Commonwealth price (Pharmaceutical benefits supplied by approved pharmacists) Determination 2020
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Commonwealth price (Pharmaceutical benefits supplied by approved pharmacists) Determination 2020
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Turn the raw legal text into a practical explanation grounded in Commonwealth price (Pharmaceutical benefits supplied by approved pharmacists) Determination 2020.
(1) Subject to subsection (4), if an extemporaneously‑prepared pharmaceutical benefit is not a standard formula preparation: (a) the benefit is to be classified, for determining the Commonwealth price, under the type of pharmaceutical benefit mentioned in Part 3 of Schedule 2 to the Minister’s determination under subsection 85A(2) of the Act; (b) the Commonwealth price for the benefit is to be worked out under subsection (2) or (3). (2) The price is to be worked out, on the calculation day, using the following method statement. Method statement
Step 1 Work out, for each benefit, the total quantity dispensed by approved pharmacists during the calculation period.
Step 2 Work out, for each benefit, the total cost (not including a container fee or the extemporaneously‑prepared dispensing fee) of the benefit dispensed by approved pharmacists during the calculation period.
Step 3 Divide the cost worked out under step 2 by the quantity worked out under step 1, to work out the unit cost for the benefit.
Step 4 Multiply the unit cost by the quantity to be dispensed.
Step 5 Add to the amount worked out under step 4:
(a) the container price, worked out under section 25; and
(b) the extemporaneously‑prepared dispensing fee.
(3) If, on the calculation day, no prescriptions for a standard formula preparation for a benefit have been dispensed by approved pharmacists in the calculation period, the Commonwealth price is to be worked out using the following method statement. Method statement
Step 1 Add together the price (not including a container fee or the extemporaneously‑prepared dispensing fee) of the standard formula preparations available for the benefit.
Step 2 Divide the amount worked out under step 1 by the number of standard formula preparations available for the benefit.
Step 3 Divide the amount worked out under step 2 by the maximum quantity, to work out the unit price for the benefit.
Step 4 Multiply the unit price by the quantity to be dispensed.
Step 5 Add to the amount worked out under step 4:
(a) the container price, worked out under section 25; and
(b) the extemporaneously‑prepared dispensing fee.
(4) Subsection (1) does not apply to: (a) exceptional prescriptions; or (b) the supply of the pharmaceutical benefit under subsection 31 (1). (5) In this section:
calculation day means the 16th day of each calendar month or, if the 16th day is not a business day, the next business day.
calculation period means the period commencing 4 weeks before the calculation day and ending on the calculation day.
maximum quantity, for a standard formula preparation, means the maximum quantity mentioned for the type of pharmaceutical benefit in Part 3 of Schedule 2 to the Minister’s determination under 85A(2) of the Act.