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We know that when you prescribe a specialty medication, it’s important that your patient begin therapy as soon as possible. Our network pharmacies offer high-touch services that allow access to essential medications without placing additional administrative burden on your staff.

Specialty Referrals

How to Submit Specialty Referrals

Download and complete the MedImpact Direct Specialty referral form.
Download Referral Form Fax the referral form, a copy of the patient's insurance card and lab work to:
(888) 807-5716

MedImpact Direct Specialty Pharmacy Network

Our network pharmacies provide comprehensive clinical services for your patients and will ship medications to the location of your patient’s choice. Our pharmacies will also follow up with the patient every month to initiate a refill, review adherence and answer questions.

Our specialty network pharmacies will provide therapy-specific clinical services, when appropriate:


For questions about our program, please call MedImpact Direct Specialty at:
(877) 391-1103