PBS reason codes for online claiming for PBS Pharmacies

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

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)

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

Reason CodeReason type codeReason text
10RThe pharmacy approval number provided does not exist.
12RThe pharmacy approval number provided is not registered for online claiming.
13RPrescription pended, payment withheld pending prescription check by DHS.
15IThe prescription has been successfully cancelled.
16RThe pharmacy approval number provided is not currently approved for PBS claims.
17RThe pharmacy approval number provided is not approved to claim PBS benefits.
18RThe claim reference number provided is invalid.
19RThe claim period number provided is invalid.
20RThis prescription could not be cancelled as it could not be found.
21RThis prescription could not be cancelled as it could not be found.
23RThis prescription has already been cancelled.
24RThe pharmacy approval number provided is invalid.
25RThe pharmacy approval number provided is invalid.
28RThe pharmacy approval number provided is invalid for PBS claims.
29RThe prescription form type was not provided or the prescription form type provided is invalid.
30RThe payment category was not provided or the payment category provided is invalid.
31RA Medicare number has not been provided.
32IA Medicare number is not required for a Prescriber Bag Emergency Supply Order Form.
33RThe Medicare number provided contains less than 11 numeric characters.
34RThe Medicare number is not numeric.
35RThe Medicare number provided is invalid as the 10th digit must not be zero.
36RThe Medicare number provided is invalid.
37RThe public hospital provider number provided is invalid or does not exist.
38IThe public hospital provider number is not required for a Prescriber Bag Emergency Supply Order Form.
40RPublic hospital provider number does not exist.
41RThe serial number was not provided or the serial number provided is invalid.
43WThe prescriber number was not provided.
44WThe prescriber number provided is invalid.
45RThe date of prescribing was not provided.
46RThe date of prescribing provided is invalid.
47RThe date of prescribing provided is invalid.
48RThe date of dispensing was not provided.
49RThe date of dispensing provided is invalid.
50RThe date of dispensing provided is invalid.
51RThe patient category was not provided or the patient category provided is invalid.
51IThe patient category was not provided or the patient category provided is invalid.
52RThe patient category provided is invalid for a Prescriber Bag Emergency Supply Order Form item.
53RThe item code provided is invalid.
54IA regulation 24 endorsement is invalid for a repeat prescription or a Prescriber Bag Emergency Supply Order Form.
55RThe brand provided is invalid.
56RThe quantity was not provided or the quantity provided is invalid.
57RThe price provided is invalid.
57IThe price provided is invalid.
60RThe number of repeats was not provided or the number of repeats provided is invalid.
60IThe number of repeats was not provided or the number of repeats provided is invalid.
61RThe number of repeats is not applicable for paperless prescriptions.
62RThe number of previous supplies was not provided or the number of supplies provided is invalid.
63RThe number of previous supplies is invalid for this prescription form type.
64RThe number of previous supplies is invalid for paperless prescriptions.
65RThe regulation 24 endorsement was not provided or the format is invalid.
65IThe regulation 24 endorsement was not provided or the format is invalid.
66RThe number of repeats must be greater than 0 for regulation 24.
66IThe number of repeats must be greater than 0 for regulation 24.
67RA regulation 24 endorsement is not applicable for paperless prescriptions.
68RThe glass bottle indicator provided is invalid.
68IThe glass bottle indicator provided is invalid.
69IThe glass bottle indicator is invalid for this type of prescription.
70RThe glass bottle indicator provided is invalid for paperless prescriptions.
71RThe authority prescription number provided is invalid.
72RThe authority prescription number was not provided, or the authority prescription number provided is invalid.
73IAn authority prescription number is not required for this item.
74RThe immediate supply necessary endorsement provided is invalid.
74IThe immediate supply necessary endorsement provided is invalid.
75IThe immediate supply necessary endorsement provided is invalid for Prescriber Bag Emergency Supply Order Forms.
76RThe immediate supply necessary endorsement provided is invalid for paperless prescriptions.
77RA DVA entitlement number has not been provided or the number provided is invalid.
78IAn entitlement number is not required for a Prescriber Bag Emergency Supply Order Form.
79RThe safety net number provided is invalid.
80IA processing code is not allowed for any of the reason codes present.
81RThe safety net number provided is invalid.
82RThe surname/family name provided contains invalid characters.
83IThe surname/family name is not required for a Prescriber Bag Emergency Supply Order Form.
84RThe first/given name provided contains invalid characters.
85IA first/given name is not required for a Prescriber Bag Emergency Supply Order Form.
86RA patient name has not been provided.
87WThe date of supply is more than 7 days prior to the date of prescribing.
88WThe date of supply is up to 7 days prior to the date of prescribing.
89RAn owing prescription is not permitted for a repeat or deferred prescription.
90RThis prescription has expired, the date of supply is more than 12 months after the date of prescribing.
91RThe prescription form type provided is invalid for the payment category provided.
92RThe date of supply of the prescription is after the revocation date for the pharmacy.
93RThe date of supply of the prescription is after the suspension date for the pharmacy.
94RThe date of supply of the prescription is prior to the approval start date for the pharmacy.
95WThe prescriber number provided does not exist.
96RThe date of prescribing is prior to the start date for the prescriber’s approval number or registration.
97RThe date of prescribing is after the end date for the prescriber’s approval number or registration.
98RThe prescription form type is invalid for this type of prescriber.
