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NATIONAL HEALTH AMENDMENT (PHARMACEUTICAL BENEFITS--BUDGET AND OTHER MEASURES) ACT 2018 - SCHEDULE 4

New brands

Part   1 -- Amendments commencing day after Royal Assent

National Health Act 1953

1   After subsection   85AB(4)

Insert:

  (4A)   For the purposes of working out whether paragraph   ( 4)(a) or (b) is satisfied, a brand of a pharmaceutical item that has the drug is to be disregarded if:

  (a)   both:

  (i)   subsection   99ACB(3A) or ( 3B ) applies to the brand of the pharmaceutical item that has the drug ; and

  (ii)   there is not another brand of the pharmaceutical item that has the drug that is a listed brand; or

  (b)   both:

  (i)   subsection   99ACB(3A) or ( 3B ) applies to the brand of the pharmaceutical item that has the drug; and

  (ii)   the drug is not on F2; or

  ( c )   both:

  (i)   subsection   99ACB(3 B ) applies to the brand of the pharmaceutical item that has the drug ; and

  (ii )   the tenth anniversary of the drug in the pharmaceutical item being on F1 has not occurred.

2   Subsection   99ACB(1)

Omit "and (3)", substitute ", (3) , (3A) and (3 B )".

3   After subsection   99ACB(3)

Insert:

  (3A)   This section does not apply in relation to the new brand of the trigger item if:

  (a )   the new brand of the trigger item is a new presentation of an existing listed br and of a pharmaceutical item; and

  ( b )   the determination day in relation to the new brand of the trigger item is on or before the fif th anniversary of the drug in the p harmaceutical item being on F1; and

  (c )   the responsible person for the new brand of the trigger item is the same person as the responsible person for the existing listed brand of the pharmaceutical item ; and

  (d )   either of the following apply:

  (i)   there is not another brand of the pharmaceutical item that has the drug that is a listed brand;

  (ii)   the drug is not on F2.

  (3B)   This section does not apply in relation to the new brand of the trigger item if:

  (a )   the new brand of the trigger item is a new presentation of an existing listed brand of a pharmaceutical item; and

  ( b )   the Minister has made a determination under section   99ACBA in relation to the new bran d of the trigger item ; and

  (c )   the determination under section   99ACBA has not ceased to have effect.

4   At the end of Subdivision B of Division   3A of Part   VII

Add:

99ACBA   Ministerial determination -- brand of pharmaceutical item that is not a combination item is not a new brand

  (1)   If:

  (a)   a brand of a pharmaceutical item (the trigger item ) is not a combination item; and

  (b)   the brand of the trigger item:

  (i)   is not a listed brand of the trigger item; and

  ( ii )   is a new presentation of an existing listed brand of a pharmaceutical item; and

  (c)   the Minister is satisfied that the determination day in relation to the brand of the trigger item is to be after the fifth anniversary, and before the tenth anniversary, of the drug in the pharmaceutical item being on F1;

the Minister may determine, by notifiable instrument, that the brand of the trigger item is not a new brand for the purposes of section   99ACB.

  (2)   If the Minister makes a determination under this section in relation to the brand of the trigger item, it must be made before the determination day in relation to the brand of the trigger item.

  (3)   In making a determination, the Minister may have regard to:

  (a)   any advice given by the Pharmaceutical Benefits Advisory Committee; and

  (b)   any information provided by the responsible person for the brand of the trigger item; and

  (c)   any other matter that the Minister considers relevant.

  (4)   A determination made under this section ceases to have effect on whichever is the earliest of the following:

  (a)   the day that another brand of the pharmaceutical item becomes a listed brand;

  (b )   the day that the drug in the pharmaceutical item does not satisfy all of the criteria for F 1 ;

  (c )   the tenth anniversary of the drug in the pharmaceutical item being on F1.

  (5 )   In this section:

"determination day" has the same meaning as in paragraph   99ACB(1)(a).

5   Subsection   99ACD(1)

Omit "and (2)", substitute ", (2) and (3)".

6   After subsection   99ACD(2)

Insert:

  (3)   This section does not apply in relation to the new brand of the trigger combination item if:

  (a)   all of the following apply:

  (i)   the new brand of the trigger combination item is a new presentation of an existing listed brand of a pharmaceutical item;

  (ii)   a declaration under subsection   85(2) is in force in relation to the drug in the pharmaceutical item;

  (i i i)   the determination day in relation to the new brand of the trigger combination item is on or before the fif th anniversary of the declaration under subsection   85(2) being made ;

  (iv )   the responsible person for the new brand of the trigger combination item is the same as the responsible person for the existing listed bran d of the pharmaceutical item;

  (v)   the drug is not on F2; or

  (b)   all of the following apply:

  (i)   the new brand of the trigger combination item is a new presentation of an existing listed brand of a pharmaceutical item;

  (ii )   the Minister has made a determination under section   99ACEA in relation to the new brand of the trigger combination item ;

  (iii)   the determination under section   99ACEA has not ceased to have effect .

7   At the end of Subdivision C of Division   3A of Part   VII

Add:

99ACEA   Ministerial determination -- brand of pharmaceutical item that is a combination item is not a new brand

  (1)   If:

  (a)   a brand of a pharmaceutical item (the trigger combination item ) is a combination item; and

  (b)   the brand of the trigger combination item is a new presentation of an existing listed brand of a pharmaceutical item; and

  (c)   a declaration under subsection   85(2) is in force in relation to the drug in the pharmaceutical item; and

  (d)   the Minister is satisfied that the determination day in relation to the brand of the trigger combination item is after the fifth anniversary, and before the tenth anniversary, of the declaration under subsection   85(2) being made;

the Minister may determine, by notifiable instrument, that the brand of the trigger combination item is not a new brand for the purposes of section   99ACD.

  (2)   If the Minister makes a determination under this section in relation to the brand of the trigger combination item, it must be made before the determination day in relation to the brand of the trigger combination item.

  (3)   In making a determination, the Minister may have regard to:

  (a)   any advice given by the Pharmaceutical Benefits Advisory Committee; and

  (b)   any information provided by the responsible person for the brand of the trigger combination item; and

  (c)   any other matter that the Minister considers relevant.

  (4)   A determination made under this section ceases to have effect on whichever is the earliest of the following:

  ( a )   the tenth anniversary of the declaration under subsection   85(2) being made ;

  ( b )   the day that the drug is on F2.

  ( 5 )   In this section:

"determination day" has the same meaning as in paragraph   99ACD(1)(a).

8   After subsection   101(4AC)

Insert:

Functions relating to determinations that brands are not new brands

  (4AD)   The Pharmaceutical Benefits Advisory Committee may give advice to the Minister in relation to whether the Minister should determine that a brand of a pharmaceutical item is not a new brand for the purposes of section   99ACB or 99ACD.



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