18Pharmaceutical benefits prescription record forms etc.

#### 18 Pharmaceutical benefits prescription record forms etc. (1) For the purposes of paragraph 84D(3)(b) of the Act, the following particulars of the person to whom a record form is issued are prescribed particulars: (a) the given name and the surname of the person; (b) the address of the person. (2) For the purposes of subsection 84D(4) of the Act, the following particulars of a person (the family member) who is a member of the family of a person to whom a record form is issued are prescribed particulars: (a) the given name and the surname of the family member; (b) the relationship of the family member to the person to whom the record form is issued. (3) For the purposes of paragraph 84D(7)(c) of the Act, the following particulars in relation to the supply of a pharmaceutical benefit or repatriation pharmaceutical benefit are prescribed: (a) the item code number by which the pharmaceutical benefit or repatriation pharmaceutical benefit is identified as a pharmaceutical benefit or repatriation pharmaceutical benefit (as the case may be); (b) the number allotted under section 16 to the approval of the approved pharmacist, approved medical practitioner or approved hospital authority supplying the pharmaceutical benefit or repatriation pharmaceutical benefit; (c) the value for safety net purposes of the pharmaceutical benefit or repatriation pharmaceutical benefit. (4) For the purposes of paragraph 84D(11)(c) of the Act, the following particulars in relation to the supply of an out‑patient medication are prescribed: (a) particulars that identify the medication; (b) particulars that identify the public hospital at which the medication was supplied; (c) the value for safety net purposes of the medication.