On this page
- The Schedule of Pharmaceutical Benefits
- PBS entitlement checking
- PBS stationery order forms
- Medicine Export Declaration form
- Authority for authorised pharmacist/s to sign claim form
- Notification of bank account details for an approved community pharmacy form
- PBS Patient Refund Receipt
- Obtaining Medicare numbers
- Remote Aboriginal Health Services
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) lists the medicines available under the PBS. The Schedule is published online at the PBS Website 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 Professional page.
- A guide to entitlement checking for online claiming for PBS [PDF, 191Kb]
- A guide to entitlement checking for CTS based claiming [PDF, 106Kb]
If you know which PBS stationery form you have to complete please download these forms from the table below 'Important Information'.
If you don't know what PBS stationery you're entitled to or how to order the stationery, see the PBS stationery entitlements tables.
If you can't access the internet to download the stationery order forms call 132 290.
- Prescription pad orders can only be despatched to a prescriber's registered practice location.
- Depending on the type of stationery you order, there may be restrictions on personalising your forms. We will contact you if there are any anomalies.
- When you fill out the order form, please write clearly in block letters. If we can't read your form it will be returned to you for clarification.
- Please allow up to 28 days for your order to be despatched and additional time for delivery.
To order personalised stationery use the forms below.
For more information call 132 290.
Note: the PBS stationery supplier changed on 1 September 2012. This may affect the way you order. Find out more on the Pharmaceutical Benefits Scheme (PBS) page.
The Medicine Export Declaration form must be included when sending medicines overseas.
The Authority for authorised pharmacist/s to sign claim form can be used to authorise another pharmacist to lodge claims on your behalf.
The Notification of bank account details for an approved community pharmacy form can be used to enable approved community pharmacies to receive reimbursement for supply of PBS prescriptions.
The official Medicare patient refund receipt that authorised pharmacists can issue for pharmaceutical benefit items supplied.
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.
Special arrangements exist for approved remote area Aboriginal Health Services (AHS) to supply PBS medicines to patients. Find out more about the arrangements.
The following forms relate to Hospitals and the PBS.
Approval of a hospital authority to supply pharmaceutical benefits:
- Form 4035 - Application for Approval for a Hospital Authority to Supply Pharmaceutical Benefits [PDF, 137Kb]
- Form 4167 - Online Claiming for PBS application and terms and conditions [PDF, 153Kb]
- Form 4236 - Notification of hospital authority bank account details [PDF, 156Kb]
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Last updated: 11 April, 2013