Cystic fibrosis - ivacaftor continuing PBS authority application form (PB126)

Use this form to apply for continuing PBS subsidised ivacaftor treatment for cystic fibrosis.

Download and complete the Cystic fibrosis - ivacaftor continuing PBS authority application form.

PBS is the Pharmaceutical Benefits Scheme.

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: 20 February 2020