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 12240F SELEXIPAGselexipag 1.4 mg tablet, 60 1 60 5
MP 12247N SELEXIPAGselexipag 200 microgram tablet, 60 1 60 5
MP 12235Y SELEXIPAGselexipag 400 microgram tablet, 60 1 60 5
MP 12249Q SELEXIPAGselexipag 800 microgram tablet, 60 1 60 5
MP 12266N SELEXIPAGselexipag 800 microgram tablet, 60 1 60 3
MP 12258E SELEXIPAGselexipag 200 microgram tablet, 140 1 140 2
MP 12252W SELEXIPAGselexipag 1.2 mg tablet, 60 1 60 5
MP 12265M SELEXIPAGselexipag 1.6 mg tablet, 60 1 60 5
MP 12263K SELEXIPAGselexipag 600 microgram tablet, 60 1 60 5
MP 12259F SELEXIPAGselexipag 1 mg tablet, 60 1 60 5
MP 9546K SEVELAMERsevelamer hydrochloride 800 mg tablet, 180 2 360 5
MP 11855Y SEVELAMERsevelamer carbonate 800 mg tablet, 180 2 360 5
MP 12144E SILDENAFILsildenafil 20 mg tablet, 90 1 90 5
MP 9547L SILDENAFILsildenafil 20 mg tablet, 90 1 90 5
MP 9549N SIROLIMUSsirolimus 1 mg tablet, 100 2 200 5
MP 9548M SIROLIMUSsirolimus 2 mg tablet, 100 2 200 5
MP 9550P SIROLIMUSsirolimus 1 mg/mL oral liquid, 60 mL 2 2 5
MP 9747B SIROLIMUSsirolimus 500 microgram tablet, 100 2 200 5
MPNP 11145N SOFOSBUVIR + VELPATASVIRsofosbuvir 400 mg + velpatasvir 100 mg tablet, 28 1 28 2
MPNP 11665Y SOFOSBUVIR + VELPATASVIR + VOXILAPREVIRsofosbuvir 400 mg + velpatasvir 100 mg + voxilaprevir 100 mg tablet, 28 1 28 2
MP 10233N SUCROFERRIC OXYHYDROXIDEsucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 2 180 5