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MOST RECENT

ACNP joins the Immunisation Coalition to Promote the Benefits and importance of Flu Vaccination

"It’s vital that we encourage more conversation about flu, and vaccination. We must not lose interest or momentum after all we have been through with COVID. Flu is not just a cold, it can be devastating, even life threatening, especially for some people, and there is the potential for serious complications. vaccines are recommended for all Australians over the age of 6 months, and they are safe and effective. My profession, Nurse Practitioners, play a big role in immunisation in our community. So speak to your Nurse Practitioner, GP or Pharmacist about having a flu vaccine now, and be ready for this flu season." Leanne Bose ACNP President

Leanne and Andrea

Leanne Boase, ACNP President, and Andrea Towny, ACNP Member at Melbourne Town Hall for the Immunisation Coalition 2023 Melbourne Free Flu Vaccination Day, as part of 2023 Immunisation Action Week

Leanne and Elizabeth

Leanne Boase, ACNP President with Elizabeth Miller from the Immunisation Coalition, at Melbourne Town Hall for the Immunisation Coalition 2023 Melbourne Free Flu Vaccination Day, as part of 2023 Immunisation Action Week

 

The Immunisation Action Week Presented by The Immunisation Coalition

(IAW) is a national awareness program focused on highlighting the importance of vaccination, especially in a pandemic world. All information provided is based on current scientific evidence. The week occurs in April of each year to coincide with World Immunisation Week, with a variety of activities for the general public, as well as healthcare professionals. This annual event reaches a pinnacle with a national, free Influenza Vaccination Day on Friday (28th). Information about planned activities, as well as tools and materials for you to join the awareness campaign, are available below and will be updated regularly. Know the facts #bevaxwise World Immunisation Week 2023 April 24 to 30, 2023 Long Life for All – In pursuit of a long life well lived World Immunisation Week, celebrated in the last week of April, aims to highlight the collective action needed and to promote the use of vaccines to protect people of all ages against disease. For more information see here.

CLICK HERE For more information on Immunisation Action Week

 Good morning,

 Please find below information relating to new and amended Pharmaceutical Benefits Scheme (PBS) listings implemented on 1st April 2023. Frequently Asked Questions (FAQs) relating to access and use of the Online PBS Authorities system are also attached. This information may be of interest to your members.

 This information relates to the administration of these listings by Services Australia. For further information on broader PBS changes, please visit the PBS website. Relevant information and authority application forms have been updated and can be accessed through the Services Australia website.  

Chronic rhinosinusitis with nasal polyps

Mepolizumab (Nucala®) (Injection 100 mg in 1 mL single dose pre-filled pen) is now listed on the PBS for the treatment of chronic rhinosinusitis with nasal polyps. Authority applications for initial and grandfather treatment can be made in writing. Authority applications for continuing treatment can be made either in real time using the Online PBS Authorities system or by telephone.

Hyperphenylalaninaemia (HPA) due to phenylketonuria (PKU)

Sapropterin (Kuvan®) (tablet (soluble) containing sapropterin dihydrochloride 100 mg, powder for oral solution 500 mg (as dihydrochloride)) has had an amendment to extend the current listing to allow adults to be eligible for sapropterin responsiveness testing and to also allow access to continuing treatment for those who are sapropterin responsive. Authority applications for initial and continuing treatments can be made either in real time using the Online PBS Authorities system or by telephone.

Stage II or III oesophageal cancer or gastro-oesophageal junction cancer

Nivolumab (Opdivo®) (Injection concentrate for I.V. infusion 40 mg in 4 mL, injection concentrate for I.V. infusion 100 mg in 10 mL) is now listed on the PBS for the adjuvant treatment of patients with stage II or III oesophageal cancer or gastro-oesophageal junction cancer who have previously received platinum-based chemoradiotherapy and surgery. Authority applications can be made either in real time using the Online PBS Authorities system or by telephone.

Human immunodeficiency virus (HIV) infection

Abacavir (Ziagen®) (20 mg/mL oral liquid 240 mL) has been amended to an Authority Required restriction for patients aged less than 13 years of age and for patients that are unable to take tablets. Authority applications can be made either in real time using the Online PBS Authorities system or by telephone.

Hypercalcaemia and symptomatic Paget disease of bone

Calcitonin salmon (salcatonin) (Miacalcic 100®) (100 units/mL, 1 mL ampoules) has been amended to an Authority Required restriction for patients who cannot tolerate bisphosphonates due to kidney disease. Authority applications can be made either in real time using the Online PBS Authorities system or by telephone.

Hypertension

Methyldopa (Aldomet®) (250 mg, 100 tablets) has been amended to an Authority Required restriction for the treatment of hypertension during pregnancy. Authority applications can be made either in real time using the Online PBS Authorities system or by telephone.

Asthma

Fluticasone propionate (Flixotide Junior®, Axotide Junior®) (50 mcg/actuation, 120 actuations) has been amended to an Authority Required restriction for patients aged less than six years of age with initiation required by a respiratory physician or paediatrician. Authority applications can be made either in real time using the Online PBS Authorities system or by telephone.

Moderate to severe chronic graft versus host disease

Ruxolitinib (Jakavi®) (Tablet 5 mg, Tablet 10 mg) is now listed on the PBS for the treatment of moderate to severe chronic graft versus host disease. Authority applications for initial, grandfather and continuing treatments are streamlined.

Grade II to IV acute graft versus host disease

Ruxolitinib (Jakavi®) (Tablet 5 mg, Tablet 10 mg) is now listed on the PBS for the treatment of grade II to IV acute graft versus host disease. Authority applications for initial, grandfather and continuing treatments are streamlined.

SARS-CoV-2 infection

Nirmatrelvir + ritonavir (Paxlovid®) has had an amendment to include patients aged 60-69 years old who are at high risk of requiring hospitalisation for COVID-19 infection. Authority applications are streamlined.

Phenylketonuria

Amino acid formula with vitamins and minerals without phenylalanine (PKU Squeezie®) (Oral gel 85 g, 30) is now listed on the PBS as a restricted benefit.

1 April 2023 delisted PBS listings

Diabetes

Insulin aspart 100 units/mL fast acting injection (Fiasp®, Fiasp FlexTouch®) (10 mL vial and 3 mL pen)  has been delisted from the PBS with “Supply Only” arrangements for six months.

