What's new?

July 2014

Improvements will be made to the way some PBS medicines are processed under the Highly Specialised Drugs Programme from 1 July 2015.

PBS forms

The Pharmaceutical Benefits Scheme (PBS) makes sure all Australian residents have access to necessary and life-saving medicines at an affordable price. Most medicines available on prescription are subsidised under the PBS.

Medicare administers the PBS, which includes processing claims and paying benefits for the PBS and Repatriation Pharmaceutical Benefits Scheme (RPBS).

The Schedule of Pharmaceutical Benefits

The Schedule of Pharmaceutical Benefits (the Schedule) lists the medicines available under the PBS. The Schedule is published online at the PBS WebsiteExternal link and is updated monthly to include new listings and the latest changes. The Schedule may be downloaded or printed from this website. A printed copy or CD Rom version of the Schedule may be purchased from the print on demand vendor. More details are available on the PBS Health ProfessionalExternal link page.

PBS entitlement checking

Ordering PBS/RPBS prescription forms

Pharmaceutical Benefits Scheme (PBS)/Repatriation Pharmaceutical Benefits Scheme (RPBS) prescription forms are free of charge from Medicare for eligible prescribers.

From 1 July 2014, we will process only typed prescription order forms. We will return handwritten, incomplete or poor quality photocopies of order forms to the prescriber.

Who is eligible?

You must have a PBS prescriber number and meet the relevant entitlement criteria for where you have an approved open location to be eligible for PBS/RPBS prescription forms.

Refer to the PBS stationery entitlements table for clarification on your entitlements for these forms.

Process for ordering PBS forms

We will process only typed PBS/RPBS prescription order forms.

Follow these steps to make sure you complete the order form correctly and avoid having the form returned to you:

Step 1 complete the PBS/RPBS prescription order forms online by typing in the fillable sections

  • Step 2 print the form
  • Step 3 sign the form
  • Step 4 post to the relevant address

IMPORTANT NOTE: The personalisation details for your prescription forms will be scanned directly from the information that you have typed on your order form. Once verification checks have been completed, formatting will be line by line (as shown on your order form).

Prescription pad orders can only be sent to the prescriber's registered practice location.

There may be restrictions on personalising your forms depending on the type of stationery you order. We will contact you if there are any anomalies.

It may take up to 28 days for your order to be dispatched and additional time for delivery.

Helpful hints for completing PBS/RPBS prescription order forms

It should be noted there can be no hand writing on the form, other than the prescriber’s signature and the date. 

Prescriber full name – type your name the way you want it to appear on the prescription form. For example, Dr or Prof. John Smith

Prescriber qualifications – these will be printed exactly as you type them, including capitals, spaces and commas.

Prescriber current practice name and address (not PO box) – enter the name of your practice (for example, The Health Clinic) and the practice address details. 

Prescriber number – add your prescriber number here.

Phone number – enter a mobile number and/or landline number, including the prefix for the landline phone number. Landline numbers must be formatted (02) 9999 9999 and mobile numbers will be formatted 9999 999 999.

Quantity of books required – select only one of the boxes to indicate the quantity required.

Delivery address enter the name of the prescriber and the registered practice address.  The address should include as many details as possible to help Australia Post deliver your order, including level number, suite number, department, and shopping centre name.

Do not type ‘As above’ in the Delivery address.

Provider number – enter your provider number for the relevant practice location.

Medical Practitioners

Dental Practitioners

Optometrists

Nurse Practitioners and Midwives

Lodgement

The completed form should be posted to:

Prescription Pad Order Clerk

Pharmaceutical Benefits Branch
Department of Human Services
GPO Box 9826
Sydney NSW 2001

Note: Prescription pad orders can only be sent 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

Pharmaceutical Benefits Scheme (PBS) stationery entitlements

Medical practitioners

Medical practitioners and locums

Item

Ordering

Despatch timeframe

PB021p (formerly 4001)
PBS/RPBS standard prescription pad – personalised

Complete and submit form PB020 (formerly 4018) [DOC, Kb]

Orders are despatched within 28 calendar days.

