Cardiomyopathy (CM) Program in Pharmaceutical Benefits Scheme (PBS) 012-24041204
CM restriction and item codes
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PBS CM restriction and item codes
FAQs from Service Officers
Table 1: for FAQs about all Complex programs, see Table 2 in Processing Complex Authority Required Listings.
Item |
Description |
1 |
If a grandfather patient has not had at least 6 months on optimal dose of mavacamten, will their prescriber need to apply under the first continuing or the second continuing after the grandfather approval? Prescribers must apply under the first continuing for dose adjustment. If the patient has had at least 6 months on optimal dose, prescribers must apply under the subsequent continuing restriction after the grandfather approval. |
2 |
If a change of dose in mavacamten is required after an initial is approved but before 12 weeks, can the change of dose be approved under the first continuing treatment? Yes. |
3 |
Can a patient have multiple first continuing approvals of different strengths of mavacamten until they can achieve a stable dose? Yes. The patient’s authorities remain being approved as the first continuing until they are stable on the same dose for a period of 6 months. As such, they can have multiple first continuing approvals of different strengths until a stable dose is achieved. |