Guides and Forms

Page last updated: 23 June 2021

Guides

Deactivation of an approved pharmacist guidelines
How to register and sign in to the PBS Approved Suppliers Portal (PDF 1378 KB)
How to submit an online application to change ownership of an approved pharmacy (PDF 1997 KB)
How to submit an online application to establish a new pharmacy (PDF 2002 KB)
How to submit an online application to relocate an approved pharmacy (with a change of ownership) (PDF 2131 KB)
How to submit an online application to relocate an approved pharmacy (without a change of ownership) (PDF 1956 KB)
How to submit an online application to expand or contract the size of an approved pharmacy (PDF 2081 KB)
How to upload PDF forms or additional requested information (PDF 1289 KB)
How to complete and submit a PDF form correctly (flowchart) (PDF 432 KB)
How to request reissue of a PBS Approval to Supply (s90) Certificate (PDF 1068 KB)
Valid Application Checklist (PDF 812 KB)

Process Maps

ACPA application process map (flowchart) (PDF 131 KB)
ACPA application process map (Word 21 KB)
Change of Ownership application process map (PDF 519 KB)
Change of Ownership application process map (flowchart) (Word 20 KB)
Ministerial discretion process map (PDF 272 KB)

Forms

Pharmacists

Application for permission to supply pharmaceutical benefits following bankruptcy or external administration form (PDF 130 KB)
Appointment of a representative to prepare and submit an application (PDF 115 KB)
Do I need to appoint a representative to submit my application? (flowchart) (PDF 129 KB)
Authority to permit person(s) to enquire and/or sign claim forms on behalf of an approved pharmacist (PDF 143 KB)
Current Owner’s Declaration (PDF 106 KB)
Notification of bank account details for an approved pharmacy form (PDF 107 KB)
Notification of change of pharmacy registered business (trading) name form (PDF 97 KB)
Notification of a change of company director(s) (PDF 129 KB)

Deceased Pharmacists

Application for permission to carry on a business as a pharmacist by the legal personal representative of a deceased approved pharmacist form(PDF 97 KB)
Application for permission to carry on a business as a pharmacist by a beneficiary of a deceased approved pharmacist form(PDF 105 KB)
Authority to authorise pharmacist(s) to sign claim forms on behalf of section 91/91B permission holder form (PDF 118 KB)

Services Australia

Online claiming for Pharmaceutical Benefits Scheme - application and terms and conditions form
Notification of Australian Business Number and reference identification for tax treatment purposes and recipient created tax invoice agreement form

Hospital Authority

Application for a hospital authority to prescribe and/or supply pharmaceutical benefits and/or highly specialised drugs form (PDF 106 KB)
Authority to authorise pharmacist(s) to sign claim forms on behalf of a hospital authority form (PDF 116 KB)
Notification of a prescribing-only hospital form (PDF 101 KB)
Notification of bank details for a hospital authority form (PDF 105 KB)

Medical Practitioners:

Application for a medical practitioner to supply pharmaceutical benefits (PDF 113 KB)
Notification of bank details for an approved medical practitioner form (PDF 102 KB)

Ministerial Discretion

Request for Ministerial Approval to supply pharmaceutical benefits at a particular premises form - 17 June 2021 (PDF 181 KB)
Ministerial Discretion Guidelines (PDF 486 KB)
Ministerial Discretion Guidelines (Word 680 KB)

Pharmacy Location Rules

Pharmacy Location Rules

Pharmacy Location Rules – Applicant’s Handbook (PDF 549 KB)
Pharmacy Location Rules – Applicant’s Handbook (Word 164 KB)