Browse by Section 100 Item List
HIGHLY SPECIALISED DRUGS PROGRAM (Private Hospital)
For Highly Specialised Drugs prescribed through private hospitals, claiming and approval of authority prescriptions is administered by Services Australia. Highly Specialised Drugs prescribed in private hospitals are Authority Required items. Medical practitioners must seek approval to prescribe these items as pharmaceutical benefits prior to their dispensing under the PBS. 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. Maximum quantities and repeats for Highly Specialised Drugs are listed in the Schedule.
Private hospital prescriptions for Highly Specialised Drugs can be dispensed by an approved private hospital dispensary or by a community pharmacy. A patient will be required to pay a contribution for each supply of a highly specialised drug at the same rate as the Pharmaceutical Benefits Scheme. Commonwealth subsidy is not available for hospital in-patients.
The remuneration rates for Highly Specialised Drugs prescribed through private hospitals comprise the normal PBS ready-prepared dispensing fee plus a mark-up ascertained as follows:
- 10% for drugs with a price ex-manufacturer of less than $40;
- $4 for drugs with a price ex-manufacturer of between $40 and $100;
- 4% for drugs with a price ex-manufacturer of between $100.01 and $1000;
- $40 for drugs with a price ex-manufacturer of greater than $1000.
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.
- MPMedical Practitioner
|Prescriber code||Item code||Name, manner of administration and form & strength||Max qty
|MP||6109M||CICLOSPORINciclosporin 50 mg/mL injection, 10 x 1 mL ampoules||1||10||0|
|MP||6125J||CICLOSPORINciclosporin 100 mg/mL oral liquid, 50 mL||4||4||5|
|MP||6352H||CICLOSPORINciclosporin 25 mg capsule, 30||4||120||5|
|MP||6353J||CICLOSPORINciclosporin 50 mg capsule, 30||4||120||5|
|MP||6232B||CICLOSPORINciclosporin 10 mg capsule, 60||2||120||5|
|MP||6354K||CICLOSPORINciclosporin 100 mg capsule, 30||4||120||5|
|MP||11889R||CINACALCETcinacalcet 60 mg tablet, 28||2||56||5|
|MP||9626P||CINACALCETcinacalcet 60 mg tablet, 28||2||56||5|
|MP||11888Q||CINACALCETcinacalcet 90 mg tablet, 28||2||56||5|
|MP||9627Q||CINACALCETcinacalcet 90 mg tablet, 28||2||56||5|
|MP||11891W||CINACALCETcinacalcet 30 mg tablet, 28||2||56||5|
|MP||9625N||CINACALCETcinacalcet 30 mg tablet, 28||2||56||5|
|MP||6102E||CLOZAPINEclozapine 100 mg tablet, 100||2||200||0|
|MP||6101D||CLOZAPINEclozapine 25 mg tablet, 100||2||200||0|
|MP||6418T||CLOZAPINEclozapine 200 mg tablet, 100||2||200||0|
|MP||11415T||CLOZAPINEclozapine 50 mg/mL oral liquid, 100 mL||1||1||0|
|MP||9632Y||CLOZAPINEclozapine 50 mg/mL oral liquid, 100 mL||1||1||0|
|MP||6417R||CLOZAPINEclozapine 50 mg tablet, 100||2||200||0|