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Palmetto Infusion & AccuRX Infusion Center

Palmetto Infusion Services

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Palmetto Infusion Plans of Treatment

To refer a patient, please choose the appropriate plan of treatment from the list below and fax to 1‐866‐872‐8920, 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.

In addition to a signed and dated Plan of Treatment, please provide the following information to expedite the referral process:

  • Diagnosis / ICD-10 diagnosis code
  • Most recent history and physical including:
    • Current / complete medication list
    • Most recent office visit notes
    • Past medical history
    • Tried and failed therapies
    • Allergy history
    • Current height / weight
  • Drugs and dosing schedule, including last dose and next dose due if applicable
  • Most recent lab/test results clinically relevant to therapy. For example: Hep B panel, Calcium and CrCl, PPD Test, etc.
  • Insurance information
Upload POTs/Referral Docs


  • Actemra Plan of Treatment Adult Rheumatology
  • Actemra Plan of Treatment Pediatric Rheumatology
  • Adakveo Plan of Treatment
  • Albumin Standard Plan of Treatment
  • Alpha 1-Antitrypsin Deficiency Standard Plan of Treatment
  • Amvuttra Plan of Treatment
  • Antibiotics (Anti-infective) Standard Plan of Treatment
  • Aredia (pamidronate disodium) Standard Plan of Treatment
  • Avsola Dermatology Plan of Treatment
  • Avsola Gastroenterology Plan of Treatment
  • Avsola Rheumatology Plan of Treatment
  • Benlysta Standard Plan of Treatment
  • Boniva (ibandronate sodium) Standard Plan of Treatment
  • Cabenuva Standard Plan of Treatment
  • Cerezyme Plan of Treatment ICD 10 102215
  • Cimzia Plan of Treatment for Gastroenterology
  • Cimzia Plan of Treatment for Rheumatology
  • Cinqair Plan of Treatment
  • Crysvita Plan of Treatment for Adult Patients
  • Crysvita Plan of Treatment for Pediatric Patients
  • Dalvance Plan of Treatment
  • Elaprase Plan of Treatment ICD 10 102215
  • Entyvio Plan of Treatment
  • Evenity Standard Plan of Treatment
  • Evkeeza Standard Plan of Treatment
  • Fabrazyme Standard Plan of Treatment
  • Fasenra Standard Plan of Treatment
  • Generic or Blank Plan of Treatment
  • Givlaari Plan of Treatment
  • Hydration Standard Plan of Treatment
  • HyQvia Standard Plan of Treatment
  • Ilumya Plan of Treatment
  • Immunoglobulin (IVIG) Plan of Treatment
  • Inflectra Dermatology Plan of Treatment
  • Inflectra Gastroenterology Plan of Treatment
  • Inflectra Rheumatology Plan of Treatment
  • Intralipids Plan of Treatment
  • Iron Standard Plan of Treatment
  • Kimyrsa Standard Plan of Treatment
  • Krystexxa Standard Plan of Treatment
  • Lemtrada Plan of Treatment (Not available in all locations)
  • Leqvio Plan of Treatment
  • Levothyroxine Standard Plan of Treatment
  • Line Care Alteplase (Cathflo Activase) Standard Plan of Treatment
  • Line Care Standard Plan of Treatment
  • Lumizyme Plan of Treatment ICD 10 102215
  • Magnesium Standard Plan of Treatment
  • Nexviazyme Standard Plan of Treatment
  • Nucala Plan of Treatment for Asthma
  • Nucala Plan of Treatment for EGPA
  • Nucala Standard Plan of Treatment for Nasal Polyps
  • Nulojix Standard Plan of Treatment
  • Ocrevus Plan of Treatment
  • Onpattro Plan of Treatment
  • Orbactiv Standard Plan of Treatment
  • Orencia Adult Rheumatology Plan of Treatment
  • Orencia Pediatric Rheumatology Plan of Treatment
  • Prolia Standard Plan of Treatment
  • Radicava Plan of Treatment
  • Reclast (zoledronic acid) Standard Plan of Treatment
  • Remicade Dermatology Plan of Treatment
  • Remicade Gastroenterology Plan of Treatment
  • Remicade Rheumatology Plan of Treatment
  • Renflexis Dermatology Plan of Treatment
  • Renflexis Gastroenterology Plan of Treatment
  • Renflexis Rheumatology Plan of Treatment
  • Riabni Plan of Treatment for GPA-MPA
  • Riabni Plan of Treatment for Rheumatology
  • Rituxan Plan of Treatment for GPA-MPA
  • Rituxan Plan of Treatment for Rheumatology
  • Ruxience Plan of Treatment for GPA-MPA
  • Ruxience Plan of Treatment for Rheumatology
  • Saphnelo Standard Plan of Treatment
  • Simponi ARIA Standard Plan of Treatment
  • Skyrizi Plan of Treatment for Gastroenterology
  • Soliris Plan of Treatment for aHUS
  • Soliris Plan of Treatment for aHUS for Pediatric Patients
  • Soliris Plan of Treatment for Myasthenia Gravis
  • Soliris Plan of Treamtent for NMOSD
  • Soliris Plan of Treatment for PNH
  • Solumedrol (Methylprednisolone) Plan of Treatment
  • Standing Adverse Reaction Orders
  • Stelara Plan of Treatment for Rheumatology and Dermatology
  • Stelara Plan of Treatment for Gastroenterology
  • Tepezza Plan of Treatment
  • Tezspire Plan of Treatment
  • Trogarzo Plan of Treatment
  • Truxima Plan of Treatment for GPA-MPA
  • Truxima Plan of Treatment for Rheumatology
  • Tysabri Standard Plan of Treatment
  • Ultomiris Plan of Treatment
  • Uplizna Plan of Treatment
  • Vimizim Plan of Treatment
  • Vpriv Plan of Treatment
  • Vyepti Plan of Treatment
  • Vyvgart Plan of Treatment
  • Xgeva Plan of Treatment
  • Xolair Standard Plan of Treatment for Asthma
  • Xolair Standard Plan of Treatment for Nasal Polyps
  • Xolair Standard Plan of Treatment for Urticaria
  • Zemdri Plan of Treatment

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Palmetto Infusion & AccuRX Infusion Center
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Our Mission

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our compassionate team of experts deliver a cost-effective and seamless care experience that surpasses all others.

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Palmetto Infusion
800.809.1265
Call Center Hours
Monday – Friday, 8 a.m. – 7 p.m. EST
info@palmettoinfusion.com

AccuRX Infusion Center
888.410.0317
Call Center Hours
Monday – Friday, 7 a.m. – 6 p.m. CST
info@accurxinfusion.com