32Mark‑up for a chemotherapy pharmaceutical benefit

32 Mark‑up for a chemotherapy pharmaceutical benefit

(1) For the purposes of paragraph 31(4)(b), the mark‑up for a chemotherapy pharmaceutical benefit is: Start formula start fraction mark-up for maximum units over maximum units of pharmaceutical benefit end fraction end formula where:

mark‑up for maximum units means the amount worked out:

(a) if the chemotherapy pharmaceutical benefit does not have trastuzumab—under subsection (2); or
(b) if the chemotherapy pharmaceutical benefit has trastuzumab—under subsection (3).

maximum units of pharmaceutical benefit is the whole number of units of the chemotherapy pharmaceutical benefit required to obtain the maximum amount of the chemotherapy drug in the benefit that is determined by section 14.

(2) The following table sets out how to work out the mark‑up for maximum units for a chemotherapy pharmaceutical benefit that does not have trastuzumab.

<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Mark</span><span>‑</span><span>up for pharmaceutical benefit that does not have trastuzumab</span></p></td></tr><tr><td style="width:9.06%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Item</span></p></td><td style="width:38.56%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Column 1</span></p><p class="TableHeading" style="page-break-inside:avoid"><span>If the maximum units ex</span><span>‑</span><span>manufacturer price for the pharmaceutical benefit is …</span></p></td><td style="width:52.38%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Column 2</span></p><p class="TableHeading" style="page-break-inside:avoid"><br><br><span>the mark</span><span>‑</span><span>up for maximum units is …</span></p></td></tr></thead><tbody><tr><td style="width:9.06%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid; page-break-after:avoid"><span>1</span></p></td><td style="width:38.56%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid; page-break-after:avoid"><span>less than $100</span></p></td><td style="width:52.38%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid; page-break-after:avoid"><span>$4.62</span></p></td></tr><tr><td style="width:9.06%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>2</span></p></td><td style="width:38.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>at least $100 but not more than $2,000</span></p></td><td style="width:52.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>$4.62 plus 5% of the amount by which the maximum units ex</span><span>‑</span><span>manufacturer price exceeds $100</span></p></td></tr><tr><td style="width:9.06%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>3</span></p></td><td style="width:38.56%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>more than $2,000</span></p></td><td style="width:52.38%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>$99.62</span></p></td></tr></tbody></table>