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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
  • PPalliative care items
  • BBrand premium applies
  • aBrand equivalent a
  • DPDentist
  • MPMedical Practitioner
  • NPNurse Practitioner
Premium priced brand Form & strength Max qty
packs
Max qty
units
No. of
repeats
Brand premium Benchmark priced brands
Imdur 120 mg Bisosorbide mononitrate 120 mg modified release tablet, 30a 1 30 5 $3.37 Monodur 120 mg
Imdur Durule Bisosorbide mononitrate 60 mg modified release tablet, 30a 1 30 5 $3.37 Chem mart Isosorbide Mononitrate
Duride
GenRx Isosorbide Mononitrate
Isomonit
Isosorbide AN
Monodur 60 mg
Terry White Chemists Isosorbide Mononitrate
Imigran Bsumatriptan 50 mg tablet, 4a 1 4 5 $4.70 APO-Sumatriptan
Chem mart Sumatriptan
Iptam
Pharmacor Sumatriptan 50
Sumatran
Sumatriptan AN
Sumatriptan RBX
Sumatriptan Sandoz
Sumatriptan generichealth
Terry White Chemists Sumatriptan
Imigran BSUMATRIPTAN Tablet 50 mg (as succinate), 2a 2 4 5 $4.70 APO-Sumatriptan
Chem mart Sumatriptan
Iptam
Sumatran
Sumatriptan Sandoz
Terry White Chemists Sumatriptan
Imigran FDT BSUMATRIPTAN Tablet (fast disintegrating) 50 mg (as succinate), 2a 2 4 5 $4.70
Imigran FDT BSUMATRIPTAN Tablet 50 mg (base) (fast disintegrating), 4a 1 4 5 $4.70
Imodium Bloperamide hydrochloride 2 mg capsule, 12a 1 12 0 $0.65 Gastrex
Gastro-Stop Loperamide
Imodium Bloperamide hydrochloride 2 mg capsule, 12a 5 60 0 $3.25 Gastrex
Gastro-Stop Loperamide
Inderal Bpropranolol hydrochloride 10 mg tablet, 100a 1 100 5 $3.75 APO-Propranolol
Deralin 10
Inderal Bpropranolol hydrochloride 40 mg tablet, 100a 1 100 5 $3.75 APO-Propranolol
Deralin 40
Indocid Bindomethacin 25 mg capsule, 50a 2 100 3 $4.04 Arthrexin
Isoptin Bverapamil hydrochloride 80 mg tablet, 100a 1 100 5 $3.50 Anpec 80
Isoptin 180 SR Bverapamil hydrochloride 180 mg modified release tablet, 30a 1 30 5 $3.50 Cordilox 180 SR
Isoptin SR Bverapamil hydrochloride 240 mg modified release tablet, 30a 1 30 5 $3.50 Cordilox SR