Document ID: chunk:federal_register_of_legislation:F2025C00132:reg:19:p1
Version: federal_register_of_legislation:F2025C00132
Segment Type: reg
Provision Reference: reg 19 (pt 1/5)
Character Range: 20230–24909

19  Claim for payment
 (1) An approved supplier who wants to receive payment from the Commonwealth for the supply of a pharmaceutical benefit under this Special Arrangement must make a claim for payment to the Chief Executive Medicare on behalf of the Secretary.
 (2) The claim must be made in accordance with the rules made under subsections 98AC(4) and 99AAA(8) of the Act with the following modifications:
 (a) must include the RTAC Accredited Unit Number;
 (b) must include an indicator that the patient is a CTG registered patient if:
 (i) the claim is made by an approved pharmacist, an approved medical practitioner or an approved hospital authority who is a CTG supplier in relation to a patient who is a CTG registered patient; and
 (ii) the claim is made using the manual system referred to in section 99AAA of the Act.

            Schedule 1—Pharmaceutical benefits covered by this Special Arrangement and related information
(sections 5 and 7)

Listed Drug                          Form                                                                                     Manner of Administration  Brand                   Section 100 only
Cetrorelix                           Powder for injection 250 micrograms (as acetate) with diluent                            Injection                 Cetrotide               D(100)
Choriogonadotropin alfa              Solution for injection 250 micrograms in 0.5 mL pre‑filled pen                           Injection                 Ovidrel                 C(100)
Choriogonadotropin alfa              Solution for injection 250 micrograms in 0.5 mL pre‑filled syringe (S19A)                Injection                 Ovidrel (USA)           C(100)
Chorionic gonadotrophin              Injection set containing powder for injection 1,500 units, 3 and solvent 1 mL, 3 (s19A)  Injection                 Brevactid 1500 I.E      C(100)
Chorionic gonadotrophin              Powder for injection 5,000 units with solvent (s19A)                                     Injection                 Choriomon 5000 I.E      PB(100)
Corifollitropin alfa                 Solution for injection 100 micrograms in 0.5 mL single dose pre‑filled syringe           Injection                 Elonva                  D(100)
Corifollitropin alfa                 Solution for injection 150 micrograms in 0.5 mL single dose pre‑filled syringe           Injection                 Elonva                  D(100)
Follitropin alfa                     Injection 75 I.U. in 0.125 mL pre‑filled pen                                             Injection                 Bemfola                 C(100)
Follitropin alfa                     Injection 150 I.U. in 0.25 mL pre‑filled pen                                             Injection                 Bemfola                 C(100)
Follitropin alfa                     Injection 225 I.U. in 0.375 mL pre‑filled pen                                            Injection                 Bemfola                 C(100)
Follitropin alfa                     Injection 300 I.U. in 0.5 mL multi‑dose cartridge                                        Injection                 Gonal‑f Pen             C(100)
Follitropin alfa                     Injection 300 I.U. in 0.5 mL multi‑dose cartridge                                        Injection                 Ovaleap                 C(100)
Follitropin alfa                     Injection 300 I.U. in 0.5 mL pre‑filled pen                                              Injection                 Bemfola                 PB(100)
Follitropin alfa                     Injection 450 I.U. in 0.75 mL multi‑dose cartridge                                       Injection                 Gonal‑f Pen             C(100)
Follitropin alfa                     Injection 450 I.U. in 0.75 mL multi‑dose cartridge                                       Injection                 Ovaleap                 C(100)
Follitropin alfa                     Injection 450 I.U. in 0.75 mL pre‑filled pen                                             Injection                 Bemfola                 PB(100)
Follitropin alfa                     Injection 900 I.U. in 1.5 mL multi‑dose cartridge                                        Injection                 Gonal‑f Pen             C(100)
Follitropin alfa                     Injection 900 I.U. in 1.5 mL multi‑dose cartridge                                        Injection                 Ovaleap                 C(100)
Follitropin alfa with lutropin alfa  Injection 900 I.U. ‑ 450 I.U. in 1.44 mL multi‑dose cartridge                            Injection                 Pergoveris              D(100)
Follitropin beta                     Solution