Decision to fund MiniMed 640G and Tandem t:slim X2 insulin pumps and consumables

Medicines

Decision

What we are doing

We’re pleased to announce a decision to list the MiniMed 640G insulin pump and the Tandem t:slim X2 insulin pump and associated consumables from 1 November 2018 for people who meet the Special Authority criteria for access to funded insulin pumps and consumables.

There will be no changes to the current funding criteria for insulin pump and consumables. The MiniMed 640G and the Tandem t:slim X2 and consumables will be listed subject to the same Special Authority criteria that currently apply to insulin pumps and consumables.

  • The MiniMed 640G pump will replace the Paradigm 522 and 722 pumps, which will be delisted from 1 November 2018.
  • The consumables for the Paradigm pumps are interchangeable with the MiniMed 640G pump and will remain listed, except for one insulin pump reservoir which is no longer being manufactured.
  • The Tandem pump will replace the Animas Vibe pumps, which will be delisted from 1 November 2018.
  • The Animas Vibe associated consumables will remain listed until 30 September 2019 and new consumables for the Tandem pump will be listed from 1 November 2018.

We’ve made sure the MiniMed 640G and Tandem t:slim X2 insulin pumps and associated consumables are ISO certified and WAND registered for use in New Zealand.  We’ve also received clinical advice that these pumps are acceptable for use in New Zealand.

What this means

This means that from 1 November 2018, people who meet the Special Authority criteria for a funded insulin pump will have funded access to a MiniMed 640G or a Tandem t:slim X2 insulin pump and associated consumables.

People currently using a funded Paradigm pump will:

  • continue to be able to access funded consumables if they continue to meet the Special Authority criteria
  • have a choice of which brand of funded insulin pump to use once the warranty on their current insulin pump expires and they continue to meet the Special Authority criteria.

People currently using a funded Animas pump will:

  • have to change to an alternative brand of pump before 30 September 2019 to continue to access funded consumables.  Due to global discontinuation of the brand, there will no longer be Animas consumables or support available to people using the Animas Vibe pump from that date.
  • most people do not need to change their Animas Vibe pump straight away. The supplier, New Zealand Medical & Scientific (NZMS), will provide a comprehensive staged replacement and training process, working with diabetes clinics, for people who want to replace their Animas pump with the Tandem t:slim X2 insulin pump.

If you want to find out more about the new insulin pumps or the transition process, contact details for PHARMAC and the suppliers are provided below.

A summary of the impact of this decision on people eligible for funded insulin pump therapy is provided in the table below:

Patient situation

Insulin pump option

People who do not currently have a funded insulin pump

These people will have a choice of which brand of funded insulin pump to commence insulin pump therapy on (i.e. Tandem or MiniMed).

People whose current pump, either Animas or Paradigm, is out of its warranty period (more than 4 years old).

These people will have a choice of which brand of funded insulin pump to continue insulin pump therapy on (Tandem or MiniMed).

People whose current Animas pump is within its warranty period (less than 4 years old).

These people will be offered a replacement Tandem pump prior to expiration of their current Animas pump warranty or prior to 30 September 2019, whichever comes first.

The replacement Tandem pump will have the same warranty end date as their replaced Animas pump.

At the end of the warranty period, these people will have a choice of which brand of funded insulin pump to continue insulin pump therapy on (Tandem or MiniMed).

People whose current Paradigm pump is within its warranty period (less than 4 years old).

At the end of the warranty period, these people will have a choice of which brand of funded insulin pump to continue insulin pump therapy on (Tandem or MiniMed).

Further information

More information about the change is available on the PHARMAC website.

Also on the supplier's websites:

If you have any questions about this decision, or about whether you are eligible for a funded pump, you can call PHARMAC on 0800 66 00 50 during office hours Monday to Friday; or email us at enquiry@pharmac.govt.nz.

If you have questions about the Paradigm or MiniMed 640G pump and consumables, please contact Intermed on 0800 333 444 during office hours; or email sales@intermed.co.nz

If you have questions about transition timeframes or the Tandem t:slim X2 pump and consumables, you can call  NZMS on 0800 500 226 during office hours Monday to Friday; or email switch2tandem@nzms.co.nz.

