PharmBiz Software Vendors’ Forum

1. PharmBiz Software Vendors’ Forum • Steve Ball • PharmBiz

2. Dispensing Incentive • PBS XML Schema v1.6 • Data available July 2008 • Effective August 2008 • Test XML made available March 2008 • XSL stylesheet • Resources on xml.pbs.gov.au

3. xml.pbs.gov.au • Reorganised • xml.pbs.gov.au/vX.Y • Standardised schema distribution folder structure • Schema distro unpacked on Web site

4. xml.pbs.govau v1.6 v2.2 rng rnc xsd xsl samples doc html pbs-basic.rng (1.6) schedule-g2b.xml pdf pbs.rng (2.2) extract-streamlined.xsl extract-dispensing-incentive.xsl

5. PBS Number • 4 digit codes will be exhausted in ???? • Certain code blocks exhausted in 2009 • Allocate from reserved code block • PharmCIS will free LI-only code block

6. PBS Number • Plan: • PharmCIS/XML will handle 5 digits • MPS will produce text extracts when PharmCIS goes live • Text extracts unchanged: 4 digits • will continue for 12 months after go-live

7. PBS XML v2.2 • Propose changes to pricing module • No change to fundamentals • New pricing model • Consistent terminology • Map from old to new

8. PBS XML v2.2 • Per-prescribing rule fees • Declarative

9. PBS XML v2.2 • Old model (text extracts, v1.6) Pack Dispensed C’wlth Cwlth P2P Cwlth Disp Benchmark TG P2P TG Disp Man Man P2P Man Disp

10. PBS XML v2.2 • New model TPP Reimbursement P2P Price ex-Manufacturer P2P TPP+ PR Pharmacist Pack Price Reimbursement DPMQ DI RP DPMQ PR (MQ) benchmark TGP SPC Brand Premium MRVSN

11. 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-2604C'/> <pbs:organisation-reference xlink:href='#ORG-CH'/> <pbs:person-reference xlink:href='#ORG-CH'/> <pbs:pack-size>60</pbs:pack-size> <pbs:pricing> <pbs:ex-manufacturer>4.64</pbs:ex-manufacturer> <pbs:to-pharmacist>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>

12. PBS XML 2.2 <pbs:unrestricted> <pbs:ready-prepared> ... <pbs:pricing> <pbs:reimbursement-dpmq>10.54</pbs:reimbursement-dpmq> <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:fee> </pbs:fees-list>

13. 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:incentive> </pbs:incentives-list> </pbs:prices> </pbs:pricing> </pbs:ready-prepared> </pbs:unrestricted>

14. PBS-AMT Alignment • Progress/status

15. Brand Substitution • Bioequivalence/biosimilarity • Important for submission • Different concept to brand substitution • Terminology change: v2.2 group type • Cross-item brand substitution