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Welcome To Specialty Pharmacy Services

Thrifty White Specialty Pharmacy Services

"This section for Prescribing Practitioners only"

Getting started is easy. Simply send in a new prescription via phone, ePrescribe or fax, and we'll take care of the rest. Utilize our pre-populated enrollment forms to streamline the prior authorization process and get your patients on therapy even more quickly!

  • Call: 1-855-611-3399
  • Fax: 1-855-826-2596
  • ePrescribe: Thrifty White Pharmacy 061

Once we receive your order, we'll process and follow-up within 24 hours to ensure you always know where your patient is at.

Cystic Fibrosis Enrollment Forms
Cystic Fibrosis
Fabry Disease Enrollment Form
Fabry Disease
Financial Assistance
Enrollment Form
Financial Assistance
Growth Hormone Deficiency
Enrollment Form
Growth Hormone Deficiency
Hereditary Angiodema
Enrollment Form
Hereditary Angiodema Enrollment
Hemophilia and Bleeding Disorders
Enrollment Form
Hemophilia/Bleeding Disorders
Hepatitis Enrollment Forms
Hepatitis B
Hepatitis C
High Cholesterol Enrollment Form
High Cholesterol
HIV Enrollment Forms
Immune Globulun Enrollment Forms
Intravenous Immune Globulun
Subcutaneous Immune Globulin
Enrollment Forms
Crohn's Disease & Colitis
Dermatology/Psoriasis A-H
Dermatology/Psoriasis I-Z
Rheumatology A-O
Rheumatology O-Z
Lysosomal Storage Disorder
Enrollment Form
Lysosomal Storage Disorder
Multiple Sclerosis Enrollment Forms
Oncology Enrollment Forms
Osteoporosis Enrollment Forms
Respiratory Syncytial Virus Enrollment Form
Respiratory Syncytial Virus (RSV)
General Enrollment Form
General Enrollment Form
Anti-Psychotics Enrollment Form

Patient Profile Form
Patient Profile Form

Fax completed forms to 1-855-826-2596

Patients must bring an original prescription to the pharmacy, and cannot fax these referral forms to Thrifty White Pharmacy.

Faxed prescriptions will only be accepted from a prescribing practitioner.

On receipt of the completed referral form, Thrifty White Specialty Partners will:

  • Verify insurance coverage (including co-pays) and file the claim with the insurance carrier
  • Provide prior authorization (PA) and financial assistance (FA) support to ensure patient access
  • Notify the Physician and patient of the status of the prescription within 24 hours of receipt
  • Contact the patient to coordinate delivery of the medication and to review the support services provided by Thrifty White Specialty Pharmacy Care Partners during the course of their therapy
  • On receipt of their medications, a Thrifty White pharmacist will consult with the patient on their medications, anticipated side effects, and how to contact the pharmacy with any questions;
  • Thrifty White Pharmacy's Specialty Care Partners will be a partner for the patient throughout the course of therapy to maintain adherence, monitor and report side effects, and ensure patient access to available resources.

Contact a Thrifty White Specialty Pharmacy Care Partner today!
We’ll help your patient start therapy quickly, stay on therapy successfully, and receive the most benefit from their medication!

Click Here to find a Thrifty White Pharmacy near you.