This document outlines information on the process for Authority required (STREAMLINED) items. Authority approval from Services Australia is not required for Streamlined items that are for no more than the standard quantities and repeats listed in the PBS schedule.
How to action an Authority required (STREAMLINED) item
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Step |
Action |
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1 |
Streamlined Authority request + Read more ...
If the Streamlined Authority request is for a:
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2 |
Determine if approval required + Read more ...
If the approved prescriber has sent a request for a Streamlined Authority required item, for listed quantities and/or repeats:
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key the authority request in OPA, the request will be assessed as Authority not required
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key an authority comment 'S/L item for listed Q+R'
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select the Create Letter button from the Application Assessment Result screen in OPA to generate the Z3035 PBS authority letter. See Digital Messaging Capability (DMC) to create and send letters
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select the Streamlined authority check box and select Correct streamlined authority code used
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see Table 4 in Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS)
If the approved prescriber has put the Streamlined Authority code on the proposed prescription/prescriptions for the list quantity and repeats (or less), but has inadvertently sent the prescription to Services Australia:
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the proposed prescription/prescriptions does not require prior approval
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go to Step 3
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3 |
Access National Drug Reference Database (NDRD) + Read more ...
Check the Streamlined Authority code recorded on the prescription is valid in NDRD.
Is the Streamlined Authority code correct?
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Yes:
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key the Authority request in OPA, the request will be assessed as Authority not required
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key an authority comment 'S/L item for listed Q+R'
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select the Create Letter button from the Application Assessment Result screen in OPA to generate the Z3035 PBS authority letter. See Digital Messaging Capability (DMC) to create and send letters
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select the Streamlined authority check box and select Correct streamlined authority code used
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No:
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key the Authority request in OPA, the request will be assessed as Authority not required
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key an authority comment - S/L item for listed Q+R incorrect S/L code sent by prescriber
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select the Create Letter button from the Application Assessment Result screen in OPA to generate the Z3035 PBS authority letter. See Digital Messaging Capability (DMC) to create and send letters
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select the Streamlined Authority check box and select Incorrect streamlined authority code used
Go to Step 4.
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4 |
Respond to the prescriber + Read more ...
The Letter request ID must be included in the processing note on the work item, see Table 4 in Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS).
For:
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mailed prescriptions, select Post- Central mail house. See Digital Messaging Capability (DMC) to create and send letters
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HPOS Form Upload authorities, download and attach the finalised letter and respond to the original request in HPOS with 'Please read the attached letter for the outcome of your recent PBS authority approval application'
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5 |
Prescriber calls requesting streamlined code + Read more ...
If a prescriber contacts Services Australia requesting a Streamlined Authority code for a particular item, Service Officers can:
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help the prescriber to locate the Streamlined code in pbs.gov.au, see Resources for link, and
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provide the prescriber with the Streamlined code
Note: the prescriber is responsible for providing the Streamlined code that meets the restriction criteria for the patient.
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