Use this form to apply for initial grandfathered PBS-subsidised treatment with iptacopan 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.
Download and complete the paroxysmal nocturnal haemoglobinuria - iptacopan - initial grandfather authority application form.
This information was printed 1 November 2025 from https://www.servicesaustralia.gov.au/pb345. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.