Non-radiographic axial spondyloarthritis – initial grandfather PBS authority application form (PB258)
Use this form to apply for initial grandfather PBS subsidised treatment with certolizumab pegol for non-radiographic axial spondyloarthritis.
Download and complete the Non-radiographic axial spondyloarthritis – initial grandfather PBS authority application form.
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Page last updated: 1 June 2020
This information was printed 15 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb258. 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.