This section is for prescribing practitioners only. Patients must bring an original prescription to the pharmacy, and cannot fax these referral forms. Faxed prescriptions will only be accepted from a licensed practitioner.

Once we receive the completed referral form, the Owl Specialty team will:

  • Verify insurance coverage and file the claim with the insurance provider.
  • Provide prior authorization and financial assistance support to ensure patient access.
  • Notify the patient and physician of the prescription status.
  • Contact the patient to coordinate pick-up or delivery of the medication.
  • Pharmacist will discuss with the patient their medication(s), how to maintain adherence, monitor and report side effects.