Intra-ocular pressure

Apraclonidine (Iopidine 0.5%®) has been delisted from the PBS with no “Supply Only” arrangements.

Severe disabling pain

Hydromorphone (Jurnista®) (4 mg, 8 mg, 16 mg, 32 mg, 64 mg modified release tablets) has been delisted from the PBS with “Supply Only” arrangements for one month.

Multiple sclerosis

Interferon beta-1a (Avonex®) has been delisted from the PBS with no “Supply Only” arrangements.

Androgen deficiency

Testosterone 5 mg/24 hours patch (Androderm®) has been delisted from the PBS with no “Supply Only” arrangements.

Selecting the correct restriction in the Online PBS Authorities system

Balance of Supply (BoS) restrictions are available through the Online PBS Authorities system. Questions and answers (Q&As) have been applied against BoS restrictions for multiple medicines listed on the PBS to ensure prescribers are selecting the correct restriction and treatment phase to determine their patient’s eligibility. These Q&As will also ensure prescribers are using the correct authority submission channel for the required treatment phase to avoid post compliance activities.

Kind regards,

PBS Authorities

Pharmaceutical Benefits Branch
Services Australia

 

A national strategy for mechanical thrombectomy

A new White Paper on access to mechanical thrombectomy brings together some of Australia’s leading health organisations.  They are calling for a national Mechanical Thrombectomy Advisory Committee to improve patient access to this lifesaving treatment.

Full details at: A national strategy for mechanical thrombectomy – Australian Stroke Alliance (austrokealliance.org.au)

 

CDC survey header

The AMH Children's Dosing Companion (CDC) is approaching its 10th birthday. The CDC aims to provide evidence-based, paediatric-specific dosing information for the most commonly used medicines in children for use by health professionals involved in prescribing, dispensing and administering medicines in the community and acute care settings.

In keeping with AMH’s philosophy to produce information resources that offer useful, practical support to health professionals involved in the quality use of medicines, it is important we understand how you use our products.

This survey will help us to understand how nurse practitioners use the CDC so that we can continue to improve this paediatric medicines information resource for you in the future.

The survey should take about 5 to 15 minutes to complete, depending on your contribution; only the questions marked with an asterisk (*) are mandatory. Responses in the survey are anonymous. Any identifying data provided by you in the survey will remain secure and confidential within AMH.

To start the survey, click https://www.surveymonkey.com/r/RYRHZT8

Thank you for your interest and we look forward to your feedback.

Good morning,

Please find below information relating to new and amended Pharmaceutical Benefits Scheme (PBS) listings implemented on 1 March 2023. Frequently Asked Questions (FAQs) relating to access and use of the Online PBS Authorities system is also attached. This information may be of interest to your members.

This information relates to the administration of these listings by Services Australia. For further information on broader PBS changes, please visit the PBS website. Relevant information and authority application forms have been updated and can be accessed through the Services Australia website.  

Severe Crohn’s disease, moderate to severe ulcerative colitis, severe active juvenile idiopathic arthritis, complex refractory fistulising Crohn’s disease, severe active rheumatoid arthritis, severe psoriatic arthritis, ankylosing spondylitis, severe chronic plaque psoriasis, moderate to severe hidradenitis suppurativa

Adalimumab (Yuflyma®) (injection 40 mg in 0.4 mL pre-filled pen, injection 40 mg in 0.4 mL pre-filled syringe) has had a new biosimilar listed on the PBS for the treatment of severe Crohn’s disease, moderate to severe ulcerative colitis, severe active juvenile idiopathic arthritis, complex refractory fistulising Crohn’s disease, severe active rheumatoid arthritis, severe psoriatic arthritis, ankylosing spondylitis, severe chronic plaque psoriasis, moderate to severe hidradenitis suppurativa. Authority applications for initial and first continuing treatments can be made in writing. Authority applications for subsequent continuing treatment are streamlined.

Paroxysmal nocturnal haemoglobinuria

Ravulizumab (Ultomiris®) (1.1 g in 11 mL injection 11 mL vial, 300 mg in 3 mL injection 3 mL vial) has had an amendment to the existing listing to remove the requirement that the LDH:ULN ratio must be at least 1.5 in the first continuing phase for the treatment of paroxysmal nocturnal haemoglobinuria. Authority applications for first continuing treatment can be made in writing.

Eculizumab (Soliris®) (300 mg in 30 mL injection 30 mL vial) has had an amendment to the existing listing to remove the requirement that the LDH:ULN ratio must be at least 1.5 in the first continuing phase for the treatment of paroxysmal nocturnal haemoglobinuria. Authority applications for first continuing treatment and balance of supply can be made in writing.

Mantle cell lymphoma

Zanubrutinib (Brukinsa®) (capsule 80 mg) has had an amendment to remove the grandfather restriction.

Unresectable stage III or stage IV malignant melanoma

Nivolumab with ipilimumab (Opdivo®, Yervoy®) (nivolumab: Injection concentrate for I.V. infusion 100 mg in 10 mL, Injection concentrate for I.V. infusion 40 mg in 4 mL, ipilimumab: Injection concentrate for I.V. infusion 200 mg in 40 mL, Injection concentrate for I.V. infusion 50 mg in 10 mL) has had an amendment to the listing to allow patients who experience disease recurrence either while receiving or within 6 months of completing adjuvant anti-programmed cell death protein-1 (PD-1 inhibitor) treatment to receive nivolumab combined with ipilimumab for the treatment of unresectable stage III or stage IV malignant melanoma. Authority applications for initial and continuing treatments are streamlined.

Asthma

Salbutamol (Asmol CFC-FREE®) (100 mcg/actuation 200 dose) for the treatment of asthma has had an amendment to delete item codes 8288F and 3495Y due to the new dose counter version available as an unrestricted benefit on the PBS. No Supply Only arrangement.

Antipsychotic

Chlorpromazine (Largactil®) (10 mg 100 tablets) has had an amendment to delete item code 1196Y. Supply Only arrangement for 6 months.

Hypertension

Losartan (Cozavan®) (25 mg, 50 mg, 30 tablets) for the treatment of hypertension has had an amendment to delete item codes 5452Y and 8203R. Supply Only arrangement for 6 months.

