Benefits and cost savings
Patients taking only 60-day prescription medicines may halve their doctor and pharmacy trips to renew and fill their scripts. This will free up millions of general practitioner (GP) visits. Saving patients time and allowing them to focus on other areas of their health.
Patients with a 60-day prescription for a PBS medicine may save up to:
- $189.60 a year per medicine for Medicare card holders who do not have a concession card
- $46.20 a year per medicine for concession card holders.
The saving will be less where:
- the cost of the PBS medication is below the maximum patient cost of $31.60 for general consumers or $7.70 for concession card holders
- additional manufacturer surcharges apply.
The maximum 60-day prescription cost is:
- not the same as for a one-month supply
- less than the maximum PBS cost for 2 one-month prescriptions.
Patients will pay only one dispensing fee for a 60-day prescription, rather than 2 fees for 2 one-month supplies.
Patients who can access PBS medicines will also benefit from the freeze on the maximum patient cost of PBS medicines from 1 January 2025.
Find out more about the PBS co-payment freeze
Brand premiums
A brand premium may apply to some PBS medicines, including those available for 60-day prescriptions. A brand premium is an additional payment that you pay to the PBS medicine brand supplier. Pharmaceutical companies who supply the medicine impose and keep brand premiums fees, not the Australian Government. The additional supplier's charge does not mean there is any difference in quality between brands.
It is a legal requirement for pharmacists to charge brand premiums for the supplier. The brand premium does not count towards your Safety Net threshold.
Brand premiums are only permitted when a pharmacist can substitute an available PBS medicine that is:
- an alternative
- premium free
- a Therapeutic Goods Administration (TGA) registered brand.
Patients with 60-day prescriptions:
- will still need to pay any applicable brand premiums
- should speak to their pharmacist to discuss dispensing of premium-free alternatives.
Pharmacists can substitute any of the available brands when dispensing a PBS medicine, provided that the prescriber has not ticked the box on the prescription indicating that the brand may not be substituted. This can ensure greater savings for patients.
View the brands of the PBS medicines available for 60-day prescriptions that have a brand premium or a therapeutic group premium.
PBS Safety Net
From 1 January 2024, if you spend over $1,647.90 on PBS medicines in a year, you can qualify for the PBS Safety Net threshold. For concession card holders, the threshold is $277.20.
The PBS Safety Net continues to support Medicare card holders who do not have a concession card and spend more than $1,647.90 on PBS medicines. Concession cardholders reach the safety net when they spend more than $277.20.
With a 60-day prescription, patients may save so much on their medicines that they won’t need the safety net. Others will reach the safety net later in the year, spreading their medicine costs out over a longer period. If patients hit the threshold later in the year, it means they have saved money throughout the year.
PBS Safety Net and 60-day prescriptions explained
Read more about how 60-day prescriptions work with the PBS Safety Net.
Concession cardholders
The safety net threshold for concession cardholders is, $277.20 in 2024. After reaching this threshold concession cardholders will receive the rest of their prescriptions for free for the rest of the year.
Brand premiums and special patient contributions will still apply. Even if a concession cardholder reaches the threshold, they:
- won’t have to wait until they hit the threshold to save money on medicine.
Medicare cardholders who do not have a concession card
Medicare cardholders who do not have a concession card will pay for fewer prescriptions each year if they are eligible for 60-day prescriptions. If they reach the PBS Safety Net ($1,647.90 in 2024), they pay the concessional rate for any remaining PBS prescriptions for the year.