Prescribing

You can only prescribe a PBS listed medicine once in one day if it’s the same medicine for the same person. If you provide the original supply and all repeat supplies on one occasion, you need to:

• write or print ‘Regulation 49’, ‘Reg 49’, ‘Section 49’, ‘Regulation 24’, ‘Reg 24’, ‘one supply’, or ‘1 supply’ on the prescription
• endorse the prescription with your initials.

You can prescribe up to 3 medicines on a single PBS prescription form, except for the following:

• optometrist items
• Authority Required medicines
• Authority Required (STREAMLINED) medicines.

In these cases, you can only prescribe one medicine per prescription form.

On the prescription, include all of the following:

• your name, practice address, telephone number and prescriber number
• your patient’s name and address
• whether you’re prescribing a PBS or RPBS medicine
• the name, strength, active ingredient 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, including Commonwealth concession, pension or health care card details or Veterans’ entitlement number
• if brand substitution is not permitted, if applicable.

For Authority Required medicines, you also need to add the:

• authority prescription number - you need to quote this number when applying for telephone approvals
• authority approval number.

For Authority Required (streamlined) medicines, you need to add the 4 or 5 digit streamlined authority code from the schedule.

Find out how to order prescription stationery.

The active ingredient must be included on computer generated prescriptions. Find out more about active ingredient prescribing requirements on the Department of Health, Disability and Ageing website.

Some PBS items don’t need an authority approval. This is called the streamlined process. You can find the streamlined authority code on the PBS website, against the PBS item indications.

Authority prescriptions must be annotated with a valid authority approval number by you, the approved prescriber. Learn how you can apply for a PBS authority.

An authority approval is also required for most Highly Specialised Drugs (HSDs) listings and increased quantities and repeats. This includes Complex Authority Required Highly Specialised Drugs (CAR HSDs) and PBS trastuzumab for early-stage breast cancer. Find out more about Section 100 - highly specialised drugs program on the PBS website.

To prescribe a medication requiring authority approval, your patient must meet all the associated requirements outlined in the PBS schedule at the time of prescribing.

When prescribing for a Department of Veterans’ Affairs (DVA) patient, you’ll need to seek authority approval for RPBS prescriptions. The process is similar to non-DVA patients.

If you’re requesting an authority approval via HPOS Form Upload, make sure your authority request is uploaded to the right agency by selecting RPBS Authorities in the Form category dropdown menu.

Find out more about prior approval of prescriptions for RPBS patients on the DVA website.

When prescribing for a DVA patient, they must hold a pharmaceutical and health treatment card. Find out more about these Veteran health cards on the DVA website.

If your patient’s condition doesn’t meet the PBS criteria, you’ll need to write a non-PBS prescription. You can find the PBS restriction criteria on the medicine listing on the PBS website.

If you write a non-PBS prescription using a prescription pad or computer-generated PBS prescription paper, you need to:

• cross out the PBS and RPBS boxes
• endorse the prescription as non-PBS.

Find out how to order prescription stationery.

If you’re a nurse practitioner, you need to check extra conditions for prescribing some medicines. These are:

• Continuing Therapy Only (CTO), if a medical practitioner starts treatment and prescribes medicine, but an authorised nurse practitioner continues prescribing it
• Treatment criteria for some listings that allow nurse practitioners to prescribe.

Details for PBS listings can be found on the PBS website.

The national residential medication chart (NRMC) improves medication safety for your patients. It also reduces administrative work for prescribers, aged care staff and pharmacists when ordering, administering and supplying medicines.

Find out more about the NRMC on the Australian Commission on Safety and Quality in Health Care website.

You can prescribe and supply most medicines directly from the NRMC without a separate written prescription. This includes PBS and RPBS claiming by pharmacists if applicable.

Certain medicines still require a written prescription. They also require an order on the NRMC. These medicines include:

• all PBS authority-required items that need prior approval online, by telephone or in writing, including PBS or RPBS items with increased quantities
• PBS items only available under section 100, such as some Highly Specialised Drugs (HSDs). Find out more about Section 100 items on the PBS website
• controlled drugs, such as Schedule 8 medicines. Contact your state or territory health department for more information on Schedule 8 medicines
• extemporaneously compounded medicines
• medicines that are subject to state or territory restrictions.