Patients / Rivera, Elena / Infusion Order
New Infusion Order
Order #ORD-2026-04412Patient
Rivera, Elena
DOB: 11/04/1968 路 57y 路 F
Drug
Remicade 100mg
infliximab 路 IV infusion
Authorization
AUTH-39201
Approved 路 6 doses
Required Documentation
Upload prior auth letter and most recent labs.
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