Detail about this decision

  • There will be no changes to the current funding criteria for insulin pump and consumables. The MiniMed 640G and the Tandem t:slim X2 and associated consumables will be listed in Section B of the Pharmaceutical Schedule subject to the same Special Authority criteria that currently apply to insulin pumps and consumables.

The following changes will occur in Section B of the Pharmaceutical Schedule:

MiniMed 640G listing

  • The MiniMed 640G insulin pump will be listed in Section B of the Pharmaceutical Schedule from 1 November 2018 at the following price and subsidy (ex-manufacturer, excl. GST) as follows:
Chemical Presentation Brand Pack size Price and subsidy
Insulin pump Min basal rate 0.025 U/h MiniMed 640G 1 $8,800.00
  • A confidential rebate will apply to the MiniMed 640G that will reduce its net price to the Funder
  • The insulin pump consumables for the MiniMed 640G are interchangeable with the currently listed insulin pump consumables for the Paradigm 522 and 722 insulin pumps. These will remain listed with the exception of one insulin pump reservoir as detailed below.

Paradigm pump delistings

  • The Paradigm insulin pumps will be delisted in Section B of the Pharmaceutical Schedule from 1 November 2018 as follows:

Chemical

Presentation

Brand

Pack size

Insulin pump

Min basal rate 0.05 U/h; blue colour

Paradigm 522
Paradigm 722

1

Insulin pump

Min basal rate 0.05 U/h; clear colour

Paradigm 522
Paradigm 722

1

Insulin pump

Min basal rate 0.05 U/h; pink colour

Paradigm 522
Paradigm 722

1

Insulin pump

Min basal rate 0.05 U/h; purple colour

Paradigm 522
Paradigm 722

1

Insulin pump

Min basal rate 0.05 U/h; smoke colour

Paradigm 522
Paradigm 722

1

  • The following insulin pump reservoir will be delisted in Section B of the Pharmaceutical Schedule from 1 October 2019 as follows:

Chemical

Presentation

Brand

Pack size

Insulin pump reservoir

Syringe and cartridge for 50X pump, 3.0 ml x 10

50X 3.0
Reservoir

1 OP

  • All other insulin pump consumables, (infusion sets and reservoirs) supplied by InterMed for use with the Paradigm and MiniMed pumps will remain listed.

Tandem t:slim X2 listing

  • The Tandem t:slim X2 insulin pump will be listed in Section B of the Pharmaceutical Schedule from 1 November 2018 at the following price and subsidy (ex-manufacturer, excl. GST) as follows:

Chemical

Presentation

Brand

Pack size

Price and subsidy

Insulin pump

Min basal rate 0.001 U/h

Tandem t:slim X2

1

$4,500.00

  • The following insulin pump infusion sets will be listed in Section B of the Pharmaceutical Schedule from 1 November 2018 at the following price and subsidy (ex-manufacturer, excl. GST) as follows:

Chemical

Presentation

Brand

Pack size

Price and subsidy

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

6 mm teflon cannula; straight insertion; insertion device; 60 cm line x 10 with 10 needles

AutoSoft 90

1 OP

$140.00

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

6 mm teflon cannula; straight insertion; insertion device; 110 cm line x 10 with 10 needles

AutoSoft 90

1 OP

$140.00

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

9 mm teflon cannula; straight insertion; insertion device; 60 cm line x 10 with 10 needles

AutoSoft 90

1 OP

$140.00

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

9 mm teflon cannula; straight insertion; insertion device; 110 cm line x 10 with 10 needles

AutoSoft 90

1 OP

$140.00

Insulin pump infusion set (teflon cannula, angle insertion with insertion device)

13 mm teflon cannula; angle insertion; insertion device; 60 cm line x 10 with 10 needles

AutoSoft 30

1 OP

$140.00

Insulin pump infusion set (teflon cannula, angle insertion with insertion device)

13 mm teflon cannula; angle insertion; insertion device; 110 cm line x 10 with 10 needles

AutoSoft 30

1 OP

$140.00

Insulin pump infusion set (steel cannula, straight insertion)

