Clinical Updates
October 2026 Clinical Drug MDref Update
1 October, 2026
The October 2026 MDref drug database and content update for MedicalDirector Clinical is now available and current from 1 October 2026. The update is a fully rebuilt MDref drug database, CMI (Consumer Medicines Information), PI (Product Information) and updated MedicalDirector Clinical content.
We strongly recommend that you update your MDref database every month. Monthly PBS changes, including new items, Streamlined Authority changes and PBS pricing details, are included in the monthly MDref update. Without this data, you are at risk of creating invalid PBS scripts.
Download October 2026 Drug Update (1.3 GB)
This update also includes the following:
- New and Updated Templates
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- Silverchain Hospital at the Home
- Neurosensory Audiology Referral NSW
- Neurosensory Audiology Referral VIC
- Neurosensory Audiology Referral QLD
- Neurosensory Audiology Referral TAS
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- Updated Pathology Lists
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Capital Pathology, Capital, CAP
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M&P,Melbourne Path,MELBOURNE PATHOLOGY,MPS
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Prerequisites:
- This MDref update can only be applied to MedicalDirector Clinical 4.2 (or above).
- The update is quite a large file, ensure you allocate sufficient time for this update.
Click here for a full list of drug database changes in this MDref update.
MDref update October 2026
Summary of changes
Quick-links
AusDI drug information documents
This page does not include PBS/RPBS changes, please refer to http://www.pbs.gov.au/browse/changes
New items since prior update (September 2026), by trade-name
Summary: 104 new items
Antiadrenergic agents
- GUANFACINE MHC MR Tablet (Guanfacine (as hydrochloride) 1mg) pack size 28
- GUANFACINE MHC MR Tablet (Guanfacine (as hydrochloride) 2mg) pack size 28
- GUANFACINE MHC MR Tablet (Guanfacine (as hydrochloride) 3mg) pack size 28
- GUANFACINE MHC MR Tablet (Guanfacine (as hydrochloride) 4mg) pack size 28
Antiasthmatic and/or COPD preparations
- OMLYCLO Injection (Omalizumab 75mg/0.5mL pre-filled pen) pack size 1*0.5mL
- OMLYCLO Injection (Omalizumab 150mg/1mL pre-filled pen) pack size 1*1mL
- OMLYCLO Injection (Omalizumab 150mg/1mL pre-filled pen) pack size 2*1*1mL
Antibiotic – cephalosporin
- ARX-CEFUROXIME Tablet (Cefuroxime (as axetil) 250mg) pack size 14
- ARX-CEFUROXIME Tablet (Cefuroxime (as axetil) 250mg) pack size 20
Anticoagulant or antithrombotic
- APIXABAN DR.REDDY’S Tablet (Apixaban 2.5mg) pack size 20
- APIXABAN DR.REDDY’S Tablet (Apixaban 2.5mg) pack size 30
- APIXABAN DR.REDDY’S Tablet (Apixaban 2.5mg) pack size 2*60
- APIXABAN DR.REDDY’S Tablet (Apixaban 2.5mg) pack size 60
- APIXABAN DR.REDDY’S Tablet (Apixaban 5mg) pack size 2*60
- APIXABAN DR.REDDY’S Tablet (Apixaban 5mg) pack size 60
- MSN-APIXABAN Tablet (Apixaban 2.5mg) pack size 20
- MSN-APIXABAN Tablet (Apixaban 2.5mg) pack size 30
