Download Enrollment Forms

Send your specialty Rx and enrollment form to us electronically, or by phone or fax.

At CVS Specialty®, our goal is to help streamline the onboarding process to get patients the medication they need as quickly as possible. We offer access to specialty medications and infusion therapies, centralized intake and benefits verification, and prior authorization assistance.

Select your specialty therapy, then download and complete the appropriate enrollment form when you send us your prescription.

Select the starting letter of the specialty therapy/condition or medication.

A

Acromegaly AcromegalyLink to PDF
Alpha1 Proteinase Inhibitor Deficiency Alpha1 Proteinase Inhibitor DeficiencyLink to PDF
Amyloidosis AmyloidosisLink to PDF
Apretude Cabenuva Apretude CabenuvaLink to PDF
Aranesp AranespLink to PDF
Asthma AsthmaLink to PDF
Atopic Dermatitis Atopic DermatitisLink to PDF
Autoimmune IV Autoimmune IVLink to PDF

B

Betaine Anhydrous Betaine AnhydrousLink to PDF
Brixadi BrixadiLink to PDF

C

Cabenuva Apretude Cabenuva ApretudeLink to PDF
CAPS Syndrome CAPS SyndromeLink to PDF
Cardiology CardiologyLink to PDF
Cystic Fibrosis Cystic FibrosisLink to PDF
Cystinuria CystinuriaLink to PDF

D

Dermatology Psoriasis Dermatology PsoriasisLink to PDF
Duchenne Muscular Dystrophy Duchenne Muscular DystrophyLink to PDF

E

F

Fertility FertilityLink to PDF
Food Allergy Food AllergyLink to PDF

G

Gastroenterology GastroenterologyLink to PDF
General CVS Specialty Enrollment Form General CVS Specialty Enrollment FormLink to PDF
Gout GoutLink to PDF
Growth Hormone Disorders Growth Hormone DisordersLink to PDF

H

Hematopoietics HematopoieticsLink to PDF
Hemophilia HemophiliaLink to PDF
Hepatitis C Hepatitis CLink to PDF
Hereditary Angioedema Hereditary AngioedemaLink to PDF
HIV HIVLink to PDF

I

Idiopathic Pulmonary Fibrosis Idiopathic Pulmonary FibrosisLink to PDF
Immunoglobulins ImmunoglobulinsLink to PDF
Inflammatory Bowel Disease Inflammatory Bowel DiseaseLink to PDF

J

K

L

Lupron Gynecology Women's Health Lupron Gynecology Women's HealthLink to PDF
Lupron Pediatric Lupron PediatricLink to PDF
LupronDepot - Eligard-Zoladex-Firmagon LupronDepot - Eligard-Zoladex-FirmagonLink to PDF
Lupus LupusLink to PDF
Lysosomal Storage Disorders Lysosomal Storage DisordersLink to PDF

M

Migraine MigraineLink to PDF
Movement Disorders Movement DisordersLink to PDF
Multiple Sclerosis Infusion Multiple Sclerosis InfusionLink to PDF
Multiple Sclerosis Orals and Injectables Multiple Sclerosis Orals and InjectablesLink to PDF
Myasthenia Gravis Subcutaneous Myasthenia Gravis SubcutaneousLink to PDF

N

Non-Alcoholic SteatoHepatitis Non-Alcoholic SteatoHepatitisLink to PDF
Nuzyra NuzyraLink to PDF

O

Oncology Breast Cancer Oncology Breast CancerLink to PDF
Oncology Dermatology Oncology DermatologyLink to PDF
Oncology General Oncology GeneralLink to PDF
Oncology Injectable and Infused Oncology Injectable and InfusedLink to PDF
Oncology Men's Health Oncology Men's HealthLink to PDF
Oncology Non-Small Cell Lung Cancer Oncology Non-Small Cell Lung CancerLink to PDF
Oncology Oral Medications Oncology Oral MedicationsLink to PDF
Oncology Orals Hematologic Malignancies Oncology Orals Hematologic MalignanciesLink to PDF
Oncology Orals Solid Tumors Oncology Orals Solid TumorsLink to PDF
Oncology Support Therapy Oncology Support TherapyLink to PDF
Osteoarthritis OsteoarthritisLink to PDF
Osteoporosis OsteoporosisLink to PDF

