Commonwealth Coat of Arms of Australia

 

PB 52 of 2024

 

National Health (Listing of Pharmaceutical Benefits) Amendment (June Update) Instrument 2024

 

National Health Act 1953

 

I, NIKOLAI TSYGANOV, 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 sections 84AF, 84AK, 85, 85A, 88 and 101 of the National Health Act 1953.

Dated 30 May 2024

NIKOLAI TSYGANOV

Assistant Secretary

Pricing and PBS Policy Branch

Technology Assessment and Access Division

 

 

Contents

1 Name

2 Commencement

3 Authority

4 Schedules

Schedule 1—Amendments

National Health (Listing of Pharmaceutical Benefits) Instrument 2024
(PB 26 of 2024). 2

1 Name

(1)           This instrument is the National Health (Listing of Pharmaceutical Benefits) Amendment (June Update) Instrument 2024.

(2)           This Instrument may also be cited as PB 52 of 2024.

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

1 June 2024

1 June 2024

Note: This table relates only to the provisions of this instrument as originally made.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.

(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 Authority

This instrument is made under sections 84AF, 84AK, 85, 85A, 88 and 101 of the National Health Act 1953.

4 Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1Amendments

National Health (Listing of Pharmaceutical Benefits) Instrument 2024 (PB 26 of 2024)

[1]                   Schedule 1, Part 1, entry for Adalimumab in the form Injection 40 mg in 0.4 mL pre-filled pen [Brands: Adalicip; Humira; and Yuflyma; Maximum Quantity: 6; Number of Repeats: 0]

(a)           omit from the column headed “Circumstances”: C12275 C12336

(b)           insert in numerical order in the column headed “Circumstances”: C15249 C15309 C15319

(c)           omit from the column headed “Purposes”: P12275 P12336

(d)           insert in numerical order in the column headed “Purposes”: P15249 P15309 P15319

[2]                   Schedule 1, Part 1, entry for Adalimumab in the form Injection 40 mg in 0.8 mL pre-filled pen [Brands: Amgevita; Hadlima; Hyrimoz; and Idacio; Maximum Quantity: 6; Number of Repeats: 0]

(a)           omit from the column headed “Circumstances”: C12275 C12336

(b)           insert in numerical order in the column headed “Circumstances”: C15249 C15309 C15319

(c)           omit from the column headed “Purposes”: P12275 P12336

(d)           insert in numerical order in the column headed “Purposes”: P15249 P15309 P15319

[3]                   Schedule 1, Part 1, entry for Adalimumab in each of the forms: Injection 80 mg in 0.8 mL pre-filled pen; and Injection 80 mg in 0.8 mL pre-filled syringe [Maximum Quantity: 3; Number of Repeats: 0]

(a)           omit from the column headed “Circumstances”: C12275 C12278

(b)           insert in numerical order in the column headed “Circumstances”: C15249 C15309 C15319

(c)           omit from the column headed “Purposes”: P12275 P12278

(d)           insert in numerical order in the column headed “Purposes”: P15249 P15309 P15319

[4]                   Schedule 1, Part 1, entry for Alogliptin in the form Tablet 6.25 mg (as benzoate) [Maximum Quantity: 28; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C4349 substitute: C15261

(b)           omit from the column headed “Purposes”: P4349 substitute: P15261


[5]                   Schedule 1, Part 1, entry for Alogliptin in the form Tablet 6.25 mg (as benzoate) [Maximum Quantity: 56; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C14862 substitute: C15287

(b)           omit from the column headed “Purposes”: P14862  substitute: P15287

[6]                   Schedule 1, Part 1, entry for Alogliptin in the form Tablet 12.5 mg (as benzoate) [Maximum Quantity: 28; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C4349 substitute: C15261

(b)           omit from the column headed “Purposes”: P4349 substitute: P15261

[7]                   Schedule 1, Part 1, entry for Alogliptin in the form Tablet 12.5 mg (as benzoate) [Maximum Quantity: 56; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C14862 substitute: C15287

(b)           omit from the column headed “Purposes”: P14862 substitute: P15287

[8]                   Schedule 1, Part 1, entry for Alogliptin in the form Tablet 25 mg (as benzoate) [Maximum Quantity: 28; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C4349 substitute: C15261

(b)           omit from the column headed “Purposes”: P4349 substitute: P15261

[9]                   Schedule 1, Part 1, entry for Alogliptin in the form Tablet 25 mg (as benzoate) [Maximum Quantity: 56; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C14862 substitute: C15287

(b)           omit from the column headed “Purposes”: P14862  substitute: P15287

[10]               Schedule 1, Part 1, entry for Alogliptin with metformin in the form Tablet containing 12.5 mg alogliptin (as benzoate) with 1 g metformin hydrochloride [Maximum Quantity: 56; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C4423 C4427 substitute: C15276

(b)           omit from the column headed “Purposes”: P4423 P4427 substitute: P15276

[11]               Schedule 1, Part 1, entry for Alogliptin with metformin in the form Tablet containing 12.5 mg alogliptin (as benzoate) with 1 g metformin hydrochloride [Maximum Quantity: 112; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C14876 substitute: C15288

(b)           omit from the column headed “Purposes”: P14876 substitute: P15288


[12]               Schedule 1, Part 1, entry for Alogliptin with metformin in the form Tablet containing 12.5 mg alogliptin (as benzoate) with 500 mg metformin hydrochloride [Maximum Quantity: 56; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C4423 C4427 substitute: C15276

(b)           omit from the column headed “Purposes”: P4423 P4427 substitute: P15276

[13]               Schedule 1, Part 1, entry for Alogliptin with metformin in the form Tablet containing 12.5 mg alogliptin (as benzoate) with 500 mg metformin hydrochloride [Maximum Quantity: 112; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C14876 substitute: C15288

(b)           omit from the column headed “Purposes”: P14876 substitute: P15288

[14]               Schedule 1, Part 1, entry for Alogliptin with metformin in the form Tablet containing 12.5 mg alogliptin (as benzoate) with 850 mg metformin hydrochloride [Maximum Quantity: 56; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C4423 C4427 substitute: C15276

(b)           omit from the column headed “Purposes”: P4423 P4427 substitute: P15276

[15]               Schedule 1, Part 1, entry for Alogliptin with metformin in the form Tablet containing 12.5 mg alogliptin (as benzoate) with 850 mg metformin hydrochloride [Maximum Quantity: 112; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C14876 substitute: C15288

(b)           omit from the column headed “Purposes”: P14876 substitute: P15288

[16]               Schedule 1, Part 1, entry for Ambrisentan in the form Tablet 5 mg

                           omit:

Ambrisentan

Tablet 5 mg

Oral

Ambrisentan Mylan

AF

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

30

 

D(100)

[17]               Schedule 1, Part 1, entry for Anastrozole

                           omit:

Anastrozole

Tablet 1 mg

Oral

Arimidex

AP

MP NP

C5464

P5464

30

5

 

30

 

 

Anastrozole

Tablet 1 mg

Oral

Arimidex

AP

MP NP

C14943

P14943

60

5

 

30

 

 


[18]               Schedule 1, Part 1, entry for Apremilast in each of the forms: Pack containing 4 tablets 10 mg, 4 tablets 20 mg and 19 tablets 30 mg; and Tablet 30 mg

omit from the column headed “Circumstances”: C14417 substitute: C15326

[19]               Schedule 1, Part 1, entry for Azacitidine

                           substitute:

Azacitidine

Powder for injection 100 mg

Injection

Azacitidine Accord

OC

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

PB(100)

Azacitidine

Powder for injection 100 mg

Injection

Azacitidine Dr.Reddy's

RI

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

PB(100)

Azacitidine

Powder for injection 100 mg

Injection

AZACITIDINE EUGIA

YG

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

PB(100)

Azacitidine

Powder for injection 100 mg

Injection

Azacitidine Juno

JO

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

PB(100)

Azacitidine

Powder for injection 100 mg

Injection

Azacitidine MSN

JU

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

PB(100)

Azacitidine

Powder for injection 100 mg

Injection

Azacitidine Sandoz

SZ

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

PB(100)

Azacitidine

Powder for injection 100 mg

Injection

Azacitidine-Teva

TB

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

PB(100)

Azacitidine

Tablet 200 mg

Oral

Onureg

CJ

MP

C14338

 

14

2

 

7

 

 

Azacitidine

Tablet 300 mg

Oral

Onureg

CJ

MP

C14332 C14338

P14332 P14338

14

2

 

7

 

 

Azacitidine

Tablet 300 mg

Oral

Onureg

CJ

MP

C14323

P14323

21

1

 

7

 

 

[20]               Schedule 1, Part 1, entry for Benzathine benzylpenicillin

                           substitute:

Benzathine benzylpenicillin

Injection containing 1,200,000 units benzathine benzylpenicillin tetrahydrate in 2.3 mL single use pre-filled syringe

Injection

Bicillin L-A

PF

PDP MP NP

 

 

10

0

 

10

 

 

Benzathine benzylpenicillin

Injection containing 600,000 units benzathine benzylpenicillin tetrahydrate in 1.17 mL single use pre-filled syringe

Injection

Bicillin L-A

PF

PDP MP NP

 

 

10

0

 

10

 

 

Benzathine benzylpenicillin

Powder for injection 1,200,000 units with diluent 5 mL (S19A)

Injection

Benzylpenicillin Benzathine (Brancaster Pharma, UK)

OJ

PDP MP NP

 

 

10

0

 

1

 

 

Benzathine benzylpenicillin

Powder for injection 1,200,000 units with diluent 5 mL (S19A)

Injection

Extencilline Benzathine Benzylpenicillin (France)

YO

PDP MP NP

 

 

10

0

 

1

 

 

[21]               Schedule 1, Part 1, entry for Bisacodyl

                           omit:

Bisacodyl

Enemas 10 mg in 5 mL, 25

Rectal

Bisalax

OX

MP NP

C5613 C5640 C5685 C5720 C5775 C5776 C5804

 

1

2

 

1

 

 

[22]               Schedule 1, Part 1, entry for Bortezomib in the form Powder for injection 1 mg

                           omit:

Bortezomib

Powder for injection 1 mg

Injection

Velcade

JC

MP

C11099 C13745

 

See Note 3

See Note 3

 

1

 

D(100)

[23]               Schedule 1, Part 1, entry for Bortezomib in the form Powder for injection 3 mg

                           omit:

Bortezomib

Powder for injection 3 mg

Injection

Velcade

JC

MP

C11099 C13745

 

See Note 3

See Note 3

 

1

 

D(100)

[24]               Schedule 1, Part 1, entry for Bortezomib in the form Powder for injection 3.5 mg

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

Bortezomib

Powder for injection 3.5 mg

Injection

BORTEZOMIB EUGIA

YG

MP

C11099 C13745

 

See Note 3

See Note 3

 

1

 

D(100)

(b)           omit:

Bortezomib

Powder for injection 3.5 mg

Injection

Velcade

JC

MP

C11099 C13745

 

See Note 3

See Note 3

 

1

 

D(100)

[25]               Schedule 1, Part 1, entry for Bosentan

                           substitute:

Bosentan

Tablet 62.5 mg (as monohydrate)

Oral

Bosentan APO

GX

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 62.5 mg (as monohydrate)

Oral

BOSENTAN DR.REDDY'S

RI

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 62.5 mg (as monohydrate)

Oral

Bosentan Mylan

AF

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 62.5 mg (as monohydrate)

Oral

Bosentan RBX

RA

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 62.5 mg (as monohydrate)

Oral

BOSLEER

RW

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 125 mg (as monohydrate)

Oral

Bosentan APO

GX

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 125 mg (as monohydrate)

Oral

Bosentan Cipla

LR

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 125 mg (as monohydrate)

Oral

BOSENTAN DR.REDDY'S

RI

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 125 mg (as monohydrate)

Oral

Bosentan GH

GQ

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 125 mg (as monohydrate)

Oral

Bosentan Mylan

AF

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 125 mg (as monohydrate)

Oral

Bosentan RBX

RA

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

Bosentan

Tablet 125 mg (as monohydrate)

Oral

BOSLEER

RW

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

60

 

D(100)

[26]               Schedule 1, Part 1, entry for Budesonide with formoterol

                           substitute:

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 100 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Turbuhaler 100/6

AP

MP

C10538

 

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 100 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Turbuhaler 100/6

AP

MP NP

C4380

 

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 60 doses

Inhalation by mouth

Bufomix Easyhaler 200/6

OX

MP NP

C10464

P10464

2

2

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 60 doses

Inhalation by mouth

Bufomix Easyhaler 200/6

OX

MP NP

C7970

P7970

2

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 60 doses

Inhalation by mouth

Bufomix Easyhaler 200/6

OX

MP

C10538

P10538

2

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

BiResp Spiromax

TB

MP NP

C10464

P10464

1

2

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

BiResp Spiromax

TB

MP NP

C7970

P7970

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

BiResp Spiromax

TB

MP

C10538

P10538

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

DuoResp Spiromax

EV

MP NP

C10464

P10464

1

2

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

DuoResp Spiromax

EV

MP NP

C7970

P7970

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

DuoResp Spiromax

EV

MP

C10538

P10538

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Rilast TURBUHALER 200/6

XT

MP NP

C10464

P10464

1

2

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Rilast TURBUHALER 200/6

XT

MP NP

C7970

P7970

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Rilast TURBUHALER 200/6

XT

MP

C10538

P10538

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Turbuhaler 200/6

AP

MP NP

C10464

P10464

1

2

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Turbuhaler 200/6

AP

MP NP

C7970

P7970

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Turbuhaler 200/6

AP

MP

C10538

P10538

1

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 400 micrograms with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses

Inhalation by mouth

BiResp Spiromax

TB

MP NP

C7979 C10121

 

2

5

 

2

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 400 micrograms with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses

Inhalation by mouth

Bufomix Easyhaler 400/12

OX

MP NP

C7979 C10121

 

2

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 400 micrograms with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses

Inhalation by mouth

DuoResp Spiromax

EV

MP NP

C7979 C10121

 

2

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 400 micrograms with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses

Inhalation by mouth

DuoResp Spiromax

EV

MP NP

C7979 C10121

 

2

5

 

2

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 400 micrograms with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses

Inhalation by mouth

Rilast TURBUHALER 400/12

XT

MP NP

C7979 C10121

 

2

5

 

1

 

 

Budesonide with formoterol

Powder for oral inhalation in breath actuated device containing budesonide 400 micrograms with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses

Inhalation by mouth

Symbicort TURBUHALER 400/12

AP

MP NP

C7979 C10121

 

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 50 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Rapihaler 50/3

AP

MP NP

C4397

 

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 50 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Rapihaler 50/3

AP

MP

C10538

 

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 100 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Rilast RAPIHALER 100/3

XT

MP NP

C10482

P10482

2

2

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 100 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Rilast RAPIHALER 100/3

XT

MP NP

C4397

P4397

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 100 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Rilast RAPIHALER 100/3

XT

MP

C10538

P10538

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 100 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Rapihaler 100/3

AP

MP NP

C10482

P10482

2

2

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 100 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Rapihaler 100/3

AP

MP NP

C4397

P4397

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 100 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Rapihaler 100/3

AP

MP

C10538

P10538

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Rilast RAPIHALER 200/6

XT

MP NP

C4404 C10121

 

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Rilast RAPIHALER 200/6

XT

MP

C10538

 

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Rapihaler 200/6

AP

MP NP

C4404 C10121

 

2

5

 

1

 

 

Budesonide with formoterol

Pressurised inhalation containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses

Inhalation by mouth

Symbicort Rapihaler 200/6

AP

MP

C10538

 

2

5

 

1

 

 

[27]               Schedule 1, Part 1, entry for Cefepime in the form Powder for injection 1 g (as hydrochloride)

                           omit:

Cefepime

Powder for injection 1 g (as hydrochloride)

Injection

Omegapharm Pty Ltd

OE

MP NP

C5842

 

10

0

 

1

 

 

[28]               Schedule 1, Part 1, entry for Cefepime in the form Powder for injection 2 g (as hydrochloride)

                           omit:

Cefepime

Powder for injection 2 g (as hydrochloride)

Injection

Omegapharm Pty Ltd

OE

MP NP

C5842

 

10

0

 

1

 

 

[29]               Schedule 1, Part 1, entry for Ceftriaxone in the form Powder for injection 1 g (as sodium)

                           omit:

Ceftriaxone

Powder for injection 1 g (as sodium)

Injection

Ceftriaxone Alphapharm

AF

MP NP

C5830 C5862 C5868

 

5

0

 

5

 

 

Ceftriaxone

Powder for injection 1 g (as sodium)

Injection

Ceftriaxone Alphapharm

AF

MP NP

C5830 C5862 C5868

 

5

0

 

10

 

 

[30]               Schedule 1, Part 1, entry for Dapagliflozin

                           substitute:

Dapagliflozin

Tablet 10 mg (as propanediol monohydrate)

Oral

Forxiga

AP

MP NP

C13230 C14471 C15047 C15311

P13230 P14471 P15047 P15311

28

5

 

28

 

 

Dapagliflozin

Tablet 10 mg (as propanediol monohydrate)

Oral

Forxiga

AP

MP NP

C15051 C15265

P15051 P15265

56

5

 

56

 

 

[31]               Schedule 1, Part 1, entry for Dapagliflozin with metformin

                           substitute:

Dapagliflozin with metformin

Tablet (modified release) containing 5 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride

Oral

Xigduo XR 5/1000

AP

MP NP

C15289

P15289

56

5

 

56

 

 

Dapagliflozin with metformin

Tablet (modified release) containing 5 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride

Oral

Xigduo XR 5/1000

AP

MP NP

C15267

P15267

112

5

 

56

 

 

Dapagliflozin with metformin

Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride

Oral

Xigduo XR 10/1000

AP

MP NP

C15289

P15289

28

5

 

28

 

 

Dapagliflozin with metformin

Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride

Oral

Xigduo XR 10/1000

AP

MP NP

C15267

P15267

56

5

 

28

 

 

Dapagliflozin with metformin

Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 500 mg metformin hydrochloride

Oral

Xigduo XR 10/500

AP

MP NP

C15289

P15289

28

5

 

28

 

 

Dapagliflozin with metformin

Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 500 mg metformin hydrochloride

Oral

Xigduo XR 10/500

AP

MP NP

C15267

P15267

56

5

 

28

 

 


[32]               Schedule 1, Part 1, entry for Deucravacitinib

omit from the column headed “Circumstances”: C14384 substitute: C15330

[33]               Schedule 1, Part 1, entry for Dicloxacillin in the form Capsule 250 mg (as sodium)

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

Dicloxacillin

Capsule 250 mg (as sodium)

Oral

DICLOXACILLIN VIATRIS 250

MQ

PDP

C5268

 

24

0

 

24

 

 

Dicloxacillin

Capsule 250 mg (as sodium)

Oral

DICLOXACILLIN VIATRIS 250

MQ

MP NP MW

C5415

 

24

0

 

24

 

 

[34]               Schedule 1, Part 1, entry for Dosulepin in the form Capsule containing dosulepin hydrochloride 25 mg

                           omit:

Dosulepin

Capsule containing dosulepin hydrochloride 25 mg

Oral

Dosulepin Mylan

AL

MP NP

 

 

50

2

 

50

 

 

[35]               Schedule 1, Part 1, entry for Dulaglutide

omit from the column headed “Circumstances”: C5469 C5478 C7645 substitute: C15263 C15301

[36]               Schedule 1, Part 1, entry for Empagliflozin

                           substitute:

Empagliflozin

Tablet 10 mg

Oral

Jardiance

BY

MP NP

C13230 C14471 C15047 C15311

P13230 P14471 P15047 P15311

30

5

 

30

 

 

Empagliflozin

Tablet 10 mg

Oral

Jardiance

BY

MP NP

C15051 C15265

P15051 P15265

60

5

 

30

 

 

Empagliflozin

Tablet 25 mg

Oral

Jardiance

BY

MP NP

C15311

P15311

30

5

 

30

 

 

Empagliflozin

Tablet 25 mg

Oral

Jardiance

BY

MP NP

C15265

P15265

60

5

 

30

 

 

[37]               Schedule 1, Part 1, entry for Empagliflozin with linagliptin

                           substitute:

Empagliflozin with linagliptin

Tablet containing 10 mg empagliflozin with 5 mg linagliptin

Oral

Glyxambi

BY

MP NP

C15269

P15269

30

5

 

30

 

 

Empagliflozin with linagliptin

Tablet containing 10 mg empagliflozin with 5 mg linagliptin

Oral

Glyxambi

BY

MP NP

C15270

P15270

60

5

 

30

 

 

Empagliflozin with linagliptin

Tablet containing 25 mg empagliflozin with 5 mg linagliptin

Oral

Glyxambi

BY

MP NP

C15269

P15269

30

5

 

30

 

 

Empagliflozin with linagliptin

Tablet containing 25 mg empagliflozin with 5 mg linagliptin

Oral

Glyxambi

BY

MP NP

C15270

P15270

60

5

 

30

 

 

[38]               Schedule 1, Part 1, entry for Empagliflozin with metformin

                           substitute:

Empagliflozin with metformin

Tablet containing 5 mg empagliflozin with 1 g metformin hydrochloride

Oral

Jardiamet 5 mg/1000 mg

BY

MP NP

C15289

P15289

60

5

 

