Pulmonary arterial hypertension Initial PBS authority application form (PB070)

Use this form for a patient who is starting initial PBS subsidised treatment with the Pulmonary Arterial Hypertension agent or World Health Organization.

The treating physician from a designated centre must complete this form.

PBS is the Pharmaceutical Benefits Scheme.

 
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: 27 August 2017