Acute lymphoblastic leukaemia - blinatumomab initial grandfather PBS authority application form (PB280)
Use this form to apply for initial grandfather PBS subsidised blinatumomab treatment for acute lymphoblastic leukaemia.
Download and complete the Acute lymphoblastic leukaemia - blinatumomab initial grandfather 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/pb280. 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.