Health
textual image stating 'Department of Health, Victoria, Australia'

Hospital Circular 28/2009

Date Issued: 26 October 2009

Distribution: Public Hospitals

Subject:Highly Specialised Drugs Program

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


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

ADDED DRUG

LENALIDOMIDE

9642L Capsule 5mg 21 $5,392.38 Revlimid CJ
9643M Capsule 10mg 21 $5,643.33 Revlimid CJ
9644N Capsule 15mg 21 $6,581.61 Revlimid CJ
9645P Capsule 25mg 21 $6,934.20 Revlimid CJ

Note: Special pricing arrangements apply

Public hospital authority required

Initial treatment, as monotherapy or in combination with dexamethasone, of multiple myeloma in a patient who has progressive disease, who has received at least 1 prior therapy (other than thalidomide), who has undergone or is ineligible for a primary stem cell transplant and who has experienced treatment failure after a trial of a least four weeks of thalidomide at a dose of a least 100mg daily.

Continuing treatment, as monotherapy or in combination with dexamethasone, of multiple myeloma in a patient who has previously been issued with an authority prescription for lenalidomide and who does not have progressive disease.

Full prescribing criteria for all listed items including the above is available at: http://www.health.vic.gov.au/hsdp/app2.htm

ADDED ITEMS

APOMORPHINE HYDROCHLORIDE

96478R Solution for s/c infusion 50mg in 10mL pre-filled syringe 5 $194.65 Apomine PFS HH

ATAZANAVIR

9646Q Capsule 100mg (as sulphate) 60 $347.94 Reyataz BQ

RESTRICTION ALTERATIONS

DORNASE ALFA

Now includes – “Treatment of cystic fibrosis in a patient less than 5 years of age”

ETANERCEPT

Removal of authority condition for continuing treatment if treatment started prior  to 1 December 2002.

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

DELETED ITEMS

RIBAVIRIN and PEGINTERFERON ALFA-2a

6389G Pack containing 84 tablets ribavirin 200mg and 4 pre-filled syringes peginterferon alfa-2a injection 135mcg Pegasys RBV RO

RIBAVIRIN and PEGINTERFERON ALFA-2a

6390H Pack containing 112 tablets ribavirin 200mg and 4 pre-filled syringes peginterferon alfa-2a injection 135mcg Pegasys RBV RO

RIBAVIRIN and PEGINTERFERON ALFA-2a

6391J Pack containing 140 tablets ribavirin 200mg and 4 pre-filled syringes peginterferon alfa-2a injection 135mcg Pegasys RBV RO

Items discontinued by manufacturer.

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.

Geoff Lavender
Director, Programs
Metropolitan Health & Aged Care Services