Paroxysmal nocturnal haemoglobinuria - eculizumab or ravulizumab - initial grandfather authority application form (PB329)

Use this form to apply for initial grandfathered PBS-subsidised treatment with eculizumab or ravulizumab for paroxysmal nocturnal haemoglobinuria.

Page last updated: 1 November 2025.
QC 62061