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Referrals

Submit a Workers' Comp Pharmacy Referral

Send your referrals

Ready to refer your patient or client?

Simply fill out the quick form, and a member of our Enrollment Team will reach out to you shortly.

  • We contact the patient within one business day.
  • We verify the claim with the carrier and handle any prior authorization.
  • Medication ships next day to the address the patient chooses.

Prefer not to use the form? Call us directly at (317) 676-5752.