Ordering PBS/RPBS prescription forms
Eligible PBS prescribers may obtain PBS/RPBS prescription forms free of charge from Medicare Australia.
Who is eligible?
To be eligible for PBS/RPBS prescription forms, you must have a PBS prescriber number.
Medical Practitioners – prescription order forms
- Form 4018 standard personalised prescription pad order form [PDF, 115Kb]
- Form 4020 authority personalised prescription pad order form [PDF, 116Kb]
- Form 4019 computer prescription paper order form [PDF, 62Kb]
Dental Practitioners – prescription order forms
Optometrists – prescription order forms
Nurse Practitioners and Midwives – prescription order forms
- Form 4235 standard personalised prescription pad order form [PDF, 45Kb]
- Form 4234 authority personalised prescription pad order form [PDF, 45Kb]
- Form 4233 computer prescription paper order form [PDF, 69Kb]
Lodgement
The completed form should be posted to:
Prescription Pad Order Clerk
Pharmaceutical Benefits Branch
Medicare Australia
GPO Box 9826
Sydney NSW 2001
Note: Prescription pad orders can only be dispatched to a prescriber’s registered practice location.
For more information
For general PBS/RPBS prescription stationery enquiries
Call: 132 290 (call charges may apply)
For existing prescription pad orders
Call: (02) 9895 3295
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Last updated: 3 August, 2011