An improved
experience for you
and your patients

Refer a patient today.
Access Referral Forms

WE'LL MAKE ALL THE DIFFERENCE

IDD

Extensive access to limited
distribution drugs (LDD)

Patient Care

Benefit verification, prior
authorization, and appeals support

Communication

Ongoing communication
throughout the appeals process

Ready to streamline the process?

Contact Us

FINANCIAL ASSISTANCE COORDINATION

Our team works with your patients to help
identify all available financial options.

*January 2019 - December 2019 combined across all disease
states for AllianceRX Walgreens Prime data.

Coins

We've helped with over

$255 million

in financial assistance*

THE RIGHT TREATMENT RIGHT FROM THE START

Our expert specialists conduct a complete review of benefits, help facilitate prior authorization, and communicate with physician offices and insurance companies to assist with insurance appeals—all to assist patients with a smooth start to treatment, improved outcomes, and better adherence.

E-precribe
E-prescribe

Reduce the time between prescription and delivery.

 

Find the right specialty pharmacy by searching pharmacy name, fax, phone, or address.

 

If you're unable to locate us, please call 855-244-2555.

Fax
Fax

Fax the correct referral form with the following:

 
  • Copy of both sides of the insurance card
  • Copies of patient clinical information, including lab values
  • Patient chart notes from the last 2 weeks, including current weight that may affect dosing
  • The true date patient will need medication—don’t indicate “urgent” or “ stat”
  • ICD-10 code and diagnosis carefully filled out

OUR COMMITMENT TO PATIENT CARE

To improve adherence and outcomes, our Connected Care clinical programs engage and counsel
patients about prescribed therapy for complex and rare conditions.

Visit Our Patient Condition Guides

FREQUENTLY ASKED QUESTIONS