PBS Flashcards
What is S100 HSD?
The Highly Specialised Drugs Program provides access to specialised PBS medicines for the treatment of chronic conditions which, because of their clinical use and other special features, have restrictions on where they can be prescribed and supplied.
In most cases, medical practitioners are required to undertake specific training or be affiliated with a specialised hospital unit to prescribe these medicines.
Who can prescribe S100 HSDs?
An eligible medical practitioner in a public or private hospital may prescribe HSDs.
In addition, Clozapine for the treatment of schizophrenia (maintenance therapy only), HIV antiretroviral and hepatitis B medicines may be prescribed by authorised community based practitioners.
Can PBS approval be sought for non-listed indications of S100 HSDs?
Benefits are available for the listed clinical indications only and there is no facility for individual patient approval for indications outside those listed.
Supply of S100 HSD to patient with 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 subsidised HSDs for these patients are not permitted.
Under what circumstances must a pharmacist supply PBS medication at any hour?
Approved PBS pharmacist is obliged to supply pharmaceutical benefits at the pharmacy at any hour if a PBS prescription is marked ‘urgent’ and initialled by the prescriber
Where is PBS prescription identifying number recorded upon dispensing script?
A PBS prescription identifying number must be given to the PBS prescription item on both the PBS prescription and duplicate. Any recognised series of numbers may be used.
If more than one item is on a PBS prescription, a separate identifying number should be allocated to each item.
In the case of a repeat authorisation, the same PBS prescription identifying number(s) must be carried through for each item.
What are Complex Authority Required (CAR) medicines?
CAR medicines require written authority applications. Subsequent treatment phases may have lower authority requirements (telephone or Authority Required (Streamlined)) however the medicine remains CAR. Approval of authority prescriptions may be obtained by either posting an Authority Prescription form to DHS, using the DHS free-call service for PBS Complex Drugs Programs enquiries (1800 700 270), or using the appropriate Streamlined code for the prescribing setting. Prescribers must quote the provider number of the hospital when applying.
What S100 HSD prescriptions can community pharmacies dispense?
Private hospital HSD prescriptions
Private hospital CAR prescriptions
Public hospital CAR prescriptions
(NOT other public hospital HSDs)
Community access arrangement items (clozapine, HIV, hep B) but not if public hospital HSD prescription.
Public hospital HSD prescriptions can be dispensed by public hospitals (or community pharmacists through agency arrangements).
What S100 HSD prescriptions can’t community pharmacies dispense?
Public hospital regular (non-CAR) HSD prescriptions.
What approval numbers/format should be on S100 HSD prescriptions?
HSD Public Hosp - PUB M 1234RX
HSD CAR Public Hosp - CAR M 1234RX + approved item code.
HSD Private Hosp - PTE M 1234 RX
HSD CAR Private Hosp - CAR M 1234RX + approved item code.
HSD Community - HSD M XXXXRX
