QHMAC meeting outcomes-March 2014

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MEMORANDUM

To:

HHS CEOs

Directors of Medical Services

Directors of Pharmacy

Chairs, Medicines Advisory Committees

Copies to:

QHPIMS-Support Unit

Dispensary Managers

QHMAC Members

Central Pharmacy (Graham Cook, Robin Lee, Nicole Zischke, Sam Webb)

CIRCS (Maree Bransdon)

From:

Stephanie Boydell, Acting Executive

Secretary Queensland Health

Medicines Advisory Committee

Contact No:

3131 6516

Fax No:

3131 6568

Subject:

Summary of changes to the Queensland Health List of Approved Medicines

(LAM) as a result of the March 2014 Queensland Health Medicines Advisory

Committee (QHMAC) meeting

File Ref:

CASS/000942

1403adv

At the March 2014 meeting the Queensland Health Medicines Advisory Committee (QHMAC) recommended the following changes to the List of Approved Medicines (LAM). These have been approved by the Committee Sponsor, Chief Executive, Health Services Support Agency (HSSA) and will be effective from 1 June 2014 - or as otherwise stated in the attached.

There are six editions of the LAM each year. These current changes will be included in the

1 June 2014 edition of the LAM which will be published on QHEPS at http://qheps.health.qld.gov.au/hssa/medicines/lam/home.htm

.

Please distribute this document as deemed appropriate to relevant clinicians. For future reference, monthly

Summary of Changes can be found unde r “QHMAC meeting outcomes” at http://qheps.health.qld.gov.au/hssa/medicines/committees/qhmac/outcomes.htm

Note: These amendments may also include a number of items which are planned for earlier inclusion in the

LAM – such as medicines which are available under the Highly Specialised Drugs Program or for which

QHMAC specifically endorsed an earlier inclusion date.

Signed

Stephanie Boydell

Acting Executive Secretary

Queensland Health Medicines Advisory Committee

02 / 05 / 2014

March 2014 Summary of changes to the Queensland Health List of Approved Medicines

(LAM) - recommended by the Queensland Health Medicines Advisory Committee (QHMAC)

Item number

Medicine Decision and date effective

Restriction

14/018 Chlorhexidine, alcoholic solution red 2% in alcohol 70%, 100mL

14/018A Chlorhexidine, alcoholic solution pink 2% in alcohol 70%, 100mL

14/014 Denosumab injection, prefilled syringe

60mg in 1mL

Added

01-Jun-14

Added

01-Jun-14

Added

01-Jun-14

14/007 Fat emulsion - soya oil,

MCT, olive oil, fish oil

"SMOFlipid" IV infusion

20%, 100mL

Added

01-Jun-14

14/010 Ivabradine tablet 7.5mg Added

01-Jun-14

14/009A Pazopanib tablet

200mg, 400mg

Added

01-Jun-14

13/103B Esomeprazole tablet

20mg (Pack of 7 only)

14/010 Ivabradine tablet 5mg

Amended

01-Jun-14

Amended

01-Jun-14

13/103 Omeprazole suspension

2mg per mL, 100mL

13/103A Omeprazole tablet

(omeprazole magnesium)

10mg, 20mg

Amended

01-Jun-14

Amended

01-Jun-14

For discharge and outpatient use as per the PBS indications.

‘Specialist Staff for use in neonates for prolonged intravenous therapy when oral or enteral feeding is not possible’

Specialist Staff for use in chronic heart failure, as per the PBS indications

Specialist Staff for discharge and outpatient use in patients with stage IV clear cell renal cell carcinoma, as per the PBS indications

Specialist Staff and Country Medical Superintendents for use in line with the proton pump inhibitor flowchart at Appendix 4.

Cardiologists and Radiologists to reduce heart rate in patients in sinus rhythm undergoing CT coronary angiography who do not respond to maximal doses of betablockers or are unable to tolerate beta blockers (or when a beta blocker is contraindicated).Specialist Staff for use in chronic heart failure, as per the PBS indications

Specialist Staff and Country Medical Superintendents for use in line with the proton pump inhibitor flowchart at Appendix 4.

[Note: This restriction now includes use in neonates and infants, in addition to tube administration in patients up 18 years of age.]

Specialist Staff and Country Medical Superintendents for use in line with the proton pump inhibitor flowchart at Appendix 4.

Page 2 of 4

Item number

Medicine

13/103C Pantoprazole tablet

20mg, 40mg

14/016 Alfentanil injection

1mg In 2mL

14/015 Hydromorphone hydrochloride injection

2mg in 1mL

14/003 Reactivated Item –

Fondaparinux sodium injection pfs

2.5mg in 0.5mL

14/008 Vaccines for stem cell transplant recipients

14/012 Aprepitant, pack - 1 capsule

125mg and 2 capsules

Decision and date effective

Amended

01-Jun-14

Deferred

Deferred

Deferred

Deferred

Deleted

01-Jan-14

14/011A

1

80mg

Ganciclovir intravitreal implant 4.5mg

Deleted

01-Jan-14

14/017A Raloxifene tablet 60mg Deleted

01-Aug-14

14/017 Strontium ranelate sachet containing

Deleted

01-Jun-14 granules for oral suspension 2g (28)

Not Added 13/105 Sodium chloride 0.9% prefilled syringe 10mL

(BD Posiflush ® )

Noted 13/102A Amphotericin: injection

50mg, lipid complex injection 100mg in

20mL, liposomal injection 50mg

13/101A Dalteparin sodium Noted

Restriction

Specialist Staff and Country Medical Superintendents for use in line with the proton pump inhibitor flowchart at Appendix 4.

Reviewing Individual Patient Approval (IPA) guideline for use in VTE prophylaxis.

[Note: this item will be further considered at the May 2014 meeting.]

Page 3 of 4

Item number

Medicine Decision and date effective

14/011A

2 injection, prefilled syringe

2,500 IU in 0.2mL;

5,000 IU in 0.2mL

Disodium pamidronate injection 15mg

13/103D Omeprazole capsule

20mg

14/013 For information - review of the LAM

Noted

Noted

Noted

Restriction

Page 4 of 4

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