The Australian Government has approved a number of temporary changes to medicines regulation to ensure Australians can continue to access the Pharmaceutical Benefits Scheme (PBS) medicines they need, as the COVID-19 outbreak unfolds.
We are also closely monitoring the impact of the pandemic on the supply of medicines, especially those manufactured overseas, so we can take early action to address any potential supply interruptions.
New temporary measures will improve access to medicines, reduce the burden on GPs and support social distancing and self-isolation.
The measures include:
- Continued dispensing arrangements for the ongoing supply PBS subsidised medicines without a prescription will be extended to 30 June 2020.
- A home delivery service for PBS and Repatriation Pharmaceutical Benefits Scheme (RPBS) medicines is now in place.
- Ongoing work with pharmacists, GPs and the States and Territories to allow medicine substitution by the pharmacist in the event of a shortage.
- Restrictions on the quantity of medicines that can be purchased to prevent unnecessary medicine stockpiling.
These temporary changes will ensure Australians can access the medicines they need throughout the coronavirus outbreak.
Continued dispensing
Emergency measures to allow continued access to essential medicines through the PBS will be extended to 30 June 2020.
These temporary “continued dispensing” arrangements allow people to obtain their usual medicines at PBS prices, even if they cannot get a new prescription from their doctor.
Under strict conditions, pharmacists will be able to give patients up to one month’s supply of their usual medicine without a script, at the usual PBS consumer co-payment.
The patient must previously have been prescribed the medicine and the pharmacist must be satisfied it is urgently needed.
These measures were originally put in place in January in response to the widespread bushfires and were due to end on 31 March 2020, however will be extended following consultation with doctors and the community pharmacy sector.
Home Delivery of Medicines
A new Home Medicines Service has been established to provide home delivery of PBS and Repatriation Pharmaceutical Benefits Scheme medicines, for vulnerable people and people in isolation.
This will complement the Government’s investments in telehealth, which allow people to see their doctor remotely, and if necessary obtain a script remotely. Vulnerable people will also be able to have their scripts filled remotely and delivered to their home.
The Government is fast tracking the roll out of electronic prescribing and dispensing through medical and dispensing software to make this even easier.
Substitution
The Australian Government is implementing changes to allow community pharmacists to substitute dose strengths or forms of medicines without prior approval from the prescribing doctor, if a medicine is unavailable at the time of dispensing.
These changes will relieve pressure on busy doctors and allow patients to receive their medicines from their pharmacist without delay.
The changes will allow, for example, a pharmacist to dispense different strengths of a product (such as two 20mg tablets in place of a 40mg tablet), or a different dose form of the same medicine (such as a capsule instead of a tablet).
The changes will be implemented through the Scheduling Policy Framework and Poisons Standard, with implementation by States and Territories and the Government through the TGA. The Australian Government continues to consult on the implementation and the potential expansion of these substitution measures.
Measures to prevent stockpiling
New measures were also introduced on 19 March to prevent medicines stockpiling.
Pharmacists are required to limit dispensing and sales of certain prescription and over-the-counter medicines to a one-month supply for prescription medicines, and to a maximum of one unit per purchase of certain over-the-counter non-prescription medicines
Pharmaceutical wholesalers participating in the Community Service Obligation arrangements are also required to manage the supply of medicines to community pharmacies where there are significant stock shortages, to ensure equitable distribution of medicines to all Australians.
More information is available on the Department of Health Website:
https://www.health.gov.au/resources/publications/covid-19-national-health-plan-home-medicines-services-information-for-consumers
https://www.tga.gov.au/media-release/covid-19-limits-dispensing-and-sales-pharmacies