Non-small cell lung cancer – initial grandfather PBS authority application form (PB262)
Use this form to apply for initial grandfather PBS subsidised treatment with crizotinib for Stage IIIB (locally advanced) or Stage IV (metastatic) non-small cell lung cancer.
Download and complete the Non-small cell lung cancer – initial grandfather PBS authority application form.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
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Page last updated: 3 February 2020