Pharmaceutical Benefits Scheme receipt - S.87A, National Health Act 1953 form (PB011)
Use this form as the official Medicare patient refund receipt that authorised pharmacists can issue for pharmaceutical benefit items supplied.
Download and complete the Pharmaceutical Benefits Scheme receipt - S.87A, National Health Act 1953 form.
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Page last updated: 20 February 2020
This information was printed 15 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb011. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.