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Voluntary acknowledgement of incorrect payments (PBS)

Use this form to notify us that you are acknowledging that you were not entitled to receive Pharmaceutical Benefits Scheme (PBS) payments in relation to the PBS claims.

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This form can be used to acknowledge incorrect payments of PBS payments made to you by Services Australia.

Voluntary Acknowledgement (PBS) form

Voluntary acknowledgement of incorrect payments (PBS) [PDF - 403 KB] - 2 pages

About this resource

Publication date:

27 May 2021

Publication type:

Form

Language:

English

Tags:

Medicare

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Voluntary acknowledgement of incorrect payments (PBS)

Voluntary Acknowledgement (PBS) form

About this resource

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