Dispensing requirements

Dispensing requirements for PBS highly specialised drugs.

Requirements for dispensing

Dispensing requirements for PBS highly specialised drugs. Restrictions apply to certain pharmacies that can dispense and claim HSDs.

Under the National Health Act 1953, approved suppliers include:

  • community pharmacies approved under section 90
  • public and private hospitals approved under section 94
  • medical practitioners approved under section 92 (applicable to HSD CA items only).

Hospitals

Hospitals not approved under section 94 can apply for approval to prescribe and supply HSDs under the National Health (Highly Specialised Drugs Program) Special Arrangement 2021.

HSD items are approved as either:

  • a HSD public hospital item (HSD PUB)
  • a HSD private hospital item (HSD PTE)
  • a HSD community access item (HSD CA).

Complex Authority required (CAR) HSD items are also listed with separate public and private hospital item codes.

Pharmacies

Pharmacies must only dispense and claim HSDs appropriate for their pharmacy type. The patient’s eligibility determines the item code approved and then the type of pharmacy that can dispense and claim the prescription. We will not pay for prescriptions dispensed by the incorrect type of pharmacy.

Supplier restrictions

HSD itemDispense from a Public hospitalDispense from a Private hospitalDispense from a Community pharmacyDispense from a Medical practitioner
HSD PUB
(non-CAR item)
YesNoNoNo
HSD PUB
(CAR item)
YesNoYesNo
HSD PTE
(non-CAR item)
NoYesYesNo
HSD PTE
(CAR item)
NoYesYesNo
HSD CAYesYesYesYes
Page last updated: 20 February 2024.
QC 33021