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Chronic spontaneous urticaria (CSU) Program in Pharmaceutical Benefits Scheme (PBS) 012-18051109



CSU restriction and item codes

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\\INTERNAL.DEPT.LOCAL\Shared\NAT\SERDELEXCEL\WORKPRODIMP\Operation Blueprint Migration\RDT Release Icons\32w\icon-hidden-attachment.pngPBS CSU restriction and item codes

Contact details

PBS Complex Drugs Programs

Services Australia website

External website

FAQs from Service Officers

Table 1: see Table 2 in Processing Complex Authority Required Listings for FAQs about all Complex programs.

Item

Description

1

Can an increase in quantity be approved if a higher dose is required?

Yes. If the OPA system does not reject the quantity requested, an increase can be approved based on a higher monthly dose. If OPA rejects the quantity requested, escalate to a PA.

2

What type of application should be submitted for a patient who ceases therapy and relapses?

Any patient who ceases therapy and whose CSU relapses will need to re-initiate PBS-subsidised omalizumab as a new patient, meeting all initial PBS criteria again.