PB 53 of 2013

National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2013
(No. 10)

National Health Act 1953

I, ADRIANA PLATONA, First Assistant Secretary (Acting), Pharmaceutical Benefits Division, Department of Health and Ageing, delegate of the Minister for Health, make this Instrument under sections 84AF, 84AK, 85, 85A, 88, 99AEH and 101 of the National Health Act 1953.

Dated   9 August 2013

 

 

 

 

 

 

 

 

 

 

 

ADRIANA PLATONA

First Assistant Secretary (Acting)

Pharmaceutical Benefits Division

Department of Health and Ageing

 


1 Name of Instrument

 (1) This Instrument is the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2013 (No. 10).

 (2) This Instrument may also be cited as PB 53 of 2013.

2 Commencement

This Instrument commences on 1 September 2013.

3 Amendment of National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012)

 Schedule 1 amends the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012).

 

Schedule 1 Amendments

 

[1]                Schedule 1, entry for Apixaban

substitute:

Apixaban

Tablet 2.5 mg

Oral

Eliquis

BQ

MP NP

C3957 C3991 C4043 C4044 C4046 C4269

P3957 P4043

20

0

20

 

 

 

 

 

 

 

MP NP

C3957 C3991 C4043 C4044 C4046 C4269

P3991 P4044

30

0

30

 

 

 

 

 

 

 

MP NP

C3957 C3991 C4043 C4044 C4046 C4269

P4046

60

0

60

 

 

 

 

 

 

 

MP NP

C3957 C3991 C4043 C4044 C4046 C4269

P4269

60

5

60

 

 

 

Tablet 5 mg

Oral

Eliquis

BQ

MP NP

C4269

 

60

5

60

 

 

[2]                Schedule 1, entry for Buprenorphine with naloxone

omit:

 

Tablet (sublingual) 2 mg (as hydrochloride)-0.5 mg (as hydrochloride)

Sublingual

Suboxone

RC

MP NP
See Note 1

See Note 3

See Note 3

See Note 3

See Note 3

28

 

D(100)

 

Tablet (sublingual) 8 mg (as hydrochloride)-2 mg (as hydrochloride)

Sublingual

Suboxone

RC

MP NP
See Note 1

See Note 3

See Note 3

See Note 3

See Note 3

28

 

D(100)

[3]                Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 16 mg with hydrochlorothiazide 12.5 mg

(a)        insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Candesartan/ HCT Sandoz

SZ

MP NP

C3307

 

30

5

30

 

 

(b)        insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Pharmacor Candesartan HCT 16/12.5

CR

MP NP

C3307

 

30

5

30

 

 

[4]                Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 12.5 mg

(a)        insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Candesartan/ HCT Sandoz

SZ

MP NP

C3307

 

30

5

30

 

 

(b)        insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Pharmacor Candesartan HCT 32/12.5

CR

MP NP

C3307

 

30

5

30

 

 

[5]                Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 25 mg

(a)        insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Candesartan/ HCT Sandoz

SZ

MP NP

C3307

 

30

5

30

 

 

(b)        insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Pharmacor Candesartan HCT 32/25

CR

MP NP

C3307

 

30

5

30

 

 

[6]                Schedule 1, entry for Cefepime in each of the forms: Powder for injection 1 g (as hydrochloride); and Powder for injection 2 g
(as hydrochloride)

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Cefepime-AFT

AE

MP NP

C1427

 

10

0

1

 

 

[7]                Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg

(a)        omit:

 

 

 

Cyprohexal

SZ

MP

C1014 C1230 C1404

P1230

20

5

20

 

 

(b)        omit:

 

 

 

Cyprohexal

SZ

MP

C1014 C1230 C1404

P1014 P1404

100

5

50

 

 

[8]                Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 100 mg

omit:

 

 

 

Cyprohexal

SZ

MP

C1014 C1404

 

50

5

50

 

 

[9]                Schedule 1, entry for Dabigatran etexilate

omit:

 

Capsule 110 mg (as mesilate)

Oral

Pradaxa

BY

MP NP

C3957 C4047 C4048

P3957

20

0

10

 

 

 

 

 

 

 

MP NP

C3957 C4047 C4048

P4047

20

1

10

 

 

 

 

 

 

 

MP NP

C3957 C4047 C4048

P4048

60

0

60

 

 

substitute:

 

Capsule 110 mg (as mesilate)

Oral

Pradaxa

BY

MP NP

C3957 C4047 C4048 C4269

P3957

20

0

10

 

