Rheumatoid arthritis - baricitinib or upadacitinib initial grandfather PBS authority application form (PB110)
Use this form to apply for initial grandfather Pharmaceutical Benefits Scheme (PBS) subsidised treatment with baricitinib or upadacitinib for severe active rheumatoid arthritis.
Download and complete the Rheumatoid arthritis - baricitinib or upadacitinib initial grandfather PBS authority application form.
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Page last updated: 1 November 2020
This information was printed 5 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb110. 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.