Approvals and forms
In Victoria, prescribers and pharmacists require training and departmental approval to treat a patient with opioid dependence.
Approval to prescribe methadone in Victoria
1.Opioid Dependence Treatment Training
The Department of Health subsidises the cost of training for medical practitioners and nurse practitioners who wish to treat patients with opioid dependence. For prescribers, training is delivered by the Royal Australian College of General Practice (RACGP) and is mandatory for prescribers seeking Department of Health approval to prescribe methadone in Victoria.
Further information about training visit Opioid Dependence Treatment training.
2.Department of Health approval to prescribe methadone
All prescribers must be approved by the Department of Health before applying for a permit to prescribe methadone in Victoria. Upon completion of RACGP Medication-Assisted Treatment of Opioid Dependence (MATOD) training, medical practitioners and nurse practitioners must complete the following form to seek department approval to prescribe methadone for opioid dependence in Victoria.
3. Apply for a permit to treat an opioid dependent person with methadone or buprenorphine
All prescribers must apply for a permit to treat an opioid-dependent person with methadone or buprenorphine by submitting the following application form at Online forms – drugs and poisons regulation or applying for a permit via SafeScript.
Note: (1) and (2) apply to prescribing of methadone in Victoria. To treat patients with any formulation of buprenorphine, a prescriber is only required to apply for a permit (3). See information below about prescribing buprenorphine for opioid dependence.
Prescribing buprenorphine for Opioid Dependence Treatment
In Victoria, all medical and nurse practitioners can prescribe buprenorphine without any specific requirements to complete RACGP MATOD training or departmental approval as a prescriber.
A brief video is available to guide prescribers to safely prescribing buprenorphine for opioid dependence.
If you require advice on the clinical management of a patient, advice should be sought from a colleague familiar with the use of buprenorphine in the treatment of opioid dependence. Advice from an Addiction Medicine Specialist may be obtained by contacting the Drug and Alcohol Clinical Advisory Service (DACAS) on 1800 812 804.
For pharmacists: Approval to supply opioid dependence treatment in Victoria
Victorian pharmacies must apply to the Department of Health for approval to supply all formulations of ODT. This requirement applies even if your pharmacy is not providing a supervised dosing service. For example, if you intend to supply long‑acting injectable buprenorphine (LAIB) for administration only, approval is still required.
This form must also be completed upon a change in pharmacy ownership.
Note that the application form does not address all requirements of supplying ODT. Pharmacists should refer to the following documents for full details:
- Drugs, Poisons and Controlled Substances Regulations 2017
- Opioid Dependence Treatment Guidelines in Victoria
Resources and support for prescribers and pharmacists
Drug and Alcohol Clinical Advisory Service (DACAS)
DACAS is a 24-hour specialist telephone consultancy service that is free of charge for health and welfare professionals. DACAS provides advice and information on the clinical management of patients with alcohol and other drug use issues.
For further information call 1800 812 804 or visit DACAS website.
Victorian Pharmacotherapy Area-Based Networks
Pharmacotherapy Area-Based Networks (PABNs) support prescribers, pharmacists and health professionals treating patients with an opioid dependence. PABNs facilitate training and mentoring, disseminate information and support access to Addiction Medicine Specialist services.
Contacts
Area 1: Barwon South West Pharmacotherapy Network
Phone: 03 5222 0800
Email: pharmacotherapy@westvicphn.com.au
Area 2: ORTicare Grampians and Loddon Mallee Pharmacotherapy Network
Phone: 03 5338 4500 or 5338 9142
Email: orticare@bchc.org.au
Area 3: Gippsland and Hume Pharmacotherapy Network
Gippsland Pharmacotherapy Network
Phone: 1800 242 696
Email: pharmacotherapy@lchs.com.au
Hume Pharmacotherapy Network
Phone: 03 5823 3200
Email: PABN@primarycareconnect.com.au
Area 4: South and Eastern Metropolitan Pharmacotherapy Network
Phone: 03 8514 6600
Email: A4PN@semphn.org.au
Area 5: North and West Metropolitan Pharmacotherapy Network
Phone: 03 9448 5530
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