As a 503A pharmacy we are required by law that all orders are in the form of a patient specific prescription; order forms will no longer be accepted. All prescriptions are patient specific; meaning is one patient per prescription.

All prescriptions received at our 503A pharmacy in Phoenix must contain:

  • Written Date
  • Patient Name, DOB, address, phone number and allergies
  • Prescribing practitioner’s name, NPI/DEA, address, phone number and signature
  • Name, strength, dosage form, directions for use and quantity of the drug
  • Date of service
  • Shipping address
  • Must be sent as an e-script or faxed at 888-323-5815.
  • No refills or approvals will be allowed to be called in; a new prescription will be needed each time

Pharmacy prescribing information:

Pharmacy
Name: 

Optum Pharmacy 801, Inc.

Address:

23620 N. 20th Dr, Suite 12
Phoenix, AZ 85085

Phone:

877-358-8893

Fax:

888-323-5815

DEA#: 

FA7972789

NPI:

1649317579