Get Nsw Tag Dtc Toolkit Formulary Submission Form - Ciap Health Nsw Gov

Completing the NSW TAG DTC Toolkit Formulary Submission Form is essential for applying for the inclusion of a new drug or modification of an existing drug listing. This guide provides clear, structured instructions to help users navigate the online submission process effectively.

Follow the steps to fill out the form accurately

1. Access the form by pressing the ‘Get Form’ button to initiate the download and open it in a digital format for editing.
2. Fill out the Product Profile section with essential details such as the Australian approved name, trade name, dosage forms, manufacturer, and a brief summary of the pharmacological class and action.
3. In the Indication(s) for use section, indicate whether the drug is approved by the Therapeutic Goods Administration (TGA) and provide detailed proposed indications for its use.
4. Complete the PBS Listing and Continuity of Supply section by indicating whether the drug has been considered by the Pharmaceutical Benefits Advisory Committee (PBAC) and whether it is approved for subsidy under the PBS.
5. In the Reasons for Request section, specify the reason for the submission, treatment details, recommended dosage and administration, relevant comparators, and monitoring requirements.
6. Provide information related to Comparative Safety and Efficacy by detailing significant side effects, main benefits in safety and effectiveness, and additional benefits, along with referencing any sources.
7. Outline Comparative costs of drug treatments, including average costs and expected number of patients per year.
8. Address Issues Regarding Safe Use by evaluating product packaging, administration, and any required education for hospital staff.
9. Complete the Details of Applicant section with the name, position, and signature of the applicant, ensuring all conflicts of interest are disclosed.
10. Final step involves reviewing the completed sections, attaching any supporting data or guidelines, and ensuring the submission checklist is filled out before submission.

Ensure your document is ready by completing the NSW TAG DTC Toolkit Formulary Submission Form online today.