Cigna specialty pharmacy fax number 2025

1. Click ‘Get Form’ to open the Cigna Specialty Pharmacy Fax Order Form in the editor.
2. Begin by filling out the 'Physician Information' section. Enter the physician's name, contact details, and DEA number as required.
3. Next, move to the 'Patient Information' section. Ensure you provide all necessary details including patient name, date of birth, health care ID number, and contact numbers. This information is crucial for scheduling delivery.
4. In the 'Prescription Information' section, specify the medication dosage and frequency. Choose from options like 'Every 4 Weeks Dosing' or 'Every 2 Weeks Dosing', and indicate the quantity and refills needed.
5. Complete any additional sections such as allergies and home health services required. Make sure to mark any relevant questions accurately.
6. Finally, have the physician print their name and sign at the bottom of the form to confirm accuracy before submitting via fax at 1.800.351.3616.

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