Metastatic breast cancer - initial PBS authority application form (PB099)

Use this form to apply for initial Pharmaceutical Benefits Scheme (PBS) subsidised treatment with lapatinib for late stage metastatic breast cancer.

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Page last updated: 10 April 2019

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This information was printed 21 July 2019 from https://www.humanservices.gov.au/organisations/health-professionals/forms/pb099. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.