Paroxysmal nocturnal haemoglobinuria - iptacopan or pegcetacoplan continuing or returning authority application form (PB344)

Use this form to apply to continue or return to PBS-subsidised treatment with pegcetacoplan for paroxysmal nocturnal haemoglobinuria.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology or need an interpreter.

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.

Download and complete the paroxysmal nocturnal haemoglobinuria - iptacopan or pegcetacoplan continuing or returning authority application form.

Page last updated: 1 November 2025.
QC 63788