39Pharmaceutical Reimbursement Calculator

39  Pharmaceutical Reimbursement Calculator

 (1) The pharmaceutical reimbursement for an Eligible Person is worked out as follows:

  Step 1 add the co‑payments for the Pharmaceutical benefits incurred by the person in the previous calendar year (sum of co‑payments) up to the threshold of payments according to the safety net and disregarding any uncounted co‑payment.

  Step 2 compare the sum of co‑payments with the sum of the pharmaceutical allowance component of the veterans supplement, MRCA supplement, pension supplement and war widow/war widower pension payable to the person in respect of the previous calendar year.

  Step 3 if the sum of co‑payments (amount 1) exceeds the sum of the pharmaceutical allowance component of the veterans supplement, MRCA supplement, pension supplement and war widow/war widower pension payable (amount 2), the amount by which amount 1 exceeds amount 2 is the pharmaceutical reimbursement for the person.

Note: the amount of any of these payments may be zero.