Use this form to request Pharmaceutical Benefits Scheme (PBS) claims information for individuals and families from more than 2 years ago.
You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
Download and complete the Request for Pharmaceutical Benefits Scheme claims information form.
This form should only be used to request PBS claims information from more than 2 years ago.
This information was printed 5 April 2026 from https://www.servicesaustralia.gov.au/ms040. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.