Getting your consumers started

Provider resources you can count on

When your consumers use Genoa for their pharmacy, you’re able to work with a hands-on, personal pharmacy team that has direct knowledge of the treatments that work best. We work with prescribers to help patients access complex and specialty medications through our nationwide pharmacy network. For a direct referral of a consumer to Genoa, follow these steps.

How to submit a patient referral

We understand that access to some medications is harder to find than others, and there are often urgencies involved, too. That’s why we work to simplify the patient referral process.

Select the drug-specific referral form. (Note: This is not an exhaustive list of all medications. If more than one medication is needed, please view our locations and contact the nearest pharmacy to the patient.)
Print the form.
Complete and sign the form. Where permitted, the form acts as both the prescription and patient referral.
Fax the completed form to Genoa Clinical Services at 1-763-540-6830.
Genoa Clinical Services will review your submission and route it to the most appropriate Genoa pharmacy to coordinate dispensing and consumer support. If you'd like the referral sent to a specific Genoa pharmacy, simply indicate the preferred location on the form and we'll route it accordingly.

Drug-specific patient referral forms

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A-I

Austedo referral form

Brixadi referral form

Caplyta referral form

Cobenfy referral form

Ingrezza referral form

J-Z

Rexulti referral form

Sublocade referral form

Spravato referral form

Vivitrol referral form

Have questions or need additional assistance?

Contact Genoa Clinical Services by email or call 855-657-6554.

Email us

Learn about the latest in clinical pharmacy

Keeping up with new and emerging medication options for your consumers can be difficult. Genoa has you covered. Check out our blog to see the latest in clinical therapies, options and outcomes.