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Pharmacists

For: Service providers Information seekers

If you are a pharmacist, we provide information on Pharmaceutical Benefits Scheme (PBS) prescribing, schedule 8 controlled medications and billing.


Pharmacy services and medication

We provide information on medications we can and cannot pay for in our:

These policies also clarify injured employees' entitlements to access the Pharmaceutical Benefits Scheme (PBS).

Comcare supports the safe prescription and dispensing of medicines, especially high-risk medicines such as benzodiazepines and opiates.

Billing and payments

Invoices should be sent to the employee’s claim manager. Ask the employee who their claims manager is or contact Comcare on 1300 366 979. See Table 1 for different claims management arrangements.

Table 1: Claims management arrangements in the Comcare scheme
For the employees of The claim is managed by
Australian Government agencies and statutory authorities Comcare
Australian Government agencies with a delegated claims management arrangement The employer, a claims management provider contracted by Comcare, or Comcare
Self-insured licensees The employer or their approved claims management provider

Employees of an Australian Government agency or statutory authority

If Comcare is managing the employee’s claim, the appropriate cost of medications for the treatment of the work-related injury or illness can be paid for on a claim. Send pharmacy account invoices for approved services directly to us.

The medications must have been prescribed by a legally qualified medical practitioner or dentist.

Pharmacy accounts should be a dispensary computer-generated tax invoice addressed to Comcare. For information on what you need to include in your billing account submission, see the Pharmacy Policy (PBS prescribing and Schedule 8 medications) (PDF, 105.0 KB).

Before submitting an account to us:

  • ensure the injured employee has an accepted claim
  • check that only one name appears on each account
  • remove receipts or client history reports.

Submit your account invoice to Comcare:

We usually make payment within 28 days of receiving the invoice.

Employees of a self-insured licensee

Payment rates should be discussed directly with the licensee. Invoices should also be sent directly to the licensee.

Page last reviewed: 03 December 2019
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Comcare
GPO Box 9905, Canberra, ACT 2601
1300 366 979 | www.comcare.gov.au

Date printed 09 Jul 2020

https://www.comcare.gov.au/service-providers/medical-allied-health/pharmacists