Document ID: chunk:federal_register_of_legislation:F2025C00158:clause:4_1:p56
Version: federal_register_of_legislation:F2025C00158
Segment Type: clause
Provision Reference: sch 4 cl 1 (pt 56/191)
Character Range: 10127912–10142944

in the patient's medical records
C6188               P6188          CN6188           Cefalexin                                                                                                                                                                  Osteomyelitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code 6188

                                                    Dicloxacillin

C6189               P6189          CN6189           Dutasteride with tamsulosin                                                                                                                                                Benign prostatic hyperplasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Compliance with Authority Required procedures - Streamlined Authority Code 6189
                                                                                                                                                                                                                               Patient must have lower urinary tract symptoms; AND
                                                                                                                                                                                                                               Patient must have moderate to severe benign prostatic hyperplasia.
C6190               P6190          CN6190           Whey protein formula supplemented with amino acids, long chain polyunsaturated fatty acids, vitamins and minerals, and low in protein, phosphate, potassium and lactose    Chronic renal failure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Compliance with Authority Required procedures - Streamlined Authority Code 6190
                                                                                                                                                                                                                               Patient must be an infant or a young child;
                                                    Whey protein formula supplemented with amino acids, vitamins and minerals, and low in protein, phosphate, potassium and lactose                                            Patient must require treatment with a low protein and a low phosphorus diet.  or
                                                                                                                                                                                                                               Patient must require treatment with a low protein, low phosphorus and low potassium diet.
C6193               P6193          CN6193           Protein hydrolysate formula with medium chain triglycerides                                                                                                                Cows' milk protein enteropathy and intolerance to soy protein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code 6193
                                                                                                                                                                                                                               Continuing treatment
                                                                                                                                                                                                                               Must be treated by a specialist allergist, clinical immunologist, specialist paediatrician or specialist paediatric gastroenterologist and hepatologist, or in consultation with a specialist allergist, clinical immunologist, specialist paediatrician or specialist paediatric gastroenterologist and hepatologist; AND
                                                                                                                                                                                                                               The condition must not be isolated infant colic or reflux; AND
                                                                                                                                                                                                                               Patient must have demonstrated a clinical improvement with the protein hydrolysate formula with medium chain triglycerides;
                                                                                                                                                                                                                               Patient must be up to the age of 24 months.
C6194               P6194          CN6194           Protein hydrolysate formula with medium chain triglycerides                                                                                                                Biliary atresia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Compliance with Authority Required procedures - Streamlined Authority Code 6194

C6195               P6195          CN6195           Protein hydrolysate formula with medium chain triglycerides                                                                                                                Cystic fibrosis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Compliance with Authority Required procedures - Streamlined Authority Code 6195

C6196               P6196          CN6196           Naproxen                                                                                                                                                                   Severe pain
                                                                                                                                                                                                                               Patient must be receiving palliative care.
C6197               P6197          CN6197           Benzydamine                                                                                                                                                                Painful mouth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code 6197
                                                                                                                                                                                                                               Patient must be receiving palliative care.
C6200               P6200          CN6200           Doxycycline                                                                                                                                                                Severe acne

C6201               P6201          CN6201           Trimethoprim with sulfamethoxazole                                                                                                                                         Prophylaxis of Pneumocystis jiroveci pneumonia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Compliance with Authority Required procedures - Streamlined Authority Code 6201

C6202               P6202          CN6202           Dutasteride                                                                                                                                                                Benign prostatic hyperplasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Compliance with Authority Required procedures - Streamlined Authority Code 6202
                                                                                                                                                                                                                               Patient must have lower urinary tract symptoms; AND
                                                                                                                                                                                                                               Patient must have moderate to severe benign prostatic hyperplasia; AND
                                                                                                                                                                                                                               The treatment must be in combination with an alpha-antagonist.
C6203               P6203          CN6203           Triglycerides, medium chain                                                                                                                                                Hyperlipoproteinaemia type 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Compliance with Authority Required procedures - Streamlined Authority Code 6203

C6204               P6204          CN6204           Protein hydrolysate formula with medium chain triglycerides                                                                                                                Cows' milk protein enteropathy and intolerance to soy protein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Compliance with Authority Required procedures - Streamlined Authority Code