Healthcare Professional Resources

Quick Patient Enrollment

Submit patient referrals through our secure online link, by calling our dedicated provider line, or by faxing completed patient enrollment forms to ZySupport. Our team will contact your patient within 24-48 hours.

Select Zydus medicine:

Please see full Prescribing Information, including Boxed Warning here

Required Information:

Patient contact information
Prescribed Zydus medication
Insurance information

Enrollment Form

Start

Patient Consent Form

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Product Replacement Form

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Product Replacement Information