Uptravi® (selexipag)

Manufacturer
Janssen Pharmaceuticals

Send your referral electronically

You can send an electronic referral using our prescriber website MyAccredoPatients.com. Simply register or login and navigate to "Send a Referral" on the dashboard. Once logged in, you will be routed to iAssist, which is Accredo’s electronic referral service. If you are not registered for iAssist, you will be prompted to do so.

Alternatively, if you are unable to send an electronic referral, you can download the PDFs below and send to us via fax.

Referral forms for Pulmonary Arterial Hypertension (PAH):

Getting your patient started on PAH therapy

Pulmonary arterial hypertension (PAH) is characterized as WHO Group 1. The diagnosis of PAH may require confirmation with a complete right heart catherization. The current hemodynamic definition of PAH is a mean pulmonary artery pressure greater than 25mmHg; a pulmonary capillary wedge pressure, or left ventricular end-diastolic pressure less than or equal to 15mmHg; and a pulmonary vascular resistance greater than 3 Wood units.

Manufacturer link below for additional drug information