Document ID: chunk:federal_register_of_legislation:F2025C00158:clause:4_1:p11
Version: federal_register_of_legislation:F2025C00158
Segment Type: clause
Provision Reference: sch 4 cl 1 (pt 11/191)
Character Range: 9559228–9573494

12 years or over.
C4381               P4381          CN4381           Apixaban                                                                                                                                                                   Prevention of venous thromboembolism                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Compliance with Authority Required procedures - Streamlined Authority Code 4381
                                                                                                                                                                                                                               Patient must be undergoing total knee replacement; AND
                                                    Dabigatran etexilate                                                                                                                                                       Patient must require up to 10 days of therapy.

C4382               P4382          CN4382           Apixaban                                                                                                                                                                   Prevention of venous thromboembolism                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Compliance with Authority Required procedures - Streamlined Authority Code 4382
                                                                                                                                                                                                                               Patient must be undergoing total knee replacement; AND
                                                    Rivaroxaban                                                                                                                                                                Patient must require up to 15 days of therapy.

C4389               P4389          CN4389           Enalapril with hydrochlorothiazide                                                                                                                                         Hypertension
                                                                                                                                                                                                                               The treatment must not be for the initiation of anti-hypertensive therapy; AND
                                                    Quinapril with hydrochlorothiazide                                                                                                                                         The condition must be inadequately controlled with an ACE inhibitor.  or
                                                                                                                                                                                                                               The condition must be inadequately controlled with a thiazide diuretic.
C4390               P4390          CN4390           Trandolapril with verapamil                                                                                                                                                Hypertension
                                                                                                                                                                                                                               The treatment must not be for the initiation of anti-hypertensive therapy; AND
                                                                                                                                                                                                                               The condition must be inadequately controlled with an ACE inhibitor.  or
                                                                                                                                                                                                                               The condition must be inadequately controlled with verapamil.
C4395               P4395          CN4395           Fluticasone propionate with formoterol                                                                                                                                     Asthma                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Compliance with Authority Required procedures - Streamlined Authority Code 4395
                                                                                                                                                                                                                               Patient must have previously had frequent episodes of asthma while receiving treatment with oral corticosteroids or optimal doses of inhaled corticosteroids;
                                                                                                                                                                                                                               Patient must be aged 12 years or over.
C4397               P4397          CN4397           Budesonide with formoterol                                                                                                                                                 Asthma                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Compliance with Authority Required procedures - Streamlined Authority Code 4397
                                                                                                                                                                                                                               Patient must have previously had frequent episodes of asthma while receiving treatment with oral corticosteroids or optimal doses of inhaled corticosteroids; or
                                                                                                                                                                                                                               Patient must have experienced frequent asthma symptoms while receiving treatment with oral or inhaled corticosteroids and require single maintenance and reliever therapy; or
                                                                                                                                                                                                                               Patient must have experienced frequent asthma symptoms while receiving treatment with a combination of an inhaled corticosteroid and long acting beta-2 agonist;
                                                                                                                                                                                                                               Patient must be aged 12 years or over.
C4398               P4398          CN4398           Lercanidipine with enalapril                                                                                                                                               Hypertension
                                                                                                                                                                                                                               The treatment must not be for the initiation of anti-hypertensive therapy; AND
                                                    Perindopril with amlodipine                                                                                                                                                The condition must be inadequately controlled with an ACE inhibitor.  or
                                                                                                                                                                                                                               The condition must be inadequately controlled with a dihydropyridine calcium channel blocker.
                                                    Ramipril with felodipine

C4402               P4402          CN4402           Apixaban                                                                                                                                                                   Prevention of venous thromboembolism                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Compliance with Authority Required procedures - Streamlined Authority Code 4402
                                                                                                                                                                                                                               Patient must be undergoing total hip replacement; AND
                                                    Dabigatran etexilate                                                                                                                                                       Patient must require up to 30 days supply to complete a course of treatment.

                                                    Rivaroxaban

C4404               P4404          CN4404           Budesonide with formoterol                                                                                                                                                 Asthma                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Compliance with Authority Required procedures - Streamlined Authority Code 4404
                                                                                                                                                                                                                               Patient must have previously had frequent episodes of asthma while receiving treatment with oral corticosteroids or optimal doses of inhaled corticosteroids;
                                                                                                                                                                                                                               Patient must be aged 12 years or over.
C4409               P4409          CN4409           Apixaban                                                                                                                                                                   Prevention of venous thromboembolism                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Compliance with Authority Required procedures - Streamlined Authority