Victorian Consolidated Regulations

DRUGS, POISONS AND CONTROLLED SUBSTANCES REGULATIONS 2017 - SCHEDULE 8

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

Special conditions (if any):

This permit is valid from [ date ] to [ date ] (if applicable) unless sooner revoked or suspended.

Date                         Secretary

FORM 5

Regulation 155

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 ]
			Authorized Officer
The authorized officer's address for service of any notice of complaint verified by an accompanying statutory declaration is [ address ].

FORM 6

Regulation 156

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.
						[ Signature of complainant ] [ Date ]
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

Regulation 17A

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)

Schedule 3––Fees

Column 1 Description of licence or permit

Column 2 Application fee for licence or permit

Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer

Column 4 Fee for renewal of licence or permit

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

Column 1 Description of licence or permit

Column 2 Application fee for licence or permit

Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer

Column 4 Fee for renewal of licence or permit

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

Column 1 Description of licence or permit

Column 2 Application fee for licence or permit

Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer

Column 4 Fee for renewal of licence or permit

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 Description of licence or permit

Column 2 Application fee for licence or permit

Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer

Column 4 Fee for renewal of licence or permit

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 Description of licence or permit

Column 2 Application fee for licence or permit

Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer

Column 4 Fee for renewal of licence or permit

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

Column 1 Description of licence or permit

Column 2 Application fee for licence or permit

Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer

Column 4 Fee for renewal of licence or permit

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

Regulation 132A

    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.

Schedule 5—Monitored poisons

Regulation 132B

    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

Regulation 132C

    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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