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Medium Chain Triglycerides Formula

Recommended · restricted MetabolicRestrictedNot applicable line

Dietary management of conditions requiring a source of medium chain triglycerides in children aged 1-10 years with fat malabsorption due to liver disease, short gut syndrome, cystic fibrosis, or gastrointestinal disorders.

3
Submissions
1 resub
2015–16
On the record
—
ICER range
Cost-min
Cost basis

Access path

3 submissions · public record
  1. Jul 2015
    Recommended · restricted

    vs Monogen®, Lipistart®

  2. Nov 2015
    Deferred

    Comparator changed: Monogen®, Lipistart® → Peptamen Junior powder

  3. Nov 2016
    Recommended · restricted
  4. PBS listing · Restricted
RecommendedDeferredNot recommended

From the public summary

Verbatim · PSD text · may span indications
PBAC outcome
6.1 The PBAC recommended the listing of Nutrini Peptisorb Energy® (NPE) as a Restricted Benefit for the dietary management of conditions requiring a source of medium chain triglycerides for patients aged 1-10 years old.PSD · Nov 2016
6.2 The PBAC noted the advice of the Nutritional Products Working Party (NPWP) that supported the listing of NPE on the PBS.PSD · Nov 2016

Cost-effectiveness

Cost-minimisation analysis; no ICER calculated. Submission stated the product should cost the same per kJ of energy as the comparator.

The PBAC agreed with the advice of the NPWP that supported the listing of NPE on the PBS on a cost-minimisation basis against Peptamen Junior at an equivalent price per kilojoule of energy. PBAC · 2016
Cost-effectiveness accepted ×2

Decision context

PopulationChildren aged 1-10 years with fat malabsorption due to liver disease, short gut syndrome, cystic fibrosis, or gastrointestinal disorders requiring a source of medium chain triglycerides.

Submission history

3 entries
DecidedOutcomeComparatorICEREvidence
Nov 2016 Recommended · restricted Peptamen Junior powder — Cost-minimisation · Cost-minimisation
Nov 2015 Deferred Peptamen Junior powder — Cost-minimisation · Cost-minimisation
Jul 2015 Recommended · restricted Monogen®, Lipistart® — Cost-minimisation · Cost-minimisation

Similar precedents

By decision profile
Triglycerides Medium Chain Formula90%Whey Protein Formula With Medium Chain Triglycerides, Carbohydrate, Vitamins And Minerals89%Medium Chain Triglycerides; Protein Formula With Carbohydrate, Fat, Vitamins And Minerals83%Protein Hydrolysate Formula With Medium Chain Triglycerides80%Amino Acid Formula With Fat, Carbohydrate, Vitamins, Minerals, Trace Elements And Medium Chain Triglycerides72%Triglycerides, Long Chain; Triglycerides, Medium Chain72%Triglycerides, Medium Chain; Triglycerides, Long Chain70%Triglycerides, Medium Chain70%

Regulatory · TGA

Label narrower than PBS population — PBAC restricts to children aged 1-10 years with specific fat malabsorption conditions; TGA label is general food for special medical purposes.