OCREVUS (Ocrelizumab)
Order Form

OCREVUS (ocrelizumab)

OCREVUS is a prescription medicine that treats relapsing forms of multiple sclerosis (MS) — including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease — and primary progressive MS in adults.

Read the full Prescribing Information and Medication Guide for OCREVUS and discuss any questions you have with your doctor.

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.