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FM • Clinician Handout • Ordering Rifaximin for Overseas Patients

Time Required: 5 minutes

Here are instructions and process for ordering Rifaximin from the CDD. There is some nuance and hurdles to the process.

  1. The patient orders directly from the CDD, following the instructions in the attached document below
  2. A MD will need to send a letter on practice letterhead (sample template below) as they do not accept prescriptions from FNP, PAs, etc.
  3. A prescription is written and then the patient sends over the printable (PDF) copy with the rest of their papwerwork.
  4. I generally write enough for the patient to have 4 weeks worth (or more if needed) because the cost of shipping and establishing care with them costs money. They come 56 in a bottle. So I tend to write this for 500 mg TID (these come in 500 mg instead of 550 mg) #112

Doctor’s note template on practice letterhead:

Dear CDD Pharmacy,

I am the treating physician for « name » and I have recommended a course of Rifaximin for the treatment of small intestinal bacterial overgrowth (SIBO).

Summary of symptoms:

Summary of antibiotics taken to date:

Known allergies:

« name» will remain under my supervision throughout the course of treatment, including follow-up testing. Thank you in advance for your help. Please contact my office if you have any questions.

Thank you,
Dr. « name»

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Ordering Rifaximin for Overseas Patients
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