Severe chronic plaque psoriasis change or recommencement or demonstration of response PBS authority application form (PB263)
Use this form to apply for changing or recommencing PBS subsidised biological agent treatment. This is for adult patients with severe chronic plaque psoriasis.
Download and complete the Severe chronic plaque psoriasis - change or recommencement PBS authority application form.
PBS is the Pharmaceutical Benefits Scheme.
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