Questions about home infusion, answered.
Answers for patients, caregivers, referring physicians and pharmacy partners on getting started, insurance, clinical care and coverage in our 8 states.
Getting Started With Home Infusion
How do I switch from an infusion center to home infusion?
The process is straightforward. Talk to your physician and ask whether home infusion is appropriate for your current clinical status. If your physician agrees, they update your infusion order to include home nursing and indicate DOMO Health as your preferred nursing provider. Your specialty pharmacy then contacts us to coordinate nursing care. We assign a nurse in your area, schedule your first visit, and handle the rest. Most patients complete the transition within one to two weeks of their physician approving the change.
Can I receive my first infusion at home?
For most specialty therapies, particularly biologics, the first one to three doses are typically administered in a clinical setting with extended monitoring due to the higher risk of infusion reactions with initial doses. Once you have completed your initial doses without significant adverse events, home infusion is generally appropriate. Your physician makes this determination based on your clinical history. For therapies where first-dose home administration is clinically acceptable, DOMO Health can accommodate that with physician order and clinical clearance.
How quickly can DOMO Health get a nurse to me?
For patients in our active markets, we typically confirm nurse placement within 24 hours of receiving a complete referral. Your first visit is usually scheduled within three to five business days depending on your pharmacy's medication delivery timeline. We do not have waiting lists. When a case comes in, we assign a nurse and schedule the visit.
What happens on my first home infusion visit?
Before your first visit your assigned nurse will call you to introduce themselves, review your medical history and infusion history, confirm your home address and visit time, and answer any questions you have. On the day of the visit your nurse arrives with all necessary supplies, reviews your physician order and care plan, takes your vital signs, starts the infusion, monitors you throughout, documents the visit, and communicates any clinical observations back to your physician and pharmacy. The visit length depends on your specific medication and infusion rate.
What do I need to have at home for a home infusion visit?
Your specialty pharmacy delivers your medication, supplies, and infusion equipment directly to your home before your visit. DOMO Health nurses arrive with their own clinical supplies including an emergency kit. You need a comfortable chair or recliner to sit in during the infusion, a clean space for the nurse to work, and your insurance and physician contact information available. Your nurse will walk you through everything on the first visit.
Can my family member or caregiver be present during the infusion?
Absolutely. You are encouraged to have a family member or caregiver present during home infusion visits, especially for the first several visits. Having a support person present can be helpful for both the patient and the nurse. There are no restrictions on who can be in your home during a DOMO Health nursing visit.
Insurance and Coverage Questions
Does insurance cover home infusion nursing?
In most cases, yes. Home infusion nursing is typically covered under the same benefit as clinic-based infusion therapy. Coverage depends on your specific insurance plan, your diagnosis, and the medication prescribed. Your specialty pharmacy handles prior authorization for the medication. DOMO Health is paid directly by the specialty pharmacy for nursing services. You generally do not receive a separate bill from DOMO Health for nursing. Contact your specialty pharmacy or insurance plan to confirm your specific coverage.
Do I need a prior authorization for home infusion nursing?
Prior authorization is typically required for the infusion medication itself, not separately for nursing services. Your specialty pharmacy handles the medication prior authorization process with your insurance. Once the medication is authorized, home nursing is generally included in that authorization. Your physician and pharmacy will guide you through this process.
What if I have Medicare?
Medicare coverage for home infusion nursing is limited and depends on the specific therapy. Some infusion therapies are covered under Medicare Part B or Part D depending on the medication and how it is administered. DOMO Health does not bill Medicare directly. We work with specialty pharmacies who manage the Medicare billing process. Contact us and we will connect you with the right pharmacy partner for your specific situation.
What if I have Medicaid?
Medicaid coverage for home infusion varies by state. DOMO Health does not bill Medicaid directly. We work through contracted specialty pharmacy partners who manage insurance coordination. Contact us at 704-909-1423 and we will help you understand your options.
Which pharmacy partners does DOMO Health work with?
DOMO Health is contracted with 20 specialty pharmacy partners including Optum, Elevance Health, InfuCare Rx, NuFactor, Palmetto Infusion, Realo Pharmacy, AmeriPharma, Blue Sky Pharmacy, Kroger Specialty Pharmacy, Paragon, BioPlus, Vital Care and CVS Specialty. If your pharmacy is not on this list, contact us. We add new pharmacy partners on an ongoing basis.
Will I receive a bill from DOMO Health?
