*Identifies the link for specialty pharmacies that offer electronic enrollment.
| Specialty Pharmacy | Link | |
|---|---|---|
| AcariaHealth (Including Exactus) | Enrollment Form | |
| Accredo | Specialty Pharmacy Portal* | Enrollment Form |
| Advanced Pharmacy Solutions | Enrollment Form | |
| CenterWell Specialty Pharmacy | Enrollment Form | |
| CVS Specialty Pharmacy (Including US Bioservices) | Enrollment Form | |
| Duncan Specialty Pharmacy | Enrollment Form | |
| Lumicera Health Services | Enrollment Form | |
| Optum Specialty Pharmacy | Enrollment Form | |
| Vital Care Rx | Enrollment Form | |
| Vital Care Rx (State of LA only) | Enrollment Form | |
| Walgreens Specialty Pharmacy | Enrollment Form | |
SYNAGIS Copay Assistance Program
Click the link below to enroll your patient in the SYNAGIS Copay Assistance Program.
If you have questions, call SYNAGIS CONNECT® at 1-833-SYNAGIS (1-833-796-2447), Monday through Friday, 8 am to 8 pm ET, or visit SYNAGISHCP.com for additional resources.
