Use this form to apply for continuing PBS subsidised vismodegib treatment for a patient with metastatic or locally advanced basal cell carcinoma.
- Metastatic or locally advanced basal cell carcinoma - vismodegib Continuing PBS authority application
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.