 

 

 

 

 

 

MP NP

C3957 C4047 C4048 C4269

P4047

20

1

10

 

 

 

 

 

 

 

MP NP

C3957 C4047 C4048 C4269

P4048

60

0

60

 

 

 

 

 

 

 

MP NP

C3957 C4047 C4048 C4269

C4269

60

5

60

 

 

 

Capsule 150 mg (as mesilate)

Oral

Pradaxa

BY

MP NP

C4269

 

60

5

60

 

 

[10]            Schedule 1, entry for Duloxetine in each of the forms Capsule 30 mg (as hydrochloride); and Capsule 60 mg (as hydrochloride)
[Manner of Administration Oral; Brand Duloxetine DR GH]

omit from Duloxetine DR GH in the column headed “Brand”:  DR

[11]            Schedule 1, entry for Famciclovir in the form Tablet 250 mg [Maximum Quantity 21; Number of Repeats 0]

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Auro-Famciclovir 250

DO

MP NP

C3622 C3623

P3622

21

0

21

 

 

[12]            Schedule 1, entry for Famciclovir in the form Tablet 250 mg [Maximum Quantity 56; Number of Repeats 5]

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Auro-Famciclovir 250

DO

MP NP

C3622 C3623

P3623

56

5

56

 

 

[13]            Schedule 1, after entry for Filgrastim in the form Injection 300 micrograms in 0.5 mL single use pre-filled syringe (TevaGrastim)

insert in the columns in the order indicated:

 

Injection 300 micrograms in 0.5 mL single use pre-filled syringe (Zarzio)

Injection

Zarzio

SZ

MP
See Note 1

C2912 C2913 C2914 C2915 C2916 C2917 C2918 C2919 C2920 C2921 C2922 C2923 C2924 C2925 C2926 C2927 C2928 C2929 C2930 C3087 C3187 C3357 C3358 C3359 C3360 C3361 C3362 C3363 C3364 C3365 C3366 C3367 C3368 C3369 C3370 C3371 C3372 C3373 C3374 C3375 C3376 C3377 C3833 C3834

 

20

11

5

 

D(100)

[14]            Schedule 1, after entry for Filgrastim in the form Injection 480 micrograms in 0.5 mL single use pre-filled syringe (Nivestim)

insert in the columns in the order indicated:

 

Injection 480 micrograms in 0.5 mL single use pre-filled syringe (Zarzio)

Injection

Zarzio

SZ

MP
See Note 1

C2912 C2913 C2914 C2915 C2916 C2917 C2918 C2919 C2920 C2921 C2922 C2923 C2924 C2925 C2926 C2927 C2928 C2929 C2930 C3087 C3187 C3357 C3358 C3359 C3360 C3361 C3362 C3363 C3364 C3365 C3366 C3367 C3368 C3369 C3370 C3371 C3372 C3373 C3374 C3375 C3376 C3377 C3833 C3834

 

20

11

5

 

D(100)

[15]            Schedule 1, after entry for Flutamide in the form Tablet 250 mg

insert:

 

Tablet 250 mg, 30

Oral

Flutamide MYLAN

AF

MP NP

C3674

 

3

5

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[16]            Schedule 1, entry for Gemcitabine in the form Powder for I.V. infusion 200 mg (as hydrochloride)

omit:

 

 

 

Gemzar

LY

MP

 

 

See Note 3

See Note 3

1

 

D(100)

[17]            Schedule 1, entry for Gemcitabine in the form Powder for I.V. infusion 1 g (as hydrochloride)

omit:

 

 

 

Gemzar

LY

MP

 

 

See Note 3

See Note 3

1

 

D(100)

[18]            Schedule 1, entry for Gemcitabine in the form Powder for I.V. infusion 2 g (as hydrochloride)

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Gemcitabine Actavis 2000

WQ

MP

 

 

See Note 3

See Note 3

1

 

D(100)

[19]            Schedule 1, entry for Granisetron in the form Concentrated injection 3 mg (as hydrochloride) in 3 mL

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Granisetron-AFT

AE

MP NP
See Note 1

C4077 C4092
See Note 2

 

1
See Note 2

0
See Note 2

1

 

 

[20]            Schedule 1, entry for Hydroxychloroquine

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Hydroxychloro
quine Actavis

GM

MP NP

 

 

100

1

100

 

 

[21]            Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 500 mg

omit:

 

 

 

Formet 500

QA

MP NP

 

