Ulcerative colitis adult - change or recommencement authority application form (PB245)

Use this form to apply to change or recommence PBS-subsidised treatment with a biological medicine for adult patients with moderate to severe ulcerative colitis or etrasimod for patients with moderate to severe ulcerative colitis.

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:

  • adalimumab
  • etrasimod
  • golimumab
  • infliximab
  • ozanimod
  • tofacitinib
  • upadacitinib
  • ustekinumab
  • vedolizumab.

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

Download and complete the ulcerative colitis adult - change or recommencement authority application form.

Page last updated: 1 April 2025.
QC 45981