HIV Long-acting injectables

Medication administration referral best practices

1. Download, complete and send the below referral form(s) to Genoa’s centralized Clinical Services team via secure fax at (833) 813-3033.
   • Apretude
   • Cabenuva
2. Genoa will promptly process the referral and let you know which pharmacy location to send the prescription to.
3. Send prescription to the selected Genoa pharmacy.
   • Include “pharmacist to administer” in sig code.
   • Write date of last administration in notes if patient has been taking the medication.
   • Include supporting details/documents for prior authorization assistance
   • AZ only: You’re required to either send a patient-specific prescription order for diphenhydramine and epinephrine with instructions for anaphylaxis treatment during LAI administration, or note on the LAI prescription that the pharmacist can administer these drugs if anaphylaxis occurs.
4. A Genoa pharmacist will provide a first-fill consultation and schedule the injection.
   • You will be notified about onboarding communication with pharmacist.
   • The patient will receive three injection appointment reminders (7 days, 3 days, and 1 day before appointment).
5. Patient receives injection from pharmacist on appointment day.
   • The clinic will be notified if the patient misses their scheduled appointment.
   • You will receive a detailed post-appointment communication after every patient injection
6. The pharmacist will schedule the next injection at the current appointment.