 

100

5

100

 

 

[22]            Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 850 mg

omit:

 

 

 

Formet 850

QA

MP NP

 

 

60

5

60

 

 

[23]            Schedule 1, entry for Misoprostol

omit:

 

 

 

Cytotec

PF

MP

C2630 C2631 C2632

 

120

2

120

 

 

[24]            Schedule 1, entry for Montelukast in the form Tablet, chewable, 4 mg (as sodium)

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Pharmacor Montelukast 4

CR

MP NP

C2617

 

28

5

28

 

 

[25]            Schedule 1, entry for Montelukast in the form Tablet, chewable, 5 mg (as sodium)

insert in the columns in the order indicated, and in alphabetical order for the column headed “Brand”:

 

 

 

Pharmacor Montelukast 5

CR

MP NP

C2618 C3217

 

28

5

28

 

 

[26]            Schedule 1, entry for Norfloxacin

omit:

 

 

 

Noroxin

MK

MP NP

C1002 C1070

 

14

1

14

 

 

[27]            Schedule 1, entry for Ondansetron in each of the forms: I.V. injection 4 mg (as hydrochloride dihydrate) in 2 mL; and I.V. injection 8 mg (as hydrochloride dihydrate) in 4 mL

omit:

 

 

 

Zofran

AS

MP NP
See Note 1

C3050 C3611
See Note 2

See Note 2

1
See Note 2

0
See
Note 2

1

 

 

[28]            Schedule 1, entry for Paclitaxel in each of the forms: Solution concentrate for I.V. infusion 30 mg in 5 mL; and Solution concentrate for I.V. infusion 100 mg in 16.7 mL

omit:

 

 

 

Paclitaxel Pfizer

PF

MP

C3186 C3890 C3902 C3917 C3955 C3956

 

See Note 3

See Note 3

1

 

D(100)

[29]            Schedule 1, entry for Quinapril in the form Tablet 5 mg (as hydrochloride)

omit:

 

 

 

Acquin 5

QA

MP NP

 

 

30

5

30

 

 

[30]            Schedule 1, entry for Quinapril in the form Tablet 10 mg (as hydrochloride)

omit:

 

 

 

Acquin 10

QA

MP NP

 

 

30

5

30

 

 

[31]            Schedule 1, entry for Quinapril in the form Tablet 20 mg (as hydrochloride)

omit:

 

 

 

Acquin 20

QA

MP NP

 

 

30

5

30

 

 

[32]            Schedule 1, entry for Rabeprazole in the form Tablet containing rabeprazole sodium 20 mg (enteric coated)

(a)        omit:

 

 

 

Rabeprazole Actavis 20

TA

MP NP

C1177 C1337 C1533

P1177

30

2

30

 

 

(b)        omit:

 

 

 

Rabeprazole Actavis 20

TA

MP NP

C1177 C1337 C1533

P1337 P1533

30

5

30

 

 

[33]            Schedule 1, entry for Raltegravir

substitute:

Raltegravir

Tablet 25 mg (as potassium)

Oral

Isentress

MK

MP
See Note 1

C4273 C4274 C4275 C4276

 

360

5

60

 

D(100)

 

Tablet 100 mg (as potassium)

Oral

Isentress

MK

MP
See Note 1

C4273 C4274 C4275 C4276

 

360

5

60

 

D(100)

 

Tablet 400 mg (as potassium)

Oral

Isentress

MK

MP
See Note 1

C3586 C3587 C3588 C3589

 

120

5

60

 

D(100)

[34]            Schedule 1, entry for Risedronic Acid and Calcium in the form Pack containing 4 tablets risedronate sodium 35 mg and 24 tablets calcium 500 mg (as carbonate)

omit:

 

 

 

Actonel Combi

SW

MP NP

C4122 C4123 C4133

 

1

5

1

 

 

[35]            Schedule 1, entry for Salbutamol

omit:

 

Nebuliser solution 5 mg (as sulfate) per mL, 30 mL

Inhalation

Pfizer Australia Pty Ltd

PF

MP NP

C1754 C1755

 

2

2

1

 

 

[36]            Schedule 1, entry for Sumatriptan in the form Tablet 50 mg (as succinate)

omit:

 

 

 

Sumagran 50

QA

MP NP

C3233

 

4

5

2

 

 

[37]            Schedule 1, after entry for Tadalafil

insert:

Tafluprost

Eye drops 15 micrograms per mL, single dose units 0.3 mL, 30

Application to the eye

Saflutan

MK

MP AO

 

