Rheumatoid arthritis - initial PBS authority application form (PB109)

Use this form to apply for initial Pharmaceutical Benefits Scheme (PBS) subsidised treatment with biological agents for severe active rheumatoid arthritis.

Download and complete the Rheumatoid arthritis - initial PBS authority application form.

Biological agents refers to all of the following:

  • abatacept
  • adalimumab
  • baricitinib
  • certolizumab pegol
  • etanercept
  • golimumab
  • infliximab
  • rituximab
  • tocilizumab
  • tofacitinib
  • upadacitinib.

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

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Page last updated: 3 November 2020