Boniva (ibandronate)

  • Postmenopausal Osteoporosis
    • 3mg IV q 3 months
  • Need DEXA with T-score, serum calcium and creatinine


1 – Please open authorization forms (above). Fill out the forms on your computer, save and print.

2 – Open Physician Orders for the office of your choice (above). Save to your computer, print and fill out.

3 – The following tests should be performed and test results faxed to Pacific Infusion before the patient’s first visit: Ibandronate – Serum Calcium and Creatinine, Boniva (ibandronate), DXA report with T-scores of Lumbar Spine/Hip, Serum Calcium and Creatinine

4 – Fax the following to Pacific Infusion Center (310) 297-9222:

ㅤ• Completed and signed forms/order

ㅤ• Copy of the patient’s insurance card(s)

ㅤ• Demographics

ㅤ• OV notes

ㅤ• Tried and failed medications

ㅤ• Labs

ㅤ• Drug Enrollment Forms

5 – After the patient’s infusion appointment, our nurses will fax a copy of the infusion notes to your office.