GPs Raise Safety Concerns After PBS Adrenaline Prescribing Rule Changes
07 Jul 2026
Doctors and medical experts warn the decision could make it harder for patients, particularly in rural and regional areas, to access life-saving treatment for severe allergic reactions.
The change removes a long-standing exemption that allowed certain GPs, known as non-specialist prescribers, to initiate PBS-funded adrenaline. Under the updated rules, patients can only receive a PBS-subsidised adrenaline prescription if it is prescribed by, or in consultation with, an approved specialist, or after being discharged from hospital or an emergency department following an anaphylactic reaction.
The Department of Health, Disability and Ageing said the previous exemptions were not supported under the National Health Act 1953 and confirmed that the Pharmaceutical Benefits Advisory Committee (PBAC) will review the current PBS restrictions.
RACGP Expert Committee – Quality Care Deputy Chair Professor Rowena Ivers said access to affordable adrenaline must remain a priority because delays in treatment during anaphylaxis can be life-threatening. She also raised concerns that higher out-of-pocket costs may make emergency medication less accessible for some patients.
RACGP Specific Interests Allergy Chair Dr Nick Cooling described the decision as concerning, particularly for rural communities where access to allergy specialists is limited. He said the exemption allowed GPs to provide faster access to adrenaline, especially for patients who would otherwise wait longer or travel further to see a specialist.
Doctors also warned the changes could increase healthcare costs by delaying treatment and creating additional pressure on specialist services.
The PBAC has indicated it will review the current prescribing restrictions and seek feedback from clinical groups before considering any future changes.
GPs Raise Safety Concerns After PBS Adrenaline Prescribing Rule Changes
Source: newsGP / Department of Health, Disability and Ageing, July 2026.