GETTING STARTED WITH LUCENTIS DIRECT
Complete, sign, and fax the form to: 1-877-329-6737.
NEW TO THE PROGRAM
- I have never used LUCENTIS Direct. I'd like to create an account.
ORDERED BEFORE, BUT NEW TO ONLINE ORDERING
- I have a LUCENTIS Direct account and have ordered over the phone.
- I'd like to set up online ordering.
- I have a LUCENTIS Direct account and need to make some changes to my account information.
- Click here to order online.