Systemic juvenile idiopathic arthritis continuing, retrial or recommencement or demonstration of response PBS authority application form (PB118)

Use this form to apply for continuing, retrialling or recommencing PBS subsidised tocilizumab treatment for severe active juvenile idiopathic arthritis.

Download and complete the Systemic juvenile idiopathic arthritis continuing, retrial or recommencement, or demonstration of response PBS authority application form.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

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Page last updated: 31 January 2020