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. 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
This information was printed 7 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb184. 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.