Perverse outcomes in new allowance

9 August 2023

The recently announced Regional Pharmacy Transitional Allowance (RPTA) by the Albanese Government has drawn criticism from the Pharmacy Guild because it’s created perverse financial outcomes.

The Health Minister announced the $148.2 million RPTA last month and says it’s designed to “help pharmacies adjust to the transition to 60-day prescriptions.”

The allowance applies to rural and regional pharmacies classified from MMM2 to MMM7 with payments ranging from $52,030 to $396,909 over the next four years depending on script volume.

According to the government, it only applies to pharmacies with average script volumes equalling dispensing income of under $1 million in the 12 months to 1 April 2023.

However, the Guild says the matrix when applied with the Rural Pharmacy Maintenance Allowance (RPMA) has provided perverse outcomes by cutting the total allowance if script numbers exceed a certain amount.

To give one example, if a pharmacy is rated MMM3-5, according to the government it will get an average total annual allowance of $153,000 if it dispenses over 45,825 scripts but stands to lose up to $340,000 if it dispenses more than 57,282.

The Guild says such outcomes could have been avoided if the government had consulted the pharmacy sector.

“This latest announcement is part of a piece-meal and ad hoc approach to the government’s implementation of 60-day dispensing with no consultation,” a Guild Spokesperson said.

“The fact the Health Minister is hurriedly making changes in funding announcements just goes to show he hasn’t gotten it right when it comes to 60-day dispensing.

“The only way to give community pharmacies the financial certainty they need is to immediately bring forward negotiations of an eighth Community Pharmacy Agreement."

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Page last updated on: 09 August 2023