PB021u (formerly 4002)
PBS/RPBS prescription pad - non-personalised

Call 132 290*

Orders are despatched within 2 business days.

PB023p (formerly 4004)
PBS prescription form - computer generated, personalised

Complete and submit form PB022 (formerly 4019) [DOC, 591Kb]

Orders are despatched within 28 calendar days.

PB023u (formerly 4057) PBS/RPBS prescription form - computer generated, non-personalised

Call 132 290*

Orders are despatched within 2 business days.

PB025p (formerly 4006)
PBS/RPBS authority prescription pad – personalised

Complete and submit form PB024 (formerly 4020) [DOC, Kb]

Orders are despatched within 28 calendar days.

PB025u (formerly 4007)
PBS/RPBS authority prescription pad - non-personalised

Call 132 290*

Orders are despatched within 2 business days.

PB052 (formerly 4021)
Prescriber bag (emergency drug supply) order book

Complete the order form in your current book. If you don’t have a book, call 132 290*

Supplies are despatched every second year in late June. Additional orders are despatched within seven business days.

4049 
IVF/GIFT arrangements order form

Call the Camerons Group on 02 9933 4441 for an order form, then return your order by fax to the same number

 

Note: See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Medical practitioners who supply pharmaceutical benefits (s92 doctors)

Item

Ordering

Despatch timeframe

EN348 (formerly 4017)
PBS Safety Net reply paid envelope

Call 132 290*

Orders are despatched within 7 business days.

PB013 (formerly 4011)
PBS Safety Net entitlement card

Call 132 290*

Orders are despatched within 7 business days.

PB014 (formerly 4012)
PBS Safety Net concession card

Call 132 290*

Orders are despatched within 7 business days.

PB015 (formerly 4013)
PBS Safety Net Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order

Orders are despatched within 2 business days.

PB017 (formerly 4015)
PBS Safety Net - claim for payment pad

Log in to Camerons GroupExternal link to complete and submit your order

Orders are despatched within 2 business days.

PB047 (formerly 4000)
Safety Net Claim for payment form

Log in to Camerons GroupExternal link to complete and submit your order

Orders are despatched within 2 business days.

PB038 (formerly 4010)
PBS/RPBS Repeat Authorisation form - continuous, A5

Log in to Camerons GroupExternal link to complete and submit your order

Orders are despatched within 2 business days.

PB053 (formerly 4022) 
Prescriber bag (emergency drug supply) supplies book

Complete the order form in your current book. If you don’t have a book, call 132 290*

Supplies are despatched every second year in late June. Additional orders are despatched within seven business days.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Community pharmacies

Pharmacists who supply pharmaceutical benefits (s90)

Item

Ordering

Despatch timeframe

EN348 (formerly 4017)
Safety Net reply paid envelopes

Call 132 290*.

Orders are despatched within 7 business days.

PB013 (formerly 4011)
PBS Safety Net entitlement card

Call 132 290*.

Orders are despatched within 7 business days.

PB014 (formerly 4012)
PBS Safety Net concession card

Call 132 290*.

Orders are despatched within 7 business days.

PB015 (formerly 4013)
PBS Safety Net Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB017 (formerly 4015)
PBS Safety Net - claim for payment pad

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB038 (formerly 4010)
PBS/RPBS repeat authorisation form - continuous, A5

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB047 (formerly 4000)
Claim for payment form

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Public hospitals participating in Pharmaceutical Reforms

Public hospital with a pharmacy, supplying all PBS medicines, including Highly Specialised Drugs (HSD) and chemotherapy pharmaceutical benefits (s94 participating public hospital)

Item

Ordering

Despatch timeframe

PB013 (formerly 4011)
PBS Safety Net entitlement card

Call 132 290*.

Orders are despatched within 7 business days.

PB014 (formerly 4012)
PBS Safety Net concession card

Call 132 290*.

Orders are despatched within 7 business days.

PB016 (formerly 4014)
PBS Safety Net public hospital Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB017 (formerly 4015)
PBS Safety Net - Claim for payment pad

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB038 (formerly 4010)
PBS/RPBS repeat authorisation form - continuous, A5

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB039 (formerly 4083)
Hospital prescription form - computer generated, portrait

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days. 