99RThe entitlement number provided is invalid.
100RThe Medicare number provided does not exist.
101RThe special or generic Medicare number provided is not current at date of supply.
102RPhotocopy of valid Medicare card or completed form will need to be provided.
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.
105RThe Medicare number could not be matched with the combination of the patient's first and surname provided.
106RThe Medicare number provided has been reported stolen by the cardholder or their spouse, and has been cancelled.
107RThe Medicare number provided is not current at date of supply.
108RThe Medicare number provided has expired.
109RThe 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 number found.
114RThe Medicare number provided is not the latest Medicare number for the patient.
115RThe entitlement number provided does not exist.
115WThe 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.
117WThe 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!  DVA entitlement number does not match patient first name provided. Check DVA entitlement card.
121XREJECTION RISK!  DVA entitlement number does not match patient surname provided. Check DVA entitlement card.
122RDVA entitlement number does not match names provided. Check entitlement card.
123WThe DVA entitlement number provided is not current at date of supply.
124XThe safety net number provided does not exist.
125RThe safety net number provided is not current at date of supply.
126XThe safety net number provided does not exist.
127XSafety net number not allocated.
128XThe safety net number provided does not have patient details recorded.
129XSafety net number allocated to a different approval supplier number.
130RThe safety net number provided has been cancelled.
131RThe safety net number provided has been cancelled by the issuing pharmacy.
132RThe safety net number provided was cancelled by a pharmacy other than the issuing pharmacy and is no longer valid.
133RThe safety net number provided is not current at date of supply.
134RThe safety net number provided is not current at date of supply (allocated by a different approved supplier).
135XPatient may not be entitled on both cards.
136XPatient 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.
149RThis item cannot be supplied by your type of pharmacy.
150WAuthority prescription number provided not found in authority records.
151WAuthority prescription details provided do not match authority records.
152WPrescriber number provided does not match to authority approval.
153WPrescriber number mismatch for repeat authority prescription.
154WPatient details provided do not match to authority approval.
155WPatient mismatch for repeat authority prescription.
156WDate of prescribing provided does not match to authority approval.
157WDate of prescribing mismatch for repeat authority prescription.
158WQuantity provided is greater than the quantity for this authority approval.
159WQuantity greater than quantity approved for repeat authority prescription.
160WRepeats provided are greater than the repeats for this authority approval.
161WRepeats greater than repeats approved for repeat authority prescription.
162WItem provided does not match to the authority approval.
163WRepeat item provided does not match the authority approval.
164RThis prescription has been identified as a duplicate.
169RRepeat prescription does not comply with 4/20 day rule, endorsement required.
170RThis Prescriber Bag Emergency Supply Order Form item or its alternative has already been supplied this month.
172WUnlisted RPBS item provided is not approved by DVA as at date of prescribing.
173WUnlisted RPBS item provided 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 Prescriber Bag Emergency Supply Order Form items.
182WPrescriber number not provided or format invalid for repeat prescriptions.
184RThe hospital provider number provided is invalid or does not exist.
185RThe hospital provider number provided is invalid.
229RRepeat prescription does not comply with 4/20 day rule, endorsement required.
232RThe 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 is not valid.
263RThe DVA entitlement number provided is not current at date of supply.
264IDispensed price exceeds high cost threshold.
268IDispensed price for prescription exceeds unlisted RPBS value. Pharmacy to retain copy of the invoice with prescription.
271RThe DVA entitlement number provided does not exist.
277WCannot verify concessional entitlement at date of supply, check entitlement card.
278WNo concessional entitlement number found for payment category.
279RAn entitlement number has not been provided or the entitlement number provided is in the incorrect payment category.
279XAn 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.
297RThe date of previous supply provided is invalid.
299RA date of supply was not provided.
300RThe PBS reference number provided is invalid.
301RThe pharmacy processing code was not provided or the pharmacy processing code provided is invalid.
301IThe pharmacy processing code was not provided or the pharmacy processing code provided is invalid.
304RThe resubmission indicator provided is invalid.
305RDHS has no average price information for this item. Provide the dispensed price.
306RThe prescription form type provided is not the same as the 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.
310RThe 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 for 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.
318RAuthority request has been pended and not approved by the DHS.
319RAuthority request has not been approved by the DHS.
321WThis prescription has been identified as a duplicate.
322WThis 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 Prescriber Bag Emergency Supply Order Form item or its alternative has already been supplied this month by the same pharmacy.
337RThis prescription was not endorsed as PBS.
338RThis prescription was not endorsed as RPBS.
339RThe prescriber's name and/or address was omitted from the prescription.
340RThe dental prescriber number was omitted from the prescription.
342RThe prescriber's signature was omitted from the prescription.
344RThe date of supply on the prescription is after the date of processing.
347RThe agent's address was omitted from the prescription.
348RThe prescription is out of date.
