Becoming an approved PBS supplier - for hospital authority

Information for public and private hospitals on how to become an approved supplier of PBS subsidised medicines or highly specialised drugs.

Approval to supply pharmaceutical benefits or highly specialised drugs can be granted to a hospital authority in respect of a particular hospital, under section 94 or section 100 of the National Health Act 1953.

For a particular hospital to be eligible, a statement must have been made under subsection 121-5(6) of the Private Health Insurance Act 2007 that the hospital is a private or public hospital.

If the hospital authority operates more than one hospital, a separate application to supply pharmaceutical benefits or highly specialised drugs is required for each hospital.

Public hospitals

An approval granted under section 94 of the National Health Act to a hospital authority, in respect of a particular public hospital, enables the hospital authority to supply pharmaceutical benefits or highly specialised drugs in certain circumstances to patients receiving treatment in or at the hospital.

A hospital authority approved in respect of a public hospital participating in the Pharmaceutical Reform Arrangements under the National Health Care Agreement can:

  1. access PBS subsidised medicines, chemotherapy drugs and highly specialised drugs under section 94 of the National Health Act
  2. access highly specialised drugs under section 100 of the National Health Act

A hospital authority approved in respect of a public hospital that is not participating in the Pharmaceutical Reform Arrangements can access highly specialised drugs for patients receiving treatment in or at the hospital under section 94 or section 100 of the National Health Act.

Non-dispensing public hospitals

An approval granted under section 100 of the National Health Act to a hospital authority, in respect of a particular public hospital, enables a public hospital authority that does not have a dispensary or pharmacy at the hospital to claim for the supply of highly specialised drugs. The highly specialised drugs may be supplied to patients receiving treatment in or at the public hospital, where supply of those drugs is undertaken by a third party such as a community pharmacy, friendly society or agent.

Private hospitals

A private hospital wishing to access medicines funded under the Highly Specialised Drugs Program must also be approved by the Department of Health, email HSD@health.gov.au.

The Department of Health will notify us of your approval to supply Highly Specialised Drugs.

Applications for approval

Hospital authorities can apply to supply pharmaceutical benefits or highly specialised drugs by completing the Application for a hospital authority to supply pharmaceutical benefits and/or highly specialised drugs form.

Payments

Payments will be made directly to the state or territory health department's nominated bank account as supplied to us on the Notification of Bank Account Details for a hospital authority form.

Change of bank account details

Use the Notification of Bank Account Details for a hospital authority form to advise us of any changes to bank account details.

You must notify us in writing, on our approved bank details form, of changes to bank account details at least 5 working days before the change is to take effect.

Authority for authorised person(s) to sign forms

Use the Authority for Authorised Person(s) to sign claim forms on behalf of a hospital authority form to authorise another person to lodge claims on behalf of a hospital authority.

Post-approval information

Approved hospital authorities need to notify us in writing of any changes in:

  • hospital status from private to public or public to private
  • ownership of the hospital authority
  • hospital authority name
  • provision of pharmacy services, pharmacist or service provider
  • application for a section 90 to be approved in the hospital
  • authorised or approved persons for signing claim forms
  • the location of the hospital

Page last updated: 14 October 2016

This information was printed Sunday 4 December 2016 from humanservices.gov.au/health-professionals/enablers/becoming-approved-pbs-supplier-information-hospital-authority It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.