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Updated CAL advice issued in APF Digital

24 July 2025

 

The Pharmaceutical Society of Australia (PSA) has updated advice in the digital Australian Pharmaceutical Formulary (APF) relating to the use of Cautionary Advisory Labels (CAL) 6, CAL 13, CAL 18 and CAL I.

 

CAL 18, and CAL I:

  • Instead of two labels that relate to avoiding certain food and juices (CAL 18 and CAL I), there is now one – an updated CAL 18. The wording of the updated CAL 18, and its explanatory notes have been updated in APF Digital. CAL I has been retired.
  • The wording of CAL 18 previously only warned about the effects of grapefruit on certain medicines, due to inhibition of cytochrome P450 3A4 isoenzymes. However, the product information (PI) for new medicines that are substrates for CYP3A4 increasingly mention other fruits that also interact via this mechanism, including Seville oranges, pomelo, star fruit, bitter melon and pomegranate.
  • CAL I was used to advise patients about foods and juices that interact with medicines through mechanisms other than inhibition of CYP3A4. However, due to its limited applicability, its use and uptake was low.
  • The revised CAL 18 covers a broader range of situations where foods and fruit juices may interfere with a patient’s medicines and provides support for clearer and more actionable dietary advice for patients.

 

CAL 6:

  • The wording of CAL 6 is not changing. However, its explanatory notes have been expanded to help support pharmacists in providing actionable, accurate advice as to the storage of temperature sensitive medicines.
  • The updated explanatory notes advise pharmacists on how to advise on instances whereby refrigeration of temperature sensitive medicines may not be practical, for example travel days, power outages or ‘in-use’ multi-dose containers/devices.

 

CAL 13:

  • The wording of CAL 13 previously only warned about not removing a medicine from the original packaging until a dose was required. As its wording was applicable to many medicines, its impact was diluted, and uptake was low.
  • The wording of CAL 13 and its explanatory notes have been updated and refined to prompt meaningful conversations with patients about dosage forms and active ingredients truly sensitive to light, moisture or temperature excursions. It is now also recommended when complex storage instructions are applicable and other CALs relating to storage requirements (e.g CALs 6, 7a or 7b) do not adequately cover these.
  • To support the change to CAL 13, the APF’s Good dispensing practice chapter has been updated with clearer and expanded guidance on providing advice to patients on how to store their medicines.

 

Emeritus Professor Lloyd Sansom AO, Chair of the APF editorial board said: “CALs are intended to be an adjunct to verbal counselling on medicine-related issues, not to replace this. Pharmacists should apply their expertise and clinical judgement when using these and always refer to the most up-to-date CAL recommendations including CAL explanatory notes.”

 

Pharmacists should familiarise themselves with the updates in the digital Australian Pharmaceutical Formulary and Handbook (APF digital).

 

It is anticipated printers will commence printing of the new labels (updated CAL 18 and updated CAL 13) during their next print run.

 

Until then, pharmacists should use the existing CAL 18, CAL I and CAL 13 – ensuring patients are equipped with the updated advice and counselling points for these CALs (and CAL 6), available now in APF Digital which always contains the latest updates.

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Melbourne community pharmacist named inaugural Vaccination Ambassador

23 July 2025

 

 

Following a nationwide search, the Pharmaceutical Society of Australia (PSA) has proudly appointed Melbourne based community pharmacist Anna Theophilos MPS as its inaugural Vaccination Ambassador.

 

Anna was selected for her passion, dedication and advocacy in the vaccination space. In aged care, she is pioneering systems that ensure residents receive timely access to all NIP and private vaccines. By introducing streamlined digital tools, facilities can immediately identify local vaccination gaps, while governing bodies are supported with live coverage data at the click of a button. From innovative outreach clinics to tailored services for children with sensory needs, her work reflects the evolving role of pharmacists in improving immunisation access for priority population groups.

 

As Vaccination Ambassador, Anna will work alongside PSA to elevate the voice of pharmacist immunisers across the country, driving public confidence and promoting vaccination to more Australians. Stepping into her role, Mrs Theophilos is set to host the dedicated vaccination stream on day two of PSA25.

 

“I’m incredibly honoured to be serving as the inaugural PSA National Vaccination Ambassador, a role that reflects my reflects my deep commitment to improving access to healthcare through immunisation delivery,” said Mrs Theophilos.

