Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Supernus Pharmaceuticals, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Supernus Pharmaceuticals, Inc. fax number

(855) 998-1515

Supernus Support

Used for: Patient assistance program enrollment and benefits verification; enrollment forms for Oxtellar XR, Trokendi XR, and Qelbree may be faxed to this number.

Fax destination details

Department
Supernus Support
Purpose
Patient assistance program enrollment and benefits verification; enrollment forms for Oxtellar XR, Trokendi XR, and Qelbree may be faxed to this number.
Form
Service Request Form (SRF) / Enrollment Form — Supernus Support Enrollment Form
Address
9715 Key West Avenue, Rockville, MD 20850
Voice phone
1-866-398-0833

Before you send

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  • 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.

Fill required sections (A–F as applicable); prescriber and patient signatures required; fax the completed form to 1-855-998-1515.

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

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