Pharm Biz Software Vendors Forum Pharm Biz Dispensing
Pharm. Biz Software Vendors’ Forum Pharm. Biz
Dispensing Incentive • PBS XML Schema v 1. 6 • Data available July 2008 • Effective August 2008 • Test XML made available March 2008 • XSL stylesheet • Resources on xml. pbs. gov. au
xml. pbs. gov. au • Reorganised • xml. pbs. gov. au/v. X. Y • Standardised schema distribution folder structure • Schema distro unpacked on Web site
xml. pbs. govau v 1. 6 xsl samples schedule-g 2 b. xml v 2. 2 rng doc html pdf extract-streamlined. xsl extract-dispensing-incentive. xsl rnc xsd pbs-basic. rng (1. 6) pbs. rng (2. 2)
PBS Number • 4 digit codes will be exhausted in ? ? • Certain code blocks exhausted in 2009 • Allocate from reserved code block • Pharm. CIS will free LI-only code block
PBS Number • Plan: • Pharm. CIS/XML will handle 5 digits • MPS will produce text extracts when Pharm. CIS goes live • Text extracts unchanged: 4 digits • will continue for 12 months after go-live
PBS XML v 2. 2 • Propose changes to pricing module • No change to fundamentals • New pricing model • Consistent terminology • Map from old to new
PBS XML v 2. 2 • Per-prescribing rule fees • Declarative
PBS XML v 2. 2 • Old model (text extracts, v 1. 6) Pack C’wlth Dispensed Cwlth P 2 P Cwlth Disp Benchmark TG P 2 P TG Disp Man P 2 P
PBS XML v 2. 2 • New model TPP Reimbursement P 2 P TPP+ PR P 2 P benchmark Pharmacist Pack Price RP DPMQ PR (MQ) Price ex-Manufacturer Reimbursement DPMQ TGP DI SPC Brand Premium MRVSN
PBS XML 2. 2 <pbs: trade-family> <dbk: title>Chem mart Allopurinol</dbk: title> <pbs: brand xml: id='BRAND-0037'> <pbs: drug-pack-reference xlink: href='#MPP-2604 C'/> <pbs: organisation-reference xlink: href='#ORG-CH'/> <pbs: person-reference xlink: href='#ORG-CH'/> <pbs: pack-size>60</pbs: pack-size> <pbs: pricing> <pbs: exmanufacturer>4. 64</pbs: ex-manufacturer> <pbs: topharmacist>4. 64</pbs: to-pharmacist> <pbs: effectivity> <pbs: start>2008 -01 -01</pbs: start> </pbs: effectivity> </pbs: pricing> <pbs: member-of-list> <pbs: member-of xlink: href='#GRP-BRND-0005'/> </pbs: member-of-list> </pbs: brand> </pbs: trade-family>
PBS XML 2. 2 <pbs: unrestricted> <pbs: ready-prepared>. . . <pbs: pricing> <pbs: reimbursement-dpmq>10. 54</pbs: reimbursementdpmq> <pbs: maximum-safety-net-value>11. 55</pbs: maximum-safety-net-value> <pbs: effectivity> <pbs: start>2008 -01 -01</pbs: start> </pbs: effectivity> <pbs: fees-list> <pbs: fee> <pbs: type>fee: ready-prepared-extra</pbs: type> <dbk: title>Additional Ready Prepared Fee</dbk: title> <pbs: price>0. 99</pbs: price> </pbs: fees-list>
PBS XML 2. 2 <pbs: prices> <pbs: brand-reference xlink: href="#BRAND-0037"/> <pbs: markup> <pbs: code>C</pbs: code> <pbs: limit>0. 01</pbs: limit> <pbs: amount type='percent'>10</pbs: amount> </pbs: markup> <pbs: pharmacist-pack-price>10. 54</pbs: pharmacist-pack-price> <pbs: effectivity> <pbs: start>2008 -01 -01</pbs: start> </pbs: effectivity> <pbs: incentives-list> <pbs: incentive> <pbs: type>incentive: dispensing</pbs: type> <pbs: amount>1. 50</pbs: amount> </pbs: incentives-list> </pbs: prices> </pbs: pricing> </pbs: ready-prepared> </pbs: unrestricted>
PBS-AMT Alignment • Progress/status
Brand Substitution • Bioequivalence/biosimilarity • Important for submission • Different concept to brand substitution • Terminology change: v 2. 2 group type • Cross-item brand substitution
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