Propranolol (Deralin®) (160 mg 50 tablets) has had an amendment to delete item code 2899N. Prescribers can request an authority for the 40 mg tablets if a higher dose is required. Supply Only arrangement for 6 months.

Dry eyes

Polyethylene glycol (Systane®) (28 x 0.8 mL unit doses) for the treatment of dry eyes has had an amendment to delete item codes 5532E and 9170P as the pack of 30 x 0.8 ml is listed on the PBS as a streamlined authority. Supply Only arrangement for 6 months.

Polyvinyl alcohol (Liquifilm Tears®, PVA Tears®) (15 mL bottle) for the treatment of dry eyes has had an amendment to delete item codes 2682E, 5526W and 9220G. Supply Only arrangement for 6 months.

Selecting the correct restriction in the Online PBS Authorities system

Balance of Supply (BoS) restrictions are available through the Online PBS Authorities system. New questions and answers (Q&As) have been applied against BoS restrictions for multiple medicines listed on the PBS for multiple Authority Required (Written) programs to ensure prescribers are selecting the correct restriction and treatment phase to determine their patient’s eligibility. These Q&As will also ensure prescribers are using the correct authority submission channel for the required treatment phase to avoid post compliance activities.

Kind regards,

PBS Authorities

Pharmaceutical Benefits Branch
Services Australia

Email: Authorities.comms.change@servicesaustralia.gov.au

The Guideline provides clear and consistent Recommendations and Practice Points for practitioners who deliver supports to autistic children and their families, to ensure they are doing so in ways that are effective, safe and desirable to children and their families.

The Hon. Justine Elliot MP, Assistant Minister for Social Services, launched the Guideline at Australian Parliament House this morning (Thursday 16 February).

The Guideline is an important national resource for Australia. For the first time, we have clear evidence-based guidelines for good clinical practice.

The National Health and Medical Research Council (NHMRC) has approved all 84 Consensus-Based Recommendations within the Guideline. This indicates that the Guideline has been developed to the highest standard.

The new Guideline focuses on the delivery of non-pharmacological supports in community and clinical settings that aim to support children aged 0-12 years. However, the Guideline has a lifespan perspective, recognising that early supports should lay the foundation for a positive future.

The Guideline will also be a valuable resource for autistic individuals, their families and supporters, organisations providing training to practitioners or students, and government policy-makers, program managers and funding bodies.

Autism CRC funded the development of the Guideline, assisted by the generous bequest of Basil Waugh. We’re proud to have co-produced this guideline with the community, grounded in community need. We thank all who contributed to the development of this important Guideline.

The Guideline is available free of charge, and can be accessed both as a series of interactive webpages and as a downloadable pdf document.

As a registered user of Autism CRC ‘Access resources’, you can login with your email address and then update your preferences and check the Supporting Autistic Children Guideline box to access this new suite of resources. This includes access to the Guideline and all supporting documents, including Recommendations and Good Practice Points.

Update preferences and access the Guideline

If you have any issues logging in to the website, please email hello@autismcrc.com.au for support.

Sustainable Healthcare Module

Members can read th ACNP submission online at Submissions (Members only)

The Commission is seeking your feedback on the Module’s applicability, content and appropriateness to the health sector.  Access the draft Module for consultation below and provide feedback by: 

Consultation Paper - Draft Sustainable Healthcare Module

Please find below information relating to new and amended Pharmaceutical Benefits Scheme (PBS) listings implemented on 1st February 2023. Frequently Asked Questions (FAQs) relating to access and use of the Online PBS Authorities system is also attached. This information may be of interest to your members.

This information relates to the administration of these listings by Services Australia. For further information on broader PBS changes, please visit pbs.gov.au. Relevant information and authority application forms have been updated and can be accessed through the Services Australia website.  

Severe Pain

The Department of Health and Aged Care is making changes to the listing of the below-mentioned products on the PBS to allow pharmacists to dispense volumes smaller than a whole bottle at PBS subsidised prices.

Oxycodone (OxyNorm Liquid®) (Oral liquid 1 mg/mL 250 mL) has had an amendment to the reference units, 1 unit (i.e. 1 bottle) will now appear as 250 mL. Oxycodone is listed on the PBS as a restricted benefit.

Morphine (Ordine®) (Oral liquid 2 mg/mL, 5 mg/mL, 10 mg/mL, 200 mL) has had an amendment to the reference units, 1 unit (i.e. 1 bottle) will now appear as 200 mL. Morphine is listed on the PBS as a restricted benefit.

Morphine (Ordine®) (Oral liquid 5 mg/mL, 10 mg/mL, 200 mL) has had an amendment to the reference units for the palliative care listings, 2 units (i.e. 2 bottles) will now appear as 400 mL. Morphine as a palliative care item is listed on the PBS as Authority Required (STREAMLINED).

Further information regarding these changes can be found at pbs.gov.au/info/news

Attention deficit hyperactivity disorder

Methylphenidate MR (Ritalin® LA, Concerta®) has had an amendment to the administrative advice to clarify that patients may only receive PBS-subsidy with one form of long acting methylphenidate at any one time. Authority applications can be made in real time using the Online PBS Authorities system or by telephone.

Methylphenidate IR (Ritalin® 10, Artige®) has had an amendment to the administrative advice to clarify that requests for increased quantities greater than 2 times the listed quantity will not be approved and increases to the listed maximum number of repeats will not be authorised. Authority applications can be made in real time using the Online PBS Authorities system or by telephone.

Osteoporosis

Romosozumab (Evenity®) (Injection 105 mg in 1.17 mL single use pre-filled syringe) has had an amendment to the continuing treatment criteria to allow general practitioners to prescribe continuing treatment. Authority applications for initial and continuing treatments can be made in real time using the Online PBS Authorities system or by telephone.

Asthma

Beclometasone with formoterol (Fostair®) (Pressurised inhalation containing beclometasone dipropionate 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses) is now listed on the PBS for the treatment of asthma. Authority applications are streamlined.

Parkinson’s disease

Opicapone (Ongentys®) (Capsule 50 mg) is now listed on the PBS for the treatment of Parkinson’s disease as a restricted benefit.

Severe dry eye syndrome, including Sjogren’s syndrome

Polyethylene glycol 400 with propylene glycol (Optix®) (Eye drops 4 mg-3 mg per mL, 15 mL) is now listed on the PBS for the treatment of severe dry eye syndrome, including Sjogren’s syndrome, as a restricted benefit.

