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flag Australian woman with rare disease can't access U.S.-approved drug due to lack of PBS listing.

flag Dominique Roth, a 51-year-old Australian woman with the rare disorder CTX, faces limited treatment options despite a U.S.-approved drug, Ctexli (chenodiol), being available to slow her disease’s progression. flag The drug, approved by the FDA in February 2025, is not registered in Australia and lacks a PBS listing, making it accessible only through a costly Special Access Scheme that costs about $500,000 annually. flag No company has applied for PBS inclusion, and the U.S. manufacturer, Mirum Pharmaceuticals, has no plans to sell the drug outside the U.S. flag Advocates urge PBS reform to improve access to rare disease treatments, while Roth receives essential support through the NDIS.

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