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Non-radiographic axial spondyloarthritis (AXSPA) Program in Pharmaceutical Benefits Scheme (PBS) 012-18112216



This document outlines details of PBS-subsidised biological medicine for patients with non-radiographic axial spondyloarthritis (AXSPA).

For information on how to process a PBS Authority, see Processing Complex Authority Required Listings.

On this page:

Non-radiographic axial spondyloarthritis (AXSPA) quick reference

Delayed assessment

Non-radiographic axial spondyloarthritis (AXSPA) quick reference

Table 1

Restrictions

Authority level and section

PA assessment

Processing system

Prescriber type

Prescriber self-serve

Initial

PB255 form

Written

Electronic

S85:

bimekizumab

certolizumab pegol

golimumab

secukinumab

upadacitinib

No

OPA

Must be treated by a:

  • rheumatologist
  • clinical immunologist with expertise in the management of non-radiographic axial spondyloarthritis

Yes – immediate or delayed assessment (delayed if any free text option used)

Grandfather

PB353 form

Written

Electronic

S85:

bimekizumab

No

OPA

Must be treated by a:

  • rheumatologist
  • clinical immunologist with expertise in the management of non-radiographic axial spondyloarthritis

Yes – immediate or delayed assessment (delayed if any free text option used)

Continuing

Telephone

Electronic

S85:

bimekizumab

certolizumab pegol

golimumab

secukinumab

upadacitinib

No

OPA

Must be treated by a:

  • rheumatologist
  • clinical immunologist with expertise in the management of non-radiographic axial spondyloarthritis

Yes

Change or:

  • Recommencement after a break (< 5 years), or
  • Recommencement - after a break (> 5 years)

Telephone

Electronic

S85:

bimekizumab

certolizumab pegol

golimumab

secukinumab

upadacitinib

No

OPA

Must be treated by a:

  • rheumatologist
  • clinical immunologist with expertise in the management of non-radiographic axial spondyloarthritis

Yes

Balance of supply

Telephone

Electronic

S85:

bimekizumab

certolizumab pegol

golimumab

secukinumab

upadacitinib

No

OPA

Must be treated by a:

  • rheumatologist
  • clinical immunologist with expertise in the management of non-radiographic axial spondyloarthritis

Yes

Delayed assessment

Delayed assessment due to contraindication and/or intolerance to optimised AXSPA therapy.

Table 2 lists the details of what to check for the delayed assessment and common acronyms.

Service Officers to assess that the free text is:

Examples

Outcome

Relevant to the question category Name

  • Adverse reaction/contraindication and/or intolerance
  • Allergic reaction or hypersensitivity

Approve

Random text

  • Happy Birthday
  • Patient did not want to take
  • Ikasditbn

Reject

Non-descriptive

  • Toxicity

Reject

Common acronyms

  • LFT - Liver function tests
  • GI toxicity - Gastrointestinal
  • N+V - Nausea and vomiting

Escalate to a Pharmaceutical Adviser (PA) by phone if unsure of acronym used.