60

 

 

Empagliflozin with metformin

Tablet containing 5 mg empagliflozin with 1 g metformin hydrochloride

Oral

Jardiamet 5 mg/1000 mg

BY

MP NP

C15267

P15267

120

5

 

60

 

 

Empagliflozin with metformin

Tablet containing 5 mg empagliflozin with 500 mg metformin hydrochloride

Oral

Jardiamet 5 mg/500 mg

BY

MP NP

C15289

P15289

60

5

 

60

 

 

Empagliflozin with metformin

Tablet containing 5 mg empagliflozin with 500 mg metformin hydrochloride

Oral

Jardiamet 5 mg/500 mg

BY

MP NP

C15267

P15267

120

5

 

60

 

 

Empagliflozin with metformin

Tablet containing 12.5 mg empagliflozin with 1 g metformin hydrochloride

Oral

Jardiamet 12.5 mg/1000 mg

BY

MP NP

C15289

P15289

60

5

 

60

 

 

Empagliflozin with metformin

Tablet containing 12.5 mg empagliflozin with 1 g metformin hydrochloride

Oral

Jardiamet 12.5 mg/1000 mg

BY

MP NP

C15267

P15267

120

5

 

60

 

 

Empagliflozin with metformin

Tablet containing 12.5 mg empagliflozin with 500 mg metformin hydrochloride

Oral

Jardiamet 12.5 mg/500 mg

BY

MP NP

C15289

P15289

60

5

 

60

 

 

Empagliflozin with metformin

Tablet containing 12.5 mg empagliflozin with 500 mg metformin hydrochloride

Oral

Jardiamet 12.5 mg/500 mg

BY

MP NP

C15267

P15267

120

5

 

60

 

 

[39]               Schedule 1, Part 1, entry for Enalapril in the form Tablet containing enalapril maleate 5 mg

                           omit:

Enalapril

Tablet containing enalapril maleate 5 mg

Oral

Enalapril generichealth

GQ

MP NP

 

 

30

5

 

30

 

 

Enalapril

Tablet containing enalapril maleate 5 mg

Oral

Enalapril generichealth

GQ

MP NP

 

P14238

60

5

 

30

 

 

[40]               Schedule 1, Part 1, entry for Enalapril in the form Tablet containing enalapril maleate 10 mg

                           omit:

Enalapril

Tablet containing enalapril maleate 10 mg

Oral

Enalapril generichealth

GQ

MP NP

 

 

30

5

 

30

 

 

Enalapril

Tablet containing enalapril maleate 10 mg

Oral

Enalapril generichealth

GQ

MP NP

 

P14238

60

5

 

30

 

 

[41]               Schedule 1, Part 1, entry for Estradiol in the form Transdermal patches 585 micrograms, 8

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

Estradiol

Transdermal patches 585 micrograms, 8

Transdermal

Estradiol Transdermal System (Sandoz, USA)

HX

MP NP

 

 

1

5

 

1

 

 

[42]               Schedule 1, Part 1, entry for Estradiol in the form Transdermal patches 1.17 mg, 8

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

Estradiol

Transdermal patches 1.17 mg, 8

Transdermal

Estradiol Transdermal System (Sandoz, USA)

HX

MP NP

 

 

1

5

 

1

 

 

[43]               Schedule 1, Part 1, entry for Estradiol in the form Transdermal patches 1.56 mg, 8

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

Estradiol

Transdermal patches 1.56 mg, 8

Transdermal

Estradiol Transdermal System (Sandoz, USA)

HX

MP NP

 

 

1

5

 

1

 

 

[44]               Schedule 1, Part 1, entry for Furosemide in the form Tablet 20 mg

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

Furosemide

Tablet 20 mg

Oral

UREMIDE 20

AF

MP NP

 

 

100

1

 

50

 

 

Furosemide

Tablet 20 mg

Oral

UREMIDE 20

AF

MP NP

 

 

100

1

 

100

 

 

Furosemide

Tablet 20 mg

Oral

UREMIDE 20

AF

MP NP

 

P14238

200

1

 

50

 

 

Furosemide

Tablet 20 mg

Oral

UREMIDE 20

AF

MP NP

 

P14238

200

1

 

100

 

 

[45]               Schedule 1, Part 1, entry for Inclisiran in the form Injection 284 mg in 1.5 mL single use pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 0]

(a)           insert in numerical order in the column headed “Circumstances”: C15313 C15323

(b)           insert in numerical order in the column headed “Purposes”: P15313 P15323

[46]               Schedule 1, Part 1, entry for Inclisiran in the form Injection 284 mg in 1.5 mL single use pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 1]

(a)           omit from the column headed “Circumstances”: C15122 C15132 C15144 C15153  substitute: C15315 C15331

(b)           omit from the column headed “Purposes”: P15122 P15132 P15144 P15153  substitute: P15315 P15331

[47]               Schedule 1, Part 1, after entry for Ivabradine in the form Tablet 7.5 mg (as hydrochloride) [Brand: Coralan]

                           insert:

Ivacaftor

Sachet containing granules 25 mg

Oral

Kalydeco

VR

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

56

 

D(100)


[48]               Schedule 1, Part 1, omit entry for Ketoconazole

[49]               Schedule 1, Part 1, entry for Lamivudine with zidovudine

                           omit:

Lamivudine with zidovudine

Tablet 150 mg-300 mg

Oral

Lamivudine 150 mg + Zidovudine 300 mg Alphapharm

AF

MP NP

C4454 C4512

 

120

5

 

60

 

D(100)

[50]               Schedule 1, Part 1, entry for Lenvatinib in the form Capsule 4 mg (as mesilate) [Maximum Quantity: 60; Number of Repeats: 2]

(a)           omit from the column headed “Circumstances”: C14007

(b)           omit from the column headed “Purposes”: P14007

[51]               Schedule 1, Part 1, entry for Lenvatinib in the form Capsule 10 mg (as mesilate)

omit from the column headed “Circumstances”: C14007

[52]               Schedule 1, Part 1, entry for Linagliptin

                           substitute:

Linagliptin

Tablet 5 mg

Oral

Trajenta

BY

MP NP

C15261

P15261

30

5

 

30

 

 

Linagliptin

Tablet 5 mg

Oral

Trajenta

BY

MP NP

C15287

P15287

60

5

 

30

 

 

[53]               Schedule 1, Part 1, entry for Linagliptin with metformin

                           substitute:

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 1000 mg metformin hydrochloride

Oral

Trajentamet

BY

MP NP

C15276

P15276

60

5

 

60

 

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 1000 mg metformin hydrochloride

Oral

Trajentamet

BY

MP NP

C15288

P15288

120

5

 

60

 

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 500 mg metformin hydrochloride

Oral

Trajentamet

BY

MP NP

C15276

P15276

60

5

 

60

 

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 500 mg metformin hydrochloride

Oral

Trajentamet

BY

MP NP

C15288

P15288

120

5

 

60

 

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 850 mg metformin hydrochloride

Oral

Trajentamet

BY

MP NP

C15276

P15276

60

5

 

60

 

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 850 mg metformin hydrochloride

Oral

Trajentamet

BY

MP NP

C15288

P15288

120

5

 

60

 

 

[54]               Schedule 1, Part 1, after entry for Medroxyprogesterone in the form Injection containing medroxyprogesterone acetate 150 mg in 1 mL [Brand: Depo-Ralovera]

                           insert:

Medroxyprogesterone

Injection containing medroxyprogesterone acetate 150 mg in 1 mL pre-filled syringe

Injection

Depo-Provera

PF

MP NP

 

 

1

1

 

1

 

 

[55]               Schedule 1, Part 1, entry for Methotrexate in the form Tablet 2.5 mg

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

Methotrexate

Tablet 2.5 mg

Oral

ARX-Methotrexate

XT

MP NP

 

 

30

5

 

30

 

 

[56]               Schedule 1, Part 1, entry for Methotrexate in the form Tablet 10 mg

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

Methotrexate

Tablet 10 mg

Oral

ARX-Methotrexate

XT

MP NP

 

 

15

3

 

15

 

 

Methotrexate

Tablet 10 mg

Oral

ARX-Methotrexate

XT

MP NP

 

P5648

50

2

 

50

 

 

[57]               Schedule 1, Part 1, entry for Mycophenolic acid in the form Tablet containing mycophenolate mofetil 500 mg

                           omit:

Mycophenolic acid

Tablet containing mycophenolate mofetil 500 mg

Oral

Noumed Mycophenolate

VO

MP

 

 

150

5

 

50

 

 

Mycophenolic acid

Tablet containing mycophenolate mofetil 500 mg

Oral

Noumed Mycophenolate

VO

MP

 

P14238

300

5

 

50

 

 

[58]               Schedule 1, Part 1, entry for Naltrexone

                           omit:

Naltrexone

Tablet containing naltrexone hydrochloride 50 mg

Oral

ARX-NALTREXONE

XT

MP NP

C13967

 

30

1

 

30

 

 

[59]               Schedule 1, Part 1, entry for Nebivolol in the form Tablet 1.25 mg (as hydrochloride)

                           omit:

Nebivolol

Tablet 1.25 mg (as hydrochloride)

Oral

Nebivolol Viatris

AL

MP NP

C5324

P5324

56

5

 

28

 

 

Nebivolol

Tablet 1.25 mg (as hydrochloride)

Oral

Nebivolol Viatris

AL

MP NP

C14251

P14251

112

5

 

28

 

 

[60]               Schedule 1, Part 1, entry for Nebivolol in the form Tablet 10 mg (as hydrochloride)

                           omit:

Nebivolol

Tablet 10 mg (as hydrochloride)

Oral

Nebivolol Viatris

AL

MP NP

C5324

P5324

28

5

 

28

 

 

Nebivolol

Tablet 10 mg (as hydrochloride)

Oral

Nebivolol Viatris

AL

MP NP

C14251

P14251

56

5

 

28

 

 

[61]               Schedule 1, Part 1, entry for Nivolumab

                           substitute:

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C14830

P14830

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C14001

P14001

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C11985

P11985

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C11468 C13433

P11468 P13433

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C10119 C10120 C13900

P10119 P10120 P13900

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C9216 C9312 C13445 C14816

P9216 P9312 P13445 P14816

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C9252 C9298 C9299 C9321 C11477 C13839

P9252 P9298 P9299 P9321 P11477 P13839

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

Injection concentrate for I.V. infusion 40 mg in 4 mL

Injection

Opdivo

BQ

MP

C14676

P14676

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C14830

P14830

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C14001

P14001

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C11985

P11985

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C11468 C13433

P11468 P13433

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C10119 C10120 C13900

P10119 P10120 P13900

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C9216 C9312 C13445 C14816

P9216 P9312 P13445 P14816

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C9252 C9298 C9299 C9321 C11477 C13839

P9252 P9298 P9299 P9321 P11477 P13839

See Note 3

See Note 3

 

1

 

D(100)

Nivolumab

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

Injection

Opdivo

BQ

MP

C14676

P14676

See Note 3

See Note 3

 

1

 

D(100)

[62]               Schedule 1, Part 1, entry for Olanzapine in the form Tablet 10 mg

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

Olanzapine

Tablet 10 mg

Oral

APO-OLANZAPINE

TX

MP NP

C5856 C5869

 

28

5

 

28

 

 

[63]               Schedule 1, Part 1, entry for Onasemnogene abeparvovec

                           substitute:

Onasemnogene abeparvovec

Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 3 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 4 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 5 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 6 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 7 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 8 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 3 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 4 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 5 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 6 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 7 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 3 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 4 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 5 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 6 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 7 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 8 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

Onasemnogene abeparvovec

Pack containing 9 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL

Injection

Zolgensma

NV

MP

See Note 3

See Note 3

See Note 3

See Note 3

 

1

 

D(100)

[64]               Schedule 1, Part 1, entry for Ondansetron

                           substitute:

Ondansetron

Syrup 4 mg (as hydrochloride dihydrate) per 5 mL, 50 mL

Oral

Zofran syrup 50 mL

AS

MP NP

C5721

P5721

1

0

V5721

1

 

 

Ondansetron

Syrup 4 mg (as hydrochloride dihydrate) per 5 mL, 50 mL

Oral

Zofran syrup 50 mL

AS

MP

C5778

P5778

1

0

V5778

1

 

C(100)

Ondansetron

Syrup 4 mg (as hydrochloride dihydrate) per 5 mL, 50 mL

Oral

Zofran syrup 50 mL

AS

MP NP

C15193

P15193

1

1

 

1

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

APO-Ondansetron

TX

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

APO-Ondansetron

TX

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

APO-Ondansetron

TX

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

APX-Ondansetron

TY

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

APX-Ondansetron

TY

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

APX-Ondansetron

TY

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron Mylan Tablets

AF

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron Mylan Tablets

AF

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron Mylan Tablets

AF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron SZ

HX

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron SZ

HX

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron SZ

HX

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron Tablets Viatris

AL

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron Tablets Viatris

AL

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron Tablets Viatris

AL

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron-DRLA

RZ

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron-DRLA

RZ

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Ondansetron-DRLA

RZ

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Zofran

AS

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Zofran

AS

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Zofran

AS

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Zotren 4

RF

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Zotren 4

RF

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 4 mg (as hydrochloride dihydrate)

Oral

Zotren 4

RF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

APX-Ondansetron ODT

TY

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

APX-Ondansetron ODT

TY

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

APX-Ondansetron ODT

TY

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron Mylan ODT

AF

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron Mylan ODT

AF

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron Mylan ODT

AF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron ODT-DRLA

RZ

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron ODT-DRLA

RZ

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron ODT-DRLA

RZ

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron ODT Lupin

HQ

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron SZ ODT

HX

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron SZ ODT

HX

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Ondansetron SZ ODT

HX

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Zotren ODT

RF

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Zotren ODT

RF

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 4 mg

Oral

Zotren ODT

RF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

APO-Ondansetron

TX

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

APO-Ondansetron

TX

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

APO-Ondansetron

TX

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

APX-Ondansetron

TY

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

APX-Ondansetron

TY

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

APX-Ondansetron

TY

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron Mylan Tablets

AF

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron Mylan Tablets

AF

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron Mylan Tablets

AF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron SZ

HX

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron SZ

HX

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron SZ

HX

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron Tablets Viatris

AL

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron Tablets Viatris

AL

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron Tablets Viatris

AL

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron-DRLA

RZ

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron-DRLA

RZ

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Ondansetron-DRLA

RZ

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Zofran

AS

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Zofran

AS

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Zofran

AS

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Zotren 8

RF

MP NP

C4118

P4118

4

0

V4118

4

 

 

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Zotren 8

RF

MP

C5778

P5778

4

0

V5778

4

 

C(100)

Ondansetron

Tablet 8 mg (as hydrochloride dihydrate)

Oral

Zotren 8

RF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

APX-Ondansetron ODT

TY

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

APX-Ondansetron ODT

TY

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

APX-Ondansetron ODT

TY

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron Mylan ODT

AF

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron Mylan ODT

AF

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron Mylan ODT

AF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron ODT Viatris

AL

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron ODT Viatris

AL

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron ODT Viatris

AL

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron ODT-DRLA

RZ

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron ODT-DRLA

RZ

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron ODT-DRLA

RZ

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron ODT Lupin

HQ

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron SZ ODT

HX

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron SZ ODT

HX

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Ondansetron SZ ODT

HX

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Zotren ODT

RF

MP NP

C5618

P5618

4

0

V5618

4

 

 

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Zotren ODT

RF

MP

C5743

P5743

4

0

V5743

4

 

C(100)

Ondansetron

Tablet (orally disintegrating) 8 mg

Oral

Zotren ODT

RF

MP NP

C15193

P15193

10

1

 

10

 

 

Ondansetron

Wafer 4 mg

Oral

Zofran Zydis

AS

MP NP

C15193

 

10

1

 

10

 

 

Ondansetron

Wafer 8 mg

Oral

Zofran Zydis

AS

MP NP

C15193

 

10

1

 

10

 

 

[65]               Schedule 1, Part 1, entry for Osimertinib in the form Tablet 40 mg

omit from the column headed “Circumstances”: C11181 C11183  substitute: C15257 C15283 C15310

[66]               Schedule 1, Part 1, entry for Osimertinib in the form Tablet 80 mg

omit from the column headed “Circumstances”: C11178 C11181 C11183 C11185  substitute: C15257 C15281 C15283 C15299 C15329

[67]               Schedule 1, Part 1, entry for Ozanimod in the form Capsule 920 micrograms [Maximum Quantity: 28; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C13993

(b)           omit from the column headed “Purposes”: P13993

[68]               Schedule 1, Part 1, entry for Pembrolizumab

                           substitute:

Pembrolizumab

Solution concentrate for I.V. infusion 100 mg in 4 mL

Injection

Keytruda

MK

MP

C14818

P14818

See Note 3

See Note 3

 

1

 

D(100)

Pembrolizumab

Solution concentrate for I.V. infusion 100 mg in 4 mL

Injection

Keytruda

MK

MP

C13431 C13432

P13431 P13432

See Note 3

See Note 3

 

1

 

D(100)

Pembrolizumab

Solution concentrate for I.V. infusion 100 mg in 4 mL

Injection

Keytruda

MK

MP

C10705 C14770 C14786

P10705 P14770 P14786

See Note 3

See Note 3

 

1

 

D(100)

Pembrolizumab

Solution concentrate for I.V. infusion 100 mg in 4 mL

Injection

Keytruda

MK

MP

C14817

P14817

See Note 3

See Note 3

 

1

 

D(100)

Pembrolizumab

Solution concentrate for I.V. infusion 100 mg in 4 mL

Injection

Keytruda

MK

MP

C10676 C10688 C10701 C13436 C13437

P10676 P10688 P10701 P13436 P13437

See Note 3

See Note 3

 

1

 

D(100)

Pembrolizumab

Solution concentrate for I.V. infusion 100 mg in 4 mL

Injection

Keytruda

MK

MP

C13726 C13727 C13728 C13730 C13731 C13732 C13735 C13736 C13739 C13741 C13948 C13949 C14027 C14028 C14044 C14324 C14403 C14404 C14405

P13726 P13727 P13728 P13730 P13731 P13732 P13735 P13736 P13739 P13741 P13948 P13949 P14027 P14028 P14044 P14324 P14403 P14404 P14405

See Note 3

See Note 3

 

1

 

D(100)

Pembrolizumab

Solution concentrate for I.V. infusion 100 mg in 4 mL

Injection

Keytruda

MK

MP

C14727

P14727

See Note 3

See Note 3

 

1

 

D(100)

[69]               Schedule 1, Part 1, entry for Perindopril in the form Tablet containing perindopril arginine 2.5 mg

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

Perindopril

Tablet containing perindopril arginine 2.5 mg

Oral

Perindopril Arginine Sandoz

SZ

MP NP

 

 

30

5

 

30

 

 

Perindopril

Tablet containing perindopril arginine 2.5 mg

Oral

Perindopril Arginine Sandoz

SZ

MP NP

 

P14238

60

5

 

30

 

 

[70]               Schedule 1, Part 1, entry for Perindopril in the form Tablet containing perindopril arginine 5 mg

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

Perindopril

Tablet containing perindopril arginine 5 mg

Oral

Perindopril Arginine Sandoz

SZ

MP NP

 

 

30

5

 

30

 

 

Perindopril

Tablet containing perindopril arginine 5 mg

Oral

Perindopril Arginine Sandoz

SZ

MP NP

 

P14238

60

5

 

30

 

 

[71]               Schedule 1, Part 1, entry for Perindopril in the form Tablet containing perindopril arginine 10 mg

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

Perindopril

Tablet containing perindopril arginine 10 mg

Oral

Perindopril Arginine Sandoz

SZ

MP NP

 

 

30

5

 

30

 

 

Perindopril

Tablet containing perindopril arginine 10 mg

Oral

Perindopril Arginine Sandoz

SZ

MP NP

 

P14238

60

5

 

30

 

 

[72]               Schedule 1, Part 1, entry for Pioglitazone

                           substitute:

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Acpio 15

RF

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Acpio 15

RF

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Actaze

RW

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Actaze

RW

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Actos

EW

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Actos

EW

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

APOTEX-Pioglitazone

TX

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

APOTEX-Pioglitazone

TX

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Vexazone

AF

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 15 mg (as hydrochloride)

Oral

Vexazone

AF

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Acpio 30

RF

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Acpio 30

RF

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Actaze

RW

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Actaze

RW

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Actos

EW

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Actos

EW

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

APOTEX-Pioglitazone

TX

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

APOTEX-Pioglitazone

TX

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Vexazone

AF

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 30 mg (as hydrochloride)

Oral

Vexazone

AF

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Acpio 45

RF

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Acpio 45

RF

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Actaze

RW

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Actaze

RW

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Actos

EW

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Actos

EW

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

APOTEX-Pioglitazone

TX

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

APOTEX-Pioglitazone

TX

MP NP

C15290

P15290

56

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Vexazone

AF

MP NP

C15321

P15321

28

5

 

28

 

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

Oral

Vexazone

AF

MP NP

C15290

P15290

56

5

 

28

 

 

