PBS reason codes for online claiming for PBS Pharmacies

PBS claims processing reason codes for online claiming for PBS pharmacies.

Contact the PBS general enquiries for more information. For any DVA enquires contact the Department of Veterans' Affairs - VAPAC.

Contact your software vendor for reason codes 614, 615, 618, 645 or 648. 

The reason type code and meaning.

  • R - Reject
  • W - Warning
  • I - Information
  • X - Time based warning = returned as a warning (W) for a set time period. After this time the reason code will be returned as a reject (R)
Reason codeReason type codeReason text
010RThe pharmacy approval number provided does not exist.
012RThe pharmacy approval number provided is not registered for online claiming.
013RPrescription pended—payment withheld pending prescription check by Medicare.
015IThe prescription has been successfully cancelled.
016RThe pharmacy approval number provided is not currently approved for PBS claims.
017RThe pharmacy approval number provided is not approved to claim PBS benefits.
018RThe claim reference number provided is invalid.
019RThe claim period number provided is invalid.
020RThis prescription could not be cancelled as it could not be found.
021RThis prescription could not be cancelled as it could not be found.
023RThis prescription has already been cancelled.
024RThe pharmacy approval number provided is invalid.
025RThe pharmacy approval number provided is invalid.
028RThe pharmacy approval number provided is invalid for PBS claims.
029RThe prescription form type was not provided or the prescription form type provided is invalid—provided as < >.
030RThe payment category was not provided or the payment category provided is invalid—provided as < >.
031RA Medicare number has not been provided.
032IA Medicare number is not required for a Doctor's Bag order form.
033RThe medicare number provided contains less than 11 numeric characters.
034RThe medicare number provided as < > is not numeric.
035RThe medicare number provided as < > is invalid as the 10th digit must not be zero.
036RThe medicare number provided is invalid.
037RThe public hospital provider number provided is invalid or does not exist—provided as < >.
038IThe public hospital provider number is not required for a Doctor's Bag order form.
041RThe serial number was not provided or the serial number provided is invalid—provided as < >.
043WThe prescriber number was not provided.
044WThe prescriber number provided is invalid—provided as < >.
045RThe date of prescribing was not provided.
046RThe date of prescribing provided is invalid—provided as < >.
047RThe date of prescribing provided is invalid.
048RThe date of dispensing was not provided.
049RThe date of dispensing provided is invalid—provided as < >.
050RThe date of dispensing provided is invalid.
051RThe patient category was not provided or the patient category provided is invalid—provided as < >.
052RThe patient category provided is invalid for a Doctor's Bag item—provided as < >.
053RThe item code provided is invalid.
054IA regulation 24 endorsement is invalid for a repeat prescription or a Doctor's Bag order form.
055RThe brand provided is invalid—provided as < >.
056RThe quantity was not provided or the quantity provided is invalid—provided as < >.
057RThe price provided is invalid—provided as < >.
060RThe number of repeats was not provided or the number of repeats provided is invalid—provided as < >.
061RThe number of repeats is not applicable for paperless prescriptions.
062RThe number of previous supplies was not provided or the number of supplies provided is invalid—provided as < >.
063RThe number of previous supplies is invalid for this prescription form type.
064RThe number of previous supplies is invalid for paperless prescriptions.
065RThe Regulation 24 endorsement was not provided or the format is invalid—provided as < >.
066RThe number of repeats must be greater than 0 for regulation 24.
067RA regulation 24 endorsement is not applicable for paperless prescriptions.
068RThe glass bottle indicator provided is invalid—provided as < >.
069IThe glass bottle indicator is invalid for this type of prescription.
070RThe glass bottle indicator provided is invalid for paperless prescriptions.
071RThe authority prescription number provided is invalid—provided as < >.
072RThe authority prescription number was not provided, or the authority prescription number provided is invalid.
073IAn authority prescription number is not required for this item.
074RThe immediate supply necessary endorsement provided is invalid—provided as < >.
075IThe immediate supply necessary endorsement provided is invalid for Doctor's Bag order forms.
076RThe immediate supply necessary endorsement provided is invalid for paperless prescriptions.
077RA DVA entitlement number has not been provided or the number provided is invalid—provided as < >.
078IAn entitlement number is not required for a Doctor's Bag order form.
079RThe safety Net number provided is invalid.
080IA processing code is not allowed for any of the reason codes present.
081RThe safety net number provided is invalid.
082RThe surname/family name provided contains invalid characters.
083IThe surname/family name is not required for a doctor's bag order form.
084RThe first/given name provided contains invalid characters.
085IA first/given name is not required for a doctor's bag order form.
