Severe asthma - adolescent and adult - continuing authority application form (PB076)

Use this form to apply to continue PBS-subsidised treatment with a biological medicine for patients 12 years or over with uncontrolled severe asthma.

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.

Biological medicine refers to:

  • benralizumab
  • dupilumab
  • mepolizumab
  • omalizumab.

Please note: You don’t need to complete this form if you use the Online PBS Authorities system.

Download and complete the severe asthma - adolescent and adult - continuing authority application form.

Page last updated: 4 February 2025.
QC 20961