Commonwealth Coat of Arms of Australia

 

PB 29 of 2025

 

National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment (April Update) Instrument 2025

 

National Health Act 1953

 

I, REBECCA RICHARDSON, Assistant Secretary, Pricing and PBS Policy Branch, Technology Assessment and Access Division, Department of Health and Aged Care, delegate of the Minister for Health and Aged Care, make this Instrument under subsection 100(2) of the National Health Act 1953.

Dated  27 March 2025

REBECCA RICHARDSON

Assistant Secretary

Pricing and PBS Policy Branch

Technology Assessment and Access Division

 

 

1 Name

2 Commencement

3 Authority

4 Schedules

Schedule 1—Amendments

National Health (Efficient Funding of Chemotherapy) Special Arrangement 2024
(PB 31 of 2024) 2

 

 

 

  1.            This instrument is the National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment (April Update) Instrument 2025.
  2.            This instrument may also be cited as PB 29 of 2025.
  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

1 April 2025

1 April 2025

Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

  1.             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.

This instrument is made under subsection 100(2) of the National Health Act 1953.

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

 

 

 

 

  1.            Schedule 1, Part 1, entry for Bevacizumab in each of the forms: Solution for I.V. infusion 100 mg in 4 mL; and Solution for I.V. infusion 400 mg in 16 mL

omit:

 

 

 

Bevaciptin

 

  1.            Schedule 1, Part 1, after entry for Tebentafusp

insert:

Tislelizumab

Solution concentrate for I.V. infusion 100 mg in 10 mL

Injection

Tevimbra

C16375

  1.            Schedule 1, Part 1, entry for Trastuzumab in the form Powder for I.V. infusion 150 mg

omit:

 

 

 

Kanjinti

C9349 C9353 C9571 C9573 C10213 C10294 C15820 C15831

  1.            Schedule 1, Part 2, after entry for Tebentafusp [Maximum Amount: 136 mcg; Number of Repeats: 7]

insert:

Tislelizumab

 

200 mg

7

  1.            Schedule 2, entry for Palonosetron

omit:

 

 

 

Aloxi

C5805

 

1

0

 

  1.            Schedule 3, Part 1, after entry for Circumstances Code “C16341”

insert:

C16375

 

Tislelizumab

Advanced or metastatic gastro-oesophageal cancer

Patient must be untreated (up until initiating this drug) with programmed cell death-1/ligand-1 (PD-1/PD-L1) inhibitor therapy for gastro-oesophageal cancer; AND

Patient must have/have had, at the time of initiating treatment with this drug, a WHO performance status no higher than 1.

Patient must not be undergoing treatment with this drug as a PBS benefit where the treatment duration extends beyond the following, whichever comes first: (i) disease progression despite treatment with this drug, (ii) 24 months from treatment initiation; annotate any remaining repeat prescriptions with the word 'cancelled' where this occurs.

Compliance with Authority Required procedures - Streamlined Authority Code 16375