Cystic fibrosis - lumacaftor+ivacaftor initial PBS authority application form (PB243)

Use this form to apply for initial PBS subsidised treatment with lumacaftor+ivacaftor for cystic fibrosis.

Download and complete the Cystic fibrosis - lumacaftor+ivacaftor initial PBS authority application form.

This form is for patients aged 2 and above.

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: 20 February 2020