Processing an existing Authority request in the Pharmaceutical Benefits Scheme (PBS) 012-63020020
This document outlines the process for dealing with existing Authority approval requests. An existing Authority is a PBS authority for an item that has already been approved or rejected. It also includes how to amend an Authority, blocking and unblocking authority requests, and finding an Authority in the Online PBS Authorities System (OPA).
Amend an application for an authority item
Service Officers can amend authority prescriptions in the following situations:
- completing saved/pended applications
- correcting errors made during processing of written applications
- changing a written prescription that was rejected and has been resubmitted for approval
- processing phone applications or written authorities to add information into the Authority Comments field
- prescription issues (for example, did not print) for which a new approval has been granted
- helping a prescriber who has called about a rejection when using the OPA system (self-serve)
Only Service Officers with the relevant skill tag can amend:
- General authority items
- Complex Authority Required (CAR) drugs
Department of Veterans' Affairs (DVA) items must not be amended. These should not be processed in the OPA system.
PBS 'too soon' rule
An authority request defined as 'too soon' is when:
- another authority prescription for the same item including strength has previously been approved, and
- adequate supplies should still exist
If the system shows more than 2 months' supply (filled or unfilled), it is considered as too soon, except in the case of Dangerous Drugs (DDs) and certain exceptions specified on the National Drug Reference Database (NDRD) where more than one month’s supply is considered as too soon.
The Resources page contains links to the Services Australia website, external websites, Medicare letters and contact details.
Related links
Amend authority approval application
Mainframe Authority approval processing for Pharmaceutical Advisers (PA)
Online Pharmaceutical Benefits Scheme (PBS) Authorities System (OPA System)
Handle system outages in the Pharmaceutical Benefits Scheme (PBS)
Telephone standards for Medicare and Health Delivery
Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS)
Processing Delayed Assessment requests in the Pharmaceutical Benefits Scheme (PBS)
Authority required (STREAMLINED) items in the Pharmaceutical Benefits Scheme (PBS)