Manual Prescription processing fee form (PB259)

Use this form if you’re an approved supplier and you want to claim a payment for suppling PBS items.

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.

You don’t need to use this form, or pay a fee, if you claim online.

Please keep a copy of your completed forms for your records.

Read more information for pharmacists about claiming online for PBS.

Download and complete the Manual prescription processing fee for pharmaceutical benefits form.

Page last updated: 17 June 2024.
QC 51140