Pharmacists

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As pharmacists, you play an important role in helping our clients recover from their transport accident injuries.

We can pay the reasonable costs of medication prescribed by a medical practitioner or dentist, without prior approval, when it is required as a result of a transport accident injury.

Privately prescribed medications that are clinically appropriate for the accident-related injury or illness, where there is no readily available alternative on the PBS, as well as some over the counter items when recommended by a medical practitioner or dentist.

For customers with a severe injury, the discussion, referral and approval of medication may form part of the independence planning process.

Here’s how to work with us, manage billing and payments and find out what we can and cannot pay for.

Register as a provider

You can provide pharmacy services if you are a pharmacist who is registered under the Health Practitioner Regulation National Law (e.g. AHPRA) to practice in the pharmacy profession (other than as a student).

As a registered pharmacist, you don’t need to register with us before servicing our clients. However we prefer that you complete our simple online registration form before you invoice us.

For your regular customers, you should also record their TAC claim number to make it easier to fill future prescriptions.

Servicing our clients

We can pay the reasonable costs of medication prescribed by a medical practitioner or dentist, without prior approval, when it is required as a result of a transport accident injury. Privately prescribed medications that are clinically appropriate for the accident-related injury or illness, where there is no readily available alternative on the PBS, as well as some over the counter items when recommended by a medical practitioner or dentist.

See: Guidelines – Pharmacist for complete details on what we can and cannot pay for, and what conditions apply.

For customers with a severe injury, the discussion, referral and approval of medication may form part of the independence planning process.

Guidelines

Billing and payments

What we can pay for

We can pay the reasonable costs of medication prescribed by a medical practitioner or dentist, without prior approval, when it is required as a result of a transport accident injury. Privately prescribed medications that are clinically appropriate for the accident-related injury or illness, where there is no readily available alternative on the PBS, as well as some over the counter items when recommended by a medical practitioner or dentist.

We pay for services in line with the Pharmaceutical Benefits Scheme (PBS).

Privately prescribed medication

The following fee structure applies:

Wholesale price*

Mark-up

Dispensing fee

Less than $100

Up to 60%

$7.50

Between $100 and $400

Up to 25%

$7.50

Greater than $400

Up to 10%

$7.50

The dispensing fee for Schedule 8 medications is $11.70.

Over the counter items

The following fee structure applies:

National Drugs and Poisons Scheduling Committee classification

Mark-up (excludes GST)

Dispensing fee

No classification or schedule 2

Up to 50% above the wholesale price*

none

Schedule 3

Up to 75% above the wholesale price*

none

*Wholesale price is based on the Fred Dispense wholesale price. Sigma price 1 (wholesale cost excluding GST) or manufacturer’s wholesale list price (excluding GST) will be used for items not listed on the Fred Dispense System.

What we cannot pay for

We cannot pay for:

  • Services that are included in a hospital inpatient bed fee.
  • Herbal remedies.
  • Sunscreen, unless as detailed in the medication guideline.
  • Schedule 3, Schedule 4 and Schedule 8 drugs that have not been prescribed and used in the manner required by the Drugs and Poisons Regulation Group in Victoria or the corresponding body in another State or Territory in Australia.

See: Guidelines – Pharmacist for complete details on what we can and cannot pay for, and what conditions apply.

Does the medical excess apply?

Customers whose accidents that occurred before 14 February 2018 may be subject to the medical excess. Call us on 1300 654 329 to check your customer’s medical excess status. If the excess is applicable, and hasn’t yet been reached, you will need to request payment from your customer. If they have private health insurance, you can give them a pharmacy receipt so they can claim partial reimbursement.

How to invoice us

For invoices not submitted through LanternPay, werequire the following details before we can pay your invoice:

  • Date dispensed.
  • PBS item number, where available.
  • Item description, for non-PBS items.
  • Quantity of medication dispensed.
  • Medication strength, where applicable.
  • Amount charged per item.
  • Dispensary computer generated tax invoice/tax receipt.
  • For hospital patients: whether the medication is for outpatient or discharge.

Invoices can be submitted online via LanternPay, or mailed to us at:

Transport Accident Commission (TAC)
GPO Box 2751
Melbourne Vic 3001

For full details on invoicing and payments, see: How to invoice us.

Other resources

FAQs

A customer has just come in with a prescription and asked me to bill you – what do I need to do?

If your customer has an accepted TAC claim, they should have a claim number. Request their driver’s license or other ID, along with their claim number, and then call us on 1300 654 329 to confirm their claim status.  The medication that’s been prescribed needs to be required as a result of their transport accident injuries.

If their accident occurred before 14 February 2018, they may be subject to the medical excess. We will be able to advise further.

As a registered pharmacist, you don’t need to register with us before servicing our clients. However we prefer that you complete our simple online registration form before you invoice us. For your regular customers, you should also record their TAC claim number to make it easier to fill future prescriptions.

How long will it take to get paid?

If you submit your invoice using LanternPay, you will be paid the next business day. If you submit your invoice by post, payments are made weekly.

Talk to us

To ask questions, get help or provide feedback, call us on 1300 654 329 or use our online contact form.