Referral Forms

Referring a patient in Hawaii?

Accredo supports prescribers across Hawaii with local pharmacy and infusion services. Use the referral forms below for Hawaii‑based patients. Access Hawaii referral forms

Streamline Your Prescription Process with MAP Fax Rx

For efficient, transparent communication and easy tracking, send your prescription through MAP Fax Rx. Your fax will appear in the Message Center under “Rx Faxes”, and once received by the pharmacy, it will be listed under “Referral/Rx Received”.

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