Asthma - adolescent and adult continuing PBS authority application form (PB076)
Use this form to apply for continuing PBS subsidised treatment with biological agents for uncontrolled severe asthma.
This form is for patients aged 12 years or older.
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.
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Page last updated: 29 November 2019