QLD S100 HIV Co-Payment Program

To be eligible, patients must:

• Receive treatment through a Queensland public hospital, sexual health clinic, authorised Queensland community prescriber, or an approved interstate specialist where the Queensland resident lives in a border area.
• Have a valid prescription for eligible Section 100 HIV antiretroviral medicines.
• Complete and sign the QLD HIV Patient Consent Form before dispensing occurs.

The Queensland s100 HIV Patient Co-Payment Waiver Initiative applies only to s100 Highly Specialised Drugs Program (Community Access) drugs for HIV antiretroviral therapy.

The co-payment waiver is only for HIV antiretroviral medication for the treatment of people with HIV.
It does not extend to HIV medication for HIV-negative people for the purpose of PrEP.

Claiming

To submit s100 co-payment claims and receive re-imbursement from Queensland Health, Section 90 approved QLD community pharmacies must create a user account to access to the online claiming portal.

Claims will either be submitted by uploading the QLD s100 HSD Claim Template (maximum of 100 claims) or by entering the dispensing details directly into the online claiming portal (maximum of 10 claims).

Payments

In addition to the cost of the co-payment for eligible patients, pharmacies are paid a service fee for the work associated with submitting claims on behalf of patients.

The fees are $2.23 (incl GST) for each co-payment claimed and a one-off monthly administration fee of $13.42 (incl GST) for the first claim made each month.