Rheumatoid arthritis change or recommencement or demonstration of response PBS authority application form (PB247)

Use this form to apply for change or recommencing PBS subsidised treatment with biological agents for severe active rheumatoid arthritis.

Download and complete the Rheumatoid arthritis change or recommencement or demonstration of response PBS authority application form.

Biological agents refers to all of the following:

  • abatacept
  • adalimumab
  • baricitinib
  • certolizumab
  • etanercept
  • golimumab
  • infliximab
  • rituximab
  • tocilizumab
  • tofacitinib
  • upadacitinib.

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: 1 May 2020