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Wednesday, 8 February 2012
Page: 467

Pharmaceutical Items

(Question No. 715)


Mr Dutton asked the Minister for Health and Ageing, in writing, on 3 November 2011:

(1) Will she provide a list of pharmaceutical items that have incurred a (a) 2, (b) 5, and (c) 16, per cent price reduction since 1 February 2011.

(2) For each item in part (1), will she provide the (a) original price, (b) revised price, (c) monetary value of the reduction, and (d) projected saving to the Commonwealth over the forward estimates.

(3) Are there any eligible pharmaceutical items that have been exempted from a (a) 2, (b) 5, and (c) 16, per cent price reduction since 1 February 2011; if so, why.


Ms Roxon: The answer to the honourable member's question is as follows:

(1) and (2) Information about the over 3,680 items which have incurred the two per cent and five per cent price reductions on 1 February 2011 are provided in Attachment A and Attachment Bwhichis available from the House of Representatives Table Office.

Tables 1 and 2 below provide details of the pharmaceutical items which took a 16 per cent statutory price reduction on 1 April 2011 or 1 August 2011, the two occasions on which these reductions have occurred since the 16 per cent price reduction was introduced. The tables also provide the price (dispensed price maximum quantity) before and after the price reduction.

Table 1 - Pharmaceutical Items which took a 16 percent statutory price reduction on 1 April 2011

No.

Drug

Form/Strength

Pack Size

Max Qty

Feb 11

Dispensed Price Maximum Quantity

Apr 11

Dispensed Price Maximum Quantity

Difference

1

Atenonol

Tablet 50mg

30

30

$10.08

$9.49

$0.59

2

Epirubicin Hydrochloride

Solution for injection 100mg in 50ml

1

2

$906.84

$762.78

$144.06

3

Epirubicin Hydrochloride

Solution for injection 10mg in 5ml

1

4

$208.26

$176.30

$31.96

4

Epirubicin Hydrochloride

Solution for injection 200mg in 100ml

1

1

$893.34

$751.43

$141.91

5

Epirubicin Hydrochloride

Solution for injection 20mg in 10ml

1

4

$379.30

$322.50

$56.80

6

Epirubicin Hydrochloride

Solution for injection 50mg in 25ml

1

4

$919.10

$773.06

$146.04

7

Filgrastim

Injection 300mcg in 1ml or in 0.5ml single use pre-filled syringe

10

20

$3,008.00*

$2,515.54*

$492.46

8

Filgrastim

Injection 480mcg in 1.6ml or in 0.5ml single use pre-filled syringe

10

20

$4,814.00*

$4,032.58*

$781.42

9

Idarubicin Hydrochloride

Solution for IV injection 10mg in 10ml

6

6

$2,104.80

$1,778.41

$326.39

10

Idarubicin Hydrochloride

Solution for IV injection 5mg in 5mL

3

3

$568.88

$478.89

$89.99

11

Isotretinoin

Capsule 10mg

60

60

$89.37

$76.09

$13.28

12

Isotretinoin

Capsule 20mg

60

60

$135.70

$115.02

$20.68

13

Isotretinoin

Capsule 40mg

30

30

$123.11

$104.44

$18.67

14

Pioglitazone

Tablet 15mg (as hydrochloride)

28

28

$61.52

$53.00

$8.52

15

Pioglitazone

Tablet 30mg (as hydrochloride)

28

28

$91.19

$77.62

$13.57

16

Pioglitazone

Tablet 45mg (as hydrochloride)

28

28

$116.64

$99.01

$17.63

17

Risedronate Sodium

Tablet 150mg

1

1

$56.98

$49.53

$7.45

18

Risedronate Sodium

Tablet 30mg

28

28

$304.62

$259.79

$44.83

19

Risedronate Sodium

Tablet 35mg

4

4

$53.34

$46.55

$6.79

20

Risedronate Sodium

Tablet 5mg

28

28

$53.34

$46.55

$6.79

21

Risedronate Sodium and Calcium Carbonate

Pack containing 4 tablets risedronate sodium 30mg and 24 tablets calcium carbonate 1.2g (equivalent to 500mg calcium)

1

1

$53.34

$46.55

$6.79

22

Risedronate Sodium and Calcium Carbonate with Colecalciferol

Pack containing 4 tablets risedronate sodium 35g and 24 sachets containing granules of calcium carbonate 2.5g (equivalent to 1g calcium) with colecalciferol 22mcg

1

1

$53.34

$46.55

$6.79

‡General schedule prices, unless indicated otherwise. Dispensed price maximum quantity may not reflect exactly the 16% reduction as the reduction is calculated on the price exclusive of pharmacy mark ups and fees.

*Highly Specialised Drug (HSD) - public hospital price

Table 2 - Pharmaceutical Items which took a 16 percent statutory price reduction on 1 August 2011

No.

