Pulmonary arterial hypertension - initial PBS authority application form (PB070)

Use this form for a patient who is starting initial PBS subsidised treatment with the Pulmonary Arterial Hypertension agent or World Health Organization.

Download and complete the Pulmonary arterial hypertension - initial PBS authority application form.

The treating physician from a designated centre must complete this form.

PBS is the Pharmaceutical Benefits Scheme.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

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Page last updated: 31 January 2020