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Repatriation Pharmaceutical Benefits Scheme
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Explain section Instrument 1995 No. 12 as amended
made under the
Veterans' Entitlements Act 1986
This compilation was prepared on 4 April 2012 taking into account amendments up to the Veterans’ Entitlements (Repatriation Pharmaceutical Benefits Scheme – Under Co-payment Data Collection) Instrument 2012 (No.R19/2012) (F2012L00744).
Prepared by the Legal Services Group,
Department of Veterans' Affairs, Canberra
INSTRUMENT NO.12 OF 1995
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Repatriation Pharmaceutical Benefits Scheme
Repatriation Commission
Veterans’ Entitlements Act 1986
Section 91
CONTENTS
Repatriation Pharmaceutical Benefits Scheme.............................6
Purpose of the Repatriation Pharmaceutical Benefits Scheme.................6
Part 1 — Interpretation.....................................................6
Definitions........................................................6
Notification of certain matters in Explanatory Notes...............................................10
Department to notify of certain matters as agent of the Commission...........11
Part 2 — Prescribing of Benefits Procedure by Medical Practitioners..............10
6.. Prior Approval......................................................10
Restrictions........................................................11
Prescribing provisions................................................12
Application of PBS Schedule restrictions and RPBS Schedule restrictions.......12
Prescriptions to conform with State or Territory Law.......................12
11. Form of prescriptions................................................13
12. When prescriptions are invalid.........................................13
13. Maximum quantity and repeats allowed..................................13
14. Prescribing outside the RPBS Schedule or PBS Schedule....................14
15. Medical Practitioner subject to this Scheme...............................14
Part 3 — Supply of Pharmaceutical Benefits....................................14
16. Supply of Pharmaceutical Benefits — Procedure by Community Pharmacists....14
Next section 1. Repatriation Pharmaceutical Benefits 1. Repatriation Pharmaceutical Benefits Scheme
17. Substitution of lesser priced alternative brand of drug.......................14
18. Community Pharmacist to be satisfied as to entitlement.....................14
19. Dispensing of deleted items...........................................15
20. Use of forms as notified by the Department or the Commission...............15
21. Financial responsibility...............................................15
22. Refund in certain circumstances........................................16
23. Expenses incurred in obtaining Pharmaceutical Benefits while not in receipt of a pharmaceutical allowance 16
Part 4 — Claims by Community Pharmacists...................................17
24. Lodgement of Claims by Community Pharmacists..........................17
25. Payment subject to compliance.........................................17
Part 5 — Payments to Community Pharmacists.................................17
26. Dispensing fee payable to Community Pharmacists.........................17
27. Dispensing fee payable to Approved Medical Practitioners and Approved Hospital Authorities 18
28. Other Fees — similar PBS pharmaceutical benefit..........................18
29. Other Fees — notified rates...........................................18
30. Fees not payable in some circumstances..................................18
31. Community Pharmacist not entitled to demand or receive payments............18
32. Community Pharmacist to issue receipt where certain payments received........19
Part 5A — Pharmaceutical Reimbursement……………………………………..................19
33. Financial responsibility for pharmaceutical reimbursement…………………………19
34. Pharmaceutical reimbursement compensation for out-of-pocket expenses....…….…19
35. Amount of pharmaceutical reimbursement.……………………………….…...…….19
36. Eligibility for payment of pharmaceutical reimbursement……………………..……19
37. Calculation of pharmaceutical allowance component………...…………………..…20
38. Payment of pharmaceutical reimbursement………….…………………….……...…20
39. Working out pharmaceutical reimbursement………………………………………...21
40. Uncounted co-payment………………………………………………………………21
Part 5B — Under Co-payment Data Collection.....................................................................22
40A. Giving information....................................................................................................22
Part 6 — Miscellaneous.....................................................21
41. Standards ……………………………………………………………...……… ..21
42. Editions of monographs and standards...................................22
43. Order of precedence.................................................22
44. Discretionary powers................................................22
45. Retention of Documents..............................................22
46. Agreement with the Pharmacy Guild of Australia..........................22