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Chronic pouchitis Program in Pharmaceutical Benefits Scheme (PBS) 012-24110514



This document outlines details of PBS-subsidised vedolizumab for patients with moderate to severe chronic pouchitis.

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

On this page:

Chronic pouchitis quick reference

Delayed assessment

Chronic pouchitis quick reference

Note: In Processing and National Demand Allocation (PaNDA) WorkLoad Management (WLM) system, work items for Pouchitis (POUCH) have been merged with Ulcerative Colitis (UC) in Health Professional Online Services (HPOS) and Written (WRIT) folders respectively.

Table 1:

Restrictions

Authority level and section

PA assessment

Processing system

Prescriber type

Prescriber self-serve

Initial

or

Recommencement after a break

PB379 form

Written

Electronic

S100:

vedolizumab i.v.

No

OPA

Must be treated by a:

  • gastroenterologist
  • consultant physician (internal medicine specialising in gastroenterology)
  • consultant physician (general medicine specialising in gastroenterology)

Yes - immediate or delayed assessment (delayed if free text field used)

Continuing

Telephone

Electronic

S100:

vedolizumab i.v.

No

OPA

Must be treated by a:

  • gastroenterologist
  • consultant physician (internal medicine specialising in gastroenterology)
  • consultant physician (general medicine specialising in gastroenterology)

Yes

Balance of supply

Telephone

Electronic

S100:

vedolizumab i.v.

No

OPA

Must be treated by a:

  • gastroenterologist
  • consultant physician (internal medicine specialising in gastroenterology)
  • consultant physician (general medicine specialising in gastroenterology)

Yes

Delayed assessment

Delayed assessment due to free text used for antibiotics that are not on the list.

Table 2: this table lists the details of what to check for the delayed assessment applications.

Service Officers to assess that free text is:

Examples

Outcome

Relevant to the question category

  • Antibiotic name - refer to PA if not sure

Approve

Random text

  • Happy Birthday
  • lkasditbn

Reject