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AbbVie - myAbbVie Assist for Duopa fax number

(844) 845-2323

Patient Assistance Program

Used for: Enrollment and prescription submission for the Duopa patient assistance program; enrollment/applicant forms are faxed to AbbVie.

Fax destination details

Department
Patient Assistance Program
Purpose
Enrollment and prescription submission for the Duopa patient assistance program; enrollment/applicant forms are faxed to AbbVie.
Form
Enrollment & Prescription Form — Enrollment & Prescription Form (DUOPA)
Address
600 Emerson Road, 3RD Floor, Suite 300, Creve Coeur, MO 63141
Voice phone
1-844-265-8027

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.

Complete physician/prescriber information, patient information, and required attachments (financial information, licenses, NPI, prescribed medication details) and fax to 1-844-845-2323.

Official form instructions are published as a downloadable file on the organization's website.

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