We may reimburse you some pharmacy costs (VPRS)

We may reimburse the amount you spend on some medicines and pharmacy items when you use your Veteran Card. We call this the Veterans’ Pharmaceutical Reimbursement Scheme (VPRS).

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How it works

Under this scheme, you may get back some of the money you have spent on prescriptions throughout the year.

Eligible veterans and their dependants will only spend up to a certain limit on their prescriptions each year. Once you reach this limit, you may not have to pay for certain pharmaceuticals.

The amount you spend on your prescriptions is called the concessional co-payment. The limit is called the safety net threshold.

You may also receive a pharmaceutical allowance to help you with the cost of your prescriptions.

If you are eligible under the VPRS, we may reimburse you the difference between how much you spent on your prescriptions and the amount of pharmaceutical allowance you received.

You may receive the pharmaceutical allowance as part of the:

• Pension Supplement
• Veterans' Supplement
• MRCA Supplement
• DRCA Supplement

We can only reimburse the amount you actually paid. This does not include any other costs related to the item.

Check with your general practitioner (GP) that items they prescribe are on the RPBS or PBS.

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Who can receive it

For us to reimburse you, you must hold either a Veteran Gold Card or a Veteran White Card (and the pharmaceuticals are for an accepted condition), and have rendered either:

• qualifying service under the Veterans' Entitlements Act 1986 (VEA)
• warlike service under the Military Rehabilitation and Compensation Act 2004 (MRCA)

One of the following must also apply:

• you receive a Disability Compensation Payment
• you receive Permanent Impairment compensation under the MRCA, either paid on a regular basis or paid as a lump sum
• you have an accepted condition under the Safety, Rehabilitation and Compensation (Defence-related Claims) Act 1988 (DRCA).

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How much you can receive

If you are single, we will pay you the difference between:

• your concessional co-payments throughout the year, up to the safety net
• any Pharmaceutical Allowance (PA) you receive

If you are partnered, we will pay you the difference between:

• your combined concession co-payments throughout the year, up to the safety net
• your combined Pharmaceutical Allowance (PA)

Example 1 – Single veteran

John is a single veteran who paid $302.40 for prescriptions in one year. The PA that was received in the Veterans' Supplement was $161.64 for the year.

The difference between what John paid for and the PA received is $140.76 ($302.40 minus $161.64). Therefore, John will receive a VPRS reimbursement of $140.76.

Example 2 – Married veteran

Mary is a married veteran and as couple they received a combined PA of $166.86 for the year in their Pension Supplement.

Mary paid a total of $318 for prescriptions. Mary's partner paid a total of $60 for pharmaceutical scripts.

The difference between what Mary paid for and the PA received is $151.14 ($318 minus $166.86). Therefore, Mary will receive a VPRS reimbursement of $151.14.

How this impacts your tax or health care safety net

VPRS payments are not means-tested nor taxable.

Your pharmacist may give you a discount on your co-payment. The amount added to your yearly safety-net threshold will be the amount you actually paid.

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How you claim

You do not need to make a claim, we will pay you automatically in March each year. You will be notified when you are to receive payment.

Show the pharmacist your Veteran Gold Card or White Veteran Card when you make a purchase. We will use records from these purchases to calculate how much you will receive in payment.

You can ask your pharmacist for a prescription record form (PRF). The form can help you track of how much you and your family spend on medicines. This will also help you track when you have reached a Safety Net threshold.

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