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MRCA Pharmaceutical Benefits Scheme (No. MRCC 44/2013)
In force
Administered by
Department of Veterans' Affairs
This item is authorised by the following title:
Military Rehabilitation and Compensation Act 2004
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F2024C00291 (C13)
21 December 2023
-
09 October 2024
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1A Name of Scheme
1C Transitional general
1D Transitional pharmaceutical reimbursement
1 MRCA Pharmaceutical Benefits Scheme
2 Purpose of the MRCA Pharmaceutical Benefits Scheme
The MRCA Pharmaceutical Benefits Scheme enables Community Pharmacists to supply Pharmaceutical benefits to Eligible Persons.
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Part 1—Interpretation
3
4 Notification of certain matters in the Explanatory Notes
5 Department to notify of certain matters as agent of the Commission
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Part 2—Prescribing of Benefits Procedure by Medical Practitioners
6 Prior Approval
7 Restrictions
8 Prescribing provisions
9 Application of PBS Schedule restrictions and RPBS Schedule restrictions
10 Prescriptions to conform with State or Territory Law
11 Form of prescriptions
11AA Writing prescriptions general
11A Writing of prescriptions prescriptions other than medication chart prescriptions
11B Writing prescriptions—medication chart prescriptions
11C Writing prescriptions—additional requirements for all electronic prescriptions
11D Writing prescriptions—additional information that may be included in electronic prescriptions
12 When prescriptions are invalid
13 Maximum quantity and repeats allowed
14 Prescribing outside the RPBS Schedule or PBS Schedule
15 Medical Practitioner subject to this Scheme
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Part 3—Supply of Pharmaceutical Benefits
16 Supply of Pharmaceutical Benefits—Procedure by Community Pharmacists
16AA Supply of pharmaceutical benefit on basis of medication chart prescription
Continued Dispensing
16A When Pharmaceutical benefits may be supplied by Community Pharmacists without prescription
16AB Information about status of person—continued dispensing and medication chart prescriptions
17 Substitution of lesser priced alternative brand of drug
18 Community Pharmacist to be satisfied as to entitlement
19 Dispensing of deleted items
20 Use of forms as notified by the Department or the Commission
21 Financial responsibility
22 Refund in certain circumstances
23 Expenses incurred in obtaining Pharmaceutical Benefits while not in receipt of a pharmaceutical allowance
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Part 4—Claims by Community Pharmacists
24 Lodgement of Claims by Community Pharmacists
25 Claims Requirements and Payment
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Part 5—Payments to Community Pharmacists
26 Payment of Dispensed Price
30 Fees not payable in some circumstances
31 Community Pharmacist not entitled to demand or receive payments
32 Community Pharmacist to issue receipt where certain payments received
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Part 5A—Pharmaceutical Reimbursement
Definitions:
33
34
35
36 Eligibility for Payment of Pharmaceutical Reimbursement
37 Calculation of annual value of pharmaceutical allowance component of MRCA supplement, pension supplement, veterans supplement
38 Payment of Pharmaceutical Reimbursement
38A Five Year Limit on Payment of Pharmaceutical Reimbursement
39 Pharmaceutical Reimbursement Calculator
40
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Part 5B—Under Co payment Data Collection
40A Giving information
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Part 6—Miscellaneous
41 Standards
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Retention of Documents
45 Keeping documents other than for continued dispensing or medication chart prescriptions
45A Keeping documents—continued dispensing
45B Keeping documents—medication chart prescriptions
46 Agreement with the Pharmacy Guild of Australia
47 Transitional provision relating to the Veterans’ Affairs Pharmaceutical Benefits Schemes (Electronic Prescriptions and Active Ingredient Prescribing) Amendment Instrument 2019
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schedule 1 — Incorporated documents
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Endnotes
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history