Highly Specilised Drugs PDF

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Summary

What different section prescriptions entail and what is the process of get highly specialised drugs....

Description

Section 48 Prescriptions   

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Supply of pharmaceutical benefits before surrender of written prescriptions Owing prescriptions Emergency supply- where it is not possible to contact the prescriber, most state or territory laws allow for emergency supply of medicines without a prescription. The quantity supplied is generally no more than required for 3 days of treatment Pharmacist cannot claim payment until written prescription is received Must receive written prescription within 7 days Repeat authorisations cannot be used to cover supplies made under the urgent supply provisions for pbs claiming Section 48 or communicated prescriptions can only be claimed once paper prescription has been received from the prescriber

Prescriber requirements  Personally, contact the pharmacist either verbally or written form why you need the prescription  Provide all the required prescriptions details to pharmacist  Provide written prescription to pharmacist within 7 days of supply Authority required and Streamlined authority required 

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Prescribers still need the approval from department of human services/veterans’ affairs and approval number prior to supply from pharmacist Retrospective approval will not be granted.

Section 49 prescription Prescriber requirements  The max PBS/RPBS quantity is  Original and repeated supplies of insufficient for the patients’ PBS/RPBS items can be supplied at treatment the one time  The patient has a chronic illness and  If getting it, customer pays patient or lives in a remote area where contributions and additional patient access to PBS/RPBS supplies is charges together-> eg. 5 repeats limited patient pays for 6 supplies  The patient would suffer great  If patient doesn’t want all of it at the hardship by trying to get repeated same time, can take limited number supplies of the item but remainder repeats is invalid  Medical practitioners, authorised  Hardship conditions apply on RPBS nurses practitioners and midwives  All supplies dispensed before PBS Safety Net concession or entitlement card is issue  Customer pays more than PBS Safety Net threshold but can apply to get a refund for that amount to the department  Section 51  Immediate supply necessary  Supply PBS prescriptions within 20 or 4 days of previous supply if

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pharm believes item has been lost, stolen, destroyed or needed to prevent delay in treatment for patient Pharm must write immediate supply necessary on prescription Once a PBS item has been supplied it should not be supplied again I. Within the next 20 days, if it is listed in the Schedule of Pharmaceuticals benefits as having 5 or more repeats except eye preps II. Within the next 4 days in the case of other listed items

HIGHLY SPECILISED DRUGS

Patients HSD public or HSD private items  Be attending a participating hospital and be either a day admitted patient, a non-admitted patient or a patient on discharge  Be under appropriate specialist care  Meet the criteria for the item as listed in the schedule  Be an Australian resident or other eligible person who holds a valid Medicare care, or a person from a country with a Reciprocal Health Care agreement (RHCA) with Australia. If a patient is eligible to be

HSD community access arrangements items  Be under appropriate medical care from eligible medical practitioner  Meet the criteria for the item as listed in the schedule  Be an Australian resident or other eligible person who holds a valid Medicare care, or a person from a country with a Reciprocal Health Care agreement (RHCA) with Australia. If a patient is eligible to be treated under the RHCA, the supply is limited to the original prescription only

treated under the RHCA, the supply is limited to the original prescription only Medical Practitioners HSD public and private and HSD CAR items 

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A staff hospital specialist, or a visiting consulting hospital specialist affiliated with the public or private hospital unit An accredited prescriber of HIV/AIDS medicine A general practitioner or nonspecialist hospital doctor who provides maintenance therapy under the guidance of a treating specialist

HSD community access arrangements items  A medical practitioner prescribing HSD community access arrangements items must be an accredited prescriber of HIV antiretroviral therapy, clozapine maintenance therapy, clozapine maintenance therapy or chronic hepatitis B therapy-community or hospital-based...