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Hospital Circular 21/2009

Date Issued: 1 August 2009

Distribution: Public Hospitals

Subject: Highly Specialised Drugs Program

To advise hospitals of changes to the Highly Specialised Drugs Program, effective 1 August 2009.


We have received recent advice from the Commonwealth Department of Health and Ageing regarding changes to the Highly Specialised Drugs Program, effective 1 August 2009.

ADDED STRENGTH

APOMORPHINE HYDROCHLORIDE

9640J Injection 50mg in 5mL 5 $194.65 APO-go HH

Parkinson’s disease in patients severely disabled by motor fluctuations which do not respond to other therapy

ADDED FORM

ETANERCEPT

9641K Injection 50mg in 1 mL
single use injection pens x4
1 $1,630.01 Enbrel WX

Full prescribing criteria for all items available at the Commonwealth/State Highly Specialised Drugs Program Guidelines website.

ALTERED PACK SIZES and PRICES

MYCOPHENOLATE MOFETIL

FROM TO
6208R Capsules 250mg (CellCept) 300  $555.70 100  $185.23
6209T Tablet 500mg (CellCept) 150  $555.70 50   $185.23

ALTERED RESTRICTIONS

BOSENTAN MONOHYDRATE, EPOPROSTENOL SODIUM, ILOPROST TROMETAMOL, SILDENAFIL CITRATE and SITAXENTAN SODIUM

Restrictions altered to recognise the new indications for Epoprostenol sodium and Iloprost trometamol as well as new PAH agent swapping rules.

ADVANCE NOTICE DELETED ITEM (1 October 2009)

RIBAVIRIN and PEGINTERFERON ALFA-2a

6393L Pack containing 84 tablets ribavirin 200mg and 4 pre-filled syringes peginterferon alfa-2a injection 180 micrograms Pegasys RBV RO

Item discontinued by manufacturer.

PRICE DECREASES FROM TO

AZITHROMYCIN

6221K Tablet 600mg 8 $67.82 $59.34

CLOZAPINE

6101D Tablet 25mg 100 $70.56 $69.15
6102E Tablet 100mg 100 $264.60 $259.31
6417R Tablet 50mg 100 $141.12 $138.30
6418T Tablet 200mg 100 $529.20 $518.62

CYCLOSPORIN

6352H Capsule 25mg 30 $40.80 $39.98
6353J Capsule 50mg 30 $84.87 $83.17
6354K Capsule 100mg 30 $172.92 $169.46

DESFERRIOXAMINE MESYLATE

6113R Powder for injection 500mg 10 $97.02 $95.08
6270B Powder for injection 2g 1 $38.81 $38.03

DISODIUM PAMIDRONATE

6223M I.V. Injection set 90mg & 10mL 1 $334.53 $327.84
6279L I.V. Injection set 2 x 30mg & 2 x 10mL 1 $223.02 $218.56
6286W Conc. Injection 15mg/5mL 1 $55.75 $54.64
6287X Conc. Injection 30mg/10mL 1 $111.51 $109.28
6288Y Conc. Injection 60mg/10mL 1 $223.02 $218.56
6289B Conc. Injection 90mg/10mL 1 $334.53 $327.84
6290C I.V. Injection set 4 x 15mg & 4 x 5mL 1 $223.02 $218.56

OCTREOTIDE ACETATE

6227R Injection 50mcg/1mL 5 $35.81 $35.09
6228T Injection 100mcg/1mL 5 $71.60 $70.17
6229W Injection 500mcg/1mL 5 $358.41 $351.24
6426F Injection MR 10mg vial & diluent 1 $1,362.20 $1,334.96
6427G Injection MR 20mg vial & diluent 1 $1,813.00 $1,776.74
6428H Injection MR 30mg vial & diluent 1 $2,268.70 $2,223.33

Changes notified by hospital circular will be updated in the Guidelines on the Commonwealth/State Highly Specialised Drugs Program Guidelines website and the claim form amended.

Geoff Lavender
Director, Programs
Metropolitan Health & Aged Care Services