Diabetic macular oedema - initial PBS authority application form (PB155)
Use this form to apply for initial PBS subsidised treatment with ranibizumab, aflibercept or dexamethasone intravitreal implants for Diabetic Macular Oedema.
Download and complete the Diabetic macular oedema - initial PBS authority application form.
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Page last updated: 1 October 2020
This information was printed 6 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb155. 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.