Pulmonary arterial hypertension - continuing PBS authority application form (PB071)

Use this form for a patient who is continuing PBS subsidised treatment, or changing to an alternate PBS subsidised treatment they are eligible for.

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

You can also use this form for a patient who is demonstrating a response to their current PBS subsidised treatment.

PBS is the Pharmaceutical Benefits Scheme.

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

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 13 March 2019

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