CenterWell Specialty Pharmacy Documents & Forms

 

Prescribe with CenterWell Specialty Pharmacy® —now in network with most Medicare plans and accepts non-Humana insurance.

Why prescribe with CenterWell Specialty Pharmacy?

Here’s why you should prescribe with CenterWell Specialty Pharmacy:1

  • We have a 98.5% patient retention rate.
  • We provide access to 96% of specialty drugs on the market, including many hard-to-find, limited distribution drugs.
  • Our patients have a 94% rate of filling their first dose.

 

Specialty fax forms

To request a new prescription for your patients, fill out the appropriate form below and fax it to us at 877-405-7940.

A-M

Alpha 1 Antitrypsin Deficiency

Asthma and Allergy

Dermatology

General Infusion

General Prescription

Growth Hormone

Hemophilia

Hepatitis C

Inflammatory Bowel Disease

IVIG

Multiple Sclerosis

N-Z

Oncology REMS

Ophthalmology

Oral Oncology General

Oral Oncology (A-B)

Oral Oncology (C-E)

Oral Oncology (F-G)

Oral Oncology (H-J)

Oral Oncology (K-M)

Oral Oncology (N-P)

Oral Oncology (R-S)

Oral Oncology (T)

Oral Oncology (U-X)

Oral Oncology (Y-Z)

Pulmonary Arterial Hypertension

Rheumatology

Synagis

Viscosupplement

Women's Healthcare Contraception

 

Please note that we can only accept faxes from prescribers.

1. These numbers refer to CenterWell Specialty Pharmacy and specialty patients. Source: Zitter Health Insights Data and CenterWell Specialty Pharmacy capabilities deck. Visit MMIT Patient Satisfaction Survey for more information.