Our team begins benefit investigations and prior authorization requests within 48 hours of receiving your referral, helping your patients avoid unnecessary delays in starting treatment.
01
Referral Form
Completed referral form with medical provider's signature
02
Face Sheet
Patient face sheet with all demographic information
03
Insurance
Copy of patient insurance card or insurance information sheet
04
Supporting Documentation
Any labs, medical history, or supporting documentation indicating need for referred medication
See a medication referral form for supporting documentation.