Medication

We can pay for the medication you need  for your transport accident injuries immediately after your accident.

We can only pay for medication that you get from a registered pharmacist in Australia.

How to get medication

  1. If it’s been more than 6 months since you had any treatment paid for by the TAC, call us to find out if we can pay for more treatment
  2. Ask your doctor or other health professional if medication can help treat your transport accident injuries.
  3. Your doctor or other health professional can prescribe or recommend the medication you need.
  4. If you have a prescription, take it to a registered pharmacist. You can search for online online at https://healthengine.com.au/find/pharmacist/Australia/
  5. Give the pharmacist your TAC claim number. The pharmacist can fill your prescription and bill the TAC for your medication.
  6. If you need over the counter medicine, you need to buy it from a registered pharmacist.

How to pay for treatment

In most cases, we will pay your provider.

If you have to pay, ask for a full pharmacy/dispensary receipt, which includes medication details and Medicare item numbers. Scan or take a photo of your receipt and send it to us with the ‘Upload documents’ button in MyTAC. Or email your receipt to info@tac.vic.gov.au and we will repay you.

How your pharmacist can help

Your 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.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. We have some different options for you to send us forms, documents or receipts for reimbursement.

Reimbursements

  • myTAC
    Please use our app or web portal, myTAC to ask for reimbursements. Go to upload documents > reimbursement form and send us a photo of your receipt or proof of payment and a description of what you've paid for.
  • Email
    If you can't use myTAC to send your receipts, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Forms and documents

  • myTAC
    Please use our app or web portal, myTAC to send forms or documents. Go to upload documents > submit documents and send us a photo of your form or document.
  • Email
    If you can't use myTAC to send your forms or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Pharmacy (Chemist) declaration form

Summary:

Use this form to claim pharmacy purchases. This includes prescription and over-the-counter medications that you need as a result of your accident injuries. You need to attach itemised, original receipts to the completed form.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. We have some different options for you to send us forms, documents or receipts for reimbursement.

Reimbursements

  • myTAC
    Please use our app or web portal, myTAC to ask for reimbursements. Go to upload documents > reimbursement form and send us a photo of your receipt or proof of payment and a description of what you've paid for.
  • Email
    If you can't use myTAC to send your receipts, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Forms and documents

  • myTAC
    Please use our app or web portal, myTAC to send forms or documents. Go to upload documents > submit documents and send us a photo of your form or document.
  • Email
    If you can't use myTAC to send your forms or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Pharmacy expenses information sheet

The TAC can pay for the reasonable cost of pharmacy expenses for the treatment of an injury or illness directly resulting from your transport accident.

Pharmacy expenses include medications purchased from a pharmacy, either by prescription or over the counter.

If your accident was before 14 February 2018, pharmacy items are subject to the medical excess

The medical excess is the cost of medical treatment you may need to reach before the TAC can start paying for your claim. If you need to reach the medical excess, the TAC will only pay for pharmacy items once you have reached it. If you haven't met the excess you can use the cost of medications you have paid for to meet this.

Please contact the TAC if you are unsure of how the medical excess applies to you.

What the TAC pays for

The TAC pays for pharmacy items that:

  • Are directly related to your transport accident injuries; and
  • Your doctor or dentist has recommended or prescribed; and
  • Are purchased from a registered pharmacy, and not from a supermarket or other retail outlet.

The TAC funds up to the maximum dose recommended by the manufacturer (this information is usually found on the back of the packet or on the accompanying information leaflet). Large quantities of repeat medications can only be funded in exceptional cases, such as overseas travel. Prior approval from the TAC is required in these cases.

Types of medication funded by the TAC

For the TAC to provide funding, your medication must be registered on the Australian Register of Therapeutic Goods (ARTG). Items on this register have been thoroughly tested for safety and effectiveness; please speak to your Medical Practitioner if you are unsure whether your medication is registered.

Your prescription medication should, where appropriate, be prescribed in accordance with the Pharmaceutical Benefits Scheme (PBS). PBS is administered by the Federal Government to provide affordable medicine to Australians. TAC clients are entitled to medications under the PBS - you need to present your Medicare card, and Healthcare card if applicable to the dispensing pharmacist.

If you are unsure about how this applies to your medication, talk to your doctor or pharmacist.

Pharmacy items not covered by the TAC

Please note that not all pharmacy items are covered by the TAC. For example, the TAC does not pay for:

X Pharmacy items that are not related to your transport accident injuries

X Chinese, natural or herbal medicine

X many vitamins, minerals or complementary medications (to find out which ones, contact the TAC)

X Items not registered on the ARTG.

Claiming your expenses

You have two options for the TAC to cover your reasonable pharmacy expenses.

