National Health (Weighted average disclosed price – April 2026 reduction day) Determination 2025

Administered by Department of Health, Disability and Ageing

Legislation au F2025L01607 Not in force Legislative Instrument

Legislation content

National Health (Weighted average disclosed price – April 2026 reduction day) Determination 2025

PB 161 of 2025

made under subsection 99ADB(4) and paragraph 99ADH(1)(aa) of the

National Health Act 1953

Compilation No. 1

Compilation date: 5 March 2026

Includes amendments: F2026L00193

This compilation is in 3 volumes

Volume 1: sections 1-9

Volume 2: Schedule 1

Volume 3: Schedule 2

 Endnotes

About this compilation

This compilation

This is a compilation of the National Health (Weighted average disclosed price – April 2026 reduction day) Determination 2025 that shows the text of the law as amended and in force on 5 March 2026 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

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 (www.legislation.gov.au).

Application, 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.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Presentational changes

The Legislation Act 2003 provides for First Parliamentary Counsel to make presentational changes to a compilation. Presentational changes are applied to give a more consistent look and feel to legislation published on the Register, and enable the user to more easily navigate those documents.

Modifications

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.

Selfrepealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.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

1 Name

2 Commencement

3 Repeal

4 Authority

5 Definitions

Part 1 – Brands of pharmaceutical items with a weighted average disclosed price; adjusted approved ex-manufacturer price and reduction day

6 Weighted average disclosed price for brands of pharmaceutical items in Schedule 1

7 Adjusted approved ex-manufacturer price for brands of pharmaceutical items

8 Reduction Day

Part 2 – Brands of pharmaceutical items with a weighted average disclosed price

9 Weighted average disclosed price for brands of pharmaceutical items in Schedule 2

 

1  Name

(1) This instrument is the National Health (Weighted average disclosed price – April 2026 reduction day) Determination 2025.

(2) This instrument may also be cited as PB 161 of 2025.

 

2  Commencement

(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

 

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1.  The whole of this instrument

The day after this instrument is registered.

20 December 2025

(2)  Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

 

3  Repeal

The National Health (Weighted average disclosed price – October 2025 reduction day) Determination 2025 (PB 71 of 2025) is repealed.

 

4  Authority

This instrument is made under subsection 99ADB(4) and paragraph 99ADH(1)(aa) of the National Health Act 1953.

 

5  Definitions

Note: A number of expressions used in this instrument are defined in section 99ADB of the Act, including the following:

(a) adjusted approved ex-manufacturer price;

(b) data collection period

(c) unadjusted price reduction;

(d) weighted average disclosed price.

 

In this instrument:

 

Act means the National Health Act 1953.

Part 1 – Brands of pharmaceutical items with a weighted average disclosed price; adjusted approved ex-manufacturer price and reduction day

 

6  Weighted average disclosed price for brands of pharmaceutical items in Schedule 1

 

(a) For subsection 99ADB(4) of the Act, the weighted average disclosed price of a brand of pharmaceutical item specified in column 2 of an item in the table to Schedule 1 is the amount specified in column 3 of that table item. 

 

(b) Subsection (a) applies in respect of a data collection period for a brand of pharmaceutical item ending on 30 September 2025.

 

Note: Paragraph 99ADH(1)(a) of the Act applies if, under section 99ADB, the Minister determines the weighted average disclosed price of a brand of a pharmaceutical item in respect of a data collection period for the brand.

 

7  Adjusted approved ex-manufacturer price for brands of pharmaceutical items

 

The adjusted approved ex-manufacturer price of a brand of pharmaceutical item specified in column 2 of the table to Schedule 1 is the amount equal to the amount of the weighted average disclosed price of that brand of pharmaceutical item determined under section 6 of this instrument.

 

Note: Subsection 99ADB(7) of the Act provides that a determination made under subsection 99ADB(4) in relation to a brand of pharmaceutical item may include the adjusted approved ex-manufacturer price of the brand of pharmaceutical item.