086RA patient name has not been provided.
087WThe date of supply is more than 7 days before the date of prescribing.
088WThe date of supply is up to 7 days before the date of prescribing.
089RAn owing prescription is not permitted for a repeat or deferred prescription.
090RThis prescription has expired—the date of supply is more than 12 months after The date of prescribing.
091RThe prescription form type provided is invalid for the payment category provided.
092RThe date of supply of the prescription is after the revocation date for The pharmacy.
093RThe date of supply of the prescription is after the suspension date for The pharmacy.
094RThe date of supply of the prescription is prior to the approval start date for the pharmacy.
095WThe prescriber number provided does not exist.
096WThe date of prescribing is prior to the start date for the prescriber’s approval number or registration.
097WThe date of prescribing is after the end date for the prescriber’s approval number or registration.
098RThe prescription form type is invalid for this type of prescriber.
099RThe entitlement number provided as < > is invalid.
100XThe medicare number provided does not exist.
101WThe special or generic Medicare number provided is not current at date of supply.
102WPhotocopy of valid Medicare card or completed form will need to be provided.
103WThe medicare number could not be matched with the patient surname provided.
104WThe medicare number could not be matched with the patient first name provided.
105WThe medicare number could not be matched with the patient first name and surname provided.
106WThe medicare number provided has been reported stolen by the cardholder or their spouse, and has been cancelled.
107WThe medicare number provided is not current at date of supply.
108WThe medicare number provided has expired.
109WThe medicare number provided has expired.
110XThe patient reference number provided for this patient is incorrect—correct Medicare number found.
111XThe medicare card issue number provided for this patient is incorrect—correct Medicare number found.
112XThe medicare card issue number provided for this patient is incorrect—correct Medicare number found.
113XThe patient reference and/or Medicare card issue number provided for this patient is incorrect—correct Medicare number found.
114WThe medicare number provided is not the latest Medicare number for the patient.
115RThe entitlement number provided does not exist.
116RThe entitlement number provided is not current at date of supply.
117RThe entitlement number provided is no longer current at date of supply.
118RThe DVA entitlement number provided is not valid for RPBS benefits.
119WThe DVA entitlement number provided is not current at date of supply—correct DVA entitlement number found.
120XREJECTION RISK! The DVA entitlement number does not match patient first name provided. Check DVA entitlement card.
121XREJECTION RISK! The DVA entitlement number does not match patient surname provided. Check DVA entitlement card.
122XREJECTION RISK! The DVA entitlement number does not match patient names provided. Check DVA entitlement card.
123WThe DVA entitlement number provided is not current at date of supply.
125XSafety Net number provided is not current at date of supply.
126XThe safety Net number provided does not exist.
128XThe safety Net number provided does not have patient details recorded.
130WThe safety Net number provided is no longer valid.
131WThe safety Net number provided has been cancelled by the issuing pharmacy and is no longer valid.
132WThe safety Net number provided was cancelled by a pharmacy other than the issuing pharmacy and is no longer valid.
136WPatient not entitled on both cards.
137RThis owing prescription has expired—the date of supply is more than 12 months prior to the date of prescribing.
140RThe item provided was not a PBS benefit as at the date of prescribing.
141RThe item provided was not a PBS benefit as at the date of supply.
142RThe brand provided was not a PBS benefit as at the date of supply.
143RThe item provided is an authority item which requires prior authority approval.
144RThe maximum quantity allowed for this item has been exceeded.
145RThe maximum number of repeats allowed for this item has been exceeded.
146RThe number of previous supplies exceeds the number of supplies requested by The prescriber.
147RItem may not be prescribed by a doctor.
148RItem may not be prescribed by a dentist.
149RThis item cannot be supplied by your type of pharmacy.
150WREJECTION RISK! REFER TO FIX INSTRUCTIONS. Authority prescription number provided not found in authority records.
151WREJECTION RISK! REFER TO FIX INSTRUCTIONS. Authority prescription details provided do not match authority records.
152WPrescriber number provided does not match to authority approval.
154WPatient details provided do not match to authority approval—approved as < >.
156WDate of prescribing provided does not match to authority approval—approved as < >.
158WQuantity provided is greater than the quantity for this authority approval—approved as < >.
160WRepeats provided are greater than the repeats for this authority approval—approved as < >.
162WREJECTION RISK! REFER TO FIX INSTRUCTIONS. Item provided does not match to The authority approval—approved as < >.
163WREJECTION RISK! REFER TO FIX INSTRUCTIONS. Repeat item provided does not match to The authority approval—approved as < >.
164RThis prescription has been identified as a duplicate—< >.
