FM-00550 SUPPLIES ORDER Form OUTLINED - Vectra DA 2026

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  1. Click ‘Get Form’ to open the FM-00550 SUPPLIES ORDER Form in the editor.
  2. Begin by verifying your information if you are reordering pre-printed forms. Indicate any desired changes in the designated fields.
  3. Fill in the 'Quantity Desired' section for packs of test requisition forms, specifying how many packs you need.
  4. Provide shipping details by entering the attention name and address for delivery, ensuring accuracy for timely processing.
  5. Complete the 'Specimen Collection Kits' section by selecting either a single kit or multi-pack and indicating the quantity required.
  6. In the 'Ordering Provider Account Information' section, fill out all required fields including name, clinic name, account number, and address.
  7. If applicable, provide an alternative shipping address for kits and ensure all contact information is accurate.
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The Vectra DA blood test is an objective measure of disease activity for patients with RA. Vectra DA provides an accurate, reproducible score on a scale of 1 to 100 based on the concentrations of 12 biomarkers that reflect the pathophysiologic diversity of RA.
Vectra DA measures the levels of 12 proteins in the blood\u2014biomarkers that have been linked to RA disease activity\u2014and then combines them into a single score (between 1 and 100) that classifies your current level of RA disease activity as \u201clow\u201d, \u201cmoderate\u201d, or \u201chigh\u201d.
Interpreting Results VECTRA DA RESULTS1-29Low disease activity30-44Moderate disease activity45-100High disease activity Jun 6, 2021

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Vectra DA is now a covered benefit for Medicare beneficiaries with RA in the United States. The product simultaneously measures 12 immune, endothelial, bone, cartilage, and metabolic biomarkers that reflect the underlying biology of RA.
1-29 means low disease activity. 30-44 indicates moderate levels of RA activity. 45-100 indicates a high level of disease activity.
1-29 means low disease activity. 30-44 indicates moderate levels of RA activity. 45-100 indicates a high level of disease activity.
Vectra provides a personalized score by measuring 12 biomarkers and incorporating information on age, gender and adiposity to measure your patients' RA inflammation and predict their risk of radiographic progression.
The Vectra DA blood test is an objective measure of disease activity for patients with RA. Vectra DA provides an accurate, reproducible score on a scale of 1 to 100 based on the concentrations of 12 biomarkers that reflect the pathophysiologic diversity of RA.

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