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Prescribers may use the below fillable PDF forms to send prescription referrals or provide supplemental information

SUBSTANCE USE DISORDER
MENTAL HEALTH
SPECIALTY

Matrix VIP LLC
285 E. Waterfront Drive Suite 130
Homestead, PA 15120


Pharmacy Hours:
Mon-Fri 8:00AM - 6:00PM EST


p. 866-410-3306
f. 866-410-3304
e. info@matrix-pharmacy.com

©2023 Matrix VIP LLC | All rights reserved

 

ACHC Accredited
Specialty Pharmacy Services Accredited
ID#86959
Effective 5/17/2022
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