- MSN-APIXABAN Tablet (Apixaban 2.5mg) pack size 2*60
- MSN-APIXABAN Tablet (Apixaban 2.5mg) pack size 60
- MSN-APIXABAN Tablet (Apixaban 5mg) pack size 2*60
- MSN-APIXABAN Tablet (Apixaban 5mg) pack size 60
Anticonvulsant or antiepileptic
- APX-GABAPENTIN Tablet (Gabapentin 800mg) pack size 100
- AVLOIRE CR CR Tablet (Carbamazepine 200mg) pack size 100
- AVLOIRE CR CR Tablet (Carbamazepine 400mg) pack size 100
Antineoplastic – systemic
- CEAHANI Capsule (Nilotinib (as hydrochloride monohydrate) 150mg) pack size 120
- CEAHANI Capsule (Nilotinib (as hydrochloride monohydrate) 200mg) pack size 120
- MSN-NILOTINIB Capsule (Nilotinib (as hydrochloride sesquihydrate) 150mg) pack size 120
- MSN-NILOTINIB Capsule (Nilotinib (as hydrochloride sesquihydrate) 200mg) pack size 120
- NILOTAS Capsule (Nilotinib (as hydrochloride sesquihydrate) 150mg) pack size 120
- NILOTAS Capsule (Nilotinib (as hydrochloride sesquihydrate) 200mg) pack size 120
Antineoplastic – systemic antibiotic
- BLEOMYCIN ACCORD Powder->Inj (Bleomycin sulfate 15,000 international units vial) pack size 1
Antineoplastic – systemic other
- NAB-PACLITAXEL ACCORD Powder->Inj (Paclitaxel nab (nanoparticle albumin-bound) 100mg vial) pack size 1
Antismoking agents
- VASSIX Tablet (Varenicline (as tartrate) 1mg) pack size 2*56
Bisphosphonates
- RISEDRONATE WAY Tablet (Risedronate sodium (as hemipentahydrate) 150mg) pack size 1
- RISEDRONATE WAY Tablet (Risedronate sodium (as hemipentahydrate) 150mg) pack size 2*1
Dengue virus vaccines
- QDENGA Injection (Dengue virus serotypes 1, 2, 3 and 4 (live attenuated) vial [1] + diluent syringe [1]) pack size 1
Immuno-suppressive
- AVTOZMA Injection (Tocilizumab 80mg/4mL vial) pack size 2*1*4mL
- AVTOZMA Injection (Tocilizumab 80mg/4mL vial) pack size 4*1*4mL
- AVTOZMA Injection (Tocilizumab 200mg/10mL vial) pack size 2*1*10mL
- AVTOZMA Injection (Tocilizumab 200mg/10mL vial) pack size 4*1*10mL
- AVTOZMA Injection (Tocilizumab 400mg/20mL vial) pack size 2*1*20mL
- AVTOZMA Injection (Tocilizumab 400mg/20mL vial) pack size 4*1*20mL
- YUFLYMA Injection (Adalimumab 20mg/0.2mL pre-filled syringe) pack size 2*0.2mL
Leukotriene antagonists
- APX-MONTELUKAST Chew’Tablet (Montelukast (as sodium) 4mg) pack size 2*28
- APX-MONTELUKAST Chew’Tablet (Montelukast (as sodium) 4mg) pack size 28
NERVOUS SYSTEM
- QALSODY Injection (Tofersen 100mg/15mL vial) pack size 1*15mL
- SODIUM OXYBATE-REACH Oral Liquid (Sodium oxybate 500mg/mL) pack size 180mL
Ophthalmological – other
- VEVYE Eye Drops (Ciclosporin 0.1% (1mg/mL)) pack size 2mL
OTHER MEDICATIONS & PRODUCTS
- AUSTRALIAN NATURAL ELAN Pastille (Cannabidiol CBD 100mg) pack size 60
- AUSTRALIAN NATURAL JUNO Pastille (Tetrahydrocannabinol/Cannabidiol THC 20mg, CBD 20mg) pack size 60
- AUSTRALIAN NATURAL ROCKY Pastille (Tetrahydrocannabinol THC 30mg) pack size 60
- BIG BOB ANYTIME dried herb (Tetrahydrocannabinol THC 21%) pack size 15g
- BIG BOB ANYTIME dried herb (Tetrahydrocannabinol THC 21%) pack size 30g
- BIG BOB ARVO dried herb (Tetrahydrocannabinol THC 22%) pack size 15g
- BIG BOB ARVO dried herb (Tetrahydrocannabinol THC 22%) pack size 30g
