Paroxysmal nocturnal haemoglobinuria - iptacopan or pegcetacoplan - initial grandfather authority application form (PB345)

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

Page last updated: 2 December 2025.
QC 63789