Use this form to apply for initial (induction) PBS-subsidised inotuzumab ozogamicin treatment for acute lymphoblastic leukaemia.
You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
Please note: You don’t need to complete this form if you use the Online PBS Authorities system.
Download and complete the acute lymphoblastic leukaemia - inotuzumab ozogamicin - initial (induction) authority application form.
This information was printed 27 March 2026 from https://www.servicesaustralia.gov.au/pb269. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.