Adolescent and adult severe eosinophilic asthma Initial grandfather PBS authority application form (PB196)

Use this form when applying for initial grandfather PBS subsidised mepolizumab treatment for a patient aged 12 years or older with uncontrolled severe eosinophilic asthma.

This form can be uploaded through HPOS. Read more about form upload in HPOS.
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Page last updated: 1 January 2017

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