Choose Nufactor
Referring Your Patient is Easy
Refer your patient today and our admissions staff will ensure your patient has all the forms and information needed to onboard with Nufactor. Our process is easy and seamless. Download and submit your completed form by faxing it to (855) 270-7347.
Bleeding Disorder
Eculizumab (Soliris®) Form
HyQvia®
Infliximab (Inflectra®, Remicade®, Renflexis®) / Golimumab (Simponi Aria®)
Intravenous Immune Globulin (IVIG)
Plasminogen (Ryplazim®)
Rituximab (RTX)
Subcutaneous Immune Globulin (SCIG)
Tetrabenazine
VTAMA®
YCANTH® (cantharidin) Topical Solution 0.7%
Other Forms
Questions
Talk with us today about referring a patient. Call us at (800) 323-6832 or send an email to [email protected] and we will be more than happy to help you through the process.
