PB 77 of 2017

National Health (IVF Program) Special Arrangement Amendment Instrument 2017 (No. 2)

 

National Health Act 1953

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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

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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)