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Actemra®

Step 1

Review our Referral Checklist.

Step 2

Complete the therapy-specific Order Form.

–or–

Step 3

Include Supporting Clinicals

Completed order forms and supporting clinicals can be faxed to 1-855-healix2 (543.2592) [FPO} or uploaded {link or embed FORMSTACK Healix Site TBD} to our secured portal.