Home Infusion Plans of Treatment

To refer a patient, please choose the appropriate plan of treatment from the list below and fax to 1‐888-417-3658, or call 1‐800‐809‐1265 for assistance. Providers can also submit a plan of treatment electronically using the “Upload POTs/Referral Docs” button below.

• Anti-Infective (Antibiotics, Antivirals, and Antifungals) Plan of Treatment
• Antiemetic Plan of Treatment
• Generic Standard Plan of Treatment
• Home Infusion Standing Order
• Hydration Standard Plan of Treatment
• Immunoglobulin (IVIG) Plan of Treatment
• Infliximab Dermatology Plan of Treatment
• Infliximab Gastroenterology Plan of Treatment
• Infliximab Rheumatology Plan of Treatment
• Line Care Standard Plan of Treatment
• Line Care Alteplase (Cathflo Activase) Standard Plan of Treatment
• Physician Verbal Order DWO
• Radicava Standard Plan of Treatment
• Solumedrol (Methylprednisolone) Plan of Treatment
• Sub-Q Standard Plan of Treatment
• TPN Plan of Treatment
• Tzield Plan of Treatment
• Zemdri Plan of Treatment