PROVIDERS
Patients and physicians choose River’s Edge Pharmacy for expertise, guidance, and personal touch. Providers partner with River’s Edge Pharmacy in order to provide their members comprehensive care planning.
THREE EASY OPTIONS TO MAKE AND SUBMIT A REFERRAL FORM:
OPTION 2:
Send your referral securely using e-script
WHAT HAPPENS NEXT?
- River’s Edge Pharmacy contacts patients and physicians for financial responsibility and medication delivery
- River’s Edge Pharmacy consults with patient regarding the prescribed medication
- River’s Edge Pharmacy conducts follow-up post-dispensing
SEARCH BY DISEASE STATE
Fax your forms to: 877 834-1231
Dupixent® (dupilumab) Xolair®
IV (Monoclonal antibodies) MAB
Cosentyx Sensoready®
Dupixent® (dupilumab)
Enbrel® (etanercept)
Enbrel Peds®
Humira®
Juvederm VolbellaXC®
Orencia® (abatacept)
Otezla® (apremilast)
Simponi® (golimumab)
Stelara® (ustekinumab)
Tremfya® (guselkumab)
Cinqair® (reslizumab)
Fasenra® (benralizumab)
Nucala® (mepolizumab)
Dificid®
Entyvio®
Humira®
Remicade®
Simponi®
Xifaxan®
Krystexxa® (Pegloticase) IV infusion for Gout
Aransep® (Darbepoetin Alfa)
Epogen® (Epoetin Alfa)
Procrit® (Epoetin Alfa)
Epivir HBV
Hepsera®
HBIG
Pegasys®
Tyzeka®
Vemlidy®
Viread®
Epclusa®
Harvoni®
Mavyret®
Olysio®
Pegasys®
Promacta®
Ribavirin®
Sovaldi®
Technivie®
Viekira XR®
Viekira PAK®
Vosevi®
Zepatier®
Atripla®
Combivir®
Complera
Emtriva®
Edurant®
Epivir®
Epzicom®
Evotaz
Fuzeon®
Genvoya®
Intelence®
Isentress®
Kaletra®
Lexiva®
Mepron®
Norvir®
Odefsey™
Prezcobix
Prezista®
Rescriptor®
Retrovir®
Reyataz®
Selzentry®
Serostim®
Stribild™
Sustiva®
Tivicay
Triumeq
Trizivir®
Truvada®
Tybost
Viramune®
Viread®
Vitekta
Ziagen®
Zerit®
Zithromax®
Aimovig® (Erenumab-aooe)
Ajovy® (Fremanezumab-vfrrm)
Emgality® (Galcanezumab-gnlm)
Vyepti® (eptinezumab-jjmr)
Ampyra® (dalfampridine)
Avonex® (interferon beta-1a)
Betaseron® (interferon beta-1b)
Copaxone® (glatiramer acetate)
Extavia® (interferon beta-1b)
Ocrevus® (ocrelizumab)
Plegridy® (peginterferon beta-1a)
Rebif® (interferon beta-1a)
Radicava® (Edaravone)
Tecfidera® (Dimethyl Fumarate)
Opdivo® (Nivolumab)
Opdivo® + Yervoy (Ipilimumab)
Lupron Depot®
Lupron Depot® PEDs
Afinitor (everolimus)
Afinitor Disperz (everolimus)
Alecensa®
Arimidex® (anastrozole)
Bosulif® (bosutinib)
Cytoxan® (cyclophosphamide)
Fareston® (toremifene)
Femara® (letrozole)
Gleevec® (imatinib)
Hycamtin® (topotecan)
Jadenu® (deferasirox)
Kisqali Femara®
Lomustinee
LONSURF (trifluridine and tipiracil)
Mekinist® (trametinib)
Nexavar® (sorafenib) Dose
Ninlaro® (ixazomib)
Sprycel® (dasatinib)
Stivarga® (regorafenib)
Tafinlar® (dabrafenib)
Tarceva® 25mg, 100 mg and 15 mg
Targretin® gel 1%
Tasigna® (nilotinib)
Temodar® (temozolomide)
Tykerb® (lapatinib)
Votrient® (pazopanib) Dose: 200mg
Xeloda® (capecitabine)
Xtandi® (enzalutamide)
Zelboraf® (vemurafenib)
Zolinza® (vorinostat)
Zortress (everolimus)
Zytiga® (abiraterone)
Boniva®
Forteo®
Prolio®
Reclast®
Tymlos®
Amantadine
Ayclovir
Baclofen
Bupaivacaine
Bupivacaine
Carbamazeipine
Clonidine
Cylcobenzaprine
Diclofenac
Diltiazem
Doxepin
Gabapentin
Ibuprofen
Ketoprofen
Ketorolac
Lidocaine
Nifedipine
Orphenadrine
Piroxicam
Topiramate
Actemra®
Cimzia®
Enbrel®
Humira®
Kevzara®
Kineret®
Krystexxa® (Pegloticase) IV infusion for Gout
Leflunomide®
LLaris®
Methotrexate®
Orencia®
Otezla®
Remicade®
Rituxan®
Simponi® (Golimumab)
Simponi Aria®
Stelara®
Xeljanz®
Xeljanz XR®