- BIG BOB DAY dried herb (Tetrahydrocannabinol THC 24%) pack size 15g
- BIG BOB DAY dried herb (Tetrahydrocannabinol THC 24%) pack size 30g
- BIG BOB EVENING dried herb (Tetrahydrocannabinol THC 23%) pack size 15g
- BIG BOB EVENING dried herb (Tetrahydrocannabinol THC 23%) pack size 30g
- BIG BOB MORNING dried herb (Tetrahydrocannabinol THC 20%) pack size 15g
- BIG BOB MORNING dried herb (Tetrahydrocannabinol THC 20%) pack size 30g
- BLU KIT GOLD Inhalation (Nicotine (as lactate) 18.5mg/mL device [1] + pod [1]) pack size 2mL
- BLU KIT MENTHOL Inhalation (Nicotine (as lactate and levulinate) 18.5mg/mL device [1] + pod [1]) pack size 2mL
- BLU KIT MENTHOL Inhalation (Nicotine (as lactate and levulinate) 26.5mg/mL device [1] + pod [1]) pack size 2mL
- BLU KIT MINT Inhalation (Nicotine (as benzoate) 18.5mg/mL device [1] + pod [1]) pack size 2mL
- BLU KIT MINT Inhalation (Nicotine (as benzoate) 26.5mg/mL device [1] + pod [1]) pack size 2mL
- BLU GOLD Inhalation (Nicotine (as lactate) 18.5mg/mL pre-filled pod) pack size 2*2mL
- BLU MENTHOL Inhalation (Nicotine (as lactate and levulinate) 18.5mg/mL pre-filled pod) pack size 2*2mL
- BLU MENTHOL Inhalation (Nicotine (as lactate and levulinate) 26.5mg/mL pre-filled pod) pack size 2*2mL
- BLU MINT Inhalation (Nicotine (as benzoate) 18.5mg/mL pre-filled pod) pack size 2*2mL
- BLU MINT Inhalation (Nicotine (as benzoate) 26.5mg/mL pre-filled pod) pack size 2*2mL
- CABANIS HYBRID 25 dried herb (Tetrahydrocannabinol/Cannabidiol THC 25%, CBD <2%) pack size 15g
- CRAFT BOTANICS KAKARIKI KOHA dried herb (Tetrahydrocannabinol THC 27%) pack size 10g
- CRAFT BOTANICS LEMON BERRY CANDY dried herb (Tetrahydrocannabinol THC 24%) pack size 10g
- CURO MILLED HYBRID THC dried herb (Tetrahydrocannabinol/Cannabidiol THC 22%, CBD <1%) pack size 15g
- CURO MILLED INDICA THC dried herb (Tetrahydrocannabinol/Cannabidiol THC 22%, CBD <1%) pack size 15g
- CURO MILLED INDICA THC dried herb (Tetrahydrocannabinol/Cannabidiol THC 25%, CBD <1%) pack size 15g
- CURO MILLED SATIVA THC dried herb (Tetrahydrocannabinol/Cannabidiol THC 22%, CBD <1%) pack size 15g
- CURO MILLED SATIVA THC dried herb (Tetrahydrocannabinol/Cannabidiol THC 25%, CBD <1%) pack size 15g
- GRANDIOSA BALANCE CBD FULL SPECTRUM Pastille (Cannabidiol/Cannabigerol/Cannabinol CBD 100mg, CBG <0.1mg, CBN <0.1mg) pack size 60
- GREEN RISES PURE 2800 Oral Liquid (Tetrahydrocannabinol THC 700mg/g) pack size 4g
- GREENA MEDICATED EDIBLES 15:10 Pastille (Tetrahydrocannabinol/Cannabigerol THC 15mg, CBG 10mg) pack size 60
- GREENA MEDICATED EDIBLES 15:15:10 Pastille (Tetrahydrocannabinol/Cannabidiol/Cannabigerol THC 15mg, CBD 15mg, CBG 10mg) pack size 60
- GREENA MEDICATED EDIBLES DAY 10:30 Pastille (Tetrahydrocannabinol/Cannabidiol THC 10mg, CBD 30mg) pack size 60
- GREENA MEDICATED EDIBLES NIGHT 20:15 Pastille (Tetrahydrocannabinol/Cannabinol THC 20mg, CBN 15mg) pack size 60
- LULA Inhalation (Nicotine (as benzoate) 40mg/mL) pack size 2*2mL
- LULA – MENTHOL Inhalation (Nicotine (as benzoate and lactate) 40mg/mL) pack size 2*2mL
