Use this form to apply for initial grandfathered PBS subsidised treatment with dupilumab for patients with uncontrolled severe asthma who is/was aged 6 to under 12 years prior to initiating non-PBS subsidised treatment.
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 severe asthma paediatric - dupilumab - initial grandfather authority application form.
This information was printed 13 September 2025 from https://www.servicesaustralia.gov.au/pb386. 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.