Enrollment Forms

​

Getting your patients enrolled at Valeda Rx is easy!

We accept ALL forms of referral submission; including,

• E-prescribe

• Fax

• Phone

• Secure Messaging Portal

 

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!

​

​

​

​

Interested in a therapy specific enrollment form? Contact us and one of our local Account Managers can provide you with enrollment forms and other helpful tools designed specifically for your specialty!

​