📋 Sources: PBS criteria — pbs.gov.au. Clinical overview — Australian Prescriber, Apr 2025. MBS items — MBS Book July 2026. Verified June 2026; criteria change — confirm before prescribing. Reference for health professionals, not prescribing advice.
PBS access, the Authority process, billing and infusion logistics for anti-CGRP treatments. Does not cover dosing, patient selection or comparative choice — those link out.
Reference only — not prescribing advice. PBS criteria for anti-CGRP treatments have changed several times. Verified June 2026. Confirm current criteria at pbs.gov.au, dosing at the TGA PI.
PBS landscape
Class
Route
PBS indication
PBS
Anti-CGRP ligand mAb
SC self-injection (monthly/quarterly)
Chronic migraine; one also HFEM
Listed (Authority)
Anti-CGRP ligand mAb
IV infusion every 12 wk
Chronic migraine
Listed (Authority)
Anti-CGRP receptor mAb
SC self-injection (monthly)
TGA-approved, migraine
Not listed
Class-level, not brand-specific. Gepants: PBS status varies — verify at pbs.gov.au.
✅ Authority readiness checklist
Tap to mark off as you go. Based on published PBS criteria — confirm current wording at pbs.gov.au before applying.
0 of 6 documented
Diagnosis documented: chronic migraine (≥15 headache days/month, ≥8 migraine days, >6 months) or HFEM (8–14 migraine headache days/month) per ICHD-3
Headache diary reviewed: frequency, migraine vs non-migraine days, duration documented
≥3 oral preventives tried: documented inadequate response / intolerance / contraindication for each
Medication overuse headache: assessed and addressed (or not present)
Neurologist consultation: documented (name, date) — meets the "in consultation with" requirement
SC self-injection — first-dose training in a consult; patient self-administers at home.
IV infusion — consult + private infusion fee, same as GP IV iron. No separate MBS item for the infusion component.
MBS items verified MBS Book July 2026. If your practice already runs iron infusions, the infrastructure is largely in place — the additional step is the product-specific infusion protocol (see TGA PI).
Not covered here — clinical decisions for you and the source documents: