PBS list of medicines prescribed by optometrists Revised November 2020

Note: Active Ingredient must be included in your PBS prescriptions (Mandatory from 1 Feb 2021)

From 1 February 2021, Department of Health regulations require the inclusion of active ingredients on all Pharmaceutical Benefits Scheme (PBS) and Repatriation PBS (RPBS) prescriptions, except for: ■ Handwritten prescriptions; ■ Paper based medication charts in the residential aged care sector; ■ Medicinal items with four or more active ingredients. Prescribers may continue to include a product/brand name on prescriptions. Where a brand name is included on prescriptions, the active ingredient must appear first. Consumers’ ability to identify a medicine’s active ingredient is critical for medicines safety.

Anti- preparations Active ingredients Product Maximum quantity Repeats

Betaxolol eye drops, solution, 5 mg (as hydrochloride)/mL, (0.5%), 5 mL Betoptic, Betoquin 1 5

Bimatoprost eye drops 300 mcg/mL (0.03%), 3 mL Lumigan, Sandoz, 1 5 Bimtop, APO-Bimatoprost

* Bimatoprost eye drops 300 mcg/mL (0.03%) 30 x 0.4 mL unit doses Lumigan PF 1 5

Bimatoprost with eye drops containing bimatoprost 300 mcg/mL (0.03%) Ganfort 0.3/5 1 5 with timolol 5 mg (as maleate)/mL (0.5%), 3 mL

* Bimatoprost with timolol eye drops containing bimatoprost 300 mcg/mL (0.03%) Ganfort PF 0.3/5 1 5 with timolol 5 mg (as maleate)/mL (0.5%), 30 x 0.4 mL unit doses

Brimonidine tartrate eye drops 1.5 mg/mL (0.15%), 5 mL Alphagan P 1.5 1 5

Brimonidine tartrate eye drops 2.0 mg/mL (0.2%), 5 mL Alphagan, Enidin 1 5

Brimonidine with timolol eye drops containing brimonidine tartrate 2 mg/mL Combigan 1 5 (0.2%) with timolol 5 mg (as maleate)/mL (0.5%), 5 mL

Brinzolamide eye drops 10 mg/mL (1%), 5 mL Azopt, BrinzoQuin 1 5

Brinzolamide 10 mg/mL (1%) eye drops containing brimonidine tartrate 2 mg/mL Simbrinza 1 5 (0.2%), 5 mL

Brinzolamide with timolol eye drops containing brinzolamide 10 mg/mL (1%) with Azarga 1 5 timolol 5 mg (as maleate)/mL (0.5%) 5 mL

Dorzolamide eye drops 20 mg (as hydrochloride)/mL (2%), 5 mL Trusopt, Trusamide, APO- 1 5

Dorzolamide with timolol eye drops containing dorzolamide 20 mg (as Cosopt, Cosdor, Dorzolamide/Timolol 1 5 hydrochloride)/mL (2%) with timolol 5 mg (as maleate)/mL (0.5%), 5 mL 20/5 (APO)

Latanoprost eye drops 50 mcg/mL (0.005%), 2.5 mL (APO, Actavis, Sandoz), 1 5 Xalaprost, Xalatan

Latanoprost with timolol eye drops containing latanoprost 50 mcg/mL (0.005%) Xalacom, Xalamol 50/5, Latanaprost/ 1 5 with timolol 5 mg (as maleate)/mL (0.5%), 2.5 mL Timolol (APO, Sandoz)

Pilocarpine eye drops containing hydrochloride 10 mg/mL (1%), 15 mL Isopto Carpine 1 5

Pilocarpine eye drops containing pilocarpine hydrochloride 20 mg/mL (2%), 15 mL Isopto Carpine 1 5

Pilocarpine eye drops containing pilocarpine hydrochloride 40 mg/mL (4%), 15 mL Isopto Carpine 1 5

* eye drops 15 mcg/ml (0.0015%) 30 x 0.3 mL unit doses Saflutan 1 5

Timolol eye drops 5 mg (as maleate)/mL (0.5%), 5 mL Timoptol 1 5

Timolol eye drops (gellan gum solution) 5 mg (as maleate)/mL (0.5%), 2.5 mL Timoptol XE 1 5

Travoprost eye drops 40 mcg/mL (0.004%), 2.5 mL Travatan 1 5

Travoprost with timolol eye drops containing travoprost 40 mcg/mL (0.004%) with DuoTrav 1 5 timolol 5 mg (as maleate)/mL (0.5%), 2.5 mL

