You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
You can upload this form in HPOS.
Please note: You don’t need to complete this form if you use the Online PBS Authorities system.
You can apply for dual or triple therapy PAH treatment with either:
- one endothelin receptor antagonist (ERA) and one prostanoid
- one ERA and one phosphodiesterase-5 inhibitor (PDE-5i)
- one PDE-5i and one prostanoid
- one ERA, one PDE-5i and one prostanoid.
Download and complete the pulmonary arterial hypertension - initial dual or triple therapy authority application form.