- MAALI BLACK MIRACLE ALIEN COOKIES dried herb (Tetrahydrocannabinol THC 20%) pack size 10g
- MAALI BLISS Vag. Cream (Cannabidiol CBD 1500mg) pack size 60mL
- MAALI DRIVE Capsule (Cannabidiol CBD 15mg) pack size 60
- MAALI EASE Roll-on (Cannabidiol CBD 1000mg) pack size 30mL
- MAALI SOUL Oral Liquid (Cannabidiol CBD 40mg/mL) pack size 50mL
- POUCH ORANGE dried herb (Tetrahydrocannabinol/Cannabidiol THC 26%, CBD <2%) pack size 15g
- POUCH YELLOW dried herb (Tetrahydrocannabinol/Cannabidiol THC 30%, CBD <2%) pack size 15g
- SPYN THE WALKER Oral Liquid (Cannabidiol/Cannabidivarin/Tetrahydrocannabinol CBD 375mg/g, CBDV 300 mg/g, THC 11mg/g) pack size 4g
- SUNDAZE CBD 2000 MUSCLE & JOINT Cream (Cannabidiol CBD 20mg/g) pack size 100g
- SUNDAZE ZETA dried herb (Tetrahydrocannabinol/Cannabidiol THC 30%, CBD <1%) pack size 10g
- TASMANIAN BOTANICS THC 8 CBD 8 HUON dried herb (Tetrahydrocannabinol/Cannabidiol THC 8%, CBD 8%) pack size 15g
- WHOLELIFE BOTANICALS 2:180:80 CBD FULL SPECTRUM Oral Liquid (Tetrahydrocannabinol/Cannabidiol/Cannabigerol THC 2mg/mL, CBD 180mg/mL, CBG 80mg/mL) pack size 30mL
- WHOLELIFE BOTANICALS THC25 LINDSAY OG dried herb (Tetrahydrocannabinol THC 25%) pack size 15g
Supplemental & enteral nutrition
- PKU GMPRO DELIGHT Sachet (Glycomacropeptide, vitamins, minerals, DHA, fibre; low phenylalanine and calories contains 20g protein equivalent) pack size 4*30*40g
Vasopressor or adrenergic agents
- DOBUTAMINE-AFT Injection (Dobutamine (as hydrochloride) 250mg/20mL vial) pack size 1*20mL
Vitamins
- VITAMIN D3 [BIOLOGICAL THERAPIES] Injection (Colecalciferol 600,000 units (15mg)/1mL vial) pack size 1*1mL
- VITAMIN D3 [BIOLOGICAL THERAPIES] Injection (Colecalciferol 600,000 units (15mg)/1mL vial) pack size 10*1mL
Other changes since prior update
Discontinued items
Summary: 26 discontinued items
- ACARBOSE VIATRIS Tablet (Acarbose 100mg) pack size 90
- ADRENALINE AGUETTANT Injection (Adrenaline (epinephrine) (as acid tartrate) 1:10,000 (1mg/10mL)) pack size 10*10mL
- APO-ADEFOVIR Tablet (Adefovir dipivoxil 10mg) pack size 30
- APOHEALTH ANTI-INFLAMMATORY PAIN RELIEF EC Tablet (Diclofenac sodium 25mg) pack size 30
- APREPITANT ARX Capsule (Aprepitant 165mg) pack size 1
- APX-AMOXICILLIN/CLAVULANIC ACID Tablet (Amoxicillin (as trihydrate)/Clavulanic acid (as the potassium salt) 875mg/125mg) pack size 10
- ARIPIPRAZOLE-WGR Tablet (Aripiprazole 20mg) pack size 30
- BUPIVACAINE BP [PFIZER] Injection (Bupivacaine hydrochloride 0.25% vial) pack size 5*20mL
- CHERRYCO GUMMIES NIGHT RESIN Pastille (Tetrahydrocannabinol/Cannabinol THC 30mg, CBN 5mg) pack size 30
- CURO BALANCE 10:10 Oral Liquid (Tetrahydrocannabinol/Cannabidiol THC 10mg/mL, CBD 10mg/mL) pack size 30mL
- CURO THC 26 Oral Liquid (Tetrahydrocannabinol/Cannabidiol THC 26mg/mL, CBD less than or equal to 1mg/mL) pack size 30mL
- HUMALOG Injection (Insulin lispro 100 units/mL) pack size 1*10mL
- HUMULIN 30/70 Vial (Insulin neutral (rbe)/Insulin isophane (rbe) 30 units – 70 units/mL (100 units/mL)) pack size 1*10mL
- HUMULIN NPH Vial (Insulin isophane (rbe) 100 units/mL) pack size 1*10mL