PB040 (formerly 4084)
Hospital prescription form - landscape, personalised

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days. 

PB041 (formerly 4062)
Hospital prescription form - portrait, personalised

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days.

PB047 (formerly 4000)
Claim for payment form

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Public hospital without a pharmacy (non-dispensing), prescribing all PBS medicines, including Highly Specialised Drugs (HSD) and chemotherapy pharmaceutical benefits

Item

Ordering

Despatch timeframe

PB016 (formerly 4014)
PBS Safety Net public hospital Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB039 (formerly 4083)
Hospital Prescription Form - computer generated, portrait

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days. 

PB040 (formerly 4084)
Hospital Prescription Form - landscape, personalised

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days. 

PB041 (formerly 4062)
Hospital Prescription Form - portrait, personalised

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days. 

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Public hospitals not participating in Pharmaceutical Reforms

Public hospital with a pharmacy supplying Highly Specialised Drugs (HSD) and trastuzumab only (s94 public hospital - HSD only)

What PBS stationery forms or items are you entitled to?

How do you order?

When will you get your order?

PB016 (formerly 4014)
PBS Safety Net public hospital Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB038 (formerly 4010)
PBS/RPBS repeat authorisation form - continuous, A5

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB047 (formerly 4000)
Claim for payment Form

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB054 (formerly 4603)
Non-PBS reform public hospitals prescribing HSD and trastuzumab only Authority prescription form

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days. 

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Public hospital without a pharmacy (non-dispensing), prescribing Highly Specialised Drugs (HSD) and trastuzumab, and supplying through an agent (s100 public hospital)

What PBS stationery forms or items are you entitled to?

How do you order?

When will you get your order?

PB016 (formerly 4014)
PBS Safety Net public hospital Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB047 (formerly 4000)
Claim for payment form

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB054 (formerly 4603)
Non-PBS reform public hospitals prescribing HSD and trastuzumab only authority prescription form

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 28 calendar days. 

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Other hospital categories

Private hospital with a pharmacy supplying all PBS medicines, including Highly Specialised Drugs (HSD) and chemotherapy pharmaceutical benefits (s94 private hospital)

What PBS stationery forms or items are you entitled to?

How do you order?

When will you get your order?

EN348 (formerly 4017)
Safety Net reply paid envelope

Call 132 290*.

Orders are despatched within 7 business days.

PB013 (formerly 4011)
PBS Safety Net entitlement card

Call 132 290*.

Orders are despatched within 7 business days.

PB014 (formerly 4012)
PBS Safety Net concession card

Call 132 290*.

Orders are despatched within 7 business days.

PB015 (formerly 4013)
PBS Safety Net Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB017 (formerly 4015)
PBS Safety Net - Claim for payment pad

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB038 (formerly 4010)
PBS/RPBS repeat authorisation form - continuous, A5

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

PB047 (formerly 4000)
Claim for payment form

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched within 2 business days.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Public hospital participating in the Australian Government Joint Safety Net Scheme

Item

How do you order?

Despatch timeframe

PB016 (formerly 4014)
PBS Safety Net public hospital Prescription Record Form and application for a Safety Net card

Log in to Camerons GroupExternal link to complete and submit your order.

Orders are despatched 2 business days.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Other health professional categories

Dentists

Item

How do you order?

Despatch timeframe

PB027p (formerly 4005)
PBS/RPBS prescription pad – personalised

Complete and submit form PB026 (formerly 4051) [DOC, Kb].

Orders are despatched within 28 calendar days. 

PB027u (formerly 4008)
PBS/RPBS prescription pad - non-personalised

Call 132 290*.

Orders are despatched within 2 business days.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Nurse practitioners and midwives

Item

How do you order?

Despatch timeframe

PB033p (formerly 4228)
Computer generated form – personalised

Complete and submit form PB032 (formerly 4233) [DOC, 593Kb].

Orders are despatched within 28 calendar days. 

PB033u (formerly 4227)
Computer generated form - non-personalised

Call 132 290*.

Orders are despatched within 2 business days.

PB035p (formerly 4230)
Authority prescription pad – personalised

Complete and submit form PB034 (formerly 4234) [DOC, Kb].

