ORBACTIV (oritavancin) Support Programs Phone: …
ORBACTIV® Support Programs PO Box 4280 Gaithersburg, MD 20855-4280 ORBACTIV® (oritavancin) Support Programs PHYSICIAN REQUEST FORM Phone: 1.844.ORBACTIV (1-844-672-2284) Fax: 1.855.886.2482 Hours: Monday through Friday, 8:00 a.m. – 8:00 p.m. ET Page 1 of 2 3/2018 SERVICE(S) REQUESTED Check all …
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HIGHLIGHTS OF PRESCRIBING INFORMATION …
www.orbactiv.com2 FULL PRESCRIBING INFORMATION 1 INDICATIONS AND USAGE 1.1 Acute Bacterial Skin and Skin Structure Infections ORBACTIV® (oritavancin) for injection is indicated for the treatment of adult patients with
ICD-10 diagnostic codes consistent with ORBACTIV ...
www.orbactiv.comICD-10-CM Diagnosis Codes Diagnosis Staphylococcus A49.01 Methicillin susceptible staphylococcus aureus, unspecified site A49.02 Methicillin resistant …
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