Enrollment Forms
Getting your patients enrolled at Valeda Rx is easy!
We accept ALL forms of referral submission; including,
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E-prescribe
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Fax
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Phone
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!