PBS for pharmacists

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.

From 1 January 2019, the Department of Health (Health) will be responsible for approving pharmacists to supply PBS subsidised items. Read more about approved suppliers on Health’s website.

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.

About

Pricing of PBS medicine

Detailed information on how prescription medicines are priced under the PBS and RPBS.

Read more about the pricing of PBS medicine

Your responsibilities

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

Read more about clarifying a prescriber's intention

Declaring missing prescriptions or claim-related paperwork

Make a statutory declaration if your pharmacy has missing prescriptions or claim-related paperwork.

Read more about declaring missing prescriptions or claim-related paperwork

Collecting data

You have to supply prescription data for items priced below the patient co-payment to us.

Read more about collecting data

Dispensing in an emergency provision situation

You may have to supply medicines using prescriptions written under emergency provisions.

Read more about dispensing in an emergency provision situation

Claiming

Claiming online for PBS medicines

Information for pharmacists about electronic claiming of PBS or Repatriation Pharmaceutical Benefits Scheme (RPBS) medicines.

Read more about claiming online for PBS 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.

Read more about getting Medicare numbers for PBS and RPBS claims

Avoiding delays when you claim

Please provide complete and accurate information in PBS claims to ensure we can pay you as quickly as possible.

Read more about avoiding delays when you claim

Understanding reason and rejection codes

Pharmaceutical Benefits Scheme (PBS) processing reason codes for online claiming by PBS pharmacies.

Read more about understanding reason and rejection codes

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.

Read more about helping when you can’t charge the PBS 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

Read more about Average rates payable for extemporaneous items

Initiatives

Discounting patient co-payment

You may be able to discount medicines under the discounting patient co-payment.

Read more about discounting patient co-payment

Continued dispensing

Supply medicines to your customers in an emergency under continued dispensing of PBS medicines.

Read more about continued dispensing of PBS medicines for pharmacists

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.

Read more about Improved Monitoring of Entitlements to pharmaceutical benefits

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.

Read more about revised arrangements for funding 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.

Read more about the National Residential Medication Chart

Page last updated: 17 December 2018