Entyvio (vedolizumab) [Takeda]

  • Ulcerative Colitis & Crohn’s Disease
    • 300mg IV at Weeks 0, 2 and 6, then q 8 weeks
  • Need patient up to date with all immunizations
  • Needs PPD or QuantiFERON


  1. Please open authorization forms at left. Fill out the forms on your computer, save and print.
  2. Open Physician Orders for the office of your choice (at left). Save to your computer, print and fill out.
  3. Fax the following to Pacific Infusion Center (310) 297-9222:
    • Completed and signed forms/order
    • Copy of the patient’s insurance card(s)
    • Demographics
    • OV notes
    • Tried and failed medications
    • Labs
    • Drug Enrollment Forms
  4. After the patient’s infusion appointment, one of our nurses will fax a copy of the infusion notes to your office.