Document ID: chunk:federal_register_of_legislation:C2024A00073:clause:1_99aaab
Version: federal_register_of_legislation:C2024A00073
Segment Type: clause
Provision Reference: sch 1 cl 99AAAB
Character Range: 10870–12871

99AAAB  Conditions on payments
 (1) Nothing in section 99 or 99AAAA authorises payment in respect of the supply of a drug or medicinal preparation:
 (a) to a person who is not entitled under this Part to receive that drug or medicinal preparation as a pharmaceutical benefit; or
 (b) by an approved pharmacist at or from premises in respect of which the pharmacist is not approved or otherwise than in accordance with the terms of the pharmacist's approval; or
 (c) by an approved medical practitioner outside the area in respect of which the medical practitioner is approved or otherwise than in accordance with the terms of the medical practitioner's approval.

Medicare or special number required for Commonwealth payment for supply of pharmaceutical benefit
 (2) Subject to subsection (3), an approved supplier is not entitled, despite subsection 99(2) or (4) or 99AAAA(2), to be paid by the Commonwealth for the supply of a pharmaceutical benefit to a person upon a prescription unless:
 (a) there is ultimately supplied to the Chief Executive Medicare a medicare number, or a special number, as a number applicable to the person to whom the prescription relates; and
 (b) if the number so supplied is such a medicare number—that medicare number corresponds with a medicare number that is held in the records of the Chief Executive Medicare as a number applicable to that person.

Determination about payments for supplies where medicare number does not correspond with records
 (3) The Minister may, by legislative instrument, determine circumstances in which subsection (2) does not prevent an approved supplier being paid by the Commonwealth for the supply of a pharmaceutical benefit in respect of a person to whom a prescription relates although a medicare number ultimately supplied to the Chief Executive Medicare in relation to the prescription does not correspond with a medicare number that is held in the records of the Chief Executive Medicare as a number applicable to that person.