Chronic myeloid leukaemia chronic phase - first line initial PBS authority application form (PB083)
Use this form to apply for initial PBS subsidised dasatinib or nilotinib for first line treatment of chronic phase of chronic myeloid leukaemia.
Download and complete the Chronic myeloid leukaemia, chronic phase, first line - initial PBS authority application form.
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Page last updated: 6 November 2020
This information was printed 6 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb083. 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.