Refer a Patient

Refer a Patient to AccuServ Pharmacy^®

Please share any important details about contacting you or the patient. There is no need to provide prescription or medical information at this time.

• Call 1-800-727-3583 and ask about switching to the AccuPac.
• Or fill out this form and click “Submit & Get Started.”

An AccuServ representative will contact the patient within 48 business hours.