 

1

5

1

 

 

[38]            Schedule 4, Part 1, entry for Apixaban

insert in numerical order following existing text:

 

C4269

P4269

 

Prevention of stroke or systemic embolism

Patient must have non-valvular atrial fibrillation

Patient must have one or more risk factors for developing stroke or systemic embolism

Risk factors for developing stroke or systemic ischaemic embolism are:

(i) Prior stroke (ischaemic or unknown type), transient ischaemic attack or non-central nervous system (CNS) systemic embolism;

(ii) age 75 years or older;

(iii) hypertension;

(iv) diabetes mellitus;

(v) heart failure and/or left ventricular ejection fraction 35% or less

Compliance with Authority Required procedures - Streamlined Authority Code 4269

[39]            Schedule 4, Part 1, entry for Dabigatran etexilate

insert in numerical order following existing text:

 

C4269

P4269

 

Prevention of stroke or systemic embolism

Patient must have non-valvular atrial fibrillation

Patient must have one or more risk factors for developing stroke or systemic embolism

Risk factors for developing stroke or systemic ischaemic embolism are:

(i) Prior stroke (ischaemic or unknown type), transient ischaemic attack or non-central nervous system (CNS) systemic embolism;

(ii) age 75 years or older;

(iii) hypertension;

(iv) diabetes mellitus;

(v) heart failure and/or left ventricular ejection fraction 35% or less

Compliance with Authority Required procedures - Streamlined Authority Code 4269

[40]            Schedule 4, Part 1, entry for Misoprostol

omit:

 

C2630

 

 

Reduction in the incidence of gastrointestinal complications in patients who have a history of peptic ulcer disease and where non-steroidal anti-inflammatory drug therapy is essential

Compliance with Authority Required procedures - Streamlined Authority Code 2630

 

C2631

 

 

Duodenal ulcer (including pyloric and stomal ulcers), proven by current or prior x-ray, endoscopy or surgery, where the date on which, and the method by which, the ulcer was proven are documented in the patient's medical records when treatment is initiated

Compliance with Authority Required procedures - Streamlined Authority Code 2631

 

C2632

 

 

Gastric ulcer, proven by x-ray, endoscopy or surgery within the previous 2 years, where the date on which, and the method by which, the ulcer was proven are documented in the patient's medical records when treatment is initiated

Compliance with Authority Required procedures - Streamlined Authority Code 2632

[41]            Schedule 4, Part 1, entry for Raltegravir

insert in numerical order following existing text:

 

C4273

 

 

Where the patient is receiving treatment at/from a private hospital

HIV infection

Continuing treatment

The treatment must be in combination with other antiretroviral agents,

Patient must be antiretroviral experienced with at least 6 months therapy with 2 alternate classes of anti-retroviral therapy,

Patient must have previously received PBS-subsidised therapy for HIV infection,

Patient must be aged 2 years or older

Compliance with Written and Telephone Authority Required procedures

 

 

C4274

 

 

Where the patient is receiving treatment at/from a public hospital

HIV infection

Continuing treatment

The treatment must be in combination with other antiretroviral agents,

Patient must be antiretroviral experienced with at least 6 months therapy with 2 alternate classes of anti-retroviral therapy,

Patient must have previously received PBS-subsidised therapy for HIV infection,

Patient must be aged 2 years or older

Compliance with Written and Telephone Authority Required procedures - Streamlined Authority Code 4274

 

C4275

 

 

Where the patient is receiving treatment at/from a public hospital

HIV infection

Initial treatment

The treatment must be in combination with other antiretroviral agents,

Patient must be antiretroviral experienced with at least 6 months therapy with 2 alternate classes of anti-retroviral therapy,

Patient must have a CD4 count of less than 500 per cubic millimetre; OR

Patient must have symptomatic HIV disease,

Patient must be aged 2 years or older

Compliance with Written and Telephone Authority Required procedures - Streamlined Authority Code 4275

 

C4276

 

 

Where the patient is receiving treatment at/from a private hospital

HIV infection

Initial treatment

The treatment must be in combination with other antiretroviral agents,

Patient must be antiretroviral experienced with at least 6 months therapy with 2 alternate classes of anti-retroviral therapy,

Patient must have a CD4 count of less than 500 per cubic millimetre; OR

Patient must have symptomatic HIV disease,

Patient must be aged 2 years or older

Compliance with Written and Telephone Authority Required procedures