Patient claim for refund Pharmaceutical Benefits Scheme (PBS) form (PB132)

Use this form to claim a refund under the Pharmaceutical Benefits Scheme (PBS).

You can use this form to claim a refund if either you:

  • didn’t show your Medicare card or concession card when you purchased the medicine at the pharmacy
  • spend over your yearly PBS Safety Net threshold.

We can only accept paid invoices and receipts. You must attach all receipts issued by your pharmacist. We’ll keep all documents supporting this claim.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 23 October 2019