Since 1st October 2010, medical card holders are required to pay a 50c charge for medicines and other prescription items supplied to them by community pharmacists. The charges are subject to a cap of €10 per month for each person or family. Should a person or family pay more than €10, the HSE will issue refunds automatically on a quarterly basis based on the information received from the dispensing pharmacy. However, if a person considers that they have not received the refund due to them there is a refund claim form available through the HSE and an online version of the form is available on www.medicalcard.ie or www.hse.ie. I do not expect that the introduction of prescription charges will have any significant ongoing resource implications for the HSE in terms of costs or staffing.