Request for prescriber bag supplies order book form (PB157)

Use this form to order the Prescriber bag supplies order book to get some PBS medicines to give to patients for emergency use if you are an eligible prescriber.

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.

We will only accept typed prescription order forms. We will return handwritten, incomplete or poor quality forms to the prescriber.

Download and complete either the Word or PDF version of the:

PBS is the Pharmaceutical Benefits Scheme.

Page last updated: 7 December 2023.
QC 21556