PB 77 of 2017
National Health (IVF Program) Special Arrangement Amendment Instrument 2017 (No. 2)
National Health Act 1953
___________________________________________________________________________
I, NATASHA PLOENGES, Assistant Secretary (Acting), Pharmacy and Insurance Branch, Technology Assessment and Access Division, Department of Health, delegate of the Minister for Health, make this Amendment Instrument under subsection 100(2) of the National Health Act 1953.
Dated 20 September 2017
NATASHA PLOENGES
Assistant Secretary (Acting)
Pharmacy and Insurance Branch
Technology Assessment and Access Division
Department of Health
___________________________________________________________________________
___________________________________________________________________________
1 Name of Instrument
(1) This instrument is the National Health (IVF Program) Special Arrangement Amendment Instrument 2017 (No. 2).
(2) This instrument may also be cited as PB 77 of 2017.
2 Commencement
This instrument commences on 1 October 2017.
3 Amendment of National Health (IVF Program) Special Arrangement 2015 (PB 60 of 2015)
Schedule 1 amends the National Health (IVF Program) Special Arrangement 2015 (PB 60 of 2015).
Schedule 1 Amendments
[1] Schedule 1
omit table and substitute:
Listed Drug | Form | Manner of Administration | Brand | Section 100 only |
Cetrorelix | Powder for injection 250 micrograms (as acetate) with diluent | Injection | Cetrotide | D(100) |
Choriogonadotropin Alfa | Solution for injection 250 micrograms in 0.5 ml pre filled pen | Injection | Ovidrel | D(100) |
Chorionic Gonadotrophin | Injection set containing powder for injection 1,500 units, 3 and solvent 1 mL, 3 | Injection | Pregnyl | C(100) |
| Powder for injection 5,000 units with solvent | Injection | Pregnyl | PB(100) |
Corifollitropin Alfa | Solution for injection 100 micrograms in 0.5mL single dose pre filled syringes | Injection | Elonva | D(100) |
| Solution for injection 150 micrograms in 0.5mL single dose pre filled syringes | Injection | Elonva | D(100) |
Follitropin Alfa | Injection 75 I.U. in 0.125 mL pre filled pen | Injection | Bemfola | C(100) |
| Injection 150 I.U. in 0.25 mL pre filled pen | Injection | Bemfola | C(100) |
| Injection 225 I.U. in 0.375 mL pre filled pen | Injection | Bemfola | C(100) |
| Injection 300 I.U. in 0.5 mL multi dose cartridge | Injection | Gonal f Pen | C(100) |
| Injection 300 I.U. in 0.5 mL pre filled pen | Injection | Bemfola | PB(100) |
| Injection 450 I.U. in 0.75 mL multi dose cartridge | Injection | Gonal f Pen | C(100) |
| Injection 450 I.U. in 0.75 mL pre filled pen | Injection | Bemfola | PB(100) |
| Injection 900 I.U. in 1.5 mL multi dose cartridge | Injection | Gonal f Pen | C(100) |
Follitropin Alfa with Lutropin Alfa | Powder for injection 150 I.U. - 75 I.U. with solvent | Injection | Pergoveris | D(100) |
Follitropin Beta | Solution for injection 300 I.U. in 0.36 mL multi dose cartridge | Injection | Puregon 300 IU/0.36 mL | C(100) |
| Solution for injection 600 I.U. in 0.72 mL multi dose cartridge | Injection | Puregon 600 IU/0.72 mL | C(100) |
| Solution for injection 900 I.U. in 1.08 mL multi dose cartridge | Injection | Puregon 900 IU/1.08 mL | C(100) |
Ganirelix | Injection 250 micrograms (as acetate) in 0.5 mL pre filled syringe | Injection | Orgalutran | D(100) |
Human Menopausal Gonadotrophin | Powder for injection 600 I.U. with solvent | Injection | Menopur 600 | D(100) |
| Powder for injection 1,200 I.U. with solvent | Injection | Menopur 1200 | D(100) |
Lutropin Alfa | Powder for injection 75 I.U. with solvent | Injection | Luveris | D(100) |
Nafarelin | Nasal spray (pump pack) 200 micrograms (as acetate) per dose, 60 doses | Nasal | Synarel | C(100) |
Progesterone | Capsule 200 mg | Vaginal | Utrogestan | D(100) |
| Pessary 100 mg | Vaginal | Oripro | D(100) |
| Pessary 200 mg | Vaginal | Oripro | D(100) |
| Vaginal gel (prolonged release) 90 mg in single dose pre filled applicator | Vaginal | Crinone 8% | D(100) |
| Vaginal Tablet 100 mg | Vaginal | Endometrin | D(100) |
Triptorelin | Injection 100 micrograms (as acetate) in 1 mL pre-filled syringe | Injection | Decapeptyl | PB(100) |