SCHEDULE 8 PERMIT/SCHEDULE 9 PERMIT
This permit is granted to [ full name and address of registered medical practitioner/nurse practitioner ] and authorises that registered medical practitioner/nurse practitioner to administer, prescribe or supply the following poison(s) in accordance with the following details and conditions. The poison(s) must not be administered, prescribed or supplied in excess of the quantities specified, or for a period greater than that specified in this permit. Name of patient Address of patient |
NAME OF POISON MAXIMUM DOSE |
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Special conditions (if any): |
This permit is valid from [ date ] to [ date ] (if applicable) unless sooner revoked or suspended. |
Date Secretary |
FORM 5
Drugs, Poisons and Controlled Substances Regulations 2017
NOTICE OF SEIZURE
To |
of | | |||
I, an authorized officer under the Drugs, Poisons and Controlled Substances Act 1981 give notice that I have at a.m./p.m. on [date] seized on the following grounds: at [ address ] the poisons or controlled substances, other substances or documents described below: of which you are Unless you, or a person claiming the poisons or controlled substances, other substances or documents complain to a registrar of the Magistrates' Court within 96 hours of seizure by giving notice of complaint in Form 6 to the Drugs, Poisons and Controlled Substances Regulations 2017, and a copy of that notice to the authorized officer who made the seizure, the poisons or controlled substances, other substances or documents will be destroyed or disposed of in accordance with section 43(4) of the Drugs, Poisons and Controlled Substances Act 1981 . | |||||
Dated [ insert date ] | | | | ||
at [ place ] | | | | ||
at [ time ] | | | | ||
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Authorized Officer | |||
The authorized officer's address for service of any notice of complaint verified by an accompanying statutory declaration is [ address ]. |
FORM 6
Drugs, Poisons and Controlled Substances Regulations 2017
NOTICE OF COMPLAINT IN RESPECT OF A SEIZURE
To the registrar of the Magistrates' Court at [ venue ] | ||||||||||
I, |
of | | ||||||||
|
[ Full name ] | |
[ Address ] | |||||||
claiming the poisons or controlled substances, other substances or documents described below— which were seized by | ||||||||||
on |
[ date ] |
at |
[ time ], in accordance | |||||||
with section 43(2) of the Drugs, Poisons and Controlled Substances Act 1981 , complain about that seizure. | ||||||||||
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[ Signature of complainant ] | |||||||||
Note: | | |||||||||
Section 43(2) of the Drugs, Poisons and Controlled Substances Act 1981 requires that in lodging a notice of complaint to the registrar of the Magistrates' Court— | ||||||||||
(a) |
the notice must be verified by an accompanying statutory declaration; and | |||||||||
(b) |
a copy of the notice and statutory declaration must be given to the authorized officer who made the seizure. |
Sch. 2 Form 7 inserted by S.R. No. 61/2023 reg. 15.
FORM 7
Drugs, Poisons and Controlled Substances Regulations 2017
NOTICE OF INTENTION TO PRESCRIBE, AUTHORISE TO ADMINISTER, OR ADMINISTER SCHEDULE 8 MDMA OR SCHEDULE 8 PSILOCYBINE
Section 1: Psychiatrist or medical practitioner's details
First name and surname
Practice address
Qualifications
Health Practitioner Regulation National Law registration number
TGA Authorised Prescriber approval number (if applicable)
Phone number
Email address
Section 2: Person's details
First name and surname
Address
Date of birth
Sex
Name and address of site where the person is receiving treatment
Substance details
Name of substance
Proprietary name (if available)
Dose form and strength
Maximum dose and frequency
Anticipated date(s) of administration
Local Australian supplier details
Name and address of local Australian supplier (e.g. pharmacy or wholesaler)
Details of other treatment (if applicable)
Name of Clinical Trial (if applicable)
Clinical Trial Notification ID/Clinical Trial Approval ID (if applicable)
Ethics approval number (if applicable)
Name of Human Research Ethics Committee that granted the ethics approval (if applicable)
Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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1 A licence to manufacture and sell or supply by wholesale any Schedule 8 poison or Schedule 9 poison other than heroin. |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
2 A licence to manufacture and sell or supply by wholesale any Schedule 2 poison, Schedule 3 poison, Schedule 4 poison or Schedule 7 poison or any combination of those poisons. |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
3 A licence to manufacture and sell or supply by retail a Schedule 7 poison (other than a listed regulated poison). |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
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Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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4 Subject to item 5, a licence to sell or supply by wholesale any Schedule 8 poison or Schedule 9 poison other than heroin. |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
5 A licence to sell or supply by wholesale by Indent any Schedule 8 poison or Schedule 9 poison other than heroin. |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
6 Subject to item 7, a licence to sell or supply by wholesale any Schedule 4 poison (alone or together with any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons). |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
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Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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7 A licence to sell or supply by wholesale by Indent any Schedule 4 poison (alone or together with any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons). |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
8 Subject to item 9, a licence to sell or supply by wholesale any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons. |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
9 A licence to sell or supply by wholesale by Indent any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons. |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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10 A licence to sell or supply by retail any Schedule 2 poison. |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
11 A permit to purchase or obtain and use for industrial, educational, advisory or research purposes any Schedule 8 poison or Schedule 9 poison (alone or together with any Schedule 2 poison, Schedule 3 poison, Schedule 4 poison or Schedule 7 poison or any combination of those poisons). |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
12 A permit to purchase or obtain and use for industrial, educational, advisory or research purposes any Schedule 2 |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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poison, Schedule 3 poison, Schedule 4 poison or Schedule 7 poison or any combination of those poisons. | | | | ||||||||||
13 A permit to purchase or obtain and use any poison or controlled substance for the provision of health services by the following types of health service provider— | | | | ||||||||||
Type A (single site with no beds); |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
Type B (residential aged care with single storage facility (no bed limit) or single site with 1 to 30 beds); |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
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Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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Type C (multiple sites with no beds or single site with 31 to 100 beds); |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
Type D (multiple sites or single site with more than 100 beds). |
94·5 fee units |
94·5 fee units |
20·3 fee units |
Sch. 4 inserted by S.R. No. 72/2018 reg. 11.
Schedule 4—Data source entities
1 eRx Script Exchange Pty Ltd
2 MediSecure Pty Ltd
3 Any prescription exchange service operating in the Commonwealth, another State or a Territory
4 Medication Knowledge Pty Ltd
Sch. 5 inserted by S.R. No. 72/2018 reg. 11, amended by S.R. No. 46/2023 reg. 5.
1 All benzodiazepines that are Schedule 4 poisons
2 Codeine when it is a Schedule 4 poison
2A Gabapentin
2B Pregabalin
3 Quetiapine
3A Tramadol
4 Zolpidem
5 Zopiclone
Sch. 6 inserted by S.R. No. 72/2018 reg. 11, amended by S.R. No. 46/2023 reg. 6.
Schedule 6—Monitored supply poisons on and after 1 April 2020
1 All Schedule 8 poisons
2 All benzodiazepines that are Schedule 4 poisons
3 Codeine when it is a Schedule 4 poison
3A Gabapentin
3B Pregabalin
4 Quetiapine
4A Tramadol
5 Zolpidem
6 Zopiclone
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