exceptional service
for delivering better outcomes

Elevare is here to make life easier for you and your patients.  When we receive your faxed enrollment form our specialty team will spring into action.  Your patient will receive caring, customized support, including education, compliance assistance, and answers 24/7.  We can help your office with prior authorizations, payment solutions, and prescription tracking.  You have the choice whether to have their meds delivered to their home or to your office, all at no additional cost.

Download the PDF version of the enrollment form and print. Complete and sign, then fax to our confidential specialty pharmacy line at: 844.484.4463.

Have questions? Don’t see the therapy or med you need? Call our specialty experts at: 833.353.8273. Or contact us by email.

Dermatology

• Dermatology Form
• Baxdela Form
• Orbactiv Form

Gastroenterology

• Gastroenterology Form

Hepatology

• Hepatitis C Form

Nephrology

• Nephrology Form

Oncology

• Oral Oncology Form

Rheumatology

• Rheumatology Form