25Functions in relation to provision of pharmaceutical benefits

25 Functions in relation to provision of pharmaceutical benefits

The following are prescribed functions: (a) processing claims for payment relating to the provision of pharmaceutical benefits under Part VII of the National Health Act, and making payments of those claims; (b) on behalf of the Repatriation Commission, processing claims for payment relating to the provision of pharmaceutical benefits under the Veterans’ Entitlements Act 1986 and the Australian Participants in British Nuclear Tests (Treatment) Act 2006, and making payments of those claims; (c) on behalf of the Military Rehabilitation and Compensation Commission, processing claims for payment relating to the provision of pharmaceutical benefits under the Military Rehabilitation and Compensation Act 2004, and making payments of those claims; (d) devising and implementing measures to prevent or detect contraventions of Part VII of the National Health Act or the Pharmaceutical Benefits Regulations; (e) investigating cases where there are reasonable grounds to suspect that an act in relation to the provision of a pharmaceutical benefit may constitute an offence under the National Health Act, the Pharmaceutical Benefits Regulations, the Crimes Act 1914 or the Criminal Code; (f) if an investigation under paragraph (e) discloses enough evidence for a prosecution, referring the case and the evidence to the Australian Federal Police or the Director of Public Prosecutions; (g) undertaking action (including starting legal proceedings) to recover from a person an amount relating to a pharmaceutical benefit that is recoverable by the Commonwealth, including under the National Health Act or the Pharmaceutical Benefits Regulations.