Referring your patients to Optum Infusion Pharmacy is easy.
1. Download an Optum Infusion Pharmacy referral form below
2. Fill out the form
3. Submit to Optum Infusion Pharmacy using the contact information listed below
Forms
To refer your patients, download the form and send to our dedicated alpha-1 team.
Phone: 1-877-342-9352
Fax: 1-877-542-9352
Referral form for the following biologics: Tremfya, Entyvio, Stelara, Infliximab, Skyrizi, Omvoh and Infliximab therapy (Remicade, Inflectra, Renflexis, Avsola)
To refer your patients, download the form and send to our dedicated biologics team.
Fax: 1-888-542-9352
For questions, call an Optum pharmacy: Click here to find the pharmacy nearest you.
Referral form for the following neurological biologics: Soliris, Ultomiris, Vyvgart and Vyvgart Hytrulo
To refer your patients, download the form and send to our dedicated biologics team.
Phone: 1-877-342-9352
Fax: 1-888-594-4844
To refer your patients, download the form and send to our dedicated hemophilia and bleeding disorders team.
Phone: 1-855-855-8754
Fax: 1-800-311-0185
E-prescribe:
15529 College Blvd
Lenexa, KS 66219
NPI: 1366603854
NCPDPID:1719472
To refer your patients, download the form and send to your local pharmacy. Click here to find the phone and fax numbers for pharmacy nearest you.
To refer your patients, download the form and send to our dedicated IG team:
Phone: 1-877-342-9352
Fax: 1-888-594-4844
To refer your patients, download the form and send to your local pharmacy. Click here to find the phone and fax numbers for the pharmacy nearest you.
Referral form for the following MS biologics: Ocrevus, Ocrevus Zunovo, Briumvi and Tysabri
To refer your patients, download the form and send to our dedicated biologics team.
Phone: 1-877-342-9352
Fax: 1-888-594-4844