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Sentrix Digital / Compass · Australia / Pharmaceutical Benefits Scheme

I need subsidised medicine · Department of Health / Services Australia

Pharmaceutical Benefits Scheme

Subsidised medicines list. You pay a co-payment; the Commonwealth pays the rest for listed items. Safety net reduces co-payments after a threshold.

General and concessional co-payments, indexed 1 January — see PBS

Who it is for

Medicare-eligible people. Concession card holders pay the concessional co-payment.

Public medicine subsidy. Private health extras for pharmacy are not the PBS. Medical schemes in South Africa are a different system.

ISSA (1 January 2024) — PBS design (ISSA 2024)

Must have a current Medicare card. Listed medicines only. Co-payments and safety-net thresholds increase in January with CPI. ISSA’s 2024 dollar co-payments are stale — Compass does not use them as current.

Conditions

Listing
The medicine must be PBS-listed for that indication.
Concession
Pensioner Concession / Health Care Card holders pay the concessional co-payment.

Rates

Primary source first. A disputed or stale figure stays visible. Hover a rand or dollar figure for four other currencies. W weekly · F fortnightly · M monthly · A annually.

primary · Services Australia

Co-payment

General and concessional co-payments, indexed 1 January — see PBS

Do not hard-code a co-payment here; it changes on 1 January and differs for general vs concessional.

Services Australia payment pages →

stale · International Social Security Association

ISSA 1 Jan 2024 — general co-payment

A$31.60 / item

From 2024-01-01 to 2024-12-31

PBS co-payments index on 1 January. Do not treat 2024 as current. Compass keeps the live PBS formula.

ISSA country profile — Australia →

stale · International Social Security Association

ISSA 1 Jan 2024 — concessional co-payment

A$7.70 / item

From 2024-01-01 to 2024-12-31

Indexed 1 January. Keep the live PBS page, not this 2024 figure.

ISSA country profile — Australia →

Cross-checks

How to apply

No separate claim — the pharmacy applies PBS when you present a valid prescription and Medicare/concession details.

Methodology

Amounts and conditions are stored on this payment in Core AU (coreau_ss_*). Verify with the administrator before you rely on a number.

Sentrix Digital, Melbourne · ABN 29 203 554 753. Not medical, legal, or financial advice. Organisation and drafting only. Verify with treating practitioners, the PDS, and the trustee/insurer. Australian complaints: insurer/trustee IDR, then AFCA. · info@sentrixdigital.com · +61 (03) 9088 1341 · Admin login