P

PAH - Adempas PAH - AdempasLink to PDF
PAH - Adempas REMS PAH - Adempas REMSLink to PDF
PAH - Infusion PAH - InfusionLink to PDF
PAH - Opsumit PAH - OpsumitLink to PDF
PAH - Opsynvi PAH - OpsynviLink to PDF
PAH - Orals PAH - OralsLink to PDF
PAH - Orenitram PAH - OrenitramLink to PDF
PAH - Remodulin PAH - RemodulinLink to PDF
PAH - Remodulin Pre-Mix PAH - Remodulin Pre-MixLink to PDF
PAH - Tracleer PSMN PAH - Tracleer PSMNLink to PDF
PAH - Treprostinil Injection PAH - Treprostinil InjectionLink to PDF
PAH - Treprostinil Premix PAH - Treprostinil PremixLink to PDF
PAH - Tyvaso and Tyvaso DPI PAH - Tyvaso and Tyvaso DPILink to PDF
PAH - Uptravi PSMN PAH - Uptravi PSMNLink to PDF
PAH - Winrevair PAH - WinrevairLink to PDF
Parkinson's Parkinson'sLink to PDF
Pomalyst/Revlimid/Thalomid Pomalyst/Revlimid/ThalomidLink to PDF
Procrit ProcritLink to PDF

Q

R

Remicade-Remicade Biosimilars Remicade-Remicade BiosimilarsLink to PDF
Renal RenalLink to PDF
Respiratory Syncytial Virus (RSV) Respiratory Syncytial Virus (RSV)Link to PDF
Retinal Disorders/Ocular Specialty Retinal Disorders/Ocular SpecialtyLink to PDF
Rheumatology IV Rheumatology IVLink to PDF
Rheumatology Orals Subcutaneous Rheumatology Orals SubcutaneousLink to PDF
Ryplazim RyplazimLink to PDF

S

Sickle Cell Disease Sickle Cell DiseaseLink to PDF
Sohonos SohonosLink to PDF
Soliris and Ultomiris Soliris and UltomirisLink to PDF
Spravato SpravatoLink to PDF
Sublocade SublocadeLink to PDF
Sunlenca SunlencaLink to PDF

T

Transplant TransplantLink to PDF

U

Ultomiris and Soliris Ultomiris and SolirisLink to PDF

V

Vivitrol VivitrolLink to PDF
Vyvgart VyvgartLink to PDF

W

Wilson Disease Wilson DiseaseLink to PDF

X

Y

Z

Zulresso ZulressoLink to PDF
Zurzuvae ZurzuvaeLink to PDF

Select the starting letter of the specialty therapy/condition or medication.

A

Acromegaly (HI) Acromegaly (HI)Link to PDF
Acromegaly (PR) Acromegaly (PR)Link to PDF
Alpha1 Proteinase Inhibitor Deficiency (HI) Alpha1 Proteinase Inhibitor Deficiency (HI)Link to PDF
Alpha1 Proteinase Inhibitor Deficiency (PR) Alpha1 Proteinase Inhibitor Deficiency (PR)Link to PDF
Amyloidosis (HI) Amyloidosis (HI)Link to PDF
Amyloidosis (PR) Amyloidosis (PR)Link to PDF
Apretude Cabenuva (HI) Apretude Cabenuva (HI)Link to PDF
Apretude Cabenuva (PR) Apretude Cabenuva (PR)Link to PDF
Aranesp (HI) Aranesp (HI)Link to PDF
Aranesp (PR) Aranesp (PR)Link to PDF
Asthma (HI) Asthma (HI)Link to PDF
Asthma (PR) Asthma (PR)Link to PDF
Atopic Dermatitis (HI) Atopic Dermatitis (HI)Link to PDF
Atopic Dermatitis (PR) Atopic Dermatitis (PR)Link to PDF
Autoimmune IV (HI) Autoimmune IV (HI)Link to PDF
Autoimmune IV (PR) Autoimmune IV (PR)Link to PDF

