Health
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Hospital Circular 27/2009

Date Issued: 24 September 2009

Distribution: Public Hospitals

Subject:Highly Specialised Drugs Program

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


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

DELETED ITEMS

RIBAVIRIN and PEGINTERFERON ALFA-2a

6393L Pack containing 84 tablets ribavirin 200mg and 4 pre-filled syringes peginterferon alfa-2a injection 180mcg 1 $1462.37 Pegasys RBV RO

EPOETIN BETA

6487K Injection 30,000 units in 0.6mL pre-filled syringe 1 $502.50 NeoRecormon RO

INDANAVIR SULFATE

6344X Capsule 100mg (base) 180 $113.75 Crixivan 100mg MK
6344X Capsule 200mg (base) 360 $455.00 Crixivan 200mg MK

AMENDED RESTRICTIONS

FILGRASTIM

6291D, 6126K, 6292E and 6127L

PEGFILGRASTIM

6363X

The restriction for these items now includes treatment for:

A patient with inoperable Stage III, IV or IVb squamous cell carcinoma of the oral cavity, larynx, oropharynx or hypopharynx receiving neoadjuvant treatment with docetaxel in combination with cisplatin and fluorouracil who has had a prior episode of febrile neutropenia or prolonged severe neutropenia (neutrophil count of less than 1,000 million cells per litre), or for whom there is clinical justification for wishing to continue therapy with the same drug combination, dosage and treatment schedule, and for whom a good response to treatment is anticipated providing chemotherapy can be delivered as planned.

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

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.

Sue Race
Acting Director, Programs
Metropolitan Health & Aged Care Services