Myelofibrosis

The Pharmaceutical Benefits Scheme (PBS) subsidises ruxolitinib for patients with myelofibrosis.

Treatment with ruxolitinib is subsidised through the PBS under Section 85 of the National Health Act 1953.

This item is available for patients with primary myelofibrosis or post-polycythemia vera myelofibrosis or post-essential thrombocythemia myelofibrosis who are classified as:

  • high risk or intermediate–2 risk,
  • intermediate–1 risk with severe disease related symptoms that are resistant, refractory or intolerant to available therapy

Restriction details

The Schedule of Pharmaceutical Benefits on PBS website outlines restrictions for prescribing ruxolitinib to patients.

Application requirements

All initial applications must include a copy of the bone marrow biopsy report confirming the diagnosis of myelofibrosis.

Classification of risk of myelofibrosis must be provided in accordance with either the:

  • Myelofibrosis International Prognostic Scoring System (IPSS)
  • Dynamic International Prognostic Scoring System (DIPSS), or
  • Age Adjusted DIPSS

Patients treated with non PBS subsidised ruxolitinib before 1 February 2016 must submit details of the previous treatment. This must include:

  • the date when treatment with ruxolitinib started
  • a bone marrow biopsy report confirming the diagnosis of myelofibrosis
  • confirmation the PBS restriction criteria for the relevant risk category were met at the time treatment started, and
  • the method of ruxolitinib treatment at the time it started, such as through a compassionate use program

Lodging an application

All initial application requests must:

Send all written applications to the PBS Complex Drugs Programs address.

Continuing treatment

Authority applications for continuing treatment may be made in writing or by calling the PBS Complex Drugs Programs enquiry line.

Further information

For more information contact the PBS Complex Drugs Programs enquiry line.

Page last updated: 8 November 2016

This information was printed Monday 5 December 2016 from humanservices.gov.au/health-professionals/enablers/myelofibrosis It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.