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Safety net refund form

Pb132 2025

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4.8 out of 5

185 votes

The document is a form for patients to claim a refund under the Pharmaceutical Benefits Scheme (PBS) when they have not shown their Medicare or concession cards at the pharmacy, exceeded the PBS Safety Net threshold, or if the Closing the Gap annotation was not recorded. It outlines who can use the form, necessary claimant details, required supporting documents, and instructions for submission.

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Click ‘Get Form’ to open the pb132 in the editor.
Begin by entering the Claimant's details. Fill in the Medicare card number, Safety Net, Repatriation (DVA), or Centrelink card number as applicable.
Provide personal information for the claimant, including their name, date of birth, address, and daytime phone number. Ensure all entries are in BLOCK LETTERS.
In the Claim details section, select the reason for your refund claim by checking the appropriate box regarding your Medicare card status or Safety Net threshold.
List patient details for each individual claiming a refund. Include their Medicare card numbers and dates of birth. If there are more than four patients, attach a separate sheet.
Complete the Claimant’s declaration by confirming that all information is accurate and sign at the bottom of the form.
Once completed, print and sign the form before returning it along with any required supporting documents to Services Australia.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (185 Votes)
2019	4.1 Satisfied (40 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can prescriptions be refunded?

Prescription refund and receipt forms must be issued at the time the prescription charge is paid as later requests may be a fraudulent attempt to obtain another refund.

Can you get money back from prescriptions?

You can apply for a refund if you have to pay for prescriptions while youre waiting for a new PPC. Ask the pharmacist for an NHS receipt (FP57) when you collect your prescription so you can claim back the cost.

How to get money off prescriptions?

9 ways to help save on prescriptions Choose a network pharmacy. Check into home delivery options. Order online. Use discount programs. Ask for generics when you can. Switch to a different form of the same drug. Ask for a 90-day supply. Reach out to assistance programs.

Can I get a refund on prescription drugs?

The answer to this question is often yes, but that also depends on whether the pharmacys policy allows it. In fact, whether prescription drugs can be returned and reused often depends on state and federal regulations.

What is a universal claim form for pharmacy?

A universal claim form pharmacy is a type of claim form that can be used to submit pharmacy claims to multiple insurance providers. The form includes information about the patient, the drug prescribed, the date of service, and the cost of the prescription.

pb132 form

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Can I sell my unused prescriptions?

It is legal in most states to return unused prescription medications back to the pharmacy that dispensed them. The pharmacy can then properly dispose of the drugs. But you cannot sell or give the medication to anyone else besides the pharmacy.