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Appendix 2: Drugs Covered by the Program - Page 9

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 Ibandronic Acid (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

Sirolimus (Rapamune) 1 April 2004

Management of rejection, under the supervision and direction of a transplant unit, in patients receiving this drug for prophylaxis and treatment of renal allograft rejection. Management includes initiation, stabilisation and review of therapy as required.

CAUTION:
Careful monitoring of patients is mandatory.

Sitaxentan Sodium
(Thelin)

1 April 2008

Amended 1 July 2008

Amended 1 August 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

Sitaxentan Sodium - amended August 2009 (PDF file 134KB)

Stavudine (Zerit)

1 July 1996

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.

Tacrolimus (Prograf)

1 October 1997

Amended 1 February 2003

Amended 1 April 2008

Amended 1 June 2008

Amended 1 March 2009

Management of rejection in patients following organ or tissue transplantation, under supervision and direction of a transplant unit. Management includes initiation, stabilisation and review of therapy as required.

 

Tenofovir Disoproxil Fumarate (Viread)

1 October 2002

Amended 1 February 2004

Amended
1 April 2005

Treatment, in combination with other antiretroviral drugs, of HIV infection in patients who have:

(a) failed treatment with their current antiretroviral regimen and for whom an effective regimen, including a regimen containing amprenavir, cannot otherwise be constructed; or

(b) experienced treatment-limiting toxicity with their current antiretroviral regimen and for whom an effective regimen, including a regimen containing amprenavir, cannot otherwise be constructed.

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.

Telbivudine (Serbivo)

1 August 2008

Amended 1 December 2008

Treatment, as sole PBS-subsidised therapy, in a patient with chronic hepatitis B infection who is nucleoside analogue naïve and satisfies all of the following criteria:
(1) Histological evidence of chronic hepatitis on liver biopsy (except in patients with coagulation disorders considered severe enough to prevent liver biopsy);

(2) (a) Abnormal serum ALT levels in conjunction with documented chronic hepatitis B infection; or
(b) Elevated HBV DNA levels in conjunction with documented chronic hepatitis B infection;

(3) 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.
Tenofovir Disoproxil Fumarate with Emtricitabine
(Truvada)
1 February 2006

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
Thalidomide
(Thalidomide Pharmion)

1 February 2006

1 September 2009

CAUTION: Thalidomide is a category X drug and must not be given to pregnant women. Pregnancy in female patients or in the partners of male patients must be avoided during treatment and for 1 month after cessation of treatment.

Multiple myeloma .

NOTE: Patients receiving thalidomide under the PBS listing must be registered in the Pharmion Risk Management Program.
Tipranavir (Aptivus) 1 August 2007

Treatment, in combination with other antiretroviral agents, and co-administered with 200 mg ritonavir twice daily, of HIV infection in antiretroviral experienced adults with:
(a) evidence of HIV replication (viral load greater than 10,000 copies per mL); and/or
(b) CD4 cell counts of less than 500 per cubic millimetre.
Patients must have failed previous treatment with, or have resistance to, 3 different antiretroviral regimens which
have included:
(i) at least 1 non-nucleoside reverse transcriptase inhibitor; and
(ii) at least 1 nucleoside reverse transcriptase inhibitor; and

(iii) at least 2 protease inhibitors.

Valaciclovir Hydrochloride (Valtrex)

1 October 2000

Amended 1 February 2003

Prophylaxis of cytomegalovirus (CMV) infection and disease following renal transplantation in patients at risk of CMV disease.

Valganciclovir hydrochloride (Valcyte)

1 November 2002

Amended 1 May 2004

Cytomegalovirus retinitis in patients with acquired immunodeficiency syndrome.

Prophylaxis of cytomegalovirus infection and disease in solid organ transplant patients at risk of cytomegalovirus disease.

Zidovudine (AZT) (Retrovir)

1 July 1992

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 greater than 10,000 copies per mL.
Zoledronic acid (Zometa)

1 May 2002

Last revision: February 2004

Multiple myeloma;
Bone metastases from breast cancer;
Bone metastases from hormone -resistant prostate cancer, with demonstration of biochemical progression of disease despite maximal therapy with hormone treatments;
Treatment of hypercalcaemia of malignancy refractory to anti-neoplastic therapy.

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