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NATIONAL HEALTH (PHARMACEUTICAL BENEFITS) REGULATIONS 2017 - REG 42

Information about status of person

  (1)   This section does not apply in relation to a medication chart prescription.

Note:   See section   47 for information about the status of a person for a medication chart prescription and for a supply of a pharmaceutical benefit under subsection   89A(1) of the Act.

  (2)   For the purposes of subsections   84AA(1), (1A), (2) and (3) of the Act, the following information is prescribed:

  (a)   in relation to a person who is a concessional beneficiary:

  (i)   information that the person is a concessional beneficiary; and

  (ii)   the number specified on a card held by the person (being a card issued by the Commonwealth) as being an entitlement number (however described) in relation to the person;

  (b)   in relation to a person who is a holder of a concession card:

  (i)   information that the person is the holder of a concession card; and

  (ii)   the number of the card;

  (c)   in relation to a person who is a holder of an entitlement card:

  (i)   information that the person is the holder of an entitlement card; and

  (ii)   the number of the card;

  (d)   in relation to a person who is a dependant of a concessional beneficiary:

  (i)   information that the person is a dependant of a concessional beneficiary; and

  (ii)   the number specified on a card held by that concessional beneficiary (being a card issued by the Commonwealth) as being an entitlement number (however described) in relation to the person.

  (3)   For the purposes of subsections   84AA(1) and (1A) of the Act, prescribed information must be written or marked on a prescription by:

  (a)   making provision on the prescription for the supply of that information, in accordance with a form approved, in writing, by the Secretary for the purposes of this subsection; and

  (b)   inserting:

  (i)   in the case of information that the person to whom the prescription relates is a concessional beneficiary or a dependant of a concessional beneficiary--a tick or a cross in the square provided on the prescription for the supply of such information in relation to the person; and

  (ii)   in the case of information that the person to whom the prescription relates is a holder of a concession card or an entitlement card--a tick or a cross in the square provided on the prescription for the supply of such information in relation to the person; and

  (iii)   in a case where the information is the entitlement number referred to in subparagraph   (2)(a)(ii), (2)(b)(ii), (2)(c)(ii) or (2)(d)(ii) (as the case may be) in relation to the person to whom the prescription relates--the letters and digits forming that number, in the appropriate sequence, in the squares provided on the prescription for the supply of such information.

  (4)   For a prescription to which subsection   84AA(1) or (1A) of the Act applies, subsections   (2) and (3) do not apply if:

  (a)   the claim for a payment from the Commonwealth in relation to the supply of the pharmaceutical benefit to which the prescription relates is a CTS claim; and

  (b)   the claim includes the card number that, under subsection   (2) would, except for this subsection, be required.

  (5)   For the purposes of subsections   84AA(2) and (3) of the Act, prescribed information must be communicated to a pharmacist orally or in writing.



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