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. You can fill it out on your device, or print it and complete it by hand.

You can upload this form in HPOS.

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Page last updated: 20 February 2020