Department of Health, Disability and Ageing

FOI 25-0402 LD – PBS Reference Pricing Policy

FOI 25-0402 LD–2025 Released 144 pages PDF

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This 2006 fact sheet outlines PBS reforms implemented from August 2007, creating two formularies to manage pharmaceutical costs while maintaining medicine access. Formulary 1 would list single-brand medicines without interchangeable alternatives, while Formulary 2 would contain multiple-brand medicines and interchangeable single-brand products. The reforms addressed patent expirations for over 100 drugs within ten years and encompassed reference pricing changes, pharmacy compensation adjustments, streamlined medicine authority approvals, and establishment of an access to medicines working group. The government aimed to reduce PBS expenditure without increasing patient costs by leveraging generic competition and interchangeability across therapeutic drug classes including ACE inhibitors, angiotensin II receptor antagonists, calcium channel blockers, H2 receptor antagonists, proton pump inhibitors, and HMG Coenzyme A reductase inhibitors (pravastatin and simvastatin).

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