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Neuromyelitis optica spectrum disorder (NMOSD) in Pharmaceutical Benefits Scheme (PBS) 012-25030536




NMOSD restriction and item codes

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https://ourblueprint.internal.dept.local/content/images/icon-hidden-attachment.png|A linked attachment is available for staff only (i.e. under IPS/FOI)PBS NMOSD restriction and item codes

Ravulizumab NMOSD loading dose and vial calculator (patients ≥ 40kg)

Table 1

Body weight

Loading dose

Number of 300mg vials

Number of 1100mg vials

40kg to less than 60kg

2400mg

8

0

60kg to less than 100kg

2700mg

9

0

100kg and over

3000mg

10

0


Ravulizumab NMOSD maintenance dose and vial calculator (patients ≥ 40kg)

Table 2

Body weight

Maintenance dose

Number of 300mg vials

Number of 1100mg vials

40kg to less than 60kg

3000mg

10

0

60kg to less than 100kg

3300mg

0

3

100kg and over

3600mg

1

3


Contact details

PBS Complex Drugs Programs

Forms

Neuromyelitis optica spectrum disorder - ravulizumab - initial authority application form (PB382)

Services Australia website

Neuromyelitis optica spectrum disorder

External website

PBS schedule for neuromyelitis optics spectrum disorder

FAQs from Service Officers

Table 3: see Table 2 in Processing Complex Authority Required Listings for FAQs about all Complex programs

Item

Description

1

Is there an age restriction for PBS-subsidised ravulizumab to treat NMOSD?

No. Patients of any age can apply for ravulizumab. However, as dosing must align with the TGA-approved product information, patients must be at least 40kg.

2

Can replacement or top-up prescriptions be approved using Balance of Supply (BoS) item codes?

No. There are no BoS item codes. Replacement and top-up prescriptions will need to be entered under previously approved item code and restriction.

3

Where are the dosing schedules for NMOSD located?

Dosing tables can be found on the:

  • Master code sheet
  • NMOSD individual code sheet, and
  • Tables 1 and 2 on this page

4

Can a prescriber request a loading dose and continuing treatment with the initial application?

No. The initial application should only include script(s) for the loading dose. Continuing treatment can then be requested via telephone or using the Online PBS Authorities system before the dose is due (two weeks after loading dose is given).

5

What other PBS-subsidised conditions is ravulizumab listed to treat?

  • Atypical haemolytic uraemic syndrome (aHUS). Refer all aHUS requests to a pharmaceutical adviser
  • Paroxysmal nocturnal haemoglobinuria (PNH), and
  • Generalised myasthenia gravis (gMG)