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.
Acthar Gel
Alopecia Areata
Ankylosing Spondylitis
Asthma/Respiratory
Biosimilar-Adalimumab
Atopic Dermatitis
Dermatology
Endocrine Disorders
Gastrointestinal
Gout
Hemophilia
Hepatitis C
Immune Globulin (IG)
Juvenile Idiopathic Arthritis
Methotrexate
Miscellaneous Immunology
Miscellaneous Therapy
Multiple Sclerosis
Oncology
Ophthalmology
Osteoarthritis
Osteoporosis
Psoriatic Arthritis
Rheumatology
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