B

C

Cabenuva Apretude (HI) Cabenuva Apretude (HI)Link to PDF
Cabenuva Apretude (PR) Cabenuva Apretude (PR)Link to PDF
CAPS Syndrome (HI) CAPS Syndrome (HI)Link to PDF
CAPS Syndrome (PR) CAPS Syndrome (PR)Link to PDF
Cardiology (HI) Cardiology (HI)Link to PDF
Cardiology (PR) Cardiology (PR)Link to PDF
Cystic Fibrosis (HI) Cystic Fibrosis (HI)Link to PDF
Cystic Fibrosis (PR) Cystic Fibrosis (PR)Link to PDF
Cystinuria (HI) Cystinuria (HI)Link to PDF
Cystinuria (PR) Cystinuria (PR)Link to PDF

D

Dermatology Psoriasis (HI) Dermatology Psoriasis (HI)Link to PDF
Dermatology Psoriasis (PR) Dermatology Psoriasis (PR)Link to PDF
Duchenne Muscular Dystrophy (HI) Duchenne Muscular Dystrophy (HI)Link to PDF
Duchenne Muscular Dystrophy (PR) Duchenne Muscular Dystrophy (PR)Link to PDF

E

F

Fertility (HI) Fertility (HI)Link to PDF
Fertility (PR) Fertility (PR)Link to PDF
Food Allergy (HI) Food Allergy (HI)Link to PDF
Food Allergy (PR) Food Allergy (PR)Link to PDF

G

Gastroenterology (HI) Gastroenterology (HI)Link to PDF
Gastroenterology (PR) Gastroenterology (PR)Link to PDF
General CVS Specialty Enrollment Form General CVS Specialty Enrollment FormLink to PDF
General CVS Specialty Enrollment Form (PR) General CVS Specialty Enrollment Form (PR)Link to PDF
Gout (HI) Gout (HI)Link to PDF
Gout (PR) Gout (PR)Link to PDF
Growth Hormone Disorders (HI) Growth Hormone Disorders (HI)Link to PDF
Growth Hormone Disorders (PR) Growth Hormone Disorders (PR)Link to PDF

H

Hematopoietic: Hepatitis C (HI) Hematopoietic: Hepatitis C (HI)Link to PDF
Hematopoietic: Hepatitis C (PR) Hematopoietic: Hepatitis C (PR)Link to PDF
Hematopoietics (HI) Hematopoietics (HI)Link to PDF
Hematopoietics (PR) Hematopoietics (PR)Link to PDF
Hemophilia (HI) Hemophilia (HI)Link to PDF
Hemophilia (PR) Hemophilia (PR)Link to PDF
Hepatitis C (HI) Hepatitis C (HI)Link to PDF
Hepatitis C (PR) Hepatitis C (PR)Link to PDF
Hereditary Angioedema (HI) Hereditary Angioedema (HI)Link to PDF
Hereditary Angioedema (PR) Hereditary Angioedema (PR)Link to PDF
HIV (HI) HIV (HI)Link to PDF
HIV (PR) HIV (PR)Link to PDF

I

Idiopathic Pulmonary Fibrosis Idiopathic Pulmonary FibrosisLink to PDF
Idiopathic Pulmonary Fibrosis (HI) Idiopathic Pulmonary Fibrosis (HI)Link to PDF
Idiopathic Pulmonary Fibrosis (PR) Idiopathic Pulmonary Fibrosis (PR)Link to PDF
Immunoglobulins (HI) Immunoglobulins (HI)Link to PDF
Immunoglobulins (PR) Immunoglobulins (PR)Link to PDF
Inflammatory Bowel Disease (HI) Inflammatory Bowel Disease (HI)Link to PDF
Inflammatory Bowel Disease (PR) Inflammatory Bowel Disease (PR)Link to PDF

