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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
  • bBrand equivalent b
  • 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
Tazac Bnizatidine 300 mg capsule, 30a 1 30 5 $6.61 Nizac
Tacidine
Tazac Bnizatidine 150 mg capsule, 60a 1 60 5 $6.61 Nizac
Tacidine
Tears Naturale Bdextran-70 0.1% + hypromellose 0.3% eye drops, 15 mLa 1 1 5 $3.65 Poly-Tears
Tegretol 100 BCARBAMAZEPINE Tablet 100 mg, 100a 2 200 2 $3.00 Carbamazepine Sandoz
Tegretol 200 BCARBAMAZEPINE Tablet 200 mg, 100a 2 200 2 $2.96 Carbamazepine Sandoz
Tenormin Batenolol 50 mg tablet, 30a 1 30 5 $2.44 APO-Atenolol
Atenolol AN
Atenolol Amneal
Atenolol GH
Atenolol RBX
Atenolol Sandoz
Atenolol-GA
Chem mart Atenolol
Noten
Tenolten 50
Tensig
Terry White Chemists Atenolol
Tramal Btramadol hydrochloride 50 mg capsule, 20a 1 20 0 $2.42 APO-Tramadol
Chem mart Tramadol
Terry White Chemists Tramadol
Tramadol AMNEAL
Tramadol AN
Tramadol Actavis
Tramadol SCP
Tramadol Sandoz
Tramedo
Zydol
Tramal SR 100 Btramadol hydrochloride 100 mg modified release tablet, 20a 1 20 0 $4.49 APO-Tramadol SR
Chem mart Tramadol SR
GA Tramadol SR 100mg
Lodam SR 100
Terry White Chemists Tramadol SR
Tramadol AN SR
Tramadol SR generichealth
Tramadol Sandoz SR
Tramedo SR 100
Zydol SR 100
Tramal SR 150 Btramadol hydrochloride 150 mg modified release tablet, 20a 1 20 0 $5.37 APO-Tramadol SR
Chem mart Tramadol SR
Lodam SR 150
Terry White Chemists Tramadol SR
Tramadol AN SR
Tramadol SR generichealth
Tramadol Sandoz SR
Tramedo SR 150
Zydol SR 150
Tramal SR 200 Btramadol hydrochloride 200 mg modified release tablet, 20a 1 20 0 $6.08 APO-Tramadol SR
Chem mart Tramadol SR
GA Tramadol SR 200mg
Terry White Chemists Tramadol SR
Tramadol AN SR
Tramadol SR generichealth
Tramadol Sandoz SR
Tramedo SR 200
Zydol SR 200
Trandate Blabetalol hydrochloride 100 mg tablet, 100a 1 100 5 $3.50 Presolol 100
Trandate Blabetalol hydrochloride 200 mg tablet, 100a 1 100 5 $3.50 Presolol 200
Triphasil 28 Bethinyloestradiol 30 microgram + levonorgestrel 50 microgram tablet [24] (&) ethinyloestradiol 40 microgram + levonorgestrel 75 microgram tablet [20] (&) ethinyloestradiol 30 microgram + levonorgestrel 125 microgram tablet [40] (&) inert substance tablet [28], 112 [4 x 28]a 1 4 2 $13.00 Trifeme 28
Triprim Btrimethoprim 300 mg tablet, 7a 1 7 1 $3.68 Alprim
Triprim Btrimethoprim 300 mg tablet, 7a 2 14 2 $7.36 Alprim
Triprim Btrimethoprim 300 mg tablet, 7a 4 28 0 $14.72 Alprim
Triquilar ED Bethinyloestradiol 30 microgram + levonorgestrel 50 microgram tablet [24] (&) ethinyloestradiol 40 microgram + levonorgestrel 75 microgram tablet [20] (&) ethinyloestradiol 30 microgram + levonorgestrel 125 microgram tablet [40] (&) inert substance tablet [28], 112 [4 x 28]b 1 4 2 $11.41 Logynon ED
Twynsta Btelmisartan 40 mg + amlodipine 10 mg tablet, 28a 1 28 5 $2.69 Pritor/Amlodipine
Twynsta Btelmisartan 80 mg + amlodipine 10 mg tablet, 28a 1 28 5 $2.69 Pritor/Amlodipine
Twynsta Btelmisartan 80 mg + amlodipine 5 mg tablet, 28a 1 28 5 $2.69 Pritor/Amlodipine
Twynsta Btelmisartan 40 mg + amlodipine 5 mg tablet, 28a 1 28 5 $2.68 Pritor/Amlodipine