Dispense/Supply Only - PBS Software Vendor Teleconference – Wednesday 18 September 2019

Page last updated: 6 September 2019

Date: Wednesday 18 September 2019

Time: 10.00 - 11.00am

Venue: Teleconference

Contact: Cassy Clark, pbslisting@health.gov.au

Teleconference details:
Number: 1800 208 747 or 1300 214 196 or +61 2 8524 2300
Guest: 428044 

This meeting is to table a draft solution (XML3 and reports) and start discussions to ensure the legislative changes for Dispense/Supply only (DO) can be implemented.

Agenda

  • Welcome and background
  • XML v3 Data explained and discussion
  • Report discussion
  • Questions and concerns
  • Next steps

Background

What are the changes to the legislation and the intention of implementation?

Legislation changed in February 2018
National Health ACT 1953, Section 88 (1EB)

In the past, all PBS listings were required to operate as ‘prescribe and dispense’ as there was no ability in the legislation to have a product listed for the supply function only. Legislative changes in February 2018 mean that a PBS listing can continue for supply purposes only, but not for prescribing. This could be used where the original listing will be discontinued or lapse at a later date (eg. a product is delisted or replaced by a similar product). The listing information (as determined by the Minister) would control the period that a supply only listing would remain effective. In all other respects, a supply only listing operates in the same way as any other current listing.  

To be discussed

Documents released

 Dispensing/Supply Only (DO)

  • PBS listing can continue for supply purposes only, but not for prescribing.
  • In all other respects, a supply only listing would operate in the same way as any other current listing.

 What does this mean for data?

  • DO brand will be marked as ‘not for prescribing’ for a set time period. Once period has elapsed item is fully deleted (i.e. no longer in the LI).
  • Keep the deleted PBS listing alive – translation no longer needed.
  • Data could show changes to things like
    • Substitution
    • Prices
    • Responsible person/manufacturer code
  • Different brands on a listing can have different DO situations. Eg One brand delisted in March and the next in August
  • New brand or product may be listed during the DO period and can be substitutable with the product in DO. This may be on the same items code as the DO product or in cross item code substitution group.

Questions

  • Does this solution fit for XML V3 stakeholders?  XML and reports
  • Does this solution fit for non XML V3 stakeholders?  Reports only.
  • What other information is needed?
  • Existing Target field - Can it be left blank or should it be itself where it is staying alive?
  • Would we still need translation?

Example

DO

Brand sub (A flag)

Cross Item sub

Payable Under DO listing

Payable Under Substitutable listing

Notes

Currently covered in SO

Last brand of Item code marked with DO with no substitution

Yes

No

No

Yes, Dispense and claim DO item and brand

No

Examples

  • No equivalent product
  • Different authority level (eg Authority to Streamline)
  • Different Restrictions (eg Change of population group)
  • Different Max Qty

No

Last brand of Item code marked with DO with cross item substitution existing

Yes

No

Yes

Yes, Dispense and claim DO item and brand

Yes, dispense and claim substitutable cross item listing

Examples

  • Different pack size same MQ
  • Different salt
  • Different form

Yes

Last brand of Item code marked with DO with new replacement cross item substitution

Yes

No

Yes

Yes, Dispense and claim DO item and brand

Yes, dispense and claim substitutable cross item listing

 

Issue with DOP rules

Examples

  • Same item, Change of AMT lineage
  • Different pack size same MQ
  • Different salt
  • Different form

Yes

All brands of Item code marked with DO with possible different permutations

Yes

Yes or No

Yes or No

Yes, Dispense and claim DO item and brand

If applicable Yes, dispense and claim substitutable brand or cross item listing

 

Yes/No

Brand of item code marked with DO with no substitution

Yes

No

No

Yes, Dispense and claim DO item and brand

No

Examples

  • No A flag
  • Prescription states no sub

No

Brand of item code marked with DO with brand substitution

Yes

Yes

No

Yes, Dispense and claim DO item and brand

Yes, dispense and claim substitutable brand

Examples

  • A flag

No

Brand of item code marked with DO with cross item substitution

(Different brands may have different cross item sub)

Yes

Yes/No

Yes

Yes, Dispense and claim DO item and brand

Yes, dispense and claim substitutable brand or cross item listing

Examples

  • A flag

No

Brand of item code marked with DO with new brand substitution

 

Yes

Yes

No

Yes, Dispense and claim DO item and brand

Yes, dispense and claim substitutable brand

Examples

  • A flag

No

Brand of item code marked with DO with new cross item Substitution

 

New version of existing item

(Different brands may have different cross item sub)

Yes

Yes/No

Yes

Yes, Dispense and claim DO item and brand

Yes, dispense and claim substitutable brand or cross item listing

Examples

  • A flag/cross item sub
  • Cream split to different types of cream for different indications – Generic, Skin, thrush split to different item codes.

No

Brand across multiple item codes

Yes

Yes/No

Yes/No

Yes

Yes/No

Examples

  • Across programs
  • Prescriber type
  • across indication

Yes/No

Straight delist item

No

No

No

No

No

Examples

  • Delist where DO is not applicable
  • DO has expired

NA

Straight delist brand item

No

No

No

No

No

  • Examples
  • Delist where DO is not applicable
  • DO has expired

NA