Enrollment Forms

Getting your patients enrolled at Valeda Rx is easy!

We accept ALL forms of referral submission; including,


Send us a referral today and experience the Valeda Rx Difference...

Valeda Rx, LLC.

250 Mt. Lebanon Blvd

Suite 208

Pittsburgh, PA 15234

Fax: (844) 582-5332

        (724) 597-2469

Phone: (844) 698-2533

              (412) 684-2500

NPI: 1669823266

NCPDP/NABP: 6004117

Please include patient demographics, chart notes, and labs when submitting referrals in order to expedite the process!