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Highly Specialised Drugs Program (Community Access)

From 1 July 2015, the HSD community access arrangements better align existing HSD programme arrangements with current clinical practice and models of care, through improvements to the way clozapine for the treatment of schizophrenia (maintenance therapy only), HIV antiretroviral medicines and hepatitis B medicines are prescribed, dispensed and accessed under the s100 HSDs Programme.  These changes are known as ‘HSD Community Access’.

These arrangements remove the requirement for patients and prescribers to be affiliated with a hospital setting.  Patients also have greater choice about where they access their medicines, through either a community pharmacy, or a private or public hospital pharmacy.  Community pharmacists are able to dispense these medicines regardless of where the medicine is prescribed.

Prescriptions for these medicines and any repeats from those prescriptions, written prior to 1 July 2015 will need to be dispensed by a hospital pharmacy in accordance with the previous arrangements.

The remuneration rates for Highly Specialised Drugs dispensed through community pharmacies are aligned to those paid to private hospitals.

Patient eligibility criteria are unchanged.  Patients will continue to pay a patient co-payment which will contribute to the PBS Safety Net Record.

Further information on these arrangements is available in the respective Frequently Asked Questions (FAQs).

  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner
Prescriber code Item code Name, manner of administration and form & strength Max qty
Max qty
No. of
MPNP 10294T ABACAVIRabacavir 300 mg tablet, 60 2 120 5
MPNP 10356C ABACAVIRabacavir 20 mg/mL oral liquid, 240 mL 8 8 5
MPNP 10357D ABACAVIR + LAMIVUDINEabacavir 600 mg + lamivudine 300 mg tablet, 30 2 60 5
MPNP 11246X ABACAVIR + LAMIVUDINEabacavir 600 mg + lamivudine 300 mg tablet, 30 2 60 5
MPNP 10305J ABACAVIR + LAMIVUDINE + ZIDOVUDINEabacavir 300 mg + lamivudine 150 mg + zidovudine 300 mg tablet, 60 2 120 5
MPNP 10290N ADEFOVIRadefovir dipivoxil 10 mg tablet, 30 2 60 5
MPNP 11657M ATAZANAVIRatazanavir 300 mg capsule, 60 1 60 5
MPNP 10321F ATAZANAVIRatazanavir 300 mg capsule, 30 2 60 5
MPNP 10349Q ATAZANAVIRatazanavir 200 mg capsule, 60 2 120 5
MPNP 10692R ATAZANAVIR + COBICISTATatazanavir 300 mg + cobicistat 150 mg tablet, 30 2 60 5