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There are three types of premiums:

BRAND PREMIUM POLICY

BRANDS OF PHARMACEUTICAL BENEFIT ITEMS WHICH HAVE A BRAND PREMIUM AND THAT MAY BE SUBSTITUTED WITH EFFECT FROM 1 DECEMBER 2008

 

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 Medicare Australia 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
B 
Brand premium applies  (i)
a 
Brand equivalent a  (i)
Add to Watch List
 (i)
Premium Priced Brand
Form & Strength
Max Quantity
 (i)
Brand Premium
Benchmark Priced Brands
All the information in this table is drawn from the Pharmaceutical Benefits Schedule, effective 1 December 2008.
Accupril B Tablet 5 mg (base)a  30 0.38 Acquin 5
APO-Quinapril
Filpril
Pharmacor Quinapril 5
Quinapril-DP
Quinapril generichealth
Quinapril Sandoz
Accupril B Tablet 10 mg (base)a  30 0.52 Acquin 10
APO-Quinapril
Filpril
Pharmacor Quinapril 10
Quinapril-DP
Quinapril generichealth
Accupril B Tablet 20 mg (base)a  30 0.77 Acquin 20
APO-Quinapril
Filpril
Pharmacor Quinapril 20
Quinapril-DP
Quinapril generichealth
Quinapril Sandoz
Adalat 10 B Tablet 10 mga  60 1.17 Adefin 10
Nypine 10
Adalat 20 B Tablet 20 mga  60 2.21 Adefin 20
Chem mart Nifedipine
GenRx Nifedipine
Nifehexal
Nyefax 20 mg
Nypine 20
Terry White Chemists Nifedipine
Adalat Oros 30 B Tablet 30 mg (controlled release)a  30 2.54 Addos XR 30
Adefin XL 30
Adalat Oros 60 B Tablet 60 mg (controlled release)a  30 2.81 Addos XR 60
Adefin XL 60
Aldactone B Tablet 25 mga  100 1.44 Spiractin 25
Aldactone B Tablet 100 mga  100 1.99 Spiractin 100
Aldomet B Tablet 250 mga  100 2.24 Hydopa
Alphagan B Eye drops 2 mg per mL (0.2%), 5 mLa  1 1.74 Enidin
Amaryl B Tablet 1 mga  30 4.62 Aylide 1
Diapride 1
Dimirel
Glimepiride Sandoz
Amaryl B Tablet 2 mga  30 5.44 Aylide 2
Diapride 2
Dimirel
Glimepiride Sandoz
Amaryl B Tablet 3 mga  30 5.92 Aylide 3
Diapride 3
Dimirel
Glimepiride Sandoz
Amaryl B Tablet 4 mga  30 6.42 Aylide 4
Diapride 4
Dimirel
Glimepiride Sandoz
Amoxil B Capsule 250 mga  20 0.79 Alphamox 250
Amohexal
Amoxycillin-DP
APO-Amoxycillin
Chem mart Amoxycillin
Cilamox
GenRx Amoxycillin
Terry White Chemists Amoxycillin
Amoxil B Capsule 500 mga  20 0.80 Alphamox 500
Amohexal
Amoxycillin-DP
APO-Amoxycillin
Chem mart Amoxycillin
Cilamox
GenRx Amoxycillin
Moxacin
Terry White Chemists Amoxycillin
Amoxil B Powder for syrup 125 mg per 5 mL, 100 mLa  1 0.95 Alphamox 125
Amoxycillin Sandoz
Bgramin
Chem mart Amoxycillin
GenRx Amoxycillin
Ranmoxy
Terry White Chemists Amoxycillin
Amoxil Forte B Powder for syrup 250 mg per 5 mL, 100 mLa  1 0.79 Alphamox 250
Amohexal
Bgramin
Chem mart Amoxycillin
Cilamox
GenRx Amoxycillin
Ranmoxy
Terry White Chemists Amoxycillin
Amprace 10 B Tablet 10 mga  30 2.46 Alphapril
Auspril
Chem mart Enalapril
Enahexal
Enalabell
Enalapril-DP 10mg
Enalapril Winthrop
GenRx Enalapril
Terry White Chemists Enalapril
Legend
B 
Brand premium applies  (i)
a 
Brand equivalent a  (i)