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Published byJasper Freeman Modified over 9 years ago
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PharmBiz Software Vendors Forum
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Agenda Introduction/setup Update: PBS Item Code Intravenous Chemotherapy Supply Program: Implementation Restrictions Wording Tool
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PBS Item Code Currently 4 digits Is an integer: will soon become 5 digits Code blocks Some blocks about to be exhausted this year Codes will be randomly allocated
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PBS Item Code, Cont’d Above average allocation in 2008 Approximately 3-4 years left PharmCIS will release 1 year supply PharmCIS will allow 5 digit codes
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ICSP Intravenous Chemotherapy Supply Program “Chemo measure” Chemotherapy infusions prescribed, dispensed and reimbursed based on unit-of-measure Rather than per-vial
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ICSP, Cont’d Mainly data changes New drug types (schedules) per-vial items replaced by single unit-of-measure item adjustments to MQ & repeats
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ICSP, Cont’d Wastage Low-volume, short shelf life 5% or 10% wastage payment Added to Price-to-Pharmacist
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ICSP, Cont’d $40.00 Reconstitution fee Administered as dispensing fee Applies per-item Not per-infusion
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ICSP, Cont’d Patient co-payment Applies to initial supply Does not apply to repeats Applies per-item Not per-infusion
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ICSP, Cont’d Unit-of-measure vs unit-of-pricing Some items too cheap to price per 1 mg Larger unit-of-measure used for pricing purposes pack-not-to-be-broken
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ICSP, Cont’d PBS XML v1.7 DoHA may need to keep track of approved vials pbs:form-strength added to pbs:brand content Prescribing Rule BrandBrandBrandBrandBrandBrand vi al
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ICSP, Cont’d PBS XML v2.2 Distinguish unit-of- measure and unit-of- pricing “pseudo-TPP” Prescribing Rule TPPTPPTPPTPPTPPTPP TP P
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ICSP, Cont’d Support PBS XML v1.7 Relax NG schema Sample instance document XSL stylesheet: extract drug class XSL stylesheet: extract vial data
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ICSP, Cont’d Support, cont’d PBS XML v2.2 Relax NG schema Sample instance document XSL stylesheet: extract drug class
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ICSP, Cont’d Support, cont’d Test data v1.7 schema Available March 2009
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RWT Restrictions Wording Tool Introduction: Andy Butlin
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RWT, Cont’d Data model Demonstration of prototype: John-Paul Kelly
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RWT, Cont’d RWT XML XML schema to be developed Separate schema/namespace Embedded in PBS XML (v2.2+)
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RWT, Cont’d Dual representation RWT XML and DocBook PBS XML will contain normative RWT XML Also include non-normative DocBook rendering
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Conclusion Other business Next meeting
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