PBS for pharmacists

Discounting patient co-payment

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

Community pharmacies and dispensing medical practitioners can discount medicines up to $1.00 under the:

  • general PBS patient co-payment
  • concessional PBS patient co-payment.

Patients need to make a co-payment for each original and repeat prescription. This is when the medicine’s Commonwealth price is equal to or higher than the PBS Safety Net co-payment.  

You can discount the co-payment amount for:

  • prescriptions endorsed with ‘section 49’ (previously regulation 24) or ‘hardship conditions apply’
  • Closing the Gap (CTG) prescriptions.

You must record the co-payment amounts for these prescriptions on the prescription record form.

You can supply a pharmaceutical benefit under section 51 if the patient meets the requirements for an immediate supply. As part of the PBS Safety Net 20 day rule, you can only discount the co-payment by up to $1.00 if the supply is for a medicine not specified in the early supply instrument.

Read more about the PBS on the Department of Health’s website.

This information was printed Monday 20 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/pbs-pharmacists/initiatives/discounting-patient-co-payment 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