Idiopathic thrombocytopenic purpura Initial PBS authority application and Supporting information form (PB097)

You must lodge this form for an adult patient starting initial PBS subsidised treatment with either eltrombopag or romiplostim for the treatment of severe chronic immune idiopathic thrombocytopenic purpura.

 

Page last updated: 5 February 2016

This information was printed Sunday 25 September 2016 from humanservices.gov.au/health-professionals/forms/pb097 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.