J

K

L

Lupron Gynecology Women's Health (HI) Lupron Gynecology Women's Health (HI)Link to PDF
Lupron Gynecology Women's Health (PR) Lupron Gynecology Women's Health (PR)Link to PDF
Lupron Pediatric (HI) Lupron Pediatric (HI)Link to PDF
Lupron Pediatric (PR) Lupron Pediatric (PR)Link to PDF
LupronDepot - Eligard-Zoladex-Firmagon (HI) LupronDepot - Eligard-Zoladex-Firmagon (HI)Link to PDF
LupronDepot - Eligard-Zoladex-Firmagon (PR) LupronDepot - Eligard-Zoladex-Firmagon (PR)Link to PDF
Lupus (HI) Lupus (HI)Link to PDF
Lupus (PR) Lupus (PR)Link to PDF
Lysosomal Storage Disorders (HI) Lysosomal Storage Disorders (HI)Link to PDF
Lysosomal Storage Disorders (PR) Lysosomal Storage Disorders (PR)Link to PDF

M

Migraine (HI) Migraine (HI)Link to PDF
Migraine (PR) Migraine (PR)Link to PDF
Movement Disorders (HI) Movement Disorders (HI)Link to PDF
Movement Disorders (PR) Movement Disorders (PR)Link to PDF
Multiple Sclerosis (HI) Multiple Sclerosis (HI)Link to PDF
Multiple Sclerosis (PR) Multiple Sclerosis (PR)Link to PDF
Multiple Sclerosis Orals and Injectables (HI) Multiple Sclerosis Orals and Injectables (HI)Link to PDF
Multiple Sclerosis Orals and Injectables (PR) Multiple Sclerosis Orals and Injectables (PR)Link to PDF
Myasthenia Gravis Subcutaneous (HI) Myasthenia Gravis Subcutaneous (HI)Link to PDF
Myasthenia Gravis Subcutaneous (PR) Myasthenia Gravis Subcutaneous (PR)Link to PDF

N

Non-Alcoholic SteatoHepatitis (HI) Non-Alcoholic SteatoHepatitis (HI)Link to PDF
Non-Alcoholic SteatoHepatitis (PR) Non-Alcoholic SteatoHepatitis (PR)Link to PDF
Nuzyra (HI) Nuzyra (HI)Link to PDF
Nuzyra (PR) Nuzyra (PR)Link to PDF

O

Oncology Breast Cancer (HI) Oncology Breast Cancer (HI)Link to PDF
Oncology Breast Cancer (PR) Oncology Breast Cancer (PR)Link to PDF
Oncology Dermatology (HI) Oncology Dermatology (HI)Link to PDF
Oncology Dermatology (PR) Oncology Dermatology (PR)Link to PDF
Oncology General (HI) Oncology General (HI)Link to PDF
Oncology General (PR) Oncology General (PR)Link to PDF
Oncology Injectable and Infused (HI) Oncology Injectable and Infused (HI)Link to PDF
Oncology Injectable and Infused (PR) Oncology Injectable and Infused (PR)Link to PDF
Oncology Men's Health (HI) Oncology Men's Health (HI)Link to PDF
Oncology Men's Health (PR) Oncology Men's Health (PR)Link to PDF
Oncology Non-Small Cell Lung Cancer (HI) Oncology Non-Small Cell Lung Cancer (HI)Link to PDF
Oncology Non-Small Cell Lung Cancer (PR) Oncology Non-Small Cell Lung Cancer (PR)Link to PDF
Oncology Oral Medications (HI) Oncology Oral Medications (HI)Link to PDF
Oncology Oral Medications (PR) Oncology Oral Medications (PR)Link to PDF
Oncology Orals Enrollment Form Oncology Orals Enrollment FormLink to PDF
Oncology Orals Hematologic Malignancies (HI) Oncology Orals Hematologic Malignancies (HI)Link to PDF
Oncology Orals Hematologic Malignancies (PR) Oncology Orals Hematologic Malignancies (PR)Link to PDF
Oncology Orals Hematologic Malignancies Enrollment Form Oncology Orals Hematologic Malignancies Enrollment FormLink to PDF
Oncology Orals Solid Tumors (HI) Oncology Orals Solid Tumors (HI)Link to PDF
Oncology Orals Solid Tumors (PR) Oncology Orals Solid Tumors (PR)Link to PDF
Oncology Support Therapy (HI) Oncology Support Therapy (HI)Link to PDF
Oncology Support Therapy (PR) Oncology Support Therapy (PR)Link to PDF
Osteoarthritis (HI) Osteoarthritis (HI)Link to PDF
Osteoarthritis (PR) Osteoarthritis (PR)Link to PDF
Osteoporosis (HI) Osteoporosis (HI)Link to PDF
Osteoporosis (PR) Osteoporosis (PR)Link to PDF

