Rheumatoid arthritis change or recommencement or demonstration of response PBS authority application form (PB247)

Use this form to apply for change or recommencing PBS subsidised treatment with biological agents for severe active rheumatoid arthritis.

Biological agents refers to all of the following:

  • abatacept
  • adalimumab
  • baricitinib
  • certolizumab
  • etanercept
  • golimumab
  • infliximab
  • rituximab
  • tocilizumab
  • tofacitinib.
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.
This information was printed Saturday 25 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/forms/pb247 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 1 April 2019