Document ID: chunk:federal_register_of_legislation:F2025C00098:body:0:p6
Version: federal_register_of_legislation:F2025C00098
Segment Type: other
Provision Reference: 
Character Range: 13373–16092

reduced charge would otherwise have applied to the supply — the amount charged is taken to be the concessional beneficiary charge or the general patient reduced charge respectively (without any allowable discount); and
 (b) if the general patient charge would otherwise have applied to the supply — the amount charged is taken to be $42.50 (without any allowable discount); and
 (c) if subsection 99(2A), (2AB), or (2B) of the Act would have operated for the supply — the amount charged is taken to be the amount worked out for the pharmaceutical benefit under subsection 84C (7) of the Act; and
 (d) the indexation provisions of Division 4A of Part VII of the Act apply.

12 Eligibility for concession and entitlement cards under the Act

  Section 84C of the Act applies to a patient in accordance with subsection 11(4).

13 Payment by Commonwealth under section 99 of the Act —modification

 (1) Section 99 of the Act applies but with the modifications set out in this section.

If the co‑payment is nil under paragraph 11(2)(a)

 (2) If the amount that a CTG supplier is entitled to charge for the supply by the supplier of a pharmaceutical benefit under this Special Arrangement is nil under paragraph 11(2)(a), the supplier is entitled to be paid by the Commonwealth an amount equivalent to the concessional beneficiary charge or the general patient reduced charge in addition to what the supplier is entitled to be paid for the supply under subsection 99(2) and, where relevant, subsection 99(2AA), of the Act or subsection 99(4) of the Act.

If the co‑payment is nil under paragraph 11(2)(b)

 (3) If the amount that a CTG supplier is entitled to charge for the supply by the supplier of a pharmaceutical benefit under this Special Arrangement is nil under paragraph 11(2)(b), the supplier is entitled to be paid by the Commonwealth the price of the pharmaceutical benefit under subsection 84C(7) of the Act.

  If the co‑payment is for a general patient under paragraph 11(3)(a)

 (4) If the amount that a CTG supplier is entitled to charge for the supply of a pharmaceutical benefit under this Special Arrangement is equal to the concessional beneficiary charge (less any allowable discount) under paragraph 11(3)(a), the supplier is entitled to be paid the difference between the concessional beneficiary charge and the general patient charge (ignoring any discount given) in addition to what the supplier is entitled to be paid for the supply under subsection 99(2) and, where relevant subsection 99(2AA), of the Act or subsection 99(4) of the Act.

If the co‑payment is for a general patient under paragraph 11(3)(b)

 (5) If the amount that a CTG supplier is entitled to charge for the supply by the