Simplify infusions with Sands Health.

Send in our order form or a detailed referral order, demographics/insurance information, and any pertinent clinical documentation. We’ve got it from there.

We offer home infusion services and currently offer on-site infusions at our Bellaire location. We handle the administrative tasks including insurance verification and pre-authorizations. We accept most insurances, offer an extensive drug list, and are always expanding both.

Shahbuddin Mukardamwala MD and Reagan Shivitz RN ensure exceptional patient care, putting your patients at ease. We’ll get your patients in quickly and will keep you in the loop about their treatment.

Trust us as an extension of your practice, removing barriers for a smooth process, and great outcomes.

Infusions/Injections

Here are our most infused and injected medications. Inquiries about an unlisted drug? We can likely source it! 1-346-330-3430

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Actemra

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Required clinicals:

  • Negative TB
  • Absolute neutrophil count, platelets, liver function tests, lipid panel
  • For RA – Rheumatoid factor, anti-CCP, CRP, ESR

Learn more about: tocilizumab

Alpha-1 Proteinase Inhibitor

Download Form

Required clinicals:

  • Baseline percent predicted FEV1
  • Baseline serum AAT level or documentation of Alpha-antitrypsin deficiency emphysema

Benlysta

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Required clinicals:

  • Positive autoantibodies indicative of SLE (e.g., ANA, anti-ds DNA, anti-Sm, anti-Ro/SSA, anti-La/SSB)

Learn more about: belimumab

Briumvi

Download Form

Required clinicals:

  • Negative Hep B
  • Quantitative serum immunoglobulins
  • MRI results within 1 year supporting MS diagnosis

Learn More

Cimzia

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Required clinicals:

  • Negative TB
  • Negative Hep B

Learn more about: certolizumab pegol

Dihydroergotamine (DHE)

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Required clinicals:

  • Supporting clinical documentation for diagnosis and rationale for treatment

Entyvio

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Required clinicals:

  • Colonoscopy results
  • Negative TB

Learn more about: vedolizumab

HyQvia

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Required clinicals:

  • Other labs: ANA, anti-dsDNA
  • Documentation to support specific disease
  • Serum immunoglobulins

Learn More

IVIG

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Required clinicals:

  • Serum immunoglobulins
  • Other labs: ANA, anti-dsDNA
  • Documentation to support specific disease

Leqembi

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Required clinicals:

  • APoE4 status
  • Confirmation of amyloid beta pathology
  • Baseline MRI within 1 year, with repeat MRIs prior to the 5th, 7th, and 14th infusion
  • Cognitive assessment and score

Learn more about: lecanemab-irmb

Methylprednisolone

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Required clinicals:

  • Supporting clinical documentation for diagnosis and rationale for steroid treatment

Migraine

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Required clinicals:

  • Supporting clinical documentation for diagnosis and rationale for treatment

Ocrevus

Download Form

Required clinicals:

  • Negative Hep B
  • Quantitative serum immunoglobulins
  • MRI results within 1 year supporting MS diagnosis

Learn more about: ocrelizumab

Ocrevus Zunovo

Download Form

Required clinicals:

  • Negative Hep B
  • Quantitative serum immunoglobulins
  • MRI results within 1 year supporting MS diagnosis

Learn more about: ocrelizumab hyaluronidase-ocsq

Orencia

Download Form

Required clinicals:

  • Negative TB
  • Negative Hep B
  • Labs to support diagnosis: Rheumatoid factor, anti-CCP, CRP, ESR

Learn more about: abatacept

Remicade and biosimilars

Required clinicals:

  • Negative TB
  • Negative Hep B
  • Labs: LFTs (ALT/AST) within 1 month of treatment (even if transferring)
  • Most recent colonoscopy

Learn more about: infliximab

Rituxan and biosimilars

Download Form

Required clinicals:

  • ​​​​Negative Hep B
  • Demographics
  • Labs & Tests Supporting Diagnoses 
  • Office/Progress Notes

Learn more about: rituximab

Rystiggo

Download Form

Required clinicals:

  • Clinical documentation supporting MG diagnosis
  • Lab work confirming either Anti-acetylcholine receptor (+) or Anti-muscle specific tyrosine kinase (MuSK) antibody (+)

Learn more about: rozanolixizumab-noli

Saphnelo

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Required clinicals:

  • Labs conclusive with SLE diagnosis (ANA, anti-dsDNA, anti-SM, anti-Ro/SSA, anti-La/SSB)
  • Currently receiving at least one standard treatment (non-biologic) or has contraindication (e.g., antimalarial, corticosteroid, immunosuppressants)

Learn more about: anifrolumab-fnia

Soliris

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Required clinicals:

  • Anti-AChR+ (for gMG)
  • Anti-AQP4 Antibody positive (for NMOSD)
  • Documentation of meningitis vaccine (at least 2 weeks before first infusion)

Learn more about: eculizumab

Tysabri

Download Form

Required clinicals:

  • Most recent MRI results consistent with MS
  • JCV antibody test within 6 months
  • For Crohn’s: Colonoscopy

Learn more about: natalizumab

Ultomiris

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Required clinicals:

  • Ultomiris REMS enrollment
  • Proof of meningococcal vaccination at least 2 weeks prior to treatment (if urgent therapy, give vaccine ASAP and provide 2 weeks of prophylactic antibiotics)
  • Serum anti-acetylcholine receptor (AChR) antibody-positive

Learn more about: ravulizumab-cwvz

Uplizna

Download Form

Required clinicals:

  • Anti-aquaporin 4 immunoglobulin/NMO-IgG antibodies
  • Negative Hep B
  • Negative TB

Learn more about: inebilizumab-cdon

Vyepti

Download Form

Required clinicals:

  • Documentation to support diagnosis (e.g., ≥15 headache days/month or ≥8 migraine days/month)
  • List of tried/failed therapies

Learn more about: eptinezumab-jjmr

Vyvgart

Download Form

Required clinicals:

  • Positive serologic test for Anti-acetylcholine receptor antibody
  • MuSK antibodies
  • EMG results
  • Myasthenia Gravis of America Clinical Classification score
  • Myasthenia Gravis–specific Activities of Daily Living scale

Learn more about: efgartigimod alfa-fcab

Vyvgart Hytrulo

Download Form

Required clinicals:

  • Positive serologic test for Anti-acetylcholine receptor antibody
  • MuSK antibodies
  • EMG results
  • Myasthenia Gravis of America Clinical Classification score
  • Myasthenia Gravis–specific Activities of Daily Living scale

Learn more about: efgartigimod alfa-fcab

Process

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