 

“My focus has always been on making immunisation easier and more accessible, particularly for those who might otherwise miss out. Whether it’s residents in aged care, children with sensory needs, or homebound individuals, we need systems that meet people where they are – not the other way around.

 

“Pharmacists are one of the most versatile and logical health professionals to lead this work. We are trusted, accessible, and embedded in the communities we serve. I’m excited to work with PSA to champion our profession and help ensure every Australian has the opportunity to stay protected.”

 

PSA sincerely thanks the extraordinary pharmacists who put themselves forward for this opportunity.

 

Support from our partners

 

The PSA Vaccination Ambassador initiative has brought together leading vaccination manufacturers to champion the lifesaving impact of pharmacist immunisation. PSA thanks GSK, Pfizer, CSL Seqirus, and Sanofi for their continued support.

 

Quote attributable to GSK Pharmacy Clinical Services Lead, Maggie Chow: “GSK is proud to support the inaugural PSA Vaccine Ambassador Awards, recognising the exceptional contributions of pharmacy professionals who champion vaccination care in communities across Australia. Congratulations to all nominees and the PSA for showcasing how pharmacists have embraced scope of practice change to enhance public health.”

 

Quote attributable to Pfizer Australia & New Zealand Managing Director, Anne Harris: “Pharmacists play a vital role in their communities by delivering essential healthcare services. This initiative will assist in improving vaccination access for all Australians. Pfizer Australia is proud to support PSA’s inaugural Vaccination Ambassador Program, and we congratulate Anna Theophilos for her commitment to enhancing preventative health and keeping Australians healthy.”

 

Quote attributable to CSL Seqirus Medical Director, Vaccines & Biosecurity, Dr Jules Bayliss: “Vaccination is one of the most important public health interventions and pharmacists are playing an increasingly essential role in enabling access, improving uptake and preventing disease. As an Australian company, CSL is proud to be supporting the PSA Vaccination Ambassador Program.”

 

Quote attributable to Sanofi General Manager Vaccines, Australia, New Zealand & South Korea, Mike Zhang: “As a long-standing partner in Australia’s healthcare ecosystem, Sanofi proudly supports the PSA’s inaugural Vaccination Ambassador program. This initiative recognises pharmacists’ vital role in protecting community health and improving vaccination access. We congratulate Anna Theophilos on her outstanding contribution to public health through pharmacy practice.”

 

 

Media contact: Georgia Clarke M: 0480 099 798 E: georgia.clarke@psa.org.au

Patients win with expanded pharmacist scope of practice in WA

21 July 2025

 

West Australians will soon be able to access a wider range of healthcare services from their local community pharmacist in a move welcomed by the Pharmaceutical Society of Australia (PSA).

 

The Enhanced Access Community Pharmacy Pilot will allow pharmacists who undertake additional training to treat a range of conditions, with services expected to start in late 2026.

 

PSA Western Australia President Mr Kristian Ray MPS said that utilising the skills and accessibility of pharmacists is a great outcome for patients.

 

“PSA commends the WA State Government and Minister Hammat on the announcement of the Enhanced Access Community Pharmacy Pilot, expanding pharmacist scope of practice to deliver better care to West Australians” Mr Ray said.

 

“As medicines experts and highly accessible healthcare professionals, pharmacists are uniquely placed to improve access to care when and where it’s needed most.

 

“Western Australians can be confident that pharmacists delivering expanded services will undergo specialised training to ensure safe and accessible care.

 

“As the peak national body for pharmacists PSA is working closely with the WA Government to ensure pharmacists are equipped with the support they need to deliver these services safely and effectively.”

 

A similar pilot providing treatment and care for everyday health conditions such as ear infections, acne, school sores, eczema and mild psoriasis, nausea and vomiting, and contraception – the Queensland Community Pharmacy Pilot – has successfully operated since April 2024, providing more than 1700 safe, accessible services to Queenslanders and is now a permanent feature of Queensland’s health system.

 

“We’ve seen the success of similar initiatives in Queensland, where pharmacist-led care has improved access, reduced wait times, and maintained strong patient safety outcomes. WA pharmacists are ready to deliver the same high-quality care to our communities.

 

“We continue to advocate for better utilising the skills and expertise of pharmacists in healthcare delivery, ensuring patients can access the right level of care at the right time. This announcement is a significant step in the right direction,” Mr Ray concluded.