* = unit doses Note: To satisfy PBS criteria for combination anti-glaucoma agent, patient must have been inadequately controlled with monotherapy 2 PBS list of medicines prescribed by optometrists - Revised November 2020

Anti-viral eye preparations Active ingredients Product Restrictions Maximum quantity Repeats

Aciclovir eye ointment 30 mg/g (3%), 4.5 g AciVision Restricted: herpes simplex keratitis 1 0

Antibiotics Active ingredients Product Restrictions Maximum quantity Repeats

Chloramphenicol eye drops 5 mg/mL (0.5%), 10 mL Chlorsig Restricted: for treatment of patients 1 2 identifying as Aboriginal or Torres Strait Islander

† Ciprofloxacin eye drops 3 mg /mL (0.3%), 5 mL CiloQuin, Ciloxan Authority required: bacterial 2 0 keratitis

Framycetin sulfate eye drops 5 mg/mL (0.5%), 8 mL Soframycin 1 2

Gentamicin eye drops 3 mg/mL (0.3%), 5 mL Genoptic Restricted: Suspected 1 2 pseudomonal eye infection

† Ofloxacin eye drops 3 mg/mL (0.3%), 5 mL Ocuflox Authority required: bacterial 2 0 keratitis

Tobramycin eye drops 3 mg/mL (0.3%), 5 mL Tobrex Restricted: Suspected 1 2 pseudomonal eye infection

Tobramycin eye ointment 3 mg/g (0.3%), 3.5 g Tobrex Restricted: Suspected 1 0 pseudomonal eye infection

† = Note: must be in consultation with an ophthalmologist if prescribed under PBS scheme.

Anti-inflammatory agents Active ingredients Product Restrictions Maximum quantity Repeats

Dexamethasone eye drops 1 mg/mL (0.1%), 5 mL Maxidex 1 0

Fluorometholone eye drops 1 mg/mL (0.1%), 5 mL FML Liquifilm 1 0

Fluorometholone acetate eye drops 1 mg/mL (0.1%), Flarex 1 0 5 mL

Hydrocortisone acetate eye ointment 10 mg/g Hycor 1 0 (1%), 5 g

Prednisolone acetate (1%) with phenylephrine Prednefrin Forte Restriction: uveitis 1 0 hydrochloride (0.12%) eye drops, 10 mL

Tear supplements Active ingredients Product Restrictions Maximum quantity Repeats

Carbomer 980 eye gel 2 mg/g (0.2%), 10 g Optifresh Eye Gel, PAA, 1 5 Viscotears

Carmellose sodium eye drops 5 mg/mL (0.5%) Optive 1 3 with glycerol 9 mg/mL (0.9%), 15ml

Carmellose sodium eye drops 5 mg/mL (0.5%), Evolve Carmellose 1 5 10mL

Carmellose sodium eye drops 10 mg/mL (1%), Refresh Liquigel 1 5 Restricted: severe dry eye 15 mL including Sjögren’s syndrome Carmellose sodium eye drops 5 mg/mL (0.5%), Refresh Tears Plus 1 5 15 ml

Hypromellose eye drops 3 mg/mL (0.3%), 10 mL Evolve Hypromellose 1 5

Hypromellose eye drops 3 mg/mL (0.3%), 15 mL In A Wink, Genteal 1 5 (contains sodium perborate)

Hypromellose eye drops 5 mg/mL (0.5%), 15 mL Methopt 1 5 PBS list of medicines prescribed by optometrists - Revised November 2020 3

Tear supplements Active ingredients Product Restrictions Maximum quantity Repeats

Hypromellose 3 mg/mL (0.3%) with carbomer 980 HPMC PAA, Genteal Gel 1 5 2 mg/g (0.2%) ocular lubricating gel, 10 g

Hypromellose 3 mg/mL (0.3%) with dextran eye Poly-Tears, Tears Naturale 1 5 drops 1 mg/mL (0.1%), 15 mL Restricted: severe dry eye including Sjögren’s syndrome Polyethylene glycol 400 mg/mL (0.4%) with Systane 1 5 propylene glycol 3 mg/mL (0.3%) eye drops, 15 mL

Polyvinyl alcohol eye drops 14 mg/mL (1.4%), 15 mL PVA Tears, Liquifilm Tears 1 5

Unpreserved tear supplements Active ingredients Product Restrictions Maximum quantity Repeats

Carbomer 974 ocular lubricating gel 3 mg/g (0.3%), Poly Gel 3 5 single dose units 0.5 g x 30

Carbomer 980 eye gel 2 mg/g (0.2%), single dose Viscotears Gel PF 3 5 units 0.6 mL x 30

Carmellose sodium eye drops 5 mg/mL (0.5%), Cellufresh, Optifresh Tears 3 5 single dose units 0.4 mL x 30 Restricted: severe dry eye syndrome in patients sensitive to Carmellose sodium eye drops 10 mg/mL (1%), Celluvisc, Optifresh Plus preservatives in multi-dose eye 3 5 single dose units 0.4 mL x 30 drops.

