Dpsr1 2026

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The document outlines the process for submitting a refund claim under the Drugs Payment Scheme (DPS) in Ireland, effective from March 1, 2011. It details eligibility requirements, necessary documentation, and procedures for families using multiple GMS contracted pharmacies. The form includes sections for applicant details, refund claim specifics, and a declaration of accuracy. Additionally, it emphasizes data protection compliance under GDPR and provides guidance on where to obtain assistance and submit claims.

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Click ‘Get Form’ to open the dpsr1 in the editor.
In Part 1, enter your Applicant's Details using BLOCK CAPITALS. Fill in your Drugs Payment Scheme Number, PPS Number, and contact information including your address, daytime/mobile phone number, email address, and Eircode.
Move to Part 2 for Refund Claim Details. Specify the month when your family’s payments exceeded the co-payment amount. Indicate if this claim is for a service/item from a supplier other than a GMS contracted pharmacy by ticking 'Yes' or 'No'. If 'Yes', provide the supplier's name.
List each family member's DPS number who paid during that month. For each entry, include the GMS Contracted Pharmacy Number, date dispensed, and confirm that you have attached the receipt.
In Part 3, read the declaration carefully. Ensure all details are accurate before signing and dating the form.

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2011	4.3 Satisfied (28 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.

How to claim a prescription refund?

Ask the pharmacist for an NHS receipt (FP57) when you collect your prescription so you can claim back the cost. You may be able to claim a full or partial refund for the cost of your PPC if you become entitled to free prescriptions while your certificate is still valid.

Can I return medicine to pharmacy and get a refund?

If you are not happy with an item received we will usually refund or exchange products if returned to us within 28 days. Some rules and exemptions apply as stated below: Medicines cannot be returned or refunded once they have left the pharmacy.

What is the limit on the drugs payment scheme?

Everyone without a medical card should apply for a Drugs Payment Scheme (DPS) card. Having a DPS card means you or your family will pay a maximum of 80 in a calendar month for: approved prescribed drugs and medicines.

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.

How to claim back a drug payment scheme?

How to make a claim. Download and complete the Drugs Payment Scheme refund claims form (PDF, 830KB, 2 pages). Include all prescription claims forms or a paid copy of a suppliers invoice.

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Who is eligible for a drug payment scheme card?

Who can apply. Anyone living in Ireland and intends to live here for at least 1 year can apply. There is no means test for a DPS card.

How do I claim a drug refund scheme?

To apply for a refund, print the refund claim form, or get one from your Local Health Office, or call 0818 22 44 78. Post the completed claim form to the address given on the form. You can check the status of your application for a refund at drugspayment.ie.