Pulmonary arterial hypertension – initial grandfather dual therapy PBS authority application form (PB301)
Use this form to apply for initial grandfather PBS subsidised dual therapy treatment with a combination of an endothelin receptor antagonist (ERA) and a phosphodiesterase-5 inhibitor (PDE-5i).
Download and complete the Pulmonary arterial hypertension – initial grandfather dual therapy PBS authority application form.
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Page last updated: 1 December 2020
This information was printed 12 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb301. 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.