SARS-CoV-2 infection

Molnupiravir (Lagevrio®), nirmatrelvir + ritonavir (Paxlovid®) has had an amendment to the restriction for patients who are moderately to severely immunocompromised to include patients who have previously been hospitalised due to COVID-19 infection. Authority applications are streamlined.

Multiple myeloma and myelodysplastic syndrome

Lenalidomide (Revlimid®, Lenalide®, Lenalidomide Sandoz®, Lenalidomide Dr Reddy’s® and Cipla Lenalidomide®) (25 mg, 15 mg, 10 mg, 5 mg, 14 and 21 capsules) has had an amendment to the administrative advice for the treatment of multiple myeloma and myelodysplastic syndrome. Authority applications for initial treatment can be made either in real time using the Online PBS Authorities system or in writing. Continuing treatment applications can be made either in real time using the Online PBS Authorities system or by telephone.

Chronic severe atopic dermatitis

Upadacitinib (Rinvoq®) (15 mg modified release tablet, 30 mg modified release tablet) has had an amendment to remove the grandfather restriction for the treatment of chronic severe atopic dermatitis.

Mantle cell lymphoma

Acalabrutinib (Calquence®) (100 mg capsule 56) has had an amendment to remove the grandfather restriction for the treatment of mantle cell lymphoma.

1 February 2023 delisted PBS listings

Diabetes mellitus type 2

Exenatide (Byetta® 10 microgram, Byetta® 5 microgram) has been delisted from the PBS with no “Supply Only” arrangement.

Selecting the correct restriction in the Online PBS Authorities system

Balance of Supply (BoS) restrictions are available through the Online PBS Authorities system. New questions and answers (Q&As) have been applied against BoS restrictions for multiple medicines listed on the PBS for multiple Authority Required (Written) programs to ensure prescribers are selecting the correct restriction and treatment phase to determine their patient’s eligibility. These Q&As will also ensure prescribers are using the correct authority submission channel for the required treatment phase to avoid post compliance activities.

Kind regards,

PBS Authorities

Pharmaceutical Benefits Branch Services Australia

Email: Authorities.comms.change@servicesaustralia.gov.au

PAST UPDATES

From: Australian Commission on Safety and Quality in Health Care
Sent: Thursday, 19 January 2023 8:30 AM
To: ACNP Membership <membership@acnp.org.au>
Subject: National Clinical Trials Governance Framework implementation begins

 

From March 2023, all heath service organisations conducting clinical trials will need to implement the National Clinical Trials Governance Framework in alignment with assessment to the National Safety and Quality Health Service Standards.

Accreditation timeframe
To give health service organisations time to implement the Framework, for the first three years, or one accreditation cycle, health services will be assessed against a maturity scale.

Health service organisations will be assessed as either having Established systems, Growing systems, or Initial systems in place to meet the NSQHS Standards for clinical trial service provision.

Support
To assist implementation, the Commission has developed new resources, including a tool to conduct a self-assessment, manage examples of evidence and report on trial operations.

Organisations can also access direct support through the Safety and Quality Advice Centre, and join preparatory information sessions to learn more. If you'd like to join a session please email the clinical trials team at HMR@saftyandquality.gov.au.

Background
The Framework is recognised as a significant reform for the clinical trials sector. It embeds clinical trials into routine health service provision under the NSQHS Standards. Importantly, it will do so in a way that will reduce duplication and increase efficiency, cohesion and productivity across the clinical trials sector.

Stay updated
To stay updated on the progress of the National Clinical Trials Governance Framework, visit safetyandquality.gov.au/ctgf and join the NCTGF mailing list by emailing your contact details to HMR@saftyandquality.gov.au.

 

UPDATE: Short Notice Accreditation Assessment

‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌

No images? Click here

 

 

 

16 January 2023

Short Notice Accreditation Assessment to the National Safety and Quality Health Service Standards

Short notice assessments will replace existing announced assessments from July 2023. This change applies to all health service organisations where licencing require accreditation to the NSQHS Standards.

For more information and a dedicated FAQ sheet on the introduction of Short Notice Assessment across the acute care sector, visit our website.

Providing greater support

Short notice assessments will support the continuous implementation of the NSQHS Standards and reduce the administrative burden of preparing for accreditation assessment.

The transition 

The Commission will work with regulators, accrediting agencies, and health service organisations to prepare for the transition to short notice assessments. This change is one of the six strategies identified to improve the reliability of accreditation processes.

To get the latest updates follow us on LinkedIn and Twitter.

 

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From:  On Behalf Of AUTHORITIES.COMMS.CHANGE
Sent: Tuesday, 3 January 2023 7:46 AM
Subject: PBS Changes from 1 January 2023 [SEC=OFFICIAL]

 

Good morning,

 

Please find below information relating to new and amended Pharmaceutical Benefits Scheme (PBS) listings implemented on 1st January 2023. Frequently Asked Questions (FAQs) relating to access and use of the Online PBS Authorities system is also attached. This information may be of interest to your members.

 

This information relates to the administration of these listings by Services Australia. For further information on broader PBS changes, please visit the PBS website. Relevant information and authority application forms have been updated and can be accessed through the Services Australia website.  

 

Thrombopoietin-receptor agonists (TPO-RA’s for severe thrombocytopenia)

Romiplostim (Nplate®) (powder for injection 375 micrograms and powder for injection 625 micrograms) has had an amendment to the restrictions and authority required procedures for the treatment of immune-related (idiopathic) thrombocytopenia purpura. Authority applications for initial treatment can be made in writing. First continuing, subsequent continuing and change of treatment applications can be made either in real time using the Online PBS Authorities system or by telephone.

 

Eltrombopag (Revolade®) (tablet 25mg and tablet 50mg ) has had an amendment to the restrictions and authority required procedures for the treatment of immune-related (idiopathic) thrombocytopenia purpura. Authority applications for initial treatment can be made in writing. First continuing, subsequent continuing and change of treatment applications can be made either in real time using the Online PBS Authorities system or by telephone.

 

Diabetic macular oedema

Faricimab (Vabysmo®) (solution for intravitreal injection 28.8 mg in 0.24 mL vial) is now listed on the PBS for the treatment of diabetic macular oedema. Authority applications for initial treatment can be made either in real time using the Online PBS Authorities system or in writing. Continuing treatment is streamlined.

