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BRAND PREMIUM POLICY

BRANDS OF PHARMACEUTICAL BENEFIT ITEMS WHICH HAVE A BRAND PREMIUM AND THAT MAY BE SUBSTITUTED

The Schedule of Pharmaceutical Benefits shows differences in price between some alternative brands of the same drug product.

Manufacturers can develop generic equivalents and apply to have them listed on the PBS. In doing this, manufacturers need to ensure that they comply with the relevant legislation applicable to patents. These brands are clinically equivalent and must undergo the same strict quality controls. Although these brands are designed to act on the body in exactly the same way, they are usually cheaper than the originator brands.

The Australian Government, through the PBS, subsidises up to the price of the lowest priced brand (except in those instances where the lowest priced brand has, as part of its price, a therapeutic group premium). This means that consumers may have to pay extra for more expensive brands (those with a brand premium). This extra amount does not count towards their PBS safety net threshold.

Brand substitution by pharmacists without reference to the prescriber is permitted for PBS prescriptions where:

  • the patient agrees to the substitution;
  • the brands are identified in the Schedule of Pharmaceutical Benefits as being interchangeable;
  • the prescriber has not indicated on the prescription form that substitution is not to occur; and
  • substitution is permitted under the relevant State or Territory legislation.

Prescription forms supplied by Department of Human Services contain a box to be ticked where brand substitution is not to take place.

Prescribers not using these prescription forms should endorse the prescription if brand substitution is not permitted. Where a stamp is used for this purpose, the prescriber will be required to initial the stamped statement.

For ease of prescribing and dispensing, and in the interests of your patients, the following list shows those PBS drugs that attract a brand premium and that can be substituted where permitted. They are listed alphabetically, by brand name, with the brand premium and benchmark brand(s) cited in the last column.

