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Programmes » Iron infusion - Taranaki

Iron infusion

Taranaki | Cardiovascular | Under 18 | Over 18 | Over 65

Overview

This programme provides funding for IV iron infusions for patients who meet the PHARMAC special authority criteria for prescribing subsidised ferric carboxymaltose (Ferinject) in the community.  

The infusion is to be provided in the community by the patient’s general practitioner.  

Please consider the underlying cause of the iron deficiency anaemia and investigate as per best practice. For guidance on diagnosing and managing iron deficiency anaemia, see Anaemia on full blood count: investigating beyond the pale.  

Your Pinnacle Services Contract applies to this service. By claiming for this service, you have indicated that you have read and agreed to the business rules set out here.  

This is NOT a clinical guideline. 

Details

Which practices can claim for this service?

All Pinnacle practices in Taranaki region can claim for this service.

Service components

The service is inclusive of the GP consult, the nurse administration of the infusion, observation time and consumables.  

 

Who is eligible for the service?

Patients who meet the Special authority criteria for subsidised ferric carboxymaltose (Ferinject):  

Please refer to the PHARMAC special authority criteria for Ferinject (SA1840). 

Patients domiciled in Te Whatu Ora Taranaki area.  

Who is excluded from the service?
  • Patients not enrolled in a Te Whatu Ora Taranaki general practice.  
  • Patients not domiciled in Te Whatu Ora Taranaki area.
  • IM administration of iron (Ferrum H). 
  • Patients with anaemia not due to iron deficiency. 
  • Patients with evidence of iron overload or disturbance in utilisation of iron. 
  • Anyone with the following contraindications to using Ferinject in patients: 
  • aged under 14 years 
  • in the 1st trimester of pregnancy (at other stages of pregnancy please consult an obstetrician regarding the risks and benefits of treatment with IV iron) 
  • with previous or known hypersensitivity to parenteral iron products. 

NB: allergic reactions are more common in people with a history of inflammatory diseases such as asthma, eczema and rheumatoid arthritis. Close observation is recommended for all patients whether or not they have had an iron infusion in the past (PDF). 

When is the service complete?

On completion of the infusion delivery and observation time. The patient should be discharged from the iron infusion service once the patient is considered clinically safe to leave the practice. Observation is recommended for 30 minutes post infusion (PDF). 

 

The dosing and frequency of administration varies, in accordance with the indication for use. A second claim may be made if the patient requires a divided dose of iron however each administration will require a new claim. 

Claiming guidelines

Please make your claim by selecting Iron Infusion from the list of eligible services for indici practices or via advanced form for Medtech practices

Iron infusion: $150 (GST incl)

Please be aware the claim is all inclusive of the GP consultation, administration of the infusion, observation time and consumables.

Please include the Pharmac SA number with your claim 


What level of clinical notes do I need to submit?

Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.

Please ensure the condition that required the iron infusion is documented. 

Please include the Pharmac SA number with your claim 

Does the patient have to pay?

No. A patient co-payment cannot be charged. This service funds the administration of the infusion and there is no cost for the infusion to the patient, provided entry criteria are achieved. The funding for the service includes the co-payment for the initial GP consultation followed by the nurse administration of the infusion.  

This service does not include the cost of the medication on special authority, this is the responsibility of the patient to purchase. 

How is the service funded?

The service is funded by Te Whatu Ora.  

Contact

Practice systems support team
practice.support@pinnacle.health.nz
07 838 5983

Sally Newell, Regional Support Manager - Clinical Contracts
sally.newell@pinnacle.health.nz
021 150 8788

RELATED RESOURCES
Iron infusion - helpful resources
Published: 09/06/2020 | 4 links | Website

A range of guides to assist when using the iron infusion programme.

View resource
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Iron infusion - helpful resources
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