Narcolepsy without cataplexy - armodafinil or modafinil initial authority application form (PB104)

Use this form to apply for initial PBS subsidised treatment with armodafinil or modafinil for narcolepsy without cataplexy.

Download and complete the narcolepsy without cataplexy – armodafinil or modafinil initial authority application form.

PBS is the Pharmaceutical Benefits Scheme.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

You can upload this form in HPOS.

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Page last updated: 11 April 2022