Document ID: chunk:federal_register_of_legislation:C2025C00090:section:86b:p1
Version: federal_register_of_legislation:C2025C00090
Segment Type: section
Provision Reference: s 86B (pt 1/3)
Character Range: 154336–157085

86B  Approved supplier may request provision of medicare number

Approved supplier may request provision of medicare number
 (1) If:
 (a) an approved supplier is presented with a prescription for the supply of a pharmaceutical benefit to a person; and
 (b) the person presenting the prescription claims to be, or to be the agent of, the person to whom the prescription relates; and
 (c) the person presenting the prescription does not request that the drug or medicinal preparation to which the prescription relates not be supplied as a pharmaceutical benefit;
the approved supplier may request the person presenting the prescription to provide to the approved supplier a medicare number applicable to the person to whom the prescription relates and the expiry date in relation to the number.

Inclusion of medicare number in a prescription does not prevent later request
 (2) The approved supplier may make the request under subsection (1) whether or not:
 (a) the prescription already contains a medicare number as a number applicable to the person to whom the prescription relates; or
 (b) the approved supplier's records already contain such a number (whether with or without the expiry date in relation to that number) recorded and retained in accordance with section 86D.

Approved supplier's powers if medicare number is provided
 (3) If a medicare number is provided to the approved supplier as a number applicable to the person following a request under subsection (1), or is included as such a number in the approved supplier's records in accordance with section 86D, the approved supplier may:
 (a) if the prescription has already been endorsed with a medicare number as such a number, check the number so provided or included against the endorsed number and:
 (i) confirm that they are the same; or
 (ii) if they are not the same and the approved supplier considers the number so provided or included more reliable than the endorsed number—alter the endorsed number to the number so provided or included or insert the number so provided or included in the CTS claim relating to the prescription, noting the discrepancy; or
 (iii) if they are not the same and the approved supplier considers the endorsed number more reliable than the number so provided or included—disregard the number so provided or included and, if making a CTS claim, insert the endorsed number in the CTS claim relating to that prescription; and
 (b) if the prescription has not already been endorsed with a medicare number as such a number:
 (i) endorse the prescription with the medicare number so provided or included as a number applicable to the person; or
 (ii) insert the number so provided or included in the CTS claim relating to that prescription; and
 (c)