 

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Tasmanians to benefit from greater support for pharmacists

17 July 2025

 

 

The Pharmaceutical Society of Australia (PSA) welcomes the Tasmanian Labor Party’s commitment to expanding support for pharmacists ahead of this weekend’s state election.

 

Both Tasmanian Labor and the Tasmanian Liberals have committed to improving the community’s access to care by expanding pharmacist scope of practice, supporting community pharmacies to stay open later, and growing access to essential medicines like contraception and vaccines. Tasmanian Labor has also committed to continuing reform on interstate prescription regulations which commenced in the last parliament.

 

PSA Tasmania Vice-President David Peachey MPS said pharmacists are contributing more to Tasmanians health than ever before.

 

“Pharmacists across Tasmania are playing an increasingly important role in providing accessible, timely healthcare to our communities, with these commitments giving us more tools in our toolkits to be able to help,” Mr Peachey said.

 

“Training more pharmacists to deliver expanded scope services like we’re seeing in other parts of the country will not only free up appointments with primary care providers, but will also save Tasmanians time and money when getting the care they need.

 

“PSA looks forward to working with the next Tasmanian government to deliver on these promises and more to improve the health system for all Tasmanians.”

 

 

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

SA pharmacists funded to deliver free flu vaccines for children under 5

7 July 2025

 

The Pharmaceutical Society of Australia (PSA) has welcomed the South Australian Government’s decision to fund pharmacist-administered influenza vaccines for children aged six months to under five years – a vital step to improve access and protect more young children from serious illness.

 

Flu is a very serious infection for babies and children under five, and can lead to middle ear infections and croup as well as hospitalisation for associated bronchiolitis and pneumonia.

 

With 78.4% of South Australian children between 6 months and 5 years old are currently unvaccinated against influenza, more needs to be done to improve access to lifesaving childhood vaccinations.

 

Now free flu vaccines for young children are not only available through GPs and local councils, but also through community pharmacists, making it easier and fairer to access protection against influenza.

 

PSA South Australia and Northern Territory President Dr Manya Angley FPS said the announcement improved equity of access, regardless of where consumers choose to get vaccinated.

 

“Pharmacists are some of the most accessible health professionals in the community. This change allows families to choose their local pharmacy without worrying about the cost. Importantly, it means our little ones will be protected against flu and its complications avoiding a doctor visit, hospitalisation, missing childcare or kindy, or their parent/carer needing to take time off work to care for them” Dr Manya Angley FPS said.

 

“Acknowledging the great work already done by GPs and Local Councils in vaccinating young children, the inclusion of community pharmacists will further boost flu vaccination rates in this vulnerable age group.”

 

“It is further recognition by the Government of the role of pharmacists in delivering convenient, timely, affordable care and removes financial barriers for families seeking protection for their children.

 

“We look forward to continuing to work with the SA Government to boost vaccination rates through pharmacists,” Dr Angley concluded.

 

All South Australian pharmacists are urged to ensure they are ready to deliver vaccination for children under five, reaffirming competence with the PSA Immunisation Refresher.

 

 

​Media contact: Georgia Clarke M: 0480 099 798 E: georgia.clarke@psa.org.au

PSA to develop education standards for CPD

2 July 2025

 

The Pharmaceutical Society of Australia (PSA) is set to publish education standards for Continued Professional Development (CPD) for pharmacists following the retirement of the Australian Pharmacy Council (APC) accreditation standards for CPD activities on 31 December 2025.

 

As the trusted education partner of Australian pharmacists, PSA will develop and maintain industry leading standards, giving pharmacists confidence that the education they access maintains the highest quality, upholds pharmacy practice standards, guidelines and ethics, and is free from commercial bias.

 

All education published and delivered by PSA will meet these standards. External education providers will also be able to submit their pharmacist education for assessment against the PSA education standards.

 

PSA National President Associate Professor Fei Sim FPS reassured pharmacists that education endorsed by PSA would always be high quality.

 

PSA has a very long history of accrediting education across many decades,” Associate Professor Sim said.

 

“As the national peak body for pharmacists in Australia and custodians of pharmacy practice standards, guidelines and ethics, PSA is developing education standards for CPD that give our profession – and our stakeholders – confidence in the quality of pharmacist education.

