After 1 year, 60-day prescriptions made up about a quarter of all dispensing of Stage 1 medicines

Uptake of 60-day prescribing has been slower than some anticipated, gradually increasing to account for 27% of eligible medicine prescriptions after the first 12 months (for Stage 1). The government’s prediction was that 60-day dispensing would reach 45% at this point. On the other hand, there are no signs that the policy has increased or decreased the use of Stage 1 medicines overall, or that medicines have gone to waste – concerns that had been raised by some stakeholders when the policy was first released.

Several factors may explain the gradual uptake of 60-day prescribing:

  • For at least the first six months of the policy, people were using up their previous 30-day prescriptions before visiting their doctors and switching to 60-day prescriptions. 
  • Awareness among consumers and prescribers may have been lower during the first year of the policy, with more to be done to promote the policy in recent times. 
  • Finally, prescribing software defaults to repeating the patient’s most recent prescription. Therefore, ongoing prescriptions will default to 30 days unless the prescriber manually selects the 60-day option.
Number of PBS 30- and 60-day prescription dispensings per month (Stage 1)*

30-day items with a 60-day equivalent​

60-day items counted for 2 months

*Estimated from a 10% sample of all people receiving PBS medicines in Australia. For medicines listed on 1 September 2023 as Stage 1 of the 60-day prescribing policy.

The most common class of medicines prescribed in Stage 1 of the policy were cardiovascular medicines (ATC C)

Cardiovascular medicines, including statins (for high cholesterol) and blood pressure medicines, were the most common 60-day prescriptions​, with 2.6 million dispensings in August 2024. In fact, most (149/247, 60%) medicines included in Stage 1 of the 60-day policy were for cardiovascular disease.

Antithrombotic medicines (ATC B, to prevent blood clots) grew to 7% of total, with 170,000 dispensings in August 2024.

Number of PBS 60-day prescription dispensings per month by therapeutic category (Stage 1)*

*Estimated from a 10% sample of all people receiving PBS medicines in Australia. For medicines listed on 1 September 2023 as Stage 1 of the 60-day prescribing policy. Each dispensing was counted in two consecutive months.

Data acknowledgment

We thank the Australian Government Services Australia for providing the data.