165WA prescription has already been supplied with the same date of prescribing—< >.
169RRepeat prescription < > does not comply with 4/20 day rule—endorsement required.
170RThis Doctor's Bag item or its alternative has already been supplied this month.
172WUnlisted RPBS item provided as < > is not approved by DVA as at date of prescribing.
173WUnlisted RPBS item provided as < > is not approved by DVA as at date of supply.
174RThis authority is for a listed item < >. The claim you submitted is for An unlisted item.
175RThe item provided is not permitted on this prescription form type.
177RThe public hospital provider number must be provided for public hospital prescriptions.
180XMedicare number provided is correct but the patient name has changed.
181RRepeats cannot be authorised for dental and Doctor's Bag order forms items.
184WThe public hospital provider number provided is invalid or does not exist.
185RThe public hospital provider number provided is invalid.
226RThis prescription has been identified as a duplicate—< >.
227WA prescription has already been supplied with the same date of prescribing—< >.
229RRepeat prescription < > does not comply with 4/20 day rule—endorsement required.
232WThe Medicare number provided has been reported lost by the cardholder or their spouse and has been cancelled.
233RThe DVA entitlement number provided is invalid.
234RThe entitlement number provided in not valid.
263WThe DVA entitlement number provided is not current at date of supply.
264IMedicare's current policy is that review of the paper prescription is required for high cost items.
268IMedicare's policy is a review of your invoice/script DVA DAA is required for high cost unlisted RPBS items.
271WThe DVA entitlement number provided does not exist.
279RAn entitlement number has not been provided or the entitlement number provided is in the incorrect payment category.
280RA PBS benefit is not payable for this prescription as the price is less than or equal to the patient contribution.
281RThis exceptionally priced prescription is not twice the average price.
283RA price must be supplied for pricing elected prescriptions and unlisted RPBS items.
284RAuthority item supplied prior to authority approval.
286RThe authority approval number provided is invalid.
287RThe number of repeats required was not specified by the prescriber.
295RA pharmacy prescription number was not provided or the pharmacy prescription number is invalid—provided as < >.
297RThe date of previous supply provided is invalid.
299RA date of supply was not provided.
300RThe PBS reference number provided is invalid—provided as < >.
301RThe pharmacy processing code was not provided or the pharmacy processing code provided is invalid—provided as < >.
304RThe Resubmission indicator provided is invalid—provided as < >.
305RMedicare has no average price information for this item—please provide the dispensed price.
306RThe prescription form type provided is not the same as the paper prescription form type.
307RThe patient category provided is invalid for this approval type.
308RRegulation 24 is not allowed for Chemotherapy Pharmaceutical Access Program (CPAP) items.
309ROwing prescriptions are not allowed for Chemotherapy Pharmaceutical Access Program (CPAP) items.
310WThe pack size and/or quantity for this item have changed between prescribing and supply.
312IThe prescription could not be cancelled as it could not be found.
313RThe item code provided is not allowed within the payment category provided.
314RThe item code provided is not allowed for the patient category provided.
315RThe prescription form type provided is invalid for this patient category.
317RThe item provided is not permitted on this prescription form type.
318WAuthority request has been pended and not approved by Medicare.
319WAuthority request has not been approved by Medicare.
321RThis prescription has been identified as a duplicate—< >.
322RThis prescription has been identified as a duplicate—< >.
323WA prescription has already been supplied with the same date of prescribing—< >.
324WA prescription has already been supplied with the same date of prescribing—< >.
331RRepeat prescription < > does not comply with 4/20 day rule—endorsement required.
332RRepeat prescription < > does not comply with 4/20 day rule—endorsement required.
335RThis Doctor's Bag item or its alternative has already been supplied this month by the same pharmacy.
337RThis paper prescription was not endorsed as PBS.
338RThis paper prescription was not endorsed as RPBS.
339RThe prescriber's name and/or address was left off the paper prescription.
340RThe dental prescriber number was left off the paper prescription.
342RThe prescriber's signature was left off the paper prescription.
344RThe date of supply on the paper prescription is after the date of processing.
347RThe agents address was left off the paper prescription.
348RThe prescription is out of date.
349RThe date of prescribing or the date of supply is after the date of claim receipt by Medicare.
350RThe authority approval number was left off the paper prescription.
351RThe authority prescription number was left off the paper prescription.
352RThe pharmacy approval number and/or pharmacy name was left off the paper prescription.
353RThe prescription was submitted in the incorrect payment category.
354RPrior approval by Medicare is required for this authority item.
355RPrior approval by Department of Veterans' Affairs is required for this item.
356RThe quantity was not specified by the prescriber.
