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National Health (Supply of Pharmaceutical Benefits—Under Co‑payment Data and Claims for Payment) Rules 2022

PB 22 of 2022
made under subsections 98AC(4) and 99AAA(8) of the

National Health Act 1953

Compilation No. 2

Compilation date: 10 October 2024

                Includes amendments: F2024L01280

About this compilation

This compilation

This is a compilation of the National Health (Supply of Pharmaceutical Benefits—Under Co-payment Data and Claims for Payment) Rules 2022 that shows the text of the law as amended and in force on 10 October 2024 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

Contents
Part 1—Preliminary
1 Name
3 Authority
5 Definitions
Part 2—Information and procedures relating to supplies of pharmaceutical benefits
6 Procedures for giving information—form and period for giving information and certification
7 Additional procedures for giving information
8 Procedures for giving information using Claims Transmission System
9 Information about supplies
10 Procedures for providing information in respect of claims using manual system
11 Procedures for giving information using manual system—under co‑payment data not required
12 Procedures for processing and determining claims
13 Procedures for making payments in respect of claims
Schedule 1—Information to be given using Claims Transmission System
1 Information to be given using Claims Transmission System—general
2 Additional information to be given using Claims Transmission System—supply on electronic prescriptions
Endnotes
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history

Part 1—Preliminary