[73]               Schedule 1, Part 1, entry for Plerixafor

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

Plerixafor

Injection 24 mg in 1.2 mL

Injection

PLERIXAFOR EUGIA

YG

MP

C4549 C9329

 

1

1

 

1

 

D(100)

[74]               Schedule 1, Part 1, entry for Quetiapine in the form Tablet (modified release) 50 mg (as fumarate)

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

Quetiapine

Tablet (modified release) 50 mg (as fumarate)

Oral

Quetiapine Sandoz XR

SZ

MP NP

C4246 C5611 C5639

 

60

5

 

60

 

 

[75]               Schedule 1, Part 1, entry for Quetiapine in the form Tablet (modified release) 150 mg (as fumarate)

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

Quetiapine

Tablet (modified release) 150 mg (as fumarate)

Oral

Quetiapine Sandoz XR

SZ

MP NP

C4246 C5611 C5639

 

60

5

 

60

 

 


[76]               Schedule 1, Part 1, entry for Quetiapine in the form Tablet (modified release) 200 mg (as fumarate)

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

Quetiapine

Tablet (modified release) 200 mg (as fumarate)

Oral

Quetiapine Sandoz XR

SZ

MP NP

C4246 C5611 C5639

 

60

5

 

60

 

 

[77]               Schedule 1, Part 1, entry for Quetiapine in the form Tablet (modified release) 300 mg (as fumarate)

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

Quetiapine

Tablet (modified release) 300 mg (as fumarate)

Oral

Quetiapine Sandoz XR

SZ

MP NP

C4246 C5611 C5639

 

60

5

 

60

 

 

[78]               Schedule 1, Part 1, entry for Quetiapine in the form Tablet (modified release) 400 mg (as fumarate)

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

Quetiapine

Tablet (modified release) 400 mg (as fumarate)

Oral

Quetiapine Sandoz XR

SZ

MP NP

C4246 C5611 C5639

 

60

5

 

60

 

 

[79]               Schedule 1, Part 1, entry for Ramipril in the form Tablet 2.5 mg

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

Ramipril

Tablet 2.5 mg

Oral

Ramipril Viatris

AL

MP NP

 

 

30

5

 

30

 

 

Ramipril

Tablet 2.5 mg

Oral

Ramipril Viatris

AL

MP NP

 

P14238

60

5

 

30

 

 

[80]               Schedule 1, Part 1, entry for Rosuvastatin in the form Tablet 5 mg (as calcium)

                           omit:

Rosuvastatin

Tablet 5 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

 

30

5

 

30

 

 

Rosuvastatin

Tablet 5 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

P14238

60

5

 

30

 

 

[81]               Schedule 1, Part 1, entry for Rosuvastatin in the form Tablet 10 mg (as calcium)

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

Rosuvastatin

Tablet 10 mg (as calcium)

Oral

APO-ROSUVASTATIN

TX

MP NP

 

 

30

5

 

30

 

 

Rosuvastatin

Tablet 10 mg (as calcium)

Oral

APO-ROSUVASTATIN

TX

MP NP

 

P14238

60

5

 

30

 

 

(b)           omit:

Rosuvastatin

Tablet 10 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

 

30

5

 

30

 

 

Rosuvastatin

Tablet 10 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

P14238

60

5

 

30

 

 

[82]               Schedule 1, Part 1, entry for Rosuvastatin in the form Tablet 20 mg (as calcium)

                           omit:

Rosuvastatin

Tablet 20 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

 

30

5

 

30

 

 

Rosuvastatin

Tablet 20 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

P14238

60

5

 

30

 

 

[83]               Schedule 1, Part 1, entry for Rosuvastatin in the form Tablet 40 mg (as calcium)

                           omit:

Rosuvastatin

Tablet 40 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

 

30

5

 

30

 

 

Rosuvastatin

Tablet 40 mg (as calcium)

Oral

Noumed Rosuvastatin

VO

MP NP

 

P14238

60

5

 

30

 

 

[84]               Schedule 1, Part 1, entry for Ruxolitinib

                           substitute:

Ruxolitinib

Tablet 5 mg

Oral

Jakavi

NV

MP

C13907 C13911

P13907 P13911

56

0

 

56

 

C(100)

Ruxolitinib

Tablet 5 mg

Oral

Jakavi

NV

MP

C13867 C13906

P13867 P13906

56

5

 

56

 

 

Ruxolitinib

Tablet 5 mg

Oral

Jakavi

NV

MP

C13876 C13892

P13876 P13892

56

5

 

56

 

C(100)

Ruxolitinib

Tablet 5 mg

Oral

Jakavi

NV

MP

C13127 C13173

P13127 P13173

112

0

 

56

 

 

Ruxolitinib

Tablet 5 mg

Oral

Jakavi

NV

MP

C13128 C13130

P13128 P13130

112

5

 

56

 

 

Ruxolitinib

Tablet 10 mg

Oral

Jakavi

NV

MP

C13127 C13173

P13127 P13173

56

0

 

56

 

 

Ruxolitinib

Tablet 10 mg

Oral

Jakavi

NV

MP

C13907 C13911

P13907 P13911

56

0

 

56

 

C(100)

Ruxolitinib

Tablet 10 mg

Oral

Jakavi

NV

MP

C13128 C13130 C13867 C13906

P13128 P13130 P13867 P13906

56

5

 

56

 

 

Ruxolitinib

Tablet 10 mg

Oral

Jakavi

NV

MP

C13876 C13892

P13876 P13892

56

5

 

56

 

C(100)

Ruxolitinib

Tablet 15 mg

Oral

Jakavi

NV

MP

C13127 C13173

P13127 P13173

56

0

 

56

 

 

Ruxolitinib

Tablet 15 mg

Oral

Jakavi

NV

MP

C13128 C13130

P13128 P13130

56

5

 

56

 

 

Ruxolitinib

Tablet 20 mg

Oral

Jakavi

NV

MP

C13127 C13173

P13127 P13173

56

0

 

56

 

 

Ruxolitinib

Tablet 20 mg

Oral

Jakavi

NV

MP

C13128 C13130

P13128 P13130

56

5

 

56

 

 

[85]               Schedule 1, Part 1, entry for Saxagliptin

                           substitute:

Saxagliptin

Tablet 2.5 mg (as hydrochloride)

Oral

Onglyza

AP

MP NP

C15261

P15261

28

5

 

28

 

 

Saxagliptin

Tablet 2.5 mg (as hydrochloride)

Oral

Onglyza

AP

MP NP

C15287

P15287

56

5

 

28

 

 

Saxagliptin

Tablet 5 mg (as hydrochloride)

Oral

Onglyza

AP

MP NP

C15261

P15261

28

5

 

28

 

 

Saxagliptin

Tablet 5 mg (as hydrochloride)

Oral

Onglyza

AP

MP NP

C15287

P15287

56

5

 

28

 

 

[86]               Schedule 1, Part 1, entry for Saxagliptin with dapagliflozin

                           substitute:

Saxagliptin with dapagliflozin

Tablet containing saxagliptin 5 mg with dapaglifozin 10 mg

Oral

Qtern 5/10

AP

MP

C15269

P15269

28

5

 

28

 

 

Saxagliptin with dapagliflozin

Tablet containing saxagliptin 5 mg with dapaglifozin 10 mg

Oral

Qtern 5/10

AP

MP NP

C15270

P15270

56

5

 

28

 

 

[87]               Schedule 1, Part 1, entry for Saxagliptin with metformin

                           substitute:

Saxagliptin with metformin

Tablet (modified release) containing 2.5 mg saxagliptin (as hydrochloride) with 1000 mg metformin hydrochloride

Oral

Kombiglyze XR 2.5/1000

AP

MP NP

C15276

P15276

56

5

 

56

 

 

Saxagliptin with metformin

Tablet (modified release) containing 2.5 mg saxagliptin (as hydrochloride) with 1000 mg metformin hydrochloride

Oral

Kombiglyze XR 2.5/1000

AP

MP NP

C15288

P15288

112

5

 

56

 

 

Saxagliptin with metformin

Tablet (modified release) containing 5 mg saxagliptin (as hydrochloride) with 1000 mg metformin hydrochloride

Oral

Kombiglyze XR 5/1000

AP

MP NP

C15276

P15276

28

5

 

28

 

 

Saxagliptin with metformin

Tablet (modified release) containing 5 mg saxagliptin (as hydrochloride) with 1000 mg metformin hydrochloride

Oral

Kombiglyze XR 5/1000

AP

MP NP

C15288

P15288

56

5

 

28

 

 

Saxagliptin with metformin

Tablet (modified release) containing 5 mg saxagliptin (as hydrochloride) with 500 mg metformin hydrochloride

Oral

Kombiglyze XR 5/500

AP

MP NP

C15276

P15276

28

5

 

28

 

 

Saxagliptin with metformin

Tablet (modified release) containing 5 mg saxagliptin (as hydrochloride) with 500 mg metformin hydrochloride

Oral

Kombiglyze XR 5/500

AP

MP NP

C15288

P15288

56

5

 

28

 

 

[88]               Schedule 1, Part 1, entry for Secukinumab

                           substitute:

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C11390 C12392

P11390 P12392

1

0

 

1

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C9064 C9429

P9064 P9429

1

2

 

1

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C9063 C9105 C9431 C10431 C14692

P9063 P9105 P9431 P10431 P14692

1

5

 

1

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C8831 C9064

P8831 P9064

2

2

 

2

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C15279 C15295 C15316 C15328

P15279 P15295 P15316 P15328

2

3

 

2

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C6696 C8830 C8892 C9063 C9105 C15317 C15325

P6696 P8830 P8892 P9063 P9105 P15317 P15325

2

5

 

2

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C9069 C9078 C9155 C14655 C14662 C14670

P9069 P9078 P9155 P14655 P14662 P14670

4

0

 

1

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C15127 C15137 C15158

P15127 P15137 P15158

5

0

 

1

 

 

Secukinumab

Injection 150 mg in 1 mL pre-filled pen

Injection

Cosentyx

NV

MP

C9069 C9078 C9155 C11089 C11096 C11138 C11154 C14430 C14462 C15280 C15296 C15307

P9069 P9078 P9155 P11089 P11096 P11138 P11154 P14430 P14462 P15280 P15296 P15307

8

0

 

2

 

 

[89]               Schedule 1, Part 1, entry for Semaglutide in each of the forms: Solution for injection 2 mg in 1.5 mL pre-filled pen; and Solution for injection 4 mg in 3 mL pre-filled pen

omit from the column headed “Circumstances”: C5469 C5478 C5500 substitute: C15263 C15301

[90]               Schedule 1, Part 1, entry for Sitagliptin

                           substitute:

Sitagliptin

Tablet 25 mg

Oral

Januvia

XW

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Januvia

XW

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitagliptin Lupin

GQ

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitagliptin Lupin

GQ

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitagliptin Sandoz Pharma

SZ

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitagliptin Sandoz Pharma

SZ

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitagliptin SUN

RA

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitagliptin SUN

RA

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitaglo

CR

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Sitaglo

CR

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Xelevia

XT

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 25 mg

Oral

Xelevia

XT

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Januvia

XW

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Januvia

XW

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitagliptin Lupin

GQ

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitagliptin Lupin

GQ

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitagliptin Sandoz Pharma

SZ

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitagliptin Sandoz Pharma

SZ

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitagliptin SUN

RA

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitagliptin SUN

RA

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitaglo

CR

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Sitaglo

CR

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Xelevia

XT

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 50 mg

Oral

Xelevia

XT

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Januvia

XW

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Januvia

XW

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitagliptin Lupin

GQ

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitagliptin Lupin

GQ

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitagliptin Sandoz Pharma

SZ

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitagliptin Sandoz Pharma

SZ

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitagliptin SUN

RA

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitagliptin SUN

RA

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitaglo

CR

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Sitaglo

CR

MP NP

C15287

P15287

56

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Xelevia

XT

MP NP

C15261

P15261

28

5

 

28

 

 

Sitagliptin

Tablet 100 mg

Oral

Xelevia

XT

MP NP

C15287

P15287

56

5

 

28

 

 

[91]               Schedule 1, Part 1, entry for Sitagliptin with metformin

                           substitute:

Sitagliptin with metformin

Tablet (modified release) containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Janumet XR

XW

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet (modified release) containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Janumet XR

XW

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet (modified release) containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz XR

SZ

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet (modified release) containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz XR

SZ

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet (modified release) containing 100 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Janumet XR

XW

MP NP

C15276

P15276

28

5

 

28

 

 

Sitagliptin with metformin

Tablet (modified release) containing 100 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Janumet XR

XW

MP NP

C15288

P15288

56

5

 

28

 

 

Sitagliptin with metformin

Tablet (modified release) containing 100 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz XR

SZ

MP NP

C15276

P15276

28

5

 

28

 

 

Sitagliptin with metformin

Tablet (modified release) containing 100 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz XR

SZ

MP NP

C15288

P15288

56

5

 

28

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Janumet

XW

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Janumet

XW

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

SITAGLIPTIN/METFORMIN 50/1000 SUN

RA

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

SITAGLIPTIN/METFORMIN 50/1000 SUN

RA

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz

SZ

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz

SZ

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Velmetia

XT

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

Oral

Velmetia

XT

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

Janumet

XW

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

Janumet

XW

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

SITAGLIPTIN/METFORMIN 50/500 SUN

RA

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

SITAGLIPTIN/METFORMIN 50/500 SUN

RA

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz

SZ

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz

SZ

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

Velmetia

XT

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 500 mg metformin hydrochloride

Oral

Velmetia

XT

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

Janumet

XW

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

Janumet

XW

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

SITAGLIPTIN/METFORMIN 50/850 SUN

RA

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

SITAGLIPTIN/METFORMIN 50/850 SUN

RA

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz

SZ

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

Sitagliptin/Metformin Sandoz

SZ

MP NP

C15288

P15288

112

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

Velmetia

XT

MP NP

C15276

P15276

56

5

 

56

 

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

Oral

Velmetia

XT

MP NP

C15288

P15288

112

5

 

56

 

 


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

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

Sumatriptan

Tablet 50 mg (as succinate)

Oral

IMIGRAN MIGRAINE

AS

MP NP

C5259

 

4

5

 

2

 

 

[93]               Schedule 1, Part 1, entry for Tafamidis

(a)           omit from the column headed “Circumstances”: C15088

(b)           insert in numerical order in the column headed “Circumstances”: C15303

[94]               Schedule 1, Part 1, entry for Tenofovir with emtricitabine

substitute:

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil fumarate 300 mg with emtricitabine 200 mg

Oral

CIPLA TENOFOVIR + EMTRICITABINE 300/200

LR

MP NP

C11143

P11143

30

2

 

30

 

 

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil fumarate 300 mg with emtricitabine 200 mg

Oral

CIPLA TENOFOVIR + EMTRICITABINE 300/200

LR

MP NP

C6985 C6986

P6985 P6986

60

5

 

30

 

C(100)

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil fumarate 300 mg with emtricitabine 200 mg

Oral

Tenofovir/Emtricitabine 300/200 APOTEX

TX

MP NP

C11143

P11143

30

2

 

30

 

 

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil fumarate 300 mg with emtricitabine 200 mg

Oral

Tenofovir/Emtricitabine 300/200 APOTEX

TX

MP NP

C6985 C6986

P6985 P6986

60

5

 

30

 

C(100)

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil fumarate 300 mg with emtricitabine 200 mg

Oral

TENOFOVIR/EMTRICITABINE 300/200 ARX

XT

MP NP

C11143

P11143

30

2

 

30

 

 

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil fumarate 300 mg with emtricitabine 200 mg

Oral

TENOFOVIR/EMTRICITABINE 300/200 ARX

XT

MP NP

C6985 C6986

P6985 P6986

60

5

 

30

 

C(100)

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil maleate 300 mg with emtricitabine 200 mg

Oral

Tenofovir Disoproxil Emtricitabine Viatris 300/200

AL

MP NP

C11143

P11143

30

2

 

30

 

 

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil maleate 300 mg with emtricitabine 200 mg

Oral

Tenofovir Disoproxil Emtricitabine Viatris 300/200

AL

MP NP

C6985 C6986

P6985 P6986

60

5

 

30

 

C(100)

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil phosphate 291 mg with emtricitabine 200 mg

Oral

Tenofovir EMT GH

GQ

MP NP

C11143

P11143

30

2

 

30

 

 

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil phosphate 291 mg with emtricitabine 200 mg

Oral

Tenofovir EMT GH

GQ

MP NP

C6985 C6986

P6985 P6986

60

5

 

30

 

C(100)

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil succinate 301 mg with emtricitabine 200 mg

Oral

Tenofovir/Emtricitabine Sandoz 301/200

SZ

MP NP

C11143

P11143

30

2

 

30

 

 

Tenofovir with emtricitabine

Tablet containing tenofovir disoproxil succinate 301 mg with emtricitabine 200 mg

Oral

Tenofovir/Emtricitabine Sandoz 301/200

SZ

MP NP

C6985 C6986

P6985 P6986

60

5

 

30

 

C(100)

[95]               Schedule 1, Part 1, entry for Teriparatide in the form Injection 250 micrograms per mL, 2.4 mL in multi-dose pre-filled cartridge [Maximum Quantity: 2; Number of Repeats: 5]

omit from the column headed “Number of Repeats”: 5 substitute: 2

[96]               Schedule 1, Part 1, entry for Testosterone in the form I.M. injection containing testosterone undecanoate 1,000 mg in 4 mL

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

Testosterone

I.M. injection containing testosterone undecanoate 1,000 mg in 4 mL

Injection

Testosterone ADVZ 1000

BZ

MP

C6324 C6910 C6919 C6933 C6934

 

1

1

 

1

 

 

[97]               Schedule 1, Part 1, entry for Tobramycin in the form Solution for inhalation 300 mg in 5 mL [Brand: Tobramycin WKT]

omit from the column headed “Responsible Person” (all instances): LI  substitute (all instances): JU

[98]               Schedule 1, Part 1, entry for Upadacitinib in each of the forms: Tablet 15 mg; and Tablet 30 mg [Maximum Quantity: 28; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C13930

(b)           omit from the column headed “Purposes”: P13930

[99]               Schedule 1, Part 1, entry for Ustekinumab in the form Injection 90 mg in 1 mL single use pre-filled syringe [Maximum Quantity: 1; Number of Repeats: 1]

(a)           omit from the column headed “Circumstances”: C14009

(b)           omit from the column headed “Purposes”: P14009

[100]           Schedule 1, Part 1, entry for Valaciclovir

omit:

Valaciclovir

Tablet 500 mg (as hydrochloride)

Oral

NOUMED VALACICLOVIR

VO

MP NP

C5940 C5961

 

30

5

 

30

 

 

[101]           Schedule 1, Part 1, entry for Vildagliptin in the form Tablet 50 mg [Maximum Quantity: 60; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C6346 C6363 C6376  substitute: C15261

(b)           omit from the column headed “Purposes”: P6346 P6363 P6376  substitute: P15261

[102]           Schedule 1, Part 1, entry for Vildagliptin in the form Tablet 50 mg [Maximum Quantity: 120; Number of Repeats: 5]

(a)           omit from the column headed “Circumstances”: C14978 C14999 C15000 substitute: C15287

(b)           omit from the column headed “Purposes”: P14978 P14999 P15000  substitute: P15287

[103]           Schedule 1, Part 1, entry for Vildagliptin with metformin

substitute:

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 1000 mg metformin hydrochloride

Oral

Galvumet 50/1000

NV

MP NP

C15276

P15276

60

5

 

60

 

 

Vildagliptin with metformin

Tablet contaiing 50 mg vildagliptin with 1000 mg metformin hydrochloride

Oral

Galvumet 50/1000

NV

MP NP

C15288

P15288

120

5

 

60

 

 

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 500 mg metformin hydrochloride

Oral

Galvumet 50/500

NV

MP NP

C15276

P15276

60

5

 

60

 

 

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 500 mg metformin hydrochloride

Oral

Galvumet 50/500

NV

MP NP

C15288

P15288

120

5

 

60

 

 

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 850 mg metformin hydrochloride

Oral

Galvumet 50/850

NV

MP NP

C15276

P15276

60

5

 

60

 

 

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 850 mg metformin hydrochloride

Oral

Galvumet 50/850

NV

MP NP

C15288

P15288

120

5

 

60

 

 

[104]           Schedule 1, Part 1, entry for Vosoritide in each of the forms: Powder for injection 400 micrograms with diluent; Powder for injection 560 micrograms with diluent; and Powder for injection 1.2 mg with diluent

omit from the column headed “Circumstances”: C13929

[105]           Schedule 1, Part 2

                           insert as first entry:

Bisacodyl

Enemas 10 mg in 5 mL, 25

Rectal

Bisalax

OX

1

 

 

[106]           Schedule 1, Part 2, omit entry for Insulin neutral with insulin isophane

[107]           Schedule 1, Part 2, after entry for Hypromellose with dextran

                           insert:

Ketoconazole

Cream 20 mg per g, 30 g

Application

Nizoral 2% Cream

JT

1

 

 

[108]           Schedule 1, Part 2, omit entry for Macrogol 3350

[109]           Schedule 1, Part 2, omit entry for Pancrelipase

[110]           Schedule 1, Part 2, omit entry for Paraffin with retinol palmitate

[111]           Schedule 1, Part 2, omit entry for Raltegravir

[112]           Schedule 3

                           omit:

