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Understanding the PBS
How the Pharmaceutical Benefits Scheme makes medications affordable.
3 min read
Updated 10 January 2026
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Medical Information Disclaimer
This article is for general information only and does not constitute medical advice. All treatment decisions are made by an AHPRA-registered doctor after reviewing your individual circumstances.
The Pharmaceutical Benefits Scheme (PBS) is an Australian Government program that subsidises the cost of prescription medications, making them more affordable for everyone.
How the PBS Works
The government negotiates prices with pharmaceutical companies and pays part of the cost. You pay a set co-payment amount, and the government covers the rest.
PBS Co-payment Amounts (2024)
- General patients: up to $31.60 per prescription
- Concession card holders: up to $7.70 per prescription
- Safety net thresholds reduce costs further for high users
Co-payment amounts are updated each year on 1 January. Check the PBS website for current rates.
Who Can Access PBS Pricing?
- Australian citizens
- Permanent residents
- Some visa holders
- Visitors from countries with reciprocal healthcare agreements
PBS Safety Net
If you spend a lot on PBS medications, the Safety Net provides additional savings:
- Track your spending with a Safety Net card from your pharmacy
- Once you reach the threshold, costs reduce further
- General threshold: $1,563.50 per year
- Concession threshold: $262.80 per year
Non-PBS Medications
Not all medications are on the PBS. For non-PBS medications, you pay the full price. Your pharmacist can tell you if a medication is PBS-listed.
Getting PBS Pricing
- Provide your Medicare card at the pharmacy
- Concession card holders should show their card
- The pharmacist applies the correct pricing automatically
Frequently Asked Questions
Why is my medication not on the PBS?
Not all medications are PBS-listed. New medications take time to be added. Some medications may be listed only for specific conditions.
Can I get PBS pricing without a Medicare card?
You generally need Medicare eligibility. Visitors from some countries with reciprocal agreements may qualify.
What if I can't afford my medication?
Ask your pharmacist about generic alternatives. Check if you qualify for a concession card. Some pharmaceutical companies have patient assistance programs.
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