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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 (A-O)

Dermatology (P-Z)

General Infusion

General Prescription

Inflammatory Bowel Disease (A-I)

Inflammatory Bowel Disease (J-Z)

Inflammatory Bowel Disease – Pediatric

IV Rheumatology

Lysosomal Storage Disorders

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.