Sunitinib malate gastrointestinal stromal tumour - PBS authority application form (PB096)
Use this form for a patient starting initial PBS subsidised treatment with sunitinib malate for metastatic or unresectable malignant gastrointestinal stromal tumour after failure of imatinib mesylate treatment due to resistance or intolerance.
Download and complete the Sunitinib malate gastrointestinal stromal tumour - PBS authority application 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
This information was printed 25 February 2020 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb096. 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.