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
Bleeding Disorder Forms
Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.
Cystic Fibrosis 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.
Immune Globulin 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.
Rheumatology Forms
Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.
Financial Assistance Form
Click on the link below for a fillable PDF. Forms can be faxed to us at 844-814-1944.