Pricing of PBS Items
Page last updated: 1 July 2022
The information in this section of the PBS website relates to the ex-manufacturer prices of brands of pharmaceutical item subsidised under the PBS. It is intended to provide guidance on the processes used to agree and review ex-manufacturer prices for pharmaceutical benefits, including on statutory price reductions applied under Division 3A of the National Health Act 1953.
Information on the mark-ups and fees that apply to pharmaceutical benefits when they are supplied in different settings (eg. community pharmacy, public hospital, private hospital) or under different PBS programs (eg. general schedule, Section 100 Highly Specialised Drugs Program, Section 100 Efficient Funding of Chemotherapy) is available in the Explanation of PBS Pricing.
Contacts
For queries related to PBS pricing please email the Department through the Pricing Section.
Primary Sources
General Pricing Information
- Ex-manufacturer prices
- Formulary Allocations
- Therapeutic Relativity Sheets
- Requesting a change to an existing price or premium
Statutory Price Reductions
- Anniversary Price Reductions
- First New Brand price reductions
- Catch-up Statutory Price Reductions
- Flow-on Price Reductions for Combination Items
- Items Exempt from Statutory Price Reductions
- Ministerial Discretion not to apply Statutory Price Reductions
Price Disclosure
- Price Disclosure
- Drugs subject to Price Disclosure
- Outcomes from Price Disclosure
- Indicative Prices - Disclosure Cycles
- Confirmation of New Prices – Disclosure Cycles
- Brand Price Reductions and Savings to Patients – Disclosure Cycles
- Reference documents
Medicines Supply Security Guarantee
Explanatory materials and forms
- Request for Approved Ex-Manufacturer PB11a form
- Cost Information PB11b form
- Fact sheet – Anniversary Price Reductions
- Fact sheet - Six price change points
- Fact sheet – Setting an approved ex-manufacturer price for new or extended listings
- Fact sheet – Pricing a first new brand of an existing pharmaceutical benefit
- Weighted Average Monthly Treatment Cost (WAMTC) User's Manual and Calculator
Historical references
- 2016 Information Session – Recent PBS Statutory Pricing Changes presentation (PDF 612KB)
- 2012 Changes to PBS Pricing Arrangements
- Pharmaceutical Benefits Pricing Authority (PBPA) Annual Reports
- Pharmaceutical Benefits Pricing Authority Policies, Procedures and Methods
