Severe chronic plaque psoriasis - continuing authority application form (PB113)

Use this form to apply to continue PBS-subsidised treatment with a biological medicine for adult patients with severe chronic plaque psoriasis.

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
  • bimekizumab
  • etanercept
  • guselkumab
  • infliximab
  • ixekizumab
  • risankizumab
  • secukinumab
  • tildrakizumab
  • ustekinumab.

Download and complete the severe chronic plaque psoriasis - continuing authority application form.

Page last updated: 2 May 2024.
QC 21261