Order Form

LIBTAYO® (cemiplimab-rwlc)

LIBTAYO® is a prescription medication administered via intravenous infusion and works with your immune system as the first-line to treat certain types of cancer in patients.

For more information, please refer to the LIBTAYO® website, prescribing information, and/or medication guide

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.