6 September 2019
Date: Wednesday 18 September 2019
Time: 10.00 - 11.00am
Venue: Teleconference
Contact: Cassy Clark, pbslisting@health.gov.au
Teleconference details:
Number: 1800 208 747 or 1300 214 196 or +61 2 8524 2300
Guest: 428044
This meeting is to table a draft solution (XML3 and reports) and start discussions to ensure the legislative changes for Dispense/Supply only (DO) can be implemented.
Legislation changed in February 2018
National Health ACT 1953, Section 88 (1EB)
In the past, all PBS listings were required to operate as ‘prescribe and dispense’ as there was no ability in the legislation to have a product listed for the supply function only. Legislative changes in February 2018 mean that a PBS listing can continue for supply purposes only, but not for prescribing. This could be used where the original listing will be discontinued or lapse at a later date (eg. a product is delisted or replaced by a similar product). The listing information (as determined by the Minister) would control the period that a supply only listing would remain effective. In all other respects, a supply only listing operates in the same way as any other current listing.
Example
DO
Brand sub (A flag)
Cross Item sub
Payable Under DO listing
Payable Under Substitutable listing
Notes
Currently covered in SO
Last brand of Item code marked with DO with no substitution
Yes
No
No
Yes, Dispense and claim DO item and brand
No
Examples
No
Last brand of Item code marked with DO with cross item substitution existing
Yes
No
Yes
Yes, Dispense and claim DO item and brand
Yes, dispense and claim substitutable cross item listing
Examples
Yes
Last brand of Item code marked with DO with new replacement cross item substitution
Yes
No
Yes
Yes, Dispense and claim DO item and brand
Yes, dispense and claim substitutable cross item listing
Issue with DOP rules
Examples
Yes
All brands of Item code marked with DO with possible different permutations
Yes
Yes or No
Yes or No
Yes, Dispense and claim DO item and brand
If applicable Yes, dispense and claim substitutable brand or cross item listing
Yes/No
Brand of item code marked with DO with no substitution
Yes
No
No
Yes, Dispense and claim DO item and brand
No
Examples
No
Brand of item code marked with DO with brand substitution
Yes
Yes
No
Yes, Dispense and claim DO item and brand
Yes, dispense and claim substitutable brand
Examples
No
Brand of item code marked with DO with cross item substitution
(Different brands may have different cross item sub)
Yes
Yes/No
Yes
Yes, Dispense and claim DO item and brand
Yes, dispense and claim substitutable brand or cross item listing
Examples
No
Brand of item code marked with DO with new brand substitution
Yes
Yes
No
Yes, Dispense and claim DO item and brand
Yes, dispense and claim substitutable brand
Examples
No
Brand of item code marked with DO with new cross item Substitution
New version of existing item
(Different brands may have different cross item sub)
Yes
Yes/No
Yes
Yes, Dispense and claim DO item and brand
Yes, dispense and claim substitutable brand or cross item listing
Examples
No
Brand across multiple item codes
Yes
Yes/No
Yes/No
Yes
Yes/No
Examples
Yes/No
Straight delist item
No
No
No
No
No
Examples
NA
Straight delist brand item
No
No
No
No
No
NA
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