National Health (Highly Specialised Drugs Program) Special Arrangement 2021
13Definition of special arrangement supply
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13 Definition of special arrangement supply
Prescriptions written for public hospital patients (1) A supply of an HSD pharmaceutical benefit to a person is a special arrangement supply of the benefit if: (a) the person is an eligible patient for the benefit; and (b) the benefit is supplied by: (i) for any benefit—an approved hospital authority for a public hospital; or (ii) for a benefit that has a CAR drug or UNAR drug—an approved pharmacist; and (c) the benefit is supplied on the basis of a prescription written: (i) when the person was receiving medical treatment in, at or from a public hospital; and (ii) by an authorised prescriber for the benefit; and (iii) unless the benefit has a UNAR drug—in circumstances mentioned in Schedule 3 for a circumstances code mentioned in the column headed “Circumstances” in Schedule 1 for the benefit. Prescriptions written for private hospital patients (2) A supply of an HSD pharmaceutical benefit to a person is a special arrangement supply of the benefit if: (a) the person is an eligible patient for the benefit; and (b) the benefit is supplied by: (i) an approved hospital authority for a private hospital; or (ii) an approved pharmacist; and (c) the benefit is supplied on the basis of a prescription written: (i) when the person was receiving medical treatment in, at or from a private hospital; and (ii) by an authorised prescriber for the benefit; and (iii) unless the benefit has a UNAR drug—in circumstances mentioned in Schedule 3 for a circumstances code mentioned in the column headed “Circumstances” in Schedule 1 for the benefit. Community access arrangements (3) A supply of an HSD pharmaceutical benefit to a person is a special arrangement supply of the benefit if: (a) the benefit has a drug that is a community access medication; and (b) the person is an eligible patient for the benefit; and (c) the benefit is supplied by an approved supplier; and (d) the benefit is supplied on the basis of a prescription written: (i) by an authorised prescriber for the benefit; and (ii) in circumstances mentioned in Schedule 3 for a circumstances code mentioned in the column headed “Circumstances” in Schedule 1 for the benefit.