P

PAH - Infusion (HI) PAH - Infusion (HI)Link to PDF
PAH - Infusion (PR) PAH - Infusion (PR)Link to PDF
PAH - Orals (HI) PAH - Orals (HI)Link to PDF
PAH - Orals (PR) PAH - Orals (PR)Link to PDF
PAH - Orenitram PAH - OrenitramLink to PDF
PAH - Orenitram (PR) PAH - Orenitram (PR)Link to PDF
Parkinson's (HI) Parkinson's (HI)Link to PDF
Parkinson's (PR) Parkinson's (PR)Link to PDF
Pomalyst-Revlimid-Thalomid (HI) Pomalyst-Revlimid-Thalomid (HI)Link to PDF
Pomalyst-Revlimid-Thalomid (PR) Pomalyst-Revlimid-Thalomid (PR)Link to PDF
Procrit (HI) Procrit (HI)Link to PDF
Procrit (PR) Procrit (PR)Link to PDF

Q

R

Remicade-Remicade Biosimilars (HI) Remicade-Remicade Biosimilars (HI)Link to PDF
Remicade-Remicade Biosimilars (PR) Remicade-Remicade Biosimilars (PR)Link to PDF
Renal (HI) Renal (HI)Link to PDF
Renal (PR) Renal (PR)Link to PDF
Respiratory Syncytia Virus (RSV) (HI) Respiratory Syncytia Virus (RSV) (HI)Link to PDF
Respiratory Syncytial Virus (RSV) (PR) Respiratory Syncytial Virus (RSV) (PR)Link to PDF
Retinal Disorders/Ocular Specialty (HI) Retinal Disorders/Ocular Specialty (HI)Link to PDF
Retinal Disorders/Ocular Specialty (PR) Retinal Disorders/Ocular Specialty (PR)Link to PDF
Rheumatology IV (HI) Rheumatology IV (HI)Link to PDF
Rheumatology IV (PR) Rheumatology IV (PR)Link to PDF
Rheumatology Orals Subcutaneous (HI) Rheumatology Orals Subcutaneous (HI)Link to PDF
Rheumatology Orals Subcutaneous (PR) Rheumatology Orals Subcutaneous (PR)Link to PDF
Ryplazim (HI) Ryplazim (HI)Link to PDF
Ryplazim (PR) Ryplazim (PR)Link to PDF

S

Sickle Cell Disease (HI) Sickle Cell Disease (HI)Link to PDF
Sickle Cell Disease (PR) Sickle Cell Disease (PR)Link to PDF
Sohonos (HI) Sohonos (HI)Link to PDF
Sohonos (PR) Sohonos (PR)Link to PDF
Sunlenca (HI) Sunlenca (HI)Link to PDF
Sunlenca (PR) Sunlenca (PR)Link to PDF

T

Transplant (HI) Transplant (HI)Link to PDF
Transplant (PR) Transplant (PR)Link to PDF

U

V

Vyvgart (HI) Vyvgart (HI)Link to PDF
Vyvgart (PR) Vyvgart (PR)Link to PDF

W

Wakix (PR) Wakix (PR)Link to PDF
Wilson's Disease (HI) Wilson's Disease (HI)Link to PDF
Wilson's Disease (PR) Wilson's Disease (PR)Link to PDF

X

Y

Z

Zulresso (HI) Zulresso (HI)Link to PDF
Zulresso (PR) Zulresso (PR)Link to PDF
Zurzuvae (HI) Zurzuvae (HI)Link to PDF
Zurzuvae (PR) Zurzuvae (PR)Link to PDF

Download Enrollment Forms

Select the starting letter of the specialty therapy/condition or medication.

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

Y

Z

Select the starting letter of the specialty therapy/condition or medication.

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

Y

Z

Download our app. Easily manage your care. Download the CVS Specialty™ Mobile App.

Download our app.
Easily manage your care. Download the CVS Specialty™ Mobile App.