Narcolepsy - modafinil or armodafinil initial PBS authority application form (PB104)

Use this form for a patient who is starting initial PBS subsidised treatment with modafinil or armodafinil for the treatment of narcolepsy.

A qualified sleep medicine practitioner or a qualified neurologist must complete this form.

PBS is the Pharmaceutical Benefits Scheme.

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 November 2018

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