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Pharmaceutical prescriptions claiming

Discover how to claim for pharmaceutical prescriptions to make sure you get the most out of your benefits.

What pharmaceutical prescriptions can you claim?

If your Extras, opens in a new tab cover includes Pharmaceutical Prescriptions, we’ll pay benefits for items that are not part of the Pharmaceutical Benefits Scheme, opens in a new tab (PBS).

The amount you get back will depend on your level of cover.

We may provide a payment for pharmaceutical prescriptions if the following conditions are met:

  • The drug is dispensed by a registered pharmacy in private practice or by a doctor 

  • The drug is only available on prescription 

  • The drug is not listed in the PBS, or is listed on the PBS but used for an indication not recognised by the PBS 

  • The drug is listed within the Poisons Standard as S4 or S8 

  • The drug is registered on the Australian Register of Therapeutic Goods (ARTG) (excluding Export Only medication under the Therapeutic Goods Act 1989) 

  • For compounded drugs, at least one component must meet the above conditions  

How to claim for pharmaceutical prescriptions

Please inform your pharmacist when submitting your prescription that you’ll need a receipt for health fund claiming, as standard receipts may not meet the required criteria. Receipts from your local grocery store can’t be used to make a claim.

Your receipt must include:

  • Script number

  • Dispensed date and description of each medication

  • Individual charge of each medication

  • Full name of the person who received the medication

  • Full name and street address of pharmacist

  • Details of payment.

Now that you have your receipt, follow our claiming guide.

Taking a photo of a pharmacy receipt - annotated items: Script number, Your full name, Description of each medication, Details of Payment, Full name and street address of pharmacist, Dispensed date, Individual charge of each medication

Pharmaceutical Benefits Scheme

Learn how to better understand the Pharmaceutical Benefits Scheme (PBS).


Submit a claim

Haven’t claimed for your treatment or service? Find out how you can claim online.


Check the status of your claim

Stay up to date with your claims online.