 

Neovascular (wet) age-related macular degeneration

Faricimab (Vabysmo®) (solution for intravitreal injection 28.8 mg in 0.24 mL vial) is now listed on the PBS for the treatment of neovascular (wet) age-related macular degeneration. Authority applications for initial treatment can be made either in real time using the Online PBS Authorities system or in writing. Continuing treatment is streamlined.

 

Systemic light-chain (AL) amyloidosis

Daratumumab (Darzalex SC®) (solution for subcutaneous injection 1,800 mg in 15 mL vial) is now listed on the PBS for the treatment of systemic light-chain (AL) amyloidosis. Authority applications for initial treatment can be made either in real time using the Online PBS Authorities system or in writing. For continuing, change or recommencement treatment, applications can be made either in real time using the Online PBS Authorities system or by telephone.

 

Multiple myeloma

Pomalidomide (Pomalyst®, Pomolide®, Sandoz®) (3mg, 4mg, 14 tab, 21 tab) has had an amendment to the administrative advice for the treatment of multiple myeloma. Authority applications for initial treatment can be made either in real time using the Online PBS Authorities system or in writing. Continuing treatment applications can be made either in real time using the Online PBS Authorities system or by telephone.

 

Rehydration in intestinal failure

Sodium chloride + Potassium Chloride + Glucose Monohydrate + citric acid (O.R.S sachets) is now listed on the PBS for the treatment of rehydration in intestinal failure. Authority applications for treatment can be made either in real time using the Online PBS Authorities system or by telephone.

 

Treatment of SARS-CoV-2 infection

Molnupiravir (Lagevrio®), nirmatrelvir + ritonavir (Paxlovid®) has had an amendment to the existing listing. Authority applications for the treatment of SARS-CoV-2 infection is streamlined.

 

Stage IV non-small cell lung cancer

Cemiplimab (Libtayo®) has had an amendment to the existing listing. Authority applications for the treatment of Stage IV non-small cell lung cancer is streamlined.

 

Asthma

Beclometasone with formoterol and glycopyrronium (Trimbow®) (pressurised inhalation containing beclometasone dipropionate 100 micrograms with formoterol fumarate dihydrate 6 micrograms and glycopyrronium 10 micrograms (as bromide) per dose, 120 doses, pressurised inhalation containing beclometasone dipropionate 200 micrograms with formoterol fumarate dihydrate 6 micrograms and glycopyrronium 10 micrograms (as bromide) per dose, 120 doses) is now listed on the PBS for the treatment of asthma. Authority applications for the treatment of asthma is streamlined.

 

Elevated intra-ocular pressure

Dorzolamide with timolol (Vlzo-PF Dorzolatim®) (eye drops containing dorzolamide 20 mg (as hydrochloride) with timolol 5 mg (as maleate) per mL, 5 mL) is now listed on the PBS for the treatment of elevated intra-ocular pressure as a  restricted benefit.

 

Severe active psoriatic arthritis

Leflunomide (tablet 10 mg, tablet 20 mg) has had an amendment to the existing listing for the treatment of severe active psoriatic arthritis as a restricted benefit.

 

Unrestricted benefit

Doxorubicin (as pegylated liposomal) (Caelyx®) (suspension for I.V. infusion containing pegylated liposomal doxorubicin hydrochloride 20 mg in 10 mL, suspension for I.V. infusion containing pegylated liposomal doxorubicin hydrochloride 50 mg in 25 mL) is now listed on the PBS under the Section 100 Efficient Funding of Chemotherapy legislative instrument as an unrestricted benefit.

 

1 January 2023 delisted PBS listings

Type 2 Diabetes

Ertugliflozin with metformin (Segluromet 2.5/1000, Segluromet 2.5/500, Segluromet 7.5/1000, Segluromet 2.5/500) has been delisted from the PBS with “Supply Only” arrangement until 1 June 2023.

 

Selecting the correct restriction in the Online PBS Authorities system

Balance of Supply (BoS) restrictions are available through the Online PBS Authorities system. New questions and answers (Q&As) have been applied against BoS restrictions for multiple medicines listed on the PBS for multiple Authority Required (Written) programs to ensure prescribers are selecting the correct restriction and treatment phase to determine their patient’s eligibility. These Q&As will also ensure prescribers are using the correct authority submission channel for the required treatment phase to avoid post compliance activities.

 

 

Kind regards,

 

PBS Authorities

Pharmaceutical Benefits Branch
Services Australia

Email: Authorities.comms.change@servicesaustralia.gov.au

 

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From: On Behalf Of AUTHORITIES.COMMS.CHANGE
Sent: Thursday, 15 December 2022 4:05 PM
Subject: PBS Authorities – written authority application forms [SEC=OFFICIAL]

 

Good afternoon

 

Please see the below important information about PBS Authorities for written authority application forms. Appreciate if you could please share this with your members.

 

We understand having access to PBS-subsidised medicines can be critical to patient care. That’s why it’s important to ensure you use the most recently published written authority application form. To align with PBS listing changes, forms are updated on the first of the month. Using the most recent form will help avoid delays in obtaining authority approval.

 

Visit servicesaustralia.gov.au/hpwrittenauthoritydrugs on the Services Australia website to find the most up to date authority application form for each drug, program or condition.

 

Use the Health Professional Online Services (HPOS) upload function to submit your completed written authority application forms and any supporting documents or evidence. You’ll get a faster processing response using HPOS and will avoid any postage delays.

 

For more information go to servicesaustralia.gov.au/hpos

 

 

Kind regards,

 

PBS Authorities

Pharmaceutical Benefits Branch
Services Australia

Email: Authorities.comms.change@servicesaustralia.gov.au

 

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9 December 2022

New guiding principles for medication management 

Three national quality use of medicines (QUM) publications have been updated to improve the quality and safety of medication management for all Australians.

The Australian Government Department of Health and Aged Care, in collaboration with the Australian Commission on Safety and Quality in Health Care, has released the national guiding principles and resources to shape future medication management practices.

The updated guiding principles align with the National Medicines Policy and are focused on person-centred care in aged care facilities, the community and at transitions of care. They provide guidance to healthcare professionals and the individual, their carer and/or family in the quality use of medicines.

