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AbbVie Inc. – VyALEV Complete enrollment program fax number
(888) 953-2762
Enrollment and Prescription (Specialty Pharmacy)
Used for: Prescriber enrollment and prescription submission for the VyALEV Complete program
Fax destination details
- Department
- Enrollment and Prescription (Specialty Pharmacy)
- Purpose
- Prescriber enrollment and prescription submission for the VyALEV Complete program
- Form
- Enrollment and Prescription Form — VYALEV COMPLETE Enrollment and Prescription Form
- Address
- AbbVie Inc., 1 N. Waukegan Road, North Chicago, IL 60064
- Voice phone
- 1-866-489-2538
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit minimum medical documentation: patient information; copies of insurance cards; relevant medical records (e.g., Parkinson's diagnosis, evidence of levodopa responsiveness) and chart notes; ensure the form is fully completed before fax; additional records may be required by payers. Fax all materials to 1-888-953-2762.
Official form instructions are published as a downloadable file on the organization's website.
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