Drug

Form/Strength

Pack Size

Max Qty

Apr 11

Dispensed Price Maximum Quantity

Aug 11

Dispensed Price Maximum Quantity

Difference

1

Exemestane

Tablet 25mg

30

30

$180.18

$152.38

$27.80

2

Leflunomide

Tablet 10mg

30

30

$90.21

$76.80

$13.41

3

Leflunomide

Tablet 20mg

30

30

$133.99

$113.57

$20.42

4

Leflunomide

Pack containing 3 tablets leflunomide 100mg and 30 tablets leflunomide 20mg

1

1

$207.57

$175.64

$31.93

5

Methylprednisolone

Powder for Injection 40mg (as sodium succinate)

5

5

$35.04

$30.47

$4.57

6

Methylprednisolone

Powder for Injection 1g (as sodium succinate)

1

1

$93.65

$79.69

$13.96

7

Methylprednisolone

Injection containing Methylprednisolone acetate 40mg in 1mL

5

5

$24.23

$21.38

$2.85

8

Fentanyl

Transdermal patch 2.1mg

5

5

$47.16

$41.53

$5.63

9

Fentanyl

Transdermal patch 4.2mg

5

5

$56.28

$49.46

$6.82

10

Fentanyl

Transdermal patch 8.4mg

5

5

$95.38

$81.58

$13.80

11

Fentanyl

Transdermal patch 12.6mg

5

5

$127.28

$108.37

$18.91

12

Fentanyl

Transdermal patch 16.8mg

5

5

$155.76

$132.30

$23.46

13

Salbutamol

Pressurised inhalation 100 micrograms (as sulfate) per dose, 200 doses (CFC-free formulation)

1

2

$15.22

$13.82

$1.40

14

Salbutamol

Pressurised inhalation 100 micrograms (as sulfate) per dose, 200 doses (CFC-free formulation)

1

1

$10.82

$10.12

$0.70

15

Salbutamol

Capsule containing powder for oral inhalation 200 micrograms (as sulfate) (for use in Ventolin Rotahaler)

100

200

$17.90

$16.06

$1.84

‡General schedule prices, unless indicated otherwise. Dispensed price maximum quantity may not reflect exactly the 16% reduction as the reduction is calculated on the price exclusive of pharmacy mark ups and fees.

(2) (d) The projected saving to Government from the whole package of Further PBS Reforms (which also include Expanded and Accelerated Price Disclosure) is provided in the table below and is available from the Departments Portfolio Additional Estimates Statements of 2010-11. Any further breakdown is Budget-in-Confidence.

Further PBS Reform

Quantitative Indicators

2010-11

Actual*

2011-12

 

2012-13

Forward Year 1

2013-14

Forward Year 2

Estimated saving to Government from Further PBS Reform

$30.0m

$191.2m

$528.4m

$546.4m

(3) On 1 February 2011, a two percent and five percent statutory price reduction applied to all Pharmaceutical Benefits Scheme listed brands of non-exempt pharmaceutical items containing drugs which were listed on the F2A and F2T formularies as at 11 October 2010, respectively. These reductions were required under the National Health Act 1953 (the Act). The Act provided for exemptions from these price reductions in the following circumstances:

Section 99ACG of the Act exempted pharmaceutical items from these reductions if a 12.5 percent statutory price reduction or a price disclosure reduction had been applied previously; and

Section 84AH of the Act empowers the Minister to determine, by legislative instrument, that a pharmaceutical item is an 'exempt item' if the pharmaceutical item satisfies the criteria in that section. The intention of this exemption is to encourage availability of presentations of drugs that are used by a demographic subgroup, for example, a liquid presentation for children.

Information on the items which were exempted from these statutory price reductions can be accessed through the Pharmaceutical Benefits Scheme website (www.pbs.gov.au) and the Australian Government ComLaw website (www.comlaw.gov.au) and is reproduced in the following tables.

_______________

* Department of Health and Ageing Annual Report 2010-11.

Table 1 - Items exempt from 1 February 2011 statutory price reductions because of previous 12.5 percent reduction (http://www.pbs.gov.au/info/industry/pricing)

No.

Drug

Manner of Administration

Date of effect

(12.5% reduction)

1

Cefepime

Injection

1-Dec-10

2

Cephazolin

Injection

1-Dec-10

3

Hydroxocobalamin

Injection

1-Dec-10

4

Macrogol 3350

Oral

1-Dec-10

5

Omeprazole and clarithromycin and amoxicillin

Oral

1-Dec-10

6

Tacrolimus

Oral

1-Dec-10

Table 2 - Items exempt from 1 February 2011 statutory price reductions because of a previous price disclosure price reduction (http://www.pbs.gov.au/info/industry/pricing)

No.

Drug

Manner of Administration

Date of effect

(Price disclosure reduction)

1

Carvedilol

Oral

1-Apr-10

2

Fluconazole

Oral

1-Apr-10

3

Vancomycin

Injection

1-Apr-10

4

Cefalotin

Injection

1-Aug-10

5

Doxorubicin

Injection/intravesical

1-Aug-10

6

Meloxicam

Oral

1-Aug-10

7

Mitozantrone

Injection

1-Aug-10

8

Ondansetron

Injection

1-Aug-10

 

Table 3 - Items exempt from statutory price reductions under section 84AH of the Act (see also PB58 of 2007 - Exempt Item Determination, http://www.comlaw.gov.au )

No.

