Department of Human Services can grant pharmacists approval to supply Pharmaceutical Benefits Scheme (PBS) subsidised items in accordance with section 90 of the National Health Act 1953.
The PBS and RPBS make many prescription medicines more affordable for Australians and eligible overseas visitors.
We process claims from pharmacists and reimburse them for the medicines they supply. We also protect the PBS by preventing and detecting incorrect and inappropriate use of the program.
Pricing of PBS medicine
Detailed information on how prescription medicines are priced under the PBS and RPBS.
Clarifying a prescriber's intention
You can annotate a prescription to clarify a prescriber's intention. Only the prescriber can make major changes to the prescription
Declaring missing prescriptions or claim-related paperwork
Make a statutory declaration if your pharmacy has missing prescriptions or claim-related paperwork.
You have to supply prescription data for items priced below the patient co-payment to us.
Dispensing in an emergency provision situation
You may have to supply medicines using prescriptions written under emergency provisions.
Claiming online for PBS medicines
Information for pharmacists about electronic claiming of PBS or Repatriation Pharmaceutical Benefits Scheme (RPBS) medicines.
Getting Medicare numbers for PBS and RPBS claims
You may need to get a customer’s Medicare number from us when you’re making a PBS or RPBS claim.
Avoiding delays when you claim
Please provide complete and accurate information in PBS claims to ensure we can pay you as quickly as possible.
Understanding reason and rejection codes
Pharmaceutical Benefits Scheme (PBS) processing reason codes for online claiming by PBS pharmacies.
Helping when you can’t charge the PBS concessional rate
Information you can provide to your customers if they aren't entitled to medicines at a concessional rate.
Average rates payable for extemporaneous items
The average 10 g/mL rates apply to extemporaneously prepared benefits not in the Standard Formulae List, where the approved supplier didn’t price such prescriptions
Discounting patient co-payment
You may be able to discount medicines under the discounting patient co-payment.
Supply medicines to your customers in an emergency under continued dispensing of PBS medicines.
Improved Monitoring of Entitlements to pharmaceutical benefits
Improved Monitoring of Entitlements (IME) is a measure to ensure pharmaceutical benefits are provided only to eligible people.
Revised arrangements for the efficient funding of chemotherapy medicines
Revised arrangements for prescribers and pharmacists aim to minimise waste and reduce expenditure on intravenous chemotherapy medicines.
National Residential Medication Chart
You can use the National Residential Medication Chart (NRMC) to prescribe most PBS medicines for your patients in residential aged care facilities.