In most cases, no. DOMO Health is paid directly by your specialty pharmacy for nursing services. We do not typically bill patients directly. Your out-of-pocket costs, if any, are determined by your insurance plan and are handled through your pharmacy and insurance.
Clinical Questions
What qualifications do DOMO Health nurses have?
Every DOMO Health nurse is a licensed registered nurse (RN) with specialty infusion experience, current IV certification, active professional malpractice insurance, a cleared background check, and a negative drug screen. We verify licensure through the NC Board of Nursing or SC Board of Nursing before every nurse sees a patient. Nurses must demonstrate competency with the specific therapy they are assigned to before their first patient visit.
What happens if I have a reaction during my infusion?
Every DOMO Health nurse carries a fully stocked emergency and anaphylaxis kit to every visit. This includes epinephrine, diphenhydramine, steroids, and other emergency medications and supplies. Your nurse is trained to identify and respond to infusion reactions immediately. If a reaction occurs they will slow or stop the infusion, administer emergency medications as indicated, activate 911 if clinically necessary, and notify your physician and pharmacy immediately. You are never alone during your infusion.
Will I have the same nurse every visit?
DOMO Health assigns a primary nurse to each patient and works to maintain that consistency whenever possible. Having the same nurse at every visit builds familiarity with your access, your history, and your preferences. In cases where your primary nurse is unavailable, we assign a qualified backup nurse and ensure complete clinical handoff before the visit.
How does DOMO Health communicate with my physician after visits?
Your DOMO Health nurse completes a clinical visit note in AlayaCare, our electronic medical records platform, within 24 hours of every visit. A nursing note summary is delivered to the referring physician's office after every completed visit. If any clinically significant findings are observed during a visit, your physician is notified promptly, not at the next scheduled communication.
What if my condition changes or I need more frequent visits?
Contact your physician if your clinical status changes. Your physician can update your infusion order to reflect a new schedule, and your specialty pharmacy will coordinate with DOMO Health. You can also contact us directly at 704-909-1423 and we will work with your physician and pharmacy to accommodate changes in your care.
Questions About Specific Therapies
Can I get my IVIg infusions at home instead of at a clinic?
Yes. IVIg is one of the most commonly administered therapies in the home setting. If you are currently receiving IVIg at a clinic or infusion center, transitioning to home infusion is usually straightforward. Your physician confirms home infusion is appropriate for your current clinical status, updates your order, and DOMO Health assigns a nurse in your area. See our full IVIg Home Infusion page for more details.
Can I get my Remicade or biologic infusions at home?
Yes. DOMO Health nurses are trained and experienced in administering all major biologic infusion therapies including Remicade, Entyvio, Tysabri, Ocrevus, Vyvgart, Stelara, Skyrizi, Actemra, Benlysta, Orencia, Rituxan, and all FDA-approved biosimilars. Home biologic infusion is generally appropriate after initial doses have been completed without significant adverse events. Your physician makes this determination. See our full Home Biologic Infusion page for more details.
Do you administer subcutaneous injections as well as IV infusions?
Yes. DOMO Health nurses administer both intravenous infusions and subcutaneous injections. This includes subcutaneous immunoglobulin (SCIG) for primary immunodeficiency and CIDP, Vyvgart Hytrulo for generalized myasthenia gravis, subcutaneous Stelara maintenance dosing, and other subcutaneous specialty therapies. Contact us to confirm we can support your specific medication.
Do you administer biosimilars?
Yes. DOMO Health nurses are fully trained to administer all FDA-approved biosimilars. This includes infliximab biosimilars (Inflectra, Renflexis, Avsola, Ixifi), rituximab biosimilars (Ruxience, Truxima, Riabni), tocilizumab biosimilars, and all other approved biosimilars. We adapt to whatever your specialty pharmacy dispenses.
IVIG for Recurrent Pregnancy Loss
Can IVIG for recurrent pregnancy loss be given at home?
Yes. IVIG is one of the most commonly administered home infusion therapies, and many fertility clinics already order it for home administration. Your reproductive specialist decides whether home infusion is appropriate for you, and DOMO Health provides the nurse.
Does DOMO Health prescribe IVIG or decide if I need it?
No. We are a nursing provider. Your reproductive specialist evaluates whether IVIG belongs in your plan and writes the order. We administer it safely in your home and report back to your clinic.
Will insurance cover IVIG for recurrent pregnancy loss?
Coverage for IVIG in recurrent pregnancy loss varies by plan and is handled by your clinic and your specialty pharmacy, not by DOMO Health. We can tell you which pharmacies we work with so you can ask about pricing and authorization early.
