/ Southeast Michigan
Antibiotic prescription (PDF)
Blank therapy plan - Adult (PDF)
Cortrosyn simulation test (PDF)
Cytoxan non-oncological prescription (PDF)
Denosumab (Prolia®) - Adult (PDF)
Endocrinology prescription (PDF)
Ferric carboxymaltose (Injectafer®) - Adult (PDF)
Ferric gluconate (Ferrlecit®) - Adult (PDF)
Gastroenterology prescription (PDF)
Hydration with optional antiemetics - Adult (PDF)
Immunology prescription (PDF)
Iron dextran (Infed) - Adult (PDF)
Iron sucrose (Venofer) - Adult (PDF)
Nephrology prescription (PDF)
Neurology prescription (PDF)
Omalizumab (Xolair) and Mepolizumab (Nucala) (PDF)
Rheumatology prescription (PDF)
Solumedrol (PDF)
Therapeutic phlebotomy (PDF)
Zoledronic acid (Reclast®) - Adult (PDF)