Psoriatic arthritis - initial grandfather PBS authority application form (PB184)

Use this form to apply for initial grandfather PBS subsidised treatment with ixekizumab or tofacitinib for an adult patient with psoriatic arthritis.

Download and complete the Psoriatic arthritis - initial grandfather PBS authority application form.

A rheumatologist or clinical immunologist with expertise in the management of psoriatic arthritis must be treating the patient.

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: 3 February 2020