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TerbinafineAPO-TERBINAFINE

Noted DermatologyAuthority RequiredNot applicable line

Treatment of fungal or yeast infection (tablets for dermatophyte infections; cream for fungal or yeast infections) in Aboriginal or Torres Strait Islander persons.

2
Submissions
2007–07
On the record
ICER range
Cost-min
Cost basis

Decisions on record

4 decisions
  • Meeting May 2020 Noted Onychomycosis no PSD
  • Meeting Nov 2009 Recommended Fungal infections no PSD
  • Meeting Nov 2007 Recommended Fungal infections
  • Meeting Nov 2007 Recommended Fungal infections

Access path

2 submissions · public record
  1. TGA registered · APO-TERBINAFINE

    TGA label narrower than the PBS population

  2. Nov 2007
    Recommended · restricted

    vs griseofulvin (tablet); miconazole (cream)

  3. Nov 2007
    Recommended · restricted
  4. PBS listing · Authority Required
RecommendedDeferredNot recommended

Cost-effectiveness

Tablet: trial-based economic evaluation estimated incremental cost of <$500 per extra patient successfully treated. Cream: cost-minimisation approach; no ICER calculated. No modelled economic evaluation presented.

The PBAC considered that the trial-based cost-minimisation data should be regarded as indicative only and that the additional cost of listing terbinafine would be magnified if the incidence were higher than estimated, or if treatment were prolonged. PBAC · 2007
ICER uncertainEconomic model disputed

Decision context

PopulationAboriginal or Torres Strait Islander adults with dermatophyte, tinea, or candida infections where oral (tablet) or topical (cream) therapy is indicated.

Submission history

2 entries
DecidedOutcomeComparatorICEREvidence
Nov 2007 Recommended · restricted griseofulvin (tablet); miconazole (cream) RCT · Mycological cure / complete cure, Clinical efficacy
Nov 2007 Recommended · restricted griseofulvin (tablet); miconazole (cream) RCT · mycological cure

Similar precedents

By decision profile

Regulatory · TGA

Label narrower than PBS population — PBAC restricts subsidy to Aboriginal or Torres Strait Islander persons only; TGA label covers all adults without ethnic restriction.