Chronic thromboembolic pulmonary hypertension Initial PBS authority application form (PB192)

Use this form for a patient starting initial treatment with riociguat for chronic thromboembolic pulmonary hypertension (CTEPH).

This form can be uploaded through HPOS. Read more about form upload in HPOS.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 23 January 2017

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