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Supernus Pharmaceuticals, Inc. fax number

(855) 998-1515

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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

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

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