Application for a hospital authority to supply pharmaceutical benefits and/or highly specialised drugs form (PB134)

Complete this form if you are a hospital authority requesting approval under section 94 or section 100 of the National Health Act 1953 to supply pharmaceutical benefits and highly specialised drugs in respect of a private hospital, supply pharmaceutical benefits and highly specialised drugs in respect of a public hospital participating in the Pharmaceutical Reforms, supply highly specialised drugs in respect of a public hospital not participating in the Pharmaceutical Reforms, to claim for the supply of highly specialised drugs in respect of a public hospital where the dispensing of those drugs is undertaken by a third party.

 

Page last updated: 11 July 2016

This information was printed Saturday 1 October 2016 from humanservices.gov.au/health-professionals/forms/pb134 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.