Rheumatoid arthritis - initial authority application form (PB109)

Use this form to apply for initial PBS subsidised treatment with a biological agent for adult patients with severe active rheumatoid arthritis.

Biological agents refer to:

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

Download and complete the rheumatoid arthritis - initial authority application form.

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

You can upload or complete this form online through HPOS. Read more about form upload in HPOS.

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Page last updated: 1 July 2021