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Infusion delivery schedules and cutoff times

How to access urgent medication support after hours through your hospice’s contracted on-call communication pathway.
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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)
Need This Kit Customized?
This kit can be altered or customized to fit the unique needs of your hospice patients. Whether you require different supplies, quantities, or clinical adjustments, our team is here to help.
We can adjust this kit to meet your patient’s needs, including supplies and quantities. Our hospice team is here to help.
Call Our Hospice Team

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.

Accessing After-Hours Support
After-hours support is available exclusively to hospice organizations enrolled in Bayview’s contracted service model. Please follow the communication pathway established in your service agreement.

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.

Still need help?

If you can't find what you're looking for, contact your hospice’s assigned Bayview support team using the information provided in your contracted service agreement.

Related resources

Submitting your first order

Port Flush Kits and how to use them

How to use your Subcutaneous Infusion Kit