PBS Abbreviations
5CPA | Fifth Community Pharmacy Agreement |
AAPC (sometimes referred to as UCPAS) | Allowable additional patient charge (10% of General Co-payment + 50c). The amount of this fee cannot count toward the Safety Net threshold.
|
Act | National Health Act 1953 |
Approved Supplier | Approved Supplier means an approved pharmacist, an approved medical practitioner or an approved hospital authority, under sections 90, 92 and 94 of the National Health Act 1953 respectively |
ASN | Approved Supplier Number for approved pharmacists, approved medical practitioners and approved hospital authorities |
BP | The Brand Premium is an additional amount paid by the patient if a medication brand is chosen which is more expensive than the clinically equivalent item listed on the PBS. |
CDP | The Commonwealth Dispensed Price is the price calculated according to the PBS regulations for the quantity dispensed used as the basis of remuneration to the approved supplier prior to the deduction of the patient Co-payment. |
Concessional Patient | Patients who hold a Medicare card and in addition a Pensioner Concession Card, Commonwealth Seniors Health Card, Health Care Card (HCC), Repatriation Card, Safety Net concession card or a Safety Net Entitlement card |
CPN | Claim Period Number |
CTG | The PBS Closing the Gap (CTG) Co-payment measure has been developed to provide assistance to eligible Aboriginal and Torres Strait Islander patients with, or at risk of, chronic disease, to improve access to PBS medicines through Co-payment relief |
CTS | Claim Transmission System – Diskette based claiming system |
DoHA | Department of Health and Ageing |
DPMQ | Commonwealth Dispensed Price for Maximum Quantity – Published in the Schedule of Pharmaceutical benefits |
EPF | Electronic Prescription Fee is a fee payable to a pharmacist for downloading an eligible prescription from an approved PES. |
General Patient | Patients who hold a Medicare card and do not have any concessional entitlements as detailed in the Schedule of Pharmaceutical benefits. |
NOI | Notice of Integration required by Medicare for changes to PBS Online |
Non PBS Approved Pharmacist | (See para 5.1.4) A jurisdictionally approved pharmacist, but without approval from Medicare to supply PBS subsidised medicines at the designated premises. |
Patient Co-payment | The patient contribution at the annually designated rate paid by the patient as a contribution to the Commonwealth dispensed price of the medication. |
PBS Rebate | The amount paid by Medicare Australia to the Approved Supplier representing the Commonwealth dispensed price for PBS listed items less the patient Co-payment. |
PBSOL | PBS Online Claiming System |
PDS | Pharmacy Dispensing System |
PES | Prescription Exchange Service |
PFDI | Premium free dispensing incentive. The premium paid to Approved Suppliers for dispensing a claimable substitutable brand where a brand premium does NOT apply to the item selected. |
Safety Net Contribution | The Safety Net Contribution is the amount which may be recorded for a particular medication to contribute to a families’ annual safety net threshold.
|
SNRF/SNSS | Safety Net Recording Fee (aka SNSS – Safety Net Standard Surcharge) is a fee which may be charged to General patients for UCP medications, provided this does not take the cost of a prescription above the maximum General Patient Co-payment. The amount of this fee contributes toward the Safety Net threshold. |
UCC | UnderCoClaim, another name for the above used by Medicare. |
UCP | Under Co-payment refers to prescriptions where the Commonwealth Dispensed Price is less than or equal to the patient Co-payment |
UPPN | A Pharmacy Prescription Number guaranteed by the PDS to be unique for that prescription dispensed under a pharmacist’s PBS approval number. |