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

You can order the following stationery through Health Professional Online Services (HPOS).

Name Description
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.

We’ll dispatch your order within 7 business days. Please allow time for postage.

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.

We’ll dispatch your order within 7 business days. Please allow time for postage.

PBS and RPBS repeat authorisation form

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

We’ll dispatch your order within 4 business days. Please allow time for postage.

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.

We’ll dispatch your order within 7 business days. Please allow time for postage.

What you can download and use

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

For customers 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: 26 May 2023.
QC 47176