  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • DPDentist
  • MPMedical Practitioner
  • NPNurse Practitioner
  • OPOptometrist
Premium priced brand Form & strength Max qty
packs
Max qty
units
No. of
repeats
Brand premium Benchmark priced brands
Capoten Bcaptopril 50 mg tablet, 90a 1 90 5 $4.49 Captopril Sandoz
Zedace
Capoten Bcaptopril 25 mg tablet, 90a 1 90 5 $5.37 Captopril Sandoz
Zedace
Cardizem Bdiltiazem hydrochloride 60 mg tablet, 90a 1 90 5 $1.90 Diltiazem AN
Diltiazem Actavis
Diltiazem Sandoz
Vasocardol
Cardizem CD Bdiltiazem hydrochloride 240 mg modified release capsule, 30a 1 30 5 $1.90 Diltiazem Sandoz CD
Vasocardol CD
Cardizem CD Bdiltiazem hydrochloride 180 mg modified release capsule, 30a 1 30 5 $1.90 Diltiazem Sandoz CD
Vasocardol CD
Cardizem CD Bdiltiazem hydrochloride 360 mg modified release capsule, 30a 1 30 5 $1.90 Diltiazem Sandoz CD
Vasocardol CD
Ceclor Bcefaclor 250 mg/5 mL powder for oral liquid, 75 mLa 1 1 1 $5.31 APO-Cefaclor
Aclor 250
Keflor
Ceclor Bcefaclor 125 mg/5 mL powder for oral liquid, 100 mLa 1 1 1 $5.10 APO-Cefaclor
Aclor 125
Keflor
Ceclor CD Bcefaclor 375 mg modified release tablet, 10a 1 10 1 $6.26 APO-Cefaclor CD
Cefaclor GH
Cefaclor-GA
Karlor CD
Keflor CD
Ozcef
Celestone-M Bbetamethasone (as valerate) 0.02% cream, 100 ga 2 2 0 $4.00 Antroquoril
Cellufresh Bcarmellose sodium 0.5% (2 mg/0.4 mL) eye drops, 30 x 0.4 mL unit dosesa 3 3 5 $7.29 Optifresh Tears
Celluvisc Bcarmellose sodium 1% (4 mg/0.4 mL) eye drops, 30 x 0.4 mL unit dosesa 3 3 5 $7.29 Optifresh Plus
Cholstat 10 Bpravastatin sodium 10 mg tablet, 30a 1 30 5 $2.95 APO-Pravastatin
Auro-Pravastatin 10
Chem mart Pravastatin
Lipostat 10
Pravachol
Pravastatin AN
Pravastatin Sandoz
Pravastatin generichealth
Terry White Chemists Pravastatin
Ciloxan Bciprofloxacin 0.3% eye drops, 5 mLa 2 2 0 $4.36 CiloQuin
Cipramil Bcitalopram 20 mg tablet, 28a 1 28 5 $7.30 APO-Citalopram
Auro-Citalopram 20
Celapram
Celica
Chem mart Citalopram
Citalopram AN
Citalopram Actavis
Citalopram Sandoz
Pharmacor Citalo 20
Talam
Terry White Chemists Citalopram
Ciproxin 250 Bciprofloxacin 250 mg tablet, 14a 1 14 0 $1.74 APO-Ciprofloxacin
C-Flox 250
Ciprofloxacin Sandoz
Ciprol 250
Ciproxin 500 Bciprofloxacin 500 mg tablet, 14a 1 14 0 $2.43 APO-Ciprofloxacin
C-Flox 500
Cifran
Ciprofloxacin AN
Ciprofloxacin Sandoz
Ciprofloxacin-BW
Ciprol 500
Loxip 500
Colgout Bcolchicine 500 microgram tablet, 30a 1 30 5 $2.90 Lengout
Cosopt Bdorzolamide 2% + timolol 0.5% eye drops, 5 mLa 1 1 5 $1.00 Cosdor
DORZOLAMIDE/TIMOLOL AN 20/5
Dorzolamide/Timolol Sandoz 20/5
Coveram 10/10 Bperindopril arginine 10 mg + amlodipine 10 mg tablet, 30a 1 30 5 $4.95 APO-Perindopril Arginine/Amlodipine 10/10
Reaptan 10/10
Coveram 10/5 Bperindopril arginine 10 mg + amlodipine 5 mg tablet, 30a 1 30 5 $4.95 APO-Perindopril Arginine/Amlodipine 10/5
Reaptan 10/5
Coveram 5/10 Bperindopril arginine 5 mg + amlodipine 10 mg tablet, 30a 1 30 5 $4.94 APO-Perindopril Arginine/Amlodipine 5/10
Reaptan 5/10
Coveram 5/5 Bperindopril arginine 5 mg + amlodipine 5 mg tablet, 30a 1 30 5 $4.95 APO-Perindopril Arginine/Amlodipine 5/5
Reaptan 5/5
Coversyl 10mg Bperindopril arginine 10 mg tablet, 30a 1 30 5 $4.95 APO-Perindopril Arginine
PREXUM 10
Coversyl 2.5mg Bperindopril arginine 2.5 mg tablet, 30a 1 30 5 $4.95 APO-Perindopril Arginine
PREXUM 2.5
Coversyl 5mg Bperindopril arginine 5 mg tablet, 30a 1 30 5 $4.94 APO-Perindopril Arginine
PREXUM 5
Coversyl Plus 5mg/1.25mg Bperindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30a 1 30 5 $4.95 Prexum Combi 5/1.25
Coversyl Plus LD 2.5mg/0.625mg Bperindopril arginine 2.5 mg + indapamide hemihydrate 625 microgram tablet, 30a 1 30 5 $4.95 PREXUM Combi LD 2.5/0.625
Cymbalta Bduloxetine 60 mg enteric capsule, 28a 1 28 5 $2.28 APO-Duloxetine
Andepra
Chem mart Duloxetine
DYTREX 60
Depreta 60
Duloxetine AN
Duloxetine GH
Pharmacor Duloxetine 60
Terry White Chemists Duloxetine
Tixol
Cymbalta Bduloxetine 30 mg enteric capsule, 28a 1 28 0 $2.28 APO-Duloxetine
Andepra
Chem mart Duloxetine
DYTREX 30
Depreta 30
Duloxetine AN
Duloxetine GH
Pharmacor Duloxetine 30
Terry White Chemists Duloxetine
Tixol