Early HER2 positive breast cancer – initial grandfather PBS authority application form (PB290)
Use this form to apply for initial grandfather PBS subsidised treatment with trastuzumab emtansine for early HER2 positive breast cancer.
Download and complete the Early HER2 positive breast cancer initial grandfather PBS authority application form.
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Page last updated: 1 April 2020
This information was printed 15 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb290. 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.