Cystic fibrosis - tezacaftor+ivacaftor continuing PBS authority application form (PB287)

Use this form to apply for continuing PBS subsidised treatment with tezacaftor+ivacaftor for cystic fibrosis.

Download and complete the Cystic fibrosis - tezacaftor+ivacaftor continuing PBS authority application form.

This form is for patients aged 12 and older.

PBS is the Pharmaceutical Benefits Scheme.

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

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 8 September 2020