Document ID: chunk:federal_register_of_legislation:F2025C00124:clause:2_1:p1
Version: federal_register_of_legislation:F2025C00124
Segment Type: clause
Provision Reference: sch 2 cl 1 (pt 1/3)
Character Range: 655196–668729

1  Maximum quantity or number of units and maximum number of repeats
  The following table sets out the maximum quantity or number of units, and the maximum number of repeats, for prescribing HSD pharmaceutical benefits with the listed drugs, and in the circumstances, mentioned in the table.

Maximum quantity or number of units, and maximum number of repeats
Listed drug                                                         Circumstances                                                                                                                                                                                                                                  Maximum quantity                         Maximum repeats
Abatacept                                                           C14488 C14524                                                                                                                                                                                                                                  1 dose                                   Sufficient for treatment for 16 weeks
                                                                    C14523 C14617                                                                                                                                                                                                                                  1 dose                                   4
                                                                    C14507 C14519 C14555 C14604                                                                                                                                                                                                                    1 dose                                   Sufficient for treatment for 24 weeks
Adalimumab                                                          C12120 C14061 C14063 C14064                                                                                                                                                                                                                    2 doses                                  3
                                                                    C14107 C14136                                                                                                                                                                                                                                  2 doses                                  5
Ambrisentan                                                         C11229 C13496 C13497 C13499 C13500 C13575 C13576 C13582                                                                                                                                                                                        Sufficient for treatment for 1 month     5
Anifrolumab                                                         C15387 C15388 C15426                                                                                                                                                                                                                           1                                        5
Avatrombopag                                                        C14054 C14130 C15340 C15375                                                                                                                                                                                                                    30                                       5
Azacitidine                                                         C12439 C12983 C13010 C13029                                                                                                                                                                                                                    14 units                                 2
                                                                    C12986 C13011 C13012 C13015                                                                                                                                                                                                                    14 units                                 5
Benralizumab                                                        C15376 C15871 C15884                                                                                                                                                                                                                           1                                        Sufficient for 32 weeks of treatment
                                                                    C15353                                                                                                                                                                                                                                         1                                        Sufficient for 24 weeks of treatment
Bosentan                                                            C11229 C13495 C13496 C13497 C13499 C13571 C13582 C13632                                                                                                                                                                                        Sufficient for treatment for 1 month     5
                                                                    C12425                                                                                                                                                                                                                                         Sufficient for treatment for 1 month     0
Burosumab                                                           C13330 C13377                                                                                                                                                                                                                                  Sufficient for treatment for 4 weeks     5
Difelikefalin                                                       C15171                                                                                                                                                                                                                                         Sufficient for treatment for 4 weeks     2
                                                                    C15211 C15227                                                                                                                                                                                                                                  Sufficient for treatment for 4 weeks     5
Dupilumab                                                           C15424 C15425 C15886 C15924                                                                                                                                                                                                                    1 pack                                   Sufficient for 32 weeks of treatment
                                                                    C15348                                                                                                                                                                                                                                         1 pack                                   Sufficient for 24 weeks of treatment
Eculizumab                                                          C14781                                                                                                                                                                                                                                         Sufficient for treatment for 4 weeks     0
                                                                    C13857                                                                                                                                                                                                                                         1                                        0
                                                                    C14750 C14792                                                                                                                                                                                                                                  Sufficient for treatment for 4 weeks     4
                                                                    C14753 C14754 C14793 C14799 C14805                                                                                                                                                                                                             Sufficient for treatment for 4 weeks     5
                                                                    C13464 C13660 C13661 C13684 C13845                                                                                                                                                                                                             6                                        5
                                                                    C13458 C13459 C13560                                                                                                                                                                                                                           8                                        0
Elexacaftor with tezacaftor and with ivacaftor, and ivacaftor       C13932 C13962 C13980 C13991 C15482 C15511                                                                                                                                                                                                      1 pack                                   5
Eltrombopag                                                         C13327 C14126 C14127 C14129                                                                                                                                                                                                                    1 pack                                   5
                                                                    C15192                                                                                                                                                                                                                                         3 packs                                  3
                                                                    C15173 C15174 C15191                                                                                                                                                                                                                           3 packs                                  5
Epoprostenol                                                        C13491 C13505 C13506 C13510 C13512 C13577 C13634                                                                                                                                                                                               Sufficient for treatment for 1 month     5
Etanercept                                                          C9417 C14068 C14070 C14071                                                                                                                                                                                                                     Sufficient for treatment for 4 weeks     3
                                                                    C14154 C14155                                                                                                                                                                                                                                  Sufficient for treatment for 4 weeks     5
Iloprost                                                            C13491 C13505 C13506 C13510 C13577 C13631 C13634                                                                                                                                                                                               Sufficient for treatment for 1 month     5
Infliximab                                                          C9111 C9559 C11158 C13518 C13584 C13586 C13587 C13640 C13692 C13719 C14359 C14360 C14667 C14683 C14689 C14701 C14705 C14707 C14716 C14718 C14723 C14724 C14737                                                                                 1 dose of 5 mg per kg of patient weight  3
                                                                    C14502 C14544 C14546 C14547 C14548 C14615 C14623                                                                                                                                                                                               1 dose of 3 mg per kg of patient weight  3
                                                                    C8844 C8940 C9188 C9472 C9584 C9602 C9668 C14504 C14505 C14507 C14585 C14597 C14638                                                                                                                                                            1 dose of 3 mg per kg of patient weight