1.2 Cost recovery

The National Health Act 1953 provides authority for the cost recovery of Australian Government–funded services from applicants seeking new, or changes to existing, listings of medicines, vaccines and other products or services on the PBS or the NIP. The requirements of cost recovery are prescribed by the National Health (Pharmaceuticals and Vaccines – Cost Recovery) Regulations 2022 (Cost Recovery Regulations).

The procedures for cost recovery are undertaken by the department and the applicant. The PBAC, other committees and groups involved in the evaluation or listing processes are not involved in cost recovery administration. Refer to the PBS/NIP listing Cost Recovery Administrative Guidelines: information for Applicants (Cost Recovery Administrative Guidelines) for information on the cost recovery administration process.

The cost recovery application categories and associated fees are defined in the Cost Recovery Regulations. Further information regarding Cost Recovery is provided on the PBS website.

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