How long is a home IVIG visit?
Most IVIG infusions take three to five hours including setup and observation, depending on your dose and how you tolerate the rate. Your nurse will give you an estimate before the first visit.
Can my partner be there during the infusion?
Of course. That is one of the main reasons families choose home infusion. Lie down, rest, work or have your partner next to you.
Which states does DOMO Health cover for home IVIG?
North Carolina, South Carolina, Georgia, Alabama, Michigan, Massachusetts, Arizona and Utah, as of October 2026. Call 704-909-1423 if you are nearby and we will tell you what is possible.
Home Infusion in Your State
Does DOMO Health have nurses in my state?
DOMO Health serves patients in North Carolina, South Carolina, Georgia, Alabama, Michigan, Massachusetts, Arizona and Utah. When we receive a referral, we confirm a credentialed infusion RN in your area within 24 hours. If we are still recruiting in your specific community, we tell you that up front and give you a realistic start date.
Where is DOMO Health based?
DOMO Health is a nurse-led company headquartered at 600 Park Offices Dr, Suite 300, Durham, NC 27713. Our operations team coordinates every referral from North Carolina, and your nurse lives and works in your own region.
How do I get started with home infusion in my state?
Ask your physician to name DOMO Health as your home infusion nursing provider on your infusion order. Your specialty pharmacy sends us the referral, we assign a nurse in your area, and your nurse calls you before the first visit to confirm the details. You can also call us first at 704-909-1423 and we will walk you through it.
Which specialty pharmacies does DOMO Health work with?
DOMO Health is contracted with 20 specialty pharmacy partners including Optum, Elevance Health, InfuCare Rx, NuFactor, Palmetto Infusion, Realo, AmeriPharma, Blue Sky, Kroger Specialty, Paragon, BioPlus, Vital Care and CVS Specialty. If your pharmacy is not on the list, contact us. We add new partners on an ongoing basis.
Which therapies can DOMO Health administer at home?
IVIg and subcutaneous immunoglobulin, biologic infusions such as Remicade, Entyvio, Ocrevus and Tysabri, IV antibiotics and OPAT, TPN, IVIg for recurrent pregnancy loss (RPL), IV steroids and other specialty infusions ordered by your physician.
What happens if I have a reaction during a home infusion?
Every DOMO Health nurse carries a fully stocked emergency and anaphylaxis kit to every visit and stays with you for the entire infusion. If a reaction occurs, your nurse slows or stops the infusion, administers emergency medication as indicated, activates 911 if clinically necessary, and notifies your physician and pharmacy immediately.
Questions About DOMO Health
Is DOMO Health licensed in North Carolina?
Yes. DOMO Health operates under a Home Care License issued by the North Carolina Department of Health and Human Services (NCDHHS) to DOMO Health Group LLC dba DOMO Health. Our license covers all 100 counties in North Carolina statewide. We also serve patients in South Carolina, Georgia, Alabama, Michigan, Massachusetts, Arizona, and Utah.
Who founded DOMO Health?
DOMO Health was founded by a registered nurse with direct specialty infusion experience, specifically to build a home infusion nursing company with real clinical standards, one that treats patients the way an experienced infusion nurse would want their own family treated. DOMO Health is nurse-led and founder-operated.
How do I contact DOMO Health?
You can reach DOMO Health by phone at 704-909-1423 or by email at support@domohealthgroup.com. Specialty pharmacies and referring physicians can send cases and orders to intake@domohealthgroup.com. Nurses interested in joining the team can reach talent@domohealthgroup.com. For general questions, use the form on our Contact page.
I am a nurse. How do I apply to work with DOMO Health?
DOMO Health is actively recruiting credentialed infusion RNs in North Carolina, South Carolina, Georgia, Alabama, Michigan, Massachusetts, Arizona, and Utah. Our nurses are W-2 PRN employees who set their own availability. Apply through our job board at jobs.gusto.com/boards/domo-health-ea971d3b-fba7-4eea-bfb2-9384dcee8861 or email talent@domohealthgroup.com with your resume and the market you are interested in.
Still have questions?
Talk to our team. We will walk you through the process, confirm coverage in your area and answer questions about your therapy. Call 704-909-1423 or email support@domohealthgroup.com.
DOMO Health is licensed by the North Carolina Department of Health and Human Services to provide home infusion nursing services statewide. DOMO Health Group LLC dba DOMO Health.