Updated publications:

 

Access the Guiding Principles

Rectangle: Rounded Corners: Access the Guiding Principles

 

Guiding Principles

The Commission led the review and public consultation of the guiding principles, with the Aged Care Quality and Safety Commission. There was broad input from peak organisations and experts involved in medication management, individuals receiving care, and healthcare professionals, including registered nurses, doctors and pharmacists.

For more information, email medsafety@safetyandquality.gov.au or visit our web page.
 

 

 

 

 

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MBS REVIEW NEWSLETTER

DECEMBER 2022 UPDATE

 

 

In this issue:

MBS Review Advisory Committee (MRAC) Update
MBS Review updates
Updates from current ILGs
Upcoming ILGs
General MBS Review News

 

 

 

MBS Review Advisory Committee (MRAC) Update

The MBS Review Advisory Committee (MRAC) guides the work of the MBS Continuous Review, an ongoing review of Medicare items and services carried out by experts on a continuous basis.

The committee’s role is to provide advice to Government on publicly funded services listed on the MBS. The MRAC aims to improve patient access to high value care through consideration of the appropriateness of existing MBS services, in addition to wider health reform solutions which may include alternative funding models or means of service provision and the addition of new services where a health technology assessment (HTA) is not appropriate. 

MRAC is comprised of practising clinicians, academics, health system experts and consumers.


The MRAC meets four times a year, with the last meeting of 2022 held on 6 December. Future meetings are planned for February, May, August and November of 2023.

 
Current Reviews
 

Colonoscopy

The MRAC has established a Colonoscopy Working Group to conduct a post implementation review of the 1 November 2019 changes to MBS Colonoscopy items and services as recommended by the MBS Review Taskforce.

Vascular Interventional Radiology
The MRAC agreed to establish an expert clinical working group to inform it’s review of vascular interventional radiology (IR) (including interventional neuroradiology (INR)) services. This topic came to the attention of the Department following the review conducted by the MBS Review Taskforce of vascular services and further consultation with the sector.

Public Consultations
The public consultations for the Surgical Assistant Working Group and the Genetic Counselling Working Group draft reports have now closed. Thank you to those who provided input.

The diverse perspectives, experience and knowledge of all stakeholders are valued and will be considered by the MRAC in finalising its recommendations to Government.


The MRAC considered final reports from both working groups at its meeting on 6 December. Once finalised, the reports will be provided to Government for consideration and published on the MRAC page of the Department’s website.
 

Stay Informed

Updates on the work of the MRAC including meeting outcomes will soon be available via a new MRAC communique. This will be published quarterly following each MRAC meeting, with the first edition to be published in December. Keep your eye on the MRAC page for more information or click here to subscribe now.

 

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MBS Review Updates


The following changes across a range of areas are the result of MBS Review Taskforce recommendations and extensive consultation with key stakeholders. These changes included new items and amendments to existing items to better align services with contemporary best practice. It also includes the deletion of some outdated items. 

1 November 2022,

Changes to paediatric surgery items for the repair of hernias, cloacal exstrophy (a rare birth defect) and circumcision revision were introduced to align services with contemporary best practice. Factsheet

Acupuncture services were changed to better align these services with contemporary and evidence-based practice and to expand the range of medical practitioners eligible to provide the services. Factsheet

A number of MBS Review Taskforce recommendations for gynaecology and diagnostic imaging that required new MBS services have been introduced following advice from the Medical Services Advisory Committee (MSAC). Factsheet.

For more information on other MBS changes visit the MBS Online News page and check the MBS Online Factsheets page

 

Future changes

The following future changes based on Taskforce recommendations are scheduled for implementation.

1 March 2023
Changes to items to improve access to allied health services for people under 25 years of age with complex Neurodevelopmental Disorders (such as Autism Spectrum Disorder) or eligible disabilities.

Implementing Thoracic Surgery changes to ensure they align with contemporary practice.

Changes to MBS items for Otolaryngology, Head and Neck Surgery to reflect complete medical services and contemporary clinical practice, introduce co-claiming restrictions to minimise potentially inappropriate claims, and create new groupings of items within the schedule to facilitate achieving these priorities.

1 July 2023
Updating age eligibility requirements for cleft and craniofacial services.

More details will be provided as the changes and details are announced.

 

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MBS Review Updates for current ILGs 
 

We establish Implementation Liaison Groups (ILGs) for ongoing stakeholder consultation. As we work to implement recommendations, these groups help us to:

  • make changes in a way that best meets patients’ safety and care needs
  • make sure there are no unintended consequences.

ILG members are generally professional organisations, practicing clinicians, and consumer representatives.


Allied Health
The Allied Health ILG was established in June 2022. Meetings were held in June, August, September and a final fourth meeting was held in November 2022. The ILG has provided input and advice on the pending allied health MBS item changes for complex Neurodevelopmental Disorders (such as Autism Spectrum Disorder) and eligible disabilities. For information on the work of the Allied Health ILG, please contact PrimaryhealthcareILG@Health.gov.au.

Cleft and Craniofacial
The ILG for Cleft Dental Services convened for its final meeting in October 2022. The ILG indicated its support for the changes proposed in the Review, including the removal of age-related access restrictions from MBS items for cleft and craniofacial conditions. The ILG is advising the department on refinements to descriptors for Category 7 items. The department will provide advice to government on the proposed changes with a view to implementation in late 2023 or early 2024.
 
If you would like more information or have questions about the Cleft Dental review or outcomes of the ILGs, please contact: CLaCP.Scheme@heatlh.gov.au.

Psychiatry
Meetings were held in March, April and July and the work of the ILG is nearing finalisation. 

If you have any questions about the work of the Psychiatry Clinical Committee or the ILG, please contact MBSReviewsILGs@health.gov.au.

Radiation Oncology
The third meeting of the Radiation Oncology ILG was held in August 2022. The ILG indicated its support for a restructured Medicare Benefits Schedule for radiation oncology, including new fees and descriptors, based on service complexity. The department will provide this advice to government in the coming months with a view to implementing the new schedule in late 2023.

If you would like more information or have questions about the Oncology Clinical Committee’s recommendations on radiation oncology, please contact MBSOncology@health.gov.au.

Participating Midwives
This ILG is expected to reconvene in 2023 to review and discuss remaining recommendations for implementation.

If you have any questions about the work of the Participating Midwives Reference Group or the ILG please contact PrimaryhealthcareILG@Health.gov.au.

