Get Catamaran Fax Form

The Catamaran Fax Form is essential for submitting prescriptions securely and efficiently. This guide will walk you through each step of filling out the form online, ensuring that you provide all necessary information accurately.

Follow the steps to successfully complete the Catamaran Fax Form.

1. Press the ‘Get Form’ button to access the Catamaran Fax Form and open it for editing.
2. Begin by entering the member information. Fill in the cardholder ID number and name in the designated fields. Ensure you include all characters and leave the box blank for spaces.
3. Continue to the prescriber information section. Here, you need to provide the National Provider Identifier (NPI) number, prescriber name, Drug Enforcement Administration (DEA) number, and fax number.
4. In the patient information section, enter the patient's date of birth, name, address, city, state, zip code, and telephone number. Also, provide the ship-to address.
5. Indicate the number of medications on this page and provide detailed medication information, including the drug name, strength, and quantity needed. Include any refills as applicable.
6. Ensure to sign the prescription and provide the date. Remember that stamps are not acceptable; a handwritten signature is required. If applicable, include 'brand necessary' in the designated space for brand-name products.
7. Finally, fax the completed form from the prescriber's secure fax line to the designated number. Ensure you do not include a cover sheet, as incomplete forms will delay processing.
8. Once all necessary information has been filled and verified, you can save any changes you made, download a copy for your records, print the form, or share it as required.

Complete your documentation process efficiently by filling out the Catamaran Fax Form online today.