Highly specialised drugs

Online claiming

Information about online claiming for highly specialised drugs (HSDs).

Public hospitals

Public hospitals wanting to claim HSDs require section 94 approval, or section 100 approval for non-dispensing public hospitals to supply and claim PBS HSDs.

The public hospital needs to apply to us to use online claiming for PBS HSDs.

Public hospitals participating in the Pharmaceutical Reform Arrangements that are already using online claiming for PBS can claim HSDs through their existing online claiming system.

Public hospitals that do not use online claiming for PBS HSDs need to change or upgrade their software to allow them to do so.

Private hospitals

Private hospitals must continue using existing online claiming channels for HSDs.

Related information

Offline claiming

Offline claiming that allowed state and territory health departments to submit HSD claims on behalf of a public hospital ended on 31 December 2012.

This information was printed Monday 27 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/highly-specialised-drugs/about/online-claiming It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 22 February 2019