PROVIDERS
Thank you for considering RE Pharmacy! Patients and physicians choose RE Pharmacy for their expertise, guidance, and personal touch. Providers rely on RE Pharmacy for their partnership in providing their members with comprehensive care planning who follow the process listed below.
3 EASY OPTIONS TO MAKE AND SUBMIT A REFERRAL:
OPTION 1:
Download a specific RE Pharmacy referral form and fax to: 877 834-1231
OPTION 2:
Send your referral securely using e-script
OPTION 3:
Call in your script directly at any time, toll free at: 866-413-3156
WHAT HAPPENS NEXT?
- RE Pharmacy contacts patients and physicians for financial responsibility and medication delivery
- RE Pharmacy consults with patient regarding the prescribed medication
- RE Pharmacy conducts follow-up post-dispensing
REFERRAL FORMS
Search by disease state
Click below to download an RE Pharmacy referral form (.PDF), or use your own form, and fax to: 877 834-1231
ASTHMA
Xolair®DERMATOLOGY
EOSINOPHILIC ASTHMA
HEMOPHILIA
HEPATITIS B
HEPATITIS C
HIV - AIDS
IG AUTOIMMUNE DISORDER
IG PRIMARY IMMUNE DEFICIENCY
IMMUNE GLOBULIN
MIGRAINE
ORAL ONCOLOGY
PAIN MANAGEMENT
RHEUMATOLOGY A-K
RHEUMATOLOGY L-R
RHEUMATOLOGY S-Z
Search by medication name.
Click below to download an RE Pharmacy referral form (.PDF).
LIVE SEARCH
Search the RE Pharmacy Referral Database for a specific drug/medication.
Click below to download an RE Pharmacy referral form (.PDF).
E-SCRIPT
RE Pharmacy – Palm Desert
ZIP: 92211
NABP# 5632763
NPI# 1689823486
RE Pharmacy – Irvine
ZIP: 92614
NPI# 1508315128
BOP license # 51942
NOTE: Faxed prescriptions can only be accepted from the prescribing practitioner. If you are using the Fax Referral Form to self-refer to RE Pharmacy, a physician’s signature and original prescription drug order are required. If materials include Protected Health Information (PHI), these records are CONFIDENTIAL.
Accreditations
RE Pharmacy proudly displays the URAC, ACHC, and NABP Accreditations as they demonstrate their commitment to quality healthcare services.
