Thank you for submitting the initial enrollment form! A patient advocate will be calling you to complete the enrollment process soon.
We look forward to serving you.

In the meantime, to expedite your order, you can have your prescription sent to us now.

Make sure that we carry your medication by visiting

To submit your prescription to Rx Outreach, you can:

Option A: Ask your doctor to send your prescription

By E-Script: Surescripts network- NCPDP ID 2635855
By Fax: 1-800-875-6591
By Phone: 1-888-796-1234

Option B: Mail the original paper prescription

Rx Outreach
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043