Bayview Pharmacy provides sterile infusion services to hospice patients across Rhode Island and Massachusetts. Our delivery model is designed to ensure reliability, consistency, and timely replenishment so your patients never experience interruptions in therapy.
Understanding Your Delivery Schedule
Our standard delivery rotation ensures uninterrupted therapy for all hospice patients receiving continuous infusions.
Infusion Bag Delivery
Each patient begins with an initial delivery of two infusion bags (96-hour supply). After the initial setup, hospice teams choose one of the following fixed replenishment schedules:
- Option 1: Monday & Thursday
- Two infusion bags delivered each day
- Ensures steady replacement every 48 hours
- Option 2: Tuesday & Friday
- Two infusion bags delivered each day
- Mirrors the same 48-hour rotation for uninterrupted care
Both schedules maintain consistency, reduce urgent refill requests, and allow predictable planning for nurses and caregivers.
Weekly Supply Deliveries
To support ongoing care, Bayview provides weekly deliveries of essential supplies. These items align with hospice protocols and reduce the need for frequent resupply requests.
Port Flush Kits – Delivered Once Per Week
Each kit includes:
- Gloves (8 Medium)
- Alcohol Swabs (10)
- Normal Saline 10 mL Flush (3)
- Heparin 100 units/mL, 5 mL Flush (1)
- 2" × 2" Gauze (3)
- Sterile Dressing Kit (1)
- Huber Needle ¾" (3)
- Clave Needle-Free Connectors (3)
- Extension Tubing (1)
- Sharps Container (1)
Subcutaneous Infusion Kits – Delivered Once Per Week
Each kit includes:
- Gloves (8 Medium)
- Alcohol Swabs (10)
- Saf-T-Intima 24G ¾" SQ Catheters (3)
- Clave Needle-Free Connectors (3)
- Tegaderm Dressings (3)
Cutoff Times for Same-Day Delivery
We provide four tiers of same-day delivery based on urgency and timing. These apply to all hospice orders across Rhode Island and most of Massachusetts.
Level 1 — Standard Same-Day Delivery
- Orders received before 12:00 PM
- No rush fee
Level 2 — Rush Same-Day Delivery
- Orders received before 12:00 PM
- OR orders placed the previous day
- (Applies within Rhode Island)
- $50 rush fee
Level 3 — Late-Day Rush Delivery
- Orders received between 12:00 PM and 6:00 PM
- $100 rush fee
Level 4 — After-Hours Emergency Delivery
- Orders received after 6:00 PM
- $150 emergency fee
These tiers ensure rapid access to infusion medications while maintaining safety and staffing for urgent requests.
New Patient Emergency Referrals
We recognize that critical needs often arise unexpectedly. Bayview Pharmacy accepts emergency referrals for new patients who are not yet enrolled in our service, provided they require immediate symptom management or infusion initiation.
For New Emergency Referrals:
- Call our hospice team: Do not wait for the next business day.
- Expedited Intake: We will process a verbal intake to generate a temporary patient profile.
- Immediate Processing: Clinical verification and compounding begin immediately.
- Emergency Delivery: Orders are dispatched via our Level 4 Emergency Courier.
Note: Full enrollment paperwork and billing coordination can be finalized the following business day.
What Qualifies as an After-Hours Request
After-hours service is intended for immediate, unplanned needs that cannot wait until the next scheduled delivery. Examples include:
- Breakthrough symptom crises (pain, agitation, dyspnea)
- Pump failure requiring urgent replacement
- Sudden changes in patient condition requiring new infusion medications
- Emergency dose adjustments when clinically indicated
Routine refills should continue to be scheduled during regular business hours as part of your assigned delivery schedule.
What to Expect During an Urgent Request
When your hospice contacts the on-call pharmacist:
The pharmacist will:
- Review the clinical need for urgency
- Confirm order details and prescriber authorization
- Communicate an estimated delivery window
- Prepare the medication or infusion according to emergency tier timelines
Your hospice team should:
- Ensure the patient or caregiver is aware of the expected delivery time
- Prepare the infusion site, supplies, or pump as needed
- Provide any additional clinical information required to complete the order
This coordinated process ensures rapid, safe, and compliant response for urgent situations.
