Cystaran®, Matulane®, RevcoviTM: (877) 534-9627
If you have a new or current patient with an urgent need for Revcovi or Matulane, please call and speak with the pharmacist at Alliance Rx Walgreens Prime.
Cystaran® Rx form
Matulane® Rx form
RevcoviTM Rx form
Please fax completed Rx forms to:
Abelcet®, Carnitor® (Tablets, Oral Solution, Sugar-Free Oral Solution, and Injection): (888) 276-2217
Investigational Initiated Trial Concept Submission
If you are interested in conducting an Investigator Initiated Trial on Abelcet®, Carnitor®, Cystaran® Matulane®, or Revcovi™ please call (800) 447-0169.