Browse by Section 100 Item List
HIGHLY SPECIALISED DRUGS PROGRAM (Public Hospital)
For Highly Specialised Drugs prescribed through public hospitals, claiming and approval of authority prescriptions is administered by Services Australia. Maximum quantities and repeats for Highly Specialised Drugs are listed in the Schedule. Highly Specialised Drugs prescribed through public hospitals, except Complex Authority Required Highly Specialised Drugs, are Authority required (STREAMLINED) PBS Prescriptions. Authority approvals are required for prescriptions where the dose is above the determined maximum quantity and/or number of repeats. Complex Authority Required Highly Specialised Drugs require written authority applications. Approval of authority prescriptions by Services Australia may be obtained either by posting an Authority Prescription Form to Services Australia, or by using the Services Australia Authority free-call service (1800 888 333). Prescribers must quote the provider number of the hospital when applying.
Public hospital prescriptions for Highly Specialised Drugs can be dispensed by public hospital pharmacies. A patient will be required to pay a contribution for each supply of a highly specialised drug at a similar rate to the Pharmaceutical Benefits Scheme. Commonwealth subsidy is not available for hospital in-patients.
Reciprocal Health Care Agreement – Where a patient is entitled to be treated as an eligible person as a visitor from a country with which Australia has entered into a Reciprocal Health Care Agreement, the supply will be limited to the original prescription only. Repeat prescriptions for these patients are not permitted.
- 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 |
---|---|---|---|---|---|
MP | 5637Q | DARBEPOETIN ALFAdarbepoetin alfa 10 microgram/0.4 mL injection, 4 x 0.4 mL syringes | 2 | 8 | 5 |
MP | 5649H | DARBEPOETIN ALFAdarbepoetin alfa 100 microgram/0.5 mL injection, 0.5 mL pen device | 8 | 8 | 5 |
MP | 5646E | DARBEPOETIN ALFAdarbepoetin alfa 40 microgram/0.4 mL injection, 0.4 mL pen device | 8 | 8 | 5 |
MP | 5640W | DARBEPOETIN ALFAdarbepoetin alfa 40 microgram/0.4 mL injection, 4 x 0.4 mL syringes | 2 | 8 | 5 |
MP | 5641X | DARBEPOETIN ALFAdarbepoetin alfa 50 microgram/0.5 mL injection, 4 x 0.5 mL syringes | 2 | 8 | 5 |
MP | 5647F | DARBEPOETIN ALFAdarbepoetin alfa 60 microgram/0.3 mL injection, 0.3 mL pen device | 8 | 8 | 5 |
MP | 5642Y | DARBEPOETIN ALFAdarbepoetin alfa 60 microgram/0.3 mL injection, 4 x 0.3 mL syringes | 2 | 8 | 5 |
MP | 5648G | DARBEPOETIN ALFAdarbepoetin alfa 80 microgram/0.4 mL injection, 0.4 mL pen device | 8 | 8 | 5 |
MP | 5644C | DARBEPOETIN ALFAdarbepoetin alfa 80 microgram/0.4 mL injection, 4 x 0.4 mL syringes | 2 | 8 | 5 |
MP | 5651K | DARBEPOETIN ALFAdarbepoetin alfa 100 microgram/0.5 mL injection, 4 x 0.5 mL syringes | 2 | 8 | 5 |
MP | 5650J | DARBEPOETIN ALFAdarbepoetin alfa 150 microgram/0.3 mL injection, 0.3 mL pen device | 8 | 8 | 5 |
