Drugs and manners of administration that meet the 42 month clock

Page last updated: 27 October 2023

This page lists the drugs and manners of administration (MoA) that will meet the 42 month clock for the 2024 April Cycle. A drug/MoA will meet the 42 month clock if the brand’s pharmaceutical item has been on F2 for at least 42 months, and at least 30 months have passed since the first price disclosure price reduction for any brand of the same drug/MoA.

Brands of a drug/MoA which have met the 42 month clock will satisfy the ‘designated brand’ criteria under s99ADHC(1)(a) of the National Health Act 1953 (the Act). Under s99ADH(1)(c) of the Act, designated brands with an AEMP of more than $4 will be subject to a 30% Unadjusted Price Reduction (UPR), OR a 10% UPR, if there has been discounting averaging at least 12.5% over the last 3 data collection periods including the one for which calculations are performed and there has not been a price reduction under s99ADH of the Act.

Drug/MoAs that have not met the 42 month clock may satisfy criteria for a future cycle. Updates will be published in April and October of each year.

Further information on the 42 month clock as well as the application of the 30% threshold is available in the Price Disclosure Guidelines.

Drugs and manners of administration that meet the 42 month clock for the 2024 April Cycle:

Legal Instrument Drug

Legal Instrument MoA

Meets 42 month clock

Abacavir with lamivudine

Oral

Yes

Acamprosate

Oral

Yes

Acarbose

Oral

Yes

Aciclovir

Oral

Yes

Acitretin

Oral

Yes

Adefovir

Oral

Yes

Alendronic acid

Oral

Yes

Alendronic acid with colecalciferol

Oral

Yes

Alendronic acid with colecalciferol and calcium

Oral

Yes

Allopurinol

Oral

Yes

Alprazolam

Oral

Yes

Amiodarone

Oral

Yes

Amisulpride

Oral

Yes

Amlodipine

Oral

Yes

Amlodipine with atorvastatin

Oral

Yes

Amlodipine with valsartan

Oral

Yes

Amlodipine with valsartan and hydrochlorothiazide

Oral

Yes

Amoxicillin

Oral

Yes

Amoxicillin with clavulanic acid

Oral

Yes

Ampicillin

Injection

Yes

Anastrozole

Oral

Yes

Aripiprazole

Oral

Yes

Atazanavir

Oral

Yes

Atenolol

Oral

Yes

Atomoxetine

Oral

Yes

Atorvastatin

Oral

Yes

Azacitidine

Injection

Yes

Azathioprine

Oral

Yes

Azithromycin

Oral

Yes

Baclofen

Oral

Yes

Baclofen

Injection

Yes

Bicalutamide

Oral

Yes

Bisacodyl

Oral

Yes

Bisoprolol

Oral

Yes

Bivalirudin

Injection

Yes

Bleomycin

Injection

Yes

Bosentan

Oral

Yes

Calcitriol

Oral

Yes

Candesartan

Oral

Yes

Candesartan with hydrochlorothiazide

Oral

Yes

Capecitabine

Oral

Yes

Captopril

Oral

Yes

Carboplatin

Injection

Yes

Carvedilol

Oral

Yes

Cefaclor

Oral

Yes

Cefalexin

Oral

Yes

Cefazolin

Injection

Yes

Cefepime

Injection

Yes

Cefotaxime

Injection

Yes

Ceftriaxone

Injection

Yes

Celecoxib

Oral

Yes

Ciclosporin

Oral

Yes

