Patient authorization is required to coordinate delivery to the prescriber’s office. Consider these best practices to help get your patient started on treatment by providing their authorization on the appropriate form.
New Patient - First Fill or a Different Dose
Please complete one of the following enrollment forms for the mediation desired and fax to the number indicated on the form.
- Brixadi™ (buprenorphine extended-release) injection CIII Enrollment Form
- Sublocade™ (buprenorphine) Enrollment Form
- Vivitrol® (naltrexone) Enrollment Form
Existing Patient - Refill
A refill form will arrive along with the medication shipped to your office. If a new prescription is required, use one of the forms linked above.
We invite you to use our prescriber portal, MyAccredoPatients.com
You can manage your patient referrals, track medication order status, chat live online and more by using our prescriber portal.
To learn more, visit Manage Referrals.
Additional support for your patient
Accredo offers 24/7 access to pharmacists for questions about medication, access to nurses and social workers.