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1-855-EYLEA4U (1-855-395-3248), Option 4



PRESCRIBING INFORMATION


CONTACT US

Phone Numbers
Voice: 1-855-EYLEA4U, Option 4
  (1-855-395-3248)
Fax: 1-888-335-3264

Monday-Friday
9 AM- 8 PM Eastern Time
Contact Address
EYLEA4U® Reimbursement Support Program
PO Box 220578
Charlotte, NC 28222-0578

EYLEA4U Forms & Examples


Forms

Click on document links below to download forms

Forms

Sample Letters

Sample letters for EYLEA HD can be found under the Resource tab here.

Sample letters for EYLEA can be found under the Resource tab here.


Other Resources

You can find additional resources for EYLEA HD here.

You can find additional resources for EYLEA here.