6 mm steel cannula; straight insertion; 60 cm line x 10 with 10 needles

TruSteel

1 OP

$130.00

Insulin pump infusion set (steel cannula, straight insertion)

6 mm steel cannula; straight insertion; 81 cm line x 10 with 10 needles

TruSteel

1 OP

$130.00

Insulin pump infusion set (steel cannula, straight insertion)

8 mm steel cannula; straight insertion; 60 cm line x 10 with 10 needles

TruSteel

1 OP

$130.00

Insulin pump infusion set (steel cannula, straight insertion)

8 mm steel cannula; straight insertion; 81 cm line x 10 with 10 needles

TruSteel

1 OP

$130.00

  • The following insulin pump cartridge will be listed in Section B of the Pharmaceutical Schedule from 1 November 2018 at the following price and subsidy (ex-manufacturer, excl. GST) as follows:

Chemical

Presentation

Brand

Pack size

Price and subsidy

Insulin pump cartridge

Cartridge 300 U, t:lock x 10

Tandem Cartridge

1 OP

$50.00

Animas Vibe delistings

  • The following Animas Vibe insulin pumps will be delisted from Section B of the Pharmaceutical Schedule from 1 November 2018:

Chemical

Presentation

Brand

Pack size

Price and subsidy

Insulin pump

Min basal rate 0.025 U/h, black colour

Animas Vibe

1

$4,500.00

Insulin pump

Min basal rate 0.025 U/h, blue colour

Animas Vibe

1

$4,500.00

Insulin pump

Min basal rate 0.025 U/h, green colour

Animas Vibe

1

$4,500.00

Insulin pump

Min basal rate 0.025 U/h, pink colour

Animas Vibe

1

$4,500.00

Insulin pump

Min basal rate 0.025 U/h, silver colour

Animas Vibe

1

$4,500.00

  • The following insulin pump infusion sets will be delisted from Section B of the Pharmaceutical Schedule from 1 October 2019:

Chemical

Presentation

Brand

Pack size

Price and subsidy

Insulin pump infusion set (teflon cannula, angle insertion with insertion device)

13 mm teflon cannula; angle insertion; insertion device; 60 cm grey line x 10 with 10 needles

Inset 30

1 OP

$140.00

 

Insulin pump infusion set (teflon cannula, angle insertion with insertion device)

13 mm teflon cannula; angle insertion; insertion device; 110 cm grey line x 10 with 10 needles

Inset 30

1 OP

$140.00

 

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

6 mm teflon cannula; straight insertion; insertion device; 60 cm grey line x 10 with 10 needles

Inset II

1 OP

$140.00

 

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

6 mm teflon cannula; straight insertion; insertion device; 110 cm grey line x 10 with 10 needles

Inset II

1 OP

$140.00

 

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

9 mm teflon cannula; straight insertion; insertion device; 60 cm grey line x 10 with 10 needles

Inset II

1 OP

$140.00

 

Insulin pump infusion set (teflon cannula, straight insertion with insertion device)

9 mm teflon cannula; straight insertion; insertion device; 110 cm grey line x 10 with 10 needles

Inset II

1 OP

$140.00

 

Insulin pump infusion set (steel cannula)

6 mm steel cannula; straight insertion; 60 cm grey line x 10 with 10 needles

Contact-D

1 OP

$130.00

 

Insulin pump infusion set (steel cannula)

8 mm steel cannula; straight insertion; 60 cm grey line x 10 with 10 needles

Contact-D

1 OP

$130.00

 

Insulin pump infusion set (steel cannula)

8 mm steel cannula; straight insertion; 110 cm grey line x 10 with 10 needles

Contact-D

1 OP

$130.00

 
  • The following insulin pump reservoir and insulin pump accessories will be delisted from Section B of the Pharmaceutical Schedule from 1 October 2019:

Chemical

Presentation

Brand

Pack size

Price and subsidy

Insulin pump reservoir

Cartridge 200 U, luer lock × 10

Animas Cartridge

1 OP

$50.00

Insulin pump accessories

Battery cap

Animas Battery Cap

1

$32.00