Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p651
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 651/706)
Character Range: 2128428–2131676

Skin  Frozen skin from human origin  51 to 80 cm²  $330.00

Prescribed List -Part C

03 - General Miscellaneous
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

03.02 - DRUG DELIVERY DEVICES
03.02.03 - Infusion Pumps, Battery Powered
  03.02.03.02 - Insulin infusion pump (as 3.2.3.1) with integral calculator to determine boluses and active insulin
  DE, SS
     AUSTRALASIAN MEDICAL & SCIENTIFIC LIMITED
AN014  t:slim X2 Insulin Pump  Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability  One size only.  $8,077.00

     Managing Diabetes Pty Ltd
DF004  DANA-i Insulin Pump  ACE (Alternate Control Enabled) secure Bluetooth low energy insulin pump.  EC certified to be connected to approved CGM systems and approved control algorithms (APS - Artificial Pancreas Systems).    97mm x 44mm x 20mm 85grams  $8,077.00

     ROCHE DIABETES CARE AUSTRALIA PTY LIMITED
RB001  Accu-Chek Combo System  Insulin delivery device capable of remotely receiving and acting on information about blood glucose levels, performing bolus calculation and bolus advice on additional parameters than what is normally provided.  The Accu-Chek Combo System is only available in one size.  $8,077.00

  DE, SS, MP
     ROCHE DIABETES CARE AUSTRALIA PTY LIMITED
RB006  Accu-Chek Solo micropump - starter kit  Starter kit supply of insulin pump system to accommodate first year of use of Accu-Chek Solo micropump system. Starter kit includes insulin pump base components, blood glucose monitoring system handset control with integrated insulin bolus advisor (diabetes manager) and accessory pack.  Micropump: 68 x 40 x 15 mm  Handset control (diabetes manager): 124 x 64 x 17 mm  $2,375.00

  03.02.03.03 - Device has capability to automatically adjust the insulin delivery based on continuous glucose monitoring data
  DE, SS
     AUSTRALASIAN MEDICAL & SCIENTIFIC LIMITED
AN018  t:slim X2 Insulin Pump with Control-IQ Technology  Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability and incorporating Control-IQ Technology.  One size only  $8,574.00

AN017  t:slim X2 Insulin Pump with Basal-IQ Technology  Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability and incorporating Basal-IQ Predictive Low Glucose Suspend (PLGS) Technology.  One size only.  $8,574.00

  DE, SS, ABD
     MEDTRONIC AUSTRALASIA PTY LTD
MI452  MiniMed 780G Insulin Pump  MiniMed 780G Insulin Pump with SmartGuard advanced Hybrid Closed Loop (HCL) technology capable of operating in Manual Mode or Auto Mode, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability.  Provides 3 user selectable targets and can be set to automatically adjust delivery of basal insulin based on CGM. This includes automatically suspending insulin delivery or providing additional insulin delivery as required.   One size only.  $8,574.00

MI330  Medtronic MiniMed 770G Insulin Pump  MiniMed 770G Insulin Pump with SmartGuard Hybrid Closed Loop (HCL) technology, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability which can be programmed to automatically adjust delivery of basal insulin based on