Crohn's disease - Adult Initial PBS authority application form (PB087)

Use this form to apply for initial Pharmaceutical Benefits Scheme (PBS) subsidised treatment with a biological agent for an adult patient with severe Crohn’s disease.

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: 1 March 2018