What to Send
The best way to ensure your prescription includes all the information we’ll need is to send us an e-script and fax using the Prescription Referral Form with the supporting documentation requested within the below Prescription Referral Checklist. Our team will match the e-script to the supporting documents and reach out if we have any questions.
Biologics Prescription Referral Checklist
We’re contracted with over 500 payers and can help your patients with financial assistance. If for some reason we’re not in network, we’ll immediately send the prescription to a specialty pharmacy that is.
To expedite the referral process and ensure timely medication shipment to your patient, please provide the following when sending a prescription:
- The prescription and explicit start date
- A written diagnosis, primary diagnosis code (ICD-10) and stage of disease for the prescribed medication
- Clear dosing instructions: total dose, quantity, frequency (qd, bid) and refills
- A description of the patient, including:
- Height and weight
- Date of birth
- Mobile phone and caregiver contact information
- Copies of the front and back of all insurance cards, including prescription and medical, and demographic fact sheet, including the patient email
- List of all current medications
- Clinical information that supports the treatment decision, including pathology or laboratory reports, treatment history, and a description of the treatment plan
- For Nurse Practitioners or Physician Assistants, please include the name, NPI# and DEA# of the supervising physician
- Patient navigator/office contact(s) information
What Happens Next?
- Our team at Biologics will process your patient’s prescription and fax your practice to confirm and verify all information.
- From there we advocate for your patient through the benefits investigation, prior authorization and financial assistance processes.
- Want status updates? The pharmacy will send updates to your practice when the prescription is processed. For those patients that provide an email address, a notification with a tracking number may be shared.
Biologics is proud to offer more than 200 therapies that represent the leading edge in treatment for cancer and rare and complex diseases.