MP | 5643B | DARBEPOETIN ALFAdarbepoetin alfa 150 microgram/0.3 mL injection, 4 x 0.3 mL syringes | 2 | 8 | 5 |
MP | 5645D | DARBEPOETIN ALFAdarbepoetin alfa 20 microgram/0.5 mL injection, 0.5 mL pen device | 8 | 8 | 5 |
MP | 5638R | DARBEPOETIN ALFAdarbepoetin alfa 20 microgram/0.5 mL injection, 4 x 0.5 mL syringes | 2 | 8 | 5 |
MP | 5639T | DARBEPOETIN ALFAdarbepoetin alfa 30 microgram/0.3 mL injection, 4 x 0.3 mL syringes | 2 | 8 | 5 |
MP | 11500G | DEFERASIROXdeferasirox 180 mg tablet, 30 | 6 | 180 | 2 |
MP | 11535D | DEFERASIROXdeferasirox 180 mg tablet, 30 | 6 | 180 | 2 |
MP | 11556F | DEFERASIROXdeferasirox 180 mg tablet, 30 | 6 | 180 | 5 |
MP | 11533B | DEFERASIROXdeferasirox 360 mg tablet, 30 | 6 | 180 | 5 |
MP | 11536E | DEFERASIROXdeferasirox 360 mg tablet, 30 | 6 | 180 | 2 |
MP | 11555E | DEFERASIROXdeferasirox 360 mg tablet, 30 | 6 | 180 | 2 |
MP | 11499F | DEFERASIROXdeferasirox 90 mg tablet, 30 | 6 | 180 | 5 |
MP | 11519G | DEFERASIROXdeferasirox 90 mg tablet, 30 | 6 | 180 | 2 |
MP | 11534C | DEFERASIROXdeferasirox 90 mg tablet, 30 | 6 | 180 | 2 |
MP | 11235H | DEFERASIROXdeferasirox 125 mg dispersible tablet, 28 | 6 | 168 | 2 |
MP | 11247Y | DEFERASIROXdeferasirox 125 mg dispersible tablet, 28 | 6 | 168 | 5 |
MP | 5654N | DEFERASIROXdeferasirox 125 mg dispersible tablet, 28 | 6 | 168 | 2 |
MP | 11239M | DEFERASIROXdeferasirox 250 mg dispersible tablet, 28 | 6 | 168 | 2 |
MP | 11240N | DEFERASIROXdeferasirox 250 mg dispersible tablet, 28 | 6 | 168 | 5 |
MP | 5655P | DEFERASIROXdeferasirox 250 mg dispersible tablet, 28 | 6 | 168 | 2 |
MP | 11231D | DEFERASIROXdeferasirox 500 mg dispersible tablet, 28 | 6 | 168 | 2 |
MP | 11234G | DEFERASIROXdeferasirox 500 mg dispersible tablet, 28 | 6 | 168 | 5 |
MP | 5656Q | DEFERASIROXdeferasirox 500 mg dispersible tablet, 28 | 6 | 168 | 2 |
MP | 11747G | DEFERIPRONEdeferiprone 1 g tablet, 50 | 6 | 300 | 5 |
MP | 5658T | DEFERIPRONEdeferiprone 100 mg/mL oral liquid, 250 mL | 5 | 5 | 5 |
MP | 5657R | DEFERIPRONEdeferiprone 500 mg tablet, 100 | 3 | 300 | 5 |
MP | 5661Y | DESFERRIOXAMINEdesferrioxamine mesilate 2 g injection, 1 vial | 60 | 60 | 5 |
MP | 5662B | DESFERRIOXAMINEdesferrioxamine mesilate 500 mg injection, 10 vials | 40 | 400 | 5 |
MP | 5704F | DORNASE ALFAdornase alfa 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules | 2 | 60 | 5 |
MPNP | 5705G | DOXORUBICIN HYDROCHLORIDE (AS PEGYLATED LIPOSOMAL)doxorubicin hydrochloride (as pegylated liposomal) 20 mg/10 mL injection, 10 mL vial | 4 | 4 | 5 |
MP | 12293B | DUPILUMABdupilumab 300 mg/2 mL injection, 2 x 2 mL syringes | 1 | 2 | 8 |
MP | 12302L | DUPILUMABdupilumab 300 mg/2 mL injection, 2 x 2 mL syringes | 1 | 2 | 5 |
MP | 12309W | DUPILUMABdupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes | 1 | 2 | 8 |
MP | 12318H | DUPILUMABdupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes | 1 | 2 | 5 |