Relapsed or refractory mediastinal B-Cell lymphoma – pembrolizumab initial grandfather PBS authority application form (PB297)

Use this form to apply for initial grandfather Pharmaceutical Benefits Scheme (PBS) subsidised treatment with pembrolizumab for relapsed or refractory mediastinal B-Cell lymphoma.

Download and complete the Relapsed or refractory mediastinal B-Cell lymphoma - pembrolizumab initial grandfather PBS authority application form.

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Page last updated: 1 September 2020