Document ID: chunk:federal_register_of_legislation:C2025C00090:section:87a:p1
Version: federal_register_of_legislation:C2025C00090
Segment Type: section
Provision Reference: s 87A (pt 1/2)
Character Range: 181511–184064

87A  Entitlement to refund in certain circumstances
 (1) If:
 (a) an approved supplier did not supply a pharmaceutical benefit to a person on terms that are appropriate for the supply of a benefit to:
 (i) the holder of a concession card or entitlement card; or
 (ii) a concessional beneficiary; or
 (iii) a person who is a dependant of a concessional beneficiary within the meaning of subsection 84(4) or (7);
  because the supplier was not satisfied that the person was entitled to receive the benefit on those terms; and
 (b) the Secretary is satisfied that the person was entitled at the time to receive the benefit on those terms;
the person is entitled to be paid by the Commonwealth an amount equal to the difference between:
 (c) the amount payable for the supply of the benefit on those terms; and
 (d) an amount equal to:
 (i) if the supply of the benefit is one to which subsection 99(2A), (2AB) or (2B) applies—the Commonwealth price for the supply of the benefit; or
 (ii) in any other case—the amount that the person was charged under section 87.
 (2) A person is entitled to be paid by the Commonwealth an amount equal to the difference between the amount payable for the supply of a pharmaceutical benefit on terms that are appropriate for the supply of the benefit to a general patient and an amount equal to the Commonwealth price for the supply of the benefit if:
 (a) an approved supplier did not supply the benefit to the person on those terms because the supplier was not satisfied that the person was entitled to receive the benefit on those terms; and
 (b) the Secretary is satisfied that the person was entitled at the time to receive the benefit on those terms.
 (3) Subsection (4) applies if:
 (a) under this Act an approved supplier charged a person an amount in respect of a supply of a pharmaceutical benefit; and
 (b) at the time of the supply, the person was eligible to be issued with a concession card or an entitlement card but was not the holder of such a card.
Note: For when a person is eligible to be issued with a concession or entitlement card, see section 84C.
 (4) If the Secretary is satisfied:
 (a) that the failure to issue a concession card or entitlement card was not caused by some wilful action of the person; and
 (b) that in the circumstances the person should be treated as if:
 (i) the person had been at the time when the pharmaceutical benefit was supplied the holder of a concession card or entitlement card; and
 (ii) the prescription upon which the pharmaceutical benefit had been supplied were