Prescription medicines are medicines that require a prescription completed by a doctor or other authorised health practitioner in order to be dispensed by a registered pharmacist. What your policy covers If you need to buy prescription medicine, we will reimburse you the amount paid for prescription medicines that exceed the Pharmaceutical Benefits Scheme (PBS) patient contribution* up to a maximum benefit of $50 per medicine. Annual limits apply: $500 maximum amount per single cover $1,000 maximum amount for dual or multi family cover. Refer to the relevant policy wording for more information about what you are covered for. *The PBS patient contribution can be found on the Department of Health and Aged Care website. How to make a claim Your doctor gives you a prescription for your medicine. You purchase your medicine from a pharmacy and get a receipt. Make sure you ask for an itemised receipt so you have all the information needed to make your claim. Make your claim and submit any relevant receipts to us. For more information see How to Make an OSHC Claim. What you cannot claim Medicines that can be purchased over the counter without a prescription from a doctor Prescription medicines not included in the Pharmaceutical Benefits Scheme (PBS) list. Visit the Department of Health and Aged Care website to see a full list of PBS medicines Prescription medicines that cost less than the co-payment fee stated under the PBS. Visit the Department of Health and Aged Care website for more information. Disclaimer: To see the full list of PBS medicines and the current co-payment fee, visit the Department of Health and Aged Care website.