Option 1: reimbursement

If you pay for the pharmacy item yourself, the TAC can reimburse you. To arrange reimbursement, you need to complete a Pharmacy Declaration form. Please send this form to the TAC, GPO Box 2751 Melbourne VIC 3001 together with:

  • fully itemised tax receipts for your pharmacy information:
    • Pharmacy name and address
    • Details of the medication, including:
      • Full name of the medication or item (including brand name where possible)
      • Date dispensed or supplied
      • Status of the medication i.e. PBS (including PBS code), private or over the counter (this can be hand written)
      • Quantity of the medication (for example, number of tablets)
      • Strength of the medication (for example, 5mg, 50mg)*
      • Form of the medication (for example, tablet, capsule, caplets)*
      • Total amount charged per item*
      • Total amount paid

* May not be required for non-drug pharmacy items

  • for non-prescription items, a supporting letter item and how it is related to your transport accident injuries. At times the TAC may request a supporting letter from your doctor for prescription medications also

The TAC will accept original itemised tax receipts only. Facsimiles and emails will not be accepted.

When you drop off your scripts for your prescription medications, ask your Pharmacist for a dispensary computer-generated tax receipt to ensure all necessary information is included. Please note that a cash register receipt may not contain all this information.

Reimbursement will occur in line with the TAC's fee schedule. If a pharmacy charges above this rate you will be responsible for the difference in cost.

You have two years from the date you purchased the pharmacy item to claim repayment from the TAC.

Option 2: direct billing

You can ask your pharmacist to bill the TAC directly for your accident-related pharmacy items.

Restricted pharmacy items

The TAC has special policies to regulate the way some pharmacy items are used. These are outlined on the TAC website and a summary of some of these are as follows:

  • Some medications, referred to as 'schedule 8 drugs', (for example morphine and pethidine) are highly addictive and can be dangerous if not taken properly. The TAC will only fund schedule 8 drugs when they are prescribed in accordance with the Pharmaceutical Benefits Scheme.
  • Sedative medications such as Valium and Temaze have a high potential for harm and dependence. The TAC will only pay for a single prescription of any sedative within the first three years following an accident.
  • Topical non-steroidal anti-inflammatory creams or gels, such as Voltaren gel, can be funded for a maximum of six weeks post-accident or surgery. This funding limit is based on the manufacturer's recommendation and normal clinical use.
  • For certain types of pharmacy items, the TAC needs to approve funding before we can reimburse the cost of your medication. This applies when it is unclear how the item relates to your accident injuries. For example, medication to treat weight loss, medication to treat erectile dysfunction, and glucosamine may need to be discussed with the TAC.

Further Information

For more information please visit our Medication page or call us on 1300 654 329.

Driving and pharmacy medications

Summary:

Many road users are unaware the pharmacy medication they take could impair their driving, particularly if mixed with alcohol. This brochure can help you understand that some pharmacy medicines can impair your driving.

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.

We can pay for:

  • Medication prescribed in accordance with the Pharmaceutical Benefits Scheme (PBS) and registered (not listed) on the Australian Register of Therapeutic Goods (ARTG), including:
    • Drugs of Dependence (schedule 8 medicines), schedule 3 and schedule 4 medicines that adhere to the relevant legal requirements relating to their prescribing, dispensing and clinical use.
    • Erectile dysfunction medication in oral or injectable form, up to a maximum of 8 intermittent use tablets or injections per month, or low dosage daily use tablets.
    • Bacterial vaccinations (pneumococcal, meningococcal and haemophilus B) and the influenza vaccine for clients who have had a splenectomy or have a severe pulmonary condition as a result of their transport accident.
  • Privately prescribed medications that are clinically appropriate for the accident-related injury or illness, where there is no readily available alternative on the PBS.
  • “Off label” medication that is supported by National Health & Medical Research Council level 1 or 2 evidence.

We can also pay for over the counter items that are recommended by a medical practitioner or dentist, such as:

  • Vitamins, minerals and complementary medications that are listed (as opposed to registered) on the ARTG:
    • Vitamin C – in the form of ascorbic acid where required by a client with bladder complications and who is taking Hiprex as a urinary antisepsis.
    • Vitamin C and iron – required by a client who has donated their own blood for use in an impending operation.
    • Vitamin C and zinc – for up to 6 weeks, for a client who has poor wound healing.
    • Zinc – required by a client who has a zinc deficiency as a result of the transport accident.
    • Vitamin E cream – to treat scarring for up to two years post-accident.
    • Glucosamine – in oral form to treat osteoarthritis affecting non-spinal joint.
    • Hypericum (St John’s Wort) – to replace PBS and/or private script medications for the treatment of accident related depressive disorders.
    • Vaccinium Macrocarpon (Cranberry product) – for the prevention of urinary tract infections in accident-related neuropathic bladders.
  • Scar concealing products.
  • Dose administration aids and the reasonable weekly refill cost.
  • Topical non-steroidal anti-inflammatory drugs, such as gels, creams and sprays – for a period of six weeks, immediately after an accident or following surgery.
  • Infant formula products recommended by a medical practitioner and required as a result of a transport accident injury.
  • Sunscreen, where required, to counteract the effects of sun-sensitive medications or for patients with skin grafting and burn injuries.

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.