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PharmBiz Software Vendors’ Forum

PharmBiz Software Vendors’ Forum. PharmBiz. 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. xml.pbs.gov.au. Reorganised xml.pbs.gov.au/vX.Y

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PharmBiz Software Vendors’ Forum

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  1. PharmBiz Software Vendors’ Forum • 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

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