Chemo claiming changes
August 12, 2016
THE Health Deaprtment
has confirmed changes to the
Chemotherapy Compounding
Payment Scheme (CCPS), with
approved pharmacists, approved
medical practitioners and approved
hospital authorities having to
provide additional information
when claiming eligible Efficient
Funding of Chemotherapy (EFC)
items through the PBS.
The new arrangements become
effective from 01 Sep, with new
data fields to be added to the
PBS online system for EFC claims
including a ‘Compounder ID’ and an
‘Infusion ID’.
Chemotherapy compounders will
be required to apply to the CCPS
Administration Agency to obtain a
compounder ID for each site within
their organisation, and this must be
supplied in respect of each eligible
PBS EFC item provided.
The department said the purpose
of the changes is to support a
streamlined payment system
for the two-tiered fee structure
applicable to the scheme.
“The additional data fields will
also enable a better understanding
of the scope of chemotherapy
compounding in Australia,
and provide transparency of
compounding activity funded
through the PBS,” according to the
PBS website.
The 01 Sep changes are part of
the PBS Access and Sustainability
Package negotiated under the Sixth
Community Pharmacy Agreement,
with a revised payment structure
in recognition of additional
costs incurred by compounders
in achieving TGA manufacturer
licensing for a compounding site.
Eligible PBS EFC items
compounded at TGA-licensed sites
attract a $60 fee, while other sites
attract a $40 fee.
The additional Infusion ID
data field information is a
“unique, serialised identification
number that identiifies a specific
preparation of chemotherapy
medicines for infusion” and is
generated automatically within PBS
dispensing software at the point of
creation of a claim.
Compounder IDs can be applied
for using a form now available at
www.pbs.gov.au.
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