Document ID: chunk:federal_register_of_legislation:F2025C00158:clause:4_1:p7
Version: federal_register_of_legislation:F2025C00158
Segment Type: clause
Provision Reference: sch 4 cl 1 (pt 7/191)
Character Range: 9523384–9531921

formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides                                                       The name of the specialist and the date of birth of the patient must be included in the authority application.

                                                    Amino acids-synthetic, formula

C4328               P4328          CN4328           Ivermectin                                                                                                                                                                 Strongyloidiasis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Compliance with Authority Required procedures - Streamlined Authority Code 4328

C4330               P4330          CN4330           Amino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids                                                                     Cows' milk anaphylaxis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Compliance with Authority Required procedures
                                                                                                                                                                                                                               Must be treated by a specialist allergist or clinical immunologist, or in consultation with a specialist allergist or clinical immunologist;
                                                    Amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides                                                               Patient must be up to the age of 24 months.
                                                                                                                                                                                                                               Anaphylaxis is defined as a severe and/or potentially life threatening allergic reaction.
                                                    Amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids                                                                                      The name of the specialist and the date of birth of the patient must be included in the authority application.

                                                    Amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides

                                                    Amino acids-synthetic, formula

C4337               P4337          CN4337           Amino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids                                                                     Cows' milk protein enteropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Compliance with Authority Required procedures
                                                                                                                                                                                                                               Continuing treatment
                                                    Amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides                                                               Must be treated by a specialist allergist, clinical immunologist or specialist paediatric gastroenterologist and hepatologist, or have an appointment to be assessed by one of these specialists; AND
                                                                                                                                                                                                                               The condition must not be isolated infant colic or reflux; AND
                                                    Amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids                                                                                      Patient must be intolerant to both soy protein and protein hydrolysate formulae, as demonstrated when the child has failed to respond to a strict cows' milk protein free and strict soy protein free diet with a protein hydrolysate (with or without medium chain triglycerides) as the principal formula;
                                                                                                                                                                                                                               Patient must be up to the age of 24 months.
                                                    Amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides                                                       The name of the specialist and the date of birth of the patient must be included in the authority application.

                                                    Amino acids-synthetic, formula

C4338               P4338          CN4338           Amino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids                                                                     Combined intolerance to cows' milk protein, soy protein and protein hydrolysate formulae                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Compliance with Authority Required procedures
                                                                                                                                                                                                                               Continuing treatment
                                                    Amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides                                                               Must be treated by a specialist allergist, clinical immunologist or specialist paediatric gastroenterologist and hepatologist at intervals not greater than 12 months; AND
                                                                                                                                                                                                                               The condition must not be isolated infant colic or reflux;
                                                    Amino acid