There are 4 types
of prices available for prescription
products
- Private,
- NHS (National Health Scheme),
- Concession, and
- Safety Net.
The Private and
NHS prices are open to the general
public and you may choose whichever
price suits you best. However,
Concession and Safety Net require you to
have the appropriate entitlement cards
to qualify for the marked price.
Pharmaceutical Benefits Scheme.(PBS/ NHS) The
majority of Australians are entitled to
receive Government subsidised
medications through the Pharmaceutical
Benefit Scheme (PBS). For most
prescriptions the fee is currently
$33.30. In a small number of cases a
Government surcharge may apply for more
expensive brands of medication. PBS
prices for medications are set by the
Government and cannot be discounted
under any circumstances. In some cases a
special authority prescription may be
required for an individual to receive
PBS subsidised medication.
Private prescriptions. Some
medications are not subsidised by the
Government through the Pharmaceutical
Benefit Scheme. In these cases the
member must pay for the full amount of
the prescription. Many private
prescriptions can be claimed against
private health insurance (contact your
fund for more details). We also maintain
a full prescription history – making it
easier for you to retrieve all of your
expenditure information to make
appropriate claims. In addition we can
provide you with receipts to assist in
making your claims with your Health
Funds (where applicable)
Concession cards. Holders
of Pension, Health Care and Veteran
Affairs cards will generally be charged
a much lower fee for PBS prescriptions.
For most prescriptions this fee is
currently $5.40. In a small number of
cases, a Government surcharge may apply
for more expensive brands of a
medication. This can usually be avoided
by electing to use a generic equivalent
to the expensive brand.
Safety net. For
PBS items, we will maintain a record of
all your eligible safety net expenditure
with us and advise you when you have
reached your safety net entitlement.
Repeat
Dispensing
Due to Australian Legislation we cannot
dispense multiple
quantities of PBS items ($33.30
or $5.40) unless certain other
conditions apply. EG. Your Doctor
provides you with a marked Regulation 24
or Authority prescription.
If
you need multiple quantities for a
special reason (eg. going overseas)
please contact us.
Authority Prescriptions
An authority prescription is required
when the medication being sought has
special requirements associated with its
use. It is generally for an increased
quantity or for a longer duration than a
normal prescription, and consists of
only one item per prescription.
An authority prescription must have an
authority number and a phone approval
number or a stamp (for mailed requests)
for it to be considered valid.
Some items which are subsidised by the
PBS to treat special conditions require
an authority prescription. If you do not
qualify for the conditions as stated by
the government, the private price will
apply.
Regulation 24
Provided that your Doctor is satisfied
that you meet the criteria, a Regulation
24 prescription can be issued. Under
this regulation the original and repeat
supplies of pharmaceutical benefits can
be supplied all at once. It is an all or
nothing dispensing.
Medicare Card Number
Government regulations require you to
provide your full Medicare
number and Medicare expiry date when you
request your prescription, if that
prescription is entitled to a PBS
benefit.
For more information about the PBS and
PBS Safety Net:
Call the PBS information line – Free
Call : 1800 020 613
Internet: www.health.gov.au/pbs
Email: pbs@health.gov.au