Applying for Approval to Supply Pharmaceutical Benefits at a Particular Premises form (PB009)

Use this form to apply for approval to supply pharmaceutical benefits at an approved pharmacy.

This includes:

  • expanding or contracting approved pharmacy premises
  • relocating an approved pharmacy
  • relocating an approved pharmacy with a change of ownership, or
  • establishing a new pharmacy

To change the ownership of a pharmacy that is not relocating, use the Applying for approval change of ownership of a pharmacy (not involving relocation) form.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 21 September 2018