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Sapropterin for BH4 deficiency Initial and continuing PBS authority application 2026
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How to use or fill out Sapropterin for BH4 deficiency Initial and continuing PBS authority application
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the patient's details, including their Medicare card number and personal information such as name and date of birth. Ensure all entries are in BLOCK LETTERS.
- Indicate whether this application is for initial treatment or continuing treatment by marking the appropriate box.
- Fill in the patient's weight and required dose, ensuring accuracy as this information is critical for eligibility.
- Complete the prescriber’s details section, including your prescriber number and contact information. Make sure to sign and date the declaration at the end of the form.
- Attach all relevant pathology reports along with a completed authority prescription form before submitting your application.
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| Versions | Form popularity | Fillable & printable |
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| 2015 | 4.8 Satisfied (231 Votes) |
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by O Aubi 2021 Cited by 32 Improved metabolic control in tetrahydrobiopterin (BH4), responsive phenylketonuria with sapropterin administered in two divided doses vs. a single daily dose.
sapropterin supplementation reduced mean blood Phe even further to 396 M, just above the target lifelong treatment threshold for humans with PKU277.