Circle of Care (US WorldMeds) – APOKYN patient support program fax number

Fax destination details

Department

Circle of Care Clinical Education Program / Nurse Education Services

Purpose

Transmitting APOKYN-related forms and patient information to Circle of Care; education and enrollment communications; includes submission of Statement of Medical Necessity (SMN) and enrollment consents.

Form

Statement of Medical Necessity (SMN) — Statement of Medical Necessity (SMN) for APOKYN – Circle of Care enrollment

Address

Circle of Care/US WorldMeds, c/o CareMetx, 6931 Arlington Road, Suite 308, Bethesda, MD 20814, USA

Voice phone

1-877-727-6596

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.

Fax the SMN and enrollment/consent forms to the designated Circle of Care fax number 1-888-525-2431; follow program enrollment instructions.

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