Prescriber Order Forms

Referring a patient to Option Care Health is easy. To begin the referral process, simply select a medication from the alphabetized list below.

1

Download the form

2

Fill out, print and sign it – either online or by hand

3

Fax the completed form to the Option Care Health location most convenient for your patient
Find Location

If the required medication is not listed, please complete the Generic Order Form or electronically prescribe the medication.

For general questions or to learn more about our services, please call 844.624.4584 or submit a Contact Us Form.

Medication Order Forms

A

B

C

D

E

H

I

K

L

M

N

O

P

R

S

T

U

V

Y

For General Patient Questions

As with the branded drugs, if the required therapy is not listed, please call us at 844.624.4584 or electronically prescribe the medication.

All Option Care Health pharmacies are able to accept electronic prescriptions (e-prescribing).

Prescriptions must be sent from licensed prescribers, accompanied by the patient’s insurance information and in accordance with your state prescribing laws.

For general questions about our services, please call us at 844.624.4584 or submit a Contact Us Form.