Seemingly valid Medicare card form (PB136)

Use this form if you are a pharmacist who has previously submitted a PBS or RPBS claim to us which has been rejected based on the patients Medicare card number.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

Download and complete the Seemingly valid Medicare card form.

Complete this form for your patient if we found that the Medicare or Repatriation card details were invalid, and they have presented another script and cannot provide an alternative Medicare or Repatriation card details.

Page last updated: 17 November 2022.
QC 21106