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WELLPARTNER PHARMACY FAX FORM TO: 1.877.597.3070 IMMUNE GLOBULIN (IG) ENROLLMENT FORM PHONE: 1.800.473.3516 EMAIL: specialty wellpartner.com Complete the following or include demographic sheet. 1.
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How to fill out wellpartner pharmacy immune globulin

01
Obtain a prescription for Wellpartner Pharmacy Immune Globulin from your healthcare provider.
02
Contact Wellpartner Pharmacy to order the immune globulin medication.
03
Provide all necessary personal and medical information to Wellpartner Pharmacy.
04
Wait for the medication to be delivered to your preferred address.
05
Read the instructions provided with the medication carefully.
06
Prepare a clean and sterile work area.
07
Wash your hands thoroughly with soap and water.
08
Take the necessary precautions to maintain sterility before handling the medication.
09
Follow the specific instructions provided by your healthcare provider or the medication label for dosage and administration.
10
Use a sterile syringe or needle as recommended.
11
Inject the immune globulin medication as directed, following proper injection techniques.
12
Dispose of any used needles or syringes in a designated sharps container.
13
Continue to follow up with your healthcare provider as instructed for monitoring and further treatment.

Who needs wellpartner pharmacy immune globulin?

01
Individuals with primary immunodeficiency disorders who require immune globulin therapy.
02
Patients with specific antibody deficiencies.
03
People with autoimmune disorders.
04
Individuals undergoing certain medical treatments that weaken the immune system.
05
Individuals who have had bone marrow transplants.
06
Patients with chronic lymphocytic leukemia.
07
People with Kawasaki disease.
08
Individuals with certain types of infections.
09
Patients with certain genetic disorders affecting the immune system.
10
People with severe combined immunodeficiency (SCID).
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Wellpartner pharmacy immune globulin is a medication used to boost the body's immune system.
Healthcare providers are required to file wellpartner pharmacy immune globulin for their patients.
To fill out wellpartner pharmacy immune globulin, healthcare providers must provide information about the patient's condition and dosage.
The purpose of wellpartner pharmacy immune globulin is to help patients with weakened immune systems fight off infections.
Information such as the patient's name, dosage, and administration schedule must be reported on wellpartner pharmacy immune globulin.
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