Severe chronic plaque psoriasis Initial PBS authority application and supporting information form (PB112)

This form must be completed by a dermatologist. You must lodge this form for an adult patient who is starting initial Pharmaceutical Benefits Scheme (PBS) subsidised treatement with a biological agent for severe chronic plaque psoriasis.

 

Page last updated: 5 February 2016

This information was printed Friday 30 September 2016 from humanservices.gov.au/health-professionals/forms/pb112 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.