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877-662-6633: 877-662-6355: onco360.com: Optum Specialty (formerly Avella & Diplomat) 877-445-6874: 877-342-4596: specialty.optumrx.comCenterWell Pharmacy. Phone: 1-800-486-2668 Fax: 1-877-405-7940. centerwellpharmacy.com. CVS Caremark Specialty Pharmacy. Phone: 1-800-237-2767 …1-877-342-4596 Call 1-877-445-6874 Ready to prescribe? Just e-prescribe, fax or call in your patient’s prescription to Optum® Specialty Pharmacy. We’ll handle the rest. Once we receive the prescription, we will: • Complete a benefits investigation and prior authorization • Aid patients in obtaining financial assistance programsOffice Phone: 1-877-445-0827 TTY: 1-479-968-7749 Social Security Website: www.ssa.gov Russellville Social Security Office Hours: Office Hours Notice: Beginning Wednesday, January 2, 2013, offices close at noon on Wednesdays to the public.Optum Specialty Phone: 877-445-6874 | Optum Specialty Fax: 866-306-5231. Created Date: 5/15/2023 3:00:21 PM ...

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Oncology Phone: 877-445-6874 Fax: 877-342-4596 Specialty Pharmacy Enrollment Form Please detach before submitting to a pharmacy – tear here. Oncology Enrollment Form This form is not a valid prescription in Arizona PATIENT INFORMATION Please complete the following or send patient demographic sheet Patient Name Address Address 2 City, State, ZIP

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