Drug

Form/Strength

Manner of administration

1

Amisulpride

Oral solution 100mg permL, 60mL

Oral

2

Amoxycillin

Powder for paediatric oral drops 100mg (as trihydrate) permL, 20mL

Oral

3

Artemether with Lumefantrine

Tablet (dispersible) 20mg-120mg

Oral

4

Baclofen

Intrathecal injection 10mg in 5mL

Injection

5

Captopril

Oral solution 5mg permL, 95mL

Oral

6

Carbamazepine

Oral suspension 100mg per 5mL, 300mL

Oral

7

Ciprofloxacin

Ear drops 3mg (as hydrochloride) permL, 5mL

Application to the ear

8

Clonazepam

Oral liquid 2.5mg permL, 10mL

Oral

9

Clonazepam

Injection 1mg in 2mL (set containing solution

1mg in 1mL and 1mL diluent)

Injection

10

Clozapine

Oral liquid 50mg permL, 100mL

Oral

11

Cyclosporin

Oral liquid 100mg permL, 50mL

Oral

12

Cyclosporin

Capsule 10mg

Oral

13

Cyclosporin

Solution concentrate for I.V. infusion 50mg in 1mL

Injection

14

Diazepam

Injection 10mg in 2mL

Injection

15

Diclofenac

Suppository containing diclofenac sodium 100mg

Rectal

16

Digoxin

Paediatric oral solution 50 micrograms permL, 60mL

Oral

17

Erythromycin

Powder for I.V. infusion 1g (as lactobionate)

Injection

18

Escitalopram

Oral solution 10mg (as oxalate) permL, 28mL

Oral

19

Fluconazole

Powder for oral suspension 50mg in 5mL, 35mL

Oral

20

Frusemide

Oral solution 10mg permL, 30mL

Oral

21

Glyceryl trinitrate

Sublingual spray (pump pack) 400 micrograms per dose, 200 doses

Sublingual

22

Indomethacin

Suppository 100mg

Rectal

23

Ketoprofen

Suppository 100mg

Rectal

24

Lacosamide

Oral solution 15mg permL, 200mL

Oral

25

Levetiracetam

Oral solution 100mg permL, 300mL

Oral

26

Levodopa with Carbidopa

Tablet 200mg-50mg (anhydrous) (modified release)

Oral

27

Methadone

Oral liquid containing methadone hydrochloride 25mg per 5mL, 200mL

Oral

28

Methadone

Injection containing methadone hydrochloride 10mg in 1mL

Injection

29

Metronidazole

Suppositories 500mg, 10

Rectal

30

Metronidazole

Oral suspension containing metronidazole benzoate 320mg per 5mL, 100mL

Oral

31

Naproxen

Oral suspension 125mg per 5mL, 474mL

Oral

32

Nevirapine

Oral suspension 50mg (as hemihydrate) per 5mL, 240mL

Oral

33

Oestradiol

Vaginal tablets 25 micrograms, 15

Vaginal

34

Ondansetron

Syrup 4mg (as hydrochloride dihydrate) per 5mL, 50mL

Oral

35

Paracetamol

Oral liquid 120mg per 5mL, 100mL

Oral

36

Paracetamol

Oral liquid 240mg per 5mL, 200mL

Oral

37

Paracetamol

Tablet 665mg (modified release)

Oral

38

Paracetamol

Suppositories 500mg, 24

Rectal

39

Prochlorperazine

Suppositories containing prochlorperazine equivalent to 25mg prochlorperazine maleate, 5

Rectal

40

Prochlorperazine

Injection containing prochlorperazine mesylate 12.5mg in 1mL

Injection

41

Ranitidine

Syrup 150mg (as hydrochloride) per 10mL, 300mL

Oral

42

Risperidone

Oral solution 1mg permL, 100mL

Oral

43

Roxithromycin

Tablet for oral suspension 50mg

Oral

44

Salbutamol

Oral solution 2mg (as sulfate) per 5mL, 150mL

Oral

45

Salbutamol

Pressurised inhalation in breath actuated device 100 micrograms (as sulfate) per dose, 200 doses (CFC-free formulation)

Inhalation by mouth

46

Terbinafine

Cream containing terbinafine hydrochloride 10mg per g, 15g

Application

47

Tipranavir

Oral liquid 100mg permL, 95mL

Oral

48

Tramadol

Oral drops containing tramadol hydrochloride 100mg permL, 10mL

Oral

49

Valganciclovir

Powder for oral solution 50mg (as hydrochloride) permL, 100mL

Oral

50

Valproic acid

Tablet, crushable, containing sodium valproate 100mg

Oral

51

Valproic acid

Oral liquid containing sodium valproate 200mg per 5mL, 300mL

Oral

52

Valproic acid

Oral solution containing sodium valproate 200mg per 5mL, 300mL

Oral

53

Verapamil

Injection containing verapamil hydrochloride 5mg in 2mL

Injection