Pharmacy and medication expenses

We’re here to help you get your life back on track after your transport accident. To help you recover we will pay for medication and other over-the-counter items provided by a registered pharmacist in Australia.

You can get your medication immediately after your transport accident without initial approval from the TAC.

If it’s been more than 6 months since you had any treatment or service paid for by the TAC, you need to call us to find out if we can pay for your medication.

When we can pay for pharmacy and medication expenses

If your doctor prescribes medication and other pharmacy items after your transport accident we can pay this for you.

Your doctor can provide a prescription for medication to treat your transport accident injuries and this medication will be provided by a pharmacist. You will need to give your pharmacist your TAC claim number so they can bill us directly, there's no need for you to contact us.

Other health practitioners, including optometrists and nurse practitioners, may also prescribe a limited range of medications.

We may contact your doctor and/or pharmacist to discuss your progress or request an assessment to make sure that:

  • You have access to appropriate treatment and supports required for your transport accident injuries.
  • You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
  • You are moving towards getting your life back on track or being able to live independently.

Treatment and services we can’t pay for

We can’t pay for services that:

  • Do not treat your transport accident injuries.
  • Are not reasonable, necessary or appropriate.
  • Are not clinically justified, safe and effective.

What do pharmacists do?

A pharmacist will prepare your medication, dispense or fill your prescriptions and give you advice about the medicines you’re taking. Medication can be very important in getting your life back on track after an accident.

Medicines and pharmacy supplies can only be provided by a registered pharmacist, and can treat your transport accident injuries in a number of ways, including:

  • Prescription medications
  • Over-the-counter medications and pharmacy items which can be sold by a pharmacist without a prescription, e.g. dose administration aids, analgesics and laxatives, dressings, bandages, supports and syringes.

Medications may have risks associated with them. In Australia, there are systems in place to minimise these risks, including regulations on how and when certain medications are prescribed and administered. For more information please see the Pharmacy Framework and the Pharmacy Information Resources.

What we pay for

The medicines and over-the-counter items we will pay for are those:

  • Required as a result of a transport accident injury.
  • Requested or prescribed by a registered health professional with prescribing rights, such as a doctor/GP, dentist, nurse, midwife or optometrist, and provided by a registered pharmacist.
  • Provided in accordance with the Pharmaceutical Benefits Scheme (PBS), when clinically appropriate and available.
  • Registered (not listed) in the Australian Register of Therapeutic Goods (ARTG).

Controlled medicines and drugs of dependence

Some medications if misused or overused have a high risk potential for harm, dependence and accidental death from poisoning. Controlled medications are subject to strict controls under the law and include medications such as sedatives and opioid analgesics.

If you have been prescribed a controlled medication, it is important that you pay close attention to any instructions from your doctor and pharmacist, to minimise the risks associated with taking a medication of this type. We encourage you to seek further information from your medical practitioner or pharmacist or see: Pharmacy Framework.

How treatments and services are paid for

We pay for your medication:

  • Directly to your pharmacist, when you have given them your TAC claim number, or
  • If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you. Ask for a full pharmacy/dispensary receipt, which includes medication details and Medicare item numbers, and is more detailed than a cash register receipt.

We pay for your services in line with our responsibilities under the Transport Accident Act 1986.

How much we will pay

We will pay for your treatment and services according to our fee schedule. If your pharmacist charges more than the TAC rate, you may need to pay the difference.

We will pay for pharmacy and over-the-counter items in line with the Pharmaceutical Benefits Scheme (PBS) where applicable. The Pharmaceutical Benefits Scheme (PBS) provides subsidised prescription medicines to residents of Australia.

Where your pharmacist charges above the PBS rate, or the over-the-counter item is not on the PBS, you may need to pay the difference, if it's not covered by Medicare and any private health insurance.

We can also pay for the reasonable cost of private scripts dispensed by a pharmacy. If the cost of your private script exceeds our rate, you may need to pay the gap.

If your accident was before 14 February 2018, we can only pay for these services once any required medical excess has been reached. Find out if the medical excess applies to you.

For providers

If you are a provider of pharmacy services, please refer to our TAC Provider Guidelines.