Key messages

  • The Commonwealth Department of Human Services administers claims and approvals of highly specialised drug prescriptions.
  • Complex authority required drugs require written authority.
  • To prescribe drugs for treatment of HIV/AIDS, Hepatitis B or Hepatitis C, community doctors need to complete a series of special training programs.

The Commonwealth Department of Human Services administers all claims and approval of highly specialised drug (HSD) prescriptions. Where the dose is above the scheduled maximum quantity or number of repeats, authority approvals are also required.

Written authority applications must be made in order to prescribe Complex Authority Required HSDs.

Doctors working in the community are required to complete a series of specialist training programs before prescribing drugs for the treatment of HIV/AIDS, Hepatitis B and Hepatitis C. 

Drug program

  • Complex authority-required drugs
    • Abatacept
    • Adalimumab
    • Ambrisentan
    • Azacitidine
    • Bosentan
    • Eculizumab
    • Eltrombopag
    • Epoprostenol
    • Etanercept
    • Iloprost
    • Infliximab
    • Ivacaftor
    • Lenalidomide
    • Macitentan
    • Mepolizumab
    • Omalizumab 
    • Pasireotide
    • Pegvisomant
    • Pomalidomide
    • Riociguat
    • Rituximab
    • Romiplostim
    • Sildenafil
    • Tadalafil
    • Tocilizumab
    • Ustekinumab
    • Vedolizumab.
  • Highly Specialised Drugs Program (community access)
    • Abacavir Sulphate (Ziagen)
    • Abacavir Sulfate with Lamivudine (Kivexa)
    • Abacavir Sulfate with Lamivudine and Zidovudine (Trizivir)
    • Adefovir Dipivoxil (Hepsera, APO-Adefovir)
    • Atazanavir Sulfate (Reyataz)
    • Atazanavir + Cobicistat (Evotaz)
    • Clozapine (Clozaril, Clopine)
    • Darunavir(Prezista) 
    • Darunavir + Cobicistat (Prezcobix)
    • Didanosine (Videx)
    • Dolutegravir (Tivicay)
    • Dolutegravir + Abacavir + Lamivudine (Triumeq)
    • Efavirenz (Stocrin)
    • Emtricitabine (Emtriva)
    • Emtricitabine +Rilpivirine + Tenofovir (Eviplera, Odefsey)
    • Enfuvirtide (Fuzeon)
    • Entecavir Monohydrate (Baraclude, Entecavir RBX, Enteclude, Entecavir Apotex, Entecavir Amneal, Entecavir Mylan, Entecavir Sandoz, ENTAC, Entecavir GH)
    • Etravirine (Intelence)
    • Fosamprenavir Calcium (Telzir)
    • Foscarnet Sodium (Foscavir)
    • Ganciclovir (Cymevene)
    • Indinavir Sulphate (Crixivan)
    • Interferon Alfa 2a (Roferon A)
    • Interferon Alfa 2b (Intron A)
    • Lamivudine (Zeffix, 3TC, Lamivudine Alphapharm, Zetlam)
    • Lamivudine and Zidovudine (Combivir, Lamivudine 150mg + Zidovudine 300mg Alphapharm)
    • Lopinavir with Ritonavir (Kaletra)
    • Maraviroc (Celsentri)
    • Nevirapine (Viramune, Nevirapine Alphapharm, Nevirapine XR APOTEX)
    • Peginterferon Alfa-2a (Pegasys)
    • Raltegravir Potassium (Isentress)
    • Rilpivirine (Edurant)
    • Ritonavir (Norvir)
    • Saquinavir Mesylate (Invirase)
    • Stavudine (Zerit)
    • Tenofovir (Viread, Tenofovir GH, Tenofovir Disoproxil Mylan)
    • Tenofovir + Emtricitabine (Truvada, Descovy, Tenofovir EMT GH, Tenofovir Disoproxil Emtricitabine Mylan)
    • Tenofovir + Emtricitabine + Efavirenz (Atripla)
    • Tenofovir + Emtricitabine + Elvitegravir + Cobicistat (Stribild, Genvoya)
    • Tipranavir (Aptivus)
    • Valganciclovir hydrochloride (Valcyte, Valganciclovir AN, Valganciclovir Mylan, Valganciclovir Sandoz, Valganciclovir Juno)
    • Zidovudine (Retrovir)
  • Highly Specialised Drugs Program (public hospital)

    A list of drugs covered by the program:

