Health
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Hospital Circular 21/2008

Date Issued: 25 July 2008

Distribution: Public Hospitals

Subject: Highly Specialised Drugs Program

Purpose: To advise hospitals of changes to the Highly Specialised Drugs Program, effective 1 August 2008

Hospital Circular 21/08 - To advise hospitals of changes to the Highly Specialised Drugs Program (PDF file 26KB)


We have had recent advice from the Commonwealth Government regarding changes to the Highly Specialised Drugs Program, effective 1 August 2008.

ADDED ITEM

9630W Telbivudine Tablets 600mg 28 $322.84 Sebivo  NV

Treatment, as sole PBS-subsidised therapy, in a patient with HBeAg-positive chronic hepatitis B who is nucleoside analogue naïve and satisfies the criteria listed on the Commonwealth/State Highly Specialised Drugs Program Guidelines website.

DELETED ITEMS

6199G Saquinavir mesylate Capsule 200mg(base) 270 Invirase RO
6110N Cyclosporin Solution concentrate
For IV infusion 250mg in 5ml
10 Sandimmun NV
6285T Baclofen Intrathecal injection
10mg in 20ml
1 Lioresal NV
Intrathecal
6340Q Lopinavir with Ritonavir Capsule 133.3mg with 33.3mg 90 Kaletra  AB

AMENDED RESTRICTIONS

Bosentan monohydrate Tablets 62.5mg (base) and Tablets 125mg (base)

Now available for PAH associated with congenital systemic-to-pulmonary shunt.

Infliximab Powder for IV infusion 100mg

Amended entry for Crohn Disease.

Full prescribing criteria for all items available at the Commonwealth/State Highly Specialised Drugs Program Guidelines website.

ALTERATIONS- NOTES

Bosentan monohydrate
Epoprostenol sodium
Iloprost trometamol
Sildenafil citrate
Sitaxentan sodium

The alterations to the above entries recognise the use of Bosentan for PAH associated with congenital systemic-to-pulmonary shunt. Alterations have been made to the wording in the above entries regarding the submission of new baselines when swapping therapy.

Full prescribing criteria for all items available at the Commonwealth/State Highly Specialised Drugs Program Guidelines website.

PRICE DECREASES

  New price Old price
6151R Clarithromycin Tablets 250mg 100 $46.06 $48.16
6152T Clarithromycin Tablets 500mg 100 $84.90 $96.32
6101D Clozapine Tablets 25mg 100 $70.56 $72.00
6417R Clozapine Tablets 50mg 100 $141.12 $144.00
6102E Clozapine Tablets 100mg 100 $264.60 $270.00
6418T Clozapine Tablets 200mg 100 $529.20 $540.00
6352H Cyclosporin Capsules 25mg 30 $40.80* $41.63
6353J Cyclosporin Capsules 50mg 30 $84.87* $86.60
6354K Cyclosporin Capsules 100mg 30 $172.92* $176.45
6113R Desferrioxamine mesylate 500mg Powder for Injection 10 $97.02* $99.00
6270B Desferrioxamine mesylate 2g Powder for Injection 1 $38.81* $39.60
6223M Disodium Pamidronate Injection set 90mg/10ml 1 $334.53 $341.36
6279L Disodium Pamidronate  Injection set 30mg/10ml x2 1 $223.02 $227.57
6286W Disodium Pamidronate Concentrated Injection 15mg/5ml 1 $55.75 $56.89
6287X Disodium Pamidronate Concentrated Injection 30mg/10ml 1 $111.51 $113.79
6288Y Disodium Pamidronate Concentrated Injection 60mg/10ml 1 $223.02 $227.57
6289B Disodium Pamidronate Concentrated Injection 90mg/10ml  1 $334.53 $341.36
6290C Disodium Pamidronate Injection set 15mg/5ml x4 1 $223.02 $227.57
6227R Octreotide acetate Injection 50mcg (base)/1ml 5 $35.81 $36.54
6228T Octreotide acetate Injection 100mcg (base)/1ml 5 $71.60 $73.06
6229W Octreotide acetate Injection 500mcg (base)/1ml 5 $358.41 $365.72
6426F Octreotide acetate Injection (modified release) 10mg (base) vial & syringe 1 $1362.20 $1390.00
6427G Octreotide acetate Injection (modified release) 20mg (base) vial & syringe 1 $1813.00 $1850.00
6428H Octreotide acetate Injection (modified release) 30mg (base) vial & syringe 1 $2268.70 $2315.00

PRICE INCREASE

  New price Old price
6437T Sirolimus Oral solution 1mg/ml x60ml 1 $468.00 $434.00

* brand premium may apply

Full prescribing criteria for all items available at the Commonwealth/State Highly Specialised Drugs Program Guidelines website.

DELETED BRAND

9607P Apomorphine Hydrochloride Injection 20mg/2ml APO-go FA

Changes notified by hospital circular will be updated in the Guidelines on the Commonwealth/State Highly Specialised Drugs Program Guidelines website and the claim form amended.

Geoff Lavender
Director, Programs
Metropolitan Health & Aged Care Services