this post was submitted on 23 Mar 2025
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In short:

Pharmacists say the bureaucracy of the PBS Safety Net, a government scheme which gives millions of Australians cheaper medicine, is so "clunky" thousands of people are missing out.

Examples of the scheme's shortcomings, advocates say, include needing to use snail mail to file paperwork and not having a centralised system to calculate patients' spending.

What's next?

Consumer advocates and pharmacists have called on the government to invest in the scheme.

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[–] [email protected] 5 points 1 month ago (2 children)

This is so true. I use a single pharmacy, which offer to handle all of the paperwork, so I don't miss out. But if there's a shortage of something and they're out, I just miss out on that script fill by going elsewhere. I could grab a sticker from that pharmacy and take it back to mine but that's too much mental load honestly.

[–] [email protected] 2 points 1 month ago (1 children)
[–] [email protected] 3 points 1 month ago (1 children)

The way the form is set out, it's supposed to be hand written, with fields about the medicine, the pharmacist that dispensed it, the date, and it's cost. Instead most pharmacists will just use the copy of the prescription label that gets printed out, because that includes all the above details. Here's the form in question: https://www.servicesaustralia.gov.au/pb240

You also have seperate forms for the actual application, which must be done by a pharmacist: https://www.servicesaustralia.gov.au/pb241

As well as a whole form to claim a refund if you didn't get a medication for the safety net cost (either free for concession, or the reduced concession charge for general patients): https://www.servicesaustralia.gov.au/pb132

If the system were digitised none of these forms would need to exist. Keeping in mind that this data already is in a centralised system. I can go to myhealthrecord and see a list of all the scripts I've had filled and when. The only info it's missing is how much I've paid, as pharmacies often subsidise the rate a bit. I pay $6.90 for my scripts instead of $7.70, and the safety net is based off real cost you've paid.

Anyway, sorry for the info dump, just something I've been frustrated with since I started interacting with this system.

[–] [email protected] 3 points 1 month ago (1 children)

Thanks. I opted out of MyHealthRecord before it kicked in. This vindicates me: the justification for them is to streamline services but, from what you told me, they are not even doing that (in this instance).

[–] [email protected] 2 points 1 month ago (2 children)

The thing is, that prescription history is still saved as far as I'm aware, you just don't have access to it without a MyHealthRecord. That's, no offence, kind of the misconception a lot of folks had about MHR. All that data is collected about you either way and already had been for years.

The other thing about it people got shitty about is that when a child turns 14 their parent loses access to their MHR. However, that's just in line with the rest of our medicare rules that mean a 14yo can access healthcare privately and independently.

[–] [email protected] 2 points 1 month ago

It never occurred to me.

[–] [email protected] 1 points 2 weeks ago

Prescriptions are only a small part of our health record.

[–] [email protected] 1 points 1 month ago (1 children)

Does it really work that way?

I thought you could get multiple pharmacies to give you the list of PBS stuff they've dispensed for you.

There's a form for it online. I didn't realise the pharmacist had to send it off.

[–] [email protected] 1 points 1 month ago (1 children)

I think technically it can be filled out with the help of the pharmacist, but they need to issue the card to you and then you tell Services Australia it's been issued essentially. This is the form in question: https://www.servicesaustralia.gov.au/pb240

[–] [email protected] 2 points 1 month ago

Yeah ok.

It looks as though you can get a list from whatever pharmacies you've been to, and then get one pharmacy to fill out the form and issue the card.

It totally is a big mess.