357RThe prescriber needs to specify item, form and/or strength.
358RThe patient category was not indicated in the entitlement box.
359RYour pharmacy is not registered for online claiming.
360RRegulation 24 is not permitted for hospital inpatients.
361RThe paper prescription relating to this serial number was not provided in The claim package.
362RThe quantity supplied was not indicated on the Doctor's Bag order form.
363RThis deferred item has previously been claimed as an original prescription.
364RThe original date of prescribing was left off the repeat paper prescription form.
365RThe original prescription details were left off the repeat paper prescription form.
367RThe paper prescription supplied was not endorsed for Regulation 24.
368RThis prescription was not signed and/or dated by the patient/agent.
369RA previously paid item was re-serialised and resubmitted.
370RThe prescription details in the claim are not the same as the details on The paper prescription.
372RA prior authority approval was requested but not granted for this prescription.
373R'Immediate supply necessary' endorsed in claim transmission but paper prescription not endorsed and signed by the pharmacist.
374R'Immediate supply necessary' must be endorsed in full on the paper prescription and signed by the pharmacist.
375RPrescription alterations must be initialled by prescriber.
376RThe patient's name and/or address was omitted or is illegible on the paper prescription.
377RThe date of prescribing was omitted from the paper prescription.
378RDetails on your digital certificate are invalid.
379RYour digital certificate has been revoked.
380IYour digital certificate is about to expire.
381RYour digital certificate has expired.
382RThere is a problem with your online claiming registration.
383RThere is a problem with your online claiming registration.
384RYour pharmacy is not registered for online claiming.
385RYour approved supplier number could not be validated.
386RThere is a problem with your approved supplier status or type.
387RThere is a problem with your online claiming registration.
388RThe patient's RPBS file number was left off or is illegible on the paper prescription.
389RThere is a problem with your online claiming registration.
390RThe prescriber number was not valid or was left off the paper prescription.
391RAn 'owing prescription' must be endorsed, signed and dated by the approved supplier.
392RThe patient's details in the claim are not the same as in the paper prescription.
394RThe patient was not covered by the entitlement number provided.
395RSee prescription endorsement.
398RThe prescription could not be cancelled as the claim period has been abandoned.
403RThe PBS reference number provided does not match the pharmacy prescription number provided.
445RThe claim period number has already been used.
461RThe prescriber number provided is invalid.
467RThe original pharmacy approval number provided is invalid.
468RThe original pharmacy prescription number provided is invalid.
470RInsufficient details were supplied to price this unlisted RPBS item.
473IThe Requested electronic statement does not exist for this claim period.
474IA new electronic statement is not available for this claim period.
488RThe software vendor name provided is invalid.
489RThe software version number provided is invalid.
490RPrescription could not be adjusted as the claim period has been closed.
493RAn owing prescription is not permitted for authority items.
494RThe public hospital provider number provided does not exist.
495RThe prescriber number provided does not exist.
496RThis item is not payable—the paperwork has been retained by the PBS processing centre.
497RThe date of prescribing is not within the prescriber's registration period.
498RThis 'immediate supply necessary 'prescription must be endorsed in full and signed by the pharmacist.
499RThe prescription details supplied in your claim do not match the authority details approved.
500RThe associated paperwork was not provided with the paper prescription.
502RThe date of prescribing provided in the claim is not the same as the details on the paper prescription.
503RThe item provided was not a PBS medicine at the date of prescribing.
504RThe patient/pharmacists copy of the prescription was sent in error, The medicare/DVA copy is required.
505RQuantity and repeats must be specified by the prescriber.
506RThe handwritten form provided does not match the prescriber's handwriting or has not been completed in ink.
507RPrescriptions for the same item and patient, on the same day are not payable.
508RThe same strength and form of a medicine cannot be prescribed on the same form.
509RThe prescriber is required to clarify the ingredients for this extemporaneous preparation.
511RThe authority repeat details do not match the details originally approved.
512RAn unlisted item on the RPBS must be an authority—provided as < >.
513RAn extemporaneously prepared ingredient is not a PBS medicine.
514RThe prescription paperwork is damaged.
515RInsufficient details were provided in the prescription transcription box.
516RThe prescriber details in the claim are not the same as the paper prescription.
517RThe date details in the claim are not the same as the paper prescription.
518RThe payment category details in the claim are not the same as the paper prescription.
520RClarification of paper prescription requires endorsement in full and signed by pharmacist.
524RThe authority details in the claim are not the same as the paper prescription.
529WThe item code provided is not a Safety Net 20 day rule item and has not been endorsed correctly.
530IThe statement request has exceeded the maximum number of rows returnable.