Ciprofloxacin

Oral

Yes

Cisplatin

Injection

Yes

Citalopram

Oral

Yes

Clarithromycin

Oral

Yes

Clindamycin

Oral

Yes

Clomipramine

Oral

Yes

Clopidogrel

Oral

Yes

Clopidogrel with aspirin

Oral

Yes

Clozapine

Oral

Yes

Codeine with paracetamol

Oral

Yes

Cyproterone

Oral

Yes

Desferrioxamine

Injection

Yes

Desvenlafaxine

Oral

Yes

Dexamethasone

Injection

Yes

Diazepam

Oral

Yes

Diclofenac

Oral

Yes

Diltiazem

Oral

Yes

Docetaxel

Injection

Yes

Donepezil

Oral

Yes

Dorzolamide

Application to the eye

Yes

Dorzolamide with timolol

Application to the eye

Yes

Dosulepin

Oral

Yes

Doxorubicin

Injection/intravesical

Yes

Doxorubicin - pegylated liposomal

Injection

Yes

Doxycycline

Oral

Yes

Duloxetine

Oral

Yes

Eplerenone

Oral

Yes

Electrolyte replacement, oral

Oral

Yes

Enalapril

Oral

Yes

Enalapril with hydrochlorothiazide

Oral

Yes

Entecavir

Oral

Yes

Epirubicin

Injection/intravesical

Yes

Epoprostenol

Injection

Yes

Escitalopram

Oral

Yes

Esomeprazole

Oral

Yes

Etoposide

Injection

Yes

Exemestane

Oral

Yes

Ezetimibe

Oral

Yes

Ezetimibe with simvastatin

Oral

Yes

Famciclovir

Oral

Yes

Famotidine

Oral

Yes

Felodipine

Oral

Yes

Fenofibrate

Oral

Yes

Fentanyl

Transdermal

Yes

Filgrastim

Injection

Yes

Flucloxacillin

Injection

Yes

Fluconazole

Injection

Yes

Fluconazole

Oral

Yes

Fludarabine

Injection

Yes

Fluorouracil

Injection

Yes

Fluoxetine

Oral

Yes

Flutamide

Oral

Yes

Fluvoxamine

Oral

Yes

Folinic acid

Injection

Yes

Fosinopril

Oral

Yes

Fosinopril with hydrochlorothiazide

Oral

Yes

Furosemide

Injection

Yes

Furosemide

Oral

Yes

Gabapentin

Oral

Yes

Galantamine

Oral

Yes

Ganciclovir

Injection

Yes

Gemcitabine

Injection

Yes

Gemfibrozil

Oral

Yes

Glimepiride

Oral

Yes

Glyceryl trinitrate

Transdermal

Yes

Granisetron

Injection

Yes

Granisetron

Oral

Yes

Hydrocortisone

Oral

Yes

Hydrocortisone

Rectal

Yes

Hydroxocobalamin

Injection

Yes

Hydroxychloroquine

Oral

Yes

Hyoscine

Injection

Yes

Idarubicin

Injection

Yes

Imatinib

Oral

Yes

Imiquimod

Application

Yes

Indapamide

Oral

Yes

Infliximab

Injection

Yes

Ipratropium

Inhalation

Yes

Irbesartan

Oral

Yes

Irbesartan with hydrochlorothiazide

Oral

Yes

Irinotecan

Injection

Yes

Iron polymaltose complex

Injection

Yes

Isosorbide mononitrate

Oral

Yes

Isotretinoin

Oral

Yes

Itraconazole

Oral

Yes

Ivabradine

Oral

Yes

Labetalol

Oral

Yes

Lamivudine

Oral

Yes

Lamivudine with zidovudine

Oral

Yes

Lamotrigine

Oral

Yes

Lansoprazole

Oral

Yes

Latanoprost

Application to the eye

Yes

Latanoprost with timolol

Application to the eye

Yes

Leflunomide

Oral

Yes

Lercanidipine

Oral

Yes

Letrozole

Oral

Yes

Levetiracetam

Oral

Yes

Levonorgestrel with ethinylestradiol

Oral

Yes

Lincomycin

Injection

Yes

Lisinopril

