Manual Prescription processing fee form (PB259)

Use this form if you’re an approved supplier and you want to claim a payment for suppling PBS items.

You don’t need to use this form, or pay a fee, if you claim online.

Please keep a copy of your completed forms for your records.

Read more information for pharmacists about claiming online for PBS.

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: 12 June 2019

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