Now That You Know How RELiZORB May Help, What's Next?
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
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.
A representative from our specialty pharmacy, Asembia/ASPN pharmacy, will contact you
directly to communicate the status of your RELiZORB prescription.
While we are working to obtain coverage for you, there are other programs available that
provide financial & coverage support throughout the process; learn more.
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.