11Information to be included in medication chart

11 Information to be included in medication chart

For paragraph 10 (1) (b), a medication chart for an eligible patient must include the following information:

(a) the name and provider number of the hospital where the chart is prepared;

(b) the name, signature and prescriber number of the eligible medical practitioner;

(c) the Streamlined Authority Code for the chemotherapy pharmaceutical benefit, if applicable;

(d) the patient’s name and address;

(e) a patient’s entitlement number, if applicable;

(f) the letters ‘PBS’ or ‘RPBS’, as appropriate;

(g) the name of the chemotherapy pharmaceutical benefit;

(h) the strength of the chemotherapy pharmaceutical benefit;

(i) the quantity or dosage of the chemotherapy pharmaceutical benefit or both the quantity and dosage of the chemotherapy pharmaceutical benefit;

(j) if the dosage of the chemotherapy pharmaceutical benefit is provided under paragraph (i) — how often the chemotherapy pharmaceutical benefit is to be taken by the patient and the period that the chemotherapy pharmaceutical benefit is prescribed;

(k) the date the medication chart is prepared.