Multiple sclerosis

Treatment Phase: Initial treatment

Clinical criteria:

• The condition must be diagnosed as clinically definite relapsing-remitting multiple sclerosis by magnetic resonance imaging of the brain and/or spinal cord; OR

• The condition must be diagnosed as clinically definite relapsing-remitting multiple sclerosis, with written certification provided by a radiologist that a magnetic resonance imaging scan is contraindicated because of the risk of physical (not psychological) injury to the patient,

AND

• Patient must have experienced at least 2 documented attacks of neurological dysfunction, believed to be due to multiple sclerosis, in the preceding 2 years of commencing a PBS-subsidised disease modifying therapy for this condition,

AND

• Patient must be ambulatory (without assistance or support).

Treatment criteria:

• Must be treated by a medical practitioner; OR

• Must be treated by a nurse practitioner in consultation with a specialist physician.

Where applicable, the date of the magnetic resonance imaging scan must be recorded in the patient's medical records.

Multiple sclerosis

Treatment Phase: Continuing treatment

Clinical criteria:

• The condition must be diagnosed as clinically definite relapsing-remitting multiple sclerosis,

AND

• Patient must have previously received PBS-subsidised treatment with this drug for this condition,

AND

• Patient must not show continuing progression of disability while on treatment with this drug,

AND

• Patient must have demonstrated compliance with, and an ability to tolerate this therapy.

Treatment criteria:

• Must be treated by a medical practitioner; OR

• Must be treated by a nurse practitioner in consultation with a specialist physician.