- Jurisdictional Direct Orders
- Direct Orders, Private Expense
- Immunoglobulin Access (main menu)
For a number of reasons, medical specialists may sometimes want to prescribe immunoglobulin for medical conditions that are not funded under the national blood supply arrangements as defined in the Criteria for the clinical use of immunoglobulin in Australia (Criteria). In such cases, IVIg or SCIg may be available either through jurisdictional direct order arrangements, or directly from suppliers on a commercial basis, at private expense.
Medical specialists seeking access to IVIg or SCIg for conditions or circumstances not funded under the Criteria should discuss their options with their local health department or local hospital drug and therapeutics committee; the NBA does not manage individual access to Ig products outside of the conditions funded under the national blood arrangements.
The information below provides an outline of the options.
Jurisdictional Direct Orders
Under local arrangements, Approved Health Providers (AHPs) are able to purchase imported product only (IVIg or SCIg) directly from the supplier at an equivalent price to that negotiated by the NBA. This is called a Jurisdictional Direct Order (JDO).
Every state or territory health department is responsible for advising each supplier of imported IVIg and SCIg product of the Approved Health Providers in their jurisdiction. Processes vary, with some jurisdictions confirming AHP status to the supplier each time a JDO is requested, and others having longer-standing arrangements.
Application and approval arrangements for doctors seeking access to Ig products raised through a JDO vary between hospitals and jurisdictions, but usually involve seeking access through the local hospital therapeutics committee, or equivalent. Medical officers should seek advice from their hospital or health department if unsure.
Where approval is granted, the cost of the Ig product purchased through a JDO is borne directly by the AHP.
The JDO arrangements operate as follows:
- Medical specialist seeks approval to obtain IVIg or SCIg through a JDO for their patient, following their local processes
- Once approval is granted, the relevant AHP places an order for the imported IVIg or SCIg directly with the supplier, establishing a contract directly between the supplier and AHP for the supply of the Ig product
- Purchases are paid for in full by the AHP.
Products that can be supplied under JDO arrangements are listed in the following document.
Direct Orders, Private Expense
In circumstances where immunoglobulin cannot be accessed under the Criteria or JDO arrangements, it may be possible to access imported immunoglobulin directly from relevant suppliers on a commercial basis and at private expense. Products potentially available for private direct order are:
- imported Ig products, as listed as available under JDO arrangements
- other imported Ig products approved by the Therapeutic Goods Administration (TGA) for supply in Australia but not included on the National Product Price List (see: Australian Register of Therapeutic Goods)
These arrangements are outside of National Blood Arrangements. The NBA does not provide advice or assistance on these options.
Keep up to date
Ig Program Updates provides a snapshot of the NBA’s current work program and priorities in the immunoglobulin space. It is updated quarterly.
To receive the latest Immunoglobulin Governance Program Updates by email, join the Ig Updates and National Immunoglobulin Interest Group (NIIG) subscription list: email Iggovernance@blood.gov.au(link sends e-mail) with the words SUBSCRIBE Ig Program Updates and NIIG in the subject line.
In the body of the email, please indicate your interest (e.g. Healthcare Professional/ Patient/ Government, etc.) and include your signature block.
Subscribers receive notification of the quarterly Ig Program Updates, and may also be invited to informally discuss and comment on individual Ig-related issues as they arise (participation is optional).
For more information on NIIG, see: www.blood.gov.au/Ig-committees.
For further information
Please contact the National Blood Authority on 13 000 BLOOD (13 000 25 663) or email IgGovernance@blood.gov.au.