL BENEFITS) REGULATIONS

 1. Omit item 23.

 2. After item 138 insert the following item:

“138A

Glucose Indicator–Blood”.

 3. After item 177 insert the following item:

“177A

Isopropyl Monoester Polymer”.

 4. Omit item 208.

 5. Omit item 311, substitute the following item:

“311

Tacrine Hydrochloride”.

_______________

 SCHEDULE 4 Regulation 9

AMENDMENTS OF SCHEDULE 5 TO THE NATIONAL HEALTH (PHARMACEUTICAL BENEFITS) REGULATIONS

 1. Omit the heading to the Schedule, substitute the following heading:

“PRESCRIBING OF PHARMACEUTICAL BENEFITS SUBJECT TO CONDITIONS AND RESTRICTIONS”.

 2. Omit the heading to column 3, substitute the following heading:

 “Column 3

 Persons for whose treatment,
 diseases or conditions for the
 treatment of which, purposes
 for which, and conditions
 subject to which, the
 pharmaceutical benefit may be
 prescribed for supply under
 Part VII of the Act”.

 3. Omit item 3.

 4. Omit item 4.

 5. Omit item 5.

 6. Omit item 8.

 7. Omit item 11, substitute the following item:

“11

Azathioprine Tablets, B.P

Any disease or condition in a patient receiving treatment in or at an approved hospital

With the written authority of the Permanent Head–

Anaemia, autoimmune haemolytic

Arthritis, rheumatoid with vasculitis or visceral complications

Continuing azathioprine therapy after discharge from a hospital

Crohn’s disease

Dermatomyositis

Granulomatosis, Wegener’s

Hepatitis, active, chronic

Lupus erythematosus, systemic

Nephritis

Nephrotic syndrome

Organ transplant

Pemphigus

Polyarteritis nodosa

Pyoderma gangrenosum

Scleroderma

Thrombocytopenic purpura

Ulcerative colitis”.

 8. Omit item 24, substitute the following item:

“24

Carbenicillin Sodium

Any disease or condition in a patient receiving treatment in or at an approved hospital

Infections where positive bacteriological evidence confirms that carbenicillin is the most appropriate therapeutic agent

Septicaemia, suspected or proven”.

 9. Omit item 33, substitute the following item:

“33

Chlorambucil Tablets, B.P

Any disease or condition in a patient receiving treatment in or at an approved hospital

With the written authority of the Permanent Head–

Anaemia, autoimmune, haemolytic

Arthritis, rheumatoid with vasculitis or visceral complications

Continuing chlorambucil therapy after discharge from a hospital

Crohn’s disease

Dermatomyositis

Granulomatosis, Wegener’s

Hepatitis, active chronic

Lupus erythematosus, systemic

Malignant disease including leukaemia

Nephritis

Nephrotic syndrome

Polyarteritis nodosa

Scleroderma

Thrombocytopenic purpura

Ulcerative colitis”.

 10. Omit item 44.

 11. Omit item 51, substitute the following item:

“51

 (1) Cyclophosphamide, B.P.

 (2) Cyclophosphamide Tablets, B.P.

Any disease or condition in a patient receiving treatment in or at an approved hospital

With the written authority of the Permanent Head–

Anaemia, autoimmune, haemolytic

Arthritis, rheumatoid with vasculitis or visceral complications

Continuing cyclophosphamide therapy after discharge from a hospital

Crohn’s disease

Dermatomyositis

Granulomatosis, Wegener’s

Hepatitis, active, chronic

Lupus erythematosus, systemic

Malignant disease, including leukaemia

Nephritis

Nephrotic syndrome

Pemphigus

Polyarteritis nodosa

Scleroderma

Thrombocytopenic purpura

Ulcerative colitis”.

 12. Omit item 66, substitute the following item:

“66

 (1) Disopyramide

 (2) Disopyramide Phosphate

Cardiac arrhythmias, when other anti-arrhythmic drug therapy is unsatisfactory”.

 13. Omit item 67.

 14. Omit item 73.

 15. Omit item 89.

 16. Omit item 90, substitute the following item:

“90

 (1) Idoxuridine Eye Drops

 (2) Idoxuridine Eye Ointment

Eye infections caused by Herpes Simplex Virus or by Vaccinia Virus”.

 17. After item 93 insert the following item:

"93A

Isopropyl Monoester Polymer with Isopropyl Alcohol B.P.

Ileostomy or colostomy conditions”.

 18. Omit item 97.

 19. Omit item 99.

 20. Omit item 101.

 21. Omit item 111, substitute the following item:

"111

 (1) Methotrexate Injection

 (2) Methotrexate Tablets

Any disease or condition in a patient receiving treatment in or at an approved hospital

With the written authority of the Permanent Head–

Continuing methotrexate therapy after discharge from a hospital

Malignant neoplasia

Pemphigus

Severe intractable or extensive psoriasis ".

