Short bowel syndrome with intestinal failure subsequent continuing PBS authority application form (PB279)
Use this form to apply for subsequent continuing PBS subsidised teduglutide treatment for short bowel syndrome with intestinal failure.
Download and complete the Short bowel syndrome with intestinal failure subsequent continuing PBS authority application form.
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Page last updated: 8 September 2020
This information was printed 15 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb279. 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.