Exactus&trade Pharmacy Solutions

Exactus&trade Pharmacy Solutions

Mail Order Forms

Members who wish to enroll in Exactus Pharmacy Solutions can enroll online or complete our enrollment formpdf to register with the program. Once your patients are enrolled, doctors can submit prescriptions by filling out an Exactus Pharmacy Solutions Prescription Order Formpdf

Please fax completed forms to 1-866-892-8194 or mail to us directly at:

Exactus Pharmacy Solutions™
PO BOX 31422
Tampa, FL 33631-3422

You can also call us at 1-877-232-0930 (TTY 1-866-507-6135), 24 hours a day, seven days a week.

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