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1、 WEIGHTED AVERAGE MONTHLY TREATMENT COST (WAMTC) USERS MANUAL APRIL 2009 CONTENTS PHARMACEUTICAL EVALUATION BRANCH (PEB) CONTACT LIST FOR WAMTC ENQUIRIES3 USEFUL WEB ADDRESSES.4 GLOSSARY OF COMMONLY-USED TERMS AND ABBREVIATIONS.5 1. What is WAMTC?.9 1.1 How a WAMTC group is formed.10 1.2. Therapeuti
2、c Group drugs.11 1.3 Non-therapeutic group WAMTC group drugs.11 2. Steps in the process of a WAMTC review.13 2.1 Regular cycle of WAMTC reviews.14 2.2 Ad hoc WAMTC reviews.20 3. Data.25 3.1 Dosage data sources.26 3.2 How to submit dosage data.27 3.3 Handling of deleted item codes.28 3.4 Handling of
3、drugs with the same strength and packsize, but different formulations. 29 3.5 Handling of products marked as bioequivalent or therapeutically equivalent.29 4. The WAMTC calculator.30 4.1 The Pre-calculation File.30 4.2 Interpreting results after price proposals have been received.31 ATTACHMENT A BAC
4、KGROUND ON WAMTC, THE ERNST & YOUNG REVIEW, AND REINSTATING THE WAMTC METHODOLOGY.34 APPENDIX 1 THERAPEUTIC GROUP PREMIUM POLICY 36 ATTACHMENT B CHANGES TO WAMTC REVIEWS.38 ATTACHMENT C ADJUSTMENTS, EXEMPTIONS, EXCLUSIONS.45 ATTACHMENT D FREQUENTLY ASKED QUESTIONS.50 ATTACHMENT E WAMTC PROCESS ANNUA
5、L REVIEW.64 ATTACHMENT F DATA SELECTION CRITERIA.65 ATTACHMENT G USING THE WAMTC CALCULATOR FROM START TO FINISH.71 ATTACHMENT H PRICE PROPOSAL TEMPLATE.80 ATTACHMENT I WAMTC PROCESS AD HOC REVIEW.81 ATTACHMENT J HONING IN ON A WAMTC NOT SIGNIFICANTLY GREATER THAN THAT OF THE BENCHMARK DRUG.82 PHARM
6、ACEUTICAL EVALUATION BRANCH (PEB) CONTACT LIST FOR WAMTC INQUIRIES Secretary Pharmaceutical Benefits Pricing Authority Pricing Section Ph: 02 6289 6968 Email: pbspricinghealth.gov.au USEFUL WEB ADDRESSES WAMTC Users Manual http:/www.health.gov.au/internet/main/publishing.nsf/Content/1A0158FB66F92395
7、CA25738E001627A7/$File/WAMTC%20Guidelines.pdf WAMTC calculator click on Excel file at http:/www.health.gov.au/internet/main/publishing.nsf/Content/health-pbs-general-pricing-wamtc Price Proposal Template can be found in WAMTC Manual, as Attachment H PBPA Policies, Procedures and Methods Manual http:
8、/www.health.gov.au/internet/main/publishing.nsf/Content/pbs-pbpa-policies-contents PBAC Guidelines http:/www.health.gov.au/internet/main/publishing.nsf/Content/pbacguidelines-index Therapeutic Relativity Sheets http:/www.health.gov.au/internet/main/publishing.nsf/Content/health-pbs-general-pricing-t
9、herelativity.htm Medicare Claims data https:/www.medicareaustralia.gov.au/statistics/dyn_pbs/forms/pbs_tab1.shtml DUSC Guild data for under co-payment prescription numbers Circulated to responsible persons by PBPA Secretariat with Medicare Australia data and initial WAMTC calculator. PBS Reform Fact Sheets http:/www.health.gov.au/internet/main/p
