Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send medvantx inc via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out FAX: (844) 678-8444 - with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'LICENSED HCP' section. Enter your name, DEA number, NPI, phone number, and address accurately.
Next, complete the 'PATIENT NAME' section. Provide the patient's full name, date of birth, address, city, state, phone number, gender, and email.
In the 'EMBEDDED PRESCRIPTION' section, specify the medication details for each dose prescribed. Include medication names, strengths, instructions for use, quantity needed, refills requested, and the date written.
Finally, ensure that both HCP signatures are provided at the bottom of the form before submitting it via fax to (844) 678-8444.
Start using our platform today to streamline your prescription faxing process effortlessly!
Register at QsymiaEngage.com, locate your prescription and then complete your order. Please allow up to 24 hours for your prescription to be loaded into the system. Track your order online after it ships. Please allow 5-7 business days for delivery (includes processing and shipping time).
What is the fax number for Accredo Express Scripts?
The number for your doctor to fax a prescription to Accredo is 888-302-1028.
What is the fax number 8883021028?
For patients with new specialty medication prescriptions, your physician can send any specialty medication order directly to Accredo, or you can contact Accredo at 833-721-1622 and we will work with your doctor on the rest. Once received, Accredo will call you to begin the process of scheduling your first order.
What is the fax number for Accredo prescriptions?
If you are out of refills, your doctor can fax a new prescription to Accredo at 888-302-1028.
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.... Read more...Read less