Document ID: chunk:federal_register_of_legislation:F2025C00124:clause:3_1:p52
Version: federal_register_of_legislation:F2025C00124
Segment Type: clause
Provision Reference: sch 3 cl 1 (pt 52/476)
Character Range: 1050720–1066135

separate authority prescription form must be completed for each strength requested. Up to a maximum of 5 repeats will be authorised.
                                                                                                                                            Confirmation of eligibility for treatment with diagnostic reports must be documented in the patient's medical records.
Cabotegravir                                                           C12619                                                               HIV infection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Compliance with Authority Required procedures ‑ Streamlined Authority Code 12619
                                                                                                                                            Patient must be virologically suppressed on a stable antiretroviral regimen for at least 6 months; AND
                                                                                                                                            The treatment must be in combination with rilpivirine tablets; AND
                                                                                                                                            Patient must intend to proceed to treatment with intramuscular administration of cabotegravir and rilpivirine.
Cabotegravir and rilpivirine                                           C12636                                                               HIV infection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Compliance with Authority Required procedures ‑ Streamlined Authority Code 12636
                                                                                                                                            Patient must have previously received PBS‑subsidised therapy for this condition; AND
                                                                                                                                            The treatment must be the sole PBS‑subsidised therapy for this condition.
Ciclosporin                                                            C6628                                                                Management of transplant rejection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Compliance with Authority Required procedures ‑ Streamlined Authority Code 6628
                                                                                                                                            The treatment must be used by organ or tissue transplant recipients.
                                                                       C6631                                                                Nephrotic syndrome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Compliance with Authority Required procedures ‑ Streamlined Authority Code 6631
                                                                                                                                            Management (initiation, stabilisation and review of therapy)
                                                                                                                                            Patient must have failed prior treatment with steroids and cytostatic drugs; OR
                                                                                                                                            Patient must be intolerant to treatment with steroids and cytostatic drugs; OR
                                                                                                                                            The condition must be considered inappropriate for treatment with steroids and cytostatic drugs; AND
                                                                                                                                            Patient must not have renal impairment.
                                                                                                                                            Must be treated by a nephrologist.
                                                                       C6638                                                                Severe active rheumatoid arthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Compliance with Authority Required procedures ‑ Streamlined Authority Code 6638
                                                                                                                                            Management (initiation, stabilisation and review of therapy)
                                                                                                                                            The condition must have been ineffective to prior treatment with classical slow‑acting anti‑rheumatic agents (including methotrexate); OR
                                                                                                                                            The condition must be considered inappropriate for treatment with slow‑acting anti‑rheumatic agents (including methotrexate).
                                                                                                                                            Must be treated by a rheumatologist; OR
                                                                                                                                            Must be treated by a clinical immunologist.
                                                                       C6643                                                                Management of transplant rejection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Compliance with Authority Required procedures ‑ Streamlined Authority Code 6643
                                                                                                                                            Management (initiation, stabilisation and review of therapy)
                                                                                                                                            Patient must have had an organ or tissue transplantation; AND
                                                                                                                                            The treatment must be under the supervision and direction of a transplant unit.
                                                                       C6660                                                                Severe atopic dermatitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Compliance with Authority Required procedures ‑ Streamlined Authority Code 6660
                                                                                                                                            Management (initiation, stabilisation and review of therapy)
                                                                                                                                            Must be treated by a dermatologist; OR
                                                                                                                                            Must be treated by a clinical immunologist.
                                                                                                                                            The condition must be ineffective to other systemic therapies; OR
                                                                                                                                            The condition must be inappropriate for other systemic therapies.
                                                                       C9694                                                                Nephrotic syndrome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Compliance with Authority Required procedures ‑ Streamlined Authority Code 9694
                                                                                                                                            Management (initiation, stabilisation and review of therapy)
                                                                                                                                            Patient must have failed prior treatment with steroids and cytostatic drugs; OR
                                                                                                                                            Patient must be intolerant to treatment with steroids and cytostatic drugs; OR
                                                                                                                                            The condition must be considered inappropriate for treatment with steroids and cytostatic drugs; AND