Metoject® Home Care & Support Services

All Metoject® patients can access either or both Metoject® Homecare Services in Ireland (Free of charge)

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Nurse to train patients’ in their home & at their convenience.

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A sharps waste disposal service to discard used Metoject® PENS is available. Sharp bins are delivered to and from the patients’ home (carried out by our licensed contractor).

For a replacement sharps bin please contact Fannin on 01- 290 7000/7069. Please note that only used Metoject Pens can be placed in the sharps bin provided.

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Register My Patient For Home Services

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CONFIDENTIAL

Metoject® Pen Homecare -  Retail Pharmacy Patient Referral Form

Metoject® Pen Homecare Retail Pharmacy Referral Form - CONFIDENTIAL
Please select which option(s) you require: *

SECTION A. PATIENT INFORMATION

Patients Home Address *
Patients Home Address
Address 1
Address 2
City
County
Postcode/EirCode
Mobile or Landline
Patients Gender *
Has the patient been prescribed Metoject Pen? *

SECTION B. REFERRAL INFORMATION

Pharmacy Address *
Pharmacy Address
Address 1
Address 2
City
County
Postcode/EirCode
Mobile or Landline Number

SECTION C. INDICATION & PRESCRIPTION INFORMATION

Is the patient currently on Oral Methotrexate? *
If ‘Yes’, please indicate the day the Oral Methotrexate medication is taken *
Prescription - Please indicate the presentation of Metoject® 50mg/ml PEN prescribed *
Please note these are the only available presentations
Is the patient currently on any other medication? *
I have discussed the Metoject Service with the patient and they have given their consent to receive the service. *

All data held by Fannin Limited and their approved license contractors, is for the sole purpose of these Metoject® services
and, is in accordance with the Data Protection Act 1998 and 2003.

Pharma Division, Fannin Limited,
Fannin House, South County Business Park, Leopardstown, Dublin 18
Tel: 01 290 7000/69 Fax: 01 290 7216 Email: metoject@fannin.eu

Covid-19:  All nurses attending patients in their home for the purposes of Metoject training strictly adhere to the policy and guidelines as set out by the HPSC (Health Protection Surveillance Centre).