- Additionally, We Also Dispense VIVITROL To Help You Take Care Of Your Patients With Different Needs. -
Questions? Call 1-800-927-6703.
For new patient delivery requests, please send a prescription to our pharmacy via escribe, fax (215-357-2129), or phone (800-927-6703) along with this form.
If your office would like deliveries to multiple locations, please complete a separate form for each location.
After Filling Out The Information For One Patient, You will Have The Option to Add An Additional Patient (Up To 10!)
In accordance with the Sublocade and Brixadi REMS Program, this medication will only be used in the healthcare office in which it is being delivered to and will not be transported to any other location, office, person, or given directly to the patient.