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 | Must be treated by a: | 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 Multiple Sleep Latency Test (MSLT) and polysomnography attached, or
- Electroencephalograph (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.
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