LI

Luminarie Pty Ltd

18 601 868 375

[113]           Schedule 3, after details relevant for Responsible Person code XY

                           insert:

YG

EUGIA PHARMA (AUSTRALIA) PTY LTD

57 656 083 028

[114]           Schedule 3, after details relevant for Responsible Person code YN

                           insert:

YO

The Trustee for ORSPEC PHARMA UNIT TRUST

15 634 980 417

[115]           Schedule 4, Part 1, omit entry for Circumstances Code “C4072”

[116]           Schedule 4, Part 1, omit entry for Circumstances Code “C4274”

[117]           Schedule 4, Part 1, omit entry for Circumstances Code “C4275”

[118]           Schedule 4, Part 1, omit entry for Circumstances Code “C4349”

[119]           Schedule 4, Part 1, omit entry for Circumstances Code “C4363”

[120]           Schedule 4, Part 1, omit entry for Circumstances Code “C4364”

[121]           Schedule 4, Part 1, omit entry for Circumstances Code “C4388”

[122]           Schedule 4, Part 1, omit entry for Circumstances Code “C4423”

[123]           Schedule 4, Part 1, omit entry for Circumstances Code “C4427”

[124]           Schedule 4, Part 1, omit entry for Circumstances Code “C4991”

[125]           Schedule 4, Part 1, omit entry for Circumstances Code “C5469”

[126]           Schedule 4, Part 1, omit entry for Circumstances Code “C5478”

[127]           Schedule 4, Part 1, omit entry for Circumstances Code “C5500”

[128]           Schedule 4, Part 1, omit entry for Circumstances Code “C5629”

[129]           Schedule 4, Part 1, omit entry for Circumstances Code “C5631”

[130]           Schedule 4, Part 1, omit entry for Circumstances Code “C5657”

[131]           Schedule 4, Part 1, omit entry for Circumstances Code “C5739”

[132]           Schedule 4, Part 1, omit entry for Circumstances Code “C5779”

[133]           Schedule 4, Part 1, omit entry for Circumstances Code “C5798”

[134]           Schedule 4, Part 1, omit entry for Circumstances Code “C5953”

[135]           Schedule 4, Part 1, omit entry for Circumstances Code “C5966”

[136]           Schedule 4, Part 1, omit entry for Circumstances Code “C6333”

[137]           Schedule 4, Part 1, omit entry for Circumstances Code “C6334”

[138]           Schedule 4, Part 1, omit entry for Circumstances Code “C6335”

[139]           Schedule 4, Part 1, omit entry for Circumstances Code “C6336”

[140]           Schedule 4, Part 1, omit entry for Circumstances Code “C6344”

[141]           Schedule 4, Part 1, omit entry for Circumstances Code “C6346”

[142]           Schedule 4, Part 1, omit entry for Circumstances Code “C6357”

[143]           Schedule 4, Part 1, omit entry for Circumstances Code “C6363”

[144]           Schedule 4, Part 1, omit entry for Circumstances Code “C6376”

[145]           Schedule 4, Part 1, entry for Circumstances Code “C6434”

omit from the column headed “Listed Drug”: Ketoconazole

[146]           Schedule 4, Part 1, omit entry for Circumstances Code “C6443”

[147]           Schedule 4, Part 1, omit entry for Circumstances Code “C6645”

[148]           Schedule 4, Part 1, omit entry for Circumstances Code “C6664”

[149]           Schedule 4, Part 1, omit entry for Circumstances Code “C7492”

[150]           Schedule 4, Part 1, omit entry for Circumstances Code “C7495”

[151]           Schedule 4, Part 1, omit entry for Circumstances Code “C7498”

[152]           Schedule 4, Part 1, omit entry for Circumstances Code “C7505”

[153]           Schedule 4, Part 1, omit entry for Circumstances Code “C7506”

[154]           Schedule 4, Part 1, omit entry for Circumstances Code “C7507”

[155]           Schedule 4, Part 1, omit entry for Circumstances Code “C7524”

[156]           Schedule 4, Part 1, omit entry for Circumstances Code “C7528”

[157]           Schedule 4, Part 1, omit entry for Circumstances Code “C7530”

[158]           Schedule 4, Part 1, omit entry for Circumstances Code “C7541”

[159]           Schedule 4, Part 1, omit entry for Circumstances Code “C7556”

[160]           Schedule 4, Part 1, omit entry for Circumstances Code “C7598”

[161]           Schedule 4, Part 1, omit entry for Circumstances Code “C7629”

[162]           Schedule 4, Part 1, omit entry for Circumstances Code “C7645”

[163]           Schedule 4, Part 1, entry for Circumstances Code “C10742”

omit entry for Circumstances Code “C10742” and substitute:

C10742

P10742

CN10742

Guselkumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 20 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[164]           Schedule 4, Part 1, entry for Circumstances Code “C11090”

omit entry for Circumstances Code “C11090” and substitute:

C11090

P11090

CN11090

Tildrakizumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 28 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 100 mg for weeks 0 and 4, then 100 mg every 12 weeks thereafter.

Compliance with Written Authority Required procedures


[165]           Schedule 4, Part 1, entry for Circumstances Code “C11096”

omit entry for Circumstances Code “C11096” and substitute:

C11096

P11096

CN11096

Ixekizumab

Secukinumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[166]           Schedule 4, Part 1, entry for Circumstances Code “C11119”

omit entry for Circumstances Code “C11119” and substitute:

C11119

P11119

CN11119

Ustekinumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 28 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

At the time of the authority application, medical practitioners should request the appropriate number of vials, based on the weight of the patient, to provide sufficient for a single injection. Up to a maximum of 2 repeats will be authorised.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[167]           Schedule 4, Part 1, entry for Circumstances Code “C11123”

omit entry for Circumstances Code “C11123” and substitute:

C11123

P11123

CN11123

Tildrakizumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 28 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 100 mg for weeks 0 and 4, then 100 mg every 12 weeks thereafter.

Compliance with Written Authority Required procedures

[168]           Schedule 4, Part 1, entry for Circumstances Code “C11130”

omit entry for Circumstances Code “C11130” and substitute:

C11130

P11130

CN11130

Guselkumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 20 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[169]           Schedule 4, Part 1, entry for Circumstances Code “C11138”

omit entry for Circumstances Code “C11138” and substitute:

C11138

P11138

CN11138

Ixekizumab

Secukinumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to re-commence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[170]           Schedule 4, Part 1, entry for Circumstances Code “C11153”

omit entry for Circumstances Code “C11153” and substitute:

C11153

P11153

CN11153

Ustekinumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 28 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

At the time of the authority application, medical practitioners should request the appropriate number of vials, based on the weight of the patient, to provide sufficient for a single injection. Up to a maximum of 2 repeats will be authorised.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[171]           Schedule 4, Part 1, omit entry for Circumstances Code “C11178”

[172]           Schedule 4, Part 1, omit entry for Circumstances Code “C11181”

[173]           Schedule 4, Part 1, omit entry for Circumstances Code “C11183”

[174]           Schedule 4, Part 1, omit entry for Circumstances Code “C11185”

[175]           Schedule 4, Part 1, omit entry for Circumstances Code “C11229”

[176]           Schedule 4, Part 1, entry for Circumstances Code “C11704”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[177]           Schedule 4, Part 1, entry for Circumstances Code “C11711”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[178]           Schedule 4, Part 1, entry for Circumstances Code “C11715”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[179]           Schedule 4, Part 1, entry for Circumstances Code “C11716”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[180]           Schedule 4, Part 1, entry for Circumstances Code “C11717”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[181]           Schedule 4, Part 1, entry for Circumstances Code “C11761”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[182]           Schedule 4, Part 1, entry for Circumstances Code “C11762”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[183]           Schedule 4, Part 1, entry for Circumstances Code “C11763”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[184]           Schedule 4, Part 1, entry for Circumstances Code “C11767”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[185]           Schedule 4, Part 1, omit entry for Circumstances Code “C11841”

[186]           Schedule 4, Part 1, omit entry for Circumstances Code “C11842”

[187]           Schedule 4, Part 1, entry for Circumstances Code “C11844”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[188]           Schedule 4, Part 1, entry for Circumstances Code “C11846”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[189]           Schedule 4, Part 1, omit entry for Circumstances Code “C11848”

[190]           Schedule 4, Part 1, entry for Circumstances Code “C11861”

omit entry for Circumstances Code “C11861” and substitute:

C11861

P11861

CN11861

Adalimumab

Severe psoriatic arthritis

Initial treatment - Initial 2 (change or recommencement of treatment after a break in in biological medicine of less than 5 years)

Must be treated by a rheumatologist; or

Must be treated by a clinical immunologist with expertise in the management of psoriatic arthritis; AND

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be aged 18 years or older.

An adequate response to treatment is defined as 

an erythrocyte sedimentation rate (ESR) no greater than 25 mm per hour or a C-reactive protein (CRP) level no greater than 15 mg per L or either marker reduced by at least 20% from baseline; and

either of the following 

(a) a reduction in the total active (swollen and tender) joint count by at least 50% from baseline, where baseline is at least 20 active joints; or

(b) a reduction in the number of the following major active joints, from at least 4, by at least 50% 

(i) elbow, wrist, knee and/or ankle (assessed as swollen and tender); and/or

(ii) shoulder and/or hip (assessed as pain in passive movement and restriction of passive movement, where pain and limitation of movement are due to active disease and not irreversible damage such as joint destruction or bony overgrowth).

The authority application must be made in writing and must include 

(1) a completed authority prescription form; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice).

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

If a patient fails to demonstrate a response to treatment with this drug they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle. Serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment is not considered as a treatment failure.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[191]           Schedule 4, Part 1, entry for Circumstances Code “C11892”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[192]           Schedule 4, Part 1, entry for Circumstances Code “C11893”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[193]           Schedule 4, Part 1, entry for Circumstances Code “C11897”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[194]           Schedule 4, Part 1, entry for Circumstances Code “C11902”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[195]           Schedule 4, Part 1, entry for Circumstances Code “C11924”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures


[196]           Schedule 4, Part 1, entry for Circumstances Code “C11926”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[197]           Schedule 4, Part 1, entry for Circumstances Code “C11945”

omit entry for Circumstances Code “C11945” and substitute:

C11945

P11945

CN11945

Tofacitinib

Upadacitinib

Severe psoriatic arthritis

Initial treatment - Initial 2 (change or recommencement of treatment after a break in in biological medicine of less than 5 years)

Must be treated by a rheumatologist; or

Must be treated by a clinical immunologist with expertise in the management of psoriatic arthritis; AND

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be aged 18 years or older.

An adequate response to treatment is defined as 

an erythrocyte sedimentation rate (ESR) no greater than 25 mm per hour or a C-reactive protein (CRP) level no greater than 15 mg per L or either marker reduced by at least 20% from baseline; and

either of the following 

(a) a reduction in the total active (swollen and tender) joint count by at least 50% from baseline, where baseline is at least 20 active joints; or

(b) a reduction in the number of the following major active joints, from at least 4, by at least 50% 

(i) elbow, wrist, knee and/or ankle (assessed as swollen and tender); and/or

(ii) shoulder and/or hip (assessed as pain in passive movement and restriction of passive movement, where pain and limitation of movement are due to active disease and not irreversible damage such as joint destruction or bony overgrowth).

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice).

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

If a patient fails to demonstrate a response to treatment with this drug they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle. Serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment is not considered as a treatment failure.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[198]           Schedule 4, Part 1, omit entry for Circumstances Code “C11950”

[199]           Schedule 4, Part 1, entry for Circumstances Code “C11958”

omit entry for Circumstances Code “C11958” and substitute:

C11958

P11958

CN11958

Ixekizumab

Severe psoriatic arthritis

Initial treatment - Initial 2 (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Must be treated by a rheumatologist; or

Must be treated by a clinical immunologist with expertise in the management of psoriatic arthritis; AND

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

Patient must not receive more than 20 weeks of treatment under this restriction;

Patient must be aged 18 years or older.

An adequate response to treatment is defined as 

an erythrocyte sedimentation rate (ESR) no greater than 25 mm per hour or a C-reactive protein (CRP) level no greater than 15 mg per L or either marker reduced by at least 20% from baseline; and

either of the following 

(a) a reduction in the total active (swollen and tender) joint count by at least 50% from baseline, where baseline is at least 20 active joints; or

(b) a reduction in the number of the following major active joints, from at least 4, by at least 50% 

(i) elbow, wrist, knee and/or ankle (assessed as swollen and tender); and/or

(ii) shoulder and/or hip (assessed as pain in passive movement and restriction of passive movement, where pain and limitation of movement are due to active disease and not irreversible damage such as joint destruction or bony overgrowth).

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice).

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

If a patient fails to demonstrate a response to treatment with this drug they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition. Serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment is not considered as a treatment failure.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[200]           Schedule 4, Part 1, entry for Circumstances Code “C11964”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[201]           Schedule 4, Part 1, entry for Circumstances Code “C12155”

omit entry for Circumstances Code “C12155” and substitute:

C12155

P12155

CN12155

Adalimumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(1) a completed authority prescription form(s); and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[202]           Schedule 4, Part 1, entry for Circumstances Code “C12212”

omit entry for Circumstances Code “C12212” and substitute:

C12212

P12212

CN12212

Adalimumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be aged 18 years or older;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(1) a completed authority prescription form(s); and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets, and the face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[203]           Schedule 4, Part 1, entry for Circumstances Code “C12272”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[204]           Schedule 4, Part 1, omit entry for Circumstances Code “C12275”

[205]           Schedule 4, Part 1, omit entry for Circumstances Code “C12278”

[206]           Schedule 4, Part 1, entry for Circumstances Code “C12306”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[207]           Schedule 4, Part 1, entry for Circumstances Code “C12315”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[208]           Schedule 4, Part 1, entry for Circumstances Code “C12399”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[209]           Schedule 4, Part 1, entry for Circumstances Code “C12404”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[210]           Schedule 4, Part 1, entry for Circumstances Code “C12405”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[211]           Schedule 4, Part 1, entry for Circumstances Code “C12436”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[212]           Schedule 4, Part 1, omit entry for Circumstances Code “C12439”

[213]           Schedule 4, Part 1, entry for Circumstances Code “C12450”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[214]           Schedule 4, Part 1, entry for Circumstances Code “C12451”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[215]           Schedule 4, Part 1, entry for Circumstances Code “C12609”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[216]           Schedule 4, Part 1, entry for Circumstances Code “C12614”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[217]           Schedule 4, Part 1, omit entry for Circumstances Code “C12624”

[218]           Schedule 4, Part 1, omit entry for Circumstances Code “C12625”

[219]           Schedule 4, Part 1, entry for Circumstances Code “C12630”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[220]           Schedule 4, Part 1, entry for Circumstances Code “C12635”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[221]           Schedule 4, Part 1, entry for Circumstances Code “C12639”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[222]           Schedule 4, Part 1, entry for Circumstances Code “C12672”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[223]           Schedule 4, Part 1, entry for Circumstances Code “C12676”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[224]           Schedule 4, Part 1, entry for Circumstances Code “C12703”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[225]           Schedule 4, Part 1, entry for Circumstances Code “C12704”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[226]           Schedule 4, Part 1, entry for Circumstances Code “C12705”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[227]           Schedule 4, Part 1, entry for Circumstances Code “C12711”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[228]           Schedule 4, Part 1, entry for Circumstances Code “C12712”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[229]           Schedule 4, Part 1, entry for Circumstances Code “C12713”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[230]           Schedule 4, Part 1, entry for Circumstances Code “C12721”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[231]           Schedule 4, Part 1, entry for Circumstances Code “C12722”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[232]           Schedule 4, Part 1, entry for Circumstances Code “C12723”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[233]           Schedule 4, Part 1, entry for Circumstances Code “C12725”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[234]           Schedule 4, Part 1, entry for Circumstances Code “C12726”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[235]           Schedule 4, Part 1, entry for Circumstances Code “C12731”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[236]           Schedule 4, Part 1, entry for Circumstances Code “C12738”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[237]           Schedule 4, Part 1, entry for Circumstances Code “C12749”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[238]           Schedule 4, Part 1, entry for Circumstances Code “C12752”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[239]           Schedule 4, Part 1, entry for Circumstances Code “C12755”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[240]           Schedule 4, Part 1, entry for Circumstances Code “C12758”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[241]           Schedule 4, Part 1, entry for Circumstances Code “C12760”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[242]           Schedule 4, Part 1, entry for Circumstances Code “C12765”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[243]           Schedule 4, Part 1, entry for Circumstances Code “C12768”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[244]           Schedule 4, Part 1, entry for Circumstances Code “C12769”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[245]           Schedule 4, Part 1, entry for Circumstances Code “C12770”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[246]           Schedule 4, Part 1, entry for Circumstances Code “C12771”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[247]           Schedule 4, Part 1, entry for Circumstances Code “C12774”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[248]           Schedule 4, Part 1, entry for Circumstances Code “C12775”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[249]           Schedule 4, Part 1, entry for Circumstances Code “C12779”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[250]           Schedule 4, Part 1, entry for Circumstances Code “C12780”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[251]           Schedule 4, Part 1, entry for Circumstances Code “C12784”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[252]           Schedule 4, Part 1, entry for Circumstances Code “C12785”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[253]           Schedule 4, Part 1, entry for Circumstances Code “C12789”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[254]           Schedule 4, Part 1, entry for Circumstances Code “C12790”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[255]           Schedule 4, Part 1, entry for Circumstances Code “C12791”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[256]           Schedule 4, Part 1, entry for Circumstances Code “C12793”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[257]           Schedule 4, Part 1, entry for Circumstances Code “C12798”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[258]           Schedule 4, Part 1, entry for Circumstances Code “C12803”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[259]           Schedule 4, Part 1, entry for Circumstances Code “C12805”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[260]           Schedule 4, Part 1, entry for Circumstances Code “C12806”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[261]           Schedule 4, Part 1, entry for Circumstances Code “C12809”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[262]           Schedule 4, Part 1, entry for Circumstances Code “C12810”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[263]           Schedule 4, Part 1, entry for Circumstances Code “C12812”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[264]           Schedule 4, Part 1, entry for Circumstances Code “C12817”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[265]           Schedule 4, Part 1, entry for Circumstances Code “C12820”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures


[266]           Schedule 4, Part 1, entry for Circumstances Code “C12824”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[267]           Schedule 4, Part 1, entry for Circumstances Code “C12826”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[268]           Schedule 4, Part 1, entry for Circumstances Code “C12829”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[269]           Schedule 4, Part 1, entry for Circumstances Code “C12831”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[270]           Schedule 4, Part 1, entry for Circumstances Code “C12832”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[271]           Schedule 4, Part 1, entry for Circumstances Code “C12834”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[272]           Schedule 4, Part 1, entry for Circumstances Code “C12855”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[273]           Schedule 4, Part 1, entry for Circumstances Code “C12857”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[274]           Schedule 4, Part 1, entry for Circumstances Code “C12858”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[275]           Schedule 4, Part 1, entry for Circumstances Code “C12860”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[276]           Schedule 4, Part 1, entry for Circumstances Code “C12861”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[277]           Schedule 4, Part 1, entry for Circumstances Code “C12866”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[278]           Schedule 4, Part 1, entry for Circumstances Code “C12867”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[279]           Schedule 4, Part 1, entry for Circumstances Code “C12869”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[280]           Schedule 4, Part 1, entry for Circumstances Code “C12671”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[281]           Schedule 4, Part 1, entry for Circumstances Code “C12772”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[282]           Schedule 4, Part 1, entry for Circumstances Code “C12876”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[283]           Schedule 4, Part 1, entry for Circumstances Code “C12877”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[284]           Schedule 4, Part 1, entry for Circumstances Code “C12880”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[285]           Schedule 4, Part 1, entry for Circumstances Code “C12882”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[286]           Schedule 4, Part 1, entry for Circumstances Code “C12884”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[287]           Schedule 4, Part 1, entry for Circumstances Code “C12886”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[288]           Schedule 4, Part 1, entry for Circumstances Code “C12887”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[289]           Schedule 4, Part 1, entry for Circumstances Code “C12899”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[290]           Schedule 4, Part 1, omit entry for Circumstances Code “C12983”

[291]           Schedule 4, Part 1, omit entry for Circumstances Code “C12986”

[292]           Schedule 4, Part 1, omit entry for Circumstances Code “C13010”

[293]           Schedule 4, Part 1, omit entry for Circumstances Code “C13011”

[294]           Schedule 4, Part 1, omit entry for Circumstances Code “C13012”

[295]           Schedule 4, Part 1, omit entry for Circumstances Code “C13015”

[296]           Schedule 4, Part 1, omit entry for Circumstances Code “C13029”

[297]           Schedule 4, Part 1, entry for Circumstances Code “C13177”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[298]           Schedule 4, Part 1, entry for Circumstances Code “C13184”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[299]           Schedule 4, Part 1, entry for Circumstances Code “C13233”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[300]           Schedule 4, Part 1, entry for Circumstances Code “C13250”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[301]           Schedule 4, Part 1, omit entry for Circumstances Code “C13327”

[302]           Schedule 4, Part 1, omit entry for Circumstances Code “C13377”

[303]           Schedule 4, Part 1, omit entry for Circumstances Code “C13491”

[304]           Schedule 4, Part 1, omit entry for Circumstances Code “C13496”

[305]           Schedule 4, Part 1, omit entry for Circumstances Code “C13497”

[306]           Schedule 4, Part 1, omit entry for Circumstances Code “C13499”

[307]           Schedule 4, Part 1, omit entry for Circumstances Code “C13500”

[308]           Schedule 4, Part 1, omit entry for Circumstances Code “C13502”

[309]           Schedule 4, Part 1, omit entry for Circumstances Code “C13505”

[310]           Schedule 4, Part 1, omit entry for Circumstances Code “C13506”

[311]           Schedule 4, Part 1, omit entry for Circumstances Code “C13510”

[312]           Schedule 4, Part 1, omit entry for Circumstances Code “C13512”

[313]           Schedule 4, Part 1, omit entry for Circumstances Code “C13514”

[314]           Schedule 4, Part 1, omit entry for Circumstances Code “C13515”

[315]           Schedule 4, Part 1, omit entry for Circumstances Code “C13575”

[316]           Schedule 4, Part 1, omit entry for Circumstances Code “C13576”

[317]           Schedule 4, Part 1, omit entry for Circumstances Code “C13577”

[318]           Schedule 4, Part 1, omit entry for Circumstances Code “C13582”

[319]           Schedule 4, Part 1, entry for Circumstances Code “C13598”

omit entry for Circumstances Code “C13598” and substitute:

C13598

P13598

CN13598

Etanercept

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be at least 18 years of age;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

Where the most recent course of PBS-subsidised treatment with this drug was approved under either of the Initial 1, Initial 2, Initial 3, first or subsequent continuing treatment restrictions, it is recommended that an assessment of a patient's response is conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from the completion of the most recent course of treatment.

