Cerezyme® (Imiglucerase)
Order Form

CEREZYME (imiglucerase)

Cerezyme is administered through intravenous infusion. The dosage and frequency will depend on the patient’s weight and the severity of Gaucher disease. The most common schedule takes place bi-weekly and is usually about 60 units per kg of body weight.

Please refer to the full 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?

1. Ask your healthcare provider to fax us a completed order form for your medication, clinical notes, demographics and your insurance card to (833) 996-4888.

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

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.