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Mail-order maintenance medications.

How do providers submit mail-order prescriptions for their patients?

We have three options:

1.You may use e-prescribe to Birdi or fax to (888) 783-1773.

2.Your patient(s) may submit your prescription(s) to us via this website.

  • First, create an online account here so you can send us a new prescription(s) or transfer current prescription(s) from a retail pharmacy.
  • Second, choose "Request or Submit a New Prescription" at the top of the "My Medications" screen and follow steps.

3.Your patient(s) may submit your prescription(s) to us via mail:

  • First, print and complete this Medication Order Form
  • Second, print and complete this HIPAA Release Form
  • Third, send both forms, along with your prescription(s), to:
    PO Box 51580
    Phoenix,AZ 85076-1580

Questions about mail-order medications?

Contact Birdi at (855) 873-8739 (TTY dial 711).

Specialty medications.

How do providers submit referrals?

Download and complete the MedImpact Direct Specialty® referral form. Fax the referral form, a copy of the patient's insurance card, and lab work to 1-888-807-5716.

What do the pharmacies in the MedImpact Direct Specialty® Pharmacy Network provide?

Our network pharmacies provide clinical services for your patients and ship drugs to the location of your patient's choice. Our pharmacies contact patients each month to start a refill, review adherence, and answer questions. For each therapy, network pharmacies provide:

  • Information to improve patient outcomes
  • Outreach calls to help patients with therapy
  • Patient education
  • Patient-focused dispensing
  • Help with side effects
  • State-of-the-art care with accredited best practices
  • Lab reviews
  • Quality checks
  • Coordination with doctor(s)

Questions about specialty medications?

Download the MedImpact Direct Specialty® brochure for more information, registration, and ordering instructions. Or call MedImpact Direct Specialty® at 1-877-391-1103 (TTY dial 711) 8:00 am to 8:00 pm Eastern Time, Monday-Friday.

How can we help?

Mail-order pharmacy

We are a leader in customer satisfaction among mail-order pharmacies.


Specialty medications.

Plans that used our specialty program saved up to 9% overall.


For members.

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