To demonstrate a response to treatment the application must be accompanied with the assessment of response from the most recent course of biological medicine therapy. It is recommended that an application for the continuing treatment is submitted to the Department of Human Services no later than 1 month from the date of completion of the most recent course of treatment. This is to ensure continuity of treatment for those who meet the continuing restriction for PBS-subsidised treatment with this drug for this condition. Demonstration of response should be provided within this timeframe.

The PASI assessment for first continuing or subsequent continuing treatment must be performed on the same affected area as assessed at baseline.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[320]           Schedule 4, Part 1, entry for Circumstances Code “C13629”

                           omit from the column headed “Authority Requirements (part of Circumstances; or Conditions)”: Compliance with Authority Required procedures substitute: Compliance with Written Authority Required procedures

[321]           Schedule 4, Part 1, omit entry for Circumstances Code “C13631”

[322]           Schedule 4, Part 1, omit entry for Circumstances Code “C13634”

[323]           Schedule 4, Part 1, entry for Circumstances Code “C13646”

omit entry for Circumstances Code “C13646” and substitute:

C13646

P13646

CN13646

Etanercept

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 16 weeks of treatment under this restriction;

Patient must be at least 18 years of age;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

Where the most recent course of PBS-subsidised treatment with this drug was approved under either of the Initial 1, Initial 2, Initial 3, first or subsequent continuing treatment restrictions, it is recommended that an assessment of a patient's response is conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from the completion of the most recent course of treatment.

To demonstrate a response to treatment the application must be accompanied with the assessment of response from the most recent course of biological medicine therapy. It is recommended that an application for the continuing treatment is submitted to the Department of Human Services no later than 1 month from the date of completion of the most recent course of treatment. This is to ensure continuity of treatment for those who meet the continuing restriction for PBS-subsidised treatment with this drug for this condition. Demonstration of response should be provided within this timeframe.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[324]           Schedule 4, Part 1, entry for Circumstances Code “C13692”

omit entry for Circumstances Code “C13692” and substitute:

C13692

P13692

CN13692

Infliximab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 22 weeks of treatment under this restriction;

Patient must be at least 18 years of age;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

At the time of the authority application, medical practitioners should request the appropriate quantity of vials, based on the weight of the patient, to provide for infusions at a dose of 5 mg per kg. Up to a maximum of 3 repeats will be authorised.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[325]           Schedule 4, Part 1, entry for Circumstances Code “C13719”

omit entry for Circumstances Code “C13719” and substitute:

C13719

P13719

CN13719

Infliximab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or re-commencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 22 weeks of treatment under this restriction;

Patient must be at least 18 years of age;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

The PASI assessment for first continuing or subsequent continuing treatment must be performed on the same affected area as assessed at baseline.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

At the time of the authority application, medical practitioners should request the appropriate quantity of vials, based on the weight of the patient, to provide for infusions at a dose of 5 mg per kg. Up to a maximum of 3 repeats will be authorised.

The authority application must be made in writing and must include 

(a) a completed authority prescription form(s); and

(b) a completed Severe Chronic Plaque Psoriasis PBS Authority Application - Supporting Information Form which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets and face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[326]           Schedule 4, Part 1, omit entry for Circumstances Code “C13852”

[327]           Schedule 4, Part 1, omit entry for Circumstances Code “C13863”

[328]           Schedule 4, Part 1, omit entry for Circumstances Code “C13864”

[329]           Schedule 4, Part 1, omit entry for Circumstances Code “C13865”

[330]           Schedule 4, Part 1, omit entry for Circumstances Code “C13866”

[331]           Schedule 4, Part 1, omit entry for Circumstances Code “C13877”

[332]           Schedule 4, Part 1, omit entry for Circumstances Code “C13890”

[333]           Schedule 4, Part 1, omit entry for Circumstances Code “C13891”

[334]           Schedule 4, Part 1, omit entry for Circumstances Code “C13929”

[335]           Schedule 4, Part 1, omit entry for Circumstances Code “C13930”

[336]           Schedule 4, Part 1, omit entry for Circumstances Code “C13986”

[337]           Schedule 4, Part 1, omit entry for Circumstances Code “C13993”

[338]           Schedule 4, Part 1, omit entry for Circumstances Code “C14007”

[339]           Schedule 4, Part 1, omit entry for Circumstances Code “C14009”

[340]           Schedule 4, Part 1, omit entry for Circumstances Code “C14054”

[341]           Schedule 4, Part 1, omit entry for Circumstances Code “C14101”

[342]           Schedule 4, Part 1, omit entry for Circumstances Code “C14126”

[343]           Schedule 4, Part 1, omit entry for Circumstances Code “C14127”

[344]           Schedule 4, Part 1, omit entry for Circumstances Code “C14129”

[345]           Schedule 4, Part 1, omit entry for Circumstances Code “C14130”

[346]           Schedule 4, Part 1, omit entry for Circumstances Code “C14131”

[347]           Schedule 4, Part 1, omit entry for Circumstances Code “C14132”

[348]           Schedule 4, Part 1, entry for Circumstances Code “C14370”

omit entry for Circumstances Code “C14370” and substitute:

C14370

P14370

CN14370

Nusinersen

Spinal muscular atrophy (SMA)

Changing the prescribed therapy

Patient must be undergoing a change in prescribed SMA drug to this drug - the drug treatment being replaced was a PBS benefit initiated after the patient's 19th birthday; AND

Must be treated by a specialist medical practitioner experienced in the diagnosis/management of SMA; or

Must be treated by a medical practitioner who has been directed to prescribe this benefit by a specialist medical practitioner experienced in the diagnosis/management of SMA; AND

Patient must be undergoing concomitant treatment with best supportive care, but this benefit is the sole PBS-subsidised disease modifying treatment; AND

Patient must be untreated with gene therapy; AND

Patient must not be receiving invasive permanent assisted ventilation in the absence of a potentially reversible cause while being treated with this drug.

Invasive permanent assisted ventilation means ventilation via tracheostomy tube for greater than or equal to 16 hours per day.

The prescriber has given consideration to whether a 'wash out' period is recommended or not prior to changing the prescribed therapy.

Compliance with Authority Required procedures

[349]           Schedule 4, Part 1, omit entry for Circumstances Code “C14384”

[350]           Schedule 4, Part 1, entry for Circumstances Code “C14396”

omit entry for Circumstances Code “C14396” and substitute:

C14396

P14396

CN14396

Bimekizumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 24 weeks of treatment under this restriction;

Patient must be at least 18 years of age;

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing 

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(1) a completed authority prescription form(s); and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets, and the face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[351]           Schedule 4, Part 1, omit entry for Circumstances Code “C14417”

[352]           Schedule 4, Part 1, entry for Circumstances Code “C14421”

omit entry for Circumstances Code “C14421” and substitute:

C14421

P14421

CN14421

Nusinersen

Symptomatic type IIIB/IIIC spinal muscular atrophy (SMA)

Changing the prescribed therapy

Patient must be undergoing a change in prescribed SMA drug to this drug - the drug treatment being replaced was a PBS benefit initiated prior to the patient's 19th birthday for SMA type IIIB/IIIC; AND

Must be treated by a specialist medical practitioner experienced in the diagnosis/management of SMA; or

Must be treated by a medical practitioner who has been directed to prescribe this benefit by a specialist medical practitioner experienced in the diagnosis/management of SMA; AND

Patient must be undergoing concomitant treatment with best supportive care, but this benefit is the sole PBS-subsidised disease modifying treatment; AND

Patient must be untreated with gene therapy; AND

Patient must not be receiving invasive permanent assisted ventilation in the absence of a potentially reversible cause while being treated with this drug.

Invasive permanent assisted ventilation means ventilation via tracheostomy tube for greater than or equal to 16 hours per day.

The prescriber has given consideration to whether a 'wash out' period is recommended or not prior to changing the prescribed therapy.

Compliance with Authority Required procedures

[353]           Schedule 4, Part 1, entry for Circumstances Code “C14437”

omit entry for Circumstances Code “C14437” and substitute:

C14437

P14437

CN14437

Bimekizumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 24 weeks of treatment under this restriction;

Patient must be at least 18 years of age;

Must be treated by a dermatologist.

An adequate response to treatment is defined as 

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include 

(1) a completed authority prescription form(s); and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes the following 

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

[354]           Schedule 4, Part 1, omit entry for Circumstances Code “C14523”

[355]           Schedule 4, Part 1, omit entry for Circumstances Code “C14524”

[356]           Schedule 4, Part 1, omit entry for Circumstances Code “C14555”

[357]           Schedule 4, Part 1, omit entry for Circumstances Code “C14617”

[358]           Schedule 4, Part 1, omit entry for Circumstances Code “C14858”

[359]           Schedule 4, Part 1, omit entry for Circumstances Code “C14859”

[360]           Schedule 4, Part 1, omit entry for Circumstances Code “C14862”

[361]           Schedule 4, Part 1, omit entry for Circumstances Code “C14876”

[362]           Schedule 4, Part 1, omit entry for Circumstances Code “C14878”

[363]           Schedule 4, Part 1, omit entry for Circumstances Code “C14881”

[364]           Schedule 4, Part 1, omit entry for Circumstances Code “C14885”

[365]           Schedule 4, Part 1, omit entry for Circumstances Code “C14887”

[366]           Schedule 4, Part 1, omit entry for Circumstances Code “C14888”

[367]           Schedule 4, Part 1, omit entry for Circumstances Code “C14891”

[368]           Schedule 4, Part 1, omit entry for Circumstances Code “C14894”

[369]           Schedule 4, Part 1, omit entry for Circumstances Code “C14905”

[370]           Schedule 4, Part 1, omit entry for Circumstances Code “C14911”

[371]           Schedule 4, Part 1, omit entry for Circumstances Code “C14924”

[372]           Schedule 4, Part 1, omit entry for Circumstances Code “C14925”

[373]           Schedule 4, Part 1, omit entry for Circumstances Code “C14933”

[374]           Schedule 4, Part 1, omit entry for Circumstances Code “C14935”

[375]           Schedule 4, Part 1, omit entry for Circumstances Code “C14937”

[376]           Schedule 4, Part 1, omit entry for Circumstances Code “C14949”

[377]           Schedule 4, Part 1, omit entry for Circumstances Code “C14950”

[378]           Schedule 4, Part 1, omit entry for Circumstances Code “C14954”

[379]           Schedule 4, Part 1, omit entry for Circumstances Code “C14974”

[380]           Schedule 4, Part 1, omit entry for Circumstances Code “C14978”

[381]           Schedule 4, Part 1, omit entry for Circumstances Code “C14987”

[382]           Schedule 4, Part 1, omit entry for Circumstances Code “C14999”

[383]           Schedule 4, Part 1, omit entry for Circumstances Code “C15000”

[384]           Schedule 4, Part 1, omit entry for Circumstances Code “C15001”

[385]           Schedule 4, Part 1, omit entry for Circumstances Code “C15002”

[386]           Schedule 4, Part 1, omit entry for Circumstances Code “C15014”

[387]           Schedule 4, Part 1, entry for Circumstances Code “C15069”

omit entry for Circumstances Code “C15069” and substitute:

C15069

P15069

CN15069

Nusinersen

Spinal muscular atrophy (SMA)

Continuing/maintenance treatment of either symptomatic Type I, II or IIIa SMA, or of a patient commenced on this drug under the pre-symptomatic SMA (1 or 2 copies of the SMN2 gene) listing

Must be treated by a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic of a recognised hospital in the management of SMA; or in consultation with a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic of a recognised hospital in the management of SMA; or initiated by a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic of a recognised hospital in the management of SMA; AND

Patient must not be undergoing treatment through this 'Continuing treatment' listing where the most recent PBS authority approval for this PBS indication has been for gene therapy; AND

Patient must have previously received PBS-subsidised treatment with this drug for this condition; or

Patient must be eligible for continuing PBS-subsidised treatment with risdiplam for this condition; AND

The treatment must not be in combination with PBS-subsidised treatment with risdiplam for this condition; AND

The treatment must be given concomitantly with best supportive care for this condition; AND

The treatment must be ceased when invasive permanent assisted ventilation is required in the absence of a potentially reversible cause while being treated with this drug;

Patient must have been 18 years of age or younger at the time of initial treatment with this drug.

Invasive permanent assisted ventilation means ventilation via tracheostomy tube for greater than or equal to 16 hours per day.

In a patient who wishes to switch from PBS-subsidised risdiplam to PBS-subsidised nusinersen for this condition a wash out period may be required.

Compliance with Authority Required procedures

[388]           Schedule 4, Part 1, omit entry for Circumstances Code “C15088”

[389]           Schedule 4, Part 1, entry for Circumstances Code “C15095”

omit entry for Circumstances Code “C15095” and substitute:

C15095

P15095

CN15095

Risdiplam

Spinal muscular atrophy (SMA)

Continuing/maintenance treatment with this drug of either symptomatic Type I, II or IIIa SMA, or, pre-symptomatic SMA (1 or 2 copies of the SMN2 gene)

Patient must have previously received PBS-subsidised treatment with this drug for this condition; or

Patient must be eligible for continuing PBS-subsidised treatment with nusinersen for this condition; AND

The treatment must not be in combination with PBS-subsidised treatment with nusinersen for this condition; AND

The treatment must be ceased when invasive permanent assisted ventilation is required in the absence of a potentially reversible cause while being treated with this drug; AND

The treatment must be given concomitantly with best supportive care for this condition; AND

Must be treated by a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic, or in consultation with a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic; AND

Patient must not be undergoing treatment through this 'Continuing treatment' listing where the most recent PBS authority approval for this PBS indication has been for gene therapy;

Patient must have been 18 years of age or younger at the time of initial treatment with this drug.

Invasive permanent assisted ventilation means ventilation via tracheostomy tube for greater than or equal to 16 hours per day.

In a patient who wishes to switch from PBS-subsidised nusinersen to PBS-subsidised risdiplam for this condition a wash out period may be required.

The quantity of drug and number of repeat prescriptions prescribed is to be in accordance with the relevant 'Note' attached to this listing.

The approved Product Information recommended dosing is as follows 

(i) 16 days to less than 2 months of age 0.15 mg/kg

(ii) 2 months to less than 2 years of age 0.20 mg/kg

(iii) 2 years of age and older weighing less than 20 kg 0.25 mg/kg

(iv) 2 years of age and older weighing 20 kg or more 5 mg

In this authority application, state which of (i) to (iv) above applies to the patient. Based on (i) to (iv), prescribe up to 

1 unit where (i) applies;

2 units where (ii) applies;

3 units where (iii) applies;

3 units where (iv) applies.

Compliance with Authority Required procedures

[390]           Schedule 4, Part 1, entry for Circumstances Code “C15112”

omit entry for Circumstances Code “C15112” and substitute:

C15112

P15112

CN15112

Nusinersen

Spinal muscular atrophy (SMA)

Continuing/maintenance treatment of a patient commenced on this drug under the pre-symptomatic SMA (3 copies of the SMN2 gene) listing

Must be treated by a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic of a recognised hospital in the management of SMA; or in consultation with a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic of a recognised hospital in the management of SMA; or initiated by a specialist medical practitioner experienced in the diagnosis and management of SMA associated with a neuromuscular clinic of a recognised hospital in the management of SMA; AND

Patient must not be undergoing treatment through this 'Continuing treatment' listing where the most recent PBS authority approval for this PBS indication has been for gene therapy; AND

Patient must have previously received PBS-subsidised treatment with this drug for this condition; or

Patient must be eligible for continuing PBS-subsidised treatment with risdiplam for this condition; AND

The treatment must not be in combination with PBS-subsidised treatment with risdiplam for this condition; AND

The treatment must be given concomitantly with best supportive care for this condition; AND

The treatment must be ceased when invasive permanent assisted ventilation is required in the absence of a potentially reversible cause while being treated with this drug;

Patient must have been 18 years of age or younger at the time of initial treatment with this drug.

Invasive permanent assisted ventilation means ventilation via tracheostomy tube for greater than or equal to 16 hours per day.

In a patient who wishes to switch from PBS-subsidised risdiplam to PBS-subsidised nusinersen for this condition a wash out period may be required.

Compliance with Authority Required procedures

[391]           Schedule 4, Part 1, omit entry for Circumstances Code “C15122”

[392]           Schedule 4, Part 1, omit entry for Circumstances Code “C15132”

[393]           Schedule 4, Part 1, omit entry for Circumstances Code “C15144”

[394]           Schedule 4, Part 1, omit entry for Circumstances Code “C15153”

[395]           Schedule 4, Part 1, entry for Circumstances Code “C15213”

omit entry for Circumstances Code “C15213” and substitute:

C15213

P15213

CN15213

Risankizumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Whole body (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 28 weeks of treatment under this restriction.

Patient must be at least 18 years of age.

Must be treated by a dermatologist.

An adequate response to treatment is defined as:

A Psoriasis Area and Severity Index (PASI) score which is reduced by 75% or more, or is sustained at this level, when compared with the baseline value for this treatment cycle.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) a completed authority prescription form(s); and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes the following:

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 150 mg for weeks 0 and 4, then 150 mg every 12 weeks thereafter.

Compliance with Written Authority Required procedures

[396]           Schedule 4, Part 1, entry for Circumstances Code “C15222”

omit entry for Circumstances Code “C15222” and substitute:

C15222

P15222

CN15222

Risankizumab

Severe chronic plaque psoriasis

Initial treatment - Initial 2, Face, hand, foot (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 3 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

The treatment must be as systemic monotherapy (other than methotrexate); AND

Patient must not receive more than 28 weeks of treatment under this restriction.

Patient must be at least 18 years of age.

Must be treated by a dermatologist.

An adequate response to treatment is defined as the plaque or plaques assessed prior to biological treatment showing:

(i) a reduction in the Psoriasis Area and Severity Index (PASI) symptom subscores for all 3 of erythema, thickness and scaling, to slight or better, or sustained at this level, as compared to the baseline values; or

(ii) a reduction by 75% or more in the skin area affected, or sustained at this level, as compared to the baseline value for this treatment cycle.

The PASI assessment for continuing treatment must be performed on the same affected area as assessed at baseline.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) a completed authority prescription form(s); and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes the following:

(i) the completed current Psoriasis Area and Severity Index (PASI) calculation sheets, and the face, hand, foot area diagrams including the dates of assessment of the patient's condition; and

(ii) details of prior biological treatment, including dosage, date and duration of treatment.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

At the time of the authority application, medical practitioners should request to provide for an initial course of this drug for this condition sufficient for up to 28 weeks of therapy, at a dose of 150 mg for weeks 0 and 4, then 150 mg every 12 weeks thereafter.

Compliance with Written Authority Required procedures

[397]           Schedule 4, Part 1, after entry for Circumstances Code “C15242”

                           insert:

C15249

P15249

CN15249

Adalimumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 1 (new patient)

Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND

Patient must have failed to achieve an adequate response to 2 courses of different antibiotics each for 3 months prior to initiation of PBS subsidised treatment with this drug for this condition; OR

Patient must have had an adverse reaction to an antibiotic of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; OR

Patient must be contraindicated to treatment with an antibiotic due to an allergic reaction of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; AND

Patient must not have received PBS-subsidised treatment with a biological medicine for this condition; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

An assessment of a patient's response to this initial course of treatment must be conducted following a minimum of 12 weeks of therapy and no later than 4 weeks prior the completion of this course of treatment.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

At the time of authority application the prescriber must request the first 4 weeks of treatment under this restriction; and weeks 5 to 16 of treatment under Initial 1 (new patient) or Initial 2 (recommencement of treatment) - balance of supply

The authority application must be made in writing and must include:

(1) a completed authority prescription form; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count; and

(iii) the name of the antibiotic/s received for two separate courses each of three months; or

(iv) confirmation that the adverse reaction or allergy to an antibiotic necessitated permanent treatment withdrawal resulting in the patient being unable to complete a three month course of antibiotics. The name of the one course of antibiotics of three months duration must be provided. Where the patient is unable to be treated with any courses of antibiotics the prescriber must confirm that the patient has a history of adverse reaction or allergy necessitating permanent treatment withdrawal to two different antibiotics.

