Related links
SUBLOCADE PATIENT ENROLLMENT FORM
SUBLOCADE. PATIENT ENROLLMENT FORM within this enrollment or consent form, to discuss my treatment with SUBLOCADE, and communicate my ongoing
Learn more
USING INJECTABLE (SUBLOCADE):
PRIMARY WAY TO OBTAIN SUBLOCADE: Initiate a benefit investigation by filling out the patient enrollment form and submit to INSUPPORT via fax,
Learn more
Sublocade Prior Authorization Form - Maryland.gov
Denied. March 2020. Sublocade. Prior Authorization Form. Office of Pharmacy Services. Fax: (866) 440-9345. Phone: (800) 932-3918. Patients Information:.
Learn more