Document ID: chunk:federal_register_of_legislation:F2025C00158:clause:1_2
Version: federal_register_of_legislation:F2025C00158
Segment Type: clause
Provision Reference: sch 1 cl 2
Character Range: 9422788–9424919

2  Matters relating to pharmaceutical benefits
  The following table sets out pharmaceutical benefits and matters relating to pharmaceutical benefits and their supply, for the purposes of sections 6 to 10 and 20 to 23.

Listed Drug                                                  Form                                                                                                                            Manner of Administration  Brand                     Responsible Person  Pack Quantity  Determined Quantity  Section 100/ Prescriber Bag only
Budesonide with formoterol                                   Pressurised inhalation containing budesonide 50 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses  Inhalation by mouth       Symbicort Rapihaler 50/3  AP                  1
Evolocumab                                                   Injection 420 mg in 3.5 mL single use pre-filled cartridge                                                                      Injection                 Repatha                   AN                  1
Hypromellose with carbomer 980                               Ocular lubricating gel 3 mg-2 mg per g, 10 g                                                                                    Application to the eye    Genteal gel               AQ                  1
Hypromellose with carbomer 980                               Ocular lubricating gel 3 mg-2 mg per g, 10 g                                                                                    Application to the eye    HPMC PAA                  IQ                  1
Protein hydrolysate formula with medium chain triglycerides  Oral powder 400 g (Alfaré)                                                                                                      Oral                      Alfaré                    NT                  1
Triglycerides, long chain with glucose polymer               Oral liquid 250 mL, 18 (ProZero)                                                                                                Oral                      ProZero                   VF                  1