West Michigan Infusion Orders
Services
Abatacept (Orencia®) - Adult (PDF)
Abatacept (Orencia) - Pediatric (PDF)
Adalimumab (Humira®) - Adult (PDF)
Albumin for Solid Organ Transplant - Adult (PDF)
Alemtuzumab (Campath) For Chronic Lung Allograft Dysfunction (CLAD) - Adult (PDF)
Alpha 1 - Proteinase Inhibitor Infusion (Prolastin C Zemaira) - Adult (PDF)
Alglucosidasa Alfa (Lumizyme®) - Pediatric (PDF)
Central Line Dressing Change/Labs - Adult, Outpatient (PDF)
Certolizumab (Cimzia®) - Adult (PDF)
Chemotherapy Porfimer (Photofrin®) for Photodynamic Therapy - Adult (PDF)
Cosyntropin (ACTH) Stimulation Test - Adult (PDF)
Cyanocoblamin (Vitamin B-12) - Adult (PDF)
Cyclophosphamide (Cytoxan) Non-Oncology - Adult (PDF)
Cytomegalovirus Immune Globulin Human (Cytogam) - Adult (PDF)
Cytomegalovirus Immune Globulin Human (Cytogam) - Pediatric (PDF)
Ibandronate (Boniva®) - Adult (PDF)
Idursulfase (Elaprase®) - Pediatric (PDF)
Immune Globulin Intravenous (IVIG) Infusion - Adult (PDF)
Immune Globulin Intravenous (IVIG) Infusion - Pediatric (PDF)
Inclisiran Sodium (Leqvio) - Adult (PDF)
Infliximab (Renflexis®/Inflectra®/Remicade®) - Adult (PDF)
Infliximab (Renflexis®/Inflectra®/Remicade®) - Pediatric (PDF)
Rabies Post Exposure Vaccination Series - Adult (PDF)
Rabies Post Exposure Vaccination Series - Pediatric (PDF)
Resilizumab (Cinqair®) - Pediatric (PDF)
Rho(D) Immune Globulin (HyperRHO S.D) - Adult (PDF)
Rituximab (Ruxience, Truxima, Rituxan) - Adult (Weekly x4) (PDF)
Rituximab (Ruxience,Truxima, Rituxan) - Adult (Every 14 Days x2) (PDF)
Rituximab (Ruxience, Truxima, Rituxan) - Pediatric (PDF)
Taliglucerase Alfa (Elelyso™) - Pediatric (PDF)
Teprotumumab (Tepezza) - Adult (PDF)
Testosterone Cypionate - Adult (PDF)
Therapeutic Phlebotomy - Adult (PDF)
Tildrakizumab-Asmn (Ilumya™) - Adult (PDF)
Tocilizumab (Actemra) - Pediatric (PDF)
Tocilizumab (Acetmra®) Infusion (Antirheumatic Dosing) - Adult (PDF)