- KANHA NEON ICON dried herb (Tetrahydrocannabinol THC 27%) pack size 15g
- KANHA ZUPA dried herb (Tetrahydrocannabinol THC 23%) pack size 15g
- LATANOPROST-WGR Eye Drops (Latanoprost 0.005% (50mcg/mL)) pack size 2.5mL
- METALYSE Powder->Inj (Tenecteplase (rch) 40mg (8,000 units) vial [1] + diluent syringe [1]) pack size 1
- RASAGILINE-WGR Tablet (Rasagiline (as mesilate) 1mg) pack size 30
- SOMIDEM Tablet (Zolpidem tartrate 10mg) pack size 7
- UPSTATE GAMMA THIRTY dried herb (Tetrahydrocannabinol/Cannabidiol THC 26%, CBD less than or equal to 1%) pack size 10g
- VIRAMUNE XR Tablet (Nevirapine 400mg) pack size 30
- VITAMIN D3 FORTE Injection (Colecalciferol 600,000 units (15mg)/1mL) pack size 1*1mL
- VITAMIN D3 FORTE Injection (Colecalciferol 600,000 units (15mg)/1mL) pack size 10*1mL
- WHOLELIFE BOTANICALS THC23 LINDSAY OG dried herb (Tetrahydrocannabinol/Cannabidiol THC 23%, CBD <1%) pack size 15g
- ZINNAT (UK) Suspension (Cefuroxime (as axetil) 125mg/5mL) pack size 70mL
Items formerly discontinued, now re-instated
[none]
Minor amendments and clarifications
Summary: 9 amended items
- ABRAXANE Powder->Inj (Paclitaxel nab (nanoparticle albumin-bound) 100mg vial) pack size 1 [formerly ABRAXANE Powder->Inj (Paclitaxel nab (nanoparticle albumin-bound) 100mg) pack size 1]
- APIXABAN VIATRIS Tablet (Apixaban 2.5mg) pack size 2*60 [formerly APIXABAN VIATRIS Tablet (Apixaban 2.5mg) pack size 60]
- APIXABAN VIATRIS Tablet (Apixaban 5mg) pack size 2*60 [formerly APIXABAN VIATRIS Tablet (Apixaban 5mg) pack size 60]
- DBL BLEOMYCIN SULFATE Powder->Inj (Bleomycin sulfate 15,000 international units vial) pack size 1 [formerly DBL BLEOMYCIN SULFATE Powder->Inj (Bleomycin sulfate 15,000 international units) pack size 1]
- DBL DOBUTAMINE HYDROCHLORIDE INJ. Injection (Dobutamine (as hydrochloride) 250mg/20mL vial) pack size 1*20mL [formerly DBL DOBUTAMINE HYDROCHLORIDE INJ. Sol for Inj (Dobutamine (as hydrochloride) 250mg/20mL) pack size 1*20mL]
- NAB-PACLITAXEL JUNO Powder->Inj (Paclitaxel nab (nanoparticle albumin-bound) 100mg vial) pack size 1 [formerly NAB-PACLITAXEL JUNO Powder->Inj (Paclitaxel nab (nanoparticle albumin-bound) 100mg) pack size 1]
- SPEVIGO Infusion (Spesolimab (rch) 450mg/7.5mL vial) pack size 2*7.5mL [formerly SPEVIGO Infusion (Spesolimab (rch) 450mg/7.5mL) pack size 2*7.5mL]
- THIAMINE HYDROCHLORIDE [BIOLOGICAL THERAPIES] Injection (Thiamine hydrochloride 100mg/1mL vial) pack size 10*1mL [formerly THIAMINE HYDROCHLORIDE [BIOLOGICAL THERAPIES] Injection (Thiamine hydrochloride 100mg/1mL) pack size 10*1mL]
- THIAMINE STEROP Injection (Thiamine hydrochloride 100mg/2mL ampoule) pack size 10*2mL [formerly THIAMINE STEROP Injection (Thiamine hydrochloride 100mg/2mL) pack size 10*2mL]
Cross-references
[none]
AusDI drug information documents
- Product Information [PI] documents: 30700 products have a PI (4290 unique PIs)
- Consumer Medicine Information [CMI] documents: 31405 products have a CMI (4714 unique CMIs)
- AusDI monographs: 26733 products have a monograph (589 unique monographs)
*** END OF REPORT ON OCTOBER 2026 UPDATE ***