How to Refer a Patient
A prescriber's office refers a patient to MedRx Infusion by phone, by fax or with the form on Quick Referral. This page lists what a complete referral contains, what the intake team does with it, and how MedRx supports the prior authorization.
Three ways to send a referral
- By phone. Call (844) 671-2600. An intake coordinator takes the referral and tells the office what to send.
- By fax. Complete the specialty referral form and fax it with the documents below.
- Fax: (844) 671-2601
- With the form on [Quick Referral](/quick-referral). The Online Form runs in the browser, matches the diagnosis code to MedRx's formulary and offers the labeled products, and prints as one page to sign and fax. Nothing typed into it leaves the browser.
The 15 specialty referral forms, from immunoglobulin to dermatology, are on Quick Referral as PDFs. Each one asks for the information intake needs for that specialty.
What to send
A complete referral lets intake start the benefits check and the prior authorization without a second request to the office. Send:
- The signed specialty referral form, or a signed prescription with the diagnosis, the medication, the dose and the duration of therapy.
- The patient's last visit note.
- Recent lab results.
- The patient's insurance details, front and back of each card, including any secondary plan.
- The patient's demographics, with height and weight.
- Any screening the medication's label asks for before the first dose, listed on the medication's page under "Before starting".
What intake does with the referral
- Confirms the referral with the office and contacts the patient.
- Verifies benefits and explains the coverage to the patient.
- Obtains prior authorization where the plan requires it, submitting the office's documents and following up with the plan.
- Pharmacist review. A MedRx clinical pharmacist reviews the prescription, checks for interactions and works with the prescriber on the plan of care.
- Delivery. The medication, supplies and any pump are delivered to the patient's home at no charge, or to the prescriber's office when the office administers the dose. Next-day delivery is available; timing varies by location.
- Nursing. For an infusion at home, MedRx arranges a nurse from an accredited nursing agency in the patient's state to administer it, monitor the patient and care for the IV line. For a self-injected medication, the nurse or the pharmacist trains the patient or a caregiver.
- Reports back. The office hears from intake when the authorization is decided and when therapy starts, and the pharmacist communicates the patient's progress to the referring prescriber.
Prior authorization support
MedRx's intake team submits the prior authorization and follows up with the plan; the office's part is to send the documents above, sign what the plan requires and answer the plan's requests for more information. When the plan approves the medication but the copay is more than the patient can manage, MedRx helps the patient apply for copay assistance, foundation grants and the manufacturer's program named on the medication page. Insurance and prior authorization explains the process, the plans MedRx works with and what Medicare covers for infusion at home.
Where the patient is treated
The prescriber decides where each dose is given. MedRx delivers to the patient's home and arranges the nurse, or delivers to the prescriber's office for administration there. MedRx is licensed in 44 states, the District of Columbia and Puerto Rico, and arranges nurses in each; Where We Serve has the page for each state.
Support around the clock
A MedRx pharmacist is on call 24 hours a day, 7 days a week, for the office and the patient, on (844) 671-2600. The pharmacist monitors the therapy at home and reports to the referring prescriber.
Key facts
- Organization
- MedRx Infusion Clinical Pharmacy
- What we do
- A home infusion pharmacy and specialty pharmacy, with infusion nurses who visit patients at home and a pharmacist on call 24 hours a day, 7 days a week.
- Where
- Pharmacy at 417 N Oak St, Inglewood, CA 90302. Licensed in 44 states, the District of Columbia and Puerto Rico. See every place we serve
- Accreditation
- URAC (Specialty Pharmacy) and ACHC (Accreditation Commission for Health Care).
- Phone, 24 hours
- (844) 671-2600
- Fax
- (844) 671-2601
Accurate as of
Questions about referring a patient
01Who can refer a patient to MedRx?
Any licensed prescriber's office: physicians, nurse practitioners and physician assistants, in private practice, a clinic or a hospital, including discharge planners acting for the prescriber. A patient who wants to start with MedRx asks the prescriber's office to send the referral, or leaves their details on Connect with Us and the intake team contacts the office.
02Is the specialty referral form required?
No, but it is the fastest route: each form asks for what intake needs for that specialty. A signed prescription with the diagnosis, the medication, the dose and the duration, sent with the documents under "What to send", also works, and the referral can be given by phone.
03Does MedRx deliver to the prescriber's office?
Yes. When the office administers the dose, MedRx delivers the medication and supplies to the office instead of the patient's home. Delivery is free, and next-day delivery is available.
04What part of Medicare covers home infusion?
Medicare Part B covers home infusion equipment and supplies as durable medical equipment and the infusion services needed to give certain intravenous or subcutaneous drugs at home; it also covers certain drugs infused through covered equipment such as a pump. Part D covers many drugs that Part B does not. Insurance and prior authorization sets out both, with the CMS sources.
05How does a patient get set up for home infusion?
The prescriber's office sends the referral; MedRx's intake team confirms it, checks benefits and obtains prior authorization; a pharmacist reviews the prescription; the medication and supplies are delivered to the home; and a nurse MedRx arranges gives the first infusion when the prescriber orders home administration. Getting started with MedRx walks the patient through the same steps.
06What happens after the referral is received?
An intake coordinator contacts the office and the patient, verifies benefits and starts the prior authorization. The office hears back when the plan decides and when therapy starts. A referral with the visit note, lab results, insurance details and demographics attached needs no second request from intake.
Send a referral
Intake handles benefits investigation, prior authorization and scheduling.
Send a referralFax
(844) 671-2601
Send a completed referral form