Prescribers

For Our Prescribers

If you are a licensed prescriber, let Realo Specialty Care take care of your patients specialty prescription needs by faxing over a completed form to us at 844-814-1944.

Let us ease the burden of limited distribution products, patient insurance contracting, and financial assistance. Realo Specialty Care pharmacists want to make the prescription process as easy as possible for both the patient and the prescriber. For this reason, Realo has partnered with other specialty pharmacies in order to take care of all patients and all specialty medications. Realo specialty pharmacy works in collaboration with these pharmacies to create a specialty distribution network that assists in providing care to all patients.

We have a clinical team equipped with resources to efficiently handle prior authorizations and discover financial assistance for patients in need.

enrollment forms

Cystic Fibrosis Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Fertility Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Gastroenterology Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

HIV Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Immunology Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Immune Globulin Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Lipid Disorder Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Mental Health Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Multiple Sclerosis Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Oncology Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Osteoporosis Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Financial Assistance Forms

Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.

Let us free up more of your time for patient care. Contact your local Specialty Community Consultant today!