RITUXAN® (Rituximab)
Rituximab for Rheumatoid Arthritis Order Form
Rituximab for Pemphigus Vulgaris Order Form
Rituximab for GPA/MPA Order Form
Rituximab Generic Order Form

RITUXAN® (rituximab)

RITUXAN® is used to treat several medical conditions in adult patients — including non-Hodgkin’s lymphoma (NHL), chronic lymphocytic leukemia (CLL), rheumatoid arthritis (RA), pemphigus Vulgaris (PV), granulomatosis with polyangiitis (GPA), and microscopic polyangiitis (MPA). The dosage will vary depending on the condition being treated.

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.