Skip to primary navigation Skip to footer LOCATIONS CONTACT CAREERS 800.809.1265 PAY BILL Palmetto Infusion Services Plans of Treatment Palmetto Infusion Plans of Treatment To refer a patient, please choose the appropriate plan of treatment from the list below and fax to 1‐866‐872‐8920, or call 1‐800‐809‐1265 for assistance. Providers can also submit a plan of treatment electronically using the “Upload POTs/Referral Docs” button below. Upload POTs/Referral Docs Actemra Pediatric Rheumatology Plan of Treatment Actemra Plan of Treatment Adult Rheumatology Adakveo Plan of Treatment Aduhelm Plan of Treatment Albumin Standard Plan of Treatment Alpha 1-Antitrypsin Deficiency Standard Plan of Treatment Antibiotics (Anti-infective) Standard Plan of Treatment Antiemetic Standard Plan of Treatment Aredia (pamidronate disodium) Standard Plan of Treatment Avsola Dermatology Plan of Treatment Avsola Gastroenterology Plan of Treatment Avsola Rheumatology Plan of Treatment Avsola Standard Plan of Treatment Benlysta Standard Plan of Treatment Boniva (ibandronate sodium) Standard Plan of Treatment Cabenuva Standard Plan of Treatment Cerezyme POT ICD 10 102215 Cimzia Plan of Treatment for Gastroenterology Cimzia Plan of Treatment for Rheumatology Cinqair Plan of Treatment Crysvita Plan of Treatment for Adult Patients Crysvita Plan of Treatment for Pediatric Patients Cytoxan (Cyclophosphamide) Plan of Treatment Dalvance Plan of Treatment Detail Written Order Elaprase POT ICD 10 102215 Entyvio Gastroenterology Plan of Treatment Evenity Standard Plan of Treatment Fabrazyme Standard Plan of Treatment Fasenra Standard Plan of Treatment Generic or Blank Plan of Treatment Givlaari Plan of Treatment Hydration Standard Plan of Treatment HyQvia Standard Plan of Treatment Ilumya Plan of Treatment Immunoglobulin Subcutaneous Standard Plan of Treatment Immunogobulin (IVIG) Plan of Treatment Inflectra Dermatology Plan of Treatment Inflectra Gastroenterology Plan of Treatment Inflectra Rheumatology Plan of Treatment Inflectra Standard Plan of Treatment Intralipids Iron Standard Plan of Treatment Krystexxa Standard Plan of Treatment Krystexxa Monitoring Protocol and Pre-infusion Medications Lemtrada Plan of Treatment Levothyroxine Standard Plan of Treatment Line Care Alteplase (Cathflo Activase) Standard Plan of Treatment Line Care for Dialysis or Hemapheresis Catheter Plan of Treatment Line Care Standard Plan of Treatment Lumizyme POT ICD 10 102215 Magnesium Standard Plan of Treatment Nucala Plan of Treatment for EGPA Nucala Standard Plan of Treatment Nucala Standard Plan of Treatment for Nasal Polyps Nulojix Standard Plan of Treatment Ocrevus Plan of Treatment Onpattro Plan of Treatment Orbactiv Standard Plan of Treatment Orencia Adult Rheumatology Plan of Treatment Orencia Pediatric Rheumatology Plan of Treatment Physician Verbal Order DWO Prolia Standard Plan of Treatment Radicava Plan of Treatment Reclast (zoledronic acid) Standard Plan of Treatment Remicade Dermatology Plan of Treatment Remicade Gastroenterology Plan of Treatment Remicade Rheumatology Plan of Treatment Remicade Standard Plan of Treatment Renflexis Plan of Treatment for Dermatology Renflexis Plan of Treatment Gastroenterology Renflexis Plan of Treatment for Rheumatology Renflexis Standard Plan of Treatment Rituxan Plan of Treatment for GPA or MPA Rituxan Plan of Treatment for Rheumatology Ruxience Standard Plan of Treatment for GPA or MPA Ruxience Plan of Treatment for Rheumatology Saphnelo Standard Plan of Treatment Simponi ARIA Standard Plan of Treatment Skyrizi Plan of Treatment Soliris Plan of Treatment for aHUS Soliris Plan of Treatment for aHUS for Pediatric Patients Soliris Plan of Treatment for Myasthenia Gravis Soliris Plan of Treamtent for NMOSD Soliris Plan of Treatment for PNH Solumedrol (Methylprednisolone) Plan of Treatment Standing Adverse Reaction Orders Stelara Plan of Treatment for Dermatology Stelara Plan of Treatment for Dermatology/Rheumatology Stelara Plan of Treatment for Gastroenterology Tepezza Plan of Treatment TPN Plan of Treatment Trogarzo Plan of Treatment Truxima Plan of Treatment for GPA or MPA Truxima Plan of Treatment for Rheumatology Tysabri Plan of Treatment for Crohn’s Disease Tysabri Standard Plan of Treatment Tysabri Plan of Treatment for Multiple Sclerosis Ultomiris Plan of Treatment Uplizna Plan of Treatment Vimizim Plan of Treatment Vpriv Plan of Treatment Vyepti Plan of Treatment Xolair Standard Plan of Treatment for Asthma Xolair Standard Plan of Treatment for Nasal Polyps Xolair Standard Plan of Treatment for Urticaria Xgeva Plan of Treatment Zemdri Plan of Treatment Footer About Contact Careers Patient Center Plans of Treatment Why Palmetto Infusion? Locations News Our Mission Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our compassionate team of experts deliver a cost-effective and seamless care experience that surpasses all others. Palmetto Infusion 800.809.1265 info@palmettoinfusion.com AccuRX Infusion Center 888.410.0317 info@accurxinfusion.com