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Dedicated to Patient Access

Reaching out to INSUPPORT™

If you have any questions, you can contact INSUPPORT™ by:

Phone

1-844-INSPPRT
(1-844-467-7778 )

Fax

1-844-814-0669

Address

PO Box: 29297
Phoenix, AZ 85039

Provider Portal

www.​providerportal.​insupport.com

Field Reimbursement Specialist

Find an INSUPPORT™ Field Reimbursement Specialist (FRS) in your area for information or to schedule an in-office meeting.

FIND AN FRS IN YOUR AREA

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John Doe
INSUPPORT™ Field Reimbursement Specialist
Phone: 1 (888) 888-8888
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Acknowledgement

About this Resource

Indivior Inc. (Indivior) is required to disclose the following requirements for participation and use to all participants. This free service provides a list of physicians, nurse practitioners, and physician assistants (hereafter collectively and individually referred to as HCP(s) or Healthcare Providers) who are waivered per the Drug Addiction Treatment Act of 2000 (DATA 2000) and the Comprehensive Addiction and Recovery Act of 2016 to provide treatment with SUBLOCADE and who have agreed to be in the Indivior Treatment Locator (Locator).

  • The maximum number of patients that an HCP may treat is limited by law; therefore, some HCPs may not always be able to accept new patients.
  • Participating HCPs do not pay a fee to be listed in the Locator, and their participation does not impose any requirements on the manner in which they treat or provide services to patients.
  • Participating HCPs are chosen for your search based on the geographical search information entered.
  • Some of the participating HCPs may be consultants to Indivior and receive payment for services. Some may have other financial relationships with Indivior as recipients of research grants, or other similar payments, or they may have an ownership interest in Indivior.
  • HCPs may request to be removed from the Locator and Indivior retains the right to remove HCPs from the Locator for the following reasons:
    • The HCP's contact information is no longer valid;
    • The HCP's DATA 2000 waiver or medical license, healthcare provider license or state prescribing license is suspended, revoked, or restricted;
    • The HCP is not in compliance with DATA 2000 and its implementing regulations; or
    • The company has information or determines after investigation that the HCP may be engaging in the unsafe prescription of our products

Limitation of Indivior Liabilities

Indivior does not warrant, whether expressed or implied, that the Locator is accurate or complete. Indivior does not recommend or endorse any HCP included in the Locator for any purpose, nor is the Locator a tool to verify a specific HCP's credentials or qualifications. It is your responsibility to select an HCP appropriate for your needs and you assume full responsibility for your interactions with any HCP you contact through the Locator. Indivior is not responsible for the medical care or advice given by any participating HCP you choose to contact.

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NETWORK SPECIALTY Pharmacies
SUBLOCADE™ (buprenorphine extended-release) injection, for subcutaneous use (CIII)

Accredo Specialty Pharmacy
Phone: 1-844-412-4764
Fax: 1-888-302-1028
Website: https://accredo.com/prescribers/referral_forms/sublocade.pdf

Alliance RX Walgreens Prime
Phone: 1-888-347-3416
Fax: 1-877-231-8302
Website: https://www.walgreens.com/businesssolutions/providers/referral-forms.jsp

Avella Specialty Pharmacy
Phone: 1-877-546-5779
Fax: 1-877-546-5780
Website: https://www.avella.com/specialty-pharmacy-rx-forms

BriovaRx, an OptumRx company
Phone: 1-855-427-4682
Fax: 1-877-342-4596
Website: https://www.briovarx.com/enrollmentForms.html

Magellan Magellan Rx Pharmacy
Phone: 1-866-554-2673
Fax: 1-866-364-2673
Website: https://magellanrx.com/provider/forms

Orsini Healthcare
Phone: 1-800-241-1534
Fax: 1-877-785-7737
Website: http://www.orsinihealthcare.com

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NETWORK SPECIALTY DISTRIBUTORS
SUBLOCADE™ (buprenorphine extended-release) injection, for subcutaneous use (CIII)

Besse Medical
Phone: 1-800-543-2111
Fax: 1-800-543-8695
Website: https://www.besse.com

CuraScript SD Specialty Distribution
Phone: 1-877-599-7748
Fax: 1-800-862-6208
Website: https://curascriptsd.com

Henry Schein
Phone: 1-800-772-4346
Fax: 1-800-329-9109
Website: www.henryschein.com/medical

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