Psoriatic arthritis - secukinumab initial grandfather PBS authority application form (PB184)

Use this form to apply for initial grandfather PBS subsidised secukinumab treatment for an adult patient with psoriatic arthritis.

A rheumatologist or clinical immunologist with expertise in the management of psoriatic arthritis must be treating the patient.

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: 13 February 2019