Exact(3)
We may restrict some of our analyses to concession card-holding populations only, as not all opioid medicines of interest are above the general beneficiary copayment amount.
Items costing less than the general beneficiary contribution did not receive a PBS benefit and was not captured in the collection.
Other medicines of interest including benzodiazepines and psychotropic medicines such as antidepressants, antipsychotics and central nervous system stimulants, also fall below the general beneficiary copayment.
Similar(57)
In 2008, copayments were $A5.00 for social security beneficiaries and $31.30 for general beneficiaries.
*PBS, Pharmaceutical Benefits Scheme; GB, general beneficiaries; CB, concessional beneficiaries, including pensioners; NA, no longer available in PBS.
They contribute a low co-payment (currently AUD$4.90), general beneficiaries contribute with higher co-payments (currently AUD$30.70).
In effect, low-cost medicines dispensed to beneficiaries with the highest patient copayment threshold (referred to as general beneficiaries) have been underascertained; this issue does not impact on medicines dispensed to beneficiaries with lower copayment thresholds (PBS concessional beneficiaries).
There are two levels of coverage, with General Beneficiaries (most of the population) paying a higher copayment (currently 37.70 Australian Dollars) than that paid by Concession Beneficiaries (currently 6.10 Australian Dollars for seniors and those receiving social security benefits).
19 The cost of a full 12-week course of NRT if bought OTC is currently i $A165.95, while the subsidised costs are $A108.30 for general beneficiaries and $A17.70 for social security beneficiaries.
Exemption from co-payments is available when individuals hit a certain 'safety net' threshold, which is a defined level of expenditure per calendar year (in 2014, the PBS threshold is $1421 per year for general beneficiaries and $360 per year low income concession card holders; for MBS it is $1248 and $624 respectively per year).
There are two categories of patients, general beneficiaries (who paid up to AU$35.40 per prescription item in 2012) and concession or health care card holders (including senior citizens and those in receipt of social security support, who paid reduced contributions of AU$5.80 per prescription item in 2012) [ 5].
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