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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 Services 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
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • OPOptometrist
Premium priced brand Form & strength Max qty
packs
Max qty
units
No. of
repeats
Brand premium Benchmark priced brands
Lamictal Blamotrigine 50 mg tablet, 56a 1 56 5 $4.45 APO-Lamotrigine
APX-Lamotrigine
LAMITAN
Lamotrigine GH
Lamotrigine Sandoz
Logem
NOUMED LAMOTRIGINE
Reedos 50
Sandoz Lamotrigine
Lamictal Blamotrigine 100 mg tablet, 56a 1 56 5 $4.45 APO-Lamotrigine
APX-Lamotrigine
LAMITAN
Lamotrigine GH
Lamotrigine Sandoz
Logem
NOUMED LAMOTRIGINE
Reedos 100
Sandoz Lamotrigine
Lamictal Blamotrigine 200 mg tablet, 56a 1 56 5 $4.45 APO-Lamotrigine
APX-Lamotrigine
LAMITAN
Lamotrigine GH
Lamotrigine Sandoz
Logem
NOUMED LAMOTRIGINE
Reedos 200
Sandoz Lamotrigine
Lamictal Blamotrigine 25 mg tablet, 56a 1 56 5 $4.46 APO-Lamotrigine
APX-Lamotrigine
LAMITAN
Lamotrigine GH
Lamotrigine Sandoz
Logem
NOUMED LAMOTRIGINE
Reedos 25
Sandoz Lamotrigine
Lanoxin Bdigoxin 250 microgram tablet, 100a 1 100 1 $2.41 Sigmaxin
Lanoxin-PG Bdigoxin 62.5 microgram tablet, 200a 1 200 1 $2.41 Sigmaxin-PG
Levlen ED Blevonorgestrel 150 microgram + ethinylestradiol 30 microgram tablet [21] (&) inert substance tablet [7], 4 x 28a 1 4 2 $4.91 Eleanor 150/30 ED
Evelyn 150/30 ED
Femme-Tab ED 30/150
Lenest 30 ED
Micronelle 30 ED
Lexapro Bescitalopram 10 mg tablet, 28a 1 28 5 $13.98 APO-Escitalopram
APX-Escitalopram
Blooms the Chemist Escitalopram
Cilopam-S
Escitalopram GH
Escitalopram Sandoz
Esipram
Lexam 10
LoxaLate
NOUMED ESCITALOPRAM
Lexapro Bescitalopram 20 mg tablet, 28a 1 28 5 $14.33 APO-Escitalopram
APX-Escitalopram
Blooms the Chemist Escitalopram
Cilopam-S
Escitalopram GH
Escitalopram Sandoz
Esipram
Lexam 20
LoxaLate
NOUMED ESCITALOPRAM
Lipex 20 Bsimvastatin 20 mg tablet, 30a 1 30 5 $9.08 APO-Simvastatin
NOUMED SIMVASTATIN
Simvar 20
Simvastatin Sandoz
Zimstat
Zocor
Lipex 40 Bsimvastatin 40 mg tablet, 30a 1 30 5 $9.04 APO-Simvastatin
NOUMED SIMVASTATIN
Simvar 40
Simvastatin Sandoz
Zimstat
Zocor
Liquifilm Tears Bpolyvinyl alcohol 1.4% eye drops, 15 mLa 1 1 5 $1.29 PVA Tears
Lomotil Bdiphenoxylate hydrochloride 2.5 mg + atropine sulfate monohydrate 25 microgram tablet, 20a 1 20 0 $3.33 Lofenoxal
Losec Tablets Bomeprazole 20 mg enteric tablet, 30a 1 30 5 $7.36 Acimax Tablets
Omepral
Omeprazole Sandoz
Losec Tablets Bomeprazole 20 mg enteric tablet, 30a 2 60 5 $14.72 Acimax Tablets
Omepral
Omeprazole Sandoz
Luvox Bfluvoxamine maleate 100 mg tablet, 30a 1 30 5 $3.50 APO-Fluvoxamine
Faverin 100
Movox 100
Luvox Bfluvoxamine maleate 50 mg tablet, 30a 1 30 5 $3.49 APO-Fluvoxamine
Faverin 50
Movox 50