Changes to HIV treatment access for Medicare ineligible people in Australia

The Australian Government has committed to provide free or affordable access to HIV treatment to people with HIV who live in Australia but don’t have a Medicare card. The states and territories are working to implement this change. Until your state or territory transitions, your HIV treatment will continue to be provided by pharmaceutical companies through special access schemes. At no time will you experience a break or delay in receiving your HIV medication.

Update – 5 May 2023: NSW, NT, SA and WA have made the change. Please find further information below.

Why the change?

The Australian Government is committed to ending HIV transmissions in Australia by 2030 and improving the quality of life for all people with HIV. This change will ensure that you have reliable access to the HIV treatments that you need to keep you healthy while you are in Australia.

For the latest information, click on the dropdown box for your state or territory below:

ACT

The Australian Capital Territory has not yet transitioned. Further information will be shared here as soon as they make the change.

NSW

New South Wales transitioned on 18 April 2023.

The service remains private and confidential and provided by NSW Health. Your HIV medication will continue to be free when you collect it from a NSW public hospital pharmacy. You will not experience any break or delay in receiving your HIV medication.

The changes mean that:

  • Prescriptions must continue to be written by a doctor who is authorised to prescribe HIV medications (an s100 prescriber). If your current doctor is not one of these, they will refer you to one who is.
  • Treatment can be collected from any public hospital pharmacy. If you currently collect your medication from a local pharmacy, your doctor will support you if you need to switch to a hospital pharmacy.
  • You are strongly encouraged to return to the same hospital pharmacy to collect your treatment.
  • If you cannot travel to a hospital pharmacy, your medication may be able to be delivered to a pharmacy near you. Please speak to your doctor about this service.

Questions?

Your doctor, pharmacist and staff at any sexual health clinic can answer your questions. Or call the NSW Sexual Health Infolink on 1800 451 624.

You can also speak in confidence with the peer navigation staff at Positive Life NSW on (02) 8357 8386 or NAPWHA on 1800 259 666.

Find your nearest:

NT

The Northern Territory transitioned on 3 March 2023.

The service remains private and confidential. Your HIV medication will continue to be free when you collect it from a hospital pharmacy or Clinic 34. You will not experience any break or delay in receiving your HIV medication.

The changes mean that:

  • Prescriptions must be written by a doctor who is authorised to prescribe HIV medications (an s100 prescriber). If your current doctor is not one of these, they will refer you to one who is.
  • Treatment can be collected from Clinic 34 or any hospital pharmacy. If you currently collect your medication from a local pharmacy, your doctor will let you know if you need to switch to a hospital pharmacy or Clinic 34.
  • If you cannot travel to Clinic 34 or a hospital pharmacy, your medication can be delivered to a pharmacy near you. Please speak to your doctor to arrange this delivery service.

Questions?

Your doctor, pharmacist and the staff at Clinic 34 can answer your questions. Find your local Clinic 34. You can also contact NAPWHA on 1800 259 666.

QLD

Queensland has not yet transitioned. Further information will be shared here as soon as they make the change.

SA

South Australia transitioned on 30 March 2023.

HIV care remains private and confidential. Treatment will continue to be free when you pick it up from a hospital pharmacy. You do not need to change the clinician who is managing your HIV, and you will not experience any break or delay in receiving your HIV medication.

The changes mean that:

  • Access to HIV medication for people who are not eligible for Medicare will be centrally coordinated and dispensed through hospital pharmacies.
  • Your treating clinician will be able to arrange access to HIV medication for you. If you currently collect your HIV medication from a local pharmacy, your treating clinician will support your switch to a hospital pharmacy.
  • If you cannot travel to a hospital pharmacy, it may be possible to arrange delivery of your HIV medication to a pharmacy near you. Please speak to your treating clinician about this service.

This program does not include HIV preor postexposure prophylaxis (PrEP or PEP).

Questions?

Your treating clinician and pharmacist can answer your questions. You can also contact NAPWHA on 1800 259 666.

TAS

Tasmania has not yet transitioned. Further information will be shared here as soon as they make the change.

VIC

Victoria has not yet transitioned. Further information will be shared here as soon as they make the change.

WA

Western Australia has transitioned. 

There should be no change in access to your medications. The service remains private and confidential. Your HIV medication will continue to be free when you collect it from a hospital outpatient pharmacy or through arrangements made with your doctor or clinic (courier fees may apply as per your hospital’s policies). You will not experience any break or delay in receiving your HIV medication.

This means that:

  • Prescriptions must still be written by a hospital prescriber/sexual health clinic prescriber. If your current doctor is not one of these, they will refer you to one who is. ­
  • Treatment must still be collected from your hospital’s outpatient pharmacy. If you currently collect your medication from a different location, your doctor will let you know if you need to switch.
  • If you live regionally and cannot travel to an outpatient clinic, your medication will continue to be delivered to your home or made available for local pick up as previously arranged by your clinic.

 Questions?

Your doctor, hospital pharmacy department and the HIV Information Line (call 9482 0044 or visit waac.com.au) can answer your questions. 

You can also reach out to NAPWHA on 1800 259 666.

 

Questions?

Your doctor and pharmacist can answer your questions. You can also contact the NAPWHA helpline on 1800 259 666.

Healthcare professionals can find further information at ashm.org.au/hiv/medicare-ineligible

If you know someone with HIV who needs treatment or care, they can call NAPWHA for confidential advice on 1800 259 666.
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