 22. Omit item 117, substitute the following item:

“117

Metoclopramide Hydrochloride 10 mg Tablets

With the written authority of the Permanent Head–

Gastric retention after gastric surgery”.

 23. Omit item 119.

 24. Omit item 121, substitute the following item:

“121

Morphine Sulphate, B.P. with Tacrine Hydrochloride Tablets

Severe intractable pain”.

 25. Omit item 132.

 26. Omit item 133.

 27. Omit item 144.

 28. Omit item 145.

 29. Omit item 147.

 30. Omit item 151, substitute the following item:

“151

Potassium Bicarbonate Effervescent Tablets

With the written authority of the Permanent Head–

Hyperchloraemic hypokalaemic acidosis”.

 31. Omit item 152.

 32. Omit item 158.

 33. Omit item 159, substitute the following item:

“159

Propranolol Tablets, B.P. 160 mg

With the written authority of the Permanent Head–

Hypertension where there is an inadequate response to a daily dose of at least 160 mg of propranolol

Frequent disabling agina without evidence of cardiac failure where there is an inadequate response to a daily dose of at least 160 mg of propranolol”.

 34. Omit item 167.

 35. Omit item 170, substitute the following item:

“170

Spironolactone Tablets, B.P.

With the written authority of the Permanent Head–

Primary hyperaldosteronism

Secondary hyperaldosteronism”.

 36. Omit item 173.

 37. Omit item 181, substitute the following item:

“181

Timolol Maleate Eye Drops

With the written authority of the Permanent Head–

Open-angle glaucoma”.

 

NOTES

1. Notified in the Commonwealth of Australia Gazette on 30 November 1979.

2. Statutory Rules 1960 No. 17 as amended to date. For previous amendments see Note 2 to Statutory Rules 1979 No. 51 and see also Statutory Rules 1979 Nos. 51, 55 and 144.

 

Overview

The Statutory Rules 1979 No. 250 REGULATIONS UNDER THE NATIONAL HEALTH ACT 1953 was enacted in 1979 to amend the National Health (Pharmaceutical Benefits) Regulations. The primary objective of these regulations is to facilitate the prescribing of certain drugs and medicinal preparations as pharmaceutical benefits under the National Health Act 1953, in alignment with recommendations from the Pharmaceutical Benefits Advisory Committee. These regulations were introduced to address gaps in the pharmaceutical benefits available under the Act by updating the list of drugs that can be prescribed and ensuring they are accessible to patients, thereby improving healthcare outcomes. The enacting body was the Parliament of the Commonwealth of Australia, with the Governor-General acting on the advice of the Federal Executive Council. The policy objective is to ensure that essential medications are accessible and affordable to the public by including them in the Pharmaceutical Benefits Scheme.

Scope and Application

The Statutory Rules 1979 No. 250 under the National Health Act 1953 extend the Pharmaceutical Benefits Scheme by prescribing additional pharmaceutical benefits that may be prescribed as part of the scheme. The regulations apply to medical practitioners and participating dental practitioners, who are authorised to prescribe these benefits for specific persons, diseases, conditions, or purposes as outlined in Schedule 5 of the regulations. These benefits are intended to be provided to patients under the provisions of Part VII of the National Health Act 1953. The regulations also include amendments to definitions and schedules that refine the scope and application of the pharmaceutical benefits, specifying the conditions under which certain medications can be prescribed. The amendments in Schedules 1, 2, 3, and 4 detail specific drugs and medicinal preparations that are now included or excluded from the list of benefits, further defining the scope of the Act. These regulations are applicable nationwide across Australia, with the modifications coming into effect on 1 December 1979.

Key Provisions

The main operative sections of these regulations include amendments to Schedule 1, Schedule 2, Schedule 3, and Schedule 5 of the National Health (Pharmaceutical Benefits) Regulations. These amendments are detailed in Regulations 6, 7, 8, and 9, respectively. Specifically, they introduce new items and modify existing items to reflect changes in the types of pharmaceutical benefits that can be prescribed, supplied, or recommended. Regulation 14 of the National Health (Pharmaceutical Benefits) Regulations is also amended to clarify the conditions under which certain pharmaceutical benefits can be prescribed by medical practitioners or participating dental practitioners. These regulations impose several obligations and requirements on parties and entities governed by the National Health Act 1953. Firstly, the Pharmaceutical Benefits Advisory Committee must recommend that specific drugs and medicinal preparations be prescribed as pharmaceutical benefits. Secondly, the Minister must consider these recommendations and implement the changes through statutory rules. Thirdly, medical practitioners and participating dental practitioners must adhere to the conditions and restrictions specified in Schedule 5 when prescribing pharmaceutical benefits. The regulations do not explicitly outline offences, penalties, or civil/criminal consequences for breaches. However, given the context of the National Health Act 1953, any non-compliance with these regulations could potentially result in administrative penalties, fines, or other legal consequences. The severity of these penalties would depend on the specific nature of the breach and the relevant provisions of the overarching legislation.

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