The INBRACE Support Program Overview will inform you about the prescription process and the INBRACE Support Program.
Prescription Process
There are many paths to access INGREZZA® (valbenazine) capsules for your patients.
1.
Prescribing Using the Treatment Form: Prescribing INGREZZA® (valbenazine) capsules is simple. You can start by downloading the INGREZZA Treatment Form, which both enrolls patients into the INBRACE Support Program and serves as their prescription for INGREZZA.
- Fax the completed Treatment Form to the INBRACE Support Program at 844-394-7155.
Prescribe INGREZZA and enroll your patients in INBRACE.
INGREZZA Treatment Form Treatment Form Instructions
2.
Benefit Verification: The specialty pharmacy will perform the benefit investigation and help you navigate the prior authorization process.
Navigate the access process with these resources:
Sample Letter of Medical Necessity Sample Appeals Letter
3.
Delivery: The specialty pharmacy will arrange next-day shipping of the INGREZZA prescription directly to your patient at a location of their choosing.
4.
Follow-up: Patients will receive monthly calls from the specialty pharmacy to refill their prescriptions.
Questions about how the INBRACE Support Program can help? Call 84-INGREZZA (844-647-3992).
INGREZZA is available through a select network of specialty and closed-door pharmacies.*
Your Neurocrine representative may be able to provide you with contact information for local pharmacies that have access to INGREZZA.
Local Pharmacy Network
Genoa Healthcare Pharmacies
(onsite pharmacies)
Phone: (855) 657-6554, option 2
Local pharmacies
There are many pharmacy options across the nation with access to INGREZZA.
National Specialty Pharmacies
Amber Specialty Pharmacy
www.amberpharmacy.com
Phone: 888-370-1724
Fax: 402-896-3774
Hours of operation:
7:00 AM to 7:00 PM (CT),
Monday-Friday
8:00 AM to 2:00 PM (CT), Saturday
Pharmacist on-call 24/7
NPI #: 1770586349
Orsini Specialty Pharmacy
www.orsinispecialtypharmacy.com
Phone: 800-279-1676
Fax: 877-868-1681
Hours of operation:
8:00 AM to 6:30 PM (CT),
Monday-Friday
Pharmacist on-call 24/7
NPI #: 1073608998
PANTHERX RARE
www.pantherxrare.com
Phone: 844-221-3777
Fax: 844-364-6394
Hours of operation:
8:00 AM to 8:00 PM (ET),
Monday-Friday
Pharmacist on-call 24/7
NPI #: 1316213531
* You can ePrescribe to the pharmacies listed.
