Myelofibrosis Initial PBS Authority application form (PB172)

You must lodge this form for a patient starting initial PBS subsidised treatment for high risk, intermediate-2 risk or intermediate-1 risk myelofibrosis.

Page last updated: 4 February 2016

This information was printed Friday 30 September 2016 from humanservices.gov.au/health-professionals/forms/pb172 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.