Fistulising Crohn's disease - initial or recommencement (treatment break greater than 5 years) authority application form (PB092)

Use this form to apply for initial or recommencing PBS-subsidised treatment with a biological medicine for complex refractory fistulising Crohn's disease, where the treatment break is more than 5 years.

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.

Biological medicine refers to adalimumab, infliximab and ustekinumab.

Please note: You don’t need to complete this form if you use the Online PBS Authorities system.

Download and complete the fistulising Crohn’s disease - initial or recommencement (treatment break greater than 5 years) authority application form.

Page last updated: 1 December 2025.
QC 20811