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Appendix 2: Drugs Covered by the Program - Page 1

Note: Drugs funded under the Highly Specialised Drugs Program provide a subsidy for community patients only. Inpatients remain the responsibility of the treating hospital.

Page 1 Abacavir Sulfate (Ziagen) to Baclofen (Lioresal Intrathecal)
Page 2 Bosentan Monohydrate (Tracleer)
Page 3 Cidofovir (Vistide) to Epoetin beta (NeoRecormon)
Page 4 Epoprostenol Sodium (Flolan)
Page 5 Etanercept (Enbrel) to Ibandronate sodium (Bondronat)
Page 6 Iloprost Trometamol (Ventavis) to Indinavir Sulphate (Crixivan)
Page 7 Infliximab (Remicade) to Sevelamer (Renagel)
Page 8 Sildenafil Citrate (Revatio)
Page 9 Sirolimus (Rapamune) to Zoledronic acid (Zometa)

Drug

Date Subsidised

PBAC Clinical Indications and other Restrictions

Abacavir Sulfate (Ziagen)

1 October 1999

Amended 1 February 2004

Treatment of HIV infection in patients with:
(a) CD4 cell counts of less than 500 per cubic millimetre; or
(b) viral load of greater than 10,000 copies per mL.

Abacavir Sulfate with Lamivudine (Kivexa)

1 December 2005

Treatment of HIV infection in patients over 12 years of age, weighing 40kg or more, with:
(a) CD4 cell counts of less than 500 per cubic millimetre; or
(b) viral load of greater than 10,000 copies per mL.

Abacavir Sulfate with Lamivudine and Zidovudine (Trizivir)

1 November 2001

Amended 1 February 2004

Treatment of HIV infection in patients over 12 years of age, weighing 40kg or more, with:
(a) CD4 cell counts of less than 500 per cubic millimetre; or
(b) viral load of greater than 10,000 copies per mL.

Abatacept (Orencia)

1 March 2008

This drug needs prior approval by Medicare Australia.
More information and forms are available at www.medicare.gov.au/provider/pbs/drugs/index.shtml

Abatacept - Treatment for adults patients with severe rheumatoid arthritis (pdf, 102kb)

Adefovir Dipivoxil (Hepsera)

1 December 2004

Amended 1 April 2006

Amended 1 April 2007

Amended 1 March 2008

Amended 1 July 2008

Chronic hepatitis B in a patient who has failed antihepadnaviral therapy and who satisfies all of the following criteria:

(1) (a) Repeatedly elevated  serum ALT levels while on concurrent antihepadnaviral therapy of greater than or equal to 6 months duration in conjunction with documented chronic hepatitis B infection; or

(b) Repeatedly elevated HBV DNA levels one log greater than the nadir value or failure to achieve a one log reduction in HBV DNA within 3 months, whilst on previous antihepadnaviral therapy except in patients with evidence of poor compliance;

(2) Female patients of child-bearing age are not pregnant, not breast-feeding, and are using an effective form of contraception.

Persons with Child's class B or C cirrhosis (ascites, variceal bleeding, encephalopathy, albumin less than 30 g per L, bilirubin greater than 30 micromoles per L) should have their treatment discussed with a transplant unit prior to initiating therapy.

NOTE:
Patients should have undergone a liver biopsy at some point since initial diagnosis to obtain histological evidence of chronic hepatitis.

Patients may receive treatment in combination with lamivudine but not with other PBS-subsidised antihepadnaviral therapy.

Apomorphine Hydrochloride (Apomine)

1 Mar 1996

Price Change 1 January 2001

Parkinson's disease in patients severely disabled by motor fluctuations which do not respond to other therapy.
Atazanavir Sulfate (Reyataz) 1 December 2004

Treatment, in combination with 2 or more other antiretroviral drugs, of HIV infection in patients with:

(a) CD4 cell counts of less than 500 per cubic millimetre; or

(b) viral load of greater than 10,000 copies per mL.

Azithromycin
(Zithromax)

1 December 1997

Prophylaxis against Mycobacterium avium complex infections in HIV positive patients with CD4 cell counts of less than 75per cubic millilitre.

Baclofen (Lioresal Intrathecal)

Amended 1 February 2003

Severe chronic spasticity, where oral antispastic agents have failed or have caused unacceptable side effects, in patients with chronic spasticity:
(1) of cerebral origin; or
(2) due to multiple sclerosis; or
(3) due to spinal cord injury; or
(4) due to spinal cord disease.

Page 2 >>

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Last updated: 31 July, 2008
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