Prescribing and Referral Resources

Prescribing provider-administered medications can seem as complex as the medications themselves. We understand that much more information is required than can fit on a traditional prescription pad. To help with this, we have developed materials to help facilitate safe and efficient referrals for infusion therapies. These resources can be downloaded and used as-is or used as a template to create customized facility-specific resources.*

Medication-Specific Resources

Krystexxa® (pegloticase)

Patient Education:

Uplizna® (inebilizumab-cdon)

Patient Education:

*We encourage you to print, copy, distribute, transmit, and otherwise use these materials; however, we ask that you credit NICA and/or the Infusion Access Foundation (IAF) appropriately. If materials/content are modified in any way, the NICA logo must be removed and attribution for content given as follows: “Adapted from materials developed by the National Infusion Center Association [or Infusion Access Foundation, as appropriate].”