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c/glp1aus·posted 3 months ago by u/sten_bhattacharya

help me understand PBS, I have read the wiki twice

Question Clean Column ×3

help me understand PBS, I have read the wiki twice, and I want the answer with the reasoning attached rather than just the conclusion.

The two decisions that this whole board turns on, kept apart.

Registration means a product may lawfully be supplied. Subsidy listing means the public system will fund it, for a defined indication, against published criteria. They are made by different bodies on different timetables, and a product can be registered and unsubsidised for a given use for a long time.

Almost every "why can I not get this" thread here is really a question about the second decision being answered with facts about the first. Say which one you are asking about and the thread resolves in two replies.

The compounded arrangements changed while I was mid-thread and I was arguing from a superseded position.

Kept the script and the receipt for a private health claim and both were requested.

If two or three other people have done the same thing we might actually learn something. Alone it is an anecdote.

637 up / 80 down89% upvoted26 commentsid 17w7pr26 Apr 2026

26 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/chain_confirm_cpayments75 points·3 months ago·edited

Compounded supply arrangements have changed materially in recent years. Advice predating that change describes a situation that no longer applies.

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u/viktor_girard59 points·3 months ago

Asked the pharmacist to check the wholesaler and had a definite answer in about four minutes.

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u/renal_outcomes_rnephro-curious17 points·3 months ago

Read the published criteria for my indication rather than asking. Twenty minutes, and it answered everything I had been guessing at.

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u/sten_bhattacharyaOP10 points·3 months ago·edited

Read the published criteria for my indication rather than asking.

This is the distinction that makes the rest of the board legible.

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u/sten_bhattacharyaOP10 points·3 months ago

Australia or New Zealand?

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u/runa_pires15 points·3 months ago

do not import US advice into an Australian thread

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u/emil_barros8 points·3 months ago

the price you pay depends on the listing status of your indication

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u/ffmi_watcher5 points·3 months ago

This. New Zealand has its own regulator and its own funding decisions and the answers genuinely differ.

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u/aksel_jansen19 points·3 months ago·edited

What did the pharmacy quote for the private price?

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u/tobias_barros47 points·3 months ago

Careful, personal importation provisions are narrow and specific and the general version circulating here is wrong.

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u/no_refunds_nr12 points·3 months ago

Assumed the New Zealand position applied here. It does not, and someone corrected me politely with the actual source.

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[removed]8 points·3 months ago

[removed by moderator]

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u/valeria_girard-13 points·3 months ago

the TGA shortage database is public and it is the source, not the news

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u/nz_unfunded40 points·3 months ago

Someone posted US advice in an Australian thread and it took four replies to untangle it. Say your country.

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u/hplc_hobbyistruns their own column29 points·3 months ago

Not convinced. That is the New Zealand position and the thread is asking about Australia.

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u/chidi_abubakar11 points·3 months ago

That is a pharmacy-level stock issue rather than a national supply issue. They feel identical and are not.

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u/yara_antonsen6 points·3 months ago

Agreed. Registration and subsidy are separate decisions and half the confusion here is treating them as one.

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u/border_paperwork5 points·3 months ago

Australia and New Zealand are separate systems and get conflated weekly

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u/rosa_sandvik7 points·3 months ago

the Medsafe position in New Zealand is its own thing entirely

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u/lyophile_lou3 points·3 months ago

Right, and the compounded supply position moved. Threads from two years ago are describing a different situation.

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u/hamza_serrano2 points·3 months ago

Checked the shortage database myself instead of reading the coverage. Expected resolution date was right there and the panic thread was wrong.

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u/marta_ilunga1 point·3 months ago

Yes — importing US threads into an Australian question produces confident nonsense every single time.

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u/kian_solberg1 point·3 months ago

Rang three pharmacies for a private price and got three different numbers, all in the same city.

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u/nz_unfunded6 points·3 months ago

the shortage listing has an expected resolution date on it

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Australia and New Zealand: PBS listing status and what it does to out-of-pocket cost, TGA shortage notices, the 2024 compounding rule change that closed a major access route overnight, and NZ's unfunded-means-full-price reality.

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