PLEASE CONSIDER SENDING YOUR PRESCRIPTIONS ELECTRONICALLY.
ALL OF YOUR PHARMACY LOCATIONS ACCEPT ELECTRONIC PRESCIPTIONS
Should you or your patient choose to use our central specialty pharmacies, please fax a referral form to one of the locations below:
Canton, MI-Phone: 888-282-5166 Fax: 888-570-4700
Pittsburgh, PA-Phone: 877-235-9798 Fax: 877-235-9807
Frisco, TX-Phone: 800-424-9002 Fax: 888-380-6181
(Cystic Fibrosis) Frisco, TX-Phone: 800-541-4959 Fax: 800-263-0251*
The prescriber is to comply with their state prescription requirements such as e-prescribing, state specific prescription form, fax language, etc. Non-compliance with state-specific requirements could result in outreach to the prescriber.
Referral forms for many specialty conditions and drugs can be found below. If the forms shown do not apply to your specialty prescription, use this Universal referral form.