Orders are despatched within 28 calendar days. 

PB035u (formerly 4229)
Authority prescription pad - non-personalised

Call 132 290*.

Orders are despatched within 2 business days.

PB037p (formerly 4232)
Prescription pad - personalised

Complete and submit form PB036 (formerly 4235) [DOC, 594Kb].

Orders are despatched within 28 calendar days. 

PB037u (formerly 4231)
Prescription pads - non-personalised

Call 132 290*.

Orders are despatched within 2 business days.

PB052 (formerly 4021)
Emergency treatment supplies order book

Complete the order form in your current book. If you don’t have a book, call 132 290*.

Supplies are despatched every second year in June.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Optometrists

Item

How do you order?

Despatch timeframe

PB029u (formerly 4211)
Prescription Pad - non-personalised

Call 132 290*.

Orders are despatched within 2 business days.

PB029p (formerly 4200)
Prescription Pad – personalised

Complete and submit form PB028 (formerly 4201) [DOC, 594Kb].

Orders are despatched within 28 calendar days.

PB031u (formerly 4220)
Computer Generated Form - non-personalised

Call 132 290*.

Orders are despatched within 2 business days.

PB031p (formerly 4199)
Computer Generated Form – personalised

Complete and submit form PB030 (formerly 4201) [DOC, Kb].

Orders are despatched within 28 calendar days.

Note: Where online ordering isn't available, fax your order to Camerons Group on 02 9933 4441. See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Stoma and ParaQuad associations

Item

How do you order?

Despatch timeframe

PB049 (formerly 4031)
Stoma Appliance Scheme Application form

Complete and submit form PB049 [PDF, 101Kb] (formerly 4031)

Orders are despatched within two business days.

PB044 (formerly 4032)
Stoma Appliance Scheme entitlement card

Call the Camerons Group on 02 9933 4441 for an order form, then return your order by fax to the same number.

PB050 (formerly 4050)
Application for additional Stoma supplies form

Complete and submit form PB050 [PDF, 190Kb] (formerly 4050)

PB045 (formerly 4059)
Stoma Appliance Scheme dual entitlement card

Call the Camerons Group on 02 9933 4441 for an order form, then return your order by fax to the same number.

PB046 (formerly 4095)
Supply of Pharmaceutical Benefits/Stoma Appliances form - cut sheet

Note: See Australia PostExternal link for delivery timeframes.

* Call charges apply.

Aboriginal Health Services clinics

Item

How do you order?

Despatch timeframe

PB042 (formerly 4056)
Aboriginal Health Services form

Email qld.ahs@humanservices.gov.au

Orders are despatched within 7 business days.

* Call charges apply.

Medicine Export Declaration form

The Medicine Export Declaration form must be included when sending medicines overseas.

PBS forms - for approved suppliers

The following forms are available for approved pharmacists, medical practitioners or a hospital authority, or those seeking approval.

Health professional Form Form use
Pharmacists, medical practitioners and hospital authorities 4167 - Online Claiming for Pharmaceutical Benefits Scheme - Application and Terms and Conditions

Complete this form for each premise and agree to the terms and conditions to register for Online Claiming for Pharmaceutical Benefits Scheme (PBS).
This form may be used by applicants approved or seeking approval as a:

  • pharmacist
  • medical practitioner, or
  • hospital authority.
Approved pharmacists 8013 - Applying for approval to supply Pharmaceutical Benefits at a Particular Premises

Complete this form if you are applying for approval to supply pharmaceutical benefits at a particular premises under Section 90 of the National Health Act 1953 in any of the following circumstances:

  • expanding or contracting approved pharmacy premises
  • relocating an approved pharmacy
  • relocating an approved pharmacy (with a change of ownership), or
  • establishing a new pharmacy.
4042 - Authority for authorised pharmacist(s) to sign claim forms on behalf of Approved Pharmacist(s)

Complete this form if you are an approved pharmacist(s) and business owner(s) of a pharmacy approved under Section 90 of the National Health Act 1953.
Use this form to:

