From 1 January 2023, the maximum cost of general prescriptions under the PBS will fall for the first time in the 75-year history of the Pharmaceutical Benefits Scheme (PBS). It’s important that patients understand the changes and how they will affect them.
There are an estimated 19 million general (non-concessional) patients in Australia. From 1 January 2023, the PBS co-payment for general patients will reduce from $42.50 to $30.00.
The reduction will see non‑concessional patients save $12.50 on PBS medicines that are priced at or above the current general co-payment. This is a 29% reduction. When the discount is applied, the amount paid by the patient will still count towards their PBS Safety Net.
This ensures no-one will be worse off by the changed co-payment. Pharmacists will not be eligible to claim PBS benefits if the increased discount is applied.
For more information on how this will affect you directly, please contact Services Australia on 13 22 90 or visit their website at https://www.servicesaustralia.gov.au/medicare-safety-nets