What's new?

August 2013

The Department of Human Services Compliance Program for 2013-15 has been released.

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

PBS stationery order forms

If you know which PBS stationery form you have to complete please download these forms from the table below after reading '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.

Important Information

  • These forms are fillable forms they are to be completed online (typed), printed, signed and then posted to the relevant address (only typed forms will be accepted).
  • Prescription pad orders can only be dispatched 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.
  • Please allow up to 28 days for your order to be dispatched and additional time for delivery.

To order personalised stationery use the forms below.

Health professional Form
Doctors Order for PBS/RPBS personalised prescription books for medical practitioners (PB020 formerly 4018) [DOC, Kb]Microsoft Word required
Order for PBS/RPBS personalised computer prescription forms (PB022 formerly 4019) [DOC, 591Kb]Microsoft Word required
Order for PBS/RPBS personalised authority prescription books for medical practitioners (PB024 formerly 4020) [DOC, Kb]Microsoft Word required
Dentists Order for PBS/RPBS personalised prescription books (PB026 formerly 4051) [DOC, Kb]Microsoft Word required
Optometrists Order for PBS/RPBS personalised prescription books (PB028 formerly 4201) [DOC, 594Kb]Microsoft Word required
Order for PBS/RPBS personalised computer prescription forms (PB030) [DOC, Kb]Microsoft Word required
Nurse practitioners and midwives Order for PBS/RPBS personalised computer prescription forms (PB032 formerly 4233) [DOC, 593Kb]Microsoft Word required
Order for PBS/RPBS personalised authority prescription books (PB034 formerly 4234) [DOC, Kb]Microsoft Word required
Order for PBS/RPBS personalised prescription books (PB036 formerly 4235) [DOC, 594Kb]Microsoft Word required

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.

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.

Some documents on this page may require the free Adobe PDF reader.

Last updated: 10 April, 2014