    • Abatacept (Orencia)*
    • Adalimumab (Humira)*
    • Alemtuzumab (Lemtrada)
    • Ambrisentan (Volibris)*
    • Anakinra (Kineret)
    • Apomorphine (Movapo, Apomine)
    • Azacitidine (Vidaza, Azadine, Celazadine, Azacitidine Accord, Azacitidine Dr. Reddy's)*
    • Azithromycin (Zithromax)
    • Baclofen (Lioresal Intrathecal, Bacthecal, Sintetica Baclofen Intrathecal)
    • Bosentan Monohydrate (Tracleer, APO-BOSENTAN, BOSENTAN-DRLA, BOSLEER, Bosentan APOTEX, Bosentan Mylan, Bosentan RBX, Bosentan Sandoz, Bosentan GH)*
    • Cinacalcet (Sensipar)
    • Clarithromycin (Klacid)
    • Clozapine (Clozaril, Clopine)
    • Cyclosporin (Sandimmun)
    • Cyclosporin (Neoral, Cyclosporin Sandoz)
    • Daclatasvir (Daklinza)
    • Darbepoetin Alfa (Aranesp)
    • Deferasirox (Exjade)
    • Deferiprone (Ferriprox)
    • Desferrioxamine (Desferal, Hospira brand)
    • Dornase Alfa (Pulmozyme)
    • Doxorubicin hydrochloride pegylated liposomal (Caelyx, Lipodox)
    • Eculizumab (Soliris)*
    • Eltrombopag (Revolade)*
    • Epoetin Alfa (Eprex)
    • Epoetin Beta (NeoRecormon)
    • Epoetin Lamda (Novicrit)
    • Epoprostenol Sodium (Flolan, Veletri)*
    • Etanercept (Enbrel)*
    • Everolimus (Certican)
    • Filgrastim (Neupogen, Nivestim, TevaGrastim, Zarzio)
    • Ganciclovir (Vitrasert)
    • Grazoprevir + Elbasvir (Zepatier)
    • Ibandronic Acid (Bondronat)
    • Iloprost Trometamol (Ventavis)*
    • Infliximab (Remicade, Renflexis)*
    • Interferon Alfa 2a (Roferon A)
    • Interferon Alfa 2b (Intron A)
    • Interferon Gamma 1b (Imukin)
    • Ivacaftor (Kalydeco)*
    • Lanreotide Acetate (Somatuline)
    • Lanthanum Carbonate Hydrate (Fosrenol)
    • Ledipasvir + Sofosbuvir (Harvoni)
    • Lenalidomide (Revlimid)*
    • Lenograstim (Granocyte)
    • Levodopa with Carbidopa (Duodopa)
    • Lipegfilgrastim (Lonquex)
    • Macitentan (Opsumit)*
    • Mannitol (bronchitol)
    • Mepolizumab (Nucala)
    • Methoxy polyethylene glycol-epoetin beta (Mircera)
    • Mycophenolate Mofetil (APO-Mycophenolate, Cellcept, Ceptolate, Mycophenolate Sandoz, Pharmacor Mycophenolate)
    • Mycophenolate Sodium (Myfortic)
    • Natalizumab (Tysabri)
    • Octreotide Acetate (Sandostatin, Hospira Pty Ltd brand, Octreotide MaxRx, Octreotide SUN)
    • Omalizumab (Xolair)*
    • Pamidronate disodium (Aredia, Pamisol)
    • Paritaprevir + Ritonavir + Ombitasvir & Dasabuvir (Viekira Pak)
    • Paritaprevir + Ritonavir + Ombitasvir & Dasabuvir & Ribavirin (Viekira Pak-RBV)
    • Pasireotide (Signifor LAR)*
    • Pegfilgrastim (Neulasta, Ristempa)
    • Peginterferon Alfa-2a (Pegasys)
    • Pegvisomant (Somavert)*
    • Plerixafor (Mozobil)
    • Pomalidomide (Pomalyst)*
    • Ribavirin (Ibavyr)
    • Rifabutin (Mycobutin)
    • Riociguat (Adempas)
    • Rituximab (Mabthera)*
    • Romiplostim (Nplate)*
    • Sevelamer (Renagel)
    • Sildenafil Citrate (Revatio, APO-Sildenafil PHT, Sildenafil Sandoz PHT, Sildenafil-DRx, Sildenafil AN PHT 20)*
    • Sirolimus (Rapamune)
    • Sofosbuvir (Sovaldi)
    • Sofosbuvir + Velpatasvir (Epclusa)
    • Sucroferric Oxyhydroxide (Velphoro)
    • Tacrolimus (Prograf, Tacrolimus Sandoz, Pharmacor Tacrolimus, Tacrolimus Apotex, Pacrolim)
    • Tacrolimus XL (Prograf XL, Advagraf XL)
    • Tadalafil (Adcirca)*
    • Telaprevir (Incivo)
    • Thalidomide (Thalomid)
    • Tocilizumab (Actemra)*
    • Ustekinumab (Stelara)*
    • Valaciclovir Hydrochloride (Valtrex, APO-Valaciclovir, Valaciclovir RBX)
    • Valganciclovir hydrochloride (Valcyte, Valganciclovir AN, Valganciclovir Mylan, Valganciclovir Sandoz, Valganciclovir Juno)
    • Vedolizumab (Entyvio)*
    • Zoledronic acid (Zometa)

All Commonwealth-funded supply of complex authority required drugs requires individual patient authority approval from the Commonwealth Department of Human Services prior to dispensing. The department provides information on prescription requirements, arrangements for dispensing and claiming for these drugs.

Authority to prescribe HIV/AIDS, Hepatitis B and Hepatitis C drugs

To be eligible to prescribe HIV/AIDS, Hepatitis B or Hepatitis C drugs under s. 100 of the National Health Act 1953, community (non-hospital) doctors must complete a series of special training programs, which are run through Networking Health Victoria.

More information is available at Networking Health Victoria.

Contact details

  • Pharmaceutical Programs

    Department of Health & Human Services

    • Telephone Number:+61 3 9096 2506