Oral

Yes

Macrogol 3350

Oral

Yes

Meloxicam

Oral

Yes

Memantine

Oral

Yes

Metformin

Oral

Yes

Methotrexate

Injection

Yes

Methylprednisolone

Injection

Yes

Metoclopramide

Oral

Yes

Metoprolol

Oral

Yes

Metoprolol succinate

Oral

Yes

Mirtazapine

Oral

Yes

Mitozantrone

Injection

Yes

Moclobemide

Oral

Yes

Modafinil

Oral

Yes

Mometasone

Application

Yes

Montelukast

Oral

Yes

Moxonidine

Oral

Yes

Mycophenolic acid

Oral

Yes

Naloxone

Injection

Yes

Nevirapine

Oral

Yes

Nicorandil

Oral

Yes

Nifedipine

Oral

Yes

Nitrazepam

Oral

Yes

Norfloxacin

Oral

Yes

Olanzapine

Oral

Yes

Olmesartan

Oral

Yes

Olmesartan with hydrochlorothiazide

Oral

Yes

Omeprazole

Oral

Yes

Ondansetron

Oral

Yes

Oxaliplatin

Injection

Yes

Oxybutynin

Oral

Yes

Oxycodone

Oral

Yes

Paclitaxel

Injection

Yes

Pamidronic acid

Injection

Yes

Pantoprazole

Oral

Yes

Paroxetine

Oral

Yes

Pegfilgrastim

Injection

Yes

Pemetrexed

Injection

Yes

Perindopril

Oral

Yes

Perindopril with amlodipine

Oral

Yes

Perindopril with indapamide

Oral

Yes

Pindolol

Oral

Yes

Pioglitazone

Oral

Yes

Pramipexole

Oral

Yes

Pravastatin

Oral

Yes

Prazosin

Oral

Yes

Pregabalin

Oral

Yes

Prochlorperazine

Oral

Yes

Quetiapine

Oral

Yes

Quinapril

Oral

Yes

Rabeprazole

Oral

Yes

Raloxifene

Oral

Yes

Ramipril

Oral

Yes

Ranitidine

Oral

Yes

Riluzole

Oral

Yes

Risedronic acid

Oral

Yes

Risedronic acid and calcium

Oral

Yes

Risperidone

Oral

Yes

Rituximab

Injection

Yes

Rizatriptan

Oral

Yes

Rosuvastatin

Oral

Yes

Roxithromycin

Oral

Yes

Salbutamol

Inhalation

Yes

Sertraline

Oral

Yes

Sildenafil

Oral

Yes

Simvastatin

Oral

Yes

Sorbitol with sodium citrate dihydrate and sodium lauryl sulfoacetate

Rectal

Yes

Sotalol

Oral

Yes

Sumatriptan

Oral

Yes

Tacrolimus

Oral

Yes

Tamoxifen

Oral

Yes

Telmisartan

Oral

Yes

Telmisartan with amlodipine

Oral

Yes

Telmisartan with hydrochlorothiazide

Oral

Yes

Temazepam

Oral

Yes

Temozolomide

Oral

Yes

Tenofovir with emtricitabine

Oral

Yes

Tenofovir

Oral

Yes

Terbinafine

Oral

Yes

Teriflunomide

Oral

Yes

Tirofiban

Injection

Yes

Tobramycin

Injection

Yes

Tobramycin

Inhalation

Yes

Topiramate

Oral

Yes

Topotecan

Injection

Yes

Tramadol

Injection

Yes

Tramadol

Oral

Yes

Trandolapril

Oral

Yes

Tranexamic acid

Oral

Yes

Trastuzumab

Injection

Yes

Trimethoprim with sulfamethoxazole

Oral

Yes

Tropisetron

Injection

Yes

Ursodeoxycholic acid

Oral

Yes

Valaciclovir

Oral

Yes

Valganciclovir

Oral

Yes

Valproic acid

Oral

Yes

Valsartan

Oral

Yes

Valsartan with hydrochlorothiazide

Oral

Yes

Vancomycin

Injection

Yes

Venlafaxine

Oral

Yes

Vincristine

Injection

Yes

Vinorelbine

Injection

Yes

Voriconazole

Oral

Yes

Ziprasidone

Oral

Yes

Zoledronic acid

Injection

Yes

Zolmitriptan

Oral

Yes