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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
  • MWMidwife
  • NPNurse Practitioner
Premium priced brand Form & strength Max qty
packs
Max qty
units
No. of
repeats
Brand premium Benchmark priced brands
Karvea Birbesartan 150 mg tablet, 30a 1 30 5 $1.90 APO-Irbesartan
Abisart
Avapro
Blooms the Chemist Irbesartan
Chem mart Irbesartan
Irbesartan AMNEAL
Irbesartan AN
Irbesartan Actavis 150
Irbesartan GH
Irbesartan RBX
Irbesartan Sandoz
Irbesartan Winthrop
Irprestan 150
Terry White Chemists Irbesartan
Karvea Birbesartan 75 mg tablet, 30a 1 30 5 $1.90 APO-Irbesartan
Abisart
Avapro
Blooms the Chemist Irbesartan
Chem mart Irbesartan
Irbesartan AMNEAL
Irbesartan AN
Irbesartan Actavis 75
Irbesartan GH
Irbesartan Sandoz
Irbesartan Winthrop
Irprestan 75
Terry White Chemists Irbesartan
Karvea Birbesartan 300 mg tablet, 30a 1 30 5 $1.90 APO-Irbesartan
Abisart
Avapro
Blooms the Chemist Irbesartan
Chem mart Irbesartan
Irbesartan AMNEAL
Irbesartan AN
Irbesartan Actavis 300
Irbesartan GH
Irbesartan RBX
Irbesartan Sandoz
Irbesartan Winthrop
Irprestan 300
Terry White Chemists Irbesartan
Karvezide 150/12.5 Birbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30a 1 30 5 $1.90 APO-Irbesartan HCTZ
Abisart HCT 150/12.5
Avapro HCT 150/12.5
Blooms the Chemist Irbesartan HCTZ 150/12.5
Chem mart Irbesartan HCTZ
Irbesartan HCT Actavis 150/12.5
Irbesartan HCT GH 150/12.5
Irbesartan HCT Winthrop 150/12.5
Irbesartan HCTZ AMNEAL
Irbesartan HCTZ AN 150/12.5
Irbesartan/HCT Sandoz
Irbesartan/HCTZ RBX 150/12.5
KSART HCT 150/12.5
Terry White Chemists Irbesartan HCTZ
Karvezide 300/12.5 Birbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30a 1 30 5 $1.91 APO-Irbesartan HCTZ
Abisart HCT 300/12.5
Avapro HCT 300/12.5
Blooms the Chemist Irbesartan HCTZ 300/12.5
Chem mart Irbesartan HCTZ
Irbesartan HCT Actavis 300/12.5
Irbesartan HCT GH 300/12.5
Irbesartan HCT Winthrop 300/12.5
Irbesartan HCTZ AMNEAL
Irbesartan HCTZ AN 300/12.5
Irbesartan/HCT Sandoz
Irbesartan/HCTZ RBX 300/12.5
KSART HCT 300/12.5
Terry White Chemists Irbesartan HCTZ
Karvezide 300/25 Birbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30a 1 30 5 $1.90 APO-Irbesartan HCTZ
Abisart HCT 300/25
Avapro HCT 300/25
Blooms the Chemist Irbesartan HCTZ 300/25
Chem mart Irbesartan HCTZ
Irbesartan HCT Actavis 300/25
Irbesartan HCT GH 300/25
Irbesartan HCT Winthrop 300/25
Irbesartan HCTZ AMNEAL
Irbesartan HCTZ AN 300/25
Irbesartan/HCT Sandoz
Irbesartan/HCTZ RBX 300/25
KSART HCT 300/25
Terry White Chemists Irbesartan HCTZ
Keflex Bcephalexin 250 mg capsule, 20a 1 20 1 $3.76 APO-Cephalexin
Cefalexin Sandoz
Cephalex 250
Cephalexin AN
Cilex
Ialex
Ibilex 250
Rancef
Keflex Bcephalexin 250 mg capsule, 20a 2 40 2 $7.52 APO-Cephalexin
Cefalexin Sandoz
Cephalex 250
Cephalexin AN
Cilex
Ialex
Ibilex 250
Rancef
Keflex Bcephalexin 250 mg/5 mL powder for oral liquid, 100 mLa 1 1 1 $5.69 APO-Cephalexin
Cefalexin Sandoz
Chem mart Cephalexin
Ialex
Ibilex 250
Terry White Chemists Cephalexin
Keflex Bcephalexin 125 mg/5 mL powder for oral liquid, 100 mLa 1 1 1 $4.15 APO-Cephalexin
Cefalexin Sandoz
Chem mart Cephalexin
Ialex
Ibilex 125
Terry White Chemists Cephalexin
Keflex Bcephalexin 500 mg capsule, 20a 1 20 1 $5.47 APO-Cephalexin
Cefalexin Sandoz
Cephalex 500
Cephalexin AN
Cephalexin generichealth
Cilex
Ialex
Ibilex 500
Rancef
Keflex Bcephalexin 500 mg capsule, 20a 2 40 1 $10.94 APO-Cephalexin
Cefalexin Sandoz
Cephalex 500
Cephalexin AN
Cephalexin generichealth
Cilex
Ialex
Ibilex 500
Rancef
Kenacomb Otic Btriamcinolone acetonide 0.1% + neomycin sulfate 0.25% + gramicidin 0.025% + nystatin 100 000 international units/mL ear drops, 7.5 mLa 1 1 2 $1.70 Otocomb Otic
Kenacomb Otic Btriamcinolone acetonide 0.1% + neomycin sulfate 0.25% + gramicidin 0.025% + nystatin 100 000 international units/g ointment, 5 ga 1 1 2 $1.70 Otocomb Otic
Klacid Bclarithromycin 250 mg tablet, 14a 1 14 1 $3.49 APO-Clarithromycin
Chem mart Clarithromycin
Clarac
Clarihexal
Clarithro 250
Clarithromycin AN
Clarithromycin Sandoz
Kalixocin
Terry White Chemists Clarithromycin