- Postmenopausal women with osteoporosis at high risk for fracture
- 210 mg SC every month for 12 months
- Need past and present DEXA report with T-score, serum Ca++ and creatine
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 – Need past and present DXA report with T-score of spine and hip, documentation of any fracture of vertebrae, hip, femur, tibia, forearm, humerus. Serum Ca++ and creatinine.
4 – Send list of medications tried and failed.
5 – 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• OV notes
ㅤ• Tried and failed medications
ㅤ• Drug Enrollment Forms
6 – After the patient’s infusion appointment, our nurses will fax a copy of the infusion notes to your office.