Right from the start, RELiZORB Support Services is here with you every step of the way.
The process begins when you have a healthcare visit. When your doctor writes a prescription for RELiZORB, you will be asked to complete a Patient Authorization Form.
It is important that you fill out this form and fax it to 1-844-890-1900 because:
- It gives your consent for RELiZORB Support Services to contact you and arrange for delivery of RELiZORB
- It gives your consent to allow RELiZORB Support Services to contact your heath insurance company to begin the process of getting RELiZORB to you
Your RELiZORB Support Services Program Coordinator can help answer questions you may have about RELiZORB, how it works, and how to set it up.
Fax RELiZORB Support Services at 1-844-890-1900.
Or call 1-844-RELiZORB (1-844-735-4967).