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.
All Pinnacle practices in Taranaki region can claim for this service.
This programme is also funded for patients not enrolled in your practice, who may be referred to you via another service/practice. In these cases, you can only invoice for this service and no other off set can be claimed.
If you are not able to provide any of these procedures for your patients, this care can be provided by another practice in your area. This can be arranged by direct contact between you and the other practice. The practice performing the procedure will invoice Pinnacle directly and there will still be no cost to the patient.
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.
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).
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: $154.50 (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.
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.
This programme is also funded for patients not enrolled in your practice, who may be referred to you via another service/practice. In these cases, you can only invoice for this service and no other off set can be claimed.
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
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.
The service is funded by Te Whatu Ora.
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
A range of guides to assist when using the iron infusion programme.
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View detailsA range of guides to assist when using the iron infusion programme.