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Transplant Support Therapies

MedRx Infusion supplies supportive therapies for patients having a blood stem cell or liver transplant, each for a use on its FDA label. MedRx also provides IV antibiotics and parenteral nutrition for infusion at home.

What does a transplant specialty pharmacy provide?

A transplant specialty pharmacy supplies the medications a patient needs around a transplant and coordinates their coverage, delivery and administration. MedRx Infusion Clinical Pharmacy, a specialty pharmacy and home infusion pharmacy serving 43 states, the District of Columbia and Puerto Rico, fills these therapies on the transplant team's prescription and arranges nursing for infusions given at home.

The labels distinguish two kinds of transplant. A blood stem cell transplant (hematopoietic stem cell transplant, HSCT), which includes a bone marrow transplant, replaces the cells that make blood. A solid organ transplant replaces an organ, such as the liver.

Transplant medications MedRx dispenses, by condition

Four of these label uses concern blood stem cells or a bone marrow transplant; one concerns a liver transplant.

  • Collecting the patient's own stem cells: Neupogen (filgrastim), a growth factor that moves blood stem cells from the bone marrow into the blood, so they can be collected from the blood (leukapheresis) for later treatment.
  • Low white blood cell counts after a bone marrow transplant: Neupogen, for patients with non-myeloid cancers (cancers that do not start in the bone marrow) given very high-dose chemotherapy followed by the transplant.
  • Preventing Candida infections in a stem cell transplant: micafungin, an IV echinocandin antifungal, for adults and children 4 months and older.
  • Preventing acute graft-versus-host disease in a stem cell transplant: Orencia (abatacept), intravenously, for adults and children 2 years and older receiving cells from a matched or 1-allele-mismatched unrelated donor, with a calcineurin inhibitor and methotrexate. In this disease, donor immune cells attack the patient's body.
  • Chronic hepatitis C after a liver transplant (solid organ): Harvoni (ledipasvir and sofosbuvir), taken by mouth with ribavirin, for adults and children 3 years and older with genotype 1 or 4, without cirrhosis or with compensated cirrhosis.

MedRx's transplant formulary also covers IV antibiotics at home and parenteral nutrition (TPN) when the gut cannot supply enough nutrition. The prescriber determines which therapy is appropriate.

Where the medication is given

Neupogen, micafungin and Orencia are given intravenously by a healthcare professional. When the prescriber approves home therapy, MedRx sends a skilled, trusted and licensed nurse from an accredited nursing agency to administer the infusion, monitor the patient and care for the IV catheter. Neupogen also comes as a subcutaneous injection the patient or a caregiver can give after training. Harvoni is taken by mouth.

The prescriber determines where each dose is given: at home, in a clinic or in the hospital.

How to refer a transplant patient

  1. The transplant team or prescriber's office sends the prescription by fax or phone, or through Quick Referral, together with the latest clinical notes and lab results.
  2. MedRx's intake team confirms benefits and obtains any prior authorization the plan requires.
  3. A MedRx pharmacist reviews the prescription and monitors for drug interactions.
  4. Medication and infusion supplies are delivered to the patient's door at no charge. Next-day delivery is available; timing varies by location.
  5. A MedRx pharmacist is available 24 hours a day, 7 days a week.

Insurance and cost

Coverage of transplant-related medications depends on the plan, the medication and the use. MedRx's intake team checks benefits and secures any prior authorization before the first delivery. If out-of-pocket costs stand in the way, MedRx helps the patient apply for copay assistance, grant funding and manufacturer programs such as Amgen SupportPlus for Neupogen, Orencia On Call and Gilead Support Path for Harvoni.

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 43 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 transplant support therapies

01What does a transplant specialty pharmacy do?

A transplant specialty pharmacy supplies the medications a patient needs around a transplant and handles their coverage, delivery and administration. MedRx Infusion fills supportive therapies on the transplant team's prescription and arranges nurses for infusions at home.

02Which transplant medications does MedRx dispense?

MedRx Infusion dispenses Neupogen, micafungin, Orencia and Harvoni for the transplant uses on their FDA labels, plus IV antibiotics and parenteral nutrition for home infusion. The uses of Neupogen, micafungin and Orencia concern blood stem cells or a bone marrow transplant; Harvoni's follows a liver transplant.

03Can transplant support therapies be given at home?

Some can, when the prescriber approves. A nurse from an accredited nursing agency can give Neupogen, micafungin and Orencia infusions at home, and Harvoni is taken by mouth. The transplant team decides where each dose is given.

04Does insurance cover transplant support medications?

Coverage varies with the plan, the medication and the use. MedRx confirms benefits and secures any required authorization before delivery, and helps eligible patients with copay assistance.

Medications we fill

Each has its own page: what it is approved for, how it is given, and how to start. See every medication we fill.

Send a referral

Intake handles benefits investigation, prior authorization and scheduling.

Send a referral

Phone

(844) 671-2600

Speak with an intake coordinator

Fax

(844) 671-2601

Send a completed referral form

Forms

Referral forms

Specialty-specific PDFs