Now That You Know How RELiZORB May Help, What's Next?

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  1. The process begins when you visit your doctor. When your doctor writes a prescription for RELiZORB, you will be asked to complete a Patient Enrollment Form. It is important that you fill out this form and email or fax it to RelizorbOrder@asembia.com or 1-844-233-3146 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 health 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.
  2. A representative from our specialty pharmacy, Asembia/ASPN pharmacy, will contact you directly to communicate the status of your RELiZORB prescription.
  3. While we are working to obtain coverage for you, there are other programs available that provide financial & coverage support throughout the process; learn more.
  4. Once your first RELiZORB prescription is filled, simply contact RELiZORB Support Services at 1-844-632-9271 when it’s time for a refill. A support person will start the process for you through our specialty pharmacy, Asembia/ASPN.
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This information is intended for
US healthcare professionals

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