Compliance with Written Authority Required procedures

C15257

P15257

CN15257

Osimertinib

Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer (NSCLC)

Continuing treatment of second-line EGFR tyrosine kinase inhibitor therapy

The treatment must be as monotherapy; AND

Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND

Patient must not have developed disease progression while receiving treatment with this drug for this condition.

Patient must be undergoing continuing treatment with this drug as second-line therapy (i.e. there are 2 Continuing treatment listings for this drug - ensure the correct Continuing treatment restriction is being accessed).

PBS-subsidised treatment with this drug is restricted to one line of therapy at any disease staging for NSCLC (i.e. if therapy has been prescribed for early disease, subsidy under locally advanced or metastatic disease is no longer available).

Compliance with Authority Required procedures

C15261

P15261

CN15261

Alogliptin

Linagliptin

Saxagliptin

Sitagliptin

Vildagliptin

Diabetes mellitus type 2

The treatment must be used in combination with at least one of: metformin, a sulfonylurea, insulin; AND

The condition must be inadequately responsive to at least one of: metformin, a sulfonylurea, insulin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another DPP4 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15261

C15263

P15263

CN15263

Dulaglutide

Semaglutide

Diabetes mellitus type 2

Subsequent PBS-prescriptions for any GLP-1 receptor agonist

Patient must not be undergoing concomitant PBS-subsidised treatment for type 2 diabetes mellitus with any of: an SGLT2 inhibitor, a DPP4 inhibitor, another GLP-1 receptor agonist.

Compliance with Authority Required procedures - Streamlined Authority Code 15263

C15265

P15265

CN15265

Dapagliflozin

Empagliflozin

Diabetes mellitus type 2

The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient; AND

The treatment must be used in combination with at least one of: metformin, a sulfonylurea, insulin; AND

The condition must be inadequately responsive to at least one of: metformin, a sulfonylurea, insulin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another SGLT2 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15265

C15267

P15267

CN15267

Dapagliflozin with metformin

Empagliflozin with metformin

Diabetes mellitus type 2

The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient; AND

The condition must be inadequately responsive to metformin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another SGLT2 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15267

C15269

C15269

CN15269

Empagliflozin with linagliptin

Saxagliptin with dapagliflozin

Diabetes mellitus type 2

The treatment must be in combination with at least metformin; AND

The condition must be inadequately responsive to dual therapy consisting of metformin with either: a DDP-4 inhibitor, an SGLT2 inhibitor.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another SGLT2 inhibitor, another DPP4 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15269

C15270

C15270

CN15270

Empagliflozin with linagliptin

Saxagliptin with dapagliflozin

Diabetes mellitus type 2

The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient; AND

The treatment must be in combination with at least metformin; AND

The condition must be inadequately responsive to dual therapy consisting of metformin with either: a DDP-4 inhibitor, an SGLT2 inhibitor.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another SGLT2 inhibitor, another DPP4 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15270

C15276

P15276

CN15276

Alogliptin with metformin

Linagliptin with metformin

Saxagliptin with metformin

Sitagliptin with metformin

Vildagliptin with metformin

Diabetes mellitus type 2

The condition must be inadequately responsive to metformin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another DPP4 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15276

C15279

P15279

CN15279

Secukinumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years)

Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND

Patient must have previously received PBS-subsidised treatment with a biological medicine for this condition; AND

Patient must have a break in treatment of 5 years or more from the most recently approved PBS-subsidised biological medicine for this condition; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 16 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) two completed authority prescription forms; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count.

Two completed authority prescriptions should be submitted with every initial application for this drug.

One prescription should be for the induction doses, containing a quantity of 8 doses of 150 mg and no repeats and the second prescription should be for 2 doses of 150 mg and 3 repeats.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

Compliance with Written Authority Required procedures

C15280

P15280

CN1528

Secukinumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 1 (new patient)

Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND

Patient must have failed to achieve an adequate response to 2 courses of different antibiotics each for 3 months prior to initiation of PBS subsidised treatment with this drug for this condition; OR

Patient must have had an adverse reaction to an antibiotic of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; OR

Patient must be contraindicated to treatment with an antibiotic due to an allergic reaction of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; AND

Patient must not have received PBS-subsidised treatment with a biological medicine for this condition; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

An assessment of a patient's response to this initial course of treatment must be conducted following a minimum of 16 weeks of therapy and no later than 4 weeks prior the completion of this course of treatment.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) two completed authority prescription forms; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count; and

(iii) the name of the antibiotic/s received for two separate courses each of three months; or

(iv) confirmation that the adverse reaction or allergy to an antibiotic necessitated permanent treatment withdrawal resulting in the patient being unable to complete a three month course of antibiotics.

The name of the one course of antibiotics of three months duration must be provided. Where the patient is unable to be treated with any courses of antibiotics the prescriber must confirm that the patient has a history of adverse reaction or allergy necessitating permanent treatment withdrawal to two different antibiotics.

This restriction is intended for induction dosing only.

Two completed authority prescriptions should be submitted with every initial application for this drug.

One prescription should be for the induction doses, containing a quantity of 8 doses of 150 mg and no repeats and the second prescription should be for 2 doses of 150 mg and 3 repeats.

If a patient fails to demonstrate a response to treatment with this drug they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle. Serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment is not considered as a treatment failure.

Compliance with Written Authority Required procedures

C15281

P15281

CN15281

Osimertinib

Stage IB, II or IIIA non-small cell lung cancer

Adjuvant therapy

Patient must be both: (i) initiating treatment, (ii) untreated with EGFR-TKI for non small cell lung cancer; OR

Patient must be continuing existing PBS-subsidised treatment with this drug; OR

Patient must be both: (i) transitioning from existing non-PBS to PBS-subsidised supply of this drug, (ii) untreated with EGFR-TKI at the time this drug was initiated.

The treatment must be for the purpose of adjuvant therapy following surgical resection; AND

Patient must have evidence of an activating epidermal growth factor receptor (EGFR) gene mutation known to confer sensitivity to treatment with EGFR tyrosine kinase inhibitors in tumour material; AND

Patient must have/have had a WHO performance status score of no greater than 1 at treatment initiation with this drug.

The treatment must be commenced within 26 weeks of surgery; AND

The treatment must be the sole PBS-subsidised systemic anti-cancer therapy for this condition.

Patient must be undergoing treatment that does not occur beyond the following, whichever comes first: (i) the first instance of disease progression/recurrence, (ii) 3 years in total for this condition from the first administered dose; mark any remaining repeat prescriptions with the word 'cancelled'; where (i)/(ii) has occurred.

PBS-subsidised treatment with this drug is restricted to one line of therapy at any disease staging for NSCLC (i.e. if therapy has been prescribed for early disease, subsidy under locally advanced or metastatic disease is no longer available).

Compliance with Authority Required procedures

C15283

P15283

CN15283

Osimertinib

Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer (NSCLC)

Continuing treatment of first-line EGFR tyrosine kinase inhibitor therapy

The treatment must be the sole PBS-subsidised therapy for this condition; AND

Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND

Patient must not have developed disease progression while receiving treatment with this drug for this condition.

Patient must be undergoing continuing treatment with this drug as first-line therapy (i.e. there are 2 Continuing treatment listings for this drug - ensure the correct Continuing treatment restriction is being accessed).

PBS-subsidised treatment with this drug is restricted to one line of therapy at any disease staging for NSCLC (i.e. if therapy has been prescribed for early disease, subsidy under locally advanced or metastatic disease is no longer available).

Compliance with Authority Required procedures

C15287

P15287

CN15287

Alogliptin

Linagliptin

Saxagliptin

Sitagliptin

Vildagliptin

Diabetes mellitus type 2

The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient; AND

The treatment must be used in combination with at least one of: metformin, a sulfonylurea, insulin; AND

The condition must be inadequately responsive to at least one of: metformin, a sulfonylurea, insulin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another DPP4 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15287

C15288

P15288

CN15288

Alogliptin with metformin

Linagliptin with metformin

Saxagliptin with metformin

Sitagliptin with metformin

Vildagliptin with metformin

Diabetes mellitus type 2

The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient; AND

The condition must be inadequately responsive to metformin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another DPP4 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15288

C15289

P15289

CN15289

Dapagliflozin with metformin

Empagliflozin with metformin

Diabetes mellitus type 2

The condition must be inadequately responsive to metformin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another SGLT2 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15289

C15290

P15290

CN15290

Pioglitazone

Diabetes mellitus type 2

The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.

 

C15295

P15295

CN15295

Secukinumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 2 (Change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 2 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 16 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) two completed authority prescription forms; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count.

Two completed authority prescriptions should be submitted with every initial application for this drug.

One prescription should be for the induction doses, containing a quantity of 8 doses of 150 mg and no repeats and the second prescription should be for 2 doses of 150 mg and 3 repeats.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

C15296

P15296

CN15296

Secukinumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years)

Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND

Patient must have previously received PBS-subsidised treatment with a biological medicine for this condition; AND

Patient must have a break in treatment of 5 years or more from the most recently approved PBS-subsidised biological medicine for this condition; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 16 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) two completed authority prescription forms; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count.

Two completed authority prescriptions should be submitted with every initial application for this drug.

One prescription should be for the induction doses, containing a quantity of 8 doses of 150 mg and no repeats and the second prescription should be for 2 doses of 150 mg and 3 repeats.

This restriction is intended for induction dosing only.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

Compliance with Written Authority Required procedures

C15299

P15299

CN15299

Osimertinib

Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer (NSCLC)

Initial treatment as first-line epidermal growth factor receptor tyrosine kinase inhibitor therapy

The treatment must be the sole PBS-subsidised therapy for this condition; AND

Patient must have a WHO performance status of 2 or less; AND

Patient must not have previously received PBS-subsidised treatment with this drug for this condition; AND

Patient must not have received previous PBS-subsidised treatment with another epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI); OR

Patient must have developed intolerance to another epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) of a severity necessitating permanent treatment withdrawal.

Patient must have evidence in tumour material of an activating epidermal growth factor receptor (EGFR) gene mutation known to confer sensitivity to treatment with EGFR tyrosine kinase inhibitors.

PBS-subsidised treatment with this drug is restricted to one line of therapy at any disease staging for NSCLC (i.e. if therapy has been prescribed for early disease, subsidy under locally advanced or metastatic disease is no longer available).

Compliance with Authority Required procedures

C15301

P15301

CN15301

Dulaglutide

Semaglutide

Diabetes mellitus type 2

First PBS-prescription for this drug

The treatment must be used in combination with at least one of: metformin, a sulfonylurea, insulin; AND

The condition must be inadequately responsive to at least one of: metformin, a sulfonylurea, insulin; AND

Patient must not have achieved a clinically meaningful glycaemic response with an SGLT2 inhibitor; OR

Patient must have a contraindication/intolerance requiring treatment discontinuation of an SGLT2 inhibitor.

Patient must not be undergoing concomitant PBS-subsidised treatment for type 2 diabetes mellitus with any of: an SGLT2 inhibitor, a DPP4 inhibitor, another GLP-1 receptor agonist.

Compliance with Authority Required procedures

C15303

P15303

CN15303

Tafamidis

Transthyretin amyloid cardiomyopathy

Second and subsequent PBS-subsidised prescriptions for this drug

Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND

Patient must have an estimated glomerular filtration rate (eGFR) greater than 25 mL/minute/1.73 m2; AND

The treatment must be ceased where the patient's heart failure has worsened to persistent New York Heart Association (NYHA) Class III/IV heart failure; AND

The treatment must be ceased where the patient has received any of: (i) a heart transplant, (ii) a liver transplant, (iii) an implanted ventricular assist device.

Must be treated by a medical practitioner who is any of the following: (i) a cardiologist, (ii) a consultant physician with experience in the management of amyloid disorders; this authority application must be sought by the same medical practitioner providing treatment.

Confirm whether heart failure has worsened to NYHA Class III/IV since the last authority application (yes/no).

If 'no', continued PBS subsidy is available.

If 'yes', continued PBS subsidy is available, but the prescriber must undertake a review of the patient within 3 months to determine whether the worsening heart failure was transient or persistent.

Where this subsequent clinical review finds that the heart failure persists as NYHA Class III/IV heart failure despite active treatment with this drug, then PBS subsidy is not available.

If heart failure has worsened to NYHA Class III/IV since the last authority application, no more than 2 repeat prescriptions must be prescribed.

Compliance with Authority Required procedures

C15307

P15307

CN15307

Secukinumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 2 (Change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 2 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 16 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) two completed authority prescription forms; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count.

Two completed authority prescriptions should be submitted with every initial application for this drug.

One prescription should be for the induction doses, containing a quantity of 8 doses of 150 mg and no repeats and the second prescription should be for 2 doses of 150 mg and 3 repeats.

This restriction is intended for induction dosing only.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

C15309

P15309

CN15309

Adalimumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years)

Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND

Patient must have previously received PBS-subsidised treatment with a biological medicine for this condition; AND

Patient must have a break in treatment of 5 years or more from the most recently approved PBS-subsidised biological medicine for this condition; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

At the time of authority application the prescriber must request the first 4 weeks of treatment under this restriction; and weeks 5 to 16 of treatment under Initial 1 (new patient), Initial 2 (Change or recommencement of treatment after a break in biological medicine of less than 5 years) or Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years) - balance of supply.

The authority application must be made in writing and must include:

(1) a completed authority prescription form; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

Compliance with Written Authority Required procedures

C15310

P15310

CN15310

Osimertinib

Stage IB, II or IIIA non-small cell lung cancer

Adjuvant therapy

Patient must be continuing existing PBS-subsidised treatment with this drug; OR

Patient must be both: (i) transitioning from existing non-PBS to PBS-subsidised supply of this drug, (ii) untreated with EGFR-TKI at the time this drug was initiated.

The treatment must be for the purpose of adjuvant therapy following surgical resection; AND

Patient must have evidence of an activating epidermal growth factor receptor (EGFR) gene mutation known to confer sensitivity to treatment with EGFR tyrosine kinase inhibitors in tumour material; AND

Patient must have/have had a WHO performance status score of no greater than 1 at treatment initiation with this drug.

The treatment must be commenced within 26 weeks of surgery; AND

The treatment must be the sole PBS-subsidised systemic anti-cancer therapy for this condition.

Patient must be undergoing treatment that does not occur beyond the following, whichever comes first: (i) the first instance of disease progression/recurrence, (ii) 3 years in total for this condition from the first administered dose; mark any remaining repeat prescriptions with the word 'cancelled'; where (i)/(ii) has occurred.

PBS-subsidised treatment with this drug is restricted to one line of therapy at any disease staging for NSCLC (i.e. if therapy has been prescribed for early disease, subsidy under locally advanced or metastatic disease is no longer available).

Compliance with Authority Required procedures

C15311

P15311

CN15311

Dapagliflozin

Empagliflozin

Diabetes mellitus type 2

The treatment must be used in combination with at least one of: metformin, a sulfonylurea, insulin; AND

The condition must be inadequately responsive to at least one of: metformin, a sulfonylurea, insulin.

Patient must not be undergoing concomitant PBS-subsidised treatment with any of: a GLP-1 receptor agonist, another SGLT2 inhibitor.

Compliance with Authority Required procedures - Streamlined Authority Code 15311

C15313

P15313

CN15313

Inclisiran

Familial heterozygous hypercholesterolaemia

Transitioning from non-PBS to PBS-subsidised supply - Grandfather arrangements

Patient must have received non-PBS-subsidised treatment with this drug for this condition prior to 1 April 2024; AND

The treatment must be in conjunction with dietary therapy and exercise; AND

The condition must have been confirmed by genetic testing prior to starting non-PBS-subsidised treatment with this drug for this condition; OR

The condition must have been confirmed by a Dutch Lipid Clinic Network Score of at least 6 prior to starting non-PBS-subsidised treatment with this drug for this condition; AND

Patient must have had an LDL cholesterol level in excess of 1.8 millimoles per litre in the presence of symptomatic atherosclerotic cardiovascular disease at the time non-PBS-subsidised treatment with this drug for this condition was initiated; OR

Patient must have had an LDL cholesterol level in excess of 5 millimoles per litre at the time non-PBS-subsidised treatment with this drug for this condition was initiated; AND

Patient must have been treated with the maximum recommended dose of atorvastatin (80 mg daily) or rosuvastatin (40 mg daily) according to the TGA-approved Product Information or the maximum tolerated dose of atorvastatin or rosuvastatin for at least 12 consecutive weeks in conjunction with dietary therapy and exercise prior to initiating non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have developed a clinically important product-related adverse event necessitating withdrawal of statin treatment to trials of each of atorvastatin and rosuvastatin prior to initiating non-PBS-subsidised treatment with this drug for this condition; OR

Patient must be contraindicated to treatment with a HMG CoA reductase inhibitor (statin) as defined in the TGA-approved Product Information; AND

Patient must have been treated with ezetimibe for at least 12 consecutive weeks in conjunction with a statin (if tolerated), dietary therapy and exercise prior to initiating non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have developed clinically important product-related adverse event/contraindication as defined in the TGA approved Product Information necessitating withdrawal of ezetimibe; AND

Patient must not be receiving concomitant PBS-subsidised treatment with a monoclonal antibody inhibiting proprotein convertase subtilisin kexin type 9 (PCSK9) for this PBS indication.

Must be treated by a specialist physician; OR

Must be treated by a physician who has consulted a specialist physician.

Symptomatic atherosclerotic cardiovascular disease is defined as:

(i) the presence of symptomatic coronary artery disease (prior myocardial infarction, prior revascularisation procedure, angina associated with demonstrated significant coronary artery disease (50% or greater stenosis in 1 or more coronary arteries on imaging), or positive functional testing (e.g. myocardial perfusion scanning or stress echocardiography); or

(ii) the presence of symptomatic cerebrovascular disease (prior ischaemic stroke, prior revascularisation procedure, or transient ischaemic attack associated with 50% or greater stenosis in 1 or more cerebral arteries on imaging); or

(iii) the presence of symptomatic peripheral arterial disease (prior acute ischaemic event due to atherosclerosis, prior revascularisation procedure, or symptoms of ischaemia with evidence of significant peripheral artery disease (50% or greater stenosis in 1 or more peripheral arteries on imaging)).

The qualifying LDL cholesterol level must have been measured following at least 12 consecutive weeks of combined treatment with a statin, ezetimibe, dietary therapy and exercise (unless treatment with a statin is contraindicated, or following completion of statin trials as described in these prescriber instructions in the event of clinically important adverse events), must be stated at the time of application, documented in the patient's medical records and must have been no more than 8 weeks old at the time non-PBS-subsidised treatment with this drug for this condition was initiated.

A clinically important product-related adverse event is defined as follows:

(i) Severe myalgia (muscle symptoms without creatine kinase elevation) which is proven to be temporally associated with statin treatment; or

(ii) Myositis (clinically important creatine kinase elevation, with or without muscle symptoms) demonstrated by results twice the upper limit of normal on a single reading or a rising pattern on consecutive measurements and which is unexplained by other causes; or

(iii) Unexplained, persistent elevations of serum transaminases (greater than 3 times the upper limit of normal) during treatment with a statin.

If treatment with atorvastatin or rosuvastatin resulted in development of a clinically important product-related adverse event resulting in treatment withdrawal, the patient must have been treated with the alternative statin (atorvastatin or rosuvastatin) unless there was a contraindication (e.g. prior rhabdomyolysis) to the alternative statin. This retrial should have occurred after a washout period of at least 4 weeks, or if the creatine kinase (CK) level was elevated, the retrial should not have occurred until CK had returned to normal.

In the event of a trial of the alternative statin, it is recommended that the patient is started with the minimum dose of statin in conjunction with ezetimibe. The dose of the alternative statin should be increased not more often than every 4 weeks until the recommended or maximum tolerated dose has been reached or target LDL-c has been achieved.

The following must be stated at the time of application and documented in the patient's medical records:

(i) the qualifying Dutch Lipid Clinic Network Score; or

(ii) the result of genetic testing confirming a diagnosis of familial heterozygous hypercholesterolaemia

One of the following must be stated at the time of application and documented in the patient's medical records regarding prior statin treatment:

(i) the patient was treated with atorvastatin 80 mg or rosuvastatin 40 mg or the maximum tolerated dose of either for 12 consecutive weeks; or

(ii) the doses, duration of treatment and details of adverse events experienced with trials with each of atorvastatin and rosuvastatin; or

(iii) the patient is contraindicated to treatment with a statin as defined in the TGA-approved Product Information.

A patient may qualify for PBS-subsidised treatment under this restriction once only.

For continuing PBS-subsidised treatment, a Grandfathered patient must qualify under the Continuing treatment criteria.

