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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
packs
Max qty
units
No. of
repeats
MPNP 10326L RALTEGRAVIRraltegravir 100 mg chewable tablet, 60 6 360 5
MPNP 11248B RALTEGRAVIRraltegravir 600 mg tablet, 60 2 120 5
MPNP 10299C RALTEGRAVIRraltegravir 25 mg chewable tablet, 60 6 360 5
MPNP 10286J RALTEGRAVIRraltegravir 400 mg tablet, 60 2 120 5
MPNP 10298B RILPIVIRINErilpivirine 25 mg tablet, 30 2 60 5
MPNP 10273Q RITONAVIRritonavir 100 mg tablet, 30 24 720 5