Fistulising Crohn's disease - initial or recommencement (treatment break greater than 5 years) authority application form (PB092)

Use this form to apply for initial or recommencing PBS-subsidised treatment with a biological medicine for complex refractory fistulising Crohn's disease, where the treatment break is more than 5 years.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology or need an interpreter.

You can upload this form in HPOS.

Biological medicine refers to adalimumab, infliximab and ustekinumab.

Please note: You don’t need to complete this form if you use the Online PBS Authorities system.

Download and complete the fistulising Crohn’s disease - initial or recommencement (treatment break greater than 5 years) authority application form.

Page last updated: 1 December 2025.
QC 20811