Application to list or modify price of a product on the RSPB
Form ID
D9173
Audience
For providers
Pharmacist
Use this form to request modification to the price of a Concessional medicines under the RPBS product.
If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.
How can I access this form?
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Form (PDF or Word)