Glioblastoma - initial grandfather PBS authority application form (PB274)

Use this form to apply for initial grandfather PBS subsidised bevacizumab treatment for glioblastoma.

Download and complete the Glioblastoma initial grandfather PBS authority application form.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

You can upload or complete this form online through HPOS. Read more about form upload in HPOS.

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Page last updated: 20 February 2020