The TOTEM Pharmacy Group is committing to a FREE PRESCRIPTION offering across our group to break down barriers to health care by making health care more affordable to our communities.
Everyone who is eligible for publicly funded health and disability services should in most circumstances will pay $5 per item for subsidised medicines. This is the charge that we as a business waive. We absorb the $5 government co-payment per new item. This is not a charge that the pharmacy chooses to charge, this is a tax that we collect on behalf of the government. The pharmacy will still be passing this amount over to the government even though we are not collecting this from the patient.
For subsidised medicines, prescriptions from the following will not incur a charge:
· Public hospital
· A midwife
· Family Planning Clinic
· Your GP (as long as they are part of a PHO)
· After Hours Accident and Medical Services (as long as they have a DHB or a PHO contract)
· Youth Health Clinics (as long as they have a DHB or a PHO contract)
· Dentists (only if the prescription relates to a service being provided under a DHB contract)
· Private specialists (only if the prescription relates to a service being provided under a DHB contract)
· Hospices (as long as they have a DHB contract)
· There is no co-payment on these medicines for children aged 13 and under.
Patients can check whether they are eligible for publicly funded health and disability services by referring to the Guide to eligibility on the Ministry of Health website.
To check if a medicine is fully subsidised, refer to the Pharmaceutical Schedule on PHARMAC’s website or ask your pharmacist or general practitioner.
DHBs have a list of eligible providers in their respective regions. Any provider/prescriber not specifically listed by a DHB as an approved provider/prescriber should be regarded as not approved.
Exclusions to the Free Prescription Service
There may be charges associated with prescriptions that are not included in the free prescription offering. The best way to find out is to speak with your pharmacist if you have any questions about cost but below are some exclusions that do apply.
Subsidised Medicines
Even though a medicine may be subsidised, the co-payment amount for private specialist prescriptions is $15 per item. Most common example of this is dental prescriptions. If you hold a community services card this price is reduced to $5 per item.
Partially subsidised medicines
These are medicines that are only partially subsidised or funded. For partially subsidised medicines, you need to pay an extra part-charge. The final price you pay depends on the difference between the subsidy and the manufacturer’s price.
Unsubsidised medicines
There are prescription-only medicines whose cost is not subsidised. You need to pay for the cost of this medicine in full.
Special authority
For some medicines to be funded, a special authority is applied for by your doctor (specialist or GP) according to the criteria for the particular medicine. In a special authority application, a prescriber requests a subsidy for a specific medicine for a particular person with a specified medical condition. If you are not eligible for the subsidy then the medicine is treated as unsubsidised.
Funded Pharmacist Only Medicines
Most pharmacist only medicines are unsubsidised. There are a few pharmacist only medicines that are funded, in this case you would incur a charge of $5 per item. The free charges only apply to prescription items. Most common example of this is Nicotine Replacement Therapy.
Specially Compounded Medicines
Certain medicines have to be specially compounded, these medicines will incur a $5 charge per item if fully funded. There may be some specially compounded medicines that will fall into the partially-subsidised or unsubsidised categories.