Jadelle contraceptive implant
We propose to change how levonorgestrel contraceptive implants (Jadelle) can be accessed, so that they would become funded on a Practitioner’s Supply Order (PSO).
What would the effect be?
A Practitioner’s Supply Order means prescribers can give the contraceptive directly to the person when they require it. This proposal would mean that women would not need to visit a pharmacy, and may make it easier for women to access Jadelle.
Who we think will be interested in this proposal
Doctors in general practice, pharmacists, nurses, women’s health groups, organisations with an interest in sexual and reproductive health, women seeking contraception.
Levonorgestrel implants are a form of long-acting reversible contraception. Implants are inserted below the skin in the upper arm, and provide up to five years’ contraception.
They have been funded since 2010, and were used by around 12,000 women last year.
Why we’re proposing this
Levonorgestrel implants require subdermal insertion, which is a minor surgical procedure that can be performed in primary care.
At present they are funded on a prescription, meaning that women must first visit a pharmacy and then return to their health care provider (GP, family planning etc.) to have the procedure.
We expect that making it more convenient for women to get and receive their implant will encourage more people to use this form of contraception.
Reducing the rate of unintended pregnancies, through making contraception options more accessible, aligns with wider Government priorities.
Details about our proposal
Levonorgestrel subdermal implants (2 x 75 mg rods) would be added to Part I of Section E of the Pharmaceutical Schedule, the list of medicines that are subsidised on a PSO.
Practitioners would be able to order up to three packs (of two rods) per PSO.
Levonorgestrel subdermal implants would continue to be available on a prescription.
This change would be implemented from 1 February 2017.
To provide your feedback to this proposal
Send us an email: firstname.lastname@example.org by 16 December 2016.
All feedback received before the closing date will be considered by PHARMAC’s Board (or its delegate) prior to making a decision on this proposal.
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