533RThe entitlement number provided for this Reg 25 endorsed Safety Net 20 day item is invalid for the payment category.
534RThe prescriber number was not provided or the prescriber number provided is invalid.
539RCentrelink has advised the entitlement number provided is not current at date of supply.
541RCentrelink has advised the entitlement number provided is not current at date of supply.
552IThe Reconciliation statement requested has been archived and is no longer available electronically.
556RThe(STREAMLINED) authority item claimed for needs to be on an authority form type.
557RThis prescription has been paid by bulk adjustment or in another claim.
576RRepeat prescription <> does not comply with SN 4/20 day rule—endorsement required.
577RRepeat prescription <> does not comply with SN 4/20 day rule—endorsement required.
580RRepeat prescription <> does not comply with SN 4/20 day rule—endorsement required.
581RRepeat prescription <> does not comply with SN 4/20 day rule—endorsement required.
584RItem may not be prescribed by an optometrist.
585RItem can only be prescribed by an optometrist.
594IIdentical information already received and assessed by Medicare. Please refer to fix instructions.
596RNon-approved public hospital is not approved to supply or claim this item.
597WThe date of supply is more than 2 years old.
599RClosing the Gap flag was not provided or Closing the Gap flag is invalid.
604RPrescription supplied as incorrect claim type. Resubmit in the correct claim type.
606RPrescriber is not authorised to prescribe this item
607RPrescriber is not authorised to prescribe this item at date of prescribing
611RPaperless claiming for increased quantity and repeats not allowed for public hospitals.
612RPayment category is invalid for under co-payment scripts.
614RThe item is a private hospital HSD item
615RThe electronic prescription flag is not valid.
616WThe prescription exchange service identifier (PES ID) is not provided.
617RThe streamlined authority code is invalid.
618RThe prescription exchange service identifier (PES ID) provided is not valid.
619WREJECTION RISK! REFER TO FIX INSTRUCTIONS. Medicare eligibility cannot be determined.
620RMedicare eligibility cannot be determined.
621XREJECTION RISK! REFER TO FIX INSTRUCTIONS. Medicare eligibility cannot be determined.
622RMedicare eligibility cannot be determined.
636RThe streamlined authority code was not provided.
637IThe streamlined authority code is not required for this item.
639RThe streamlined authority code provided does not match the authority item.
640RThe RACF/RACS Id is not valid.
641RThe RACF/RACS Id is invalid—provided as < >.
642RThe RACF/RACS Id provided  is invalid at date of supply.
644RThe RACF/RACS Id is required for this paperless claim.
645RAuthority required items are not allowed for this paperless claim.
646RThe streamlined authority code does not match the streamlined authority item.
647RA streamlined authority code was not provided for this streamlined Authority item.
648RPaperless claiming for increased quantity not allowed for this streamlined Authority item.
649RControlled drugs are not allowed for this paperless claim.
652RThe maximum allowable period for supply from date of prescribing has been exceeded.
656RThe quantity supplied is not allowed for this chemotherapy item—too many times the maximum amount has been supplied.
657RHealth Practitioner (AHPRA) Number is not present for the Continued Dispensing item.
659RA claim for Continued Dispensing is invalid at date of supply.
660RThis paperless claim is invalid at date of supply.
661RThe item code is not valid for Continued Dispensing supply.
662RThe patient has already been supplied this Continued Dispensing item within the last <> months.
663WThe item has not been prescribed and supplied in the previous <> months.
664WThe quantity provided does not match the quantity supplied previously for This item.
665RThe Health Practitioner (AHPRA) Number is invalid.
668RThe Health Practitioner (AHPRA) Number is invalid—provided as < >.
669RCTG is invalid for Continued Dispensing.
670RNon-CTG under co prescriptions are not eligible to be recorded with this date of supply.
671RPrescriber type does not exist.
961RMedicare does not have a valid quantity stored for this item code.
962RDeactive pharmacy transmissions.
963RA problem has occurred when cancelling the prescription.
964RA problem has occurred when cancelling the prescription.
966RThere is a problem with the unique pharmacy prescription number (script number) provided.
967RThere is a problem with one of the data fields provided.
970RA problem has occurred when cancelling the prescription.
972RMedicare is unable to decrypt the prescription.
973RThe digital certificate is not registered for the given Pharmacy Approval Number.
974RThe digital certificate does not match with the digital certificate registered for the given Pharmacy Approval Number.
975RThe transaction type could not be identified.
978RThere is a problem with the format of the prescription.
982RThere is a problem with the format of the message.
983RConnection to Medicare is temporarily unavailable at this time.