 

“Our members tell us that PSA’s education is of high quality, a quality they can trust, and this scheme will mean that when they see third party education that is approved as meeting the PSA education standards, they can have a similar level of trust in it.

 

“PSA’s CPD planning tool takes the stress out of planning and recording CPD education, just as these standards will give pharmacists confidence that the CPD they access is ‘up-to-scratch’.

 

“We recognise the important role APC have played in setting the standard for pharmacist CPD over the last decade, as we look forward to building on APC’s legacy and driving the standards of pharmacist CPD into the future.”

 

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

PSA Board commences 2025-26 term

1 July 2025

 

The Pharmaceutical Society of Australia (PSA) is proud to announce the re-election of Associate Professor Fei Sim FPS as National President for a fourth and final term. The PSA Board unanimously endorsed A/Prof Sim’s continued leadership, recognising her unwavering commitment to advancing the pharmacy profession across Australia.

 

Canberra academic leader and credentialed pharmacist Mark Naunton MPS CredPharm (MMR, ACOP) and Sydney proprietor and community pharmacist Caroline Diamantis FPS are both returned as National Vice Presidents, while Brooke Shelly FPS CredPharm (MMR) joins as Victorian Branch Committee-appointed Director.

 

“I am deeply honoured and humbled to be re-elected to lead PSA and the profession I’m so proud to be part of,” said Associate Professor Sim.

 

“I thank the PSA Board for their confidence in me and extend my heartfelt gratitude to every PSA member for your continued support. It is a privilege to lead the organisation that represents our beloved profession.

 

“On behalf of the Board I recognise and thank Dr Amy Page for her service to the Board over the last 12 months and welcome Brooke Shelly for the upcoming term.

 

“Everything we do at PSA is in service of our members and in pursuit of a single purpose: to support pharmacists to deliver safe, effective, person-centred care,” she said.

 

As she enters her final term, A/Prof Sim has reaffirmed her commitment to strengthening PSA’s governance and leadership capacity, with a focus on facilitating a seamless leadership transition during the final term while continuing to serve on the Board.

 

“Over the coming months we are continuing to build PSA Board’s capability and ensuring a smooth transition to a new leader when the time comes. We have a strong, dedicated and talented Board, and I am confident in our collective ability to continue delivering for our members and our profession,” Associate Professor Sim concluded.

 

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

“Time for action”: Australia’s CDC backs pharmacists full scope vaccination

13 June 2025

 

The Pharmaceutical Society of Australia (PSA) renews its calls for national harmonisation of pharmacist immunisers scope, echoing recommendations made in the National Immunisation Strategy 2025-2030 released on Thursday.

 

Vaccination authorities are regulated by states and territories, many of whom have expanded pharmacist vaccination scope to varying degrees. The result, however, is a health system that limits access to lifesaving vaccines.

 

As the peak professional body for pharmacists, PSA believes pharmacist immunisers should no longer be subject to arbitrary red tape that prevents them from delivering certain vaccines.

 

Instead, PSA has long advocated for all states and territories to allow pharmacist immunisers to administer all vaccines, to patients of all ages.

 

PSA National President Associate Professor Fei Sim FPS said a nationally consistent approach to regulating vaccination is a critical step to improving uptake within the community.

 

“There should be no wrong door when it comes to vaccination,” Associate Professor Sim said.

 

“Harmonising the regulation of pharmacist-administered vaccines is overdue. It just makes sense. Now it has been recommended by a number of policy leaders from the Interim Australian Centre for Disease Control to the Grattan Institute.

 

“Now is the time for all stakeholders – state governments, federal government, peak bodies, vaccine providers and Australian patients – to come together and make the changes needed to ensure all Australians have equal access to preventative health care.

 

“PSA has said previously that the Australian Immunisation Handbook should be the national standard for defining vaccine formularies, instead of relying on complex regulatory instruments unique to each state and territory. The National Immunisation Strategy has supported this approach. Now it’s time for action.”

“Regardless of where someone lives, whether in metropolitan or remote Australia, whether in New South Wales or Western Australia, everyone should be able to go to any vaccination provider and receive the vaccines they need.”

 

PSA also supports all other recommendations of the National Immunisation Strategy and congratulates the Interim Australian Centre for Disease Control​ for the development of such a robust vision for vaccination in Australia. We welcome the focus on improved transparency and use of data, workforce development and drive greater equity in design of vaccination programs.

