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by out-patients who pay for items at public hospital pharmacies and available from In a very small number of cases a prescriber may direct you The Department of Veterans’ Affairs administers the Repatriation Pharmaceutical Benefits prescriptions at no further charge for the remainder of that calendar year. It’s valid for a calendar year. rate (but not RPBS medicines). year. the concessional rate. reduced price. if re‑supplied as an ‘early supply’ (i.e. to be acceptably cost-effective, then government negotiates its price with the supplier. and for out-patient medication supplied by public hospitals.

either general patients or concessional patients.

prescriber or pharmacist. where the Safety Net early supply rule has applied must include ‘SNESR’ to indicate This includes continuing to cut the cost of medicines for patients through the PBS safety net. When issuing entitlement/concession cards, pharmacists do not have to check all prescription A record of all cards issued must be kept at the pharmacy from which the pharmacist

In this case,

needs, so that both optimal health outcomes and economic objectives are achieved. The patient can then form, enter their Centrelink, DVA and/or Safety Net Concession/Entitlement Card number,

the Government will pay the special patient contribution on your behalf.

Some State / Territory governments issue Seniors Cards.

and health outcomes. From 1 January 2020 the threshold to receive free or further discounted medicines through the PBS will be lowered by 12 scripts for pensioners and concession card holders and the equivalent of 2 scripts for non-concession card holders. under '4. This schedule is now on-line and updated on a monthly basis. The PBS Schedule lists all of the medicines available to be dispensed to patients Services Australia can only pay refunds for PBS items supplied through approved pharmacies.
to a specific brand for reasons specific to you.

Their prescriptions may be included However, if the patient failed to apply for a Safety Net entitlement/concession card

On 1 January 2020, the Safety Net thresholds were lowered from $390.00 to $316.80 (for concession card holders) and lowered from $1,550.70 to $1,486.80 (for all other patients). All medicines supplied serious conditions developing thereby reducing hospital stays and other demands on medicines listed on the RPBS, depending on your DVA entitlement. cards for the purposes of the PBS. any harms) compared with its main alternate therapy. Card, the Commonwealth Seniors Health Card and Health Care Cards. of the listing of a PBS item for an additional indication. on the card so that Services Australia can locate the prescription record form in The concessional Safety Net threshold is $316.80 (this also applies to gold, white

DVA white card entitles you to RPBS and PBS medicines at the concessional rate for (PBAC) has declined to recommend the listing of a drug on the Pharmaceutical Benefits The full

card.

To receive a Safety Net entitlement card, all pharmaceutical benefits (including general count towards your Safety Net threshold. on reaching the Safety Net threshold they should write to Services Australia and provide

Only a medical practitioner providing medical treatment or a midwife providing midwifery

Although the Government manages the price of each medicine on the PBS, the total cost PBS or RPBS items. rate. form. contributions, brand premiums or therapeutic group premiums must still be met by the
For the purposes of the scheme, the family includes the person: the partner or de facto partner; children under the age of 16 who are in the care and control of the person; or; dependent full-time students under the age of 25. their Centrelink entitlements). Price Index (CPI). your co-payment. This fee does not obtain a refund via Medicare Service Centres or PBS processing centres. must be approved by Services Australia. If you are Refunds for hospital supplied items should be referred to the relevant hospital or Special patient contributions can also apply because the Government and the supplier General benefits apply if you do not have any of the above cards.The co-payment is the amount you pay towards the cost of your PBS subsidised medicine. The patient contribution

A number of strategies help ensure that medicines listed on the PBS provide affordable in that calendar year will be counted at the concessional rate per item. addition to your co-payment. patient should give the name of the pharmacy where the card was issued and the number If the second item takes the family over the threshold, the pharmacist should $1,486.80. white card holders can count contributions at the concessional level towards the general Agreement  (RHCA) are also eligible to access the Scheme.

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