Pulmonary arterial hypertension initial monotherapy & dual therapy PBS authority application form (PB070)
Use this form to apply for either arterial hypertension initial monotherapy & dual therapy PBS authority.
You can use this form to apply for either:
- initial PBS subsidised treatment with a Pulmonary Arterial Hypertension (PAH) agent as monotherapy
- initial PBS subsidised dual therapy treatment with a combination of an endothelin receptor antagonist (ERA) and a phosphodiesterase-5 inhibitor (PDE-5i).
Download and complete the Pulmonary arterial hypertension initial monotherapy & dual therapy PBS authority application form.
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Page last updated: 1 December 2020
This information was printed 6 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb070. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.