Document ID: chunk:federal_register_of_legislation:F2025C00158:clause:4_1:p62
Version: federal_register_of_legislation:F2025C00158
Segment Type: clause
Provision Reference: sch 4 cl 1 (pt 62/161)
Character Range: 14160463–14165505

up until their 18th birthday.
                                                                                   An older child is defined as a male with a chronological age of at least 12 years or a bone age of at least 10 years, or a female with a chronological age of at least 10 years or a bone age of at least 8 years.
                                                                                   The initial treatment authority application must be made via the Online PBS Authorities System (real time assessment) or in writing via HPOS form upload or mail and must include the following
                                                                                   (1) Insulin-like growth factor-1 deficiency
                                                                                   (2) Short stature
                                                                                   (3) Normal growth hormone levels
                                                                                   (4) Bone age (where the patient has a chronological age of at least 2.5 years):
                                                                                   (5) The patient's weight (kg);
                                                                                   (6) The prescribed dose (mg/kg) (between 0.04 to 0.12);
                                                                                   (7) The number of vials rounded to the nearest whole number, to provide sufficient drug quantity for 30 days of treatment per dispensing - see the relevant 'NOTE' attached to this listing for guidance.
                                                                                   State each of (a) the patient's most recent basal IGF-1 level measured (ng/mL), (b) the measurement date (dd/mm/yy), (c) the name of the pathology result provider;
                                                                                   (2) Short stature
                                                                                   (3) Normal growth hormone levels
                                                                                   (4) Bone age (where the patient has a chronological age of at least 2.5 years):
                                                                                   (5) The patient's weight (kg);
                                                                                   (6) The prescribed dose (mg/kg) (between 0.04 to 0.12);
                                                                                   (7) The number of vials rounded to the nearest whole number, to provide sufficient drug quantity for 30 days of treatment per dispensing - see the relevant 'NOTE' attached to this listing for guidance.
                                                                                   State the patient's height (cm);
                                                                                   (3) Normal growth hormone levels
                                                                                   (4) Bone age (where the patient has a chronological age of at least 2.5 years):
                                                                                   (5) The patient's weight (kg);
                                                                                   (6) The prescribed dose (mg/kg) (between 0.04 to 0.12);
                                                                                   (7) The number of vials rounded to the nearest whole number, to provide sufficient drug quantity for 30 days of treatment per dispensing - see the relevant 'NOTE' attached to this listing for guidance.
                                                                                   State the patient's most recent growth hormone level measurement (mcg/L) - this figure must be greater than 6.6 mcg/L;
                                                                                   (4) Bone age (where the patient has a chronological age of at least 2.5 years):
                                                                                   (5) The patient's weight (kg);
                                                                                   (6) The prescribed dose (mg/kg) (between 0.04 to 0.12);
                                                                                   (7) The number of vials rounded to the nearest whole number, to provide sufficient drug quantity for 30 days of treatment per dispensing - see the relevant 'NOTE' attached to this listing for guidance.
                                                                                   State each of (a) the patient's bone age in numerical figures at the time when it was most recently determined, (b) the date (dd/mm/yy) of this determination that is within 12 months of this authority application;
                                                                                   (5) The patient's