Severe chronic plaque psoriasis - continuing authority application form (PB113)
Use this form to apply for continuing PBS subsidised treatment with a biological agent for adult patients with severe chronic plaque psoriasis.
Biological agent refers to:
- adalimumab
- etanercept
- guselkumab
- infliximab
- ixekizumab
- risankizumab
- secukinumab
- tildrakizumab
- ustekinumab.
Download and complete the severe chronic plaque psoriasis - continuing 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 this form in HPOS.
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Page last updated: 1 January 2021
This information was printed 4 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb113. 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.