Prescribing restricted medicines
The new Hospital Medicines List (HML) – advice for prescribers of restricted medicines
14 May 2013
PHARMAC is in the process of notifying sections of the new Hospital Medicines List (HML)/Part II of Section H of the Pharmaceutical Schedule. The HML will be operating in DHB hospitals starting from 1 July 2013 when the first phase transition begins.
Some medicines will have prescriber-type or indication restrictions.
What this means in practice
Attached is a step-by-step guide illustrating the new steps when someone is prescribing from within a DHB hospital as the list is introduced.
In addition to this guide you should keep in mind:
- It is possible to prescribe a pharmaceutical that is restricted to a different prescriber group (from your own) if you have a DHB hospital protocol or guideline to support this.
- In an emergency situation, if you are not in the prescriber group for a restricted medicine and are unable to get hold of an appropriate person to discuss using that medicine, you may use it. However you would need to make contact with that person during the following 24 hour period.
- It may be possible to prescribe a pharmaceutical outside an indication restriction via the Named Patient Pharmaceutical Assessment (NPPA) policy – either through the PHARMAC or DHB NPPA processes.
What you may need to do
We encourage DHB hospitals to develop (or adopt from other DHB hospitals) any necessary protocols to assist prescribing practices prior to 1 July 2013, where possible.
This will be particularly important if you prescribe a pharmaceutical that has a prescriber group restriction (different from your own) as may be the case, for example, with anti-infective agents.
Please email HML@pharmac.govt.nz, call us on 0800 66 00 50 or fax 64 4 974 7819 if you have any specific questions regarding the HML. You can also find more information about the rules for the HML and other related information.
What do the ‘Prescriber Restriction’ and ‘Indication Restriction’ mean when I’m prescribing from the Hospital Medicines List (HML) in DHB hospitals starting from 1 July 2013?
*24 hour ‘grace period’ - for emergency situations, you may use the medicine if you cannot discuss with a relevant group prescriber, but you should contact them and discuss within 24 hours.
Last updated: 2 May 2017