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:

  • you didn’t show your Medicare card or concession card when you purchased the medicine at the pharmacy, or
  • you 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 use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 27 August 2017