Order Form

APRETUDE (cabotegravir)

APRETUDE is intramuscular injection indicated for at-risk adults and adolescents weighing at least 35 kg for PrEP, administered every month for 2 doses then given every 2 months thereafter to reduce the risk of sexually acquired HIV-1 infection.

For more information, please refer to the APRETUDE website and/or prescribing information.

Note: Please speak with your healthcare provider for more information if you think this therapy might be right for you.

How do I make a referral or transition my treatment to Infusion Associates?

Customized Care

1. Ask your healthcare provider to fax us a completed order form for your medication, clinical notes, demographics and your insurance card to (833) 957-2188.

2. Providers can find order forms on our medications page.

On Staff Pharmacist

3. One of our intake specialists will contact your healthcare provider to confirm receipt of your referral.

4. We will then verify benefits, obtain any required prior authorizations, and contact you to schedule an appointment.