Document ID: chunk:federal_register_of_legislation:F2025C00158:clause:4_1:p55
Version: federal_register_of_legislation:F2025C00158
Segment Type: clause
Provision Reference: sch 4 cl 1 (pt 55/191)
Character Range: 10111436–10129820

must be receiving palliative care; AND
                                                                                                                                                                                                                               Patient must be intolerant to alternative therapy.
C6168               P6168          CN6168           Morphine                                                                                                                                                                   Severe disabling pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Compliance with Authority Required procedures
                                                                                                                                                                                                                               Patient must be receiving palliative care; AND
                                                                                                                                                                                                                               The condition must be unresponsive to non-opioid analgesics.
C6169               P6169          CN6169           Flucloxacillin                                                                                                                                                             Osteomyelitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code 6169

C6170               P6170          CN6170           Macrogol 3350                                                                                                                                                              Constipation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Compliance with Authority Required procedures - Streamlined Authority Code 6170
                                                                                                                                                                                                                               Patient must be receiving palliative care.
C6171               P6171          CN6171           Macrogol 3350                                                                                                                                                              Constipation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Compliance with Authority Required procedures - Streamlined Authority Code 6171
                                                                                                                                                                                                                               Patient must be receiving palliative care.
C6172               P6172          CN6172           Carbomer                                                                                                                                                                   Severe dry eye syndrome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Compliance with Authority Required procedures - Streamlined Authority Code 6172
                                                                                                                                                                                                                               Patient must be sensitive to preservatives in multi-dose eye drops.
                                                    Carmellose

                                                    Hypromellose

                                                    Paraffin

                                                    Perfluorohexyloctane

                                                    Polyethylene glycol 400 with propylene glycol

                                                    Soy lecithin

C6174               P6174          CN6174           Protein hydrolysate formula with medium chain triglycerides                                                                                                                Cows' milk protein enteropathy and intolerance to soy protein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code 6174
                                                                                                                                                                                                                               Initial treatment
                                                                                                                                                                                                                               Must be treated by a specialist allergist, clinical immunologist, specialist paediatrician or specialist paediatric gastroenterologist and hepatologist, or in consultation with a specialist allergist, clinical immunologist, specialist paediatrician or specialist paediatric gastroenterologist and hepatologist; AND
                                                                                                                                                                                                                               The condition must not be isolated infant colic or reflux; AND
                                                                                                                                                                                                                               Patient must have failed to respond to a strict soy-based cows' milk protein free diet;
                                                                                                                                                                                                                               Patient must be up to the age of 24 months.
C6175               P6175          CN6175           Nitrazepam                                                                                                                                                                 Insomnia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Compliance with Authority Required procedures
                                                                                                                                                                                                                               Patient must be receiving palliative care.
                                                    Temazepam

C6176               P6176          CN6176           Diazepam                                                                                                                                                                   Anxiety                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Compliance with Authority Required procedures
                                                                                                                                                                                                                               Patient must be receiving palliative care.
                                                    Oxazepam

C6178               P6178          CN6178           Phenoxybenzamine                                                                                                                                                           Neurogenic urinary retention

C6180               P6180          CN6180           Methylnaltrexone                                                                                                                                                           Opioid-induced constipation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Compliance with Authority Required procedures - Streamlined Authority Code 6180
                                                                                                                                                                                                                               The treatment must be in combination with oral laxatives; AND
                                                                                                                                                                                                                               Patient must be receiving palliative care; AND
                                                                                                                                                                                                                               Patient must have failed to respond to laxatives.
C6181               P6181          CN6181           Triglycerides, medium chain                                                                                                                                                Chylous ascites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Compliance with Authority Required procedures - Streamlined Authority Code 6181

C6182               P6182          CN6182           Protein hydrolysate formula with medium chain triglycerides                                                                                                                Proven combined immunoglobulin E (IgE) mediated allergy to cows' milk protein and soy protein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code 6182
                                                                                                                                                                                                                               Continuing treatment
                                                                                                                                                                                                                               Must be treated by a specialist allergist, clinical immunologist or specialist paediatric gastroenterologist and hepatologist;
                                                                                                                                                                                                                               Patient must be up to the age of 24 months.
                                                                                                                                                                                                                               The name of the specialist must be documented in the patient's medical records
C6188               P6188          CN6188           Cefalexin                                                                                                                                                                  Osteomyelitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code 6188

                                                    Dicloxacillin

C6189               P6189          CN6189           Dutasteride with tamsulosin                                                                                                                                                Benign prostatic hyperplasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Compliance with Authority Required procedures - Streamlined Authority Code 6189