Send your referral electronically
You can send an electronic referral using our prescriber website MyAccredoPatients.com. Simply register or login and navigate to "Send a Referral" on the dashboard. Once logged in, you will be routed to iAssist, which is Accredo’s electronic referral service. If you are not registered for iAssist, you will be prompted to do so.
Alternatively, if you are unable to send an electronic referral, you can download the PDFs below and send to us via fax.
Required forms for Tracleer® (bosentan):
This medication has REMS requirements. REMS, or Risk Evaluation and Mitigation Strategy, requirements are put in place to ensure the safe use of certain medications with known risks. The requirements aim to minimize the potential risks while allowing patients to access prescribed medications. For more information about the REMS requirements for patient and prescriber enrollment and to access the enrollment forms, please visit the REMS program website.
Complete el siguiente formulario y envíelo por fax al número indicado en el formulario.
Cómo iniciar la terapia para la PAH en su paciente
La hipertensión arterial pulmonar (Pulmonary Arterial Hypertension, PAH) se caracteriza como Grupo 1 de la OMS. The diagnosis of PAH may require confirmation with a complete right heart catherization. La definición hemodinámica actual de PAH es una media de la presión arterial pulmonar mayor que 25 mmHg; una presión de enclavamiento capilar pulmonar o una presión de fin de diástole ventricular izquierda igual o menor que 15 mmHg; y una resistencia vascular pulmonar mayor que 3 unidades Wood.