Medication Enrollment Forms
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This section is for prescribing practitioners only.
Faxed prescriptions are only accepted from a prescribing practitioner. Patients cannot fax these referral forms to Protera.
Actemra
Avsola
Cerezyme
Evenity
Feraheme
Gammaked
Gamunex-C
Ilumya
Inflectra
Injectafer
Ultomiris
Octagam
Orencia
Prolia
Privigen
Reclast
Remicade
Renflexis
Simponi
Simponi-Aria
Skyrizi
Stelara
Truxima
Tysabri
Venofer
Vyvgart (Efgartigimod alfa-fcab)
Vyvgart-hytrulo
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