Compliance with Authority Required procedures

C15315

P15315

CN15315

Inclisiran

Familial heterozygous hypercholesterolaemia

Initial treatment

The treatment must be in conjunction with dietary therapy and exercise; AND

The condition must have been confirmed by genetic testing; OR

The condition must have been confirmed by a Dutch Lipid Clinic Network Score of at least 6; AND

Patient must have an LDL cholesterol level in excess of 1.8 millimoles per litre in the presence of symptomatic atherosclerotic cardiovascular disease; OR

Patient must have an LDL cholesterol level in excess of 5 millimoles per litre; AND

Patient must have been treated with the maximum recommended dose of atorvastatin (80 mg daily) or rosuvastatin (40 mg daily) according to the TGA-approved Product Information or the maximum tolerated dose of atorvastatin or rosuvastatin for at least 12 consecutive weeks in conjunction with dietary therapy and exercise; OR

Patient must have developed clinically important product-related adverse events necessitating withdrawal of statin treatment to trials of each of atorvastatin and rosuvastatin; OR

Patient must be contraindicated to treatment with a HMG CoA reductase inhibitor (statin) as defined in the TGA-approved Product Information; AND

Patient must have been treated with ezetimibe for at least 12 consecutive weeks in conjunction with a statin (if tolerated), dietary therapy and exercise; OR

Patient must have developed clinically important product-related adverse event/contraindication as defined in the TGA approved Product Information necessitating withdrawal of ezetimibe; AND

Patient must not be receiving concomitant PBS-subsidised treatment with a monoclonal antibody inhibiting proprotein convertase subtilisin kexin type 9 (PCSK9) for this PBS indication.

Must be treated by a specialist physician; OR

Must be treated by a physician who has consulted a specialist physician.

Symptomatic atherosclerotic cardiovascular disease is defined as:

(i) the presence of symptomatic coronary artery disease (prior myocardial infarction, prior revascularisation procedure, angina associated with demonstrated significant coronary artery disease (50% or greater stenosis in 1 or more coronary arteries on imaging), or positive functional testing (e.g. myocardial perfusion scanning or stress echocardiography); or

(ii) the presence of symptomatic cerebrovascular disease (prior ischaemic stroke, prior revascularisation procedure, or transient ischaemic attack associated with 50% or greater stenosis in 1 or more cerebral arteries on imaging); or

(iii) the presence of symptomatic peripheral arterial disease (prior acute ischaemic event due to atherosclerosis, prior revascularisation procedure, or symptoms of ischaemia with evidence of significant peripheral artery disease (50% or greater stenosis in 1 or more peripheral arteries on imaging)).

The qualifying LDL cholesterol level following at least 12 consecutive weeks of combined treatment with a statin, ezetimibe, dietary therapy and exercise (unless treatment with a statin is contraindicated, or following completion of statin trials as described in these prescriber instructions in the event of clinically important adverse events) must be stated at the time of application, documented in the patient's medical records and must be no more than 8 weeks old.

A clinically important product-related adverse event is defined as follows:

(i) Severe myalgia (muscle symptoms without creatine kinase elevation) which is proven to be temporally associated with statin treatment; or

(ii) Myositis (clinically important creatine kinase elevation, with or without muscle symptoms) demonstrated by results twice the upper limit of normal on a single reading or a rising pattern on consecutive measurements and which is unexplained by other causes; or

(iii) Unexplained, persistent elevations of serum transaminases (greater than 3 times the upper limit of normal) during treatment with a statin.

If treatment with atorvastatin or rosuvastatin results in development of a clinically important product-related adverse event resulting in treatment withdrawal, the patient must be treated with the alternative statin (atorvastatin or rosuvastatin) unless there is a contraindication (e.g. prior rhabdomyolysis) to the alternative statin. This retrial should occur after a washout period of at least 4 weeks, or if the creatine kinase (CK) level is elevated, retrial should not occur until CK has returned to normal.

In the event of a trial of the alternative statin, it is recommended that the patient is started with the minimum dose of statin in conjunction with ezetimibe. The dose of the alternative statin should be increased not more often than every 4 weeks until the recommended or maximum tolerated dose has been reached or target LDL-c has been achieved.

The following must be stated at the time of application and documented in the patient's medical records:

(i) the qualifying Dutch Lipid Clinic Network Score; or

(ii) the result of genetic testing confirming a diagnosis of familial heterozygous hypercholesterolaemia

One of the following must be stated at the time of application and documented in the patient's medical records regarding prior statin treatment:

(i) the patient was treated with atorvastatin 80 mg or rosuvastatin 40 mg or the maximum tolerated dose of either for 12 consecutive weeks; or

(ii) the doses, duration of treatment and details of adverse events experienced with trials with each of atorvastatin and rosuvastatin; or

(iii) the patient is contraindicated to treatment with a statin as defined in the TGA-approved Product Information.

Compliance with Authority Required procedures

C15316

P15316

CN15316

Secukinumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 1 (new patient)

Patient must have, at the time of application, a Hurley stage II or III grading with an abscess and inflammatory nodule (AN) count greater than or equal to 3; AND

Patient must have failed to achieve an adequate response to 2 courses of different antibiotics each for 3 months prior to initiation of PBS subsidised treatment with this drug for this condition; OR

Patient must have had an adverse reaction to an antibiotic of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; OR

Patient must be contraindicated to treatment with an antibiotic due to an allergic reaction of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of PBS-subsidised treatment with this drug for this condition; AND

Patient must not have received PBS-subsidised treatment with a biological medicine for this condition; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

An assessment of a patient's response to this initial course of treatment must be conducted following a minimum of 16 weeks of therapy and no later than 4 weeks prior the completion of this course of treatment.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

The authority application must be made in writing and must include:

(1) two completed authority prescription forms; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count; and

(iii) the name of the antibiotic/s received for two separate courses each of three months; or

(iv) confirmation that the adverse reaction or allergy to an antibiotic necessitated permanent treatment withdrawal resulting in the patient being unable to complete a three month course of antibiotics.

The name of the one course of antibiotics of three months duration must be provided. Where the patient is unable to be treated with any courses of antibiotics the prescriber must confirm that the patient has a history of adverse reaction or allergy necessitating permanent treatment withdrawal to two different antibiotics.

Two completed authority prescriptions should be submitted with every initial application for this drug.

One prescription should be for the induction doses, containing a quantity of 8 doses of 150 mg and no repeats and the second prescription should be for 2 doses of 150 mg and 3 repeats.

If a patient fails to demonstrate a response to treatment with this drug they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle. Serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment is not considered as a treatment failure.

Compliance with Written Authority Required procedures

C15317

P15317

CN15317

Secukinumab

Moderate to severe hidradenitis suppurativa

Transitioning from non-PBS to PBS-subsidised supply - Grandfather arrangements

Patient must have received non-PBS-subsidised treatment with this drug for this PBS indication prior to 1 June 2024; AND

Patient must have had a Hurley stage II or III with an abscess and inflammatory nodule (AN) count greater than or equal to 3 prior to starting treatment with this drug for this condition; AND

Patient must have demonstrated a response to treatment by achieving Hidradenitis Suppurativa Clinical Response (HiSCR) after 12 weeks of treatment if the patient has been treated with this drug for this condition for 12 weeks or longer; AND

Patient must have failed to achieve an adequate response to 2 courses of different antibiotics each for 3 months prior to initiation of non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have had an adverse reaction to an antibiotic of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of non-PBS-subsidised treatment with this drug for this condition; OR

Patient must be contraindicated to treatment with an antibiotic due to an allergic reaction of a severity necessitating permanent treatment withdrawal resulting in the patient being unable to complete treatment with 2 different courses of antibiotics each for 3 months prior to initiation of non-PBS-subsidised treatment with this drug for this condition; AND

Patient must not receive more than 24 weeks of treatment under this restriction.

Must be treated by a dermatologist.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

An application for the continuing treatment must be accompanied with the assessment of response conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of treatment. This will enable ongoing treatment for those who meet the continuing restriction for PBS-subsidised treatment.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

Assessment of disease severity must not have been more than 4 weeks old at the time treatment with this drug was initiated.

The authority application must be made in writing and must include:

(a) a completed authority prescription form; and

(b) completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count; and

(iii) the name of the antibiotic/s received for two separate courses each of three months; or

(iv) confirmation that the adverse reaction or allergy to an antibiotic necessitated permanent treatment withdrawal resulting in the patient being unable to complete a three month course of antibiotics. The name of the one course of antibiotics of three months duration must be provided. Where the patient is unable to be treated with any courses of antibiotics the prescriber must confirm that the patient has a history of adverse reaction or allergy necessitating permanent treatment withdrawal to two different antibiotics

(v) the Hidradenitis Suppurativa Clinical Response (HiSCR) result if the patient has received 12 weeks or more of treatment.

A patient may qualify for PBS-subsidised treatment under this restriction once only.

For continuing PBS-subsidised treatment, a Grandfathered patient must qualify under the Continuing treatment criteria.

Compliance with Written Authority Required procedures

C15319

P15319

CN15319

Adalimumab

Moderate to severe hidradenitis suppurativa

Initial treatment - Initial 2 (Change or recommencement of treatment after a break in biological medicine of less than 5 years)

Patient must have received prior PBS-subsidised treatment with a biological medicine for this condition in this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with 2 biological medicines for this condition within this treatment cycle; AND

Patient must not have already failed, or ceased to respond to, PBS-subsidised treatment with this drug for this condition during the current treatment cycle; AND

Patient must not receive more than 16 weeks of treatment under this restriction.

Must be treated by a dermatologist.

Assessment of disease severity must be no more than 4 weeks old at the time of application.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

An application for a patient who has received PBS-subsidised treatment with this drug and who wishes to recommence therapy with this drug, must be accompanied by evidence of a response to the patient's most recent course of PBS-subsidised treatment with this drug, within the timeframes specified below.

To demonstrate a response to treatment the application must be accompanied with the assessment of response, conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of biological medicine. It is recommended that an application for the continuing treatment be submitted no later than 4 weeks from the date of completion of the most recent course of treatment. This is to ensure treatment continuity for those who meet the continuing restriction.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

At the time of authority application the prescriber must request the first 4 weeks of treatment under this restriction; and weeks 5 to 16 of treatment under Initial 1 (new patient), Initial 2 (Change or recommencement of treatment after a break in biological medicine of less than 5 years) or Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years) - balance of supply.

The authority application must be made in writing and must include:

(1) a completed authority prescription form; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes:

(i) the Hurley stage grading; and

(ii) the AN count.

If a patient fails to demonstrate a response to treatment with this drug under this restriction they will not be eligible to receive further PBS-subsidised treatment with this drug for this condition within this treatment cycle.

A patient may re-trial this drug after a minimum of 5 years have elapsed between the date the last prescription for a PBS-subsidised biological medicine was approved in this cycle and the date of the first application under a new cycle under the Initial 3 treatment restriction.

Compliance with Written Authority Required procedures

C15321

P15321

CN15321

Pioglitazone

Diabetes mellitus type 2

 

C15323

P15323

CN15323

Inclisiran

Non-familial hypercholesterolaemia

Transitioning from non-PBS to PBS-subsidised supply - Grandfather arrangements

Patient must have received non-PBS-subsidised treatment with this drug for this condition prior to 1 April 2024; AND

The treatment must be in conjunction with dietary therapy and exercise; AND

Patient must have had symptomatic atherosclerotic cardiovascular disease prior to starting non-PBS-subsidised treatment with this drug for this condition; AND

Patient must have had an LDL cholesterol level in excess of 1.8 millimoles per litre prior to starting non-PBS-subsidised treatment with this drug for this condition; AND

Patient must have had atherosclerotic disease in two or more vascular territories (coronary, cerebrovascular or peripheral vascular territories) prior to starting non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have had severe multi-vessel coronary heart disease defined as at least 50% stenosis in at least two large vessels prior to starting non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have had at least two major cardiovascular events (i.e. myocardial infarction, unstable angina, stroke or unplanned revascularisation) in the previous 5 years prior to starting non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have had diabetes mellitus with microalbuminuria prior to starting non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have had diabetes mellitus and be aged 60 years of more prior to starting non-PBS-subsidised treatment with this drug for this condition; OR

Patient must be an Aboriginal or Torres Strait Islander with diabetes mellitus that was present prior to starting non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have had a Thrombolysis in Myocardial Infarction (TIMI) Risk Score for Secondary Prevention of 4 or higher prior to starting non-PBS-subsidised treatment with this drug for this condition; AND

Patient must have been treated with the maximum recommended dose of atorvastatin (80 mg daily) or rosuvastatin (40 mg daily) according to the TGA-approved Product Information or the maximum tolerated dose of atorvastatin or rosuvastatin for at least 12 consecutive weeks in conjunction with dietary therapy and exercise prior to initiating non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have developed a clinically important product-related adverse event necessitating withdrawal of statin treatment to trials of each of atorvastatin and rosuvastatin prior to initiating non-PBS-subsidised treatment with this drug for this condition; OR

Patient must be contraindicated to treatment with a HMG CoA reductase inhibitor (statin) as defined in the TGA-approved Product Information; AND

Patient must have been treated with ezetimibe for at least 12 consecutive weeks in conjunction with a statin (if tolerated), dietary therapy and exercise prior to initiating non-PBS-subsidised treatment with this drug for this condition; OR

Patient must have developed clinically important product-related adverse event/contraindication as defined in the TGA approved Product Information necessitating withdrawal of ezetimibe; AND

Patient must not be receiving concomitant PBS-subsidised treatment with a monoclonal antibody inhibiting proprotein convertase subtilisin kexin type 9 (PCSK9) for this PBS indication.

Must be treated by a specialist physician; OR

Must be treated by a physician who has consulted a specialist physician.

Symptomatic atherosclerotic cardiovascular disease is defined as:

(i) the presence of symptomatic coronary artery disease (prior myocardial infarction, prior revascularisation procedure, angina associated with demonstrated significant coronary artery disease (50% or greater stenosis in 1 or more coronary arteries on imaging), or positive functional testing (e.g. myocardial perfusion scanning or stress echocardiography); or

(ii) the presence of symptomatic cerebrovascular disease (prior ischaemic stroke, prior revascularisation procedure, or transient ischaemic attack associated with 50% or greater stenosis in 1 or more cerebral arteries on imaging); or

(iii) the presence of symptomatic peripheral arterial disease (prior acute ischaemic event due to atherosclerosis, prior revascularisation procedure, or symptoms of ischaemia with evidence of significant peripheral artery disease (50% or greater stenosis in 1 or more peripheral arteries on imaging)).

The qualifying LDL cholesterol level must have been measured following at least 12 consecutive weeks of combined treatment with a statin, ezetimibe, dietary therapy and exercise (unless treatment with a statin is contraindicated, or following completion of statin trials as described in these prescriber instructions in the event of clinically important adverse events), must be stated at the time of application, documented in the patient's medical records and must have been no more than 8 weeks old at the time non-PBS-subsidised treatment with this drug for this condition was initiated.

A clinically important product-related adverse event is defined as follows:

(i) Severe myalgia (muscle symptoms without creatine kinase elevation) which is proven to be temporally associated with statin treatment; or

(ii) Myositis (clinically important creatine kinase elevation, with or without muscle symptoms) demonstrated by results twice the upper limit of normal on a single reading or a rising pattern on consecutive measurements and which is unexplained by other causes; or

(iii) Unexplained, persistent elevations of serum transaminases (greater than 3 times the upper limit of normal) during treatment with a statin.

If treatment with atorvastatin or rosuvastatin resulted in development of a clinically important product-related adverse event resulting in treatment withdrawal, the patient must have been treated with the alternative statin (atorvastatin or rosuvastatin) unless there was a contraindication (e.g. prior rhabdomyolysis) to the alternative statin. This retrial should have occurred after a washout period of at least 4 weeks, or if the creatine kinase (CK) level was elevated, the retrial should not have occurred until CK had returned to normal.

In the event of a trial of the alternative statin, it is recommended that the patient is started with the minimum dose of statin in conjunction with ezetimibe. The dose of the alternative statin should be increased not more often than every 4 weeks until the recommended or maximum tolerated dose has been reached or target LDL-c has been achieved.

One of the following must be stated at the time of application and documented in the patient's medical records regarding prior statin treatment:

(i) the patient was treated with atorvastatin 80 mg or rosuvastatin 40 mg or the maximum tolerated dose of either for 12 consecutive weeks; or

(ii) the doses, duration of treatment and details of adverse events experienced with trials with each of atorvastatin and rosuvastatin; or

(iii) the patient is contraindicated to treatment with a statin as defined in the TGA-approved Product Information.

One or more of the following must be stated at the time of application and documented in the patient's medical records regarding the presence of cardiovascular disease or high risk of experiencing a cardiovascular event:

(i) atherosclerotic disease in two or more vascular territories (coronary, cerebrovascular or peripheral vascular territories); or

(ii) severe multi-vessel coronary heart disease defined as at least 50% stenosis in at least two large vessels; or

(iii) history of at least two major cardiovascular events (i.e. myocardial infarction, unstable angina, stroke or unplanned revascularisation) in the previous 5 years; or

(iv) diabetes mellitus with microalbuminuria; or

(v) diabetes mellitus and age 60 years or more; or

(vi) Aboriginal or Torres Strait Islander with diabetes mellitus; or

(vii) a Thrombolysis in Myocardial Infarction (TIMI) risk score for secondary prevention of 4 or higher.

A patient may qualify for PBS-subsidised treatment under this restriction once only.

For continuing PBS-subsidised treatment, a Grandfathered patient must qualify under the Continuing treatment criteria.

Compliance with Authority Required procedures

C15325

P15325

CN15325

Secukinumab

Moderate to severe hidradenitis suppurativa

Continuing treatment

Patient must have previously received PBS-subsidised treatment with this drug for this condition; AND

Patient must have demonstrated a response to treatment with this drug for this condition.

Must be treated by a dermatologist.

A response to treatment is defined as:

Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) of a 50% reduction in AN count compared to baseline with no increase in abscesses or draining fistulae.

An application for the continuing treatment must be accompanied with the assessment of response conducted following a minimum of 12 weeks of therapy and no later than 4 weeks from cessation of the most recent course of treatment. This will enable ongoing treatment for those who meet the continuing restriction for PBS-subsidised treatment.

Where a response assessment is not conducted within the required timeframe, the patient will be deemed to have failed to respond to treatment with this drug, unless the patient has experienced a serious adverse reaction of a severity resulting in the necessity for permanent withdrawal of treatment.

A maximum of 24 weeks treatment will be authorised under this restriction per continuing treatment.

The authority application must be made in writing and must include:

(1) a completed authority prescription form; and

(2) a completed authority application form relevant to the indication and treatment phase (the latest version is located on the website specified in the Administrative Advice) which includes the Hidradenitis Suppurativa Clinical Response (HiSCR) result.

Compliance with Written Authority Required procedures

C15326

P15326

CN15326

Apremilast

Severe chronic plaque psoriasis

Patient must not have achieved adequate response after at least 6 weeks of treatment with methotrexate prior to initiating treatment with this drug; OR

Patient must have a contraindication to methotrexate according to the Therapeutic Goods Administration (TGA) approved Product Information; OR

Patient must have demonstrated severe intolerance of, or toxicity due to, methotrexate; AND

The condition must have caused significant interference with quality of life; AND

Patient must not be undergoing concurrent PBS-subsidised treatment for psoriasis with each of: (i) a biological medicine, (ii) ciclosporin, (iii) deucravacitinib.

Must be treated by a medical practitioner who is either: (i) a dermatologist, (ii) a rheumatologist, (iii) general physician; OR

Must be treated by a medical practitioner in consultation with one of the above specialist types who is either an accredited: (i) dermatology registrar, (ii) rheumatology registrar; OR

Must be treated by a general practitioner where there is agreement to continue treatment (not initiate treatment) with one of the above practitioner types.

Patient must be at least 18 years of age.

For patients who do not demonstrate an adequate response to apremilast, a Psoriasis Area and Severity Index (PASI) assessment must be completed, preferably while on treatment, but no longer than 4 weeks following the cessation of treatment. This assessment will be required for patients who transition to 'biological medicines' for the treatment of 'severe chronic plaque psoriasis'.

This assessment must be documented in the patient's medical records.

Compliance with Authority Required procedures - Streamlined Authority Code 15326

C15328

P15328

CN15328

Secukinumab

Moderate to severe hidradenitis suppurativa

Initial 1 (new patient) or Initial 2 (change or recommencement of treatment after a break in biological medicine of less than 5 years) or Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years) - balance of supply

Patient must have received insufficient therapy with this drug for this condition under the Initial 1 (new patient) restriction to complete 16 weeks treatment; OR

Patient must have received insufficient therapy with this drug for this condition under the Initial 2 (change or recommencement of treatment after a break in biological medicine of less than 5 years) restriction to complete 16 weeks treatment; OR

Patient must have received insufficient therapy with this drug for this condition under the Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years) restriction to complete 16 weeks treatment; AND

The treatment must provide no more than the balance of up to 16 weeks treatment.

Must be treated by a dermatologist.

Compliance with Authority Required procedures

C15329

P15329

CN15329

Osimertinib

Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer (NSCLC)

Initial treatment as second-line EGFR tyrosine kinase inhibitor therapy

Patient must not have previously received this drug for this condition; AND

The treatment must be as monotherapy; AND

Patient must have a WHO performance status of 2 or less; AND

The condition must have progressed on or after prior epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) therapy as first line treatment for this condition; AND

Patient must have evidence of EGFR T790M mutation in tumour material at the point of progression on or after first line EGFR TKI treatment.

