Download Cost Information

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Transcript
Confidential
COST INFORMATION PB 11 (b)
PBS Drug Code
Generic name,
form strength
Proprietary
Name
Company
1. Product Type
a) Imported as a finished packed product
b) Imported in bulk and packed in Australia
c) Manufactured and packaged in Australia
d) Other (give details below)
2. Costing Unit (eg 100 tablet pack)
3. Current AEMP (or PEMP)
% sold to Wholesalers
Current Price to Pharmacist
% sold to Pharmacist
Current Price to Others (hospital etc)
% sold to Others
Proposed Ex-Manufacturer price
4. Manufacturing, Factory and Importing Costs
Locally
Manufactured
Imported
Active Content
Packaging Costs
Other Material Costs
Total Material Costs (a)
Confidential
Page 1 of 2
Confidential
4. Manufacturing, Factory and Importing Costs (continued)
Locally
Manufactured
Imported
Labour
Quality Assurance
Other Costs
Equipment Expense
Plant and equipment depreciation
Manufacturing Overheads
Manufacturing EDP Costs
Total Manufacturing or Landed Cost (b)
Other Eligible Costs
Product Finance Costs
Pre distribution warehousing costs
TGA Fees and Charges
Total Other Eligible Costs (c)
Total Costs (a + b + c)
TOTAL
5. Comments (including details of costs and basis for apportionment)
6. Certification
I certify that the information set out above is, to the best of my knowledge, correct in every detail:
Signature
Date
/
/
Printed Name
Position Held
Confidential
Page 2 of 2