Severe allergic asthma – paediatric initial PBS authority application form (PB188)
Use this form to apply for initial PBS subsidised treatment with omalizumab for paediatric severe allergic asthma.
Download and complete the Severe allergic asthma – paediatric initial 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: 13 July 2021
This information was printed 27 November 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb188. 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.