Education guide - Writing PBS and RPBS prescriptions
Information about writing Pharmaceutical Benefits Scheme (PBS) and Repatriation Pharmaceutical Benefits Scheme (RPBS) prescriptions.
Eligibility PBS prescriptions
The Pharmaceutical Benefits Scheme (PBS) subsidises the cost of many prescription medicines. It covers:
- all Australian residents
- eligible visitors from countries we have a Reciprocal Health Care Arrangement with.
A patient is eligible for a subsidised prescription if it's:
- written by an eligible PBS prescriber
- listed in your prescriber type
- listed in the PBS Schedule.
Prescriber types include:
Eligible veterans, war widows and their dependents can get medicines through the RPBS. The Department of Veterans’ Affairs administers the RPBS.
Pharmaceutical benefits categories
|Unrestricted||Medicine prescribed through the PBS and RPBS without therapeutic use restrictions.|
|Restricted benefit||Medicine prescribed through the PBS and RPBS with specific therapeutic uses as listed in the Schedule.|
|Authority required||There are 2 types of Authority listed required medicines:
There are no Authority required medicines listed for dental items.
- indicate on the prescription if your patient is eligible for the PBS
- prescribe within your scope of practice and prescribing accreditation
- comply with state or territory legislation
- comply with PBS requirements
- use the correct prescription stationery.
A PBS prescription is for the treatment of the patient named on prescription.
PBS prescribing rules
You can’t prescribe more than 1 PBS prescription for the same medicine for the same person on the same day.
If you provide the original supply and all repeat supplies on one occasion, you need to:
- have Section 49 or Regulation 24 written or printed on the prescription
- endorse the prescriptions with your initials.
You can prescribe up to 3 medicines on standard PBS prescription stationery. The exceptions are for optometrists, Authority required or Authority required (STREAMLINED) medicines. In these cases, you can only prescribe 1 medicine on the prescription.
Before you prescribe Authority required medicines, you must get approval from us or DVA, unless it’s an Authority required (STREAMLINED) medicine.
You also need prior approval from us or DVA for quantities or repeats more than those specified in the Schedule.
You must prescribe in line with Section 40 of the National Health (Pharmaceutical Benefits) Regulations 2017.
You must include:
- your name and practice address
- your prescriber number
- your patient's name and address
- a tick in the relevant PBS or RPBS box
- the name, strength and form of medicine
- the dose and instructions for use
- the quantity and number of repeats
- your signature
- the date you wrote the prescription - you can’t forward or backdate the prescription
- your patient’s Medicare number and any entitlement details (e.g. Commonwealth concession, pension or health care card details or veterans' entitlement number)
- a tick in the ‘Brand substitution not permitted’ box, if it applies.
There are additional requirements for Authority Required prescriptions. You must include the:
- authority prescription number - the pharmacy uses this as a reference when dispensing an approved PBS Authority Required prescription and any repeats. Please quote the Authority prescription number when applying for telephone approvals
- authority approval number - the approval number given by us or DVA. It’s needed for Authority required medicines.
Alternatively, you can include the four digit streamlined Authority code from the schedule. This is only for Authority required (STREAMLINED) medicines.
PBS prescription stationery
You must use the PBS prescription stationery products approved by us for your prescriber type when you prescribe PBS medicines.
View examples of prescription stationery:
- Computer-generated prescription for all eligible prescribers
- Standard PBS and RPBS prescription for medical practitioners
- Authority prescription for medical practitioners
- Standard PBS and RPBS prescription for dental practitioners
- PBS and RPBS prescription for optometrists
- Standard PBS and RPBS prescription for nurse practitioners and midwives
- Authority prescription for nurse practitioners and midwives.
All eligible prescribers can use the green PBS and RPBS computer-generated prescriptions.
If you’re a nurse practitioner, midwife, optometrist or dentist you need to tick the ‘Prescriber type indicator’ check box. You can find this on the bottom left-hand side of the prescription form.
We don’t use different coloured forms for nurse practitioners or optometrists.
Our details are printed on the back of the prescription form instead of the prescriber or practice details.
Collaborative arrangements for nurse practitioners
Nurse practitioners must have collaborative arrangements in place to prescribe PBS medicines. A collaborative arrangement exists if you:
- are employed or engaged by a medical practice that has at least 1 medical practitioner
- see patients who’ve been referred to you by a medical practitioner
- have a single agreement with a medical practitioner
- have written records showing you work collaboratively with a medical practitioner.
Some medicines may have additional conditions for prescribing. These are in the Schedule as:
- Continuing Therapy Only (CTO) - where a medical practitioner starts treatment and prescribes medicine, but an authorised nurse practitioner continues prescribing it
- Shared Care Model (SCM) - where an authorised nurse practitioner and a medical practitioner share the care of a patient with an agreed management plan.
You can check if a medicine is CTO or SCM by selecting the 'Note' information in the Schedule listed with the medicine. If you’re prescribing under CTO or SCM, you don’t need to note this on the prescription.
You can use a prescription pad or computer-generated PBS prescription to write a non-PBS prescription. Make sure you cross out the PBS and RPBS boxes and endorse the prescription as non-PBS.
You must write a non-PBS prescription if you’re prescribing:
- outside the PBS restrictions - when your patient's clinical condition doesn’t match the indications in the Schedule
- a quantity or number of repeats exceeding the maximum PBS quantity without an approved authority
- a medicine, or form and strength of a medicine, not in the Schedule for a patient not entitled to PBS medicines
- a medicine outside its PBS manner of administration. For example, a PBS eye ointment for topical non-ophthalmic use.
Read more about:
- PBS on the Department of Health website
- Education services for health professionals
- our website disclaimer
Give feedback on our education resources.
Page last updated: 30 November 2020
This information was printed 29 July 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/services/medicare/highly-specialised-drugs/resources/education-guide-writing-pbs-and-rpbs-prescriptions. 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.