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AgendaAgenda

Introduction/setupIntroduction/setup

Update: PBS Item CodeUpdate: PBS Item Code

Intravenous Chemotherapy Supply Program: Intravenous Chemotherapy Supply Program: ImplementationImplementation

Restrictions Wording ToolRestrictions Wording Tool

PBS Item CodePBS Item Code

Currently 4 digitsCurrently 4 digits

Is an integer: will soon become 5 digitsIs an integer: will soon become 5 digits

Code blocksCode blocks

Some blocks about to be exhausted this yearSome blocks about to be exhausted this year

Codes will be randomly allocatedCodes will be randomly allocated

PBS Item Code, Cont’dPBS Item Code, Cont’d

Above average allocation in 2008Above average allocation in 2008

Approximately 3-4 years leftApproximately 3-4 years left

PharmCIS will release 1 year supplyPharmCIS will release 1 year supply

PharmCIS will allow 5 digit codesPharmCIS will allow 5 digit codes

ICSPICSP

Intravenous Chemotherapy Supply ProgramIntravenous Chemotherapy Supply Program

““Chemo measure”Chemo measure”

Chemotherapy infusions prescribed, dispensed Chemotherapy infusions prescribed, dispensed and reimbursed based on unit-of-measureand reimbursed based on unit-of-measure

Rather than per-vialRather than per-vial

ICSP, Cont’dICSP, Cont’d

Mainly data changesMainly data changes

New drug types (schedules)New drug types (schedules)

per-vial items replaced by single unit-of-per-vial items replaced by single unit-of-measure itemmeasure item

adjustments to MQ & repeatsadjustments to MQ & repeats

ICSP, Cont’dICSP, Cont’d

WastageWastage

Low-volume, short shelf lifeLow-volume, short shelf life

5% or 10% wastage payment5% or 10% wastage payment

Added to Price-to-PharmacistAdded to Price-to-Pharmacist

ICSP, Cont’dICSP, Cont’d

$40.00 Reconstitution fee$40.00 Reconstitution fee

Administered as dispensing feeAdministered as dispensing fee

Applies per-itemApplies per-item

Not per-infusionNot per-infusion

ICSP, Cont’dICSP, Cont’d

Patient co-paymentPatient co-payment

Applies to initial supplyApplies to initial supply

Does not apply to repeatsDoes not apply to repeats

Applies per-itemApplies per-item

Not per-infusionNot per-infusion

ICSP, Cont’dICSP, Cont’d

Unit-of-measure vs unit-of-pricingUnit-of-measure vs unit-of-pricing

Some items too cheap to price per 1 mgSome items too cheap to price per 1 mg

Larger unit-of-measure used for pricing Larger unit-of-measure used for pricing purposespurposes

pack-not-to-be-brokenpack-not-to-be-broken

ICSP, Cont’dICSP, Cont’d

PBS XML v1.7PBS XML v1.7

DoHA may need to DoHA may need to keep track of keep track of approved vialsapproved vials

pbs:form-strength pbs:form-strength added to pbs:brand added to pbs:brand contentcontent

Prescribing RulePrescribing RulePrescribing RulePrescribing Rule

BranBrandd

BranBrandd

BranBrandd

BranBrandd

BranBrandd

BranBrandd

vivialalvivialal

vivialalvivialal

vivialalvivialal

vivialalvivialal

vivialalvivialal

vivialalvivialal

vivialalvivialal

ICSP, Cont’dICSP, Cont’d

PBS XML v2.2PBS XML v2.2

Distinguish unit-of-Distinguish unit-of-measure and unit-measure and unit-of-pricingof-pricing

““pseudo-TPP”pseudo-TPP”

Prescribing RulePrescribing RulePrescribing RulePrescribing Rule

TPPTPPTPPTPP TPPTPPTPPTPP TPPTPPTPPTPP

TPTPPPTPTPPP

TPTPPPTPTPPP

TPTPPPTPTPPP

TPTPPPTPTPPP

TPTPPPTPTPPP

TPTPPPTPTPPP

TPTPPPTPTPPP

ICSP, Cont’dICSP, Cont’d

SupportSupport

PBS XML v1.7PBS XML v1.7

Relax NG schemaRelax NG schema

Sample instance documentSample instance document

XSL stylesheet: extract drug classXSL stylesheet: extract drug class

XSL stylesheet: extract vial dataXSL stylesheet: extract vial data

ICSP, Cont’dICSP, Cont’d

Support, cont’dSupport, cont’d

PBS XML v2.2PBS XML v2.2

Relax NG schemaRelax NG schema

Sample instance documentSample instance document

XSL stylesheet: extract drug classXSL stylesheet: extract drug class

ICSP, Cont’dICSP, Cont’d

Support, cont’dSupport, cont’d

Test dataTest data

v1.7 schemav1.7 schema

Available March 2009Available March 2009

RWTRWT

Restrictions Wording ToolRestrictions Wording Tool

Introduction: Andy ButlinIntroduction: Andy Butlin

RWT, Cont’dRWT, Cont’d

Data modelData model

Demonstration of prototype: John-Paul KellyDemonstration of prototype: John-Paul Kelly

RWT, Cont’dRWT, Cont’d

RWT XMLRWT XML

XML schema to be developedXML schema to be developed

Separate schema/namespaceSeparate schema/namespace

Embedded in PBS XML (v2.2+)Embedded in PBS XML (v2.2+)

RWT, Cont’dRWT, Cont’d

Dual representationDual representation

RWT XML and DocBookRWT XML and DocBook

PBS XML will contain normative RWT XMLPBS XML will contain normative RWT XML

Also include non-normative DocBook renderingAlso include non-normative DocBook rendering

ConclusionConclusion

Other businessOther business

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