  • authorise a pharmacist(s) to sign pharmaceutical benefit claim forms and endorse pharmaceutical benefit prescriptions on behalf of the approved pharmacist(s), or
  • request removal of previously authorised pharmacist(s).
4113 - Authority for authorised pharmacist(s) to sign claim forms on behalf of s91 permission holder As permission holder under Section 91 of the National Health Act 1953, you must complete this form to authorise a pharmacist to sign pharmaceutical benefit claim forms and endorse pharmaceutical benefit prescriptions on your behalf. 
4183 - Applying for Approval - Change of Ownership of a Pharmacy (not involving relocation) Complete this form if you are applying for approval to change ownership of a pharmacy (not involving relocation) at a particular premise under Section 90 of the National Health Act 1953.
If you are applying to relocate the pharmacy as well as change ownership, please use Applying for Approval to Supply Pharmaceutical Benefits at a Particular Premise form (8013).
Hospital authorities 4035 - Application for a hospital authority to supply pharmaceutical benefits and/or highly specialised drugs

Use this form if you are a hospital authority requesting approval under section 94 or section 100 of the National Health Act 1953 to:

  • supply pharmaceutical benefits, chemotherapy pharmaceutical benefits and highly specialised drugs in respect of a private hospital
  • supply pharmaceutical benefits, chemotherapy pharmaceutical benefits and highly specialised drugs in respect of a public hospital participating in the Pharmaceutical Reforms
  • supply highly specialised drugs and trastuzumab in respect of a public hospital not participating in the Pharmaceutical Reforms, or
  • to claim for the supply of highly specialised drugs and trastuzumab in respect of a public hospital where the dispensing of those drugs is undertaken through an agent.
4236 - Notification of bank account details for a hospital authority

Use this form if you are a hospital authority approved under Section 94 or Section 100 of the National Health Act 1953 and you wish to:

  • register your bank account details for payments made through Medicare’s Online Claiming for Pharmaceutical Benefits Scheme (PBS), or
  • make changes to your existing bank account details.
8944 - Authority for Authorised Person(s) to sign forms on behalf of a hospital authority

Use this form to:

  • authorise a person(s) to sign forms on behalf of a hospital authority seeking approval under Section 94 or 100 of the National Health Act 1953 to supply pharmaceutical benefits and/or highly specialised drugs
  • request removal of previously authorised pharmacist(s), or
  • authorise a pharmacist(s) to sign pharmaceutical benefit claim forms and endorse pharmaceutical benefit prescriptions on behalf of a hospital authority.

PBS Patient Refund Receipt

The official Medicare patient refund receipt that authorised pharmacists can issue for pharmaceutical benefit items supplied.

Obtaining Medicare numbers

To get Medicare or Department of Veterans' Affairs card numbers for use in PBS or RPBS claims, call 132 290 (call charges apply). You will need the patient's consent.

Medicare can release a maximum of five numbers and expiry dates per call. For more than five numbers, Medicare has established a fax back service to pharmacists. The Medicare number release form may be used to get the patient's Medicare (or Veterans') card number/s and expiry dates.

The Seemingly Valid Medicare Card form may be used when:

  • the pharmacist has made a claim for payment for a pharmaceutical benefit for a patient, based on a Medicare number that appeared to be valid at the time of the initial claim. However, during processing by Medicare it was found that the Medicare details are invalid, and a 90-day warning was returned to the pharmacist; AND
  • the patient has presented another prescription and cannot provide any alternate Medicare details and the pharmacist is satisfied that the original details provided by the patient are correct.

Note: the pharmacist must have no reason to believe that the patient is not entitled to receive pharmaceutical benefits.

If the above criteria is satisfied, the pharmacist should use the 'Seemingly valid Medicare card' special number, complete and attach the form to the prescription for submission for payment with their next claim to Medicare. Alternatively, pharmacists can choose to photocopy or photograph the Medicare card. The pharmacist is then required to use the same special number, and attach the photocopy or photograph to the prescription for submission for payment in their next claim to Medicare.

Remote Aboriginal Health Services

Special arrangements exist for approved remote area Aboriginal Health Services (AHS) to supply PBS medicines to patients. Find out more about the arrangements on the Indigenous Health page.

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Last updated: 4 July, 2014