The first EU agreement on pharmacies included a package of remuneration for pharmacists and a package of structural reforms to promote better distribution of pharmacies across Australia (through rules limiting the opening of new pharmacies) and to encourage the closure or merger of pharmacies located in underserved areas. The scope of subsequent agreements was extended to fund pharmacy programs (e.g. B programs to assist patients in the management of their medications) and other matters. Since 2005, the Australian government has provided funding to a Community Services Obligation (CSO) Funding Pool. The CSO Funding Pool ensures that all Australians have continuous access to the full range of PBS medicines through community pharmacies. It offers financial support to pharmaceutical wholesalers and supplies the full range of PBS drugs regardless of the location of the pharmacy and relative delivery costs. The agreement runs for five years, until 30 June 2005, and builds on the results of the two previous Community pharmacy agreements, providing a strong platform for government and pharmacy to move forward together to provide all Australians with quality pharmacy services. The agreement includes measures to strengthen and expand the network of municipal pharmacies in rural and remote areas and encourages a focus on certain areas, such as quality improvement and effective management of medicines. The Sixth Community Pharmacy Agreement (6CPA) between the Australian Government and the Guild provides more than 5,000 community pharmacies approximately $18.9 billion for the distribution of PBS drugs, the provision of pharmacy programs and services, as well as general interest agreements with pharmaceutical wholesalers.
After legislating to create the PBS framework, Parliament plays no direct role in the development or approval of the agreement, pharmacy agreements between the Minister of Health and the Guild will come into force through a definition of pbRT. However, Parliament may be asked to consider legislation which gives effect to certain matters in Community pharmacy agreements. For example, in 2015, Parliament passed the National Health Amendment (Pharmaceutical Benefits) Bill 2015, which went into effect on 6CPA issues, including the optional one-dollar discount on patient supplements and the continuation of pharmacy location rules. A new treaty is being negotiated with the current Community Pharmacy Treaty, which expires on 30 June 2020. The Australian government pays licensed pharmacists for the supply of Pharmaceutical Benefit Scheme (PBS) drugs to patients. For municipal pharmacists, the amount of remuneration is agreed between the Government and the Pharmacy Guild of Australia (the guild representing the majority of pharmacists) and set out in successive five-year community pharmacy contracts. The Rural Pharmacy Maintenance Allowance (RPMA), which was introduced from 1 January 2001, provides ongoing support to pharmacies in rural and remote communities. . .