Rheumatoid arthritis continuing PBS authority application form (PB111)
Use this form to apply for continuing PBS subsidised biological agent treatment for severe active rheumatoid arthritis.
Download and complete the Rheumatoid arthritis - continuing PBS authority application form.
Biological agents refers to all of the following:
- certolizumab pegol
This form can be uploaded or completed online through HPOS. Read about form upload in HPOS.
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You can upload this form in HPOS.
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Page last updated: 1 May 2020
This information was printed 5 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb111. 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.