Ophthalmology
The third ILG meeting was held in March, with members discussing the remainder of the Taskforce’s recommendations, including the three recommendations (7, 18 and 19) related to intravitreal eye injection reforms.

Any questions about the work of the Ophthalmology ILG can be directed to SurgicalServices@health.gov.au

Optometry
An Optometry ILG has been established and held its first meeting in September 2022. Further meetings are expected to be scheduled in 2023.

For information on the work of the Optometry ILG, please contact PrimaryhealthcareILG@Health.gov.au.

 

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Upcoming ILGs


In the coming months an ILG will be established for Vascular Surgery. An ILG for First Nations Australians is being established with the first meeting due to be held in December.

Stakeholder consultation continues to be an integral part of the MBS Review process and upcoming ILGs will be announced as  details become available.

 

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General MBS Review News


Orthopaedic surgery early post-implementation review

The orthopaedic surgery MBS early post-implementation review commenced in November 2021. The focus of the review is to identify unintended outcomes resulting from the implementation of the MBS Orthopaedic Surgery Taskforce Review changes on 1 July 2021. Priority is given to addressing inadvertent and significant impacts on patients, such as service gaps, and correcting any errors or omissions in the item descriptors and explanatory notes.

The Department has consulted with the Australian Orthopaedic Association and orthopaedic sub-specialty societies over the last year to identify and remedy issues within scope of this review process. A further 3 new and 5 amended MBS items were implemented on 1 November 2022 to address some of the issues. The Department is continuing to consult with stakeholders on the remaining issues to progress proposed changes for consideration by Government.

If you have any questions about the early post-implementation review process, please contact SurgicalServices@health.gov.au

 

MBS Online

You can always find information about upcoming changes to MBS Items by visiting the MBS Online. The News page provides an overview of changes and the Factsheets page provides more detail and links to factsheets for each change.

 

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Good Afternoon,             

 

To assist providers to understand and meet their obligations and responsibilities under legislation that governs the Pharmaceutical Benefits Scheme (PBS), the Benefits Integrity and Digital Health Division has developed the following educational factsheet:

 

  • Prescribing PBS Medicines; What Prescribers need to know: This factsheet is primarily aimed at providers who have prescribing responsibilities under the PBS; primarily doctors, dentists, optometrists, nurse practitioners and midwife practitioners.

 

A copy of this factsheet is available at Prescribing Pharmaceutical Benefits Scheme medicines – what prescribers need to know | Australian Government Department of Health and Aged Care

To help us promote a greater understanding and assist providers to ensure compliance in prescribing PBS medicines, we would be grateful if you could please share this resource more broadly with your members.

 

If you have any questions or concerns in relation to this resource, please contact us via email at Compliance.Education@health.gov.au

 

Thank you.

 

Regards,

 

Compliance Education

Compliance Audit and Education Branch

Benefits Integrity & Digital Health Division | Health Resourcing Group

Australian Government, Department of Health and Aged Care

 

The Department of Health and Aged Care acknowledges First Nations peoples as the Traditional Owners of Country throughout Australia, and their continuing connection to land, sea and community. We pay our respects to them and their cultures, and to all Elders both past and present.

 

 

 

 

 

"Important: This transmission is intended only for the use of the addressee and may contain confidential or legally privileged information.  If you are not the intended recipient, you are notified that any use or dissemination of this communication is strictly prohibited.  If you receive this transmission in error please notify the author immediately and delete all copies of this transmission."

The AIR042A report is available to vaccination providers to generate through the AIR site. It identifies individuals who have:

  • not received any doses of a COVID-19 vaccine;
  • partially completed their COVID-19 primary course (i.e. have received one of their two dose course); or
  • completed their COVID-19 primary course and are due for their first booster.  

From 3 December 2022 the AIR042A report will be temporarily unavailable whilst enhancements are made to improve usability and to future proof the report so that it is aligned with evolving clinical advice regarding multiple boosters and new COVID-19 vaccines. Vaccination providers will still be able to access and view reports that they’ve requested prior to 3 December 2022.  

 It is anticipated the enhanced AIR042A report will be available for vaccination providers to use from March 2023.

 Further information regarding the report will be distributed in early 2023.

 Kind Regards,

 Nicholas Stoney - Assistant Secretary Immunisation Branch Population Health Division

 Primary and Community Care Group Australian Government Department of Health and Aged Care

Please see the below important information about Pharmaceutical Benefits Scheme listings.

We’re increasing the PBS medicines that can be approved online

Services Australia has been working with the Department of Health and Aged Care to increase the number of PBS items that can be approved in ‘real time’ using the Online PBS Authorities System (the system).

From 1 July 2022, prescribers can submit certain Authority Required ‘Written’ (written) PBS medicines on the schedule using the system. Over time, more written PBS medicines across broader medicine groups will be added to the system for ‘real time’ approval.

We will continue to work with the Department of Health and Aged Care to update the relevant PBS listings and will continue to share this information with you as it becomes available.

Over the next 2 years, we will also be improving the system’s digital capability to support the transition of Authority Required (Written) medicines for online access.

How you can help

When there are changes to the PBS listings, we’ll email you a summary of the changes in a table (please see attached).

We would appreciate your assistance by sharing this with your members via your available channels.

We welcome any feedback on the information we provide or if you have any suggestions on how we can improve the delivery of our messages, please reply to this email.

Additional information

Can PBS authority approval be submitted by post?

Prescribers can still submit applications for authority to prescribe by:

  • mailing the application
  • uploading applications in HPOS.

Updated versions of application forms will remain available on our website.

How will prescribers know what the changes are?

Whenever there are changes, we’ll send you a summary table to let you know what’s changed.

We’ll explain what the change is, for what condition, and the drugs that treat it.

Kind regards,

PBS Authorities

Pharmaceutical Benefits Branch
Services Australia

Please find below information relating to new and amended Pharmaceutical Benefits Scheme (PBS) listings implemented on 1st December 2022. Frequently Asked Questions (FAQs) relating to access and use of the Online PBS Authorities system is also attached. This information may be of interest to your members.

This information relates to the administration of these listings by Services Australia. For further information on broader PBS changes, please visit the PBS website. Relevant information and authority application forms have been updated and can be accessed through the Services Australia website.  