 

PSA is committed to working with government as a partner in its implementation.

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Become the voice of pharmacist immunisers with the Vaccination Ambassador program

13 June 2025

 

Today the Pharmaceutical Society of Australia (PSA) launches its campaign to find the face of its first pharmacist Vaccination Ambassador program.

 

This new initiative will see the appointment of a passionate pharmacist as PSA Vaccination Ambassador, serving as the national voice of pharmacist immunisers and championing the profession’s role in vaccination through media, engagement and advocacy.

 

The Ambassador will receive training and ongoing support from PSA to represent the profession in public forums, advocate for expanded pharmacist vaccination scope, and promote vaccine uptake among Australians.

 

PSA National President Associate Professor Fei Sim FPS called on passionate pharmacist immunisers to step forward for an opportunity to have a national impact.

 

“More Australians are accessing vaccinations through their local community pharmacist than ever before, but there is always more we can do to drive the national conversation on immunisation,” Associate Professor Sim said.

 

“We can’t wait to help someone share their passion and drive for immunisation, to inspire and be an ambassador for our profession.”

 

In addition to PSA support, the successful applicant will receive media training, speaking opportunities, and support to attend PSA25 through the program.

 

“We’re excited to be working with GSK and Pfizer to empower our Vaccination Ambassador with specialised media training and national speaking engagements – all part of advocating for the profession at the highest levels.

 

“If you’re an advocate for the profession and committed to improving public health outcomes through accessible, evidence-based care, I encourage you to put yourself forward to be our inaugural PSA Vaccination Ambassador,” Associate Professor Sim concluded.

 

Applications for the PSA Vaccination Ambassador program are open now and will close on 30 June 2025. Interested pharmacists are invited to submit their video applications via the online form.
Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

The countdown is on for PSA25

12 June 2025

 

The countdown is on, with only 50 days until the Pharmaceutical Society of Australia (PSA) kicks off its premier national conference, PSA25, in Sydney.

 

From 1-3 August, pharmacists and industry leaders from around the country will come together to learn, inspire and connect with their profession.

 

With a wide-reaching and in-depth education program, PSA25 offers something for every pharmacist whether you’re just starting out, expanding your scope, or leading in your area of practice.

 

PSA National President Associate Professor Fei Sim FPS called for pharmacists to secure their place at PSA25 to take their professional growth to the next level.

 

“With patient health needs and expectations growing, our profession must keep pace and evolve with it. We want to do more, and we know we can do more, but it requires all of us to constantly affirm our commitment to strengthening our practice.

 

“Our focus for PSA25 is to empower pharmacists with essential knowledge and skills, from a strong foundation to the passion areas that make each pharmacist’s practice unique.

“Full scope of practice, dermatology, artificial intelligence and vaccination are dominant themes in this years’ program, reflecting feedback from members in our 2024 Member Census.

 

“There really is something for everyone at PSA25, no matter where you practice. Now’s the time to secure your spot,” Associate Professor Sim concluded.

 

The PSA25 program features more than 40 education, policy and professional development sessions. Highlights include:

  • Opening Plenary & Excellence Awards – Celebrate pharmacy’s best and brightest as we kick off PSA25 with inspiration and recognition.
  • Policy panels – Hear from Australia’s leading pharmacists and health policymakers on the hot issues affecting our profession.
  • Masterclass: Cracking the code of cardiovascular events – Deepen your clinical expertise in managing one of Australia’s leading health burdens.
  • Pharmacy Shark Tank in partnership with the PSA Foundation – Witness innovation in action as pharmacists pitch bold ideas to transform practice.
  • Keynote: Dr Louise Schaper – “When the Smartest Person in the Room Isn’t a Person”
  • Driving higher vaccination rates – Learn how pharmacists can drive the shift from meeting demand, to growing demand.
  • Workshop: Pharmacists and wound care – Discuss how pharmacists are expanding scope into chronic wound management.
  • Championing change for endometriosis care – Explore how pharmacists can support better outcomes for people with endometriosis.
  • Early Career Pharmacists panel – Hear from emerging leaders on navigating and shaping your pharmacy journey.

 

With sessions tailored to every career stage and practice setting, PSA25 is the must-attend event for pharmacists who want to stay ahead in a rapidly evolving pharmacy landscape.

 

Registrations are open now at https://www.psa25.com.au/

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au