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Refer Your Patients Today

At Advanced Care Scripts (ACS), we believe that starting patients on a prescribed therapy should be as simple as possible. We provide customized referral forms to decrease administrative burdens and ensure the highest quality pharmacy services for healthcare providers and patients.

Referring your patients in 3 easy steps:

  1. Prescribe therapy
  2. Complete the ACS Referral Form
  3. Fax referral form to (866) 679-7131

Biologic Therapy Referral Form
Celgene Referral Form
DermaCare Referral Form
HCV / GI Referral Form
IVIG Referral Form
MS Care Referral Form
Ofev Referral Form
Oncology Referral Form
RACare Referral Form
UroCare Referral Form

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