Ulcerative colitis - adult change or recommencement PBS authority application form (PB245)

Use this form to apply for changing or recommencing PBS subsidised biological agent treatment for an adult patient with ulcerative colitis.

Download and complete the Ulcerative colitis - adult change or recommencement 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: 4 March 2020