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

Use this form to apply for initial grandfather PBS subsidised treatment with ixekizumab or tofacitinib 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 PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

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: 1 May 2019

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