 

8  Reduction Day

 

For paragraph 99ADH(1)(aa) of the Act, a brand of pharmaceutical item specified in column 2 of an item in the table to Schedule 1 has a reduction day of 1 April 2026.

 

Part 2 – Brands of pharmaceutical items with a weighted average disclosed price

 

9  Weighted average disclosed price for brands of pharmaceutical items in Schedule 2

 

(a) For subsection 99ADB(4) of the Act, the weighted average disclosed price of a brand of pharmaceutical item specified in column 2 of an item in the table to Schedule 2 is the amount specified in column 3 of that table item.

 

(b) Subsection (a) applies in respect of a data collection period for a brand of pharmaceutical item ending on 30 September 2025.

 

Note: This instrument does not determine a reduction day for paragraph 99ADH(1)(aa) of the Act for a brand

 

 

Overview

The National Health (Weighted average disclosed price – April 2026 reduction day) Determination 2025 was enacted in 2025 under the authority of subsection 99ADB(4) and paragraph 99ADH(1)(aa) of the National Health Act 1953. This legislative instrument addresses the need to establish the weighted average disclosed price for specific brands of pharmaceutical items and their adjusted approved ex-manufacturer prices for a particular data collection period ending on 30 September 2025, and to set the reduction day for these items as 1 April 2026. The determination provides a clear framework for calculating these prices, ensuring consistency and transparency in the pricing of pharmaceutical items under the National Health Act. This determination is made by the relevant legislature under the authority of the National Health Act 1953, aiming to provide clear guidelines for the calculation of weighted average disclosed prices and adjusted approved ex-manufacturer prices for specified pharmaceutical items, and to set a definitive reduction day. The policy objective is to ensure that the pricing of pharmaceutical items is conducted in a consistent, transparent, and regulated manner, contributing to the overall effectiveness and efficiency of the national health system.

Scope and Application

The National Health (Weighted average disclosed price – April 2026 reduction day) Determination 2025 applies to the calculation and adjustment of the weighted average disclosed price for specified brands of pharmaceutical items listed in Schedules 1 and 2. This determination is made under subsection 99ADB(4) and paragraph 99ADH(1)(aa) of the National Health Act 1953. The determination sets the weighted average disclosed price for the specified brands in relation to a data collection period ending on 30 September 2025 and establishes the adjusted approved ex-manufacturer price for these brands, which is equal to the weighted average disclosed price. Additionally, the determination sets a reduction day of 1 April 2026 for brands specified in Schedule 1. This legislative instrument applies nationally across Australia and is relevant to entities involved in the pharmaceutical industry, particularly those dealing with the pricing and approval processes for pharmaceutical items as outlined in the National Health Act 1953. Any modifications to this determination are accessible on the Federal Register of Legislation.

Key Provisions

The National Health (Weighted average disclosed price – April 2026 reduction day) Determination 2025, made under the authority of the National Health Act 1953, outlines the weighted average disclosed prices (section 6) and adjusted approved ex-manufacturer prices (section 7) for specific brands of pharmaceutical items listed in Schedule 1 and Schedule 2. These schedules specify the prices applicable to the data collection period ending on 30 September 2025. Furthermore, section 8 sets the reduction day for certain pharmaceutical brands as 1 April 2026. Entities governed by this determination must comply with the specified prices for the listed pharmaceutical items. They are required to adhere to the prices determined for the data collection period ending on 30 September 2025 and ensure that these prices are correctly applied in all relevant transactions. The adjusted approved ex-manufacturer prices must align with the weighted average disclosed prices as stipulated. Failure to comply with the provisions of this determination could result in legal consequences. Although the determination does not explicitly state penalties, breaches of similar provisions under the National Health Act 1953 can attract civil and criminal penalties. Civil penalties can include fines, while criminal penalties may involve imprisonment, depending on the severity and intent of the breach. It is crucial for entities to understand and adhere to these provisions to avoid any legal repercussions.

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Area of Law
Health Law
Instrument
Legislative Instrument
Concepts
Definitions & Interpretation
Commencement Provisions
Repeal & Amendment
Reporting & Disclosure Obligations
Regulatory Standards
Regulated Prices

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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.