Paroxysmal nocturnal haemoglobinuria

Pegcetacoplan (Empaveli®) (solution for subcutaneous infusion 1080 mg in 20 mL) is now listed on the PBS for the treatment of paroxysmal nocturnal haemoglobinuria. Authority applications for initial and continuing treatment can be made in writing.

Pulmonary arterial hypertension

Ambrisentan, bosentan, epoprostenol, iloprost, macitentan, riociguat, sildenafil and tadalafil (various brands) have had a change to the available dual therapy and triple therapy combinations and to the authority level for the treatment of pulmonary arterial hypertension. Authority applications for initial monotherapy, dual therapy or triple therapy treatment of pulmonary arterial hypertension in an untreated patient can be made either in real time using the Online PBS Authorities system or in writing. For previously treated patients, all treatment applications including changing from monotherapy to dual or triple therapy can be made either in real time using the Online PBS Authorities system or by telephone.

Growth hormone deficiency (Adult)

Somatropin (Genotropin Goquick®, Norditropin FlexPro®, NutropinAq®) has had amendments made to the prescriber instructions. Authority applications for somatropin for initial treatment of growth hormone in adults can be made either in real time using the Online PBS Authorities system or in writing. Continuing treatment applications can be made either in real time using the Online PBS Authorities system or by telephone.

Rheumatoid arthritis and severe active juvenile idiopathic arthritis

Tocilizumab (Actemra®) has had the temporary listings due to critical shortage removed as the critical shortage has been resolved. Patients wishing to change biological drugs under these programs must qualify under the change or recommencement criteria of the relevant drug.

Primary mediastinal B-cell lymphoma, Hodgkin lymphoma, urothelial cancer and colorectal cancer

Pembrolizumab (Keytruda®) (solution concentrate for I.V. infusion 100 mg in 4 mL) has had an amendment to the existing listings for the treatment of primary mediastinal B-cell lymphoma, Hodgkin lymphoma, urothelial cancer and colorectal cancer. Authority applications for pembrolizumab for initial and continuing treatment of primary mediastinal B-cell lymphoma and Hodgkin lymphoma is streamlined. Authority applications for pembrolizumab for initial and continuing treatment of urothelial cancer and colorectal cancer can be made either in real time using the Online PBS Authorities system or by telephone.

Hereditary angioedema Types 1 or 2

Lanadelumab (Takhzyro®) (300 mg/2 mL syringe) has had a change to remove the grandfather restriction.

Chronic heart failure

Vericiguat (Verquvo®) (tablet 2.5 mg, tablet 5 mg, tablet 10 mg) is now listed on the PBS for the treatment of chronic heart failure. Authority applications for vericiguat for initial treatment of chronic heart failure can be made either in real time using the Online PBS Authorities system or by telephone. Continuing treatment is streamlined.

Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer

Lorlatinib (Lorviqua®) (tablet 25 mg, tablet 100 mg) has had an amendment to the existing listing. Authority applications for lorlatinib for initial and continuing treatment of Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer can be made either in real time using the Online PBS Authorities system or by telephone.

Hypercholesterolaemia

Evolocumab (Repatha®) (injection 140 mg in 1 mL single use pre-filled pen, injection 420 mg in 3.5 mL single use pre-filled cartridge) has had an amendment to the existing listing. Authority applications for evolocumab for initial treatment of hypercholesterolaemia can be made either in real time using the Online PBS Authorities system or by telephone.

Multiple sclerosis

Natalizumab (Tysabri®) (solution concentrate for I.V. infusion 300 mg in 15 mL) has had an amendment to the existing listing. Authority application for natalizumab for treatment of multiple sclerosis is streamlined.

Treatment of bacterial infections

Amoxicillin and clavulanic acid USP (Aurobindo) (875 mg/125 mg tablets 20 pack) is now listed on the PBS for the current supply shortage under section 19A. Authority applications for amoxicillin and clavulanic acid for treatment of bacterial infections is streamlined.

Amoxicillin (Kent) (250 mg/5 mL oral powder for suspension 100 mL) is now listed on the PBS for the current supply shortage under section 19A as an unrestricted benefit.

Central precocious puberty

Leuprorelin acetate (Eligard®) (suspension for subcutaneous injection (modified release) containing 45 mg of leuprorelin acetate) is now listed on the PBS for the treatment of central precocious puberty. Authority applications for initial and continuing treatment is listed as a restricted benefit.

Detrusor overactivity

Oxybutynin (Niche Generics Limited) (5 mg tablets 84 pack) is now listed on the PBS for the current supply shortage under section 19A as a restricted benefit.

Unrestricted benefit

Bevacizumab (Abevmy®) (solution for I.V. infusion 100 mg in 4 mL, solution for I.V. infusion 400 mg in 16 mL) is now listed on the PBS as an unrestricted benefit.

1 December 2022 delisted PBS listings

Hypertension

Pindolol (Barbloc®) (5 mg tablet) has been delisted from the PBS with “Supply Only” arrangement until 1 June 2023.

Multiple sclerosis

Interferon Beta-1A (Rebiff 44®) has been delisted from the PBS with “Supply Only” arrangement until 1 April 2023.

Anticoagulant

Dipyridamole with aspirin (Diasp SR®) has been delisted from the PBS with “Supply Only” arrangement until 1 June 2023.

Heparin (Pfizer Australia) (5000 IU in 5 mL 50 pack) has been delisted from the PBS with “Supply Only” arrangement until 1 December 2023.

Treatment of bacterial infections

Ampicillin (Alphapharm) (1 g vials) has been delisted from the PBS with “Supply Only” arrangement until 1 June 2023.

Depression

Doxepin (Deptran®) (10 mg and 25 mg capsules, 50 mg tablet) has been delisted from the PBS with “Supply Only” arrangement until 1 June 2023.

Selecting the correct restriction in the Online PBS Authorities system

Balance of Supply (BoS) restrictions are available through the Online PBS Authorities system. New questions and answers (Q&As) have been applied against BoS restrictions for multiple medicines listed on the PBS for multiple Authority Required (Written) programs to ensure prescribers are selecting the correct restriction and treatment phase to determine their patient’s eligibility. These Q&As will also ensure prescribers are using the correct authority submission channel for the required treatment phase to avoid post compliance activities.

Kind regards,

PBS Authorities  Pharmaceutical Benefits Branch