To ensure timely scheduling and insurance processing, download and complete the appropriate medication form below. Please include supporting documentation related to the patient’s diagnosis to help ensure a smooth process for all parties:
- Oregon Specialty Infusion order form.
- Demographics, including copies of the patient’s insurance cards (front and back).
- Most recent history and physical, including supporting clinical notes to including supporting documentation outlining any previously attempted therapies and/or discontinued due to inefficacy, adverse reactions, or contraindications, intolerance, outcomes, to conventional therapy and current medication list.
- Laboratory and imaging reports.
To inquire about our current formularies or request a medication not on the list below, please email osi.therapies@oregonsg.com. If you are requesting a new medication, please include any available details about anticipated patient volume. New requests are reviewed weekly by our team.
Benlysta
Cortisol Stim Test
Cosentyx
Denosumab
Entyvio
Evenity
HIV Injectables
Infliximab
Iron Products
IV Immunoglobulin
Kisunla
Leqvio
Nucala
Ocrevus
Omvoh
Orencia
PrEP Injectables
Rebyota
Reclast
Rezzayo
Rituximab
Saphnelo
Simponi Aria
Skyrizi
Tocilizumab
Tremfya
Tysabri
Vyepti
Vyvgart
Xolair