National Health Act 1953 - Determination under section 85B - Price determinations and special patient contributions (No. PB 118 of 2008)

1 National Health Act 1953 - Determination under section 85B - Price determinations and special patient contributions (No. PB 118 of 2008)

Determination — Price determinations and special patient contributions
(PB 118 of 2008)

as amended

made under section 85B of the

National Health Act 1953

This compilation was prepared on 1 January 2010
taking into account amendments up to PB 121 of 2009

Prepared by the Office of Legislative Drafting and Publishing,
Attorney-General’s Department, Canberra

Determination — Price determinations and special patient contributions
(PB 118 of 2008)

Commencement [see Note 1]

1. This instrument commences on 1 December 2008.

Repeal

2. Instrument number PB 77 of 2008 is repealed.

Definition

3. In this Determination “authority prescription” means a prescription which directs the supply of a pharmaceutical benefit and is a prescription authorised by, or taken to have been authorised by, the Chief Executive Officer of Medicare Australia in accordance with paragraph 12 of the determination made for the purposes of subsection 85A(2) of the Act.

Determined price

4. For subsection 85B(2), the amount that is taken to be the appropriate maximum price for sales to approved pharmacists of a brand of a pharmaceutical item in Schedule 1 for the quantity or number of units mentioned for the brand is the price for that brand specified in the column headed “Determined price”.

Claimed price

5. For subsection 85B(3), the amount that is taken to be the price claimed by the responsible person as the responsible person’s price for sales to approved pharmacists of a brand of a pharmaceutical item in Schedule 1 for the quantity or number of units mentioned for the brand is the price specified in the column headed “Claimed price”.

Circumstances

6. For the purposes of subsection 85B(5), the circumstances in which the Commonwealth is to pay the special patient contribution for brands of pharmaceutical items mentioned in Schedule 2 are that the brand has been supplied on an authority prescription.

<table cellspacing="0" cellpadding="0" style="width:700.2pt; margin-right:auto; margin-left:auto; margin-bottom:0pt; border-collapse:collapse"><thead><tr><td colspan="8" style="width:689.4pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-inside:avoid"><span>SCHEDULE 1</span></p></td></tr><tr><td colspan="2" style="width:97.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Listed Drug</span></p></td><td style="width:159.85pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Form (strength, type, size, etc)</span></p></td><td style="width:88.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Manner of Administration</span></p></td><td style="width:63.55pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Brand</span></p></td><td style="width:69.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:1pt; margin-bottom:0pt; text-align:center"><span>Relevant quantity or number of units</span></p></td><td style="width:75.95pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center; page-break-after:avoid"><span>Determined Price</span></p><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>$</span></p></td><td style="width:69.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center; page-break-after:avoid"><span>Claimed Price</span></p><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>$</span></p></td></tr></thead><tbody><tr style="height:4pt"><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Aciclovir</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 200</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 200</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>25</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>28.69</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>30.66</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 200</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>90</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>104.98</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>107.90</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 800</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 800</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>35</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>127.18</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>128.60</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 800</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>120</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>421.91</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>427.10</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Alendronic Acid</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 70</span><span> </span><span>mg (as alendronate sodium)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Fosamax Once Weekly</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>4</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>35.65</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>37.04</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Allopurinol</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 100</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zyloprim</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>200</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>5.89</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>8.04</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 300</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zyloprim</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>60</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.48</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>5.83</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Alprazolam</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 250</span><span> </span><span>micrograms</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>2.72</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.63</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 500</span><span> </span><span>micrograms</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.40</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>5.37</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 1</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>7.66</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>8.81</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 2</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax Tri-Score</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>11.86</span></p></