Direct Ship Injectables Program
The Direct Ship Injectables Program facilitates the shipment of injectable medications such as Synvisc®, Hyalgan®, Lupron®, Zoladex®, and other injectables that are not commonly stocked in a physician’s office. Items that are typically stocked, including vaccines, antibiotics, chemotherapy, vitamin B-12 injection, infusible drugs, and other low-cost items, will not be facilitated through this program.
This voluntary program is available for all of your patients who have medical benefits through an AmeriHealth managed care program.
Please refer to the following information when participating in the Direct Ship Injectables Program:
- Complete and fax the Direct Ship Injectables Request Form to 215-761-9165.
Download the 
Direct Ship Injectables Request Form.
- The medication will be shipped to the specified address two (2) to five (5) business days after the Pharmacy Services Department receives the completed form.
- The injectable distributor will bill us directly, eliminating the need for you to bill for reimbursement of the drug.
- Any ordered refills will not require a new form. If you require a request form, call FutureScripts® at 1-888-678-7012 (option 3) and the form will be promptly faxed to you. You may download the request form directly from our website (see #1). Refills will be coordinated by our injectable distributor without additional paperwork.
- Quantities are limited to the amount required for one complete course of therapy for hyaluronate agents, such as Synvisc® and Hyalgan®. The quantities shipped for Lupron® and Zoladex® will be limited to a single injection per member.
- Quantities for other injectables will be evaluated to promote appropriate prescribing.
- Medications obtained through the program may be subject to the member’s contract exclusions and medical necessity review.
For more information please contact Member Services at 215-567-3590 (option 2) or 1-800-227-3119 (outside the Philadelphia area).
