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
This information was printed 16 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb274. 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.