Hypromellose 3 mg/ mL (0.3%) with dextran eye Bion Tears Authority required (STREAMLINED): 3 5 drops 1 mg/mL (0.1%), single dose units 0.4 mL Optometrists have two authority x 28 codes that are streamlined. You do not need to contact PBS to obtain Perfluorohexyloctane eye drops (100%), 3mL NovaTears an authority number. Write the pre- 1 5 approved code on the prescription. Polyethylene glycol 400, 4 mg/mL (0.4%) with Systane 2 5 propylene glycol 3 mg/mL (0.3%) eye drops, 4105 - HyloFresh & HyloForte single dose units 0.8 mL x 28 6172 - all other unit-dose tear Sodium hyaluronate eye drops 1 mg/mL (0.1%), Hylo-Fresh supplements 1 5 10 mL

Sodium hyaluronate eye drops 2 mg/mL (0.2%), Hylo-Forte 1 5 10 mL

Soy lecithin 1% + tocopherol 0.002% + vitamin A Tears Again 2 5 palmitate 0.025% eye spray, 100 actuations

Topical ocular lubricant ointments Active ingredients Product Restrictions Maximum quantity Repeats

Paraffin 1 g/g compound eye ointment 3.5 g Poly Visc 2 5

Paraffin 1 g/g pack containing 2 tubes eye Poly Visc (2 pack), Ircal (2 1 5 ointment 3.5 g pack), Refresh Night Time (2 pack)

Paraffin + retinol palmitate 138 mcg/g (0.0138%) VitA-POS 2 5 (equivalent to 250 units/g vitamin A) eye ointment, 5 g

Ophthalmic compounding pharmacists Optometry Australia keeps an updated list of ophthalmic compounding pharmacists on our website www.optometry.org.au. Please keep us updated if you know of a certified ophthalmic compounding pharmacist that is not on our list by emailing [email protected]. Scheduled medicines list for optometrists Effective 18 October 2019 The Optometry Board of Australia (OBA) approved list of topical schedule 2, 3 and 4 medicines that optometrists with a scheduled medicines endorsement are qualified to administer, obtain, possess, prescribe, supply or use for the purposes of the practice of optometry. This list can also be found on OBA’s website. Medicines below that are not listed on the PBS can still be prescribed, but must be written as a private prescription. Private prescriptions do not have restriction on maximum quantity of repeats, e.g. Patanol (olopatadine).

Schedule 2 pharmacy medicine Anti-infectives Decongestants/anti-allergics Miotics, mydriatics and cycloplegics

Dibromopropamidine Antazoline Phenylephrine ≤ 2.5%

Propamidine Azelastine

Ketotifen

Levocabastine

Lodoxamide

Naphazoline

Pheniramine

Sodium Cromoglycate

Schedule 3 pharmacist-only medicine Anti-infectives

Chloramphenicol

Schedule 4 prescription-only medicine Anti-infectives Anti-inflammatories Decongestants/ Anti- Miotics, mydriatics Local anaesthetics anti-allergics and cycloplegics

Aciclovir Cyclosporin Olopatadine Amethocaine

Azithromycin Dexamethasone Cyclopentolate Lignocaine

Bacitracin Diclofenac Bimatoprost Homatropine Oxybuprocaine

Cephazolin Fluorometholone Brimonidine Pilocarpine Proxymetacaine

Ciprofloxacin Flurbiprofen Brinzolamide Phenylephrine

Framycetin Hydrocortisone Dorzolamide Tropicamide

Ganciclovir Ketorolac Latanoprost

Gentamicin Loteprednol Pilocarpine

Gramicidin Prednisolone Tafluprost

Neomycin Timolol

Ofloxacin Travoprost

Polymyxin

Tetracycline

Tobramycin

Note: Do you prescribe low dose Atropine for myopia control?

If you are prescribing low-concentration Atropine, please clearly label the prescription with ‘To Be Compounded’ to avoid confusion in the dispensing process. There have been incidents where prescriptions for low-concentration Atropine have been incorrectly processed by pharmacists as Atropt (atropine sulphate 1%). Low-concentration Atropine eye drops must be prepared by a compounding pharmacy that is equipped to compound eye drops.