Stationery for pharmacists and Section 92 medical practitioners

Stationery pharmacists and section 92 medical practitioners use to supply PBS and RPBS medicines and administer the PBS Safety Net.

What you can order

PBS Safety Net entitlement card

An aqua card for customers who reach the PBS Safety Net general threshold. You must account for each card issued to your pharmacy.

Use the PBS Safety Net stationery order for pharmacies form (PB185).

PBS Safety Net concession card

A blue card for customers who reach the PBS Safety Net concessional threshold. You must account for each card issued to your pharmacy.

Use the PBS Safety Net stationery order for pharmacies form (PB185).

PBS and RPBS repeat authorisation form

A yellow, A5 form to attach to prescriptions to show number of repeats and times dispensed.

Order through The Camerons Group portal.

PBS Safety Net reply paid envelope

Use this envelope to including claims for issuing PBS Safety Net cards only. Don’t send prescription claims in this envelope.

Order through The Camerons Group portal.

What you can download and use

PBS Safety Net prescription record form and application for a Safety Net card

A form customers use to keep a record of their PBS medicines and apply for a Safety Net card.

Use the PBS/RPBS Safety Net stationery record form and application for a Safety Net card form (PB240).

PBS Safety Net claim for payment

Use this form to claim a payment for issuing a PBS Safety Net card. You can make up to 12 claims per form.

Use the PBS Safety Net claim for payment form (PB241).

Manual payment reconciliation

Use this form to claim a payment for supplying PBS items or highly specialised drugs. You don’t need to use this form if you claim online.

Use the Approved supplier manual payment reconciliation form (PB242).

Page last updated: 5 June 2020