PBS-subsidised treatment with this drug is restricted to one line of therapy at any disease staging for NSCLC (i.e. if therapy has been prescribed for early disease, subsidy under locally advanced or metastatic disease is no longer available).

Compliance with Authority Required procedures

C15330

P15330

CN15330

Deucravacitinib

Severe chronic plaque psoriasis

Patient must not have achieved adequate response after at least 6 weeks of treatment with methotrexate prior to initiating treatment with this drug; OR

Patient must have a contraindication to methotrexate according to the Therapeutic Goods Administration (TGA) approved Product Information; OR

Patient must have demonstrated severe intolerance of, or toxicity due to, methotrexate; AND

The condition must have caused significant interference with quality of life; AND

Patient must not be undergoing concurrent PBS-subsidised treatment for psoriasis with each of: (i) a biological medicine, (ii) ciclosporin, (iii) apremilast.

Must be treated by a medical practitioner who is either: (i) a dermatologist, (ii) a rheumatologist, (iii) general physician; OR

Must be treated by a medical practitioner in consultation with one of the above specialist types who is either an accredited: (i) dermatology registrar, (ii) rheumatology registrar; OR

Must be treated by a general practitioner where there is agreement to continue treatment (not initiate treatment) with one of the above practitioner types.

Patient must be at least 18 years of age.

For patients who do not demonstrate an adequate response to apremilast, a Psoriasis Area and Severity Index (PASI) assessment must be completed, preferably while on treatment, but no longer than 4 weeks following the cessation of treatment. This assessment will be required for patients who transition to 'biological medicines' for the treatment of 'severe chronic plaque psoriasis'.

This assessment must be documented in the patient's medical records.

Compliance with Authority Required procedures - Streamlined Authority Code 15330

C15331

P15331

CN15331

Inclisiran

Non-familial hypercholesterolaemia

Initial treatment

The treatment must be in conjunction with dietary therapy and exercise; AND

Patient must have symptomatic atherosclerotic cardiovascular disease; AND

Patient must have an LDL cholesterol level in excess of 1.8 millimoles per litre; AND

Patient must have atherosclerotic disease in two or more vascular territories (coronary, cerebrovascular or peripheral vascular territories); OR

Patient must have severe multi-vessel coronary heart disease defined as at least 50% stenosis in at least two large vessels; OR

Patient must have had at least two major cardiovascular events (i.e. myocardial infarction, unstable angina, stroke or unplanned revascularisation) in the previous 5 years; OR

Patient must have diabetes mellitus with microalbuminuria; OR

Patient must have diabetes mellitus and be aged 60 years or more; OR

Patient must be an Aboriginal or Torres Strait Islander with diabetes mellitus; OR

Patient must have a Thrombolysis in Myocardial Infarction (TIMI) risk score for secondary prevention of 4 or higher; AND

Patient must have been treated with the maximum recommended dose of atorvastatin (80 mg daily) or rosuvastatin (40 mg daily) according to the TGA-approved Product Information or the maximum tolerated dose of atorvastatin or rosuvastatin for at least 12 consecutive weeks in conjunction with dietary therapy and exercise; OR

Patient must have developed clinically important product-related adverse events necessitating withdrawal of statin treatment to trials of each of atorvastatin and rosuvastatin; OR

Patient must be contraindicated to treatment with a HMG CoA reductase inhibitor (statin) as defined in the TGA-approved Product Information; AND

Patient must have been treated with ezetimibe for at least 12 consecutive weeks in conjunction with a statin (if tolerated), dietary therapy and exercise; OR

Patient must have developed clinically important product-related adverse event/contraindication as defined in the TGA approved Product Information necessitating withdrawal of ezetimibe; AND

Patient must not be receiving concomitant PBS-subsidised treatment with a monoclonal antibody inhibiting proprotein convertase subtilisin kexin type 9 (PCSK9) for this PBS indication.

Must be treated by a specialist physician; OR

Must be treated by a physician who has consulted a specialist physician.

Symptomatic atherosclerotic cardiovascular disease is defined as:

(i) the presence of symptomatic coronary artery disease (prior myocardial infarction, prior revascularisation procedure, angina associated with demonstrated significant coronary artery disease (50% or greater stenosis in 1 or more coronary arteries on imaging), or positive functional testing (e.g. myocardial perfusion scanning or stress echocardiography); or

(ii) the presence of symptomatic cerebrovascular disease (prior ischaemic stroke, prior revascularisation procedure, or transient ischaemic attack associated with 50% or greater stenosis in 1 or more cerebral arteries on imaging); or

(iii) the presence of symptomatic peripheral arterial disease (prior acute ischaemic event due to atherosclerosis, prior revascularisation procedure, or symptoms of ischaemia with evidence of significant peripheral artery disease (50% or greater stenosis in 1 or more peripheral arteries on imaging)).

The qualifying LDL cholesterol level following at least 12 consecutive weeks of combined treatment with a statin, ezetimibe, dietary therapy and exercise (unless treatment with a statin is contraindicated, or following completion of statin trials as described in these prescriber instructions in the event of clinically important adverse events) must be stated at the time of application, documented in the patient's medical records and must be no more than 8 weeks old.

A clinically important product-related adverse event is defined as follows:

(i) Severe myalgia (muscle symptoms without creatine kinase elevation) which is proven to be temporally associated with statin treatment; or

(ii) Myositis (clinically important creatine kinase elevation, with or without muscle symptoms) demonstrated by results twice the upper limit of normal on a single reading or a rising pattern on consecutive measurements and which is unexplained by other causes; or

(iii) Unexplained, persistent elevations of serum transaminases (greater than 3 times the upper limit of normal) during treatment with a statin.

If treatment with atorvastatin or rosuvastatin results in development of a clinically important product-related adverse event resulting in treatment withdrawal, the patient must be treated with the alternative statin (atorvastatin or rosuvastatin) unless there is a contraindication (e.g. prior rhabdomyolysis) to the alternative statin. This retrial should occur after a washout period of at least 4 weeks, or if the creatine kinase (CK) level is elevated, retrial should not occur until CK has returned to normal.

In the event of a trial of the alternative statin, it is recommended that the patient is started with the minimum dose of statin in conjunction with ezetimibe. The dose of the alternative statin should be increased not more often than every 4 weeks until the recommended or maximum tolerated dose has been reached or target LDL-c has been achieved.

One of the following must be stated at the time of application and documented in the patient's medical records regarding prior statin treatment:

(i) the patient was treated with atorvastatin 80 mg or rosuvastatin 40 mg or the maximum tolerated dose of either for 12 consecutive weeks; or

(ii) the doses, duration of treatment and details of adverse events experienced with trials with each of atorvastatin and rosuvastatin; or

(iii) the patient is contraindicated to treatment with a statin as defined in the TGA-approved Product Information.

One or more of the following must be stated at the time of application and documented in the patient's medical records regarding the presence of cardiovascular disease or high risk of experiencing a cardiovascular event:

(i) atherosclerotic disease in two or more vascular territories (coronary, cerebrovascular or peripheral vascular territories); or

(ii) severe multi-vessel coronary heart disease defined as at least 50% stenosis in at least two large vessels; or

(iii) history of at least two major cardiovascular events (i.e. myocardial infarction, unstable angina, stroke or unplanned revascularisation) in the previous 5 years; or

(iv) diabetes mellitus with microalbuminuria; or

(v) diabetes mellitus and age 60 years or more; or

(vi) Aboriginal or Torres Strait Islander with diabetes mellitus; or

(vii) a Thrombolysis in Myocardial Infarction (TIMI) risk score for secondary prevention of 4 or higher.

Compliance with Authority Required procedures

[398]           Schedule 4, Part 2, after entry for Variation Code V15025

insert:

V15303

Tafamidis

If heart failure has worsened to NYHA Class III/IV since the last authority application, no more than 2 repeat prescriptions must be prescribed.

[399]           Schedule 5, entry for Abacavir with lamivudine

substitute:

Abacavir with lamivudine

GRP-21981

Tablet containing abacavir 600 mg (as sulfate) with lamivudine 300 mg

Oral

ABACAVIR/LAMIVUDINE 600/300 SUN
Abacavir/Lamivudine Mylan
Abacavir/Lamivudine Viatris
Kivexa

[400]           Schedule 5, entry for Ambrisentan in the form Tablet 5 mg

                           omit from the column headed “Brand”: Ambrisentan Mylan

[401]           Schedule 5, entry for Amoxicillin in the form Capsule 500 mg (as trihydrate)

omit from the column headed “Schedule Equivalent Group”: GRP- 20241 substitute: GRP-20241

[402]           Schedule 5, entry for Anastrozole

omit from the column headed “Brand”: Arimidex

[403]           Schedule 5, entry for Azacitidine

                           insert in alphabetical order in the column headed “Brand”: AZACITIDINE EUGIA

[404]           Schedule 5, entry for Benzathine benzylpenicillin in the form Powder for injection 1,200,000 units with diluent 5 mL (S19A)

insert in alphabetical order in the column headed “Brand”: Extencilline Benzathine Benzylpenicillin (France)

[405]           Schedule 5, entry for Bosentan in each of the forms: Tablet 125 mg (as monohydrate); and Tablet 62.5 mg (as monohydrate)

                           omit from the column headed “Brand”: Tracleer

[406]           Schedule 5, omit entry for Cefepime

[407]           Schedule 5, entry for Ceftriaxone

                           substitute:

Ceftriaxone

GRP-21683

Powder for injection 2 g (as sodium)

Injection

Ceftriaxone Alphapharm
Ceftriaxone Viatris

[408]           Schedule 5, entry for Dicloxacillin in the form Capsule 250 mg (as sodium)

                           insert in alphabetical order in the column headed “Brand”: DICLOXACILLIN VIATRIS 250

[409]           Schedule 5, entry for Dosulepin in the form Capsule containing dosulepin hydrochloride 25 mg

                           omit from the column headed “Brand”: Dosulepin Mylan

[410]           Schedule 5, entry for Enalapril in the form Tablet containing enalapril maleate 10 mg

omit from the column headed “Brand”: Enalapril generichealth

[411]           Schedule 5, entry for Enalapril in the form Tablet containing enalapril maleate 5 mg

omit from the column headed “Brand”: Enalapril generichealth

[412]           Schedule 5, after entry for Estradiol

                           insert:

Estradiol

GRP-28649

Transdermal patches 585 micrograms, 8

Transdermal

Estradiol Transdermal System (Sandoz, USA)
Estradot 37.5

Estradiol

GRP-28651

Transdermal patches 1.17 mg, 8

Transdermal

Estradiol Transdermal System (Sandoz, USA)
Estradot 75

Estradiol

GRP-28652

Transdermal patches 1.56 mg, 8

Transdermal

Estradiol Transdermal System (Sandoz, USA)
Estradot 100

[413]           Schedule 5, entry for Fluvoxamine

                           substitute:

Fluvoxamine

GRP-19862

Tablet containing fluvoxamine maleate 100 mg

Oral

APO-Fluvoxamine
Faverin 100
Luvox
Movox 100

Fluvoxamine

GRP-19729

Tablet containing fluvoxamine maleate 50 mg

Oral

APO-Fluvoxamine
Faverin 50
Luvox
Movox 50

[414]           Schedule 5, entry for Fosinopril

                           substitute:

Fosinopril

GRP-19785

Tablet containing fosinopril sodium 10 mg

Oral

APO-Fosinopril
Monace 10

Fosinopril

GRP-19769

Tablet containing fosinopril sodium 20 mg

Oral

APO-Fosinopril
Monace 20

[415]           Schedule 5, entry for Furosemide in the form Tablet 20 mg

                           insert in alphabetical order in the column headed “Brand”: UREMIDE 20

[416]           Schedule 5, entry for Lamivudine with zidovudine

                           omit from the column headed “Brand”: Lamivudine 150 mg + Zidovudine 300 mg Alphapharm

[417]           Schedule 5, entry for Lercanidipine

                           substitute:

Lercanidipine

GRP-19911

Tablet containing lercanidipine hydrochloride 10 mg

Oral

BTC Lercanidipine
Lercan
Lercanidipine APOTEX
Zanidip
Zircol 10

Lercanidipine

GRP-19829

Tablet containing lercanidipine hydrochloride 20 mg

Oral

ARX-LERCANIDIPINE

BTC Lercanidipine
Lercan
Lercanidipine APOTEX
Zanidip
Zircol 20

[418]           Schedule 5, entry for Medroxyprogesterone

                           substitute:

Medroxyprogesterone

GRP-19676

Tablet containing medroxyprogesterone acetate 10 mg

Oral

Provera
Ralovera

Medroxyprogesterone

GRP-19872

Tablet containing medroxyprogesterone acetate 5 mg

Oral

Provera
Ralovera

Medroxyprogesterone

GRP-28650

Injection containing medroxyprogesterone acetate 150 mg in 1 mL

Injection

Depo-Provera
Depo-Ralovera

Medroxyprogesterone

GRP-28650

Injection containing medroxyprogesterone acetate 150 mg in 1 mL pre-filled syringe

Injection

Depo-Provera

[419]           Schedule 5, entry for Methotrexate in each of the forms: Tablet 10 mg; and Tablet 2.5 mg

                           insert in alphabetical order in the column headed “Brand”: ARX-Methotrexate

[420]           Schedule 5, entry for Mycophenolic acid in the form Tablet containing mycophenolate mofetil 500 mg

omit from the column headed “Brand”: Noumed Mycophenolate

[421]           Schedule 5, omit entry for Naltrexone

[422]           Schedule 5, entry for Nebivolol in each of the forms: Tablet 1.25 mg (as hydrochloride); and Tablet 10 mg (as hydrochloride)

                           omit from the column headed “Brand”: Nebivolol Viatris

[423]           Schedule 5, entry for Olanzapine

                           substitute:

Olanzapine

GRP-15921

Tablet 5 mg

Oral

NOUMED OLANZAPINE
Olanzapine APOTEX
Olanzapine RBX
Olanzapine Sandoz
Ozin 5
PRYZEX
Zypine
Zyprexa

Olanzapine

GRP-15513

Tablet 10 mg

Oral

APO-OLANZAPINE
NOUMED OLANZAPINE
Olanzapine APOTEX
Olanzapine RBX
Olanzapine Sandoz
Ozin 10
PRYZEX
Zypine
Zyprexa

Olanzapine

GRP-15723

Tablet 10 mg (orally disintegrating)

Oral

APO-Olanzapine ODT
Olanzapine ODT generichealth 10
Olanzapine Sandoz ODT 10
PRYZEX ODT
Zypine ODT

Olanzapine

GRP-15723

Wafer 10 mg

Oral

Zyprexa Zydis

Olanzapine

GRP-15953

Tablet 15 mg (orally disintegrating)

Oral

APO-Olanzapine ODT
Olanzapine Sandoz ODT 15
PRYZEX ODT
Zypine ODT

Olanzapine

GRP-15953

Wafer 15 mg

Oral

Zyprexa Zydis

Olanzapine

GRP-15492

Tablet 2.5 mg

Oral

NOUMED OLANZAPINE
Olanzapine APOTEX
Olanzapine RBX
Olanzapine Sandoz
Ozin 2.5
PRYZEX
Zypine
Zyprexa

Olanzapine

GRP-15643

Tablet 20 mg (orally disintegrating)

Oral

APO-Olanzapine ODT
Olanzapine Sandoz ODT 20
PRYZEX ODT
Zypine ODT

Olanzapine

GRP-15643

Wafer 20 mg

Oral

Zyprexa Zydis

Olanzapine

GRP-15797

Tablet 5 mg (orally disintegrating)

Oral

APO-Olanzapine ODT
Olanzapine Sandoz ODT 5
PRYZEX ODT
Zypine ODT

Olanzapine

GRP-15797

Wafer 5 mg

Oral

Zyprexa Zydis

Olanzapine

GRP-15884

Tablet 7.5 mg

Oral

APO-OLANZAPINE
NOUMED OLANZAPINE
Olanzapine APOTEX
Olanzapine RBX
Olanzapine Sandoz
Ozin 7.5
PRYZEX
Zypine
Zyprexa

[424]           Schedule 5, entry for Olmesartan with amlodipine and hydrochlorothiazide in the form Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate) and hydrochlorothiazide 12.5 mg

                           omit from the column headed “Schedule Equivalent Group”: GRP- 23700  substitute: GRP-23700

[425]           Schedule 5, entry for Olmesartan with amlodipine and hydrochlorothiazide in the form Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 12.5 mg

                           omit from the column headed “Schedule Equivalent Group”: GRP-  23703  substitute: GRP-23703

[426]           Schedule 5, entry for Ondansetron in the form Tablet (orally disintegrating) 8 mg

                           insert in alphabetical order in the column headed “Brand”: Ondansetron ODT Viatris

[427]           Schedule 5, entry for Ondansetron in each of the forms: Tablet 4 mg (as hydrochloride dihydrate); and Tablet 8 mg (as hydrochloride dihydrate)

                           insert in alphabetical order in the column headed “Brand”: Ondansetron Tablets Viatris

[428]           Schedule 5, entry for Perindopril in each of the forms: Tablet containing perindopril arginine 10 mg; Tablet containing perindopril arginine 2.5 mg; and Tablet containing perindopril arginine 5 mg

                           insert in alphabetical order in the column headed “Brand”: Perindopril Arginine Sandoz

[429]           Schedule 5, entry for Pioglitazone in each of the forms: Tablet 30 mg (as hydrochloride); and Tablet 45 mg (as hydrochloride)

(a)           omit from the column headed “Brand”: NOUMED PIOGLITAZONE

(b)           omit from the column headed “Brand”: Pioglitazone Sandoz

[430]           Schedule 5, entry for Plerixafor

insert in alphabetical order in the column headed “Brand”: PLERIXAFOR EUGIA

[431]           Schedule 5, entry for Quetiapine in each of the forms: Tablet (modified release) 150 mg (as fumarate); Tablet (modified release) 200 mg (as fumarate); Tablet (modified release) 300 mg (as fumarate); Tablet (modified release) 400 mg (as fumarate); and Tablet (modified release) 50 mg (as fumarate)

                           insert in alphabetical order in the column headed “Brand”: Quetiapine Sandoz XR


[432]           Schedule 5, entry for Ramipril in the form Tablet 2.5 mg

                           insert in alphabetical order in the column headed “Brand”: Ramipril Viatris

[433]           Schedule 5, entry for Rosuvastatin in the form Tablet 10 mg (as calcium)

(a)           omit from the column headed “Schedule Equivalent Group”: GRP-19551 substitute: GRP-19558

(b)           insert in alphabetical order in the column headed “Brand”: APO-Rosuvastatin

(c)           omit from the column headed “Brand”: Noumed Rosuvastatin

[434]           Schedule 5, entry for Rosuvastatin in the form Tablet 20 mg (as calcium)

(a)           omit from the column headed “Schedule Equivalent Group”: GRP-19553 substitute: GRP-19557

(b)           omit from the column headed “Brand”: Noumed Rosuvastatin

[435]           Schedule 5, entry for Rosuvastatin in the form Tablet 40 mg (as calcium)

(a)           omit from the column headed “Schedule Equivalent Group”: GRP-19550 substitute: GRP-19562

(b)           omit from the column headed “Brand”: Noumed Rosuvastatin

[436]           Schedule 5, entry for Rosuvastatin in the form Tablet 5 mg (as calcium)

(a)           omit from the column headed “Schedule Equivalent Group”: GRP-19552 substitute: GRP-19569

(b)           omit from the column headed “Brand”: Noumed Rosuvastatin

[437]           Schedule 5, entry for Sitagliptin in the form Tablet 100 mg

omit from the column headed “Schedule Equivalent Group”: GRP-26496 substitute: GRP-26498

[438]           Schedule 5, entry for Sitagliptin in the form Tablet 25 mg

omit from the column headed “Schedule Equivalent Group”: GRP-26495 substitute: GRP-26497

[439]           Schedule 5, entry for Sitagliptin with metformin in the form Tablet containing 50 mg sitagliptin with 1000 mg metformin hydrochloride

omit from the column headed “Schedule Equivalent Group”: GRP-26455 substitute: GRP-26459

[440]           Schedule 5, entry for Sitagliptin with metformin in the form Tablet containing 50 mg sitagliptin with 850 mg metformin hydrochloride

omit from the column headed “Schedule Equivalent Group”: GRP-26448 substitute: GRP-26454


[441]           Schedule 5, entry for Sumatriptan in the form Tablet 50 mg (as succinate)

insert in alphabetical order in the column headed “Brand”: IMIGRAN MIGRAINE

[442]           Schedule 5, after entry for Teriparatide in the form Injection 250 micrograms per mL, 2.4 mL in multi-dose pre-filled pen

insert:

Testosterone

GRP-28648

I.M. injection containing testosterone undecanoate 1,000 mg in 4 mL

Injection

Reandron 1000
Testosterone ADVZ 1000

[443]           Schedule 5, entry for Valaciclovir in the form Tablet 500 mg (as hydrochloride)

(a)           omit from the column headed “Schedule Equivalent Group”: GRP-19634 substitute: GRP-19726

(b)           omit from the column headed “Brand”: NOUMED VALACICLOVIR