Narcolepsy 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.

This form must be completed by a qualified sleep medicine practitioner or a qualified neurologist.

PBS is the Pharmaceutical Benefits Scheme.

 
This form can be uploaded through HPOS. Read more about form upload in HPOS.

Page last updated: 27 August 2017