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Multiple myeloma - newly diagnosed - lenalidomide Initial PBS authority application form (PB200)

Use this form to apply for initial PBS subsidised lenalidomide treatment for a patient with newly diagnosed multiple myeloma.

This form can be uploaded through HPOS. Read more about form upload in HPOS.
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Page last updated: 12 May 2017

This information was printed Thursday 24 August 2017 from humanservices.gov.au/health-professionals/forms/pb200 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.