Document ID: chunk:federal_register_of_legislation:F2025C00158:clause:1_1:p1
Version: federal_register_of_legislation:F2025C00158
Segment Type: clause
Provision Reference: sch 1 cl 1 (pt 1/116)
Character Range: 2420378–2443684

1  Matters relating to pharmaceutical benefits
  The following table sets out pharmaceutical benefits and matters relating to pharmaceutical benefits and their prescription and supply, for the purposes of sections 6 to 10, 12, 13, 15, 16 and 20 to 23.

Listed Drug                                                                                                              Form                                                                                                                                                                                                                Manner of Administration    Brand                                                      Responsible Person  Authorised Prescriber  Circumstances                                                                                                                                                                                                         Purposes                                                                                                                                                                                                              Maximum Quantity                         Number of Repeats                        Variations             Pack Quantity  Determined Quantity  Section 100/ Prescriber Bag only
Dabigatran etexilate                                                                                                     Capsule 75 mg (as mesilate)                                                                                                                                                                                         Oral                        ARX-Dabigatran                                             XT                  MP NP                  C4402                                                                                                                                                                                                                                                                                                                                                                                                                                       60                                       0                                                               60
Dabigatran etexilate                                                                                                     Capsule 75 mg (as mesilate)                                                                                                                                                                                         Oral                        Pradaxa                                                    BY                  MP NP                  C4381                                                                                                                                                                                                                 P4381                                                                                                                                                                                                                 20                                       0                                                               10
Dabigatran etexilate                                                                                                     Capsule 75 mg (as mesilate)                                                                                                                                                                                         Oral                        Pradaxa                                                    BY                  MP NP                  C4369                                                                                                                                                                                                                 P4369                                                                                                                                                                                                                 20                                       1                                                               10
Dabigatran etexilate                                                                                                     Capsule 75 mg (as mesilate)                                                                                                                                                                                         Oral                        Pradaxa                                                    BY                  MP NP                  C4402                                                                                                                                                                                                                 P4402                                                                                                                                                                                                                 60                                       0                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        ARX-Dabigatran                                             XT                  MP NP                  C4402                                                                                                                                                                                                                 P4402                                                                                                                                                                                                                 60                                       0                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        ARX-Dabigatran                                             XT                  MP NP                  C4269                                                                                                                                                                                                                 P4269                                                                                                                                                                                                                 60                                       5                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        ARX-Dabigatran                                             XT                  MP NP                  C14301                                                                                                                                                                                                                P14301                                                                                                                                                                                                                120                                      5                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Dabigatran Sandoz                                          SZ                  MP NP                  C4402                                                                                                                                                                                                                 P4402                                                                                                                                                                                                                 60                                       0                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Dabigatran Sandoz                                          SZ                  MP NP                  C4269                                                                                                                                                                                                                 P4269                                                                                                                                                                                                                 60                                       5                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Dabigatran Sandoz                                          SZ                  MP NP                  C14301                                                                                                                                                                                                                P14301                                                                                                                                                                                                                120                                      5                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        PHARMACOR DABIGATRAN                                       CR                  MP NP                  C4402                                                                                                                                                                                                                 P4402                                                                                                                                                                                                                 60                                       0                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        PHARMACOR DABIGATRAN                                       CR                  MP NP                  C4269                                                                                                                                                                                                                 P4269                                                                                                                                                                                                                 60                                       5                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        PHARMACOR DABIGATRAN                                       CR                  MP NP                  C14301                                                                                                                                                                                                                P14301                                                                                                                                                                                                                120                                      5                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Pradaxa                                                    BY                  MP NP                  C4381                                                                                                                                                                                                                 P4381                                                                                                                                                                                                                 20                                       0                                                               10
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Pradaxa                                                    BY                  MP NP                  C4369                                                                                                                                                                                                                 P4369                                                                                                                                                                                                                 20                                       1                                                               10
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Pradaxa                                                    BY                  MP NP                  C4402                                                                                                                                                                                                                 P4402                                                                                                                                                                                                                 60                                       0                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Pradaxa                                                    BY                  MP NP                  C4269                                                                                                                                                                                                                 P4269                                                                                                                                                                                                                 60                                       5                                                               60
Dabigatran etexilate                                                                                                     Capsule 110 mg (as mesilate)                                                                                                                                                                                        Oral                        Pradaxa                                                    BY                  MP NP                  C14301                                                                                                                                                                                                                P14301                                                                                                                                                                                                                120                                      5                                                               60
Dabigatran etexilate                                                                                                     Capsule 150 mg (as mesilate)                                                                                                                                                                                        Oral                        ARX-Dabigatran                                             XT                  MP NP                  C4269                                                                                                                                                                                                                 P4269                                                                                                                                                                                                                 60                                       5                                                               60
Dabigatran etexilate                                                                                                     Capsule 150 mg (as mesilate)                                                                                                                                                                                        Oral                        ARX-Dabigatran                                             XT                  MP NP                  C14301                                                                                                                                                                                                                P14301                                                                                                                                                                                                                120                                      5                                                               60
Dabigatran etexilate                                                                                                     Capsule 150 mg (as mesilate)                                                                                                                                                                                        Oral                        Dabigatran Sandoz                                          SZ                  MP NP                  C4269                                                                                                                                                                                                                 P4269                                                                                                                                                                                                                 60                                       5                                                               60
Dabigatran etexilate                                                                                                     Capsule 150 mg (as mesilate)                                                                                                                                                                                        Oral                        Dabigatran Sandoz                                          SZ                  MP NP                  C14301                                                                                                                                                                                                                P14301                                                                                                                                                                                                                120                                      5                                                               60
Dabigatran