Chronic lymphocytic leukaemia, small lymphocytic lymphoma - idelalisib initial PBS authority application form (PB231)
Use this form to apply for initial PBS subsidised treatment with idelalisib for chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL).
Download and complete the Chronic lymphocytic leukaemia, small lymphocytic lymphoma - idelalisib initial PBS authority application form.
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Page last updated: 13 July 2021
This information was printed 28 November 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb231. 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.