Pharmaceutical prescriptions

nib will pay a Pharmaceutical Prescriptions benefit when:

  • The drug is only available on prescription; and
  • The drug is listed within the MIMS schedule; and
  • The name of the drug does not appear in the Schedule of Pharmaceutical Benefits

The amount customers will be paid will depend on their cover.

A Pharmaceutical Prescriptions benefit will not be paid if the drug is:

  • Listed as contraceptive unless they are prescribed to treat a medical condition such as skin disorder or a hormonal condition
  • Mixed to form a compound drug where at least one ingredient is not listed on the MIMS schedule. All other ingredients must be listed on either MIMS or the poisons schedule.
  • Used as part of your hospital stay (however, these may be claimable under your hospital cover)