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eScripts and prescription tokens in Australia: how they work

Updated

10 min read

A customer showing an electronic prescription on their phone to a pharmacist at the counter of an Australian pharmacy.

An eScript is a prescription your doctor sends to your phone instead of printing on paper. You receive a link to a token by text message (SMS) or email, and you take or forward that token to whichever pharmacy you want to fill it.

General information, not medical advice

This guide explains how things work in general. It cannot tell you what is right for you, so check anything that affects you with your pharmacist or GP.

Always read the label and follow the directions for use.

Based on official Australian government and health sources. Rules can change.

The Australian Digital Health Agency, which runs the electronic prescriptions system, describes an electronic prescription as a digital version of a paper prescription and a convenient alternative to it. Paper prescriptions have not disappeared, and the Department of Health, Disability and Ageing confirms that patients can still choose which pharmacy they use to fill a script.

Electronic prescriptions are now available across Australia, and the Australian Digital Health Agency says most pharmacies are set up to dispense them.

Filling an eScript runs through four steps, from the token landing on your phone to collecting your medicine.

1
Get your token
Your doctor sends a link to a QR code (a scannable square barcode) by SMS or email, one for each medicine.
2
Choose a pharmacy
Most Australian pharmacies accept eScripts, and the choice is yours.
3
Show or forward it
Scan it at the counter, forward the SMS, or send it from a pharmacy app.
4
Collect or get it delivered
The pharmacist dispenses, then holds it for pickup or arranges delivery.

What an eScript is

An eScript is a digital prescription, and the Australian Digital Health Agency notes that electronic and paper prescriptions both have to meet the relevant Commonwealth, state and territory laws. What lands on your phone is a token: a link to a unique QR code that the pharmacy scans to dispense your medicine, as Healthdirect explains. The Australian Digital Health Agency notes that you receive a separate token for each medicine you are prescribed, so a visit that produces three prescriptions sends three tokens.

The token comes to you, not to a pharmacy, so the choice of pharmacy stays yours, which the Department of Health, Disability and Ageing confirms has not changed with eScripts.

One token covers one supply.

Because the system issues a fresh token for each repeat, the same token is never used twice. The next repeat token comes from the pharmacy that dispensed your last supply, as covered below.

eScripts are one part of how prescriptions work here; our guide to prescriptions in Australia covers the wider picture. Your prescriptions can be held in the system in two ways: as individual tokens you present each time, or on an Active Script List (ASL), a single consolidated list that any pharmacy you give consent to can read. Tokens are the default; the Active Script List is optional, and our Active Script List guide covers it in full.

How you receive it from your doctor

During the consultation, your doctor sends the token to your mobile by SMS or email. The Australian Digital Health Agency advises checking that the token has arrived before you finish the consultation, and speaking to your provider about other options if you do not have a mobile device.

Because the token sits on your device, a few small habits keep it easy to manage.

Keeping your token easy to manage4 checks
  • Keep the message. Hold the SMS or email until your medicine has been dispensed.
  • Check it arrived. Confirm the token reached your phone before the consultation ends.
  • No mobile device? Ask your prescriber about other options, including a paper script.
  • Prefer one list? You can have prescriptions sent straight to your Active Script List, once set up.

How to give the token to a pharmacy

You have three ways to do this. Any of them works at a pharmacy that is set up for eScripts.

A customer showing an eScript token on their phone to a pharmacist at the counter
At the counter
Your phone is all you bring

Open the message, show the QR code on your screen, and the pharmacist scans it to dispense. Nothing needs printing or forwarding.

Show the QR code at the counter

Open the SMS or email and show the QR code on your screen. The pharmacist scans it and dispenses. Nothing needs forwarding.

Forward the SMS or email ahead

Many pharmacies list an email address or number for eScript orders on their website or app. The Australian Digital Health Agency notes that forwarding your token to the pharmacy lets them have the medicine ready for collection or, where the service is offered, delivered to your home. Our pharmacy delivery guide explains how home delivery works.

Send it from a pharmacy app

Some pharmacies have their own app that stores your tokens and lets you order a dispense in a couple of taps. The Australian Digital Health Agency keeps a list of mobile apps that meet the standard for handling electronic prescriptions; your pharmacist can tell you which one they use.

When someone else collects your medicine

You can forward a token to another person so they can collect your medicine for you. The Australian Digital Health Agency confirms that if you cannot get to the pharmacy, you can forward your token to a family member, carer or friend to collect on your behalf. They then show the token from your SMS or email at the counter.

Some medicines involve an identity check.

For certain prescription medicines, a pharmacy may want to confirm who the medicine is for before supplying it. The requirements vary by medicine, and the pharmacist can explain what applies.

Repeats and how the next token reaches you

If your prescription has repeats, you do not return to the doctor for each supply. The Australian Digital Health Agency explains that when you have repeats, the pharmacy sends you a new token by SMS or email to use next time. You present that new token at the pharmacy of your choice for the next supply.

Because each new repeat token is separate, you can take your next repeat to a different pharmacy if you move or change your mind. Our guide to transferring a prescription covers how that works, including for paper scripts, and our repeat prescriptions guide explains how repeats function across the wider prescription system.

Once the last repeat is dispensed, no further tokens arrive, and you will need a new prescription from your doctor.

If you lose the token

A deleted message or a changed phone does not mean the prescription is gone. The Australian Digital Health Agency sets out where to go, depending on which token you lost:

  • For an original prescription, contact the prescriber who issued it and ask for the token to be resent.
  • For a repeat, contact the pharmacy that issued that repeat.
  • A conformant pharmacy app, or an Active Script List, can also hold your active prescriptions, so a lost token matters less.

If the token cannot be resent, your doctor can issue a new prescription. For faults at the counter, our eScript troubleshooting guide covers the common problems and fixes.

Active Script List: the alternative to separate tokens

If you take several medicines, presenting a separate token each time can get cumbersome. An Active Script List answers that. The Australian Digital Health Agency describes it as a digital list of your electronic prescriptions and any barcoded paper prescriptions, so that once you are registered you no longer track each token. You give a participating pharmacy your consent to read the list, and the pharmacy dispenses from it.

You register for an Active Script List at a pharmacy, and you can change which pharmacy has access or close the list later. Our Active Script List guide covers registration and consent.

Individual tokensActive Script List
How your scripts are heldOne token per medicine, sent to your phoneAll active scripts on one consolidated list
What you presentThe token for that medicineConsent for the pharmacy to read your list
Best whenYou have one or two prescriptionsYou take several medicines
SetupNothing to set up; it is the defaultRegister once at a pharmacy
Choice of pharmacyAny eScript-ready pharmacy, each timeYou control which pharmacy has access

Electronic prescriptions, Australian Digital Health Agency.

How long an eScript lasts

An electronic prescription lasts as long as the paper version would. The Australian Digital Health Agency states that this is 12 months in most cases, though it can be shorter for some medicines and may depend on the rules in your state or territory. When the prescription expires, or the last repeat is used, you need a new one from your doctor.

Talk to someone now

Free advice for questions about a medicine, dose, or interaction.

Frequently asked questions

The token is sent as a link by text message (SMS) or email, so you need a phone or email account that can receive it. If you do not have a mobile device, the Australian Digital Health Agency advises speaking to your prescriber about other options, including a paper prescription.

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