This document outlines details of PBS-subsidised armodafinil and modafinil for patients with narcolepsy.
For information on how to process a PBS Authority, see Processing Complex Authority Required Listings.
On this page:
Narcolepsy quick reference
Delayed assessment
Narcolepsy quick reference
Table 1
Restrictions |
Authority level and section |
PA assessment |
Processing system |
Prescriber type |
Prescriber self-serve |
Initial 1
(narcolepsy without cataplexy)
PB104 form
|
Written
Electronic
S85:
armodafinil modafinil
|
No |
OPA
|
Must be treated by a:
-
neurologist
-
qualified sleep medicine practitioner
|
Yes - delayed assessment |
Initial 2
(narcolepsy with cataplexy) |
Telephone
Electronic
S85:
armodafinil modafinil |
No |
OPA
|
Must be treated by a:
-
neurologist
-
qualified sleep medicine practitioner
|
Yes |
Continuing
or
Change |
Telephone
Electronic
S85:
armodafinil modafinil
|
No |
OPA
|
|
Yes |
Delayed assessment
Table 2: this table lists the details of what to check for the delayed assessment and common acronyms.
Delayed assessment checks |
Examples |
Outcome |
Service Officers to assess uploaded documents:
|
-
Both MSLT and polysomnography attached, or
-
EEG report
|
Approve |
|
-
Only MSLT or polysomnography attached (not both)
|
Reject |
|
-
Unrelated documents attached
|
Reject |
If applicable assess free text |
|
|
Relevant to the question
|
-
Heart condition
-
Worsened renal failure
-
Nausea and vomiting
-
Elevated or deranged etc. liver function test
-
Gastrointestinal toxicity
|
Approve |
Random text
|
-
Happy Birthday
-
Patient did not want to take
-
lkasditbn
|
Reject |
Non-descriptive
|
-
Grade 3 (no detail of toxicity)
-
Toxicity
|
Reject |
Common acronyms
-
LFT - Liver function tests
-
GI toxicity - Gastrointestinal
-
N+V - Nausea and vomiting
Escalate to a Pharmaceutical Advisor by phone if unsure of the acronym used.