349RThe date of prescribing or the date of supply is after the date of claim receipt by DHS.
350RThe authority approval number was omitted from the prescription.
351RThe authority prescription number was omitted from the prescription.
352RThe pharmacy approval number and/or pharmacy name was omitted from the prescription.
353RThe prescription was submitted in the incorrect payment category.
354RPrior approval by DHS is required for this authority item.
355RPrior approval by Department of Veteran’s 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 prescription relating to this serial number was not in the claim.
362RThe quantity supplied was not indicated on the Prescriber Emergency Drug Supplies Order Form.
363RThis deferred item has previously been claimed as an original prescription.
364RThe original date of prescribing was omitted from this repeat prescription form.
365RThe original prescription details were omitted from the repeat prescription form.
367RThe 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 prescription.
372RA prior authority approval was requested but not granted for this prescription.
373RImmediate supply necessary endorsed in claim transmission but prescription not endorsed and signed by pharmacist.
374RImmediate supply necessary must be endorsed in full on the 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 prescription.
377RThe date of prescribing was omitted from the 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 omitted from or is illegible on the prescription.
389RThere is a problem with your online claiming registration.
390RThe prescriber number was not valid or was omitted from the prescription.
391RAn 'owing prescription' must be endorsed and signed/initialled by the approved supplier.
392RThe patient's details in the claim are not the same as the 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 prescription.
503RThe item provided was not a benefit 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 by the same prescriber are not payable.
508RThe same strength and form of a medicine cannot be prescribed on the same prescription 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.
513RAn extemporaneously prepared ingredient is not a benefit.
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 those on the prescription.
517RThe date details in the claim are not the same as those shown on the prescription.
518RThe payment category details in the claim are not the same as those on the prescription.
520RClarification of prescription requires endorsement in full and signed by pharmacist.
524RThe authority details in the claim are not the same as those on the 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 Regulation 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.
558WEntitlement supplied ended within 12 months prior to DOS.
559REntitlement supplied ended greater than 12 months prior to DOS.
560WThe DVA Entitlement supplied ended within 12 months prior to DOS.
561RDVA Entitlement supplied ended greater than 12 months prior to DOS.
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.
594IIdentical information already received and assessed by DHS. Refer to fix instructions.
595WPublic hospital must claim this HSD item via the online channel.
596RNon approved public hospital is not approved to supply or claim this item.
597WThe date of Supply is greater than 2 years old.
598IA request for this statement has already been processed today.
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.
605RYour pharmacy cannot supply prescriptions written by this type of prescriber.
606RPrescriber is not authorised to prescribe this item.
607RPrescriber is not authorised to prescribe 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.
614RThis 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.
619WMedicare eligibility cannot be determined.
620RMedicare eligibility cannot be determined.
621X Medicare eligibility cannot be determined.
622RMedicare eligibility cannot be determined.
635IUnder Co-Payment Prescription processed.
636RThe streamlined authority code was not provided.
637IA streamlined authority code is not required for this item.
639RThe streamlined authority code provided does not match to the authority item.
640RThe RACF/RACS Id is not valid.
641RThe RACF/RACS Id is invalid.
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, the maximum amount has been supplied too many times.
657RHealth Practitioner (AHPRA) Number is not present for the Continued Dispensing item.
658RHealth Practitioner (AHPRA) Number is invalid.
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.
662WThe patient has already been supplied this Continued Dispensing item within the last <> months.
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.
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.
677RThe base price of this prescription could not be derived.
678RIncreased repeats are not permitted under the emergency provisions.
679RIncreased quantity is not permitted under the emergency provisions.
682RThe special or generic Medicare number provided is not valid.
683RClaim period cannot be closed.
685IYour request to close claim period has been successfully processed. Your claim is now closed.
686RYour claim period could not be closed as it could not be found.
687RThe claim period could not be closed as the claim has been previously closed.
690RThe claim period could not be closed as certification for the supply of all medicines in claim has not been provided.
691RThis paperless claim is invalid at date of supply.
692RThis paperless claim is invalid at date of supply.
693WThis field is not required for this type of prescription.
694RThe Medication Chart Duration has not been provided.
695RThe Medication Chart Duration is invalid.
696WThe Chart Duration does not match the Chart Duration of the first supply from this Hospital Medication Chart.
697RThe hospital provider number must be provided for Hospital Medication Chart claims.
698RThe hospital provider number is not eligible to claim from a Hospital Medication Chart.
961RDHS does not have a valid quantity stored for this item code.
962RDeactivate 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.
972RDHS 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 DHS is temporarily unavailable at this time.

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