Patient claim for refund Pharmaceutical Benefits Scheme (PBS) form (PB132)

Use this form to claim a refund under the Pharmaceutical Benefits Scheme (PBS).

Download and complete the Patient claim for refund Pharmaceutical Benefits Scheme (PBS) form.

You can use this form to claim a refund if either you:

  • didn’t show your Medicare card or concession card when you purchased the medicine at the pharmacy
  • spend over your yearly PBS Safety Net threshold.

We can only accept paid invoices and receipts. You must attach all receipts issued by your pharmacist. We’ll keep all documents supporting this claim.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 8 September 2020