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
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)
Aransep® (Darbepoetin Alfa)
Epogen® (Epoetin Alfa)
Procrit® (Epoetin Alfa)
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)